Medical Alumni Magazine

Transcription

MedicalAlumni
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fall 2009
volume 50 | no 2
First Women
Chancellor Susan Desmond-Hellmann joins
the ranks of pioneering women at UCSF – begun by
Lucy Wanzer, the first woman to graduate in 1876.
Also INSIDE:
en g r o s s in g anat o m y
impr o v in g pat ien t s afe t y
h o mec o min g
Inside
MedicalAlumni
M
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departments
1 news | editorial
15 president’s letter 16 class notes
E
Fall 2009: Volume 50, Number 2
Editor: Gordon Fung, MD ’79, MPH, PhD
Managing Editor: Anne Kavanagh
Contributing Editors: Gary Bernard, Mark Boone,
Debra Holcomb, Jean Murray, Carrie Smith
Writers: Elizabeth Chur, Anne Kavanagh,
Kate Volkman, Tina Vu
Photographers: Noah Berger, Saul Bromberger
and Sandra Hoover Photography, Dinno Kovic,
Susan Merrell, David Powers, UCSF Library Collection,
Harras Zaid
Editorial AssistanT: Michelle Pardo
DesignER: Laura Myers Design
Administrative Council 2009–2010
OFFICERS
Lawrence Hill, MD ’67, President; Donna Hoghooghi,
MD ’98, President-Elect; TBD, Vice President
(Northern California); H. John Blossom, MD ’70, Vice
President (Central California); Ronald P. Karlsberg,
MD ’73, Vice President (Southern California);
TBD, Secretary/Treasurer
COUNCILORS AT L ARGE
Kenneth M. Bermudez, MD ’92; Caley Castelein, MD ’98;
Neal H. Cohen, MD ’71; Timothy J. Crowley, MD ’80;
Ruth Goldstein, MD ’79; Uri Ladabaum, MD ’91;
Robert C. Lim, MD ’60; Tomas Magana, MD ’95;
Mary Eleanor Margaretten, MD ’03; Gary Mizono, MD;
Willis Navarro, MD ’90; Harlan B. Watkins, MD ’63;
William Kapla, MD, President, Association of the
Clinical Faculty
PAST PRESIDENTS
features
2 Engrossing Anatomy
Learning an ancient discipline in the modern age.
4 “First, Do No Harm”
How physicians at UCSF are improving patient safety.
8 Six Women Who Did UCSF Proud
Trailblazers who transplant livers, battle pandemics, lead universities and more.
Lawrence Lustig, MD ’91; Gordon L. Fung, MD ’79;
David N. Schindler, MD ’66; Judith A. Luce, MD ’74;
John Fletcher, MD ’57
12 Celebrating the Years
HOUSESTAFF REPRESENTATIVE
14 Aronberg, Karpman Share MAA’s Highest Award
TBD
STUDENT REPRESENTATIVE
Arul Thangavel, MS3
EX-OFFICIO
Susan Desmond-Hellmann, MD, MPH, Chancellor
Sam Hawgood, MBBS, Dean, UCSF School of Medicine
UCSF School of Medicine
Medical Alumni Association
UCSF Box 0248
San Francisco, CA 94143-0248
Tel: 415/476-1591
Fax: 415/476-3264
Email: [email protected]
Website: www.ucsfalumni.org
© 2009 UCSF School of Medicine, MAA. All rights reserved.
Hundreds enjoyed homecoming, including a group with a special reason to celebrate.
Longtime friends from the Class of 1954 honored for their achievements.
15 Book Drive for Iraq and Afghanistan a Success
Outpouring of textbooks from UCSF community reaches war zones.
O N TH E C OV ER : Susan Desmond-Hellmann, MD, MPH, takes the reins in 2009
as the first woman chancellor of UCSF, 133 years after Lucy Wanzer became the
first woman to graduate from the School of Medicine (pictured with the Class of
1876). See story about these and other pioneering UCSF women on page 8.
Contact us! Your letters are welcome. Write to: UCSF Medical Alumni
Magazine, Letters to the Editor, UCSF Box 0248, San Francisco, CA
94143-0248. You may also email your letter to: [email protected].
Please type “Letter to the Editor” in your subject field.
NEWS
E di t o ria l
Hawgood
Appointed Dean
Training Physicians for an Unknown Future
Sam Hawgood, MBBS, has been
appointed dean of the School of
Medicine and vice chancellor for
medical affairs.
In a message to the campus
community,
Chancellor
Susan
DesmondHellmann, MD,
MPH, said,
“The School of
Medicine and
the campus as
a whole have
been fortunate
to have
Dr. Hawgood
Sam Hawgood
in the role of
interim dean
during the past year and a half.
Facing unprecedented financial
challenges, he has more than
succeeded in his goal of
‘responding responsibly to shortto-medium term constraints on
resources while maintaining an
aggressive strategic and solution
focus on investments.’ His
transparency, accountability and
willingness to tackle the most
significant challenges, even while in
an interim role, have created a level
of confidence, cooperation and
respect in the school that can only
serve to promote further growth
and excellence. Dr. Hawgood has
proven himself to be a true leader
and the right one for the UCSF
School of Medicine at this critical
point in our history.”
Hawgood, who earned his
medical degree from the University
of Queensland in Australia and has
spent his career at UCSF, is a
distinguished physician-scientist,
professor in the Department of
Pediatrics, and associate director
of the Cardiovascular Research
Institute. Prior to his appointment
as dean, he served as chair of
the Department of Pediatrics,
physician-in-chief of UCSF
Children’s Hospital, and president
of the UCSF Medical Group.
Will we have enough physicians by 2025? Will they be the right kind of physicians?
Somewhere in my medical training I learned that the shelf-life of medical truth
was about six months. It appears the same could be said for medical workforce
projections. According to the AAMC Statement on Physician Workforce, public
policymakers in the 1980s predicted the United States would experience a
substantial excess of physicians by 2000. As a result, steps were taken to reduce
the physician supply to avert the predicted surplus. This led to essentially flat
enrollment at medical schools over the past 20 years.
It is pretty clear that those predictions were erroneous. Current projections
predict a shortage of 124,000 to 159,000 physicians by 2025. Given that it
takes an average of 14 years to train a physician, we need to make significant
changes to our system of education and health care delivery. Such a limited
physician workforce would have devastating consequences to health care access
and availability.
Before we determine what should be done, we need
to understand why the previous projections were so off.
Their main tenet was that managed care would be the
solution to health care inefficiencies and cost overruns –
which obviously did not happen. The population
projections also did not accurately account for the rapid
rise in people over 65, the fastest growing segment of the
U.S. population today, and the growing epidemics of obesity
and diabetes, both of which account for a very large part
of health care costs.
Current projections of the physician shortage are actually
“PC” – or pre-health care reform. So their accuracy is truly
unknown and may not be known for some time – perhaps
another 20 years. But we can’t wait until then to stave off
Gordon Fung
such a health care disaster.
The AAMC recommended a 12-point program that first
called for a 30 percent increase in enrollment in accredited medical schools by
2015 (from 2002) as well as establishing new medical schools. Other
recommendations included expanding the number of graduate medical education
positions to accommodate the additional graduates, expanding the Medicare
residency training allowance, assessing and promoting foreign medical school
programs, and increasing collaborations.
At the University of California there are plans to open two new medical
schools and increase enrollment in the existing schools. But the biggest challenge
facing medical schools is training physicians for the future when the entirety of
health care delivery may be completely different. There is a major push to evaluate
and adopt the “medical home” model of health care delivery, where primary
care providers serve as leaders to a team of nurse practitioners and physician
assistants. Should we be training our physicians to be managers rather than
clinicians? Is the master clinician a dinosaur of the past and inefficient by
definition? Do we only want to enroll medical students who intend to pursue
clinical roles and not research? These tough questions must be addressed by
every school if we are to meet the health care needs of the future.
Gordon Fung, MD ’79, MPH, PhD
Editor
[email protected]
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medical alumni magazine 1
educa t i o n
Doing away with dissections
Engrossing Anatomy
By A nne K avanag h
A
lmost 60 years ago, Selvyn Bleifer
held a human heart in his hands
and knew he was going to
pursue cardiology. “I remember it
vividly,” he says.
Bleifer was a first-year medical
student at UCSF in a course many cite
as a rite of passage: gross anatomy.
The Class of 1955 graduate can still
sharply recall his initial foray into the
anatomy lab – bodies stretched out on
metal tables, the wafting odor of
preservatives, a classmate quickly
fainting. And later, that beautiful heart.
“You can look at a picture of one,”
he says, “but it’s different having it in
your hands.”
At the time, gross anatomy had
changed little since the school’s
inception in the late 1800s, and would
change little for the next half-century.
But in 2001 advances in medicine
and education would bring sweeping
alterations to the teaching of anatomy
at UCSF.
An ancient discipline
Anatomy has perhaps the longest
history as a discipline in medical
education. Yet Hippocrates never
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2 fall 2009
dissected a human body. Neither
did the esteemed Greek physician
Claudius Galen (A.D. 131-200), whose
influential but often erroneous writings
on anatomy came from dissecting
cats and pigs. Human dissection was
forbidden in most societies until 1240
when a Roman emperor permitted
it in order to better train doctors
and aid public health. By the early
14th century, human dissections –
mostly of executed criminals – were
being conducted at leading European
universities.
In 1865, the California Legislature
approved a dissection law permitting
pauper bodies to be studied by
accredited physicians. At Toland
Medical College, the precursor to
the UCSF School of Medicine,
highlights included “many opportunities for performing autopsies in
San Francisco’s advantageous
dissecting climate.” Early on gross
anatomy assumed importance,
evolving into a 400-hour, six-month
course. Four students shared one
cadaver. Over time, new medical fields
and findings transformed other
courses, but gross anatomy held
firmly to its roots.
Then in 2001 the School of Medicine
introduced a completely redesigned
curriculum. It promoted integration of
disciplines, an early introduction of
clinical concepts, and expedited entry
into patient care. Eight “block”
courses organized around central
themes or systems constituted the first
18 months. Gross anatomy was
integrated into the introductory
prologue block and instruction was
reduced from about 250 hours to 60.
To save time, the school decided
to use previously dissected cadavers,
or prosections. Twelve students would
gather around a body and a faculty
member, who would lecture for two
hours while pointing things out. “It
turned into a one-way information
highway,” says Kimberly Topp, PT,
PhD, a longtime UCSF anatomy
professor who is now chair of the
Department of Physical Therapy and
Rehabilitation Science. “The students’
eyes would glaze over.”
A second problem: fitting in all
pertinent body parts and functions.
“The first year, there wasn’t enough
time for the head and neck,” says
Topp. “Then the head and neck was
added, but there wasn’t time for upper
and lower limbs. So only upper limbs
were covered.”
Something else was lost, too,
something elemental and profound.
“You need the hands-on experience of
working with a human body,” says
Allan Basbaum, PhD, chair of the
Department of Anatomy. “It signifies:
Welcome to the real world. You are
dealing with someone who has died.”
Laying on of the hands, again
After two years of prosections,
Basbaum charged Topp with
revamping the anatomy curriculum.
She focused on making the learning
more interactive, peer-driven and
integrated. As such, dissections
became paramount once again. “The
cadaver is really the students’ first
patient, and they need to learn as
much as they can from it,” she says.
Today 110 hours are devoted to
anatomy. Students spend eight weeks
in the prologue block dissecting
aspects of the entire body as an
introduction – the “10,000-foot view”
as one student describes it.
Then they go back and tackle the
individual organs in the block
pertinent to that organ’s system.
The heart, for example, is
dissected when they are studying
the cardiovascular, pulmonary
and renal systems. This allows for
understanding in context, explains
Topp. “If you are learning about
EKG, it’s best to put the anatomy
together with everything there is to
know about the heart, including
physiological assessment and
Basbaum is confident the education
remains effective. “I don’t think we
are hurting the training of students
by cutting back,” he says. “They
don’t need to know every detail
upfront, such as all the digital
nerves. If they are going to become
hand surgeons, then they can
go back and learn them.” Topp
concurs, “Immersion is great if
you are going to be an anatomy
instructor. But if you are going to
be a physician, I’m not sure it’s
the best way to learn anymore.”
And both say that despite
advances in computer simulation –
and the expense of obtaining and
maintaining cadavers – dissection
will stay. “It is absolutely a defining
experience,” says Basbaum.
A body of knowledge
UCSF anatomy lab, 1950s
“You need the hands-on
experience of working
with a human body.
It signifies: Welcome
to the real world. You are
dealing with someone
who has died.” – Allan Basbaum
medical treatment.” Opportunities
to practice clinical procedures such
as suturing and inserting a chest
tube have also been added.
Five to six students are assigned
one cadaver for the duration and
mostly left on their own to proceed,
with guidance from circulating
faculty. “They have to figure out
how to work together,” says Topp.
“That in itself is so important
because medicine today is a very
interactive practice.”
Though far from the timeintensive tradition that most School
of Medicine alumni experienced,
It certainly was for Matthew
Schechter, now in his second year
at UCSF. “In that very first week of
medical school, you are suddenly
and forever different from the
non-medical community,”
he says. He and his five lab-mates
were assigned a well-muscled and
tattooed cadaver. “I was surprised
at the humanity. It’s hard to
describe.” They named him Mick.
Over the ensuing months, they
grew to know Mick intimately,
and one another. “You can’t spend
10 hours a week hovering over a
cadaver together and not bond,”
he laughs. Schechter says the
kinesthetic and emotional
experience of dissecting a body
created an understanding that no
computer or prosection ever could.
“I liken it to the difference between
reading a map of a city and walking
though it,” he says. “For the rest of
my career, whenever I’m faced with
anatomy, it’s Mick I’ll picture. Not
some abstract concept of vessels,
but his vessels. He gave me the gift
of knowledge.”
Honor your favorite professor!
To find out how, contact
Carrie Smith, director of development and alumni relations,
at 415/476-6341 or
[email protected].
The UCSF
Willed Body
Program
It’s one last way to be useful.
That’s one reason why people
donate their bodies to the UCSF
Willed Body Program, says Andrew
Corson, the program’s coordinator.
And it is indeed useful.
UCSF receives about 300
donated bodies a year through the
Willed Body Program.
Since its inception in 1947 the
program has supplied cadavers for
UCSF’s medical and dental
programs. Today it also supplies
cadavers for UCSF pharmacy and
physical therapy programs and for
anatomy programs at the Cal State
and community college systems
and private universities throughout
northern California. The Willed
Body Program also supports
research projects such as the
testing of new orthopedic devices,
surgical procedural training, allied
health education and postgraduate
medical education.
About 60 percent of donations
are committed in advance of death
by individuals; the rest come
through families of the deceased.
The bodies come from all over
northern California, from San Luis
Obispo to the Oregon border.
“Medicine has changed by leaps
and bounds, but the fundamentals
– the human body and how it
works – have not changed,” says
Corson. “People will always need
to know the essentials, and the
Willed Body Program is helping
keep that foundation solid by
serving as stewards to donors.
Their selfless final act makes such
a difference in our world.”
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I M P R OV I N G P A T I E N T S A F E TY
U
ntil 10 years ago, we
were taught in the health
professions to believe
that errors were manifestations
of bad, careless people,”
says Robert Wachter, MD,
chief of the Division of Hospital
Medicine at UCSF. “We now
know that most errors are made
by competent, well-trained,
caring people trying to be
careful, and the errors simply
demonstrate they are human.”
“
“First,
Do No
Harm”
By E l izabet h C h ur
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4 fall 2009
In 1999, an Institute of Medicine
report entitled “To Err is Human:
Building a Safer Health System” sent
shockwaves through the medical
community. It estimated that up to
98,000 people died each year due to
medical errors.
Wachter has led UCSF’s efforts to
improve patient safety. In two
bestselling books, Internal Bleeding:
The Truth Behind America’s Terrifying
Epidemic of Medical Mistakes, and
Understanding Patient Safety, Wachter
champions a new perspective. Instead
of blaming individuals, he argues for
systemic changes to prevent mistakes
from happening in the first place.
“The most common causes of
medical mistakes are communication
lapses – information didn’t make it
from place A to place B correctly, or
from person A to person B correctly,”
says Wachter. Common mistakes
include giving a patient the wrong
drug or dose, performing surgery on
the wrong patient or body part, or
making the wrong diagnosis.
One example of how better
communication has increased patient
safety at UCSF is the way medical
residents entrust their patients to other
physicians at the end of their shifts –
the handoff process.
Previously, this process was
haphazard. Residents would spend
lots of time hunting down key
information – vital signs, lab reports
and medication lists. Arpana Vidyarthi,
MD, who arrived at UCSF as a hospital
medicine fellow in 2002, says, “I
distinctly remember seeing residents
throw down a stack of index cards,
two inches thick, with information for
50 patients hand-scribbled on them,
and say to the next person, ‘There’s
nothing to do.’ Given how sick many of
our patients are, this would cause me
anxiety as I recognized the potential
for harm during the cross-coverage.”
In 2003, the Accreditation Council
for Graduate Medical Education
limited residents to an 80-hour
workweek and maximum 30-hour
shifts. Vidyarthi, who is now director of
patient safety and quality programs for
the Dean’s Office of Graduate Medical
Education, says, “The reductions in
work hours were designed to reduce
errors caused by fatigue.” However,
this has resulted in more frequent
handoffs among residents, which also
increases the risk of communication
errors.
With the assistance of UCSF
Medical Center, Vidyarthi and
Jonathan Carter, MD (then a UCSF
surgery resident) developed a
computer-based system dubbed
SynopSIS. It provides a snapshot of
the most important information
residents need to know during
handoffs, including the patient’s
physical location and list of
medications, why the patient was
admitted, and anticipated problems.
Drawing on his or her understanding
of each patient’s case, the outgoing
resident prepares a list of “if-then”
statements: if the patient develops a
fever, then test for infection and start
certain antibiotics; if the patient
becomes short of breath, then get an
X-ray; if the patient is dying, call his
daughter in Philadelphia at this phone
number. Before SynopSIS, these vital
pieces of information too often got lost
in the handoff process.
Vidyarthi trains residents in best
practices for these face-to-face
meetings between outgoing and
incoming residents. She recommends
that they find a quiet place where
they can review SynopSIS information.
She also reminds them that tone
of voice and facial expressions
provide valuable information. Before
the meeting ends, the incoming
resident repeats back his or her
understanding of the departing
resident’s recommendations.
“At the beginning of your internship,
it takes a little longer, as you learn how
to sign out effectively,” Vidyarthi says.
“By mid-year, using SynopSIS and
verbally signing out is so ingrained in
the culture that nobody thinks twice
about it – it’s like driving.”
1 picture = 1,000 words
The opportunities to improve patient
safety continue after discharge. “What
goes on after the hospital, and in
between visits?” asks Dean Schillinger,
MD, director of the UCSF Center for
Vulnerable Populations at San
Francisco General Hospital (SFGH).
“Ninety-nine percent of the care is
going on at their homes,” Schillinger
says. “The number of medications, the
severity of people’s illnesses, and the
expectations we have for patients to
self-manage their conditions have
increased. The potential for patient
safety issues to arise in the outpatient
setting has worsened.”
For example, Schillinger and
Edward Machtinger, MD, found that
nearly 50 percent of patients on blood
thinners were unaware that they were
taking their medication improperly.
“These are very high-risk populations
taking high-risk medications,” says
Schillinger. “I call it the ‘Goldilocks
Robert Wachter,
Arpana Vidyarthi and
Andrew Auerbach review
patient safety data.
|
medicine’: You have to take it just
right. You can’t take too much, or you
may bleed and die; you can’t take too
little, or you may have a stroke and
die.” Often, patients need to take
different amounts of the drug on
different days, further increasing
the likelihood of
incorrect dosage.
Schillinger and
Machtinger
developed a visual
medication schedule
(VMS), a computergenerated weekly
calendar showing the
type and amount of
medication to be taken
each day, with written
instructions in the patient’s native
language (see image above). They also
had patients “teach back” the dosage
instructions to their doctors, so
doctors could confirm that patients
understood correctly. Their study
showed that patients who received
the VMS plus the “teach back”
opportunity reached the target safe
level for their anticoagulant almost
twice as fast as patients who did
not use this method. This tool was
especially effective among Spanishspeaking patients.
“Do the right thing” by default
Much of the Department of Medicine’s
safety and quality research is focused
on how to get a life-saving treatment
to its ultimate destination: the patient.
“How do you get physicians to
adopt it?” asks Andrew Auerbach, MD,
MPH, associate clinical professor of
medicine and director of research
for the Division of Hospital Medicine.
“How do you get systems to deliver
it regularly? Moreover, how do you
measure that implementation process?
In business, there are whole areas of
management theory around how to
manage change in complex systems.
But in health care, that’s a very
underdeveloped field.”
Auerbach recently redesigned
UCSF’s physician order forms to, in
his words, “make it easier to do the
right thing, and harder to do the
not-right thing.” For example, deep
vein thrombosis, or clotting of the
blood in a vein such as the leg, can
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6 fall 2009
Visual medication
schedule
“The number of medications, the severity of
people’s illnesses, and the expectations
we have for patients to self-manage their
conditions have increased. The potential
for patient safety issues to arise in the
outpatient setting has worsened.”
— Dean Schillinger, MD, director of the UCSF Center for
Vulnerable Populations at San Francisco General Hospital
occur shortly after surgery. It can be
fatal if a clot travels to the lungs and
obstructs blood flow, causing what is
called pulmonary embolism.
Fortunately, this is completely
preventable – if a patient receives the
appropriate blood thinner. Until
recently, however, only half of UCSF
surgery patients received blood
thinners. This was partly because
there was no systematic way for
surgeons to prescribe them. Three
years ago, Auerbach developed an
easy-to-use order form and trained
surgeons on the importance of
prescribing blood thinners.
“There are three legs to a quality
improvement stool,” says Auerbach.
“Education – explain why this is the
right thing to do; change the system;
and then audit and feedback – we
pull charts at random, and if patients
did not get the right drug, we send
a report to the physicians involved.”
Today, 95 percent of eligible UCSF
surgery patients receive the proper
blood thinners.
Auerbach is also developing the
Hospital Medicine Reporting Network.
This network shares patient quality
and safety data to provide benchmarking information. This allows
hospitals to see where they need to
improve and what they can learn from
other institutions. “It’s entirely possible
that there’s some innovation out there
that would be easily disseminated to
others,” says Auerbach. “I think of
that as the ‘gene discovery’ of quality.
We have the ability now with large
databases to start sifting around for
those gems.”
A little fear is healthy
“If there was a way to have gotten
this job done without scaring people,
that would have been better,” says
Wachter. “Systems are so recalcitrant
to change that unless people did have
some anxiety about the current state
of affairs, we wouldn’t have changed
a thing.
“I got a call from a reporter from a
state in the Midwest that had just
begun requiring hospitals to report
serious errors,” says Wachter. “One
hospital had 15 reports, and another
hospital had zero. I said, ‘You wouldn’t
catch me dead going to the hospital
with zero – because they either have
a culture in which nobody talks
about these things, or they’re lying.’
The state of medicine is such that you
can’t have a hospital that does not
periodically harm or kill somebody
through errors.
“What I want to see is that hospitals
are open and honest, using each error
as an opportunity to make themselves
better,” says Wachter. “I’m very proud
of our organization, because I think
that’s what we’re doing. This is where I
get my health care, and I know what’s
in the sausage factory.”
P R O F I L E : R O B E R T W A C HT E R
Healing Patients and Health Care Systems
By E l izabet h C h ur
G
rowing up Jewish in the New York suburbs, the
firstborn son of a socially climbing family, I think
you begin thinking about medicine in utero,” says
Robert Wachter, MD, with a chuckle. “The tension for me
was that I was a politics junkie, and found myself much
more drawn to reading about politics and history than I
was chemistry or biology.”
Wachter, an international leader in the patient safety
field, grew up on Long Island, the oldest of three children.
His father ran a women’s clothing company started by his
grandfather, an immigrant from Poland. In high school,
Wachter volunteered at a local hospital and found mentors
among the physicians. Although he wanted to become a
doctor, he joined the debate team and majored in political
science at the University of Pennsylvania.
“I enjoyed trying to understand how things were
organized – how complex enterprises moved and changed
– how people were motivated to do their work better,
which is what you study in political science,” says Wachter.
“I always thought I would have these dual lives: one as a
physician, and then I would come home and read the
New York Times. It never dawned on me that I would have
a career where I could combine those two interests.”
He went to medical school at Penn, where he found
a mentor in John Eisenberg, one of the nation’s first
MD/MBAs. “He was a great doctor and teacher, but his
research involved thinking about the health care system:
how we pay, how it’s organized, and how the work force is
constructed,” says Wachter. When Wachter came to
UCSF for his internship and residency, he met Steven
Schroeder, MD, then the founding chief of the Division
of General Internal Medicine, who went on to lead the
Robert Wood Johnson Foundation. “There seemed to be
a niche for people who had these dual parts of their brain,”
says Wachter. “That was an epiphany for me.”
“
Founding a new specialty
20,000 practicing hospitalists in the United States – making
this one of the fastest growing specialties in the history of
American medicine.
“As a new field, we were branded in part as being about
saving money,” says Wachter. “But it seemed to me that the
model should also improve the quality of care.” He was
president of the Society of Hospital Medicine when the
1999 Institute of Medicine report was released, stating that
up to 98,000 patients a year are killed annually by medical
errors. “A light bulb went off, and I said, ‘We need to be at
the forefront of making this better.’”
Putting it all together
“One of my mantras is that all hospitalists have two sick
patients,” says Wachter. “One of them is the person in the
bed, and one of them is the building that we’re working in.
Both are in intensive care, and both need a lot of help and
expertise. It’s our job to fix both.
“There were already people focusing on silos within
patient safety: information technology, diagnostic errors
and medication safety,” says Wachter. “Part of this is my
political science background, and part of this is my
generalist mindset: I like to be the person who sees the big
picture and explains things in ways that are accessible.”
He has spent much of his career doing just that.
In addition to publishing six books and 200 articles,
Wachter edits the federal government’s two leading patient
safety websites (webmm.ahrq.gov and psnet.ahrq.gov).
He also has his own lively and accessible blog (www.
wachtersworld.org).
“I have the world’s best job,” he says. “I get to be a
physician, teacher, mentor, writer, speaker and administrator – and to do it in a great organization with wonderful
people who have terrific values. Every day I feel like I’ve
won the lottery. I don’t ever tell anybody this, but if I could
figure out how to live, I’d probably do it for free.”
In 1995, Lee Goldman, MD, then the chair of the
Department of Medicine, appointed Wachter to run the
inpatient medical service. “Lee always was looking to
improve systems, and charged me with finding ways to
make our medical service better,” Wachter says.
Thus emerged the “hospitalist,” a term that Wachter
and Goldman coined in a 1996 New England Journal of
Medicine article. Like orchestra conductors, these
hospital-based specialists oversee all the elements of a
hospitalized patient’s care – lab reports, medication lists,
reports from surgeons, specialists and others – and
weave together the big picture, making connections
between disparate pieces of information and ensuring that
the whole patient receives the best care possible.
In 2007, Wachter was named chief of the Division of
Hospital Medicine. The growth of the hospital medicine
field has been astonishing: the Society for Hospital
Medicine now has 7,000 members, and the American
Hospital Association estimates that there are more than
|
C OV E R STO R Y : fir s t w o men
By K ate Vo l kman
From the moment Lucy Wanzer fought her
way in to Toland Hall in 1874, becoming
the first woman admitted to what would
become the UCSF School of Medicine, the
women of UCSF have been making national
names for themselves and the University.
As the only woman, Wanzer was 0.18
percent of her class. Over the last 135 years
the numbers of women in the medical
school have increased progressively, so
that the UCSF Class of 2013 is 58 percent
women. So too have women in medical
leadership become increasingly visible.
Just this August, UCSF handed the
chancellorship to a woman for the first
time: Susan Desmond-Hellmann, MD, MPH.
|
8 fall 2009
Susan DesmondHellmann, MD, MPH
Lucy
Wanzer, MD
First woman chancellor, UCSF
First woman graduate, UCSF
hen Susan Desmond-Hellmann gained acceptance
to UCSF as a resident in 1982, she was seen as a risk.
She was the first student admitted from the medical program
at the University of Nevada, Reno. “We thought, ‘Well, we’ll
take a chance,’” says Lloyd Hollingsworth “Holly” Smith Jr.,
MD, who was chair of the Department of Medicine at the time.
“Right away, it was clear she had an intrinsic ability, a
wonderful personality and a deep commitment to health care,”
he adds. “She rose to the very top of our department.”
Desmond-Hellmann became good friends with another
resident, Nick Hellmann, MD, and eventually married him.
After she completed a fellowship in oncology and received a
master’s degree in public health from UC Berkeley, she joined
the UCSF faculty as an assistant professor in hematologyoncology. With her husband, an infectious disease specialist,
she moved to Uganda, where they spent two years studying
AIDS and cancer. Upon their return to the U.S. they began
private practice in Kentucky. Her desire to develop better
weapons against cancer led her to accept a position on the
Taxol breast cancer drug team at Bristol-Myers Squibb.
Two years later she was recruited to Genentech, where she
started as a clinical scientist, moved up to chief medical
officer, executive vice president and then president of product
development. During her 14-year career there, DesmondHellmann oversaw successful trials for therapeutic drugs
including Herceptin, Avastin and Rituxan, targeting a range of
cancers and other diseases.
Of her return to UCSF, Desmond-Hellmann, 51, says,
“I began my career at UCSF, and my heart has never left it.”
Of her appointment as the first woman chancellor, she says,
“If there is one person for whom this appointment makes them
more hopeful about their prospects and their future at UCSF,
then I’ll sign up to be a role model. I am happy to do that.
Because I hope that what my appointment says to people –
if you will forgive – in a very apolitical way, is ‘Yes, we can.’”
s a child in 1840s Wisconsin, Lucy Maria Field Wanzer
played nurse to her mother, who was ill with lung
fever (tuberculosis). It was then that she realized she
wanted to be a physician.
But it was many years before Wanzer’s dream was
realized. Her parents prized education and she received
excellent schooling. When her family moved to California
in 1858, Wanzer supported the entire family as a
dressmaker, teacher and postmaster. In 1865, at the
age of 23, she married county clerk James Wanzer.
But she divorced him three years later, determined to
take steps toward fulfilling her plan to become a doctor.
For the next six years she prepared financially by
teaching and saving pennies to pay for medical school.
At the same time she prepared mentally by studying
Latin, French, algebra and literature.
Finally, at the age of 33, Wanzer applied to Toland
Medical College, which had just come under the
administration of the new University of California. She
was rejected because of her sex. But she appealed and
after four months won admission because the Regents
could find no reason to bar her entrance, as the law
creating the state university provided for the education of
both sexes.
The dean, opposed to her admission, encouraged the
male students to haze Wanzer. One professor told her
that a woman had no business studying medicine. “If she
does, she ought to have her ovaries removed.” Wanzer
quietly replied, “If that is true, the men students ought
also to have their testicles removed!” Impressed by the
young woman, the famed physician Beverly Cole, MD,
offered to be her mentor.
When Wanzer graduated in 1876, Cole presented
her name for membership in the San Francisco County
Medical Society. A blackball was threatened, but
when he didn’t withdraw her name, she was accepted
as the first woman member. She opened her first
medical office in gynecology and obstetrics on
Geary Street. Wanzer also specialized in pediatrics
and was one of the founders and original directors of
UCSF Children’s Hospital.
W
Opposite page, clockwise from top right: Lucy Wanzer and the
Class of 1876; Julie Gerberding visits UCSF in 2008; Sue DesmondHellmann and husband Nick, 1990; Diana Wara early in her career;
Nancy Ascher during a clinical consultation, 1992; Dee Bainton in
her pathology lab, 1983.
A
|
Dorothy “Dee” Ford
Bainton, MD, MS
Nancy
Ascher, MD, PhD
First woman to chair a department
in the UCSF School of Medicine
First woman to perform
a liver transplant
B
y the time Dee Bainton gave birth to her first child, she had
graduated from Tulane School of Medicine (one of five
women in a class of 128) and completed her internal medicine
residency at University of Rochester and University of
Washington. Her husband accepted a position as a resident
in anesthesiology at UCSF, and upon their move she planned
to be a full-time mother and housewife.
“I thought if you had a child in 1961, your job was to stay
home,” Bainton says. “After about four months, my husband
said, ‘You need to go back to work.’ I guess I was really
missing it. So I started looking for a position.” She found one
with Marilyn Farquhar, MD, in the Department of Pathology
at UCSF. That began her climb up the academic and
administrative ladder.
Bainton joined and headed multiple committees, and
received numerous awards. In 1987 the dean asked her to
apply for the position of chair of the Department of Pathology.
Throwing her hat in the ring had never occurred to her –
mostly because she was doing research and was happy,
but also because she had been diagnosed with metastatic
breast cancer three years prior. She was in recovery, but still.
Bainton took two weeks to weigh the pros and cons. “Con:
If I fail as a woman chair, it is bad for all women. Pro: If the
leadership at UCSF didn’t see me as disabled, why should I
see myself as disabled?”
Ultimately she accepted the position and served as chair for
seven years, until 1994 when the new chancellor invited her to
be vice chancellor for academic affairs. Under her leadership,
among many things, mentoring and training programs
were established and maternity leave was extended from six
weeks to 12, with pay. Bainton filled the position for 10 years,
until she retired in 2004.
This year, Bainton, 75, was awarded the UCSF Medal, a
prestigious honor. She recalls, “Chancellor Bishop told me that
after it was announced women would walk up to him in the
hallway and say I’d been a mentor.” In her acceptance speech,
Bainton replied, “It’s really wonderful to be called a pioneer,
but I realize that I’ve just ridden the crest of the wave that’s
swollen over the last 50 years for women.”
|
10 fall 2009
W
hen Nancy Ascher told her parents she wanted to
go to medical school, they were delighted. When
she told them she wanted to specialize in surgery, they
were concerned. “They were worried about lifestyle,”
she says. “Would I be able to have a family?
“It was the field that excited me the most. It seemed
as though I could combine something really fun with
asking questions at the same time. And the gratification
of being able to make a difference in somebody’s life
very quickly was appealing to me.”
Ascher, 60, graduated from medical school at the
University of Michigan in 1974. She was one of 20
women in a class of 180. “When I was applying,”
she remembers, “women had to be interviewed by
Psychiatry to see what our motivation was. We had
a lot of opportunities and a lot of scrutiny at the
same time.”
She completed her residency in surgery – the only
woman of seven – and fellowship in transplant at the
University of Minnesota, where she was named clinical
director of the liver transplantation program. It was
there, in 1981, that she became the first woman to
transplant a liver. “Transplant patients are very grateful
patients,” she says. “They really have an idea of the
incredible miracle transplant is for their lives.”
In 1988, UCSF recruited her to build its liver
transplantation program. In 1991, she was named chief
of transplantation, a position that was passed on to her
husband, John Roberts, MD, when she became the
first woman to chair the Department of Surgery in 1999.
Ascher and Roberts did have a family, but they
just got started a bit later than others. Their daughter
was born when Ascher was 41 and their son three
years later. In the meantime, Ascher and her team of
surgeons boast renowned transplantation programs.
“When I arrived, there already was a world-class
kidney program,” she says. “I think we raised its
stature to a new level. And we built a world-class liver
transplant program that maybe is second to none.”
Diane
Wara, MD
Julie
Gerberding, MD, MPH
First associate dean for women’s
affairs at any medical school
First woman director of the U.S.
Centers for Disease Control
iane Wara counts her role as first associate dean for women’s
affairs as one of her most important firsts. After graduating
from medical school at UC Irvine and completing her internship
at Harbor General Hospital in Torrance, Calif., she came to UCSF
to finish her residency in the Department of Pediatrics. As one of
two women residents, and the only one with a 3-week-old child,
the department chair arranged an apartment on campus for her
to use during nights on call.
“There’s a risk and a benefit to being early and first,” Wara,
67, says. “The risk is no one’s been there to grease your path.
The benefit is people treat you specially.”
For her next first, Wara became the first woman fellow in
allergy-immunology at UCSF. In the early 1980s she was among
the group who first identified HIV-positive babies. Then in the
early 1990s, Wara was one of those who introduced the idea that
if HIV-positive pregnant women were given one of several
anti-HIV drugs just before delivery, they would have a greater
chance of giving birth to babies who were HIV-negative. This
treatment is now the international standard.
Wara was named chief of the Division of Pediatric Immunology
and Rheumatology in 1985 – the first woman division chief in
any medical department at UCSF. She was a member, along with
Dee Bainton, of the Chancellor’s Advisory Committee on the
Status of Women, and worked to change not only the maternity
leave policy, but the availability of child care at UCSF. The new
child-care centers at Mission Bay and at 5th and Kirkham, as
well as the expanded facility at Laurel Heights, are direct results
of her efforts.
From 1991 to 1996 she held the position of associate dean for
women’s affairs, adding minority affairs in 1996 until 2002. Of the
appointment, she remarks, “No other institution had identified
moving women up the academic ladder and into leadership spots
in a fair manner, with fair pay, and a fair job description.”
One might consider Wara an activist – a title she’s happy to
accept. She says, “I have a long history and interest and success
in working with women’s issues. It takes a community to make
change, and I like doing it. I like helping turn UCSF into a better
place to be. That’s what a good citizen does, right?”
s a 4-year-old, Julie Gerberding collected
bugs, building her first laboratory in the family
basement and laying the foundation for her career
in public health. As the director of the Centers
for Disease Control (CDC), she led the nation’s
agency that fights epidemics and environmental
health threats, including bioterrorism, AIDS and
influenza pandemics.
After graduating with her medical degree from
Case Western Reserve University in 1981, Gerberding
completed her internship and internal medicine
residency at UCSF. It was the early years of the AIDS
crisis, and Gerberding continued her training with a
fellowship in clinical pharmacology and infectious
diseases. She went on her earn her master’s degree
in public health from UC Berkeley in 1990.
Gerberding joined the CDC in 1988 as director
of the Division of Healthcare Quality Promotion, a
part of the National Center for Infectious Diseases
(NCID). In 2001 she was appointed acting director of
the NCID and almost immediately drew attention for
her honest, calm and decisive handling of the
anthrax attacks.
In 2002 she was promoted to director of the
CDC. Just six months later SARS hit, and again,
Gerberding was the voice of reason for an alarmed
American public. Next, she handled a rare outbreak
of monkeypox, a return of the West Nile virus,
and a threat of avian flu. She initiated a “Healthy
People at Every Stage of Life” campaign, which
introduced programs for smoking cessation,
screening for heart disease and stroke, and pushes
for increased physical education in elementary
schools. Gerberding stepped down from the post
earlier this year.
Today, in addition to being a wife and mother,
Gerberding, 54, is an associate professor of medicine
at Emory University in Atlanta and at UCSF.
D
A
|
2009 REUNION
Celebrating the years
By tina vu
When: May 8–9, 2009
Classes celebrating reunions:
1949, 1954, 1959, 1964, 1969,
1974, 1979, 1984, 1989, 1994
Money raised for medical
education by classes in honor
of their reunions: More than
$300,000
Number of attendees: 370
I
t was a symphony of sorts in the Grand Ballroom
at the Palace Hotel in San Francisco. Piano
music cascaded from the fingertips of
performing medical students while glasses
clinked in accompaniment. The laughter at the
Dean’s Reception joined in harmony.
Ten classes came to celebrate their School
of Medicine reunions the weekend of May 8–9.
At the table designated for the Class of 1954,
Charles Aronberg, Harold Karpman, Harry Roth
and Joseph Sabella greeted one another with
twinkling smiles and hearty hellos. The classmates, whose friendships began in the anatomy
lab, reminisced about penny-pinching meals
of horse meat and their thirdyear rotations in dermatology,
psychiatry and neurology.
Absent from the group of longtime
friends were Morton Rosenblum,
who died earlier this year, and
Daniel Kaplan.
The friends, now split between
Northern and Southern California,
reconnect during reunion, closing
the gap that careers, family and
life create in the years between.
Their friendship embodies the
spirit of homecoming, where
bonds formed in the classrooms at UCSF are
found – and treasured – again.
“We went through a lot together,” Roth said.
“It was a rite of passage. There was suffering, but
there was joy.”
Although they regularly attend the school gettogethers, the friends found a special occasion
to celebrate this year: Two among the group –
Aronberg and Karpman – received the Alumnus
Above: Anatomy buddies from the Class of 1954: Harry
Roth, MD, Charles Aronberg, MD, Harold Karpman,
MD, and Joseph Sabella, MD; below: the Class of 1959
celebrated their 50th reunion
|
12 fall 2009
50th
MAA President Larry Lustig, MD ’91, with the
Sadie Berkove Award winners: Angela Feraco,
Aruna Venkatesan, Melissa Fitch, Laura Epstein
Ruth Matsuura, MD ’54,
and Sarita Johnson,
MD ’54
Stacy Globerman, MD ’84, Andrew Oliveira, MD ’84, Lorna
McFarland, MD ’84, Moira Cunningham, MD ’84, David Friscia,
MD ’84, Andres Betts, MD ’84, Ellen Hughes, MD, PhD ’84
of the Year award during the reunion luncheon
(see story on next page).
As members of the Class of 1954 took to the
stage to announce the winners, the banter that
began the night before continued. In introducing
his classmate and one of the Alumnus of the
Year recipients, Sabella noted that Karpman’s
CV would run “as long as both my arms, both
my legs, and pasted back and front.” He said,
“From the beginning, I knew my friend Hal
was exceptional.”
Gerald Van Wieren, MD ’79 Rochelle Nagel, PhD, Ted Schrock, MD ’64, Barbara
Karpman accepted the award and described
Jorgensen, Jerren Jorgensen, MD ’64 (behind), Barbara
the rewards of medicine as “a joy that I
Schrock, Jacqueline Etemad, MD ’64
experienced and continue to experience every
day.” He also thanked his wife, Molinda, for
giving him the opportunity to do so. Molinda,
whose own efforts produced a 150-page,
photo-filled memory book for the 55th year
reunion class, began to cry. Sabella turned to
her and said comfortingly, “Your husband is
such a sweet guy, he truly is.”
Roth introduced Aronberg, the other
Leon Smith-Harrison, MD ’79
Malcolm MacKenzie, MD ’59,
Alumnus of the Year, as “a man I’m proud to
and Natalie MacKenzie
know and who has always made me smile.”
Aronberg proved Roth’s words as he approached
the podium and strategically dropped forks,
a banana, paper scraps and jokes in search of
his reading glasses. But even wrapped in his
humor, Aronberg’s warmth shone through as
the ophthalmologist encouraged the room.
“There’s a lot you can do, and I hope you do
it,” he said. “Take care of your patients, your
family, your friends and yourself.”
Wesley Moore, MD ’59, Ronald Stoney, MD ’59,
Mel Hayes, Michael Gyepes,
Philip Morrissey, MD ’59, Donald Gillies, MD ’59,
Donald Webb, MD ’59, Stephen Gaal, MD ’59
MD ’59, Barbara Bigelow,
Welby Bigelow Jr., MD ’59
The Class of 1984 celebrated their 25th reunion
25th
|
A L U M N U S O F TH E Y E A R
Aronberg, Karpman Share MAA’s Highest Award
by tina vu
On His Honor
Although it’s been many years since
he served as a leader of the Cub
Scouts and Boy Scouts – and even
more since he was a Scout himself –
Charles Aronberg, MD ’54, can still
recite the Scout Law.
A Scout is trustworthy, loyal, helpful, friendly, courteous, kind, obedient,
cheerful, thrifty,
brave, clean and
reverent.
When Aronberg
was a young boy
in Chicago, his
father died and
he was desolate.
When people
were kind to him,
giving him hope,
“I never forgot
them,” he says.
He attended a
Boy Scout
meeting, where
MAA President Larry he was further
Lustig with Charles
inspired, and his
Aronberg
life changed
forever. Aronberg wanted to help
others, and the path led to medicine.
“One person can make a difference,” says Harold Karpman, MD ’54,
of Aronberg, his fellow Alumnus of
the Year.
Since graduating from UCSF,
Aronberg has served on the Medical
Board of California, as chief of ophthalmology at Cedars-Sinai Medical
Center, chair of the Los Angeles
County Hospital Commission, and
ophthalmologist for the Los Angeles
Lakers, Dodgers, Raiders and Kings,
and the United States Olympic Team.
He was an Olympic torch bearer
twice and even mayor of Beverly
Hills. But for the doctor, these are
just titles.
“It’s what you do for people and for
the world that is important,” he says.
As a physician, Aronberg takes
care of men, women and children,
helping with their sight and their lives.
As a public servant, he has helped
improve airline and automobile safety,
reduce air and water pollution, expand
the national park system, and has
helped make the Beverly Hills Police
|
14 fall 2009
and Fire departments and paramedics
No. 1 in the country – work he has
done concurrently with his full-time
medical practice.
As a family man, he is a devoted
husband to his wife, Sandy, MD, a
professor at the UCLA David Geffen
School of Medicine and UCLA
School of Public Health, and father
to Cindy, deputy controller of the
State of California.
“I need nine hours of sleep a
night, but then I can work the other
15,” Aronberg says. “When it’s
important, I never give up.”
Fifty-five years after receiving his
MD, Aronberg continues to practice
ophthalmology. He is renowned as a
physician and for his sense of humor.
“Laughter is good medicine,” says the
man nicknamed “Chuckles” by his
medical school classmates.
With Scout-like loyalty, kindness
and cheerfulness, Aronberg is keeping
the oath he made many years ago.
The Good Doctor
Harold Karpman, MD ’54, is gentle
and soft-spoken. In the offices of
his Cardiovascular Medical Group
(CVMG), Karpman is one of the most
recognizable faces. In the world of
cardiology and medicine, Karpman is
also a well-known name.
“Hello, Dr. Karpman,” one assistant
says smiling. “Hello, Dr. Karpman,”
echoes another.
The cardiologist ambles through his
waiting area. His right hand reaches
out and pats a small brunet boy on the
head. “Hi, Dr. Karpman,” the boy says.
CVMG is a 17-member, 100-employee
practice with three Los Angeles-area
locations. After his 6 a.m. patient
visits at Cedars-Sinai Medical Center,
Karpman spends the majority of his
day at the Beverly Hills office, where
groundbreaking technology, excellent
patient care, and self- and industryfunded research meet. Karpman began
the practice with Selvyn Bleifer, MD
’55, and Dan Bleifer, MD ’51, in 1958.
“He will drop everything and talk
with patients over and over again,
and not think twice,” says Caralyn
Poskin, Karpman’s assistant of more
than 25 years. “That’s hard to find
nowadays. He’s just a gem.”
The son of a pharmacist, Karpman
grew up in Los Angeles and served
in the Navy at the end of World
War II. He performed research
under renowned cardiologist
Myron Prinzmetal, MD ’33, before
establishing his own advancements
in the field. One of the many
companies Karpman led in his career
developed the world’s first 24-hour
Holter monitor.
The author of two books and more
than 150 publications, Karpman has
held leadership positions in notable
organizations both public and private,
serves as a clinical professor at the
David Geffen School of Medicine at
UCLA, and is a former professor at
the University of Southern California
Medical School.
Ever humble, Karpman would
rather discuss his love of the arts.
He has been a member of the board
of directors of the Los Angeles Opera,
and he calls Placido Domingo a friend.
Karpman shares that his daughter,
Laura, composed an opera that
earned her a 10-minute standing
ovation at Carnegie Hall and was
performed at the Hollywood Bowl in
Los Angeles. His face glows when
he talks about his family: his children
David and
Laura; his
grandchildren
Kai-Lilly and
Huston; his
ever-supportive,
loving and
beautiful wife,
Molinda.
The good
doctor displays
a similar
devotion to
his patients.
Cardiovascular pioneer In giving a tour
Harold Karpman
of the CVMG
facilities, Karpman stops to check
in with them, most of whom he
knows by name. He will personally
call many the next day to give lab
results. (“I think that’s owed to them,”
he explains.)
With a successful practice and
loving family, Karpman has, in his
words, “a corner office on life.” He
adds, his voice soft, “I like where I
am as a physician.”
Y o ur M E D I C A L A L U M N I A SSO C I A T I O N
Dear Fellow Alumni,
Your representatives honored me with the role of president of the UCSF
Medical Alumni Association for the next year. I look forward to working
with you and the MAA to make it a valued organization for the nearly
8,000 living graduates of our alma mater and its residency programs.
By way of introduction, I’m a graduate of the Class of
1967 and was chief medical resident at SFGH in 19721973. I escaped to Humboldt County, Calif., to practice
internal medicine and oncology until 1991, at which
point I joined the U.S. Department of State. I was a
diplomatic doctor in Mali, Bangladesh, the Philippines,
South Africa and China until my retirement in late
2006. I returned to San Francisco after 33 years away
and am happy as a clam, working a bit at the VA and volunteer teaching
first- and second-year students at UCSF.
The upcoming year promises to be a real challenge. Money is short
everywhere. Our medical students are finding it more and more difficult
to handle the ever-increasing tuition and expenses. Charitable
contributions are suffering and medicine is sure to change drastically in
the immediate future.
The MAA and the School of Medicine need your help. We appreciate
your active involvement and hope that those of you who are not yet dues
paying members of the MAA will see fit to join. On behalf of the School
of Medicine, we also ask you to consider contributing generously to the
annual fundraising efforts for medical education, which support students.
This year, we will initiate a new program in which a representative will
be chosen by each class to be the intermediary between the MAA and
class members. He or she will communicate regularly to seek information
about you, your family and your career to be included in the UCSF
Medical Alumni Magazine. The rep will also provide updates about what’s
happening at your alma mater and with your fellow alumni. Please be
generous with your communication. If you are interested in serving as
your class rep, contact Gary Bernard, director of development and alumni
relations, at [email protected].
Tell us what you think or send questions on any subject about UCSF or
the Medical Alumni Association. My email address is: chinadochill@
yahoo.com.
Lawrence Hill, MD ’67
MAA President
To join the MAA, visit www.ucsfalumni.org
To contact the MAA, email [email protected]
Used textbooks from UCSF reach health care
providers in Afghanistan.
Book Drive for Iraq and
Afghanistan a Success
The Alumni Association of UCSF
(AAUCSF) teamed with Operation
Medical Libraries last spring to receive,
box and ship more than 3,000
textbooks and journals to military
hospitals in Iraq and Afghanistan. The
books were collected from individuals
who had quite recently, or long since,
become health care professionals.
The call for books came from
Valerie Walker, director of the UCLA
Medical Alumni Association. Upon
receiving her request, members of the
AAUCSF, alumni, faculty and students
formed a network to get the word out to
all members of the UCSF community.
The effort first started in 2007 when
U.S. Army Major Laura Pacha, MD,
a 1998 UCLA School of Medicine
alumna serving in Iraq, saw the need
for such assistance. In an email to
her alumni association, she wrote,
“The war and ongoing fight against
the insurgency has severely strained
Iraqi medical sources.”
Major Maureen Nolen, program
coordinator and recipient of materials
sent from UCSF, wrote from
Afghanistan, “You may be aware that
previous political regimes here
destroyed many of the medical books
and learning materials. The current
economy is substantially challenged as
well, so replacing these materials for
health care providers is a significant
hardship for the facilities where they
work. It is difficult to express to you in
this note the thrill I personally have seen
in the eyes of the program participants
when they are told that they may select
and keep a few of the books, journals
or other publications. Because of you,
their elation is clearly evident.”
Alumni who would still like to become
involved with Operation Medical
Libraries can do so by visiting
opmedlibs.medalumni.ucla.edu.
|
ClassNotes
What’s new? Your classmates want to know what’s going on in your life. Share your information at
www.ucsfalumni.org; mail it to Alumni Services, UCSF Box 0248, San Francisco, CA 94143-0248; or email
your news and high-resolution photo to [email protected]. For best print quality, your photo resolution
should be 300 pixels per inch or larger. To include as many alumni as possible, class notes published in this
magazine are edited for space. To read the full text of each note, please visit www.ucsfalumni.org.
1940s
n Arthur Anderson, MD ’49, and his
wife, June Ann, celebrated their 60th
wedding anniversary in 2008. They have
five children, 13 grandchildren and four
great-grandchildren.
n Armand P. Gelpi, MD ’49, and
Lucille have been married for 56 years and
live in Seattle.
n William E. Latham, MD ’49,
a board member of The Haggin Museum
in Stockton, Calif., organized and escorted
trips to Europe as philanthropic support
for the museum.
Alumnus Receives
Légion d’honneur
P
hysician Gordon M. Binder,
MD ’43, was awarded
France’s highest decoration,
the Légion d’honneur, by PierreFrançois Mourier, the Consul
General of France in San Francisco.
The ceremony took place on
July 14 during the Bastille Day
celebration held at the War
Memorial Building. More than 400
attended the event, during which
Mourier recounted Binder’s acts of
valor as a frontline surgeon in
Normandy in World War II. Binder
thanked the people of France for
honoring him and concluded by
saying, “I thank my creator for
bringing me home alive.”
|
16 fall 2009
n William Silen, MD ’49, teaches
n Warren J. Newswanger, MD ’54,
Harvard medical students
in their third-year clerkship.
He writes, “Ruth and I
moved to a wonderful
retirement community on
the Lasell College campus,
which makes available
opportunities to learn, enjoy
concerts and lectures, and exercise.”
although retired, works a half-day for the
Santa Barbara County Health Services
gyn clinic and assists with ob-gyn
surgeries when called in by another
physician.
n Donald B. St. Clair, MD ’49,
practices three days per week at
Del Norte Clinics Inc., which provides
quality care to the underserved. He and
Marilyn have been married 59 years.
1950s
n Joseph D. Sabella, MD ’54, writes,
“Iris and I have lived in Napa Valley for
the past 18 years. I am into woodworking,
gardening and reading the many books
I had never had time to explore.”
n Barton Byers, MD ’59, devotes full
time to his vineyard, Bella Roccia, which
produces premium cabernet grapes and
Italian-style olive oil. He enjoys mountaineering and fly fishing and writes, “I still plan
to catch a Permit and Taimen on a fly.”
n Aubrey L. Abramson, MD ’54,
n Roy E. Christian, MD ’59, chases
remains an emeritus member of
EI Camino Hospital and serves on
committees three mornings a week.
He collects antiquarian books, vintage
optical instruments and vintage
photographic material.
icebergs, polar bears and penguins with
a group called Bi-Polar and has traveled
to Antarctica, Greenland, Baffin Island,
Iceland, Alaska and many other
interesting locations.
n Eugene Dong, MD ’59, is an
n Mervyn Burke, MD ’54, and
associate professor emeritus of cardiac
surgery at Stanford University and an
attorney specializing in scientific fraud
and ambulance regulations.
Delores continue a happy, healthy and
retired life in San Francisco.
n Olga Daiber, MD ’54, lives in
Durango, Colo., and enjoys attending
lectures and concerts at Fort Lewis
College, taking jeep trips into the
mountains, exploring local archaeological
sites and grandparenting.
n Charles R. Geiberger, MD ’54,
writes, “We are now ‘snowbirds,’
spending the warm months on Puget
Sound and the winters in La Mesa.
In the summer, all classmates are
invited for a free lunch or dinner and an
overnight stay.”
n Harriet B. (MD ’54) & J. Harold
(MD ’54) Hanson live in Fresno, Calif.,
and write, “After almost 58 years of
marriage, our greatest accomplishment is
our family.” They have three sons, three
daughters-in-law and six grandchildren.
n Donald R. Gillies, MD ’59, leads
tours as a docent at the
Santa Barbara Botanic
Garden, and volunteers
as a naturalist with the
Channel Islands National
Park and the Channel
Islands National Marine
Sanctuary.
n Carol K. Kasper, MD ’59, an emerita
professor of medicine at USC, works one
day a week at the Hemophilia Treatment
Center, Orthopaedic Hospital, Los
Angeles. She takes delight in artistic
sewing, developing designs for quilts, children’s clothes and other fabric creations.
n Herbert J. Konkoff, MD ’59,
has practiced as a community-based
physician in San Francisco since 1966 and
presently performs outpatient procedures
at UCSF Medical Center at Mt. Zion. He
has two children, four grandchildren, nine
step-grandchildren and three stepchildren.
School of Medicine and the Elliott Wolfe
Award for Excellence in the Teaching
of the Art and Science of Clinical Medicine,
presented annually, was established
in his honor.
n Maylene Wong, MD ’59, lives in San
Francisco and is a consultant to the Mario
Negri Istituto di Ricerche Farmacologiche
in Milan, Italy. She has traveled to Mt. Fuji,
Mt. Stromboli, Brazil, Israel, Uganda, Borneo,
Zimbabwe, Sri Lanka, South Africa and more.
1960s
n James W. Forsythe, MD ’64 (below),
n Wesley S. Moore, MD ’59, is a
vascular surgeon specializing in surgery
of aortic aneurysm and carotid artery
disease. He and his wife, Patty (above),
celebrated their 48th wedding anniversary
with a trip to game camps in Namibia
and South Africa.
n Philip Morrissey, MD ’59, retired
from private practice and has stayed
busy ever since!
has an integrative oncology practice that
combines immune stimulating therapies
and natural therapies for the treatment of
cancer with conventional standard-dose or
low-dose insulin potentiated chemotherapies. He writes, “My Salicinium study of
more than 300 patients at three-and-a-half
years has shown dramatic response rates,
including in stage 4 cancers, adult cancers.”
celebrated her 50th wedding anniversary
in June. She and Bob have three grandchildren, ages 7, 3 and 2.
n Edmund E. Van Brunt, MD ’59,
n Donald E. Webb, MD ’59, a retired
n Kevin D. Harrington, MD ’64,
recently retired from orthopedic surgery
in San Francisco to practice golf. He is
also doing medical-legal evaluation work,
traveling and oil painting.
orthopedic surgeon, has three children
and four grandchildren.
He writes, “The most
rewarding aspect of my
practice has been working
with Orthopaedics Overseas
and other international
organizations teaching
and doing orthopedics.”
n Donald A. Lawson, MD ’64, was
n Belson J. Weinstein, MD ’59,
n Michael R. Nagel, MD ’64, returned
enjoys his solo practice in preventive
cardiology and internal medicine in
Palo Alto, Calif. He has three children and
three grandchildren.
to an office-based, solo practice of clinical
cardiology with an emphasis on preventive
cardiology.
n Elliott Wolfe, MD ’59, is the president
and former medical director of the
Haight Ashbury Free Clinics, is semiretired and serves as medical director at
Center Point in San Rafael, Calif., and as
chair, Adolescent Addiction Treatment,
at Newport Academy in Newport Beach,
and CEO of Arrowsmith Foundation, a
nonprofit that furthers the development of
creative methods to advance the efficacy
of medical education. Last fall, he received
emeritus status at the Stanford University
n Evangeline Jang Spindler, MD ’64,
is the training and supervising analyst at
the Michigan Psychoanalytic Council, past
president of the Michigan Psychoanalytic
Society, and faculty supervisor at the
Psychodynamic Psychotherapy Program of
the University of Michigan Medical School.
n Robert J. Stallone, MD ’64, is the
chief of surgery at Alta Bates Summit
Medical Center in Berkeley. He enjoys
big-game hunting and has hunted in all
the western states, Canada, Alaska,
Cameroon, Tanzania and Zimbabwe.
n William R. Vincent, MD ’64, less
than a year into retirement from a private
practice in pediatric cardiology, writes,
“I am adjusting to ‘every-day-is-Saturday’
quite well.”
n Stephen P. Ginsberg, MD ’66,
n Carolyn J. Sparks, MD ’59,
remains active with the Kaiser Foundation
Research Institute Institutional Review
Board. He and Claire celebrated their
60th wedding anniversary with their three
children and four grandchildren.
Calif. He writes, “My youngest daughter
and her twin boys joined us in
Washington, DC, for the historic
inauguration of President Barack Obama.
[See] more family photos and news at
www.DrDave.org.”
recalled from retirement to serve as the
interim chair of the Radiology Department
at St. Joseph’s Hospital & Medical Center
in Phoenix. He and his wife, Joelle, travel
extensively and took a 35-day cruise
starting in the South China Sea from
Hong Kong through the Suez Canal to
Athens in May.
n David E. Smith, MD ’64, founder
partially retired from an ophthalmology
practice in Maryland, has been accepted
into the doctoral program in bioethics at
Georgetown University. He has been
selected as one of the “Top Doctors”
in Washingtonian Magazine every issue
since 1993.
n Stephen L. Abbott, MD ’69,
practices in a six-pediatrician office in
Santa Barbara, Calif., with his son, David.
He writes, “Barbe and I have been best
friends for 49 years, and celebrated our
44th anniversary in June.”
n Michael H. Crawford, MD ’69,
is interim chief of cardiology at UCSF.
He writes, “[Janis and I] live in Tiburon
and are enjoying being back in the
San Francisco area.”
n Gregory J. Dixon, MD ’69, has taken
a year off from private practice in orthopedic
surgery to serve as the
medical director of the
Transitional Care
Center at Marshall
Hospital in Placerville,
Calif. Also, he was
selected to be a guest
professor at the King
Faisal Specialist
Hospital in Riyadh,
Saudi Arabia.
|
Class Notes 1960s | continued
n Anthony Eason, MD ’69, retired from
Kaiser San Rafael on November 30, 2008.
He is writing the biography of Dr. Donald
Smith, who was the chair of urology at
UCSF for 40 years.
and the Pacific Ocean. It has been almost
one year in the making. Our two children
have homes nearby, so we are finally all on
one island.”
n Michael Fein, MD ’69, writes, “I still
enjoy meeting new patients and going to
work every day, so I hope that retirement
will be far off. I have been able to adapt
to the ever-changing medical world by
remembering Herodotus’ aphorism,
‘The only certain thing is change.’ ”
n Lawrence M. Friedlander, MD ’69,
a retired pathologist, lives in Grass Valley,
Calif., where he is president of his
homeowners association and the
local chapter of the California Alumni
Association. His daughter Paige is a
third generation UCSF graduate.
n Larry Hartley, MD ’69, joined the
local community clinic, sees patients
two days a week, and does surgery one
day a week. He writes, “My wife Pat and
I have been married almost 43 years.
We have four wonderful daughters, four
great son-in-laws and eight amazing
grandchildren.”
n Julie L. Lee, MD ’69 (above), joined
her husband in retirement and writes,
“Our newfound freedom is spent with
family and friends, wonderful dining
experiences, pursuit of hobbies, cruising
and travel. We especially look forward to
in-depth travels to destinations in our
beautiful United States.”
n James C. Jones, MD ’69, retired
with the rank of colonel from the military,
where he served as a cardiothoracic
surgeon at major medical centers.
He writes, “I do home improvement
projects, and go hiking, mountain biking
and mountaineering. I have climbed
several mountains in the Pacific Northwest
and Mount Kilimanjaro.”
n Mark Kuge, MD ’69, writes, “[Lois
and I] are in the throes of completing the
finishing touches on a little grass shack
near the slopes of Diamond Head [Hawaii]
|
18 fall 2009
Hawaii Permanente Medical Group for
nearly 30 years. Presently the associate
medical director of quality improvement
with a clinical practice, she will retire at
the end of 2009. She writes, “I am active
in the Hawaii Thoracic Society and the
American Thoracic Society. We put on a
great pulmonary critical care conference
on Maui every Presidents Day weekend
with nationally and internationally
recognized speakers. Please consider
attending!”
n Jeff Anderson, MD ’79, is in private
retired pathologist, is an advanced master
gardener with a passion for dahlias and
shows them throughout the Midwest.
He is first vice president of the American
Dahlia Society, president of the Midwest
Dahlia Conference, and president of the
Grand Valley Dahlia Society.
n Thomas J. Sherry, MD ’69, retired
n Warren S. Browner, MD ’79, is the
n Richard W. Peters, MD ’69, a
n Richard W. Terry, MD ’69, practices
vascular surgery part time in Fresno, Calif.,
which includes teaching duties with the
UCSF Fresno Medical Education Program.
He writes, “I love riding my two BMW
motorcycles and steelhead fishing with
Tom Brandes, MD ’69.”
n Chris Fukui, MD ’74, has worked at
practice in San Jose, Calif., specializing in
general orthopedics with a special interest
in joint replacement.
He and Mary Beth
live in Gilroy and
have three
children and two
grandchildren.
He writes, “For those
in the area, come on
by and enjoy a sunset and a glass of wine
with us sometime.”
from neonatology at Kaiser Permanente
Woodland Hills in December 2008.
n Phil Hinton, MD ’69, practices
1970s
interventional cardiology full time in the
Oakland-East Bay area as part of a 22person group covering Alameda and Contra
Costa counties. He has been a Boy Scout
leader for more than 25 years leading high
adventure treks: hiking/camping, canoeing,
whitewater rafting and cycling.
n Gordon R. Tobin, MD ’69, remains
full time in plastic surgery at the University
of Louisville. He writes, “Our clinical
team has now done the only five hand
transplants in the U.S., and we are
pioneering new transplant applications in
the face and other new anatomic sites.”
n Philip D. Walson, MD ’69, writes,
“I am a remarried widower living full time
in Europe with my wife, Sybill. We spend
most of our time in Hanover, Germany,
or in Montespertoli, Italy. I retired from
Cincinnati Children’s Hospital and the
University of Cincinnati in August 2008,
and teach part time at Georg-AugustUniversität Göttingen in Germany, and
consult part time.”
vice president of academic affairs and
scientific director of the California Pacific
Medical Center Research Institute in
San Francisco.
n Martin A. Fogle, MD ’79, writes,
“I stumbled on a perfect job in 2007 in
Fall River, Mass., to practice vascular
surgery in a medium-sized, very
appreciative and supportive, non-trauma
hospital. Kathy is a nurse practitioner.
Dice, the cat, is like most other offspring
of physicians – he has no intention of
becoming a veterinarian.”
n Brion Pearson, MD ’79, is the
director of the hospitalist service, a
practicing hospitalist and vice president
for medical affairs at Sutter Delta Medical
Center in Antioch, Calif.
n Elizabeth K. Tam, MD ’79, is chair
of the Department of Medicine, University
of Hawaii John A. Burns School of
Medicine. She and her husband, Mark
Grattan, MD, ’79, have two children,
Ryan and Lauren. Mark is in private practice,
and serves as surgical director of the
Straub Heart Center and vice chief of staff
of Straub Clinic and Hospital in Honolulu.
1980s
n Ronald Tamaru, MD ’82, writes, “Our
son Jeff graduated from high school and
is off to Mike Nagata’s, MD ’82, alma
mater: USC. Good thing I went to med
school. I can almost afford the tuition!”
n Calvin T. Eng, MD ’84, writes, “Since
finishing residency in ophthalmology at the
Jules Stein Eye Institute-UCLA, I’ve been
in private practice in the San Gabriel
Valley/Los Angeles area. Janice Low,
MD ’84, and I celebrated our 21st
anniversary this year. We travel a couple of
times a year and look forward to the end
of paying tuition for our four kids.”
n Renée M. Howard, MD ’84, & David
Erle, MD ’84, have been married for
23 years and have two children in college.
Renée is in private pediatric and adult
dermatology practice in San Rafael, Calif.,
and holds a part-time academic position at
UCSF. David conducts research in asthma
and lung disease at the Lung Biology
Center at UCSF’s Mission Bay campus
and does two months of clinical work
each year at SFGH.
is president-elect of the Riverside County
Medical Association and an assistant
clinical professor of orthopedic surgery at
USC. He and his wife, Karen, have two
sons, Matthew (15) and Gregory (13).
n David G. Hwang, MD ’84, writes,
“Academic ophthalmology has been a
fortunate career choice for me, one wellsuited to my temperament and interests.
(Apparently Dan Schwartz, MD ’84, and
Todd Margolis, MD ’84, also feel the
same way). Having spent all of the past 29
years at UCSF (with the exception of a
one-year fellowship stint in Los Angeles), I’m
one of those who never left the mother ship.
But it’s more than just inertia that has kept
me here – this is truly a great place to work,
mostly because of the outstanding people
who call UCSF home. I very much enjoy my
career, which is focused on clinical research,
teaching and practice in the sub-specialty of
corneal and refractive surgery.”
n Sheri S. Dickstein, MD ’89, spends
three days per week at the CSU Channel
Islands Student Health Center and a
half day each
week attending
at the Ventura
Family Practice
Residency
program.
She writes,
“I married Ira
Silverman, an ob-gyn, who is a full-time
faculty member for the Ventura Family
Practice residency. One of his partners is
our classmate Fred Kelley, MD ’89.
Fred went back for a second residency in
ob-gyn after working several years as a
family doc in rural South Carolina.”
n Cynthia J. (MD ’89) & Byron (PhD
’92, MD ’94) Hann, celebrated 20 years
of marriage in April. Byron is a scientist at
the UCSF Helen Diller Family Comprehensive
Cancer Center where he runs a mouse
hospital. Cindy works 80 percent time at a
private pediatric practice in San Ramon,
Calif. Their oldest daughter, Erica, attends
the University of Puget Sound. Their
youngest, Ellen, is in 7th grade and enjoys
horseback riding and soccer.
n Eve Askanas Kerr, MD ’89, focuses
n Debra F. Vilinsky, MD ’84, &
n Krista C. Farey, MD ’84, practices
family medicine in the county clinic in
Richmond, Calif., including obstetrics,
teaching and medical staff leadership.
She and her husband, Vishu Lingappa,
live in San Francisco with their two
teenage daughters (above).
n David A. Friscia, MD ’84, practices
with a large
orthopedic
group in
Rancho Mirage,
Calif., where he
is president of
the Desert
Orthopedic
Center group.
Additionally, he
Michael Sopher, MD ’84 (above), have
been married for 25 years and have two
children, Marcus (21) and Ariana (17).
Michael practices cardiac anesthesia at
UCLA and co-coordinates the medical
school second-year cardiac, respiratory
and renal curriculum block. Debbie
practices part time as an adult psychiatrist
and psychoanalyst, teaches ethics to
psychoanalytic trainees, teaches secondand third-year UCLA medical students in
the doctoring program, and mentors
psychoanalytic and psychiatric trainees.
Additionally, she volunteers at two understaffed, underfunded public high schools,
helping students prepare college, financial
aid and scholarship applications.
n Virginia C. Brack, MD ’89, works
at Mt. Ascutney Hospital in Windsor, Vt.
n Ben Man-Fai Chue, MD ’89,
practiced medical oncology, specializing
in hard-to-treat cancers such as pancreatic
adenocartinomas and published results
for treating pancreatic cancer (GI ASCO,
2009, abstracts #175 & #177).
her research on assessing and improving
quality of care for patients with chronic
conditions at the Ann Arbor VA Medical
Center for Clinical Management Research
and sees patients one-half day per week.
She and Robb have two daughters,
Jessica (14) and Rachel (10).
1990s
n Lee R. Atkinson-McEvoy, MD ’94,
is in the UCSF Department of Pediatrics as
the director of the Parnassus Primary Care
Clinic and the associate director of the
pediatric residency program. She and her
husband live in Oakland and have three
children, Amara (5), Mason (3) and Noah (1).
n Chinazo O. Cunningham, MD ’94,
writes, “After moving unexpectedly to New
York 14 years ago, I am officially a happy
New Yorker. I live just outside of NYC with
Everett (married for 17 years) and our
three daughters (ages 12, 10 and 8). I am
a general internist spending most of my
time conducting research and developing
programs aimed at improving access to
care for marginalized populations at Albert
|
Class Notes 1990s | continued
Einstein College of Medicine and
Montefiore Medical Center in the Bronx.”
n Tiffany S. Glasgow, MD ’94, is on
the pediatric faculty at the University of
Utah. She writes, “Rob and I celebrated
our 15th anniversary this year. We have
three incredibly busy children, Matthew
(12), Sommer (10), and Garrett (6). We
spend most of our free time watching our
kids participate in their various sports.”
Anesthesiology Medical Group that serves
Alta Bates Summit Medical Center. She
and husband, Adam Collins, MD, have
two sons, Drew (4) and Cameron (3).
n Charles V. Wang, MD ’94, is in
private practice at the Palo Alto
Foundation Medical Group. He writes,
“The group keeps an entertaining blend of
slick, private and demanding academic
(Stanford) cases. Recently, I’ve been
helping with a rollout of an electronic
medical system for Sutter Health Hospitals.
Every so often, there’s time to volunteer
in a Third World country – you definitely
get way more than you put in.”
n Jacquelyn Chang, MD ’95, is in
private practice in psychotherapy with
medications and supervises in the
San Mateo County psychiatric residencytraining program.
n Dineen Greer, MD ’95, is on faculty
at the Sutter Health Family Medicine
Residency Program in Sacramento, where
she greatly enjoys training future family
medicine physicians. She and her
husband, Darrin, have one son (6) and two
daughters (3) who keep them quite busy.
n Tessa B. Collins, MD ’99, is a
partner in private practice at East Bay
|
20 fall 2009
internal medicine residency and chief year
at UC Davis and continued on there as an
endocrinology fellow. With swimming as
her primary hobby, she completed a swim
from Alcatraz in August.
finished her ob-gyn residency at UC Irvine,
moved back to the Bay Area with her
husband, Andy, and works at Kaiser
Permanente Santa Clara Medical Center.
n Diana V. Do, MD ’99, is an assistant
professor of ophthalmology and assistant
head of the retina fellowship committee at
the Wilmer Eye Institute (Department of
Ophthalmology), Johns Hopkins University
School of Medicine. She and her
husband (above) have traveled extensively
throughout the world but still enjoy
coming back to San Francisco each year.
She encourages her former classmates
to email her at [email protected].
Send us
your class note
today...
>Online: www.ucsfalumni.org
>Email: [email protected]
>Mail: Alumni Services, UCSF Box 0248,
n Ritu Patel, MD ’99 (below), writes,
“My job as a pediatric hospitalist at Kaiser
Oakland is a role in which I put on three
different hats depending on the day.
When I am ward attending, I have the
privilege of teaching residents and medical
students. When I take call in the PICU, I
care for children who have just had major
neurosurgery including removal of brain
tumors. As a transport physician, I
stabilize and transport acutely ill children
to an ICU center.”
IN MEMORIAM
ALUMNI
Carr E. Bentel, MD ’29
Robert C. Combs, MD ’39
John S. Miller, MD ’43
Robert H. Palmer, MD ’43
Robert S. Rocke, MD ’43
Ralph O. Wallerstein, MD ’45
Dean L. Mawdsley, MD ’50
Laurance V. Foye Jr., MD ’52
Kenneth H. Root, MD ’53
Yasin Balbaky, MD ’61
Carolyn K. Montgomery, MD ’64
n Scott Anderson, MD ’98, was
appointed clinical professor, Division of
Rheumatology, Allergy and Clinical
Immunology at UC Davis in January.
He writes, “I enjoy life in the Napa Valley
area with my wife, Camille, a former UCSF
anesthesiology technician, who runs our
board-and-care facility for the elderly,
the Renaissance Guest Home. Our kids
Luke (5) and Sophia (8) both swim for the
Solano Aquatic Sea Otters team.”
n Joyce Leary, MD ’04, finished her
n Alejandrina Rincon, MD ’04,
n Sondra S. Vazirani, MD ’94, is
a hospitalist at the
West LA VA, and runs the
Preoperative Clinic and
Medicine Consult Service.
She works with residents in
the combined Cedars
Sinai-VA internal medicine
residency, and is an associate clinical
professor at UCLA.
2000s
John H. Austin, MD ’70
Cynthia J. Kirsten, MD ’79
facult y, hous estaff
George C. Kaplan
Jay V. Leopold
n Julie L. Vails, MD ’99, is in solo
private practice in Elk Grove, Calif., doing
family medicine with pediatrics and
obstetrics. She writes, “Currently I have
a very full personal life parenting eight
children with my husband, Tripp.”
Robert D. Roller III
Steven E. Ross
William H. Thomas
Herschel S. Zackheim
UCSF is grateful to the many alumni
who have given back to the School of Medicine …
…including those who have chosen to do so
through their estate plans.
H. James Cornelius, MD ’62
Jim and his wife, Mimi, have
established a charitable gift
annuity in support of the UCSF
School of Medicine Class of
1962 Scholarship Fund.
“I’m concerned about
the high cost of medical
school tuition, so it’s
time for me to pay back.
A charitable gift annuity
provides income for us
for life and a gift to the
University later on. It
makes financial sense
for us to support the
University in this way.”
Susan Detweiler, MD ’71
Susan has included
a bequest to the UCSF
School of Medicine
in her will.
“I received a tremendously valuable
education at UCSF.
Without it I wouldn’t
be the person I am
today. In choosing to
support the University
through a bequest, I
am able to give a
great deal more than
I could in my lifetime.”
Peter Packard, MD ’48
Peter and his wife, Mary Jane, have
created a charitable remainder trust
that will fund the Peter and Mary
Jane Packard Endowment in support
of the Academy of Medical Educators.
“The doctor-patient
relationship is critical to
patient outcome. I want to
ensure with our gift to
UCSF that future medical
students are taught both the
importance of a healthy
doctor-patient relationship
and the skills and techniques
to create one.”
For more information on making a bequest or life-income gift
or to receive a copy of our “Leaving a Legacy” brochure,
please contact the Office of Gift & Endowment Planning at
415/476-1475 or email [email protected].
0906
UCSF School of Medicine
Medical Alumni Association
UCSF Box 0248
Non-profit Organization
U.S. Postage
PA I D
Sacramento, CA
Permit No. 333
ADDRESS SERVICE REQUESTED
Save the date
Celebrating at the 2009 Reunion, from left: Herbert Konkoff, MD ’59, and Karen Hays; Mark Luoto, MD ’79, Valerie Luoto,
JaNahn Scalapino, MD ’79; Donald Webb, MD ’59; the Class of 1984 (See story on page 12.)
UCSF School of Medicine Class Reunions
May 7-8, 2010
Plus 4-hour CME course
For more information about the
CME course and Reunion details,
email [email protected].

Medical Alumni Magazine

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Hematuria - UCSF Department of Urology

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