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John Curtis
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Terry Dagradi
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Sir Paul McCartney
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Celebration, loss and an exhortation to dream

Marking their own graduation, students in the Class of 2008 remembered a fallen classmate.

Commencement was a day of mixed emotions for graduates in the Class of 2008. As they celebrated their own passage from students to physicians, they also mourned the loss of their classmate Mila Rainof, who died on April 20 after being struck by a car. (See related story, “A student's warm heart and ‘amazing’ smile.”).

Rainof’s absence was palpable throughout the day’s events. As the medical and public health students marched to Old Campus, each left a carnation at the site of the accident at York Street and South Frontage Road. During the ceremony on Harkness Lawn, Merle Waxman, M.A., associate dean, ombudsperson and director of the Office of Women in Medicine, accepted Rainof’s posthumous medical degree. And the class gift was a donation to a scholarship fund in Rainof’s memory.

Maggie Samuels-Kalow and Ellen House took the podium to offer their reflections. They recalled Rainof’s commitment to her friends and patients as well as her seemingly boundless warmth and compassion. Samuels-Kalow urged her classmates to find other ways to remember Rainof. “We honor her memory in less tangible ways, in the ways we treat each other and our patients,” she said.

“Let’s celebrate today, as Mila would have wanted us to,” said House. Commencement speaker Alfredo Quiñones-Hinojosa, M.D., offered as inspiration his own life story, recounting how he packed his few possessions into a bag 20 years ago and, with $65 to his name, crossed the border illegally from Mexico to California. The same hands that now probe “the most beautiful organ in the human body—the brain” were once bloody and raw from pulling weeds on the farms of the San Joaquin Valley. After an industrial accident almost killed him, Quiñones-Hinojosa’s father told him, “You have been given a gift. Life is short.”

Quiñones-Hinojosa went on to graduate from a California community college and Harvard Medical School. While at Harvard he became a U.S. citizen. He is now a neurosurgeon at the Johns Hopkins School of Medicine. For the full text of the address, visit The American Dream.

Commencement awards
This year’s Bohmfalk Prizes for excellence in teaching went to Leigh V. Evans, M.D., HS ’02, assistant professor of surgery (emergency medicine), for clinical sciences, and to Aldo J. Peixoto, M.D., associate professor of medicine (nephrology), for basic science.

Thomas P. Duffy, M.D., professor of medicine (hematology), received the Leonard Tow Humanism in Medicine Award. The Leah M. Lowenstein Awards went to Nina Horowitz, M.D., assistant clinical professor of surgery, and to Andres S. Martin, M.D., M.P.H. ’02, associate professor in the Child Study Center and of psychiatry.

Eve R. Colson, M.D. ’89, associate professor of pediatrics, received the Alvan R. Feinstein Award. Lynn D. Wilson, M.D., M.P.H. ’86, professor of therapeutic radiology and of dermatology, received the Francis Gilman Blake Award. And the Betsy Winters House Staff Award went to Vikram Reddy, M.D.

John Curtis

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Public health grads urged to develop skills beyond science as leaders and advocates

The 108 graduates of the School of Public Health’s Class of 2008 have their work cut out for them: defeating the AIDS virus, reducing obesity and eliminating health care disparities—to name just a few of the tasks cited by Dean Paul D. Cleary, Ph.D. And they’ll face one more challenge, said Commencement speaker Georges C. Benjamin, M.D., director of the American Public Health Association: “Nobody’s going to know what you do,” he told the graduates gathered in Battell Chapel on May 26.

Benjamin offered an analogy: Two people rescue a drowning person who drifts by their picnic spot. The next day they save two more people; and as the numbers steadily increase, they establish an elaborate rescue system using boats, ambulances and helicopters. When the rescuers finally address the cause of the problem—a curve in an upstream road—and solve it with a guardrail and speed limit, the flow of victims ends.

To achieve this sort of prevention, Benjamin told the graduates they’d need skills as leaders, administrators and advocates and good relationships with policy-makers. “Science is necessary but not sufficient,” Cleary said, noting that students on the medical campus are pressing New Haven officials to improve traffic safety at nearby intersections. In April a medical student was killed (see related story, page 39); in October 2006 a public health student was seriously injured. Both were struck by cars.

Public health awards
This year’s excellence in teaching award went to Annette M. Molinaro, Ph.D., assistant professor of public health (biostatistics). “If you can generate enthusiasm for core biostatistics, you are some teacher,” Cleary quipped.

Sharing the Dean’s Prize for Outstanding M.P.H. Thesis were Rupak Datta, Ling-I Hsu, Diane Martinez and Stephanie Smith. The Henry J. (Sam) Chauncey Jr. Inspiration Award went to Heather McPheron, and Ashley Fields won the Cortlandt Van Rensselaer Creed Award. Student speaker Rebecca Boulos offered warm memories of her classmates.

Cathy Shufro

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white coat
Terry Dagradi
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Terry Dagradi
Fleury and Dieterich
Terry Dagradi
 


PA students don white coats in new ceremony marking their entry to medicine

Second-year students in the Physician Associate (PA) program helped their 37 first-year colleagues in the Class of 2009 don the white coats that symbolize the medical profession on the afternoon of March 20. Medical students have long participated in this tradition, but it is only the second time that Yale PA students have joined in the ritual. And unlike their medical colleagues, they celebrated not the beginning of their training, but a different milestone. The donning of the white coat in the Medical Historical Library marked the transition from learning in the classroom to learning on the wards from real patients.

“We wanted to incorporate into a ceremony the idea of trying to instill in the students the ethical responsibility of being health care providers and the reverence with which they should practice,” said Mary L. Warner, M.M.Sc., PA-C, director of the PA program.

“The White Coat ceremony is a rite of passage, serving as a reminder of your need to balance excellence in the medical sciences with demonstrated compassionate care,” said keynote speaker Cynthia B. Lord, PA ’91, director of the Quinnipiac University PA program and president-elect of the American Academy of Physician Assistants. “The white coat should never be a symbol of status, hierarchy or power.”

Melinda Tuhus

   
 
Jennifer Dominguez
Terry Dagradi
Amanika Kumar
Terry Dagradi

 

Students present their findings at 22nd Student Research Day

At this year’s Student Research Day, the 22nd Annual Scientific Poster Session featuring research by students in medicine and public health, 58 students presented their findings on topics ranging from the soon-to-be-personal (Depression and Resilience During the First Six Months of Internship) to the practical (Educational and Behavioral Interventions to Reduce Exposure to Isocyanates in Auto Body Shops) to the profound (Beyond Patient Satisfaction: Physician Ambivalence, Authenticity and The Challenges to Patient-Centered Medicine).

Some projects reflected the notion that the most common expression in science is not “Eureka!,” but “Huh?” As medical student Kiera S. Levine analyzed her findings—patients expressed satisfaction with physicians whose manner was cold and impersonal—she asked, “That’s interesting. What’s going on?” Her conclusion: “The idea of satisfaction is complicated and tremendously ambivalent. Looking for simple assessments doesn’t reflect the patient’s circumstances.”

Medical student Ayal Aizer—Radical Prostatectomy Versus Intensity-Modulated Radiation Therapy in the Management of Localized Prostate Adenocarcinoma—reviewed the records of about 800 patients treated for prostate cancer at Yale over a 10-year period to see whether they fared better with surgery or radiation therapy. For patients with a favorable prognosis, there was no difference in outcomes between patients who had surgery and those who had radiation. Patients with a poor prognosis tended to do better with the radiation therapy, as did patients with the most advanced cancers.

Allison Arwady, who graduated with a degree in medicine this year, studied an old disease that is on the rise again in New Haven and elsewhere. In her project, The Uses of Rickets: Race, Technology and the Politics of Preventive Medicine in The Early 20th Century, she found that in the century’s early decades, as higher rates of the disease were observed in people with darker skin, it was erroneously concluded that the disease must be the result of poor sanitation. A large-scale study in New Haven in the 1920s found that the disease, now known to be caused by a vitamin D deficiency, was widespread and afflicted people of all races and ethnic groups. Only then, Arwady said, did the public stop blaming the victims.

She believes there’s a lesson to be learned from this rush to judge and stereotype, as she sees that reaction reflected in the response to some public health issues we face today, such as HIV/AIDS.

Following the poster session, five students who won prizes for their research gave oral presentations. Lu Anne Dinglasan discussed “The role of matrix metalloproteinases in axon guidance and neurite outgrowth”; Ryan Kaple wrote his thesis on “The axial distribution of lesion-site atherosclerotic plaque components: An in vivo volumetric intravascular ultrasound radiofrequency analysis”; Jason Roh’s talk was “The chemokine MCP-1 is an essential mediator in tissue engineered blood vessel development”; Andrew Simpson researched “The utility of plain radiography in the evaluation of degenerative spine disease”; and Nandakumar Narayanan’s paper was titled “While they wait: Rodent frontal cortex and delayed-response performance.”

The day ended with the annual Farr Lecture, delivered this year by David G. Nathan, M.D., president emeritus of the Dana-Farber Cancer Institute. His talk, “A voyage in clinical research,” focused on his pioneering investigations into blood disorders.

Jennifer Kaylin


   
 
Sarah Frasure
John Curtis
Corinna Levine
John Curtis
Kristin Hoffman
Curtis
Yunie Kim with Cyrus Kapadia.
Curtis

 

Match Day 2008

Nationally, this year’s match was the largest ever—more than 28,000 applicants competed for 22,240 slots as first-year residents. At Yale, 97 students matched. And for the third time in the last four years, all students found a match. “I couldn’t be happier,” said Nancy R. Angoff, M.P.H. ’81, M.D. ’90, HS ’93, associate dean for student affairs. This year’s match also saw a high number of students entering psychiatry—nine chose the field, the most ever at Yale.


CALIFORNIA

Alameda County Medical Center, Oakland
Mary Hatcher, emergency medicine
Mila Rainof, emergency medicine

California Pacific Medical Center, San Francisco
Sean McBride, medicine-preliminary

Santa Clara Valley Medical Center, San Jose
Jenelle Jindal, medicine-preliminary
Maulik Shah, medicine-preliminary

Stanford University Programs
Louis Salamone, general surgery

Sutter Medical Center of Santa Rosa
Rachel Friedman, family medicine

UCLA Medical Center, Los Angeles
Anne Ackerman, surgery-preliminary, urology

University of California, San Francisco
Jessica Beard, general surgery
Tina Dasgupta, radiation oncology
Rasha Khoury, obstetrics and gynecology
Yunie Kim, internal medicine/primary
Kiera Levine, psychiatry
Maulik Shah, neurology
Krishan Soni, internal medicine
Michael Swetye, psychiatry
James Troy, internal medicine
Pavithra Venkat, obstetrics and gynecology


CONNECTICUT

Greenwich Hospital
Claudia Castiblanco, medicine-preliminary

Griffin Hospital, Derby
Louvonia Boone, medicine-preliminary

Hospital of Saint Raphael, New Haven
Jennifer Dominguez, medicine-preliminary
Keith Gipson, transitional
Nandakumar Narayanan, medicine-preliminary
Karen Shoebotham, transitional
Hannah Yu, medicine-preliminary

St. Vincent’s Medical Center, Bridgeport
Scott Kennedy, transitional

University of Connecticut Program, Farmington
Keith Gipson, anesthesiology
Jeannine Ruby, general surgery

Yale-New Haven Hospital
Mary Allison Arwady, medicine/pediatrics
Eric Arzubi, psychiatry
Erik Carlson, orthopaedic surgery
Claudia Castiblanco, ophthalmology
Douglas Davis, medicine/primary-preliminary, diagnostic radiology
Jennifer Dominguez, anesthesiology
Ryan Hebert, surgery-preliminary, neurosurgery
Kristin Hoffmann, medicine/primary-preliminary, dermatology
Lily Horng, internal medicine
Rasika Jayasekera, psychiatry
Kimberly Johung, medicine-preliminary, radiation oncology
Rachel Laff, Internal medicine/primary
Tamara Lazic, medicine/primary-preliminary
Nandakumar Narayanan, neurology
David Peaper, clinical pathology
Elizabeth Wahl, internal medicine/primary


DISTRICT OF COLUMBIA

Children’s Nat’l Medical Center/George Washington University
Ephat Russcol, pediatrics

Uniformed Services University of the Health Sciences
Melissa Wollan, obstetrics and gynecology

Walter Reed Army Medical Center
Amanda Sandoval, psychiatry
Indy Wilkinson, anesthesiology
Kimberly Schinnerer, medicine-preliminary


FLORIDA

Jackson Memorial Hospital, Miami
Gabriel Widi, neurosurgery-preliminary

Mount Sinai Medical Center of Florida Program, Miami Beach
Roger Goldberg, medicine-preliminary

University of Miami
Gabriel Widi, neurosurgery

University of Miami/Bascom Palmer Eye Institute
Roger Goldberg, ophthalmology


ILLINOIS

University of Chicago Medical Center
Jason Griffith, internal medicine/M.D. scientist


IOWA

University of Iowa Hospitals and Clinics, Iowa City
Paul Walker, otolaryngology


MARYLAND

Johns Hopkins Hospital, Baltimore
Mohamad Bydon, surgery-preliminary, neurosurgery
Julia Marsh, internal medicine
Kimberly Schinnerer, anesthesiology

Johns Hopkins University
Alison Norris, social science postdoctoral fellow

Johns Hopkins University/Bayview Medical Center
Elizabeth Houle, medicine-preliminary

Johns Hopkins University/Wilmer Eye Institute
Elizabeth Houle, ophthalmology


MASSACHUSETTS

Brigham and Women’s Hospital, Boston
Candace Feldman, internal medicine/primary
Sarah Frasure, emergency medicine
Sanaz Ghazal, obstetrics and gynecology
Karl Laskowski, internal medicine
Sean McBride, radiation oncology
Zofia Piotrowska, internal medicine
Jason Roh, internal medicine
Margaret Samuels-Kalow, emergency medicine

Massachusetts General Hospital, Boston
Argyro Caminis, psychiatry
Sharmin Ghaznavi, psychiatry
Ellen House, psychiatry
Jenelle Jindal, neurology
Ryan Kaple, internal medicine
Jeffrey Winer, pediatrics

Massachusetts General Hospital/Harvard Combined Program
Dania Magri, orthopaedic surgery
Andrew Simpson, orthopaedic surgery

Mount Auburn Hospital Program, Cambridge
Karen Shoebotham, diagnostic radiology


MINNESOTA

Regions Hospital/HealthPartners Institute, St. Paul
Timothy Sullivan, emergency medicine


MISSOURI

Barnes-Jewish Hospital, St. Louis
Gregory Nelson, orthopaedic surgery


NEW YORK

Albert Einstein College of Medicine (Jacobi/Montefiore), Bronx
Kurtland Ma, emergency medicine

Albert Einstein College/Montefiore Medical Center, Bronx
Liza Goldman Huertas, family medicine

Hospital for Special Surgery/Cornell Medical Center, New York City
Peter Fabricant, orthopaedic surgery

Memorial Sloan-Kettering Cancer Center, New York City
Tina Dasgupta, transitional
Carolyn Graeber, transitional
Sophia Liu, transitional

Mount Sinai Hospital, New York City
Leon Boudourakis, general surgery
Lindsay McGuire, medicine-preliminary

New York-Presbyterian Hospital–Columbia University Medical Center, New York City
Louvonia Boone, anesthesiology
Cynthia Correll, medicine-preliminary, neurology
Sophia Liu, anesthesiology
Christopher Winterbottom, internal medicine
Hannah Yu, anesthesiology

New York-Presbyterian Hospital–Weill Cornell Medical Center, New York City
Scott Kennedy, diagnostic radiology
Lindsay McGuire, dermatology
Lori Spoozak, obstetrics and gynecology

New York University School of Medicine, New York City
Benjamin Bowling, internal medicine
Carolyn Graeber, ophthalmology
Mark McRae, plastic surgery
Kristina Zdanys, psychiatry

St. Luke’s-Roosevelt Hospital Center Program
Barbara Wexelman, general surgery


OHIO

Cleveland Clinic Foundation
Al Makkouk, orthopaedic surgery


PENNSYLVANIA

Children’s Hospital of Philadelphia
Kevin Lau, pediatrics
Tamara Miller, pediatrics
Ashley Neal, pediatrics

Drexel University College of Medicine, Philadelphia
Abby Hochberg, medicine-preliminary, dermatology

Hospital of the University of Pennsylvania, Philadelphia
Lu Anne Dinglasan, diagnostic radiology

Pennsylvania Hospital, Philadelphia
Lu Anne Dinglasan, medicine-preliminary

University of Pittsburgh Medical Center
Misaki Kiguchi, vascular surgery
Amy Meadows, pediatrics/psychiatry-adult and child
Danielle Smith, obstetrics and Gynecology


RHODE ISLAND

Rhode Island Hospital/Brown University, Providence
Alexander Diaz de Villalvilla, medicine/pediatrics

Roger Williams Medical Center Program, Providence
Tamara Lazic, dermatology


TENNESSEE

Vanderbilt University Medical Center
Jennifer Giltnane, pathology


WASHINGTON

Swedish Medical Center Program, Seattle
Soledad Ayres, family medicine

University of Washington Affiliated Hospitals, Seattle
Corinna Levine, otolaryngology/research
Natalya Lopushnyan, surgery-preliminary, urology


   
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Originally published in Yale Medicine, Autumn 2008.
Copyright © 2008 Yale University School of Medicine. All rights reserved.