DHMC 2005 - Dartmouth

› DHMC 2005 ›
››› Dartmouth-Hitchcock Medical Center ›
Transformation connotes change, growth, and a new perspective. › Questioning
assumptions allows us to respect tradition, but not follow it blindly when it does not
make sense for the patients we serve. Erasing boundaries frees us to translate new
science from the laboratory to treatment by connecting researchers and physicians.
Creating solutions is the reward of our combined efforts in research, teaching, and
innovation to provide the ultimate care for each patient. › This Annual Report for
2005 illustrates the many ways Dartmouth-Hitchcock Medical Center physicians, staff,
donors, volunteers, and friends are embracing the need for an acceleration of productive
change to transform the conceptualization and delivery of health care in our country. ›
Read on to learn how the Dartmouth legacy of education, research, and care continues.
››› WHERE MEDICINE IS TRANSFORMED EVERY DAY ›
Interdisciplinary Clinics Offer More than Just Medicine
“The management of our patients,” Benoit Gosselin
says, “usually requires more than just medical care.”
Gosselin is an oncologic surgeon in the department of Otolaryngology and leads the Head and
Neck Oncology Program at Norris Cotton Cancer
Center. The program offers a half-day clinic during which patients are scheduled to be seen by a
range of providers with specific expertise in head
and neck cancers. The clinic is staffed by Gosselin
and his colleagues, J. Oliver Donegan and Joseph
Paydarfar, also oncologic surgeons; Tom Davis, a
medical oncologist; Kelly Underhill and Alan Hartford, radiation oncologists; as well as social worker
Laurel Ludy, speech therapist Gina Brock, and
dietitian Jeannine Mills. Together, they provide care
specifically tailored for each patient’s needs.
For patients, there are many benefits to the interdisciplinary clinic. Debra Smith, an LPN, explains that
the patients are often scheduled for joint appoint-
›››
ments with several physicians so they can get all
their questions answered, adding empathetically, “I
know I’d have a lot.”
For the patient dealing with social issues—such
as transportation, finances, or healthcare coverage—or psychosocial issues related to family
stress, the social worker is right there to help. A
patient who needs a speech therapy consult, can
see the speech and language specialist for a primary evaluation in that same visit—saving a trip
back to the medical center.
For the providers, the interdisciplinary clinic
improves collaboration and integration of care. If a
patient’s radiation therapy has caused them some
discomfort or other side effects, the radiation
oncologist can confer with the surgeon or medical oncologist at the time of the appointment. The
surgeon, radiation oncologist, and medical oncolo-
›
1,679,776
OUTPATIENT VISITS
›
$18,811,411
IN FINANCIAL ASSISTANCE
›
gist often see the patient together. They listen to
one another’s conversations with the patient, then
step out into the hallway for a quick conference to
decide about the best treatment.
As you can imagine, the hallway is a busy place.
Gosselin describes the scene in the clinic on busy
days as “highly organized chaos,” but emphasizes
the word “organized.”
The concept of a multidisciplinary clinic is not
new. What’s innovative about this clinic—which
has been going on for about five years—is that it
includes a speech therapist, dietitian and a social
222
NON-PHYSICIAN
PATIENT CARE HIRES
›
540
NEW PARKING
GARAGE SPACES
worker, in addition to the medical team. This patient-centered, comprehensive care is also provided
to women diagnosed with breast cancer and is
being tailored for use in the Cancer Center’s other
oncology programs. The interdisciplinary model is
also used in the other areas of the Medical Center
such as the Spine Center and the Hand Clinic.
Gosselin would like to add additional resources
to the mix. “If we have issues related to depression, which is very common in cancer, then we will
involve someone from psychiatry. Surgery can be
disfiguring, alter your body function, and affect self
image. Patients need to feel good about themselves.”
Thank you, Donors.
2005 was an extraordinary year for Dartmouth-Hitchcock Medical Center and Dartmouth Medical School, as it
marked the public launch of our Transforming Medicine Campaign. The enthusiastic response we have received
from our philanthropic community this year is a testament to the confidence our donors have in our ability to
transform medicine by advancing patient care, medical education, scientific research, and community service.
In calendar year 2005, more than 19,000 donors provided over $24 million in support through gifts
and grants for Dartmouth-Hitchcock Medical Center and Dartmouth Medical School.
While gifts of all amounts are sincerely appreciated, we include here the names of donors who made gifts to DMS
or DHMC totaling $1,000 or more during 2005. All contributions to the Medical School and the Medical Center are
supporting the Transforming Medicine Campaign, which seeks to raise $250 million by the end of 2009.
Philanthropic support touches the lives of so many: from the students who are training to be the next
generation of doctors and scientists, to the researchers who are committed to finding better treatments for
disease, to our patients who expect and deserve the best possible care. We are profoundly grateful to our
alumni, faculty, patients, and friends for their unwavering commitment and continuous generosity.
20th Skeet & Clays
Abbott Laboratories Fund
Abcomm, Inc.
Dr. and Mrs. William A. Abdu
Dr. Donald W. Abel
Academy of Movement
Accreditation Council for
Graduate Medical Education
The Ad Studio, Inc.
Advanced Health Media
Advest, Inc.
Aetna, Inc.
AGS Foundation for Health in Aging
Dr. Jeral L. Ahtone
Dr. and Mrs. Todd James Albert
Mr. and Mrs. Frank Aldrich
Mr. and Mrs. Judd H. Alexander
Dr. Raymond Alexanian
Alice Peck Day Hospital
William G. Allyn
Alpina Sports Corporation
American Association of Chairs
of Departments of Psychiatry
American Cancer Society, Inc.
American Express Financial
Corporation
American Heart Association
American Legion Auxiliary
- Department of Vermont
American Pharmaceutical
Partners, Inc.
American Physicians
Assurance Corporation
AmeriCares Foundation
Amgen, Inc.
Gladyce V. Amidon
Mr. and Mrs. Howard M. Anderson
Dr. and Mrs. Steven K. Andeweg
Dr. and Mrs. Blair J. Andrew
William P. Annable
Anonymous (12)
AO North America
Dr. and Mrs. Frederick M. Appleton
Archives of Dermatology
Dr. Peter D. Areson
Doris M. Armstrong
Lance Armstrong Foundation Inc.
Diane L. Arsenault
Joseph C. Asch
Astra Tech
AstraZeneca LP
Dr. and Mrs. James P. AuBuchon
Mr. and Mrs. Edward
H. Auchincloss
Aventis Pasteur
Louise R. Avery
Axcan Scandipharm Inc.
Dr. Richard J. Baker, Jr.
Baldasaro Enterprises, Inc.
Mr. and Mrs. William J. Baldasaro
Dr. Karen K. Ballen
Bank of America
Gail and Steve Barba
Mr. and Mrs. Kenneth S. Barclay
The Barnard Family
Mr. and Mrs. Donald W. Barr
Mr. and Mrs. Raymond J. Barrette
Dr. Joan C. Barthold
Dr. James R. Barton
Mr. and Mrs. Thomas J. Bascetta
Drs. Lavonne and Paul Batalden
Mr. and Mrs. Charles W. Battle
Jonathan W. Battle
Colonel (Ret.) Robert C. Baughman
Baxter Healthcare Corporation
The Bayson Company
Joel and Catherine Bedor
Philip E. Beekman
Mr. and Mrs. Joshua Bekenstein
Bella
Marie M. Beringer
K. Reed Berkey
Berlex Corporation
Berlex Laboratories Inc.
Berlex, Inc.
Dr. and Mrs. James L. Bernat
Lawrence H. Bernstein
Dr. and Mrs. Michael A. Bettmann
Theodora B. Betz Foundation
Mr. and Mrs. Burton M. Bickford
Richard Bielefield and
Kathleen Jablonski
Jasmin Bihler and Dr.
Elijah Stommel
William Bihrle
Prof. and Mrs. Robert
B. Binswanger
Biogen Idec
Dorothy S. Bischoff
Dr. and Mrs. Harry C. Bishop
Mr. and Mrs. Leon D. Black
Dr. and Mrs. William C. Black
David J. Blackwell
Mr. and Mrs. Foster W. Blough
Boehringer Ingelheim
Pharmaceuticals Inc
Mr. and Mrs. Antranig
A. Boghosian
Bonhag Associates, PLLC
Borealis Ventures
Mrs. Murray Bornstein
The Borwell Charitable Foundation
Naomi T. Borwell
The Boston Foundation
Boston Scientific Corporation
Drs. Philip and Suzanne Boulter
Estate of Carole N. Bourgeois
Dr. DeRayne Boykins
Dr. Jennifer S. Boyle
Dr. and Mrs. William E. Boyle, Jr.
Katharine S. Boynton
Brady Sullivan Properties
B. Braun Medical Inc.
Dr. Mark G. Brauning
Mr. and Mrs. John J. Brendel, Jr.
Dr. Donald K. Brief
Pauline Brine
Mr. and Mrs. Charles E. Brinley
Bristol-Myers Squibb Company
Jennifer and Peter Brock
The Jennifer Brock Charitable
Lead Annuity Trust
Dr. Mark J. Brodkey
Marlene Brody
Brookline Village Dermatology, P.C.
Dr. Katherine M. Brower
Lucy Brown
Dr. and Mrs. Mark W. Brown
The Buchanan Family Foundation
Dr. and Mrs. Jay C. Buckey, Jr.
Dr. and Mrs. Kenneth W. Burchard
Burdick Foundation
Dr. Donald L. Burnham
Paul D. Busby
J.E. and Z.B. Butler Foundation
Mr. and Mrs. Martin Butler
Drs. John R. and Lynn F. Butterly
Andrew Button
Dr. James W. Byers III
Dr. Ira Byock and Yvonne Corbeil
The Jack & Dorothy
Byrne Foundation
The Byrne Foundation
Dorothy and John J. Byrne, Jr.
C&S Wholesale Grocers, Inc.
Cornelius J. Cadigan, Jr.
Dr. and Mrs. George F. Cahill, Jr.
California HealthCare Foundation
Campbell Campbell
Edwards & Conroy
Roald Cann
The Capital Group Companies, Inc.
Cardiac Associates of
New Hampshire
Cardinal Health Centricity, LLC
Chris P. Carpenter
Dr. Carolyn B. Carroll
Bernadette L. Carson
Mr. and Mrs. Russell L. Carson
Dr. Kristin Pisacano Casale
Casella Waste Systems, Inc.
Dr. and Mrs. James H. Cavanaugh
Celgene Corporation
Central Vermont Communication
Centurion Corporation
Cepheid
Joseph Cerniglia
Dr. Sara Chaffee and
Joshua Kilham
Chamberlain Machine, Inc.
Mark W. Chapman and Martha
Blakemore Chapman
Mr. and Mrs. William
Henry H. Chapman II
Gay H. Gahagan Charitable
Lead Trust
The Trustees of Charles
H. Nutt Hospital
Dr. Mildred Chen
Mr. and Mrs. William M. Chester, Jr.
Drs. Ambrose and
Yvonne Y. Cheung
Dr. and Mrs. Edwin L. Child
Children’s Fund of the
Upper Valley
John W. Childs
Chiron Corporation
Chittenden Bank Community Fund
Mr. and Mrs. Stephen F. Christy
Dr. Kyung H. Chung
David and Ann Cioffi
City of Lebanon
Mr. and Mrs. Richard R. Clayton
Robert F. Clooney
Steven R. Closs
Mr. and Mrs. Frederic S. Cluthe
The CMH Foundation
Mr. and Mrs. Edmund S. Coffin
Cohase Lions Club
Dr. Mitchell D. Cohn
Estate of Oscar M. Cohn
Oscar Mandel Cohn
Charitable Trust
Dr. and Mrs. Thomas A. Colacchio
Coldwell Banker Redpath
& Company
Rev. Preston T. Kelsey & Virginia Rice Kelsey
›››
›
281,000
RENOVATED SQUARE FEET
The Theology of Exchange: Eliminating Boundaries
The Rev. Preston T. Kelsey and his wife, Virginia
Rice Kelsey recently gave $5 million to establish the
Preston T. and Virginia Rice Kelsey Distinguished
Chair in Cancer. The Kelseys made this generous
gift in support of Dr. Mark Israel, director of Norris Cotton Cancer Center.
What first impressed the Kelseys about Dr. Israel’s
vision was his interactive design concept for the
Rubin Building at the Cancer Center. Israel worked
with the architects to design a space to encourage
cooperative relationships and exchanges of ideas
and information among researchers, clinicians,
students, administrators, and patients. “I have been
a priest in the Episcopal Church all my life,” says
Rev. Kelsey, “And one of the theologies that I’ve
always adhered to is the theology of exchange. The
exchange can be an encounter between one person
and another person, or an encounter with God.
It’s when the interchange takes place that relationships move forward.” Levels 6 and 7 of the Rubin
Building, home to much of the research arm of the
Cancer Center, are designed with an “open concept,”
to eliminate the notion of boundaries between
disciplines. No walls separate laboratory spaces,
and researchers’ benches are mobile to facilitate
the creation of new connections among researchers
and to encourage teamwork. “This whole notion of
exchange,” says Kelsey, “is pretty logical.”
of the former director and good friend, O. Ross
McIntyre. The Kelseys have also been supporters
of the Prouty Century Ride and Fitness Walk, an
annual fundraising event.
Kelsey’s respect and admiration for Israel extends
beyond the impressive physical design of the
cancer center. He shares Israel’s belief that the
kinds of advances that took place in medicine
in the 1990s will happen in cancer research and
treatment in the next ten years. “In my generation,
cancer was the dreaded word,” Kelsey says. “If
cancer was applied in any way to you, personally,
it was sort of the kiss of death. We’ve had a lot of
conversations with Mark about the whole world of
cancer and cancer research and the breakthroughs
that he’s seen and expects to see more of in the
coming decade; extraordinary breakthroughs are
on the horizon.”
The Kelseys’ philanthropy and Dartmouth connections extend beyond the Cancer Center. The Rev.
Kelsey is a member of the Class of 1958; Viriginia,
a sculptor, did graduate work at Dartmouth with
artists Paul Sample and Richard Wagner, earning
her the designation of “special student” in the Class
of 1961. In addition, Kelsey’s father was a member
of the Class of 1925, and two of the Kelseys’ children graduated from Dartmouth: James V. Kelsey,
Class of 1982 (currently a pediatrician at DHMC);
and Preston H. Kelsey II, Class of 1990.
“I’m convinced that Dartmouth has found a remarkable person in Mark as director of the Cancer
Center,” Kelsey says. “With his leadership the Cancer Center will continue to grow as a leading US
research institute and treatment center for cancer.”
Kelsey has been associated with the Cancer Center
for many years, both as a member of the Friends
group, which he joined in 2001 at the invitation
›
$6,058,843
FINANCIAL SUPPORT FOR
›
6,211
EMPLOYEES MEDICAL EDUCATION
›
25,836
FINANCIAL GIFTS TO
DHMC/DMS in 2005
Turning a last Resort into a first thought
“People take some things for granted,” said Marianne
Solonia. Things like breathing, for instance. Solonia
has lung cancer. Last spring her chest began to fill with
fluid, making breathing very difficult. She was admitted to a hospital in southern New Hampshire, where
they inserted a tube and tried to drain the chest, the
standard procedure when this occurs. It didn’t help.
So, Solonia came to DHMC, where, thanks to Lori
Key, Clinical Practice Leader for Radiology, and her
Quality Research Grant Program study, Solonia was
fitted with a Pleurex® catheter and sent home.
“Cancer patients often develop some fluid collections around the lungs, which is pretty limiting,”
said Key. “They don’t have energy, they have difficulty breathing, which traditionally has prompted
a hospital stay of about seven days devoted just to
draining the chest.” The condition is often chronic
and occurs late in the cancer diagnosis.
›››
Key was aware of another type of drain, one that
would allow the patients to drain themselves, intermittently, at home. The Pleurex® tube is tunneled
under the skin, and a small piece of tubing left to
extend outside. A vacuum-style drainage bottle is
then hooked up to the tube to perform the drainage,
which takes 15-20 minutes–every day initially, then
only every few days. The patient is only attached for
that period of time, and so is free to move around
in the comfort of home.
“It was one of the best things that could have happened,”
said Solonia. She was delighted to be able to go home,
even to venture outside, but mostly just to be able to
breathe again.“I’m kicking butt,” she said playfully.
“I heard about the Quality Research Grant Program
(staff-initiated and DHMC-supported projects to
create quality improvements in patient care and/or
costs), and it occurred to me that this would be a good
›
900
DHART AIR MISSIONS
›
$5,090,962
COMMUNITY HEALTH GIFTS,
›
SUBSIDIES & ACTIVITIES
project, because it’s related to cost and comfort,” says
Key. “Our study is about learning whether we really
can effect their quality of life in a positive way. It’s not a
treatment that’s going to cure. It’s palliative.”
Sharene Evans, a nurse practitioner in radiology,
and co-investigator on the project, described the
study as a collaborative effort between nurses and
nurse practitioners in radiology, with clinical nurse
specialists in hematology/oncology, and support
from their physicians. “This really brought us
together around a common interest in seeing that
these patients got better treatment for this drainage.”
283
AVERAGE
INPATIENT TOTAL
›
147
NURSING CONTINUING
EDUCATION OPPORTUNITIES
They had enrolled 16 patients as of November
2005, but Key had already determined that they’d
reduced the length of their hospital stay from an
average of 7 to 2.2 days. Average treatment costs
in the control group were slightly under $11,000.
The cost of a Pleurex® catheter reduced that to less
than $2,000.
“Our patient satisfaction data will illustrate that
this is a good thing to do,” Key said. “Before the
study we would use the Pleurex® as a last resort
to get them out of the hospital. Now it’s the first
thing we think of.”
Betty A. Cole (deceased)
Mr. and Mrs. William Colehower
Dr. and Mrs. Lawrence S. Coleman
Collaborative Medical
Research Corporation
David E. and Judith T. Collins
John and Helene Collins
Combined Jewish Philanthropies
The Commonwealth Fund
Community Foundation of
Western Massachusetts
Concord Regional Visting
Nurse Association
The Connecticut Council for
Hospice and Palliative Care
Connecticut General
Life Insurance Co.
Connecticut River Bank, N.A.
Dr. Mark B. Constantian
Bill and Nancy Cook
Cook’s Equipment, Inc.
Dr. and Mrs. Milton Cooper
Mr. and Mrs. Martin F. Corcoran, Sr.
Cordis
Dr. and Mrs. Cornelius
J. Cornell, Jr.
Estate of Eleanor and Norris Cotton
Pamela P. Crary
Mr. (deceased) and Mrs.
Stephen T. Crary
Drs. Joseph P. Cravero and
Carolyn J. Cravero
Dr. and Mrs. Robert W. Crichlow
June L. Critchley
Maureen J. Cronin
E. J. Cross Foundation
Mr. and Mrs. Courtland J. Cross
Mr. and Mrs. Hershner Cross
Dr. and Mrs. Harte C. Crow
Dr. and Mrs. John F. Crowe
Dr. John M. Crowe
Mr. and Mrs. James W. Crowell
Peter O. Crowell
Ann M. Cullen
Mr. and Mrs. Andrew
W. Cunningham, Jr.
Dr. Sandra J. Cunningham
Current Medical Directions Inc.
Drs. Jesse W. and Judith S. Currier
Mr. and Mrs. Philip R. Currier
Mr. and Mrs. James E. Cushing
Cystic Fibrosis Foundation
Therapeutics, Inc.
Estate of Everett W. Czerny
Drs. Lawrence and Linda Dacey
Daiichi Pharmaceutical
Corporation
Dr. and Mrs. Miguel Damien
Damon Runyon-Walter Winchell
Cancer Research Foundation
Elaine and David Dana
Daniell Family Foundation, Inc.
Barbara E. Daniell
Mr. and Mrs. Phidias G. Dantos
Dartmouth Class Of 1961
Dr. and Mrs. Ramesh P. Dave
Mr. and Mrs. Glenn M. Davis
Mr. and Mrs. Philip de Toledo
Dean Hill Motors, Inc.
Julie DeGalan and Bryon
Middlekauff
Delta Dental
Dr. and Mrs. Christopher P. Demas
Dr. and Mrs. Carl S. DeMatteo
Susan Dentzer
DePuy Orthopaedics, Inc.
Dermatology of Cape Cod
Robert A. Derzon
Dennis A. DeVaux
Devine, Millimet and Branch, P.A.
Mr. and Mrs. Bradley Dewey, Jr.
Dr. William E. Dewhirst
Mr. and Mrs. S. Whitney Dickey
Martha E. Diebold
Martha E. Diebold Real Estate
Drs. Allen J. Dietrich
and Ardis L. Olson
Digestive Care, Inc.
Dr. Robert M. Di Mauro
Dr. and Mrs. James A. DiNardo
Drs. James G.H. and
Mary Beth Dinulos
Dr. Richard L. Dobson
Cleveland H. Dodge
Foundation, Inc.
John Dodge
Dr. Emil R. Dominguez, Jr.
John J. Donahoe II and
Eileen Chamberlain
Drs. Eric D. Donnenfeld and
Marlene B. Brajer Donnenfeld
Paul and Mary Donovan
Dr. and Mrs. Richard W. Dow
Mr. and Mrs. Robert N. Downey
Robert N. & Nancy A.
Downey Foundation
Mary L. Downing
Mr. and Mrs. Allan M. Doyle, Jr.
Robert T. Drape
Mr. and Mrs. Richard B. Drubel
Dr. Kristina M. Duarte
Dr. Kathleen R. Dube
Dublin Fund Inc.
Dr. Ann-Christine Duhaime
and Stanley A. Pelli
Dulude Family Foundation, Inc.
Jean M. Dulude
Mr. and Mrs. Robert S. Dustin
Jane H. Duval
Dr. Diane Marie Dwyer
and Joseph G. Gall
Mae E. Eagleson
Eastern Propane Gas, Inc.
Eastman Friends
Eastman Golf Association
Dr. and Mrs. Walter L. Eaton, Jr.
EBI, L.P.
The Echlin Foundation
John E. Echlin, Jr.
Dr. David B. Eisner
Elan Pharmaceuticals, Inc.
Elektrisola Incorporated
Eli Lilly and Company
Elliot Builders
Dr. and Mrs. John H. Elliott
Stephan and Barbara Elliott
Dr. and Mrs. Robert M. Ellsworth
Dr. and Mrs. Waverly
J. Ellsworth, Jr.
Mr. and Mrs. Louis B. Ely, Jr.
Emerald Foundation, Inc.
Mr. and Mrs. Edward
E. Emerson, Jr.
Elizabeth O. Emery
Endowment for Health
Engelberth Construction, Inc.
Mr. and Mrs. Otto A. Engelberth
Engelman Family Charitable Trust
John S. Engelman
Robert Saul Engelman
Ensearch Management Consultants
Stephen W. Ensign
Epply Charitable Foundation
Ernst & Young LLP
Estes & Gallup Builders, Inc.
Evergreen Capital Partners, LLC
EXP Pharmaceutical Services
Expedition Inspiration, Inc.
Exxon Mobil Foundation
Mr. and Mrs. Fred J. Eydt
Dr. and Mrs. Charles S. Eytel
Fahey Family Foundation
Mr. and Mrs. Peter M. Fahey
Fairbanks Scales
Fairfield County Community
Foundation, Inc.
Sami A. Fam
Dr. and Mrs. Gilbert J. Fanciullo
Mr. and Mrs. Russell B. Faucett
Dr. and Mrs. Charles S. Faulkner II
Mr. and Mrs. Quentin P. Faulkner
Estate of Doris A. Felton
Mr. and Mrs. Philip Ferneau
Dr. Susan K. Ferrand
Dr. and Mrs. David R. Fett
FFF Enterprises, Inc.
Fidelity Investments
Charitable Gift Fund
Doris A. Fielding
Linda Filardi
Drs. Mary P. and Mark F. Fillinger
First Colebrook Bank
Mr. and Mrs. Bernard Fishman
FJC
Peter J. Flatow
Dr. Timothy P. Flood
Dr. Benjamin W. Forbush
Forest Pharmaceuticals, Inc.
Nancy and John Formella
Foundation for Informed
Medical Decision Making
Foundation Of American College of
Allergy, Asthma & Immunology
Drs. Diane Louise Fountas
and Peter Jacoby
Joan P. Fowler
Dr. D. Steven Fox
Dr. R. John Fox, Jr.
Francis Families Foundation
The Jane & Stephen
Frank Foundation
Dr. Judith E. Frank
Mr. and Mrs. Stephen Frank
Fred’s Plumbing and Heating, Inc.
John Freeman
Mr. and Mrs. Milton Frye
Dr. Freddie H. K. Fu
Bob and Sharon Fuehrer
Fujisawa Healthcare, Inc.
Fund American Companies, Inc.
Dr. Ann Furtado
Dr. Imre Gaal, Jr.
Dr. Stephen J. Galli
Mr. and Mrs. John A. Galton
Mr. and Mrs. Paul B. Gardent
Dr. and Mrs. Theodore H. Gasteyer II
›››
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4,492
COMPUTERS IN SERVICE
ON THE LEBANON CAMPUS
Earlier and moRE targeted treaTment
We hear a lot about genetic engineering these days,
from cloning sheep to fortifying food for a longer
shelf life. Mary Jo Mulligan-Kehoe, PhD, and
Mike Simons, MD, researchers in DHMC’s Angiogenesis Research Center, and Mark Israel, MD,
director of the Norris Cotton Cancer Center, are
exploring genetic engineering as the next frontier in
the treatment of cancer.
What the researchers propose to do is to genetically engineer antibodies that they will attach to the
surface of endothelial precursor cells (EPCs). The
EPCs will be transfected with a vector that expresses
an angiogenesis inhibitor: a molecule with the
capacity to shut down the production of new blood
vessels from existing blood vessels (angiogenesis).
These fortified EPCs will be injected into a host
(mice for now; humans possibly later) and will seek
out and attach themselves to blood vessels that have
a neoangiogenic antigen on their surface specific to
that antibody, release the angiogenic inhibitor, and
thus halt the production of new blood vessels. A
pretty neat trick and some very sophisticated science.
The project is one of several to received funding
through an inaugural $5 million multi-year collab-
orative research agreement with Philips Electronics in biomedical imaging, which brings together
researchers from DHMC, Thayer, and Philips to
develop innovative imaging capabilities that aim
to enable early detection and treatment of heart
disease, cancer, and neurological diseases.
ers to detect tumor cells at a very early stage, when
the neo-angiogenic blood vessels associated with
the tumor first begin to summon the blood vessels
they depend on to grow. Philips is providing the
microPET as well as technical expertise.
“ The advantage of being able to detect a tumor at
a smaller size is that we can detect neo-angiogenesis at a much earlier stage,” says Mulligan-Kehoe.
For cancer patients, down the road, that advantage would mean much earlier, and more targeted,
treatment.
The agreement is the first of its kind for Dartmouth,
and will accelerate research in areas where the
schools of medicine and engineering are already
breaking new ground, including using advanced
cardiovascular imaging to determine molecular
changes that may signal tumor development at
much earlier stages of malignant growth; creating novel methods of breast cancer detection and
diagnosis to increase accuracy and reduce patient
discomfort; and detection and assessment of early
neurological disease. Funds will support both
research and equipment acquisition.
While Mulligan-Kehoe’s research focuses on cancer,
her system, once perfected, could be applied to
other diseases, including cardiovascular disease.
“I’m designing the whole vector system such that
anyone could put their gene in place of mine and do
some quick molecular biology,” she says. If another
scientist wants to target something else in the
vasculature, all we have to do is switch the antibody
and change the gene that’s being expressed.”
Mulligan-Kehoe’s research requires a microPET, a
small animal imaging system which allows research-
›
$25,364,885
DONATED TO DHMC/DMS
IN 2005 (EXCLUDING PLEDGES)
›
76
NEW PHYSICIANS HIRED
›
$1,407,413
IN SUBSIDIES OF UNIQUE
AND EXCEPTIONAL SERVICES
Hospitalists Offer Intense Learning Experience for Students
Unlike traditional attending physicians, hospitalists
don’t have patient panels. At DHMC, they work tenhour shifts for two weeks, and are then off for one week.
They are available to the patients, and the patients’ families throughout the day—clearly a benefit.“If a family
member wants to talk to me, the nurse comes and finds
me,” says Ed Merrens, MD, section chief of hospital
medicine.“If an issue arises, it gets addressed.”
In June of 2003, the Accreditation Council for
Graduate Medical Education (ACGME) reduced
residents’ allowable number of weekly duty hours,
creating a need for additional inpatient care. Merrens describes hospitalists as “a dedicated cohort of
attending physicians who spend their time taking
care of hospitalized patients.” It’s the fastest growing sub-specialty in the country according to Joseph
Perras, MD, one of DHMC’s hospitalists. Their
ranks nationally have swelled from around 20 to
nearly 12,000 in the past decade.
›››
One potential drawback to this model is that
the patients are likely not to know the hospitalist as well as they know their own primary care
physicians. One of the hospitalists’ primary goals,
then, is to keep communication open with those
primary physicians. In addition, the hospitalists
provide much-needed coordination for the patients’ care with a whole inpatient team of nurses,
social workers, nutritionists, physical therapists,
and care managers. “The people who are good at
this,” Merrens says, “are people who know how to
coordinate that system.”
This coordinated care by attending physicians
in hospital medicine is ultimately more efficient.
“Studies show that hospitalist-based care can ensure
patient satisfaction, reduce the length of hospital
stays, reduce medical costs, and even reduce morbidity and mortality,” says Perras. DHMC has been
a very receptive clinical environment for change.
›
7,223
FREE FLU SHOTS
›
$129,000,000 ›
RESEARCH/TRAINING AWARDS
Residents do still play a role in inpatient care,
and hospitalists’ two-week shifts fall into two
categories: covered services, when they work
with and teach residents; and uncovered services,
when they provide direct patient care. It was precisely this combination that attracted Merrens to
the field. “We’re very interested in both inpatient
care and teaching our residents and students,
and working in a very collaborative model. Some
of us felt that this was our calling,” says Merrins. “Those on the academic side of medicine
are not typically used to providing direct patient
care within the inpatient setting. But we really
embrace this different model.”
352
RESIDENTS AND FELLOWS
›
29,187
EMERGENCY
DEPARTMENT VISITS
Because the hospitalists are available for a solid ten
hours every day, the medical students are working
alongside an attending physician, all day long, every
day, for a month. This is what makes the program
at Dartmouth different from other medical schools
explains Perras—attending physicians who are
enthusiastic teachers and enthusiastic practitioners. Many of the sub-interns in the two classes
who have gone through it have called it “the best
experience I’ve had.” Some students, after doing
the hospital medicine sub-internship, have decided
to go into internal medicine. “It’s a small medical
school,” acknowledges Perras, “but if we see two to
three converts every year, that’s great.”
Dr. and Mrs. Alan B. Gazzaniga
Deborah and Bradley Gebbie
The Gemi Fund
Genentech, Inc.
General Electric Foundation
Geokon, Inc.
Dr. Barbara Gerling and
Michael Gerling
Kenneth D. Gibbons
Mr. and Mrs. S. Peter Gibb
Dr. C. Michael Gibson
Gilead Sciences, Inc.
George Giles Limited Partnership
Mr. and Mrs. Gordon C. Gilroy, Jr.
Dr. and Mrs. D. David Glass
Mike Glass
GlaxoSmithKline Foundation
Dr. Richard G. Glogau
Paul W. Glover, Jr.
Mr. and Mrs. Richard F. Gluck
GlycoFi
Lois Godbold
Gertrude M. Goff
Goldenberg, Miller, Heller
& Antognoli P.C.
William Goldman Foundation
Dr. Joseph S. Gonnella
Good Beginnings Inc.
Dr. E. Ann Gormley and
Richard Wallace
Mr. and Mrs. Joseph Goryeb
Roger Gosselin, Inc.
Mr. and Mrs. James F. Gosselin
Dr. and Mrs. Robert E. Gosselin
Mr. and Mrs. Jack Grabosky
Mr. and Mrs. George A. Graham, Jr.
Mr. and Mrs. Wayne G. Granquist
Dr. Alan I. Green and
Frances S. Cohen
Helen S. Greenlee
The Greenspan Foundation
Mr. and Mrs. Saul Greenspan
Garth H. Greimann
Mr. and Mrs. Steven D. Griffin
Mr. and Mrs. Clark A. Griffiths
Mr. and Mrs. Alfred L. Griggs
Dr. and Mrs. Walter C. Griggs
Estate of Beatrice B. Griswold
Guidant Corporation
Guidant Foundation
Edna & Monroe C. Gutman
Foundation, Inc.
Estate of Marjorie N. Hahn
Mr. and Mrs. David K. Hall
Mr. and Mrs. Thomas P. Hall
Mr. and Mrs. Sheffield J. Halsey
Mr. and Mrs. Roger W. Hamblin
Dr. Tiffani K. Hamilton
Mr. and Mrs. Warren S. Hance
George D. Hano and Diane Crowley
Hanover Lions Club
Hanover Veterinary Clinic, P.L.L.C.
Margaret P. Hanrahan
Dr. William D. Harley
Mr. and Mrs. Jacques Harlow
Dr. Allan C. Harrington
Dr. Edward D. Harris, Jr.
Carlos E. Harrison
Irene L. Hart
Mr. and Mrs. Francis W. Hatch, Jr.
Mr. and Mrs. Michael A. Hathaway
Mr. and Mrs. Byron C. Hathorn, Jr.
Hawkins Delafield & Wood LLP
Dr. Hamilton R. Hayes
Warren J. Hayes
Marian Heiskell
Mr. and Mrs. Armin B. Hemberger
Dr. and Mrs. W. Hardy Hendren III
Mr. and Mrs. Paul Hendricks
Hendricks/Felton Foundation
Mr. and Mrs. Edward A. Hennessey
Prof. John W. Hennessey, Jr.
Mr. and Mrs. Fred L. Henning, Jr.
Irene M. Hennings
Heritage United Way
Dr. Michael J. Hession
Mr. and Mrs. John C. Heston, Jr.
Daniel C. Hewes
Mr. and Mrs. David C. Hill
Hill-Rom, Inc.
Hinckley, Allen & Snyder LLP
Hazen B. Hinman, Sr.,
Foundation, Inc.
Dr. Francis H. Hinnendael
Mr. and Mrs. Harold R. Hiser, Jr.
Sandra U. Hoeh
Mr. and Mrs. Romer Holleran
Hollis Elementary PTA
Dr. and Mrs. Gregory L. Holmes
Dr. Don A. Holshuh
Dr. and Mrs. Bruce J. Hookerman
Drs. P. Jack Hoopes and
Vicki Scheidt
Dr. Harriet D. W. Hopf
Florence O. Hopkins
Charitable Fund, Inc.
Albert L. Hopkins and
Lynne L. Zaccaria
Dr. Edward S. Horton
Mr. and Mrs. Michael T. Horvath
Herman & Ethel Horwich
Charitable Trust
Dr. and Mrs. Mark Horwich
Hospira, Inc.
Brian and Jennifer A. Hotz
Deanna Howard and
Dr. Thomas Sullivan
Dr. John F. Hoy
HP Hood, Inc.
Wentworth Hubbard
Huggett’s Mart
James A. Hughes
Dr. John W. Hyland
Hypertherm, Inc.
Dr. and Mrs. Richard S. Idler
IDX Information Corporation
The Impact Group
INCE
Independent Charities of America
Indiana University
Integrated Therapeutics
Corporation
International Myeloma Foundation
Investment Management
Advisory Group, Inc.
iParty Retail Store Corporation
Dr. Thomas W. Irvine, Jr.
Irving Oil Corporation
Isaacson Structural Steel, Inc.
Dr. and Mrs. Mark A. Israel
Mary E. Ives
Matthew W. Jackson
Dr. and Mrs. Ross A. Jaffe
Mr. and Mrs. Stephen A. James
Janssen Pharmaceutica, Inc.
Mr. and Mrs. Daniel P. Jantzen
Mr. and Mrs. Wendell Jesseman
Dr. Barbara C. Jobst
Walter E. Jock Oil Company, Inc.
Johnson & Johnson
Contribution Fund
Johnson & Johnson
Robert Wood Johnson Foundation
Carol A. Johnson
Ellen Foscue Johnson
Mr. and Mrs. Stuart R. Johnson
Dr. James R. Johnston
Dr. David W. Johnstone and
Heather Stanford
Mr. and Mrs. Arthur Jones
Deborah A. Jones
Mr. and Mrs. A. Wilson Jones
Jordan & Kyra Memorial
Foundation, Inc.
Ellen Kaatz
Dr. and Mrs. Aaron V. Kaplan
B. David Kaplan and
Judith F. Woodfin
Kappa Kappa Gamma
Dr. Kathleen M. Katamura
Dr. Samuel L. Katz
Diane R. Katzin and
Richard A. Kurnit
Bruce Kaufman
KCI
Dr. William M. Keane
Judith J. Keating
Dr. James K. Keeley
Mr. and Mrs. Alan C. Keiller
Kelleher Construction, Inc.
Kathleen and Mark Kelley
Kirk & Megan Kellogg Foundation
Mr. and Mrs. C. Kirk Kellogg
Reverend and Mrs.
Preston T. Kelsey II
Dr. and Mrs. Alexander W. Kennedy
Elizabeth C. Kent
Mr. and Mrs. S. Leonard Kent
Dr. Carolyn L. Kerrigan and
David S. Greenwood
Mr. and Mrs. Edward T. Kerrigan
The John and Estelle
Ketterer Foundation
Kettering Family Foundation
Dr. William M. Kettyle
The Memorial Renetta J. Keys
Alzheimer’s Research Fund
Yoo Jin Kim
Sidney Kimmel Foundation
for Cancer Research
Mr. and Mrs. Bruce P. King
Susan C. Kirincich and
Charles P. Wooster
Walter G. Kis
Kiva Foundation
Mr. and Mrs. James M. Knott, Sr.
Knox Family Foundation
Robert L. Knox
Mr. and Mrs. Frederick P. Koallick
Kohl’s
Susan Komen Breast
Cancer Foundation
Dr. Alan T. Kono
Dr. and Mrs. C. Everett Koop
Drs. Murray and Antoinette Korc
Dr. and Mrs. Gary Korenman
›››
›
572
PATIENTS SERVED BY
DHART GROUND MISSIONS
Dr. Freddie Fu, alumnus, physician, teacher, mentor, chairman, Visionary…
Dr. Fu is the David Silver Professor and Chairman of the Department of Orthopaedic Surgery at
University of Pittsburgh School of Medicine, and
an avid supporter of Dartmouth Medical School
through the Freddie H. Fu, MD, DC ’74, DMS’75
Outstanding Medical Student Award Endowment
Fund in the Department of Orthopaedics.
Dr. Freddie Fu got into medical school after his
junior year at Dartmouth. He had the unique experience of enjoying both the undergraduate and medical
school at the same time. He still feels very privileged
that he was selected for early admission.
“At DMS, the emphasis is on teaching,” says Fu.
“When I was here, it was only a two-year medical school, so the emphasis was on teaching small
groups. We could talk to our professors any time.
I remember talking on the lawn to Dr. Reeves
about Neurology.”
Dr. Fu believes training the next generation of
orthopaedic surgeons is incredibly important. “I’m
the team doctor for a local high school team,” says
Fu. “It’s so rewarding to see high school students
go through medical school, come into my program,
and then become practicing orthopaedic surgeons.”
Dr. Fu loves to treat patients. Recently he was
invited to a retirement party for one of the NFL
players he had done knee surgery on back in 1989.
He went on to play for five professional football
teams. “To see him play for sixteen years, then retire,
is amazing to me,” says Fu.
Fu wants to support a strong vision of the future,
where we increasingly know how to make people
better. “From stem cells, to gene therapy, to looking
at how we really move and get hurt, research will
make all the difference.”
Both of Dr. Fu’s children went to Dartmouth as undergraduates—one in the Class of ’99, the other the Class
of ’03.“I came up for one of the graduations and was
riding my bike around campus and saw Dr. Weinstein,
DHMC’s Orthopaedic chairman,” says Fu.“He showed
me the commencement program and the list of awards,
and I noticed there wasn’t one in orthopaedics.”
“My family taught me that you should always
give back. I feel very privileged to have been
asked by Dean Spielberg to join the DMS Board
of Overseers. This is a way that I can use my
knowledge and insight into the medical school
to provide some ideas for Dartmouth as a whole
and, at the same time, to learn more about Dartmouth medical students.”
They talked about it, and Dr. Fu decided to donate
the money to create one. “I wanted the medical
school to recognize orthopaedics as a major medical
discipline,” he says. “As an alumnus and an orthopaedic chairman, I thought it would be appropriate. And
it’s good to see the students who are going into the
field, and doing a great job, get properly rewarded.”
In addition to his endowment fund in the Departmetn of Orthopaedics, Dr. Fu is a generous donor
to the Fund for DMS, which provides the Medical
School with unrestricted funds to support scholarship, faculty, facilities, curriculum development,
classroom and lab technology, and more. Dr. Fu
also serves on the DMS Board of Overseers.
›
$15,074,000
IN PHYSICIANS’ UNCOMPENSATED TEACHING TIME
›
25
DONORS WHO HAVE DONATED $1 MILLON OR MORE
›
30
MD/PHD
CANDIDATES
DEAR FRIENDS:
We seek to reshape a healthcare system fraught
with increasing cost and decreasing access. Health care
in the twenty-first century produces numerous challeng-
of our extensive expansion and renovation enable us
to better serve our patients, deliver services, and collaborate with one another in an unparalleled fashion.
es; 2005 was no different.
We’ve responded with bold moves to transform
our operations, challenging and changing how we do
things. Cost-savings initiatives in almost every area paired
with operational discipline have allowed us to balance
external forces—many of which we don’t control—with
patient needs to deliver top-notch care. The power of
our mission keeps us focused. As a result, we continue to
enhance our strengths in the care of patients with needs
related to cardiovascular disease, orthopaedics, oncology
services, and neurology/neurosurgery.
The complex healthcare environment could overshadow our extraordinary accomplishments, but we have
so much to celebrate. Norris Cotton Cancer Center was
again noted as one of the top 50 hospitals in the nation
for cancer treatment and therapies by U.S.News & World
Report. U.S.News also ranks us among the premiere
medical schools in depth and breadth of research activity
and in the percentage of graduates who go into primary
care specialties. Dartmouth Medical School also received
the highest rating from the accreditation board, partly in
recognition of its innovative and highly successful curriculum. For the fourth year in a row we were recognized as
one of the top five large employers in New Hampshire.
We now publish quality, cost, and satisfaction
metrics in our publications and on our website. We’ve
introduced numerous new patient safety standards and
actively educate the public and staff about our shared
responsibility in this area.
The Project for Progress is completed. The results
We are proud to have served the Upper Valley from our
Lebanon location for 15 years.
We are also recognized as a valued member of the
many communities we serve including the Upper Valley, Manchester/Bedford, Concord, Nashua, Keene, and
now St. Johnsbury, VT. In August, we opened Norris
Cotton Cancer Center – North to provide services in the
Northeast Kingdom. In addition, our doctors are part of
outreach efforts on the Seacoast, in the Lakes Region,
and across New Hampshire and Vermont.
Last spring, our physicians, researchers, nurses,
and staff, along with patients, donors, and community
supporters celebrated the launch of The Transforming
Medicine Campaign for Dartmouth Medial School and
Dartmouth-Hitchcock Medical Center. With a goal of
$250 million, we seek to further strengthen and support
our strategic clinical programs, the landmark Center for
the Evaluative Clinical Sciences, collaborative research
and education, cancer care and research, children’s
health (Children’s Hospital at Dartmouth), clinical academic environment, facilities, and community outreach.
We continue to forge solutions for many of the nation’s most critical healthcare issues. Much of the research
conducted at Dartmouth Medical School and the Veterans Affairs Hospital in White River Junction, VT is translated directly to improved patient care in our hospital
and clinic. We are creating new, smart models of care that
put decisions back in the hands of physicians and patients.
We thank you for your support and interest, and
we welcome your ideas and experience.
Pictured from left
to right: Dr. Thomas
Colacchio, President,
Dartmouth-Hitchcock
Clinic, James Varnum,
President Mary Hitchcock
Memorial Hospital, Dr.
Stephen P. Spielberg,
Dean, Dartmouth
Medical School.
selected financial information
Fiscal Year Ending September 31,
2005
2004
Operating Expenditures
Dartmouth Medical School
$
Dartmouth-Hitchcock
Veterans Affairs Medical Center
Total
189,051
842,936
97,696
$ 1,129,683
$
180,351
795,320
98,823
$ 1,074,494
Revenue Sources (DMS, D-H, and VA combined)
Payment for Patient Services from
Third Parties and Patients
$
Federal Budgets for Veterans Affairs Services
Funded Research
Tuition Income and Fees
Gifts, Bequests, Endowment and Investment Income
Other Income
Total
819,073
94,040
128,472
15,043
45,550
75,478
$ 784,629
94,123
123,568
14,421
34,645
54,809
$ 1,177,656
$1,106,195
Revenue Sources by Component
2005
DMS
D-H
VA
TOTAL
Payment for Patient Services from Third Parties
$
10,977
$ 808,096
$ 819,073
Federal Budgets for Veterans Affairs Services
$ 94,040
94,040
Funded Research
124,816
3,656 128,472
Tuition Income and Fees
15,043
15,043
Gifts, Bequests, Endowment & Investment Income
16,379
29,171
45,550
Other Income
21,229
54,249
75,478
Total
$
188,444
$ 891,516
$ 97,696
$1,177,656
2004
DMS
D-H
VA
TOTAL
Payment for Patient Services from Third Parties
$
10,499
$ 774,130
$ 784,629
Federal Budgets for Veterans Affairs Services
$ 94,123
94,123
Funded Research
118,868
4,700 123,568
Tuition Income and Fees
14,421
14,421
Gifts, Bequests, Endowment and Investment Income
15,529
19,116
34,645
Other Income
20,611
34,198
54,809
Total
$
179,928
$ 827,444
(1) Financial information in thousands
2005 Dartmouth Medical Research Awards
2005 Revenue Sources
Biochemistry
7.06%
Genetics
5.74%
Microbiology
9.95%
Pharm/Toxicology
6.58%
Physiology
7.76%
Anesthesiology
0.51%
Comm/Family Medicine
8.65%
Medicine
20.82%
Obstetrics & Gynecology
0.47%
Orthopaedics
3.18%
Pediatrics
7.61%
Psychiatry
13.92%
Radiology
3.40%
Surgery
1.43%
Pathology
0.56%
Norris Cotton Cancer Center2.37%
DH
$891,516
DMS $188,444
VA
$ 97,696
$ 98,823
$1,106,195
Operational and patient report
Dartmouth-Hitchcock
Outpatient Visits
Northern Region
2005
2004
432,932
419,198
176,295
330,128
209,973
344,577
185,871
179,555
319,311
205,539
326,346
194,917
1,679,776
1,644,866
(1)
Lebanon
Community Practices
Concord Offices
Manchester Offices
Nashua Offices
Keene Offices
Other
Total Outpatient Visits
Patients Discharged (2)
New Hampshire
Vermont
Other States
11,296
8,909
1,049
10,934
8,961
865
Total Patients Discharged
21,254
20,760
103,428 283 15,708 1,108 29,187 58,000 104,187
285
14,755
1,166
27,048
54,000
Patient Days of Service (2)
Average Daily Census
Operations Performed
Births
Emergency Department Visits
Volunteer Hours
Dartmouth Medical School
Physician Office Visits - Psychiatry
32,800
33,651
Veterans Affairs Hospital
Patients Discharged
Patient Days of Service
Average Daily Census
Operations Performed
Outpatient Visits
Same Day Procedures
Home Health Visits
Volunteer Hours
Employees (Full-time equivalents)
Dartmouth-Hitchcock
Dartmouth Medical School
Veterans Affairs Medical Center
Education Programs
Medical Students
Residents and Clinical Fellows
Graduate Students in the Basic Medical Sciences
Other
Postdoctoral Research Fellows
Total
2,481
15,137
42
2,755
170,794
3,953
2,844
59,856
6,211 1,104 649 5,977
1,012
632
304 347 185 95 29 292
329
163
83
23
960 890
(1) In 2004, practices located throughout Northern NH and Eastern VT were transferred from the Northern Region classification
to Community Practices.
(2) Includes patients admitted for observation and intensive care nursery bassinet patients.
2,612
16,369
45
3,210
171,397
3,818
5,228
64,339
Dartmouth-hitchcock community benefits
Fiscal Year Ending September 30,
2005
Patients Receiving Financial Assistance
DHMC/Northern Region
Southern Region
Patients Receiving Medicaid
DHMC/Northern Region
Southern Region
Patients Receiving Medicare
DHMC/Northern Region
Southern Region
5,942
3,553
23,853
21,890
50,656
25,260
Financial Assistance
$ 18,811,411
Financial Support for Medical Education
6,058,843
Uncompensated Teaching Time 15,073,500
Subsidies of Unique Services
1,407,413
Community Health Activities
5,090,962
Payment in Lieu of Taxes
842,411
Total Community Benefits Value
$ 47,284,540
Fran Todd, RN, nurse simulation
specialist, shows Sarah Balch, an 8th
grader from Lyme School, how to
listen for a heartbeat on SimMan,
a high fidelity human patient
simulator used for teaching nurses
and doctors.
Uncompensated Medicaid
$ 29,948,053
Uncompensated Medicare / CHAMPUS 48,594,310
Total Uncompensated Gov. Insurance
$ 78,542,363
2005 Community Benefits
Financial Assistance $18,811,411
Financial Support for Medical Education $ 6,058,843
Physicians’ Uncompensated Teaching Time $15,073,500
Subsidies of Unique & Exceptional Services $ 1,407,413
Community Health Gifts, Subsidies & Activities $ 5,090,962
Payment in Lieu of Taxes $
842,411
DHMC Philanthropic contributions
Fiscal Year Ending June 30,
2005
2004
$ 24,069,505
$ 16,759,489
Unrestricted and Annual Funds
$ 1,730,575
Restricted Funds 13,882,453
$ 1,099,259
12,949,975
Total Current Operations
$ 15,613,028
$ 14,049,234
$
5,815,144
$
2,171,051
$
2,641,333
$
339,204
Total Philanthropic Contributions
Current Operations
Endowment
Total Endowment
Plant and Equipment
Total Plant & Equipment
2005 Philanthropic Contributions
Current Operations $15,613,028
Endowment $ 5,815,144
Plant & Equipment $ 2,641,333
“Our patients
are our teachers.
And in a place that is constantly
in the business of inquiry and
trying to make things work
better, all of us play a dual role of
teacher and student. Nurses teach
medical students, physicians teach
residents—we all at some time
teach each other. And the patients
are included in that process. They
are in fact, our very best teachers.”
Nancy Formella, Senior Nurse Executive
Transforming Medicine Campaign Launch Celebration, May 21, 2005
*Formella was named Acting President for Mary Hitchcock Memorial Hospital
and the Dartmouth-Hitchcock Alliance, effective May 1, 2006.
*
Being responsible for one’s own learning
“What we’ve realized in medicine,” says David
Nierenberg, Edward Tulloh Krumm Professor of
Medicine and Pharmacology/Toxicology, and Senior
Associate Dean for Medical Education, “is that we
have a lot to learn from the way airline pilots are
trained.” What Nierenberg refers to is that pilots-intraining must perform numerous landings and takeoffs, and get rated by senior pilots. Each one of these
is considered a learning experience, and to become a
full pilot you must log hundreds of proceedures.
The Liaison Committee on Medical Education
(LCME), the national certification program that reviews medical schools, thinks training future doctors
should be at least as rigorously controlled. Medical
schools are now required to track what their students do at every clerkship to ensure each site gives
students a consistent, core curriculum. This is important during a clerkship like family medicine, which at
DMS can be completed at fifteen locations.
›››
DMS has curriculum in six broad competency domains: knowledge, clinical skills, professionalism, interpersonal and communication skills, lifelong learning on the job, and practicing in a complex healthcare
system­–the same six used nationally for residents.
“We decided that we really ought to be tracking what
all of our students do during all of their clerkships in
all six areas,” Nierbenberg recalls, “ to be sure they’re
getting what they should out of their clerkship.”
Nierenberg and colleagues designed a customizable,
web-based system that every Dartmouth medical
student could use from anywhere in the country on
any type of platform. They wanted it to be studentfriendly and to collect data for future educational
research. This had never been done before at any
medical school.
Every medical student is required to track some or all
of their patients in all the clerkships. Students decide
›
298
MD STUDENTS
›
$47,285,000
IN BENEFITS TO THE
›
COMMUNITY
whether the problem is acute, chronic, or routine,
and choose a diagnosis. They indicate whether they
did a history, presented the patient to the preceptor
and, if so, whether the preceptor gave helpful feedback on the student’s technique, and so on.
Students also address their competencies. For instance,
they indicate whether anything challenged their
professionalism, whether they had to research the
latest literature for the best way to treat, and whether
they got experience practicing in a complex healthcare
system. There is also a place for the students to write
notes to themselves about what made the patient
special or the experience distinctive. These entries are
844
STAFF EDUCATION SESSION ATTENDEES ›
2,313
FACULTY &
RESEARCHERS
stored and can be retrieved at any time.
Having these targets enables the school to see, overall,
how the clerkships are doing, and the students have
the opportunity to see how they are doing in relation
to the targets. Nierenberg hopes this will empower
them to be more active in their own learning. “They
know what they have to get out of this clerkship and
can seek out the appropriate experience.”
Even the LCME is pleased. Reviewers came through
in April 2005 and gave Dartmouth Medical School
eight years of accreditation—the most they give any
school—and congratulated them on their work.
Dr. Kenneth J. Koval and
Mary Reynolds
Dr. James V. Kowalski
KPMG LLP
Robert R. Krumm
Laconia Savings Bank
Charitable Fund of the
New Hampshire Charitable
Foundation - Lakes Region
Nicole Lafitte Scholarship Fund
Dr. Bruce F. LaFollette
Drs. John M. and Margaret
J. Lagnese
Lahey Clinic
Lake Sunapee Bank
Lakes Region Ice Racing Club
Mr. and Mrs. Brian T. Lally
Mr. and Mrs. Kevin Lally
The Lancaster National Bank
Dr. Robert J. Lang
Mr. and Mrs. Walter E. Lankau, Jr.
Dr. Laurie A. Latchaw
Edward Connery Lathem
LaValley Building Supply, Inc
Thomas C. Lavey
Jonathan S. Lavine
Mr. and Mrs. Michael Lavoie
Claudia and Reginald Lavoie
James S. Lawrence
Estate of Jennie Ethel Laws
Carola B. Lea
Mary Susan Leahy
Mr. and Mrs. David P. Leatherwood
The LeBaron Foundation
Dean Francis LeBaron
Mr. and Mrs. Stephen J. LeBlanc
Ledyard National Bank
Thomas H. Lee
The Leukemia & Lymphoma
Society of America, Inc.
Dr. Morris Levin and
Karen M. Forsthoff
Dr. and Mrs. Gary M. Levine
Annette R. and Samuel M. Levine
Hiroko Li
Ted and Suzanne Lieser
Ligand Pharmaceuticals
Lightship Telecom, LLC
Marion T. Lilley
Agnes M. Lindsay Trust
Dr. Mark A. Liska
Litchfield Middle School
Littleton Coin Company
LMS Medical Systems (Canada) Ltd.
Carol K. Longley
Sarah E. Lord
Los Ninos Childrens Medical Clinic
Mr. and Mrs. Douglas M. Loudon
Dr. Timothy G. Lukovits
Lumina Foundation for Education
Dr. Franklin Lynch, Jr.
Dr. and Mrs. Joseph P. Lynch
John D. & Catherine T.
MacArthur Foundation
Dr. Donald A. Macdonald, Jr.
Prof. and Mrs. Robert
M. Macdonald
Mr. and Mrs. John MacKay
Mr. and Mrs. Barry L. MacLean
MacLean-Fogg Company
D. Hugh MacNamee
Memorial Trust Fund
Mary M. MacNamee
Josiah Macy Jr. Foundation
Major League Baseball
Players Trust For Children
Maloney Associates
Dr. Lisabeth Maloney and
Joseph Maloney
Manchester NH Automobile Dealers
Mr. and Mrs. Stephen F. Mandel, Sr.
Dr. and Mrs. Paul D. Manganiello
Carla Manley-Russock
Mr. and Mrs. Vito Manuzzi
Mary B. Marcroft
Estate of Dr. Philip A. Marden
Mr. and Mrs. Stephen R. Marion
Blanche S. Marsh
The Marshall Fund
Mr. and Mrs. Jeffrey A. Marshall
W. William Martinez
Mascoma Savings Bank
Dr. David M. Mauney
Mr. and Mrs. Duncan H. Mauran
Dr. and Mrs. Charles M. Maxfield
Mr. and Mrs. Gerald M. Mayer, Jr.
Dr. Peter L. Mayer
Mayne Pharma (USA), Inc.
Wendy R. McAllister
Dr. Sharon E. McBeth
Philip H. McCaull
Dr. Martha D. McDaniel
Mr. and Mrs. Thomas M. McDonald
McDowell Foundation
Dr. Fletcher H. McDowell
McGill University
Paul McGoldrick
Dr. John E. McGowan, Jr.
Dr. and Mrs. Donald O. McIntyre
Dr. O. Ross McIntyre
Ross McIntyre
Dr. Sylvia W. McKean
Leo C. McKenna
Steve McKenna
McKesson Automation, Inc.
McKesson Corporation
Michael Scott McLaughlin
Foundation
Peter McLaughlin and Jane Kitchel
McLaughry Associates, Inc.
Mr. and Mrs. Bruce C. McLaughry
Dr. and Mrs. Robert K. McLellan
McManis Consulting
Mr. and Mrs. Charles
E. McMonagle
John R. McNair
MDG Development Group, Inc.
Medical Education
Consultants, LLC
Medical Metrx Solutions
Medrad
Medtronic, Inc.
Medtronic Sofamor
Danek USA, Inc.
MembersFirst Credit Union
Drs. Vincent A. and
Natalie P. Memoli
Merchants Automotive Group
Merck & Co., Inc.
Merck Partnership for Giving
Merriam-Graves Corporation
Mr. and Mrs. Keniston P. Merrill
Mr. and Mrs. Dennis Merrow
Mr. and Mrs. Peter C. Mertz
Mesca Freight Cooperative
Mr. and Mrs. Robert F. Meserve
Metro Aviation, Inc.
Mr. and Mrs. Robert S. Meyer
MGI Pharma, Inc.
MHMH School of Nursing
Alumni Association
Mr. and Mrs. Lawrence Midtbo
Dr.Thomas O. Miett
Millennium Pharmaceuticals, Inc.
Miller Nissan Jeep Volvo
Dr. Pete G. Miller
Mr. and Mrs. Marc S. Milowsky
Mr. and Mrs. James P. Mithoefer
Mr. and Mrs. William S. Molloy
Dr. and Mrs. John M. Moran
Morgan Stanley & Company, Inc.
Richard B. Morgan
Dorothy W. Mori
Mr. and Mrs. Wayne Morong
Mr. and Mrs. R. Stoning Morrell
Professor and Mrs. Leonard
E. Morrissey, Jr.
Harold M. and Adeline S.
Morrison Family Foundation
Dr. and Mrs. Harry R. Morse
Katherine P. Mosenthal
Mr. and Mrs. Richard A. Mosenthal
Jim and Mary Ann Mulkin
Dr. and Mrs. Albert G. Mulley, Jr.
Mr. and Mrs. Bernard G. Mulroy
MVP Health Plan, Inc.
Dr. and Mrs. W. P. Laird Myers
Mr. and Mrs. Henry Nachman, Jr.
Emily S. Nagle
Mr. and Mrs. Cyrus H. Nathan
National Association of
Neonatal Nurses
National Blood Foundation
National Niemann-Pick
Disease Foundation
Cynthia S. Naylor
Mr. and Mrs. John T. Neises
Eunice P. Nelson
Dr. D. Dirk Nelson and Mary
Kathryn Tellman-Nelson
Dr. and Mrs. Eugene C. Nelson
Mr. and Mrs. John K. Nelson
Linda L. Nelson
Mr. and Mrs. Walter B. Nelson
Dr. and Mrs. William H. Nelson
New England Ford Dealers
Association, Inc.
New England Wire
Technologies Corporation
New Hampshire Charitable
Foundation
New Hampshire Medical Society
New Hampshire Parrot Head Club
New London Hospital
New York Community Trust
NGM-Farmer Family Community
NH.COM
NH Fisher Cats
Lorraine T. Nichols and
Gary M. Barnes
Dr. and Mrs. David W. Nierenberg
Mr. and Mrs. F. George Nordstrom
North American Management
Corporation
Northern New England Clinical
Oncology Society
Reaching Out and Inviting the Public in to Educate
“Dreams & Discoveries: Journeys Through Childhood,”
Dartmouth Community Medical School’s spring
2006 program, highlights the many advances enhancing our understanding of childhood development and
children with special needs or chronic illness.
“Growing up provides so many challenges to children, their parents and the community,” says Dr.
Donald St. Germain, director of Dartmouth Community Medical School. “By discussing important
information that is becoming available in the areas
of childhood development and pediatric care, we
hope to help parents, grandparents, and educators
provide their children with the support and guidance they need, as they make the incredible journey
through childhood and adolescence.”
The program’s eight weekly sessions cover: a century
of remarkable advances in maternal and child health,
learning and language development, chronic child-
›››
hood illnesses, societal and family values, psychological issues, disabilities, allergies, and issues adolescents
face as they mature sexually and intellectually.
Initiated in 1998 to open the doors of Dartmouth
Medical School to the public, DCMS features courses that highlight the medical knowledge and technology that are transforming our lives. Courses are
taught by some of Dartmouth’s most accomplished
faculty members and special guest speakers. Last
year’s program featured “The Making of a Physician.”
Doctors, doctors in training, and medical students go
out into the community to provide education as well.
Last year, Dartmouth Medical School students visited local schools to teach junior high school students
about the science of addiction. By sharing facts about
what drugs will do to them, they hoped to better arm
kids against peer pressure and make them feel more
empowered to make healthy choices.
›
451
DARTMOUTH COMMUNITY MEDICAL SCHOOL
PARTICIPANTS
›
$34,498
MEDICAL SCHOOL TUITION
›
“We think it is important to provide opportunities for
the local community to meet both our doctors and our
students, and to engage with us in discussion about
the complexities of health care, and what we all face in
terms of technological advancements, and the increasing complexity of our collective knowledge,” says Stephen Spielberg, Dean of Dartmouth Medical School.
“Our neighbors and benefactors have a vested interest
in our development and success, and support and are
interested in our endeavors to stay at the forefront of
training and research.”
Department of Medicine residents routinely make
house calls to local patients as part of their compre-
264
GRADUATE STUDENTS ›
50,000
VOLUNTEER HOURS
hensive learning experience. Junior high students visit
the medical center each year through the Shadow Day
Program to learn about healthcare careers. And, many
of our physicians volunteer their time at the Good
Neighbor Health Clinic in White River Junction, VT.
DHMC also hosts numerous on-site support
groups for those newly diagnosed and/or in treatment, relatives of patients, and caregivers focused
on specific diseases.
“We all have an opportunity to work together to
educate our students, our patients and society,” says
Spielberg. “It is our honor to serve.”
Jenny Williams & David Leatherwood
›››
›
1,200
NURSES
Children’s Fund of the Upper Valley
Eight years ago, David Leatherwood’s son stopped
breathing a few minutes after he was born, but
DHMC intensive care nurses were there to save
him. Leatherwood wanted to find a way to show
his gratitude. “My family doesn’t really have the
capability to write a $1 million check in one day,
not a lot of people do. So we drew on our skills. I
know how to build hotels, profitable hotels.” He
approached John Baldwin (the previous Medical
School dean) with the idea of developing a hotel to
use as a fundraising vehicle for the Medical School
and the Children’s Hospital at Dartmouth (CHaD).
Leatherwood entered into negotiations with Dartmouth to purchase some land in Centerra to build
the Courtyard by Marriott (opening in the fall of
2006). During the negotiation period, The Residence
Inn, also in Centerra, unexpectedly became available,
and he decided to put together a group to purchase
it. Jenny Williams, DC’85, was part of that group.
“Jenny does a lot of terrific philanthropic things in
the community. I approached her about taking on
a greater role as a partner in the Residence Inn and
Courtyard properties, and explained my idea for this
philanthropic twist. She jumped on it.”
The philanthropic twist is now The Children’s
Fund of the Upper Valley (CFUV). Leatherwood and Williams established the fund in 2004,
and using proceeds from the two hotels, as well
as their own personal donations, have pledged
to give away a minimum of $1 million over ten
years to charities in the Upper Valley that in
some way benefit children. Half of that money
will go to CHaD to use in any way that supports
its mission, since they believe CHaD deserves all
the support it can get.
While Williams and her husband Stan have never
had to undergo anything as traumatic with any of
their three children—Hans, Ella, and Noah—as
David and Loretta Leatherwood did with Chapin,
her family is grateful for the care they have
received at CHaD. Williams is delighted to support CHaD and other local charities—they are
established and know what they are doing—that
work on behalf of children who are “often the least
able to help themselves.”
›$220,000,000 “PROJECT FOR PROGRESS”
COST
“Stan and I were fortunate that he was successful
early in his career, and we’re grateful and want to
give back,” says Williams. “We get more enjoyment
out of making gifts than we do out of almost any
other place we might spend our money.”
Leatherwood hopes that The Children’s Fund
of the Upper Valley will serve as a philanthropic
model to other businesses in the community. He
owns properties in several other states and he is
establishing a philanthropic component in each of
them as well.
“Our nurses were working 12-hour shifts, but they’d
go home and call two hours later to check on our
son,” says Leatherwood, recalling Chapin’s harrowing 17-day stay in the intensive care nursery. The
Leatherwoods have four children: Chapin, Olivia,
Rhyan, and Maggie Sue. “We felt like our son was
the only patient there, but there were probably 15
other babies. The nurses cared for every one of
them the same way. They’re very special people.”
›19,734
DHMC/DMS DONORS
IN 2005
›1,108
BIRTHS
Giving Patients a New Lease on Life
For Mike Mahoney, the years haven’t softened his
memory of being on dialysis before his first “live”
kidney transplant in ’72 (with his mother as donor).
“It was awful—I felt just on the verge of being alive,”
he remembers. “When you have a transplant, you
feel normal again.”
Since he had been so sick before his first transplant,
he wanted to make sure that the second transplant
was performed before he needed dialysis. “This time,
my sister was my donor,” says Mahoney. “When
I met with the transplant team at DHMC, I was
impressed right off the bat. They are not only professional and tops in their field, but they care about
the best interest of the patient.”
“Prior to Dr. David Axelrod’s arrival, we were
certified to do kidney transplants for patients who
were 12 years and older, and we have had great
›››
success for our pediatric patients,” says pediatric
nephrologist and Director of Medical Transplantation Michael Chobanian. “Now, we can do them
from birth on, and since David is a full-service
pediatric transplant surgeon—who has participated in caring for more than 50 pancreas and
150 kidney transplant patients—we can also do
kidney/pancreas and liver transplants.”
“While most transplant centers require patients to take two or three different anti-rejection medications, we’ve shown that most kidney
transplant patients can safely be managed with
one medication which results in fewer side effects
and provides lasting protection,” says Chobanian.
“As importantly, we don’t routinely use steroids to
prevent rejections after the first month following
transplant, since long-term use of steroids can
result in a number of serious side effects.”
›
484
BABIES TREATED IN ICN
›
$78,542,000
UNCOMPENSATED GOVERNMENT
›
INSURANCE
4,537
MD SCHOOL
APPLICANTS
›
15,708
OPERATIONS
PERFORMED
The transplant surgery team uses a minimally invasive
surgical technique—laparoscopic donor nephrectomy—which allows them to remove a kidney from a
live donor with just a couple of small incisions. “This
reduces pain and speeds recovery for donors, allowing
them to leave the hospital two days after surgery and
return to their typical activities sooner,” says Axelrod.
The program has produced some of the best
outcomes in the country. For patients transplanted
between 2000-2002, overall kidney graft survival
was 93.5 percent at three years compared to the
national average survival of 82 percent. For patients
transplanted with a living donor, the one-year graft
survival from 2002-2004 was 100 percent.
DHMC has gained a reputation for producing
excellent outcomes in transplant surgery. We have
some of the shortest waiting times for donor organs
in New England, due in part to its geography, excellent organ donation awareness among physicians,
and the generosity of the region’s population.
“The transplant coordinators gave me the education
I needed and set clear expectations, so I understood
all of the possible outcomes,” says Mahoney. “The
surgery itself was easy. I had no incision pain and
bounced back within weeks. And after the surgery,
they kept a close eye on me to make sure I was okay.”
Dr. Mark R. Northfield
Dr. and Mrs. Richard A. Norton
Norwich Wines & Spirits
Novartis Pharmaceuticals
Corporation
Novo Nordisk
Pharmaceuticals Inc.
Sandra Nowicki
P. J. Noyes Co., Inc.
Mr. and Mrs. Joseph C. Nugent, Jr.
Dr. and Mrs. William C. Nugent, Jr.
Mr. and Mrs. David C. Nutt
Nutt Hospital Investment
Management
Occum Marin LLC
Frederic and Joyce Oeschger
Office Max
Mr. and Mrs. Charles B. Officer
Dr. and Mrs. Daniel L. Ogg
Oracle Corporation
William Origel
Dr. Patricia P. O’Rourke
Orr & Reno Professional
Association
Ortho Biotech Inc.
Orthopaedic Research and
Education Foundation
Rudy Ostermueller
Dr. Winny Ou
Ovation Pharmaceuticals, Inc.
Mr. and Mrs. George
F. B. Owens, Jr.
P&G Pharmaceuticals, Inc.
Marilyn M. Paganucci
Anne Page
Paraid
Dr. and Mrs. Steven A. Paris
Dr. George W. Parker
Dr. H. Worth Parker
Dr. Richard A. Parker
Dr. Philip F. Parshley, Jr.
Party by Design, Inc.
Anne W. Pattison
The Payne Family Foundation
Mr. and Mrs. David B. Payne
Norman C. Payson
Revocable Trust
Dr. and Mrs. Norman C. Payson
PDI, Inc.
Virginia W. Peart
Mr. and Mrs. Benjamin Pease
Pediatrix Medical Group, Inc.
Dr. Vincent D. Pellegrini, Jr.
Pelletier Family Foundation Inc.
Suellen M. Peluso
Peninsula Community Foundation
The Penn Traffic Company
Mr. and Mrs. James Perkins
Margery B. Perlo
Mr. and Mrs. Bob R. Perry
Karl Pfister III
Pfizer, Inc.
Philips Ultrasound, Inc.
Mr. and Mrs. David A. Pillsbury
Mr. and Mrs. Peter Pillsbury
Alice G. Pinkham
Dr. and Mrs. David A. Pistenmaa
Dr. Marvin S. Platt
Dr. Fred Plum
Polaris Venture Partners
Peter Polinski
Carol R. Powell
Dr. Richard J. Powell
Dr. Barry D. Pressman
Printers Square, Inc.
Procter & Gamble Company
Pro-Cut International Ltd, LLC
Psymark Communications, Inc.
Dr. Matthew D. Putnam
Mr. and Mrs. Agnar Pytte
QL Resorts, LLC
QLLA Charities, Inc.
Q-Med Scandinavia, Inc.
Jacqueline R. Quayle
R. M. and Lorna Quimby
Quinn Family Foundation
Prof. and Mrs. J. Brian Quinn
Racing for a Reason
Dr. Scott C. Rackett
K. Philip Rahbany
Mr. and Mrs. Richard J. Ramsden
Dr. Lawrence G. Rand
Carmi Rapport
Mr. and Mrs. Terry N. Raymond
Reach Our Children
Mr. and Mrs. William S. Reed
Susan A. and David W. Reeves
Robert B. Regius
Shirley M. Reid
Research Applications
Financial Tracking Inc.
Mr. and Mrs. Eric Resnick
Riblet Foundation Trust
Mr. and Mrs. Henry J. Riblet
Dr. John E. Richards, Jr.
The Grace Jones
Richardson Trust
Estate of Roger Richardson
Paul Ricotta
Ride & Ski New England
Dr. James R. Rigas
Mr. and Mrs. Lorrin A. Riggs
Dr. Robert M. Rinehart
Riverstone Resources LLC
River Valley Club
Christopher S. Rizek
Denis Rizzuto
Roberts Family Charitable Trust
Dr. Andrew B. Roberts
Colette L. Roberts-Finn
and John F. Finn
Dr. and Mrs. David W. Roberts
Edward and Nancy Roberts
Fayralyn O. Roberts
Sylvia M. Roberts-Moss
Mr. and Mrs. Sanford
R. Robertson
Mr. and Mrs. Dana R. Robes
Mr. and Mrs. David R. Rochat
Roche Laboratiories, Inc.
Dr. John M. Rockstroh
Connie J. Rogers
Dr. and Mrs. Richard W. Rooker
Lawrence E. Root
Dr. Joseph M. Rosen and
Stina L. Kohnke
Mr. and Mrs. David A. Rosenblum
Samuel Rosenblum Foundation
Mr. and Mrs. Jay Rosenfield
Samuel B. Rowse
Dr. Walter Royal III
Dr. Frederic Rueckert, Jr.
Rush University Medical Center
Gordon W. Russell
Drs. Stephanie Z. and
Stephen R. Ruyle
Albert J. Ryan Foundation
Mr. and Mrs. Robert M. Ryan
Ryder Truck Rental, Inc.
Saint Johnsbury Dental
Associates
Salem Foundation Inc.
The Salmon Foundation, Inc.
Dr. and Mrs. John H. Sanders, Jr.
The Frank and Brinna
Sands Foundation, Inc.
Mr. and Mrs. Frank Sands
Dr. and Mrs. Robert B. Santulli
Estate of Marjorie Sawicki
Schering-Plough
Pharmaceuticals, Inc.
Mr. and Mrs. Edward M. Scheu, Jr.
Dr. Michael Schiff
Schiffman & Company, P.C.
Mr. and Mrs. John T. Schiffman
Dr. William R. Schillhammer, Jr.
Mr. and Mrs. Mark C. Schleicher
Drs. Paula P. Schnurr and
William A. Nelson
Mr. and Mrs. Howard B. Schow
Charles Schwab Corporation
Foundation
Mr. and Mrs. Robert L. Schwartz
Dr. Berthold E. Schwarz
Dr. and Mrs. Douglas F. Schwilk
Scleroderma Research
Foundation
Mr. and Mrs. Robert T. Scott
Sea - 3, Inc.
Dr. Patricia L. Seal
Jesse Seaman and Rose
Y. Chin-Seaman
Grace D. Seaton
Seaward Management
Corporation
Mr. and Mrs. Steven G. Segal
Serono, Inc.
Drs. Alan D. Sessler and
Martha Ann Smith
Robert R. Severson
Dr. John L. Seymour, Jr.
Michael S. Shannon
John M. Shapiro Charitable Trust
Mr. and Mrs. Morton A. Shea
Sheehan Phinney Bass & Green
Mr. and Mrs. Stuart Shepard
Shepley Bulfinch Richardson
and Abbot Inc.
Mr. and Mrs. Richard
H. Showalter, Jr.
Mr. and Mrs. Richard S. Shreve
Dr. Christopher R. Shuhart
The SIDS Alliance
Mr. and Mrs. Andrew C. Sigler
Dr. Anne M. Silas
Dr. Katherine A. Silloway
Nilda Silloway
William & Edna Silverman
Charitable Fund
Mr. and Mrs. William
A. Silverman
Mr. and Mrs. Charles J. Simons
Mr. and Mrs. Carl N. Singer
SIR Foundation
Siwooganock Bank
Robert J. Slattery
Designing for Community Enhances Collaboration and Healing
Light floods the new East Mall and the new Café
beckoning all to catch a quick bite to eat, pause for
conversation in the easy chairs positioned along
the mall, and a hop on the frequent shuttles to our
auxiliary sites and parking lots. There is also easy
access to the Main Mall and central services such as
the about to be expanded Pink Smock Gift Shop,
eateries, banking, hair salon, general store, and
flower shop that make it possible to tend to errands
and the other stuff of life in the course of a busy
day or between medical appointments.
The greatly enlarged Medical Center—the result
of the Project for Progress expansion—is a bit like
a small township. Physicians, nurses, researchers,
and staff stroll from the clinics to research offices
to meetings to grand rounds. Patients and visitors
move from appointments in the Doctors Office
Building to the pharmacy to the Same Day surgery
reception area—all the while enjoying the glimpses
of the New England countryside through large and
›››
numerous windows and the soothing artwork that
we know reduces stress and worry felt by patients.
Walking and bike paths, our Garden of Hope, and
other discovered nooks and crannies offer refuge
from medicine’s intensity for both those experiencing illness or someone caring for those who are ill.
“Speaking as a scientific researcher, we can become
physically as well as intellectually separated,” says
Dr. Mark Israel, director of Norris Cotton Cancer
Center. “Being able to get out of the lab, come to a
common area designed for interaction, and bounce
ideas off of others who are doing something completely different is extremely beneficial.”
As with the planning for the move from Hanover to
the Lebanon site over 15 years ago, physicians and
staff from across the medical center were solicited
for their ideas and input about the best design for
working efficiently and in the best possible environment. Those responsible for direct care were able to
›
550
VOLUNTEERS
›
$9,291,000
LARGEST CAMPAIGN COMMITMENT TO DATE
›
represent the needs of patients. Researchers offered
insight into building in flexibility for response to new
research needs and multiple collaboration possibilies. The outcome is a facility that artfully meshes the
original structure with new elements and buildings.
“The idea is to bring people together from different disciplines—to discuss new ideas and begin to
solve big problems that require expertise in multiple disciplines,” explains Israel, specifically about
the intentional design of the Barbara E. Rubin
building expansion. The same is true throughout
the facility.
467,000
NEW SQUARE FEET ›
3,865
LIVING DMS ALUMNI
Last year DHMC also collaborated with six area
hospitals to bring compassionate, state-of-the-art
care to New Hampshire’s North County and
Vermont’s Northeast Kingdom with the creation
of Norris Cotton Cancer Center – North in St.
Johnsbury, VT.
“Dartmouth-Hitchcock Medial Center is a place of
learning and discovery, ” says Israel. “Key elements
supporting that today are communication and
interaction.” In Lebanon and throughout the region,
we are building and strengthening community as
we provide care.
Dr. Barry D. Smith
Edward R. Smith
Edwin H. and Ruth B.
Smith Foundation
Dr. and Mrs. Frank Rees Smith
Mr. and Mrs. Stuart V. Smith, Jr.
Professor and Mrs.
William M. Smith
Mr. and Mrs. Daniel C. Snyder
Society for Adolescent Medicine
Solvay Pharmaceuticals
SourceCF
George R. Souther
Southern New Hampshire
Medical Center
Southwestern Vermont
Health Care Corporation
Spectra
Anne F. Spencer
Dr. and Mrs. Steven K. Spencer
Drs. Stephen P. and
Laurel Spielberg
Mr. and Mrs. Howard W. Spiess
Dr. Michael B. Sporn
The Sports Team
St. Denis Parish
Mr. and Mrs. Biria D. St. John
Orson L. St. John, Jr.
Barbara J. St. Pierre
Robert L. Stahlman
Mr. and Mrs. Edward H. Stansfield
Stebbins, Bradley, Harvey,
Miller and Brooks, PA
Mr. and Mrs. John L. Steffens
Jay Stein and Gretchen Fox
Jeffrey Steinkamp Unitrust
Jeffrey Steinkamp
Mr. and Mrs. E. William
Stetson III
The Stettenheim Foundation
Mr. and Mrs. Peter
R. Stettenheim
George M. Stevens &
Son Company
Mr. and Mrs. Bayne A. Stevenson
Dr. Michael B. Stierstorfer
Stitch ‘n Bitch
Ruth D. Stoddard
Dr. Albert M. Storrs, Jr.
Dr. Mitchell A. Stotland
Dr. and Mrs. Robert Stragnell
Drs. Karen Lizbeth Straus
and Randolph H. Renzi
Dr. James C. Strickler
Drs. Kris and Judith A. Strohbehn
Mr. and Mrs. Philip
T. Struhsacker
Stryker Leibinger
Dr. Sterling B. Suddarth
Sulloway & Hollis, P.L.L.C.
Sulzberger Foundation Inc.
Mr. and Mrs. David M. Sundman
Mr. and Mrs. F. Maynard
Sundman
Mr. and Mrs. Laurence
T. Susman
Dr. Paul D. Sweigert
Laurie S. Swett
Mr. and Mrs. Murray J. Swindell
J. T. Tai & Company Foundation
Takeda Pharmaceuticals North
America, Inc. & Affiliates
Sheila H. Tanzer
TAP Pharmaceutical Products, Inc.
Leslie J. Tarbell
Martha Taylor
Tele Atlas North America, Inc.
Mr. and Mrs. John Telischak
Carolyn C. Tenney
Dr. Lloyd B. Tepper
Teva Neuroscience, Inc.
Dr. Vijay M. Thadani
Mr. and Mrs. John
M. Thatcher, Jr.
Brad and Bee Thayer
Dr. Charles A. Thayer
Redmond and Milou Thayer
Dr. William H. Thomas
Drs. Robert L. and
Shari L. Thurer
Brenda and Jim Tibbetts
Mary C. Tiedemann
Timken Aerospace
Mr. and Mrs. Joseph S. Tofel
Mr. and Mrs. Frank N. Tomlinson
Top Stitch Embroidery, Inc.
Town of Canaan, New Hampshire
Dr. Thomas L. Treadwell
John and Evelyn Trevor
Charitable Foundation
John B. Trevor, Jr.
Trinity High School
Amos Tuck School of Business
UBS Global Asset Management
(Americas) Inc.
UCB Pharma, Inc.
United Health Foundation
UnitedPharma
University of North Carolina
at Chapel Hill
University Of St. Thomas
Upper Valley Carpet Center, Inc.
Upper Valley Community
Foundation
Upper Valley Hotel Group LLC
Upper Valley Trails Alliance
The V Foundation
Margaret C. Vail
Robert W. Valpey
Dr. Dirk J. Van Leeuwen
Vanguard Charitable
Endowment Program
James and Lucinda Varnum
Verizon Foundation
Vermont Community Foundation
Vermont Mutual
Insurance Company
Vermont Oxford Network, Inc.
VFW Ladies Auxiliary
Department of NH
Dr. Philip J. Villiotte
Mr. and Mrs. Doug Vogt
Dr. George H. Vogt
Dr. Lucy R. Waletzky
Dr. and Mrs. Andrew G. Wallace
Wal-Mart Foundation
Wal-Mart
Brian F. Walsh and
Linda J. Patchett
Dr. and Mrs. Daniel B. Walsh
Earl C. Ward
Dr. Thomas N. Ward
Dr. Bruce L. Warshauer
Mr. and Mrs. Bruce M. Waters
Arthur K. Watson Charitable Trust
Thomas J. Watson Foundation
Watson Wyatt & Company
Dr. and Mrs. Theodore R. Waugh
Samuel Waxman Cancer
Research Foundation
Mr. and Mrs. John H. Weaver
The Walter M. and Hannah
H. Webb Extended
Family Foundation
Mr. and Mrs. Hartley D. Webster
Mr. and Mrs. Kenneth E. Weg
Joan C. Weider
Dr. and Mrs. James Neil Weinstein
Dr. Frank M. Weiser
Dr. and Mrs. Robert J. Weiss
Mr. and Mrs. Robert J. Weissman
Welch Allyn, Inc.
Wells River Savings Bank
Mr. and Mrs. Robert A. Wells
Dr. and Mrs. John E. Wennberg
Virginia W. Wentworth
Joseph M. Wentzell
Mr. and Mrs. William S. Wesson
Dr. Franklin H. West
Drs. John D. West III and
Stephanie R. Lash
Mr. and Mrs. Perry L. Wheaton
David G. Wheeler
White Mountains Insurance
Group, Ltd.
Dr. Jon C. White
Mr. and Mrs. Robert F. White
Mrs. John P. Whiteley
Dr. James L. Whiteside
Helen Hay Whitney Foundation
Star and Bob Whitney
Dr. and Mrs. Christopher W. Wiley
Mr. and Mrs. Stanton N. Williams
Dr. Douglas E. Williamson
Dr. and Mrs. Peter D. Williamson
Wilson Tire, Inc.
Donald Winterton
Charles and Madelyn Wira
Estate of Dr. Erich S. Wisiol
Mr. and Mrs. Daniel H. Wolf
Natalie W. & Leo E. Wolf
Foundation
Arthur and Helen Wood
Woodstock Foundation, Inc.
Woodsville Guaranty
Savings Bank
Mr. and Mrs. James Wright
Estate of Norma S. Wright
Mr. and Mrs. William W. Wyman
Mr. and Mrs. John E. Xiggoros
Mr. and Mrs. Herbert Yalof
Mr. and Mrs. Yeong-Shyang Yang
Barry B. and Patricia R. Yellen
York Cross of Honour Medical
Research Foundation
Dr. and Mrs. Oglesby H. Young
Mr. and Mrs. Fred
A. Yunggebauer
Dr. and Mrs. Leo R. Zacharski
Zimmer New England, Inc.
Marie & John Zimmermann
Fund, Inc.
Mr. and Mrs. John C. Zimmermann III
Dr. Douglas P. Zipes
Dr. Michael Zubkoff and
Leslee A. Michaels
board members
Dartmouth-Hitchcock Medical Center Board of Trustees
Thomas A. Colacchio, MD, ex officio
Albert G. Mulley, Jr., MD
Lebanon, NH
Boston, MA
John C. Collins
Alan D. Sessler, MD
Lebanon, NH
Rochester, MN
Gary M. DeGasta, ex officio
Stephen P. Spielberg, MD, PhD, ex officio
White River Junction, VT
Hanover, NH
Peter M. Fahey
James W. Varnum, Secretary, ex officio
Port Washington, NY
Lebanon, NH
Alfred L. Griggs, Chair
William W. Wyman
Northampton, MA
Hanover, NH
Mary Hitchcock Memorial Hospital / Dartmouth-Hitchcock Board of Trustees
Emily R. Baker, MD
John C. Collins
J. Brian Quinn
DHC Independent Physician Trustee
Lebanon, NH
DHC CEO, Treasurer, and Secretary
Lebanon, NH
Hanover, NH
Stephen P. Barba
Lawrence J. Dacey, MD
Lebanon, NH
Dixville Notch, NH
DHC Independent Physician Trustee
Lebanon, NH
Alan D. Sessler, MD
Stephen F. Christy
Carolyn H. Sands
DHC Board Chair
Rochester, MN
Lebanon, NH
Carol J. Descoteaux, CSC, PhD
Thomas A. Colacchio, MD
Manchester, NH
Richard Showalter
William H. Edwards, MD
MHMH & DHC Assistant Treasurer
DHC Independent Ex Officio Trustee
DHC President
Chair, DHC/MHMH Board of Governors
Lebanon, NH
DHC Independent Physician Trustee
Lebanon, NH
Robert C. Fuehrer
MHMH Board Secretary
Peacham, VT
Wayne G. Granquist
Weston, VT
Alfred L. Griggs
MHMH Board Chair
Northampton, MA
Alan C. Keiller
Richard S. Shreve
Member, MHMH Board (Ex Officio)
Orford, NH
Stephen P. Spielberg, MD, PhD
Member MHMH/DHC Boards (Ex Officio)
Dean, Dartmouth Medical School
Hanover, NH
James W. Varnum
MHMH Independent Trustee (Ex-Officio)
MHMH Board Assistant Secretary
MHMH President
Lebanon, NH
Chapel Hill, NC
Diana J. Weaver
Mary Susan Leahy
Versailles, KY
MHMH Trustee (Ex Officio)
MHMH Board Vice-Chair
Concord, NH
Hanover, NH
Keniston P. Merrill
MHMH Independent Trustee (Ex officio)
Randolph, VT
William W. Wyman
Robert H. Young
Rutland, VT
Dartmouth Medical School Board of Overseers
Thomas A. Colacchio, MD, ex officio
James W. Varnum, ex officio
Lebanon, NH
Lebanon, NH
Nils M. P. Daulaire, MD, MPH
Richard M. Weinshilboum, MD
White River Junction, VT
Rochester, MN
Gary M. De Gasta, ex officio
John D. West III, MD, ex officio
White River Junction, VT
Bangor, ME
Susan G. Dentzer (DC’77)
James Wright, PhD, ex officio
Chevy Chase, MD
Hanover, NH
Eric Donnenfeld, MD (DC ’77, DMS ’80)
Martin Wybourne, PhD, ex officio
Rockville Center, NY
Hanover, NH Freddie H. Fu, MD, D.Sci. (Hon), DC ’74, DMS ‘75
Oglesby H. Young III, MD(DMS ‘75), ex officio
Pittsburgh, PA
Concord, NH
C. Everett Koop, MD, ex officio
Hanover, NH
Renée M. Landers, JD
Boston, MA
Stuart MacLeod, MD, PhD, FRCPC
Vancouver, BC
Albert G. Mulley, MD, MPP, DC Trustee
Boston, MA
Thomas B. Okarma, PhD, MD
Menlo Park, CA
Norman C. Payson, MD
Hopkinton, NH
Cecil B. Pickett, PhD
Kenilworth, NJ
Peter Preuss, President
La Jolla, CA
Charles A. Sanders, MD
Chapel Hill, NC
Barry P. Scherr, PhD, ex officio
Hanover, NH
Stephen P. Spielberg, MD, PhD, ex officio
Hanover, NH
Robert L. Thurer, MD
Boston, MA
One Medical Center Drive, Lebanon, NH 03756
www.dhmc.org
© 2006 Dartmouth Hitchcock Medical Center
Project Manager/Editor: Andrea Williams, Contributing Editor: Sandra Adams
Designer: David Jenne, Writer: Katharine Fisher Britton, Photographer: Mark Washburn
Printer: Imperial Company, Inc.