Temple Medicine, Fall/Winter 2008

TEMPLE

Medicine

A PUBLICATION OF TEMPLE UNIVERSITY SCHOOL OF MEDIC I NE

FALL/WINTER 2008

PHILANTHROPY REPORT ISSUE

ANATOMY OF A LEGEND “WE ALWAYS SAID THAT WHEN GOD CREATED MAN, HE CONSULTED CARSON SCHNECK FIRST!”

All gifts to Temple University through December 31, 2009, will be credited toward Access to Excellence: The 125th Anniversary Campaign for Temple.

For more information, visit www.accesstoexcellenceattemple.com.

TEMPLE

Medicine Contents A PUBLIC ATION OF TEMPLE UNIVERSITY SCHOOL OF MEDICINE

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E D I TO R / P R I N C I PA L W R I T E R

Giselle Zayon Director, Alumni Affairs

Features

A RT D I R E C TO R

Robert Frawley Temple University Creative Services [017-0809] DESIGNER

COVER STORY

Robert Boston

Anatomy of a Legend 2

E D I TO R I A L A S S I S TA N C E

Kenneth R. Cundy, PhD C O N T R I B U TO R S

Renee Cree John Daly, MD JoAnne DeSanto-Bonewicz Beth Galinsky Kathleen Harmer Eryn Jelesiewicz Zoe Maher, MD Robin McDaniel John Siberski, SJ, MD Ingrid Spangler Laura Wortman Thomas Yucha, MD

Temple CME 7 A Conversation with John Siberski, SJ, MD ’75 9 page 2

The Future of Surgical Education 11

P H OTO G R A P H E R S

Ryan Brandenberg Joe Labolito Elizabeth Manning Mark Stehle DEAN

Departments

John M. Daly, MD ’73 A S S I S TA N T D E A N , INSTITUTIONAL A DVA N C E M E N T

Eric J. Abel

Personal Perspective 13

P R E S I D E N T, A L U M N I A S S O C I AT I O N

Audrey Uknis, MD ’87 CORRESPONDENCE

News Notes 14

Temple University School of Medicine Institutional Advancement 3223 N. Broad Street, Suite 413 Philadelphia, PA 19140 215.707.4850 800.331.2839

Alumni and Faculty Honors and Awards 20

E-MAIL:

Class Notes 26 What ever happened to...

William Barry, MD 28 Student View 29 Temple Family Ties 31 Philanthropy Notes 32 In Memoriam 35

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by Temple University

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Temple University is committed to a policy of equal opportunity for all in every aspect of its operations.The University has pledged not to discriminate on the basis of race, color, sex, age, religion, national origin, sexual orientation, marital status, or disability. This policy extends to all educational, service, and employment programs of the University. For more information or to review Temple University’s Affirmative Action Plan, contact the Office of Affirmative Action, 109 University Services Building, 215-204-7303 (TTY: 215-204-6772).

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ANATOMY OF A LEGEND “ WE ALWAYS SAID THAT WHEN GOD CREATED MAN, HE CONSULTED CARSON SCHNECK FIRST! ” — STEVEN HARPER, MD ’82

FOUR SKULL YEARBOOK DEDICATIONS. 17 GOLDEN APPLE TEACHING AWARDS. 24 INVITATIONS TO SERVE AS COMMENCEMENT HOODER. 7,520 FRESHMAN NAMES AND FACES MEMORIZED PRIOR TO THE START OF CLASS FOR 48 YEARS. A PRODIGOUS KNOWLEDGE OF HUMAN ANATOMY. COMBINE THIS WITH AN INEXHAUSTIBLE PASSION FOR TEACHING AND AN INEXPLICABLE CASE OF MODESTY, AND YOU HAVE CARSON SCHNECK. Temple has had some hugely popular professors over the years. But have any been quite as beloved as Carson Schneck? Everyone can relate to third-year medical student Dan Ackerman’s vignette: “When Dr. Schneck looks at you on that first day in Gross Anatomy, says your name, and asks you a question as though you had been working together for ages, you think he must be talking to someone else, but no, it is you he’s addressing. And he knew your name before he ever met you. That is how much he cares about each and every one of us.”

A gifted physician-scientist who has educated thousands nationwide, Carson Schneck is legendary for his enthusiasm and dialectical teaching style. A professor of anatomy and cell biology with a secondary appointment as professor of diagnostic imaging, Dr. Schneck received his MD from Temple in 1959 and his PhD in 1965. He has been teaching at Temple continuously since 1960 and is adored by scores of students, residents, fellows and practicing physicians throughout the country.

In the late ’70s, in addition to teaching gross anatomy and neuroanatomy to medical and graduate students (plus electives), Dr. Schneck customized a series of anatomy review lectures for orthopaedics

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FAST FACTS: Carson Schneck

residents. Then residents in other specialties began asking for help. Soon, Dr. Schneck was teaching 14 postgraduate courses to residents and practicing physicians in almost every subspeciality.

• Born in Allentown, Pa., on October 10, 1933

What makes his teaching so penetrating? He knows it’s the clinical application that counts. As Dr. Joe Gwiszcz’s story on page 5 illustrates, if a particular point calls for climbing up on a table to demonstrate, so be it.

• His father drove a beer delivery truck; his mother was a seamstress at a shirt factory • Worked in construction after high school and liked it so much that he almost went no further. “I could have been a drywaller for the rest of my life,” he recalls.

• 1955: BS, Natural Science, Muhlenberg College • Was accepted by Jefferson and Hahnemann medical schools but opted for Temple due to its reputation for great teachers • 1959: MD,Temple University 2nd in class; AOA • 1960: rotating internship Frankford Hospital, Philadelphia • 1961: instructor, anatomy, TU • 1962–1964: NIH fellowship, TU • 1965: assistant professor, anatomy and cell biology, TU • 1965: PhD, anatomy and cell biology; the first person to earn a PhD in anatomy and cell biology at Temple; advisor: John Franklin Huber; thesis: In-utero development of knee and ankle joints in the rabbit • 1968: associate professor, anatomy and cell biology, TU • 1974: professor, anatomy and cell biology, TU • 1986: professor, diagnostic imaging, TU • Recipient of the first national Golden Apple Award for Teaching Excellence • A chocolate fiend • Almost decided to teach physiology instead of anatomy • Had cardiac bypass surgery in 1992 but quickly resumed working and jogging 20 miles per week • Married to Freda since 1956.

Two children, both Temple grads: Stephanie, BA ’83, MD ’87, now a pediatric orthopaedic surgeon in Pittsburgh, Pa., and Deborah, BA ’81, MBA ’83. Three grandchildren.

The contemporary trend in medical education is integration: mixing basic and clinical science together. Dr. Schneck was ahead of the curve. “He is also to credit for developing the team-teaching approach to gross anatomy — once unheardof,” says Dean John Daly, MD ’73, once a student of Dr. Schneck himself.

“Carson has brought whole new dimensions to the teaching of anatomy,” he says.

In 1988, the national medical honor society AOA recognized Dr. Schneck with the Distinguished Teaching Award for Basic Science, calling his “highly innovative teaching program extraordinary in its clinical orientation, with courses that stress self-education monitored through problem-solving in lieu of lectures . . . content and methods recognized nationally for their innovation.”

NOT ONE FOR FLOWERY LANGUAGE OR SELF-AGGRANDIZMENT, CARSON SCHNECK WILL SIMPLY TELL YOU HE DOES WHAT HE DOES BECAUSE, “I LIKE IT.” “I learned a lot about teaching from the people who taught me,” says Dr. Schneck, mentioning Robert Stein, PhD, the philosophy and theology professor whose Socratic teaching style inspired him as an undergraduate at Muhlenberg College in the early 1950s. “You could not fall asleep in that class,” says Dr. Schneck. Next he cites his Temple mentors and colleagues, John Franklin Huber, MD, PhD, who taught him about the importance of learning students’ names, and J. Robert Troyer, MD, who taught him the importance of preparation, no matter how many years on the job.

Dr. Schneck puts in 60 to 70 hours at work each week, plus an additional 10 to 20 preparing at home. These figures do not include the hours devoted to innumerable postgraduate lectures and CME courses he’s presented over the country. Add the hours (and miles) he has spent commuting all these years from his home in Quakertown, Pa., (a home he designed himself), where he gardens, studies theology and philosophy, and jogs 20 miles a week. Then consider how much time he has devoted to the faculty senate and umpteen different committees at the medical school and university over the years. Little wonder he sleeps only four to five hours nightly. Said a colleague: Carson Schneck lives more hours than there are in a day.

Not one for flowery language or self-aggrandizement, Carson Schneck will simply tell you he does what he does because, “I like it. The most rewarding thing is to see students become independent self-learners.”

Joe Gwiszcz, MD ’08, a pediatrics resident at Children’s Hospital of Philadelphia, says, “It was truly an honor to have studied under one of the greatest teachers, one of the greatest minds in the field of anatomy. Never has one man made such an impact on so many students’ lives.”

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FIVE SCHNECK TALES THE HARTMAN FAMILY HAS ALL BEEN “SCHNECKED”!

I was first, of course, then my children Dan, MD ’99, and Chandra, MD ’02. We all had identical experiences: There we are, studying hard in the anatomy lab, feeling on top of our game—and then along comes Carson who “Schnecks” us. He slides an anatomy probe into the cadaver’s chest.

“Name all the structures my probe just went through,” he says. Invariably we would miss one, and Carson would smile, point made. Carson’s mission is to establish an “attitude of inquiry,” always asking questions, never being satisfied with what you already know. I spent a year doing research with him on temporal bone development, its role in auditory function and potential for temporal bone transplants in the future. My job involved dissecting temporal bones of baby Mongolian gerbils under a Zeiss operating miscroscope, very demanding and precise work, then slicing them up for slides using polarized microscopy. Carson mentored me every step of the way, taught me sound research methodology, and helped me to my first publications. What made this experience all the more meaningful is that I decided as a result that I did not want to do basic science research as a career! This was a very important development for me, and Carson supported it completely. From day one in the anatomy lab, Carson and all the members of the department emphasized Reverence for Life, a foundation of Albert Schweitzer’s approach (and Hartman Family maxim). Carson taught us to respect the gift that our cadaver donors had given us through their bodies. We were taught to treat every step of the dissection with utmost reverence. Hard to believe that reverence for life can begin with a dead body, but Carson and the anatomy department made this work. These life lessons will stay with the Hartman family forever.

By A. Frederick Hartman Jr., MD ’69, MPH World Health Expert

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Dr. Schneck’s Research TEMPLE UNIVERSITY HAS 17 DIFFERENT SCHOOLS AND COLLEGES, AND ALL OF THEIR FACULTIES ARE UNIONIZED, WITH TWO EXCEPTIONS. Medicine is one of them, and Carson Schneck is the unsung hero behind this little-known fact. In the mid-1970s, the movement to unionize university faculties swept the nation. I was president of the School of Medicine faculty senate at the time, and Carson was head of the faculty compensation committee. Most of our colleagues began thinking that unionizing was the way to go—but some of us saw serious potential downsides, not just for individual faculty members but for the future development of the medical school. The red flags were very clear in Carson’s mind. For two months, Carson poured his heart and soul into the effort to exclude the medical school from the mobilization to unionize. First, Carson and I presented our case to our faculty, who did indeed vote against unionizing. That decision in hand, we practically lived in the state labor relations board office in Philadelphia, persuading officials to exclude the medical school from the university faculty union. Eventually, with the exceptions of medicine and law, Temple’s faculty did unionize under the American Association of University Professors. If it weren’t for Carson’s passion and political savvy, Temple University School of Medicine might be a very different place today.

by Charles Tourtellotte, MD ’57 Former Chief of Rheumatology, TUSM

IT WAS DURING MY FIRST-YEAR ANATOMY CLASS. We were in conference, talking about nerve injuries, and Dr. Schneck, all 70+ years of him, climbed on top of a table and proceeded to demonstrate the different types of gait anomalies that can result from different nerve injuries: limping, hopping, stomping — on top of a table, mind you. It was one of the most memorable lessons I witnessed in medical school and a testament to Dr. Schneck’s dedication. He would tirelessly spend hours in the lab after class picking out the tiniest of nerves and vessels to help us learn them. The man is a living textbook.

by Joseph Gwiszcz, MD ’08 , resident in pediatrics Children’s Hospital of Philadelphia

A recognized authority on the anatomic correlates of ultrasound, CT and MRI whose publications in clinical anatomy and imaging include papers, videos, abstracts, exhibits and textbook chapters, Dr. Schneck’s latest research projects involve: • the characterization and incidence of a previously undescribed first rib fibrous band as a potential cause of thoracic outlet syndrome.

• Doppler, ultrasound and phase contrast MRI analysis of the relative venous return from the brain within the internal jugular and internal vertebral venous plexus under varying postural conditions.

• spiral CT three-dimensional reconstruction of the segmental subdivision of the liver to confirm the inadequacy of the current segmental terminology.

• spiral CT three-dimensional reconstruction of the varying orientation of the renal hilus at different axial levels of section.

IT WAS THE SUMMER OF 1965.

I was a rising junior at the University of Pennsylvania and needed a summer job, and thought that medical research would be a productive way to spend the summer. I was a Penn student, but had always wanted to attend medical school at Temple because Temple docs had such a great reputation. So, one afternoon I wandered into Temple’s Medical Research Building and was sent to Dr. Carson Schneck. “Our program is usually for medical students,” said Dr. Schneck, “but since I don’t have anyone working with me this summer, why don’t you?”

Dr. Schneck and I spent the summer studying the micro-architecture of the middle ear, but more importantly I began to learn medicine (not just anatomy) from the best. That was 43 years ago, and he and I have been friends and colleagues ever since. Who would have guessed that I would have wandered into (and worked with) one of the greatest medical educators in the history of medicine?

by Stephen Permut, MD ’72 Chair, Family and Community Medicine, TUSM

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THE CARSON D. SCHNECK GROSS ANATOMY LABORATORY CAMPAIGN A $1 million fundraising campaign is underway to name the anatomy wing of Temple’s new building in honor of Dr. Schneck.

This stunning, contemporary suite will feature a 48-table gross anatomy dissection laboratory; an anatomy and cell biology research laboratory; a 30-seat, glass-enclosed conference room with views of Center City; a 30-seat seminar room; a 12-seat conference room; an 8-seat study lounge; an 8-table gross anatomy teaching laboratory, and numerous offices, support and storage areas.

“This state-of-the-art facility will impact every single medical student at Temple, providing the best learning environment possible,” says David Yucha, MD ’02, an orthopaedics resident at Jefferson who is co-chairing the campaign with his father, another former student of Dr. Schneck’s, Thomas Yucha, MD ’70. “What an exceptional opportunity to express our gratitude to Dr. Schneck in a permanent and significant way,” he explains.

Is Dr. Schneck happy about the prospect of moving into new quarters? Yes. After so many years in cramped, outdated quarters, he’s looking forward to moving into ample new space with so many modern, high-tech features.

How does he feel about the campaign to dedicate the facility in his name?

“It’s certainly ego-satisfying,” he says.

“But that’s not why I do this. I do this because I like teaching.”

For more information about the Schneck campaign, see the back cover of the magazine.

COURSES DR. SCHNECK HAS TAUGHT AT TEMPLE 1960 – PRESENT Human Gross Anatomy 1969– PRESENT Human Gross Anatomy (Course Director) 1972– PRESENT Freshman Neuroanatomy 1960–1974, 1997 Sophomore Anatomy Review 1960–1968 Freshman Histology 1965–1985 Anatomy for Biomedical Engineering 1969–1994 Musculoskeletal Interdisciplinary Course

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1970–1985 Functional and Surgical Anatomy of the Back and Extremities 1970–1985 Functional and Surgical Anatomy of the Head and Neck 1970– PRESENT Neuroanatomic Basis of Neurological Diagnosis 1979 – PRESENT Cross-sectional Anatomy for Interpretation of CT, MRI and Ultrasound Images 1973– PRESENT Summer Educational Reinforcement Activity

1979 – PRESENT Clinical Gross Anatomy 1985–1987 Instructor for Temple Basic Cardiac Life Support Course 1993–1994 Oral Histology 1994–1995 Medical Histology 1999–2002 Podiatric Neuroanatomy 1960 –PRESENT Functional and Surgical Anatomy of the Back and Limbs

1960–1967 Functional and Surgical Anatomy of the Head and Neck 1970, 1975, 1980 Functional and Clinical Anatomy of the CNS 1970, 1977 Abdominal Anatomy 1975–1987 Cross-sectional Anatomy for Ultrasound Diagnosis 1978–1987 Cross-sectional Anatomy Correlated with MRI, CT and Ultrasound 1982–1987 Functional, Surgical and

Sectional Anatomy of the Thorax, Abdomen, Pelvis and Perineum 1968 –PRESENT The Neuroanatomical Basis for Neurological Diagnosis 1966–1995 Gross and Microscopic Anatomy of the Temporal Bone 1968–PRESENT Ophthalmologic Anatomy and Neuroanatomy 1979–1999 Functional Surgical and Selected Anatomy of the Head and Neck

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TEMPLE CME :

ACCESS, CONVENIENCE, ENGAGEMENT

Thirty-seven years ago, when the Albert J. Finestone Office for Continuing Medical Education (CME) was founded at Temple, it meant basically one thing — attending a course — sometimes local, sometimes far away.

“We still offer many live programs, but we also videotape and/or audiotape many of them so customers can access them at their own convenience,” says Melinda Somasekhar, PhD, assistant dean of CME. Moreover, these courses are offered in a variety of formats: online, CD, DVD or downloadable podcast.

There’s something for everyone. Want to take a course online at midnight on your PC, or pop a CD in your car stereo in the morning during your commute to the office? How about downloading an audio course to your iPod and listening during your workout at the gym?

“It’s a great option for physicians who can’t commit to multi-day meetings,” Dr. Somasekhar says.

Another exciting initiative is Temple’s partnership with Health Care First (HC1st). Temple and HC1st focus primarily on CME activities formatted as discussion and peer-exchange.

Together they present CME activities at national venues under the brand names Medical Crossfire and Medical CaseViews. With established brand recognition since 1999, Medical Crossfire provides authoritative discussion and peer-exchange. Medical CaseViews expands on discussion and peer-exchange by employing

When Temple put its enormously popular Family Practice Review Course on the internet this year, it became the first medical school in the country to put a review course online. In fact, Temple’s Office for CME is pushing forward with many innovations.

“We are working hard to better accommodate the preferences of current customers and attract new ones. Time-challenged physicians need to be able to study on their own schedule. We make CME work for them,” says Dr Somasekhar.

One attractive new incentive is a discount for alumni. Temple’s CME Office now offers a discount of 10% to physicians who are graduates of Temple University School of Medicine and/or residency and fellowship programs, plus a 25% discount for those who sign up to become part of the Temple Alumni CME Family. For details, see the box on page 8.

INNOVATION THROUGH COLLABORATION Clearly technology has revolutionized CME, but something else is reinventing the industry: partnerships among those who produce educational offerings. One important new collaboration has Temple partnering with MedEd Architects, a medical education and communications company, to capture national scientific congresses and meetings in order to offer them as part of Temple’s overall CME menu.

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DAVID BEST, MD ’79, AND THE DOCTOR’S CHANNEL One- to two-minute videos provide the latest news, opinions and expert advice on The Doctor’s Channel, the web site for physicians and the brainchild of David Best, MD ’79, MBA. Launched in August 2007 and based in New York, the free web site features bite-sized streaming video clips that animate the insights and opinions of experts in 35 different specialties, as well as community and lifestyle features that help doctors stay on top of the latest news, ideas and information.

Videos are archived permanently, enabling users to view and learn at their convenience. Best of all, they can earn continuing medical education credits as they watch.

Dozens of segments online at thedoctorschannel. com were filmed at Temple. Altogether Dr. Best and his crew filmed more than 60 videos by Temple faculty now online at the web site on topics ranging from alpha-1 AT deficiency to stereotactic radiosurgery. One, a video on Chronic Obstructive Pulmonary Disease by Friederick Keuppers, MD, professor of medicine at Temple, was recently one of the most-watched clips of the week, with some 5,270 screenings worldwide.

Dr. Best has worked in healthcare advertising, marketing and education for 25 years. He founded Saatchi & Saatchi’s medical education company, BESTMED.

CME FOR ALUMNI AT A DISCOUNT www.temple.edu/medicine/cme/ Graduates, former residents, and fellows of Temple University School of Medicine are eligible for a 10% discount on all Temple CME offerings. Moreover, if you sign up to be a Temple Alumni CME Family Member for a fee of $350, you will receive a 25% discount on all Temple CME offerings. You will also receive 30 hours of free CME credits. Choose from DVDs in the following specialties: gastroenterology, nephrology, hematology, cardiology, pulmonary, infectious disease, obesity and nutrition, psychiatry, rheumatology, neurology, and metabolic syndromes. For more information, please contact the CME Office at 800-23-TUCME.

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“pre-taped” patient case vignettes to challenge faculty and audience participants. Audience Response Systems are employed to provide instant and valuable feedback to the faculty about audience needs and allow him/her to adjust information and discussions accordingly.

Temple University is also excited about its recent partnership with The Doctor’s Channel. The Doctor’s Channel features one- to two-minute video segments covering 35 different medical specialties, where CME videos are archived permanently. The basic concept of The Doctor’s Channel is “media snacking,” the ability to consume information in small bites, which Dr. Best, founder of The Doctor’s Channel, believes is ideal for busy practicing physicians.

CREATIVITY IN COURSE DESIGN Course design is another area of exciting change in CME, and Temple is taking full advantage.

Medical Crossfire courses, debate-style forums that pit leading experts against one another, are prime examples of course design innovation.

“The debates are an invigorating way to illuminate evidence-based information, describe its application to real practice situations, and air controversies that have patient impact,” says Dr. Somasekhar. “This format enables physicians to listen to the latest thinking on all sides of an issue and make their own judgments,” she says.

One recent crossfire course produced by Temple in partnership with MedEd Architects featured world renowned leaders in cardiology, including Temple’s own Alfred Bove, MD ’66, PhD ’75, chief of Cardiology and president-elect of the American College of Cardiology.

The one-hour debate was videotaped at the American Heart Association meeting in 2007. It was accompanied by 14 brief segments that were webcast to 94 hospitals. This great course is now archived online at Temple’s CME web site.

IDEAS FOR IMPACT In addition to exploring new and creative vehicles for education, the CME industry is increasingly searching out ways to measure the impact of its efforts.

“We want to know whether doctors are using the information we offer in their day-to-day patient interactions,” says Dr. Somasekhar. “We want to know how we can best meet their needs.”

“We need to understand the problems in the system and create CME programs around those problems to help physicians and patients,” says Dr. Somasekhar, “but we’re always striving to be better.”

“CME is all about improving the quality of care given to patients,” she says. “We want Temple to be at the forefront of physician learning and practice improvement.”

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A Conversation with John Siberski, SJ, MD ’75 Physician and Priest “When I graduated from Temple University School of Medicine in 1975, I never imagined that 32 years later, I would be lying prostrate in front of the altar at St. Ignatius Church in Boston during an ordination Mass,” says John R. Siberski, SJ, MD ’75, a member of the New England Province of the Society of Jesus, associate professor of psychiatry and assistant dean for clinical education at Georgetown University School of Medicine. His father, Dominic, graduated from Temple University School of Medicine in 1931.

Q: Were you always a person of faith who was interested in medicine? Did you anticipate that someday you might be both physician and priest?

The short answer is no. I was raised Catholic and was a practicing Catholic until my last year at Penn State, when I dropped away from religion.

My goal was medicine. I never seriously considered any other path.

Five years after graduating from college, I vaguely sensed something missing from my life. During a conference in Philadelphia in 1980, I wandered into the Cathedral of Sts. Peter and Paul on the Parkway as a tourist, but emerged with a commitment to return to the church. I began to pray, read theology and scripture, and attend Mass regularly.

My sense of something missing abated.

Q: Your evolution in medicine and in spirituality included a number of important landmarks, did it not?

The path from Temple University School of Medicine to the Jesuits was byzantine. After practicing internal medicine for many years, I decided to specialize in psychiatry. In fact I chose to return to Temple for my psychiatry residency.

I closed my office in December 1988 and was to begin my residency in July of 1989. I had plans

for that six-month period in between until a Sister of Mercy asked a life-changing question, “How would you like to go to Guyana?” “Sure!” Thus from February through March of 1989, I worked at St. Joseph Mercy Hospital in Georgetown, Guyana. The Sisters of Mercy ran the hospital. A Jesuit served as chaplain, and a Jesuit novice worked as a nursing assistant. In time I got to know the other Jesuits in the city. I was drawn by how they lived their distinctive spirituality and their manner of serving God by serving others.

When I returned to Philadelphia for my residency, I joined Old St. Joseph’s Church, the historically Jesuit parish in Society Hill. The liturgy and preaching were excellent and there were ample opportunities for service. I co-led a weekly HIV support group there for 18 months. Toward the end of residency, I had a conversation with the pastor that included some vaguely formed ideas about entering the Society. He suggested I might be a bit old to enter a religious order but encouraged me nonetheless.

Then I moved to Boston for a fellowship in consultation psychiatry under Dr. George Murray at Massachusetts General Hospital.

Because George had given grand rounds at Temple a year earlier, I knew that besides being a superb psychiatrist he was a Jesuit priest; as was Dr. Ned Cassem, the chief of Psychiatry at the time. By example they showed me that I could be both a Jesuit and a practicing physician.

After Mass General, I spent four years at Dartmouth while discerning whether or not I was being called to the Society of Jesus. Like going to medical school, entering a religious order is not something one takes lightly or does impulsively.

On August 24, 1997, I walked into the novitiate in Jamaica Plain and never looked back.

Q: But why become a priest?

Being a priest requires clarification. I am a Jesuit first and then a priest. The two are separate vocations. Each religious order has a distinct charisma or personality that reflects its founder and members. I was drawn specifically by the Jesuit charisma. When I met the Jesuits, everything fell into place. Medicine is a good analogy.

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half has illustrated that. Officiating at medical student and resident marriages has been a great joy. I’ve done so twice thus far, with several more weddings scheduled in the coming year. The sorrow end of the spectrum has been brutal.

Dr. Siberski’s ordination mass.

before becoming a surgeon or a pediatrician. Like my subspecialty in geriatric psychiatry, priesthood is a vocation within my vocation to the Society of Jesus.

I was happy and fulfilled practicing and teaching at Dartmouth.

The Jesuit concept of the magis explains what brought me to the Society. Magis literally means “the more.” That more always refers to seeking more in one’s relationship with God. Seeking the magis brought me to the Society.

Early in my Jesuit life, friends and strangers asked the kind of “Why?” that implied “did you throw your life away?” Why does a man choose vows of poverty, chastity and obedience? There are more answers than there are Jesuits. Shortly before I entered, a Jesuit friend advised me that “if you stay, your reasons for staying will not be the same as your reasons for entering.” He was correct. I don’t have to stay in the Society; I choose to stay on a daily basis. I stay because I committed myself to the Society, the church, and, in the vow formula, to serving God as a Jesuit and a physician.

I wear a ring that my mother gave me when I pronounced perpetual vows. It is engraved with AMDG, for the Jesuit motto, “Ad Maiorem Dei Gloriam” (to the Greater Glory of God). That summarizes the how, the why, and the reality of being a Jesuit priest and physician.

Q: How do you balance the roles of physician and priest?

None of my roles at Georgetown—dean, professor, priest—is independent of the others. Georgetown is a Jesuit university.

Many medical students come here for that reason. Patient reaction to my being a Jesuit priest-psychiatrist has been positive. In geriatric psychiatry, religious and spiritual concerns are common. Christian and non-Christian patients are willing and eager to discuss the ultimate questions of illness, suffering and death.

In clinic I wear a shirt, tie and white coat. In the Dean’s Office, or while celebrating Mass at the med school and hospital chapels, I wear a black shirt and white clerical collar. It didn’t take long to realize that celebrating Mass, preaching, and hearing confessions are as humbling and demanding as diagnosing and treating illness.

Physicians and priests are involved in some of life’s most joyous moments—delivering or baptizing babies—and most poignant moments, particularly attending at death. This past year and a 10

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My first funeral Mass, at the end of May 2008, was for my roommate at Penn State. More than anything else, Chris’ illness and death brought my two vocations together. When he was diagnosed with cancer every physician synapse in my brain was called into action. It was Dr. Siberski who received the pathology report, made phone calls to physicians, and later sat with his wife as she heard grim news about the rapid progression of the disease. It was Father Jack who sat at Chris’ bedside talking with him when he was awake and praying quietly as he slept.

Twelve days after I last saw Chris in the Mass General ICU, he died. An hour later, his wife called and asked me to celebrate the funeral Mass. After hanging up, I sat down and cried—a physician who had again lost the encounter with death. Preaching the funeral homily was an experience of anguish. Yet a few minutes later during the consecration, I had a mystical experience that was almost frightening—a sense of pure being in which time was suspended with emotions beyond sorrow, joy, or any other affect I can describe. The physician lost the encounter with death; the priest hadn’t.

Q: Is there an intersection between medicine and faith?

There has always been an intersection between medicine and faith. A few millennia ago, priest and physician were synonymous. In many non-Judeo-Christian religions, the shaman or equivalent performs both religious and healing functions. As ethicist David Barnard, PhD, of the University of Pittsburgh writes, “The nature of illness and healing makes it inevitable that physicians will take on ministerial functions in their medical work.” While researching my master’s thesis on healing miracles, I rediscovered Hippocrates’ injunction to physicians, “To cure sometimes, to relieve often, to comfort always.” The ministerial and medical come together in “to comfort.”

As physicians, our most important encounter is with the one who is ill, the one who comes to us with faith in our ability to diagnose and treat that which is making him or her ill. For our part, we cannot function without faith in the body of knowledge we possess and the ministrations we prescribe for our patients.

This type of faith is distinct from but not alien to religious faith.

The two are complementary.

There are 25 Jesuit physicians in the United States and, according to some estimates, about 700 other physicians who are also clerics or monks. We represent what one might call a pragmatic intersection between medicine and faith. There is also significant research in the area of neurotheology that explores the theoretical intersection between the two.

For now the pragmatic trumps the theoretical. Service to the other in distress has always been the call of the physician, as it has been the role of the priest. I’m humbled to be able to move between both of those roles.

THE EVOLVING LANDSCAPE OF SURGICAL EDUCATION B Y J OHN M . D A L Y , M D ’7 3 , DE A N

“It is popularly believed that a surgeon, like a poet or musician, is born, not made; but in reality, every detail of his development is the result of long continued effort and concentrated purpose.”

— EUGENE POOL, MD, PRESIDENTIAL ADDRESS TO THE AMERICAN SURGICAL ASSOCIATION, 1936

During my 35th anniversary class reunion this fall, I found myself at a crossroads when the conversation turned to medicine’s “good old days.”

and technical skills but also embodied the character and ethics trainees were eager to adopt.

I, too, wish that today’s young physicians could experience some of what’s been lost in recent years — for example, the intense camaraderie and mentor-mentee relationships once the hallmarks of residency training. But why look back with sadness when so many exciting concepts, practices and possibilities are coming to the fore?

For more than a century, residencies were characterized by long hours, scut work (a rite of passage), and graded levels of increasing responsibility in the comprehensive care of the surgical patient.

What lies ahead in medicine and medical education is an enormous topic. Lest I begin to write a tome, I will limit my musings to surgery, my own field.

THE WAY WE WERE

Before we launch ahead, let’s take a quick look back. Up through the late 1800s, surgeons learned by apprenticing themselves to masters in order to learn the trade.

Masters, in turn, advanced further by visiting one another’s surgical theaters to learn new skills and techniques.

In 1889, at Johns Hopkins, Dr. William Halsted introduced the concept now known as residency training: a defined training period with graded levels of responsibility in a surgical education program. Thus, the practice of apprenticeship to an individual “master surgeon” evolved into an apprenticeship to an institution where trainees spent long hours taking direction from more advanced surgeons who not only taught diagnostic

LOSSES AND GAINS

The recently mandated maximum 80-hour workweek, however, has made comprehensive, continuous care of individual patients a relic of the past, as residents use shifts, floats and passes to navigate the schedule (sounds a little like football). Moreover, given the pressure on senior surgeons to contribute to the institutional bottom line, there’s less opportunity today for mentoring by master surgeons, who have less time for teaching. Locker room conversations sometimes center more on productivity metrics than on the fine points of the surgical art.

But there’s good news, too. As a result of the weekly 80-hour maximum, young surgeons are much better able to balance family life with career. And with so many attractive things about contemporary surgery, there’s a resurgence in the ranks of medical students opting for surgery careers. Young people are attracted by the decrease in the “boot camp” mentality and the stirrings of competency-based learning. They are attracted

by the way the field will challenge their clinical diagnostic abilities, their technical skills. The very concept whereby surgical intervention leads to a more immediate outcome is quite enticing.

MEDICINE AND SURGERY: CROSSING THE LINE

Just two decades ago, the division between medical and surgical specialties was clear. Today discipline lines are blurred, with multiple specialists treating similar clinical problems. Radiologists place intra-abdominal drains, intrahepatic portal venous shunts, inferior vena cava filters and CVP catheters.

Gastroenterologists remove the appendix through the stomach using a modified gastroscope. Cardiologists place peripheral intra-arterial stents.

As a result of new technologies and procedures, the content and structure of residency and fellowship training programs continue to change. Vascular surgeons, for instance, are being trained to approach vascular disease with traditional surgery as well as with catheter-based therapies.

What’s more, new specialty areas are being developed in response to epidemiologic demand. To fulfill critical shortages affecting the quality of care for trauma victims in this country, for example, the American Society for Surgery of Trauma is developing a paradigm for a new specialty, Acute Care Surgery. This program

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will produce surgeons capable of handling the entire spectrum of emergency surgery, with special skills in critical care, neurosurgery, orthopedic surgery, etc.

With an eye toward producing more well-rounded grads, some institutions and surgical boards are adding courses in social sciences and/or the business of medicine to the residency program.

In the near future, residents may be required to pass competence tests in communication, professionalism, ethics and operative skills, but will progress at their own rates, not specifically dictated by time. Training programs will allow specialization starting in the fourth year. Patient outcomes will be measured in terms of each resident’s status along a continuum of professional, humanistic, clinical and technical benchmarks, with the opportunity to advance related thereto. (A shortcoming of the current system is that clinical assessment of surgical competency is imprecise. Time, not skill, has dominated surgical training schemes.)

SIMULATED AND REAL

A rapidly growing tenet of surgical training is simulation. As part of a competency-based curriculum, simulation allows for practice at the learner’s own pace, with little consequence for failure. Studies show that residents who trained in a virtual reality setting committed fewer errors during an actual laparoscopic cholecystectomy than those trained in traditional environments as measured by observers blinded to the training type.

Computerized simulators give trainees the chance to learn basic skills as well as more complex operations, such as laparoscopic cholecystectomy, fundoplication, hernia repair and intestinal resection. The degree of difficulty can be adjusted, modifications of the normal anatomy are possible, and issues related to judgment—such as when to convert to an open surgical procedure—can be built into the exercise. Some simulators can mimic cardiac, respiratory, vascular and physiologic reactions to surgical and critical care interventions.

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The robotic simulators of tomorrow will be even more lifelike, with organlike tissue consistencies, full haptic sensation, and complete ranges of hand and arm motion. These simulators will precisely record, evaluate and quantitate the surgeon’s movements during procedures. It may well come to pass that surgeons will have to perform at a certain level before being permitted to operate on actual patients.

Information technology is an enormous influence on training and practice. In the near future, medical students and residents will engage in lifelong partnership with an intelligent computer that will serve as a learning tool designed to teach and to assess competency on a repetitive basis. Subject matter will be current to the month with randomized prospective clinical trials at the highest levels.

In the not too distant future, trainees will utilize information technology that integrates the patient’s entire medical record, a universally accessible record that begins at birth with genetic testing.

Like in Star Trek, physicians will use portable hand-held scanners to perform diagnostic tests, but they will always require the clinical experience and judgment to integrate and prioritize testing results.

MORE FUTURISTIC MUSINGS

The surgeon of the future will treat patients with micro-invasive surgery with a combination of intravascular catheterization, sophisticated threedimensional imaging using nanotech-

nology for diagnosis and treatment, as well as internal repair of the organ in question using microlaparoscopic techniques. Surgeons will truly be interventionalists, trained in a variety of disciplines to intervene in a variety of ways.

I believe that the surgeon of the future will lead a balanced career and home life, that patient safety will be paramount, that professional satisfaction will be elevated and doctor-patient relationships will be restored. I believe that someday preventive care and medical insurance will truly be universal, that drugs will be inexpensive, that smoking and obesity will all but disappear. Resistant infectious agents may become the major cause of death.

FUTURE CERTAINTY

Forces beyond our control will determine how the future will actually unfold.

But let us not forget: The spirit of the future is within our grasp each time we examine issues of education, each time we show a resident the correct way to place a stitch, each time we teach a student the best approach to clinical diagnosis.

We shape the future through what we give to those who follow us — the judgment we pass on, the ethics we demonstrate, the caring we show. This holds true for what we teach our patients, too.

No matter what else has been, or what might come to pass, let’s never forget what a wonderful privilege it is to be a physician.

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Personal Perspective TO G I V E A N D TO R EC E I V E : TH O U G HT S O F A R EC I P I E NT

BY JOHN M. DALY, MD ’73

In 1985, after donating a unit of blood during a blood drive, I learned that I was Hepatitis-C positive. It was bad news, of course, but I can’t say it was really a surprise. During my surgical training in Houston in the 1970s, I had been “stuck” numerous times.

In those days, blood on a gown in the trauma center was a badge of courage.

Moreover, sharps precautions in the operating rooms and in the hospital were far less stringent than today. In point of fact, we routinely used wire suture for abdominal closures. Wire is nonreactive to patient’s healing tissues but readily cuts through the gloves and skin of the surgeon tying it.

After learning that I had become Hepatitis-C positive, the next 18 years of my life were peppered with various clinical trials with drugs such as interferon in different doses, pegylated interferon and pegylated interferon in combination with ribovarin.

I kept working, and Mary and I raised six children, but I felt as though I had a systemic viral infection with fever, chills and body aches that would not go away.

In 2001, I learned I had developed hepatocellular carcinoma.

I was treated with chemoembolization and radio-frequency ablation. I was working at Cornell at the time and would occasionally lecture on hepatocellular and metastatic cancer, knowing all the while that I was not Prometheus, the Greek god whose liver was eaten by an eagle and regenerated, only to be eaten again daily for eternity. My liver would not regenerate.

Indeed both my liver and I were deteriorating. But my hopes and ambitions — for my family and for my work as dean and physician continued unabated.

In 2002, thousands of individuals died waiting for a liver transplant. That is the year I came to Temple as dean. The following year I was put on the transplant waiting list and ultimately received a new liver.

The call from the transplant unit came to me at home on a Saturday night at 8 o’clock. “Do you want to accept a liver transplant?” the voice said.

I hesitated for a few seconds (it seemed an eternity) and said “yes.” Then I called upstairs to my wife. When she saw my face, she knew. We hugged for a while, and we cried. On the ride to the hospital, little was said.

The events surrounding my surgery and recovery are somewhat blurred, but many things stand out. The operating room was cold, but a nurse saw me shivering and gave me some warm blankets. I do not know her, but think of her often and follow her example by keeping patients warm in all of our hospital environments where I can.

The surgical resident who seamlessly removed my nasogastric tube became my new best friend, but the poor intern who removed my first drain had me lifting off the bed in pain. He used some lidocaine for the next tube removal and I was grateful. The removal of my Foley catheter was a most interesting event—and became more interesting seven hours later when the nurse said I had one more hour left to urinate on my own before she would replace the catheter. Standing and listening to water running in the sink were ineffective, so I did the next best thing. When she returned to determine the status of my plumbing, I lied. Relieving the stress of the situation ultimately led to relieving my bladder.

The nurses seemed to come to check my vital signs every time I fell asleep. The fellows and residents were in at 6 a.m., looking, listening, palpating. The attendings came in the afternoon on rounds with six to eight others in tow. They were great about answering my questions and calming my fears.

On the second day post-op, I started walking the halls.

Hospitals are for sick people, and I was determined not to be sick. On the fourth day, Temple’s president, David Adamany, visited me. I didn’t want him to see the ascites leaking through my hospital gown, but I was very impressed that he would take the time to come visit me. He told me to take whatever time I needed to recover, but I needed to get back to work, back to life.

On day five, at least partly due to my cajoling, I was released.

And I was grateful to be alive.

A year after my transplant, I received a letter from my donor’s mother. She told me about her son. I cried when I read it. I wrote back to her and cried some more. I will always wonder about that young man and his family, about the future he might have had. Why had he died? Why was I still alive?

The greatest injustice is that so many individuals with severe liver disease wait and so few gain the “gift of life” from organ donation. So I donate money, I run the 5K races for donor awareness. I speak to patient’s families and to our legislators to continued on page 30 P E R S O N A L

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Announcing the Keystone Institute for Translational Medicine at Temple people to engage in healthy lifestyles,” says Dr. Coico.

Three major themes underlie KITM’s mission. “First we recognize that health status is the product of complex multilevel processes that involve genetic and epigenetic determinants, social factors, and individual behavior,” says Dr. Coico.

Temple University, the Fox Chase Cancer Center, and the Geisinger Clinic (Danville, Pa.) announce the creation of the Keystone Institute for Translational Medicine at Temple University (KITM).

The creation of this institute reflects Temple’s number one research priority: shepherding biomedical discoveries into clinical application.

Through KITM, scientists, physicians and students from all three institutions will form multidisciplinary teams to translate research discoveries into clinical practice. The areas they will focus on include autoimmunity, pulmonary and critical care medicine, cardiovascular and thrombosis research, obesity research, cancer research, and drugs of abuse and their consequences.

“The goal of KITM’s work is to conduct research aimed at reducing the prevalence of at-risk lifestyles — and the incidence and severity of diseases associated with them,” says Richard Coico, PhD, senior associate dean for research and executive associate vice president for research and strategic planning.

KITM will advance a “healthy people, healthy communities” program by spearheading research regarding the social, behavioral and genetic mediators of atrisk lifestyles and related diseases in order to deploy effective prevention and treatment modalities.

“Our goal is to translate research into practice in order to motivate

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“Second, because individuals are the primary caretakers of their health, we believe that an individual, patientcentric approach to health is essential,” he says. “Third, we believe that participation in research is a natural extension of healthcare and community life, reflecting the central role of the individual and community in creating sustainable healthcare solutions.”

Given the critical links among social stressors (such as poverty, unemployment and violence) and the behavioral determinants of health (such as dietary habits, tobacco, and alcohol and drug use), KITM will develop new approaches to health improvement — fully recognizing the importance of engaging communities as partners in creating sustainable solutions.

Another part of KITM’s mission is professional education. “We will take a lead role in clinical and translational science education and research training to enhance the skills of professionals currently working in the field and to train future generations,” say Dr. Coico.

“Temple, Fox Chase, and Geisinger each have significant intellectual capital and world-class expertise in areas such as behavioral health, social psychology, social networking, information technology, medical informatics, health services research, and health outcomes,” says Dr. Coico. “Collectively, via KITM, our horsepower will be nothing short of transformative.”

New 3-Tesla MRI: A First in Pennsylvania Temple has acquired a Verio 3-Tesla MRI, the first of its kind installed in Pennsylvania.

With twice the magnetic field power of Temple’s prior scanners, the 3T produces state-of-the-art definition — sharp, clear images for both static and functional imaging.

Particularly useful for neurological evaluations, orthopaedic assessments and breast imaging, the 3T MRI is also adept at monitoring the delicate workings of the heart.

In addition, the scanner’s wider bore better accommodates patients who have traditionally been difficult to image — such as obese patients and those with claustrophobia.

In addition to its diagnostic advantages, this next-generation technology opens doors to advanced research opportunities.

“For example, the 3T lets us look at the activity in the brain in real time and utilize that information almost immediately” says Charles Jungreis, MD, chair of radiology.

Numerous faculty from throughout Temple will use the 3T in their research programs, and it will also be used in patient care.

Gerry Stafantos, DPhil, and Feroze Mohamed, PhD, use the new technology in a research program localizing language areas in the brain. When the subject names an image, the investigators can see the brain areas involved in word retrieval.

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Faculty News Calvin Johnson, MD, MPH, has been appointed vice president and chief medical officer for Temple University Health System (TUHS). He will serve in this position concurrent with his role as Secretary of Health for the Commonwealth of Pennsylvania, an appointment made in 2003 by Governor Ed Rendell.

As VP and chief medical officer, Dr. Johnson will be responsible for providing vision and leadership for the development and implementation of quality initiatives at all TUHS hospitals and facilities. He will assume system-wide responsibility for all patient-safety, infection control/ prevention, and other key programs and initiatives connected with clinical outcomes and patient satisfaction. He will also work to increase community outreach and public health programs.

A board-certified pediatrician, Dr. Johnson earned both his medical and Master of Public Health degrees from Johns Hopkins. In 1999, he was appointed assistant professor in the Department of Pediatrics at Temple University School of Medicine — a faculty position he continues to hold.

Serving as an officer of Temple’s health system “will give me the opportunity to apply my clinical and administrative experience in a focused way to help protect and improve the health of those that Temple serves and help meet the present and future challenges of one of the nation’s leading academic medical centers,” Dr. Johnson said.

José Missri, MD, has joined the Temple faculty as professor and chief of Cardiovascular Medicine. He comes to Temple from the University of Connecticut School of Medicine, where he was professor of clinical medicine, chair of Cardiovascular Medicine, and senior

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vice president/chief medical officer at St. Vincent’s Medical Center in Bridgeport.

An expert in cardiac ultrasound and Doppler echocardiography, Dr. Missri has written four textbooks including Transesophageal Echocardiography: Clinical and Intraoperative Applications (Churchill Livingston, New York, 1993).

Board-certified in internal medicine and cardiology, he is a fellow of the American College of Cardiology, the American College of Chest Physicians, and the Council on Clinical Cardiology of the American Heart Association. He is listed as one of “America’s Top Doctors” by the Consumer Research Council of America, and has earned many honors and awards, including St. Vincent’s Medical Center’s Attending Teacher of the Year Award (2004).

Dr. Missri plans to expand Temple’s cardiovascular program and recruit the clinical and research faculty in key specialty areas — including heart failure and electrophysiology.

Temple Top Docs Fifty Temple faculty, including numerous alumni, are listed in the 2007– 08 edition of the Best Doctors in America: Paul Bandini, MD (Gastroenterology); Steven Berney, MD (Rheumatology); Martin Black, MD (Hepatology); Guenther Boden, MD (Endocrinology/ Metabolism); Alfred Bove, MD ’66, PhD ’70 (Cardiovascular Disease); Michael Bromberg, MD (Medical Oncology/ Hematology); Ashwin Chatwani, MD (Ob/Gyn); Gerard Criner, MD ’79 (Critical Care Medicine/Pulmonary Medicine); Ernesto Cruz, MD (PM&R); Gilbert D’Alonzo, DO (Pulmonary Medicine/Critical Care Medicine); Daniel Dempsey, MD (Surgery/ Surgical Oncology); William Dubin, MD (Psychiatry); Robert Emmons, MD (Medical Oncology/Hematology);

Barry Evans, MD (Pediatric Specialist); Robert Fisher, MD (Gastroenterology); Claro Floro, MD (Ob/Gyn); Frank Friedenberg, MD (Gastroenterology); Satoshi Furukawa, MD (Thoracic Surgery); Amy Goldberg, MD (Surgery); Harsh Grewal, MD (Pediatric Specialist); Sean Harbison, MD ’86 (Surgery); Glenn Isaacson, MD (Pediatric Specialist); Mercedes Jacobson, MD (Neurology); Charles Jungreis, MD (Radiology); Lawrence Kaplan, MD ’86 (Internal Medicine) Thomas Klumpp, MD (Medical Oncology/ Hematology); Benjamin Krevsky, MD (Gastroenterology); Tim Lachman, MD (Neurology); Christopher Loftus, MD (Neurological Surgery); Bennett Lorber, MD (Infectious Disease); Jack Jallo, MD (Neurological Surgery/Critical Care Medicine); Ian Maitin, MD (PM&R);

Kenneth Mangan, MD (Medical Oncology/Hematology); Alan Maurer, MD ’75 (Nuclear Medicine); James McClurken, MD ’76 (Thoracic Surgery); Larry Miller, MD (Gastroenterology); Ray Moyer, MD-Res ’76 (Orthopaedic Surgery); Henry Parkman, MD (Gastroenterology); Stephen Permut, MD ’72 (Family Medicine); Michel Pontari, MD (Urology); A. Koneti Rao, MD (Medical Oncology/Hematology); Joel Richter, MD (Gastroenterology); Andrew Roberts, MD (Vascular Surgery); John Rombeau, MD (Colon and Rectal Surgery); Ronald Rubin, MD ’72 (Medical Oncology/ Hematology); Ellen Tedaldi, MD (Internal Medicine); Colleen Veloski, MD (Internal Medicine); Michael Weinik, MD (PM&R); F. Todd Wetzel, MD (Orthopaedic Surgery)

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Update: Center for Minority Health and Health Disparities

Ala Frey, MD

Excellent progress is being made at Temple’s Center for Minority Health and Health Disparities (CMHHD), one of the School of Medicine’s newest research centers.

Under the direction of Ala Stanford Frey, MD, assistant professor (adjunct), pediatric surgery, the center has defined its mission, established a set of goals, created an operational structure to support its work, and established both internal and external advisory boards composed of key stakeholders. In addition, the Center has submitted a proposal to the National Center for Minority Health and Health Disparities for a five-year P20 award as an Exploratory Center of Excellence. The principal investigator is Raul DeLa Cadena, MD, director of TUSM’s Recruitment, Admissions and Retention Program for minorities underrepresented in medicine.

CMHHD’s mission is to promote access to healthcare for minorities and to reduce and ultimately eliminate health disparities. “We envision an America in which all populations have an equal opportunity to live long, healthy and productive lives,” says Dr. Frey.

To work toward this vision, CMHHD will utilize a coordinated, multi-level approach and cultivate a range of partnerships within the university and throughout the community.

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CMHHD has developed a detailed roster of goals. Among them are to serve as a community partner and resource for disease prevention and health promotion; to increase the number of African-Americans and Latinos who pursue careers in the medical field; to promote and conduct community-based research projects and health disparity research programs and translate findings into clinical interventions and best practices; and to build the capacity of North Philadelphia community-based health programs by serving as a partner and resource for disease prevention and health promotion.

“CMHHD is committed to increasing access to quality medical care and supporting the healthy development of vulnerable and underserved communities,” says Dr. Frey. To this end, the center is structured with three cores: a research core to examine health disparities and oversee the dissemination of health disparity research; a community core to facilitate community engagement; and a training core to provide education to faculty and mentoring opportunities for junior faculty, graduate and undergraduate students.

Advisory boards, both internal and external to Temple, are a key aspect of the Center’s operations and short- and long-range planning efforts.

The external board, composed of local physicians and corporate and governmental representatives, critiques the Center’s work, identifies fundraising opportunities, and advises TUSM on how better to reach out to the community. The internal board, composed of faculty and administrators from throughout the university, identifies existing Temple health disparities initiatives and facilitates interdisciplinary research.

Racial and Gender Differences in HIV Drug Side Effects

Ellen Tedaldi, MD

Certain HIV drug side effects are more pronounced in African-Americans and women, TUSM researchers reported in one of the first clinical trials of HIV drug therapy to include significant numbers of racial and ethnic minorities and women.

According to lead author Ellen Tedaldi, MD, professor of medicine and director of the comprehensive HIV program at Temple, the most surprising finding was the high number of adverse psychiatric affects in African-American men (2.45 times higher than in men of other races).

Additionally, there were more cardiovascular and kidney side effects (2.64 and 3.83 times more, respectively) among all African-Americans, and 2.34 times more anemia in women.

“The population impacted most by HIV in the U.S. is African-American and Latino, a group known to have healthcare disparities overall,” says Dr. Tedaldi.

“When you add HIV, with its impact on immune function, and socioeconomic and environmental conditions like poverty, poor nutrition and stress, it all contributes to worse health outcomes and a predisposition to some of these disparities.”

“We need to get HIV patients identified sooner to minimize these adverse events and work on other factors that lead to disparities to prevent the long-term complications of cardiovascular and renal disease,” says Dr. Tedaldi.

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Novel Protein May Have Role in Leukemia Treatment Angiocidin, a tumor-inhibiting novel protein discovered by George Tuszynski, PhD, professor of neuroscience and professor of biology at Temple, may have a role in treating leukemia.

“Angiocidin has a lot of anti-cancer activity and inhibits angiogenesis, a physiological process involving the growth of new blood vessels from preexisting vessels, a fundamental step in the transition of tumors from a dormant to a malignant state,” said Dr. Tuszynski, who is also a member of the Sol Sherry Thrombosis Research Center at Temple.

Over the years, researchers had looked at the protein’s effect on solid tumors like breast cancer, prostate cancer and colon cancer. “All of these cancers are inhibited

by Angiocidin since its protein inhibits vascularization,” says Dr. Tuszynski. “We then decided to see if Angiocidin had

any effect on hematologic malignancy, and we chose leukemia.”

Leukemia cells arise from monocytes, white blood cells that protect against bloodborne pathogens and move quickly to sites of infection. As monocytes enter tissue, they undergo a series of changes to become macrophages.

“Angiocidin induced a differentiation of monocytic leukemia cells into a normal, macrophage-like phenotype, indicating perhaps a new therapeutic application for this protein,” said Dr. Tuszynski.

Angiocidin’s capacity to differentiate hematologic malignancies into a normallike state allows for chemotherapy.

However, Angiocidin must remain present with the differentiated cells or they will revert back to their leukemia phenotype.

“We haven’t repaired the genetic abnormality in the cell, but we have pushed

them into a more normal phenotype that can be treated more easily,” he explains, noting that the research also demonstrated Angiocidin’s ability to stimulate the body’s immune system by differentiating monocytic cells into macrophages, which function to ingest bacteria and protein debris as part of the immune system.

“Gene array analysis of the differentiated versus the undifferentiated cells indicated that there were many genes characteristic of immune cells that were up-regulated in the differentiated leukemia cells,” he said. “Angiocidin’s ability to stimulate differentiation and stimulate the immune system is a discovery we had not anticipated,” he says.

The research, funded both by NIH and Temple, was published in the July 15 issue of Cancer Research.

Mapping Misperceptions About Colonoscopy preventive health action. Therefore, the first step was to look at the latest on African-American’s perceptions about colon cancer and colonoscopy, as well as the success rates of different attempts to increase utilization of colonoscopy within this population sector.

Stephanie Ward, MD, MPH

African-Americans are at greater risk of colon cancer, yet colonoscopy is significantly underutilized by this population.

A team of Temple researchers wants to see if certain messages (customized to address specific fears, concerns and misperceptions) might persuade more African-Americans to undergo the screening test.

Perception of risk is a driving force in a patient’s decision to undertake

The research team, led by Stephanie Ward, MD, MPH, assistant professor of medicine and public health at Temple, found that the most common barriers include lack of awareness about increased risk; fear of the results, or that the test will be painful; mistrust of the healthcare system; and poor access to healthcare.

The researchers plan to create new messages and an interactive online decision aid designed to alter patients’ misperceptions about colon cancer and colonoscopy. Research indicates that such tools reduce patients’ uncertainty about making medical decisions. These multimedia interventions can reach more people faster, to help increase rates of screening.

Researchers found that interventions targeted to individual patients and clinicians led to small increases in rates of colonoscopy. Interventions that targeted larger communities did increase knowledge about colon cancer risk and screening, but not actual screening rates.

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Biomarker May Signal HIV Progression

Jay Rappaport, MD

Jay Rappaport, PhD, professor of neuroscience and neurovirology at Temple, may have found a blood marker that denotes the progression of the human immunodeficiency virus (HIV).

According to a study published in a recent issue of AIDS Research and Human Retroviruses, Dr. Rappaport and colleagues found an increase in the CD163+/CD16+ monocyte subset may coincide with the advancement of HIV. “Based on these correlations, it looks like that this particular cell type may be involved in immune impairment and the progression of HIV,” says Dr. Rappaport. “Is it a good prognostic indicator? If you have a lot of these monocytes, does it mean you are going to progress into AIDS faster? Right now, all we know is what the correlations are.”

Monocytes are a specific type of white blood cell that protects against bloodborne pathogens, moving quickly to sites of infection. As monocytes enter tissue, they undergo a series of changes.

Dr. Rappaport’s team investigated these alterations by examining 18 patients with HIV and seven individuals without HIV. They found that patients with detectable virus had an increase of this monocyte subset that correlated with the amount of virus they had in their blood. In fact they were surprised to find that in patients with CD4+ T-cell counts of less than 450 cells per microliter [200 or less per microliter is defined as AIDS], the increase of this monocyte subset correlated inversely with the number of T-cells. This finding suggests that as the monocyte cells are increasing, patients are losing CD4+ T-cells, which are critical for maintaining the immune system. This biomarker may actually provide an earlier window into what is happening with HIV-infected patients, indicating what immune impairment is taking place prior to a dramatic loss of CD4+ T-cells.

The researchers intend to follow a cohort of patients over time to see if their findings can provide an “early warning system” and help lead to better therapeutic strategies.

Scientists Pinpoint Protein Function For the first time, researchers are reporting on the function of the Acinus-S’ protein as it relates to gene expression. Acinus-S’ binds to and represses the activity of retinoic acid receptors. Lead researcher Dianne Soprano, PhD, professor of biochemistry at Temple, hopes that the protein could one day be used to modulate the expression of genes regulated by retinoic acid, the active form of vitamin A. Retinoic acid receptors mediate the actions of vitamin A. While necessary for many critical biological functions in adults, children and embryos, too much vitamin A leads to abnormal gene expression and unwanted side effects (for example, high levels during pregnancy can result in congenital defects).

“Other synthetic retinoic acid-like molecules are already used for treating skin diseases such as acne and psoriasis, and are in clinical trials for certain types of cancer,” says Dr. Soprano. “But we don’t know exactly how they act, and there are dangerous side effects. As we better understand this protein and its function, we could potentially modulate Acinus-S’ levels in people taking retinoic acid-like drugs or have an imbalance in naturally occurring retinoic acid.”

The researchers will further elucidate the mechanism by which the protein regulates gene expression. This study was supported by NIH and the Pennsylvania Department of Health.

Temple Ranked Among Best in America for Respiratory Disorders

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Temple has been ranked again as one of the nation’s top hospitals for respiratory disorders by U.S.News & World Report in its 2008 “America’s Best Hospitals” guide.

from U.S.News & World Report say we’re achieving that goal,” said Gerard J. Criner, MD ’79, professor of medicine and director of the Division of Pulmonology and Critical Care Medicine at Temple.

“Temple Lung Center’s mission is to provide excellent and innovative care for patients with the most challenging forms of pulmonary disease using cutting-edge clinical care and research. The rankings

The Temple Lung Center uses a comprehensive and multidisciplinary approach to treat all forms of respiratory disorders — from mild to the most severe forms of breathing conditions.

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Temple is noted for its specialized programs for advanced COPD, pulmonary fibrosis, pulmonary hypertension, respiratory failure and lung transplantation. Temple is currently one of the top lung transplant centers in the United States, nationally renowned for its superior clinical outcomes, especially in the specialized areas of mechanical ventilation, pulmonary fibrosis, COPD and respiratory failure.

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Temple Bariatric Surgery Program Commendations Temple has been named a Blue Distinction Center for Bariatric Surgery by Independence Blue Cross and an American Society for Metabolic and Bariatric Surgery (ASMBS) Center of Excellence. Both designations followed rigorous evaluations of the program and patient outcomes.

Temple offers all forms of weight-loss surgery, including open and laparoscopic gastric bypass, laparoscopic adjustable gastric banding (LAP-BAND®) and revisional surgical procedures. It is one of the busiest in the region, having performed more than 1,400 bariatric procedures in its dedicated surgical unit.

“Due to the increasing prevalence of morbid obesity and the inherent health risks, there is a real need for this kind of surgery, and we are proud to be able to provide excellent surgical care in this evolving field,” says John Meilahn, MD, professor of surgery and director of Bariatric Surgery at Temple.

A new recognition society for Temple medical students and faculty mentors, the Sol Sherry Medical Education Honor Society, has been created by Darilyn Moyer, MD, professor of medicine, and colleagues in the Department of Medicine.

To join the society, third- and fourthyear students choose a case they had during their medicine clerkship rotation and work with a faculty or resident mentor to develop it in a case-and-question narrative similar to that of the What’s The “Take Home” series in Consultant, edited by Ronald Rubin, MD ’72, professor of medicine.

Once completed to the satisfaction of the faculty or resident mentor, the cases are posted on a web-based teaching module that will grow over time to create a broad range of learning opportunities for future third-year students on the Internal Medicine clerkship. At the end of each academic year, a banquet will be held to recognize student contributors as well as their mentors.

Sol Sherry, MD, joined Temple as chair of Medicine at Temple in 1968. In 1970, he founded the specialized Center for Thrombosis Research now named in his honor, the largest of its kind in the United States. He served as dean at TUSM from 1984 to 1986.

Obesity has become a significant national health issue, with the Centers for Disease Control and Prevention reporting that 66% of all U.S. adults are overweight or obese. Morbid obesity is closely correlated with a number of serious conditions, including heart disease, high blood pressure, diabetes and metabolic syndrome.

Studies demonstrate that only 5% of morbidly obese patients can achieve long-term weight loss using diet and exercise alone.

According to the NIH, bariatric surgery is the only long-term effective therapy for morbid obesity and its complications. Patients considered morbidly obese (body mass index greater than 40) or those with co-morbidities (with a body mass index over 35) are candidates for bariatric surgery.

In Brief • David Baron, DO, chair of Psychiatry at Temple, served as scientific program director for this year’s American Psychiatric Association meeting, the largest psychiatry meeting in the world.

• Temple is the only institution in the Philadelphia region to participate in a threeyear National Institute of Child Health and Human Development study regarding the effect of administering citicoline, a promising, naturally occurring human compound, to patients who have suffered mild, moderate or severe traumatic brain injury. “This is one of the only new head injury trials on the horizon,” says Jack Jallo, MD, professor of neurosurgery, principal investigator at Temple.

According to the clinical network’s web site, the clinical centers represent premier institutions in TBI medicine with track records of excellence in clinical research.

• William VanDecker, MD, professor of medicine and director of the Cardiology Fellowship and Nuclear Cardiology programs at Temple, has been named president of the American Society of Nuclear Cardiology.

• The Department of Orthopaedic Surgery at Temple has founded the Temple Hand Center to provide comprehensive care for disorders of the hand, wrist, elbow and arm for adults, adolescents, children and newborns. The Center offers the latest therapeutic and surgical techniques for the upper extremity, including microsurgery, peripheral nerve surgery, and complex reconstructive procedures.

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ALU M NI AND FACU LT Y

Honors and Awards Seven alumni were honored by the School of Medicine and its Alumni Association for their contributions to medicine and to Temple during the School of Medicine’s reunion celebration in Philadelphia in October: two from the Class of 1973 (John Daly and John Harding), one from the Class of 1968 (Richard Scott), two from the Class of 1963 (Eugene Kern and Daniel Nesi) and two from the Class of 1998 (Vince Moss and Vance Moss): JOHN DALY NAMED ALUMNUS OF THE YEAR

This year—as a surprise — the association gave its top honor, the Laughlin Alumnus of the Year Award, to TUSM Dean John M. Daly, MD ’73.

“We surprised him because we knew he would have insisted the award be given to someone else,” says Audrey Uknis, MD ’87, professor of medicine at Temple and president of the Alumni Association. So we did what any red-blooded group of fans would do: We fibbed. We told him that Charles Shuman, MD ’43, was our top honoree, who, in fact, was TUSM’s alumnus of the year in 1978. Thank you, Sugar Charlie, for being part of the ruse.”

An internationally renowned oncologic surgeon, author, researcher and academician, John M. Daly, MD, FACS, FRCPS (Hon. Glasg.) became dean of Temple University School of Medicine in 2002.

Dr. Daly has brought a wealth of experience to Temple— academic, clinical, executive and human. Prior to joining Temple, he was the Lewis Atterbury Stimson professor and chair of the Department of Surgery at the Weill Medical College of Cornell University, and New York Presbyterian Hospital’s surgeon-in-chief. Before that, he was the Jonathan E. Rhoads Professor of Surgery and chief of surgical oncology at the Hospital of the University of Pennsylvania. He has served as an invited lecturer and visiting professor at Harvard, the Royal Academy of Medicine, and other leading academic medical centers around the globe.

A prolific researcher and author, Dr. Daly has 368 publications to his credit, including several books, such as Surgical Oncology, Contemporary Principles & Practices (Bland, Daly, Karakousis, McGraw-Hill, 2001). He is editor-in-chief of Contemporary

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Surgery, editor of Current Surgery, and is a past editor and/or current editorial board member of Surgery and a dozen other leading journals. He has served as principal investigator on numerous NIH research grants.

Dr. Daly has been president of numerous organizations, including the Society of Surgical Oncology, and has served on governance boards of the American Board of Surgery, the American College of Surgeons, the Association of American Medical Colleges, and two dozen other professional associations.

Dr. Daly’s skills as an administrator complement his indepth knowledge of medical education. He knows a great deal about the complex business of medicine and is fluent in issues ranges from healthcare financing to public policy and long-range planning.

Over the years, he has received numerous awards for teaching, research and practice, and he has been named in dozens of “best” lists — Best Doctors in Philadelphia, Best Doctors in America, Best Doctors in New York, Top Cancer Doctors in New York City, Best Doctors in New York, The 318 Top Cancer Specialists for Women, etc.

“Dr. Daly is truly impressive in many regards,” says Dr. Uknis.

“And his contribution to Temple is enormous.” He orchestrated the largest building project in university history, made an unprecedented investment in the school’s research enterprise, and has led the effort to renew its curriculum, expand its faculty and affiliations, and improve its alumni relations program. He has even become a major benefactor in his own regard, with the establishment of the John and Mary Daly Scholarship Fund, among many other gifts. And through all the growth and change, Dr. Daly has been careful to preserve the school’s collegial essence and identity.

As a dean looks to the future, he must hold its people, its history and rich traditions, in high esteem. Temple has that and so much more in John Daly.

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KERN RECEIVES ALUMNI ACHIEVEMENT AWARD

Eugene Kern, MD ’63, an internationally known expert in disorders of the nose and paranasal sinus, received TUSM’s 2008 Alumni Achievement Award for his many contributions to medicine.

The emeritus George and Edna Endicott Professor of Medicine and emeritus professor of otorhinolaryngology and facial plastic surgery at the Mayo Clinic and College of Medicine (Rochester, Minn.), Dr. Kern is now professor of otorhinolaryngology at the University of Buffalo and visiting professor at the New York Eye and Ear Infirmary.

A world-class expert in his field, Dr. Kern is a mentor to physicians from all over the world and an outstanding investigator in nasal physiology. He and his Mayo Clinic colleagues are best known for identifying an immune system response to fungus as the prime culprit in chronic rhinosinusitis 1999, the most common chronic condition in the United States, with an estimated 37 million sufferers. This was truly a paradigm shift, as it had been assumed that unresolved viral and/ or bacterial acute sinusitis was the root cause — until 1999, when Dr. Kern and colleagues found fungus (40 different types) in the mucus of 96% of patients with chronic sinusitis.

Their research revealed a new etiology: a disease process in which the eosinophils sent by the immune system to attack fungi release a protein toxic to nasal and sinus membranes.

This breakthrough opened the door to the first effective treatment for CRS. As Dr. Kern said, “We can now treat the cause of the problem instead of the symptoms.”

Dr. Kern is also well-known for coining the term Empty Nose Syndrome (ENS) to describe a condition among patients who had undergone aggressive resections of their inferior or middle turbinates who developed symptoms of nasal obstruction and shortness of breath, despite their openness. The CT scans of such patients show abnormally wide, empty-looking nasal cavities. ENS is a debilitating condition as good nasal function is crucial for proper lung function, cognitive function, and sense of well-being. As a result, Dr. Kern is a strong advocate of preserving or restoring as much structure and function as possible whenever surgery is indicated.

Dr. Kern has authored more than 200 articles and three textbooks, including Essential Surgical Skills (WB Saunders/ Elsevier, 2004). He has received numerous awards for research, teaching and excellence in patient care, including the Mayo Clinic Teacher of the Year award. He lectures and teaches all over the world.

Well versed in the arts, history and the humanities, Dr. Kern is a playwright whose work has been performed in New York City. He is also an athlete and ran in the 2007 Boston Marathon for the Massachusetts Ear and Eye Infirmary team. “Do good, be kind, have fun.” That’s Dr. Kern’s motto.

“GENE KERN HAS LEFT HIS MARK,” SAYS KERRY OLSEN, MD, OF THE MAYO CLINIC. “HE IS A MAN OF UNLIMITED ENERGY AND ENTHUSIASM WHO IS LOVED BY ALL WHO KNOW HIM, AND RIGHTLY SO.”

REIDENBERG RECEIVES HIGH ASCPT HONOR

Marcus Reidenberg, MD ’58, assistant dean and professor of pharmacology, medicine and public health at Weill Medical College of Cornell University, received the American Society for Clinical Pharmacology and Therapeutics (ASCPT) 2008 Oscar B. Hunter Memorial Award for outstanding lifetime contributions to clinical pharmacology and therapeutics. A former Temple faculty member and recipient of TUSM’s 2001 alumni achievement award, Dr. Reidenberg has made significant contributions to drug research, patient care and teaching. He has received numerous honors, including the 1999 American Society for Pharmacology and Experimental Therapeutics Harry Gold Award for Research and Teaching Excellence in Clinical Pharmacology. In 1993, the New York HospitalCornell Medical Center established the Marcus M. Reidenberg Gateways to Science Program to provide minority college students with summer research opportunities. Dr. Reidenberg is former editor of Clinical Pharmacology and Therapeutics and has been a member of the World Health Organization’s Expert Panel on the Selection and Use of Essential Medicines since 1989. He is a past president of the ASCPT and has served in many leadership capacities during the last 40 years.

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HARDING RECEIVES HONORED PROFESSOR AWARD

The 2008 Honored Professor Award was presented to John Harding, MD ’73, professor of psychiatry and co-director of Temple’s psychiatry clerkship, who has devoted his entire career to Temple. He’s served in a number of roles over the years and was section chief of the consultation-liaison service from 1978 to 2000.

“John Harding is a superior clinician-educator,” says Audrey Uknis, MD ’87, Alumni Association president.

HE HAS MADE A LASTING IMPRESSION ON THOUSANDS OF MEDICAL STUDENTS, RESIDENTS AND COLLEAGUES. Several themes emerge when colleagues and students describe what makes Dr. Harding such a popular and effective educator: He’s full of vitality, and generous with his time and attention.

He sets the bar high for standards in education and patient care.

He has an uncanny ability to tailor his approach to learners at all levels, from novice to advanced, making specific critiques that enable trainees to improve on their techniques.

Ruth Lambdan, MD, professor of psychiatry and longtime Temple colleague, says that Dr. Harding has a passion for knowledge. He loves to obtain it, share it, use it. “It’s an

imperative he commits to personally and transmits to his students,” she says. “He believes his patients and students deserve the best.”

Anthony Denato, MD, a colleague at the Reading Hospital and Medical Center, reflects on Dr. Harding’s intelligence and keen insight.

“Time and time again, we’ve seen him unearth something about a patient we thought we’d covered all bases with,” says Dr. Denato. “He’s seen it all, done it all, and is incredibly humble. John Harding is on my list of top ten coolest docs.”

“He was quite simply the best teaching physician I have worked with,” said a medical student last semester. “In no other rotation were our interviews watched and critiqued with such truly helpful input from the attending.”

“Spending time with Dr. Harding was the best educational experience I have had,” said another student. He taught us skills that will be useful regardless of what field of medicine we go into. I feel more confident in my clinical abilities than ever before. It was a pure joy to work with Dr. Harding.”

Dr. Harding has been recognized with numerous awards and honors, among them the Lindback Award for Distinguished Teaching and American Psychiatric Foundation Nancy Roeske Award for Excellence in Medical Student Education. His publication and lecture topics range from the medicine-psychiatry interface to psychopharmacology in pregnancy and lactation.

Active and engaged in departmental, school, hospital and university affairs, Dr. Harding has served on the faculty senate, curriculum review committee, and many others panels and groups.

His son John, a cardiologist, is a TUSM alumnus as well, Class of 2000.

FINE RECEIVES TOP AST HONOR

Richard Fine, MD ’62, TUSM’s 2007 Alumnus of the Year, has received the highest honor conferred by the American Society of Transplantation (AST), the Ernest Hodge Distinguished Achievement Award, which recognizes a senior investigator whose lifelong work has advanced the field of transplantation medicine. Dean of the School of Medicine at the State University of New York at Stony Brook, Dr. Fine has distinguished himself in pediatric and transplant nephrology. In the 1970s and ’80s, he made seminal contributions to the field on topics ranging from immunosuppression to post-transplant complications to growth problems related to renal insufficiency and the use of human growth hormones as an effective treatment. In 2003, Dr. Fine won the American Academy of Pediatrics Henry L. Barnett Award for Outstanding Teaching and Clinical Care for Children with Kidney Disease. He has served as editor of Pediatric Transplantation since 1997, and is a past president of the American Society for Pediatric Nephrology. He has served the AST as president, secretary-treasurer and councilor-at-large.

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HUMANISM IN MEDICINE AWARDS FOR MOSS AND MOSS

Undeterred, the Mosses hired their own intelligence and security, bought their own medical supplies, and chartered their own plane. Altogether they spent nine months in Afghanistan on two different missions. As they traveled through the country, word spread from village to village that Dogonogay (Farsi for “same-face healers”) were there to tend to the sick and injured.

It was not uncommon for barefoot children to follow their convoy. Wherever they went, “all of these people lined up,” Vince said. “Dozens and dozens. It seemed like hundreds.”

With no U.S. military protection, the brothers maneuvered as civilians, treating as many people as possible. They worked in caves, bombed-out buildings, makeshift tents, even in the dark by flashlight. Sometimes they were fortunate enough to find medical facilities, but most were dirty and poorly equipped.

TUSM presented 2008 Humanism in Medicine Awards to Vince Moss, MD ’98, and Vance Moss, MD ’98, identical twins celebrating the tenth anniversary of their graduation.

Last February, the Moss brothers, both majors in the U.S. Army, were named ABC World News “Persons of the Week.”

They have been recognized by numerous organizations for their heroic efforts to provide medical care to Afghan civilians — during their off-duty time at their own cost.

In addition to one active tour of duty with the U.S. Army Reserve 344th Combat Support Hospital in the heart of al-Qaida territory, Dr. Moss and Dr. Moss have gone on two Afghani medical missions of their own. It all began in 2005 when they were called to active duty at stateside military hospitals —Vince, a cardiothoracic surgeon, at Fort Jackson, S.C., and Vance, a urologist, at Fort Bliss, Tex. The tales the soldiers told them of civilian suffering in Afghanistan inspired them to act.

“Just about everybody had packed up and left the people without any healthcare because the situation was so dangerous,” said Vance, “so we pitched a mission to the State Department and Department of Defense,” added Vince. “But they said it was too risky. They even called it a suicide mission.”

“NO ANESTHESIA, NO RUNNING WATER. THERE WERE TIMES WE WERE OPERATING ON A PATIENT AND THE ELECTRICITY WENT OUT,” SAID VINCE. The brothers spent many 16-hour days and encountered much adversity. Both lost about 30 pounds during each mission.

They subsisted on rice, raisins, bread and their own adrenalin.

Daily encounters with death and despair motivated them to continue, as well as their mutual support. “It was the first time we were working together,” said Vance. “I would look over and see my brother operating next to me and be amazed by his surgical skills.”

Now back home, they continue doing as much as they can.

They recently worked with the State Department to arrange for an 8-year old Afghani boy and his father to travel to the United States for surgery they began during their last mission.

Vince Moss, MD, is a cardiothoracic and trauma surgeon and Vance Moss, MD, a urologist and kidney-transplant surgeon — both at Crozer Chester Medical Center in Upland, Pa., a Temple affiliate. Vance Moss, MD, is co-director of the Temple-Crozer Kidney Transplant Alliance.

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NESI AND SCOTT RECEIVE 2008 ALUMNI SERVICE AWARDS

Daniel Nesi, MD ’63, an otolaryngologist and chief-of-staff at Doylestown Hospital in Doylestown, Pa., was honored by TUSM for his exemplary record of generosity to the School.

Dr. Nesi says he will always remain grateful to TUSM for the education that launched his career. After all these years, he’s still awed by his memories of Daddy Huber, Robert Hamilton, Morty Oppenheimer, Carmen Bello, Spurgeon English, Augustin Peale, Ernest Aegeter, and many more.

Daniel Nesi, MD

Richard Scott, MD

Richard Scott, MD ’68, and Daniel Nesi, MD ’63, each were honored for their exemplary service and generosity to TUSM. Richard Scott, MD ’68, a Boston-based orthopaedic surgeon who specializes in hip and knee joint replacement, was honored for his legacy of generosity to TUSM. Dr. Scott is professor of orthopaedic surgery at Harvard Medical School, chief of the Joint Arthroplasty Fellowship at Brigham and Women’s Hospital, and chief of the Joint Surgery at both Brigham and Women’s and the New England Baptist Hospital.

Dr. Scott’s family has multiple ties to Temple. His father, alumnus Michael Scott, MD ’39, was chair of Neurosurgery at Temple from 1943 to 1971, and is credited with bringing the department and residency program to the fore. His mother, Catherine “Billie” Scott, was a great friend to Temple during her husand’s life and long after. She was a nurse who worked in Temple University Hospital’s SICU and served on the hospital auxiliary for more than 40 years. His brother, R. Michael Scott, MD ’66, chief of Neurosurgery at Boston Children’s Hospital, is an alumnus of Temple as well.

His wife, Mary Scott, a pediatrician, intended to be a TUSM alumna. She was a member of the class of 1971 for two years, then transferred to Georgetown when her husband accepted a fellowship with NIH. Mary’s father, Frank Deming, MD ’40, was an alumnus and obstetrics and gynecology faculty member.

To express his gratitude to Temple for all that it has meant to him and his family, Dr. Scott became a very generous benefactor, supporting many funds over the years. Especially meaningful are two endowed scholarship funds that he and his wife established: The Frank S. Deming Endowed Scholarship Fund and the Catherine Scott Endowed Scholarship Fund.

Dr. Scott is internationally known in his field. More than two million of the total knee prosthesis he patented have been implanted.

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“THE FACULTY WERE GIANTS. THE TEACHING WAS TERRIFIC,” HE SAYS. “ WE GOT MORE THAN WHAT WE PAID FOR.” Dr. Nesi’s path has had a number of interesting twists. Like many alumni, he came from a family of meager means and was the first to go to college. He had his sights set on engineering initially, but then decided on medicine. He selected family practice but ended up in otolaryngology when, during his residency he joined the Army and was sent to Germany — suddenly finding himself the sole ENT surgeon in charge of 15,000 troops and 10,000 dependents. Once back home and practicing in Pennsylvania, business came to intrigue him as much as medicine. He became an accomplished entrepreneur and investor. All this and more despite two brain injuries — an automobile accident in 1972 that left him paralyzed for six months with a grim prognosis, and a sudden massive cerebral hemorrhage in 1991 that left him comatose for six weeks. He was treated by Temple physicians both times. And recovered.

“Experiences like that change you,” he says. “You realize there are no guarantees. You’ve got to live, take risks, grab for the rings.”

Over the years Dr. Nesi has maintained close ties to Temple, attending reunions, receptions, sporting events, and coating new medical students in the white coat ceremony. He has supported many funds with significant gifts, including the Class of 1963 Scholarship Fund. Most recently, he donated a dining room in the new medical school building in honor of his family — dedicated in memory of his late son.

Dr. Nesi’s philanthropy extends beyond Temple. He founded the Free Clinic of Doylestown, a community organization that provides medical care pro bono to people in need in Bucks County, Pa. He is also a founding member of the James A. Michener Museum in Bucks County and the Community Conservatory of Doylestown.

Dr. Nesi has a pragmatic view of philanthropy. “You do things because they are important and need to be done — that simple,” he says.

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IN BRIEF

Martin Black, MD, professor of medicine and head of the Liver Unit in the section of Gastroenterology at Temple, was named 2008 Practitioner of the Year by the Philadelphia County Medical Society.

Ala Stanford Frey, MD, adjunct assistant professor of pediatric surgery and director of Temple’s Center for Minority Health and Health Disparities, received the 2008 Shirley Chisholm Award of the Philadelphia chapter of the National Congress of Black Women.

Each year, two alumni of each of Temple’s schools are inducted into the Gallery of Success, a gallery of alumni photos and biographical sketches seen by thousands in Mitten Hall each year.

Representing the School of Medicine this year are William S. Greenfield, MD ’69, and Helene Pavlov, BA ’68, MD ’72.

William Greenfield, MD ’69, is well-known in the Philadelphia region as a psychiatrist, philanthropist and mental health advocate who provides psychiatric care to patients least able to afford it. Medical director of the Lenape Valley Foundation Crisis Center at Lower Bucks Hospital (Bristol, Pa.), Dr. Greenfield works with area agencies providing care to underserved populations, and has served in a variety of capacities over the years. In the 1980s he directed the Substance Abuse Program at the Presbyterian Hospital of the University of Pennsylvania. In 1986, he founded Penn Recovery Systems, which provided prepaid mental health and addiction services for nearly half a million people. Dr. Greenfield is president of the Greenfield Foundation, a family foundation that creates programs in partnership with other institutions, such as the Temple Emergency Action Corps, which trains medical students to provide disaster relief (see page 29).

A prolific author, lecturer, educator, clinician and researcher, Helene Pavlov, BA ’68, MD ’72, is a recognized authority on sports medicine and orthopaedic radiology. She is radiologistin-chief at the Hospital for Special Surgery in New York City and professor of radiology and radiology in orthopaedic surgery at Weill Medical College of Cornell University. Her publication credits feature 25 chapters and three textbooks, and she has been an editorial board member, reviewer and columnist for leading radiology and orthopaedic journals. Dr. Pavlov has lectured at leading institutions and medical congresses worldwide and she has received many honors, including the 2004 Elizabeth Winston Lanier Kappa Delta Award of the Orthopaedic Research Society and the American Academy of Orthopaedic Surgeons. A diplomat of the American Board of Radiology and a fellow of the American College of Radiology and the New York Academy of Medicine, Dr. Pavlov has been listed in numerous “Best Doctors” over the years.

Susan Lowery, MD ’87, Montague, Mass., a family practitioner, was recently named Community Clinician of the Year by the Massachusetts Medical Society. The honor recognizes a physician from each of the society’s 20 district medical societies who has made significant contributions to his or her patients and the community.

Cynthia Macri, MD ’83, Bethesda, Md., vice president of the Office of Recruitment and Diversity of the Uniformed Services University (USU) and a captain in the U.S. Navy, has been named a 2008 Woman of Color honoree in diversity leadership by Women of Color magazine, IBM Corporation, and the National Women of Color Science, Technology, Engineering, and Mathematics Conference. A gynecologic oncologist, Dr. Macri has devoted her military career to education and has received several honors for her contributions.

Vince Markovchick, MD ’70, Denver, Colo., director of Emergency Medical Services for Denver Health, has been named a Hero of Emergency Medicine by the American College of Emergency Physicians (ACEP). This award recognizes emergency physicians who have made significant contributions to the field. Dr. Markovchick has been instrumental in the development of emergency medicine for more than 30 years. He is a past president of the American Board of Emergency Medicine and the recipient of a 2000 TUSM Alumni Achievement Award.

Anuradha Paranjape, MD, MPH, associate professor of medicine at TUSM, received the 2008 Healthcare Professionals Award of the Philadelphia Coalition for Victim Advocacy for her efforts to provide culturally competent healthcare to victims and their families.

Ronald Spark, MD ’67, Tucson, Ariz., was named a 2008 Top Doc by Tucson Lifestyle magazine. He is a clinical associate professor of pathology at the University of Arizona School of Medicine and serves as a commissioner for the Arizona Tobacco Use and Spending Trust.

Robert Stein, MD ’91, Villanova, Pa., a gastroenterologist, has been named the 2008 Physician of the Year by the Delaware Valley Chapter of the Crohn’s and Colitis Foundation of America. An active member of the foundation since 1998, Dr. Stein has served as a trustee of the chapter Board and chairs its Medical Advisory Committee.

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John Guyton, MD ’54, Columbus, Ohio, is professor of medicine and director of the Lipid Clinic at Duke University Medical Center.

William Schaeffer Jr., MD ’55, Lebanon, Pa., an internist who specializes in geriatrics, is director of the Transitional Care Unit at the Good Samaritan Hospital and has practiced internal medicine in the area since 1961. His 12-physician practice includes Anne Hayes, MD ’92.

60s

Charles Lusch, MD ’61, Reading, Pa., is medical director of The Reading Hospital Regional Cancer Center.

A member of the medical staff since 1968 and chief of Hematology/Oncology there since 1974, Dr. Lusch is also director of Continuing Medical Education. He was recently appointed to the Pennsylvania Medical Society’s Commission on Continuing Medical Education.

Clayton Gotwals, MD ’66, Cincinnati, Ohio, is director and dean of the Cincinnati Psychoanalytic Institute. His interests include anxiety and mood disorders, relationship problems and trauma.

John Moran, MD ’68, Providence, R.I., is a pediatrician in the Providence area and a clinical associate professor of pediatrics at Brown Medical School, where he received a teaching recognition award in 2000.

80s

Matthew Pollack, MD ’81, Easton, Pa., is a radiologist at Warren Hospital in Phillipsburg, N.J., and was recently named a fellow of the American College of Radiology.

Clarke T. Harding III, MD ’82, Fresno, Calif., is an anatomic and clinical pathologist with subspecialty certification in cytopathology. He practices with Pathology Associates, the largest pathology practice in central California.

Mark Schwartz, MD ’85, Monmouth Junction, N.J., a family practitioner specializing in addiction medicine, is medical director of Canterbury Institute, an addiction treatment center with offices in Florida and New Jersey.

90s

Maria Palasiuk Stefurak, MD ’90, Huntingdon Valley, Pa., is a pediatrician based at Abington Memorial Hospital in suburban Philadelphia. Her interests pertain to child development, asthma, nutrition and child safety.

Bill Gallagher, MD ’93, Washington, D.C., a family medicine practitioner, is a clinical faculty member of the Georgetown University Hospital. His areas of interest include sports medicine, youth development and child rearing.

Jason Foster, MD ’94, Omaha, Neb., is assistant professor of surgery at Creighton University Medical Center. He completed fellowships in gastrointestinal

and mixed tumor oncology and surgical oncology.

Kimberly Selzman, MD ’96, Chapel Hill, N.C., is assistant professor of medicine in the section of Cardiology at the University of North Carolina School of Medicine, where she is researching predictors of sudden death and biventricular pacing. She is active with several international volunteer organizations that have provided medical services in India and El Salvador.

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Joshua DeSipio, MD, Res ’03, Philadelphia, Pa., is an attending gastroenterologist with offices at Cooper University Hospital and Voorhees, N.J., and Wilmington, Del. Share Your News!

Templemed@temple.edu (215) 707-4485

PROFILE: MONIQUE BURTON, MD ’99 Monique Burton, MD ’99, a pediatrician at Children’s Hospital and Regional Medical Center, in Seattle, Wash., was one of two Seattlearea physicians chosen to serve as team physicians for the U.S. track and field team during the Summer Olympic Games in Beijing.

A former team physician for the University of Washington’s softball and gymnastics teams, Dr. Burton was physician for the Pan-American Junior Games in Canada in 2005 and World Junior Championships in Beijing in 2006. Last year, she was invited to the World University Games in Thailand as a physician for the swimming and diving team. To be considered for the 2008 Summer Olympic Games, she was required to volunteer for two weeks at the track and field training center in Colorado Springs, Colo., where the Olympic Committee evaluated prospective medical team members.

Monique Burton, MD ’99 served as a physician in Beijing at the Summer Olympic Games.

As a child and teen, Dr. Burton was an elite gymnast herself. She competed nationally and won gymnastics competitions as an undergraduate at the University of Pennsylvania.

“I’m fortunate,” she said. “It has been an amazing opportunity.”

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THE 40-YEAR OLD FRESHMAN: A TRIBUTE TO FRANCESCO BUEF, MD ’76

BY ALFRED DURHAM, MD ’76 In 1972, an extraordinary group of people assembled at Temple to begin educating a new group of doctors-to-be. There was the dean, Prince Brigham, MD, a gentleman among gentlemen; “Daddy Huber,” who knew the placement of every item in the most disorganized office I have ever seen; Bob Troyer, who could “grow” a zygote into a fully developed human “Chek” from the 1976 Skull. in 30 minutes of lecturing; the beloved Carson Schneck; and far too many others to name.

My class, the class of 1976, was extraordinary, too. There was Diane Shafer, who came just about straight from high school, our youngest class member. There was Marion Moses, who had worked with César Chávez. There was David Hartman, the first blind person to receive a medical degree. And there was the 40-year old freshman, Francesco “Chek” Beuf.

It was rumored that Chek left a great job at General Electric managing the Space Division’s International Operations to come to medical school. It was rumored that he was married to a professor at Penn, had three kids, was a cowboy from Wyoming, a pilot, a racecar driver. It all turned out to be true. Why would he want to be a physician? In time, I would learn the answer, as Chek and I became friends.

One summer during medical school, I visited Chek at his family ranch in Wyoming. South of Sheridan, backing up to the Bighorn Mountains, Gallatin Ranch was 40,000 acres of some of the most beautiful land I have ever seen. Albert Gallatin, the relative for whom the ranch is named, was Secretary of the Treasury when Lewis and Clark set off to explore the west. Chek and I shot rocks off fence posts with a deer rifle, collected eagle feathers, tooled around in a Jeep, and explored the family library, which featured some of the earliest books in print. The place was full of Indian artifacts, collected by Chek’s parents who cared enough about the dying race to preserve them.

I still recall the stories Chek’s family told me during that trip, like the legend of Chief Bread and his swift horse flying across the sweet grasses of the prairie. And visiting a sacred medicine wheel of the west is something I will never forget. High in the Bighorns, off an unpaved road leading to a high ridge, I made my way toward a huge circle made of stones. These stones line up with astrologic points of sunrise and sunset—and with other medicine wheels far away. These places of healing were built by a people with no written language. Standing at 9,000 feet in the clear air in sacred surrounds, I understood what Chek meant when he said the Cheyenne called this a Place of Power.

Such were the circumstances and principles that created Chek, a person with extraordinary sensitivities and perceptions.

Now I understood why, among all the things he had already been, he would also want to be a physician.

Chek realized that to change the world you need to start with its newest citizens. He realized that you need to treat parents and children as one cohesive unit, all caring for one another.

Now 75, Chek bikes 15 miles every morning. He climbs the steps to his office in Boulder, Colorado, two at time like he used to on the way to anatomy in Kresge. He works a full schedule in an office adorned with the crayoned drawings and thank-you letters of his young patients. His 101-year old mother still lives on the family ranch.

Chek has accomplished amazing things since his midlife career change to medicine. He was director of the intensive care nursery at the Bryn Mawr Hospital, practiced general pediatrics in his hometown in Wyoming, served as chief of staff at Sheridan County Memorial Hospital, was appointed by the governor to state panels, still practices and still teaches students at the University of Colorado Medical School, where he is a clinical professor. A fellow of the American Academy of Pediatrics, Chek has received numerous honors, including the American Medical Association’s Physician’s Recognition Award. His articles — about medicine, interplanetary exploration and sports cars — have appeared in national journals. He is a marvelous physician who, by example, inspires principles of cultural and personal respect in everyone he meets.

I tell this story to honor Chek. I tell it to honor Temple, too, for giving a 40-year old freshman a chance. Temple admits many nontraditional students who, like Chek, represent the school so beautifully.

Alfred Durham, MD ’76, is an orthopaedic surgeon based in Roanoke, Virginia.

Chek (back row, second from left) and Alfred Durham (back row, fourth from left) at the Class of 1976 reunion in 2006.

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Whatever happened to…

William E. Barry, MD

No one can forget William E. Barry, MD, who came to Temple in 1961 and made TUSM his home for 36 years. A professor of medicine, Dr. Barry served in many capacities during his tenure, including co-head of the Section of Hematology, director of the General Clinical Research Center, institutional cancer coordinator and associate dean of curriculum, a position he held for eight years until his retirement in 1997.

Since his retirement, Dr. Barry has forged into new ventures and experiences, while maintaining a focus on family and keeping in touch with many colleagues. He has renewed his interest in flying, piloting a single-engine, low-wing plane referred to as an ‘Archer’ on trips to visit his children in Colorado and Connecticut. Dr. Barry has eleven grandchildren whom he loves to spend his time entertaining.

“Between 1970 and 1990, Bill was the ‘dean’ of hematology in Philadelphia,” says Ronald Rubin, MD ’72, professor of medicine in the Section of Hematology at Temple.

The Barry family is one of many families who have multiple degrees from Temple. Of Dr. Barry’s five children, two went to medical school at Temple, William L. Barry (MD ’88) and Mary Barry (MD ’81); one went to law school at Temple, Margaret Barry (LAW ’85); and one was a Temple undergraduate, Cathy Barry (EDU ’80). Mary is currently a general internist in Connecticut and William an invasive cardiologist in Colorado Springs.

“Bill Barry is a consistently upbeat individual,” says Rodger Barnette, MD ’79, chair of Anesthesiology at Temple.

Dr. Barnette knows Dr. Barry well, having spent time with him both as a resident and young faculty member.

“Bill always had a smile on his face, and whether the interaction was long or short, you always walked away glad that you’d had the opportunity to see him. He was a great role model for a young physician,” Dr. Barnette recalls.

As associate dean for curriculum, Dr. Barry orchestrated the development of new courses with the help of colleagues.

Two initiatives particularly dear to him were a course in experimental hematology incorporating problem-based learning, and the incorporation of standardized patients in the instruction of primary care.

“Bill had the ability to keep the entire group of associate deans and their staffs on a very even keel,” remembers Richard Kozera, MD, TUSM’s executive associate dean. “His perspective and sense of humor were important ingredients in an office which, by its very nature, deals with problems on an unpredictable and immediate basis. His ability to see the big picture likely spawned from his early-career interest and proficiency in baseball, and the realization that he had better find honest work because he ‘couldn’t hit a curve ball,’ ” Dr. Kozera jests.

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“Temple is a place where people can make a difference through teaching and patient care,” says Dr. Barry. “When you find a school like Temple that encourages a forward-thinking, ambitious mentality, you stay there and want to contribute to its continued success.”

In 1999, the Dr. William E. Barry Endowed Medical Scholarship Fund was established by family and friends to honor Dr. Barry’s four decades of service to the medical school.

There is also an annual Department of Medicine Award that was inspired by Dr. Barry. In 1998, he was given the Honored Professor Award by the Alumni Association at Temple.

“I have the pleasure of attending TUSM’s scholarship recognition and Alpha Omega Alpha dinners each year, and I continue to be amazed with all Temple has accomplished since I left 10 years ago,” says Dr. Barry. “Temple is a great model for all medical schools.”

Student View A G L O BAL VI EW OF C O M M U N I T Y M E DI C I N E : T HE T EM P LE EM ERG E N C Y A C T I ON C ORPS

BY Z O E MAHER, MD ’ 08 The issue of healthcare disparity has always been on my radar, and I wanted to see it from a perspective other than my own. During my four years as a medical student at Temple, I have had the opportunity to do just that—both in Philadelphia and in many places around the country and the world.

One of my first lessons in perspective took place amid the devastation of a place I once called home, New Orleans, in the aftermath of Hurricane Katrina in December 2005. I lived there before med-

About Zoe Maher, MD ’08, Founder of TEAC During her four years as a medical student, Zoe Maher, MD ’08, traveled nationally and internationally to provide medical care to people in rural areas.

Now, as she begins her surgical residency at Temple, she hopes to work on setting up an international medicine elective so that others can benefit from what she calls “a global view of community medicine.”

Dr. Maher’s interest in the impact of healthcare access stemmed from her work in a New Orleans public school.

She taught middle school science for two years before coming to Temple.

“I saw a lot of health disparities,” Dr. Maher said. “And I saw educational disparity. Limited access to education can impact a life as much as limited access to healthcare. When I came to medical school, I wanted to get involved in creating a more level playing field.” Through TEAC, she hopes to do just that.

ical school, taught middle school there.

I couldn’t just watch the city implode on TV. I had to do something. And many other Temple medical students wanted to join me.

to benefit from the service grant fund program the Board started that year, a program that has provided more than $32,000 for medical student service projects during the past four years.

We organized quickly and traveled as a group of 10 medical students with Paul Lyons, MD, associate professor of family and community medicine. And as luck would have it, we were able to get funding for the trip from the TUSM Alumni Association Board of Directors.

Ours was one of the first student groups

New Orleans convinced us that medical students can and should provide valuable assistance after a disaster. This is what we emphasized in the “trip report” we made to the Alumni Board of Directors upon our return. This point made a particularly deep impression on one of the directors, William Greenfield, MD ’69. We talked

Dr. Maher is grateful to the TUSM faculty who helped get TEAC off the ground.

“The faculty is great at encouraging students to take the first steps to conceptualize their ideas and go through the proper channels to get results,” she said. “Before coming to Temple, I had never put together a grant proposal or set up a program like TEAC. Had I gone to another medical school, I think it would be much less likely that I would have done this.”

For more information on foundation president William Greenfield, MD ’69, a member of Temple’s Medical Alumni Association Board of Directors, see page 25. For more information on TEAC visit www.temple.edu/medicine/teac or e-mail TEAC@temple.edu.

Dr. Maher believes that traveling to areas of disaster helps you to better see patients as complete people, to recognize how the challenges they face affect their health and healthcare.

“Helping other people feels good,” she says. “Once you help someone it becomes infectious, spreading from that person to the next and the next. And once you experience that, my hope is that you will never stop.”

Funding for the Temple Emergency Action Corps is generously provided by a grant from the Greenfield Foundation.

Dr. Maher in Bolivia

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after the meeting. He asked me to create a program to teach medical students the skills required for disaster response. He said he might be able to get funding for such a program from his family foundation, the Greenfield Foundation, which has a longstanding interest in medical education and disaster relief.

Thus was the genesis of The Temple Emergency Action Corps (TEAC).

For several months, I worked with TUSM faculty and fellow medical students to develop a model organization able to mobilize quickly in the event of local, national or international disaster to provide basic medical care to those affected.

TEAC HAS THREE INTEGRAL COMPONENTS: AN ELECTIVE, A SERVICE LEARNING OPPORTUNITY, AND AN ANNUAL SYMPOSIUM, ALL GENEROUSLY FUNDED BY A $210,000 GRANT FROM THE GREENFIELD FOUNDATION. In addition to the provision of medical services, TEAC translates the school curriculum into action by reinforcing its cultural competency objectives through experiential learning.

Through TEAC we hope to foster a sense of community and build relationships between Temple alumni, students and faculty. We strive to link to local and state public health systems, too. We want TEAC to serve as a model for other medical schools and health profession groups seeking to find an effective way to respond to disaster, ultimately increasing the number of trained responders available to work within regional and national disaster plans.

In order to provide students with the skills necessary in a disaster response situation, we offer a semester-long elective for firstand second-year medical students. Skills are taught through both didactic and hands-on training sessions. Didactic sessions cover topics such as working with traumatized populations,

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working effectively with government agencies and nongovernmental relief agencies, knowledge of incident command structure and functioning, awareness of vulnerable populations, psychological first aid/working with traumatized populations, and infection control. Hands-on programs include standardized patient programs, clinical simulation centers, and Basic Disaster Life Support/Advanced Disaster Life Support training.

In September 2008, TEAC held a symposium entitled “Global Disaster Medicine and the Role of Medical Education” on Main Campus. The turnout was impressive with medical students and faculty from across the country. Featured speakers included Erin Brewer, MD, MPH, medical director of the Louisiana Department of Health, P. Gregg Greenough, MD, MPH, director of research for the Harvard Humanitarian Initiative, and James James, MD, DrPH, MHA, director of the American Medical Association Center for Public Health Preparedness and Disaster Response.

TEAC’s raison d’etre is to prepare future physicians to lead disaster response. Therefore, every year TEAC sends medical students to respond to local, regional, national and/or international disaster. Fortunately, the United States has had a limited number of disaster-relief opportunities of late, but there are many viable international situations from which to learn.

Refugee camps and clinics in remote villages provide excellent opportunities for medical students to provide aid and learn skills that can be used in the event of disaster.

The impact of our work is powerful — for us and the people we help. For example, TEAC recently traveled to Bolivia to provide basic medical care to more than 1,000 people in a rural village outside of La Paz. We helped get potable water to many families, and provided people with treatments for conditions that in the United States would never be as far advanced. People were thanking us for treating them for basic things. Moreover, the first- and second-year students were able to bond with their older peers and get a powerful hands-on learning experience.

Most importantly, TEAC enables students to foster their senses of compassion, flexibility, initiative and common sense — skills from which future patients in all situations will doubtlessly benefit.

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help them understand the need. I grow impatient. I want this imbalance between the number of those waiting on the list and the number of donors to be corrected in my lifetime.

lives have meaning. They are important. When they are ill, they are scared and don’t truly understand what is happening to them. They worry, they cry, they pray.

This experience has changed me. I am a different husband, a different father, a different physician. I try to be a better mentor to students, residents and faculty. I try to understand more about the individuals in my care. They aren’t just “cases.” They are human beings with families, jobs, regrets and dreams. Their

I am more introspective than I used to be. I try to be more sensitive to others. More than ever, I want to leave things better than the way I found them. I want to make a difference. And in all that I do, I try to love a little more.

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TEMPLE FAMILY TIES

By Thomas Yucha, MD ’70

A Temple education is entwined with family values: commitment, support, and a love for medicine.

Despite the 32 years between our medical degrees, my son David and I have very similar memories of Temple, for both medical school and residency training. I received my MD in 1970 and finished my residency in orthopaedic surgery in 1977. Dave completed his MD in 2002 and his orthopaedic residency in 2007.

Many of the memories and impressions we share involve Carson D. Schneck, MD ’59, PhD ’65, professor of anatomy and diagnostic imaging. We were both students of Dr. Schneck. He was instrumental in educating both of us, in developing our careers. Thanks to Dr. Schneck, both Dave and I ventured into orthopedic surgery as “practicing anatomists.” As Dave recalls, “The first day of anatomy class, Professor Schneck not only knew my name but also remembered my father and how much he loved anatomy 32 years prior.”

I remember Dr. Schneck staying late on Thursday nights to provide specific instruction on surgical approaches for the orthopedic residents. (John Lachman, MD, then chair of Orthopaedic Surgery, and Howard Steele, MD, professor of orthopaedics, were two other incredible mentors.) Much like a family, Temple’s professors demonstrated a commitment to students that superseded the call of duty. Dave and I will forever be grateful to our many great teachers at Temple.

I am also grateful to William Terry Kane, MD ’69, who graduated from Temple and went into family practice, for putting TUSM on my radar. Terry and I met when we were teammates on the basketball team at the University of Scranton in the early 1960s. He was a first-year medical student at Temple when I was applying to medical school and raved about Temple being the best and most affordable school out there. My father was a coal miner, so an expensive school was not an option for me. Terry was absolutely correct. Temple quickly proved itself to be my gateway to becoming a physician and discovering my love for orthopedics.

From the beginning, I felt a sense of support at Temple.

I continue to share friendships with my Temple classmates that go far beyond the annual holiday card exchange.

We visit each other frequently and go on family vacations together. All these friendships started in the anatomy lab, where camaraderie took precedence over rivalry.

Nearly three decades later, Dave was admitted to TUSM, ultimately following in my footsteps to orthopaedic surgery and sports medicine.

Tom Yucha, MD ’70, and Dave Yucha, MD ’02

“As a child, I remember how much you loved what you did for a living,” Dave said to me. “I want to do something just as rewarding.”

Temple was Dave’s medical school of choice because it’s well known for graduating solid clinical physicians. “Orthopedic surgeons in sports medicine need to know how and when to operate on an athlete, as well as how to manage a patient through the entire rehabilitation process,” he says. “I needed a solid clinical education as a student and resident—and Temple was just the place.”

I am proud of my son’s accomplishments and am grateful for the education he received at Temple. In fact, I have Temple to thank for my wonderful wife and family. I met my wife, Rita, while I was a third-year medical school student on rotation at St. Christopher’s Hospital, where Rita worked as a pediatric nurse.

I retired a few years ago and am now a full-time grandfather.

Dave finished his fellowship at Jefferson in August and is practicing sports medicine at both the community and local collegiate level. My youngest son, Ben, is a junior at the University of Pennsylvania on a pre-med track. We may have another Temple physician in the family yet!

Dave and I have eagerly accepted the role of co-chairs for the Schneck Campaign. The goal of the campaign is to raise $1 million to name the gross anatomy lab in the new medical school building in Carson’s honor. We encourage everyone who’s been touched by Carson Schneck’s friendship and wisdom to help us honor him by getting involved in the campaign.

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PHILANTHROPY NOTES

In this section, we highlight recent and longstanding benefactors.

* Sprandio Names Lobby in New Building Fifty-four years ago, John D. Sprandio was born at Temple University Hospital. Twenty-six years later, he graduated from medical school at Temple. And this year, he gave Temple a transformational gift to name the lobby in the new medical school building.

“My son, John Sprandio Jr., graduated from TUSM this past May. Hearing his experiences brought back many fond memories and gave me a chance to relive my own medical school experience,” says Dr. Sprandio, chief of Medicine and Hematology/Oncology at Delaware County (Pa.) Memorial Hospital (DCMH) and medical director of the Delaware County Regional Cancer Center.

“My son and I shared similar experiences in medical school,” says Dr. Sprandio. “We also shared several professors and teaching attendings. We both have a great appreciation for the education we received and applaud the phenomenal clinicians who provided unique educational opportunities for each of us.”

“I can trace back many important decisions and critical guiding career principals in patient care to the faculty at Temple,” he says.

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After receiving his medical degree from Temple, Dr. Sprandio completed his residency in internal medicine at Pennsylvania Hospital, followed by a fellowship in hematology/oncology at Thomas Jefferson University Hospital.

“When I studied at Pennsylvania Hospital and Thomas Jefferson, I always used my experiences at Temple as my frame of reference,” comments Dr. Sprandio. “The qualities I’ve adopted in patient care and disease management revert back to the experiences I had at Temple.”

“I had the privilege of meeting with Dean Daly over the past year, and part of my donation is in recognition of the dean’s foresight and hard work,” says Dr. Sprandio. “The remarkable progress the school has made over these five years deserves to be supported. Temple is truly on the rise.”

In addition to his son, Dr. Sprandio has other Temple family ties. His sister was a Temple nursing student who graduated in 1965. His father received excellent care at TUH many years ago. And he has another son who thinks TUSM might be in his future. If he does follow in the footsteps of his father and brother, he will have a new state-of-the-art facility to learn in, thanks in part to his father’s generous gift.

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John Sprandio Jr., MD ’08, and his father John D. Sprandio, MD ’80

* Campaign to Honor Scott, Former Chair of Neurosurgery The School of Medicine announces a campaign to raise $2 million to name the first endowed chair in Temple’s Department of Neurosurgery in memory of alumnus Michael Scott, MD ’39, who was chief of Neurosurgery at Temple from 1943 to 1971.

Dr. Scott, who died in 1979, was instrumental in developing Temple’s neurosurgery program, and in addition was responsible for training many neurosurgeons. Former students and residents remember his ability to build strong patient-physician relationships, personalizing his approach to each unique case.

“Michael Scott was beloved by all as a teacher, mentor and friend,” says Richard Close, MD ’72, a neurosurgeon based in Reading, Pa., one of many who trained under Dr. Scott.

“His name is synonymous with excellence, and those who trained with him benefited from his rigorous attention to detail and his high standard of care.”

Dr. Scott had many Temple ties. His sons are TUSM alumni: R. Michael Scott, MD ’66, and Richard D. Scott, MD ’68.

R. Michael is chief of Neurosurgery at Boston Children’s Hospital and winner of a 1996 TUSM Alumni Achievement

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Michael Scott, MD ’39

Award. Richard is professor of orthopedic surgery at Harvard and this year’s Alumni Service Award recipient (see page 24).

Dr. Scott’s wife, Catherine Scott, was very involved in the Temple community and served on the TUH Auxiliary.

“The Scott family has been very generous to Temple,” says Christopher Loftus, MD, chair of Neurosurgery at Temple, noting among their many gifts the lectureship in neurosurgery they established in 1995 in Dr. Scott’s name. R. Michael Scott, MD ’66, was the first lecturer.

“An endowed chair in Dr. Scott’s honor is a very fitting way to remember his dedication and achievements,” says Dr. Loftus.

“Endowed chairs are remarkably powerful tools for recruiting excellent faculty and attracting candidates at the top of their fields,” he explains.

To date, $60,000 has been raised toward the Scott Chair, including a $50,000 anonymous donation and a generous gift from Paul M. Lin, MD ’54, a neurosurgeon based in suburban Philadelphia.

For more information, contact Eric Abel at abel@temple.edu or 215-707-3023.

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The Alumni Bridge Challenge

Kresge Challenge: 6 Months Remaining

Raised to Date: $850,359 Goal: $1 Million Remaining: $149,641

The Kresge Foundation has pledged a $1 million challenge grant to Temple for the new School of Medicine building. All new gifts made before May 30, 2009, count toward the challenge.

Leverage your gift to the Alumni Bridge by accepting the matching grant challenge posed by TUSM’s Board of Visitors to fund the pedestrian bridge that will connect the new school of medicine building to the Kresge Building. The Board will match any new gift of $25,000 to $50,000, dollar for dollar, but any size gift is greatly appreciated.

Making Your Gift The School of Medicine welcomes your support and is committed to developing a philanthropic plan to suit your needs.

Commitments can be made payable over a period of five years or included as a provision in your estate plan.

For more information, contact Eric Abel, Assistant Dean, Institutional Advancement, at (215) 707-3023 or abel@temple.edu.

Access to Excellence Campaign Update We are rapidly approaching the final year of our first comprehensive campaign, to support the robust progress of the School of Medicine. More than $65 million has been raised to date, but we need your continuing support!

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In Memoriam

Marvin Wachman, PhD

Marvin Wachman, PhD, the sixth president of Temple University (1972-1983), died on December 23, 2007, at the age of 90. Best known for improving Temple University’s facilities, finances and community relations, President Wachman broadened Temple’s local and international reach. During his 11-year tenure as president, he opened Temple University Center City and Japan Campus, oversaw the co-existence of a faculty union with a viable faculty senate, and launched a centennial fundraising challenge. He served as leader of the Pennsylvania Higher Education Assistance Agency and was president of the Pennsylvania Association of Colleges and Universities, an organization representing 117 institutions of higher learning throughout the state. The son of Russian immigrants who had little formal education, President Wachman grew up in Milwaukee, attended Northwestern University on a scholarship and received his bachelor’s and master’s degrees there, going on to earn a doctorate in history from the University of Illinois in 1942. After serving four years in the Army during World War II, he taught at Colgate University for 13 years and spent two years directing the Salzburg Seminar before becoming president of Lincoln University in 1961. During his tenure at Lincoln, Dr. Wachman led the historically black university through the most contentious years of the Civil Rights movement. He came to Temple as vice president for Academic Affairs in 1969. In 1973, he was inaugurated president. In 2005 Temple University Press published President Wachman’s memoir, The Education of a University President. During his retirement, President Wachman served as professor emeritus in history and honorary chancellor of the university. He also established the Adeline and Marvin Wachman Award, a scholarship for undergraduate students, and the Marvin Wachman Endowed Research Fellowship in History. In 2006, in tribute to President Wachman and his wife Adeline, Temple created the Wachman Society to recognize individuals who have made gifts to the university for 25 or more consecutive years. There are now more than 400 Wachman Society members. Dr. Wachman is survived by his wife and two daughters.

Ward E. Bullock Jr., MD ’59, professor emeritus of medicine and former director of the Division of Infectious Diseases at the University of Cincinnati College of Medicine, died on April 17 2007, at the age of 75. Dr. Bullock came to prominence in the 1960s for the leprosy research he conducted at the U.S. Naval Medical Research Unit in Taiwan. His groundbreaking article in the New England Journal of Medicine detailed the impairments of cellular immunity associated with leprosy, reawakening international interest in leprosy research. He continued his research at the University of Cincinnati, where he served as associate chair for Research in Internal Medicine and senior associate dean. He also issued a series of publications on the immunopathogenesis of histoplasmosis that stimulated national interest in medical mycology. Throughout his career, Dr. Bullock held leadership roles in professional societies and served on advisory panels and editorial boards. His talents as a clinician, teacher and administrator were widely lauded. In 1994 he was presented with TUSM’s Alumnus of the Year Award. He is survived by his wife, a son and daughter, a brother, a sister, three stepdaughters, and seven grandchildren.

Ward E. Bullock Jr., MD ’59

William T. Hall, MD ’41, ’44, died on December 1, 2007, at the age of 91. “Tom” practiced internal medicine, with a focus on rheumatology, in Wilmington, Del., for 35 years and for 15 years was administrator of the local veterans administration hospital. Well-known for his gregarious and fun-loving spirit, he instilled his staff with the importance of demonstrating compassion for each and every patient, to never hurry, and to listen with intent. He was vice president of TUSM’s Class of 1944 and enjoyed lifelong relationships with many fellow graduates. A fellow of the American College of Physicians, Dr. Hall was an active supporter of the American Diabetes Association, the Stem Cell Research Foundation, the American Red Cross, and TUSM. His older brother, John Handy Hall, MD ’41, professor of surgery at TUSM, predeceased him in May of 2007.

William T. Hall, MD ’44

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In Memoriam continued ’30s Edith W. Sechler, MD ’38 Leon Cohen, MD ’35 Robert S. Anderson, MD ’37 Richard Dalrymple, MD ’38 I. Joel Kenig, MD ’39

2.18.07 6.9.07 7.31.07 1.27.07 3.7.07

’40s Leonard Lecks, MD ’40 Eva L. Gilbertson, MD ’41 Eugene Gillespie, MD ’41 James H. Miller Jr., MD ’41 Captain Moses Rabson, MD ’41 David F. Bew, MD ’42 Toby A. Greco, MD ’42 Mervin A. Mathias, MD ’42 Irving Rosenberg, MD ’42 Lee H. Sanders, MD ’42 Col. Joseph A. Shelley, MD ’42 Bernerd H. Burbank, MD ’43 Carroll F. Burgoon, MD ’43 John R. Caldwell, MD ’43 Joseph F. Mabey, MD ’43 Paul D. Ochenrider, MD ’43 Howard N. Baier, MD ’44 H. De Haven Cleaver Jr., MD ’44 John W. Ditzler, MD ’44 William T. Hall, MD ’44 Thomas A. McGavin, MD ’44 Edwin D. Morton, MD ’44

9.8.06 11.16.07 9.19.06 8.3.06 5.28.08 10.21.07 7.21.07 8.24.06 10.5.06 12.15.06 1.14.07 9.20.07 9.28.07 8.3.06 4.4.08 4.6.08 8.3.06 2.22.06 9.23.07 12.1.07 4.2.08 12.28.07

William M. Myers, MD ’44 3.26.08 Raymond F. Cunningham, MD ’45 6.8.06 Richard Kay, MD ’45 2.12.08 Joseph E. Moylan, MD ’45 11.10.06 Gordon A. Salness, MD ’45 4.18.06 Michael J. Costik, MD ’46 10.22.06 Frederick P. Dale, MD ’46 4.4.08 Robert B. Francis, MD ’46 2.27.08 John T. Mallams, MD ’46 8.23.07 Donald J. Summerson, MD ’46 11.2007 John B. Blakley, MD ’47 12.7.07 Doane Fischer, MD ’47 4.7.08 Joseph I. Iobst, MD ’47 5.20.08 Alfred L. Kalodner, MD ’47 7.18.07 Charles R. Bepler, MD ’48 12.19.07 Robert H. Robertson, MD ’48 8.1.07 James W. Simpson, MD ’48 9.2.07 F. Wilson Daily, MD ’49 2.22.07 Curtis P. McCammon, MD ’49 10.7.07

’50s Gladys Miller, MD ’51 1.14.08 Dennis S. Rivera-Paniagua, MD ’51 8.26.06 Robert L. Eastman, MD ’52 3.10.08 Harold K. Tsuji, MD ’52 11.10.07 Sheldon R. Bender, MD ’53 3.12.07 Robert E. Steller, MD ’53 4.17.07 Abraham Sunshine, MD ’53 3.30.08 Harold C. Whitcomb Jr., MD ’53 3.2.06 Harry W. Wilcke III, MD ’53 3.24.07

SAVE THE DATE: NEW MEDICAL SCHOOL GRAND OPENING October 29–31, 2009 Health Sciences Campus, Temple University

Walter R. Kirker, MD ’54 11.6.06 Samuel C. Santangelo, MD ’54 9.29.07 Richard J. McAlpine, MD ’55, PhD 9.4.07 John W. Stoll, MD ’55 9.24.06 Donald E. Basom, MD ’56 8.25.07 Anna Marie Chirico, MD ’56 2.4.07 Nathan Rosenbaum, MD ’56 12.13.07 David H. Kohl, MD ’57 1.9.08 Richard H. Oi, MD ’57 9.13.07 Charles B. McElwee, MD ’58 4.2.08 Ward E. Bullock, MD ’59 4.17.07

’60s Richard I. Hardy, MD ’60 George T. Hocker, MD ’60 John T. Bennett III, MD ’61 Frederic R. Keifer, MD ’61 George C. Baumrucker, MD ’62 Jane Overmeyer Scheetz, MD ’62 Lee M. Dippery, MD ’64 Richard F. Wynkoop, MD ’64 Marlin E. Wenger, MD ’64 John E. Hutton, MD ’66 Lynn G. Guiser, MD ’67 Robert H. Arbuckle, MD ’68 Susan Bee Stine, MD ’69

’70s James P. Cain, MD ’71 Jonathan Hottenstein Sr., MD ’73

TALENT CALL: PHILADELPHIA-AREA PHYSICIAN-MUSICIANS Are you a classically trained professional or amateur musician? Would you like to audition for an orchestra being formed to take part in the opening events for our new School of Medicine building in the fall of 2009?

Contact: giselle.zayon@temple.edu, (215) 707-4485.

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8.3.07 11.5.06 11.6.06 3.20.06 9.9.00 11.27.07 9.20.07 10.7.07 4.26.08 12.5.06 5.18.07 4.6.08 8.9.07

7.6.07 8.1.07

NON-PROFIT ORGANIZATION US POSTAGE PA ID PHILADELPHIA PA PERMIT NO. 1044

Office of Institutional Advancement 3223 N. Broad Street, Suite 413 Philadelphia, PA 19140

“Never has one man made such an impact on so many students’ lives. It was truly an honor to have studied under one of the greatest teachers, one of the greatest minds in the field of anatomy.”

—Joseph Gwiszcz, MD ’08

An exceptional opportunity to express gratitude to an exceptional professor:

The Carson D. Schneck Gross Anatomy Laboratory Campaign Join the campaign to raise $1 million to name the gross anatomy lab in the new medical school building in honor of Carson Schneck. Make your gift before May 30, 2009, and help Temple qualify for The Kresge Challenge: a $1 million grant for our new building. To qualify, we must raise $3.22 million by May 30, 2009.

Temple University School of Medicine Institutional Advancement 3223 North Broad Street, Suite 413 Philadelphia, PA 19140 supportmed@temple.edu 215-707-9459 or (800) 331-2839 Visit www.temple.edu/medicine/alumni/schneck_campaign.htm Make your gift online: Visit www.myowlspace.com/makeagift, then choose the Carson Schneck lab from the drop-down menu