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Class of 2018’s Anne Byrd Mahoney authors first-person account for Richmond Academy of Medicine’s newsletter

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The Class of 2018’s Anne Byrd Mahoney describes her medical school experience in the fall issue of RAMifications, the Richmond Academy of Medicine’s newsletter.

Her mother’s a pediatrician but that didn’t stop a young Anne Byrd Mahoney from rebelling against trips to the doctor’s office. “I can remember screaming and crying when the nurse asked me to read the eye exam chart, thinking that if I stalled long enough I wouldn’t have to get a shot at the end of my visit.”

In a first-person article in the fall issue of the Richmond Academy of Medicine’s newsletter, Mahoney recounts her change of heart. Opportunities to shadow a heart surgeon and a family practice doctor during her senior year of high school definitively sparked her interest in a medical career.

She entered the medical school with the Class of 2018 last fall and is now a student representative on the Richmond Academy of Medicine’s board of trustees. In her newsletter article she gives readers a view of what medical school is like today as students face the prospect of a cap on residency positions, medical school debt and uncertainty surrounding the Affordable Care Act.

Despite those challenges, “Each day, the reality that I get to learn and be a part of medicine gives me a jolt of energy that’s more powerful than anything I might buy at Starbucks.”

Mahoney got further confirmation she’s on the right track this past summer when she spent two weeks working in a medical clinic in Peru.

“My experience there made me realize that all of the tough days in medical school are worth it,” she wrote. “Every second spent scrutinizing the minute details of human physiology or of mechanisms of action of this and that drug is worth it. Any uncertainty about what lies ahead was negated by the passion I felt while working with patients.”

Mahoney is a native of Richmond and the daughter of housestaff alumna Rhoda Mahoney who practices with Pediatric Associates of Richmond. You can read Anne Byrd Mahoney’s first-person account in the fall issue of RAMifications, the Richmond Academy of Medicine’s newsletter.


M3 Yeri Park and faculty member Mike Czekajlo honored by Medical Society of Virginia


Class of 2017’s Yeri Park.

The Class of 2017’s Yeri Park and Michael Czekajlo, M.D., associate professor in the Department of Anesthesiology, were honored by the Medical Society of Virginia Foundation. The pair were presented with Salute to Service Awards at the MSV’s annual meeting in Chantilly on Oct. 24.

Park received the service by a medical student award for her impact on medically underserved communities. She served as the pharmacy chair for the 2014 Honduras Outreach Medical Brigade Relief Effort (HOMBRE) trip to the Dominican Republic that provided preventive care for over 1,000 patients. In addition, Park is co-founder of the Farmworker Health Outreach project on Virginia’s eastern shore that’s focused on the needs of migrant workers, and she also volunteers with the Mattaponi Healing Eagle Clinic, Crossover Healthcare Ministry and the Center for High Blood Pressure.

Park was elected to the post of president of the Class of 2017, and she served as co-president of the Student Family Medicine Association and on the leadership board of the Women in Medicine Student Organization. She is enrolled in the fmSTAT program that nurtures students pursuing a career in family medicine. In a video interview with the MSV, she describes her path into medicine.


Michael Czekajlo, M.D., assistant professor in the Department of Anesthesiology

Czekajlo was presented with the service to the international community award. It acknowledges his long-term service and commitment that includes establishing the CPR for Schools program in Poland, which has now trained 1 million school children in the mechanics of cardiopulmonary resuscitation. He also introduced innovative technology at an interdisciplinary simulation center in Poland that trains about 5,000 each year, teaching Polish health professions students the key aspects of treating heart disease and training American military and first responders on critical care practice.

A Fulbright scholar and director of the simulation center at the VA Hunter Holmes McGuire Medical Center, Czekajlo has encouraged the growth of simulation in Poland and helped the Polish Minister of Health secure a 60-million euro grant from the European Union to improve and enhance medical simulation in the country. Czekajlo was born to Polish émigrés and his connection to Poland is chronicled in a video produced by the MSV.

The MSV Foundation’s Salute to Service Awards are given annually 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.


Class of 1979’s Rebecca Bigoney returns to campus to talk medical ethics with incoming first-year students

Rebecca Bigoney, M79

Rebecca Bigoney, M’79

When students first arrive at medical school, they expect to dive right into the hard science that will form the basis of their medical knowledge. This year, Rebecca Bigoney, M’79, got the chance to show incoming first-year students another side of medicine that is equally important, yet often overlooked by students early in their medical education. This fall she returned to the MCV Campus to talk about medical ethics and the puzzling dilemmas the members of the Class of 2019 will assuredly encounter at some point in their careers.

Bigoney has confronted a wide variety situations involving medical ethics over the course of her career, which includes 18 years in private practice and a term as vice president of medical affairs at Mary Washington Hospital in Fredericksburg, Va., where she now works as chief medical officer.

She shared some of her experiences with students as a guest speaker for the “Patient, Physician, and Society” curriculum. Her talk illustrated the complex situations that doctors can encounter at what Bigoney called “the intersection of ethics, liability, policy and reality.”

She told the stories of a patient who declined kidney surgery because a travelling preacher told her she had been cured, factory workers exposed to dangerous heavy metals with no protections from their company and a wife who tried to interfere with her husband’s treatment because of the race of his doctor.

These types of situations, Bigoney explained, require doctors to weigh medical, ethical and procedural decisions to arrive at acceptable, though often imperfect, conclusions.

For many of the assembled students these were new situations and questions they hadn’t previously considered. Students asked frequent questions throughout Bigoney’s presentation, wanting to clarify the decisions she’d made to resolve certain situations. At a student’s prompting, she walked the class through her logic in a hypothetical mass casualty situation — which patients would receive priority, how limited hospital resources might be divided up and how legal liability factors into such decisions.

Bigoney made sure to remind the students that “the ethical problems you face most likely will not be catastrophic or dramatic like the ones I’ve described, but you’ll encounter ethical challenges every day.”

Mark Ryan, M’00, an assistant professor in the Department of Family Medicine, was also on hand to help facilitate the presentation. He praised Bigoney for showing students that “being a good doctor is more than knowing biochemistry or physiology — it is about learning to work with people, and the often complicated and difficult situations in which they find themselves.”

Even after the presentation was over, students lined up to ask her questions one-on-one. Although they may be years from having their own patients and making ethical decisions on their own, the Class of 2019 showed Bigoney that they intend to fully explore these complex questions so that they too can make the right ethical decisions when the time comes.

By Jack Carmichael


Medical student Lex Tee one of 30 nationwide to be selected for AAFP leadership program

Alexandra “Lex” Tee

The Class of 2018’s Alexandra “Lex” Tee

The Class of 2018’s Alexandra “Lex” Tee is part of the inaugural class of the American Academy of Family Physicians Foundation’s Family Medicine Leads Emerging Leader Institute. She was one of 30 students selected for the program, which is designed to give leadership opportunities to family medicine-minded medical students and residents who demonstrate leadership potential.

As an M2, Tee is still exploring what the different fields of medicine have to offer and is eager for any experience or mentorship she can get along the way. “I decided to apply because I would get to attend AAFP’s national conference and work with a mentor and a project of my choice. I always enjoy learning from physicians and older students and residents, and this opportunity seemed like the perfect environment for growing and learning.”

The Institute offers three tracks that participants can choose from: Policy and Public Health Leadership, Personal and Practice Leadership and Philanthropic and Mission-Driven Leadership.

Tee is pursuing personal and practice leadership and hopes she will learn how to handle increased levels of responsibility as she continues her education and career. Both the national conference in Kansas City, Mo., and the institute offer exceptional opportunities for her to network and continue learning about the field.

“I think it will be helpful for me because I am so early in my medical training and this track emphasizes remaining effective and focused as I transition to greater levels of responsibility, autonomy, power and expectations. I hope the program will foster my commitment to lifelong learning and teach me more about growing and excelling in the practice of family medicine.”

Group photo of inaugural class of the AAFP’s Emerging Leader Institute

As part of the inaugural class of the AAFP’s Emerging Leader Institute, the Class of 2018’s Alexandra “Lex” Tee traveled to Kansas City, Mo., to develop her leadership skills and learn more about family medicine. (She’s on the far left, middle row)

As she looks for mentors who can counsel her through choosing a specialty and applying to residency, she is quick to acknowledge the people who have guided her thus far. Lex completed her undergraduate work at the University of California, Berkeley, where she studied public health. Her favorite professor also worked as a physician, and he encouraged her to pursue medicine, so she began shadowing physicians in the San Francisco community.

The more she learned about family medicine, the more she liked it.

“My interest in family medicine grew because the physicians that I shadowed worked in schools and in areas of the community that they cared deeply about, and they were willing to give me some valuable mentorship.” Now on the MCV Campus, she’s part of the fmSTAT program that nurtures students in their pursuit of a family medicine career. Tee lists the relationship she has developed with her fmSTAT mentor, Phil Sherrod, M’74, H’77, as one of the highlights of medical school.

By Jack Carmichael


“You don’t have to leave the United States to find a need.”

Kelli McFarlingThis summer, the Class of 2018’s Kelli McFarling (second from right) traveled to both Honduras and Wise County, Virginia, to help provide health care to the underserved. She was struck by the similarities shared by the patients she met.

The Class of 2018’s Kelli McFarling knew the need for medical care was great in Honduras. But she had no idea how overwhelmed she would feel trying to do her part.

“I know any little dent we can make is a good thing,” said the rising second-year medical student. “But it’s frustrating to see how much needs to be done.”

Kelli was one of about 32 students from the VCU School of Medicine to participate this summer in HOMBRE (Humanitarian Outreach Medical Brigade Relief Effort). Started in 2000, this medical mission trip, organized by first-year students under guidance of faculty from the schools of medicine and pharmacy, takes place the summer before their second year. What began with mission trips just to Honduras has grown over the years to include four sites – Honduras – Norte; the Dominican Republic; Peru; and Honduras – Pinares.

“I learned so much about disease from both a pathological and population health perspective,” Kelli said. “It definitely makes me want to be a doctor even more.”

A few weeks after returning from Honduras, Kelli hit the road again, but this time she remained in the United States. As a member of the RAM (Remote Area Medical) team, she traveled to Wise County with 11 other medical students in July to a temporary clinic that provides free medical, dental and eye care to more than 2,500 patients from 16 states.

Did you know?

HOMBRE was first organized as the Honduras Outreach Medical Brigada Relief Effort when students and faculty were traveling only to Honduras. As HOMBRE grew to include more sites, the name changed last year to reflect that growth. HOMBRE is now known as the Humanitarian Outreach Medical Brigade Relief Effort.

“It was an incredible experience to go to both places and see what it was like to be in a third-world country, and then come right back here to Virginia and see the similarities,” Kelli said. “You don’t have to leave the United States to find a need.”

This marked RAM’s eleventh year at Wise. The 12 medical students were among 1,000 volunteers on this year’s RAM team that included physicians, nurses, dentists, pharmacists, podiatrists, respiratory therapists, lab technicians and radiologists.

“Our patients here don’t have access to medical care because the area is so rural,” said Kevin J. Lee, M’09, who led VCU’s RAM team this year. “In addition to not having health care facilities, many can’t afford health insurance, or the insurance they can afford has huge deductibles.”

The three-day clinic is an invaluable experience for students, Lee said, because it takes them outside their comfort zones.

Kevin J. LeeKevin J. Lee, M’09, has volunteered with Remote Area Medical in Wise County, Virginia, for five years. This summer he led VCU’s RAM team.

“They are seeing things they may not necessarily be exposed to otherwise,” he said. “For example, in school they generally listen to normal heart and lung sounds, or somewhat well managed chronic problems. Here, they tend to hear far more unusual murmurs or lung sounds, as well as complex medical conditions stemming from longstanding untreated chronic medical problems and a significant lack of resources.”

At this year’s clinic, many patients waited in line all day to see a doctor. When they first entered the triage area, they were seen by volunteer nurses. The general medical team then met with them, with third- and fourth-year medical students conducting interviews and evaluations under the supervision of attending physicians. From there, they were either set up with a treatment plan or directed to other specialties.

“I was all over the place,” Kelli said. “I helped with pelvic exams, I helped remove skin lesions and even assisted with tooth extractions. That’s what makes RAM so special – the interprofessional care. It was amazing as a student to have this kind of experience.”

HOMBRE provides interprofessional care as well, with medical, pharmacy and physical therapy students working alongside faculty from VCU’s Medical College of Virginia Campus to treat the medically underserved. This summer, for example, the Dominican Republic team treated about 900 patients over a 10-day period.

“We empower the students to be the primary care providers,” said Mark Ryan, M’00, a site leader for the Dominican Republic team and assistant professor for the Department of Family Medicine and Population Health. “We are asking a lot, but they answer to it. We have a lot of confidence in them.”

A working medical student Twelve VCU medical students were among 1,000 volunteers on this year’s RAM team. Physicians, nurses, dentists, pharmacists, podiatrists, respiratory therapists, lab technicians and radiologists provided care to more than 2,500 patients from 16 states.

Students worked in pairs. A medical student might have been paired with a pharmacy student, for example, so they could experience team-based care. They conducted patient interviews, performed exams and presented their findings to faculty. They worked as a team to formulate a treatment plan. This approach allows student teams to independently evaluate patients, while ensuring necessary supervision and teaching takes place.

“They are not only providing meaningful service, but come out of it with significant professional growth,” said Ryan, medical director of the Hayes E. Willis Health Center. “They are seeing such a wide range of cases, which really builds their confidence.”

Whether the students are volunteering with RAM or HOMBRE, the cases they see can be quite similar. Patients are often suffering from hypertension, diabetes, high cholesterol, depression, chronic back issues, arthritis and tooth decay. In Wise, where long-term tobacco use is common, many patients also suffer from respiratory issues and even cancer.

“The similarities were shocking,” Kelli said. “In Honduras, I became appreciative of the aspects of health related to infrastructure. Lack of clean drinking water, working plumbing and health literacy were all major factors negatively impacting patients’ health. Lasting impacts in Honduras require more than just a few day’s work. In rural Virginia, the basic infrastructure was in place, but access to health care is limited by costs and distance.”

In both locations, patients return year after year, often seeking out the same doctor or student they saw the year before.

“This summer, a man I see every year came up and gave me a big hug,” said Lee, who has been traveling to Wise for five years. “He had this smile on his face as he told me he had found a job and would have health insurance. He was so proud.

“The best part was he was there this year to sign up as a RAM volunteer. After all those years of being the one in need, he was back to serve. That was so incredible to hear and very emotional for me. What a testament to how much the people in the community feel we are making a difference.”

By Janet Showalter


Medical Student Zachary Maas one of 8 chosen for research training program at Case Western

Zachary MaasAs an intern with the Heart, Lung and Blood Summer Research Program at Case Western Reserve University, medical student Zachary Maas had the chance to present his findings in a poster presentation this summer.

As a child growing up in the foster care system, the Class of 2018’s Zachary Maas never imagined he could one day become a doctor.

But that’s the path he is now taking.

“Growing up, I received medical care at free clinics,” he said. “I certainly didn’t have the pedigree to become a doctor, but this is something I really want. I’m working hard to make it happen.”

Zachary is a rising second-year student at the VCU School of Medicine. He was one of eight medical students from across the country to participate this summer in the Heart, Lung and Blood Summer Research Program at Case Western Reserve University in Cleveland. The eight-week program is designed to engage students in state-of-the art biomedical research in cardiovascular, pulmonary, hematological and sleep disorders research.

Zachary’ research delved into the role of HIF, a transcription factor involved in establishing the oxygen supply of growing or injured tissue. This is critical, Zachary said, to the understanding of chronic vascular disease, bone marrow therapies, and tumor resistance to chemotherapy. He presented his research in the form of a poster to the Case campus on July 31.

“Zach did extremely well,” said Diana Ramirez-Bergeron, Ph.D., Zachary‘s mentor and an assistant professor in the Department of Medicine and the Case Cardiovascular Research Institute. “A lot of students come in to get the experience, a letter of recommendation and then move on. That’s not Zach. He’s incredibly dedicated.”

Zachary spent early mornings and late evenings in the lab, fascinated with the research side of medicine.

Zachary Maas“A lot of students come in to get the experience, a letter of recommendation and then move on,” said Diana Ramirez-Bergeron, Ph.D., Zachary’s mentor at Case Western. “That’s not Zach. He’s incredibly dedicated.”

“A lot of people have an interest in helping the underserved, and my interest in research sort of stems from that,” Zachary said. “I see research as a way to fight for better outcomes in groups of patients who could really use our help. I’ve always admired people who look at medicine that way. It takes so much dedication because research can take so long to even make a dent.”

As a pre-teen, Zachary doubted his ability to achieve success in life. He was taken out of his Mountain View, California home at age 8 and placed in foster care. He bounced from foster home to foster home for years. But when was 11, he found solid ground with his second-grade teacher, who opened her home to him.

“My life was going nowhere,” he said. “It had been constant turmoil. But after I moved in with her, my grades improved and things got much, much better.”

The summer after high school graduation, a friend told him about a documentary following physicians’ careers at Johns Hopkins. Zachary watched it and was amazed.

“I thought if I could be like anyone in this life, it would be like those doctors,” he said. “Their dedication and the impact they were making was incredible. I made it my mission to be that good.”

He signed up for the toughest classes he could find at the University of Southern California and graduated with degrees in biology and economics. He also served as co-captain of his school’s dragon boat team.

“Beginning at USC, I felt like I didn’t even deserve to be there,” Zachary said. “But I decided to focus on just getting better. And I think I carry a lot of that same mentality with me, even here in medical school.”

On VCU’s Medical College of Virginia Campus, he calls himself fortunate to be surrounded by physicians who encourage and challenge him every day.

“Every day I’m looking for them,” he said. “I’ve been lucky to find several amazing doctors here to look up to. I love that feeling of finding people who embody what I want to emulate, and I have that here. I’m learning what it means and what it takes to be a great doctor. I have found what I want to be.”

After his experience at Case Western, Zachary is more convinced than ever that he can help patients by devoting his life to research. He is not yet sure how many years of research he’ll be able to fit in his training, but he is anxious to leave his mark wherever he can do the most good.

“When you see someone who suffers from a terrible illness or disease, the human in you is simply moved to do something about it,” Zachary said. “With research, I can combine this intense intellectual interest with the beautiful act of helping a group of people in need. Success stories in research are far from guaranteed, but by just working hard every day and doing our best, I know that my colleagues and I can change people’s lives together.”

By Janet Showalter