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12
2014

#GreatGood: Ph.D. student’s research explores social media

Chair of surgery

Jeanine Guidry, Ph.D. student in the Department of Social and Behavioral Health

Like many graduate students, Jeanine Guidry approached her thesis project with apprehension and perhaps a little dread. Who, after all, enjoys countless hours of research?

“Apparently me!” Jeanine said with a laugh. “As I was working on my thesis, I realized I loved it.”

So much so that after earning her master’s in strategic communications from George Washington University, she decided to pursue a Ph.D. She is on pace to graduate in 2018 from the medical school’s Department of Social and Behavioral Health.

“I’m loving everything about it so far,” Jeanine said. “I’ve always had a real passion for nonprofits and helping people who are struggling in life.”

Jeanine’s area of focus is on the use of social media and mobile technology in health communication, as well as the use of social media among nonprofits. Her recent work analyzes how the public uses social media platforms like Instagram and Pinterest to communicate their experiences, fears and thoughts on such timely topics as vaccines, depression and Ebola.

Pinterest users, for example, pair text and graphics, like the person who expressed just how debilitating depression can be: “I lost myself somewhere in the darkness.”

“The range of experiences and the range of topics is incredibly broad,” Jeanine said. “Health affects all of us, and it affects all of us differently. With social media, we can express that in a totally new way.”

Chair of surgery

Jeanine’s research examines how the public uses social media like Pinterest to communicate their experiences, fears and thoughts on such timely topics as vaccines, depression and Ebola.

She presented her paper “Framing Public Health Issues with Images: How Pinterest Tells Stories of Depression” at the Digital Disruption to Journalism and Mass Communication Theory Conference in Brussels, Belgium, on October 3. She presented another paper about vaccines over the summer in Montreal.

“More people than ever are getting information from social media platforms like Twitter and Pinterest, and it’s imperative that we as researchers understand how this type of information exchange is affecting public opinion and knowledge of public health issues,” said Jeanine’s advisor, Kellie E. Carlyle, Ph.D., assistant professor and graduate program director. “Jeanine’s research into understanding how public health issues are portrayed in social media gives public health researchers the information needed to design effective messages that promote healthy behaviors.”

Jeanine would not be able to conduct her research, she said, without the support and encouragement of Marcus Messner, Ph.D., associate professor at the Richard T. Robertson School of Media and Culture. Jeanine is an affiliate graduate researcher with the School’s Center for Media+Health.

“They make what I do possible,” she said.

At 47, Jeanine is not your typical student. She grew up in the Netherlands and earned her bachelor’s and first master’s in health sciences from Maastricht University. She moved to the United States in 1991, met her future husband Chris and married in 1997. She has worked in community development and with nonprofits since.

Chair of surgery

Even as she works toward her Ph.D., Jeanine is the lead singer for the Offering, a band that plays for organizations that can’t afford to hire musicians. She also is the executive director for Arts in the Alley, a Richmond-based nonprofit that turns rundown streets into works of art through murals. “My days are incredibly fulfilling,” Jeanine said. “I love what I do.”

Jeanine is looking forward to tackling her dissertation on social media’s changing landscape. While Facebook, Twitter and Pinterest may be three of the most popular platforms today, it could be very different by the time she finishes her dissertation.

“Just look at Pinterest,” Jeanine said. “People at first thought it was just a visual platform, but it’s amazing to see how people talk about their struggles with depression or their fears of Ebola. Who knows what’s next.”

Many people turn to social media not only for information, but for support in dealing with a chronic illness or the loss of a loved one.

“We don’t know what platforms will be popular in a few years,” Jeanine said. “Social media is developing at such breakneck speed. There are so many conversations happening out there that we can get involved in and use social media for great good.”

Did you know?

  • Facebook has more than 1 billion active users
  • Twitter users send 500 million tweets every day
  • 23 percent of Pinterest’s 70 million total consumers use it at least once a day
  • 70 percent of Snapchat users are female
  • 23 percent of teens consider Instagram their favorite social network
  • 12 million-plus people blog via social networks

Courtesy SocialTimes.com

By Janet Showalter

18
2014

Medical students serve the community in DOCS 2014

Each year, our medical students organize DOCS — a Day of Community Service. This year, on October 18, more than 125 students volunteered with six different community projects.

They made a difference in all sorts of ways: clearing trails, painting playgrounds, helping out a safe house for victims of human trafficking and partnering with youth who have physical and intellectual disabilities in a Buddy Ball football game.

Read more about DOCS 2014 or watch video from the day’s events.

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08
2014

Cadaver Rounds moves what was a purely anatomical experience into the clinical realm

Cadaver Rounds animation

Table 19 used animation to showcase the unique opportunity they had to CT scan our cadavers. “We used the full coronal CT view of our cadaver as a reference to present each of our findings,” explains team member Abrahm Behnam. A screenshot of the webportal through which the students accessed their CT images serves as the starting point of their presentation. Images courtesy of the Class of 2017’s Abrahm Behnam.

A new twist on the traditional gross anatomy course is giving medical students an unprecedented opportunity to expand beyond basic anatomical observations. For the first time, they can send suspicious tissue biopsies to the pathology lab and even obtain a full body CT-scan of the cadaver itself.

Along with observations made during dissection, those results help them assemble a plausible clinical picture of the cadaver – a picture they then present to their classmates in “Cadaver Rounds.” In the culmination of the gross anatomy course, teams of students describe their cadavers’ major clinical problems, the typical prognosis of possible diseases found, suggest clinical or lab tests relevant to the case and, finally, a likely cause of death.

“Cadaver Rounds has moved what was a purely anatomical experience into the clinical realm,” says M. Alex Meredith, Ph.D., course director and professor of anatomy and neurobiology. The course now challenges students to observe structural anomalies in the body and then ask “what that person’s health profile was like and how those problems may have impacted their lives.”

That’s in line with larger curriculum changes the medical school debuted last year. The new course of study is clinically driven, using the preclinical years to encourage students to think of the patients they will encounter in the future.

With access to reports from pathology and radiology, students now have a self-directed opportunity to confirm, enhance or even refute or explain their observations in the gross anatomy lab. And in August, after all the dissections and other observations are completed, the student teams presented their findings to their classmates.

Cadaver Rounds animation

Table 19’s objective findings, integration and case scenario were presented along with animations describing the pathologic and diagnostic findings. Images courtesy of the Class of 2017’s Abrahm Behnam.

For Meredith, it was “perhaps the best day I’ve ever had as a teacher. The presentations were more than we could have imagined they would be both in content and in style.”

Susan R. DiGiovanni, M.D., assistant dean for preclinical medical education, was on hand for the presentations, too.

“I so wish we had something like this when I was a student,” she says. “I liked anatomy, but we didn’t much feel like future doctors as we toiled in the lab for hours trying to identify nerves, tendons, arteries and veins that had little meaning to us because we had no way of knowing how it related to patient care. There has never been anything like Cadaver Rounds.”

She remembers her own classmates discovering an abnormality during dissection and running over to other tables to compare it to what ‘normal’ looked like. “We never put the story together to think about our cadaver as a patient. Cadaver Rounds has the students looking at their cadavers in whole new light. They thought of them as a person. They wondered what their story was. They played sleuth to put the clues together much as pathologist would.

“I was astounded at the professionalism of the students’ evaluations and how carefully they thought about their ‘first patient’ in such detail. I couldn’t believe their creativity and incredible use of technology. They put many faculty to shame!”

The four teams who earn the highest scores on their presentation received the distinction of “Best Cadavers” along with copies of the recently published biography, “Medicine’s Michelangelo: The Life & Art of Frank H. Netter, M.D.”

2014 Cadaver Rounds Award Winners

Baughman Society Winner: Anatomy Dissection Table 10
Christopher John Hagen
Rebecca Anne Maddux
Lindsey Marie McKissick
Shreya Jagdish Patel
Samay Sappal
Metul Ketan Shah
Sherna Sarvajna Sheth

Benacerraf Society Winner: Anatomy Dissection Table 25
Claiborne Downey
Diane Denise Holden
Sarah Louise Hughes
Vanessa Monique Mitchell
Olga Mutter
Andrew Percy
Taylor Magruder Powell

Harris Society Winner: Anatomy Dissection Table 22
Jamaal Christopher Jackson
Michael Christopher Krouse
Andrew David Lyell
Ye Ri Park
Katherine Ann Pumphrey
Advaita Punjala
Megan Elizabeth Shaffer

Warner Society Winner: Anatomy Dissection Table 7
Harnek Singh Bajaj
Mark Raymond Cubberly
Maria George Hadjikyriakou
Samuel Micah Orwin
Vikash Parekh
Sarah Elizabeth Pauli Smith

08
2014

AAMC features the Class of 2017’s Clay Downey in its Aspiring Docs series

Class of 2017's Clay Downey

Clay Downey has been featured on the AAMC website for his interesting, non-traditional path to medical school

The medical school has a reputation for welcoming non-traditional medical students onto the MCV Campus. One of them is the Class of 2017’s Clay Downey, whose inspiring story has been featured by the AAMC in its Aspiring Docs series.

Their website proclaims: “Clay had a business degree, no science prerequisites, and no experience in a health care setting, but he decided to pursue a career in medicine anyway.”

The feature got its start when the AAMC put out a call for non-traditional applicants to tell their stories. Clay saw it and volunteered.

“I thought it would be a great opportunity to share my thoughts about the process,” he said. “I wasn’t sure if my story could apply to others out there, so I went ahead and gave it a shot.”

The AAMC’s web feature takes the form of a Q&A in which Clay talks about what sparked his interest in medicine and how he took it “one step at a time” on the challenging path to prepare to apply and enter medical school.

“I think being a non-traditional pre-med applicant and waiting to take classes later turned out to be a huge advantage,” Clay told the AAMC. “I already had a degree in business administration, so I was able to schedule only the classes that interested me. I tried to put together classes that fed into each other (i.e., physiology and anatomy), and I think it gave me a much stronger foundation coming into medical school than if I needed to work other classes into my schedule.”

Clay’s process interested the AAMC so much that they worked with him on a second story about his experiences as a medical scribe.

“I worked as an emergency department scribe for two years before medical school. This was the perfect job for me because it gave me incredible exposure to the day-to-day life of a physician, and really reaffirmed my decision to go to medical school.”

15
2014

Medical School debuts Cadaver Rounds for first-year students

Cadaver Rounds

The Class of 2017’s Kymia Khosrowani, Kaila Redifer and Andy Green discovered an unusual structure in the course of their dissection. They sent a biopsy to the pathology lab to determine if it was an enlarged lymph node or a mis-shaped adrenal gland as they suspected.

In an era when some other medical schools have dropped or limited the gross anatomy lab, it’s more pertinent than ever on the MCV Campus.

Just as in years past, first-year medical students learn from their “first patient.” But now they have an unprecedented opportunity to expand beyond their anatomical observations. For the first time, they can send suspicious tissue biopsies to the pathology lab and even submit the cadaver itself for a full body CT-scan. In return, as first-year sleuths, they’re asked to assemble a plausible clinical picture of the cadaver from their different observations.

It’s called Cadaver Rounds.

“Each cadaver is different and has a different medical life history,” says M. Alex Meredith, Ph.D., course director and professor of anatomy and neurobiology. “Studying the cadaver has been so valuable in helping students develop a visual picture of the body’s 3-D structure and to see the body’s variability. Now, we are pushing those observations further to estimate – from discovered things like scars, shunts, implants, tumors and the like – what that person’s health profile was like and how those problems may have impacted their lives.” ”

Working in teams, the students dissect the cadaver with intensive study of 20 different regions of the body. Along the way, they make daily logs of important anatomical or pathological findings as well as suspected medical problems from scars, implants and tumors.

M. Alex Meredith, Ph.D.

M. Alex Meredith, Ph.D.

Meredith points out “Some clinical syndromes exhibit multiple pathologies.” By spotting and recording clues along the way, students eventually may be able to correlate separate observations to a single disease process. The reports from pathology and radiology provide an opportunity to confirm, enhance or even refute or explain the students’ observations.

The dissection experience culminates in August, when the student teams formally present their findings to their classmates. They’ll be expected to describe any major clinical problems identified, the typical prognosis of diseases found, suggest clinical or lab tests relevant to the case and, finally, a likely cause of death. As a result, the whole class will have the chance to learn from 32 “first patients.”

Through Cadaver Rounds, students have early exposure to new skills. For example, they test out their dexterity with a scalpel as they slice biopsies and prepare them for the pathology lab. Once submitted, the Pathology Department prepared the slides and Davis Massey, M’96, PhD’96, H’01, associate professor of pathology, read each specimen and provided a standard Path report.

Students also learned how to read a CT-scan thanks to the Class of 2006’s Peter Haar, M.D., Ph.D., who is now on faculty in the Department of Radiology, who arranged the CT scans for all 32 cadavers. He also organized tutorials by the radiology staff for the students to examine and interpret the scans.

Meredith says Cadaver Rounds will ultimately prepare students for participating in Grand Rounds. A medical school staple, in Grand Rounds a physician presents a patient’s case or a new medical advance to an audience consisting of doctors, residents and medical students. Less common now, traditionally the patient would also attend the session.

The four teams who earn the highest scores on their presentation will receive the distinction of “Best Cadaver” along with a copy of the recently published biography Medicine’s Michelangelo: The Life & Art of Frank H. Netter, M.D. Netter was described in a NY Times book review as “possibly the best-known medical illustrator in the world.”

Meredith was a medical illustrator himself (Hopkins, 1978) before completing his Ph.D. in anatomy on the MCV Campus in 1981. He says “Cadaver Rounds has moved what was a purely anatomical experience into the clinical realm.”

04
2014

Last seat holds great honor

Bentley Massey

Bentley Massey

Bentley Massey had given up hope of entering medical school this fall, convincing himself instead that the delay was the best thing for him.

“I kept telling myself that it gave me time to mature, to work and to spend time with my family,” he said.

Bentley had been on the waiting list at VCU since early this year, but with July nearly gone and no call, he figured he’d stay in North Carolina, continue teaching middle school science and perhaps enter EMT school. But then, on July 21, Michelle Whitehurst-Cook, M’79, now associate dean for admissions, called with exciting news.

“She asked me how I’d feel about coming to VCU,” Bentley said. “I was so excited, I think I actually started stuttering.”

A typical response from students on the waiting list, Whitehurst-Cook said.

“He was so happy,” she said. “The competition is very heavy, so when they make it, it is very exciting. It’s life changing for them. For me, it’s exciting to be part of that.”

Bentley was not only off the waiting list, but was named the recipient of the Dr. Miles Hench Scholarship. Endowed by Larry Schlesinger, M’71, the scholarship is awarded to the last person admitted to the incoming medical school class on the MCV Campus.

“That last seat has true honor,” said Schlesinger, the last student selected for his class, but who graduated tied for first in class. “It certainly doesn’t define you as least. The last student selected is ahead of thousands of others who will never deliver a baby or help save a life.”

Bentley isn’t sure of his specialty quite yet, but plans to take Schlesinger’s advice to study hard, sit in the front row and wear a tie to class.

The class of 2018

Total number of applications: 7,830
Total number of interviews: 1,024
Total number of students accepted: 216

“I’m just so proud to be here,” Bentley said. “Whether you are the first one in or the last, it doesn’t matter. What matters is what you do once you are here.”

He can only hope that the next four years go as smoothly as his first few weeks. Because he was not accepted until July, Bentley had a little more than a week to move from his hometown of Wilson, N.C., to Richmond. He wasted little time. He found an apartment on the first day he visited, and a week later his father and girlfriend helped him move. He even got an assist from an unexpected source.

“We were trying to get this big couch up the stairs, and I wasn’t quite sure we were going to make it,” he said. “Then I saw these two athletic guys walking down the sidewalk, so I asked if they could help. They carried that thing right up there and got it situated for us.”

He offered them each $20, but both declined. Then Bentley discovered who they were – Washington Redskins’ cornerback Bashaud Breeland and wide receiver Ryan Grant, in town for training camp.

“Boy, did I feel silly offering them $20!” Bentley said “They were so nice and gracious. I love Richmond!”

Bentley, 24, was a double major – chemistry and math – at Barton College in North Carolina, where he also played baseball. He is an avid volunteer, working with youth baseball groups, Meals on Wheels and with dementia and Alzheimer’s patients. He has shadowed orthopedic surgeons including the Class of 1995’s Robert N. Satterfield who also lives in Wilson.

“I have always dreamed of being a doctor, and now that dream is coming true,” Bentley said. “I’m starting a new chapter in my life, and I couldn’t be more excited. I don’t think I’d be here without the support of my family and friends. I’ve had so many people on my side pulling for me. I just want to make them proud.”

By Janet Showalter