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Driven by An Infectious Focus

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American Dream

American Dream

Since 1996, Drs. Larry Danziger and Keith Rodvold have directed a section focused on infectious disease research, training and clinical service.

A large U.S. map graces the wall of Larry Danziger’s first-floor office inside the UIC College of Pharmacy building. Dozens of small plastic flags protrude from the framed, earth-toned map, lining both coasts and peppering the U.S. heartland.

Each flag, Danziger explains, marks the current location of a former fellow from the College’s Infectious Diseases Pharmacotherapy Section – one of the largest and longest-standing such fellowship programs in the U.S.

As Danziger stands alongside his College of Pharmacy colleague Dr. Keith Rodvold, with whom he founded the Section in 1996 and continues serving as its co-director, he beams about the contributions of the Section’s past fellows. Danziger tells of individuals working for the

Bill & Melinda Gates Foundation, the World Health Organization (WHO), the National Institutes of

Health, the U.S. Food and Drug Administration, major pharmaceutical industry players and various universities, including some of who have constructed academic programs modeled after the heralded UIC-based Section.

“For Keith and I, [the fellows] are like our children and we’re both so proud of all they’ve accomplished,” says Danziger, a professor of pharmacy practice.

Over the last 23 years, the Infectious Diseases Section – propelled by the enterprising spirit of those fellows as well as Danziger, Rodvold and a swelling group of faculty colleagues – has emerged a prominent player in the healthcare landscape by delivering education, clinical support and research to the University and an array of external partners. The Section has bolstered patient care, created a robust training program and highlighted the value pharmacists can bring to interdisciplinary healthcare teams.

“ We were helping infectious disease doctors learn nuance and showing what a pharmacist trained in infectious diseases could do.”

LARRY DANZIGER, PHARMD

Seizing Momentum

In the mid-1990s, a time in which various other College faculty members were forming their own specific sections, Dr. Richard Hutchinson, then-head of the Department of Pharmacy Practice, encouraged Danziger and Rodvold to formally merge their respective expertise in infectious diseases. Establishing a section, Hutchinson advised, would spark more collaborative, organized research around infectious diseases and inject fresh energy into the specialty field.

Though Danziger and Rodvold regularly worked together on training and research throughout the late 1980s and early 1990s, they nevertheless remained independent, each maintaining his own group of postdocs and individual research directions. Creating a more formalized operating unit, however, streamlined their work and supercharged their efforts.

“Everything changed from that moment forward,” says Rodvold, who, like Danziger, is also a professor in the Department of Pharmacy Practice.

In fact, there was a near-immediate surge in fellows, faculty collaboration and external partnerships. Danziger and Rodvold went from each having “one or two fellows” to six between them. The added capacity increased the scope of research and positioned the Section for exponential growth.

“Everything synergized,” Danziger says. “We had this tremendous spurt in research and training activity because we were representing a larger group.”

Navigating Success

Early on, the Section established a strong relationship with Abbott Laboratories, with whom it helped develop multiple drugs.

“That got people paying attention to us,” Danziger says of the Abbott collaboration. “And, frankly, that’s when we realized ourselves that people needed our expertise.”

Other partnerships soon followed – first of the local variety, including collaborations with Loyola University Medical Center, the Cook County Health and Hospitals System and other industry players before moving regionally, then nationally and, eventually, internationally. There was, for example, the creation of a national program for PharmD infectious disease fellows established in partnership with the University of Minnesota and Wayne State University as well as an eight-year drug development initiative with WHO.

These collaborations escalated the credibility of the Section and also provided the Section’s fellows a diverse array of compelling research opportunities. That, in turn, led to heightened competition for the Section’s fellowships.

“One day, we turned around and had trained 75 people,” Danziger jokes.

At the same time, additional faculty members from the College joined Danziger and Rodvold in the clinical realm. That spurred deep relationships with entities such as the Edward Hines Jr. VA Hospital, John H. Stroger Cook County Hospital, the Ruth M. Rothstein CORE Center and the Division of Infectious Diseases at UI Health.

As chair of Cook County Hospital’s Division of Infectious Diseases, Dr. Robert Weinstein relished the opportunity to leverage the Section’s personnel, acumen and spirited focus.

“[The Section] had a great working knowledge of clinical and research pharmacology, while Larry and Keith, in particular, were great collaborators with excellent trainees interested in learning and working,” says Weinstein, who maintained a relationship with the Section as he moved onto leading Cook County Health’s Department of Medicine and serving as CORE Center’s chief operating officer.

For Danziger and Rodvold, the creation of a formalized section at the College energized their respective careers and enlivened the research, clinical and training elements of infectious disease pharmacy at UIC.

“Our department head was smarter than us,” Danziger says of Hutchinson. “He saw the value we could add.”

Charging into the Future

Today, the Section’s mission remains unchanged from its 1996 founding – to carry out important research, clinical and training opportunities around infectious diseases – though it pursues that work on a much greater scope these days.

Indeed, the Section today extends far beyond Danziger and Rodvold and includes faculty who have pushed the Section into a number of notable areas, both clinical and research. To wit:

• Drs. Melissa Badowski and Thomas Chiampas lead the HIV Telemedicine Clinic that provides care to 26 facilities within the Illinois Department of Corrections system.

• Drs. Renata Smith, Sarah Michienzi and Rodrigo Burgos recently received an industry-sponsored grant to treat hepatitis C virus infection in populations with substance abuse and other social barriers.

• Dr. Eric Wenzler is investigating the pharmacokinetics and pharmacodynamics of antimicrobials in both the in vitro and clinical arenas.

• Dr. Zackery Bulman’s lab is evaluating antibiotic combination therapy with in vitro infections models for treatment of multidrug-resistant bacteria.

• Drs. Gail Itokazu and Robert Glowacki provide clinical pharmacy services in infectious diseases at Cook County Hospital.

• Dr. Blake Max guides outpatient pharmacy services at the CORE Center for patients with HIV infections.

Also on the research front, the Section is involved in Phases I through IV clinical trials of existing and investigational antimicrobial compounds. The Microbiology Research Laboratory, which the Section launched and currently manages, continues exploring the activity of novel compounds and approaches to improve the use of both new and old antimicrobials as well as new pharmacotherapeutic options for the treatment of antibiotic resistant infections.

With an unrelenting and unapologetic belief in translational research, one sharpened by their early careers in clinical pharmacy, both Danziger and Rodvold steer much of the Section’s research toward work with real-world applications.

Inevitably, though, everything circles back to training and the educational focus both Danziger and Rodvold have long championed for the College’s fellows and students, of course, but also the greater healthcare field. Training, the longtime colleagues acknowledge, remains the ultimate ticket to a vigorous field and improved patient care.

At the College, Badowski, Smith and Chiampas have developed elective courses on topics such as case-based infectious diseases, management of the HIV patient, telemedicine in pharmacy practice and concepts in drug development, while Dr. Blake Max spearheaded the launch of the College’s Interprofessional Collaborative Practice in HIV Care course. Such conscientious training positions UIC’s pharmacy students and the Section’s fellows to be healthy contributors to a diverse array of organizations.

“[The Section] has a great record of taking excellent people and turning them into even greater professionals and that’s evident with where the past fellows are today,” Weinstein observes. “Fellows once rounding with us years ago are now the ones giving the conference keynotes.”

Beyond the College’s classrooms and labs, the Section ran an annual continuing education program focused on infectious diseases for Chicago area healthcare providers and also provided programming to pharmacists through the Midwest AIDS Training and Education Center. In addition, Rodvold and two past fellows, Dr. Manjunath Pai and Dr. Paul Gubbins, served as co-editors of the fourth edition of the Drug Interactions in Infectious Diseases textbook, a primer for which Rodvold and another past fellow, Dr. Stephen Piscitelli, were founding co-editors.

“Advancing the field and training the next generation of infectious disease pharmacists was consistently top of mind for us,” Danziger reports. “We never got far away from that.”

Now, Danziger and Rodvold’s most pressing challenge is to see that the Section is well positioned for a long, stable future. To that end, the Section has integrated new faculty members such as Wenzler, Bulman and Michienzi to propel the Section’s future.

“Programs and people come and go, but we got momentum and kept building on it, adding as others were shrinking,” Rodvold says. “The hope is that continues well into the future.”

Danziger agrees.

“Whether its research, clinical or training, pharmacy can bring a lot to patient care and the healthcare field,” he says. “We’ve tried to show that time and again.”

A map in Danziger’s office reminds that the Section has accomplished just that and much more.

INFECTIOUS DISEASES FELLOWS

Where are they now?

From industry to academia to the public sector, past fellows from the UIC College of Pharmacy’s Infectious Diseases Section inhabit a diverse array of positions today. A sampling:

Dr. Joette Meyer

A fellow from 1993-1996, Dr. Joette Meyer is currently an associate director for labeling at the U.S. Food and Drug Administration’s Center for Drug Evaluation and Research. Now in her 21st year with the FDA, Meyer oversees and manages the labeling portfolio for prescription drug and biological products in the Division of Gastroenterology and Inborn Errors Products. The Division conducts regulatory review and advises pharmaceutical companies on the development and approvability of drugs and biological products for the treatment of various GI diseases and inborn errors of metabolism, which includes drugs for rare diseases with serious unmet medical needs.

Dr. Steve Piscitelli

Upon completing his fellowship in 1993, Dr. Steve Piscitelli joined the National Institutes of Health before entering the corporate sector, including time as the global head of clinical pharmacology for the Infectious Diseases division at GlaxoSmithKline. Now the vice president of clinical pharmacology for Dermavant Sciences, Piscitelli was the first pharmacist to serve on the Department of Health and Human Services’ Guidelines Panel for Treatment of HIV Infection and is also a past member of the Pharmacy Professional Advisory Committee to the Surgeon General. His resume includes over 125 published papers and co-editing a drug interactions textbook with Keith Rodvold.

Dr. Doug Fish

After completing his Infectious Diseases fellowship in 1992, Dr. Doug Fish accepted a position with the University of Colorado, where he is in his 27th year as a faculty member at the Skaggs School of Pharmacy and Pharmaceutical Sciences. As chair of the Department of Clinical Pharmacy, Fish oversees a roster of some five-dozen faculty members. A clinical specialist in critical care and infectious diseases, Fish has led the School’s PGY2 Infectious Diseases Pharmacy Residency program as well as its PGY2 Critical Care Pharmacy Residency program. �

“All of our research is devoted to having an impact on patient care.”

KEITH RODVOLD, PHARMD

FORMER FELLOWS

1984-1986

Frank Paloucek

1985-1987

Robert Blum

1986-1987

Jacquiline Danyluk

1986-1988

Kevin Furmaga

1987-1989

Jill McCollam

1987-1989

Randy Pryka

1988-1990

Gail Itokazu

1989-1991

Pramodini Kale-Pradhan

1989-1991

Linda Wesley

1990-1992

Sharon Erdman

1990-1992

Doug Fish

1990-1992

Paul Gubbins

1990-1993

Stephen Piscitelli

1991-1992

Jenny Colombo

1991-1993

Tom Kanyok

1991-1993

Susie Pendland

1991-1994

Donna Cranford

1992-1994

Chris Gentry

1992-1994

Steve Martin

1992-1994

Susan Raber

1992-1994

Lori Schoonover

1993-1996

Joette Meyer

1994-1995

Lawrence Watt

1994-1996

Mariela Diaz-Linares

1994-1996

Aaron Killian

1994-1996

Ian McNicholl

1994-1997

Chad Messick

1995-1996

Blake Max

1995-1997

Christine Lesch

1995-1997

Jim Scott

1996-1998

Susan Chuck

1996-1998

Rose Jung

1997-1998

Renata Smith

1998-2000

David Bearden

1998-2000

Joan Cannon

1998-2000

Melinda Neuhauser

1998-2000

Suttiporn Pattharachayakul

1998-2000

Pavenna Sonthisombat

1998-2001

Kevin Garey

1999-2001

Amit Pai

2000-2002

Katie Suda

2001-2003

Shana Gunderson

2001-2003

Chris Schriever

2001-2004

Kelly Sprandel

2002-2004

Rupali Jain

2002-2004

Kinnari Khorana

2003-2004

Christine Fernandez

2004-2006

Kathryn Momary

2005-2006

Sonia Vibhaker

2005-2007

Jomy Joseph

2005-2007

Christine Slover

2006-2007

Rodrigo Burgos

2006-2008

Sarah Langridge

2007-2008

Somvadee Laohavaleeson

2008-2010

Jackie Joujry

2009-2010

Diana Yu

2009-2011

Ben Colton

2009-2011

Tonya Crawford

2010-2012

Emily Huesgen

2010-2012

Zahra Kassamali

2010-2013

Julie Justo

2011-2012

Kristy Shaeer

2011-2014

Melinda Soriano

2012-2013

Tommy Chiampas

2012-2014

Siyun Liao

2012-2015

Kevin McConeghy

2013-2014

Andrew Merker

2014-2015

Whitney Dickson

2014-2017

Eric Wenzler

2015-2017

Kristen Bunnell

2015-2017

Sarah Michienzi

2016-2017

Kari Horn

2016-2018

Mark Biagi

2016-2018

David Bulter

2017-2018

Paa Kwesi Yanful

2017-2019

Samah QasmieH

2017-2019

Tan Xing

2018-2019

Marisa Brizzi

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