JABSOM Kahuna 2020 Yearbook by UHMed JABSOM

Aloha JABSOM Class of 2020, During your medical school education, you have seen, experienced and learned much. Your journey into residency training will build upon these valuable lessons in understanding the life sciences, human behavior and the human condition. Indeed, you will continue to apply these fundamentals as you progressively acquire new knowledge, skills and responsibilities. Those of us who have helped you on this journey know you will be great physicians. Some of you will achieve national recognition and hold important posts in your discipline and beyond. All of you will make major differences in the lives of your patients and their families. Although you may see yourselves as inconvenienced by COVID-19 as you finished your education, this is but one of many illnesses which you will help humankind manage. We cannot eliminate all disease or suffering from the world, but we can help all those afflicted by such disease. While we should always seek to keep ourselves healthy through reasonable preventive measures when available, we must also remember our larger duty to society. There is always a balance in society, the environment, and life. As you gain additional life experience to complement your knowledge, you will develop wisdom. Although you may be wise beyond your years now, you will be even wiser with several decades of practice under your belt.

Table of Contents

-Dean's Address.................................1 -Departments................................2-13 -Class of 2023.............................14-21 -Class of 2022.............................22-29 -Class of 2021.............................30-37 Those of us who managed epidemics of Legionnaires’ disease, viral hepatitis, -Class of 2020.............................38-56 HIV/AIDS, Zika and SARS and who dealt with the aftermath of generations -JABSOM Keiki...............................57 -Weddings & Engagements......58-59 of measles, syphilis, and polio outbreaks have a much different perspective -Match Day.................................60-63 on the current COVID-19 pandemic. The impact of this illness on our population’s health (especially our kupuna), economy, and social practices is -AOA/GHHS...................................64 -COVID-19 Dedication............65-69 both dramatic and frightening. Yet, manmade illness caused by war, -Baby Photos...............................70-71 substance abuse, climate change and inequities in access to care have -JABSOM Pacemakers....................72 hastened much more death and destruction during the lifetime of your -Kihei Ceremony.............................73 -Convocation..............................74-75 seasoned faculty members than will likely be seen from the COVID-19. -Throwbacks................................76-78 You have the skills and knowledge to continue on your journey to make the -Yearbook Staff................................79 -Donors.............................................79 world a better place. Make us proud. Hawaii and the world need your help. -Autographs......................................80 Jerris R. Hedges, MD, MS, MMM Professor & Dean Barry & Virginia Weinman - Endowed Chair John A. Burns School of Medicine University of Hawaii - Manoa

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Within that wisdom, you will understand that the world is far from safe and far from fair. As physicians your job will never be complete as the world keeps changing and life keeps evolving. Thus, throughout your careers you will face many “COVID-19 like” situations. Although not what anyone sought, you should be thankful that you are part of the new generation of physicians who will develop and test immunizations, new public health approaches, practice approaches which will further reduce person to person disease transfer; such innovations will help the world address and more rapidly respond to future infectious disease outbreaks.

Jerris R. Hedges, MD, MS, MMM Professor & Dean

Dean's Office/Administration

Office of Medical Education

Office of Student Affairs LIN E

Imi Ho'ola

Native Hawaiian Health

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Quantitative Health Sciences

Health Sciences Library

TRIM LINE

Pediatrics

D epartment Chair Kenneth Nakamura, MD

Program Director David Kurahara, MD

Associate Program D irector Jennifer Di Rocco, DO

Associate Program D irector Gina French, DO Clerkship Co-D irector Kyra Len, MD

Clerkship Co-D irector Travis Hong, MD

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Internal Medicine D epartment Chair Elizabeth Tam, MD

Program D irector Reid Ikeda, MD

Associate Program D irector Erlaine Bello, MD

Associate Program D irector Dennis Bolger, MD

Clerkship D irector Christie Izutsu, MD

Preliminary Medicine

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General Surgery Department Chair & Program Director Kenric Murayama, MD Associate Program Director Cedric Lorenzo, MD Associate Program Director Dean Mikami, MD Clerkship Director Chad Cryer, MD

Orthopedic Surgery

Program Director Robert Atkinson, MD 10

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Obstetrics & Gynecology

D epartment Chair Ivica Zalud, MD, PhD

Program Director Mark Hiraoka, MD, MS

Associate Program D irector Ann Chang, MD

Clerkship D irector Michael Savala, MD

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Family Medicine Department Chair Allen Hixon, MD Program Director Lydia Rolita, MD Associate Program Director Steven Hankins, MD Clerkship Director Damon Lee, MD

Geriatric Medicine Department Chair Kamal Masaki, MD Fellowship Director Aida Wen, MD Associate Fellowship Director Cody Takenaka, MD Clerkship Director Karen Lubimir, MD 12

Psychiatry Department Chair Anthony Guerrero, MD Program Director Diane Eckert, MD Associate Program Director William Haning III, MD Associate Program Director & Clerkship Director Gretchen Gavero, DO

Pathology LIN E

Department Chair Karen Thompson, MD

Program Director David Shimizu, MD Associate Program Director Koah Vierkoetter, MD

JABSOM CLASS OF 2023

PROGRESS NOTE ID: Class of 2023, First year medical students (MS1) Age: 21-45 years old (average age: 24 years old) Sex: 51% male, 49% female Other: 6 students have graduate degrees (PhD, MS, MA, MPH) CC: Increasing fatigue and anxiety x1mo HPI: The Class of 2023 presented for a telehealth follow up in April 2020 appearing agitated and anxious, complaining of fatigue. The patient reports the symptoms began in mid-March around the time of the MD3 final exam and have gradually gotten worse. Since starting school from home due to statewide stay-at-home orders, the patient reports they have fully adapted to performing almost all tasks from the safety of their bed, but are often tempted to take more naps throughout the day than they used to. Their feelings of anxiety are worsened by Zoom invitations in their inbox, a patchy WiFi connection, and a dwindling supply of toilet paper at home. The patient reports the symptoms are alleviated by Facetime and Houseparty hangouts with classmates and binge watching Tiger King and Love is Blind. In addition, the patient also appears paler than normal and with their onset of fatigue, the patient wonders if they have anemia- a diagnosis they recently learned about in MD3. Lastly, the patient reports a sudden onset of weight gain. When asked about diet, the patient reports they have been doing what they believe to be “their civil duty” by eating lots of takeout to support local restaurants. The patient denies any fever, cough, dyspnea, or anosmia. PMH: At their last visit in July 2019, the Class of 2023 appeared to be in excellent health and reported no previous medical problems. The patient was in good spirits, with only mild anxiety about starting their first unit of medical school. The patient does not take any medications or herbal supplements and denies any allergies.

Social History: The Class of 2023 has lived in many different places, including Hawai’i Island, Kauai, Maui, Guam, and the CNMI. Prior to social distancing, a daily routine for the patient consisted of a few rounds of Super Smash Bros., foosball, and an afternoon nap in the library recliner. Since the recent social distancing recommendations, the patient reports their new daily routine involves waking up and turning on Zoom lectures from bed, followed by browsing various COVID-19 articles, emails, and videos. The patient used to exercise at the Kaka’ako UFC gym, but now they have resorted to doing Instagram push-up challenges from home. The patient denies any tobacco or illicit drug use. The patient drinks a variety of different caffeinated beverages including venti iced coffees, Bang energy drinks, and Red Bull. The patient currently drinks 2-3 alcoholic beverages a week during “virtual happy hour”. Physical Exam: General Appearance: The patient does not appear to be their normal self, wearing pajamas at 2pm during the telehealth visit Skin: Pale, due to recent beach closures on the island and excessive time spent indoors during MD3 Extremities: Noticeable fidgeting and restlessness HEENT, Heart, Lung, and Abdominal exam not performed via telehealth exam, however the patient denies any new problems. Assessment: Based on initial assessment, there is a high suspicion of loneliness and separation anxiety due to social distancing from their classmates. Patient requests a COVID-19 test and CBC, however at this time no lab testing will be performed. Plan: 1. Eat a well balanced diet- try some homemade healthy recipes during the week as an alternative to daily takeout 2.Work on sleep schedule- get out of bed to study and limit naps during the day 3. Continue to take care of goose via video chat with friends, quality time with family at home, and fresh air 4.Limit Coronavirus news intake Patient to make lifestyle changes and follow-up in 2 weeks to check progress.

CLASS OF 2023 CLASS COUNCIL

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Richard Joseph Aldan

Krystal Anderson

Samuel Andrade

Eileen Chen

Dylan Combs

Jared Dang

Megan Horita

Jaxon Huang

Amelia Hummel

Bree Kaneakua

Jared Kim

Kyung Moo Kim

Sarah Armstrong

Alyssandra Baniqued

Surbhi Bansil

Matthew Kobylinski

Elliott Koshi

Chaz Kuniyoshi

Rachel Gorenflo

Sheri Hiroi DuBay

TRIM LINE

Abigail Bautista

Alyssa Becker

Robert Bradley

Clark Gianni Caballero

James DeJesus, IV

Bianca Calio

Weiming Du

Matthew Camacho

Bradley Fujiuchi

Tate Higashihara

Eden Ines

Royce Kwon

Jason Lee

Evan Lum

Enze Ma

Jenna Maligro

Courtney Ip

Drew Matsuura 17

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Kristen Hori

Cali McAllister

Trevor McCracken

Trek Mizoguchi

Torbjoern Nielsen

Linda Nguyen

Kyle Obana

Julian Rimm

Nikki Rousslang

Brock Santi

Anthony Silva

Cori Sutton

Kasey Tamamoto

Frances Tiffany Morden

Clarke Morihara

Joshua Mostales

Kennedy Tobin

Rylie Wada

Mattia Walter

Alyssa Peric

Tana Ramos

Sarah Murayama

Kelvin Naito

Nicole Nakamatsu

Eryn Nakashima

Seo Yeon Orite

Amriya Naufer

Eun Young Park

Michael Nemrow

Vasant Patwardhan

Kevin Pham

Madison Williams

Sharon Wong

Shelby Yee

Sydney Yee

Alexander Settle

Jessica Shiosaki

Kara Yoshinaga

Yi Yu

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Joanna Reinhardt

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Class of 2023 Memories

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JABSOM CLASS OF 2022

PROGRESS NOTE ID: Class of 2022 (Second Year Medical Students, MS2s) Age: 21-33 years old (Average age: 24 years old on admission) Sex: 56% Male, 44% Female Other: 87% took gap year(s) CC: Fatigue, anxiety, palpitations, and nightmares HPI: The Class of 2022 presents to JABSOM in April 2020 during MD8 complaining of fatigue, anxiety, palpitations, and nightmares for three weeks. Similar symptoms have occurred in December 2019 before their MD6 finals but have dissipated during Winter Break. Symptoms recurred in March of 2020 before their MD7 finals, although they note that the symptoms were less intense than their December manifestations. Currently, the symptoms are the worst it has ever been. Watching Tiger King and spending time with family somewhat alleviates the symptoms, but many things exacerbate them, including COVID-19 restrictions, scoring poorly on an NBME exam or UWorld block, and all things related to Prometric. One particular cause of the symptoms seems to be the looming prospect of Thanos (aka Prometric) snapping his fingers and deciding who in the class will have to postpone their Step 1 test date. With all things considered, however, the patient is excited to conclude their second year and transition into their third year, where they are confident that all the cartoon sketches they’ve been binging on will help them treat their patients. PMH: In late August, during the start of MD6, the Class of 2022 came for an annual check-up. They presented with no complaints. It was noted that some of them appeared tanner than usual, particularly those that participated in MD5 experiences in the Pacific Basin; many of them appeared more erudite, particularly those that participated in research experiences; and most, if not all, of them exuded an aura of rejuvenation and excitement for their MS2 year. No hospitalizations, surgeries, or major injuries were noted. There was an accident involving a large vase, but no physical injuries were incurred. Family Hx: The Class of 2022 is one big ‘ohana of 70 members. Obsessive Compulsive Personality Disorder runs in the family. Recently had three children. Social Hx: The Class of 2022 enjoys spikeball, surfing, beach volleyball, Anki, jello, and beating the MS1s at Olympics and the Halloween competition. 22

Mental Status Exam: Appearance: Somnolent but arousable interspersed with moments of anxiety. Needs a haircut. Behavior: Intently looks down on phone, frequently taps thumb on screen, periodically shakes phone, and occasionally utters sounds of exasperation. Speech: Patient has pressured speech when talking about their fate lying in the hands of Prometric. Mood & Affect: Patient feels anxious not knowing when they’ll be taking Step 1. Affect is congruent with mood. Thought Process: Largely coherent except for occasional nonsensical words and phrases, including “wet, wacky, and wobbly” and “SO4, LR6, ATR3.” Thought Content: Fixated on whether their Step 1 test date will be canceled. Cannot think about anything beyond that. Perceptions: Many hallucinations including Gardnerella when a fishy odor is present; or CMV, toxoplasmosis, or rubella when a blueberry muffin is within sight. When patient is shown images of Mickey Mouse or a seahorse, they insist that they are looking at the midbrain and hippocampus, respectively. Orientation/Attention: Highly focused during an NBME exam or UWorld block, but attention is occasionally impaired when thinking about whether their Step 1 test will be canceled. Memory: Both short- and long-term memory are largely intact, but impaired memory is noted for infinitesimal details such as the vector for anaplasma or the MOA of pirfenidone. Judgment and Insight: Judgement is obviously intact as evidenced by patient’s binge watching of Netflix shows despite Step 1 looming over their heads. Assessment: Given the patient’s history, presentation, and identifiable stressor, it is highly likely that the patient has adjustment disorder complicated by burnout and Step 1 phobia. It is also possible that the patient is experiencing the typical MS2 stress response, but given the unique challenges that the COVID-19 pandemic poses, this is highly unlikely. Plan: 1. After Step 1 (or after there is clarity around re-scheduled Step 1 dates), reassess patient 2. In the meantime, counsel patient on the following: a. Don’t be a covidiot; follow COVID-19 safety precautions b. Focus only on what’s within your locus of control c. Redefine what taking care of your goose looks like during the pandemic d. Constant positive affirmations and reminders of your “why”

CLASS OF 2022 CLASS COUNCIL

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Kagen Aeby

Clare Anderson

Sam Bell

Ilana Buffenstein

Kaylene Au

Mari Ayako

Paul Baker

Kellen Bean

Jester Galiza

Mariah Gosling

Jason Huynh

Kevin Card

Nanea Cavaco

Sean Chan

Nicole Chong

Lauren Claypoole

TJDawson

Eric Do

Nick Fancher

TRIM

Andy Hwang

Melissa Jackels

Ted Jacoby

Arlene Kiyohara

Sylvia Koo

Rohin Krishnan

Garrett Kaimana Kuwada

Maggie Kwock

Anthony Kwon

Kelsey Kwong

Jennifer Lau

Gunnar Lee

Anthony Lim

Morgan Liu

Shani Ma

Stephen Macaspac

Kevin Martinez

Sara McAllaster 25

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Kayne McCarthy

Weston McCue

Billie Ocampo

Christian Ogasawara

Aiko Murakami

Steven Namiki

Erin NaPier

Carmen Say

Nicholas Simon

Darin Poei

Amandalin Rock

Julia Ruggieri

Chadwick Russell

Bibek Saha

Sean Saito

Brandan Sakka

Brittany Sato

Maiya Smith

TRIM

Andrew "Ken" Stridiron

Dillon Tacdol

Jarren Takaki

Malu Tang

Emily Taylor

Kimberly Teehera

Kara Termulo

Tyler Thorne

Christina Tse

Michaela Tsuha

Kristine Vo

Cindy Vuong

Nick Yim

Grant Yoneka

Kurtis Young 27

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Class of 2022 Memories

JABSOM CLASS OF 2021

PROGRESS NOTE PATIENT ID: Class of 2021, Third Year Medical Students (MS3) MRN: 2021 DATE: 6/24/19 - 6/12/2020 PRE-OPERATIVE DIAGNOSIS: 1. Post Traumatic Step 1 Disorder POST-OPERATIVE DIAGNOSIS: 1.Systemic Identity CRY-sis Syndrome 2.COVID-19 Avoidance Disorder 3. "ZOOMed Out" Fatigue Syndrome 4. Post-Thanos Infinity Gauntlet Snap Stress Disorder PROCEDURE: Maximally Invasive Educational Content Cerebral Implantation INDICATIONS: "Sorry, I'm actually a 'STUDENT' Doctor" ANESTHESIA: None--at all--not even a little PATIENT PROFILE: The Class of 2021 with a past medical history of chronic fatigue secondary to post traumatic step 1 disorder, tired eyes and flat buttocks secondary to daily lectures and prolonged dedicated study time presented to the JABSOM auditorium for pre-clerkship anxiety. Onset occured in June 2019 when most of the class had returned from their Post-Step trips. Patients were found to have temporarily renewed spirits until acutely developing headache, palpitations, tremors, and rapid speech. Physical exams were significant for tachycardia and diaphoresis. On full body MRI, there was no evidence of collection of clinical knowledge, and significant findings included chronic PIMP infection, and Tao Le secreting pituitary adenoma. These findings were consistent with the diagnosis of SEVERE VITAMIN WARD DEFICIENCY and students were consented to undergo a Maximally Invasive Educational Content Cerebral Implantation. 30

DETAILS OF PROCEDURE:

Students were draped in scrubs and taught how to gown in sterile fashion. The initial plan was to undergo minimally invasive procedure via Online Med Ed professor Dustyn but a more invasive cerebral implantation of medical knowledge was indicated due to students' lack of clinical experience and palilalia of "uhhhm....". Students were placed into inpatient rotations consisting of Family Medicine, Internal Medicine, Pediatrics, OB/Gyn, Surgery, and Psychiatry. They were subjected to 4am wake up calls and limited sun exposure. Procedure was complicated by lack of parking (forcing students to traverse H1 bridges at 5am in the morning and hike steep hills on evening returns), limited outside world contact, and recurrent Shelf Examination Cathecholamine Surge x6. The recovery was further complicated with a nearly 3 month stay at home order, clinical manual skill deterioration secondary to sub-chronic virtual Aquifer experiences, and Post-Thanos Infinity Gauntlet Stress Disorder. Fortunately, by the end of the year students learned the beauty of flexibility, the art of telemedicine in 2020, DIY PPE skills, and appreciated a refund from Step 2 CS. POST-OPERATIVE COMPLICATIONS: 1. Hemo-COVID-19-osis Overload and Pandemichromocytoma 2.Caffeine Polydipsia Disorder with Stress-Induced Hyperphagia 3.OASIStemic Learner's Educate-me-tosis DISPOSITION: Upgrade to MS4 Year, STAT! (also, urgent consult required for integrative wellness)

CLASS OF 2021 CLASS COUNCIL

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Charles "Kawena" Akiona

Mayumi Fernandez

Lucia Amore

Nicole Anzai

Joshua Freitas

Edy "Kalei" Gomes

Jonathan Huang

Chase Hwang

Malia Brennan

David George Camacho

Max Castanera

William Harris

Kori Higashiya

Kalei Hosaka

Russell "Pi'i" 32 Kackley

Kameko Karasaki

Kenneth Kato

Cherisse Kawamura

Andrew Ko

Roxanne Ko

TRIM

Bolin Chang

Bryce Chang

Karen Chang

Mari Grief

Julie Crocker

Mark Guirguis

Wilfred Del Mundo II

Faith Hamamura

Norma Marie Elizaga

Holly Harada

Sara Hayama

Wakako Horiuchi

Sophia Jimenez

Eden Koo

Landon Kozai

Selin Kutlu

Laurence Lea Lacar

Esta Lai

Jerrick Laimana 33

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Tiffany Lau

Shaun Pak

Griffin Lee

Jeremy Liu

Sidra Parveen

Taylor PeterBibb

Keke Liu

Leilani Manglicmot

Kalia Tamashiro

Mari Ueno

Michael Meno

Haris Rizwan

Elisabeth Seamon

Josiah Situmeang

Danielle 34 Sullivan

Max Sunoo

Reese Suzuki

Chase Warashina

Heather Miura

Taryn Miyake

Gabriel Monti

Rui Murimoto

Andrew Pham

Donnell Nguyen

Daniella Orias

Nolwenn Phan

Kelly Quinn

Darreon Schwartz

Alex Shin

Shirley So

Amanda Wasko

Jana Wieland

Shelley Wong

Ruiyang Yi

Chelsea Yin

Jenna Yoshisato 35

C l a ss o f 2 0 2 1

ME MO R IE S

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JABSOM CLASS OF 2020

DISCHARGE SUMMARY Patient ID: JABSOM Class of 2020 Admission Date: 07/11/2016 Discharge Date: 05/16/2020

Final Diagnoses (by year): MS1: FirstAid-itis, Bakesalelalia, Sketchyphrenia MS2: Chronic Obstructive Uworld Disorder, Pathomatension, Ankimonia MS3: Post-Traumatic Step 1 Disorder, Chronic FATigue Syndrome MS4: Senioritis, Coronavirus Crisis, Zoom Adjustment Disorder, Quarantine Affective Disorder Admission History: The patient is a class of unspecified age who initially presented with a chief complaint of “desiring to become a doctor” with no significant past medical history. They rate this desire as 10/10 (but notably, they are observed to still frequently check their phones), non-radiating, burning desire. Duration and onset has been “as long as they can remember,” while progression has been described as“getting progressively stronger.” When asked where the dream is, the patient points to slightly left of the sternum. Worsening factors include PBL, LIs, and mandatory lectures. Relieving factors include meeting at “headquarters” or BC House, Super Smash Bros in the lounge, and running slowly with a group from MEB to Magic Island. Associated symptoms include delusions of grandeur, anxiety, and caffeine addiction. The patient was determined appropriate for admission by a committee and the patient, surprisingly, showed immense happiness at this decision. Hospital Course: MS1: on admission, the patient was noted to have altered mental status, frequently asking “what happened to our white coats?” They adjusted well to the prescribed mainstay of treatment: problem-based learning. They did noticeably develop a tic whenever the phrase “that sounds like an LI” was mentioned in their presence. Other supportive care included Olympics (which the patient claims they won), Halloween (they also won), Willed Body Ceremony, and helping with Senior Luau. At this point, the patient was deemed ready to proceed for MS2 management. MS2: after a short reprieve in which the patient traveled around the country in MD5, the patient returned for further management. Hallucinations seem to have developed as the patient continues to mistake everyday items with various microbes. They continue to claim winning Olympics and Halloween. Lastly, the patient has persistent bouts of impending sense of doom which they describe as being afraid of someone called Step 1 trying to hurt them. Standard therapy with UWorld and NBME exams were administered and the patient was successfully moved to MS3 management. 38

Hospital Course (Continued): MS3: the patient reportedly felt “good” and was “excited” to start MS3 clerkships. Informed consent was obtained and an experimental procedure of having the majority of the treatment be longitudinal vs blocks was administered. During the procedure, the patient reportedly experienced many different beneficial events including suturing, retracting, delivering babies, taking histories, and presenting to attendings. T-Res fatigue was noted. Supportive care with colloquia q4weeks were given as well. The patient, now s/p clerkshipotomy, was asked again how they felt: they still reported feeling “good” but also “very tired.” MS4 management was deemed appropriate. MS4: the patient started off MS4 treatment in the typical manner -- they impressed other programs on aways, attended interviews from coast to coast, and came back home to anxiously submit rank lists and look forward to senioritis. An unexpected development with the treatment occurred around the time of Match Day in which a global pandemic hit. Despite this, the patient successfully finished MS4 treatment and produced a very impressive Match list. Equally impressive, the patient quickly adapted to changing and historic circumstances, being the first patient to learn terms like “social distancing,” a brand new disease in COVID-19, and even having a virtual convocation. Although there is sadness that the patient did not get to celebrate as a group or experience the traditional MS4 treatment, the patient is admirably in high spirits, ready to take their place on the frontlines of a global pandemic this July. When asked, the patient endorses that their desire to become a doctor is still a 10/10. Treatment is thus deemed a success and the patient was recommended to be discharged to the real world. Discharge Condition: Socially distanced but virtually connected, excited, passionate, and happy physicians. Disposition: Residency programs across North America (Hawaii, California, Oregon, Florida, Massachusetts, New York, Pennsylvania, Arizona, Connecticut, Georgia, Illinois, Minnesota, Nebraska, Nevada, Ohio, South Carolina, Teas, Utah, Washington, Canada) in the fields of internal medicine, emergency medicine, pediatrics, psychiatry, anesthesiology, family medicine, general surgery, obstetrics & gynecology, orthopedic surgery, vascular surgery, radiology, and ophthalmology. Discharge Medications: 1.Caffeine IV (definitely IV) PRN 2.Patagonia Jackets for cold workrooms and night calls 3.Proper PPE including mask, face shield, and isolation gowns. 4. Sunglasses because the future is so bright. 5.The belief that the class of 2020 always has your back. Discharge Instructions: 1.Take care of your goose. 2.Follow up with your PCP -- primary classmates & peers -- through text, Facebook, Instagram, Snapchat, and emails. Zoom optional. 3.Also follow up with your actual primary care physician. 4.Never forget what it’s like to be a med student and treat your med students accordingly. 5.Consult your friends for your patients but also for yourself. 6.Ask yourself what would make Spikey happy then go do that thing. 7.Think of your patients as Kasuya gold stars and always prioritize them. 8.Make JABSOM and everyone in Hawaii proud, then return to Hawaii ASAP

CLASS OF 2020 CLASS COUNCIL

JABSOM Class of 2020 Danielle Dawn A. Acacio

Asia R.K. Ayabe

Family Medicine Mike O'Callaghan Fed Hosp/Nellis AFB/University of Nevada Las Vegas, NV

Obestrics-G ynecology University of Hawaii Honolulu, HI

-John 'J.D.' Dorian, "Scrubs"

"I see now that the circumstances of one's birth are irrelevant. It is what you do with the gift of life that determines who you are." - Mewtwo

Jin Y. Bae

Woori Bae

Medicine - Preliminary Anesthesiology Loma Linda University/NYU Grossman School of Medicine CA/NY

Psychiatry Zucker Hillside Hospital Glen Oaks, NY

"Who can tell me that my fantasies won't come true? Just this once."

"Bethe person your dog thinks you are."

The root word of education is "to educe," to bring forth that which is already there... You're here to bring forth that which is already there. - Keith LaMar

JABSOM Class of 2020 Vladimir G. Bernstein

Qian Bian

Emergency Medicine Cook County Health and Hosps Systems Chicago, IL

Family Medicine University of Ottawa Ottawa, Canada

"If I am not for myself, who will befor me? If I am only for myself, what am I ? And if not now, when?" - Hillel

"Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do. If you haven;t found it yet, keep looking. Don't settle. As with all matters of the heart, you'll know when you find it." - Steve Jobs

Christa D. Brown

Bryston Chang

Family Medicine Methodist Hospital Sacramento, CA

Pediatrics UC Irvine Medical Center Orange County, CA

"... the Lord has told you what is good, and this is what he requires of you: to do what is right, to love mercy, and to walk humbly with your God.." - Micah 6:8

"The fool doth think he is wise, but the wise man knows himself to bea fool." - William Shakespeare

JABSOM Class of 2020 Caitlin M. Clark

Tru Dang

Psychiatry University of Utah Salt Lake City, UT

Vascular Surgery Medical University of SC Charleston, SC

"I super believe in you Tad Cooper!" -King Richard, Galavant

- Hippocrates

Ryan M. Ebisu

Kaitlynn M. Ebisutani

Emergency Medicine Oregon Health & Science University Portland, OR

Obstetrics-Gynecology University of Hawaii Honolulu, HI

"Why do chemists call helium, curium, and barium 'the medical elements'? Because, if you can't 'helium' or 'curium', you 'barium!" - Heimerdinger

"What medicines do not heal, the lance will; what the lance does not heal, fire will."

"You can't ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving." - Paul Kalanithi, When Breath Becomes Air

JABSOM Class of 2020 Michael T. Fujita

Joseph R. T. Go

Obstetrics-Gynecology-Preliminary University of Hawaii Honolulu, HI

Internal Medicine-Primary University of Hawaii Honolulu, HI

"It's beena crazy ride, from starting with White coat gate, to ending with Covid-19, but there's no one else I would rather have taken the journey with. We made it Visionary Class of 2020!"

Alison M. Goo

"Law number three: at a cardiac arrest, the first procedure is to take your own pulse." - The House of God

Gavin Q. Ha

Internal Medicine - Primary University of Hawaii Honolulu, HI

"The flower that blooms in adversity is the most rare and beautiful of all." - The Emperor, Mulan

JABSOM Class of 2020 James Tae-Woong Ha

Audrey M. Hagiwara

Medicine - Prelim Radiology -Diagnostic University of Hawaii, Yale-New Haven Hospital HI/CT

Internal Medicine Cedars Sinai Medical Center Los Angeles, CA

"I am ready to face any challenges that might be foolish enough to face me."

"Health is the greatest gift, contentment the greatest wealth, and trust the best relation" - Shakyamuni

- Dwight K. Schrute, "The Office"

Greg Harbison

Lucas A. Heldt Manica

Orthopaedic Surgery UC Davis Medical Center Sacramento, CA

Anesthesiology Mayo Clinic School of GME Rochester, MN

"Little by little, the bird builds its nest."

"Success is the ability to go from one failure to another with no loss of enthusiasm." - Winston Churchill

JABSOM Class of 2020 Chaewon Im

Brandon I. Y. C. Ing

Psychiatry Emory University SOM Atlanta, G A

Obstetrics-Gynecology Kaiser Permanente Los Angeles, CA

I can't remember every spring, I can't remember everything - so many years! Are the morning kisses the sweetest or the evenings or the inbetweens? All I know is that "thank you" should appear somewhere. So just in case I can't find the perfect place "Thank you, thank you." - Mary Jane Oliver

"The more we learn, the more we can do, the more we can teach, and the more we can serve."

Carrie Ip

Laura A.T. Kagami

Pediatrics University of Hawaii Honolulu, HI

Pediatrics Childrens Hospital of Philadelphia Philadelphia, PA

"Hoping for snacks!" -Nathan W. Pyle, "Strange Planet"

"And when you get the choice to sit it out or dance, I hope you dance." - "I Hope You Dance", Lee Ann Womack

JABSOM Class of 2020 Trace K. Kalei

Brittni Kam

He ‘a‘ali‘i ku makani mai au; ‘a‘ohe makani nana ekula‘i.

Pediatrics Stanford University Programs Stanford, CA

The ‘a‘ali‘i bush can stand the worst of gales, twisting and bending but seldom breaking off or falling over.

"Always laugh when you can, it is cheap medicine."

- ‘Ölelo No‘eau by Mary Kawena Pukui

Brysa Tin Wai Kato

Kaily A.M. Kuikahi

Internal Medicine University of Hawaii Honolulu, HI

Pediatrics Kaiser Permanente - Oakland Oakland, CA

"First, think. Second, believe. Third, dream. And finally, dare." - Walt Disney

"Whether you think you can or think you can’t, you’re right.”

JABSOM Class of 2020 Andrew Kuriyama

Geoffrey K. Kusaka

Anesthesiology University of Southern California Los Angeles, CA

Internal Medicine Cedars Sinai Medical Center Los Angeles, CA

"The most important thing is to try and inspire people so that they can be great in whatever they want to do." - Kobe Bryant

"If I have seen further, it is by standing upon the shoulders of giants." - Sir Isaac Newton The most heartfelt mahalo to the friends and family who have made this possible. I'm just getting started, and am looking forward to the next chapter with you all by my side!

Alda Lam

Ka'ahukane Leite-Ah Yo

Pediatrics Childrens Hospital-Oakland Oakland, CA

Internal Medicine - Primary UCLA Medical Center Los Angeles, CA

"And, when you want something, all the universe conspires in helping you to achieve it." - Paulo Coelho To all the people in my universe, thank you."

"Into the unknooooooown!" -Elsa of Arendelle

JABSOM Class of 2020 Eddy K.W. Leung

Scott Liu

Internal Medicine BI Deaconess Medical Center Boston, MA

Orthopaedic Surgery SUNY-HSC Brooklyn Brooklyn, NY

"Just because you start something new in your life, it doesn't make your memories any less special." -Joey Gladstone, "Full House"

-A Wise Orthopaedic Surgeon

Jaymes A. J. Lonzanida

Hollyann Loui

Emergency Medicine Desert Regional Medical Center Palms Springs, CA

Internal Medicine UCLA Medical Center Los Angeles, CA

"To give anything less than your best, is to sacrifice the gift" - Steve Prefontaine

"The heart only exists to pump blood to the bones."

"Do your little bit of good where you are. It's those little bits of good put together that overwhelm the world." - Desmond Tutu

JABSOM Class of 2020 Derron Maki

Scott R. Marison Jr.

Anesthesiology Harbor-UCLA Medical Center Torrance, CA

General Surgery University of Hawaii Honolulu, HI

"Never say never because limits, like fears, are often just an illusion." - Michael Jordan

"Every day do something that makes you uncomfortable" - David Goggins

Monet M. Cheung

Daniel H. Miyamoto

Emergency Medicine Oregon Health & Science University Portland, OR

Internal Medicine University of Hawaii Honolulu, HI

"It's all real and it's all illusory: that's awareness!" - Ram Dass

"We all want to believe that what we do is important, that people hang on our every word, that they care what we think. But the truth is, you should consider yourself lucky if you even occasionally get to make someone, anyone, feel a little better." -Dr. John Dorian (Scrubs)

JABSOM Class of 2020 Charis A. Mok

Kayla A. Murata

Family Medicine PeaceHealth Southwest Medical Center Vancouver, WA

Family Medicine University of Hawaii Honolulu, HI

- Maya Angelou

"I told you all I'd write you a song. Pour my heart in the melody to keep you singing along. This might not be the right time. These might not bethe right lines to prove for saying what I'm trying to. But this one's for you." -Luke Combs, "This One's For You"

Andi Trinh Ngo

Christina Ji Eun Park

Psychiatry University of Nebraska Medical Center Omaha, NE

Internal Medicine University of Hawaii Honolulu, HI

"Success is liking yourself, liking what you do, and liking how you do it."

“Show me a sane man, and I will cure him for you.”

"Remember,you're the onewho can fill the world with sunshine!"

- Carl Gustav Jung

- Snow White

JABSOM Class of 2020 Kara Marie Paul

K. Keano Pavlosky

Anesthesiology Oregon Health & Science University Portland, OR

General Surgery University of Massachusetts Worcester, MA

"Death is not the enemy sir, indifference is! You treat a disease, you win, you lose. You treat a person, I guarantee you, you'll win, no matter what the outcome." - Patch Adams

"No problem can withstand the assault of sustained thinking." -Voltaire

Blake M.M. Pinell

Britney Kanoe Quibelan

Psychiatry University of Hawaii Honolulu, HI

Family Medicine University of Hawaii Honolulu, HI

"How lucky am I to have something that makes saying goodbye so hard."

"Let us hold tightly without wavering to the hope we affirm, for God can betrusted to keep His promise."

-Winnie the Pooh

-Hebrews 10:23 (NLT)

JABSOM Class of 2020 Keith Gumabon Sablan

Kody Sacks-Moynihan

Internal Medicine University of Hawaii Honolulu, HI

Emergency Medicine Aventura Hospital Miami, FL

"Whatever you want to do, if you want to be great at it, you have to love it and beable to make sacrifices for it." -Maya Angelou

"Real doctors treat multiple species." -Leanna Boyd

Megan Stevenson

Jaskirat Takhar

Obstetrics-Gynecology University of Hawaii Honolulu, HI

Medicine - Prelim, Ophthalmology Case Western/University Hospital Cleveland, OH

- Anne Frank

- Vincent Van Gogh

"How wonderful it is that nobody need wait a single moment before starting to improve the world."

Kody Moynihan - One Health Member

"Great things are not done by impulse but by a series of small things brought together"

JABSOM Class of 2020 Christopher T. Tanabe

Bryce K. Tanaka

Internal Medicine University of Hawaii Honolulu, HI

"To do common things perfectly is far better worth our endeavor, than to do uncommon things respectably." -Harriet Beecher Stowe

“You only live once? False. You live every day. You only die once.” - Dwight Schrute, “The Office”

Christopher K. Tokeshi

Andrew S. Tokumi

Psychiatry University of Hawaii Honolulu, HI

Emergency Medicine University of Connecticut School of Medicine Farmington, CT

"Do what you can, rest when you need, and enjoy your practice.” – a CorePower online yoga instructor

"Dear Andrew, Congratulations! It is with great pleasure to inform you that the Admissions Committee has recommended an acceptance to the University of Hawai'i at Manoa, John A. Burns School of Medicine to the 2016 entering class." - JABSOM Acceptance Letter

JABSOM Class of 2020 Zachary J. Tom

Nicholas Tran

Internal Medicine Harbor UCLA Medical Center Torrance, CA

Pediatrics Childrens Hospital-Oakland Oakland, CA

"There are big ships and little ships, but the best ships are my med school friendships."

"The desire to sacrifice an entire lifetime to the noblest of ideals serves no purpose if one works alone." - Dr. Ernesto Guevara

Sailesh V. Tummala

Erica Lyn Lam Warkus

Orthopaedic Surgery Mayo Clinic School of GME Phoenix, AZ

Emergency Medicine Florida State University COM Sarasota, FL

"Don't let the noise of others' opinions drown out your own inner voice. Have the courage to listen to it."

"Our fears are always more numerous than our dangers." - Seneca

JABSOM Class of 2020 Hall Wu

Eri A. Yamaguchi

Anesthesiology University of Southern California Los Angeles, C A

Psychiatry Harbor UCLA Medical Center Los Angeles, CA

"The MD actually stands for major debt."

"Toknow even one life has breathed easier becauseyou have lived. This is to have succeeded." - Ralph Waldo Emerson

Geoffrey W.C. Yee

Noa P. Yee

Medicine - Preliminary Anesthesiology St. Marys Medical Center NYU Grossman School of Medicine CA, NY

Emergency Medicine University of Southern California Los Angeles, CA

"We're lost, but we're making good time!" - Yogi Berra

JABSOM Class of 2020 Ryan K.W. Yee Emergency Medicine Crozer-Chester Medical Center Philadelphia, PA

"Grind now so later your dogs will have the backyard they deserve.'"

Daniella Orias Family Medicine

"You are braver than you believe, stronger than you seem, and smarter than you think." -A.A. Milne, Winnie the Pooh

Arash Ghaffari-Rafi Surgical Subspecialty "When a tree bears fruit, its head bends to the ground." - Azeri (Iranian) Proverb

Gatreh gatreh jam-shavad nahgah daryah shavad

"Rain droplets join together and eventually form a sea." - Persian (Iranian) Proverb

JABSOM KEIKI

JABSOM 2020

Weddings + Engagements

IT'S A MATCH!

MARCH 20th, 2020

GOLD HUMANISM HONOR SOCIETY

ALPHA OMEGA ALPHA HONOR SOCIETY

COVID-19: A Message From the Faculty Aloha JABSOM Class of 2020! Congratulations on your graduation from medical school! It has been a challenging second half of the year as the nation battles Covid-19, with your Class having to forgo well-deserved celebrations of match day, luau, award dinners/ceremonies, and commencement. Despite these disappointments, your Class’ strong leadership and resiliency was demonstrated in taking the lead with JABSOM IT and administration in developing and producing a world-class virtual convocation that was enjoyed by your family, friends, and the JABSOM Ohana in Hawai ‘i and beyond.

As I reflect on your fellow graduates of the Class of 2020 at all levels of education, the traditional rites of passage are not being afforded to this group of students. Senior prom and graduation from high school will be missed by the younger graduates, and in many respects, these events are irreplaceable rites of passage to adulthood. For college graduates, missing the true sense of accomplishment that commencement and convocation provides is disappointing, equally for students and proud parents/family. However, as a 2020 medical school graduate, I would actually feel fortunate that the pandemic hit this year, instead of the year in front or the year behind. Yes, you miss the graduation ceremonies and celebrations, but fortunately, you have experienced them before.

The graduates of the JABSOM Class of 2019 were in the middle of their internship, when they were tossed into the middle of a pandemic without adequate PPE, with the personal fear for their own health and transferring the virus to loved ones. The Class of 2021 are being stressed by the postponement of USMLE exams, and cancelations of away rotations and interviews. Without training programs for many specialties in Hawai ‘i, you can certainly understand the increased amount of anxiety this is causing.

The Class of 2020 got a significant advantage in experiencing the early pandemic, largely on the sidelines. You got a chance to read, study, evaluate, and mentally prepare before clinical rotations were restarted in early May. PPE availability and PPE appropriateness for level of care has been resolved. Knowledge of the disease and availability of testing are expanding. Hospitals and health care systems are much better prepared to manage future waves of the pandemic. When you start your internship on July 1, the health care system will be ready to support you with adequate protocols and PPE, and you will be mentally ready for patient care in the time of Covid-19. Compared to the classes above or below you, if I was given a choice, I would personally favor being in your class, even knowing that I would give up the end of year celebrations. You will see another flu pandemic during your career. I take comfort in knowing that you will have the knowledge and experience to battle the next crisis, when it will be your turn to lead and guide the next generation of health care providers in Hawai ‘i and beyond. Mahalo and Aloha Lawrence Burgess, M.D., FACS Director of Student Affairs, Professor of Surgery JABSOM Class of 1980

COVID-19 TOP SECRET MEMO TO: JABSOM Alumni Association Board of Directors FROM: Richard Kasuya, JABSOM Class of 1989 My dear fellow Board members…the experiment is now over. The Class of 2020 has graduated. Here is my final report to you. I feel I have successful remained undercover for the last four years, taking constant notes and making meticulous observations of this class of medical students. I admit I am feeling a bit remorseful for keeping this experiment unknown to the members of the Class of 2020. Shouldn’t we have gone through an IRB process for this? Oh well, too late now…

As you recall, we started this psychological experiment four short years ago. We took some of the best applicants JABSOM has ever seen in its 50-plus years of existence, and put them through four rigorous years of training. The goal was to test if they would prove worthy of being added to our numbers in the JABSOM Alumni Association. I cringe to think of all that we have put them through…The horror of Dr. Sakai’s lectures, being forced to watch OME faculty and staff dance at Halloween contests, being guinea pigs for Dr. Omori’s latest baking concoctions…and perhaps worst of all…having to listen to my jokes. How could anyone be expected to live through such an experience and maintain their enthusiasm, their dedication, and their humanity?

Unfortunately, our study design was poor. This class was also put through unexpected stressors that even the nefarious minds of our Board of Directors could not have imagined! And, not even the ever-pessimistic Dr. Horio onsour board could have predicted the pandemic, and all of the ways it would disrupt the lives of these students and their loved ones.

Yet, through all of this – our systematically planned stressors and the unexpected and unfortunate cointerventions – this class has demonstrated a remarkable spirit. When old traditions were not possible this year, they chose to create new ones. They found ways to contribute to the fight against COVID19 - building face shields, sewing masks, and advocating for those that were most vulnerable. They somehow made it through Dr. Sakai’s lectures, stomached Dr. Omori’s baked goods, and even forced themselves to halfheartedly laugh at my jokes.

I guess it didn’t take our putting this class through an unsanctioned and probably unethical research experiment to reach this conclusion: This is a truly amazing class. They have proven to be more than worthy of earning the right to join us as the newest alumni of JABSOM. This will be my final report. I will now turn my attention to rehearsing my old jokes for MD1…

p.s. Next time, we should just take Dr. Nip-Asano’s word for it and save us all a lot of trouble. Dr. Sakai’s lectures are really hard to sit through… 66

A Message from the Faculty Dear Class of 2020, Imagine that it’s May 2025, when some of you will be out in practice, some may be in fellowship and some may still be in your surgical residency specialties with 5 more years to go… You reminisce about your last few months of medical school… You remember the fear of getting sick, bringing home that sickness to your loved ones, and missing the human touch. You remember the sense of helplessness, and the hundreds of thousands who died without any cure. You remember the anger of the loss of control and human ignorance. You remember the loneliness of not being able to hang out with your classmates during the last few months of medical school. But you also have good memories You remember the compassion your class showed making face shields for first responders and donating to a community in need. You remember the love - spending quality time with loved ones and creatively connecting with friends and family. You remember the gratefulness of your patients for human connection and someone who listens. You remember the humanity - a community, a country, a world, all brought together with one common goal. Now flashback to now, your first year of residency during the COVID-19 pandemic, one of the greatest threats our world has ever seen. I have the utmost confidence of your competence, and that all of you are ready for the challenges ahead. You will be the calm that eases the fears and anxiety of your patients. You will be the strength that your colleagues, family, and friends can rely on. You will be the physician that helps to relieve your patients' suffering. Best of luck, class of 2020! Remember that you are not alone, you are now a JABSOM graduate, part of the community of JABSOM physicians practicing all over the world. You can count on your classmates, colleagues, and JABSOM to always be with you. Kyra Len

Dear Class of 2020,

In the beginner’s mind there are many possibilities, but in the expert’s there are few. ~Shunryu Suzuki

It seems like just yesterday that as a course director for MD1, I had the privilege and honor of witnessing your first moments of medical school -- when your minds had not yet distilled PBL down to a quick 2 - 2.5 hours, and the possibilities of identifying problems and need to knows were endless. This is the energy and space in which innovation and great discoveries are made. As you move on to your next new experience, rather than feeling your newness as a hindrance to competency or being in a rush to mastery, I encourage you to embrace the moment of the beginner’s mind. It is a very small window of time to experience the space of not knowing -- a time when our minds are open to possibilities and outside the box thinking because we are not yet in a box of conformity and routine. It is a time when we can experience the awe and wonder that come from not knowing. Once this moment passes, it’s gone. Embrace the now and be gentle with yourselves, always. With much aloha,

*Shannon* (Dr. Hirose-Wong)

COVID-19: 2020 DEDICATION

"The Black Death and The Spanish Flu: We'll keep our win record if we all stick together– with proper social distancing, of course." -Andi Ngo "Things are tough right now, but I know we're all JABSOM tougher. We'll get through it together just as we got through PBL, clinicals and everything else." -Joe Go

Aloha, The Class of 2020 #JABSOMSTRONG

COVID-19: THE ZOOM LIFE

GUESS WHO?

CLASS OF 2020 BABY PHOTOS

JABSOM PACEMAKERS

KIHEI CEREMONY

CONVOCATION

MAY 17, 2020

THROWBACK - First Year

THROW BACK - Second Year

THROW BACK - Third Year

YEARBOOK STAFF

Ryan Yee, MS4 Editor in Chief

Laurence Lea Lacar, MS3

Andy Hwang, MS2

Sarah Murayama, MS1

MAHALO KAHUNA DONORS!

Joseph Gilhooly, MD Dr. David Horio Dr. Terri & Mr. Cary Tanaka Jonn Saruwatari Norman Arai Scott Miyake, MD Andrew & Laura Dang Kenneth Ortiz Lori Inouye-Yamashita, MD & James Yamashita, MD William W. Goodhue, Jr., MD Sandy Tsuhako & David Inouye Greg Yuen Ron Teramoto, MD Susan K. Sorensen, MD Kenn Saruwatari Emmett McGuire Izumi S. Kobashigawa, MD Dr. Glenn Uto Geri Young & Robert Teichman Edith Pang, MD Craig Y. Shikuma, MD Kevin K. Kurohara, MD Lynn Iwamoto Randal & Joyce Yanagisawa Darrell Takebayashi, MD Dr. Malia Ramirez Len Tanaka Nicole Leong, MD Stella Matsuda Harry Yoshino, MD Damon Sakai Cynthia Goto, MD Rodney M. Kazama, MD Drs. Nathan Enoki and Lissa Daimaru-Enoki Sandra Loo Daniel M. Harada Joseph Vierra Cynthia & Larry Tinsley Bryan Wahl, MD Damien Tavares Ruth A. Conn Bill & Vickie & Robert Hagbom Jamie, Jodi, Jaclyn, Lance Kagihara, MDs John H. Drouilhet /Sada Okumura Nathan Wong, MD Rakhi Ram, MD Joseph W. & Dina L. Turban Loren Yamamoto, MD Patricia Lanoie Blanchette, MD Aaron & Lynnell Kaichi Mihae Yu Stephen A. Schendel, MD Ryan & Karen Sumida Byron H. Izuka, MD Dr. Kenric & Mrs. Norma Murayama Dr. & Mrs. Wendell Foo Dr. & Mrs. Jinichi Tokeshi Alice Long O'Donnell Barry R. Caparoso Mark Yoshida Martina Kamaka Luke Perkocha Derrick Kida Daven & Roslyn Chun Glen & Susan Sugiyama C laudine Kimura Ross Tanoue, MD & Joyce K. Nakamura, MD Drs. Stuart and Robyn Yim Pang Ryon Nakasone Baron Wong Marion & Vernon Von Karen Ching

Special Mahalo to: MS4 Yearbook Staff: Woori Bae, Brittni Kam, Kanoe Quibelan Joseph Go: MS4 Discharge Summary Page Kayla Murata: COVID-19: 2020 Dedication Page Christina Park: COVID-19: The ZOOM Life Page Ryan Yee: Yearbook cover design Ka'ahukane Leite-Ah Yo: Yearbook cover quote JABSOM Communications (Tina Shelton, former director) and University Health Partners (Deborah Manog Dimaya, Vina Cristobal, and Paula Bender) for faculty and event photographs! 79

AUTOGRAPHS

JABSOM Kahuna 2020 Yearbook

Articles inside

AOA/GHHS

AddressDean's