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S PRI NG 2013“ThisPerfectBuilding”TRENT SEMANS CENTERFOR HEALTH EDUCATIONIS DEDICATED

Message from the DeanEach spring I deliver my annual State of the Schooladdress. In my remarks in March, I discussed thehighlights of the past year and the challenges beforeus. Along with other research-intensive medicalschools across the country, we are in an era oftremendous change. It seemed fitting that I gavemy talk in the new Mary Duke Biddle Trent SemansCenter for Health Education – a spectacular buildingthat makes a strong statement about our aspirationsfor the future.In my address I announcedthat the Board of Trusteesrecently approved thecreation of a new Department of Neurology. Thecurrent Division of Neurology, within the Department of Medicine, willbecome independent inJuly. Interim Division ChiefJoel Morgenlander, MD,will serve as interim chairuntil I appoint a permanent chair. Neurology isthe third new departmentestablished over the pastfour years, joining Dermatology and OrthopaedicSurgery. Elevating these units to department statusputs our organizational structure in better alignmentwith other medical schools and affirms the nationalreputation each has earned.I announced in January that Benjamin Alman, MD,chair of Orthopaedics at the University of Torontoand a senior scientist in their Developmental andStem Cell Biology Program, will join us in July as theVictor J. Dzau, MDChancellor for Health Affairs,Duke UniversityPresident and Chief Executive Officer,Duke University Health SystemNancy C. Andrews, MD, PhDDean, Duke University Schoolof MedicineVice Chancellor for Academic Affairs,Duke UniversityEdward G. Buckley, MDVice Dean for EducationDuke University School of MedicineTheodore N. Pappas, MDVice Dean for Medical Affairs,Duke University School of Medicinefirst permanent chair of the Department of Orthopaedic Surgery. In addition to Dr. Alman’s arrival andour search for a Department of Neurology chair, wehave begun processes to identify new chairs for theDepartments of Surgery, Radiology, and Pediatrics.DukeMed Alumni NewsStrong leadership is particularly important as wenavigate the uncertainties of the next few years.Academic medicine must adapt to a very differentenvironment as health care reform plays out, andas sequestration further limits federal funding forbiomedical research. I feel extremely fortunate to beworking through these challenges with an outstanding group of department chairs, vice deans, andother institutional leaders.Please contact us at:DukeMed Alumni News512 S. Mangum St., Suite 400Durham, N.C. 27701-3973e-mail: dukemed@mc.duke.eduAs always, there is a lot going on in the School ofMedicine. In this issue, you will read about the opening of the Trent Semans Center; an alumni councilvisit to the Duke-National University of SingaporeGraduate Medical School; our commemoration ofthe fiftieth anniversary of admission of AfricanAmerican students to Duke; and exciting initiativesin genetics research and global health. You will learnabout the accomplishments and contributions ofthe 2013 distinguished Medical Alumni AssociationAward recipients. I hope that these articles will helpyou feel connected, and will inspire you to visit atreunion time.Bernadette Gillis, Dave Hart,Angela Spiveyis published two times a year bythe Duke Medical Alumni Association.Issues are available online atmedalumni.duke.edu.Your comments, ideas, and lettersto the editor are welcome.EditorMarty FisherAssistant EditorJim RogalskiContributing WritersArt DirectorDavid PickelPhotographyDuke PhotographyJared LazarusJason Ayer, Paul Kieu,Eric Parsons, Bob SelfProduced byDuke Medicine Developmentand Alumni Affairs.Copyright Duke University, 2013DMDAA 1346With warm wishes,Nancy C. Andrews, MD, PhDDean, Duke University School of MedicineVice Chancellor, Academic AffairsProfessor, PediatricsProfessor, Pharmacology and Cancer BiologyScott Gibson, MBAExecutive Vice Dean forAdministration,Duke University School of MedicineAnn Brown, MD, MHSVice Dean for Faculty Development,Duke University School of MedicineSally Kornbluth, PhDVice Dean for Basic Science,Duke University School of MedicineJudy SeidensteinChief Diversity OfficerDuke University School of MedicineMark Stacy, MDVice Dean for Clinical Research,Duke University School of MedicineBilly NewtonVice Dean for Finance andResource PlanningDuke University School of Medicine

ContentsIN BRIEFFEATURES0216Zebra Fish Help DiagnoseRare Pediatric Diseases26Classnotes27Good Times in the Hospital,by McCully, MD’6629Proof of Heaven, byAlexander, MD’80,HS’81, ‘8731Tic Tac Mo Game Appby Mask, MD’8832Drayer, MD’98 Writesfor Hit TV Show33House Staff Notes34Obituaries03AAMC Lauds Duke-NUSTeam-Based LearningAlumni CouncilMembers Visit SingaporeAll Female Cast ofSurgery Chief Residents07Duke Joins RwandanHealth Effort04Students StartAMWA ChapterNewman to Lead MedicalAlumni Association05Event CommemoratesAfrican American History06Discovery ScienceInvestment a SuccessDuke Medicine LaunchesPhilanthropic Campaign Trent Semans Center for Health Education Openslayers 25.indd 12/28/13 3:30 PM14 Medical AlumniWeekend 2013Sex Ed at Duke—a TraditionMany great memories came back when Iread “Med Students Teach Sex Ed to HighSchoolers” (Spring 2012 issue) about thesuccessful HEY-Durham program foundedin 1999. Thirty years earlier in 1969, aprevious generation of Duke med students developed and taught a very similarprogram of sex education in the Durham junior high schools for years, at therequest of the public school administration due to an “unprecedented numberof pregnancies in young teens.” With thestrong support of the legendary department chairs Roy T. Parker (OB-GYN) and20 2013 Medical AlumniAssociation AwardsSamuel L. Katz (Pediatrics), The Committee on Sex Education.enthusiasticallyaccepted the challenge and dedicatedthemselves to writing curricula, trainingthemselves, and then teaching in theschools and soon in an expanding scopeof settings as excitement about their program grew. The members became moremultidisciplinary as new students joinedthe Committee.I was co-chair of the original committeeand am still amazed at what these Dukestudents accomplished, mostly on theirown time. Several would later becomenational leaders in the field of adolescentmedicine, a new specialty forming duringthose years. A journal article was pub-lished about the program in 1972 and isnow available online:Shangold, M. and Beach, R. K. (1972), Sex Education at Duke: The Development, Implementation,and Expansion of a Medical School Program.Bulletin of the American College of Nurse-Midwives, 17: 4–10. DOI: tractCongratulations to all those involved withHEY-Durham. One gift of teaching is thatyou learn far more than you teach. Maytheir memories be great ones too.Dr. Robin BeachRoberta K. Beach, MD, MPHProfessor Emerita, Pediatrics andAdolescent MedicineUniversity of Colorado School of Medicine170 Dahlia Street, Denver Co. 80220303-399-9981 // DrRKBeach@msn.comDukeMedAlumniNews 1

IN BRIEFAAMC Lauds Duke-NUSfor Team-Based LearningThe Association of American Medical Colleges (AAMC) has recognizedThe Duke-National University of Singapore Graduate Medical School(Duke-NUS) for its success with team-based learning.In a case study titled “Readiness for Reform,” the AAMC callsDuke-NUS “a pioneer in medical education” for being one of thefirst schools of medicine to successfully apply team-based learningthroughout the basic science curriculum. All courses taken by first-yearmedical students at Duke-NUS are taught in the collaborative, cooperative learning method similar to that used by Americanbusiness schools.Students review supplemental material prior to attending class. Inclass they take an individual readiness assessment to gauge theirknowledge of the material, followed by the same test taken in teams.In-class activities focus on assuring understanding, applying principles,Lucy Freedy, Dale Shaw, Nancy Shaw, tour guide; from right,Nick Leonardy, Terri LeonardyAlumni CouncilMembers Visit SingaporeSeveral members of the Duke Medical Alumni Councilvisited Duke-National University of Singapore GraduateMedical School (Duke-NUS) last year to observe classes,meet administrators, and encourage the school to form analumni association.and solving problems within student teams facilitated by faculty. Students are required to demonstrate self-directed learning.The AAMC reports that in less time, Duke-NUS students achievedcomparable scores to U.S. medical students on standardized tests ofbasic science knowledge. Duke-NUS students performed significantlyhigher than the U.S. students at the end of their second (clinical) year.Duke University School of Medicine is also involved with TeamLeadtype activities. A portion of the first-year basic science instruction usesaspects of team-based learning.“We are still experimenting with the mix and style of the process,”said Edward G. Buckley, E’72, MD’77, HS’77-’81, vice dean formedical education at Duke. “The faculty feel that we should offer avariety of approaches as opposed to a single strategy. We will continueto work with Singapore to develop the best educational program going forward. “2 DukeMedAlumniNews“Not only would an alumni organization help to keepDuke-NUS alumni connected to each other and theirschool, but it would helpto spread the Duke brandeven more in Asia,” said“The studentsDale Shaw, T’69, MD’73,at Duke-NUSHS’73-’77.are very proudof the Dukename on theirdiplomas.”Also making the trip werecouncil members NicholasLeonardy, T’81, MD’85,and Lucy Freedy, MD’56.Shaw said that alumniorganizations are uniqueto America, but several universities in England recentlyhave organized them.Duke-NUS opened in 2007 and has graduated six classesto date.- Dale Shaw“The students at Duke-NUS are very proud of the Dukename on their diplomas,” Shaw said. “It’s important thatthe school start communicating with graduates soonerrather than later.”

IN BRIEFA FIRST:All Female ChiefResidents inGeneral SurgeryGlance at the roster of the Departmentof Surgery’s 2012-2013 general surgerychief residents, and you might noticesomething unusual.They’re all women that make up this year’sgeneral surgery chief resident contingent.That’s a first for Duke Surgery, whichhad its first female general surgery chiefresident in 1988.Historically, surgery has been largely amale domain, although a 2011 studypublished in the Journal of the American College of Surgeons found that gapshrinking. The study reported that 40 percent of graduates entering general surgeryresidencies in 2005-2006, the last yearof the study, were women – a 25 percentincrease from the 32 percent reported inthe first year of the study, 2000-2001.Left to right; Dawn Elfenbein, MD, HS-curent; Nicole de Rosa, MD, HS-current; KylaBennett, MD’06, HS-current; Vanessa Shroeder, MD, HS-current; Keri Lunsford,MD’04, HS-current; and Sarah Evans, MD’04, HS-currentTheodore Pappas, MD, interim chair ofthe Department of Surgery, said the gender makeup of this year’s general surgerychief residents roster was not the resultof any deliberate effort by the program.“We just pick the best people,” Pappassaid. “I do think a lot of women havefound out that this is a great place tolearn and train.”Duke JoinsRwandan Health EffortDean Andrews Named toNational Academies CouncilThe Duke University schools of medicine and nursing areamong 13 U.S. schools partnering with Rwanda’s Ministryof Health to build a high-quality, sustainable health systemin Rwanda. The seven-year Rwanda Human Resources forHealth (HRH) Program was announced by former U.S. President Bill Clinton in July 2012.Dean Nancy Andrews, MD, PhD, has been elected to serve on theCouncil of the Institute of Medicine of the National Academies.The Rwanda HRH Program will address the country’s severeshortage of health care workers by sending faculty fromU.S. educational institutions to train future health professionals. By dramatically increasing the number, quality, andskill level of Rwandan clinicians and health sciences educators, the program aims to build the infrastructure and workforce needed to create a sustainable health care system.Each participating school has committed to send fulltime faculty members to Rwanda for up to one year tohelp improve teaching, research, curriculum development, and mentorship.Andrews was one of six newmembers elected to the council, the governing body of theInstitute of Medicine. The IOM,the health arm of the NationalAcademies, is an independentnonprofit organization thatworks outside of government toprovide unbiased and authoritative advice to decision-makersand the public. Her term began January 1, 2013, and will run forthree years.Andrews has been a member of the Institute of Medicine since 2006,the year before she was named dean of the medical school at Duke.DukeMedAlumniNews 3

IN BRIEF“We wantedlives and families,and we stillwanted to bebrain surgeons.”Back in 2009, then-first-year Duke medicalstudents Deeptee Jain, MSIV, and OderaUmeano, MSIV, were both interestedin neurosurgery. “We wanted lives andfamilies, and we still wanted to be brainsurgeons,” Umeano says. But at the timethere were no female faculty attendingswho were neurosurgeons. They werelooking for female mentors but found noformal structure for mentorship.So they started an informal chapter ofthe American Medical Women’s Association. Later, the women found manyfemale residents at Duke in various fieldswho were eager to help the medicalstudents. “We ended up with a hugedatabase of residents and attendingsalike,” Umeano says. Melodi Javodi, nowa fourth-year medical student, was alsoinstrumental in forming the chapter.Now in its fourth year, the group hostsDeeptee Jain and Odera Umeano started a Duke chapter of the American MedicalWomen’s Associationseveral gatherings and participates in acommunity service event yearly. In 2013,they are presenting a workshop at an annual Duke event designed to spur excitement about science among local elementary school students—Females ExcellingMore in Math, Engineering, and Science.In March, Dean Nancy Andrews spokeabout work-life balance at the AMWA’s98th annual national meeting. “Dean Andrews has been very supportive, and sheNewman is 2013President of MedicalAlumni AssociationKurt D. Newman, MD’78 was electedpresident of the Duke Medical AlumniAssociation during the Medical AlumniCouncil meeting in October.Newman has served on the AlumniCouncil since 2002. He will give thekeynote address at Clinical ScienceDay, Friday, October 17, during MedicalAlumni Weekend.A pediatric surgeon, Newman was appointed president and CEO of Children’sNational Medical Center in Washington,D.C., in September. He has spent his entirecareer at Children’s National, serving as4 DukeMedAlumniNewshas been a great role model in her abilityto balance family and medicine, especiallysince she serves in such a high position,”Jain says. The students have also foundsupport from Professor of Medicine DianaMcNeill, MD, and Kathy Andolsek, MD,MPH, associate director of graduate medical education. “They are always at ourAMWA events and give us great advice,”Umeano says.He received a bachelor of arts degree in1973 from the University of North Carolinaat Chapel Hill, where he was a Morehead Scholar. He trained at Brigham andWomen’s Hospital in Boston, Mass., andthe Children’s National Medical Center inWashington, D.C., where he served as afellow in pediatric surgery.senior vice president for the Joseph E. Robert, Jr. Center for Surgical Care. He alsois a professor of surgery and pediatrics atGeorge Washington University.Newman is a member of the Board ofCommissioners of the Joint Commissionand a past member of the Board of Governors of the American Pediatric Surgery Association. He also has served as chairmanof the Surgery Section of the AmericanAcademy of Pediatrics.Newman is the recipient of the first SauberFamily Award in 2002. He was named oneof Washington’s top surgeons by Washington Consumers’ Checkbook in 1998 and atop doctor in Washington by Washingtonian Magazine. He served as chair of theAmerican Academy of Pediatrics for theSurgery Section from 2007 to 09.He lives in Bethesda, Md., with his wifeAlison and two sons, Jackson and Robert.

IN BRIEFFaces of Change:School of MedicineCommemorates theLegacy of AfricanAmericans at DukeIn 1963, the first five black undergraduates enrolled at Duke. At that time, the university hadno black faculty, administrators, or trustees.Across campus at Duke University School ofMedicine, another barrier was being broken.Delano Meriwether, MD’67, became the firstblack student to attend the medical school.On April 19, the School of Medicine, alumni,students, faculty, leadership and communitymembers will come together to celebrate the50-year legacy of African Americans at DukeUniversity School of Medicine. The event,“Faces of Change,” will be held at the Durham Convention Center.The event is sponsored by Duke UniversitySchool of Medicine, Duke Medical AlumniAssociation, Duke Medicine Office of theChancellor, the Duke Medical MinorityAlumni Association, and the Departmentof Medicine Minority Recruitment and Retention Committee.For more information about the Faces ofChange event, contact Brenda Rimmer at919-385-3177 or brenda.rimmer@duke.edu or visit medalumni.duke.edu/events/faces-change.You can read more about desegregation anddiversity at the School of Medicine in thearticle, “Minority Report,” published in the fall2005 issue of DukeMed Alumni News here:medalumni.duke.edu/files/documents/dman fall2005.pdf.To learn more about the university’s year-longcommemoration of the 50th anniversary ofthe first black students to matriculate at Duke,visit spotlight.duke.edu/50years.From top, W. Delano Meriwether, MD’67;Brenda E. Armstrong, WC’70, MD, HS’79;Charles B. Johnson, T’50, G’53, EdD’55, MD;Jean G. Spaulding, MD’72, HS’73; Carlos A.Bagley, T’96, MD’00AlumniAssociationLaunches NewWebsiteThe Duke Medical Alumni Association has upgraded its websitefor the first time in six years.The new site (medalumni.duke.edu) was created to give a moreuser-friendly and streamlinedexperience to visitors.Among the new features ishomepage visibility of the log-inbox for the popular medicalalumni database, where alumnican look up classmates andfriends. The log-in is located inthe lower right corner of everypage. Alumni can use their existing log-ins to access the database.If you can’t remember your log-ininformation, or need to register,just click the “Forgot your userID or password?” link inside thelog-in box.You’ll also see it’s easier andquicker to connect with us viaYoutube, Twitter, and Facebookwith easy-to-find icons.We encourage you to explore thesite and email us feedback atdukemed@mc.duke.edu.DukeMedAlumniNews 5

IN BRIEFInvestment in DiscoveryScience Pays Off 20:1— Early stage research yields NIH grantIn 2008, Raphael Valdivia, PhD, associate professor of moleculargenetics and microbiology, received a 75,000 grant from theChancellor’s Pilot Funding Program, which enabled him to mapthe function of genes in the pathogen Chlamydia, which is theleading cause of infectious blindness in the developing world.That was no small feat since the pathogen isn’t easily manipulated with the usual molecular genetic tools; he couldn’t engineerit to have mutations in specific genes. Instead, Valdivia usedchemicals to induce natural DNA variation in chlamydia, thenused genome sequencing to pinpoint the location of the mutations that caused the biggest problems.“The Chancellor’s program allowed us to do key proof-of-concept experiments. Many of these ideas looked feasible on a papernapkin, but we did not know if they would work in practice.The grant allowed us to develop a system for mutagenesis andenabled us to show we could use large-scale whole-genomesequencing to track mutations in bacteria that are tradi

Rwandan Health Effort. The Duke University schools of medicine and nursing are among 13 U.S. schools partnering with Rwanda’s Ministry of Health to build a high-quality, sustainable health system in Rwanda. The seven-year Rwanda Human Resources for Health (HRH) Program was announc

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