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Full text of "Medical alumni bulletin [serial]"

*9 



Medical AluMnt 



y School of Medicine, University of North Carolina at Chapel Hill 



<9 



Bigb 




Dean's 
Page 



There's an old fisherman's story that 
admonishes those who would seek a 
bountiful catch to "fish where the 
fish are." 
We're following that advice in Chapel Hill 
as we seek to improve our abilities to recruit 
and retain the best and brightest medical stu- 
dents from among all representative popula- 
tions in North Carolina. We are reaching out 
to the high schools. 

A developing relationship with the North 
Carolina School of Science and Mathematics 
in Durham offers an example of this effort 
in action. 

We were aware that we have 42 NCSSM 
alumni currently enrolled in our medical 
school. A visit to the Durham campus re- 
vealed a vibrant and diverse intellectual envi- 
ronment populated by some very bright kids. 
We asked the Science and Math faculty, 
"How can we help? How can we work to- 
gether?" Possibilities now in active discus- 
sion include: 

• Creating and reserving special slots for 
NCSSM students in the 1996 UNC 
School of Medicine summer minority 
research program 

•Continued faculty mentoring 
for these students during the following 
academic year 

• Special involvement of NCSSM faculty 
at UNC, including participation 
in our medical education develop- 
ment program for minority/disadvan- 
taged students 

•Participation of UNC medical faculty 
as health careers infomiation resources 
for NCSSM's televised distance-learn- 
ing programs 
These distance-learning programs go to 
51 other sites in North Carolina, thus our 



reach to the secondary schools is extended 
even further Add to this special efforts we are 
making to connect with other secondary 
school science teachers through the UNC 
Mini-Medical School series, and we have an 
outreach effort of considerable scope. 

What are the results so far? There is no 
doubt we are better fulfilling our public 
service mission, simply by building these 
relationships. We have improved our capaci- 
ty for earlier identification of promising 
future physicians and we are uncovering 
new opportunities for building and nurturing 
pipelines to prime sites for bright 
future doctors. 

Another benefit, both for the profession 
and for our secondary school colleagues, 
is the help we are able to provide teachers 
and their young students in making better ca- 
reer choices sooner, simply by being visible 
and accessible where they are — in the sec- 
ondary schools. 

It is my expectation these efforts will con- 
tinue and expand. We think this initiative 
holds great promise, both for helping assure 
intellectual quality and diversity in our 
student body, and for extending our public 
service reach. We plan to exploit these oppor- 
tunities energetically. 



Sincerely, 





Michael A. Simnioiis. MD 
Dean 



Medical Alumni 
Association Officers 

President 

Frederick O. Bowman, MD "50 
Chapel Hill 

President-Elect 

Carl S. Phipps. MD "62 

Winsron-Saleni 

Vice President 

Darlyne Menscer. MD "79 
Charlotte 

Secretary 

Gordon B. LeGrand. MD "65 
Raleigh 

Treasurer 

PaulE.Viser.MD"84 
Clinton 



Editor 



John W. Stokes 

Director, Institutional Relations 

Katharine C. Neal 
Director, Public Affairs 

Susan Vassar King 
Managing Editor 

Jerry Allegood, Melissa L. Anthony. 
Nancy L. Kochuk 
Contributing Writers 

Dan Crawford (pgs. 2. 13.20) 
Charles Harris (pgs. 14. 15) 
Don McKenzie (pgs. 4. 6. 7. 10) 
Greg Plachta (Cover, pg. 8) 
Photographers 

Iht: MeiliculAlidniii liulU'Un is published four 
limes annually by the UNC-Chapel Hill Medical Alumni 
Association. Chapel Hill. NC 11^ 1 4. Pcislatie is paid by 
the non-profit asscK'iation through U S. Postal Pennil 
No. 24. Address correspondence to the editor. Office of 
Medical Center Public Affairs. Schcxil of Medicine, 
CB#76(X). Uni\ersitv of North Carolina. Chapc-I Hill. 
NC27.S14. 



Medical Alumni 

BULLETIN 

School of Medicine, University of North Carolina at Chapel Hill 



Contents 



Features 

Learning About Teaching, School of Medicine Style 2 

For the Children 4 

Myelin on His Mind 10 

Preceptors Serve Vital New Role in Medical Education 1 1 

Faculty Profile: Alan Cross, Social Medicine and Pediatrics... 14 

Alumni Profile: James Slade,MD' 57 18 

Endowment Fund Grants 21 

Departments 

Dean's Page Inside Front Cover 

News Briefs 12 

Faculty Notes 16 

Development Notes 20 

Class Notes 22 

President's Letter Inside Back Cover 

CME/Alumni Calendar Back Cover 



On the Cover: Health care professionals in the School ot Medicine have been serving 
the needs of the state's children for more than 1 00 years. Today, dozens of programs, 
services and clinics are in place to protect the health and treat the diseases of this most 
important resource. We look at five dilferent aspects of pediatric services, beginning 
on page 4. (f'hoin h\ (irci; I'Idclitci) 



Learning About Teaching, 
School of Medicine-Style 




Allen C. Smilh III, PhD, associate director of the Office of Educational Development, leads the Teaching 
Scholars class during one of their monthly three-hour seminars. Clockwise, from left, are Christopher C. Baker. 
MD, professor of surgery and progrcun co-director; Steven R. Wells. MD: Leonard D. Stein, MD: Kerry-Ann J. da 
Costa, PhD: Howard M. Fried, PhD; Claire B. Wilcox, MD: Helen E. Courmisie. MD: O'Neill E DCruz, MB: 
and Frank T. Stritter. PhD. professor of education and program co-director 



by Melissa L. Anthony 

Medical schools are about the 
business of teaching. But bal- 
ancing that effort with the de- 
mands of research and patient 
care can be a challenge. 

With this in mind. William Herbert. MD. 
a former UNC-CH professor of obstetrics 
and gynecology, and Frank T. Stritter. PhD, 
professor of education in the School of 
Medicine's Office of Educational Develop- 
ment, created the Teaching Scholars" Pro- 
gram in 1987. 

The idea behind the Teaching Scholars' 
Program is to elevate the status of teaching 
as a scholarly activity. It does this by provid- 
ing medical faculty with an opportunity to 
improve their teaching skills, learn about a 
variety of educational issues, network with 



other faculty, and receive recognition as a 
Teaching Scholar. 

"The key to the Teaching Scholars' Pro- 
gram is that it shows the School of Medicine 
is concerned about good teaching and good 
educational programs." says Stritter. "We 
are interested in helping faculty improve 
their teaching skills and become better 
equipped for educational responsibilities." 

How It Works 

Every two years, department chairs nom- 
inate faculty who have a demonstrated in- 
terest in education and significant teaching 
responsibility. Ten to 12 candidates, from a 
variety of departments and at various points 
in their careers, are selected. 

The two-year program, currently co-di- 
rected by Stritter and Christopher C. Baker. 



MD. professor of 
surgery, includes a 
seminar series, re- 
search projects and 
practical applications 
of educational theory. 
"Each component of 
the program adds 
to the experience 
of the scholars," 
says Stritter. 

Once a month, 
scholars meet for a 
three-hour seminar on 
a selected educational , 
issue. Topics range 
from the theory be- 
hind instruction and 
the nature of educa- 
tional research to 
using computers in the 
classroom and plan- 
ning a curriculum. 
Scholars receive regu- 
lar reading assign- 
ments and case studies 
to prepare for class. 

Each participant 
also completes at least 
two practical experiences relevant to his or 
her responsibilities. "Learning about the ed- 
ucation of others is complex, so we incorpo- 
rated practical experiences into our 
curriculum." notes Stritter. 

Scholars choose their experiences from 
optional activities scheduled after each 
seminar. After one seminar on large-group 
instruction, for instance, the scholars could 
be videotaped giving a lecture and have the 
tape reviewed by the seminar instructors. 

During their second year, scholars work 
on individual education research projects. 
With guidance from program faculty, 
scholars design and implement 
their projects, write summaries of their re- 
search for publication, and present oral 
summaries at the Teaching Scholars' gradu- 
ation symposium. 



The Scholar's Experience 

Though the research projects require an 
investment of time, they are a rewarding 
part of the curriculum, says Baker, a 1995 
Teaching Scholars graduate. "The knowl- 
edge and experience I gained from work- 
ing on my research project is applicable in 
the real world." Baker remarks. "I used my 
project to help reorganize the curriculum 
for the Department of Surger>'." 

Michael R. Mill. MD. associate profes- 
sor of surgery and 1995 Teaching Schol- 
ars" graduate, used his project to create a 
teaching portfolio. Portfolios are necessary 
to fulfill the state mandate for objective 
measures of teaching performance, and 
Miirs has become a blueprint for other fac- 
ulty members. 

One of the best things about the program 
is the network created among participants, 
says Baker "I may never have had the op- 
portunity to interact with some of these 
faculty members." he adds. "Now that 
we've worked together in the program, we 



can interact on other educational issues." 

Another valuable part of the program is 
that it causes scholars to think about their 
work in new and creative ways. "It gets 
people to step outside their daily activities 
and think about what they're doing." says 
Baker. "It makes them not only more effec- 
tive teachers, but more effective workers." 

The Program's Success 

How successful has the Teaching Schol- 
ars' Program been? "Any time you try to 
measure success in teaching, it's a difficult 
thing." says Stritter. "As far as the Teaching 
Scholars' Program is concerned. I think it's 
been very successful." 

One measure of that success may be the 
fact that graduates take on new and signifi- 
cant educational positions in their depart- 
ments. For example. Anthony Meyer. MD. 
professor of surgery and a 1993 Teaching 
Scholar, is now residency program director 
for the Department of Surgery. Other grad- 
uates have become members of curriculum 



1995 Teaching Scholars 


Current Teaching Scholars 


Graduates 


(Class of 1995-97) 


Christopher C. Baker. MD. Surgery- 


Eileen J. Burker. PhD. Medical Allied 


Stephen G. Chane}-. PhD. Biochemistry 


Health 


Stephen M. Downs. MD. Pediatrics 


Helen E. Counoisie. MD, Psychiatiy 


Stuart H. Gold. MD. Pediatrics 


Keriy-Ann J. da Costa. PhD. Nutrition 


David C. Maxer. MD. Anestliesioh)g\ 


O'Neil D'Cruz. MD. Neurology and 


Karen L McCuIIoch. MS. PT. 


Pediatrics 


Medical Allied Health 


Howard M. Fried, PhD. Biochemistry 


Michael R. Mill. MD. Surgen- 


and Biophysics 


Ann T. Neulicht. PhD. Medical Allied 


Scott S. Kelley. MD. Surgeiy 


Health 


Leoiuud D. Stein. MD. Pediatrics 


Howard R. Reisner PhD. Pathology 


Paul Tawney, MD, Physical Medicine 


James A. Smith. MD. Emergency 


ami Rehahditati(m 


Medicine 


Lesli A. Taylor, MD. Surgeiy 


David J. Weher. MD. MPH. Medicine 


Claire B. Wilco.x. MD. Radiology 




Steven R. Wells. MD, Obstetrics and 




Gynecology 



committees or taken positions as depart- 
mental program directors. 

"I would have hesitated to volunteer to 
be clerkship director before participating 
in this program." says Baker, speaking of 
his position as third- and fourth-year 
surgery clerkship director. "Having gone 
through the course, though. I had new 
skills and saw the position as a worthwhile 
commitment of my time and effort." 

Attendance at seminars has been near- 
perfect despite the participants' hectic 
schedules. And the program is becoming a 
factor in the promotion process. Stritter 
says, "The title "Teaching Scholar' has 
credibility and is looked on favorably 
when promotion time rolls around." 
he adds. 

To date. 45 scholars have graduated 
from the program. Enthusiasm continues 
to spread as graduates acknowledge its 
value and support of their educational re- 
sponsibilities. "This program is having a 
ripple effect." says Baker. "The scholars 
are excited about what they are 
learning. They're going back to their 
departments and spreading the word about 
Teaching Scholars." 

And the program is generating interest 
beyond the doors of the School of Medi- 
cine. Stritter. a frequent speaker at national 
meetings on faculty development, has re- 
ceived numerous requests for the Teaching 
Scholars" curriculum from schools inter- 
ested in establishing similar coursevv ork. "1 
know of several week-long seminars with a 
similar emphasis, but very few two-year 
programs like ours exist." says Stritter. He 
co-authored a paper describing the Teach- 
ing Scholars' Program that appeared in 
Teaching and learning in Medicine, 1 994. 
Vol. 6, No. .^. 207-209^ D 



For the Children 



Health care professionals in the School 
of Medicine have been serving the needs 
of the state's children for more than 
100 years. Today, dozens of programs, 
sen ices and clinics are in place to protect 
the health and treat the diseases of this most 
important resource. 

Although many of the programs are based 
in the Department of Pediatrics, they also 
are delivered across departments. Several 
are nndti-disciplinaiy. 

From the most basic biochemiccd research 
to the life-saving capabilities of the ICU and 
transplant programs, the talents and ener- 
gies of hundreds of people are dedicated to 
improving the lives of children through more 
advanced and more accessible health care. 

The following series of articles takes a 
look at five different aspects of pediatric ser- 
vices at UNC. In the wellness and primaiy 
care arena, we look at the development of 
a computer program to help pediatricians 
improve delivery of preventive services, 
and the efforts of one pediatric .specialist to 
focus on his patients' abilities, not just 
their disabilities. 

We 'II see how specialized services 
can touch disparate stages of childhood, 
from the sight-saving surgery performed 
on the retinas of premature infants to the 
collaborative focus of an adolescent psychi- 
atiy program. 

And finally, we look at a heart-warming 
example of interdisciplinaiy health care at 
its best — how an obstetrician, a pulmonolo- 
gist. two surgeons and an anesthesiologist 
combined their knowledge and expertise to 
save a young life. 



Improving the 
Prevention Odds 

Most pediatricians believe they should ed- 
ucate parents about topics ranging from seat 
belt use to lead screening. But studies show 
those in private practice spend an average of 
only 97 seconds during routine office visits 
talking with parents about their child's de- 
velopment, behavior and injury prevention. 

Stephen Downs. MD. an assistant profes- 




More than 57.000 children receive medical care at UNC each yean Thousands more 
indirectly from the medical center's research efforts and outreach progratns. 



benefit 



sor of community pediatrics at the School of 
Medicine, believes child preventive health 
services are too important to be left to 
chance. Working with a UNC team with ex- 
pertise in health education, computer sci- 
ence and medical informatics. Downs has 
developed a computer program called Child 
Health Improvement Program (CHIP). The 
program prompts doctors to ask about pre- 
ventive services while also streamlining rou- 
tine clinical practice. 

Here's how the program works: When a 
child arrives for an office visit, a nurse calls 
up the child's file on a computer screen. The 
screen highlights the vital signs to be taken 
that day and notes any deficiencies in the im- 
munization record. Once the vital signs have 
been entered into the record, the program 
prints out a worksheet for the physician to 
use during the exam. 

If a 4-year-old comes in for a well-child 
visit, for example, the worksheet might in- 
clude a short list of developmental mile- 
stones for that age, questions and reminders 
on diet, a prompt on the risk factors for lead 
poisoning, and a reminder to the physician to 



obtain a hematocrit. 

"The worksheet is more than a list of top- 
ics for a physician to discuss," says Lisa 
Cohen, a research assistant with the Injury 
Prevention Research Center who designed 
the health education component of CHIP. "It 
gives physicians the reasoning behind some 
of the prompts. And in some cases, it offers 
specific wording that the physician can use." 

The worksheet prompt that reminds a 
physician to talk with parents about infant 
car seats, for example, would also note that 
babies under 20 pounds should be in 
car seats in the back seat facing backwards, 
while those over 20 pounds should be 
facing forward. 

As each topic is discussed, the physician 
checks it off on the worksheet and makes ad- 
ditional notes. After the visit, the sheet is fed 
into a computer scanner that updates the pa- 
tient database to customize the prompts for 
the next visit. 

"So if it has been noted that a parent is not 
using a car seat," Downs says, "at the next 
visit, the worksheet will remind the care 
giver to ask about it again. Or if a parent who 




Peggy Cheek. LPN. likes CHIP 's ability to siiuplifi- the processing of 
kindergailen and camp health fonns. "I don 't have to pull the chart 
and write it all down — height, weight, vision, hearing, blood pres- 
sure, immunizations — I just push a few buttons on the computer 
and the form comes up with all of the infonnation printed." 



smokes says he or she plans to quit, the next 
time the worksheet will raise the issue again 
and even offer tips on quitting for the doctor 
to pass along." 

CHIP is being field-tested at the Pediatric 
Clinic at the Ambulatory Care Center. In use 
since June 1995. it is already widely accept- 
ed by the housestaff. Preliminary evaluation 
data show 90 percent of the residents use the 
worksheets for well-child visits. They say 
the worksheet reminds them of things that 
they would have forgotten to mention 
to parents. 

"But what's even more important than the 
usage rate of the system is that it's already 
making a difference in preventive care at the 
clinic." says Downs. Immunization rates 
have gone up 7 percent, while TB screening 
rates ha\e risen from } 1 to 15 percent. 

The Orange County Health Department 
is another CHIP test site. Diane Rocker, 
child health coordinator, says the system is 
g(xxi at triggering what needs to be done on 
a given day. "A health care provider is not as 
likely to forget to do a certain procedure thai 
is not done on a regular basis, such as blood 
lead testing." she says. "I see CHIP as a kind 
ofcheck-and-balance system," 



CHIP may 
soon also be able to 
summarize an of- 
fice visit and create 
customized parent 
education materials 
to reinforce physi- 
■ L 1-^-^^^' cian counseling. 
r fe^.v .<• Jennifer Arbanis, 

''"'^"' the program's soft- 

ware engineer, ex- 
plains: "For 
example, if a parent 
still hasn't turned 
down the hot water 
heater to 1 20 de- 
grees. CHIP could 
send them a re- 
minder that includ- 
ed a diagram of how 
to do it. Or if a par- 
ent isn't regularly 
using a car seat, the 
follow-up letter 
could zero in on that issue." 

The CHIP development team's goal is to 
refine the program and make it available to 
any pediatric practice that wants it. But 
those who have used CHIP already recog- 
nize that its value is not limited to pediatrics. 
"The whole idea behind CHIP really is qual- 
ity improvement." says Downs. "Especially 
in this era of managed care, we need better 
ways to document the kinds and rates of ser- 
vices we're providing." 

— Niuicx L Kochuk 



Physician Coaches, 

Prods Young Patients 

with Spina Bifida 

Ask a group of 10-year-olds what they 
want to be when they grow up. and you'll be 
inundated w ith job possibilities ranging 
from the practical to the absurd. Ask a 
10-ycar-old who has spina bifida that same 
question, and you might get iiolhing more 
than a shrug of the shoulders and "1 
don't know." 



Joshua Alexander, MD, a clinical assistant 
professor of pediatrics and physical medi- 
cine and rehabilitation at the School of 
Medicine, says few of the young spina bifi- 
da patients he has worked with think about 
holding down a job or living on their own 
when they grow up. It has a lot to do with ex- 
pectations, he says. He thinks both parents 
and children can get so caught up in 
the daily care issues that they don't focus on 
the future. 

Spina bifida is a complicated illness, 
Alexander observes. Patients must deal with 
a host of issues ranging from bladder and 
bowel incontinence to spasticity. But he be- 
lieves that people need to be encouraged to 
look beyond the immediate obstacles and 
set goals and plans for the future. 

The focus on the disability is understand- 
able, Alexander says. "Just think of how 
medical personnel, friends and even rela- 
tives react to the birth of a disabled child. 
The parents often hear only how sorry peo- 
ple are. No one ever congratulates them on 
becoming parents. It shouldn't be such a 
negative experience." 

In the early years, it's natural and right for 
the parents to do whatever they can to take 
care of their child, Alexander says. But as 
his patients gets older, Alexander tries gen- 
tly to place some of the responsibility on 
them. "I make a point of asking the children 
rather than their parents hov\ they are man- 
aging their bowel and bladder and what 
medications they're taking." They may need 
to ask their parents for help with the ques- 
tions the first few times, he says, but getting 
the children involved in their own care is an 
important first step. "If you never ask any- 
thing of children, you'll never know what 
they can do." 

Alexander is a pediatric physiatrist, 
trained in both pediatrics and physical medi- 
cine and rehabilitation. He works exclusive- 
ly with children who ha\e physical 
disabilities. As a pediatrician, he can pro- 
vide primary care for these kids, so he deals 
with the usual childhood illnesses and infec- 
tions. As a physiatrist. he also deals with 
rehabilitation, although he considers 
the term misleading. "Children don't 
need /chabilitation," he savs. "Most haven't 




Joshua Ak'xuuder, MD, gels to know a new patient. JolinMark Campbell of Wake Forest. 



lost their life skills. They have yet to 
learn them." 

Alexander thinks it's important to keep in 
mind that kids — all kids — just want 
to make friends, have fun and feel good 
about themselves. So he does whatever he 
can to make his patients" lives as normal 
as possible. 

Toward that end. Alexander works to an- 
ticipate and prevent medical complications. 
He offers an example: The patient with 
spina bifida who has hip and spine deformi- 
ties may try to compensate for this imbal- 
ance by constantly leaning to one side of the 
wheelchair. That increases the curvature of 
the spine and puts more pressure on one of 
buttocks, which can lead to skin break- 
down. And if incontinence is not properly 
managed, urine can get on the broken skin, 
leading to infection. 

The key. Alexander says, is to intervene 
early so these complications never arise. 

If there's anything that he tlnds frustrat- 
ing about his job. it's not having enough 
time to start all the programs he'd like to 
have in place for children with disabilities, 
both locally and across the state. Currently 
working on a part-time basis. Alexander 



spends most of his off-duty hours with his 
wife and young daughter. "Although 1 plan 
to work full-time in the near future. I figured 
that I could either work part-time now. or 
wait until I'm 65 years old. It's important to 
me that I help raise my daughter, and it 
also helps me understand how hard it is to 
be a parent." 

Another frustration comes from dealing 
with the business side of medicine. "Insur- 
ers are often hesitant to spend appropriate 
amounts of money on children with disabil- 
ities," Alexander says, "and the situation is 
complicated by the fact that there are few 
good outcome studies in the field. But I still 
believe that money spent on improving 
the health and welfare of these children now 
is. in the long run, a cost-effective approach 
to care." 

One group Alexander wants to reach 
while he's here at UNC is pediatricians 
themselves. "Since they provide most of the 
front-line care for disabled children, it's im- 
portant that they feel knowledgeable and 
comfortable dealing with the special needs 
of this population." With that in mind. 
Alexander will be surveying pediatric resi- 
dents to see how comfortable they are tak- 



ing care of kids with disabilities. 

"The bottom line is the same for most 
children, disabled or not," says Alexander. 
"They want to be accepted by their peers, 
they want to go out on dates and not embar- 
rass themselves, and they want to enjoy life. 
My job is to help children with disabilities 
grow up healthy, happy and independent." 
— N.LK. 

Sight-Saving 

Treatments 

for Neonates 

Babies bom prematurely are at risk for a 
host of health problems. Among them is 
retinopathy of prematurity (ROP). a disease 
in which the blood vessels of the retina 
don't mature normally. If left untreated, se- 
vere ROP can cause blindness. 

Infants born weighing less than* 
1500 grams (about 3.3 pounds), earlier than 
30 weeks gestation, or exposed to large 
amounts of oxygen are especially at risk, 
says David Wallace, MD, assistant profes- 
sor of ophthalmology and pediatrics in the 
School of Medicine. So part of his weekly 
routine as a pediatriac opthalmologist is to 
screen neonates for this condition. 

In normal development, the major blood 
vessels coming out of the optic nerve grow 
to the edge of the retina, Wallace explains. 
But in premature babies with ROP, they stop 
growing. In severe cases, new abnormal 
blood vessels grow where the normal ves- 
sels have stopped. These new vessels may 
bleed and fill the eye with blood, or they can 
scar, shrink, and pull on the retina, causing 
it to detach. These complications are diffi- 
cult to treat and frequently lead to blindness. 

No one really knows exactly what causes 
ROP, Wallace says. It was once thought that 
oxygen therapy might be the cause of all 
cases of ROP, but the research has not borne 
out that conclusion. The factors most often 
associated with ROP — besides the degree 
of prematurity and birth weight — are res- 
piratory problems, anemia, heart problems 
and hemorrhage in the brain. 

Not all babies with ROP go blind. Wal- 
lace says. The location and severity of the 
changes in the retina are the key factors. For 
reasons no one can explain. Wallace says, 
the excess blood vessel growth and scarring 



How does an ophthalmologist 
determine if the retinal blood ves- 
sels are abnormally wide and wig- 
gly enough to be classified as plus disease? 
The clinical diagnosis is significant be- 
cause plus disease is known to be a power- 
ful predictor of poor outcome in eyes with 
ROP. 

It's a very subjective evaluation, says Jan 
Kylstra, MD, associate professor of oph- 
thalmology in the School of Medicine. 
Ophthalmologists must make judgments 
about w hich babies have plus disease by vi- 
sually comparing the diameter and tortuos- 
ity (wiggliness) of the neonate's retinal 
blood vessels with a single standard photo- 
graph for minimum plus disease. 

"The problem is that this one photograph 
is off center and slightly out of focus." Kyl- 
stra says. "It's hard to make any kind of 
comparison against such a poor standard." 

Working with Sharon Freedman. MD. 
formerly associated with UNC and now at 



Duke University Medical Center, Kylstra 
has undertaken a clinical research project 
aimed at standardizing the diagnosis of 
plus disease. When the research project 
began in 1 992, Kylstra and Freedman start- 
ed taking photographs of babies' eyes with 
a 35mm camera specially designed to pho- 
tograph retinas. Joe Capowski of Chapel 
Hill then digitized the photos, and using 
specially developed computer software, 
analyzed the size and tortuosity of the 
blood vessels. The tortuosity values accu- 
rately diagnosed the presence of plus dis- 
ease but because high quality photos are 
difficult to obtain, the exam was not yet 
clinically useful. 

The next step was moving to video. The 
physician, with a videocamera attached to 
the ophthalmascope, could record the exam 
while doing it. With the entire exam on 
tape, the image can be frozen at any point 
during playback and the computer can ana- 
lyze the structure of the blood vessels. 



Kylstra. Freedman and David Wallace, 
MD, a pediatric ophthalmalogist who does 
many of the screenings, are still concerned 
about the quality of the images being gen- 
erated. Since a consistently clear photo- 
graph may be impossible to achieve, 
Kylstra says they may try to develop a stan- 
dard set of photos with different levels of 
plus disease. 

One aim of the overall research effort, 
Kylstra says, is to see if other health care 
professionals might be taught to screen for 
plus disease. He and Freedman recently 
presented a paper at a national pediatric 
ophthalmology meeting showing that even 
without special training, people have con- 
siderable ability to discern clinically rele- 
vant increments in blood ves.sel diameter 
and tortuosity. So if health care providers 
could be given a set of photographs or a nu- 
merical standard for plus disease, Kylstra 
says the screening process could be both 
standardized and routinized. 



stops by itself in the majority of 
babies. But in a small percent- 
age, there is progressive scar for- 
mation which may impair vision 
and even cause blindness. 
It's those babies who are the tar- 
get audience for Wallace's 
screening efforts. 

During the exam, Wallace 
uses an indirect ophthalmascope 
and holds a viewing lens in his 
hand to assess the relative size 
and tortuosity (wiggliness) of 
retinal blood vessels. Babies 
whose blood vessels are fat and 
wiggly have a severe form of 
ROP called plus disease. Plus 
disease is one of the indications 
for laser surgery. 

Sometimes the initial screen- 
ing doesn't show anything sig- 
nificant, but that may be because 
it's just loo soon to tell. "At 30 
weeks, there may be no disease 
present, but the retina hasn't ma- 
lured enough to tell if there will 
be a problem," Wallace says. The 
critical time to intervene with 
laser surgery is usually around 
37 weeks postconception. 




Assisted hy Rene Thomas, RN, ophihalniolofiist Ihivid Wa/laa 
examines the retinas oJ9-week-alcI Zcichan- Jones. 



During the surgery, Wallace 
makes about a thousand laser spots 
in the area that is bereft of blood 
vessels. "What we're doing is de- 
stroying the outer part of the retina 
in order to save the center part. We 
know thai it is the malnourished 
outer retina that likely stimulates 
the abnormal blood vessel 
growth," he says. "We're sacrific- 
ing far peripheral vision to save 
center vision." Untreated, approxi- 
mately half of the babies with se- 
vere disease would become legally 
blind. Using the laser treatment de- 
creases the incidence of severe vi- 
sual loss by about .50 percent, 
Wallace .says. 

Twenty years ago. Wallace says 
ophthalmologists had no treatment 
options. They would see babies 
with ROP and simply tell (he par- 
ents if they thought the infant 
would be likely to see or become 
blind. "Now w ith laser surgery, we 
can dramatically increase (he odds 
in lasorol the child," Wallace says. 
— N.L.K. 



Communication the 

Key in Psychiatric 

Programs 



From the moment a child or adolescent is 
admitted to the N.C. Neurosciences Hospi- 
tal as a psychiatric patient, the focus is on 
going home. While the patient undergoes 
medical and psychiatric evaluation and 
treatment, the rest of the health care team — 
nurses, recreational and occupational thera- 
pists, social workers, education specialists 
and others — analyzes the child's home, 
school and community environment. Their 
aim is to make the transition back home as 
smooth as possible and ensure that social 
service support is in place for both the child 
and family. 

By the time a child is referred here, says 
Helen Courvoisie, MD. medical director of 
the expanded pre-adolescent inpatient unit 
at the new N.C. Neurosciences Hospital, 
the child's illness likely has already taken a 
heavy toll on the parents. 

"For a child with an affective disorder 
such as manic-depressive illness, for exam- 
ple, the behavior problems may 
go back to preschool years." she 
says. "When the child reached 
elementary school, the episodes 
of aggression and violence may 
have escalated, leaving the par- 
ents frustrated and angry with 
their inability to deal with 
the behavior. 

"The younger the child, the 
more likely a health profession- 
al along the way attributed the 
child's behavior to something 
going on at home," Courvoisie 
says, "rather than to a neurpsy- 
chiatric problem. We try to 
show parents that although they 
didn't cause the behavior prob- 
lems, they can learn better ways 
of managing them." 

Parents need lots of informa- 
tion — about the diagnosis, 
about medication and other 
forms of treatment, and espe- 
cially. Courvoisie says, about 
how to be an effective advocate 
for their child. "We want to 



make parents feel powerful and give 
them the tools to deal with the situation," 
she says. 

"All parents are looking for answers," 
says Avni Cirpili. RN, MSN, currently the 
psychiatric nurse manager for the com- 
bined units. "They want to know — need to 
know — what's happening with their child. 
We see ourselves as partners with parents. 
We provide information and try to make the 
environment comfortable enough for par- 
ents to be able to ask any question they 
have. From our point of view, there simply 
aren't any 'dumb' questions." 

Psychiatric nurses also teach parents 
how to manage difficult behaviors, and they 
encourage parents to try out the strategies 
on the spot. "What better place than a psy- 
chiatric unit to practice the skills?" Cirpili 
asks. "We're the safety net. If something's 
not working well, we can step in and show 
them the appropriate intervention." 

Helping parents work through issues 
with their teenage children is especially im- 
portant, says Lin Sikich. MD. medical di- 
rector of the new adolescent inpatient unit. 
"Communication and control, two issues 
central to every parent-teen relationship, 
can be even more explosive when the 




Avni Cirpili. RN. MSN. tries to provide as much infonnation as 
possible to parents. There simply aren 't any 'dumb ' questions, he says. 



young person is diagnosed with a psychi- 
atric disorder," she says. "Parents need to 
set limits and monitor the adolescent's be- 
havior, yet still allow some freedom and 
choices where possible. It's a tough balanc- 
ing act. The experiences parents gain 
in family therapy and multi-family group 
activities can really help. 

"What these teenage patients need more 
than anything else is to know that they are 
loved and valued by their parents." Sikich 
says. "Once that sense of security is estab- 
lished, they can start to take little steps to- 
ward independence and responsibility. The 
process of separating from parents during 
adolescence is surprisingly similar to the 
stages that a toddler goes through to estab- 
lish his or her independence." 

While working with families, the treat- 
ment team is also in constant communica- 
tion with the child's community. Contacts 
are made with the referring source, with 
local health care officials, with the child's 
school, and with various social service 
agencies. All of this activity culminates in a 
community conference that takes place in 
the hospital before the young person is dis- 
charged. Along with parents and the med- 
ical staff, representatives from all of the 
community groups are pre- 
sent. The point of the meeting 
is to discuss recommenda- 
fions on topics ranging from 
school placement and atten- 
dance to the kind and fre- 
quency of counseling for the 
young person. 

"We like to involve the 
teenagers in these communi- 
ty meetings too." says Sikich. 
"We need to hear about the 
issues that are important to 
them. We also know involv- 
ing them increases the likeli- 
hood they will buy into the 
treatment plan." 

Encouraging compliance 
with the agreed-upon plan is 
a primary concern to the 
health care team. One tech- 
nique they use with adoles- 
cents is having them sign 
written agreements that spell 
out the desired behavior — 
taking medication, attending 
weekly counseling sessions, 



or whatever — as well as specific rewards 
and consequences for following (or not fol- 
lowing) through. 

"Kids need to know that there are rewards 
as well as negati\ e consequences to their be- 
havior. For some adolescent patients, a later 
curfew on a weekend or more phone time 
with their friends might be a real incentive to 
stay with the program," Sikich says. 

There are a lot of things that patients and 
families can't control about the psychiatric 
illness. Sikich says, "Our goal is to make 
children and their parents aware of the things 
they can do difterently to make a difference 
in the quality of their lives." 

— N.L.K. 



Baby's First 

Biithday a Blessing 

to Parents 

When Derrick Lucas Jr. celebrated his 
first birthday on March 10. the festivities 
were a bit more joyous than most. 

The fact that Deirick is even alive is little 
short of miraculous, say his mother and his 
physicians at UNC Hospitals, where Derrick 
was born in 1995. He weighed only 
3 pounds, .S ounces. 

Theresa Wiggins first came to UNC in 
mid-February last year after a routine ultra- 
sound done in Nash County showed an ab- 
normal growth on the fetus" neck. Nancy 
Chescheir, MD, an obstetrician/gynecolo- 
gist who specializes in high-risk births, re- 
peated the ultrasound, then showed Wiggins 
the problem. 

"She told me a tumor was growing inside 
the babys throat and mouth area." Wiggins 
says, making it unlikely the baby would be 
able to breathe on his own, once born. "Dr. 
Chescheir was very honest, and told me that 
he had less than a 20 percent chance of liv- 
ing. 1 was scared, but I appreciated her hon- 
esty," Wiggins says. At the time, doctors did 
not know how large the tumor would grow, 
or whether it was cancerous. 

Wiggins went home to Elm City only to 
return to UNC two weeks later, already in 
labor — two months early. "They tried to 
stop the labor, but couldn't." Wiggins says. 
Doctors had to do a Cesarean section be- 
cause the tumor had grown so large. 




Derrick Lucas Jr enjoys an outinii with his dad. Derrick Sr, and mom. Tlieresa \Vii;i;ins. 



Chescheir's original prenatal diagnosis, 
which identified the seriousness of 
the baby's medical situation, prompted her 
to alert other UNC physicians, who were 
then available during and following 
the baby's biilh. 

One of those physicians. Robert Wood. 
MD. chief of pediatric pulmonary medicine, 
attempted to get a tube around and past the 
tumor, to help the baby breathe, but the 
tumor was too large. Clearly, it had to be re- 
moved surgically if the baby were to survive. 

In the delivery room. Don Nakayama. 
MD, chief of pediatric surgery, performed an 
emergency tracheotomy, opening a small 
hole in the infant's throat that allowed him to 
breathe. He and Amelia Drake, MD, an ear, 
nose and throat specialist, found the tumor 
was too large to be removed through the 
mouth. The only option was to make a large 
incision that split the jaw. 

Such extensive surgery on a tiny baby 
meant lots of bleeding, further endangering 
his life. "Transfusions and careful adminis- 
tration of anesthesia by Dr Vincent J. Kopp 
allowed us to get through the surgery and 
remove the tumor without any complica- 
tions." Nakayama says. Fortunately, the 
tumor was benign. 

Two weeks after Derrick's birth, his moih 



er got to hold him for the first time. "Before 
that. I could only rub his hands and feet, he 
was hooked up to so many machines. 
Holding him was the best feeling I've 
ever had." Wiggins says. It also was 
especially poignant because her first baby 
was stillborn. 

After surgery, the infant made rapid 
progress. His mother stayed at the Ronald 
McDonald House, visiting each day. Al- 
though DeiTick did have a few subsequent 
setbacks, on June .5. he got to go home. 

Today. "Derrick is a pretty normal baby, 
except for a slight deformity of his jaw. You 
can scarcely tell he had anything wrong." 
Nakayama says. Michael Roberts. DDS, 
M.Sc.D., chair of pediatric dentistry at UNC, 
will continue working on mi\\ rehabilitation, 
"mostly making sure his teeth arc straight 
where we split the jaw," Nakayama adds. 

"Dr. Nakayama is a good surgeon," 
Wiggins says. "When 1 bring Derrick for 
check-ups, you can see the excitement in his 
eyes that the surgery was successful. I like 
that feeling." D 

— Kalliarine C. Neal 



Myelin on His Mind 



F 



ew lay people have 
ever heard of 
myelin, the fatty 
white material that 



wraps around nerve fibers 
and speeds conduction of 
nerve signals necessary for 
movement. Unless, perhaps. 
they suffer from multiple 
sclerosis or have peripheral 
neuropathy (loss of sensa- 
tion in the limbs) as a com- 
plication of adult-onset 
diabetes. These are among 
the many disorders related to 
loss of myelin. 

Pierre Morell, PhD, and 
fellow researchers in UNC's 
Brain and Development Re- 
search Center hope their 
work with myelin will shed 
new light on nervous-sy.stem 
development, and ultimate- 
ly, offer clues to more effec- 
tive treatments for 
myelin-related disorders. 

Over the past two decades 
Morell, a professor of 
biochemistry, has investigated what myelin 
does, how and when it is formed, and what 
controls its fomiation. 

"For years, myelin was viewed as an insu- 
lator, similar to rubber coating on an electric 
wire," Morell says. "Now. however, it's rec- 
ognized as a dynamic structure that interacts 
with axons of the nerve fibers in facilitating 
transmission of electrical impulses." 

At birth, babies have little myelin in their 
brains. "Babies are cute, but they're not so 
smart, and that, in part, has to do with their 
lack of myelin," Morell says. "The neurons 
are fomied, but the myelin must still be pro- 
duced and wrap around them." This begins 
soon after birth. By age 5 almost all path- 
ways are well myelinated, although some 
myelin accumulation continues over the 
ne.xt decade. 

Morell has been looking for clues as to 
what causes myelin to be lost. In a series of 
experiments that involved feeding newbom 
rats the element tellurium, the rats became 
paralyzed. Morell, working with neu- 
ropathologist Tom Bouldin, MD, and bio- 
chemist Arrel Toews, PhD. found the 
10 




Have you heard the theory 
1 



Pierre Morell. PhD. review.s research data with Helga Jurevics. PhD. 



Lthat eating garlic is associat 
ed with reduced incidence 
heart disease? 

It's actually the tellurium salts 
— assumed to be responsible for 
garlic's powerful odor — that are 
creating the interest. In fact, a re- 
searcher from the University of 
Cambridge in England recently 
published a paper picking 
up on Morell's studies: "How 
Does Garlic Exert its Hypocho- 
lesterolaemic Action? The Tel- 
lurium Hypothesis." 

Morell says the tellurium hy- 
pothesis is interesting, but puts 
his faith in well-studied drugs 
that suppress cholesterol synthe- 
sis without the smell of garhc. He 
also reminds readers that using 
physician-prescribed drugs for 
lowering cholesterol in adults is 
safe with regard to myelin. De- 
myelination due to blocked cho- 
lesterol synthesis is only likely in 
infants or small children still ac- 
cumulating myelin. 



ry 1 

at- 4- 

of 3 



paralysis was related to myelin loss. Once 
the rats stopped getting tellurium, their bod- 
ies started producing myelin again and they 
returned to nonnal health. 

How did the tellurium act on the myelin? 
Two of Morell's former associates — Jean 
Harry. PhD. now an NIH scientist, and 
Maria Wagner, PhD, now at Cato Research 
in Re.search Triangle Park — found the an- 
swer. After ingesting the tellurium, the rats 
were unable to synthesize cholesterol, a crit- 
ical component of the myelin sheaths. With- 
out cholesterol, myelin surrounding the 
nerve fibers became unstable and fell apart. 

The next question became whether the 
cholesterol needed for myelin formation is 
synthesized in the nervous system or if it can 
come from cholesterol that is consumed in 
foods. In Xhe Journal of Neurochemistry this 
year, Morell and Helga Jurevics, PhD, a 
research fellow in the lab, reported that vir- 
tually all cholesterol needed for synthesis of 
myelin is made in the nervous system. The 
cholesterol that circulates in the blood does 
not enter the nervous system. 

"All body tissues require cholesterol for 



synthesis of membranes (myelin is a spe- 
cialized membrane). In most cases, tissues 
can use the cholesterol that comes from the 
diet, but that's not true for the nervous sys- 
tem," Morell says. "Special barriers protect 
the brain and nerves. These keep almost all 
foreign substances — including cholesterol 
— from entering." 

The practical implication of these find- 
ings is important in evaluating the conse- 
quences of dietary intervention in early 
childhood, Morell says. He points to an in- 
born error of metabolism called Smith- 
Lemli-Opitz syndrome, characterized as 
due to an inability to make cholesterol. 

"Unfortunately, adding cholesterol to the 
diet of newborns is not likely to be effective 
in alleviating brain damage caused by this 
disorder," Morell says. "It may be more 
helpful for researchers to focus on other 
kinds of therapies for genetic disorders re- 
lated to myelin production." D 

—N.LK. 



Preceptors Serve Vital New 
Role in Medical Education 



Last October. 160 
first-year medical 
students left the 
cozy confines of 
Bern, hill Hall for an up-close- 
and-personal look at primary 
care practice. Under the aus- 
pices of the new "Medical 
Practice and the Community" 
course, the students spent a 
week with physician-precep- 
tors located in communities 
throughout North Carolina, 
observing their practices and 
soaking up the essential 
elements of the doctor-patient 
relationship. Over the course 
of their first two years in med- 
ical school, the students will 
return to the practices five 
more times. 

"The six weeks that stu- 
dents spend with their precep- 
tor can have a profound 
impact on their career 
choice." says Michael C. 
Sharp. MD. director of the 
Office of Community Med- 
ical Education. "We are very 
grateful to our preceptors and 
to their patients. They are pro- 
viding our students with in- 
\aluablc experiences." 

One preceptor, Jonathon 
Dewald of Wilson, found the 
experience invaluable for 
himself, as well. Dewald re- 
tlected on that experience in 
a letter to the student he host- 
ed, portions of which are 
reprinted here. For further in- 
fonnation on becoming a pre- 
ceptor for the MPAC course, 
call the Office of Community 
Medical Education at 
919-966-2917. D 



October 21. 1995 
Dear Mark: 

I've found a little time to try to send along 
a few comments but still haven't fonnulated 
them very well — best to just do it or it'll 
never get done. 

Overall. I feel very good about this first 
week and look forward to future, more ad- 
vanced encounters. I perceive you to be intel- 
ligent, polite, caring and enthusiastic, the 
latter resulting in your frustration that your 
actual hands-on experience with the patients 
was less than you had hoped for I like that. It 
will become a challenge later for you to keep 
that enthusiasm, just as it becomes a chal- 
lenge to keep humanistic ideals as your work 
load increases. ... 

You've now been exposed fairly well to 
most of the aggravations of private practice. I 
think you need to see that early. In future on- 
site encounters, keep challenging me about 
the good parts and I can show you a whole 
world of wonderful things in medicine: 
things / think are wonderful. You will find 
things that are wonderful to you. likely dif- 
ferent from what I enjoy. Medical 
school and residency will give you plenty 
of opportunities. ... 

This week was a re-learning experience 
for me: probably more of a challenge for me 
than for you. I enjoyed the teaching a,spect of 
my residency and the year I spent as an in- 
structor in Augusta. Since then. I've acquired 
a new life, a new love - my practice. It is 
more mine than any other part of my life. I 
manage every aspect of it. It depends on me 
for its existence because of who I am. Anoth- 
er physician could take over the practice, but 
the unique aspects of the way I practice and 
manage will gradually disappear as the new 
physician imprints his or her own unique 
blend of emotions, experiences, priorities 
and personality. ... 

1 teach my patients about things important 
to their quality of life and they teach me how 
to communicate effectively and efficiently 
and. if they really like me. they teach me how 
to be more sensitive, more human. The 
uniqueness of the patients thereby also de- 
llnes the uniqueness of the practice. To share 
these patients with someone else is almost 



frightening. They share with me their deep- 
est intimacies, fears, joys and experiences 
with the expectation of confidentiality. They 
need to be able to do that. My unique group 
of patients has come to expect it and 
it's taken almost 1 1 years for some of them to 
get there. ... 

I need these experiences for my own emo- 
tional fulfillment: perhaps the most impor- 
tant "good" aspect of my practice. The 
teaching of the patient and physician 
is an intimate relationship. To introduce a 
new learner (student) into the relationship 
can generate feelings something akin to a 
three-way love affair -jealousy, apprehen- 
sion, inhibition of intimacy, competition, etc. 

Such are the concerns I've had as I've re- 
sisted for years the pleas of colleagues and 
my own innate desire to expand my teaching 
role. My longing became too intense to fight 
so I volunteered but it was still with some 
trepidation that I looked foi-ward to your ar- 
rival. This program involving early first-yeai" 
students seemed the ideal way to staiT. You 
are primarily expected just to "shadow" and 
.see what a private practice is. Easy for you 
iind easy for me. We both can pull out of the 
aiTangement at this stage. 

Again. I've overall plea.sed and relieved. 
The preceptor role looks like something I 
can begin to build on. The student (you) is 
everything a preceptor would want. The 
practice didn't fall apart! I'm confident I can 
do this. There will be problems - there are al- 
ways problems - but I'm not afraid they'll be 
insurmountable. Your first year of medical 
.school is but the first of many steps on the 
way to being a physician, and this first week I 
hope is just one of many I'll take on the way 
to becoming a more rounded, versatile and 
experienced teacher I hope you'll help me 
with thai (feedback). 

If you decide to come back in January 
(with more clinical tools) you can count on 
more hands-on experience, more indepen- 
dence, more responsibilities and more 
expectations (from me). I'm looking 
forward to it, 

Jon Dewald 



News 
Briefs 



Neurosciences Dedication 
Set for April 19 

On Friday, April 19, officials from the 
medical center, the University of North Car- 
olina and the Chapel Hill community will of- 
ficially dedicate the new North Carolina 
Neurosciences Hospital. 

Eric B. Munson, UNC Hospitals executive 
director, will deliver the opening remarks 
and introduce the speakers, including Alice 
Eure, founder. Foundation of Hope, Raleigh; 
Robert Golden. MD, chair of Psychiatry; 
Michael Hooker, PhD, chancellor. Universi- 
ty of North Carolina at Chapel Hill; John 
Kirkland. MD, chair, UNC Hospitals board 
of directors; Harold C. Pillsbury III, MD, 
chief of Otolaryngology/Head & Neck 
Surgery; Michael Simmons, MD. dean. 
UNC-Chapel Hill School of Medicine; CD. 
Spangler, president. University of North Car- 
olina; Judith Tintinalli. MD. chair of Emer- 
gency Medicine; and The Honorable 
Rosemary Waldorf, mayor of Chapel Hill. 

Dedication ceremonies will be followed 
by a reception and tours of the facility. The 
hospital, which broke ground in 1991. will 
house emergency services, psychiatric ser- 
vices, neurology and neurosurgery, otolaryn- 
gology/head & neck surgery, and Carolina 
Air Care. 

On Sunday, April 21. the medical center 
will host a community open house at the new 
hospital from 2 to 5 p.m. In addition to tours 
and refreshments, the open house will feature 
a children's fair. 



Pediatrics Professor 
Receives Population- 
Study Grant 

The Fogarty International Center and the 
National Institute of Child Health and 
Human Development of the National Insti- 
tutes of Health have announced the funding 
of initial awards under a jointly sponsored In- 
ternational Training and Research in Popula- 
tion and Health Program. 

Frank S. French, MD, professor of pedi- 
atrics and division chief. Laboratories for Re- 
productive Biology, received one of seven 



awards made to U.S. universities to support 
international training and research programs 
in population-related sciences for scientists 
and health professionals from developing 
countries concerned with population issues. 
He will collaborate with institutions in Chile, 
Kenya. China and Brazil on projects that 
focus on reproductive biology. 

Another UNC-Chapel Hill professor. 
Ronald R. Rindfuss of the Department of So- 
ciology, received another of the seven 
awards. He will collaborate with institutions 
in China, the Philippines and Thailand on 
training projects in the social sciences, and 
will establish links with the Laboratories for 
Reproductive Biology. 



Award Renamed for 
Psychiatry Professor 
Emeritus 

Each year, the Mental Health Association 
in North Carolina bestows its highest award 
on an individual who has made the most 
significant volunteer contribution to the 
cause of mental health in the state. Since its 
inception, the award has been known as the 
McFarland Award. 

At its annual meeting last October 
in Chapel Hill, the association announced 
the renaming of the award to the McFar- 
land/Edgeilon Award, in honor of J. Wilbert 
Edgerton, MD, professor emeritus of psychi- 
atry. Edgeilon, who retired from the School 
of Medicine in 1 984, was honored for his sig- 
nificant ongoing contribution to the associa- 
tion and to the mental health movement in 
North Carolina. 



Family Support Network 
Celebrates 10 Years 

The Family Support Network, part of the 
School of Medicine, celebrated 10 years of 
service in December during a conference at 
the William and Ida Friday Continuing Edu- 
cation Center in Chapel Hill. The network 
was created to help meet the needs of fami- 
lies with premature infants or children with 
developmental disabilities, behavioral disor- 
ders or chronic illnesses. What began as a 



pilot program in Alamance County in 1985 
has grown into an organization with 
1 5 programs serving 5 1 counties. 

Last year, the network's Central Directory 
of Resources, which houses more than 
20,000 entries of information and resources 
available to families across North Carolina, 
received more than 4,000 requests for infor- 
mation through its toll-free number. 

For more information about the Family 
Support Network, call the Consultation Cen- 
ter at 800-862-6264. 



Geriatrics Fellow Elected 
to Society Leadership 

A second-year fellow in geriatrics in the 
UNC-CH Program on Aging has been select- 
ed as chair of the Fellows-in-Training Sec- 
tion of the American Geriatrics Society. Ted 
Johnson, MD, was selected by a vote of geri- 
atric fellows from across the country. He will 
focus on programs geared toward profession- 
al development and those that increase com- 
munication and networking within and 
outside the American Geriatrics Society 
Fellows-in-Training Section. 



Students Serve NC Academy 
of Family Physicians 

Two UNC medical students were elected 
to leadership positions in the North Carolina 
Academy of Family Physicians at the acade- 
my's annual winter meeting in December. 

Kenric Maynor, a second-year medical 
student, was elected to the NCAFP Founda- 
tion Board of Directors. He will serve a one- 
year term and will be one of two medical 
student representatives on the board. 
The foundation is the philanthropic arm of 
the academy. 

Brian Forrest, also a .second-year student, 
was chosen as student director-elect of the 
NCAFP. He will serve a two-year term on the 
academy's board. 

Forrest and Maynor are both active in the 
UNC Family Medicine Interest Group, a stu- 
dent organization in the School of Medicine 
which promotes careers in family medicine. 



12 




Student Research Day 

Above. Nancy Knight. MSIl a 1994-95 Loyalt}- Fund 
Merit SchoUir, presents her research to judges (from left) 
Cheiyl Fanner. MSIV; Robert Sandler. MD: Nancy 
Cheshier MD: and Floyd Denny. MD at the 28th annual 
Student Research Day. Below. Kyle Weaver. MSIV. 
Michael Gynn. MSIl. William T. Smith. MSIV and Dawn 
Kleinum. MSIII. received awards fi)r their research at the 
evening banquet. Dn James R. Gavin, senior scientific 
officer at the Howard Hughes Medical Institute, delivered 
the Ralph R. Lcmdes Lecture at the Jan. 31 event, 
spon.sored by the John B. Graham Research Society 
and the Whitehead Medical S()ciet^•. 



Drew University President Delivers Zollicoffer Lecture 

The revolution in the health care industry has created special 
challenges fi>r traditionally undersened communities, .said Reed 
V. Tiickson, MD, president of the Charles R. Drew University of 
Medicine and Science, at the 1996 Lawrence Zollicoffer Lecture 
on Feb. 16. The lecture is named in honor of Lawrence Zollicoffer. 
MD. the fourth black graduate of the School of Medicine. 





Merrimon lA'cturcr Addresses Ethics in Surgery 

luiSalle I). Lcffall Jr.. Ml). Charles R. Drew professor of surgeiy 
and chair. Department of Surgery. Howard University College of 
Medicine, presented the Merrimon Iwcture in November His topic 
was "Ethics and Surgical Practice Today." 



Faculty Profile 



Practicing Positive Medicine 



Alan Cross, MD, professor of social 
medicine and pediatrics, has been 
named one of the 50 best role models in 
the country for future physicians by the 
Positive Medicine project, a national or- 
ganization that highlights exemplary 
physicians who exhibit positive leader- 
ship in health care. 

More than 300 physicians across 
the country were nominated for the Posi- 
tive Medicine award. Cross was nomi- 
nated by Eric B. Munson, UNC 
Hospitals executive director, based in 
part on a letter of recommendation from 
UNC medical student Lisa Harrington. 
Harrington wrote of Cross: 

"Dr. Cross serves as the course di- 
rector for one of the most popular class- 
es in the first year. Introduction to 
Medicine, but his commitment to educa- 
tion does not stop there. He is also a 
small group leader in the course Medi- 
cine and Society, a preceptor for Basics 
of Patient Care, the faculty advisor to 
eight students, and chair of the First Year 
Curriculum Committee. Meanwhile, 
Dr. Cross continues to practice as a pedi- 
atrician, and by all accounts is as 
devoted to his patients as he is to the 
first- year students." 

The 50 physicians chosen to receive 
Positive Medicine honors are profiled in 
a four-color coffee table book titled 
"Positive Profiles." The book is being 
distributed to medical schools this 
spring, with a goal of providing the class 
of 2000 an introduction to the very best 
physician role models in the United 
States. The profile on Alan Cross is 
reprinted here with permission of the 
publisher. For more information or to 
obtain a copy of the book, call the 
Positive Medicine organization at 
800-774-3313. 



As a pediatrician matures, does it 
become harder to relate to chil- 
dren? Alan Cross, MD. says 
that is not his experience. At 5 1 , 
Cross still regularly finds opportunities to 
join children in their play. "I've always 
been mistaken by kids as one of them." 
boasts Cross. A recent trip to the pool 
proves his point. "1 dove into the water and 
was immediately surrounded by three kids 
who wanted me to roughhouse with them. 
Walking out of the locker room, one of 
them, probably four or five years old, said, 
"My mommy is taking me home, 
is yours?" 

There is nothing childish about Cross's 
talent for meeting children on their level. 
His lack of pretension and genuine concern 
eventually disarm even the most terrified 
child. "There are fears everyone has, but 
which adults have learned to hide," he 
says. "Children are honest: they tell you 



how they feel. 1 tell the medical students: if 
you can succeed in taking a history and 
doing a physical exam in a two-year-old 
who's skeptical of your presence if not 
downright scared, the skills you learn there 
will be appreciated by every patient of 
every age." 

Popular among the medical students at 
UNC for his droll sense of humor and fiair 
for telling stories. Cross says the majority 
of what he teaches his students about inter- 
acting with patients he learned at home. 
And as the father of four daughters, he 
claims he's seen about all there is to see. 
"I've had a number of experiences with my 
own kids that 1 relate not only to my stu- 
dents but also my patients, whenever they 
seem to fit," Cross says. "It shows that I, 
too, have walked in those shoes and dealt 
with some of those same issues." 

Cross came to Chapel Hill in 1978 after 
finishing a fellowship in Adolescent Medi- 



Positive Medicine awardee Alan Cross, MD. is well known among UNC medical .'Undents 
for his captivating stories. 





12-year-old Chris Punnen gets the better of his big buddy during one of their Saturday swims. "I've always lieen niistal<en In- kids as 
one of them." says Cross. 



cine at Children's Hospital Medical Center 
in Boston. Prior to his fellowship. Cross had 
spent two years teaching in Nairobi, Kenya, 
an experience that had a profound influence 
on his approach to medicine. "I was part of 
a struggling yet committed group of people 
working in very minimal kinds of facili- 
ties." he says. "I realized that many of the 
most important things — simple things like 
promoting breast feeding, clean water, im- 
munizations, oral rehydration — can be 
done through public health with very limit- 
ed resources." His interests brought him to 
UNC. which was well-known for being on 
the cutting edge of medical practice in rural 
communities. His connections with the I'ac- 
ulty in Nairobi continue to run deep. Cross 
returned to Nairobi in 1989 on a one-year 
sabbatical to teach physicians, and he man- 
ages to get back every year. In addition, he 
sends fourth-year medical students to 
Nairobi on a one-month rotation. 

While at UNC. Cross has been involved 
in several innovative efforts to address the 



health needs of the underserved in North 
Carolina. As director of the Center for 
Health Promotion and Disease Prevention. 
Cross helps facilitate multidisciplinary col- 
laborations to tackle specific problems, 
drawing on more than 1 30 faculty and staff 
from the five health affairs schools at UNC 
(medicine, dentistry, public health, nursing 
and pharmacy). Through the center. Cross 
had a hand in creating a project which 
trained community volunteers to help sup- 
port high-risk pregnant women, with the 
hope of improving the changes that the 
pregnancy and baby would turn out all 
right. The initial program proved so suc- 
cessful that a statewide expansion was 
funded, and in its current form the program 
reaches more than 50 of the state's 
I (K) counties. 

A leader in numerous state and national 
professional organizations. Cross says the 
crow's nest is his favorite seat. Yet even 
with an eye to the bigger picture. Cross still 
manages to keep his feet grounded in the is- 



sues of his local community. "It's my motto: 
I need to have a cause in my community that 
I'm working on." he says. Soon after he 
arrived. Cross joined the local School 
Health Committee, on w hich he's served 
ever since. 

"I think there is a gross oversimplifica- 
tion of what it means to help." he says. "It 
takes a lot of energy, effort and commitment 
to really see a change. Sticking with it is 
what counts." 

Cross learned this lesson during college, 
when he befriended the children of a disad- 
vantaged family in New Haven, with whom 
he is still in contact. Since college. Cross 
has continued to mentor children on an in- 
formal basis. His current little buddy goes 
swimming with him on Saturdays. "If 
everybody who was doing well picked 
up one person that they thought was not 
doing so well and tried to be helpful, 
we could go a long way towards healing 
our communities." D 



15 



Faculty 

Notes 




John J.B. Anderson, PhD, professor of 
nutrition, has co-edited "'Calcium and Phos- 
phorus in Health and Disease," a book which 
highlights calcium-deficiency diseases and 
functions of calcium and phosphorous. 
Elizabeth Bullitt, MD, associate profes- 
sor of neuro- 
surgery, is 
studying "Recov- 
ery and Regener- 
ation After 
Neuron Injury" 
with support 
from the National 
Institute of Neu- 

rrological and 
"^^ Communicative 
^^^k Disorders and 
BulUu Stroke. Bullitt 

co-authored the 
keynote paper, "3D Image-Guided Surgery 
via Registration of Intraoperative and 
Preoperative Images," at the 1995 Confer- 
ence on Virtual Reality in Medicine in 
Leeds, England. 

Culley C. Carson III, MD, professor and 
chief of the Divi- 
sion of Urology, 
has been appoint- 
ed to the Execu- 
tive Committee 
of the Drug In- 
formation Divi- 
sion of U.S. 
Pharmacopeia. 
In addition, he 
was voted presi- 
dent-elect of the 
North Carolina 
Urologic Associ- 
ation, and will become president of the as.so- 
ciation in July 1996. 

Kenneth L. Cohen, MD, professor of 
ophthalmology, and Timothy N. Taft, MD. 
Max M. Novich, MD professor of sports 
medicine in the Division of Orthopaedics, 
have been selected to be included in the first 
edition of The Best Doctors in America: 
Southeast Region. 1996- 1997. The publica- 
tion is based on a survey in which more than 
5,000 doctors were asked to rate the clinical 
abilities of their peers. 

Enrique Criado, MD. assistant professor 
of vascular surgery, received the 1995 South- 




Carson 




ern Association for Vascular Surgery 
President's Scientific Award for his work re- 
lated to laboratory evaluation of endovascu- 
lar prostheses. 

Georgette A. Dent, MD. associate 
professor of 
pathology and 
laboratory medi- 
cine, has re- 
ceived the 1995 
Phillip M. Blatt 
Award for com- 
mitment and ex- 
cellence in 
residency teach- 
ing. Established 
in 1982, the 
award honors 
outstanding clin- 
ical pathology teaching and honors Blatt, 
medical director of the coagulation laborato- 
ry from 1974 to 1982. 

Gordon DeFriese, PhD, director of the 
Sheps Center for Health Services Research 
and professor of social medicine, was induct- 
ed into the National Academy of Sciences' 
Institute of Medicine. He was one of 55 in- 
ducted into the institute, which was chartered 
by Congress in 1970 to provide non-partisan 
perspectives on the nation's most pressing 
health issues. 

Frank C. Detterbeck, MD. assistant pro- 
fessor of cardiothoracic surgery, is the first 
author of "Lung Transplantation After Previ- 
ous Thoracic Surgical Procedures," pub- 
lished in The Annuls of Thoracic Surgerx 
1995: 60:139-143. Coauthors include 
Michael R. Mill, MD, and Thomas M. 
Egan, MD. 

Joseph W. Hall III, PhD, professor of 
surgery and clinical associate professor of 
speech and hearing sciences, has been ap- 
pointed associate editor for physiology and 
psychophysics for the Journal of the Acousti- 
cal Society of America. The journal is the 
premier international forum for basic re- 
search in siuind perception. 

Brian A. Herman, PhD, associate profes- 
sor of cell biology and anatomy, has been 
named to a two-year tenn as chair of the Cell 
Biology and Physiology II Study Section at 
the National Institutes of Health. Herman 
also has been named to the editorial boards 
of the American Journal of Physiology and 




the Journal of Biomedical Optics. 

Steven A. Leadon, PhD, associate pro- 
fessor of radiation 
oncology, has ac- 
cepted an invita- 
tion from the 
National Insti- 
tutes of Health to 
serve as a member 
of the Chemica 
Pathology Study 
Section, Division 
of Research 
Grants. Members 
are selected on the Leadon 

basis of their demonstrated competence and 
achievement in their scientific discipline as 
evidenced by the quality of research accom- 
plishments, publications in scientific jour- 
nals, and other significant scientific 
activities, achievements and honors. 

Study sections review grant applications 
submitted to the NIH, make recommenda- 
tions on these applications to the appropriate 
NIH national advisory council or board, 
and survey the status of research in their 
fields of science. 
Susan J. Maygarden, MD, assistant pro- 
fessor of patholo- 
gy and laboratory 
medicine, direc- 
tor of cytopathol- 
ogy and acting 
director of surgi- 
cal pathology, 
has won the 1995 
Ircderick B. 
Askin Award 
for her commit- 
ment and excel- 
lence in resident 
teaching. 
The award, for excellence in anatomic 
pathology teaching, honors Askin, pathology 
profes.sor and director of surgical pathology 
at UNC-CH from 1 98 1 to 1 99 1 . 

Gary B. Mesibov, PhD, professor and di- 
vision director. Treatment and Education of 
Autistic and Related Communication and 
Handicapped Children, has been honored by 
an international autism group. He received 
the International Organization for More Able 
Autistic People's annual award for invalu- 
able service to the organization and to high- 




Mtivi^iirclcn 



16 




Mexer 



functioning people with autism. 
Anthony A. Meyer, MD, PhD. professor 
and ciiief of gen- 
eral surgery, has 
been designated 
president-elect 
of the American 
Association for 
the Surgery of 
Trauma. The ap- 
pointment was 
made during the 
society's annual 
meeting in Hali- 
fax. Nova Scotia. 
in September 
1995. Meyer's position will evolve to the 
presidency in September 1996. For the past 
three years he has served the association as 
secretary-treasurer. 

Joe Minchew, MD, assistant professor of 
orthopaedics, was inducted as a member of 
the Scoliosis Research Society in September 
at the annual meeting in Asheville. 

Robert Rutledge, MD, associate profes- 
sor of surgery 
and chief of In- 
formatics, has 
been named as- 
sociate chief of 
staff for Clinical 
Outcomes and 
Effectiveness at 
UNC Hospitals. 
The new position 
was created 
in response to 
widespread 
changes in health 
care deii\ery in the United States. Rutledge 
will be involved in the creation of informa- 
tion management systems designed to im- 
prove the quality of patient care through 
impnned data-dri\cn decision support. 

Harold C. Pillsbury III. MD. Thomas J 
Dark distinguished professor of surgery and 
chief of Otolaryngology, received a Presi- 
dential Citation from the American Acade- 
my of Otolaryngology-Head and Neck 
Surgery for his numerous contributions and 
support ofthe academy and its acli\ itics. 

(ieorge V. Sheldon, MD. Zuck 13. Owens 
distinguished professor of surgerj and chair, 
has been elected to membership in the Inter- 




national Surgical Group. The group works to 
establish international academic interactions 
and meets in one of the host countries annu- 
ally. Membership is limited to 25 members 
from the United States and Canada and 
25 members from Europe. 

In addition. Sheldon was awarded an hon- 
orary fellowship by the Royal College of 
Surgeons. The college, established in 1505 
in Edinburgh, Scotland, cited Sheldon for 
contributions to the fields of trauma and sur- 
gical nutrition. Sheldon was .selected to ad- 
dress surgeons from 26 countries who 
received fellowship diplomas. He discussed 
the changing economic structure of health 
care worldwide. 

Gerald M. Sloan, MD, has been appoint- 
ed chief of the 
Division of 
Plastic and 
Reconstructive 
Surgery. In this 
position, which 
became effective 
October 1, 1995, 
Sloan is 
also directing 
the plastic 
surgery residen- 
cy program. 

Sloan received 
his MD degree from Harvard Medical 
School. He completed two years of surgery 
residency at Peter Bent Brigham Hospital in 
Boston, followed by two years as a surgical 
oncology fellow at the National Cancer Insti- 
tute, and another two years of surgery resi- 
dency at Tufts-New England Medical 
Center. His plastic surgery residency was 
completed at the University of Southern Cal- 
ifornia. Los Angeles. 

David Yoder, PhD, professor and chair. 
Medical Allied Health Professions, received 
the 1995 Honors ofthe Association from the 
American Speech-Language-Hearing Asso- 
ciation. Presented in December at their annu- 
al convention, the award is the highest 
recognition awarded by ASHA to members. 

Christian E. Newcomer, VMD, MS. re- 
search associate professor of pathology and 
laboratory medicine and director of the Dis i- 
sion of Laboratory Animal Medicine, has 
been appointed as a section leader of the 
Council on Accreditation of the American 




Sloan 



Association for Accreditation of Laboratory 
Animal Care. Newcomer received his veteri- 
nary degree from the University of Pennsyl- 
vania in 1977 and his master's in pathology 
from the University of Michigan in 1981. He 
completed postdoctoral training in laborato- 
ry animal medicine at the University of 
Michigan and became a diplomate of the 
American College of Laboratory Animal 
Medicine in 1982. 

Arthur J. Prange Jr., MD. Cary C. 
Boshamer profes- 
sor of psychiatry 
and associate 
chair, has been 
elected to the ex- i 
ecutive council of 
the American As- 
sociation of Med- ^BMESHLir 
ical Colleges, a 
Washington, DC- 
based organi- 
z a t i o n that 
represents 125 
medical schools m 

the United States. The association consists 
mainly of three councils: deans, teaching 
hospitals and academic societies. Prange has 
been a member ofthe association's Council 
of Academic Societies for four years and 
a member of its administrative board for 
two years. 

Alan L. Willard, PhD. associate profes- 
sor of physiology, has accepted an invitation 
from the National Institutes of Health to 
serve as chair of the Neurological Sciences 
Study Section. Division of Research Grants, 
from July 1995-June 1997. Invitations are is- 
sued on the basis of a person's demonstrated 
competence and achievement in his or her 
scientific discipline as evidenced by the 
quality of research accomplishments, publi- 
cations in scientific journals, and other sig- 
nificant acti\ itics, achievements and honors. 




17 



Alumni Profile 



Distinguished Physician 
Specializes in Compassion 



by Jerry Allegood 

The following article, reprinted with 
permission from the News & Observer of 
Raleigh. NC. profiles the career of School 
of Medicine alumnus James N. Slade. Class 
of 57. 

The woman cradling her sick grandson in 
her lap breathed a little easier when the 
faded "58 Chevy pulled up to the curb and 
parked, h meant the doctor was in. 

Just the sight of Dr. James Slade's worn 
car is reassuring to scores of families in 
northeastern North Carolina. They know 
that when Slade arrives, it might take a while 
but he will get to every patient with the gen- 
tle, unpretentious manner he has been dis- 
pensing for decades. 

"He knows how to talk to you and he 
won't rush with you," says Mary White, a 
longtime patient who waited at Slade's of- 
fice in Edenton recently with her daughter 
and two grandchildren. "He's not just a doc- 
tor He's more like a friend." 

Slade. 65, has been making the rounds 
and making friends for more than 30 years. 
Besides running a busy private practice in 
Edenton. he sees patients at area hospitals, at 
a nursing home and at health department 
clinics where he is often the only doctor 
many patients encounter. For eight months 
of the year, he staffs weekly clinics for fann 
workers who can come only at night when 
they aren't working in the fields. 

At the evening clinics in Elizabeth City 
and in Plymouth. Slade has a reputation for 
seeing everyone who shows up. even if that 
means staying until midnight or 2 a.m. 

"If there are 40 people there, he is going to 
stay until the 40th person is seen," says Car- 
oline Whitehead of the state Office of Rural 
Health and Resource Development. 

Whitehead recruits physicians for eight 
farm-workers' clinics across the state, a task 
she describes as "nearly impossible" be- 
cause of the unattractive hours and relative 
low houriy fee for doctors. The patients are 
among the poorest of the working poor, she 

18 




James Slade. MD '57. examines Denaja Carter. 3. in his office in Edenton. where lu 
has run a busy practice for 30 years. 



says. Some families have incomes as low as 
$7,000 a year. 

"They will work when they are sick be- 
cause they need the money so bad," she says. 

James Slade has been quietly ministering 
to their aches and ailments since the mid- 
1960s. Why does he do it? 

"A lot of times there is a need and it's not 
being fulfilled," he says quietly. "If 1 can ful- 
fill it and make a contribution. I'll ti^." 

Slade does not readily talk about himself 
or his accomplishments. But when pressed 
to explain his devotion to clinics and patients 
— the kind of practice many physicians pre- 



fer to avoid — he describes the work as 
an invigorating exercise rather than a drain- 
ing chore. 

"By the time I get over there [to clinics] at 
night I'm pretty tired out. and many times 
I've prayed to get on-the-job strength." he 
says. "By the time I get through. I'm ready 
to see some more patients. 
"It's kind of like a small miracle." 
Slade is also a pioneer. When he graduat- 
ed with honors from the medical school at 
UNC-Chapel Hill in 1957. he was the med- 
ical school's second black graduate. In 1 990, 
he received the schools' Distinguished Ser- 



PROFILE: 

JAMES NORFLEETSLADE. MD '57 

Bom: Sept. 7. 1930 in Edenton 

Family: wife. Catherine Barnes Slade; 
three daughters. Juha Slade. 36. a medical 
technology specialist. Theresa Slade. 34. a 
first-year resident in internal medicine, and 
Kathryn Slade-Perez. 33. a lawyer; one 
son, James N. Slade II. 3 1 . an engineer 

Education: BS in biological science 
(summa cum laude). North Carolina A&T. 
1952: MD (cum laude), 1957. UNC- 
Chapel Hill. 

Early Career: Intern. University of Pitts- 



burgh Medical Center Hospital. 1957-58; 
captain in the U.S. Army Medical Corps. 
1958-60; resident in pediatrics, Los Ange- 
les County General Hospital, 1961-63; 
staff physician, Los Angeles County Gen- 
eral Hospital, 1963-64. 

Current Work: Practicing physician in 
northeastern North Carolina and member 
of Chowan Hospital medical staff since 
1965; medical co-director, Britthaven of 
Edenton (a long-term nursing facility) 
since 1978; medical examiner in Chowan 
County since 1968; has provided services 
to Pediatric Supervisory Clinic, 
Perquimans- Pasquotank-Camden- 
Chowan District Health Department since 
1967 and to the Martin-Tyrrell-Washing- 



ton District Health Department since 1966. 

Associations: division chair. American 
Cancer Society. 1984; Edenton Chamber 
of Commerce. 1987-90; member, 
Seventh-Day Adventist Church of Eliza- 
beth City. 

Awards: Pride of Edenton and Chowan 
County Outstanding Service Award. 1988; 
Chowan Junior High School Community 
Service Award. 1986; Distinguished Ser- 
vice Award. UNC School of Medicine. 
1 990; and the Martin Luther King Jr. Com- 
mittee Award. 1993. 

Recent reading: "Desire of Ages." by 
Ellen White, a book about the life of Jesus. 



vice Award; the citation accompanying 
it described him as "a quiet gentle force 
for excellence." 

Slade doesn't dwell on discrimination he 
encountered, but does recall when blacks 
were not allowed to eat in the UNC medical 
center cafeteria. He challenged the practice 
one day by taking his plate and sitting at a 
table in the middle of the room. He was 
soon joined by some white friends, and that 
was the end of that bit of segregation. 

After medical school. Slade did 
his residency training at the University 
of Pittsburgh Medical Center and 
studied pediatrics at Los Angeles County 
General Hospital. 

With his training and credentials, he had 
many options — at least outside the South. 
He chose instead to return to his hometown 
of Edenton. In 1965. he opened his office 
on Broad Street, and there he remains. 

"I wanted to go to an area where there 
was a need." he says. "I knew there wasn't a 
pediatrician in Edenton — the nearest was 
in HIi/abcth City. I fell I could take care of 
some ol the children locally." 



Slade says he thinks the overall health of 
children has improved over the past 30 
years. He doesn't see quite as many serious- 
ly ill children as he did when he started out. 
Some medicines are more readily available, 
he says, and seriously ill patients are more 
likely to be taken to emergency rooms. 

But he still sees a need for clinics for 
those not covered by government health 
programs or private medical insurance. If 
they don't receive preventive medicine and 
early treatment, he says, patients are likely 
to be sicker when they do require treatment. 

"We will have more sick children so thai 
when you do finally get hold of them and 
they get in the system, they are going to cost 
a lot more money." he says. 

Slade credits his parents, the late Alon/o 
and Aline Slade. for his ability to enjoy 
work and being with people. Both parents 
were public school teachers, and his lather 
became a principal in Hyde County. 
He says his mother encouraged his studies, 
but let him make up his own mind about 
his career 

He says he admired his father's willing- 



ness to take on different jobs when he was 
not working in schools. 

"He was away from home a lot." 
Slade says, "but when he was home, he 
was home." 

Away from his office and clinics, Slade 
enjoys gardening, working in his yard and 
camping. Slim and fit. he watches his diet 
and eschews sweets, caffeine and meat. 

He especially likes tinkering with his 
beloved '58 Chevrolet — he calls it "The 
Blue Chariot." He bought the car. his first, 
on a showroom fioor in 1 958. the same year 
he married his wife. Catherine. "Lve still 
got both of them." he says with a laugh. 

The car's 390.(KK) miles include a couple 
of cross-country trips as well as countless 
rounds to hospitals and clinics in Eastern 
North Carolina. Slade says he has no plans 
K) retire the car or himself. 

■"When people ask. 1 tell ihem I ha\en't 
figured out how to spell the first letter in iv- 
nrement." he says. "Right now I iia\e no 
plans as such. I have good health ami siill 
have an interest in medicine." D 



19 



Development 
Notes 




Roberta Williams. Ml), pnije.s.sor aiul cliair of Fcdialnc.s. ixi.scw wait nwnihers aj the 
Alpha Delta Pi sorority, winners of the annual Derby Days contest, which this year 
raised more than $26,000 for adolescent programs at UNC-CH. The event is sponsored 
by Sigma Chi fraternity, and was chaired by banner-holders Jason Roth {left} and 
Spencer Van Pelt. 



Fraternity Holds 
Fund-Raiser for 
Children's Programs 

Derby Days, an annual fund-raising event 
sponsored by the UNC-CH chapter of 
Sigma Chi fraternity, brought in $26,158.30 
to support adolescent programs at North 
Carolina Children's Hospital and the 
Department of Pediatrics in the School 
of Medicine. 

The amount sets a records for the event at 
Chapel Hill and is believed to be a record 
amount for Sigma Chi Derby Days at other 
universities holding similar events, accord- 
ing to organizers. 

The Carolina chapter held a variety of 
events Nov. 10-18. including T-shirt sales. 
raffles, sorority competitions and parties. 
Sororities competed in a pool tournament, 
track-and-field events and "Make a Sig 
Smile." a game aimed at making a fraternity 
member laugh. The sorority that wins the 
overall competition receives a derby, hence 
the name, Derby Days. 



Loyalty Fund Update 

Through the halfway point of fiscal year 
1995-96. the Loyalty Fund is on track to 
meet its goals. As of December 31. 
813 alumni, or 18 percent, had given 
$307,000. with 165 Associate-level gifts of 
$1,000 or more. This year's goals are 
$525,000. 35 percent participation, and 
285 Associates. 

"Now I know how Dean Smith feels with 
a lead at halftime." said John Foust. MD '55. 
Loyalty Fund national chair. "It's better than 
being behind, but what really matters is 
where you are when it's all over. Our year 
ends June 30. and I'm optimistic that we'll 
meet all our goals." 

The campaign will be helped by regional 
efforts getting under way shortly in Bun- 
combe County, co-chaired by Al Shivers, 
MD '71 . and Eric Van Tassel. MD '82: New 
Hanover County, co-chaired by Jim Hund- 
ley. MD '67 and Jim Sloan. MD '71; and 
greater Atlanta, chaired by George Cox, 
MD '66. 



For information on how to make your an- 
nual Loyalty Fund gift, plea.se call Jane Mc- 
Neer or Ed Crowder at 800-962-2543 or 
write them at The Medical Foundation of 
North Carolina. Inc.. 880 Airport Road. 
Chapel Hill. NC 275 14. 



Research Boosted by 
$2.4 Million Hughes 
Institute Grant 

The School of Medicine will receive a 
$2.4 million grant for medical research from 
the Howard Hughes Medical In.stitute. 

"The Howard Hughes Medical Institute 
is the country's most important private 
catalyst of excellence at academic medical 
centers," said Michael A. Simmons. MD 
dean of the School of Medicine. "This grant 
will provide critical support for existing 
basic and clinical science research pro- 
grams, especially in the neurosciences, 
a center of excellence on this campus. 

"We will use the money to recruit new 
faculty in genetics and neuroscience, and to 
equip and improve laboratory facilities." 
Simmons said. "Many of these activities 
will be facilitated by the new UNC Neuro- 
sciences Center, which is anticipated to 
open in about three years." 

Nearly all of the 125 U.S. medical 
schools competed for the grants. Awards to- 
taling $80 million went to 30 schools in 
21 states. 

"This was a highly competitive process." 
Simmons said. "The fact that UNC-Chapel 
Hill received one of only 30 grants awarded 
demonstrates once again the extra- 
ordinarily high caliber of our faculty and 
their research." 

Based in Chevy Chase. MD. the 
institute is the nation's largest private phil- 
anthropy. Its scientists are recognized wide- 
ly for their leadership in cell biology, 
genetics, immunology, neuroscience and 
structural biology. 



Endowment Fund Helps 
Make Simulations a Reality 



by Susan Vassar King 

It's frequently said that the best way of 
learning is doing. But how do students 
learning the art and science of medicine test 
their knowledge of real-life diagnosis and 
treatment without doing hann to a patient? 

That's the challenge that motivated 
Robert G. Bergen MD. associate professor 
of rheumatology and immunology and di- 
rector of outpatient medicine, to develop a 
multi-media software program — complete 
with graphics and sound effects — which 
simulates the management of a patient from 
the first encounter to the end of treatment. 

Berger knew that case simulations were 
a popular teaching tool. He had used text- 
driven, non-graphical versions in the late 
'80s. and the students loved them. So when 
more advanced computer systems became 
available in the medical center. Berger capi- 
talized on the opportunity to create a more 
life-like training environment. 

In the Case Simulator, students simulate 
their first encounter with a patient by click- 
ing the "History" button on the program's 
menu bar. There they find the patient's cur- 
rent history, past medical history, family 
history and social data. Next, they click a 
"Physical Exam" button and have access to 
10 information areas, including general ap- 
pearance, vital signs and eight different 
body systems. 

What makes the process so compelling, 
however, is that students arc not exposed 
simply to words describing the patient's 
condition, but to the sounds and images the 
patient would present. \\.cre they actually in 
the room. Click on the icon for cardiopul- 
monan,. for instance, and the student hears 
a heartbeat. Check for information under 
"skin." and the student views the rash across 
a patient's chest. 

Having reviewed the patient's historical 
and physical data, students then proceed to 
the next logical step: ordering tests. They 
choose from among several categories 
(chemistry, radiology, etc.), and within each 
category are listed specific tests. For in- 
stance, in the hematology category, students 



may order a CBC, hemoglobin elec- 
trophoresis, reticulocyte count, and several 
others. One advantage of the case simulator 
over real life is that once all tests are or- 
dered, results are immediately available. 

Students are now in a position to make a 
diagnosis. They select one diagnosis from 
among options listed, and are provided with 
feedback on their decision. When the diag- 
nosis is correct, students move on the man- 
agement phase, choosing from a list of 
pre-existing treatment options. They are 
then advised of the their choice's outcome, 
which can range from curing the patient to 
making a dire medical error. 

Students are not 

exposed simply to 

words describing the 

patient 's condition, 

but to the sounds and 

images the patient 

would present, 

were they actually 

in the room. 

As in real life, the patient's progress de- 
pends on the management choices made, 
and students continue to treat the patient 
until the case is resolved. Unlike real life, 
however, when students get in trouble 
they can start the program all over again. 

Anyone responsible for teaching medical 
students or housestaff can create cases on 
the simulator. The software allows physi- 
cians to go through each of the steps de- 
scribed above, specifying all the 
background and clinical information. The 
only computer experience necessary is fa- 
miliarity with the Window scn\ironment. In 
addition to the simulations cunenily avail- 
able tor students on the rheumatology rota- 



tion, faculty members in the departments of 
pediatrics and medicine have begun 
writing cases for use by students in their re- 
spective departments. 

The Case Simulator is but one of many 
projects that have been supported by Med- 
ical Alumni Endowment Fund grants over 
the past three years. Its emphasis on devel- 
oping the problem-solving skills of students 
meets several of the criteria that were deter- 
mined by the Endowment Fund Board in 
1993. Grants are awarded to assist with pro- 
jects that address: 

• academic research; 

•faculty and housestaff development: 
•enrichment activities for students 

and housestaff; 
•identified needs which promote excel- 
lence in education, rese;irch and service 
to the medical center; and 

• enrichment of the relationship of the 
alumni to the medical school. 

Each year, scores of full-time faculty, 
housestaff and students apply for an En- 
dowment Fund grant. The number of grants 
awarded and their amounts vary from year 
to year, depending on the amount of interest 
income available. 

Grant applications are reviewed by a 
committee comprised of Joseph D. Russell, 
MD "69. chair; Richard A. Boyd, MD ".'^6; 
Noel B. McDevilt, MD '64; William W. 
McLendon, MD '.'S6; William E. Easterling 
Jr., MD "56. ex officio; and Gregory Stray- 
horn. MD '77, ex officio. Awards are an- 
nounced in the spring of each year, and 
funding becomes effecli\e on July 1 . All 
awardees are required to submit a year-end 
report to the Endowment Board within 
60 days of the end of the grant period. 

Alumni who are interested in contrib- 
uting to the Endowment Fund should 
contact Jane McNeer of The Med- 
ical Foundation of North Carolina at 
800-962-2543 or 919-966-1201. And 
any readers interested in a free copy of the 
Case Simulations software should call 
Dr. Berger through the Consultation Center, 
8(K)-86' 



21 



ucr inroiigi 
2-62(>l. D 



Class 

Notes 



30s 



Louis Appel, MD, '31, is retired from pedi- 
atric practice. He's been married 56 years, 
has four children, and is still working on the 
underbrush at his home in Newtown, CT. 

Henry T. Clark Jr.. MD, '39, is retired and 
lives in Chapel Hill. 



40s 



Robert E. Kirkman. MD, '40, is chief of 
the ENT Department at Mercy Hospital in 
Miami. His hobbies include tennis, 
golf, scuba diving and playing violin 
in a symphony. 

Weldon Huske Jordan, MD, '45, is retired 
and lives in Fayetteville. 

Harry G. Walker, MD, '47, is vice presi- 
dent of the Iredell Memorial Hospital Board 
of Directors in Statesville and retired from 
active practice. He currently enjoys travel, 
tennis, solf and volunteer medical work. 



50s 



Jack W. Wilkerson, MD, '51, retired from 
family practice in 1994. He and his 
wife, Liz. live in Greenville and have 
four grandchildren. 

George T. Wolff, MD, Housestaff '53, is a 

part-time faculty member at Moses H. Cone 
Family Practice Program in Greensboro. He 
retired from active practice in 1 995. 

Ira D. Godwin, MD '55, was recently 
elected president of the Medical Society of 
Virginia. A pathologist, he is an associate 
clinical professor of pathology at George 
Washington University in Washington, DC, 
associate pathologist at Fairfax and Prince 
William hospitals in Northern Virginia, and 
president and CEO of American Medical 
Laboratories, Inc., which he co-founded in 
1961 . He and his wife, Jean, reside in 



Chantilly, VA, and have two daughters and 
one son. 

Marvin McCall, MD '56, is retired after 
28 years as chair of the Department of Inter- 
nal Medicine and director of the internal 
medicine residency at Carolinas Medical 
Center in Charlotte. He now resides in 
Monroe, NC. 

Richard L. Murtland, MD, Housestaff 

'55-'57, is a thoracic and vascular surgeon 
in private practice in Monterey, CA. 



70s 



60s 



William S. Gibson Jr., MD '61, is a pedi 
atric otolaryngologist in Riverside, PA. He 
is president-elect of the Society for Ear, 
Nose and Throat Advances in Children. 

Carl R. Hartrampf Jr., MD, Housestaff 
'61, received the 1995 Scientific Achieve- 
ment Award of the American Medical Asso- 
ciation. The award, one of the as.sociation's 
most prestigious honors, recognizes Har- 
trampf for his pioneering efforts and ad- 
vancements in breast reconstruction 
procedures. In 1980, Hartrampf developed 
the TRAM flap, a surgical 
approach that rebuilds the breast using 
a patient's own tissue from the lower 
abdominal area. 

Hartrampf, of Atlanta Plastic Surgery, 
PA, is also a clinical professor at Emory 
University School of Medicine in Atlanta. 

Henry Turner, MD '62, is a retired anes- 
thesiologist living in Winston-Salem. 

Ben Hammett, MD '65, practiced internal 
medicine/gastroenterology for 26 years in 
Washington State. He is now retired and 
lives in Sunriver, Oregon. 

Cyrus L. Gray, MD '66, is a gynecologist 
on staff at Chatuge Regional Hospital in 
Hiawassee, GA. 



Gene Sherman, MD '70, recently complet- 
ed his term as chief of staff at Aurora Pres- 
byterian Hospital and as chair of the 
medical board of the HealthONE System in 
Denver. In 1995 he participated in 
the Sports Car Club of America 
National Championships for the third 
consecutive year. Susan Sherman, MD 
'73, has been elected to her second term as 
chief of medicine at Aurora Presbyterian. 
She currently serves on the Clinical Initia- 
tives Committee of the Endocrine Society 
and serves as president of the Colorado So- 
ciety for Endocrinology and Metabolism. 
Their .son Jon is a second-year medical stu- 
dent in the Medical Scientist Training Pro- 
gram at the University of Colorado Health 
Sciences Center. Their daughter Jill is a 
sophomore at UNC-Chapel Hill. 

William D. Kassens Jr., MD '71, practices 
gastroenterology in Wilmington, NC. His 
wife, Catherine, practices dermatology. 
They have two daughters, Alice, a junior at 
the College of William and Mary, and Kate, 
a junior at New Hanover High School. 

Bill Kilpatrick, MD '71, practices in Los 
Angeles. He will be the team doctor and 
climber on a K-2 mountaineering expedi- 
tion this summer. 

Richard Young, MD '72, is vice president 
of Medical Affairs and chief of Behavioral 
Medicine at NVHS hospital system in Nor- 
wood, MA. 

James N. Martin Jr., MD '73, is a profes- 
sor and director of Maternal-Fetal Medicine 
at the University of Mississippi Medical 
Center in Jackson, MS. 

Kenneth H. Wilson, MD '74, is a professor 
of medicine at Duke University Medical 
Center and chief of Infectious Diseases at 
Durham VA Medical Center. His wife, 
Joanne, is a professor of medicine in gas- 



22 



troenterology. Their oldest daughter is at the 
North Carolina School of Science and 
Mathematics and their younger children are 
at Durham Academy. 

Douglas E. Henley, MD '77. was inaugu- 
rated as president of the American Academy 
of Family Physicians in September 1995 in 
Anaheim. CA. He had previously served as 
president-elect of the AAFP and chair of the 
Committee on Resident and Student Affairs. 
Prior to his election, he was chair of the 
AAFP board of directors and the Executive 
Committee. He is in private family practice 
in Hope Mills. NC. 

Stuart Segerman. MD '78. is an emer- 
gency physician at Georgia Baptist Medical 
Center and medical director of Georgia Bap- 
tist Life Flight. He chairs the membership 
services committee and is vice president of 
the Georgia College of Emergency Physi- 
cians, and is a member of the EMS commit- 
tee for the Georgia Department of Human 
Resources. He writes that he is looking for- 
ward to visitors for the "96 Olympics. 

Man Daly, MD, PhD '78. is director of the 
Family Risk Assessment Program at 
Fox Chase Cancer Center. She lives in 
Stockton. NJ. 

Hugh Craft, MD '79. is PICU director 
at the Medical Center for Children in 
Roanoke. VA. He is also president of the 
Virginia Chapter of the American Academy 
of Pediatrics. 

Natalie L. Sanders, MD '79. has received a 
master of public health degree from the 
UCLA School of Public Health and is cur- 
rently working on a project in the Disease 
Management Sciences division at the Pep- 
perdine University Cjraduate School of 
Business and Management. She also works 
as a physician ad\ isor for utilization man- 
agement for Blue Cross of California. 
Her e-mail address is nlsandcr^'pepper- 
dinc.edu. 



80s 



E. John Marku.shewski, MD '80. is an 

emergency department physician with the 
Huntsville (Alabama) Hospital System. He 
has been promoted to Lt. Col. in the Air 
Force Reserves. 

Ronald W. Cottle, MD '83. is a family 
physician in .solo practice in Whiteville. NC. 
He and his wife. Dawn, have three daugh- 
ters. Caroline. Meredith and Allison. 

Catherine Parrish, MD '83, practices 
pediatrics full-time in Baltimore. She has 
four children, Sarah. 7. Abby. 3. and twins 
Russell and Mitchell. 2. 

Bruce Baird, MD '87, is a surgical patholo- 
gist at the East Carolina School of Medicine. 
He has four sons. Joshua, 8, Ethan, 5, Luke, 
3. and Caleb, 1. 

Bruce Boliek, MD '87, practices ophthal- 
mology in Chattanooga. He and his wife, 
Mary, have a daughter, Katherine, 2. 

Jim Chimiak, MD '87, has established the 
first clinical hyperbaric medicine program at 
the Naval Aerospace and Operational Med- 
ical Institute in Pensacola, FL. He and his 
wife, Michelle, have three children. Mike. 
Jackie and Tom. 

David Coggins, MD '87. is a pediatrician in 
New Hampshire and a preceptor for Dart- 
mouth medical students. He and his wife. 
Lisa, have a son, Josh, 3. 

Vic Ferrari, MD '87, completed a cranio 
facial fellowship and now practices 
plastic surgery in Miami. He is married to 
Sherrie Woodman. 

Andrea Hass, MD '87, is in private practice 
in Jupiter, FL. She and her husband, Brian, 
have two children. Hillary. 3. and Brett. 
1 8 months. 

Tommy Lawrence, MD '87. is a radiologist 
with Greensboro Radiology Associates. He 



recently became board certified in vascular 
and interventional radiology. 

Susan Leivy, MD '87, works part-time at 
the VA in Roanoke, VA. She and her 
husband, Sandy, have a 19-month-old 
daughter, Emily. 

Gus Magrinat, MD '87. is an oncologist in 
Greensboro. He and his wife. Mary, have a 
son Tommy, a junior at N.C. State, and a 
Weimaranner puppy named Milo. 

Peter Muller, MD '87. practices obstet- 
rics/gynecology in Charlotte. He is married 
to Carol Buford. 

Susan Rice, MD '87. and her husband Joel 
live in LaGrande. OR. They have a 5-year- 
old son, Douglas. 

Mark Robbins, MD '87, is medical direc- 
tor of the lung transplant program and adult 
cystic fibrosis clinic at the University of Vir- 
ginia Health Science Center in Char- 
lottesville. He and his wife. Amy, have two 
sons, Luke, 5, and Chase, 2. 

Joe Roberson, MD '87, is medical director 
of the California Ear Institute at Stanford, di- 
rector of the Neurology and Skull Base 
Surgery Center and coordinator of resident 
and fellow education. He and his wife. Julia, 
have three children. Caitlin. 10, Baxter, 7, 
and Haley. 4. 

Joe Roberts, MD '87, is a family practition- 
er in Lumberton. NC. He lives in his home- 
town of Pembroke with his wife and 
three daughters. 

Ron Shapiro, MD '87. practices pediatric 
cardiology in Sioux Falls. SD. 

Robin Stacy-Humphries, MI) "87. is a 
radiologist in Charlotte with Monroe Radio- 
logical Associates. She and her husband. 
Scott, have two children. Cathy. 3. and 
John. 2. 

Billy Sutton, MI) '87. and his wife. Amy. 
welcomed a son. Christopher, on May 25. 
1995. They live in Wilmington. 



23 



Mike Tranfaglia, MD '87. practices psychi- 
atry north of Boston. He and his wife recent- 
ly started the FRAXA Research Foundation 
to sponsor research on fragile X syndrome, a 
disease which affects their 6-year-old son 
Andy. Tranfaglia has also written a book 
about the psychophamiacology of fragile X, 
and has developed a FRAXA home page on 
the World Wide Web (http://www.worx. 
net/fraxa). He can be reached at fraxa@sea- 
coast.com. 

John D. Hendrix Jr., MD '88, is an assis- 
tant professor in the practice of Mohs micro- 
graphic surgery and dermatologic surgery 
at the University of Virginia Health 
Sciences Center. 

Walter Choung, MD '89. is an orthopaedic 
surgeon in Crystal River, FL. He and his 
wife, Carole, have two children, Andrew. 2, 
and Eliane Heri, 7 months. 

Daniel M. Kaplan, MD '89, is with 
the Area Health Education Centers program 
in Raleigh. 

Michael Levy, MS '89, is a safety engineer 
with Regeneron Pharmaceuticals in 
Rensselaer, NY. 

Kenneth Scruggs Maxwell, MD '89, has 

completed a fellowship in neurotology and 
cranial base surgery in St. Louis. MO. He 
has joined Forsyth Head and Neck Associ- 
ates in Winston-Salem. 

Suzanne C. Morris, PhD '89, is a research 
assistant professor of medicine at the Uni- 
versity of Cincinnati. 

Arthur J. Shepard IIL MD '89. is medical 
director of Neonatal Medicine at Phoebe 
Putney Memorial Hospital in Albany. GA. 



90s 



Joel S. Goodwin IL MD '90. is a general 
surgeon at Bonner General Hospital in Sand- 
point, ID. He and his wife, Wendy, have a 
son. Andy. 4, and a daughter, Isabelle, 1 . 



Myra Jane Deese Hall, MD '90, is in fami- 
ly practice at the Moore Regional Hospital 
Outpatient Clinic in Raeford, NC. In 1993. 
she married Rickey Hall. 

Deepak R. Gelot, MD '91, has started a solo 
family practice, Carolina Family Care, in 
Kings Mountain, NC. 

Bryan R. Neuwirth, DDS, MD '91, is in 

private practice of oral, maxillofacial and 
cosmetic surgery in Hickory, NC. He and his 
wife, Elyse, have two children, Colyn Jansen 
and Ashtyn Taylor 

Barry Kitch, MD '92, is obtaining a fellow- 
ship in epidemiology at the Channing Lab, 
Brigham and Women's Hospital, in Boston. 
He is also in the MPH program at the Har- 
vard School of Public Health and will com- 
plete a fellowship in pulmonary and critical 
care medicine in 1999. 

Sheley R. Revis, MD '92, practices general 
internal medicine with First Charlotte 
Physicians. 

Charles Wells, MD '92. recently completed 
a residency in internal medicine at Emory 
University in Atlanta. He is currently with 
the Epidemic Intelligence Service at the 
Centers for Disease Control's Division of 
Tuberculosis Elimination. 

Joyce R. Lewis, MD '93. is administrative 
chief resident for Ghent Family Practice in 
Norfolk, VA. She recently attended 
the Scientific Academy of the AAFP in Ana- 
heim. CA. 

Nicole P. Shepard, MD, Housestaff '91- 
'94. has formed a partnership. Southwest 
Georgia Pediatrics, in Albany. GA. 

Deaths 

W.H. Flythe, MD, '31 
Charles Roy Rowe Jr., MD, '47 
James D. Groseclose, MD '55 



Luther Kelly Jr., MD, '46, died from 
complications of a heart attack on 
Nov. 3, 1995. 

Kelly was active in the Medical Alum- 
ni Association for many years, serving 
on various boards and councils. 
He served as 1985-86 president of 
the Association, and on the task 
force that established the Endowment 
Fund board. 

A life-long resident of Charlotte. NC, 
Kelly practiced endocrinology at the 
Nalle Clinic for 41 years. He had been 
planning to retire at the end of 1 995 . 

After earning his bachelor's degree 
and certificate of medicine in Chapel 
Hill in 1946. Kelly went to Harvard to 
obtain his MD degree before returning 
to Charlotte. 

"For years, he was the only endocri- 
nologist in Charlotte," said Ray 
Fernandez, MD, medical director 
at the Nalle Clinic. "He was the teach- 
ing program for Charlotte 
Memorial Hospital (now Carolinas 
Medical Center.)" 

Kelly is survived by his wife, Susan; a 
daughter, Mary Lu Leatherman of 
Gastonia; a son. Bowman Kelly 
of College Station, TX; and two 
grandchildren, Suzanne Hirsch and 
Steve Leatherman. 



J 



President's 
Letter 



Dear Fellow Alumni: 

This will be my final letter to you as your 
president, a position I ha\ c been honored to 
hold this year, and a position in v\ hich 1 have 
learned so much about our present medical 
school and alumni organization. For exam- 
ple, on February 7 1 had the pleasure to at- 
tend the Dean's dinner for students serving 
as leaders of student organizations in the 
School of Medicine. I was impressed and ac- 
tually amazed at the number of worthwhile 
extracurricular acti\ ities being undertaken 
by our present student body. This is some- 
thing of w hich v\e alumni can be \ery proud. 

When you read this, vv inter should be o\er 
and the dreary days behind us. Spring is al- 
ways so great in Chapel Hill. We hope that 
many of you will be able to attend the spring 
meeting of the Association on April 1 9 and 
20. As 1 write this letter in February. I look 
forward to attending the various Dean's Re- 
ceptions to be held in several of North Car- 
olina's larger cities and to seeing many of 
you there. 

Now. we all know that our alumni have 
been very supportive of the School of Medi- 
cine in raising money for the Loyalty Fund 
and Medical Endowment Fund. (See the arti- 
cle on page 2 1 regarding the Alumni Endow- 
ment Fund Grants.) The Associatit)n has 
done an outstanding job in this respect and 
will continue to do so. I ain sure. But. as has 



been mentioned before, the School and the 
University need our political support, too. es- 
pecially at the local level. 1 want to urge all 
alumni to respond to requests from the Uni- 
versity, whether through the Tar Heel Net- 
work or from this Association, to impress 
upon our legislators the importance of edu- 
cation in general and the special needs of our 
great University and School of Medicine. 
Your input will be needed in the years 
to come. 

At our April meeting. Carl Phipps will as- 
sume the presidency of our Association and 
we look forward to a year of his strong lead- 
ership. He. like past presidents, is fortunate 
to have the excellent support of the Office of 
Continuing Medical Education and Alumni 
Affairs, the Dean's office, and The Medical 
Foundation of North Carolina. 1 know that 
all of you alumni will give him your enthusi- 
astic support. 



U' 

Frederick O. Bowman Jr. MD '50 




CME/Alumni Calendar 





Medical Alumni Activities 




April 19-20 


Spring Medical Alumni Weekend 


Chapel Hill 


April 20 


Clinical Neurosciences for the New Millennium 


Chapel Hill 


April 25 


Buncombe County Alumni Reception 


Asheville 


April 27 


Preceptor Weekend 


Chapel Hill 


May 1-3 


Southeastern Hand Club 


Sea Island, GA 


May 3 


May Day Trauma 


Chapel Hill 


May 15-16 


Mini-Medical School 


Charlotte 


May 17-18 


Diabetes Course 


Chapel Hill 


May 20-22 


Nutrition Makes a Difference 


Chapel Hill 


May 23-24 


17th Annual TEACCH Conference 


Chapel Hill 


May 24-26 


Mammography Course 


Hilton Head. SC 


May 29 


New Hanover County Alumni Reception 


Wilmington 


May 31 - June 1 


Current Therapy in Venous Disease 


Chapel Hill 


June 1 


Medicolegal Seminar 


Chapel Hill 


June 20-21 


Innovations in Long-Term Care for Elders 


Chapel Hill 


June 20-23 


Anesthesiology Course 


Hilton Head, SC 


June 27-29 


Heart Failure Management: Established 
Therapy & New Frontiers 


Myrtle Beach, SC 



For more information about CME courses or alumni activities, contact the Office of Continuing Medical Eduction and Alumni Affairs, 
School of Medicine, 23 1 MacNider Building. UNC. Chapel Hill. NC 27599, or call 1 -800-862-6264. 



Nonprofit Organization 

U.S. Postage 

PAID 

Chapel Hill, NC 
Permit No. 24 



J ^.j^ummer 1996 



dical Alumni 



Udnie,JJi]p^^i^of North Caroling at Cl^DiglHill 




Dean's 
Page 



The 1996 N.C. Area Health Educa- 
tion Centers Statewide Conference 
was held this spring in Wilming- 
ton. The conference's theme, 
appropriately enough, was "Community- 
Based Education in the Managed Care 
Environment." 

More than 200 physicians, nurses, den- 
tists, phamiacists, allied health profession- 
als, state officials and others from across 
North Carolina gathered to talk about topics 
ranging from "Medical Education in a Time 
of Health System Reform: Moral Impera- 
tives for Academic Medicine" to "Diversity 
in the Workforce." Another part of the pro- 
gram included a panel discussion among 
academics, managed care representatives 
and state officials. While I don't think we 
agreed on the "hows" of managing managed 
care or community-based education, we did 
largely agree on the "whys." 

The highlight of the AHEC conference, 
for me, was the chance to introduce fomially 
Thomas J. Bacon, DrPH, as the new AHEC 
director. The UNC Board of Governors 
made it official May 10. 

Many of you know Tom, either from his 
past 14 years as director of Mountain AHEC 
in Asheville, or by his work as associate di- 
rector in Central AHEC from 1977 to 1982. 
He brings solid credentials as an educator 
and an administrator. Most importantly, he 
has built successful community education 
programs which work. Not just talk: do. 

During these turbulent times, he under- 
stands and welcomes change. Tom has suc- 
ceeded at everything he has ever done. 
I am confident he will lead AHEC energeti- 
cally through a period certain to see consid- 
erable change. 

As Tom noted in his remarks to the group, 
AHEC cannot, in this era of managed care, 
afford to be complacent, even with 20-plus 
years of success, led by the late Gene Mayer, 
in bringing together North Carolina's health 
sciences centers and communities. Tough 
questions are on the horizon: 



• How does AHEC do a better job of 
community education and multidisci- 
plinary training? 

• Will AHEC continue to enjoy the gener- 
ous support it has received in the past, 
both from the General Assembly and 
from communities? 

• Is the existing, hospital-based AHEC 
structure viable? 

• How will AHEC change from its focus 
on graduate medical education (in 
a time of excess) to a portfolio of 
preparatory education in all the health 
disciplines? 

•Are we fulfilling our commitment 
to recruit and retain minority health 
professionals? 

• How will AHEC demonstrate its effec- 
tiveness? Continuing education hours 
and number of people served, while im- 
portant, are not enough; we must be able 
to show measurable outcomes. 

Tom doesn't pretend to have the answers 
to these questions, but I know from our con- 
versations that he has some strong ideas 
about AHEC: a genuine appreciation for 
what it has accomplished over the years, and 
what it can become in the future. 

We have chosen the right person. He now 
needs all of us to help a.ssess our strengths, 
discard the status quo, and lead us into the 
next critical phase in AHEC's evolution. 

Finally. I would like to thank John Payne, 
MPH, for serving so ably as interim AHEC 
director during the past 18 months, and Bill 
Mattern, MD. senior associate dean, for 
heading the 37-member AHEC search com- 
mittee. Congratulations on jobs well done! 



Sincerely, 





Michael A. Sii)iniiiii.\. MD 
Dean 



Medical Alumni 
Association Officers 

President 

Carl S. Phipps. MD "62 
Winsfoii-Salc'Di 

President-Elect 

Darlyne Menscer. MD "79 
Charlotte 

Vice President 

James D. Hundley. MD '67 
Wilmington 

Secretary 

Gordon B. LeGrand. MD "65 
Rulei^h 

Treasurer 

PaulE.Viser.MD84 

Clinton 

Editorial Staff 

John W. Stokes 

Director. Institutional Relations 

Katharine C. Neal 
Director. Public Affairs 

Susan Vassar King 
Managing Editor 

Melissa L. Anthony. Garnet Bass. 
Catherine Clabby. Robin C. Gaitens, 
Nancy L. Kochiik. Dianne G. Shaw 
Contributing W rifers 

Dan Crawford (p>js. 12-14.26) 

Don McKen/.ie (pgs. 2.7.10.1 1.19) 

Will Owens (pgs. 3-6) 

Dan Sears (p'j. S) 

Jim Stawniak70N SIGHT (pg. 15) 

Photographers 

The Medical Alumni fiiillrliii ispublishcil hnir limes 
annually by Ihi- UNr-Cha|K-l Hill Medical Aluiiiiii As^ 
sotialion. Chapel Hill. NC 27.SM. Postage is paid hy 
the non-profit association throuj;!! I .S. I'ostal Pemiit 
No. 24. Address correspondence to the editor. Otricc ol 
Medical Center Puhlic Affairs. .Sch(«)l of Medicine. 
CB#7WK). I niversitv of North Carolina. Chapel Hill. 
NC27.M4, 



Medical Alumni 

BULLETIN 

School of Medicine, University of North Carolina at Chapel Hill 



Contents 



Features 

UNC Hospitals Unveils Neurosciences Building 2 

Preceptor Celebration and Community Service Day 4 

Mutant Mouse Should Boost Breast Cancer Research 7 

UNC Students Run Nation's Oldest Free Health Clinic 8 

Distinguished Service Awards 9 

A Match Made in Carolina Heaven 10 

The Olympic Test 15 

Alumni Profile: John Johnston. MD '69 1 8 

Faculty Profile: RonFalk 19 

30 Years of Merit Scholars 21 

Florida Physician Endows Emergency Medicine Chair 22 

Carl Phipps, New MAA President 26 

Departments 

Dean's Page Inside Front Cover 

News Briefs 1 1 

Faculty Notes 16 

Development Notes 23 

Alumni Notes 27 

President's Letter Inside Back Cover 

CME/Alumni Calendar Back Cover 

Oil ///(• CVmc/; JcnnitL'tCirecii, MD. a ivsiilciil m mlcnial mciliciiK'. vvoiks an L'liiciyciKV 
riicdieiiie rotation in UNC Hospitals" new Emcrocncy tX-pailmenl. The cIcpailiiK'ni 
relotated lo the new N.C. Neurosciences Hospital on May 7. It provides neai is ihive 
limes the space oltlie old F-.D. lealiiies separate treatment areas ibr adult, pediatric and 
urgent care, and oilers patienls and ramilies convenient access with free parking adjacent 
lo the enlrance, (l'lininlt\ Dan M, Kcnzici 



UNC Hospitals Unveils New 
Neurosciences Facility, 
Emergency Department 



by Susan Vassar King and 
Katharine C. Neal 

More than 400 people attended 
the formal dedication ceremo- 
ny for the North Carolina 
Neurosciences Hospital on 
Friday afternoon, April 19. Eric B. Munson. 
UNC Hospitals executive director, served as 
master of ceremonies for the event. 

During his remarks, Munson noted that 
the heliport on the building's roof had been 
named the Herbert J. Proctor, MD 
Aeromedical Facility, in memory of one of 
the state's leaders in aeromedical trans- 
portation and a well-known and respected 
trauma surgeon at UNC. Just as Munson 
began to talk about Proctor, Carolina Air 
Care — in an unscheduled but fitting tribute 
— took to the air. 

In addition to the aeromedical facility, the 
new building houses the Emergency De- 
partment, psychiatry services and research 
laboratories, and expanded inpatient and 
outpatient clinics for neurology, neuro- 
surgery and otolaryngology. 

The new Emergency Department pro- 
vides nearly three times the space of the old 
ED. "TTie new space is critical for a number 
of reasons," says Judith Tintinalli, MD, 
chair of emergency medicine. "First and 
foremost, it will allow us to serve more peo- 
ple, more quickly." 

In the old ED, patients were treated ac- 
cording to the severity of their illnesses or 
injuries. People with chest pain or those 
with severe injuries from car accidents were 
seen first; those with less serious injuries or 
illnesses had longer waits. The new ED in- 
cludes separate treatment areas: a triage 
nurse evaluates patients as they come in and 
directs them to the appropriate area. 

Adults with serious medical problems 
are seen in adult critical care: children with 
serious illnesses and injuries are seen in pe- 




Norlh Carolina Ncttroscieiiccs Hospital 

diatric critical care. The urgent care area ad- 
dresses minor medical problems such as 
sinus infections and migraine headaches. 

"With our new urgent care system, pa- 
tients who can be treated simply — a child 
who needs stitches removed, for example 
— can get in and get out quickly." 
says Tintinalli. 

In the Department of Psychiatry, the 
opening of the N.C. Neurosciences Hospital 
means better and more comprehensive ser- 
vices, says Robert Golden. MD, chair 
of psychiatry. 

"The building allows us to expand some 
of our services and actually create some 
new programs that have been sorely need- 
ed," he says. "In the past, for example, ad- 
mission capabilities have been extremely 
limited for adolescents. But now we have a 
unit for that specific patient population, 
with special emphasis on adolescents with 
concurrent medical and psychiatric needs." 

The lasting impact of the new facility on 
the citizens of North Carolina, however, 
was probably best expressed at the dedica- 
tion by Alice Eure, co-founder of the Foun- 



dation of Hope, a Raleigh group that raises 
funds for psychiatric research. Excerpts 
from Eure's remarks are reprinted here. 

In addition to Tintinalli, Golden and 
Eure, speakers at the dedication were 
Harold C. Pillsbury 111, MD, chief of oto- 
laryngology/head and neck surgery: CD. 
Spangler, president of the University of 
North Carolina: Michael Hooker, PhD, 
chancellor of UNC-Chapel Hill: Michael A. 
Simmons, MD, dean of the School of Medi- 
cine: the Honorable Rosemary Waldorf, 
mayor of Chapel Hill: and John A. Kirk- 
land, MD. chair of the UNC Hospitals 
board of directors. The Rev. Terry Purvis- 
Smith, PhD, offered a prayer of dedication. 
Tours of the facility followed the program. 

The following comments were made by 
Alice Eure. co-founder of the Foundation of 
Hope, at the dedication of the new N.C. 
Neinvsciences Hospital on April 19, 1996. 

"Bob Golden asked me to come here 
today and talk to you a little bit about 
what this facility means from the view- 
point of a family who has used the psychi- 
atric services here at the University of 
North Carolina. 

He just couldn't have picked a better 
person. 

My son has spent a good part of 10 years 
of his life in and out of psychiatric hospitals. 
And a lot of that was spent right there in that 
old building. South Wing. 

I know that probably a lot of you are fa- 
miliar with South Wing, hut perhaps you 
haven't seen it through my eyes, the eyes of 
a mother who had to leave someone that she 
loved ver>' dearly there for treatment. 

I'll just never ever forget the first time that 
1 admitted my son into South Wing. I was 
scared to death. And it is a traumatic experi- 
ence to put someone in a psychiatric hospi- 
tal, and the looks of that buildins; didn't do 



one thing to help mc be less fearful. 

h was gloomy and depressing and old and 
just completely inadequate in every way. 
And as many times as I visited that building, 
in all the years that my son was a patient in 
and out. I never ever got used to it. 

UnfortunateK . a lot of psychiatric hospi- 
tals look like South Wing. 

I know this because when I was told that 
my son needed some long-temi psychiatric 
care. I took three months out of my life and I 
went all over the United States trying to find 
the perfect hospital. And I did visit some of 
the most renowned psychiatric hospitals 
in the United States. I can't tell you what 
a disappointing trip that was. and 1 came 
back feeling it was just so unfair that the 
powers that be didn't think that people 
who were recovering from mental illness 
needed the same kind of facilit) to recover 
in as people who were recovering from a 
physical illness. 

It took me a long time to come to grips 
with the fact that just as you can't judge 
a book by its cover, of course you can't 
judge the quality of care that a patient gets 
from the way the hospital looks. And I know 
that my son did receive excellent care at 
South Wing. 

But it's human nature to derive a certain 
amount of ctmfidence and a certain comfort 
level from the way your facilities look. 

If you really haven't been in South Wing 
in a while, I don't know if you can under- 
stand my excitement when I was asked to 
come over here and tour this new place. 
When I saw those inpatient wards with 
cheerful paint colors ... private rooms and 
private baths ... a gymnasium ... an exercise 
room. TItIs place is all the things that South 
Wing isn't and it has all the things that peo- 
ple recovering from a mental illness really 
need, but seldom ever have. 

We have done a lot, I hope, in the past to 
dispel some of the stigma of mental illness. 
but believe me it's still there. 

It's not a popular cause and it's hard to 
raise money for mental illness: people don't 
like to talk about it. But that's why I'm so 
excited because this new facility makes a 
bold and very positive statement to all of us 
who are dealing w ith mental illness. It says 
"Yes, you are important" and "Yes. some of 
your needs are going to be met here " anil 
"Yes. we really do care." 

Fortunately, my son probably won't be 
using this hospital. He has not been in the 
hospital for eight years and that's a wonder- 
ful achievement. 

But 1 can tell sou. from the boliom of mv 




/■./(/■(', co-founder. Foundation of Hope 



heart, that all the families and patients 
around North Carolina who are going to use 
this facility, it will just mean so much to 
them — it's a wonderful, wonderful place. 

1 do have another reason that I 'm so excit- 
ed about this new place and of course it has 
to do with research and the new facilities up 
on the 7th floor 

It was 1 2 years ago that my husband and I 
decided to do something positive for mental 
illness and we established the foundation — 
the Foundation of Hope — for research into 
the cause and treatment of mental illness. 

That foundation that was once just a 
dream of ours is now such a viable and very 
stable organization. We have our own exec- 
utive director We have a very dedicated and 
active board of directors. We have built up a 
si/ahle endowment, and probably most im- 
poilantly ol all. as of last Januar> the j-'oun- 
dation of Hope had contributed SS6().()()0 to 
pilot research projects here at UNC and at 
Dorothea Dix Hospital. 

This seed money allows researchers to go 
to the National Institute of Mental Health 
and request additional tundnig. .And 1 am 



proud to think that we are part of a reason 
that millions of dollars have come back here 
for psychiatric research. 

1 am so happy that these dedicated men 
and women who are doing this kind of re- 
search have such a wonderful facility in 
which to work. It's been a long time coming 
and they do deserve it. Because as you 
know, they are going to unlock the doors 
and provide answers. Their research really 
is our hope for the future. It's been my privi- 
lege to have been a part of this dedication 
ceremony, and 1 want to leave you with this 
thought: This building is, for me and for 
many people like me across this whole state, 
a dream come true. Thank you. " D 



spring Event Celebrates 
Preceptors, Honors Students 



By all accounts, the second annual 
Preceptor Celebration and Com- 
munity Service Day, sponsored 
by the Office of Community 
Medical Education, was a success. 

The April 26-27 event included a Friday 
evening banquet at Morehead Planetarium, 
several preceptor workshops and student 
presentations, and the induction of new 
members into the Eugene S. Mayer 
Community Service Honor Society. Al- 
though the fonnal program ended Saturday 
afternoon with a luncheon at the Carolina 
Club, informal activities continued over 
the weekend, including guided tours of the 
N.C. Botantical Gardens and Ackland 
Art Museum. 

William D. Mattern, MD. senior associ- 
ate dean of academic affairs at the School of 
Medicine, spoke on "Trends in Ambulatoiy 
Education" at the plenary session on Satur- 
day morning. Following his presentation, 
preceptors attended one of four workshops 
led by faculty-preceptor teams. 

Samuel Cykert. MD. assistant professor 
of medicine, and Stan Watson, MD, Smith- 
field Family Medicine, led the "Feedback 
on Student Perfomiance" workshop. 

John Langlois. MD. ORPCE clinical co- 
ordinator. Mountain AHEC. and Scott 
McGeary. MD. Kaiser Permanente. 
Raleigh, presented "Dealing with the Prob- 
lem Preceptor-Learner Interaction." 

The "One-Minute Preceptor" workshop 
was presented in two sections — one by 
Laura Sadowksi, MD, clinical associate 
professor of medicine, and C. Lee Gilliatt. 
MD. Shelby Children's Clinic, and one by 
William L. Coleman. MD, associate profes- 
sor of pediatrics, and Bret Williams, MD. 
Caswell Family Medicine Center. 

The fourth workshop. "Ethical Issues in 
Precepting Students." was led by Merry-K. 
Moos. FNP. MPH, research associate pro- 
fessor of obstetrics and gynecology, and 
Arch Woodard. MD. Bakersville Commu- 
nity Medical Center. 

Following the workshops, preceptors 
viewed the poster presentations of 35 stu- 
dents whose community service projects 
earned them membership in the Eugene S. 
Mayer Community Service Honor Society. 




PrcccplDi- Bra WHIianis. MD. Caswell 
Family Medical Center, leads a workshop. 

The honor society is named for the late di- 
rector of the North Carolina Area Health 
Education Centers Program, 

Induction into the honor society took 
place during a luncheon at which Thomas 
G. Irons. MD, associate vice chancellor for 
health sciences at East Carolina University, 
spoke on "TTie Meaning of Sei-vice." Irons is 
a 1972 alumnus of the School of Medicine 
and went on to complete his pediatrics resi- 
dency in Chapel Hill. As a medical student. 
Irons was awarded a Berryhill Scholarship, 
the Medical Faculty Award, and was presi- 
dent of Alpha Omega Alpha. 

Funding support for the event was pro- 
vided by TTie Medical Foundation of North 
Carolina, the UNC Medical Alumni Asso- 
ciation, the N.C. AHEC Program and the 
Whitehead Society. The Office of Commu- 
nity Medical Education would like to join 
these groups in thanking the more than 
600 physicians and other health care 
providers throughout North Carolina who 
serve as preceptors for the medical students 
at UNC. 



James Kinlaw. MD 
Jelfrev Merrill. MD 
Rotiert Scotl, MD 
Thomas Whyte, MD 

Asheville 

Alan Baumsarten. MD 
Micki Cabaniss. MD 
Susan Cohen. MD 
Karen L. Dedman. MD 
Erwin B. Elliston, MD 
Wade Grainger. MD 
David Foy, MD 
Mark l.endennan. MD 
James H. MeMillan. MD 
Brvson Rohertson. MD 
Joel Rosenberc. MD 
William Snoddy. MD 
JellTail. MD 
Kevin Treakle. MD 
Richard Walton. MD 
Calherine Yeagley. MD 

Biikasvillc 
Jerry Cade, MD 
James Carroll. MD 
PhihpCope. DC 
Barbara King, MD 
Arch Woodard. MD 

Buniwr Elk 
Marge Hacker. MD 
Fredrick A. Martin. MD 

Bcllkivc, 

Gregory L. Jones. MD 

Belmont 

Michael Case. MD 

David Rinehart. MD 

Bciisim 

Frances GritTuhs. MD 
Keith Hasson. MD 
.Shervl S. Jovner, MD 
Regina Ryan, MD 

BcaukiviUc 
Carl D. Pate. MD 

BUhlcnhoro 
Betty Bradley. MD 

BiHilW 

Juan Devirgiliis, MD 
R. Bruce Jackson. MD 
William M. .Smith. MD 
Russell C. Taylor. MD 



Rn 



Garv W. Roper. MD 
Phil'ip W. Royal. MD 



John D. Cameron. MD 
Robert L. Dough, MD 



Andy Homsby, MD 
Thomas F. Lindsay. MD 
James Sanders. MD 

Biiri:,nv 

Cuonn Nauven, MD 
Susan Pietraneelo, MD 
Michael Rallis, MD 
Kathleen Riley. MD 
Brajendra Singh. MD 
Bruce Williams, MD 
Daniel F. Zinicola. MD 



Bwiiiv^lon 

Robert W. Carter. MD 
Michael Dimeo. MD 
Richard Gilbert. MD 
Larry Harper. MD 
Andy Lamb, MD 
Edward Lance, MD 
Philip Mann. MD 
Lemont Morrisey. MD 
Samuel Scott, MD 
Jeff Sparks. MD 
Eugene Wade. MD 

Biiriisvillc 

Thomas Kaluzynski. MD 

Woody McKay. MD 

Calahiisli 

George Saunders. MD 

CcinrDit 

Kelly Braswell. MD 
Jane Brummer. MD 
Brian Cat'lVcy. MD 
Nancy Freeman. MD 
George Freeman. MD 
Ernest Goodwin. MD , 
Edward Lesesne, MD 

Ciirrhori) 

Marcia Anale. MD 
George Dodds, MD 
Maraaret Helton, MD 
Carcil Klein, MD 
Kaaren Sailer. MD 
Gayle Thomas. MD 
Bmee Wilks, MD 

Cur\ 

William Adams. MD 

Melissa Clepper-Faith. MD 

David Horowitz. MD 

Mimi MeCully, RN 

Teresa Salter. MD 

James G. Telfer. MD I 

Ccishiers I 

Mark Heffington, MD ■ 
David Wheeler, MD f 

Chanel Hill 
James A. Bryan, MD 
Woodrow Bums, MD 
John Corey. MD 
Mary Covinglon. MD 
Maraaret J. Foote. MD 
Jeffrey Fumian. MD 
Miriaiii C. Gardner. MD 
Robert Goldbaeh. MD 
Adam Goldstein. MD 
Patnck Guiteras. MD 
Georae Johnson. MD 
Joel i<ann. MD 
Kalherine Kaplan. MD 
Kristen Kraus. MD 
Elaine Lee. MD 
Robert Lineberger. MD 
Y\onne Luvando. MD 
Paula Miller. MD 
Joan Poller. MD 
Todd Shapley Quinn, MD 
Philip Sloane. MD 
Mark E. Williams. MD 



Cluirlonc 

Roben Almquist. MD 
Skip Barkley, MD 
Thomas Barringer. MD 
LecBcan>.MD 
Ra\mond Bianchi. MD 
EduardBradlord. MD 
Laurie Bunisamer. MD 
Jefl"re\ Carducll. MD 
John Cleek. MD 
TcdClonU, MD 
Debra Coles, MD 
PelerCopsis. MD 
BrendaK. amell. MD 
John Daxenpon. MD 
Charles Ferree. MD 
J. McNeill Gibson. MD 
Ralph Greene. MD 
.Anna Gu\ ton. MD 
Man N. Hall. MD 
Albert D. Hudson. MD 
Bruce Hughes. MD 
James B. Jones. MD 
EduardKnish. MD 
Norman Kramer. MD 
Man' Lou Law son. MD 
Wili'iam Lona. MD 
Manin McCall. MD 
Sandra .McKinncN. MD 
Linda Mundle. MD 
DaleOuen, MD 
Calh\ Pale. MD 
Melvin Finn. MD 
Tom Rapisardo. MD 
Marsha Rhodes. MD 
Charles Rich, MD 
Michael Richardson. MD 
Mark Robinson, MD 
Carol Rupe. MD 
Donald Russ. MD 
Daniel Sappenfield. MD 
Jessica Schorr-Sa.xe, MD 
Wanda Spolnicki. MD 
Alan Thalinger. MD 
Soro\a Toosi. MD 
J. B\Ton Walthall. MD 
Wynne Woodyear. MD 
Joseph Zastnm. MD 
Mary J. Zimmcr, MD 

Chcii-willc 

Christopher Madison, MD 

Thomas White, MD 

China Gnnc 

Stanley D. Schaetfer. MD 

Cla\um 

David Meehan. DO 

Joan Meehan. DO 

Clintim 

William C. Carr. MD 

R.M. Hemng. MD 

J. Thomas Newton. MD 

J. Carson Rounds. MD 

John Rouse. MD 

John Smith. MD 

Clyde 

Lucy Downey. MD 
Harr> Lipham. MD 
Greg Randolph. MD 
Steve Wall. MD 

Cttlunihia 

Irene Cavall. MD 

Elizabeth Lane York. MD 

Concord 

A. Gray Bullard. MD 
David Christopherson. MD 
Jeffrey Hoffman, MD 
Kim Yenal. MD 

Cmssnore 
CharlesE. Baker. MD 



lXivhl\«n 
Ron Beamon, MD 
Da\ id Cook. MD 
Craig White. MD 

Di-mcr 

Gerald Ahiiiian. MD 

Susane Habashi-.Ahigian. MD 

Diirlhiin 

.•\n\ara Acharya. MD 
George Brothers. MD 
Trii; Broun. MD 
Kevin Bro\ les. MD 
Spraizue Cheshire. PAC 
Douilas W. Clark. MD 
AmvCsorba. MD 
James R.Dvkes.MD 
Curtis J. Eshelman.MD 
Jenny Fran/ak. MD 
.Ann Frcmeau. MD 
Ri\ ka Gordon, PAC 
Janet Hader, MD 
Sampson E. Harrell. MD 
Elaine Hart-Brothers. MD 
Elizabeth Henke. MD 
Peter Jacobi, MD 
David S. Johnson, MD 
Sallv Lehmann. PAC 
Will London, MD 
James S. McGralh. MD 
Emmet Stewart. MD 

Edcii 

Clarence Bea\ers. MD 
Terr\' Daniel. MD 
Paul A. Fiorc. MD 
Kevin Howard. MD 
William J. McLeod. MD 
James B. Parsons. MD 
Paul Sasser. MD 

EliZiihclh City 
Samuel G. Jenkins 
Brandon Peters. MD 

Etiiahclhliiwn 
Susan Avcock, MD 
Bett\ Bradlev. MD 
Steve Bndgers. MD 

Elm Cilx 

Keith Camiack. MD 

Eloll CnllcfiC 

Meindert Niemeyer. MD 

Robert N. Schaller. MD 

Fciinicw 

William Hamilton, MD 

John Wander. MD 

Eciyclicvi/lc 

Raymond Gaskins. MD 
James S. Mall, MD 
Chns Hoffman, MD 
Jessie Junker, MD 
Cathenne Kellv, MD 
William H, Kellv, MD 
David l.lovd, Mb 
Howard Loughlm, MD 
Thomas McCutchen, MD 
James Mergy, MD 
Leonard Salzberg, MD 
James Wetter, MD 

liiivMCin 

Thomas J. Jaski, MD 

l-titnklit! 

Ben H. Baltic. MD 

Gariand King. MD 



Gary C. Jones. MD 

(nistnnta 

C. Fills Fisher. MD 

Maureen Murphy. MD 




Preceptor llumuis McCiilthcn. MD (li'/n reviews Grei;i>ry Fiiiil's eoininuiiiiy 
service project . 



Glcii Alpine 
Roger Hill. MD 
Mark McManus. MD 
Clay Richardson. MD 

Glendiilc 
Darby Sidcr. MD 

Goldshoro 

Anthony C. Gaither, MD 
Howard W. Newell. MD 
W, James Stackhouse. MD 
David Tayloe. MD 

Gniniic Fulls 

Sanford D. Guttler, MD 

Gi'ccnshiiro 
Clay Ballanline. MD 
Mary John Baxley, MD 
Veita Bland, MD 
Peter Blomgren, MD 
James Brewer, MD 
John Campbell, MD 
Samuel Cykert, MD 
Robert Foreman, MD 
Donna Gates, MD 
Neville Gates, MD 
Arnold Grandis, MD 
Edwin Green, MD 
Arthur G. Green. MD 
Ruth Guyer, MD 
W. Randall Harris, MD 
William A. Hensel, MD 
Diane Huffman, MD 
John Jenkins, MD 
Anne B. King, MD 
Stuart Kossover, MD 
John Lalonde, MD 
Rita Layson ,MD 
Annmarie Ma/zocchi, MD 
Dean Mitchell, MD 
Michael Norins, MD 
Nancy Phifer.MD 
Ronald J. Pudio, MD 
Robert Reade. MD 
Michael Robson. MD 
Stewart Rogers, MD 
Chanchal Saddy, MD 
Stan Wilson, MD 
Rondall >oung, MD 

Giveinillc 

Michael Bramley, MD 
G. Fdward Davis, MD 
(Juentin Mewboni Jr, MD 

lliiininliiul 
Shyam Ciarg. MD 



Hiirrishinx 

Jennifer McMillan, MD 

Theodore Suggs, MD 

Huycsvillc 
Burton Banks. MD 
Teresa Heavner. MD 
Daniel Stroup. MD 

Heiulcrson 
Drew Bridges. MD 
Cornelius Cathcart. MD 
Fadriennc Sessions. MD 

Heiulcrsomillc 
Gary E. Bickel, MD 
Steven Crane. MD 
Joanne E. Helppie. MD 
Jim Irion. MD 
Denise Johnson, MD 
Carol H. Kaufman. MD 
Steven Lackey. MD 
Jenny Mathews, MD 
Ronald Moflllt, MD 
PolK Ross, MD 
Kale Sloss, MD 

Hwk.irx 

John W. Kessel. MD 
Stephen R. Mclntyre, MD 
Lynn Specs, MD 

HiKhliiiuls 

John Baunirucker, MD 

Palti B. Wheeler, MD 

Hiiili Poinl 
Michael Kalish, MD 

Hillshimmah 
Arthur Axelbank, MD 
Dianne Freiind, MD 
Ruth i;iiid, FNP 
Jonalh.in Klein. MD 
Donna Tucccio. MD 

//()/"• Mills 
Christophe Aul, MD 
John Blue. MD 
DouL'lasllcnlcv. MD 
William Sanderson. MD 

JaikMin 

Jane McCalch. Ml) 

.Icljcisnn 

Gregory Hershncr, Ml) 



Christopher Cironer. MD 



Kaiiikipolis 

James Pcckinpaugh. MD 

Kcimii'.mIU- 

Mohamcd Ammar. MD 
Corazon Ngo. MD 

Kcrilcrsvlllc 
Wilham S, Kell\. MD 

Kiiisuni 

Joseph E. Agsten, MD 
Joan M, Baker, MD 
Laddie M. Crisp, MD 
Joan T Perry, MD 

Luiii inhmx 

Bradford Faulkenberrv, MD 
Harvev Kohn, MD 
Frederick Mabry, MD 
James McQueen. MD 
William Purcell, MD 
James Smithwick. MD 

RussellC. Collins. MD 
Erie Dravland. MD 
AndraG. Kunkle. MD 

l.ilh-riv 

Philip Karam. MD 

Ldiiislnirf; 

Bernard L. Patterson 

William A. Sayles. MD 

Liimhcrlitn 

Annette B. Burke, MD 
Carolyn MeConnick, MD 
Robert L.'loung, MD 

Madisf HI 

Bnice Hiiichelle. MD 

Muiiiiii 

Thomas Atkinson, MD 
Pam Bands, MD 
Ge<irge Cunningham, MD 
William I-owler. MD 
Melanic Oumge, MD 

Miii^ Hill 
Marianna Daly, MD 

MclllllfHW 

Rhett Brown, MD 
Davul Hall, MD 

\l,h,iii, 

Kalhenne Bliss, MD 



MoiksrilU- 

George D. Kiniberly. MD 

William O. Rcntroe. MD 

Miinciiiv 

Jean Dowdy. FNP 
Jane Hollingsworth. MD 
Susan Pitts. MD 
Barbara Rowland. MD 
David Tempest. MD 

Monroe 

John Cattie, MD 

James D. Whinna, MD 

Moort'sville 
Thomas Gross. MD 

More head Cir^' 
Gas Cader. MD 
Terry Goodman. MD 

Mori^amon 

Alfred W. Hamer. MD 

Mount Airy 
Mohammed Athar. MD 

MiHinl Pleu.sdnr 
Allen Dobson. MD 
Charles W. Rhodes. MD 
Betty Steele. MD 

Mnr/yhy 

Pam Boland. MD 
Jeffrey D. Larson. MD 
Bri:m Mitchell. MD 
Robert Solomon. MD 

Nashville 

Michael R. Sundemian 

New Bern 

Graham Barden, MD 
R. Stephen Joyner. MD 
Calvin G. Warren. MD 

Newion 

Alan Gray Forshey, MD 

Diane Hudson. MD 

Newton Grove 
Lucy Brown. MD 
Isaia Melo. MD 
Peggy Morphew. MD 
Gary Pace. MD 

North Wilkeshoro 

Joseph C. Fesperman. MD 



Thomas Frazer. MD 
Dariel L. Rathmell. MD 
Clark W. Stevens. MD 

Ocracoke 
Seaborn Blair. MD 

Oxford 

John Anderson. MD 
Stephen Eriischek. MD 
Joanne Frulh. MD 
Thomas Koinis. MD 
Richard Taylor. MD 

Pembroke 

Joseph T Bell. MD 

Dennis O. Stuart. MD 

Pikeville 

Amy Price. MD 

Piltsboro 

James B. Holt. MD 
Denise Tollefson. MD 
Michael J. Tyler, MD 

Pleasant 

Wilson Elkins. MD 

Prospect Hill 
Ariana Pancaldo. MD 
William Selvidge. MD 
Carmen Strickland. MD 
R Chris Tobin. MD 

Raeford 

Nancy Henderson-Hines. MD 

Karen Smith. MD 

Robert Townsend. MD 

Raleiiih 

Trov Andersen. MD 
Robert Bilbro. MD 
Terry R. Brenneman. MD 
Kimberlv Buentinc. MD 
Linda Butler. MD~ 
Brad Carlson. MD 
Marjorie B. Carr. MD 
Nicholas J. D'Avanzo. MD 
Harry Dscoomb. MD 
Lisa F. Dejametle. MD 
Douglas Dirschl. MD 
Kevin Dougherty. MD 
Melissa Eaton. MD 
Allan Eure. MD 
R. Frenchs, MD 
David Goff. MD 
Juan Granados. MD 



David Gremillion. MD 
Jim Hartye. MD 
Jennifer Hedgepeth. MD 
Robert Horton. MD 
William Jacobs. MD 
James Jacobs. MD 
Dennis Jacokes. MD 
Karen A. Kanheiser. MD 
West Lawson. MD 
Peter Leone. MD 
Stuart J. Levin. MD 
Anita Martin. MD 
Scott McGecuy. MD 
Steve Novek. MD 
James O'Rourke. MD 
Dale W. Oiler. MD 
Amy Porter. MD 
Chnstopher Perkins. MD 
Gregory Rekuc. MD 
Michael D. Rodman. MD 
John Rubino. MD 
Michael Shemll. MD 
Evin H. Sides. MD 
Nancy Sokany. MD 
James V. Soldin. MD 
E. Brooks Wilkins. MD 
Lynne Wirth. MD 
Edward Yellig. MD 

Randleman 

M. Brad Thomas, MD 

Red Sprinifs 
Henn;in Chavis. MD 
Kenneth E. Locklear. MD 

Reidsville 

Scott Luking. MD 

Steve Luking. MD 

Research Triangle Park 
Polly Guthrie 

Rich Square 

A. Jeff Burton. MD 

Roanoke Rapids 
Gupta Pandarinath. MD 
Narayanac Sekaran. MD 

Rohhnis 
William Bell. MD 

Rockingham 
DanielHall. MD 

Rocky Mount 

H. James Evans. MD 




Pivceptor Clay Ballciuiiic. MD (Icfl) and Dii.stiii Tayltir. OCME field liaison. 
6 



Linda Hawes. MD 
J. Martin Hood. MD 
Rich Michal. MD 
Lisa Nelson-Robinson. MD 
Renee T. Schust. MD 
Robert J. Sheridan. MD 
Stuart Todd. MD 
Sam Wesonga. MD 

Rose Hill 

Francisco Becerra. MD 

Sanford 

Steven Gallup. MD 
Michael A. Gordon. MD 
Paul Howard. MD 
Pamela Jessup. MD 
John Mangum. MD 
Robert H. McConville. MD 
L. David Nave. MD 
Gerard O'Donnell.MD 
Robert W. Patterson. MD 
Mitchell Reese. MD 
Edward Stanton. MD 
Brian Torgerson. MD 
Teri Wooten, MD 

Scotland Neck 

Brian H. Grimard. MD 

Shallotte 

B.L. l^ngston. MD 

Shelby 

Mark Binion. MD 
Richard Bowles. MD 
C. Lee Gilliatt. MD 
Charles Hayek, MD 
Robert S. Jones. MD 
Charles P Langley HI. MD 
Joseph Minus. MD 
David Norman, MD 
Paul Sarazen, MD 

Siler Citx 
Bill Carter, MD 
Rusty Chavez, MD 
Maureen Darcy. CN 
Todd Granger. MD 
Byron Hoffman, MD 
Keith McManus, MD 
James E. Schwankl. MD 
Anuj Sharma. MD 
Phil'Shen-od, MD 
Jon Warkentin, MD 
Mark Zeringue, MD 

Smiihfiehl 

Stan Watson, MD 

Southpori 

Andre Minor, MD 

Keith Reschley. MD 

Spruce Pine 
Steve Hill, MD 
Susan T. Snider, MD 

Statesville 

Edwin M. Fulghum, MD 

Summerfield 
Brent Burnett, MD 
David M. Kaplan, MD 

Svlva 

Robert Adams, MD 
Beth A. Bailev. MD 
Beth Dixon. MD 
Teresa Duarte. MD 
Ron Fisher. MD 
Paul Gehring. MD 
Concepcion Martinez. MD 
Scott Nixon, MD 
Randall Provost. MD 
Steve Queen. MD 
David Ramsey. MD 
Charles Toledo, MD 



Tarboro 

Karen Coward, MD 
R. Brookes Peters, MD 
Ada F Williams. MD 

Wadesboro 

Victoria Rommel. MD 

Wallace 

James S. Blair. MD 

Mott Parks Blair. MD 

W'arrenton 

Cosmos George. MD 

Warsaw 

Kimberlv Grissby-Sessoms, 

MD 

Rodney Sessoms. MD 

Washiniiton 

Russell C. Cook. MD 

Waynesville 
Stephen Durch. MD 
Michael Pass, MD 
John W. Stringfield, MD 
Judith Stringfield, MD 
Don Teater, MD 

Weldon 

Ricky Watson, MD 

Vicstfield 

Dean Cullen, PA 

Aaron France, MD 

Whitakers 

Ronald E. Hughes. MD 

Whiteville 
Richard Ben^'. MD 
Richard Fleming, MD , 
John F. Munroe. MD 
F Ray Thiepen. MD 
Henrv W. traylor. MD 
Richard Waldman. MD 

Wilkeshoro 

Thomas McMahan. MD 

Williamston 

Wan Soo Chung. MD 

Carl T. Dover. MD 

Wilmington 

Charles M. Almond. MD 
Thomas Blacksione. MD 
Dewey H. Bndger. MD 
Gordon D. Coleman, MD 
Daniel Gottovi, MD 
Ronald Gregoire, MD 
Henry C. Hawthorne, MD 
Charles B. Hen-ing, MD 
Gradv Moraan, MD 
NeiU'Mussclwhile, MD 
Mur\ OBrien. MD 
John R Pasquanello, MD 
Janelle Rhvne. MD 
Michael Soboeiro, MD 
Jonathan Staub, MD 
Neal T. Thompson, MD 
Mark Tillotson, MD 
Ellis Tinsley Jr., MD 
Scott W. Visser, MD 

Lindse\ DeGuehery, MD 
Jonathon G. Dewald, MD 
Anwar Haidary. MD 
Joseph Russell. MD 

Yanceyville 

Fredrick E. Moore. MD 
Todd Shaplev-Quinn. MD 
Bret William's. MD 

Yaupon Beach 

Peter D. Almirall. MD 



Mutant Mouse Should Boost 
Breast Cancer Research 



by Catherine Clabby 

Medical school re- 
searchers in Chapel Hill 
have created a 
genetically altered 
mouse to help scientists understand 
hovs some breast cancers develop. 

Tlie mutant mouse was made pos- 
sible by the discovery of a breast can- 
cer gene in the fall of 1994. The 
damaged gene is blamed for most in- 
herited cases of breast cancer, as well 
as for some cases of ovarian cancer. 

The mouse could help researchers 
understand w hen and how the dis- 
abled gene does its dirty work. It v\ ill 
also enable scientists to explore 
whether known carcinogens or expo- 
sure to radiation accelerate the devel- 
opment of cancer. 

"It is very important for people 
who are carrying this mutation to 
know what environmental factors in- 
crease the risk." said Beverly Koller. 
PhD. a UNC geneticist and pioneer in 
the making of genetically altered 
mice. ■"Virtually nothing is known about the 
function of this gene, however, except that 
when it is defective, breast cancer can 
get started." 

While about 1 1 percent of American 
women develop breast cancer. 85 percent 
of women w ith the defective gene get 
the disease. 

Koller. a research assistant professor in 
the Department of Medicine, credits a 
24-year-old-graduate student who works in 
her laboratory with launching the project 
thai led to the discovery. 

Lori Gowen. a doctoral student in genet- 
ics, told Koller that she wanted to work on 
the mutant lab animal weeks after the dis- 
covery of the first known breast cancer 
gene. Scientists with the National Institute 
of Environmental Health Sciences at 
Research Triangle Park helped with that 
breakthrough. 

Gowen knew the mouse could help scien- 
tists understand hovs the damaged gene 
works, and she hoped it \vould help them 
I'mure out how to disable it. Koller said. 




Dtniorul stiulciu Lori Gcnvcn hopes Iwi .\linlic 
licncticcilly altered mice will shed more lii^hr on the fuiu 
of the breast cancer gene. 



■"She was very determined." Koller said 
of Gowen. who was traveling to a 
scientific meeting and could not be reached 
for comment. 

Koller agreed to devote a portion of the 
lab's resources to pay for Gowen's project, 
since she didn't have money for it. 

With their success last spring 1 1995|. kept 
under wraps until it could be published in a 
scientific journal, they beat out at least three 
laboratories attempting to do the same 
thing. Koller said. 

Their fnidings were published in Febru- 
ary in Nature Genetics. 

Koller and Gowen have developed 
100 mice with the gene, and will use them in 
a series of experiments. They will watch for 
tumors as the mice approach middle age 
about springtime. They will also expose 
some of the mice to carcinogens and radia- 
tion to see whether cancer develops 
more quickly than in mice w ithout the de- 
fective gene. 

Other scientists will watch closely. '■The 
test will be if they have increased suscepti- 



'/ 



bility to cancer," said Jeffrey Marks, 
a molecular biologist and deputy di- 
rector of a breast cancer research 
center at Duke University. 

Koller has played a prominent 
role in the development of mutant 
mice, known as "■knock-out" mice. 
She has worked with the creator of 
the creatures, Oliver Smithies, 
D.Phil., at the University of Wis- 
consin and at UNC-CH. where he is 
excellence professor of pathology. 

In 1992. she led a team of scien- 
tists that developed a mouse with 
the gene for cystic fibrosis, which is 
used now to help researchers test 
experimental gene therapies. 

Perfected by Smithies in 1989, 
mutant mice are created when sci- 
entists damage targeted genes in 
mouse embryo cells. Those cells are 
injected into embryos that have 
been removed from one mouse 
and are then implanted in the womb 
of another. 

More than 250 strains of geneti- 
cally altered mice have been placed 
in use. including mice that have human 
genes. Samples of the mice are kept in a 
living repository at the Jackson Laboratory 
in Maine. 

The UNC researchers will not attempt to 
license use of their mutant because they 
want it made available to as many re- 
searchers as possible. Koller said. 

News of the UNC team's success is t)nly 
the latest significant advance in breast can- 
cer occurring in the Triangle. In December, 
researchers at Duke announced the discov- 
ery of a second breast cancer gene along 
with a British team. On the same day, a Utah 
company tiled a patent application for the 
same gene: it is unclear who will get credit 
for the discovery. 

The two genes, knows as BRCA- 1 and 
BRCA-2, are believed to cause 5 percent to 
10 percent of all breast cancers. CD 

I Reprinted h\ permission ofVnc News 
& Observer of Raleigh. North Carolina.] 



UNC Students Run Nation's 
Oldest Free Health Clinic 



by Garnet Bass 

The year was 1968. As the Vietnam 
War raged and inner cities burned, 
a group of heahh affairs students 
from CaroHna opened a free med- 
ical cHnic to serve low-income residents of 
the Chapel Hill-Durham area. 

Twenty-seven years later. UNC students 
continue to operate what is believed to be the 
oldest student-run health service in the 
country. Each Wednesday during the acade- 
mic year, students from the schools of den- 
tistry, medicine, nursing and public health 
organize and staff clinics offering free after- 
hours dental and medical care to Orange 
County residents. They operate under the 
name Student Health Action Committee. 
orSHAC. 

"Tt's not uncommon to find faculty-run 
clinics where students just come in and 
work." said Adam Goldstein, clinical assis- 
tant professor of family medicine, a SHAC 
faculty adviser. "What sets SHAC apart is 
that it was originated by students, and stu- 
dents maintain primary ownership. TTiey re- 
cruit student volunteers, provide the 
services, do the budgets and decide what 
special services to do." 



The medical clinic operates out of quar- 
ters rented from Piedmont Health Services 
in Carrboro. Dental students set up shop in 
the Carr Mill Mall offices of the Orange 
County Health Department. 

On a Wednesday night last fall, about a 
dozen people tilled the waiting room of the 
SHAC clinic. Sophia Edwards of Chapel 
Hill brought her 4-year-old son for a physi- 
cal examination required by Head Start. 
Kristia Harward drove from Hillsborough 
for a job-related physical. 

It was a typical night, said Marc Shalaby, 
MSII, a student coordinator. "Physicals are 
very important at this time of year," he said. 
"Kids need school and sports physicals. 
That's most of what we'll see for a month. 
The other big business is job physicals." 

During the course of a year, students at the 
medical clinic will treat about 600 patients 
needing physicals, well-baby checkups and 
other routine care. Licensed professionals, 
faculty members and graduate students 
oversee the students' work. Altogether, the 
clinics provide more than $25,000 worth of 
medical and dental care for the community. 

"There is a sizable number of uninsured 
who also are not eligible for Medicaid." said 
Daniel B. Reimer. director of the Oranae 




County Health Department. "SHAC serves 
an important function in helping provide 
care for these people." 

Michael Eyster, director of operations for 
Piedmont Health Services, said the SHAC 
clinic's evening hours are particularly valu- 
able because many low-income people can't 
afford to leave work to visit a doctor or den- 
tist during normal business hours. The clin- 
ics have proved as popular with student 
volunteers as with patients. 

So many medical students sign up 
that they're allowed to work only one night 
each year, and even so, many students are 
turned away. 

"The first two years [of medical school] is 
predominantly books," Shalaby said. "A lot 
of people come here to see why they're in M 
medical school." I 

Kevin Buchholtz. a coordinator for dental 
students, said it was a relief to perform his 
dental procedure in a nonthreatening envi- 
ronment. "My first night. I was really ner- I 
vous and hoping the patient didn't know m 
how nervous I was," he said. 

SHAC often takes on special projects. In 
1995, the students planned a series of health M 
fairs in cooperation w ith the American Med- f 
ical Student Association. The first, called 
Heart Healthy, offered blood pressure 
checks, cholesterol screening and nutrition 
advice at a church in northeast Durham. 

Meanwhile. SHAC is being credited with 
helping UNC win a $70,000 grant this year 
from Health Professions Schools in Service 
to the Nation, a program of the Pew Health 
Professions Commission. The grant, one of 
20 awarded nationwide, is designed to assist 
medical and other health professions 
schools incorporate more community ser- 
vice into their curricula. 

Program director Sarena Seifer 
said SHAC was an important factor in Car- 
olina's selection. 

"Students need to be more involved in de- 
termining the shape of their education," she 
said. "We were looking for a demonstration 
of students taking that leadership, and that's 
definitely a strength UNC already has." D 

[This story ran in the UNC-CH Public 
Service magazine. Fall 1995.] 



Jason Conway. MSI. and nursini; student Lori Yancey treat a patient at the Student Health 
Action Committee clinic. 



Five Alumni Honored with 
Distinguished Service Awards 



The School of Medicine and the 
Medical Alumni Association pre- 
sented the 1996 Distinguished 
Service Awards April 19 during 
the annual spring medical alumni banquet. 
This year, all five award recipients are Car- 
olina medical school alumni. 

The Distinguished Service Award was 
established in 19?5. on the 75th anniversary 
of the founding of the School of Medicine, 
to recognize those who have made signifi- 
cant contributions to the establishment and 
early growth of the medical school. The 
award also was designed to honor alumni 
and friends w hose distinguished careers and 
unselfish contributions to society have 
brought honor to UNC-Chapel Hill and the 
medical school. 

1996 recipients are P.G, Arnold. MD "67. 
a native of Lincolnton and now head of the 
Mayo Clinic's Plastic and Reconstructive 
Surgery Section in Rochester. Minn.: Carol 
A.K. Aschenbrener. MD "72. chancellor of 
the University of Nebraska Medical Center: 
Charles Otis Boyette. MD "6 1 . a family 
practitioner in southeastern North Carolina 
and mayor of Belhaven: Shahane R. Taylor 
Jr.. MD "59, of Greensboro, a retired 
ophthalmologist and former president 
of the Medical Alumni Association: and 
David R. Williams Sr.. MD "63. a Davidson 
County pediatrician. 

Michael A. Simmons. MD, dean of the 
School of Medicine, presented the awards. 

■ Arnold was cited for his productive and 
distiguished 
academic ca- 
reer. A decorat- 
ed Vietnam 
veteran, Arnold 
is known as a 
■tell it like it is"" 
individual with 
e X c e p t i o n a I 
surgical skills. 
"His acconi - 
p I i s h m e n I s 
bring honor to 
Dr. Arnold and 
to the School of Medicine." Simmons said. 
Arnold attended Davidson College before 
earning his MD from UNC-Chapel Hill. He 
did surgical residencies at N.C. Memorial 
Hospital ;iiul at F.mor\ before going to the 





Aschcnhrener 



Mayo Clinic. 

■ When .Aschenbrener entered the UNC- 
CH School of 
Medicine in 
1968. she was 
one of only five 
women in her 
class. "Today, 
while many 
more women 
are entering 
medical school, 
she remains in a 
class by herself 
as the first fe- 
male chancellor 

of a university medical center in the United 
States,"" Simmons said. Aschenbrener is a 
native of Dubuque. Iowa. She graduated 
from Clarke College there, then received a 
masters degree from the University of Iowa 
and her medical degree with honors from 
UNC-CH. She returned to the Midwest to 
do an internship and residency in pathology 
at the University of Iowa, followed by a res- 
idency in neuropathology. She rose steadily 
in the academic ranks there, and in 1992 
was named chancellor at the University of 
Nebraska Medical Center. 

■ In addition to serving as Belhaven's 
mayor and 
running a busy 
family practice. 
Boyette is Pam- 
lico-Albemarle 
Medical Society 
delegate to the 
N.C. Medical 
Society, a mem- 
ber of the N.C. 
Institute of 
Medicine and 
supervisor/ 
medical direc- 
tor for the Hyde County Health Depart- 
ment. He also has been a long-lime 
and ardent advocate for the field of 
family medicine. 

Boyette received his undergiailuatc and 
medical degrees from UNC-CH. then spent 
live years in the Navy, completing a U.S. 
Naval Hospital Internship in Charleston and 
ser\ ing as a llight surgeon at the I i.S. Naval 
School of A\iation Medicine in Pensacola. 





7(;v/(. 



He returned to North Carolina in 196.^, and 
in 1964 opened his practice. Boyette re- 
ceived the Distinguished Service Award "in 
recognition of his role in improving 
the health care of the citizens of North 
Carolina and in advancing the cause of 
famils' practice."' 

■ Taylor, said Simmons, "is one of the 
sharpest, most 
politically savvy 
physicians ever 
to graduate from 
this institution."' 
After receiving 
his MD from 
UNC-CH in 
1959. he pursued 
an internship in 
internal medicine 
at N.C. Memori- 
al Hospital and 
an ophthalmolo- 
gy residence there and at McPherson Hospi- 
tal in Durham. He returned to his native 
Greensboro in 1963 to begin a long and dis- 
tinguished career in ophthalmology. 

Taylor has worked closely with the N.C. 
Medical Foundation to encourage alumni 
support for the medical school. He also has 
been active in the American Academy of 
Ophthalmology, the N.C. Medical Society 
and the Guilford County Medical Society. 
His father also was a DSA recipient. 

■ Williams, a native of Laurinburg, is 
renowned for the 
care he provides 
to the children of 
Davidson County 
and surrounding 
areas. Since 196S. 
he has had an 
"open door" poli- 
cy of treating any 
child, regardless 
ofabilitytopay. 

He received his 
undergraduate 
and medical de- 
grees from UNC-CH. then dkl a peiliainc 
internship and residency at N.C. Memorial 
Hospital. After a two-year stint in the mili- 
tary, he joined Thomasv ille Peiliatrics. 
where he"s been ever since 

—K.C.N. 

9 




Willuiins 



A Match Made in 
Carolina Heaven 




Nine of the 34 School of Medicine seniors who will stay in Chapel Hill for their first 
years of post-graduate training: (from left) Gil Reid. ohstetrics/gynecology: Stacy Gilbert, 
pediatrics: Shawn Gilbert, orthopaedic surgery: Leslye Sinn, psychiatn: with son Nikolas 
Wall: Dane Vines, family practice, with son Jaden: Darius Amjadi. pathology: Tracer 
O'Connell. radiology: Greg Gibbons, family practice, with daughter Kathrxn: Shannon 
Goldsmith . pediatrics. 



by Melissa L. Anthony 

For 34 graduating seniors of the 
UNC-CH School of Medicine. 
Match Day 1996 was both a leave- 
taking and a homecoming. A 
leave-taking from medical school to their 
future careers. A homecoming because 
their careers will begin at UNC Hospitals. 

TTiese students, matched with residencies 
at their alma mater, had much to say when 
asked why they chose UNC as their training 
hospital. Their resounding response: affir- 
mation of UNC faculty and programs. 

"UNC Hospitals was my only choice," 
said Darius Amjadi. a graduating senior 
matched to a pathology residency. "Not 



only do UNC faculty and residents 
work closely together, but they have 
great relationships." 

That sentiment was echoed by Greg Gib- 
bons, who begins his family practice 
residency at UNC Hospitals in July. 
"What can I say? Excellent faculty means 
excellent training." 

Leslye Sinn, who will be training in psy- 
chiatry, is particularly impressed with 
UNC's community and patient focus. 
"UNC Hospitals has one of the best psychi- 
atry programs in the country." said Sinn. 
"Because UNC emphasizes patient care in 
addition to research. Til spend much of my 
residency where it really matters, out in 



the community." 

According to Match Day '96 statistics for 
UNC-CH, 87 percent of students participat- 
ing in the National Resident Matching Pro- 
gram were successfully placed in their first, 
second or third choice. Nearly 40 percent of 
the 157-member class will continue med- 
ical training in North Carolina: 34 at UNC 
Hospitals: 14 at Area Health Education 
Center sites around the state: seven at East 
Carolina University Medical Center; six at 
Bowman Gray/Baptist Hospital; and one at 
Duke Medical Center. 

Primary care continues to be a leading in- 
terest among School of Medicine gradu- 
ates: some 59 percent secured residencies in 
family practice, internal medicine, pedi- 
atrics or obstetrics/gynecology. This trend 
is also reflected in the proportiem of women 
and African-American students pursuing 
generalist training. 66 percent and 40 per- 
cent, respectively. 

Nationally, 1996 statistics indicate a sim- 
ilar gravitation toward primary care. For the 
second straight year, more than half of all 
graduating U.S. medical students will enter 
residencies in a generalist discipline, ac- 
cording to the American Association of 
Medical Colleges. 

Of the 13.395 U.S. seniors successfully 
matched through NRMP. 54.4 percent will 
pursue at least their first year of training in 
family practice, internal medicine, or pedi- 
atrics. "These results show that U.S. med- 
ical students understand the changing needs 
of the nation's evolving health care system." 
said AAMC President Jordan J. Cohen, 
MD. "They also indicate that students are 
being counseled appropriately by U.S. 
medical schools to make informed career 
choices for this new environment. D 



News 
Briefs 




Pediatrics Chair Featured in National Magazine 

1)1 the March issue of Good Housekeeping mai^azinc. Roberta Williams. MD. chair of 
the Department of Pediatrics, was featured as one of "Tlie Country's Best Heart Doctors!' 

The article recoimts the story of Williams' decision to become a pediatric cardiologist 
at the age of 12 (see 'True Blue Tar Heel Returns to UNCI Jime 1995 Bulletin), and 
hi'ihlights her work with cliildren whose congenital heart defects are detected before 
they are horn. 



New AHEC Director Named 

Ttie Universi- 
ty of North Car- 
olina Board of 
Governors on 
May 10 ap- 
proved the ap- 
pointment 
Thomas J. 
Bacon, DrPH. 
as director of 
the N.C. Area 
Health Educa- 
tion Centers 
Program. The 
appointment was effccli\e June I . Bacon 
also holds academic appointments in the 
schools of Public Health and Medicine at 
UNC-Chapel Hill and \\'\\\ he an associate 
dean in the medical school. 




Thomas .1 . Bacon. DrI'H 



AHEC"s mission is to provide community- 
based education for a variety of health pro- 
fessionals. "AHEC has had remarkable 
success in educating, recruiting and retain- 
ing those providers throughout North Car- 
olina." said Michael A. .Simmons. MD. 
dean of the School of Medicine, to which 
the AHEC program is responsible. There 
arc nine regional AHECs. each affiliated 
with one of the state's four academic med- 
ical centers: Bowman Gray. Duke. East Car- 
olina and UNC-Chapel Hill. 

Bacon, 5 1 . has served as executive direc- 
tor of the Mountain AHEC in Asheville 
since mS2. He holds a faculty appointment 
In the Department of Health Policy anil Ad- 
ministration in the UNC-CH School of Pub- 
lic Health. Before heading the MAHEC 
program, he served live \ears as associate 
director of AHEC in Ihc central office in 
Chapel Hill. 



He holds a doctorate in public health 
from UNC-Chapel Hill and a masters de- 
gree in demography from the LIniversity of 
Chicago. He is a native of Florida. 

"Dr. Bacon's appointment is the result of 
an extensive search process involving more 
than 70 candidates." said Simmons. "Quali- 
ties the search committee looked for includ- 
ed considerable experience as an educator, 
and someone who had built substantial 
and successful community programs. 

"Given the rapid changes in the health 
care industry, the committee sought some- 
one who welcomes leading change, not sim- 
ply accommodating to it, " Simmons said. 

Bacon has a keen interest in rural health 
care needs. He has spoken and written ex- 
tensively on how the AHEC program is 
helping underserved communities address 
those needs. 

"I am truly honored to be assuming the 
position of AHEC director." Bacon said. 
"For nearly 25 years. AHEC has played a 
key role — and is recognized as a national 
model — in connecting health science cen- 
ters to communities through the education 
and training of tomorrow 's health care pro- 
fessionals." He noted the program's success 
was due in large measure to the leadership 
of the late Eugene S. Mayer. MD, who di- 
rected the program from I97S until his 
death in 1W4: Glenn Wilson, AHECs llrst 
director; and John Payne, who has sened as 
interim director since Mayer's death, 

"Although AHEC has been very success- 
ful, we cannot be complacent. Private- 
sector health care refonn will be followed 
closely by public-sector retorm. and our 
university partners will be forced to change 
how and where they educate aiul train health 
professionals," Bacon said. 

"We must help them by providing quality 
community placements for students and res- 
idents, creating an integrated, statewide 
electronic information system for health 
professionals and renew ing our commit- 
ment to primary care education, health ca- 
reers and minority development and 
multidisciplinary training," Bacon added. 



Eight Faculty Ranked 
Among Top U.S. Doctors 

Eight doctors from the School of Medi- 
cine were recognized in the March issue of 
American Health magazine as "The Best 
Doctors in America." TTiey were chosen by 
more than 3.200 peers at 330 leading 
academic medical centers across the 
United States. 

They are John B. Buse, MD. associate 
professor of medicine and director of the 
Diabetes Care Center, for his work in dia- 
betes and endocrinology; Robert C. Cefa- 
lo, MD. professor of obstetrics and 
gynecology and division chief of maternal 
and fetal medicine, for his efforts in perina- 
tology and matemal and fetal medicine: and 
Wesley C. Fowler Jr.. MD. Leonard 
Palumbo professor of gynecologic oncolo- 
gy, associate chair of obstetrics and gyne- 
cology and associate director of the 
Lineberger Comprehensive Cancer Center, 
for his accomplishments in oncology and 
premalignant lesions. 

Also chosen were Harold C. Pillsbury 
III. MD, Thomas J. Dark distinguished pro- 
fessor of surgery and division chief of oto- 
laryngology, for his work in head and neck 
surgery and neuro-otology; Louis Under- 
wood. MD. professor of pediatrics and nu- 
trition and division chief of endocrinology, 
for his efforts with growth disorders: 
Charles van der Horst, MD. associate pro- 
fessor of medicine and clinical director of 
the AIDS Clinical Trials Unit, for his ac- 
complishments with AIDS and infectious 
diseases: Mark E. Williams. MD, associ- 
ate professor of medicine and director of the 
Program on Aging, in the area of geriatrics: 
and Robert E. Wood, MD, professor of 
pediatrics and associate director of the 
Cystic Fibrosis Center, for his work in 
bronchoscopy. 

The list was composed of 1.019 physi- 
cians in 60 adult and pediatric specialties. 
Primary care physicians were not included. 



Grant Will Help Create 
Registry of Birth Defects 

The Birth Defects Center at the School of 
Medicine received a SI 50.000 grant from 
the March of Dime Birth Defects Founda- 
tion and Harris Teeter. 

The money will establish a new registry 
that will allow researchers to report and ana- 
lyze birth defect cases across the state. 

The current registry relies on scant infor- 
mation from birth and death certificates. 
It misses about half of all the birth defect 
cases because of the way causes of death 
are reported. 

12 



Thomas Sadler, PhD, professor of cell bi- 
ology and anatomy and director of the 
center, said the new registry will include 
more accurate details about babies born 
with abnormalities. 

That should lead to much better education 
and prevention measures, Sadler said. 

"If we know what areas of the state cer- 
tain things happen, that will help us target 
areas for prevention," he said. "Birth defects 
are the No. I cause of infant mortality, and 
the state has refused to accept that. So I 
think this w ill help." 

A few other states have similar detailed 
registries. Researchers will concentrate on 
1 2 major hospitals where 60 percent of 
North Carolina's birth defect cases occur. 
They will visit those hospitals and collect 
records from the doctors directly involved in 
the cases. 

The registry should be up and running 
this summer. It could enable doctors to track 
trends in defects and link them to environ- 
mental or genetic causes. 

It also may show doctors where 
they should focus their education efforts — 



especially when it comes to prevent- 
able diseases. 

North Carolina ranks first in the nation 
and fourth in the world in neural tube de- 
fects. TTie most common is spina bifida. Re- 
cent studies have shown that a woman can 
reduce her risk of having a baby with a neur- 
al tube defect by 30 to 70 percent if she con- 
sumes 400 micrograms of folic acid before 
and during early pregnancy. 

A Folic Acid Task Force will try to get 
that message out to women. And solid data 
on birth defects can only help the efforts. 
Sadler said. 

Liver Transplants Gain j 

Payment Approval ' 

The U.S. Department of Health and 
Human Services has approved Medicare 
payment for adult liver transplants and mili- 
tary payment for pediatric transplants at 
UNC. The decision came after a compre- 
hensive review of the medical center's liver 
transplant program. 




Spicer-Breckenridge Lecture 

Joanne Lynn. MD. MS. professor of health care science and medicine at George 
Washington University and director of The Center to Improve Care of the Dying, talks 
with Richard Boyd. MD '56 and Betty- Boyd after delivering the 14th Spicer-Breckenridge 
Memorial Lecture on April 19 in Berryhill Hall. Her topic was "A Good Dying: What 
Is It and Why Is It Hard To Get?" 

Lxnn Is a nationally known physician whose career has been devoted to the care of 
elderh: disabled and dying people. In addition to her clinical work, she has played a 
major role In hloethlcs and health policy. 

The Spicer-Breckenridge lecture was established in 1983 in memoiy oftv,-o School of 
Medicine graduates who lost their lives In World War II. Each year outstanding .speakers 
are Invited to .speak on humanistic aspects of life and the practice of medicine. The lecture 
is sponsored by the School of Medicine and the Medical Alumni Association. 



"This says a lot about our program." said 
Jeffrey Fair. MD. assistant professor of 
surgery and director of the UNC Hospitals 
Liver Transplantation Program. "We have 
outstanding patient outcomes because of 
tremendous institutional support and depth 
within our medical center. 

"in the past t\\ o \ ears. UNC Hospitals has 
seen approximately 30 patients who quali- 
fied for Medicare but had to be sent to dis- 
tant medical centers because we didn't \et 
ha\ e funding." Fair added. 

Brain Chemical May Protect 
Against Alcoholism 

A naturally occurring brain chemical ap- 
pears to protect animals against grow ing de- 
pendency on alcohol, researchers at the 
School of Medicine have discovered. 

The chemical, a neurosteroid called allo- 
pregnanolone. may help prevent humans 
from becoming alcohol-dependent and treat 
alcohol withdrawal, the scientists say. 

""We are excited about this work because 
it gives us what we think may be a major 
lead we didn't have before." said A. Leslie 
Morrow. PhD. assistant professor of psychi- 
atry. ""There are 18 million alcoholics in 
America, and this disease devastates their 
lives as well as the lives of their loved ones." 

Morrow, an investigator at UNC-CH"s 
Hargrove ""Skipper" Bowles Center for 
Alcohol Studies, conducted experiments 
on rats w ith Leslie Devaud. PhD. research 
assistant professor of psychiatry. The 
scientists discovered that allopregnanolone 
has a calming effect on normal rats, but 
has much stronger effect in rats addicted 
to alcohol and prevents symptoms of 
alcohol withdrawal. 

""In humans, it's known that allopreg- 
nanolone levels are higher in women than in 
men. whereas the incidence of alcoholism is 
far lower in women." Morrow said. ""These 
correlations suggest that the chemical may 
naturally protect women from alcoholism." 

UNC Hospitals Receives 
Highest Accreditation Rating 

UNC Hospitals has been awarded the 
highest level of accreditation — accredita- 
tion with commendation — by the Joint 
Commission on Accreditation of Healthcare 
Organizations, a national accrediting orga- 
nization. Ttic accreditation, effective March 
1 . 1 996. is for three years. 

""We arc very pleased about this rating." 
said Eric B. Munson. Hospitals executive 
director. '"It is awarded only to hospitals that 
demonstrate exemplary pcrtormance over- 
all, and is a tribute to the excellence of the 




High School Students Study 'The Deadly Diseases' 

Under the auspices ofFid/cif MHH) h\ 2()()(). a luirioiud initiative to increase llie nuni- 
In-r of minorities entering tlie medical professions. 16 area liigh schools students completed 
a six-week health careers enrichment program at the School of Medicine this winter 

Organized hy Robert Reddick. MD. Kenneth M. Brinkhous distinguished professor 
of pathology, the theme of this year's program was "The Deadly Diseases: Cancer and 
Diseases of the Heart and Blood \ essels!' Lecturers included Estrada Bernard Jr. MD. 
Surgei-w Georgette A. Dent. MD. Pathology: Christopher Fordham III. MD. Medicine: 
Donald T. Forman. PhD. Pathology: William R. Meyer. MD. Obstetrics and Gynecology: 
Eugene Oninger. MD. Medicine: Leslie A. Walt(m. MD. Obstetrics and Gynecology: and 
Markus Williams. MD. Medicine. 

Pictured with the .students are.fir.Kt row: Reddick I left I and Slia-ron .lones. assistant 
director of admissions (right): second row: Monica Leach. NC-HCAP (left). Walton (sec- 
ond from right), and Fordham (right): third row: Dent (third from right), D(m Lawrence. 
MSIll (second fi-om right) and .lessica Inscoe. 3()()() hy 2()()() project coordinator Irighr): 
last row: Eric Packenham. coordinutor. Math and Science Education Project I right). 



employees and medical staff who make 
UNC Hospitals one of the premier public 
teaching hospitals in the countiy." 

JCAHO surveys more than ^.OOO hospi- 
tals each year; of those, less than 4 percent 
receive the highest level of accreditation. 

'"TTiis is a significant achievement." Mun- 
son said. "It means that UNC Hospitals 
meets or exceeds demanding national stan- 
dards for patient care, and that we are 
ranked in the top 200 hospitals accredited by 
JCAHC). nationwide." 

Cancer Research 
Receives $30,000 Boost 
from (ilaxo Wellcome 

Researchers at the UNC Linehcrger 
Comprehensive Cancer Center have re- 
ceived a $.^0,000 grant frotn Glaxo Well- 
come Inc. to explore new approaches to 
cancer detection, treatment anil prevention. 

The award went to the center's seed 
grants program, which researchers will 
use to fund the earliest stages of work on 



new ideas. 

The competitive grants were created to 
help bring innovation into the mainstream of 
scientific investigation. They enable 
promising ideas to become the medical ad- 
vances of tomorrow. 

For example, the N.C. Breast Cancer 
Screening Program, which helps older black 
women in eastern North Carolina receive 
mammograms and tollow-up care, received 
its initial funding from a seed grant. The 
program is now a major component of the 
university's Specialized Program of 
Research Excellence in Breast Cancer, one 
of only six nationwide designated by the 
National Cancer Institute. 

In other news, the UNC Linebergcr Com- 
prehensive Cancer Center's designation 
as a comprehensive cancer center has been 
renewed for five years by the National 
Cancer Institute. 

Comprehensive cancer centers arc nation- 
al leaders in cancer treatment, research and 
education. Centers must apply for the tiesig- 
nation and undergo an extensive peer review 
process by the Institute. 



1.^ 



Support Continues for 
Clinical Scholars Program 

The Clinical Scholars Program at the 
School of Medicine has received a 
$1,200,000 renewal grant from the Robert 
Wood Johnson Foundation, ensuring funding 
of the program through June 1998. 

UNC's Clinical Scholars Program, one of 
only seven in the nation, has trained more 
than 100 physicians from a variety of fields 
in the non-biological aspects of clinical re- 
search and health policy analysis since 1974. 
Priority areas of emphasis at UNC include 
clinical effectiveness and policy studies 
in preventive health care and aging and 
geriatric care. 

The two-year fellowship program is co-di- 
rected by David F. Ransohoff. MD. professor 
of medicine and epidemiology, and Gordon 
H. DeFriese. PhD. professor of social medi- 
cine, epidemiology, and health policy and 
administration and director of the Sheps 
Center for Health Ser\'ices Research. In ad- 
dition, more than 50 UNC-CH faculty are ac- 
tively involved with the program. 

Medical School Professor 
Heads Interdisciplinary 
Advisory Panel 

Michael C. Shaip. MD. associate profes- 
sor of community pediatrics and director of 
the Office of Community Medical Educa- 
tion, will chair a UNC-CH advisory panel 
looking at ways to match health expertise 
and services with citizens" needs. 

Ten Orange County community leaders 
will work with 13 faculty members and six 
students on the Health Professions in Service 
to the Nation Advisory Committee. That 
panel will identify interdisciplinary activities 
that integrate community service and clinical 
activities at UNC-CH. 

The university has matched a three-year. 
$86,325 grant from the Pew Health Profes- 
sions Commission and the National Fund for 
Medical Education. It will foster collabora- 
tion between the five health affairs schools 
— medicine, dentistry, nursing, pharmacy 
and public health — and the School of 
Social Work. 

Faculty Share Expertise at 
Mini-Medical School 

More than a dozen members of the School 
of Medicine faculty added another course to 
their busy teaching schedules this spring. But 
when they walked into the classroom, they 
faced not the usual group of future physi- 
cians, but more than 500 members of the 




Pearls Day 

James H. Svatlijf. MD, Radiology, emphasizes a point of particular importance during his 
Pearls Day lecture in March to fourth-year medical students. In addition to Scatliff, the 
1996 Pearls Day Speakers were: Robert A. Bashford, MD. Psychiatry: W. Paul Biggers.MD. 
Surgery: Watson A. Bowes. Jr.. MD, Obstetrics and Gynecology : James A. Bnan U, MD, 
Medicine: William L. Coleman. MD. Pediatrics: Alan Cross. MD. Social Medicine: 
.Arthur T. Evans. MD. Medicine: M. Andrew Greganti. MD, Medicine: John S. Kizer, MD, 
Medicine: Mark J. Koruda. Surgery: Henry R. Lesesne. MD. Medicine: Don K. Nakayama, 
MD, Pediatrics and Surgery : SaniirM. Fakhry, MD. Surgeiy: Harold C. Pilisbuiylll. Surgeiy:^ 
P. Frederick Sparling. MD, Medicine: Charles M. van derHorst. MD. Medicine: Marcus L. 
Williams. MD, Medicine: and Mark E. Williams. MD. Medicine. 



Chapel Hill community, ranging in age from 
14 to 84. 

The second UNC Mini-Medical School, 
designed to give laypeople an overview of 
the science that underlies the modem prac- 
tice of medicine, was held on five consecu- 
tive Tuesday evenings in March and April. 
The medical faculty made presentations on 
embryology, birth defects and pediatric 
surgery: molecular and cellular biology: nu- 
trition, obesity and heart disease; neurobiolo- 
gy, the brain and addiction: and immunology, 
virology and HIV. 

The next month, a condensed version of 
the UNC Mini-Medical School was present- 
ed in Charlotte. On May 15 and 16 at the 
Mint Museum, the sessions on embryology, 
biilh defects and pediatric surgery and mole- 
cular and cellular biology were presented to 
interested laypeople in Mecklenberg County 
and surrounding areas. 

Kathleen Sulik. PhD, professor of cell bi- 
ology and anatomy, served as course director 
and lecturer for the second year. Other speak- 
ers were TTiomas W. Sadler. PhD. professor 
of cell biology and anatomy and director. 
UNC Birth Defects Center and Laboratory 
for Developmental Biology: Don K. 
Nakayama. MD. Colin G. Thomas Jr. distin- 
guished professor of surgery and chief of pe- 
diatric surgery: David C. Lee, PhD, professor 



of microbiology: Oliver Smithies, D.Phil., 
excellence professor of pathology: and 
T. Kendall Harden. PhD. professor of 
pharmacology. 

Presentations were also made by Steven 
H. Zeisel, PhD, professor and chair of nutri- 
tion: Rosalind A. Coleman, MD, professor of 
nutrition and pediatrics: Sidney C. Smith Jr., 
MD. professor of medicine, chief of cardiol- 
ogy: Gerry S. Oxford. PhD. professor of 
physiology: Paul B. Farel. PhD. professor of 
physiology: Fulton T. Crews. PhD. professor 
of phamiacology and director. Bowles Cen- 
ter of Alcohol Studies: Jeffrey Frelinger, 
PhD. Sarah Graham Kenan professor and 
chair of microbiology and immunology: and 
Charles van der Horst, MD. associate profes- 
sor of medicine. 



The Olympic Test 



by Nancy L. Kochuk 

This summer, while sports en- 
ihusiasts around the globe are 
rooting for their favorite 
Ohmpic athletes. Scott 
Kleiman, MD "67. will be watching the 
Centennial Games in Atlanta from a 
different perspective. As Doping Con- 
trol Station Coordinator for the 1996 
Summer Games. Kleiman will be mak- 
ing rounds of the drug-testing stations 
located throughout the 2.'i()-mile 
Olympic competition area. 

The goal of the multi-million dollar 
drug-testing program, of course, is to 
prevent any athlete from gaining an 
edge over competitors by using a 
performance-boosting substance 
such as anabolic steroids or other 
banned substances. 

"The collection system is very 
tamper-resistant." the Atlanta orthopod 
says, "i hesitate to call it foolproof, but I 
can say it's been veiy carefully thoughl 
out. The stakes are so high in the 
Olympics, and we are committed to 
ensuring a fair competition." 

Kleiman is knowledgeable about drug 
testing programs. He's been the physician 
crew chief at several Olympic national 
trials, including baseball, track and field, 
cycling and sailing. And as chair of the 
spmrts medicine committee of the U.S. Am- 
ateur Confederation of Roller Skating, he 
has served as team physician for 
that group's national and international 
competitions. 

Doping control procedures for the Sum- 
mer Olympics will be similar to those used 
at the 1994 w inter games in Lillihammer. 
Norway. Kleiman says. At the end of each 
competition, medalists and other randomly 
selected competitors will be accompanied 
from the field by an escort who will stay 
with them until they report to a drug-testing 
station. Athletes will have up to an hour to 
do so. There, doping control medical offi- 
cers will oversee the filling out of forms and 
the securing of a urine sample. 

From his experience in other venues. 
Kleiman know s the process can drag on a 
while. Depending on the sport and the ath- 
letes' level of dehydration, obtaining the re- 
quired sample size can take just a 
few minutes or it can take hours. "When 




// Klciniiin. MD ' (i7 



winners of a triathlon come in. we just pick 
up a book," he says, laughing. "We know 
we're going to be in for a long wait." 

At the Olympics, the athlete's urine sam- 
ple will be divided into two parts, Kleiman 
continues. "The A specimen will be 
analyzed at a lab in Atlanta, and within 
24 hours, we will know the result. If the 
sample tests positive, the International 
Olympic Committee Medical Commission 
notifies the athlete. The athlete and a repre- 
sentative have the right to appeal, and go to 
the lab and witness the testing of the B sam- 
ple. If the second part of the specimen is also 
positive, sanctions may be imposed as deter- 
mined by the IOC. Any athlete who refuses 
to be drug tested after being selected for 
testing or is found guilty of using a banned 
substance may have medals withdrawn and 
may have other sanctions imposed as deter- 
mined by the IOC Medical Commission." 

While anabolic steroids have been ihe 
most frequentl\ used drug, the IOC and the 
U.S. Olsnipic Committee also test for stim- 
ulants, narcotics and diuretics, as well as 
peptides and glycoprotein hormones and 
Iheir analogues. In addition, other classes 
of drugs such as alcohol, local anesthetics. 



and beta blockers are restricted to 
varying degrees. 

"Diuretics are a problem in sports 
with weight classes, such as 
wrestling," Kleiman says. "Athletes 
are always trying to compete in a 
lower weight class. That's why it is 
common, even at high school 
w resiling matches, to see kids running 
up and down the sidelines, trying to 
burn off a few more calories before 
the weigh-in." 

Kleiman sees doping control as a 
constant battle between athletes look- 
ing for an\' way to shave even 1/lOOth 
ol a second off their lime, and labora- 
tories w hich must con.stantl) improve 
their drug detection techniques to 
catch cheaters. The newest wrinkle in 
these drug wars. Kleiman says, is ath- 
letes' use of naturally occurring hor- 
mones such as testosterone, which are 
more difficult to detect than steroids. 

As a member of the team supervis- 
ing operations at the drug-testing 
stations. Kleiman has been working 
v\ ith the Atlanta Committee for the 
Olympic Games since 1992. He 
jokes that he's been in one long meeting 
since then. 

"TTie amount of planning and detail is in- 
credible," he says. "At one meeting several 
years ago, for example, we planned exactly 
how many trash cans, clip boards and pen- 
cils we would need at each testing station on 
('(/(■/( day of the competition." 

How many athletes will actually be tested 
is a closely guarded secret. While medalists 
are routinely tested, every one of the IO..SO() 
athletes who w ill compete in Atlanta is also 
subject lo random drug testing. 

Even those who have no intention of tak- 
ing a performance-enhancing substance 
need detailed infonnation about the testing 
program. Kleiman adds. The use of the 
w rong over-the-counter cold medication, 
for example, could have the athlete testing 
positive for a banned substance. 

Now, as Atlanta is bracing for the mil- 
lions of visitors and cars that will be pouring 
into the area. Kleiman is making a final 
check of maps and routes for his rounds of 
the drug-lesting stations. "I can tell you al- 
read) that my favorite sport during these 
games will be Ihe one w ith the least amouni 
of traffic surrounding it. " □ 



15 



Faculty 
Notes 




Gold 



Stuart H. Gold, MD, assistant professor 
of pediatrics, re- 
ceived one of 
four Distin- 
guished Teach- 
ing Awards 
for Post-Bac- 
calaureate In- 
struction. The 
$5,000 award 
was created 
to acknowledge 
teaching ac- 
complishments, 
including excellence in graduate and pro- 
fessional instruction, at UNC-Chapel Hill. 
In nominating him. Gold's students said he 
is clear, well-organized, accessible and able 
to take many approaches to a problem. Said 
one colleague. "Anyone can be a teacher 
and spew facts, but few can be a role model 
as a clinician, mentor, teacher and guide." 

Gold, who joined the faculty in 1989. 
teaches courses in hematology and 
morphology and conducts cancer- 
related research. 

Arthur J. Prange Jr.. MD. Gary C. 
Boshamer professor of psychiati7. received 
the Paul Hoch Distinguished Service Award 
from the American College of Neuropsy- 
chopharmacology. The award, which rec- 
ognizes lifetime contributions to the 
college, had been given only 14 previous 
times. A college member for 32 years. 
Prange has held all of its elective offices and 
now represents it with the Association of 
American Medical Colleges. 

Nancy Raab-Traub, PhD. professor 
of microbiology and immunology, is 
chair-elect of the Division of DNA Viruses 
for the American Society of Microbiology. 
Raab-Traub also is leader of the Lineberger 
Comprehensive Cancer Center's 
virology program. 

Mahe.sh Varia, MB. BCh. associate pro- 
fessor and associate chair of radiation on- 
cology, was elected to a four-year temi on 
the executive committee of the Gynecologic 
Oncology Group, representing 45 centers 
for clinical research in the field of gyneco- 
logic oncology. 

Don K. Nakayania, MD. professor and 
chief of pediatric surgery, has been named 
Colin G. Thomas Jr. Distinguished Profes- 
sor of Surgery. Thomas served as Depart- 
16 




EfitDl 



mentof Surgery chair from 1 966 to 1984. 

Thomas M. Egan. MD. associate 
professor of 
cardiothoracic 
surgery, has 
been named 
associate divi- 
sion chief for 
general thoracic 
surgery. In this 
capacity, he is 
responsible for 
the administra- 
tive and educa- 
tional com- 
ponents of gen- 
eral thoracic surgery at UNC. Egan also 
directs the Lung Transplant Program at 
UNC Hospitals. ^ 
A proposal by Saitiir M. Fakhry, MD. 
associate profes- 
sor in the 
Division of Gen- 
eral Surgery, ti- 
tled "Death from 
injury in a devel- 
oping country: 
a comprehen- 
sive, population- 
based analysis of 
the frequency, 
cause and severi- 
ty of fatal in- 
juries," was 
selected for funding by the USAID Linkage 
Program. Fakhry will travel to Javeriana 
University in Bogota. Colombia, to conduct 
research for the study. 

Lesli Taylor. MD. assistant professor in 
the Division of General Surgery, received a 
Junior Faculty Development Award for 
$3,000 for an outcome study of the surgical 
management of patent ductus arteriosus in 
early infancy. 

Louis C. Almekinders, MD, associate 
profes.sor of orthopaedics, was appointed to 
the Sports Medicine Fellowship Committee 
of the American Orthopaedic Society for 
Sports Medicine. TTiis committee sets .stan- 
dards for the sports medicine fellowships 
and their certifying examination. 

The Deafness Research Foundation has 
awarded two $15,000 grants to faculty in 
the Division of Otolaryngology/Head and 
Neck Surgery. Vincent N. Carrasco, MD, 




Fakhry 




Big^crs 



assistant professor, is principal investigator 
for "The role of nitric oxide in the neuro- 
transmission of spiral ganglion cells." 
Harold C. Pillsbury IH, MD. Thomas J. 
Dark distinguished professor of surgery 
and division chief, is principal investigator 
for "Middle ear effusion — role of cy- 
tokines " Jiri Prazma. MD, PhD, research 
professor, is co-principal investigator for 
both studies. 

W. Paul Biggers. MD. Joseph Palmer 
Riddle distin- 
guished profes- 
sor of surgery in 
the Division of 
Otolaryngolo- 
gy/Head and 
Neck Surgery, 
produced two 
videotapes for 
the Voice Foun- 
dation Video- 
tape Series. The 
videos. "Im- 
proved tech- 
niques for video-assisted examination of the 
larynx." and "Examples of common laryn- 
geal disorders," can be obtained by calling 
Biggers through the Carolina Consultation 
Center, 800-862-6264. 

Gerald Sloan. MD, chief of Plastic and 
Reconstructive 
Surgery, was a 
visiting profes- 
sor at the Uni- 
V e r s i t y of 
Manchester, 
England, in De- 
cember 1995. 
While there, he 
presented three 
lectures and 
performed 
surgery at Sloan 

Booth Hall Children's Hospital, demon- 
strating the modified Hynes pharyngo- 
plasty. The visit will lead to a 
collaborative research venture comparing 
pharyngoplasty and pharyngeal flap in the 
secondary management of cleft palate. 

Anthony A. Meyer. MD, PhD. professor 
of surgery, received a $538,095 grant from 
the Army Medical Research and 
Development Command to study "Im- 
provement of cultured keratinocyte grafts 




for bum wounds." 

George F. Sheldon. MD. Zack D. 
Owens professor and chair of surgery, was 
awarded an honorary fellowship in the 
Association of Surgeons of Great Britain 
and Ireland. 

Arrel D. Toews, PhD, research professor 
of biochemistry and biophysics, received 
one of {wo Johnston Undergraduate Teach- 
ing Excellence Awards at UNC-Chapel 
Hill. The award was established in 1 WO by 
trustees of the James M. Johnston Awards 
Program to reward excellence in undergrad- 
uate teaching. Toews received $5. ()()() and 
was honored with other teaching award 
winners at an April dinner hosted by 
UNC-CH Chancellor Michael Hooker. 

Toews came to Carolina in 1 976 as a 
postdoctoral fellow in the Biological Sci- 
ences Research Center and began teaching 
the next year as a research instructor in the 
biochemistry department. He is currently 
the course director, lecturer and laboratory 
instructor for biochemistry courses for stu- 
dents interested in nursing and health-care 
oriented fields. 

Toews" students praise him for his excep- 
tional ability to present course material in 
an exciting way. but without compromising 
the rigors of science. 

William E. Easterling Jr., .MD. piofes- 
sor of obstetrics 
and gynecology 
and associate 
dean for contin- 
uing medical 
education and 
alumni affairs, 
has been elect- 
ed president of 
the Society of 
Medical Col- 
lege Directors 
of Continuing 
Medical Educa- 
tion. At the annual meeting in April, the so- 
ciety embraced a new vision for medical 
college CME. creating new alliances, em- 
phasizing self-directed learning, and ad- 
dressing the many issues physicians and 
medical school faculty face in the new 
health care environment. 

TTie society consists of directors of CME 
in 121 U.S. and Canadian medical schools. 



Bryan Receives Distinguished 
Faculty Award 




Easicrliiti; 



James A. Bryan II, MD. a professor 
of medicine and social and community 
medicine, has been awarded the 1996 
Distinguished Faculty Award. The 
award recognizes excellence in teach- 
ing, contributions to medicine, leader- 
ship in physician continuing education 
and efforts to improve communication 
ainong alumni, faculty and North 
Carolina residents. 

Fred Bowman, MD "50, president 
of the Medical Alumni Association, 
which gives the annual award, made the 
presentation to Bryan at the Spring 
Medical Alumni Banquet on April 19 in 
Chapel Hill. 

Bryan, a graduate of Davidson Col- 
lege, earned his medical degree from the 
University of Pennsylvania. He was an 
intern, resident and fellow at the Hospi- 
tal of Pennsylvania in Philadelphia. He 
joined the faculty here in 1964 and has 
been a popular physician ever since. 

"Patients are among Bryan "s most 
loyal and devoted fans." Bowman said 
in presenting the award. "He has seen 
them in good times and in bad. through 
the continuum of health and illness. He 
visits them in their homes, and works 
with them when they have serious ill- 
nesses. He knows not only their medical 
conditions, but also their family situa- 
tions and the environments in which 
they live. Quite simply, they believe in 
him and in his very personal approach to 



Douglas A. Drossman, .MD, professor 
of medicine and psychiatry, has been elect- 
ed president of the American Psychosomat- 
ic Society. The SOO-member society seeks 
to advance scientific understanding of the 
interrelationships among biological, socio- 
logical and behavioral factors in human 
health andilisease. D 




Bnaii 



health care." 

"His com- 
mitment to 
patient care 
is legendary 
among the 
medical 
communi- 
ty and with 
his patients." 
said Tim 
Carey, MD, 
chief of gen- 
eral medi- 
cine and epidemiology, in nominating 
Bryan for the award. "His one guiding 
principle is that patients should be the 
focus of all medical care." 

Br)'an is also popular with UNC-CH 
medical students. They consistently 
name him as one of their most influen- 
tial teachers and they have given him 
numerous teaching awards over the last 
20 years. As one student wrote on a 
course evaluation. "Working with him is 
a wonderful experience. He should be a 
required part of medical school!" 

In addition to caring for patients at 
UNC Hospitals. Bryan also works with 
patients and families at Triangle Hos- 
pice, residents of Carol Woods 
and Carolina Meadows retirement com- 
munities, and staff and overnight resi- 
dents of the Interfaith Council 
Homeless Shelter. 



17 



Alumni Profile 



A Man with a Mission 



John Johnston, MD. has come full cir- 
cle in his career. As a medical student 
here in the '60s, he turned a desire to 
improve access to health care into a 
commitment to SHAC (Student Health Ac- 
cess Center) in Carrboro. Today, as medical 
director of the Teen Health Connection in 
Charlotte, he is again working to provide the 
full range of health care services to teens, re- 
gardless of their ability to pay. 

"I remember recruiting people like Jim 
Bryan and other faculty members to back up 
the medical students at SHAC," he says. 
"Now, here at the clinic, I'm the one work- 
ing with residents and medical students." 

Johnston and his staff treat young people 
ranging in age from 1 1 to 22. "When pa- 
tients come in complaining about sore 
throats and stomach aches, we use those 
symptoms as vehicles to get at the real is- 
sues that are troubling them. The medical 
conditions we treat pale in comparison to 
the psychosocial problems these teenagers 
are facing," 

Johnston is well-equipped to deal with 
young people. After graduating from the 
School of Medicine in 1969, he completed 
an internship in pediatrics at the University 
of Washington at Seattle and began a resi- 
dency there. He then took a slight detour by 
earning a Master's degree in public health 
from the University of California at Berke- 
ley, finally returning to Seattle to finish 
his residency. 

Johnston was happily employed in an 
inner-city clinic in Seattle when he learned 
his mother was ill. He decided to return 
home to Charlotte, and ended up spending 
the next 1 8 years as a pediatrician in private 
practice at the Charlotte Pediatric Clinic. 

Johnston credits his wife with his latest 
career change. As a member of the Meck- 
lenburg County Medical Alliance, she was 
involved in planning a clinic with a mission 
to provide affordable, accessible physical 
and mental health services for teens. She 
thought the philosophy suited her husband 
to a tee. 

"She kept whispering in my ear that 
I would like it," he says. "And after one 




Last summer. Prcsidcnl Bill Clinton visiteJ the Tccii Health Connection, a non-profit 
adolescent health care clinic In Charlotte that he cited as an example of "what is right 
with America." The President spent an hour visltinii with eight teen patients, parents, 
executive director Barbara Ziegler. and medical director .lohn Johnston (center, rear I. 
"I was really impressed hy the President's rapport with the kids" .lohnston said. "He 
really tuned in to them'.' 



particularly exhausting weekend on call. 
I decided to at least apply for the medical 
directorship." 

A fierce advocate for his patients, John- 
ston doesn't shy away from the tough is- 
sues. He talks to teens and parents or 
guardians about high-risk behaviors. He 
preaches the value of staying in school and 
encourages the adults to set limits, enforce 
curfews and, if necessary, restrict privileges. 
"Someone has to give them moral support 
and strength and teach them to expect more 
of these young people," Johnston says. Even 
teens who are initially hostile to his inter- 
vention usually come around. "When they 
finally realize that I do respect them and 
care about them, that's when they appreciate 
my concern," he adds. 



Interestingly, one thing the Teen Connec- 
tion will not do is offer prenatal care or baby 
care for teenage mothers. Pregnant teens 
are referred to the health department for 
follow-up. 

"A few years ago," Johnston explains, "I 
saw a 15-year old with her baby in the wait- 
ing room, and everyone was oohing and 
aahing over that baby. I started to wonder 
w hat kind of message that was sending to 
the other teens who were also there who had 
chosen not to get pregnant. I decided we 
should be giving the most support and rein- 
forcement to teens when they're making 
20od decisions." □ 

—i^.L.K. 



Faculty Profile 



The Vanguard of Vasculitis 




■/V;c work oj Ron hulk. Ml), llcfl) has ht'cn 'lotully ciilwincd' willi lluil of ( hailcs 
.himctte. MD. .since halk joined the UNC faculty in I9SJ. 



by Dianne («. Shaw 

Treating a rare disease requires the 
si^ills of a rare physician. Some- 
one who can discern the disease's 
signal amidst the static of symp- 
toms. Yet someone who can synthesize this 
spectrum of symptoms into a discrete 
diagnosis. Someone who practices tradi- 
tional medicine, yet someone who has 
developed and is guided by sophisticated 
diagnostic procedures. 

Ronald Falk. MD. is such a physician. He 
is a professor of medicine and chief of the 
division of nephrology and hypertension. 
With Charles Jennette. MD. professor of 
pathology and laboratory medicine and pro- 
fessor of medicine, he is on the leading edge 
of the study and treatment of glomerular 
diseases — those which cause injuries to the 
filtration units of the kidneys. 
* * * 

When Falk first came to UNC from Dart- 
mouth as a PhD candidate in virology, he 
was on an MD/PhD track. Not for long, 
however. "1 liked the medicine part and 
stopped the PhD part." 

It was his first month's rotation as a third- 
year medical student that captured his inter- 
est in nephrology. "The diseases were 
interesting to me and the attending physi- 
cian — Bill Blythe — was outstanding. He 
was doing both clinical and investigational 
work. Seeing someone doing both and 
doing them well was what 1 wanted in 
my career. " 

Of that rotation. Blythe, Marion Co\ing- 
ton distinguished professor of medicine and 
fomicr chief of nephrology, recalls, "It was 
clear to me w hen he presented his first case 
that Ron was an outstanding student who 
had superior knowledge of — and feeling 
for — the patient. His understanding of 
the physical and emotional symptoms 
shoued a maturity beyond that of a third- 
year student." 

Falk's gratkialion from ihc School of 
Medicine in l'.*?? \^as followed bs more 
training in Chapel Hill: an internship and 
residency in internal medicine from "77 - 
'80. and a fellowship in nephrology from 
"80 -'81. During his internship he met his 



19 



future wife. Katherine Huffman. MD. cur- 
rently a physician with Chapel Hill Internal 
Medicine. And during his fellowship, he 
met Charles Jennette. 



Jennette was a renal pathologist on the 
faculty, giving weekly conferences to the 
fellows. Their interests overlapped, and 
when Falk returned to UNC as a faculty 
member after a two-year fellowship in pedi- 
atric nephrology at the University of Min- 
nesota, their collaboration developed, and is 
now. as Falk puts it, "totally entwined." 

Their work echoes earlier productive 
pairings of renal pathologists and nephrolo- 
gists such as Volhard and Fahr. 

In I98.S. Falk and Jennette were studying 
the autoantibodies of a young patient diag- 
nosed with Wegener's granulomatosis, and 
noticed a similarity between the marker for 
her disease and those for other forms of in- 
tlammatory vascular diseases. This obser- 
vation led the pair to conclude that the 
seemingly discrete marker for Wegener's 
was instead an indicator for a spectrum of 
inflammatory vascular diseases, including 
other types of vasculitis and glomeru- 
lonephritis. After publishing this conclusion 
three years later in The New England Jour- 
nal of Medicine, the two began the pattern 
of presenting a concept that diverged from 
current dogma, being challenged for such 
nonconformity, and finally gaining accep- 
tance for the concept. 

Also in 1985. the pair formed a collabora- 
tive network of nephrologists and patholo- 
gists called the Glomerular Diseases 
Collaborative Network. Its purpose is to 
pool clinical data, design long-term clinical 
trials and develop a registry to evaluate the 
natural history of the diseases. Beginning 
with approximately 20 nephrologists. the 
network has grown to nearly 200 partici- 
pants in four Southeastern states and Wash- 
ington. DC. Annual meetings draw national 
experts and provide a chance to update and 
discuss research. "After a colleague from 
Mayo came to present at e)ur meeting, he de- 
cided to fonn a similar network there," ex- 
plains Jennette. 

Because the diseases Falk and Jennette 
treat are so rare, and so little is known about 
their etiology, the defining characteristics 
are not easy to characterize. 

In 1 993, the pair convened an internation- 



al, multidisciplinary group of experts in 
Chapel Hill to gain consensus on what 
names to use for various forms of vasculitis 
and how to define those names. Such con- 
sensus would facilitate communication 
among physicians caring for patients and 
provide continuity for what was being re- 
ported in the literature. The results, although 
initially controversial, are now widely ac- 
cepted among the variety of specialists who 
treat va.sculitis and glomerulonephritis. 

Perhaps the thoughts of Franklin Mad- 
dux, MD. a Danville. Virginia, nephrologist 
who trained with Falk and Jennette at UNC, 
best capture the special synergy created by 
the two physicians. 

He cites Jennette's "infectious interest in 
understanding not only how a nephrologic 
disease is understood and classified, but 
how to turn the bench understanding into 
clinical relevance." and describes Falk as 
"one of the most animated and articulate 
teachers in the Department of Medicine and 
Division of Nephrology. 

"Ron Falk was in a better position than 
any other academician in the division to 
combine teaching, research, and direct pa- 
tient care." Maddux continues. "His counsel 
in my years of training and during my years 
in practice has been one of the most useful 
and enjoyable relationships I have had." 



Maddux is not the only person to sing 
Falk's praises. His many years of training 
and experience have won Falk the respect of 
his peers and the admiration of his patients. 
He has been cited by his peers as one of the 
"Best Doctors in America" every year since 
1992. UNC recognized his excellence with 
a Jefferson Pilot Fellowship Award in 
1986-89. As testimony to his excellent 
teaching, he received the Internal Medicine 
Housestaff Faculty Award in 1994. 

Fred Sparling. MD. is chair of the Depart- 
ment of Medicine and one of Falk's early 
supporters. He encouraged Falk, at the time 
still a resident, to pursue academic medi- 
cine. "In a time when many despair of the 
possibility of satisfying the demands of 
being a physician, scientist and teacher, Ron 
Falk has shown us that it is quite possible to 
do all of these with great excellence. He is 
an unusual talent." 

Falk thinks "there has to be a group of 
people who try to do both clinical practice 



and basic research. You can't explore clini- 
cal issues as easily if you don't have a basic 
science lab." He heads a weekly vasculitis 
clinic with a multidisciplinary approach to 
clinical care; he directs a laboratory where 
he investigates the causes of the diseases he 
treats in the clinic. 

Says nephrology fellow Patrick Nach- 
man. MD, "Ron gives you a lot of direction 
in the lab, but steps back, giving you free- 
dom and independence. As a teacher, he 
gives guidance to my research as well as ca- 
reer advice, which is extremely valuable." 

Falk's custom of offering directions, but 
then stepping away and watching support- 
ively, is also reflected in his medical prac- 
tice. Because of the rarity of most of the 
diseases he treats, there are few guidelines 
for therapy. He explains, "I use a lot of med- 
icine to get people over an acute phase, then 
let their bodies heal, since the body heals it- 
self one way or another." His key question 
when treating most patients is. "What's the 
minimal amount of medicine we can get 
away with?" 

Falk's effectiveness is due in large part to 
his wife, he says. "She's taught me how to 
be a better doctor. How to listen to my pa- 
tients." And listen he does. 

Remarked one patient. " We had a confer- 
ence about the possibility of starting a new 
drug therapy for my disease. My husband 
and I came away talking about how careful- 
ly Dr. Falk listened to us and our concems, 
and how much that care meant to someone 
who has a rare disease about which not a lot 
is known." D 

[Editor's note: Dianne G. Shaw is direc- 
tor of communications for the UNC 
Lineherger Comprehensive Cancer Center 
in the UNC School of Medicine. She was di- 
agnosed last year with Wegener's Granulo- 
matosis and is a patient ofDr Falk.] 



20 



Thirty Years of Merit Scholars 



When the first Loyalty 
Fund Merit Awards were 
presented for the 1965- 
66 academic year, the six 
recipients each received $200 and 
recognition as top scholars for the pre- 
ceding year's courses ork. 

Since then, close to 200 Carolina 
medical students have had the honor of 
""merit scholar"" bestowed upon them by 
the Alumni Association (see list). And 
as the Loyalty Fund grew, so did the 
amount of the scholarships. This year's 
group of 1 1 merit scholars each re- 
ceived a $2,700 award, covering the full 
cost of tuition for one year. 

David A. Rendleman III. MD "70. is a 
former merit award w inner, former 
president of the Medical Alumni Asso- 
ciation, and an avid supporter of the 
Loyalty Fund scholarship program. ""I 
was grateful for the support and recog- 
nition of the alumni when I was in med- 
ical school."" Rendleman says, ""and 1 
think it"s important to continue that sup- 
port and recognition for the students 
who have come after me. 

""If everyone who ever received a 
scholarship from the Alumni Associa- 
tion contributed that same amount back 
to the school every year."" he adds. ""Car- 
olina"s ability to attract and train the 
most talented medical students would 
be secured indetlnitely."" 

Over the years. Rendleman says. he"s 
spoken with some alumni who aren't 
fully aware of the important role alumni 
contributions pla) in the growth and 
success of the medical school. ■"It"s im- 
portant to remember that Carolina is 
stale-subsidized, not state-supported." 
he explains. And while it's true that 
alumni who live in North Carolina con- 
tinue to support the school through the 
taxes they pay. Rendleman likes to leave 
them with this thought, "Many 
pay taxes, but few get to go to 
medical school." 

Currently, up to 15 one-year, full- 
tuition scholarships are awarded to sec- 
ond-, third- and fourth-year students 
who achieve high academic standing 
during the prc\ ious year's coursework. 
Of the isy students named merit schol- 
ars to date, .^y received the award twice. 
and six earned merit awards for each of 



the three years they were eligible. 

On the occasion of the merit 
award's 30th anniversary, the 
Alumni Association would like to 
recognize those w ho have earned 
the scholarship, and to remind all 
alumni of the importance of con- 
tinued support for the program. 

—S.V.K. 

Loyalty Fund 

Merit Scholars 

1966 - 1996 

Names In italic ivieivcJ merit 
awards m-ice; names in bold italic 
received merit a\^■ards three rimes. 

Marshall W. Anderson '93 
McttB.Aiisle\\S4 
Jean E. A\cock '82 
Laura H. Bachmann '94 
David Baird '87 
John E. Barklev '90 
MackN.BannesIir91 
Roben R. Bass '76 
MaryP.Baiicoin'SO 
Stephen A. Bernard '73 
Evan H. Black '94 
Mark L. Boles '93 
Thomas W. Bouldin "74 
Peter H.Bradshaw "82 
Jane H. Brice '94 
Tamara W. Bringwatt '93 
Jon P. Brislev '88 
ClvdcL. Brooks Jr. '85 
Riibcrl Brooks '88 
Jerry Lee Browne '92 
John H.Bi-xan' 69 
Melissa W.Burth '87 
JerrN' W. Burke '80 
James B. Butler '88 
Marlene .S. Calderon '94 
Jettrev P Camptiell "88 
Wendi M. Carllon '94 
PaiilR.Chelminski"95 
Brian J.Cohen "78 
HnserW.Colelll'?! 
Francis S.Collins "77 
Gerald E. Cooley '92 
Joseph E. Craft '77 
Eli/abelh A. Creech '94 
Daniel L.Crocker '70 
Mary C. Dawson '98 
William de Araujo '90 
Rotx-rlC. DellinuerJr'82 
LianneM.deSerrcs"9() 
John D. Dick "82 
I-oresl R. DolK "78 
Mark W Dranslleld •')7 
Rich.irdN.Dutl\ Iir76 
Allen R.l-:duarck "79 
MailhaL. Elks7X 
Kenneth R. Ellmglon '86 
Stewart L.EIUn\;ton 'W-i 
Thomas L.Ellis '93 
William I-. Fleet lirH5 



Hilari L.Fleming "85 
Vance G. Fowler '93 
Daniel S. Frank '87 
Thomas Funcik '89 
Kathleen A. Gallacher "76 
Miriam C. Gardner 'SI 
Jayashri V. Ghate '96 
John M. Gibson "72 
Allen L.Gi I lord S^) 
William Goodnight 11194 
Robin T Goodwin "79 
ToddW.Gothard'86 
Michael L. Green '87 
Waller B.Greene '72 
David A. Grimes '73 
Brian E.Gro^v'yf^ 
Karen L. Grogg '98 
Hralchia Havoundjian "87 
Kenny D. Hefner '93 
JaneT. Helwig "92 
Thomas L. Henley "68 
Keith D. Her/og "84 
Laura E. Hevneman '92 
Robin PB. Hicks "93 
Thomas Hii^i^ins '75 
Robert L.Hinkle '70 
Lisallockstra '92 
JohnW. Holshouser'96 
John B. Holt/apple "95 
Thomas G. Irons '72 
RebeccaR,lson'8l 
Elizabeth H. Jackson '73 
Stephanie A. Jaesjer '76 
Linda E. Jaft'e '84 
Elisabeth A. Kahr95 
George A. Kallianos '82 
Sharon T. Kapeluk '91 
Daniel M.Kaplan '89 
Ron I.. Kaplan '92 
Christopher L. Karp '86 
Dean H. Karras '93 
Kent W. Kercher "94 
Douelas S. Kemodle '8 1 
John-M. Kilby '90 
Keith C.Kim '94 
Barren TKitch '92 
Dawn E. Kleinnian '96 
Christopher G.KoeppI' S3 
Jolin/I.Kref;c'9l) 
William E.LaninK'S9 
Suzanne Lazorick '94 
John R. Leonard III '70 
Laurel K. U-slie '89 
Melissa M.Liitz'9-l 
Michael D.Liitz'6S 
JaneE.Lysko'8l 
Daniel r.Maher '96 
Patrick T Malonc "68 
Susan R. Marcinkus '''2 
Thomas L. Mason '41 
HuuhA. McAllister Jr '66 
Roivn S. McCurlev "9.^ 
Robc-nS. McDuffieJr'8l 
William KMcGuirt Jr. '89 
John II. McMurrav "76 
Wciul> Waters McNeill '')4 
Benjamin Merrill '91 
Henry MMiddletonlir6') 
Oa\ id f. Miller Jr' 96 
Sean M. Muldownev '91 
DaleA.Ne\vi(m'7.-l' 



Jerry L.Norton '67 
Tracey E. O'Connell '96 
James C. Oshonte 'S3 
Terry L.OveiM' 74 
Lair\R.Padi;ettJr'92 
PaidC.Pad\k'9l 
B.J. Parks' 67 
Frederick B.PavneJr"8.S 
John K. Petty "96 
John D. Phipps '93 
Monica L. Piecyk '95 
Hoke D. Pollock '75 
EdwardJ.PrimkaIir92 
Richard K. Primm "70 
Gail Quackenbush '88 
Peine M. Rainev '80 
Victor ERaiulo'lph' 93 
David A. Rendleman Iir70 
Charies M. Richardson "8.'; 
Donald R. Rose Jr "93 
William D. Roulh '76 
William TRowe '69 
Howard I. Savage "93 
Robert A. Scan- '79 
Andrew M. Scharenberg '90 
GeoffrcsM S, liocnhaii'm'y4 
JohnNLSchot1statT'84 
Daniel S. Shapiro '86 
Norman E. Sharpless '92 
Hugh G. Shearin Jr. '73 
ArthurJ.Shepardlir89 
James A. Shivers "71 
Cameron L. Smith ' 71 
Jeftery D. Smith '97 
Jeffrey A. Smith '79 
J enniter S.Smith '90 
Ronald J. Stanley '72 
Robert W. Surrati '78 
Georiie E. Sutton '82 
David E.Tao '74 
Carolyn L. Taylor '94 
Frances R. Thomas '79 
Michael W.Tilson '78 
Hilary H.Timmis Jr. '94 
Jonathan P. Tolins 'SO 
Donald E. Toothnian 'S3 
ToddW.Trask'89 
Ann Marie Travnor '90 
William H. Vaughan '66 
Daniel C. Vinson '74 
Deepak P. Vivekananthan "97 
David M. Warshauer '78 
Anne B. Waters '97 
Douglas K. Ways '79 
Michael S.Wheeler '77 
Frances V. While 'SV 
Susan J. \\ liitncy '92 
Rolvrt E. Witigins '84 
Lee E Williams '87 
Candace E. Williamson '88 
Cath\Jo\\ilson'S6 
James S.Wilson Jr. "7.^ 
Jo\L \\ilsoii'90 
llchcrd \\inlicUIIII'70 
SlcphcnW ),>iinK'69 
Slierri .X. /.iniinerman '91 



21 



Florida Physician Endows 
Emergency Medicine Chair 



Stephen J. Dresnick. MD. 
president of Sterling 
Healthcare Group in 
Coral Gables, Fla., 
has pledged funds to endow a 
$1 million chair of emergency 
medicine at the School of Medi- 
cine. It is the department's first 
endowment. 

"This is a very important and 
very generous gift," said Michael 
A. Simmons, MD, dean of the 
medical school. "It will help 
strengthen our growing Depart- 
ment of Emergency Medicine." 

Judith Tintinalli. MD, profes- 
sor and chair of emergency medi- 
cine, agreed. "We have seen 
incredible progress in the 
five years since the department 
was created. 

"We've established 24-hour 
attending physician coverage in 
the Emergency Department, re- 
cruited 10 faculty members, 
begun a three-year residency pro- 
gram, developed research pro- 
jects and helped plan a new and 
expanded ED that opened in 
May," Tintinalli said. "This en- 
dowed chair is the 'icing on the 
cake" that will allow us to continue to ex- 
pand our program." 

Dresnick is an alumnus of UNC-Chapel 
Hill. He received his MD from the Universi- 
ty of Miami medical school and is board- 
certified in emergency medicine and 
surgery. His company, which he co-founded 
in 1987, provides medical management 
services to emergency departments and 
medical practices. 

Of endowing Tintinalli's emergency 
medicine chair, Dresnick noted he has 
known Tintinalli professionally "for 15 or 
1 6 years," and that she is "one of the stars of 
emergency medicine. UNC is fortunate to 
have someone of her caliber." 

On April 22, Dresnick returned to Chapel 




Sicvcn .L Dresnick. MD 

Hill to deliver the keynote address at the 
Department of Emergency Medicine's first 
research forum. His topic was "Survival of 
the Academic Medical Center: Preserving 
Education and Research." 

"Clearly, managed care is putting extraor- 
dinary pressure |to cut costs] on not just 
community hospitals, but on academic med- 
ical centers." Dresnick said. This pressure 
"threatens the critical missions of teaching 
and research." 

Rather than spend time criticizing man- 
aged care, Dresnick prefers to look at the 
changing medical environment as offering 
new challenges and opportunities, especial- 
ly to academic medical centers. He sees 
three levels of response: crisis, mid-term 



and long-term. 

On the crisis level, he believes 
medical centers need to "re-engineer 
the health-care delivery process. 
Re-engineering is not just for busi- 
ness." That means looking carefully 
at processes and developing effec- 
tive protocols based on sound med- 
ical science, he said. It also means 
looking at staffing levels. "Does it 
really require an RN to fit a pair of 
crutches?" he asked. 

Mid-term strategies include affili- 
ating with surrounding hospitals to 
L-nsure a steady flow of specialty 
t ases: creating medical center- 
owned health plans; and, in some 
cases, selling hospitals. 

Longer-term strategies will 
include shifting medical education 
to community sites and combining 
medical and business education to 
produce physicians who can provide 
compassionate care, yet also 
understand how to run a cost-effec- 
tive business. 

Dresnick also sees a shift in 
biomedical research from academic 
medical centers to private compa- 
nies. Medical center research will. 
he believes, focus more on out- 
comes and population-science research. 

Despite these changes, Dresnick still 
views education and research as vital mis- 
sions of the academic medical center. "Each 
department, each institution must begin to 
create endowments to support these mis- 
sions when other sources of funding, such 
as the National Institutes of Health, are 
being cut," he said. Tliat was one of the rea- 
sons he chose to endow the emergency med- 
icine chair at UNC-CH. "I view this as the 
starting line, not the finish line, for the emer- 
gency medicine department here. We must 
begin now to preserve these vital missions," 
he'said. D 

—K.C.N. 



Development 

Notes 



Alumni Campaigns Update 

At the Spring Medical Alumni Banquet 
on April 19. Bob Lackey, MD "46, was a 
proud man. On the occasion of its 
50th reunion, the Class of 1946 achieved 
82 percent participation in its fund- 
raising campaign. 

Lackey, who chaired the reunion cam- 
paign committee, dedicated the results to 
Luther Kelly, a classmate who was chair but 
died on November 3. 1995. during the early 
stages of the campaign. "Luther was an 
important friend of mine, and of the 
medical school. 

"I'm extremely proud of the Class of 
'46,'" said Lackey. "The fact that so many 
contributed speaks volumes about the 
School of Medicine's impact on their 
professional lives. 

"Although we all had to complete our 
M.D. coursework at other institutions, we 
were instilled with the basics at Carolina, 
and our contributions are a tribute to 
those teachers and mentors who inspired 
our careers." 

The S2 percent participation by the Class 
of '46 came close to the all-time record of 
88 percent, set by the Class of '55 in 1 990 in 
honor of their 35th reunion. 

In addition to the Class of '46. five other 
classes held reunions this spring. During re- 
union campaigns, all gifts to the medical 
school, including Loyalty Fund and pro- 
gram-specific contributions, count toward 
the total. Final reunion campaign totals 
were as follows: 





Percent 


Total Cash 


Class 


Participation 


& Pledges 


1946 


S2'r 


$14,701 


1956 


64% 


$25,725 


1961 


68% 


$24,975 


1466 


63% 


S59.350 


1971 


50%. 


$70,825 


1976 


43% 


$45,321 



Chairs of the four regional Loyalty Fund 
campaigns also presented checks lo Dean 
Michael Simmons. MD. at the Friday 
evening banquet. Forsyth and Guilford 
counties compete for the highest participa- 



tion, and Wake and Mecklenburg counties 
also participate in a friendly challenge. 
Mecklenburg County, in the six years of or- 
ganized competition, has shown strong 
gains in the number of alumni giving annu- 
ally, but has yet to win. Forsyth and Guil- 
ford trade titles, as it is always a close 
competition. Guilford housestaff achieved 
an outstanding record of 55 percent partici- 
pation. Only Loyalty Fund gifts count in 
county and regional campaigns. 

Percent Total Cash 

Region Participation & Pledges 

Forsyth 49% $55,771 

Guilford 48% $45,197 

Mecklenburg 44% $59,625 

Wake 51%' $78,.563 

The Class of 1996 Loyalty Fund Cam- 
paign culminated May 1 1 , when campaign 
chair Margaret Collins presented the "big 
check" to Dean Simmons at the Senior 
Gala, an event traditionally sponsored by 
the Loyalty Fund. 

Other North Carolina counlx campaigns 



on-going through June 30, the end of the 
medical school fiscal year, are Buncombe 
and New Hanover. The "mountains vs. the 
coast" participation challenge is co-chaired 
in New Hanover by Jim Hundley. MD '67. 
and Jim Sloan. MD '70. and in Buncombe 
by Al Shivers. MD '7 1 . and Eric Van Tassel, 
MD'82. 

Greater Atlanta alumni are organized 
under the leadership of George Cox. MD 
"66. who is chairing their Loyalty Fund 
Campaign for the third year. During this 
time, participation has grown from 2 1 to 35 
percent. The Greater Atlanta campaign also 
ends on June 30. 

The overall Loyalty Fund goals are: 
$525,000 in gifts. 35 percent participation 
and 285 Associates. As of mid- April, the 
campaign had achieved $385,000 in 
contributions. 21 percent participation and 
203 Associates. 

For infomiation on how you can partici- 
pate in the Lo\ ally Fund and help sustain 
quality medical education at UNC. call Jane 
McNeer or Ed Crowder at 800-962-2543. In 
the Chapel Hill area please call 966- 1 20 1 . 




Chairs nj llic class rciinum cai)ipali;iis and irt^idual Loyally I- iiiid ((iiiipaiiiiis pivsciilccl 
checks III Dean Michael Simmons. MD. al ihc Sprini; liaiii/iicl. From left: Robert S. 
Lackey. MD '-/6. Mar\!,aret Collins. MD '9<i: F. Ray I'hiiipen. MD '7(i: Associate Dean 
William F. Faslerliiii; .Jr. MD '.^6; Richard A. Boyd. MD '.^6; Alumni Association 
/'resident Carl S. Phipps. MD '62: Dean Simmons: National Loyalty Fiaid Chair .loim 
Loiist. MD '55: Philip C. Deaton. MD 'Mr. Darlyne Menscer. MD '79: W Stacy Miller. 
MD '61 : Mary Susan Fulghum. MD '71 : Thomas .L Koontz. MD '66. 

23 



Class Reunion 
Campaigns 

Steering Committees 

Fist ill Year 1995-96 

Class of 1946 - 50th Reunion 

Roberts. Lackey, MD, Chair 
David Y.Cooper III. MD 
Crowell T. Daniel Jr.. MD 
Samuel H. Hay. MD 
J. Edward McKinney, MD 
Paul V. Nolan. MD 
William E. Sheely. MD 
H.Frank Stan- Jr.. MD 
Arthur Summerlin Jr., MD 
Allen D.Tate Jr.. MD 
Thomas E. Whitaker II, MD 

Class of 1956 - 40th Reunion 

RichanlA. Boyd. MD. Chair 
Gale J. Ashley. MD 
JohnR. Baggettlll. MD 
Juris Bergmanis. MD 
Thomas E. Castelloe. MD 
Lee A. Clark Jr.. MD 
William E. EasteiJing Jr.. MD 
Alexander F. Goley, MD 
Francis W. Green. MD 
H. Neill Lee Jr., MD 
Marvin M. McCall III, MD 
William W. McLendon, MD 
J. Doyle Medders, MD 
Robert L. Murray, MD 
JohnW.OnnandJr..MD 
Tliomas W. Payne. MD 
Carey J. Perry. MD 
William R. Purcell, MD 
James F. Richards Jr., MD 
Joseph I. Riddle, MD 
W.R. Stafford Jr., MD 
Garland E. Wampler. MD 
William B. Wood, MD 

Classof 1961 -35th Reunion 

W.Stacy MUkr.MD. Chair 
E. Stanley Avery Jr.. MD 
Robert M. Boemer. MD 
R. Carl Brilt, MD 
H. David Bruton, MD 
Daniel E. Clark, MD 
Robert K. Creighton Jr.. MD 
Ellison F. Edwards, MD 
William S.Gibson Jr., MD 



Claud M. Grigg. MD 
L. Morgan Hale, MD 
Richard W. Hudson, MD 
Dale R. Lackey. MD 
Louie L. Patseavouras. MD 
Edward A. Shaipless, MD 
Zebulon Weaver III, MD 
William H.White Jr.. MD 

Class of 1966 - 30th Reunion 

Thoma.\J. Kooiitz, MD. Chair 
J. Curtis Abell, MD 
Robert H.Bilbro.MD 
George W. Cox, MD 
PhilipC.Deaton.MD 
Wesley C. Fowler Jr., MD 
Edgar C. Ganabrant II, MD 
Robert E. Sevier, MD 
J. Lewis Sigmon Jr., MD 
W. Hunter Vaughan.MD 
James A. Yount, MD 

Class of 1971 - 25th Reunion 

Joiiatlian O. McLean. MD. Chair 
J, Richard Auman, MD 
Robert A. Bashford,MD 
ChaiiesB.Bi-ett.MD 
Lawrence Caldwell II, MD 
Steven P. Dewees. MD 
Mary Susan Fulghuni, MD 
Joe E. Gaddy Jr.. MD 
Clarence A. Grirtln III. MD 
W. Randolph Grigg, MD 
Donald V. Lewis. MD 
James S. McFadden, MD 
Philip D.Meador Jr.. MD 
Frederick S. Neuer, MD 
William B. Pittman. MD 
R. Randolph Powell, MD 
John O.Reynolds Jr., MD 
Charles H. Richman. MD 
J. Allison Shivers, MD 
C. Langley Smith. MD 
G. Teny Stewart. MD 
John R Surratl, MD 
George C. Venters, MD 
William W.Webb Jr., MD 

Class of 1976 - 20th Reunion 

F. Ray Thii^pcn. MD. Chair 
Paul D. Ban-y. MD 
Robert G. Berger. MD 
Jean C. Bolan, MD 
Alexis C. Bouteneff, MD 
Catherine J. Everett, MD 
William H. Gamble, MD 



Charles H. Hicks. MD 
Robert H. Hutchins. MD 
David B.Neeland.MD 
Harold A. Nichols, MD 
Kathleen Gallagher Oxner, MD 
Linn H. Parsons, MD 
V.Edgar Paul. MD 
William A. Richey.MD 
Tale M. Rogers. MD 
Paul J. Saenger. MD 
Thomas L. Speros. MD 
RonnieG. Swift. MD 
Robert J. Tallaksen.MD 
R. Henry Temple. MD 
John W. Uribe. MD 
L. Patrick Warren Jr., MD 
Ray A. Wertheim. MD 
Richard L. Wing, MD 
Solomon G. Zerden. MD 

Loyalty Fund 
Campaigns 

Steering Committees 

FiscalYear 1995-96 

Forsyth County 

Robert M. Alsup. MD'74. Chair 

Thomas J. Koontz. MD "66. Vice Chair 

James E. Peacock Jr., MD "75, Vice Chair 

Carl S. Phipps, MD "62, Vice Chair 

C. Fredric Reid, MD 74, Vice Chair 

Thomas C. Spangler, MD '84, Vice Chair 

S. Patrick Stuart Jr.. MD '85, Vice Chair 

Thomas B. Cannon, MD "73 

Robert J. Cowan. MD '63 

Joe E. Gaddy Jr., MD '71 

Robert L. Green Sr., MD "59 

O.James Hart Jr., MD '59 

David M. Herrington. MD '83 

Thomas R, Hinson Jr.. MD '79 

J. Patrick Holland. MD '80 

Stephen M.Hux.MD '82 

David V. Janeway, MD '85 

David L.KellyJr.,MD '59 

Theodore C. Kemer Jr., MD '85 

James W. Lederer Jr., MD '85 

K.Franklin McCain. MD '60 

A. Ray Newsome. MD '61 

Harold C. Pollard III. MD "74 

James L. Sandertbrd. MD '79 

William FSayers.MD '65 

Eric S. Scharling, MD "85 

C. Stephen Stinson. MD '83 

Earl R Welch Jr., MD '57 

Daniel W. Williams, MD '84 



24 



Guilford County 

Philip C. Deaton. MD '66. Chair 

Paul D. Barry, MD "76. Vice Chair 

David A. Crews. MD "8 1 . Vice Chair 

Richard A. Keever. MD "69. Vice Chair 

David R. Patterson. MD "7.^. Vice Chair 

Robert E. Sevier, MD "66. Vice Chair 

David W. Silhiion. MD "6.^. Vice Chair 

E. B. Spangler Jr.. MD HS "61 . Vice Chair 

Shahane R. Taylor Jr.. MD "59. Vice Chair 

Kenneth H. Winter. MD '15. Vice Chair 

Peter R. Young, MD HS "66. Vice Chair 

Marcus L. Aderhoidt. MD "4 1 

H. Wallace Baird. MD "69 

Man,' John Baxley.MD'X: 

Thomas Brackbill. MD HS 71 

H. John Bradle\ Jr.. MD "57 

George Bniniback. MD HS "68 

PeterG. Dalldort.MD'KS 

Alan Davidson HI. MD '68 

Eric L. Dean. MD '79 

Elizabeth A. Eagle. MD "79 

GaryJ. Fischer. MDHS "77 

Otis N.Fisher Jr.. MD".'^9 

J. Franklin Hatchett.MD "87 

J. Curtis Jacobs. MD "86 

David C. Joslin. MD "8.S 

Steven C.Klein. MDHS "87 

Thomas E. Lawrence. MD "87 

J. Terrill Massagee. MD "82 

Louie Patseavouras. MD "61 

V. Edgar Paul. MD "76 

David M. Rubin. MD "68 

Stephen Schuster. MD HS "8.^ 

Edward A. Sharpless. MD "6 1 

Palmer F Shelbume. MD ".'^.'^ 

William J. WeathcrlN. MD "70 

George T. Wolff. MD HS "."S.^ 

Mecklenburg County 

Wllluiin M. Hcrihlim. MD 'SI. Chair 
Graham W. BuUard Jr . MD "8 1 , Vice Chair 
Dallas C. Craven Jr.. MD "7.'S. Vice Chair 
Donald B. Goodman. MD "73. Vice Chair 
Darlyne Menscer. MD "79. Vice Chair 
John H. Rennick Jr.. MD "82. Vice Chair 
Thomas A. Roberts Jr.. MD "70. Vice Chair 
J. Byron Walthall. MD "78. Vice Chair 
Mack W. White III. MD "79. Vice Chair 
Warden L. Woodard. MD "8 1 . Vice Chair 
James A. Yount. MD "66. Vice Chair 
Julian S. Albergotti Jr.. MD ".55 
Joseph L. Albright Jr.. MD "82 
Ronnie T. Beamon. MD "82 
Walter B. Beaver Jr.. MD "84 
Thomas W. Benton. MD "8.^ 
Bruce H.Berrvhill.MD"r>4 



Robert W. Braw le\. MD "59 
David S. Citron. MD "4.^ 
William G. Clark. MD "78 
BruceV. Dardenll.MD"82 
Charles H. Edwards II. MD "73 
C.O"Neil Ellis. MD "80 
Lawrence M. Fleishman. MD "82 
W. PrestonFogle. MD"8I 
John W.Foust.MD "5.5 
John S.Gaul III. MD "82 
J. McNeill Gibson. MD "72 
L. Clayton HaiTell.MD "72 
Stephen W. Hipp. MD "83 
Rogers G.Howell II. MD "82 
Dennis D. Kokenes. MD "87 
Edward W. Kouri. MD "68 
William H.Kouri.MD "61 
H.LeeLargeJr..MD"40 
David S.Lennon.MD '75 
Jonathan O. McLean. MD "71 
John H. McMurray. MD "76 
Tommy L. Megremis. MD "84 
James C.Parke Jr. MD".'S4 
Robert B. Payne. MD "60 
Alfred L. Rhyne III. MD "84 
Timothy G. Saunders. MD "8 1 
J. Lewis Sigmon Jr.. MD "66 
R. Mark Stiegel. MD "79 
Gregory A. Underwood, MD "83 
Bany M. Welbome. MD "67 
Richard L. Wing. MD "76 

Wake County 

Mary Su.saii Ful_i;hiini. MD ' 71 . Chair 
John D. Benson. MD "78. Vice Chair 
Walter E. Daniel Jr.. MD "79, Vice Chair 
David Edrington. MD HS "84, Vice Chair 
James S. Fulghum III, MD "7 1 , Vice Chair 
William Lambeth III. MD "7 1 . Vice Chair 
Sheppard A. McKenzie III. MD "74. 

Vice Chair 
W. Stacy Miller. MD "61 . Vice Chair 
David A. Rendleman III, MD "70, 

Vice Chair 
Richard G. Saleeby Jr.. MD "84. Vice Chair 
Joel E. Schneider. MD "85. Vice Chair 
Sharon Stephenson. MD "84. Vice Chair 
Lisa A. Tolnitch, MD HS "88. Vice Chair 
Annie Louise Wilkcrson. MD "36. 
Vice Chair 

Randall W. Williams. MD "85. Vice Chair 
Michael N. Zarzar, MD "84. Vice Chair 
M.LisaAbemethy. MD'87 
Joseph PArchie.Jr.MD '68 
Paul R. Bechcrer. MD HS '90 
Jerry C. Bernstein. MD "70 
PouruBhiwandi.MDHS"88 
Donald C. Brown. MD "74 



JohnR.Cella.MD"64 
Vartan Da\ idian. Jr.. MD "67 
W. Kent Da\is. MD "84 
LisaFDeJamette. MD"86 
Donald Edmondson. MD "85 
C. Allan Eure. MD "67 
EdgarC. Ganabrant. II. MD "66 
DavidA.Goff.MD"81 
H. Gerard Hartzog.MD "62 
Alexander C. Hattaway. Ill, MD "65 
D.Allen Hayes. MDHS "79 
J. Carver Hill. MD "84 
Dennis N.Jacokes.MD "87 

C. Dayton Kirk. MD "69 
Kenneth R. Kulp. MD "74 
William D.Lee.Jr.MD "74 
Gordon B. LeGrand, MD "65 
Stuart J. Levin. MD "88 
Robert E. Littleton. MD "8 1 
Charles Mangano, MD HS "75 
J. Tift Mann. III. MD "69 

W. Jason McDaniel. MD "67 
R.GIenMedders. MD"84 
WadeH.MoserJr..MD"75 
Albert R. Munn III. MD '85 
Keith A. Nance, MDHS "89 
Lanning R. Newell. MD "75 
R. Claiborne Noble. MD "84 
H. Clifton Patterson. MD "74 
Philip W. Ponder, MD "90 
DavidC. Powell. MD "78 
Wanda L. Radford. MD "75 
J. Flint Rhodes, MD "62 

D. Emerson Scarborough Jr.. MD "62 
EvinH. Sides III. MD "65 

RossL. Vaughan. MD"7() 
Richard H. Weisler. MD "77 



25 



For the Love of Medicine, 
Family and UNC 



by Robin C. Gaitens 

There's blue blood in Carl Phipps" fami- 
ly. Carolina Blue, that is. 

Phipps. his wife, his four children and 
their spouses all hold degrees from the Uni- 
versity of North Carolina at Chapel Hill. In 
fact, this summer will be the first time in 
nearly two decades that one of Phipps" chil- 
dren has not been in school at UNC. "I 
guess you can say it's in our blood," 
says Phipps, new Medical Alumni Associa- 
tion president. 

Phipps" devotion to UNC began in 1953 
when he arrived on campus with nothing 
but a big, red suitcase and enough money to 
pay for his freshman year. As a freshman, 
he studied a broad range of subjects and 
quickly developed an interest in science, but 
it wasn"t until the following year that he be- 
came interested in medicine. In 1954. 
Phipps was drafted into the Army and 
served in the medical corps for two years 
during the Korean War. Working with the 
doctors in the clinics convinced him that he 
wanted to pursue a career in medicine. 



" I guess you can say 
it's in our blood" 



Carl Phipps 



Phipps returned to UNC in 1956 as a 
sophomore majoring in medicine. His se- 
nior year, he concurrently completed his 
bachelor's degree and began his first year of 
medical school. After graduating from med- 
ical school, he stayed in the area, complet- 
ing his internship at N.C. Memorial 
Hospital and his residency at N.C. Memori- 
al Hospital and Duke University Medical 
Center. He also had a fellowship in en- 
docrinology and metabolism at Duke. 

Phipps joined a private practice in Win- 
ston-Salem in 1966. specializing in internal 




Carl Phipps. MD. left, assumed presidency of the Medical Ahimiii Association from 
Fred Bowman. MD. at tlie Spriiii; Medical Alumni Banquet. 



medicine and endocrinology. At the same 
time, he began serving on staff at Forsyth 
Memorial Hospital in Winston-Salem. 

Over the years. Phipps developed a 
strong interest in the administrative aspects 
of medical care, and in 1985, he was named 
vice president of medical affairs at Forsyth. 
In this capacity, Phipps oversees continuing 
medical education, quality improvement 
and the residency program. "Nothing comes 
close to working in medicine."" he says. 
"Whether Fm seeing patients or focusing 
on quality improvement, there's nothing 
else rd rather do."" 

Phipps" love of medicine is second only 
to his love of family. He is proud of all of his 
children, especially his two sons who pur- 
sued careers in medicine. Phipps" youngest 
son closely followed in his father"s foot- 
steps by also earning his medical degree 
from the UNC-CH School of Medicine, 
completing his residency at UNC Hospitals 
and getting a fellowship in endocrinology. 



Phipps" youngest son will leave UNC this 
summer. Although Phipps won"t have fami- 
ly in Chapel Hill for the first time in 
17 years, he will maintain his strong ties 
to UNC as president of the Medical 
Alumni Association. 

As president, Phipps hopes to continue 
the extraordinary efforts of the alumni asso- 
ciation. "I am impressed with the excellent 
staff and programs already in place and en- 
couraged by the alumni "s increasing 
participation," Phipps says. ""I look forward 
to hearing from the alumni and welcome 
their insights into areas that may 
need improving." 

Phipps has a vested interest in the associ- 
ation's success. In addition to his love of 
medicine and desire for quality improve- 
ment, he has nine grandchildren who 
also may earn medical degrees from 
UNC someday. 

After all, it's in their blood. D 



26 



Alumni 

Notes 



Ath'iirioii all School of Medicine gradu- 
ates and former UNC luniscstaff! The alum- 
ni office now has a dedicated e-mail address 
for anv and all alumni-related comnninica- 
tion — medalum@med.unc.edu. Use it to 
tell us your new address, send news for 
"Alumni Notes." or sulvuit questions or 
suggestions. 

.And if you'd like to hear from classmates 
and colleagues over the Internet, tell us it's 
okay to include your e-mail address in the 
Alumni Notes section, and we will. We look 
forward to hearing from you soon — at 
medalum@med.unc.edu. 



40s 



Ira A. Abrahamson, MD '46. is a profes- 
sor of ophthalmology at the University of 
Cincinnati College of Medicine. He and his 
wife. Linda, have three children and two 
grandchildren: their son Richard is a third- 
generation ophthalmologist. 

Walter C. Barnes, MD '46. retired from 
clinical practice of surgery in 1988 and as 
medical director of .St. Michael Hospital in 
1994. He remains active in surgical consul- 
tation and organizations. He and his wife. 
Pauline, live in Texarkana. TX. 

W illiam W. Forrest, MI) '46. is retired and 
keeps busy with golf and a l()4-acre fann in 
the Blue Ridge Mountains between Fancy 
Gap. NC. and Hillsville. VA. He and his 
wife. Bobbie, live in Greensboro. 

Mary Alice (Vann) Fox, Ml) '46. retired in 
1979. .She and her husband. Sam. live on a 
4-mile-long lake in Maine, where they 
enjoy ice fishing. 

Robert Lackey, Ml) '46. is a retired radiol- 
ogist. He and his wile, Julia, live in Char- 
lotte. He enjoys golf and his computer, 
where he can be reached at boblackey 
@aol.coni. 

J. Edward McKinncy, Ml) '46. Ii\es in 
Chattanooga. IN. ulicrc he enjoys golf anil 
family. He and his w ife. Jean, have three 
daughters, three sons-in-law named 
"Steve." and seven grandchildren. 



(leorge McLemore, MD '46, practices in- 
ternal medicine and cardiology at Nev\ 
York-Cornell Medical Center, and lives in 
New York City. 

Paul V. Nolan, MD '46, retired in 1982. He 
lives in Signal Mountain, TN, where he is 
active in local politics, education and 
church. He and his wife, Anne, have three 
children and five arandchildren. 



50s 



.lack Ashley, MD '56, will retire from fam- 
ily practice this July. He and his wife. 
Nancy, live in Sparta. NC, and have several 
grandchildien and a great-granddaughter. 

Wade M. Brannan, MD '56, is retired 
after .^5 years of pathology practice at hos- 
pitals throughout Te.xas. He currently lives 
in Port Arthur. TX. 

M. Paul Lapp, MD '58. is executive direc- 
tor of the American Board of Radiology, 
after 2.^ years as chair of the Deparlmcnl of 
Radiology at the University of Arizona. 



60s 



H. David Bruton, MD '61. practices gener- 
al pciliatrics in Southern Pines. He is presi- 
dent of the N.C. Medical Society, and active 
on the AMA's Council on Legislation. 

.lohn W. Carden, Ml) '61, is an ophthal- 
mologist and clinical professor at the Llni- 
versity of Kentucky School of Medicine, 
where he received the Master Teacher's 
Award in 1995. 

Paul A. (Tony) (Juiles, MD '61. has retired 
to New Mexico after 29 years as a pediatric 
anesthesit)logist at Children's Hospital in 
San Diego. CA. He has four children anil 
seven grandchildren. 

W. Ferrell Shulord, Ml) '61. retired from 
private practice of gastroenterology in 
19').^, He currently teaches in the Coastal 
Area Health Lducation Center at New 
Hanover Reizional Medical Center. 



John C. Triplett. MD. MPH '69, is a re- 
gional medical officer at the LI.S. Embassy 
in LaPaz. Bolivia. In August, he will depart 
for Pretoria. South Africa, where he will 
cover the southern region of Africa for the 
Department of State. 



70s 



J. Richard Auman, MD '71. retired from 
the Navy in 1993 after 23 years in academic 
medicine. He now is in private practice in 
Chesapeake, VA, with two other urologists. 

Jane Meschan Foy, MD '71, is an associ- 
ate professor of pediatrics at Bowman Gray 
School of Medicine, and vice president of 
the N.C. Pediatric Society. She and her hus- 
band. Miles, have two daughters. 

Franklin B. Waddell, MD '76, is chief of 
gynecology at Winchester Hospital in Win- 
chester, MA. 



80s 



Barbara Lowe Bethea, Ml) '82. is presi- 
dent of Harnett Internal Medicine. She was 
elected to fellow ship in the American Col- 
lege of Physicians, and is chief of staff at 
Betsy Johnson Memorial Hospital in 
Dunn, NC, where she lives with her 
husband. Hank. 

Kathi .1. Kemper, MD '82, is associate di- 
rector for research in ihc family metlicine 
training program at Swedish Medical Cen- 
ter in Seattle, and clinical associate profes- 
sor of pediatrics and health services at the 
Universit\ of Washington. Her first book. 
The Holistic Pediatrician, has been pub- 
lished by HarperCollins. She can be 
reached at kempeitn'u. washington.edu. 

Peter J. Larson, MI) '83. is an assistant 
professor of ix'dialrics at the LIniversity of 
Pennsylvania in the division of hematology. 
He is also assistant medical director ot the 
blood bank and assislanl director ol of llie 
apheresis service at the Children's Hospital 
of Philadelphia. His research interests, cur- 
rently supjiorted by awards from the NIH 

27 



and American Heart Association, include in- 
vestigation of the structure-function relation- 
ships of human coagulation factors IX and X. 

Jo (Matheny) Marturano, MD '84. fin- 
ished a family practice residency, is currently 
working toward adolescent psychiatry certi- 
fication, and has two daughters. Jordan and 
Jessi. She lives in Lexington, SC, and would 
welcome friends and skiers to 
Lake Murray. 

Mary Frances (Casey) Moody, MD "85. 

practices obstetrics and gynecology in 
Raleigh. She and her husband. Howard 
Moody Jr., recently welcomed a daughter. 
Michaela Frances. 

Steven J. Baumrucker, MD '86, is in solo 
family practice in rural Tennessee. He is on 
the faculty of East Tennessee State Universi- 
ty College of Medicine and active in the Kel- 
logg Grant, an interdisciplinary and 
experimental teaching model for medical, 
nursing and allied health students. Baum- 
rucker has written a book. "Love at First 
Byte: Surviving Cyberspace." and plans to 
travel to Belarus in 1997 to start a hospice 
near Chernobyl. He can be reached at au- 
thor© ilinkgn.net. 

Craig Charles, MD '88, and his wife 
Martha welcomed a son, William Jackson 
Charles, on December 27. 199.^. 

Jeffrey Stolz, MD, MPH '88, has joined the 
neonatology faculty of Harvard Medical 
School. He is also assistant director of the 
NICU at Beth Israel Hospital in Boston, and 
assistant director of the infant follow-up pro- 
gram at Children's Hospital in Boston. His e- 
mail address is stolz@cochran.bih. 
har\'ard.edu. 

Jeff Hoffman, MD '89. is a family practi- 
tioner in Concord. NC. He is a faculty mem- 
ber in the Cabarrus Family Medicine 
Residency Clinics, based at Cabarrus Memo- 
rial Hospital. He and his wife, Ruth, have two 
daughters, Julia. 5. and Lizzie. 3. He can be 
reached at JHoffman@ InfoAve.Net. 

Merle Miller, MD '89, is a partner in a six- 
person group. Long's Peak Emergency 
Physicians. She and her husband. Alex 
Maslanka. MD, also an emergenc\ 
physician, recently moved into a new home 
they designed. 



90s 




George Howard Perkins. MD '93. a radiation oncology resident at the University 
of Texas MD Anderson Cancer Center in Houston, was one of 50 outstanding young 
medical professionals honored by the American Medical Association at its annual 
National Leadership Conference. 

The AMA/Glaxo Wellcome Achievement Awards were presented to 25 nicdical 
students and 25 residents in recognition of their exceptional leadership abilities in 
medicine or achievements in non-clinical community activities. 

In addition to an award certificate. Perkins was funded to attend the AMA's 
Leaders/tip Conference, which featured networking opportunities for medical 
professionals and three days of educational and informational sessions convering 
timely health care issues. 

The AMA/Gla.xo Wellcome Achievement Awards are presented annually and are 
sponsored by the AMA's Medical Student and ResideiU Physicians Sections and 
Glaxo Wellcome Inc. 



Richard Brostrom, MD, MSPH '91, is 

completing a two-year family practice posi- 
tion w ith the Indian Health Service in Crown 
Point, NM. He recently signed a two-year 
contract for tropical family medicine on the 



island of Saipan. Send e-mail to rbrostrom 
@mem. po.com if current residents or med- 
ical students would like to schedule a primaiy 
caie rotation in the South Pacific. 

Clayton H. Bryan, MD '91. is an ophthal- 
mology resident in Columbia. SC. He wel- 
comed a son. Clayton Jr.. on Januar>' 6. 1 996. 

Lisa Corbin Winslovv, MD '92. and Brad 
Winslow, MD '92. welcomed a daughter. 
Lucy Corbin Winslow. on March 5. 1996. 
They both work at the University of 
Colorado Health Sciences Center, where 
she is chief medical resident and he is an as- 
sistant professor 

John D. Phipps, MD '93. completed his in- 
ternal medicine residency at UNC Hospitals 
and \\ ill begin a fellowship in endocrinology 
at the University of Virginia in July. He and 
his wife. Melissa, have a son. Jackson, bom 
September 15, 1995. 

Sherif Farag, MD '94, is pursuing a fellow- 
ship in gastroenterology. He can be contacted 
at sfarag@mem.po.com. 

Daniel H. Moore, MD '94, is a resident 
physician in the OB/GYN department at 
Memorial Medical Center in Savannah, GA. 
He was married in September 1995. 



Deaths 

Hillard Gold, MD '42 

Robert E. McCall. MD "34 



When the California Academy of 
Family Physicians held its 48th 
Annual Scientific Assembly in February, 
three of the seven Saturday speakers were 
Carolina alumni. 

Timothy Spiegel, MD "73. spoke about 
"Office Evaluation of Shoulder and Knee 
Pain." Spiegel is currently the director of 
the Division of Rheumatology at Sansum 
Medical Clinic in Santa Barbara. CA. 

J. Lewis Sigmon Jr., MD '66. whose topic 
was "Clinical Pearls — A Potpounri of Com- 
mon Problems in the First Year of Life." is 
director of the Charlotte Office of Regional 
Primary Care and a clinical professor of fam- 
ily medicine at UNC-Chapel Hill. 

Bruce Berlow, MD "75. presented 
"Beyond the Guidelines: WhenYour Asth- 
matic Patient Doesn't Get Better." He is af- 
filiated with Sansum Medical Clinic and 
Cottage Hospital in Santa Barbara. 



President's 
Letter 



It's an honor to greet you as the new presi- 
dent of the alumni association. Our 
association continues to grow, thanics to 
\ our efforts. 

I would iilvC to thani^ Fred Bowman for the 
excellent job he did as president during this 
past yean hi addition to the regular meetings 
in Chapel Hill, he visited with many of you 
across the state at your regional meetings. 
We know Fred will continue to be active in 
the association and we do need active, 
foruard-thinking members like him to re- 
main involved. 

Our medical alumni Spring Weekend was 
held April 19 and 20 in Chapel Hill and was a 
huge success. We had more than 250 people 
(which must be a record) attend the Friday 
night banquet. The CME program on Satur- 
day was very well-received and interesting, 
with a combination of presentations from the 
departments of psychiatry, neurology and 
neurosurgery. It was held in the new N.C. 
Neurosciences Hospital, which had been 
dedicated the previous day. The medical 
school classes of "46, "56, "61, "66, '71. "76 
and "81 held reunions over the weekend. 

I hope even more of you will plan to join 
us for the fall meeting October 1 1-12. We 
also hope you will continue to increase both 
your financial contributions and your partici- 
pation in association activities. 



Our alumni association remains important 
to the medical school for several reasons. 
The most publicized is the financial support. 
This support is very important and does 
allow special projects, scholarships, research 
grants and recognition awards for which 
funds would not otherwise be available. The 
association also provides opportunities for 
you to meet and interact with each other as 
well as w ith the dean, faculty and students of 
the medical school. These interactions are 
important as all of us try to plot the course for 
medicine in the future. 

In addition to your participation, I would 
ask you to reflect on what the Medical Alum- 
ni Association does. We have an excellent 
staff and the ability to do other activities that 
you think are important. Please let me know 
if there are other ways to channel our re- 
sources to make the organization more valu- 
able for you or for the school. 

I look forward to seeing many of you at 
your regional meetings and our October 
meetinc in Chapel Hill. 

CarlPhipps.MD-b2 




CME/AIumni Calendar 





Medical Alumni Activities 




June 27-29 


Heart Failure Management: Established Therapy & New Frontiers 


Myrtle Beach, SC 


July 8-19 


5th Annual Summer Institute on Literacy Issues in Augmentative 
cS: Alternative Communication 


Chapel Hill 


July 15-19 


TEACCH Summer Training: Preschool & Early Elementary 
(Also July 22-26. July 29-August 2, August 5-9) 


Chapel Hill 


July 15-19 


TEACCH Summer Training: Elementary & Adolescent 
(Also July 22-26, July 29-August 2, August 5-9) 


Chapel Hill 


July 28-Aug. 3 


Recognizing & Managing Disorders of Learning and Attention 
in School-Aged Children 


Research Triangle Park. NC 


September 6 


Pediatric Urology Conference 


Chapel Hill 


September 25-28 


1996 Pediatric Flexible Bronchoscopy Course 


Chapel Hill 


September 26-29 


Ross Society Annual Meeting (OB-GYN) 


Chapel Hill 


September 28 


Issues in the Care of the Pediatric Patient 


Chapel Hill 


September 28-29 


13th Annual George C. Ham Society Meeting 


Chapel Hill 


October 7- 1 1 


TEACCH Residential Training 


Durham. NC 


(X-tober 11-12 


Fall Medical Alumni Weekend 


Chapel Hill 


October 18-19 


Bone & Soft Tissue Tumor Course: An Annual Review 


Research Triangle Park, NC 


November 8-9 


6th Annual Current Therapy in Vascular Surgery 


Chapel Hill 


April 18-19, 1997 


Spring Medical Alumni Weekend 


Chapel Hill 



For more information about CME courses or alumni activities, contact the Office of Continuing Medical Eduction and Alumni Affairs. 
School of Medicine. 231 MacNider Building. UNC. Chapel Hill, NC 27599, or call 1-800-862-6264. 



Nonprofit Organization 

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Chapel Hill, NC 

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Tjf;;.i;GD:i:CAI...8 DEPARfMENf 

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ss. 



Medical Alumni 



BULLETIN 



School of Medicine, University of North Carolina at Chapel Hill 




Mm 



itehead 
Lecture: Chutes 
and Ladders -^ 




f *x 



^J^^---' 



Dean's 
Page 



In this first issue of the Bulletin pub- 
lished since I resumed the Deanship 
on an interim basis, I must comment 
on the transition of leadership of the 
School as I understand it. 

In early July, Dean Simmons informed 
me that he was resigning from the Deanship 
for personal reasons. Chancellor Hooker 
asked if I would assume the Deanship until 
a new Dean could be appointed, and he 
promised to expedite the search. I am 
pleased that he has announced the appoint- 
ment of a very strong committee chaired by 
Shelton Earp, MD, professor of medicine 
and associate director of the Lineberger 
Cancer Center 

Dean Simmons launched a number of im- 
portant initiatives and made a number of 
real improvements. We are indebted to him. 
On the basis of communications I have 
received both internally and from around 
the country, I am confident that the position 
remains one of the most attractive medical 
school deanships in the country, and that the 
search process will result in the early ap- 
pointment of an outstanding Dean. I am 
sure the committee would welcome nomi- 
nations from alumni. Any nominations or 
suggestions should be sent to Dr. Earp. 

I have asked all Chairs, Associate Deans 
and Course Directors to continue, and I am 
confident that our programs of teaching, re- 



.search and patient care will continue to be 
of the highest quality. 

In order to be current, academic health 
centers must change continuously. Change 
in all of the programs in academic health 
centers is not so rapid that we cannot afford 
to pause pending appointment of a new 
Dean. To fulfill our mission and destiny we 
must continue to adapt our teaching and pa- 
tient care to the new and future realities of 
clinical practice and our research to the new 
opportunities, promises and need for 
knowledge. With the support of faculty, 
•Staff, students, alumni, the University and 
friends, we can adapt, improve, and extend 
our effectiveness to provide the new Dean 
with a powerful contemporary platform for 
the next decade. 

Stuart Bondunmt. MD 
Interim Dean 



Editor's note: Please direct inquiries or 
suggestions regarding the Deanship to Dr. 
Shelton Earp, do Daria Nichols, Lineberger 
Comprehensive Cancer Center, CB# 7295, 
10-022 Lineberger Building, Chapel Hill, 
NC27599-7295 




Medical Alumni 
Association Officers 

President 

CarlS.Phipps,MD"62 
Winston-Salem 

President-Elect 

Darlyne Menscer. MD "79 

Charlotte 

Vice President 

James D. Hundley, MD '67 
Wilmington 

Secretary 

Gordon B. LeGrand. MD "65 
Raleigh 

Treasurer 

PaulE.Viser.MD"84 
Clinton 

Editorial Staff 

John W. Stokes 

Director. Institutional Relations 

Susan Vassar King 
Managing Editor 

Vida Foubister. Robin Gaitens. 
Linda Haac, Christopher Kirkpatrick. 
S.D. WilHams 
Contributing Writers 

Dan Crawford (pgs. 2. 3. 15. 19) 
DonMcKenzie(pgs. 10. 14) 
Photographers 



The MeJital Alumni HiilU-lm is puhlished Imirtinic 
annually by the UNC-Chapc-I Hill Medical Alumni 
Assixiatlnn. Chapel Hill. NC 27!i 14. Postage is pan] 
by the non-pri)fit asM)ciation through U.S. Postal 
Pcnnit No. 24. Address correspondence to the editor. 
Ofllce of Medical Center Public Affairs. School of 
Medicine. CB#76(X). University of North Carolina. 
ChapelHill.NC27.SI4. 



Medical Alumni 

BULLETIN 

School of Medicine, University of North Carolina at Chapel Hill 



Contents 



Features 

Alumni Profile: Sanford Steelman. PhD '49 2 

Loyalty Fund Scholars 4 

Endowment Fund Grant Recipients 5 

The Whitehead Lecture 6 

Speaker Opens Minds to Medicine's Future 8 

Group Works to Understand Alcoholism 10 

Fuller Award Winner Leads by Example 14 

Faculty Profile: Beverly Mitchell, MD 18 

Departments 

Dean's Page Inside Front Cover 

News Briefs 12 

Development Notes ^^ 

Faculty Notes IC^ 

Research Briefs 20 

Alumni Notes 22 

President's Letter Inside Back Cover 

CME/Alumni Calendar Back Cover 

On ilic Cover: The childhood game of Chutes and Ladders served as the theme for 
ihc \W6 Whitehead Lecture, delivered by Nancy Chescheir. MD '82, associate 
professor and acting chair of obstetrics and gynecology. Lxcerpts from Chescheir"s 
compeiiins.' address to the Class of ZOtK) begin on page (\ (Photo In Dcii McKcikic) 



Alumni Profile 



A Scientist Completes His Father's 
Journey with Acts of Generosity 



by S.D. Williams 

Sanford L. Steelinan, PhD '49, made a 
gift to his father and to the University 
in one stroke. 
"My grandfather was a fanner in the Yad- 
kin Valley." he explained on a spring morn- 
ing in Chapel Hill, before heading to his 
home in Hickory. "He was in the Civil War. 
My father was his youngest child, and he 
was very interested in medicine. In those 
days, to become a doctor you spent several 
years as an assistant to a physician, then 
went to medical school for one or two years. 
My father found a physician to assist in the 
late 1 9th century, but soon after, my grand- 
father died of typhoid, and my father left 
medicine in order to help the family make a 
living. I think he was very fru.strated. 

"One of my older brothers was an MD. 
During the Korean War he was the chief 
neurosurgeon at Walter Reed. Dad's happi- 
est day was when my brother graduated 
from medical school. All of this hi.story was 
my impetus for setting up a lectureship at 
the School of Medicine in my father's 
name. 1 always thought it would be nice for 
him to get into medical school somehow." 

The elder Steelman died in 1946. and 
Sanford, his youngest child, established the 
Avery Steelman Lectureship Fund in 1990 
to bring distinguished scientists to campus, 
where they would not only lecture but dis- 
cuss research with faculty and students in 
the broad area of endocrinology. The visi- 
tors are an impressive group, and with the 
announcement of the 1 996-97 speaker now 
include two Nobel laureates: Erwin Neher 
of the Max Planck Institute and Martin Rod- 
bell of the National Institute of Environ- 
mental Health Sciences. 

"These people are wonderful role 
models," said Rudolph Juliano, PhD, chair 
of the Department of Pharmacology, which 
oversees the series. "Marty Rodbell ad- 
dressed the students especially forcefully, 
advising them on keeping their creative 
sights high as they plowed through their 
day-to-day work." 



Steelman has also remembered his moth- 
er and sister in a gift to the University. The 
Blanche O. Steelman Research Fund, 
established by Steelman in 1994 and named 
for his mother, supports research in gyneco- 
logic oncology through the Department of 
Obstetrics and Gynecology. 

"My mother died of breast cancer, and 
my sister had ovarian cancer," Steelman 
said. "Both of these have an endocrine 
source. I thought this would be a good area 
to support." 

The funds currently help underwrite the 
work of John Boggess, MD, who studies a 
particular type of ovarian cancer — 
granulosa cell tumor. He has developed 
lines of cancerous and normal cells and 



is investigating tumor markers and 
growth factors in vitro. 

Steelman's own success in science 
includes five patents, one hundred publica- 
tions, and several breakthroughs that have 
had significant practical effects. 

After earning his PhD, he went to work 
for Armour Laboratories in Chicago, where 
he and his team processed animal products 
to develop drugs, some for animal and some 
for human use. After seven years he accept- 
ed a position as associate professor at Bay- 
lor University and the University of 
Texas-Houston. In 1958 he joined Merck 
Sharp & Dome Research Laboratories, 
where he stayed for twenty-eight years. 

In his varied research efforts he devel- 




Steelman {left) and Nobel laureate Martin Rodhell of the National Institute of 
Environmental Health Sciences. Rodbell delivered the 1996 Avery Steelman Lecture, 
which was funded by Sanford Steelmcm in 1990 and named for his father. 




Steelman visits with the School of Medicine's John Boggess. MD. whose research into ovarian cancer is supported in part In- the 
Blanche O. Steelman Research Fund, established by Steelman in 1994 and named for his mother. 



oped original bioassays for four different 
hormonal types: thyroid stimulating 
hormone, follicle stimulating hormone, 
glucocorticoids, and serum insulin. His 
laboratory at Baylor was the first to prepare 
in highly purified form human follicle stim- 
ulating and luteinizing hormones. He also 
prepared highly purified oxytocin, a 
hormone still commonly used to induce 
labor in humans. 

The endocrine group he ran for Merck was 
the first to biologically characterize 
amiloride. and Steelman co-authored the first 
published paper on this substance, which is 
being actively pursued at the University as a 
possible therapy for cystic fibrosis. 

Dr. Steelman retired in 1 986. 

"It's very satisfying for a scientist to say 
'Look, what we've found is doing some 
good,"" he said. "The years of my career 
saw some rapid advancement in endocrinol- 
ogy. I was just lucky to be there." 

He laughed and added. "Now the field 
ha.s passed me by. It's all molecular biology. 
Years ago I could keep up with several sci- 
entific fields. No more." 



Through his gifts, however, he will make 
certain that others stay abreast of their 
fields, whether in complex research or in 
practice. In early 1994 he quietly endowed 
scholarships in the associate degree nursing 
program and the environmental and life sci- 
ence division at Catawba Valley Communi- 
ty College near his home. He has also 
funded a visiting scientist lectureship pro- 
gram at his undergraduate alma mater, 
Lenoir-Rhyne College. 

He seeks no publicity for his gifts. He 
feels, in fact, that it is his social obligation to 
support the institutions and people who 
helped him. His generosity seems one good 
chapter in a long story that started with a 
young man's efforts to become a country 
doctor about a hundred years ago. 

"Since I've retired," said Steelman, "I've 
been trying to support educational endeav- 
ors and have given funds to universities and 
colleges to stimulate young people to be the 
best they could be. The University has been 
very good to me. and I feci people who've 
been fairly successful should return some- 
thing. I think it's our responsibility." ' ! 




Profile: 



Sanford L. Steelman. PhD '49 



Born: October 1 1, 1922, in Hickory, 
North Carolina 

Family: Wife Margaret of 5 1 years; 
sons Sanford Jr., a Carolina law school 
alumnus and North Carolina Supreme 
Court judge, and Brian, director of safe- 
ty, health, and environment at Ciba Cor- 
poration in Delaware. 

Education: BS Chemistry, 1943, 
Lenoir-Rhyne College; PhD Biochem- 
istry, 1949, University of North Carolina 
at Chapel Hill. 

Favorite places: Dr and Mrs. Steelman 
were born in Hickory, NC, and returned 
home to retire. Their getaway, a hou.se 
up the hill from the Green Park Inn in 
Blowing Rock, is a short drive away. 



Scholarships Awarded 
Through Loyalty Fund 



by Susan V. King 

A record number of first-year 
medical students were recipi- 
ents of four-year scholarships 
from the Medical Alumni As- 
sociation's Loyalty Fund. The group of six 
students, which includes two who are on an 
MD/PhD track, were selected based on aca- 
demic standing, service to humanity, 
breadth of personal and educational 
experience, evidence of financial need and 
diversity among recipients. 

In addition to these six scholarships, this 
year the Loyalty Fund is supporting: 

• nine one-year scholarships for medical 
students 

• two one-year scholarships for medical 
allied health students 

• thirteen four-year scholarships carried 
over from previous years 

• seven merit award scholarships 

In total, the Loyalty Fund scholarship 
commiUnents this year are nearly $ 1 00,000. 



This year, the scholarships are $2,700 
each ($1 ,000 each for medical allied health 
students). Recipients of the 1996-97 Loyalty 
Fund Scholarships and Loyalty Fund Merit 
Awards are: 

Four- Year Scholarships 

April L. Blue, MSI 
Kimberly R. demons, MSI 
Carolina M.Hoke, MSI 
Shannon M. Swain, MSI 
Noah Hoffman, MSI (MD/PhD) 
Ja.son Merker, MSI (MD/PhD) 

One- Year Scholarships 

Ellen Flanagan, MSII 
Daniel R.Briggs,MSIII 
Michael L. Batten, MSIV 
Andrew W. Bazemore, MSIV 
Laura A. Brown, MSIV 
Nicole M.D'Andea, MSIV 
Michael Gill, MSIV 
Dawn Kleinman, MSIV 
Melanie V. Paul, MSIV 
Kristin Chamberlin, Occupational TTierapy 
Kimberly Woodruff. Speech-Language 
Pathology 



Carry-Over Scholarships 

Andrea Decsi Roche, MSIV 
Robert C.Miller, MSIV 
Julia K. Nelson, MSIV 
Don M. Amistrong, MSIII 
Cathleen M. Callahan, MSIH 
Brian Matthew Shelley, MSIII 
Kimberly Renee Singletary, MSIII 
Stacie Jean Zelman. MSIII 
Peggy Ann Becker Byun. MSII 
Latonya A. Brown. MSII 
Shaida Khajenasir Ryan. MSII 
Thomas F Laney. MSII 
Mark L. Wood. MSII 

Merit Awards 

Carrie Dow-Smith. MSIV 
Anne E.Hillman. MSIV 
Anne Boat Waters. MSIV 
Karen L. Grogg. MSIII 
Chad B. Gunnlaugsson, MSHI 
Steven S. Dunlevie Jr.. MSII 
Jeffrey W.Ralph. MSII 



Alumni Association Awards 
Endowment Fund Grants 



The Endow ment Board of the Med- 
ical Alumni Association has 
awarded nine one-year grants. 
lotaHng nearly $26,000. to School 
of Medicine faculty, housestaff, fellows 
and students. 

The Grant Review Committee, chaired 
by Joe Russell. MD "69. reviewed 
40 applications to fund new and on-going 
research projects. 

"The Medical Alumni Endowment Fund 
was established to support academic enrich- 
ment programs." said Russell. "Each appli- 
cation is ranked on five criteria: academic 
research, faculty and housestaff develop- 
ment, enrichment activities for students and 
housestaff. enrichment of the alumni rela- 
tionship and identified needs which will 
promote excellence in education, research 
and service." 

Grants are funded from interest earned on 
gifts to the Medical Alumni Endowment 
Fund. During the 1996-97 fiscal year, 
awards of up to S.'i,()()0 were available to 
medical school faculty members and awards 
of up to $2,000 were available to students 
and housestaff. Grant recipients must utilize 
the funds during the year of the grant, and 
are required to submit a year-end report to 
the Medical Alumni Endowment Board 
within 90 days at the end of the grant period. 

In addition to Russell, the Grant Review 
Committee was comprised of Dick Bovd. 
MD "56: the late Luther Kelley. MD '46; 
Noel McDevitt. MD '64; and Bill McLen- 
don. MD '56. Ex officii) members were 
Gregory .Strayhom. MD. associate dean for 
academic and student programs, and Bill 
Easterling, MD, associate dean for continu- 
ing medical education and alumni affairs. 





Pa rise 



Jones 



This year's grant recipients, their research 
topics and grant amounts, are as follows: 

Stan A. Beyler, PhD. clinical assistant 
professor. Reproductive Endocrinology. 
"Elucidation of the Embryotoxic Effect of 
Hydrosalpingeal Fluid." $3,974. 

Donald E. Moore Jr., PhD, director of 
CME. clinical associate professor. Obstet- 
rics and Gynecology. "A Proposal to Devel- 
op a Preliminary Model to Help Physicians 
Plan and Accomplish Changes in Their 
Practices." $5,()()(). 

Leslie V. Parise, PhD, associate profes- 
sor, Phamiacology. "Integrin Signaling and 
Cell Migration in Athero.sclerosis." $5,000. 

David R. Jones, MD, fellow in Cardio- 
thoracic Surgery. "Effects of Isoproterenol, 
Rolipram, and Hyperoxia on Eschemia- 
Reperfusion Lung Injury." $2,(MX). 

Christopher M. Larson, MD. PGY2, 
Orthopaedic Surgery. "Culture of Cartilage 
Transplants: Chondrons versus Chrondro- 
cytes." $2,()(K). 




Flanagan 



Mingmuang Worawattanakul, MD, 

fellow in Pediatric Gastroenterology. "Role 
of Intestinal Pemieability in Septicemia and 
Effect of Prophylactic Lactobacillus in Chil- 
dren with Intestinal Insufficiency." $2.(X)0. 

Paul M. Flanagan, >LS4 "Message 
Pad/PC/Mac Electronic dow nloadcr and 
updated for laboratory values of patients." 
$2,000. 

Todd F. (iriffith, MS4. "Identification of 
proteins interacting with integrin <2B1 
cytoplasmic domains and their roles in 
signal transduction." $2,000. 

Kenneth Lee Johnson, MS4 "Nitric 
oxide and its role in Aminoglyciiside 
Ototoxicity."" $2,000. U 

— S.V.K. 



Choice and Chance in 
Medical School 



The Whitehead Lecture was delivered 
this year by Nancy Chescheir. MD '82. 
associate professor and acting chair of 
obstetrics and gynecology. The following is 
e.xcerpted front her presentation, titled 
"Chutes and Ladders." 



M 



ost of you remember the 
childhood game called 
"Chutes and Ladders." It's for 
children under 7 and involves 
moving a token around a board while 
rolling a die. If you land on a square at the 
bottom of a ladder, you get to climb the lad- 
der and miss a bunch of turns of the path, 
while landing you at the top of a slide will 
plummet you to the bottom of the chute. 
The child can make some choices about dif- 
ferent turns here or there. As a first board 
game, it's a winner. 1 remember playing it as 
a child and have since played it, now on 
computer, with my own children. 

I'm going to u.se "Chutes and Ladders" as 
an analogy to what the Class of 2000 is fac- 
ing, now early in their paths towards be- 
coming physicians. The metaphor may 
become a little stretched at times, but bear 
with me. The characteristics of "Chutes and 
Ladders" which appeal to me as a metaphor 
for medical school are the passions that are 
felt by the players, the role of choice and the 
role of chance, and the fact that this game. 
while perhaps changed over the years from 
a cardboard one to a CD-ROM version, is 
still basically the same game. 

No one will argue that medicine is chang- 
ing. As the largest single factor in the Gross 
Domestic Product, it has been the focus of 
much discussion and thought over the past 
10 years. The politicians have rightly target- 
ed it for scrutiny and have mandated changes 
in the delivery systems and reimbursement 
for federally-sponsored health care. The reg- 
ulations and corporate rules that influence 
the care of patients are annoying and gener- 
ally resented by physicians who are, for the 
most part, "take charge" people, who rightly 
feel that they know more about doctoring 
than the government or an insurance compa- 
ny. If we w anted to be business people, the 
argument goes, we would have signed up for 
an MBA instead of an MD. 

But medicine is a microcosm of the larger 



world. While it is the one-to-one involve- 
ment with a patient that motivates most of 
us. that doesn't absolve us of understanding 
the business of medicine. Hiding from the 
facts serves no one well. You will be a better 
advocate for your patient if you understand 
the health care industry, even to the point of 
knowing how to navigate the CPT codes 
and ICD-9 codes that summarize every 
"billable encounter" into just 10 digits. You 
can be the most brilliant, caring physician, 
but if you don't pay attention to these de- 
tails, you won't understand that the patient's 
insurance company may not pay for propri- 
etary medications if a generic is available, 
and the patient may suffer by not filling the 
prescription at all or not buying food for a 
few days in order to take the medicine 
you've prescribed. 

You can climb a ladder as you aspire to 
practice medicine by including in your 
study a practical, thorough knowledge of 
the economic, political and industrial cli- 
mate in which you will practice. You are 
fortunate to be at an academic medical cen- 
ter with excellent business sense and leader- 
ship. Seize the opportunity to learn about 
the health care systems you work in from 
excellent teachers. 

There are also significant changes within 
medicine that require that you become a 
life-long student of medicine. When I fin- 
ished medical school here in 1982, laser 



surgery was in its infancy and the tech- 
niques necessary to understand the genetic 
code at the level we know it now were only 
being developed. Prenatal ultrasound was 
an exercise in Rorschach pictures. What 
fabulous changes just these three examples 
have made in the care of patients! 

A warning I would give, however, is to 
avoid taking these technologies for granted, 
and don't embrace them without under- 
standing their power, cost, and limitations. 
There is a limit to the number of gizmos we 
can afford and at times, you may need to 
work in a situation in which there are very 
clear limits. And at all costs, recall that the 
technology is being used to help care for 
people. Most diagnoses in medicine are 
based on the findings of a carefully taken 
history and meticulously performed physi- 
cal examination. Laboratory tests and 
imaging studies may help at times to un- 
cover an unsuspected diagnosis, but for the 
astute clinician, most of the time they con- 
firm the diagnosis or hone down the 
differential diagnosis. 

Technology may not only confirm im- 
pressions and make diagnoses, but it can 
also answer questions that you and, more 
importantly, your patient, do not want to 
know the answers to. A striking example of 
this is found in presymptomatic diagnosis of 
genetic diseases. Huntington's chorea is an 
autosomal dominant disease that causes de- 




mcntia. iinoluntary movement and prema- 
ture death, hut causes no symptoms until an 
affected indi\ idual becomes an adult — usu- 
ally at an age after which most folks would 
choose to have kids. One half of an affected 
individuals' children will be affected. Due to 
the identification of the gene that causes this 
disease, it is nov\ possible for people at risk 
for Huntington's chorea disease to find out if 
they ha\ e the gene that caused their parent to 
suffer. Presymptomatic testing is most fre- 
quently done to allow someone with a family 
history of Huntington's to choo.se whether or 
not to have children. Unfortunately, after ini- 
tiating presymptomatic diagnosis for this 
disease, several centers found a very high 
rate of suicide among individuals who had 
found out that they did ha\ e the gene and 
that they would ultimately develop 
Huntington's chorea. 

So technology as it is developed and im- 
proved can either be a ladder or a chute. And 
it won't always be one way or the other. 

Beyond technology, politics and econom- 
ics, medicine and its practitioners are being 
challenged by the explosion of new knowl- 
edge. Things that have always been accept- 
ed as truth are being questioned. 

T.J. Kuhn. in an article written in 1962 ti- 
tled "The Structure of Scientific Revolu- 
tion." wrote "Outmoded scientific 
explanations live on long after the facts that 
belie them have been brought to light ... This 
is rooted in the collective investment that 
members of an established discipline have 
in the discredited paradigm." 

From obstetrics, the dictum "Once a ce- 
sarean section, always a cesarean section" 
has clearly been proven incorrect. Work 
done at this institution by my colleagues Dr. 
John Thorp and Dr. Watson Bowes and oth- 
ers questioned the "necessity" of routine epi- 
siotomy in the 1980s; there are now many 
articles supporting their contention that rou- 
tine episiotomy should be abandoned. 
Nonetheless, episiotomy rates vary from 
about 4 percent of all deliveries here at UNC 
to numbers in excess of 30 percent at other 
places. So, I would urge you to be curious 
about assumptions and systems and methods 
that are cloaked in phrases like "because 
that's the way we do it " or "always" or 
"never." Ask questions, challenge the domi- 
nant paradigm, and think laterally — or have 
the opportunity to experience a "chute." 

An excellent example of how students 
questioned and expanded the medical edu- 
cation process here at UNC centered around 
a community health project that Maiji Hol- 



sti. now a third-year student, organized. 
Recognizing a lack of emphasis in the med- 
ical school curriculum on domestic vio- 
lence, Maiji organized two 12-hour training 
sessions to teach medical students about do- 
mestic violence. These were voluntarily at- 
tended by o\er 120 students who will, it is 
hoped, incoiporate this knowledge into their 
care for patients. But just as importantly, 
within a short period of time, the students 
became the vectors carrying this informa- 
tion to their community preceptors and their 
medical center faculty and teaching us 
about this problem. Like a ripple after a 
stone is dropped into the pond, this effort by 
the students has the potential for enomious 
expansion over time. 

The students who attended those semi- 
nars had an opportunity to see another lad- 
der in action, as well. Namely, the 
importance of a multidisciplinary approach 
to the care of patients. You have chosen to 
become a doctor, but the care of patients 
also involves nurses, technicians, social 
workers, therapists, and many others. You 
will learn a body of knowledge and skills 
and ways of thinking that are different from, 
but overlap with, those of other health pro- 
fessionals. It isn't better or worse; it will be 
more complete in some areas and very in- 
complete in others. If you act like the initials 
"MD" represent Major Deity, then you will 
feel the friction of chute at some point, and 
you will loose your effectiveness with pa- 
tients and colleagues. If. instead, you treat 
others as part of the team of professionals 
who are taking care of patients with you. 
your way will be easier and a you can climb 
a few ladder rungs. 

The Chinese character for crisis is actual- 
ly two characters put together: opportunity 
and danger. The stacks of syllabi and texts 
and schedules that you will receive in the 
next few days are representative of the loga- 
rithmically increasing body of knowledge 
in biomedical and social sciences that per- 
tain to medicine. At times, similar to the 
Chinese character, that body of knowledge 
will seem like both a chute and a ladder. 

It is impossible to learn it all. Despite our 
efforts to snooker you to the contrary, none 
of the faculty know it all. Wolfang Vogel ad- 
dressed this issue in a 1993 article in the 
journal., •\<(/(/<7/H(M('(//(/;ic: "In spite of the 
reality that the students will learn more than 
they will ever use in their later lives and yet 
not enough to be fully knowledgeable and 
prepared to start and continue their profes- 
sional careers, this seeminylv endless 



stream of information must serve another 
purpose as well. While we store all the rele- 
vant and irrelevant facts, we also train our 
brains to comprehend the information and 
to use it wisely. As we fit piece onto piece, 
we slowly construct a scientific and medical 
model until we begin to 'see' the "Gestall" 
of the human body in health and disease." 

It is appropriate to be awed and over- 
whelmed at first by what you need to learn 
to become an excellent physician. Don't 
allow it. however, to paralyze you into inac- 
tion. As Arthur Godfrey once said "Even if 
you're on the right track, you'll get run over 
if you just sit there." 

You have many choices that you can 
make in this adventure that will help you 
reach your goals. You are a very diverse 
group of individuals and that diversity must 
be respected. You can choose to polarize 
yourselves or you can work together. You 
don't practice medicine in a vacuum and 
you cannot learn it alone. The friendships 
you forge here in medical school will be dif- 
ferent than others because of the experi- 
ences you will share. Together, you will 
explore the human body in the gross anato- 
my laboratoiA'. perhaps flunk the first exam- 
ination in your life, experience your 
patients' births, deaths, suffering, joy. You 
will examine your own ethics and morals 
and the interface between yours and those of 
your patients. These experiences will be 
powerful, meaningful, and challenging, but 
in the intensity of those experiences, amaz- 
ing friendships are solidified. 

Another choice that you can make in your 
path to becoming a physician is about how 
much you immunize yourself from feeling 
with your patients. The events and process- 
es that your patients experience will run the 
full gamut of human emotion and you have 
the privilege to share that with them. There 
will be patients that you like, some you can't 
stand to be around, and some that will be- 
come your friends. No matter the circum- 
stances, however, you have to find a way to 
make rational, objective decisions and rec- 
ommendations to patients despite your ow n 
emotional involvement. I'm not ashamed to 
cry w ith patients, nor to laugh out loud with 
them, or hug them. Those are lines you have 
to define for yourself, hut if you ilon'l lei 
yourself accept the gift of sharing patients' 
lives with them, you are missing a huge pari 
of the passion of medicine. One of my he- 
roes here at UNC is a surgeon who isn't 
Choice and Chance 
Kinliniics iin j>(i\ic 17 

7 



speaker Opens Minds to 
Medicine's Future 



by Christopher Kirkpatrick 

Imagine a surgeon removing an infect- 
ed appendix with a robotic arm as he 
sits 1,000 miles away. Imagine 
strolling between tower-like models of 
neurons to better learn the brain's structure. 

Imagine honing surgery skills for a par- 
ticular operation the same way a fighter 
pilot might use a simulator to practice for a 
particular mission. 

Just open your mind and imagine the 
possibilities, a guest speaker urged about 
1 50 School of Medicine faculty members in 
a lecture in July. 

Richard Satava, a surgeon and Army 
colonel with the Department of Defense, 
outlined the latest breakthroughs and re- 
search in medical robotics, virtual reality 
and computer applications. 

■"It's no longer blood and guts. It's bits and 
bytes," he said. "Stop thinking with your 
medieval minds, your industrial-age minds." 

Two other groups of physicians listened 
and asked questions as they sat in interac- 
tive conference rooms miles away in Wilm- 
ington and Roanoke Rapids. 

"Is everybody online?" asked George 
Sheldon. MD. chair of the department of 
surgery, before he introduced Satava. 

Satava's Defense Advanced Research 
Projects Agency, with an annual $120 mil- 
lion budget, doles out money to researchers 
and supports and spurs on the application of 
coming-of-age and older technologies to 
the medical sciences. 

"I don't have a lab," he said. "I have 
money and lots of it." 

Satava's agency, and many of its ideas 
and advances, have grown out of the Strate- 
gic Defense Initiative, or "Star Wars" plan. 



which President Reagan pushed as a de- 
fense against intercontinental ballistic mis- 
siles in the 1980s. 

Satava's ultimate charge by the Defense 
Department has been to apply information- 
age technologies, such as the Internet and ro- 
botics, to create a quicker medical response 
to wounded soldiers on the battlefield. 

Half the soldiers who are wounded and 
end up dying could be saved with a quicker 
response to the battle zone, Satava said. The 
soldiers of the future will wear a Personal 
Status Monitor, like a small computer on a 
bracelet, designed to send statistics, such as 
body temperature and location, back to a 
command center. Some soldiers today are 
wearing the first versions of the high-tech 
bracelet, Satava said. 

Last year, four Army soldiers in Ranger 
training near Eglin Air Force base in Florida 
died from exposure during training exercis- 
es. The wrist monitors would have saved 
them. Satava said. 

"Today we have [personal status moni- 
tors] on the Rangers" wrists." he said. "That 
will never happen again." 



Changing reality 

Satava's work has stretched out into myr- 
iad applications beyond military uses. At 
the session, he showed videos and slides of 
virtual reality and how it could be used in 
mainstream medicine. 

Virtual reality works by tricking the 
human senses into thinking the body 
is somewhere else. The programmer and 
the user get to decide where. A doctor 
might wear a helmet with a visor and 
gloves, all connected to a computer 



running the virtual reality software. 

The reality created might be the inside of 
a heart or colon for anatomy students to 
study. Or a surgeon might have an exact 
replica of a tumor he or she plans to remove 
from a particular patient. The surgeon could 
practice removing or just study the tumor 
from all angles. The digital bird's eye view 
would be generated from traditional scans 
and probes that are turned into digital infor- 
mation. Satava said. Over time, the scans 
and modeling would become more sophisti- 
cated and improve the quality of the virtual 
reality, he said. 

Thinking digital 

UNC-CH Chancellor Michael Hooker sat 
in the front row of the Old Clinic auditorium 
and listened in rapt attention. He spoke after 
the lecture about the challenge for everyone 
at the University to breed a new type of 
thinking about research and the future. 

Hooker recently took a flight in a military 
plane, he said. He looked over to the pilot, 
who stared only at the plane's instruments, 
not out of the window. 

"The pilot could have been sitting in 
Fayetteville and flying the plane," he said. 
"We have to move the blockage in thinking 
that the future is going to be like the present. 
It ain't going to be at all like it is now." 

Satava agreed. Thinking about the digital 
age requires thinking beyond today's tools 
and creating a whole new reference point, 
he said. Satava used air bags in cars as an 
example of how a machine-based system 
can be switched to a digital information- 
based system for the better. 

An automobile air-bag system used to 



work with six sensors placed around the ciir 
and a machine that inflated the bag. Satava 
said. The system boasted a 98 percent suc- 
cess rate, he said. 

Now. after S.^.*! million in research, the 
operation has been shrunk down to a com- 
puter microchip that uses digital informa- 
tion to save lives, he said. The success rate is 
now 99 percent and the chips are mass pro- 
duced for $3.50 each, he said. 



Advanced medicine 

Surgeons must start to think in terms of a 
digital future, when everything about a pa- 
tient's medical condition is translated into 
information that can be used to better treat 
or save the person, he said. 

In 50 years, a patient will walk through 
the doctor's office doorway and immediate- 
ly be scanned. Satava predicted. "As the pa- 
tient sits down, a 3-D hologram, an exact 
representation would appear," he said. 
"When the patient says, "Doctor, I hurt 
here.' he can rotate the image [and inspect]." 
The doctor could look inside the patient and 
order blood tests from the futuristic scan and 
other vital signs to quickly diagnose the 
problem. 

The patient and doctor might not even 
have to be in the same state. The idea 
prompted a question after the session from 
one of the physicians. 

"Do you think Medicare will require us 
to be in the same state?" he asked with 



a laugh. _ 



[Reprinted hy permission from the 
Chapel Hill Herald/Durham Herald-Sun. j 




This video image shows Etta Pisano. MD. performing a breast cyst aspiration. 
She wears a head-mounted display unit that enables her to see three-dimensional 
ultrasound images. 

Virtual Reality Applied to 
Breast Cyst Aspiration 



At the 1 1th annual Department of 
Radiology Research Review in 
March, Etta Pisano, MD, presented 
"Virtual Reality Applied to Ultra- 
sound-Guided Aspiration of Breast 
Cysts." Pisano worked on this project 
in conjunction with Henry Fuchs and 
Andrei State, both members of the 
UNC Computer Science Department. 

The project goal is to enable physi- 
cians to perform breast cyst aspira- 
tions with the aid of three-dimensional 
imaging. Through the view on her 
head-mounted display unit, Pisano 
can see the ultrasound image of the 
breast cyst superimposed onto the ac- 
tual breast. This image helps her to 



guide the needle directly to the cyst. 

The study found that this procedure 
might improve the accuracy and 
speed of ultrasound-guided percuta- 
neous sampling of the breast. The 
procedure was successful when used 
on breast phantoms with simulated le- 
sions. Trials were done on four volun- 
teer patients who needed cyst 
aspirations. Further improvements to 
the tracking system, the head-mount- 
ed di.splay unit and the registration are 
continuing. This method might one 
day be applied to more complicated 
surgeries, such as the removal of 
kidney tumors. 

— Carolyn Edx 



From Lab to Clinic: 
Working to Understand Alcoholism 



I 



by Vida Foubister 

For years communities have whis- 
pered about it. 
It's a fact backed both by folklore 
and statistics: Tommy's dad is an 
alcoholic so it's likely that Tommy will be 
one too. 

Today, alcoholism researchers are 
confronting this observation head on. But 
they are going far beyond numbers and 
community folklore. 

They're identifying biological differences 
between alcoholics and nonalcoholics. and 
between young people with a family history 
of alcoholism and those without that histo- 
ry. If they learn enough about the factors 
that set these groups apart, those who might 
be susceptible to the illness could be warned 
that if they start drinking, they might devel- 
op alcoholism. Alternatively, a greater 
understanding of these differences might 
lead to the development of medications that 
reduce craving or risk of relapse, such as the 
recently introduced naltrexone (ReVia' ). 

"Some offspring are at greater risk than 
others because they inherit different genetic 
factors from their parents." says James C. 
Garbutt, MD, a psychiatrist and clinical re- 
searcher. "Vulnerability markers could be 
utilized to let someone know they're at 
higher risk for the development of alco- 
holism — above and beyond whether they 
have a positive family history of alcoholism." 
Garbutt has spent the last 1 6 years trying 
to identify some of these inherited differ- 
ences. "We know alcoholism has a genetic 
component." he says. "The question is. what 
is the expression of that genetic component 
biologically?" Further, how does that con- 
tribute to the development of alcoholism? 

As director of clinical research at 
Dorothea Dix Hospital in Raleigh and a 
member of the Center for Alcohol Studies' 




James Garbutt, MD, associate professor of psychiatn: leads a research effort iu search 
of a biological indicator of alcoholism. 



10 



research team. G;irbutt has access to labora- 
tory animals bred to consume alcohol and to 
people who have alcoholism or who are at 
risk for alcoholism. 

Because of the many challenges of wurk- 
ing with human subjects, most experimen- 
tation begins in the lab. If the initial 
experiments in animals are successful, the 
long process of human testing begins. 

Looking for a biological indicator of al- 
coholism sounds relatively easy, that is. 
until you realize that alcoholism is an um- 
brella term for w hat may be more accurately 
called the alcoholisms. 

"People don't realize there's more than 
one type of alcoholism." says Linda Powell, 
a clinical research associate who has 
worked with Garbutt since 1987. "That may 
be why it is so hard to treat some people. 
Like cancer, some types of alcoholism are 
much more treatable than others." 

The illnesses' biological gestures are 
thought to include alterations in neurophys- 
iological. neurochemical, neuroendocrino- 
logical and temperamental patterns. 

One avenue of Garbutt's research involves 
studying subjects' hormonal responses to 
thyrotropin-releasing hormone (TRH). This 
response is part of the thyroid axis begin- 
ning in the brain with the release of thy- 
rotropin from the pituitary, which then leads 
to the release of thyroid honnone by the thy- 
roid gland. Measuring this response may 
provide insight into the activity of TRH 
within the brain: TRH being of interest to 
alcoholism because it can modify the be- 
havioral actions of alcohol. 

Early research indicated that alcoholics 
have a reduced response to TRH. Because 
depressed patients were known to exhibit 
the same phenomenon. Garbutt looked at 
whether the response of depressed and alco- 
holic patients to TRH was similar. He 
found, however, that the neuroendocrine 



thyroid axis abnormality was different in 
the two types of patients. Depressed pa- 
tients not only had a decreased TRH-re- 
sponse to multiple doses of TRH, but their 
prolactin respon.se was lower as well. Alco- 
holic patients, in contrast, retained a normal 
prolactin response to TRH. 

This suggested that the TRH-response 
abnormality observed in alcoholics might 
be unique to their condition and represent a 
possible vulnerability factor. 

Garbutt then looked at the TRH-response 
of young men with alcoholic fathers com- 
pared to those who have no close relatives 
with alcoholism. The results showed that 
young men with fathers whose alcoholism 
began later in life had the same decreased 
TRH response. The others - those with no 
family history of alcoholism or fathers with 
an early onset of alcoholism - did not exhib- 
it this phenomenon. 

"Blunted TRH may be tapping a genetic 
difference between a subgroup of people at 
risk for alcoholism and those not at risk for 
alcoholism." Garbutt says. "It may provide 
another means to define and to describe this 
population which may have relevance for 
prevention and treatment." 

A collaboration with Ron Thumian. PhD, 
professor and director of the Laboratory of 
Hepatobiology and Toxicology, has provid- 
ed clues to another possible vulnerability 
marker: different ethanol metabolism rates. 

In this study, nonalcoholic young men 
were given a pruning dose of alcohol and 
then a second dose. Thurman's lab first no- 
ticed that about 20 percent of those tested 
had a rate of ethanol metabolism that in- 
creased by at least 40 percent after the sec- 
ond dose. The individuals with this 
response, called .Swift Increase in Alcohol 
Metabolism or SIAM. reported little or no 
problems with alcohol. 

A second study confirmed this finding 



and made another discovery. The ethanol 
metabolism rate of some young men with a 
positive family history (FHP) of alcoholism 
decreased 20 percent or more after the sec- 
ond dose of alcohol. "What this means is 
some FHP men show rates of alcohol me- 
tabolism that decrease during drinking, and 
this could lead to a greater exposure to alco- 
hol and a more rapid de\elopment of toler- 
ance." Garbutt says, "One of the things we 
know is that individuals who develop alco- 
holism generally develop tolerance faster 
than people who aren't at risk." 

In another collaboration with two UNC 
scientists. Alexey Kampov-Polevoy and 
David Janowsky, a possible diagnostic test 
is being investigated. 

This project grew out of the recognition 
that recovering alcoholics often crave 
sweets. Crunching M&Ms. munching a 
candy bar or eating ice cream are reported 
by many patients during recovery. 

The test is simple: subjects are given 
sugar solutions of differing sweetness and 
asked to rank the relative sweetness of each 
solution and their preference for each one. 

So far. the results confirm the research 
team's expectations: About 65 percent of al- 
coholics prefer the sweetest solution, com- 
pared to only about 16 percent of the 
nonalcoholic subjects. 

"Again, one thing that's exciting about this 
work is that sweet preference may be asscxriat- 
ed with a subtype of iilcoholism." Garbutt .says. 

Beyond a diagnostic tool, luilher investi- 
gation of this phenomenon might lead lo the 
development of a drug that activates the 
brain system stimulated by sweets. This 
drug could potentially be used lo decrease 
craving in alcoholics. 

Garbutt hopes the results of these clini- 
cal experiments will lead to solutions ihal 
will help more alcoh<ilics achieve long- 
term sobriety. 1 




Krista Schwabacher. left, ajinirih-ycdr uhiticul student at UNC. checks 12-year-old 
Tatiana Ivashevitch's breathing. The Belani.ssian girl was one of 21 children who were 
examined in Chapel Hill this summer for maladies related to the Chernobyl nuclear 
disaster Joseph Wiley. MD. associate professor and chief of Hematology and Oncology 
in the Department of Pediatrics, coordinated the program for the second year, conducted 
in conjunction with the American Belarussian Relief Organization. 



Search Panel Named for 
Medical School Dean 

UNC-Chapel Hill Chancellor Michael 
Hooker in August appointed a 10-member 
search committee to fill the vacant deanship 
at the School of Medicine. 

H. Shelton Earp. MD. professor of medi- 
cine and pharmacology and deputy director 
of the Lineberger Comprehensive Cancer 
Center, will chair the committee. 

The panel will recommend to Hooker a 
candidate to replace Michael Simmons, 
MD, who resigned from the post in July. 



Stuart Bondurant, MD, dean emeritus, is 
interim dean. 

"I am grateful to Dr. Earp for agreeing to 
take on this considerable responsibility at a 
key time in the medical school's history." 
Hooker said. "The committee's charge 
includes identifying a strong leader who 
will continue guiding the school into the 
challenging era of managed care. Filling the 
position quickly is a priority." 

The search committee is composed of 
seven school faculty members, two UNC- 
CH trustees and Eric B. Munson, executive 
director of UNC Hospitals. 



Besides Earp, other faculty on the 
committee are Georgette A. Dent, MD, as- 
sociate professor of pathology and labora- 
tory medicine; Robert N. Golden, MD, 
professor and chair of psychiatry; Rudolph 
L. Juliano, PhD, professor and chair of 
pharmacology; Darlyne C. Menscer. MD. 
clinical associate professor of family medi- 
cine; George F. Sheldon, MD, professor and 
chair of surgery; and Robeita G. Williams, 
MD, professor and chair of pediatrics. 

Representing the UNC-CH Board of 
Trustees are Drs. William R. Jordan of 
Fayetteville and Charles A. Sanders of 
Durham. Jordan, a urologist-turned- 
businessman, is chief executive officer of 
Global Lithotripsy Inc., which provides 
kidney stone treatment. Sanders, of 
Durham, is former chief executive officer of 
Glaxo Inc., the pharmaceutical corporation, 
in Research Triangle Park. 

Healthcare Affiliations 
In Progress 

UNC. Bowman Gray Medical Centers 
Sign Affiliation 

The UNC Health Plan and Bowman 
Gray/Baptist Hospital Medical Center have 
signed an affiliation agreement that calls for 
the two academic medical centers to work 
together to improve the efficiency and 
effectiveness of health care delivery. 

Both institutions emphasized that the 
affiliation provides only for collaboration be- 
tween the entities. Both medical centers will 
retain their autonomy and independence. 

A group of representatives from both in- 
stitutions has been established to guide the 
relationship. Topics the steering group is ex- 
pected to examine include developing joint 
projects, sharing administrative and support 
services, avoiding duplication of services, 
and pursuing managed care opportunities. 

UNC Joins Statewide Affiliations 
Di.'icussions 

In related developments, UNC Hospitals 
and the School of Medicine have joined three 
of North Carolina's largest not-for-profit 
healthcare systems in discussing an alliance 
that would involve coordinated services and 



12 



joint service contracts with payers. 

Deliberations are currently underway 
among UNC. the Carolinas HealthCare 
System in Charlotte, North Carolina Baptist 
Hospital in Winston-Salem, and Pitt County 
Memorial Hospital in Greenville. 

While it is too early to know what fonnal 
structure the four healthcare .systems would 
implement under an alliance, the goal will 
be to reduce healthcare costs addressing the 
same issues that will be looked at by the 
UNC/Bowman Gray group. 



UNC Doctor Puts AIDS 
Course on Internet 

Health-care providers around the world 
now have instant access to the latest infor- 
mation on HIV and AIDS, thanks to a 
School of Medicine faculty member 

Ch;irles van der Horst, MD, associate pro- 
fessor of medicine and principal investigator 
at the AIDS Clinical Trials Unit at UNC, has 
written the first in a series of HI V/AIDS- 




Mary Ellen Jones, PhD, biochemist and 
first woman to chair a department in the 
School of Medicine, died August 23 in 
Waltham. Mass., after a long struggle 
with cancer. 

Jones taught at UNC from 1 966 to 1 97 1 . 
In 1978, she returned to the University to 
chair the Department of Biochemistry and 
Nutrition. Although she stepped down as 
head of the department in 1989, she contin- 
ued to teach and conduct research until her 
retirement last year. 

Jones made major di.scoveries concern- 
ing how cells make some of the building 
blocks of DNA. She also found that en- 
zymes can be involved in more than one 
task in the body. A tireless advocate for ad- 
vancing the careers of women in the sci- 
ence field, Jones was honored by the 
As.sociation of Women Faculty at the Uni- 
versity of North Carolina with the Mary Turner Lane Award in 1 987. 

Bom in LaGrange Park, III., on December 25, 1 922, Jones received her bachelor's 
degree from the University of Chicago in 1 944 and her doctorate from Yale in 1 95 1 . 

In addition to her tenure at UNC. her career included positions at the Biochemical 
Research Laboratory at Massachusetts General Hospital under Nobel Laureate Fritz 
Lippman ( 1951-1957). at Brandeis University (1957-1966), and at the University of 
Southern California (1971-1978). 

The many honors she received for her contributions included memberships in the 
National Academy of Sciences, the Institute of Medicine, the American Academy of 
Arts and Sciences, and the American Philosophical Society. Special honors included 
the Wilbur Lucius Cross Medal from Yale University, the Thomas Jefl'erson Award 
from UNC-Chapel Hill, and the North Carolina Award in Science in 1 99 1 . 

Jones leaves her son, Ethan V. Munson, of Milwaukee. Wise; her daughter. Cather- 
ine L. Munson, of Fort Mill, SC: a sister, Anna Mae Duffy, of Pueblo, Colo.; two 
brothers. George K. Jones of West Roxbury. Mass., and Elmer E. Jones of Weston, 
Mass.; one grandchild: and fomier husband Paul L. Munson of Baltimore, Maryland. 



related continuing medical education courses 
that have been approved by the American 
Medical Association to be offered on the 
Internet. 

The interactive course, "CMV Retinitis 
and Treatment," was developed for primary 
care physicians, ophthalmologists, pharma- 
cists and nurses who have a basic under- 
standing of HIV and AIDS. Healthcare 
professionals who complete the course are 
eligible for continuing education credit. 

"This innovative educational tool is time- 
saving, cost-efficient and convenient," said 
van der Horst. "Clinicians can stay up-to- 
date on the continuously evolving standards 
in HIV care from their ovv n offices, which 
means they will access information more 
frequently and their patients will reap the 
benefits. They can also ask me questions 
about the material." 

The AMA series, "Clinical Care Options 
for HIV," can be acces.sed on the Internet at 
any of the following Web addresses: 
http://www.ama-assn.org: http://www. 
immunet.org/meded; or http://www. 
cmegateway.com. 

History of Pathology at 
UNC Now Available 

A reception and book-signing at the Car- 
olina Inn on Sept. 19 marked the publica- 
tion of "How It Was: Pathology at UNC. 
1896- 1973." Written by John B. Graham. 
MD, alumni distinguished professor of 
pathology, the 268-page volume is dedicat- 
ed to Kenneth Brinkhous, MD, former chair 
of pathology. The text is illustrated exten- 
sively with photographs, charts and tables, 
and contains a section listing the names and 
cuiTcnt addresses of all faculty, trainees and 
fellows in the department prior to 1 974. 

The book is available in both soft- and 
hard-cover editions. To order, send $25 (sofi 
cover) or $35 (hard cover), payable to the 
Department of Pathology, to: Business 
Manager, Dept. of Pathologv and Laborato- 
ry Medicine, UNC-Chapel Hill CB# 7525, 
Chapel Hill. NC 27599-7525. (The price in- 
cludes sales tax. shipping and handling.) In- 
clude your name and mailing address, and 
indicate if you wish to have the book signed 
by Dr Graham and/or Dr Brinkhous. 



13 



Fuller Award Winner Leads by Example 

IS 




Obstetrics resident Andra James is joined by Fuller Award winner Robert Cefalo during a patient 's follow-up visit to the clinic. 



by Robin C. Gaitens 

Robert C. Cefalo. MD. assistant 
dean of graduate medical educa- 
tion, chief of the division of 
matemal and fetal medicine, and 
professor of obstetrics and gynecology, has 
received the 1996 H. Fleming Fuller Award 
for dedication to compassionate patient care 
and excellence in teaching. The award was 
presented Friday evening. Aug. 30. by Eric B. 
Munson, UNC Hospitals executive director. 
The annual award is given in memory of 
H. Fleming Fuller, a Kinston physician and 
longtime member of the UNC Hospitals 
Board of Directors, who died in 1 986. 

"Dr. Cefalo is a distinguished leader in ob- 
stetrics, a formative force in medical ethics. 
an inspiring teacher, and. most importantly, 
the personification of the highest standards of 
competence and caring as a personal physi- 
cian," said Stuart Bondurant. MD. interim 
dean of the School of Medicine. "Our med- 
ical school and hospital, the specialty of ob- 
stetrics. generations of students and 



residents, and thousands of patients are the 
beneficiaries of his warm, compassionate, 
and exemplary practice and leadership." 

"He emphasizes to residents and .students 
the importance of the humanity of health care 
for women." said Nancy Chescheir, MD. act- 
ing chair of the Department of Obstetrics and 
Gynecology. "He leads frank discussions 
about the seemingly mundane parts of the 
doctor-patient relationship, such as sitting 
down next to patients instead of standing 
over them, as well as the more complex is- 
sues like ethical decision-making." 

Medical residents admire Cefalo's com- 
passion for his patients and credit him for 
"leading by example." One resident recalled 
Cefalo discussing a gynecologic examina- 
tion with a group of incoming residents. 
"He emphasized that there is a human side 
to medicine, not just diagnoses and proce- 
dures. He stressed the importance of creat- 
ing a comfortable environment for the 
patient and reminded us that our ultimate re- 
sponsibility is to treat the patient with the ut- 
most dignity." 



Cefalo's commitment to improving ma- 
ternal and fetal health extends beyond his 
patient care and teaching activities. Since 
1985. he has served on the Advisory Board 
of the MariMed Foundation, an organization 
which addresses the health care of women in 
the South Pacific Islands. In 1993, he was 
honored by the North Carolina Governor's 
Commission on Reduction of Infant Mortal- 
ity for his contributions to the improvement 
of matemal and fetal health. Cefalo current- 
ly serves as the president of the American 
Board of Obstetrics and Gynecology, the 
governing body that sets the trend for obstet- 
rical and gynecological care nationally. In 
addition, he is a state and national leader in 
promoting preconceptual health as a routine 
component of women's health care. 

Cefalo graduated from Boston College in 
1953 and earned his MD from Tufts 
University in 1959 and his PhD from George- 
town University in 1974. In 1979. after serving 
in the U.S. Navy for more than 20 years as a 
captain, he joined the UNC-CH faculty as a 
professor of obstetrics and gynecology. D 



Development 
Notes 



FY97 Loyalty Fund Goals 
Established 

The Loyalty Fund goal for the 1 996-97 
fiscal year is $55().()()(). and the participation 
goal is 36 percent. Components of the 
budget include: 

• Scholarships ($1 15.000) — All awards 
are $2,700 each, except Medical Allied 
Health, which are $ 1 .000 each. ( Sec stiuy 
on page 4.) 

• Student Programs ($50,000) — The 
Loyalty Fund supports more than two 
dozen student programs, activities and 
publications, including the Whitehead 
Society, the ZoUicoffer Lecture, the stu- 
dent research journal FAX. the Arts and 
Humanities Program, and the first-year 
orientation booklet. Grapevine. Greens 
and Gunners. 

• Alumni Distinguished Teaching Pro- 
fessorship ($50,000) — An endowed 
three- to five-year term professorship to 
recognize teaching excellence. Financial 
minimum to activate professorship is 
$250,000. 

• Health Sciences Library and Technol- 
ogy Support ($30,000) — Funding for 
Medical Alumni Association Computer 
Laboratory and joumals/subscriptie)ns. 

• Alumni Outreach ($105.()(K)) — These 
programs include Dean's receptions 
across the state, class reunions, the 
Berryhill Lecture, alumni weekends, and 
alumni and faculty awards. 



Loxalry Fund Budget. FY 1996-97 $550,000 

Student Scholarships 

and Programs 

$165,000 



Communications 
$90,000 




.\lumni 
Distinguished 

IVachin;; 
Professorship 

$50,000 

Health Science 

Library and 

Technology Support 

$30,000 



Operations* 
$90,000 



Medical Alumni 

Endowment Fund 

$20,000 



*Funds raised in excess of Budget de^ 



• Medical Alumni Endowment Fund 

($20,000) — Interest earned on these 
funds provides support for student, facul- 
ty, and housestaff development, academ- 
ic research seed grants, and other needs 
identified to promote excellence at the 
medical school. iSeestoiytinpageS.) 

• Communications ($90,000) — Includes 
publications such as the Medical Alumni 
Bulletin, the Case Statement, and alumni 
weekend materials. 

For more infonnation or to make a gift to 
the Loyalty Fund, call Jane McNeer or Ed 
Crowder at 800-962-2543. 



Alumni Outreach 
$105,000 



. the percentage 




Margaret Collins. MD '96, explains how- 
students benefit from Loyal t}- Fund gifts 
during a Class of '96 fundraising 
meeting. A record number of students 
in that class. 54 percent, made a Loyalty 
Fund commitment. In other campaigns 
which ended June JO. Buiuomhe County 
raised $10,275 with 52 percent 
participation: New Hanover County. 
$15,945. 54 percent participation: and 
Greater Atlanta. $n.59H. 37 percent 
parlicipalion. 



15 



Faculty 
Notes 




Brawn 



Robert Brown, MD, assistant professor 
of medicine and transplant hepatologist, 
recently joined the faculty as medical 
director of UNC 
Hospitals" Liver 
Transplant Pro- 
gram. In this 
position. Brown 
will lead the 
liver transplant 
team with Jeff 
Fair. MD. assis- 
^_ tant professor of 

^M surgery and 

^'l^m surgical director 

of abdominal 
transplantation. 
Brown comes to UNC from the Universi- 
ty of California at San Francisco, where he 
served as an attending transplant hepatolo- 
gist qualified by the United Network for 
Organ Sharing. While there he cared for 
more than 300 pre- and post-transplant pa- 
tients and participated in clinical trials for 
the treatment of liver disease. 

Amelia F. Drake, MD, associate profes- 
sor of otolaryngology, was the faculty 
inductee into the Gamma Chapter of Alpha 
Omega Alpha. This honor goes to faculty 
members who have distinguished them- 
selves in their professional careers. 

Thomas M. Egan, MD. associate pro- 
fessor of cardiothoracic surgery, spoke on 
"Current issues in lung procurement and 
transplantation" at the annual conference in 
education; Issues in Transplantation and 
Organ Procurement, held in Nashville in 
April. He also presented "Surgical options 
in the treatment of end-stage chronic 
obstructive pulmonary disease" at the North 
Carolina Surgical Association meeting in 
Pinehurst in April. 

Floyd Fried, MD. Drs. John Sloan 
Rhodes and John Flint Rhodes professor of 



urology, received a Distinguished Service 
Award from the University of Chicago. 

Steven K. Gudeman, MD, Van Weather- 
spoon Jr. Distinguished professor of neuro- 
surgery, has been selected as vice president 
for the Southern Neurosurgical Society. 

David Janowsky, MD, professor of psy- 
chiatry, has received a $20,000 grant from 
the R.K. Mellon Family Foundation. The 
grant will support a study that is examining 
the role of underlying personality character- 
istics in the diagnosis and treatment of 
mood disorder and substance abuse patients. 
Culley C. Carson III, MD, professor 
and chief of urology, has been elected to 
chair the multidisciplinary Urology 
Expert Advisory 
Panel for the 
U.S. Pharma- 
copeia Division 
of Information 
T — ^^^"' T Development for 

the 1995-2000 
cycle. The panel 
is responsible 
for the ongoing 
revision and 
development of 
Carson USP"s continu- 

ously revised, 
evidence - based drug and therapeutics in- 
formation database. Panel chairs are elected 
members of USP's Committee of Revision, 
which comprises nationally and intemation- 
ally recognized scientists, academicians, 
clinicians and consumer advocates. 

Joseph M. Khoury, MD, associate pro- 
fessor of urology, has received an appoint- 
ment to the Urology Expert Advisory Panel, 
U.S. Pharmacopeia. 

Edison Liu, MD, former professor of 
medicine in the Division of Oncology and 
director of the Specialized Program in Re- 
search Excellence in breast cancer at the 




Lineberger Comprehensive Cancer Center, 
has taken a position with the National Can- 
cer Institute as head of its new Division of 
Clinical Sciences, effective September 
1996. At UNC, Liu established programs in 
cancer genetics and molecular epidemiolo- 
gy, co-founded the UNC Breast Center, and 
led the effort to obtain the UNC Breast 
Center SPORE. 

Michael R. Mill, MD. associate profes- 
sor of cardiothoracic surgery, recently 'm\- 
planted the Novacor LVAS in the first 
patient at UNC as a bridge to transplanta- 
tion. This is a new project under an FDA- 
approved protocol. The patient was 
successfully supported for 5 1 days before 
undergoing transplantation. The patient did 
well post-operatively and has been dis- 
charged from the hospital. 

Fred J. Spielman, MD. professor of 
anesthesiology, received a Wellcome Re- 
search Travel Grant to study at the Well- 
come Institute for the History of Medicine 
in London, England, Sept. 6-20, 1996. His 
research project is titled "The History of 
Anesthesiology Through Art." 

Oliver Smithies, D.Phil., Excellence 
professor of pathology, is one of two 
North Carolina 
scientists award- 
ed the American 
Heart Associa- 
tion's 1996 CBA 
Award for Hyper- 
tension Research. 
He was select- 

-f^^S^^Bl/ /^t ^^- according 

' ' "•■■ * the prize 

committee, for 




'Ji:?^>^ '" 



rjKCCiiXOjC^^ "groundbreaking 



Smithies 



work in the use 
of homologous 
recombination to insert altered genes into 
specified positions in the DNA of living 



16 



cells and application of this technique to 
transfer of "designermutations" to li\ing ani- 
mals and to the study of high blood pressure 
and cardiovascular disease." 

Smithies received the award, which car- 
ries a $10,000 stipend, at the 50th Annual 
Fall Conference and Scientific Sessions of 
the AHA's Council for High Blood 
Pressure Research. 

Suresh Mukherji, MD, assistant profes- 
sor of radiology, was named one of 
six scholars by the Radiologic Society of 
North America beginning June 1 . 1 996. The 
two-year scholarship carries a stipend of 
$45,000 per year and will allow Mukherji 
more academic time to de\'ote to his research 
on two-dimensional IH MRS metabolite 
mapping and image fusion for treatment 
monitoring of head and neck carcinomas. 

Don Nakayama, MD. Colin G. Thomas .Ir 
distinguished professor of surgery and chief of 
pediatric surgery, was elected to membership 
in the American Surgical AsscK'iation. 

Chri.stian Newcomer, VMD. rese;irch as- 
sociate professor of pathology and laboratory 
medicine and director. Division of Laborato- 
ry Animal Medicine, was installed as presi- 
dent of the American College of Laboratory 
Animal Medicine on July 22. 1 996. 

I. Glenn Wilson, MD. professor of so- 
cial medicine, has implemented the Quin- 
tiies Scholars program, a five-year effort to 
provide management training for the future 
leaders of two Chinese medical schools. 
Two groups of Quintiles Scholars will study 
in Chapel Hill each year and .'^0 will attend 
the program in China. The program is fi- 
nanced by a grant from the Quintiles 
Transnational Corporation in Research 
Triangle Park. 

Loyal G. Tillotson, MI), PhD. assistant 
professor of medicine in the Division of 
Digestive Diseases, received a one-year, 
$40,000 basic research grant from 




Wilson 



the Glaxo Wellcome Institute for 
Digestive Health to study "Ras-activated 
Gastrin Transcription in Human Colon 
Tumor Cells." 

Frank C. Wilson Jr., MD. Kenan 
professor of surgery, received the 1996 
Distinguished Alumnus Award for 
Professional Achievement from the 
Alumni Associa- 
tion of the Med- 
ical College of 
Georgia. Wilson, 
the former chief 
of orthopaedics 
at UNC. is a 
1 954 graduate of 
MCG\ Schtxil of 
Medicine. In ad- 
dition. Wilson 
received the 1996 
Distinguished 
Service Award 
from the Thom;i.s Wolfe Society for his work 
in the teaching of Thomas Wolfe. 

Wilson also published several books in 
1 996: Orlliopiu'dics: Piv-tcst Sclf-asscssnwiu 
and Review, with Douglas R. DirschI, MD. 
published by McGraw-Hill; SyinlJdls and 
Symptoms, published by Guild Press of In- 
diana, emphasizing the connectedness be- 
tween medicine and the humanities; and 
General Orthopaedies, w ith Patrick Lin. 
MD. published by McGraw-Hill. 

Bens(»n R. Wilcox, MD. professor and 
chief of cardiothoracic surgery, was hon- 
ored by the Health Sciences Library in April 
in recognition of his support of the facility. 
He was paid tribute for endowing the 
Wilcox Rare Book lund in I99.\ transfer- 
ring portions of the Wilcox Rare BiH)k Col- 
lection to the library, and encouraging 
medical students to appreciate historical 
knowledge and to keep ali\e their love of 
learning and of books. 



Choiee and Clianee 
eontinued from pai;e 7 
afraid to tell me that when he loses a young 
trauma victim he "loses a piece of himself." 
That doesn't keep him from being an out- 
standing surgeon, or from making necessary 
difficult decisions; but it does emphasize the 
ultimate humanity of being a physician. 

In medical school you must study not so 
much for the grade, but for the content. Facts 
are less important than concepts. The 
processes of learning to think critically and 
to locate and synthesize infonnation arefun- 
damental to the practice of medicine. You 
must see your scholarship in a different con- 
text than before, in that it really doesn't mat- 
ter to your patients whether you made an 
Honors or a Fail in a course — it matters to 
them whether you learned the material 
and integrated it into that Gestalt picture of 
their particular situation. It is perfectly OK 
and culturally nonnal — because we were all 
premeds at one point in our li\es — to have a 
competitive edge to our work. But the com- 
petitor is not the person sitting next to you — 
it's yourself, illness, suffering and the enor- 
mous responsibility of educating yourself to 
become a physician. Skills that served you 
well to gel to this point will still be impoilant, 
but will need to be modified. The level of pri- 
oritization and organization that you will 
need is going to be ratcheted up significantly. 
Don't expect that to come easily or quickly 
and give yourself a break by understanding 
that those changes are part of becoming a 
physician — and that's a life-long learning 
project. Max Dcpree wrote in "Leadership as 
an Art" thai "in the end. it is important to re- 
member that v\e cannot become what we 
need to be by remaining w hat we are." 

The last point I want to make is to enjoy 

yourself while you're working hard. You are 

Choiee and Chance 

eontiniies on page 2 1 



17 



Faculty Profile 



Leading Research into 
Cancer Treatment 



by Linda Haac 

Four years ago. the University of 
North Carolina at Chapel Hill 
lured Beverly S. Mitchell. MD. 
away from the University of 
Michigan at Ann Arbor. A physician and a 
scientist. Mitchell is nationally recognized 
for her work on the various roles that genes 
play in cancer cells" response to certain 
types of chemotherapy. 

Today, Mitchell serves as one of the 
Lineberger Comprehensive Cancer Cen- 
ter's associate directors and leads its molec- 
ular therapeutics program. She also heads 
the division of hematology/oncology in 
UNC's department of medicine. She is the 
tlrst Wellcome distinguished professor in 
cancer research. 

On her appointment to lead UNC's 
hematology/oncology division, she says, 
"We're starting with a very good division in 
terms of clinical care and delivery. Now. 
we'd like to achieve additional first-rate, 
novel drug research that we can take back to 
the clinic and treat patients." 

With this in mind. Mitchell is overseeing 
the recruitment of several new faculty 
members, who. she says, will have a strong 
interest in bridging the gap between basic 
science and clinical medicine. One new 
hire is Mark Socinski. MD. who serves as 
co-director of Carolina's new Multidisci- 
plinary Thoracic Oncology Program. An- 
other valuable contributor to UNC's 
clinical programs is Thomas Shea. MD. 
head of Carolina's bone-marrow transplant 
program and director of the hema- 
tology/oncology division's clinical 
research efforts. 



"What we have left to do." Mitchell says. 
"is to recruit .several more people in clinical 
research and bring in two more people in 
basic scientific research who can create links 
between research and patient treatment. 
What we want to offer is new. different and 
more effective treatments of cancer." 



44 



We'd like to achieve 
additional first-rate, 
novel drug research 
that we can take back 
to the clinic. 

Beverly S. Mitchell. MD 



She says the division also wants to recruit 
several new. young trainees. Yet govern- 
ment-funding cutbacks, the researcher ad- 
mits, have made financial support for such 
training programs more difficult these days. 
"Our goal," though. Mitchell says, "is to 
train people who will stay in academic 



medicine and contribute to knowledge." 

In her own research. Mitchell focuses on 
cancer's molecular processes. She spends 
her time tracking down specific genes, fig- 
uring out how they work, then trying to alter 
the way in which a particular gene will ex-, 
press a specific enzyme in the body. 

Mitchell's primary goal is to improve 
cancer treatments involving chemotherapy. 
For several years now, for instance, she has 
worked on increasing the overall response 
to chemotherapy drugs used to treat 
leukemia. Her work involves the enzyme 
deo.xycytidine kinase. This enzyme pro- 
vides the first of three phosphate groups 
that chemotherapy drugs need to inhibit 
cancerous cell growth in leukemia. 

Mitchell and members of her lab have lo- 
cated the human gene that produces deoxy- 
cytidine kinase. They have also mapped the 
gene's structure. With these discoveries in 
hand, they have worked to identify the spe- 
cific mechanisms that regulate gene expres- 
sion of deoxycytidine kinase. Their hope is 
to develop pharmaceutical agents that can 
alter the gene's activity, thus increasing the 
amount of deoxycytidine kinase within 
leukemia cells. Such an increase could 
make leukemia cells more vulnerable to the 
deadly effects of chemotherapy. 

Currently. Mitchell is leading a clinical 
trial of the chemotherapy drug Ara-G. used 
to treat resistant leukemia, in conjunction 
with Duke University pediatric hematolo- 
gist/oncologist Joanne Kurtzberg. The drug 
was developed by Dr. Gertrude Elion. who 
shared the Nobel Prize with Dr. George 
Hitchings for their work at Burroughs Well- 
come in 1988. Elion discovered Ara-G, 
Mitchell says, while searching for anti-viral 



drugs. The Nobel laureate, she adds, is a ter- 
rific role model for those who desire to de- 
velop new treatments that will have a major 
impact on human diseases. 

Of Ara-G's effectiveness, Mitchell says, 
"So far. it's showing a lot of activity with a 
subtype of resistant leukemia, and with few 
side effects." 

Currently, 24 patients are enrolled in the 
study, and the drug has demonstrated some 
ability to push resistant leukemias into 
complete remission for several months. 
"This drug by itself will not be curative," 
Mitchell says, "but it will be an impor- 
tant component." 

Mitchell is also looking at a drug 
somewhat analogous to one that Chinese 
scientists originally developed, using vita- 
min A as a base. Studies have shown the 
drug may allow immature cells to undergo 
maturation. Such cell immaturity is a hall- 
mark of leukemia. 

"Leukemia is thought of as an increase in 
the number of immature cells in the bone 
marrow," Mitchell explains. "So in some 
way, the disease probably blocks the cell's 
maturation process." 

In this second clinical trial, Mitchell and 
her colleagues are looking at w helher a spe- 
cific enzyme-inhibitor can stop immature 
cells from dividing and thus gi\e the cells 
time to mature. 

About her work, Mitchell sa> s, "It makes 
a big difference to know that what you're 
doing has some treatment applications to 
disease. What I've been doing is mostly 
studying cellular mechanisms, but those 
mechanisms will have some applicability lo 
the treatment of the patient. To have patients 
go into remission is incredibly exciting." 




licvrrlx Milihcll diul Diciiui Hd/'kc, a i;i<iiliiiilc sUidcnt in pluirnuicoloiiw review the 
iiicttil)()lisin of Arii-d. (Ill inijhiniiul ilnii; in llic flylil ii,i;iiinsl Iciil^cinid. 



19 



Research 
Briefs 



North Carolina Children Not 
Immunized Soon Enough 

North Carolina children treated by private 
doctors are not being immunized or 
screened early enough for anemia, tubercu- 
losis and lead poisoning, according to a new 
study. 

The research, conducted at the School of 
Medicine, evaluated infants" records at 
15 private pediatric practices in central 
North Carolina. 

By age 2, 39 percent of children studied 
were not fully immunized against diphthe- 
ria, tetanus and whooping cough. Thirty- 
two percent were not screened for anemia, 
43 percent were not examined for tubercu- 
losis, and 97 percent were not tested for 
lead. Doctors surveyed were unaware of the 
incomplete immunizations. 

Complete infant immunization rates 
among practices varied widely, from 
38 percent to 82 percent, said W. Clayton 
Bordley, MD, assistant professor of 
community pediatrics. 

"Physicians overestimated the proportions 
of fully immunized children in their practices 
by an average of 1 percent," Bordley said. 
"The median number of well-child visits by 
age 2 was five. Only 19 percent of the entire 
sample made eight or more well-child visits, 
the number recommended by the American 
Academy of Pediatrics." 

Because the proportions of North Carolina 
children who were fully immunized and who 
were immunized in private practices mir- 
rored national figures, the results likely apply 
to most other parts of the nation, he said. 

"Helping parents understand the impor- 
tance of well-child care must be an integral 
part of efforts that practices make to im- 
prove their provision on preventive care." 

A complete report on the research ap- 
pears in the April issue of Pediatrics. 

Complications in VBAC 
Deliveries 

Women who first gave birth by cesarean 
section are twice as likely to suffer major 
complications during a second childbirth if 

20 



they choose to go through labor rather than 
undergo a second cesarean section, accord- 
ing to a new study from UNC physicians. 
A report on their findings appeared in 
the Sept. 5 issue of the New England 
Journal of Medicine. 

"Cesarean sections are of great interest to 
health researchers because up to a quailer of 
all infants born in the United States and 
Canada are delivered by that procedure," 
said Michael McMahon, MD, assistant pro- 
fessor of obstetrics and gynecology and 
principal investigator. 

"1 think everyone agrees that the cesarean 
delivery rate is too high," McMahon said. 
"Unfortunately, after a previous cesarean, it 
is difficult to determine which women are 
most at risk going through labor." 

Researchers followed 3,249 women who 
underwent labor after a previous cesarean, 
and 2,889 who chose a repeat cesarean. 
Overall, 8.1 percent of the women suffered 
complications, and 1.3 percent had major 
complications such as hysterectomies, rup- 
tured uteruses or operative injuries. 

"Although we found that the overall rate 
of complications did not differ between the 
two groups, major complications were near- 
ly twice as likely among those who went 
through what doctors call "a trial of labor," "" 
McMahon .said. 

"Clearly, the way to decrease the overall 
risk entailed by labor, including the risk of 
major complications, is by selecting women 
who have a high probability of delivering 
their babies vaginally,"" he said. "In this study, 
women were more likely to have a successful 
labor if they were under age 35, if the child's 
birth weight was less than 4,000 grams, and 
if they delivered in a tertiary care hospital."" 

Americans Reducing 
Fat Intake 

Over the past three decades, U.S. resi- 
dents have significantly reduced their satu- 
rated fat intake, according to a major new 
study of what Americans eat. 

In 1965, wealthier whites ate the least 
healthy foods overall, while poorer blacks 
ate the most healthful, the research shows. 
Twenty-five years later, most U.S. resi- 



dents" diets had improved slightly and were 
similar regardless of income and race. 

Not all the news is good, however. Con- 
sumption of fruits, vegetables and grains 
generally has remained stagnant and has de- 
crea.sed in lower-income whites and blacks. 

Researchers in UNC"s Department of 
Nutrition conducted the study, the most 
comprehensive national investigation of its 
kind. They include Barry M. Popkin, PhD, 
professor; Anna Maria Siega-Riz, PhD, re- 
search assistant professor; and Pamela 
Haines, DrPH, associate profes.sor. A report 
on the findings appears in the Sept. 5 issue 
of the New England Journal of Medicine. 

Treating STDs May Slow 
AIDS Epidemic 

Men who test positive for the virus that 
causes AIDS and simultaneously suffer 
other sexually transmitted diseases, such as 
gonouhea, shed five or more times as much 
AIDS virus in their semen as men without 
another STD, a unique new study shows. 

The study found that treating the other ill- 
nesses cuts the level of AIDS virus, or HIV, 
almost back to the amount found in men not 
otherwise infected. As a result, aggressively 
treating gonorthea and related conditions in 
HIV-positive men probably could reduce 
the number of new AIDS cases around the 
world significantly by cutting the amount of 
virus passed from one person to another, the 
study concludes. 

The researchers presented their findings 
at the International AIDS Conference in 
Vancouver, Canada, in July. 

"Because a certain critical concentration 
of HIV is likely required to cause infection, 
we have been trying to understand how we 
can make transmission of the AIDS virus 
less efficient,"" said Myron Cohen, MD, pro- 
fessor of medicine and chief of infectious 
di.seases at UNC-CH. "This newest work, 
which we think is very excifing, is strong bi- 
ological evidence that we can cut back HIV 
infectiousness by giving good care for .sexu- 
ally transmitted diseases. It supports results 
of ongoing epidemiological studies.'" 

In addition to Cohen, authors of the report 
include Susan Fiscus, associate professor of 



microbiology, and, from tiie Department of 
Medicine. Irving Hoffman, research in- 
structor: Joseph Eron Jr.. MD. assistant 
professor: Bruce Gilliam and John Dyer, 
postdoctoral fellows. 

Researchers to Examine 
Gene Therapy Issues 

School of Medicine researchers have re- 
ceived a $50().()()() grant lYoni the Ethical. 
Legal and Social Issues Program of the Na- 
tional Center for Human Genome Research 
to study medical decision-making and in- 
formed consent in gene therapy. The grant 
will support a two-year project. 

Principal investigators are. from the de- 
partment of Social Medicine. Larry R. 
Churchill. PhD. professor and chair. Nancy 
M.P. King. JD. associate professor, and 
Keith A. Wailoo. PhD. assistant professor: 
Myra L. Collins. MD. associate professor of 
pathology: and Michael R. Knowles, MD. 
professor of medicine. 

Normal Bacteria Can Cause 
Intestinal, Arthritis Problems 

Normally harmless bacteria that live in 
the colon of mammals can cause intestinal 
and joint intlammation in genetically sus- 
ceptible laboratory rats, medical researchers 
at the School of Medicine have discovered. 

The finding is important, the scientists 
say. because they believe the same happens 
in genetically susceptible humans and that 
ulcerative colitis and Crohn's disease — 
which affiict more than a million U.S. resi- 
dents — should respond to selective anti- 
biotic therapy. 

A report on the discovery appears in the 
Aug. 15 issue of the Journal of Clinical In- 
vestigation. Authors include Balfour Sartor. 
MD. professor of medicine, and Heiko 
Ralh. postdoctoral fellow. 

The team showed that rats genetically 
engineered to express the human HLA- 
B27 gene develop colon, stomach and 
joint inHammation when exposed to in- 
testinal bacteria that do not cause illness in 
healths mammals. 



"What we have shown that's quite new is 
that not all bacteria have equal capacities to 
induce inflammation." Sartor said. Bac- 
teroides species, for example, induced very 
active inflammation, while five other kinds 
of bacteria also found in high concentra- 
tions in nomial intestines did not. 

The clinical important of this is that if we 
can inhibit certain selected bacteria with 
antibodies or other techniques we could 
theoretically decrease intlammation and 
possible even cure the colitis one day." 

Experiments designed to inhibit Bac- 
teroides in special rats cut inflammation 
dramatically, the physician said. 

"It would be a much less daunting task to 
inhibit certain bacteria selectively than to 
wipe out all of them, which would be im- 
possible for very long." Sartor said. "Also, 
all present therapies are aimed at trying to 
turn off the body's inflammatory respon.se 
once it has begun. The beauty of this 
approach, which is very different and 
theoretically much better, is that it involves 
stopping what's causing the inflammation." 

A promising, non-antibiotic approach 
would involve using benign bacteria to 
block cell receptors that attach and react to 
Bacteroides and other species that cause in- 
flammation in susceptible people, he said. 

"In ongoing studies sponsored by the Na- 
tional Institutes of Health and the Crohn's 
and Colitis Foundation of America, we are 
trying to determine why a genetically sus- 
ceptible hose reacts to its own bacteria and 
how this abnormal response can be termi- 
nated by nontoxic approaches." Sailor said. 

Conservative estimates are that a hall' 
million Americans suffer ulcerative colitis 
and another half million sufl'er from Crohn's 
disease. Sartor said. These chronic, life- 
long, painful illnesses, which relapse spon- 
taneously, chiefly strike during adolescence 
and early adulthood when people are trying 
to complete schooling and start careers 
and families. 

Scientists at the N.C. State University 
School of Veterinary Medicine, the Univer- 
sity of Wisconsin and Soulhweslern Med- 
ical School in Dallas collaborated with the 
UNC-CH researchers in the studv. 



Choice and Chance 
continued from pai^e 1 7 
continuing on the path of entering one of the 
most wonderful, passionate professions in the 
world. There will be moments when you will 
doubt that statement and some of you may 
not love it and will choose other opportuni- 
ties. You certainly won't love all of it. My 
own fantasy alternate profession is that I am 
the person at a floral shop w ho tills the orders. 
"Send up a do/en long-stem roses, please." 
And I gently and deliberately open the vast 
refrigerator of flowers of every color 
and shape and smell and pick out the most 
beautiful, fragrant roses you ever saw and 
they don't stick my fingers. But I don't have 
that fantasy often, because I love what I do. 
Malcom Forbes said. "It is not work if you 
love what you do." Feel and enjoy the pas- 
sion, squeal in delight, groan in agony. 
but love it. 

Part of enjoying yourself is recognizing that 
your work is not your identity. You may have 
family, a spouse, friends, a lover, children, 
parents. They will be there for you when you 
need them, hopefully, but you must also make 
room for them in your life. It is particularly 
easy to get caught up in the importance of 
doctoring and to let the notion "you've saved 
my life" go to your head. Angels know how to 
fly because they take themselves lightly. It is 
always possible to find more to do — another 
paper to read, another conference to go to, 
practice your surgeon's knots with a suture on 
your big toe one more time before you go to 
sleep. Medicine will give you much in return, 
but you must be aware that it will also take a 
lot out of you. Keep the main thing the main 
thing and recognize and respect your priori- 
ties. The game of "Chutes and Ladders" is 
much more fun and challenging and wonder- 
ful if you play with others. 

Thank you for the honor of represenling 
the faculty of the School of Medicine to wel- 
come you. This is a wonderful place with out- 
standing people and resources for you. Make 
your choices wisely, enjoy your work pas- 
sionately, don't forget to live your life fully. 
Your path will iioi be straight and there will 
be chutes and lailders along the way which 
may surprise you. You'll get ihere and we are 
here to guide you. ; 



21 



Alumni 
Notes 



Attention all School of Medicine gmduates 
and former UNC Hoitsestaff! The alumni 
office now has a dedicated e-mail address 
for any and all alumni-related communica- 
tion — medalum@med.itnc.edu. Use it to 
tell us your new address, send news for 
"Alumni Notes." or submit questions or 
suggestions. We look forward to hearing 
from you soon! 



40s 



Frederick A. "Ted" Blount, CMED '42. 

moved to a retirement community in Win- 
ston-Salem last year. He especially enjoys 
being two minutes closer to the golf course. 



50s 



Scott "Bruce" Berkeley Jr., CMED '51. 

recently retired after 35 years of general 
surgery in his home town of Goldsboro, NC. 

Alexander F. Goley, MD '56, has been 
named to the Admissions Committee for 
the UNC-Chapel Hill School of Medicine. 
In this capacity, he will represent the alumni 
of the school. His three-year term began 
July 1,1996. 

R.V. (Dick) Liles Jr., MD '57, is retired and 
lives in Albermarle, NC. He and his wife, 
Ann, have two children (one married) and 
three English setters. He enjoys hunting, 
fishing, tripping and raising quail. 

Thomas A. Noone, MD, Housestaff '57, is 
an assistant professor of obstetrics and gy- 
necology at the Robert Wood Johnson Med- 
ical School in Camden. NJ. He was awarded 
the Golden Apple for Excellence in Teach- 
ing by the Class of 1 996. 



60s 



Clark M. Hinkley, MD '61, is retired and 
lives in Houston, TX. 

Chet Taylor, MD '63, is retired and lives in 
Honolulu. He recently ran the Honolulu 
Marathon for the twelth time, and is going 
to Bali to fish and scuba dive for lobsters. 
His son is a junior at UNC. 



22 



E. Carmack Holmes, MD '64, has been 
named the William P. Longmire Jr. profes- 
■sor and chair of the Department of Surgery 
at the UCLA School of Medicine. Recog- 
nized nationally for his expertise in lung 
cancer therapy and immunology, he has 
published more than 150 research articles 
on lung cancer treatment. 

Jack B. Peacock, MD '64, retired Septem- 
ber 1 995 as professor of surgery, Texas Tech 
University. He lives in El Paso, and is 
presently involved in teaching ATLS, trau- 
ma site surveys, and professional writing. 
He has three grandchildren, all in El Paso, 
and enjoys travel, backpacking and garden- 
ing. His e-mail address is JayPKC® msn.com. 

Jesse Samuels, MD, Housestaff '67-'68, 

is director of emergency services at the Vet- 
erans Memorial Medical Center in 
Meriden, CT 



70s 



Patricia Aronin, MD '76, is on the 

neurosurgery staff at Wayne State Universi- 
ty. She and her husband. Bill Sherrill, have 
three children, Caitlin, 8, Patrick. 6. 
and Eric, 4. She can be reached at 
paronin@med.wayne.edu. 

Rubin F. Maness, MD '76. is a pediatrician 
at Goldsboro Pediatrics. He is the immedi- 
ate past president of ALANC and chair of 
the ALANC-NCTS Asthma Committee. 
He was recently named one of three AAP 
Section on Allergy board members to the 
national consortium on children's asthma 
camps, and won an AAP special achieve- 
ment award in March. 

George T. DiFerninando, MD '78, is di- 
rector. Division of Family and Local Health, 
New York State Department of Health. The 
division coordinates programs for child, 
adolescent, school and reproductive health, 
and acts as the liaison with local county 
health departments. 

Glenn S. Harman, MD '79, is an associate 
professor of medicine, adult bone marrow 
transplantation, at the University of Iowa. 
He and his spouse, Jeff Arnold, continue to 
perfomi extensively as duo pianists. 



Lawrence H. Hooper Jr., MD '79, is an as- 
sistant professor of pediatrics and aerospace 
medicine specialist in El Paso, TX. His third 
child was bom in June 1995. He is returning 
to active duty Air Force with Air Combat 
Command at Whiteman AFB, MO. 

James Mandell, MD, Housestaff '70-'72 
and '74-'79, has been appointed as the 16th 
dean of the Albany Medical College. Prior 
to his appointment, he was chief of the divi- 
sion of urology, and is the region's only pe- 
diatric urologic surgeon. His appointment 
was effective August 7. 

James G. Peden Jr., MD '79, an associate 
professor of medicine and psychiatric medi- 
cine at East Carolina LIniversity, has been 
appointed to oversee the admissions process 
at the University's School of Medicine. 

Margery Sved, MD '79, is the director of 
the Adult Psychiatry division at Dorothea 
Dix Hospital in Raleigh. She now has two 
children. Sara Yessenia Sved, bom May 2, 
1986, joined the family last summer from 
Guatemala. Sara enjoys her younger sister, 
Eliana, 3. 



80s 



Edward T. Plyler, MD '81, is a family 
physician in Morganton, NC, and vice 
chaimian of the Grau Hospital Board of Di- 
rectors. He merged practices with Clay 
Richardson, MD '82, to form Burke Pri- 
mary Care. He and his wife, Robin, have 
two children, Elizabeth Avery, 4. and Giles 
Edward McConnick, 6 months. 

William Winkenwerder Jr., MD '81, has 

been named to three newly-created leader- 
ship positions in primary care at the Emory 
University System of Health Care. He was 
named vice president for Primary Care Ser- 
vices, Emory University System of Health 
Care; associate director for Primary Care, 
The Emory Clinic: and an associate vice 
president for The Robert W. Woodruff 
Health Sciences Center. 

Robert J. Sherertz, MD, Housestaff 

'79-'82, has been promoted to professor of 
internal medicine (internal diseases) at 
Bowman Gray School of Medicine. He had 
been an associate professor since 1 99 1 . 



David J. Ballard, MD/MSPH '83, PhD 
'90, is professor of medicine and director of 
the Emory University Center for Clinical 
Evaluation Sciences, professor of epidemi- 
ology in the Rollins School of Public Health 
of Emory University, and president of the 
Kerr L. White Institute for Health Services, a 
public charity focused on population-based 
health care quality and effectiveness re- 
search. He lives in Atlanta with his wife. 
Michela Caruso. MD. a radiation oncologist, 
and their two children. He can be reached at 
dballard@ctrclineval.sph.emory.edu. 

Jocelyn M. Pyles, MD '83. is with the De- 
partment of Health in Houston. TX. She 
was recently appointed to the Board of 
Trustees of the Houston Grand Opera, and 
received the Project Cherish Award from 
Delta Sigma Theta Sorority for her work to 
increa.se the number of minorities entering 
the medical professions. 

Leslie A. Bunce, MD '85, is an assistant 
professor of medicine (hematology) in 
Rochester, NY. She announces the birth of 
her second child, James Hale Jushchuk. 
bom April 18,1996. 

Mitchell E. Gibson, MD '85, is a medical 
consultant in Phoenix. AZ. He was recently 
named one of the "best doctors in America"" 
in a survey published by Woodward and 
White. His artwork will be featured in a 
one-man show at the Mahogany Art Gallery 
in Los Angeles, owned by Denzel Washing- 
ton and Debi Allen, in December 1996. He 
wa.s a recent presenter at the National Black 
Arts Festival in Atlanta. 

Bennie L. (Eure) Jarvis, MD '85. an- 
nounces the birth of a daughter. Faith Lamm 
O'Neal Jarvis, bom May 21, 1996, the day 
after brother WilTs second birthday. 

Steven J. Baumnicker, MD '86, has a new 

e-mail address: author(3'washington. xtn.net. 

J. Lewis (Jregory, MD '87. is medical 
director of utilization management at Health- 
source of South Carolina in Charleston. 
Contact him at LewGregfeaoLcom. 

Erich Lieth, PhD '87. is an assistant pro 
fessor in the department of neuroscience 
and anatomy at Penn State College of Medi- 
cine in Hershey. PA. He and his wife. Marya 



Ilgen-Lieth. have two children. Kai. 4. and 
Linnea. 7 months. 

Tom Paulson, MD '87, would like to hear 
from classmates about a 10-year reunion. 
E-mail him at TomPaulson@aol.com. 

Alan J. Townsend, PhD '87. has been 
promoted to associate professor of bio- 
chemistry at Bowman Gray School of 
Medicine. He had been an assistant profes- 
sor of biochemistry since 1990. 

Craig Charles, MD '88. completed a 
fellowship in infectious diseases at N.C. 
Baptist Hospital and has taken a position 
with Piedmont Medical Specialists in 
Winston-Salem. 

Margaret F. (Marsden) Campbell, MD 
'89, is practicing in Greensboro, where she 
cares for residents of long-term care facili- 
ties. She and her husband. Gary, announce 
the birth of a son, Patrick Garrison, on 
May 18, 1996. 

W. Clark Davenport, MD '89. is an 

orthopaedic surgeon and hand surgeon in Or- 
lando, FL. He and his wife. Lisa, have two 
sons. William C. Ill, 4, and Christopher C. 2. 

Greg Murphy, MD '89. is a urologist and 
an assistant clinical professor of surgery at 
East Carolina University in Greenville. He 
and his wife. Wendy, have welcomed their 
third child. Leigh Caroline, to join Parker, 3, 
and Matt. 2. 

Mary B. Rippon, MD, Housestaff '89. has 

joined Upstate Surgical Specialists in 
Greenville, SC, where she practices surgical 
oncology and directs the Breast Health Cen- 
ter at Greenville Memorial Hospital. She 
welcomed her second child, Sean Patrick 
Rusnak, on February 21, 1996. Her e-mail 
address is mrippon@ghsms.ghs.org. 

Rick Sessions, MD '89. has gone into pri- 
vate practice of urology in Sylva. NC. 

Wendell G. Yarbrough, MD '89. has 

joined the UNC-CH Division of Otolaryn- 
gology/Head and Neck Surgery as an 
assistant professor. He recently received 
a three-year Clinical Oncology Career 
Development Award from the American 
Cancer SiK'iety. 



90s 



Rupa Desai Goolsby, MD '90. and Robert 
Patten Goolsby, MD '91. announce the 
birth of their t"irst child, a daughter. Caroline 
Dove Goolsby. on July 20. They live in 
Bimiingham. AL. 

Stanley G. Alexander, MD '90. has been 
named to the Robert W. Holden Chair in 
Radiology in the Indiana University School 
of Medicine. He has been a member of the 
faculty since 1994. In 1995, following his 
first year of teaching, he received the 
Golden Apple Award, an honor bestowed 
by the graduating class to a faculty member 
felt to represent the best example of 
teaching excellence. 

Lori Lilley, MD '90. has joined the private 
practice of Carolina Surgical Associates 
in Raleigh. 

Gary B. Loden, MD '90, has completed 
his training in urology and will pursue a 
fellowship in Melbourne. Australia. 

Wanda Nicholson, MD '90, is an assistant 
professor at the University of Maryland 
Medical Center. 

Lawrence R. Nycum, MD '90. is a fellow 
in gynecologic oncology at Walter Reed 
Army Medical Center in Washington. DC. 
He is a major in the Air Force. 

M. Gene Radford, MD '90. announces the 
birth of a son. Reece, on January 27. 1996. 
He completed a nephrology fellowship at 
the Mayo Clinic. 

Edwin Scott, MD '90. practices family 
medicine in the Augusta. Georgia, area. He 
and his wife. Joy. have a daughter. Sarah. 1 . 
He can be reached at scottedwin@msn.com. 

Stephen G. Somkuti, MD, PhD '90. is an 

assistant clinical professor in reprt)ductive 
endocrinology and infertility at Jefferson 
Medical School, and on staff at the Abing- 
ton Hospital. He and his wife. Andrea, an- 
nounce the birth of Livia Miriam on 
.September?. 1995. 

Elizabeth Denny Brown. MD '91. is 

associate chief resident in radiology at 
UNC-Chapel Hill. 

23 



Clayton H. Bryan, MD '91, has joined 
Carolina Ophthalmology in Asheville, NC. 

Angela Ferebee, MD '91, is an OB/GYN 
in private practice with her husband, 
Matthew Whitted, MD '86, in Norfolk, 
VA. She completed her residency at Eastern 
Virginia Medical School in 1995, where she 
served as administrative chief resident and 
was selected resident of the year. 

Tiffany (Scott) Flanagan, MD '91, is in 

practice with her sister-in-law and 
classmate Angelia Moore Flanagan, MD 
'91, in Raleigh. 

Alan B. Fleishcher Jr., MD, Housestaff 
'91, has been promoted to associate profes- 
sor of dermatology at Bowman Gray 
School of Medicine. He had been an assis- 
tant professor of demiatology since 1 99 1 . 

Valerie J. King, MD '91, is a clinical in- 
structor in the Department of Family Medi- 
cine at UNC-Chapel Hill. She is in her 
second year of the Robert Wood Johnson 
Clinical Scholars Program, and is finishing 
an MPH in epidemiology. She is working 
on perinatal epidemiological studies, and is 
involved in a midwifery practice. Contact 
her at vking@ined.unc.edu. 

Chapman McQueen, MD '91, will spe- 
cialize in pediatric otolaryngology under a 
fellowship at Great Ormond Street Hospital 
in London, England. He then plans to return 
to UNC to join the Division of Otolaryngol- 
ogy/Head and Neck Surgery. 

Patricia "Tish" Fowler Triplett, MD "91, 

finished an infectious disease fellowship at 
Bowman Gray in June 1996. She joined 
LeBauer, Brodie, Patterson and Associates in 
Greensboro as an internist/infectious disease 
specialist. She and her husband, Ben, have 
two daughters, Liza, 5. and Courtney, I . 

Carol Czop, MD '92. is a fellow in pain 
management at Bowman Gray School of 
Medicine. Previously, she was chief 
resident for the department of anesthesia. 
Earlier this year, she spent a month in 
Umtata, South Africa, as a volunteer in the 
department of anesthesia at the University 
of Transkei. She can be reached at 
cczop@bgsm.edu. 

Kenneth J. Headen, MD '92, is a staff psy- 
chiatrist at Alamance Mental Health Center 
and Regional Hospital. 

Andy C. Kiser, MD '92, won first place in 
the Residents Trauma Paper Coinpetition in 
Clinical hivestigation at the North Carolina 



Chapter of the American College of Sur- 
geons Committee on Trauma meeting in 
Wilmington. He also received the Resident 
of the Year Award for the General Surgery 
Service at the Wake AHEC 1996 Medical 
Education Banquet. 

Robert Larkin, MD '92, married Alisa 
Witiak on Oct. 5 in Bethleham, PA. They will 
be moving to Latrobe, PA. He was recently 
elected to AOA in his senior year of OBG 
residency by the medical students at Thomas 
Jefferson University in Philadelphia. 

Nancy Wood, MD '92, has joined Colum- 
bia Pediatrics in Long Beach, CA. 

Tony M. Wright, MD '92, was selected as 
chief resident for the department of 
anesthesia at Georgetown University 
Medical Center 

Geoff Allen, MD '93, completed his resi- 
dency in pediatrics this year at Yale-New 
Haven Hospital, and is now in private prac- 
tice in Orange, CT. He will start a pediatric 
hematology/oncology fellowship at UNC in 
July 1997. In the meantime, he can be 
reached at mrbarbq@ix.netcom.com. 

Charles Corley. MD '93, is in his third 
year of a pediatric residency in San Diego. 
He completed a one-year tour as medical 
officer with the Marines on Okinawa, 
Japan, in 1995. He has been married for 
two-and-a-half years to the former Rachel 
King from West Jefferson, NC. 

David S. LesUe, MD '93, is a rheumatology, 
allergy and immunology fellow at Children's 
Hospital in Boston. He and his wife, Lu-Ann 
Caron-Leslie, PhD '92, have a daughter, 
Carolina Blue, bom August 3, 1995. 



Verne S. Caviness, CMED '19, died 
August 22, 1996. He attended the 
School of Medicine from 19 16- 1 9 19 
and received his medical degree from 
Jefferson Medical College in 1 92 1. 

He opened the first Internal Medicine 
practice with a specialty in cardiovas- 
cular diseases in Raleigh in 1923. From 
1947-1967 he taught weekly at the 
medical school where he was an associ- 
ate professor of clinical medicine, and 
retired as professor emeritus. 

Clinical research was his first great 
medical love and interest. In 1985 he 



Loretta Kaus Tlbbels, MD '93, completed 
a family medicine residency at the Universi- 
ty of Nebraska Medical Center in July. She 
is with Alegent Health in Omaha, and has 
two daughters, Lauren Nicole, bom July 5, 
1996, and Stephanie Kristen. born January 
21.1 995. Her husband, Stephen, is a family 
medicine resident at UNMC. 

Daniel H. Moore, MD '94, and his wife 
Yvonne welcomed a daughter, Anna 
McKenzie, on June 12, 1996. 



Deaths 

Ottis L. Ader, CMED '23 

David Leonard Avner, CMED '32 

Charles Franklin Gilliam, CMED '50 

H. Douglas Jameson, MD '58 

Will H. Lassiter, CMED '36 

Dermot Lohr, CMED '32 

Carlyle Thomas Mangum Jr., CMED '45 

Zack D. Owens, CMED '28 

Foyell P. Smith, CMED '41 

Frank Page Smith, CMED '43 

Robert Wicksman, Housestaff '67-'70 

Ralph Galloway Woodruff, CMED '28 

James C. Wren, CMED '37 



established the Dr. Verne S. Caviness 
Professorship of Investigative Medi- 
cine. In 1991, the Clinical Research 
Unit was renamed and dedicated the 
Verne S. Caviness General Chnical Re- 
search Center. In 1990 he was awarded 
the medical school's Distinguished 
Service Award. 

Caviness is survived by a son, Verne S. 
Caviness Jn, MD, of Boston; daughter, 
Elizabeth C. Levings of Winston- 
Salem; daughter, Alice C. Hardy of 
Raleigh; six grandchildren; three great- 
grandsons; a niece and three nephews. 



1 



4 



24 



President's 
Letter 



We have completed a success- 
ful year for the alumni 
association. Your participa- 
tion and financial support for 
our medical school continues to increase. 
During the 1995-96 fiscal year. 35 percent 
of the alumni made a contribution to the 
school. This is the highest percentage of 
participation we have ever had. This com- 
pares favorably with the participation lesels 
at Duke, but is still behind Bow man Gray 
which reports a 50 percent rate. 

We know that the quality of our education 
and quality of our school are second to none 
and that the financial burden upon our stu- 
dents is among the lowest in the country. 
These facts alone should be incentive for us 
to have the highest percentage of our gradu- 
ates contribute to the Loyalty Fund. 

We raised $535,()(H). Of this. $ 1 1 5.000 is 
used for scholarships. In 1 989. when John 
Faust became the Loyalty Fund Chairman, 
scholarship support was $2,500. This is an 



indication of how far we have come in the 
last seven years in showing our support to 
the school. 

The recipients of the Alumni Loyalty 
Fund Merit Awards, Medical Alumni Schol- 
ars, and the medical alumni endowment 
grants are listed in the Bulletin. 

As you all know. Dr. Simmons has 
resigned as Dean and Dr Stuart Bondurant 
has accepted the job as interim dean. We 
know the school is in good hands while the 
search is conducted for the new dean. Dr. 
Darlyne Menscer, president-elect of the 
Alumni Association, will represent our 
association in the search process. 

Thank you again for your participation 
and support. 

Curl S. Pliipps. MD '62 




CME/Alumni Calendar 





Medical Alumni Activities 




December 6 


Annual Critical Care Conference 


Chapel Hill 


December 6 


New Therapies for Osteoporosis 


Chapel Hill 


December 6-7 


ECG Reading Course 


Chapel Hill 


December 1 3 


Birth Defects Prevention. Detection and 
Management for the Obstetrician 


Chapel Hill 


January 9-10 


Challenges in Geriatric Practice 


Chapel Hill 


February 25 


Wake County Alumni Reception 


Raleigh 


February 28 


Issues in Pediatric Urology 


Chapel Hill 


March 5 


Mecklenburg County Alumni Reception 


Charlotte 


March 12-15 


2 1 st Annual Internal Medicine Conference 


Chapel Hill 


April 18-19 


Spring Medical Alumni Weekend 


Chapel Hill 



For more information about CME courses or alumni activities, contact the Office of Continuing Medical Education and Alumni Affairs. School of 
edicine. 231 MacNider Building. UNC. Chapel Hill. NC 27599. or call 1-800-862-6264. 



Nonprofit Organization 

U.S. Postage 

PAID 

Chapel Hill. NC 

Permit No. 24 



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1-IEAI...TH SCIENCES LIBRAFIlY 
CB 7585 

ciiAPEi... h:i:!...l nc 



edicalAlu, 



r^rTlTBTTTtWiTTWrBr'tYllWI 



School of Medicine, University of North Carolina at Chapel Hill 






Dean's 
Page 



It has been an interesting and stimulat- 
ing experience to return to the Deanship 
after a gap of two years, during which I 
woriced out-of-state and was intensely 
occupied with matters unrelated to the 
School of Medicine. 

The most important observation I would 
make is that I am again awed by the strength 
and diversity of our Medical School. Students, 
faculty, and staff are outstanding .sources of 
clinical and academic health care activities of 
great scope and of the highest quality. 

I am impressed too by the continuing 
change in both content and process of the 
clinical, teaching, and research programs of 
the School — change which is rooted in our 
historic commitment to the health of the people 
of the State and which is an extension ;ind an 
adaptation of well established principles. 

I am also impressed by the magnitude and 
the subtlety of the challenges facing our 
School, and I want to use this column to ex- 
press my views on some of these. 

Academic health centers are widely per- 
ceived as being .seriously threatened by the 
integration and "corporatization" of the 
health care system around competition on the 
basis of cost among managed care organiza- 
tions and insurers. Beyond any question, 
academic health centers must develop 
successful relations with the organizations 
and professionals responsible for delivering 
health care. Doing so is certainly an urgent 
and important responsibility of the adminis- 
tration and the faculty. 

But I believe that this is not our most 
important challenge. Further, it seems that 
the intense sense of urgency and even 
political correctness associated with 
aligning the medical school with other 
providers in the competitive marketplace 
can obscure or distract from other more 
fundamental challenges. 

Our most fundamental challenge, I 
believe, remains the one I cited in the 1993 
Berryhill Lecture — maintaining a clear 
distinction between our ends and our means, 
between our purposes and our processes. It is 
even more difficult today to give first priority 
to service, rather than to quarterly bottom 



lines or positioning to acquire market share. 

Sound management and organizational 
initiatives ;ire absolutely essential to our clin- 
ical and academic purposes, but they are not 
the purposes. The challenge is to manage 
institutional affairs well in order to fulfdl 
institutional purposes. 

A related challenge is that of sustaining 
and adapting the values of a service profession 
as we pass through a period characterized by 
the "commodification" of patient care. Sooner 
or later, I believe, health care will be valued 
again as a professional service rather than 
as a commodity. 

Perhaps the greatest strength of medical 
education for the last century has been the 
successful joining of education, research, 
and clinical practice to produce results in 
each of these missions that are different and 
superior as a consequence of their interac- 
tions in the academic health center. As the 
conditions of clinical practice change, provi- 
sions for continuing the clinical teaching .set- 
ting with interaction with research is a great 
challenge that lies at the heart of the educa- 
tion of the next generation of physicians. 
Corporate practice in some forni is now pre- 
dominant, and .so corporate adaptations will 
be necessary to accommodate continuing 
production of a highly capable workforce. 

Many forces act to regularize the practice 
of medicine in the face of the fact that each 
patient is genetically and experientially 
unique. These forces press toward trivializ- 
ing the subtleties of medical practice and 
reducing the value and incentives for inde- 
pendent critical thinking by students and 
physicians. We are challenged to sustain the 
intellectual content and depth of medical 
education and clinical practice. 

We face an exciting technical challenge in 
the need to exploit for health care the im- 
mense power of state-of-the-art systems of 
information management and in adapting 
our programs to make the best use of these 
powerful new tools. 

Basic and clinical research have been 
a source of a wide range of discoveries 
that have greatly improved our capacity to 
prevent and treat disease and sustain 




health. The social, intellectual, and finan- 
cial bases of medical research are at risk, 
and we are challenged to sustain the ca- 
pacity to improve the capability of the 
health care system through research. 

Finally, we are challenged to assure a 
health care workforce appropriate to the 
needs of the people of the State. A major 
subset of this challenge is our responsibility 
to assure adequate numbers of minority 
physicians and to assure both minorities and 
women of education and professional experi- 
ences that are free of racism and sexism. 

Medical education and clinical practice 
have always presented great challenges and 
great promise worthy of the giants whose 
legacy of achievement underiies our effec- 
tiveness. Today's challenges and today's 
promises are also great ones worthy of the 
best, most dedicated talent we have. The 
personal and professional rewards of such 
leadership will be enduring. 



^ -^Oy^-f- />i.-,-<,5^^<-rt9«'>7-^ 



Stuart Bonduram, MD 
Interim Dean 



Medical Alumni 
Association Officers 

President 

CarlS.Phipps.MD"62 
Winston-Salem 

President-Elect 

Darlyne Menscer. MD "79 
Charlotte 

Vice President 

James D. Hundley. MD "67 
Wilmington 

Secretary 

Gordon B. LeGrand. MD "65 
Raleigh 

Treasurer 

PaulE.Viser.MD"84 

Clinton 

Editorial Staff 

John W. Stokes 

Director. Institutional Relations 

Susan Vassar King 
Managing Editor 

Catherine Clabby, Carolyn Edy. 
Linda Haac. Tinker Ready, 
Jamie Welch-Donahue 
Contrihiitini^ Writers 

Dan Crawford (pgs. 16-17.22) 

Alicia Mason (pg. 6) 

Will Owens (pgs. 1 1 , 25. 26. 28. 3 1 ) 

DianneShaw (pg. 2) 

Bo Strain (pg..')) 

Photographers 

The Meilicul Alumni lUilhliii is puhlishuil lour limes 
annually by the L'NC'-Chapc-I Hill Medical Alumni 
Asvuiation. Chapel Hill. NC27.'i 14, Pusiaiie IS paid 
by the non-priifit ass(Kialion thniugh L' S, Postal 
Permit No. 24. .Address correspondence lo the editor. 
Office of Medical Center Public Aflairs. SchtKii ol 
Medicine, CB#76<XJ. Lniversity of Nonh Carolina. 
Chapel Hill. NC27:S 14. 



MedicalAlumni 

BULLETIN 

School of Medicine, University of North Carolina at Chapel Hill 



Contents 



Features 

Research Into Prostate Cancer: New Choices for Men 2 

Radiology 401 4 

A "Blue Jeans" Approach to Life and Work 6 

State's First Live-Donor Liver Transplant 9 

Creating Tradition: The White Coat Ceremony 10 

Animal Labs Undergo Metamorphosis 14 

Medical School Mourns Three Friends, Colleagues 20 

Departments 

Dean's Page Inside Front Cover 

Research Briefs 12 

News Briefs 16 

Faculty Notes 19 

Development Notes 22 

Report to Donors 23 

President's Letter Inside Back Cover 

CME/Alumni Calendar Back Cover 

Oil the Cover. The School iil Medicine's firsi While Coal Ceremony was held Oct. 26 
in conjunction with Family Day (see story, page 10). Pictured, from left, are tlrst-year 
students Karen Dixon, Leslie Ellis and Elaine Gilmore. (Plioto h\ Will Owens I 



CORRECTION: In the last issue of the liiillciin. the name ol John Eoust was spelled incor- 
reclls m the l'resu]ei)l"s Letter We apolooj/c lor the error 



Research into Prostate Cancer: 
New Choices for Men 



by Linda Haac 

As demand for screening for 
prostate cancer becomes in- 
creasingly common in many 
parts of tiie country, physicians 
now face a new dilemma: How will they 
treat the disease, once it has been diagnosed? 
Today, one man in 1 1 will be diagnosed 
with prostate cancer, but only one in three 
who have been diagnosed will die of the dis- 
ease. That's because prostate cancer is a 
relatively slow-growing malignancy that 
men can live with for many years without 
showing any symptoms. Also, prostate can- 
cer rarely kills until it spreads to other organs. 
"Many men get this disease," says James 
L. Mohler, MD, associate professor of 
surgery in the Division of Urology and 
member of the Lineberger Cancer Center's 
urologic oncology program, "but prostate 
cancer doesn't grow that fast and if it is left 
untreated, especially in older men. frankly 
more men will die with prostate cancer than 
f)/'prostate cancer." 

Consequently, Mohler and his UNC col- 
leagues have been studying the benefits of 
taking a wait-and-see approach to treating 
prostate cancer. Called "watchful waiting," 
the strategy allows doctors to observe pa- 
tients on a regular basis, monitoring them 
for any signs of increasing malignancy, but 
otherwise not treating the disea.se. The other 
option is radical surgery to remove the 
prostate gland. 

The prostate is a walnut-sized gland that 
sits beneath the bladder. Its function is 
unknown, as are the causes for benign en- 
largement of the gland or the growth of 
prostate cancer. Since the gland is located 
where the body is filled with nerves, blood 
vessels and muscles related to sexual, bowel 
and bladder function, its removal can pose 
significant challences for a surgeon. Post- 




Gcny Smith (Pathology), Jim Mohler (Surgeiy — Urology) and Frank French (Pediatrics — 
Lcihoraiories for Reproductive Biology) investigate the role of androgrens in prostate cancer. 



operative complications can include inconti- 
nence and impotence. Nerve-sparing 
surgery helps to decrease these problems, 
but as Mohler points out, "It really makes a 
difference who does your surgery." 

Because of the relatively slow growth of 
most prostate cancers and the risks of 
surgery and its costs, American medicine 
today has begun to question whether ag- 
gressive treatment for prostate cancer is the 
right choice. In Scandinavia, for example, 
nearly all patients diagnosed with localized 
prostate cancer are followed, rather than 
treated surgically. In the United States, on 



the other hand, radical surgery to remove 
the prostate gland has increased six-fold 
from 1984 to 1990. and almost a quarter of I 
men undergoing this surgery are over age j 
70. These figures are expected to rise as the 
American population ages and as prostate 
screening becomes more routine. 

As a result, Mohler and his colleagues 
have undertaken to study what happens 
w hen men choose to delay treatment. Since 
1 989, Mohler has discussed the controversy 
over treatment with patients seen for prostate 
cancer at UNC Hospitals" urology clinic. 
When appropriate, the men are given the 



choice of v\'utcht'ul waiting or radical surgery. 
They are counseled about how long the dis- 
ease takes to progress, from eight to 1 2 years, 
and are given specific information on their 
individual tumor's size and its state of devel- 
opment. If a man chooses to wait, he is 
examined every six months at the clinic and 
given a PSA blood test. If the exam or the 
blood test indicates tumor growth, aggres- 
sive treatment is recommended. 

In one recent study, Mohler and his col- 
leagues looked at the psychological effects 
on patients of such a choice. A total of 
120 men, half of whom had decided to wait, 
were asked to fill out a questionnaire about 
their experiences thus far. These men had 
first been seen in the clinic one to seven years 
earlier. Thirty-five men of the watchful- 
waiting group responded, while 38 men of 
the radical-surgery group filled out the ques- 
tionnaire. Data from the clinic showed that 
those who failed to respond were no different 
clinically from those who did respond. 

The study's results revealed that patients 
who chose watchful waiting tended to be 
older They also were more likely to be black 
Americans. In addition, they had received a 
more favorable prognosis as measured by 
levels of prostate specific antigen in their 
blood, a protein that signals the presence of 
malignant cells in the prostate, and by the 
estimated clinical stage of thcirdisease. 

Both groups had similar socio-economic 
backgrounds. They did differ somewhat in 
education. Those who chose surgery tended 
to be better educated, with more patients in 
this group holding graduate degrees. Neither 
group, though, exhibited any real differences 
in their overall psychological health, their 
quality of life after a prostate-cancer 
diagnosis, nor in their general urological 
symptoms. Neither did the group that under- 
went surgery experience any significant 
operative or post-operative complications 



But the watchful-waiting group and the 
surgery group did differ in one important 
area. Men who chose to wait exhibited 
greater psychological stress once they saw 
their disease was progressing, as measured 
by increa.sed levels of prostate specific anti- 
gen in their blood. They were unstressed, 
however, as long as the cancer remained sta- 
ble. Interestingly, men who chose radical 
surgery also remained unstressed. This was 
true even if their disease continued to ad- 
vance as demonstrated by post-operative 
pathology reports or rising levels of serum 
prostate specific antigen. 

The men who had surgery, Mohler says, 
most likely feel they have done all that they 
can do. "The stress exhibited by patients 
under observation with progressive cancer," 
he adds, "may be alleviated by treatment, 
but whether treatment would be successful 
or even necessary in the.se patients requires 
further study." 

To find a cure for prostate cancer, Mohler 
says, will take understanding what role an- 
drogens play in the disease. If androgens 
were eliminated from the body, the scientist 
says, prostate cancer would not develop in 
the first place. Yet most men would find 
prophylactic castration, which would rid the 
body of androgens, even after fathering 
children, impractical. Eventually in men, 
androgens do stimulate the growth of 
prostate cancer and its spread. Removing 
the prostate gland, and thus eliminating the 
presence of androgens, usually causes 
prostate cancer to go into remission for 
about two years. But the cancer soon re- 
gains its ability to grow and spread, even 
without androgens. 

No one knows exactly why or how this 
happens. .So the question remains. Mohler 
says, "How does a cancer that depends on 
androgens to develop iind grow regain the abil- 
ity to grow when the androgens are gone?" 



Seeking more information on andro- 
gens, professors Frank French, MD, and 
Elizabeth Wilson, PhD, both members 
of the Lineberger Center's cell biology 
program, cloned the androgen receptor, a cru- 
cial protein that binds to male honnones and 
is likely to be an important link to prostate 
cancer, in their reproductive biology lab in 
1988. Since then, Mohler and his colleagues 
have characterized the androgen receptor in 
priistale cancer. Says the scientist, "We have 
done two things. We've found a mutation in 
the androgen receptor that alters the way a 
tumor responds to steroid hormones. 

"We have also characterized the way that 
the tumor itself responds to the loss of andro- 
gens on a molecular level. That process is 
called apoptosis, or programmed cell death." 

Yet some cancer cells do manage to 
escape cell death and go on to multiply with- 
out androgen. As a result, Mohler and Gary 
Smith, PhD. associate professor of patholo- 
gy and laboratory medicine and a member 
of the Lineberger Center's molecular 
carcinogenesis program, are looking for an 
appropriate animal model to study this phe- 
nomenon. They have succeeded in growing 
androgen-dependent tumor cells taken from 
rats in cell culture, the first scientists to ac- 
complish this feat. They have also cloned 
these tumor cells, then injected them back 
into rats and found the cells possess the 
same characteristics as the original tumor. 

"So we now have the ability to moilel 
more precisely the human situation," 
Mohler says. "If we continue to be success- 
ful, we will be able to look at how prostate 
cancer is androgen-dependent, how it then 
becomes androgen-independeni, and we 
can do this on the molecular le\el. 

"Our goal is to stop the process that 
allows prostate cancer to become androgen 
independent, which in turn should effeclixe- 
ly cure prostate cancer ' 



Radiology 401 Offers Valuable 
Lesson For All Medical Students 



by Carolyn Edy 

Four weeks will not make anyone a ra- 
diologist, but it's a good place to start. 
The School of Medicine's four- week 
Radiology 401 elective provides a solid 
introduction for those aspiring to be radiolo- 
gists. For those who plan to enter other fields 
of medicine, it offers a unique experience 
that will be useful throughout their careers. 

The thrust of the elective is to acquaint stu- 
dents with radiology so they will know when 
to call on radiologists, what questions to ask, 
and which study is most appropriate for their 
future patients. Physicians familiar with the 
capabilities and characteristics of the various 
modalities can often save their patients time, 
money, and unnecessary radiation. 

"People in all subspecialties interact with 
radiology, so we think it's a very useful elec- 
tive to take." said Claire Wilcox. MD. clinical 
associate professor of radiology, who has co- 
ordinated the senior elective since 1983. "In 
fact, we would prefer that radiology would 
become a regular part of the curriculum." 

Most people would agree that the radiolo- 
gy elective could benefit every medical 
student. But, making the radiology elective 
a requirement for all medical students might 
mean taking time away from another area of 
medicine. As Wilcox said, "It's not like you 
can create more time in the day." 

Right now there are openings for 88 stu- 
dents to take the course each year. Wilcox 
said that while this would not allow all 
160 medical students to take the class, other 
radiology electives, such as neuroradiology 
and pediatric radiology, are also offered dur- 
ing the year. 

Radiology 401 includes classroom lec- 
tures, group projects, and what are called 
"X-ray rounds." 

During X-ray rounds students accompa- 
ny radiologists as they work in the various 
clinical areas, so they can get a feel for what 



it means to be a radiologist. This is helpful 
to medical students who are looking at what 
each subspecialty involves as they go along. 

The X-ray rounds also provide medical stu- 
dents with a view of the patient's experience 
during the various radiologic procedures. 

"When they are the doctors on the floor 
ordering these studies, they'll have an idea 
of what's in store for their patients." she 
said. "Certainly they could come any time 
with their patients, but in fact, they're just so 
busy they often don't have the time, so 
while they're in our department, we say this 
is the time you can learn the.se things." 

In both X-ray rounds and the classroom 
lectures, the students are introduced to 
everyone in the department. 

"We round up everyone from the depart- 
ment," Dr. Wilcox said. "We have every fac- 
ulty member, every 2nd- and 3rd-year 
resident, and most of the fellows do some- 
thing for the elective every month." 

For their out-of-class work, the students 
are lent textbooks to read and assigned work 
with a radiology computer program. The 
program, called "Radiologic Anatomy," 
was originally devised for medical .students 
at the University of Florida. This is the first 
full year that Radiology 401 has used the 
program. "Radiologic Anatomy" uses inter- 
active point-and-click methods to teach stu- 
dents to recognize anatomy in various 
imaging modalities. 

The students really seem to enjoy the 
program and the radiology elective as a 
whole, Wilcox said. "It's less oppressive in 
terms of time than other senior electives, 
sort of a breather for them," she said. 
"That's okay with me, but we still expect 
them to apply themselves." 

Students' reasons for taking the course 
often differ from the department's purpose 
for offering it. The department seeks to 
teach the students how to u.se radiology for 
their patients, but many students take the 



class to learn how to "read" films. The 
course will give students useful patterns to 
look for when viewing radiographic studies, 
but it cannot give them the ability to read 
films. Even after completing four years of 
residency, radiologists do not always have 
all the answers. 

Carles Surles, MD '96, who plans to go 
into internal medicine, said the reason he 
took the class is simple: "No matter what 
.specialty you're in you should feel comfort- 
able looking at radiologic studies, and the 
more adept you are at looking at those films 
the more informed clinical decisions you 
can make regarding your patients." 

The instructors were enthusiastic and used 
an interactive approach to teaching, he said. 
They sat down with students to help them 
develop systems for looking at the films and 
establishing difterentials. Many people take 
for granted that radiologists just read films, 
rather than establishing po.ssible diagnoses. 

"You really appreciate the amount of ef- 
fort they're putting into our education, and 
you can't take that for granted," Surles .said. 
"It was one of the best experiences I had 
during my entire four years here." 

Ulrika Stenhammer, MD '96. took the 
course because of its application to all fields 
of medicine, especially her chosen field of > 
family medicine. 

"Compared to any other field, you realize 
what an important link to health care radiol- 
ogists really are," she said. 

Stenhammer said the course taught her 
that it helps to be both inquisitive and infor- 
mative when interacting with radiologists. 
The course impressed upon her just how im- 
portant it is to provide radiologists with 
background information when requesting a 
patient study. 

"You learn your own limitations," she 
said, "You realize you can't rely on your 
own reading, and you learn to consult radi- 
ologists when there is a question." D 




Duriufi their foiiilh year in medieal school. Class of '96 ^^railiiales Ulrika Suiiliaiiiiner Ijoreiiroiiiul) aiul CciHcs Siirhs look (idvaiuafie 
of the elective Radi(>lof>y 401. 



A ''Blue Jeans" Approach 
to Work and Life 




Gillyert C. While 11. MD 



by Jaime Welch-Donahue 

There are no gilt-framed diplomas 
on his office walls, no secretary to 
assure you that the doctor will be 
right with you. If you want maga- 
zines to read, you'll have to make do with 
Thrombosis ami Haemostasis. You'll find a 
copy on the floor, next to the comfortably 



worn desk chair. Across the inside back of 
the chair a bumper sticker pleads in red type: 
"Give the best that's in you, GIVE BLOOD." 
The man at the desk is Gilbert C. White 
II. MD, professor of medicine and pharma- 
cology at the School of Medicine. If the 
word "doctor" conjures up the image of 
Marcus Welby. think again. Well, keep the 
intelligence, humor and compassion. 



but get rid of the white coat and black bag. 

Leaning back in his chair. White, who 
received his undergraduate, graduate and 
medical degrees at Chapel Hill, recalls his 
medical school interview with Dr Christopher 
C. Fordham III. Fordham. then head of the 
admissions committee, later medical school 
dean and University chancellor, asked White, 
a senior English major with a bent for mathe- 



matics. the classic question: "Why do you 
want to be a doctor?" White's answer was as 
straight as the hnes of the plaid shirts he so 
often wears: "I want to do research." 

Elbows resting on the arm of the chair, 
fingers working a quarter-sized wad of 
paper between his hands like a miniature 
basketball. White recalls that most aspiring 
physicians at the time were science majors, 
their hearts and heads set on clinical careers. 
His liberal arts background and interest in 
research may have piqued the interviewer's 
interest. Fordhani. he says with a quiet 
laugh, may have thought to himself. "I'd 
like to admit this guy to medical school and 
just see what happens to him." 

It was a wi.se decision. 

Today, nearly 30 years later. White is a 
highly regarded researcher on platelets, the 
blood cells vital to clotting, and has played a 
major role in testing safer and more effec- 
tive products to treat hemophilia, a rare, 
genetic bleeding disorder. 

His achievements have not gone unno- 
ticed. In 1986 he was inducted into the 
American Society of Clinical Investigators. 
a select group of the nation's physician- 
researchers. In 1991. the National Institutes 
of Health awarded him and a team of UNC 
scientists a $4.8 million grant to examine 



how proteins on the platelet surface bind 
platelets to each other and to tissues in the 
blood vessel wall. Since 1988 he has been 
associate director of the Center for Throm- 
bosis and Hemostasis, which serves as the 
focal point for blood clotting and bleeding 
research at the medical school. 

In addition to his research, he maintains a 
regular schedule of seeing patients, both as 
an attending hematologist at UNC Hospi- 
tals, and at the weekly clinic of the medical 
school's Comprehensive Hemophilia 
Diagnostic and Treatment Center. White 
has directed the center — the second largest 
treatment site of its kind in the country — 
since 1992. 

The combination of research and patient 
care works well, he says. Patient care gives 
him new insights into his research and vice 
versa. That research remains his first love, 
however, is clear. 

"I hope the patients I see and take care of 
feel that I have a commitment to them be- 
cause I do. If I didn't have the reseiuch. I'd be 
happy. But I am much happier with it." 

That he is a respected doctor aiul 
researcher is no small feat, according to 
Harold R. Roberts. MD. Kenan professor 
and director of the thrombosis and hemo- 
stasis center. 



"I think he is one of the few in this day," 
Roberts says, "who can mix good clinical 
medicine with modern biological and 
biochemical techniques to apply to a 
research program." 

He says White's maturity and innate 
stability make him a good leader 

The ability to lead may be in his blood. 

His father. Finley T. White (UNC '26), 
was a Harvard Business Schoi)l graduate, 
founder and president of the Durham-based 
Whitehall Furniture Co.. among several 
business ventures, and president of the N.C. 
Arts Society when the plan for a new state 
art museum was proposed. His grandfather 
was a civil engineer whose firm. Gilbert C. 
White Co., built over 150 city water supply 
systems in the South, including Durham's 
Lake Michie. His great-grandfather. Col. 
James William White, commanded the 
Confederates at Camp Lee in Richmond, 
Va.. during the Civil Wai'. 

It's an impressive lineage for someone 
who seems more blue jeans than blue blood. 

Judy White, a clinical assistant professor 
in the medical .school's division of physical 
therapy, says her husband is a down-to- 
earth person. She jokes that he owns 
two ties and says that of the gifts she has 
given him over the years, a leaf grinder is 



White Wins Hemophilia Award 



Gilbert C. White II, MD. has received the 1996 Dr MuiTay 
Thelin Award from the National Hemophilia Foundation. 

The award is given annually to a scientist who has made a 
major contribution to research on hemophilia, a genetic bleed- 
ing disorder that affects approximately 20,0(X) Americans. 

NHF President Raymond W. Stanhope presented the 
award to White on October 1 9 during the group's 48th annual 
meeting in San Diego. Stanhope read a citation citing 
White's efforts "to provide the best and most modern 
treatment" for the disorder. "He has participated in the devel- 
opment of a number of new treatment methods for persons 
with hemophilia and. most recently, he participated in the 
initial development of recombinant factor IX concentrates," 
the citation noted. 

White, professor of medicine and phamiacology, is direc- 



tor of the UNC Comprehensive Hemophilia Diagnostic and 
Treatment Center, which provides care for close to 600 peo- 
ple who have hemophilia, von Willebrand disease and other 
bleeding disorders. Center patients have participated in clini- 
cal trials of synthetic blood clotting concentrates u.sed to treat 
hemophilia, which are made in the laboratory using recombi- 
nant DNA technology. 

The award is given in memory of Dr Murray Thelin. a bio- 
chemist affected by hemophilia who helped develop the 
method for making the first blood clotting concentrates from 
human plasma in the 1 960s. 

White is the third UNC researcher to win the award. It was 
awarded to Kenneth M. Brinkhous in 1972 and to Robert H. 
Wagner in 1969. both are professors emeritus of pathology 
and laboratory medicine at UNC. 



probably the one he likes best. 

She says White, who enjoys working in 
their yard and roots his own azaleas, has been 
known to stop the car on outings with their 
children to pick up someone else"s rakings for 
his hobby. "We'll be all dressed up to go 
somewhere and then, the next thing we know, 
we'll have bags of leaves in our laps." 

When you meet White you might think 
he's spent some time on the basketball court. 
He's tall enough to play any position, except 
maybe center, and often cradles folders of 
clinic and lab notes on one hip as if they're a 
ball and he's taking time out from a game. 

He plays a couple of times a week when he 
can and has season tickets to UNC basket- 
ball. It's a pastime he's enjoyed since high 
school, when he played for the Choate 
School in Connecticut. 

Home in Durham after the school year 
ended, he worked summers in his father's 
factory and in construction. But it was a 
summer job at Duke University — which in- 
cluded a memorable mishap — that set him 
on the course to his future career. 

While working in the lab of Dr. Donald 
Hackell. who studied diabetes in Egyptian 
sand rats. White was in charge of the rats' 
care when disaster struck. 

"When he was out of town." White recalls, 
"all the rats died. 

"It was a disaster for his research program. 
I don't think that he thought 1 did anything, 
and in retrospect I don't think I did. but 1 was 
sure there when it happened." White shakes 
his head in amused disbelief at the memory. 

A virus was the likely culprit and Hackell 
invited White back the next summer to work 
with a new colony. Working with Hackell, 
and later with Duke surgeons Blaine Nashold 
and Delford Stickle, solidified White's re- 
search interests. As he was about to enter his 
senior year in college, he decided to follow 
the paths of such physician-researchers and 
apply to med school. 

This presented a hurdle for an English 
major who had taken mostly math electives. 
But, by spending most afternoons in labs, he 
got the necessary science requirements in 
just under the wire. 

He first began research on platelets under 
the tutelage of Kenneth M. Brinkhous. MD. 



alumni distinguished professor emeritus of 
pathology and laboratory medicine. During a 
hiatus from medical school White studied 
the plasma proteins involved in platelet adhe- 
sion during coagulation in Brinkhous's lab 
and completed a master's degree in pathology. 
After finishing med school and an internship 
and residency at Georgetown University he 
returned to Chapel Hill as a postdoctoral fel- 
low. His initial research with former UNC 
physicians Roger Lundblad and Henry Kingdon 
explored activation of factor IX, a coagula- 
tion protein that is defective or missing in 
some hemophilia patients. Later work with 
Lundblad on platelets' interaction with 
thrombin, a coagulation enzyme, brought 
him back to platelet research. 

According to Brinkhous, White was the first 
student at the University to use a computer — 
at tliat time a mainframe — to do the word pro- 
cessing for his thesis. White, he says, was an 
inquisitive, motivated and hardworking 
student. "He was apt and his subsequent career 
has certainly borne that out." 

Judy White recalls that her husband was 
often so absorbed in work early in his career 
that she had to call him to remind him it was 
time to come home. Even today you can find 
a sticky note label on a clock on his office 
wall with the humorous reminder: "5 p.m. — 
your adoring staff leaves." 

Focus is the hallmark of White's approach 
to research and patient care. 

"If someone makes an important 
[research] observation that is about ten 
degrees off from where I am," he says. "I 
don't try to move over to look at that. I tend to 
keep going, trying to answer the question 
that we set out to answer to begin with." 

Dr. Stephan Moll, a former UNC coagula- 
tion fellow, says White brings a quiet 
concentration to his work with patients. His 
compassion comes through, Moll says, in his 
willingness and ability to listen. "He just 
steps back and lets the patient say things and 
he listens. The patient and his or her concerns 
are in the foreground." 

White's office, adjacent to his lab on the 
ninth floor of the Faculty Laboratory Office 
Building, is a pleasant clutter of things profes- 
sional and personal: a scientific diagram on a 
chalkboard, photos of his wife and children, a 



drawing of a platelet taped to a file drawer, a 
plant cutting taking root in a beaker 

There is a watercolor on the wall that his 
father painted for him while undergoing 
chemotherapy for cancer before his death in 
1985. It is done in muted browns and blacks 
and is of a ship, sail raised, plying calm waters. 

His father painted a companion piece of 
the same ship swept up in a roily sea and 
gave it to his physician, the late Dr. John 
Parker, as a token of his appreciation. Parker 
was one of White's teachers and, along with 
Roberts, strongly influenced his decision to 
become a hematologist. 

"When my father presented the painting 
to Parker he said, in jest, "John, every time 
I see you and you give me that chemothera- 
py, that is the way my stomach feels,' " 
White recalls. 

"And he gave that to me [the watercolor of 
the ship on the calm .sea] and he said "Every 
time you come in, you sort of calm things 
down for me and make me feel better' " 

His father is still with him in the paintings 
and in the memories of the fishing and yard 
work he did with him, things that White now 
enjoys doing with his own children. He occa- 
sionally sees pieces of furniture made in his 
father's factory around campus. He says he 
can easily spot the ones he helped to make as 
a kid growing up in Durham. "I can tell that I 
made it," he jokes, "because some of it is not 
put together right." 

Esse qiiam videri: To be, rather than to 
seem. The words of Cicero, found on the 
state of North Carolina's seal, find their 
personification in White's "blue jeans" 
approach to work and life. 

"He does what he does and he gets things 
done," says Judy White. "He doesn't clang a 
lot of cymbals." 

Thomas H. Fischer, PhD, research assis- 
tant professor of medicine and one of 
White's longtime research collaborators, 
tells about the time a group in the lab stuffed 
White's office from floor to ceiling with 
wadded-up newspaper. White, he says, I 
laughed as hard as the group did when he I 
opened his door and paper cascaded down 
around him. 

"You wouldn't do that," says Fischer, "to 
just anybody." D 



UNC Surgeons Perform State's 
First Live-Donor Liver Transplant 



by Catherine Clabby 

For the first time in North Carolina, 
surgeons at UNC-Chapel Hill 
removed a piece of a living per- 
son's liver and successfully trans- 
planted it into a baby. 

Doctors hope to repeat the procedure to 
spare families the burden of traveling out 
of state for the treatment. They also want 
to make use of an alternative source of or- 
gans, because too few are donated to meet 
the demand. 

"This really is expanding the pool." said 
Jeffrey Fair. MD. surgical director of ab- 
dominal transplants at UNC Hospitals. Fair 



conducted the transplant with a team of sur- 
geons October 2.^. 

Usually doctors take organs from people 
who are brain-dead, after family members 
agree to donate them. But this time. Fair's 
team took a portion of a young mother's 
liver and transplanted it into her 
1 1 -month-old daughter. 

Livers are the only human organs that can 
regenerate themselves. In months, the 
mother's liver will grow back to its previous 
size, doctors say. If there are no serious 
complications, the baby girl's new liver will 
grow as she does. 

There are several advantages to this ap- 
proach, doctors said. The live-donor liver 



^•5 



K 




Jeffri'y Fair. MD. awisuini i>ii't('\;,>i <// ■,ni'^,r\ ilcln. nml Kaherl Bniwii. MD. assiskinl 
professor of medicine. \pi>kc dhoiil llic slate 's first live-donor liver transpianl at a press 
conference Oct. 25. 



pieces are often in better condition than 
those obtained from dying donors. And 
because they don't have to be shipped 
great distances, they are likely to be in 
even better condition. 

The surgery can also be scheduled in ad- 
vance, instead of the very short notice that's 
typical when waiting for a donated liver. 
That means children get transplants before 
they are critically ill, increasing the chances 
of success. 

And it's cheaper. Obtaining a liver from a 
donor in the same hospital rather than ship- 
ping it in trims about 10 percent off the 
usual pediatric liver transplant fees. Those 
fees often reach about $150,000. said 
Robert Brown. MD. medical director of the 
liver transpianl program. 

Then there are added savings from short- 
er hospital stays. 

"It's hard to know the exact savings." Brown 
said. "The potentiiJ could be enomious." 

The procedure cannot be duplicated in 
adults. Fair said, because surgeons would 
have to take too large a piece of the donor's 
liver, putting the donor at risk. 

In the local case, the baby who received a 
piece of her mother's liver was bom without 
ducts to carry waste from her liver into her 
intestines. The waste, or bile, was destroy- 
ing her liver. 

The family asked that they not be identi- 
fied publicly. Doctors would only disclose 
that they are from Charlotte and the mother 
is young, close to 20. 

Currently about 5 percent of children 
waiting tor a liver transplant die on the wait- 
ing list at Chapel Hill, but doctors fear that 
number could climb it demand for trans- 
plants increases, as they expect it will. So 
far the UNC-CH team has performed 
28 liver transplants in children. 

The first liver transplant from a living 
donor in the United .States look place in 
1989. To dale only six other medical centers 
have offered the operation, including hospi- 
tals in Maryland. New York, Chicago, 
Nebraska and California. J 



[Reprinted with permission from the 
News & Observer «/'/?(//('(\'/(, NC. j 



Creating Tradition: 
The White Coat Ceremony 



by Susan Vassar King 

It was an unseasonably warm afternoon 
for late October in Chapel Hill, and the 
seats in Hill Hall auditorium filled 
quickly. An air of anticipation grew as 
the string quartet finished the last of its 
prelude pieces. 

Precisely at 1 :30 p.m., the processional 
began, and Cheiyl F. McCartney, MD, asso- 
ciate dean for student affairs, substituting 
for Dean Stuart Bondurant, led the deans 
and department chairs down the center aisle 
and onto the stage. They were followed by 
the faculty tutors of the Medical Practice 
and the Community course and, finally, by 
the guests of honor — the first-year medical 
students at the UNC School of Medicine. 

In her opening remarks. McCartney 
welcomed the students" families and friends 
and noted that this class — the Class of 
2000 — was creating a new medical school 
tradition at Carolina by being the first to 



take part in the White Coat Ceremony. 

Originated at Columbia University's 
College of Physicians and Surgeons in 1993, 
White Coat ceremonies are becoming popular 
in medical schools across the country. 
This year, nearly 40 percent of U.S. medical 
schools held such a ceremony, which is 
designed to foster the ideals of humanistic, 
compassionate patient care, ethical conduct, 
and personal responsibility in the learning 
of medicine. 

Following McCartney's welcome, 
Elizabeth Mann, MD, associate dean for 
admissions, introduced the inspirational 
speaker for the historic occasion, Mary 
Susan Fulghum, MD '71, and past president 
of the Medical Alumni Association. An 
obstetrician-gynecologist who practices in 
Raleigh, Fulghum delivered a stirring tribute 
to the practice of medicine, to the commitment 
and dedication of its practitioners, and to the 
important role physicians play in society. 

Although she drew laughs from the stu- 



dents — who had only been in medical 
.school 10 weeks — when she said "These 
will be the happiest years of your life," it 
was obvious that she really meant it. In an 
interview for the Medicci! Alumni Bulletin 
more than three years ago, Fulghum spoke 
of the Class of 1 97 1 . "We had a wonderful 
class, very closely knit with 75 students, 
five of them women. Those were the happi- 
est years of my life. We worked hard and 
played hard," she said. 

Fulghum's enthusiasm for the practice of 
medicine and for the educational experi- 
ences offered by the School of Medicine was 
stirring and sincere. 

"The inspirational speech helped many of 
us realize that medical school should not 
only be a time to learn the basic sciences, but 
also a time to explore the Une reasons that we 
chose to go to medical school," said partici- 
pant Bamaby Dedmond of Ellenboro, NC. 

At the conclusion of Fulghum's address, 
faculty members from the Medical Practice 



The Oath 



/ acknowledge and accept the privileges and responsibilities 
given to me today as a physican in training and dedicate myself to 
provide care to those in need. 

I will approach all aspects of my education with honesty and 
integrity, embracing opportunities to learn from patients, teachers 
and colleagues. The diversity of their experiences, cultures and 
beliefs will enrich my education and my ability to care for patients. 
When I feel unprepared for new responsibilities, I will acknowl- 
edge my limitations and seek guidcmce. 

I will respect the humanity, rights and decisions of all patients 
and will attend to them with compassion and without bias. I will 
maintain patient confidentiality and be tactful in my words and 
actions. I will not forget that there is an art to medicine as well as a 
science and that warmth, sympathy and understanding are inte- 
gral to patient care. 



I recognize the privileges afforded me as a physican in training 
and promise not to abuse them. I will strive to earn the trust my 
patients place in me cmd the respect that society places upon my 
profession. As a student, I will seek to acquire the knowledge cmd 
skills needed for individual patient care, the capacity to prevent 
illness and to understand the ways that I can contribute to the stan- 
dard of health in my community. 

As I accept these new responsibilities, I will not forget the impor- 
tance of my own health and well-being. I will continue to value my 
relations with those who have supported me in the past and those 
who will share in my future. 

Knowing my own limitations and those of medicine, I commit 
myself to a lifelong journey of learning how to prevent and cure, to 
relieve and to comfort with humility and compassion. 




Members of the medical school's Class of2(l()() enjoy the applause of family, frieiuls and faculty after heiiii^ "cloaked" with while 
coals hy first-year tutors at a ceremony on Oct. 26. Carolina 's first White Coat Ceremony was held in conjunction with Fiunih Day 
u„f. ;; ; / 



before a staudin.^-room-only crowd 



and the Community course tunned a line in 
front of the podium, and the stage was set for 
the ceremony's chmax. 

Carrying their brand new white coats 
over their arms, the students took the stage 
in groups of ten as the tutor for their MPAC 
group read their names. Hach handed his or 
her coat to a waiting MPAC facuhy mem- 
ber. When the last student in each group 
reached the stage, the tutors simultaneously 
■■ch)akcd" the students with their white 
coats; this was followed by smiles and ap- 
plause all around. As they filed off the stage. 



the students were presented by Senior Asso- 
ciate Dean William D. Mattern vv ith a copy 
of the book. "On Doctoring." edited by 
Richard Reynolds. MD. and .lohn .Stone. 
MD. and donated by the Robert Wood 
Johnson Foundation. 

TTie ceremony concluded w ith the students 
reciting an oath dedicating themsehes to 
the responsibilities of a physician in tniining 
(see sidebar). 

Although some students mentioned that 
having the ceremony earlier in the year 
would perhaps be more meaningful to them. 



there was a general consensus that parents 
enjoyed it the most. 

"My mother raved about how wonderful 
it was to have such a ceremony that recog- 
nized the commitment anil devotion to a 
life of healing that her son had chosen. All 
my family really enjoyed the ceremony." 
said Dedmond. "If not just for the students, 
the White Coat Ceretiiony should be held 
every year as a tribute and reward to the 
parents whose love and assistance made it 
possible to reach the point in life where we 
arc toila>'."' i 

11 



Research 
Briefs 



Alcohol Dependency 

Two Carolina researchers have found 
a substance that may help prevent 
alcohol dependency. 

Leslie Morrow. PhD. and Leslie Devaud, 
PhD. scientists at the Skipper Bowles Cen- 
ter for Alcohol Studies, have identified a 
neurosteroid — a chemical signal affecting 
nerves — that relieves withdrawal symp- 
toms in alcohol-dependent rats. 

The neurosteroid allopregnanolone has a 
calming effect in normal rats, but Devaud. a 
research assistant professor in the Depart- 
ment of Psychiatry, found that alcohol- 
dependent rats respond to much lower doses. 

"This increased sensitivity suggests that 
the neurosteroid might be an effective treat- 
ment for alcohol withdrawal — even 
better than ones we have now." says Morrow, 
an associate professor of psychiatry. 

One problem with the current medications 
is that patients become tolerant to the treat- 
ment as they become tolerant to alcohol. 
Because allopregnanolone has the opposite 
effect — rats become more sensitive to it as 
they become tolerant to alcohol — it is po- 
tentially a safer and more effective treatment. 

In fact. Morrow thinks the neurosteroid 
may play a protective role. The levels of al- 
lopregnanolone are higher in women than in 
men. while the rate of alcoholism is lower in 
women. In addition, women's levels of the 
neurosteroid, and their drinking habits, 
fluctuate during the menstrual cycle. 

If continued research confirms these 
ideas. Devaud and Morrow may have un- 
covered the brain's intrinsic defense against 
alcohol dependence: the changes created by 
alcohol consumption make the brain more 
receptive to a chemical signal that reduces 
the motivation to drink. 

Cancer Treatment 

A naturally occurring mechanism that al- 
lows tumors to protect themselves against 



radiation treatment and chemotherapy has 
been discovered by scientists at the School 
of Medicine. The researchers also have fig- 
ured out how to mm that mechanism off. 

If their discovery works as well in pa- 
tients as it has on a variety of cultured 
human cancer cells, it could improve cancer 
treatment and boost survival significantly. 
the scientists say. 

A report on the findings appears in the 
Nov. 1 issue of the journal 5c7>;i(:f. Authors 
are Cun-Yu Wang, a graduate student in ge- 
netics and molecular biology. Dr. Marty W. 
Mayo, post-doctoral fellow, and Dr. Albert 
S. Baldwin Jr.. associate professor of biolo- 
gy, all at the Lineberger Comprehensive 
Cancer Center. 

"We are very excited about this work, and 
our clinical people here are excited too." 
Baldwin said. "We are optimistic that it will 
improve cancer therapy, and it offers real 
hope for stubborn mmors like lung cancer." 

Depending on the success of animal stud- 
ies now under way, preliminary human 
trials could start within a year, he said. 

Preterm Labor 

Pretenn birth remains the top cause of ill- 
ness and death among newborn babies, but 
despite new drugs, aggressive surveillance 
and other prevention efforts, the premature 
delivery rate has not declined in the United 
States since the 1 950s. 

Physicians at the School of Medicine say 
that situation should change for the better 
soon because they can now identify patients 
at risk for preterm delivery. The medical 
school was among 10 North American cen- 
ters that evaluated a promising new screening 
procedure known as fetal fibronectin testing, 
and UNC Hospitals began offering the test for 
women statewide in early November. 

The test, which initially will be analyzed 
in North Carolina only in a new Chapel Hill 
laboratory, received U.S. Food and Drug 
Administration approval in 1995. 



"The causes of preterm labor are un- 
known, nor do we know how to diagnose it, 
nor do we know how to treat it." said Robert 
Cefalo. MD. professor of obstetrics and 
gynecology and chief of maternal and fetal 
medicine. "Use of fetal fibronectin will give 
us a light at the end of a winding tunnel." 

To perform the test, lab technicians 
analyze cervico-vaginal secretions for 
fibronectin, a glue-like molecule normally 
found in high concentrations between the 
placenta and the uterus lining during preg- 
nancy. But if the placenta begins to separate 
from the uterine wall, the molecule leaks 
into a woman's cervix and vagina and can 
be an indicator of imminent labor. 

"Prior to this test, we had a very difficult 
time detemiining which women would have 
preterm delivery because everything was 
based solely on the clinician's judgment," 
said John Thorp, MD, associate 
professor of obstetrics and gynecology. 

UNC-CH's maternal and fetal medicine 
division, in the department of obstetrics and 
gynecology, will serve as the statewide clin- 
ical consultant. 

"A clinician in Boone, for example, will 
collect a specimen and send it by courier to 
UNC." Thorp said. "The lab here will do the 
test, and we'll help that clinician figure out 
what to do based on the results." 

Fetal fibronectin testing is 10 times more 
accurate that clinical judgment alone in pre- 
dicting preterm delivery risk. Women who 
test negative will benefit most from the test. 

"We'll be able to leave them alone — quit 
taking them out of work, testing them for all 
sorts of things, putting them on 
bed rest, restricting their sexual activity and 
so on." Thorp said. 

The test allows doctors to focus treatment 
only on the high-risk group — those who test 
positive. When the molecule is present, the 
risk of preterm delivery is one in five com- 
pared with one in 1 00 for negative results. 

"That's a remarkable difference," 
Thorp said. 



12 



"If fetal fibronectin testing proves to be a 
test that will profile the high-risk patient for 
pretemi labor, then we will be able to offer 
inter\ entions that are safe for both the moth- 
er and the fetus." added Cefalo. 

Cell Survival 

After suffering severe trauma in a car 
accident — or a fall from a horse such as 
actor Christopher Reeve experienced — 
cells in the brain and spinal cord can stop 
functioning properly and can die as a result. 
Now. a researcher at the School of Medicine 
has identified three genes involved in cell 
sur\ i\ al and regrowth after injury. 

"We've found that the initial cellular ma- 
chinery is geared up for regrowth but some- 
thing happens to prevent it." said Grant 
Robinson. PhD. research assistant professor 
of physiology. "And Vm asking, "what 
makes the cell kill itself or what kills it off?" 
We're looking at the molecular players at 
the gene level." 

Brain and spinal cord cells use nerve 
fibers, called axons, to communicate with 
each other. Damage to these axons, due to 
severe trauma, activates some genes and 
inacti\ ates others. 

In Robinson's laboratory, damaged cells 
can be tricked, through a process called pe- 
ripheral ner\'e grafting, into regrowing their 
ixons. By comparing gene activation and 
inactivation in normal, injured and in those 
brain cells tricked into regrowing. Robinson 
established the three genes' involvement. 

"Once we know which genes are turned 
off and which arc turned on after injury, wc 
have a better chance of developing a thera- 
peutic approach to save these cells from 
dying." said Robinson. "I'm cataloging 
which genes are involved and which genes 
are not." 

.So far. the scientist has studied 20 genes 
and found three that are involved in death 
and regrowth processes. Those genes, 
members of the bZip family, are called 



c-jun. fra-2. and atf-2. Many other members 
of the bZip family have been identified, but 
not yet studied. 

Once a gene is shown to be a player in the 
process, another lab or a pharmaceutical 
company then can proceed to the next step 
— designing drugs or molecules that will 
help the cells survive. 

The UNC-CH work represents the first 
advances at the genetic level toward identi- 
fying targets for treatment. Robinson said. 
But he cautioned that cures are still a long 
way off. 

"The more gene players and potential 
intervention sites we identify, the better our 
chances become for getting therapeutic 
interventions underway." he said. "This is 
just the beginning." 

A report on the findings appeared in the 
scientific journal Molecular Brain Research 
in September. 

Dwarfism 

Children with a rare form of dwarfism 
may benefit significantly from a growth- 
promoting protein that scientists at the 
School of Medicine helped develop. 

Insulin-like growth factor (IGF- 1 ) dou- 
bled the growth rate of children with growth 
hormone insensitivity syndrome in a year, 
researchers discovered. The disorder, which 
occurs in only 200 to .^00 children around 
the world, markedly delays youngsters' 
physical development. 

"This is one of the first studies that de- 
scribes the long-term effects of the protein 
IGF- 1 on growth in humans." said Louis 
Underwood. MD. professor and chief of 
pediatric endocrinology. "It will help deter- 
mine if IGF- 1 is useful for treating grow th 
hormone insensitivity syndrome and other 
conditions, including diabetes. 

"The protein also could help diabetics 
because it lowers blood sugar like insulin 
does," Underwood said. "Since the protein 
builds up tissue and muscle and helps peo- 



ple to retain nitrogen, it might also be 
used to rebuild a patient's body following 
chronic illness." 

Study results appear in the September 
issue of The Journal of Clinical Endo- 
crinology and Metabolism. 

In the study, eight children ages two to 1 1 
were treated with IGF-1 for two years and 
one child for three years. 

"The results need to be documented over 
a longer time, and patients need to be moni- 
tored for side effects," Underwood said. 

IGF- 1 may not produce proportional, 
balanced growth of all tissues, the study 
showed. Patients had rapid spleen growth 
the first year and increased lymphoid tissue 
development in their nose and pharynx. 

"There was acceleration of renal growth 
in rats." Underwood said. "Further studies 
of patients receiving prolonged treatment 
should resolve whether organ growth in 
children represents merely catch-up or is a 
sign of inappropriate overgrowth." 

During treatment, bone density increased 
in each patient, the study found. 

"More research is needed to find out 
whether IGF- 1 has a long-term benefit on 
accumulation of bone mineral," Underwood 
said. "We would also like to pursue using 
the protein for treating diabetes." 



13 



Animal Labs Undergo 
Metamorphosis 



By Tinker Ready 

Deep in a basement laboratory, the 
\ eterinarian and two technicians 
are trying to calm a cringing 
ginger-colored cat. The UNC 
researchers are using the cat for a hemophil- 
ia study, but it's not another experiment the 
cat objects to. 

The animal just doesn't want its 
teeth cleaned. 

The session in feline dental care signals a 
major shift in how universities treat lab ani- 
mals. The tiny cages of the 
past have been replaced by 
clean, spacious pens 
equipped with swings and 
toys. Scientists draw data 
from computer models in- 
stead of painful experiments 
on animals. When they can't, 
the researchers use ample 
doses of anesthesia. 

And. while animal abuse is 
not unheard of. it is harder to 
fmd. That's because 10 years 
ago, clandestine photos of 
tortured monkeys and howl- 
ing lab dogs could embarrass 
a researcher. Today, they can 
result in fines or the loss of 
precious research dollars. 

When questions came up 
earlier this year about animal 
care at Duke University and 
at the University of North 
Carolina at Chapel Hill, both 
schools responded. In May, 
UNC organized a series of 
animal-care training sessions 
after a U.S. Department of 



Agriculture inspector said the university 
was violating federal law by not document- 
ing lab staff qualifications. 

Last month, the USDA, which monitors 
animal care, fined Duke $2,200 for failing 
to protect three rare lemurs that froze to 
death at its Primate Center during a January 
cold snap. Next winter, all 400 lemurs will 
be housed in heated cages. 

Shortcomings in animal care are hard to 
hide these days, said Dr. Thomas Hamm. 
director of Laboratory Animal Resources at 
N.C. State University. 



'it's quite remarkable how much it is 
monitored." he said. "I spend a large 
proportion of my time going around with 
inspectors answering their questions." 

When Dr. Christian Newcomer, director 
of lab animal medicine at UNC. started his 
career in the early 1980s, only 200 veteri- 
narians in the nation specialized in lab 
animals. Today, he heads a team of 60 veteri- 
narians and technicians who tend to UNC's 
29.000 lab aniinals. The animals outnumber 
UNC's student population. The number 
of lab vets has increased threefold, and 




Christian Newcomer, VMD, director of the Division of Laboratory Animal Medicine, examines a pig in 
a holding pen. 



all Triangle research universities now 
employ them. 

■"There really has been a change in the 
mindset." Newcomer said. "You don't do 
good science if you don't have healthy ani- 
mals. You just don't get good results." 

In 1985. Congress passed an amendment 
to the Animal Welfare Act that set strict 
guidelines for the care of lab animals. Under 
the law. each university must set up a com- 
mittee to review all animal experiments. Re- 
searchers must make sure studies "avoid or 
minimize discomfort, pain and distress." Fi- 
nally, when animals are "sacrificed" at the 
end of an experiment — as they often are — 
it must be done painlessly. 

The rules also call for "appropriate" liv- 
ing conditions that contribute to animal 
"health and comfort." So. a group of spot- 
less pink pigs in UNC's basement lab may 
be suffering heart disease for a study, but 
their handlers still worry about the pigs' 
cloven feet. Wire pens can cause foot sores 
in heavy animals, so the pigs now tread on 
smoother webbed latex floors. 

Down the hall, the latest innovation in ro- 
dent housing brings a constant flow of clean 
air into steel cages about twice the height of 
a shoe box — a tall rack of 130 sterile steel 
cages costs S16.()()(). 

The many empty cages and pens in the 
building speak to the changes as well. The 
new law was designed to discourage the un- 
necessary use of lab animals, and a 1 994 
Tufts University study indicates that the law 
may have helped. Since 1 968. the number of 
animals used in research nationwide has fall- 
en more than ."SO percent, the study found. 

Some tests for chemical or metabolic re- 
actions can now be tlone in a test tube or on 
a computer, instead of in an animal. 

Despite reductions. American scientists 



use 17 million to 22 million animals a year 
in research, including 15 million rats and 
mice. 60.000 primates. 1 80.000 dogs and 
50.000 cats, according to the congressional 
Office of Technology As.sessment. 

Animal activists take credit for the 
improved treatment of lab animals, but 
Newcomer thinks scientists took the initia- 
tive on their own. 

Still, researchers live in fear of the radical 
animal rights movement. While humane so- 
ciety activists want better conditions, the 
animal rights movement wants to eliminate 
animal research altogether. In some cases, 
it's lobbied for changes; in others, members 
have destroyed research records and re- 
leased lab animals. As a result, all the lab 
animal facilities in the Triangle are locked 
and most bar cameras. 

Local animal activists tend toward 
protests at rodeos, circuses and fur industry 
events. Lab animals have not been high on 
their agenda, not for lack of interest but for 
lack of resources, said Detrich von 
Haugwitz. a member of the North Carolina 
Network for Animals. 

He disagrees that animal welfare laws 
have led to improvements for lab animals. 
The universities may pro\ ide better hous- 
ing, but the USDA can do little to slop 
experiments inside the lab that \()n Haugwitz 
considers cruel. 

"At Duke and UNC and State, they are 
very intent on following the Animal Wel- 
fare Act rules." he said. "1 think they do. for 
what we may think of those rules." 

David Kelley sees it differently. For 
14 years, he's been the USDA's North 
Carolina animal welfare inspector. He's 
responsible for about .^0 hospitals, universi- 
lies and private companies in the Triangle. 

"If they do biomedical research, we 



inspect them." he said. "Most of the 
research facilities have done a pretty good 
job around here." 

And conditions keep improving. Back 
when Kelley started, most dogs were kept in 
cages. Now they are kept in iiins so they can 
exercise and play with each other When the 
federal government first required that 
researchers address the "psychological 
enrichment" of primates, techs would put a 
television in front of their cages, he said. Now 
they get swings, pet mates, games and toys. 

Cost concerns also are driving improve- 
ments. Many scientists now use pricey mice 
bred with genetic traits that trigger cystic fi- 
brosis, obesity and other conditions. And 
many North Carolina researchers now buy 
their dogs from breeders instead of getting 
them free at the pound. So even researchers 
who care little for animal welfare now have a 
financial incentive to keep animals healthy. 

Some of the mice that NCSU zoologist 
John Vandenbergh uses cost up to $50. so he 
wants to make sure that he takes good care of 
them. Until recently, that was a challenge in 
his damp greenhouse lab. But next month, 
his mice will mo\e to NCSU's brand new 
$4.8 million animal resource center. 

Vandenbergh should know. He sat on the 
national committee that drew up a recent re- 
vision of the major reference book on lab 
animal care. 

"Grant agencies and prisate companies 
are going to be under more and more pres- 
sure to make sure animal research is done 
under standardized and approved condi- 
tions." he said. "It's legislative pressure — 
it's pressure from activists and it's pressure 
from Ihc scientific community il.self." '. 

I Rcpi iiilcd Willi permission from i/ic 
News & Obscrwr of Riiiciifh. NC'I 



News 
Briefs 



Community Physicians 
Visit UNC 

This year 16 doctors from communities 
around North Carolina will visit the UNC 
medical center as part of the prestigious 
UNC Visiting Clinician Program. While 
here, they will learn new skills in the clinical 
setting of their choice, as well as share their 
experience and knowledge with UNC-CH 
medical students and residents. 

The program, modeled after a similar 
one at West Virginia University, is designed 
to build stronger relationships between 
UNC and community-based, generalist 
physicians. "We hope these colleagues 
from across North Carolina will find their 
time here valuable," said Bill Mattem. MD. 
associate dean of academic affairs, profes- 
sor of medicine, and early proponent of 



UNC's program. "To ensure that, we work 
with each physician to determine his or her 
learning objectives and then tailor each 
visit accordingly." 

"These clinicians also bring invaluable 
insights from their own practices that will 
enhance the education of our medical stu- 
dents," added Peter Curtis, MBBS. director 
of the Visiting Clinician Program and 
professor of family medicine. Physicians 
participating in the program visit UNC 
five times during an academic year. 

The first Visiting Clinician was Terry 
Hess, MD, a family practitioner from 
Lewisville. During his visit, which took 
place Oct. 29, he spent a half day teaching 
UNC residents and a half day learning about 
the latest care for high-risk pregnancies. 

The program is funded by the UNC 
Health Plan. AHEC, and the Office of Edu- 
cational Development. 




Teny Hess. MD. of Lewisville (left), was the first commimity physician to visit the medical center under 
the auspices of the new Visiting Clinician Program. He spent part of his day with family medicine resi- 
dent Matthew Buss. MD (center), and preceptor Michael Fisher MD. MPH. clinical assistant professor 
of family medicine. 



School of Medicine Looks at 
Ethics and Managed Care 

More than 80 UNC physicians, alumni, 
and retired faculty gathered in Chapel Hill 
Oct. 1 1 to discuss ethical issues in man- 
aged care. Held in conjunction with Fall 
Medical Alumni Weekend, the day-long 
symposium included morning presenta- 
tions by two medical ethicists, a panel 
discussion by several area physicians, and 
afternoon breakout sessions. 

Keynote speaker Wendy Mariner, JD, 
MPH, a professor at Boston University 
Medical Center, discussed "The Many 
Faces of Managed Care." She began with an 
overview of health care's current state. 

"Since the failure of health care reform, 
the idea of universal coverage has been 
abandoned," said Mariner. "We no longer 
have a two-tiered system, 
but a three-tiered one in 
which the wealthy can afford 
traditional fee-for-service 
care, the employed middle 
class get insurance through 
their employers, and the poor 
are not covered and are 
dependent on Medicaid and 
public hospitals. 

"Managed care operates 
in the middle tier and is 
concerned primarily with 
cutting costs." She pointed 
out that this seems to pit 
business against medicine 
h\ placing the good of the 
patient in conflict with the 
good of other patients, the 
good of the [managed care] 
organization, and self- 
interest of the physician. 

Mariner suggested that 
though business seems like 
"the bad guy," managed care 
needs both medical and busi- 
ness ethical standards. She 
noted that "business ethics 
say nothing about what kind 
of care people should get. 
They simply deal with how 



to fairly distribute what is produced, in this 
case, medical care."' 

Mariner concluded u ith the idea that a 
new set of socially-accepted standards can 
and should be established for managed care, 
one that recognizes both medical responsi- 
bility and business function. 

Gail Povar. MD. clinical professor of 
medicine and chair of the ethics committee 
at George Washington University, presented 
"Gatekeeping. Cost Consciousness, and the 
Physician-Patient Relationship." Povar. 
who currently practices medicine for GWs 
HMO. acknowledged how emotionally- 
laden managed care"s "invasion" is for the 
medical community. 

"When someone on the Southside can"t 
get medical care, we get angry." she said. 
"But what we're looking at is fundamental 
injustice in our society. Our culture is 
individualistic and health care resources 
are limited." 

Povar went on to discuss the increasingly 
unfamiliar ethical challenges faced by 
practicing physicians, both in tenns of com- 
peting loyalties and conflicts of interest. 
"Under managed care, we have more than 
one claim on our loyalties." Povar said. "As 
gatekeepers of health care services, we have 
to balance our concern for the patient and 
commitment to providing care that is con- 
sistent with professional standards with 
consideration for cost. 

"As human beings, we have to balance 
our self-interest with our oath of fidelity 
to our patients. We need to continue 
putting the patient's needs above our 
personal consideration." 

Povar concluded by challenging the audi- 
ence to be advocates for patients. "We, as 
physicians, control 80 percent of health care 
services." said Povar. "Help your patients 
negotiate the system. Ensure that they are 
treated as individuals and that they receive 
appropriate care for their particular needs," 

The syinposium was sponsored by the 
Association of Professional Women in 
Medicine, the Medical Alumni Association. 
the Department of .Social Medicine, the 
Office of Continuing Medical I-xlucation. 
and the UNC-CH School of Medicine. 




Frank C. Wilson, MD, Kenan professor oforihopaedies and fonner division cliair prescnled 
the annual Nonna Bernhill Lectureship on October 29 in Gerrard Hall. His topic was "The 
Leaven of Letters." Wilson is pictured here with interim Dean Stuan Bondurant. MD (right), 
and Mrs. Berryhill, who contributed greatly to the development of the medical school during 
the deanship of her late husband, Dr Reece Berryhill, from 1941 to 1964. 



UNC Hosts "Day in Surgery" 
for Congressional Staffers 

In 1990. the American College of Sur- 
geons began sponsoring a "Day in Surgery" 
program at hospitals in the Washington. 
DC. metropolitan area. The purpose of the 
program was to allow congressional aides to 
spend a day with surgical residents to learn 
firsthand about surgical patient care, surgi- 
cal training, the operating room environ- 
ment, and the daily routines of surgeons in 
the hospital setting. 

This year, the College expanded the pro- 
gram beyond the boundaries of the nation's 
capital by coordinating hospital visits with 
state chapters and teaching hospitals around 
the country. The North Carolina and Texas 
chapters were chosen as the first to host (he 
"Day in Surgery " program. 

Seven congressional aides traveled to 
Chapel Hill on August 20. These staffers 
research and advise their respective U.S. 



Representatives on health issues. Since they 
don't have medical backgrounds, the "Day 
in Surgery" program allows them to see 
firsthand how hospitals and medical schools 
really function: it dispels the "HR"-type 
myths promulgated by that popular televi- 
sion program. 

The evening of their arriv al. Andy Kiser, 
MD. chief surgical resident, gave the aides a 
tour of the emergency room, trauma bay 
and helicopter pad to give them a better 
understanding of the facilities and capabilities 
of a trauma center. 

The next morning at ft o'clock, the aides 
gathered at UNC Hospitals for patient 
rounds and a lengthy tour in the operating 
room, viewing various surgical procedures. 
In the afternoon, they attended a morbidity 
and mortality conference. 

The event was hosted by George Sheklon. 
MD. Zack D. Owens professor ami chair 
of surgery and fellow. American College 
of Sur>:eons. 



17 



Hershey to Chair Academic 
Health Centers Board 

H. Garland Hershey Jr.. vice provost for 
health affairs, recently was elected chair of 
the Board of Directors for the Association 
of Academic Health Centers. 

Based in Washington. DC. the non-profit 
association represents more than 100 health 
complexes based at major universities in the 
United States and Canada. 

The association seeks to influence public 
debate on significant health and science policy 
issues, to advance education for health pro- 
fessionals, to promote biomedical and health 
services research, and to enhance patient care. 
The group aims to improve public health 
through leadership and cooperative action. 

Academic health centers consist of a 
medical school, at least one other health pro- 
fessions school or program, and one or more 
teaching hospitals. Such centers are the pri- 
mary resource for education in the health 
professions, biomedical and health services 
research and many aspects of patient services. 

A Carolina faculty member since 1971, 
Hershey serves as chief executive officer of 
UNC-CH"s academic health center. He 
oversees five schools — dentistry, medi- 
cine, nursing, pharmacy and public health 
— as well as the Health Sciences Library 
and several research centers and institutes 
focusing on health .services, population and 
other health concerns. 

Hershey is a professor in the School 
of Dentistry's department of orthodontics, 
where he teaches graduate students 
and residents. 

Succeeding Hershey next year as head of 
the association board will be chair-elect 
Dr. Louis W. Sullivan, president of the 
Morehouse School of Medicine and fomier 
secretary of the U.S. Department of Health 
and Human Services. 

Beacon Program Offers Help 
for Domestic Violence Victims 

On October 15, UNC physicians and 
nurses launched a consultation service for 
victims of domestic abuse in Orange and 
Chatham counties. Known as the Beacon 
Program, the service employs a nurse advo- 

18 



cate who manages domestic violence cases, 
follows patients over time and refers them 
to specialized services based on their needs. 

The Beacon Program differs from tradi- 
tional domestic violence programs, such as 
shelters, in that it involves input from 
medical personnel and is flexible: the nurse 
advocate goes where the patient is, whether 
in a clinical setting or elsewhere. 

Another component of the program is the 
training of medical students, residents and 
faculty on how to screen for and treat prob- 
lems associated with abuse. 

"We hope to create a foundation of skilled 
providers who can more fully address this 
problem," said Marion Danis, MD, 
associate professor of medicine and medical 
director for the program. "If they are sensi- 
tive to it, they may be able to screen during 
regulai' doctor visits — before it escalates to 
the point of requiring medical attention." 

The Beacon Program will also hold 
monthly interdisciplinary conferences on 
domestic violence, enabling medical spe- 
cialists to exchange information on how to 
treat abuse victims. 

"Patients in abusive relationships often 
suffer all kinds of symptoms including ab- 
dominal pain, anxiety and depression," said 
Danis. "As a result, they see all different 
kinds of specialists. These conferences will 
bring all those specialists together." 

The program is funded by UNC Hospi- 
tals and the Duke Endowment. It resulted 
from a UNC-CH Women's Health Task 
Force which observed a need in the commu- 
nity for this type of clinical service. 

Model HIV Care Network 
to Assist Medicaid Patients 
in Eastern NC 

Three of the state's academic medical 
centers are joining forces with local health 
and social services providers in mral eastern 
North Carolina in a novel program designed 
to streamline care for HIV-infected 
Medicaid patients. 

The model community-based mral pro- 
gram, among the first of its kind in the 
nation, will coordinate the work of health 
care professionals and government agen- 
cies to ensure that patients receive optimal 



medical care and timely access to services. 
The program is funded by a five-year, 
$2 million grant from the Health 
Resources and Services Administration, 
part of the U.S. Department of Health 
and Human Services, and also will be 
funded, in part, by payments from North 
Carolina Medicaid. 

The project will link the three major med- 
ical centers serving patients in eastern North 
Carolina — UNC, Duke and East Carolina 
University — with the AIDS Care Branch 
of North Carolina, local social services and 
medical caregivers. 

The goal is to provide one umbrella 
organization that will follow all Medicaid- 
eligible. HIV-infected adult patients 
to make sure their needs are met. The re- 
searchers will spend a year implementing 
the program and will begin enrolling about 
600 current Medicaid patients next fall. 
Eventually, the researchers expect to enroll 
about 1,300 people in 53 eastern North 
Carolina counties. 



Zoilicoffer Lecture Slated 

The 16th annual Zoilicoffer Lecture will 
be delivered by Eddie L. Hoover, MD, 
professor and chair of surgery. SUNY- 
Buffalo, on January 24 at 4 p.m. in the 
fourth floor clinic auditorium. Dr. Hoover 
received his undergraduate degree from 
UNC in 1965. and his MD from Duke. 

The Zoilicoffer lecture was established 
in 1981 by members of the UNC-CH 
Chapter of the Student National Medical 
Association. It is named in honor of 
Dr. Lawrence Zoilicoffer (1930-1976). the 
fourth black graduate of the UNC-CH 
School of Medicine. Zoilicoffer was one of 
the founders of the Garwyn Medical Center 
in Baltimore. He also was recognized 
widely as a civil and human rights activist. 

The lecture honors the memory of 
Zoilicoffer. commemorates more than 
30 years of minority presence in the UNC- 
CH School of Medicine, enhances awareness 
of minority issues withing the medical 
school, and exposes the student body to 
dynamic minority role models in the field 
of medicine. 



Faculty 
Notes 



Shannon Kenney, MD. associate profes- 
sor of medicine, has recei\ ed one of four 
Philip and Ruth Hettleman Prizes for Artistic 
and Scholarly 
Achie\ement by 
Young Faculty. 

Kenney. v\ ho 
has been on 
the UNC faculty 
since 1987, is 
known world- 
wide in the 
Epstein-Barr 
virus community 
as a leader in the 
field of regula- 
tion of viral iiene 




Kcniu'x 



expression. An infectious virus. Epstein- 
Barr causes mononucleosis in normal. 
healthy people. Kenney said. However, 
when the virus infects someone with a 
deficient immune system, such as an AIDS 
patient, it can cause lymphoma, a debilitat- 
ing malignant cancer. 

Regulating gene expression controls 
whether the virus is active or latent, which 
can determine if cells infected by the virus 
will start developing cancer. Kenney "s work 
resulted in the discovery of a protein that 
helps control how the virus acts in the cells. 
Her findings ha\e prompted additional 
research about Epstein-Barr virus. 

Kenney is a member of the American 
Society of Clinical Investigation and has 
received the Jefferson Pilot Award and a 
National Institutes of Health Career Devel- 
opment Award. Besides se\ eral research 
grants from the National Institutes of 
Health. Kenney's clinical work includes the 
care of AIDS patients. 

(Jeorgc F. 
Sheldon, MD. 

/ack D. Owens 
professor and 
chair of surgery, 
was recently 
elected to mem- 
crship in the 
iistitute of Med- 
icine of the 
National Acad- 
emy of Sciences. 
.New members 
SlicUlon are elected bv 




current acti\e members from among candi- 
dates chosen for their major contributions 
to health and medicine or to related fields 
such as social and behavioral sciences, law. 
adminisU'ation and economics. TTie Institute's 
charter requires that at least one-fourth of 
the members be drawn from other than the 
health professions. 

Election to the Institute is both an honor 
and obligation to work on behalf of the 
organization, its governance and its stud- 
ies. With their election, members make a 
commitment to devote a significant 
amount of volunteer time on committees 
engaged in a broad range of studies on 
health policy issues. Cunent lOM projects 
include studies on care at the end of life; on 
geriatrics, health and behavior; and on new 
vaccine development. 

New Research 

David A. Brenner, MD. Medicine — Fer- 
rochelcitase mutations and phenotype. 
Robert Wood Johnson Foundation. 

Edward L. Chaney, PhD. and Julian G. 
Rosenman, MD, PhD. Radiation Oncology 

— Fundamental approaches for portal 
image processing. National Cancer Institute. 

David R. Clemmons, MD, Medicine — 
Control of IGF action in vessel wall hy ma- 
nipulation of lGFBP-4 protcidysis. CD 
Searle & Company. 

Edward J. Collins, PhD, Microbiology & 
Immunology — Enhancing nature 's drugs: 
producing and designing small, effective 
antimicrobial and wound repair peptides. 
NC Biotechnology Center 

Stephen T. Crews, PhD, Biochemistry & 
Biophysics — Ctmtrol of motoneuron con- 
nectivity. National Science Foundation. 

Channing ,1. Der. PhD. Pharmacology — 
Ras signal trcmsduction and transforma- 
tion. National Cancer Insiilute. 

Lee M. (Jraves, PhD, Pharmacology — 
Growth factor-mediated signal transduc- 
tion in smooth muscle cells, regulation hy 
cAMP and calcium. American Heart Asso- 
ciation of NC. 

T. Kendall Harden, PhD. Pharmacology 

— Purification and posphorxlation of a 
P2\-purino( cpior. National Instiuile of 



General Medical Sciences. 

Brian Herman, PhD. and John Lenias- 
ters, MD, PhD. Cell Biology & Anatomy 

— Mechanisms ofhypo.xic/reperfusion 
injury in endothelial cells. National 
Institute on Aging. 

Kim L. Isaacs, MD. Medicine — Double- 
blind, placebo-controlled trial of oral vs. 
topical metronidazole for the treatment 
of pouchitis. Crohn's & Colitis Foundation 
of America. 
Rudolph L. Juliano, PhD. Pharmacology 

— Ptiannacodynainics of anti-tumor oligo- 
deo.xynucleotides. National Cancer Institute. 
David G. Kaufman, MD, PhD. Pathology 
& Laboratory Medicine — Role ofconne.x- 
ons in human cndimu'tritd carcinogenesis. 
National Cancer Institute. 

Stanley M. Lemon, MD. Medicine — 
Enlunued production of hepatitis A virus 
vaccine antigen in MRC-5 cells. Smith 
Kline & French Corp. 

John D. Mann, MD, Neurology — Proto- 
col 945-210: A placcbo-contwllcd trial of 
gabapentin for treatment of painful diabetic 
neuropathy. Warner Lambert Company. 
Jolanta B. Pucilowska, MD. Physiology 

— Growth factor/cytokine interactions in 
me.wnchymal cells. National Institute of Di- 
abetes, Digestive & Kidney Diseases. 
Aldo Rustioni, MD. Cell Biology & Anato- 
my — The role of the arginine/nitric o.xide 
system in thalamic sensory transntission. 
Ophthalmology University of London. 
Thomas Scott Stroup, MD, MPH, Psychi- 
atry — Investigation of treatment cpuility 
and life satisfacti(m of persons with severe 
mental illness residing in domiciliarx care 
homes. Foundation of Hope. 

Roland M. Tisch, PhD. Microbiology & 
Immunology — Characterization of 
GAD65-specific regulatory T-cells in the 
n(nudiese diabetic nunise. Juvenile Dia- 
betes Research Foundation. 
Charles W. van der Horst, MD. Medicine 

— A phase II/III studx of the .tafety and ejji- 
ccuy of human anti-CMV numochmal anti- 
body I MSL 10'-)). Johns I lopkins I Ini\ crsity. 
Elizaheth M. Wilson. PhD. Pediatrics — 
Mechanisms of action of environmental 
antiandrogens. National Institute of 
Ijn ironmcnlal Health Sciences. 

19 



Medical School Mourns 
Three Friends, Colleagues 



John Howard Ferguson, 
former chair of physiology 

Dr. John Howard Ferguson, age 94, died 
on September 1 6. 

A long-time resident of Chapel Hill. 
Ferguson moved to Ocala, Ra.. in 1994. 

He was a professor emeritus of physiolo- 
gy at the School of Medicine: he came to 
Chapel Hill in 1943 as professor and chair 
of the Department of Physiology, a position 
he held until his retirement. 

He received a Distinguished Service 
Award from the faculty and alumni of the 
UNC School of Medicine in March 1980. 




F'eri^ii.'ion 



and was widely recognized for his research 
in the fields of blood coagulation, 
thrombotic and hemorrhagic diseases and 
radiation sickness, 

Ferguson was born in Edinburgh. Scot- 
land, and moved with his family at an early 
age to Capetown. South Africa. He earned a 
BA degree and was awarded an Honorary 



Doctor of Science degree by the University 
of Capetown. He earned a second BA and 
an MA at Oxford University, where he was 
a Rhodes Scholar, and his MD (cum laude) 
at Harvard University. 

Following faculty appointments at the 
University of Capetown. Harvard University. 
Yale University, and the universities 
of Alabama and Michigan, Ferguson 
came to UNC. 

At the time of his death he was complet- 
ing editing of his book. "Cape of Storms." 
recollections of his life in South Africa. 

Ferguson traveled extensively, was an 
avid fisherman, and his interest in nature led 
him during his retirement to collecting 
seashells. His collection was widely dis- 
played and is now on permanent exhibit at 
Eckerd College. St. Petersburg. Fla. 

Ferguson is survived by his six children. 
Joyce Descloux of Randolph. NJ. Phyllis 
Marchese of Jacksonville. Fla.. Margaret 
Johnson of Charlotte. NC. Helen Vassar of 
Ocala. Fla.. Dr. John C. Ferguson of St. 
Petersburg, Fla.. and Colin C. Ferguson of 
San Francisco; also by 13 grandchildren 
and 8 great-grandchildren. 

John A. Payne, 
AHEC deputy director 

John A. Payne, deputy director for 
program administration of the N.C. Area 
Health Education Centers (AHEC) 
Program, died Oct. 24 at home after a brief 
illness. He was 55. 

"There is no way to put into words how 
much John Payne will be missed by the 
AHEC Program and those of us who have 
had the privilege to work with him." said Dr 
Tom Bacon, director of the N.C. AHEC 
Program and associate dean at the UNC-CH 
School of Medicine. "He was a person of 
enormous integrity and always seemed to 
find ways to make our program work better 
for the people of North Carolina." 

Payne was instrumental in establishing 
the AHEC Program and had served in vari- 




Pavne 



ous capacities since its inception. In 1978 
he became deputy director for program 
administration, and from November 1994 
to June 1996 he served as interim director, 
following the death of his long-time 
colleague. Dr Eugene S. Mayer. 

"In many ways. John Payne made the 
North Carolina AHEC Program happen." 
said Dr Stuart Bondurant. interim dean of 
the UNC-CH School of Medicine. "His 
open and direct inanner inspired trust in all 
who knew him. his respect and understand- 
ing for others let him design solid 
programs, and his great administrative 
ability brought many of the programs of the 
N.C. AHEC into being." 

James Bernstein, director of the North 
Carolina Office of Rural Health, said "John 
Payne was what everyone would want in a 
friend and colleague. His sense of fairness, 
his dedication to the goal of better health 
care for all North Carolinians, and his 
wonderful sense of humor explain why so 
many people across the state admired him." 



20 



Bernstein added. "Health care today is de- 
livered by a team. John Payne made the 
AHEC team work." 

Among his many contributions to the 
AHEC Program and its statewide mission 
of education and training. Payne will be re- 
membered for his leadership in the areas of 
rural primary care training, preceptor sup- 
port, library and information services, and 
off-campus degree programs. He was 
instrumental in the establishment of the 
AHEC Offices of Regional Primary Care 
Education and new programs for health ca- 
reers and minority workforce development. 

"John Payne's leadership of our AHEC 
Program brought health care to underserved 
citizens across North Carolina." said Dr. H. 
Garland Hershey. UNC-CH vice provost for 
health affairs. "He was one of the unsung 
heroes of North Carolina's campaign to im- 
prove the quality of health care for our state." 

Payne joined the UNC-CH School of 
Medicine's Division of Education and 
Research in Community Medical Care in 
1968. Through the division. Payne was in- 
strumental in establishing affiliations with 
community hospitals for teaching medical 
students and conducting other educational 
programs, which ser\ ed as the precursor to 
the AHEC Program. 

Payne grew up in Sunbury in Gates 
County, where his father was a general prac- 
titioner. He earned two bachelor's degrees 
and a master's degree in public health from 
UNC-CH and completed an internship at 
Guy's Hospital in London. England. 

Payne is survived by his wife. .Sandra 
Strong Payne, and daughter, Melissa S. 
Payne, both of Chapel Hill: a son. John A. 
Payne, of St. Louis, Mo.; a sister. Martha P. 
Johnson, brother-in-law, Michael D. 
Johnson, niece, Josie Johnson, and nephew. 
Andrew Johnson, all of Elizabeth City. N.C. 

Memorial contributions may be made to 
Triangle Hospice. 1 8()4 Martin Luther King 
Jr. Parkway. Durham. NC. 27707. or to The 
Medical Foundation of North Carolina. 
Inc./t:ugene S. Ma\cr F-ell()v\ship l-und. 
880 Airport Road. Chapel Hill. NC. 275 14. 



Isaac Montrose Taylor, 
former medical school dean 

Dr. Isaac Montrose Taylor, who served as 
dean of the School of Medicine and was the 
father of nationally known singers James, 
Livingston and Kate Taylor, has died. 
He was 75. 




Taxlor 



Taylor, a Morganton native, died after 
suffering a stroke and cardiac arrest at 
Massachusetts General Hospital in Boston, 
where he began his medical career as chief 
resident 45 years earlier 

Taylor graduated Phi Beta Kappa frt)m 
UNC-Chapel Hill in 1942 and cum laude 
from Harvard University Medical School 
in 1945. 

He was invited by Dr. Reece Berryhill. 
then medical dean, to return to Chapel Hill 
in 1952 as one of the first members of the 
department of medicine at the nieilical 
school, which was being expaniletl Inlo a 
four-year institution. 



"I certainly agreed that North Carolina 
needed its own medical school because a 
state school's first priority is the needs of the 
people of the state," Taylor said in May. 
"The first priorities of private medical 
schools are whatever their trustees deem 
them to be, and that is not necessarily state 
residents' health." 

Taylor succeeded Berryhill as dean 
in 1964. 

During his tenure, medical student enroll- 
ment jumped, the number of faculty 
increased by more than 100, and fimding for 
research more than doubled. The state's 
Area Health Education Centers prograrn, a 
national model for extending health educa- 
tion and training to all corners of the state, 
grew out of the regional medical program 
he started. 

"One of Dad's greatest talents was work- 
ing successfully with legislators in Raleigh 
to build the school of medicine in Chapel 
Hill." said his son Hugh of Martha's Vine- 
yard, Mass. 

Taylor resigned as dean in 1976. saying 
he was exhausted. 

"Dean Taylor made many enduring 
contributions to our school, and he and his 
contemporaries established much of the 
base on which our current teaching, research 
and ser\ ice programs rest." interim dean 
Stuart Bondurant said. "He was a remark- 
able man. a great human being and a selfiess 
public servant." 

A building at the medical school in 
October 1989 was renamed Isaac M. Taylor 
Hall in his honor. 

Taylor is survived by his sons, James, 
Livingston and Hugh, and his daughter, 
Kate, from his first marriage; and sons, 
Preston and Theo, and daughter. Julia, 
froin his second marriage. He also is 
survived by seven grandchildren and 
two great-grandchildren. 

Memorial contributions may be made to 
the Taylor Tuition lund. 1 15 Orchard Ave.. 
Weston. Mass. 0219.^. for the education of 
Taylor's three minor children. I J 



21 



Development 

Notes 



Parker Professorship 
Nears Goal 

Friends, faculty, colleagues and former 
students have made gifts to establish the 
Parker Distinguished Professorship in 
Medicine at the UNC-CH School of Medi- 
cine. The goal is to establish an endowment 
of $1 million to provide support to a mem- 
ber of the faculty in the Department of 
Medicine. This individual will be selected 
on the basis of the special research, teaching 
and patient care skills exhibited by the late 
John C. Parker. MD. former Kenan profes- 
sor in the Division of Hematology. Parker 
died in November 1993. 

More than $930,000 has been pledged to 
this endowment to date. If you would like to 
participate, please send your contribution or 
pledge to The Medical Foundation of North 
Carolina. Inc., 880 Airport Road, Chapel 
Hill. NC 275 14. If you have questions about 
the fund, please call 9 1 9-966- 1 20 1 . 



Radiologic Science 
Endowment Established 

An endowment in memory of Phyllis 
Ann Canup Pepper, one of the first radiolo- 
gy technologists certified by UNC, has been 
established by her husband. Francis D. 
Pepper Jr. of Winston-Salem. 

The Phyllis Ann Canup Pepper Radio- 
logic Science Memorial Fund will be used 
to provide scholarships for undergraduates 
in the School of Medicine studying radio- 
logic science and to support teaching 
conducted by the division of radiologic 
science, part of the department of medical 
allied health professions. 

Phyllis Pepper, who died in February after 
a brief illness, was a native of Kannapolis. 
She completed the radiology technology 
program at UNC in 1935. and continued as a 
technologist in N.C. Memorial Hospital's 
radiology department until 1962. eventually 
rising to the post of chief technologist. 

Her husband is a 1 956 graduate of the 
School of Medicine. 




A professorship honoring Colin G. Thomas Jk, MD. Byah Thomason Doxey-Sanford 
Doxey distinguished professor and former chair of the Department ofSurgeiy, was 
recently established by Elizabeth Cir\' surgeon Samuel G. "Bo" Jenkins Jr., MD '55. 
At a reception in June, pediatric surgeon Don K. Nakayaina was named the Colin G. 
Thomas Jk distinguished professor of surgety. Jenkins {center) is pictured at the reception 
with Thonuis (left) and Nakayama. 



Pathology Department 
Receives Gift 

The heirs of Fred C. and Lelia D. Owen 
have made a gift of more than $3 1 3.000 to 
establish an endowment fund for the med- 
ical school's Department of Pathology and 
Laboratory Medicine. 



Income paid out of the fund shall be 
used to support work of the Francis Owen 
Blood Research Laboratory or to fund re- 
search on the pathology of blood through 
support of a professorship in pathology, 
one or more fellowships in pathology, or in 
other ways to promote research in the 
pathology of blood as determined by the 
professors in the department. 



Report to Donors 



During the fiscal year which ended 
June 30, 1996. the UNC School 
of Medicine recei\cd more gifts 
from alumni than ever before. 
These gifts to the Loyalty Fund totaled 
more than $535,000 and represented gifts 
from 35 percent of all living School of Med- 
icine graduates. 

The following honor roll of donors lists 
the names of all those who contributed dur- 
ing the past fiscal year. Those who con- 
tributed at the Associate's level of $ 1 ,000 or 
more are listed in bold typeface. 

Alumni support is important not only for 
the dollars invested in students, faculty and 
programs, but also important as a statement 
to others who are considering contributions 
to the School of Medicine. It is helpful for 
us to show the strong involvement and par- 
ticipation of former students who have ben- 
efited from a medical education and who 
know the School of Medicine as "insiders." 
This level of support sets a sound example 
for the giving of others. 

We are grateful for your gifts. We are also 
appreciative of the scholarships that were 
funded, the teaching professorship which is 
being endowed, support for the Health Sci- 
ences Library, encouragement to student or- 
ganizations and activities, as well as the 
communications and recognition programs 
which your gifts have made possible 

We are proud of the alumni support re- 
ceived for all purposes here at the School 
of Medicine. To each individual named in 
the following list we send our thanks. If 
you overlooked a contribution this year, 
please send your 1996-97 Loyalty Fund 
gift today (gift envelope enclosed). Your 
tinancial support is an important element 
in the sustained excellence of medical edu- 
cation at UNC. 




^jS^^ 



James L. Copeland 

President 

The Medical Foundation of 

North Carolina. Inc. 



Honor Roll of Donors 

$1.000 -$9,999 donors arc primed in hold. 
$10,000 or more are printed in hold ikilics. 



CLASS OF 1917 
Number in class: 1 

Percent donors: 100% 

Verne S. Cavincss, MD. Raleigh. NC 

CLASS OF 1926 
Number in class: 1 
Percent donors: 100% 

Forest M. Houser. MD. Cherr\\ ille. NC 

CLASS OF 1928 
Number in class: 2 
Percent donors: 50% 

Zack D. Owens. MD. Elizabeth City, NC 

CLASS OF 1929 
Number in class: 2 
Percent donors: 50% 

Vance T. Alexander. MD. Davidson. NC 

CLA,SSOF193n 
Number in class: 6 
Percent donors: 1 7 % 

Rulus R. Little. MD. Ho Ho Kus. NJ 

CLASS OF 19.M 
Number in class: 8 
Percent donors: 38% 

James M. Alexander, MIX Charlotte. NC 

Ralph B. Oarrison. Ml ). ll.milci. \C 

J. Allen VVhitaker. Ml). Kockv Mount, NC 

CLASS OF 1932 
Number in class: 9 

Percent donors: 22% 

John H. Dougherty. Sr. MD. Fairileld Glade. TN 
Robert E. Stone. MD. Evanston, IL 

CLA.SSOF19.V 
Number in class: 3 
Percent donors: 67% 

Paul H. Rhodes. MD, Denver. CO 
Arthur F. Toole. MD. Talladega. AL 

CLA,SSOF19,M 
Number in class: 9 

Percent donors: 11% 

Carl Pignian. MD. Whitesburg. KY 

CLASS OF 19.« 
Number in class: 5 

Percent donors: 40% 

Eugene B. Cannon, MD. Asheboro. NC 
Julien H. Meyer. MD. Roanoke. VA 

CLASS OF 19 V, 

Number in class: 13 

Percent donors: 15% 

Robert M, McMillan. MD. Raleigh. NC 

Annie Louise Wilkerson, MU, Raleigh, NC 



CLASS OF 19.^7 

Number In class: 8 

Percent donors: 13% 

W Skellie Hunt. Jr. MD. Wilmington, NC 

CLASS OF 19.W 
Number in class: 11 
Percent donors: 27% 

Olivia Abemethv. MD. Winston-Salem. NC 
Thomas W. Crowell. MD. Bellingham. WA 
James R. Wnght. MD. Raleigh. NC 

CLASS OF 19.39 
Number in class: 12 
Percent donors: 25% 

Jesse B. Caldwell. Jr. MD. Gastonia, NC 
Edwin A. Rasberry. Jr. MD. Wilson. NC 
Pearl T. Huftman Scholz, MD. Baltimore. MD 

CLASS OF 1940 

Number in class: 25 

Percent donors: 48% 

Sybil Corbett Bennett. MD, X'aldosta, GA 

Iiie/ W. Flrod. MD. Charlotte, NC 
John B. Graham, Ml). Chapel Hill. NC 

Henrv C. Guvnes. Ir .MO. Rockwall. TX 
Robert E. Kirkman. Ml). Miami, FL 
H.LceLarge.Jn, MD.t liarldlte.NC 

French H, McCain, .MD, Bloomfield Hills. Ml 
Hugh H. MeFadyen. MD. Tucson. AZ 
Lawrence E, Metcall, MD, Asheville. NC 
George B, Patnck. Jr. MD. Silver Spring. MD 
John L, Ran,son. Jr. MD. Charlotte. NC" 
John H. E, Woltz. MD. Charlotte. NC 

CLASS OF 1941 
Number in class: 17 
Percent donors: 41 % 

Marcus L. Aderholdt. Jr. MD. High Point. NC 
Robert M. Hall. MD. Raleisjh. NC 
James W. McLean. MD. Fa\etteville. NC 
C, Lowrv Presslv. MD. Charlotte. NC 
Ernest C. Richardson. Jr. MD. New Bern. NC 
Carlton G. Watkins. MD, Charlotte. NC 
Ernest H. \elton. MD. Ruthcrfordton. NC 

CLASS Ol 1942 

Nuniher in class: 24 

Percent donors: 46% 

Jerry H, Allen. Jr. Ml), Spiiniifield. MO 

Frederick A, Blount, Ml ), Wiiisioii-Salem, NC 

O. Watts Booth, Ml), New pon News. VA 

James E. Davis. MI). Durham. NC 

H, William Harris. MD. Garden City. NY 

William E. Hoy. Jr. MD. Ashland. K Y 

John E Lynch. Jr.. MD, Lli/abeth City, NC 

John H. Miller. Ml). Bartow. I' L 

James D, Piver. MD, Emerald Isle. NC 

William Tenenblatt. MD. Lake Worth. FL 

R. Bertram Williams. Jr. MD. Wilmington. NC 

CI ASSOl 1941 

Niiiiiher iiulass: 48 

Percent donors: 31 'i 

rrucll\ Ucnncll.MD.Onciil.il.NC 

John K. ( hamhliss,,|r, MI), Rock\ Mount, NC 

DaMdS ( ilion. MD.Ch.iilollc. \C 

Douglas H Clark. MD. Luinbcrton. NC 

James R Collell. Ml). Morganlon. NC 

James B, Greenwood. Jr. Ml). Charlotte. NC" 



23 



William N. Hubbard, Jr., MD, Hickory Corners, MI 

William F. Hutson. MD. Northbrook, IL 
AlexanderC. Mitchell. MD. Onchiota. NY 
Sarah T. Morrow. MD. Raleigh. NC 
S. Malone Parhani. MD. Henderson. NC 
Frank R. Reynolds, MD. Wilmington, NC 
James H. She'll. Jr. MD. Baltimore. MD 
Kenneth W. Wilkins, MD, Goldsboro, NC 
Kenan B. Williams. MD. Sanford, NC 

CLASS OF 1944 
Number in class: 28 
Percent donors: 57% 

Rohert J. Andrews. MD. Wilmington. NC 
J. Vincent Arey. MD. Concord. NC 
Joseph W. Baggett, MD, Fayctteville, NC 
Hilda H. Bailey. MD. Salisbury. NC 
Earl E. Correll. MD. Kannapolis. NC 
J. Stuart Gaul. Jr. MD. Charlotte. NC 
Francis P. King, Sr., MD, New Bern, NC 
Allen H. Lee. MD. Selma. NC 
Isaac V. Manly. MD. Raleigh, NC 
Clarence M. Miller. Jr.. MD. Sewickley. PA 
George D. Pcnick. MD. Wilmington. NC 
Charles A. Speas Phillips, MD^ Pinehurst, NC 
J. Mitchell Sorrow. Jr. MD. Chapel Hill. NC 
Ch;u-les W. Tillett. MD. Charlotte. NC 
J. Tavlor Vernon. MD. Morganton. NC 
Edwin J. Wells. MD. Wilmington, NC 

CLASSOFI94,S 
Number in class: 31 
Percent donors: 42% 

G. Walker Blair. Jr. MD. Burlington. NC 
G. Robert Clutts. MD. Greensboro. NC 
A. Robert Cordell. MD. Winston-Salem. NC 
J. Hicks Corev, Jr, MD, Chattanooga, TN 
Courtney D, Egenon. Jr. MD. Raleigh, NC 
Gralton C. Fanney, Jr. MD. Euclid. OH 
Harold L. Godwin, MD, Favetteville, NC 
Kirby T. Hart, Jr, MD, Petersburg, VA 
Hampton Hubbard, MD, Clinton, NC 
Weldon H. Jordan, MD, Fayetteville, NC 
John H. Monroe, MD, Winston-Salem. NC 
Henry L. Sloan. Jr. MD. Charlotte. NC 
Roger A. Smith. Ill, MD, San Bemadino, CA 

CLASS OF 1946 
Number in class: 33 
Percent donors: 94% 

Ira A. Abrahamson, Jr., MD, Cincinnati, OH 
Jules Amen MD, Denver, CO 
Walter C Barnes, Jr, MD, Texarkana, TX 
Da\ id Y. Cooper. III. MD. Br\'n Mawr. PA 
Crowell T. Daniel, Jr.. MD, Fayetteville, NC 
Robert V. Dutton. MD. Houston" TX 
William W. Forrest. MD. Greensboro. NC 
Mary Alice V. Fox. MD. Mount Desert, ME 
William H. Grey, MD, Staunton. VA 
G. Denman Hammond, MD, Pasadena, CA 
Samuel H. Hay. MD. Toccoa. GA 
Robert S. Lackey, MD, Charlotte, NC 
Roland D. Matthews. MD. Burlington, NC 
J. Edward McKinney. MD. Chattanooga. TN 
George A. McLemore. Jr. MD. New York. NY 
L. Oscar Murphy. Jr. MD. Waynesboro. MS 
Paul V. Nolan. MD. Signal Mountain. TN 
Virginia S. Ronk, MD, Lansdowne, PA 
Franz W. Rosa, MD, Roekville, MD 
William G. Sanford, MD, Winston-Salem, NC 
Peter S. Scott. MD. Burlington. NC 
William E. Sheely. MD. Alexandria. VA 
H. Frank Starr, jr.. MD, Greensboro, NC 
David G. Stroup. MD. Savannah. GA 
Arthur R. Summerlin, Jr.. MD. Raleigh. NC 
Allen D. Tate. Jr.. MD, Burlington, NC 
James T. Welbom. MD. Lexington. NC 
John E. Wevher, Jr.. MD. Topsail Beach, NC 
Thomas E. Vvhitaker, II. MD. Greenville. SC 
Roger M- Winborne, Jr.. MD. Roanoke. VA 
Dexter T. Withenngton. MD. Kinston. NC 

CLASS OF 1947 
Number in class: 15 

Percent donors: 20% 

C. Roy Rowe. Jr. MD. Statesville, NC 
Edgar C. Sweeney. Jr. MD. Charlotte. NC 
Sarah L. Warren. MD. Chapel Hill. NC 



CLASS OF 1948 
Number in class: 27 
Percent donors: 41% 

Roben R. Avcock. MD. Saint Helena. CA 
Vema Y. Barefoot. MD. New Bern. NC 
William S. Cheek. Sr. MD, Spartanburg, SC 
Tyndall R Harris. MD. Chapel Hill. NC 
Edwin R Hiatt. MD, Wilmington, OH 
Louis T. Kemion, MD, Raleigh, NC 
John E. Lyday, MD, Greensboro, NC 
Julius A. Mackie,Jr,MD, Bryn Mawr, PA 
Eugene V. Maynard, MD, Goldsboro, NC 
Shirley L. Rivers, MD, Tucson, AZ 
Daniel T Young, MD, Chapel Hill, NC 

CLASS OF 1949 
Number in class: 40 
Percent donors: 28% 

Hoke V Bullard, Jr., MD, Wilson, NC 
J. Dewey Dorsett, Jr., MD, Charlotte, NC 
Christopher C. Fordham. IIL MD. Chapel Hill. NC 

F. Sidney Gardner. Jr.. MD. Fayetteville. NC 
Spinks H. Marsh. MD. Punta Gorda, FL 
Edwin W. Monroe. MD. Green\ ille. NC 
Robert B. Pennington. MD. Middletown, CT 
Aubrey D. Richardson. MD. Baltimore, MD 

G. Earl Trevathan, Jr, MD, Greenville. NC 
Maxine D. Wallace. MD. Oakland. CA 
Charles L. Whisnant, Jr. MD. Atlanta. GA 

CLASS OF 1950 

Number in class: 42 

Percent donors: 50% 

Gertrude A. Bales, MD, Rochester, NY 

Frederick O. Bowman. Jr., MD. Chapel Hill. NC 

Jack O. Carson. MD. Gnfton. NC 

Elwood B. Colev. MD. Lumberton. NC 

John T. Dees, MD, Gary. NC 

Charles F Gilliam. MD. Thomasville. NC 

Joel B. Huneycutt. MD. Lake Wylie. SC 

George Johnson. Jr., MD. Chapel Hill, NC 

Benjamin H. Jo,seph.son. MD. Basking Ridge, NJ 

William S. Joyner. MD. Chapel Hill. NC 

Dan A. Martin. MD. Madisonville. KY 

John L. McCain, MD, Wilson, NC 

Glenn D. Moak, MD. Indianapolis. IN 

James F. Morris. MD. Goldsboro. NC 

James H. Peedin, Jr. MD, Burgaw, NC 

J. Olin Pemtt. Jr.. MD. Wilmington, NC 

John W. Sawyer, MD, Wilmington, NC 

John F Trotter, MD, Atliinta, GA 

Charles R. Vernon, MD, Wilmington, NC 

John L. Watters, MD. Raleigh. NC 

John R. Wilkinson. Jr. MD. Hickory. NC 

CLASS OF 19.51 
Number in class: 38 
Percent donors: 18% 

Luther L. Anthony. Jr. MD. Gastonia. NC 
John S. Barlow. MD. Concord. MA 
William B. Blvthe, II, MD, Chapel Hill, NC 

Baxter H. Byerly. MD. TalUihassee. FL 
Murdoch R. McKeithen. MD. Laurinburg, NC 
Luther W. Oehlbeck. Jr. MD. LaBelle. FL 
John K. Pearson. MD. Apex. NC 

CLA.SSOF19.S: 

Number in class: 6 

Percent donors: 17% 

Charles H. Powell. MD. Palm Coast. FL 

CLA.SS OF 19.54 
Number in class: 34 
Percent donors: 32% 

Paul H. Brigman, MD, Trinity, NC 

A. Joseph Diab, MD, Raleigh, NC 

Charles B. Fulghum, Jr, MD, Atlanta. GA 

James C. Parke, Jr., MD, Charlotte, NC 

Cornelius T Piirtnck. MD. Washington. NC 

Ely J. Perrv, Jr., MD, Kinston, NC 

Allen Spencer. MD. Salisbury. NC 

William H. Weinel. Jr. MD. Wilmington. NC 

Edward S. Williams. Jr.. MD. Pine Knoll Shores. NC 

Virgil A. Wilson. MD. Winston-Salem. NC 

A. Donald Wolft. MD. Clemmons. NC 

CLASS OF 19.5,5 
Number in class: 52 
Percent donors: 56% 



JuUan S. Albergotti, Jr., MD, Charlotte, NC 

Ralph E. Brooks. Jr. MD. High Point. NC 
E. Ted Chandler. MD. Thomasville. NC 
Walter E. Deyton. MD. Danville. VA 
Griggs C. Dickson, MD, Charlotte, NC 
Presley Z. Dunn, Jr, MD, Greensboro, NC 
Charles F. Eddinger, MD, Spencer. NC 
John W. Foust, MD, Charlotte, NC 
J. Eugene Glenn. MD, Jacksonville, FL 
Ira D. Godwin, MD, Fairfax, VA 
James W. Haves, III, MD, Burlington. NC 
William D. Huffincs. MD. Chapel Hill. NC 
Samuel G. Jenkins. Jr., MD, Elizabeth City, NC 
Robert C. Jordan. Jr. MD. Sanford. NC 
Samuel B. Joyner, MD, Greensboro, NC 
William L. London, IV, MD, Durhain, NC 
Lloyd C, McCaskiU, MD. Maxton. NC 
Clarence R. McEain. Jr.. MD. Cincinnati, OH 
J. Thaddcus Monroe. Jr.. MD. Chapel Hill. NC 
Thomas P Moore. MD. Jacksonville. NC 
G. Irvin Richardson, MD, Reidsville, NC 
Harold R. Roberts. MD. Chapel Hill. NC 
Oliver F Roddey. Jr. MD. Charlotte. NC 
Palmer F. Shelbume. MD, Greensboro, NC 
Henry L. Stephenson, Jr, MD, Washington, NC 
Robert L. Summerlin, Jr., MD. DubUn. NC 
G. Reginald 1\icker, Jr., MD, Emerald Isle, NC 
William J. Waddell. MD. Prospect. KY 
W. Wallace White. MD. Cincinnati. OH 

CLASS OF 1956 

Number in class: 53 

Percent donors: 68% 

G. Jackson Ashley, MD, Sparta, NC 

John R. Baggett. 111. MD. New Bern. NC 
Juris Bergmanis. MD. Honolulu. HI 
Richard A. Boyd, MD, Statesville, NC 
Lee A. Clark, Jr.. MD, Wilson, NC 

John W. Deyton. Jr. MD. Jacksonville, NC 
Stacy A. Duncan. Jr. MD. Dunn. NC 
Margareta J. Duncan. MD. Dunn. NC 
William E. Easterling, Jr., MD. Chapel Hill. NC 
John T Evans. MD. Chattanoosza. TN 
Charles W. Fowler. III. MD. Orlando. FL 
Alexander F Goley. MD. Burlington. NC 
Francis W. Green. MD. Albemarle. NC 
John L. Hazlehurst. 111. MD. Asheville, NC 
Dean C. Jones. MD. Jefferson. NC 
H. NeiU Lee, Jr.. MD. Lumberton, NC 
Otis M. Lowry. MD. Sprina Hope. NC 
Marvin M. McCall, 111. MD. Monroe. NC 
Malcolm McLean. MD, Charlotte. NC 
WilUam W. McLendon, MD, Chapel Hill, NC 
J. Doyle Medders. MD, Louisburg, NC 
Robert L. Murray, MD, Roanoke, VA 
John W. Onnand, Jr., MD, Wilmington, NC 
Clifton G. Payne, MD, Reidsville, NC 
Francis D. Pepper. Jr.. MD. Winston-Salem. NC 
Carev J. Perrv. MD. Louisburg. NC 
William R. Purcell, MD, Laurinburg, NC 
James F Richards. Jr. MD. Orlando. FL 
Mark W. Roberts. MD. La Jolla. CA 
W. R. Stafford. Jr. MD. Greensboro. NC 
Thomas C. Suther. Jr. MD. Jackson Springs. NC 
John W. Vassey. MD. Raleigh. NC 
Garland E. Wampler. MD. Bumsville. NC 
William B. Wood. MD. Chapel Hill. NC 
Leonard S. Woodall. MD. Smithfield. NC 
Dewey H. Yarley. MD. Durham. NC 

CLASS OF 1957 

Number in class: 49 

Percent donors: 45% 

H. John Bradley, Jr.. MD, Greensboro, NC 

James H. Bunris. MD. Shelby. NC 
Robert S. Cline. MD. Sanford. NC 
Joel D. Conner. MD. Gastonia. NC 
William R Connell. MD. Phoenix. AZ 
John K. Fan-ington. MD. High Point. NC 
E. Lindsay Fearrington. MD. Greenville. NC 
S. Thomas Gupton. Jr. MD. Raleigh. NC 
J. Grayson Hall. MD. Dobson. NC 
Lois T Han-is. MD. Chapel Hill. NC 
Bennett A. Haves, Jr.. MD. Favetteville, NC 
Jack B. Hobson. MD, Charlotte, NC 
J. Paul Hurst. Jr. MD. Rvdal. PA 
Richard V. Liles, Jr.. MD, Albemarle, NC 
Har\cv A. Pane. MD. PikcMllc. KY 
Raeford T. Pugh, MD, Washington, NC 



24 




Onhopaedics professor H. Robert Brashear Jr. (left) visits with members of the Class of '59 - 
D. Whitaker Davis and his wife Lucy, and Julian Selig (right). 



Nathaniel L. Sparrow. MD. Raleigh. NC 
James H. M. Thorp. MD. Rockv Mount. NC 
Gerald M. W'aeger. MD. Palo Alto. CA 
Earl P. Welch. Jr.. MD. Winston-Salem. NC 
Benson R. Wilcox, MD, Chapel Hill. NC 
David A. Williams. MD. Launnbiirg. NC 

CLASS OF 195S 
Number in class: 49 
Percent donors: 39'7c 

James T Allc\. MD. Macon. GA 
Clarence A, Bailev, Jr.. MD. Durham. NC 
D. Carl Biagers, MD. Ashe\ ille. NC 
John I. Brooks. Jr. MD. Tarboro. NC 
Maunce L. Canaday. MD. Lincolnton. NC 
M. Paul Capp. MD. Tucson. AZ 
Andrew J. Courts. MD. Greensboro. NC 
David B. Crosland. MD. Concord. NC 
James R. Edwards. MD. Raleigh. NC 
Nancy P Faucett. MD. West Hollywood. FL 
Thoma.s M. Hai/lip. MD. Raleigh. NC 
John S. Howie, .Ml). Raleigh. NC 
Dan E. Johnson. MD. Concord. NC 
John A. McGce. Jr. MD. Charlotte. NC 
I-uther S. Nelson. MD, Amarillo, TX 
T Lane Omiand. MD. Monroe. NC 
Dewev H. Pate. MD. Raleigh. NC 
J. Richard Patterson. MD. Danville. VA 
B. Everett Thompson. Jr.. MD. Gary. NC 

CLASS OF 19.S9 

Number in class: 51 

Percent donors: 41 Vc 

Dons B. Braxton. MD. Burlington. NC 

Robert C. Brown. MD. Chapel Hill. NC 

D. Whilakcr I )a\ is. MD. Wadesboro. NC 

A. Eu.jcnc Dou'jlas. Jr. MD. Lunihcrton. NC 

()tlsN.FIsher..lr..MI).(,riinsb(ir().NC 

.|(>elS.(;oodHin.Ml).Salisbur\.\C 

Robert l,.(;reen.Sr.. \I1). W inston-.Salem.NC 

(;ienn K. Hair, MD, Ka\Llle\ ille. NC 

(). James Hart, .Ir., Ml). Mocks\ Ille, NC 

K Sinilh Johnston. Jr. \11 >. R.ikich. NC 

Moms A. Jones. Jr. Ml), Durham. NC 

David I.. Kellv, Jr., Ml). Winston-Salcm.NC 

Wilfred D, Little. Jr. Ml ). Sp. .k.mc. WA 

Kdward I,. Mitchell. Ml). Prospect. K\ 

.lullan W. Selin. Jr. Ml), Kli/aheth (ilv. N( 

Martha K.Sharpless, Ml). (,reensl)oro,Nt 

Shahane R. lavlor. Jr.. Ml), (ireensboro. NC 

Charles K. I rado. Jr. Ml), Hickorv. NC 

Bonnie B W.ird. ,\1D, Shallotle. NC 

( . ( arl Warren, Jr., Ml), Charlotte. NC 

R. lee West. MD. (;reen>llle, NC 



CLASS OF 1960 
Number in class: 62 

Percent donors: il% 

Sellers L. Cnsp. MD. Greenville. NC 

Charles R Eldndge. Jr.. MD. Houston. TX 

Gerald W, Femald. MD. Chapel Hill. NC 

J. Thomas Fox, Jr., MD, Charlotte. NC 

Robert H. H.ickler. 111. MD. Richmond. VA 

James R. Harper. .MD. Durham. NC 

Falls L. Harris. .MD. Greenville. SC 

G WscklillcHoinei, .MD.JiiusMlle.FL 

E. Car«ile l.eR»\. Ml). Charleston, SC 

James M Marlowe, Ml), lliuh Point. NC 

J,Gia\ McAllister, 111, Ml), Chapel Hill. NC 

K. Franklin McCain. MD, Winston-Salem, NC 

Cecil H Neville. Jr. MI), Pinehursl, NC 

Duncan S, Owen. Jr. M I ), RKliinond. VA 

Robert B, Pavne, Ml), ,Mnnics\ ille, NC 

Jerry M. Petty, Ml), Charlotte, NC 

Elizabeth V Raft. MD. Durham. NC 

G. Thomas Strickland. Jr. MD. Baltimore. MD 

John A. Young, II, MD, Charlotte, NC 

CLASS OF 1961 
Number in class: 53 
Percent donors: 72% 

E, Stanley Averv. Jr. MD. Norfolk. VA 

Robert M, Boemer. MD. Asheville. NC 

Charles O, Boyette, Sr. MD. Belhaven. NC 

R, Carl Bntt, MD. Chapel Hill. NC 

William L Brown. MD. Roanoke Rapids. NC 

H. David Bruton, MD, Carthage, NC 

Franklin D, Clontz. MD. Longwood. FL 

John C, Council, Jr. MD. Charlotte. NC 

Robert K Crciiihlon, Jr., Ml), Wilminiiton. NC 

Cosmo A, I )ila/io. Ml), Phi ), ( li.irloncs\ ille. VA 

Ellison K Edwards, ,MI), Charlotte, NC 

F Michael Fennegan. MD. Harlingen, TX 

John W. Garden. MD. Lexington. KY 

William S, Gibson. Jr. MD. Riverside. PA 

.John C. CJraham, Jr, MD, Elizabeth Citv, NC 

Claud M, Grigg. Ml). Charhittc. NC 

Donald P Hams. Ml). Greensboro. NC 

Richard W. Hudson. MD. Bavboro. NC 

Richard I), Jordan. MD, Salisbury. NC 

William H, Kouri. MD. Charlotte. NC 

DaleR l,acke\, MD, Chailesion. ,SC 

l,lo\dD Lohi, Ml), Lcvin.jlon.NC 

W. Slacv Miller, Ml), Raleigh, NC 

A. Rav New some, ,MD, Wmston-Salem. NC 

C. Rex OBriant. MD. Gilbert. AZ 

William L. Owens. MD. Clinton. NC 

l.ouie I,. Patseavouras, MD, (ireensboro, NC 

( ceil 1 1 Rand. Jr. MD. Green\ ille. NC' 

I ec .naid 1^, Reaves. 111. MD. Windsor. NC 



Bobby A, Richardson, MD, Ocala, FL 
James H, Robinson, Ml), Wilmincton. NC 
W. Ray Samuels. MD. Charlotte. NC 
Edward A. Sharpless. MI), (ireensboro, NC 
W. Fen-ell Shufoid. Jr . Ml). W ilminglon. NC 
Joshua Tavloe, MD. Washington, NC 
Zebulon Weaver, III, MD, Ashev ille, NC 
Donn A. Wells, MD, Fort Lauderdale, FL 
William H. White. Jr. MD. Sanford. NC 

CLASS OF 1962 
Number in class: 53 
Percent donors: 43% 

Karl L, Barklev. MD. Greensboro. NC 

Oscar H. Bolch. Jr. MD. San Diego. CA 

Joseph H, Callicott, Jr. MD. Lynchburg. VA 

Law rence M. Cutchin, MD. Tarboro, NC 

Jerrv J. Filer. MD. Livingston. AL 

A, Rav Evans. MD. Greenville. NC 

Mano'n W. Gnftin. MD. Ashehoro. NC 

Fredenck D, Haiiinck, 111, Ml), Lvnchburg. VA 

H. Gerard Hart/OL', 111, MI), Raleigh. NC 

Rav \t. Havwonh. MD. kiwxviUe. TN 

Charles NL Hicks. MD. Wilmington. NC 

Arthur S L\ nn. Jr. MD. Granite Falls. NC 

J, New ton M.icComiack. MD. Raleigh. NC 

John L. Monroe. MD, Pinehurst, NC 

Kenny J. Morris, MD, Wilmington, NC 

William J Mun-av. MD. Durham. NC 

Carl S. Phipps, Sll), W inslon-.Salem, NC 

J. Flint Rhodes, Ml), Raleigh. NC 

Lambros C, Rigas. MD. Rome. G A 

D. Emerson Scarborough. Jr.. MD. Raleigh, NC 

Fuller A, Shuford, MD, Asheville. NC 

Henry C. Turner, MD, Winston-Salem. NC 

Roy V. Vamer, MD, Houston. TX 

CLASS OF 196.^ 

Number in class: 53 

Percent donors: 43% 

William P. Algarv. MD. (ireenville. SC 

Quincs A, .Avscue. MD. Norfolk. VA 
Neil C. Bender. MD. New Bern, NC 
W. Paul Biggers. MD, Chapel Hill, NC 

Karl F Bitter. MD. Asheville. NC 
Donald L. Copeland. MD. Huntersville. NC 
Robert J, Cowan. MD, Winston-Salem. NC 
John W. Dalton. Jr, MD, Santa Monica. CA 
William B, Deal, MD, Mountain Brooke. AL 
J. Phillip Goodson, MD, Raleigh, NC 
George C, Hemingwav. Jr. MD. Tarboro. NC 
William O. Jollv, 111, MD, Albemarle, NC 
W. Bryan Latham. MD. Miami, FL 
James L, Parker. MI). Hickory. NC 
Eugene W, Pate. Jr. MI). Kinsion. NC 
Tom S. Rand, MD, W ilson, NC 
Charles J, Sawver. 111. MD. Ahoskie. NC 
Samuel E, Scoit. MD. Burlington. NC 
Stephen R, Shafler. MD. Asheville. NC 
Richard W. Shermer, MD, Chapel Hill, NC 
Jerry A, Smith. MD. Memphis. TN 
Roy A. Weaver. MD. Fayelleville. NC 
David R. Williams. Sr. MD. Thomasville. NC 

CLASS OF 1964 
Number in class: 55 
Percent donors: 38% 

Rudolf F Albert. Ml). Roanoke, VA 
J. W, I)a\ id Alchison, MD. Ruston. LA 
J. Nichols ikanl. Ml), Charlotte. NC 
Bruce II. Berrvhill, MD, Charlotte, NC 
WinsUm Biahs,.n. MD.Vashon.WA 
HaiTV I. Broome, ,M1), Alpharetta. GA 
Johii R. Cella, MD, Raleigh, NC 
Roy L. Curry. Jr., MD. San Francisco. CA 
James F, Eamh;irdt, MD, Winston-Salem. NC 
Clvde M. (iailnev. III, MD, Greenville, SC 
David B. ( iillis, ,ir.. MD. PhD, I ,ala\elle, CA 
DCharlcslIunsiiiijci, MI),,Sprin.jhiil,LA 
Mickael .M. Kaniiaii, .MI), Richmond. VA 
PeterC. LaRowe, MD. Spokane. WA 
Jcfferys A. Macfie. Jr.. MD, (ircenvillc, SC 
Noel B. McDevitt, Ml), Southern Pines. NC 
Murpln I Mcfiin.Jr.MI), Kmston.NC 
Alios \\. Mosen.lr.. Ml). Swannannoa, NC 
Russell ( . lay lor. Ml), Boone, NC 
Wayne B. Vcnlcis. MD. Ilampstead. NC 
James L. Williams. MD. Spokane. WA 



25 



CLASS OF 1965 
Number in class: 55 
Percent donors: 33% 

J. Wayne Battle, Jr.. MD. Johnson City. TN 
Takev Crist, MD, Jacksonville, NO 
Edgar G. Gallagher, Jr. MD, Jacksonville, NC 
Charles P. Graham. Jr.. MD. Topeka. KS 
Robert L. Grubb, Jr., MD, Glendale, MO 
Joe W. Hardison. MD. Fayetteville, NC 
Alexander C. Hattaway, III, MD, Raleigh, NC 
Howard Holdemess, Jr, MD, Greensboro. NC 
Joe P. Hurt, MD. PhD, Syiva, NC 
Bernard R. Jack. MD. Azie. TX 
Robert T. Kindlcy. MD, Port Walton Beach, PL 
Cordon B. LeGrand, MD, Raleigh. NC 
WilHani D. McLester, MD, PhD, Fayetteville, NC 
Donald D. McNeill. Jr. MD, Lenoir, NC 
Peter A. Modrow, MD, Raleigh, NC 
Thomas L. Presson, MD, Greensboro, NC 
William F. Savers, MD, Winston-Salem, NC 
Hvin H. Sides,"ll], MD, Raleigh, NC 
Williamson B. Strum, MD, La Jolla, CA 



CLA.SSOP1966 

Number in class: 63 

Percent donors: 65% 

J. Curtis Abell, MD, Statesville, NC 

J. David Alford, MD, Mooresville, NC 

Willis A. Archer, MD. Rutherfordton. NC 

Robert P Bamneer, MD, Gastonia, NC 

Joseph O. Bell. HI. MD. Tuxedo, NC 

Robert H. Bilbro, MD, Raleigh, NC 

William H. Bowers, MD, Richmond, VA 

Paul L. Burroughs, Jr, MD, Raleigh, NC 

Timothy P. Cloninger, MD, Charlotte, NC 

George W. Cox, MD, Atlanta, GA 

John R. Crawford, III, MD, Salisbury. NC 

William M. Crutchfield, MD, Elizabeth City, NC 

Philip C. Deaton, MD, (Jreensboro, NC 

Robert C. Gibson, ill, MD. Portland. OR 

C\ rus L. Gray. III. MD, Hiawas.scc. GA 

(leorge T. Grigsbv. Jr., MD, Hollv Springs, NC 

Carol H. Hackett. Ml). Mercer Island. WA 

Howard T. Hinshaw. MD. Charlotte, NC 

N. Neil Howell. MD. Charlotte. NC 

William C. Hubbard. MD. Raleigh. NC 

Stanleigh E. Jenkins. Jr. Ml). Ahoskie. NC 

Thomas J. Koontz, MD, W Inston-Salem, NC 

Sidney C. Kress. MD. Staten Island, N")' 

A, i;idrKl'jc Leake. Jr. Ml). Asheville, NC 

Hugh A. McAllister, Jr., MD, Houston, TX 

Kdgar M. McGce, MD, Lexington, KY 

Peter L. Moms. MD. Santa Barbara. CA 

Duncan Morton. Jr. MD, Charlotte, NC 

Hugh G. Murrav. Jr, MD, Atlanta, GA 

R. Kenneth Pons.'MD. Medford, OR 

James A. Presslv, MD, Charlotte. NC 

Suiry R Roberts, MD. Raleiah, NC 

Charles K. Scott. MD, Haw River, NC 

Robert E. Sevier, MD, (Jreensboro, NC 

J. Lewis Sigmon, Jr., MD, Cornelius, NC 

H. Lee Smyre, MD, Greer, SC 

P. Walker Stevens, Jr., MD. Greensboro. NC 

Donald A. Thomas. MD, Hendersonville. NC 

W. Beverly Thicker, Hi. MD, Henderson, NC 

W, Hunter Vaughan. MD. Steubenville. OH 

.lames A. Ybunt, MD, Charlotte, NC 



CLASS OF 1 967 
Number in class: 66 
Percent donors: 53% 

Phillip G. Arnold. MD. Rochester. MN 
F Walton Avery, MD, Chapel Hill, NC 
Gerald W. Blake, MD. Raleigh. NC 
Thomas W. Bundy, MD, Chambersburg, PA 
Joseph M. Craver. MD. Atlanta. GA 
Vartan A. Davidian,,Ir.. MD. Raleigh, NC 
C. Allan Eure. MD, Raleiizh. NC 
David A. Evans, Ml). Monroe. NC 
R. Donald Gamson.MD..Iacksonville, PL 
Jeremy W. Greene. Ml). San .Antonio. TX 
Howard D. Homeslev, MD. Winston-Salem. NC 
L. Fuller Honeycuu. Jr. MD. Raleigh, NC 
James D. Hundley, MD, Wilmington, NC 
Linda H. Jackson. MD. Arden. NC 
Scott G. Kleiman. MD. Marietta, GA 
Frank W. Leak. Sr. MD, Clinton, NC 



Hugh T Lefler, Jr., MD, Port Worth, TX 
Clifford T. Lewis, Jr„ MD, Wilmington, NC 
Philip R. Littleton, MD, Burke, VA 
Jacob A. Lohr, MD, Chapel Hill, NC 
Robert W. Madrv, Jr., MD. Corpus Christi, TX 
R. Bernard McAdam, MD, Yorktown, VA 
W. Jason McDaniel, Jr.. MD. Raleigh, NC 
G. Farrell McNeely, MD, Gainesville, EL 
Rudolph 1. Mintz. Jr, MI). Kinston. NC 
Harold B. Owens, MD, Danville. \A 
Gerald Pelletier. Jr., MD, New Bern, NC 
Brtice A. Phillips, Jr, MD, Plizahethlown, NC 
William B. Riley, Jr, MD, Sugarland, TX 
Douglas M. Russell, MD, Goldsboro, NC 
Walter R. Sabiston. MD, Kinston, NC 
James H. Spruill, MD, Jackson, TN 
Henry C. Thomason, Jr., MD, Gastonia, NC 
M, Dennis Wachs, MD, Bedford, NH 
Barry M. Welbome, MD, Charlotte, NC 

CLASS OF 1 968 
Number in class: 59 
Percent donors: 36% 

Joseph P. Archie. Jr., MD, Raleigh, NC 
Alan Davidson, HI, MD, Greensboro, NC 
Ten7 D. Golden, MD, Atlanta, GA 
Joseph W. Griffin, Jr., MD, Augusta, GA 
Samuel R. Harris, IL MD, Lexington, NC 
Thomas L. Henley, MD, San Marcos, CA 
William O. Kearse", Jr, MD. Lubbock. TX 
John L. Kirkland, III. MD. Houston, TX 
Edward W. Kouri, MD. Charlotte. NC 
Jerold E. Lancourt, MD, Dallas, T.X 
R. Frank Lowry, Jr., MD, Raleigh, NC 
David J. Reese, II, MD, Alexandria, VA 
David M. Rubin, MD, Greensboro, NC 
Carole W, Samuclson, MD, Binningham, AL 
Robert B. Sheann, MI), Rockville, MD 
William S. Teachev. MD. Virginia Beach, VA 
E Charles T\icker, Jr.. MD, Gulf Breeze. FL 
Robert C. Vanderben^', Jr, MD, Ralemh, NC 
J. Allen Whitaker, III, MD, Wilson, NC 
Roberta G. Williams, MD, Chapel Hill, NC 
Jerry C. Woodard, MD, WUson, NC 

CLASS OF 1969 

Number in class: 64 

Percent donors: 44 % 

H. Wallace Baird. MD, Greensboro, NC 

J. Hugh Bryan. MD, Fayetteville. NC 

W. Woodrow Bums, Jr, MD. Chapel Hill. NC 



Don C. Chaplin, MD, BurUngton, NC 

R. Samuel Cromartie. III. MD. Ormand Beach, FL 

Andrew Davidson, MD, New Bern, NC 

C. Ellis Fisher, MD, Gastonia, NC 

C. Richard Fleming, MD, Jacksonville, PL 

Hugh J. Grant. Jr, MD, Raleigh, NC 

Thomas R. Griggs, MD, Hillsborough, NC 

John G. Johnston, MD, Charlotte, NC 

Richard A. Keever, MD, High Point, NC 

C. Dayton Kirk, MD, Raleigh, NC 

Edward H. Lesesne, Jr, MD, Canton, NC 

Henry J. MacDonald, Jr., MD, New Bern, NC 

Donald W. MacQueen, MD, Wilmington, NC 

David W. Pearsall, Jr, MD, Greenville, NC 

H. Harris Pittman, MD, Cave Springs, GA 

Joseph D. Russell, MD, Wilson, NC 

J. Franklin Sanderson, Jr., MD, Hampton, VA 

David S. Sheps, MD, Chapel Hill, NC 

James W. Snyder, MD, Wilmington, NC 

Karen Campbell Sorrels, MD, Midlothian, VA 

Franklin T. Tew, MD, Orlando, PL 

John G. Thomburg, MD, Spartanburg, SC 

W. Robert Turlington. MD, Jacksonville, NC 

James G. Wallace, MD, Greenville, SC 

Nelson B. Watts. MD, Atlanta. GA 

CLASS OF 1970 

Number in class: 70 

Percent donors: 53% 

Charles M. Almond, MD, Wilmington, NC 

H. Clifford Baggell, Jr, MD, Rocky Mount, NC 
Jerrv C. Bern.stein, MD. Raleigh. NC 
James P. Browder. lU. MD. Durham. NC 
William E. Bvrd, MD, Roanoke Rapids. NC 

Harold H. Cameron, MD, New Bern, NC 

Daniel L. Crocker, Jr.. MD, Rocky Mount, NC 

H. Shelton Earp, HI, MD, Chapel Hill, NC 

Mary H. Edwards. MD, Pittsburgh, PA 

Richard M. Freeman. MD. Opelika. AL 

James O. Goodw in, MD, Henderson, NC 

Joseph M. Harmon. MD, Sullit an Island, SC 

John F Hartness. Jr. MD. Monroe, NC 

Robert L. Hinkle, MD, Lincolnton, NC 

W. Borden Hooks. Jr., MD. Mount Airy, NC 

Donald D. Howe, MD, Gastonia, NC 

Mark G. Janis. MD, .Seal Beach, CA 

James J. Jenkins, MD, Saint Louis, MO 

William R. Jordan. MI). Fayetteville, NC 

C. Bryan Koon, Jr, MD, Durham, NC 

Frederick G. Kroncke, Jr., MD, Rocky Mount, NC 

Thomas W. Nicholson. MD, Washington, NC 




Joe Russell. MD '69 (left), talks with Emkmtuent Fund grant recipient David R. Jones, a 
thoracic surgery fellow, and Bill Easterling. MD '56. associate dean for CME and Alumni 
Affairs. Russell is ending his five-year tenn as chair of the Endowment Fund Board: he will 
be succeeded bv Noel McDevitt. MD '64. 



26 



Edward A. Norfleeu MD, Chapel Hill. NC 
R. Kirbv Primm. MD. Wenatchee. WA 
David A. Rendleman. Ill MD. Raleigh. NC 
Thomas A. Roberts. Jr. MD. Charlotte. NC 
Subir Rov. .\1D. Pasadena. CA 
James B. Sloan, MD. \\ ilmington, NC 
Kenneth W. Smithson. MD. Ir\ ing. TX 
Rick I. Suberman. MD. Chapel Hill, NC 
T. Reed I nderhill, MD, New Bern, NC 
Ross L. Vaughan. MD. Raleigh. NC 

E. Lance Walker. MD, Littleton. CO 
\Mlliam J. Weatherh, .MD. (ireensboro. NC 
H. Grev Winfield. III. MD. Hickory. NC 
James E. Winslow, Jr., .MD, Hurdle Mills, NC 
John W. Zirkle. MD. Jefi'erson City. TN 

CLASS OF 1971 
Number in class: 71 
Percent donors: 56% 

John V. Allcon. 111. MD. Eugene. OR 
J. Richard Aunian. MD. Chesapeake. VA 
Robert A Bashford. MD. Chapel Hill. NC 
Coleman D, Caner. MD. Charlotte. NC 
Enser W. Cole. 111. MD. Se\ema Park. MD 
James S. Coxe. 111. MD. Raleieh. NC 
Bertram C Fineh. 111. MD. Charleston. SC 
Jane M F.n. MD. ( )ak Ridiie. NC 
James .S. Fulj;huni. 111. MD, Raleigh, NC 
Mary .Susan Fulghum. MD, Raleigh, NC 
Joe E. Gadd\. Jr. MD. Winslon-Salem. NC 
Joseph H. Goodman, MD, Powell, OH 
Clarence A. Griffin. III. MD. Boca Grande. FL 
W. Randolph Griag. MD. Chapel Hill. NC 
Michael B. Jenkins. MD. Everett. WA 
Williatn D. Kassens. Jr. MD. Wilmington. NC 
Michael B. Kinc. MD. Kinston. NC 
Michael R. Know les, MD, Chapel Hill, NC 
Rohen L. Ku\ kendal. .MD. Cincinnati. OH 
Donald V. Lewis. MD. Cooperstown. NY 
James S. McFadden. MD. Pinehursi. NC 
Jonathan O. McLean, MD, Charlotte, NC 
Richard A. Nelson. MD. Cordo\ a. TN 
Frederick S. Neuer. MD, Emporia, KS 
\\ illiam B. Pittman, .MD. Rocky Mount, NC 
R. Randolph Powell. MD. Fox Point. Wl 
John O. Re\ nolds. Jr. .MD. Salisban. NC 
Charles H. Richman. MD. Saratoga Springs. NY 
V. O. Roberson. 111. MD. Hieh Poml. NC 
William D. Sasser. MD. Fredenckshurg. VA 
Roy H. Schindelheim. MD. King City. CA 
J.Allison ShiMrs, MD. Asheyille.NC 
Sara H Siii.il Ml). W inston-Salcm. NC 
G.Terr\ Stewart, MD. Wilmington, NC 
John P.Siirratt. Ml). Clinton, NC 
George ( . \enlers. MD. Raleigh, NC 
David K, Waiionci. Ml). Charlotte. NC 
Dwighl W, \Vait. 111. .MD. Charlotte. NC 
William W. Webb, Jr., MD. Salisbun, NC 
Blane W. Yelton. Jr. MD. Thomasville. NC 

CLASS OF 1972 
Number in class: 68 
Percent donors: 46% 

Robert L Barnes. 111. .MD. Knoxville.TN 

Myron H. Brand. MD. Madison. CT 

Peter R. Bream. MD. Jacksonville, FL 

L. Franklin Cashwell. Jr. MD. Greensboro. NC 

PeterG, Chikes. Ml). Concord. NC 

Randolph B Cooke. Ml). fJucsjo. \> 

J .\1c.\eill Gihson, Ml), l)a\ ids,.n. NC 

Walter B. (ireene. MD. (olumbia, MO 

Alger V. Hamrick. 111. Ml), Raleii;h, NC 

L. Clayton Harrell. 111. Ml). Charlotte, NC 

Hubc-rl B, Haswood. HI. .Ml). Raleigh. NC 

F. Christian Heaton, MI), Raleigh, NC 
John T. Henley, Jr., MD, Favetteville, NC 
William B, Horn. MD. Boone. NC 

John S Hughes, ,MI), New Hasen. CT 
J, Ronald Hunt. .MD. Columbus. GA 
Joseph A. Jackson. Ml). Pilot Mountain. NC 
Michael C Jones. .MD, HcndcrsonMllc. NC 
Bruce 1., Kihlsirom, Ml), Durham, NC 
Howard S. KrcMip, Ml), \\(HHlbury, NJ 
Constance F l.cller. PhD. Ml). Fon Worth. TX 
Robert VV. Little, Sr., MD, Burlington, NC 
William L, Long. MD. Newton. NC 
John R. Lurain, III, MD, Oak Park, IL 
John r Manning. Jr. MD. Houston. TX 
Ronald A. McHire. MD, New Bern, NC 



Scott v. Pharr, lU, MD, W illiamsburg, \ A 

James S. Reed. MD. Gis; Harbor. WA 
William J. Simons. MD' Wea\er\ ille. NC 
William C. Tate. II. MD. Banner Elk. NC 
G. Dean Wilson. Jr. MD. Johnson City, TN 

CLASS OF 197.^ 
Number in class: 80 
Percent donors: 28% 

Kenneth Banks. MD. Durham. NC 
G, Rutfin Benton. III. MD. Brexard. NC 
Stephen A. Bernard, MD, Chapel Hill, NC 
Jesse A, Blackman. MD. Fremoni. NC 
Thomas B. Cannon, MD, W instcm-Salem, NC 
Llovd K, Comstock, Ml), Piltsburnh. PA 
Charies H. Edwards. II. MD. Charlotte, NC 
J, Rohen Forstner, MD, Soulhport. NC 
E, Ruttln Franklin, Jr.. MD. Raleigh. NC 
Tern L, Fry. MD. Georgetown. SC 
Donald B Goodman, Jr. MD. Charlotte. NC 
J. Blake Goslen. III. MD. Charlotte. NC 
J. Michael Harper. MD. Charlotte. NC 
E, Earl Jenkins. Jr.. MD. Rock Hill. .SC 
EhsabethA, Keller. Ml). Biookliiie. MA 
James N, Martin. Jr. Ml). Kul'jel.ind. MS 
James L. Mavnard. Ml). Rock Hill.SC 
Dale A. Newton. MD. Greenville, NC 
David R. Patterson. MD. Cireensboro, NC 
W, McLean Reavis. Jr. MD. Lakeland. FL 
S. Wayne Smith. MD. Raleigh. NC 
Robert R. Walther. MD. New York. NY 

CLASS (3F 1974 
Number in class: 95 
Percent donors: 36% 

Robert M. Alsup. MD. Winston-Salem. NC 

Charles B. Beasley, MD. Kinston. NC 

W. Gnftuh Bowen. MD. St. Louis. MO 

William E, Bow man. Jr. MD. Greensboro. NC 

Donald C. Brown, MD, Cary, NC 

Paul S. Camnitz, MD, Greenville, NC 

Da\ id R. Clemmons. MD. Chapel Hill. NC 

Thomas H Dukes. III. MD. Charleston. SC 

Martha F Goetsch. MD. Portland. OR 

Stephen S. Hawkins. MD. Hivson.TN 

L. Hueslon Hobbs, Jr. .MI). Harwood. MD 

C. Norman Huryvit/., MD, Hamilton, OH 

Joseph M. .lenkins. .MI), Kayettcville, NC 

William 11, K.1I/. MI). Auburn. ME 

Kenneih R. Kulp. MD. Raleigh. NC 

John A. Lang. III. MD. Raleigh. NC 

William D. Lee, Jr. MD, Raleigh. NC 

Clarence E, Lloyd, Jr. MD. Greensboro. NC 

Joseph Majstoravich, Jr. MD. Morehead City, NC 

William H.Moretz, Jr., MD, Augusta, GA 

W. Alton Murphy. MD. Raleigh. NC 

Clyde Nolan. Jr. MD, Greensboro, NC 

H. Clifton Patterson, HI, MD, Raleigh, NC 

Jan H. Postma, Jr., MD, Spartanburg, SC 

Thomas W. Powell. MD. Concord. NC 

C. Fredric Reid, MD, Winston-Salem, NC 

Charles W. Smith. Jr. MD. Little Rock. AR 

Roger L, Snow, MD, Boston, MA 

David L, Tan, .MI), Hickorv. NC 

David T. Tay loe. ,|r.. MD, (ioldsboro, NC 

John W. Thornton. III. MD. Nonh Augusta. SC 

Larry E. Wan-en. MD. Raleigh. NC 

Charles H. Weiss. MD. Newton. MA 

William G. Wilson. MD. Charlottesville. VA 

CLASS C3F197.S 

Number in class: 102 

Percent donors: 42% 

E. Jackson Allison. Jr. MD. Greenville. NC 

Bruce A. Bcilou, ,\II), Sanl.i H.uhaia.CA 

Sherif B. Bolr.is. Ml). W ilniiiiglon. NC 

JulianC. Branlk\, III. Ml). Rocky Mount, NC 

Julian T Branlley. Jr. MD. Vienna. VA 

Patrick G. Bray. MD. Cleveland. (iH 

Samuel L. Bridgers, II, MD, Woodbrldge, CT 

E. Drew Bridges, MD, Wake Forest. NC 

Benjamin Douglas, Ml). Wehslei, NC 

William H, lidwards. Ml). Norwich. VT 

Clarence i;Fogleman 111. Ml). Colorado Springs, CO 

Frank B. Fondren, III, MD, Mobile, AL 

Richard F. Fox, MD, (ireensboro, NC 

Donald (;.(;rcgg,MD,(;reenvillc,SC 

iTicll llelsabeck.Ml). Asheboro.NC 

Fmesi K Krug. 111. MD. KiKhester, Ml 



David S, Lennon. MD. Charlotte. NC 
Howard A. McMahan, MD, Marietta, G A 
Michael W. Meriwether, MD, Sarasota, FL 

Frank J. Miller. MD. Chattanooga. TN 
Stephen .M. Miller MD. Greensboro. NC 
Frank H, Moret/. MI). AsheMlle. NC 
Wade H. Moser, Jr.. MD. Raleigh, NC 
Dan A, Myers, MD. Kinston, NC 
W. Ronald Neal, MD, (ireensboro, NC 
Henrv N. Nelson. 111. MD. Indialantic, FL 
Lanninsz R. Newell. MD. Ralemh. NC 
M. Harrell Odom. MD. Boone, NC 
Charles J. Parker, MD, Salt Lake Citv, UT 
James E. Peacock, Jr . .MI), W inston-Salem, NC 
Joseph B. Philips. III. MD. Bimiingham. AL 
Hoke D. Pollock, MD, W ilmington, NC 
Joseph R. Pnniile. Jr. MD. Burlinszton. NC 
Wanda L. Radford. MD. Raleigh, NC 
DaMd M, Reid. MD. Raleisih. NC 
W. Paul Saw A er, MD. Tallahassee. FL 
V;m J. Stitt. Jr. MD. Hope Mills. NC 
Carol R. Teutsch. MD. Atlanta. GA 
Hendncks H. Whitman. III. MD. New Vernon. NJ 
E. Brooks Wilkins. MI). Ralei>;h. NC 
Kenneth II Winler Ml), (iiccnsboro. NC 
Lawrence 1. Younti. .MD. Hivson. TN 
Michael H. Young". MD. Asheville, NC 

CLASS OF 1976 
Number in class: 125 
Percent donors: 53% 

Kirkwood F Adams. Jr. MD. Chapel Hill. NC 

Brenda L. Adams-Hudson. MD, Moore, SC 

Warwick Aiken. 111. MD. Gastonia. NC 

Janet C, Aiken. MD. Gastonia, NC 

Paul D. Barry, MD, Greensboro, NC 

W, Bryson Bateman. Jr. MD. Goldsboro. NC 

Manin F Beals. Jr. MD. Bluelield. WV 

Robert G. Berber. .Ml). Chapel Hill. NC 

Jean C, Bolan, .MI), W ashingtcm, DC 

AlexisC. Boutenell,Ml), Lilchtield.CT 

Richard A, Bowerman. MD. Ann Arbor. Ml 

Jack R Byrd. MD. Cleveland. TN 

E. Chnstian Cameron. MD. Atlanta. GA 

Barbara J, Campbell, MI), Somerset, PA 

Marjone B, Can-. Ml), Ralemh, NC 

Cornelius F Cathcart. Ml). Henderson. NC 

Edward L. Cattau. Jr. MD. Geniiantown. TN 

Susan T. Edwards. MD. Norw ich. VT 

William H. Gamble, MD, (ireensboro, NC 

RitaL. Gunter. Ml). I a\eiie\ ille. NC 

Charles H, Hicks, Ml), W rightsville Beach, NC 

J. Lee Hotter. Ml). Temple. IX 

Robert H. Hutchins, MD. Wilmington. NC 

Walker A, Long. MD. Chapel Hill. NC 

Ross D, Lynch. MD. Columbia. SC 

R. Franklin M.iness, MI), Goldsboro, NC 

McKav McKinnon, MI), Keniluonh, IL 

John FI McMuiTas, Ml), Ch.irlolle, NC 

B, Doui:las Morton, 111, MD, Macon. GA 

Robert S Moskalik, MD.Coldwater Ml 

E. Paul Nance, Jr., MD, Nashville, TN 
L. Andrew Nassel, Jr , Ml), l)an\ ille, I'A 
David B, Neeland, MI), Monlgonurv, AL 
Harold A. Nichols, Ml), (,ivcnshoio,\C 
Kathleen (iailagher < )\ner. MD, (ireenville, SC 
James S. Piirsons. Ml), R.ilci-h, NC 

V. Edgar Paul, Ml), (ireensboro, NC 
Charles V Pope, Ml), Apc\, NC 
Douglas C, Privetle, MD, ( ireenville, NC 
Sheldon M, Relchin, Ml ), Mullolhian, VA 
William A, Richex, Ml), New Bern, NC 
Jimmy L, Rodden, Ml ), \\a\ nesMlle, NC 
William D, Routh, Ml ), Wiiision Salem, NC 
Paul J. Saenger, MD, Asheville, NC 
Robert S, Shapiro. MD. Athens. CiA 
David I-, SiKcr MI). Charloiiesville, VA 
l.innea W. Smith, Ml),( luipel HilLNC 
Robert .1. lallaksen. Ml), Morgantown, WV 
R.HcniA Icinplc.Ml). Wilnniiijlon. NC 

F. Ray J higpen. Ml), W hilex ille. NC 
JohnW rnlv,Ml),MKimi,l 1. 
George Walcrhouse. Ml). Jackson. WY 
Mark L. Williams, Ml). Chapel Hill. NC 
Moses F. Wilson. Jr, MD. RiKky Mount. NC 
Richard L. Wing, MD. Charlotte. NC 
Solimion (i, Zerden, Ml), Sa>annah, (i.\ 



27 



CLASS OF 1977 
Number in class: 116 

Percent donors: 26% 

Michael L, Bamnger, MD, Shelbv. NC 
Jeffre\ G. Branllev. MD. Durham. NC 
Francis S, Collins! MD. Rockville. MD 
Joseph E. Craft. MD. Guilford. CT 
William B. Harden. MD. Bluetleld. WV 
G. W illiam Henry, MD. Chapel Hill, NC 
Marianna M. Henry, MD. Chapel Hill, NC 
William L. Kiev. MD. Overland Park. KS 
George M. Johnson. MD. Charleston. SC 
L. Lvndon Kev. Jr. .MD. Charleston. SC 
Michael E. King, MD. Winston-Salem. NC 
Judith M. Kramer. MD. Chapel Hill. NC 
Frederick H, Mahn. ,MD. Launnburg. NC 
S. Ray .Mitchell. MD. .\lexandria. VA 
\\arren H. Moore. MD. Sugar Land, TX 
H. Grad\ Mon;an. Jr. MD. Wilmington. NC 
Robert L. Munt. Jr. MD. Raleiah. NC 
Pamela .A Nelson. .MD. Raleigh. NC 
Melinda C. Paul. MD. Greensboro. NC 
Louis M. Perlmutt. MD. Chapel Hill. NC 
Michael L. Pool. MD. Knoxville. TN 
Duncan S. Postma. MD. Tallahassee, FL 
Cathenne .M. Rado\ ich. MD. Gallup. NM 
Samuel T. Selden. MD. Chesapeake. VA 
John B. Smith. Jr. MD. Clinton. NC 
J. Herben Stanley. Jr. MD. Wilmincton. NC 
Alan D. Stiles. MD. Chapel Hill. NC 
Gregory Stray hom. .MD. PhD. Chapel Hill, NC 
Mic^hael S. Wheeler. .MD. Rutheriordton. NC 
Wayne G. Woods. MD. Greensboro, NC 

CLASS OF 1978 
Number in class: 124 

Percent donors: 27% 

Michael C. Alston. MD. Murfreesboro, NC 
Thomas R, Andrus, Jr. MD, Raleigh, NC 
James J. Bednck. MD. Charlotte. NC 
John D. Benson. MD, Carv. NC 
Jane C. Bums. MD. La Jolla. CA 
Jean W. Carter. MD. Raleiszh. NC 
William G. Clark. MD. Charlotte. NC 
Brian J. Cohen. MD. Cambridge, MA 
Cynthia D. Conrad. MD. PhD. Branford. CT 
Paul W. F. Coughhn. .MD. Hii;h Point. NC 
Betty H. Crosby. MD. Charlotte. NC 
John D. Davis. Jr.. MD. Blouing Rock, NC 
Manha L. Elks. MD. Lubbock. TX 
Elizabeth R. Gamble. MD. Greenyille, NC 
John B. Gordon. 111. MD. La Jolla, CA 
Katherine A. Hiah. MD. Merion Station, PA 
Michael D. Holland. MD. Rocky Mount, NC 
C\ nthia R. Howard. MD. Baltimore, MD 
Allison D, Malter. MD. Charlotte. NC 
Jetlrev .-X. Margolis. MD. Tappahannock. VA 
John t. McElveen, Jr, MD, Durham, NC 
W, Ronald Moffitt, MD, Hendersonville, NC 
Mark D, Monson. MD, Spartanburc, SC 
Peter J. Moms, MD, Fiiquav Vanna, NC 
Michael \. Parker, MD, Raleigh, NC 
H. Craig Price. MD. Raleigh. NC 
Peter A. SchlesinKr. MD. Roseville. MN 
Stuart C. Segemirin. MD. Atlanta. GA 
Thomas C. Shea. MD. Chapel Hill. NC 
Susan T. Snider, MD, Spruce Pine. NC 
Wilham A. W alker. MD. Charlotte, NC 
Ralph I.. Wall, Jr., MD, W inston-Salem, NC 
J. Byron Walthall, Jr, MD, Charlotte, NC 
Jesse G. ^'arborough. Jr. MD. Belmont, NC 

CLASS OF 1979 
Number in class: 120 

Percent donors: 28% 

Andrew H. Balder. MD, Longmeadow, MA 
Thomas A. Bamnger. III. MD. Charlotte. NC 
W. Huah Craft. Jr. MD. Roiinoke. VA 
Walter E. Daniel. Jr. MD. Raleigh, NC 
F. .Andrew Dorr, MD, Solana Beach, CA 
Elizabeth A. Eagle, MD, Greensboro, NC 
Allen R. Edwards, MD. Statcsv ille, NC 
Robert E. Finch. Jr. MD. Ashev ille. NC 
Sharon M. Foster, MD, Raleigh, NC 
Patncia K. Hill. MD. Statesv ille. NC 
Anne T Keiler. MD. Hershev. PA 
John C. Kcifer. MD. Hershev. PA 
David W. Kohl, MD, St. Petersburg. FL 
Charles E. Lownes. MD, Greensboro, NC 



lliH^^H 


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Students who received scholarships and merit awards from the Medical Alumni Lo\alt\- 
Fund were special guests at the fall banquet. From left. Peggy Byun, MS2: Kimberlx 
Woodruff, Speech-Langiuige Pathology: Kristin Chaniberlin. Occupational Therapy; 
Karen Grogg. MS3: Caroline Hoke, MSI: Nicole D' Andrea, MS4: Jason Merker, MSI; 
Laura Brown, MS4; Chad Gunnlaugsson, MS3; Noah Hoffman, MSI; Melanie Paul, 
MS4; Dan Briggs, MS3; Steve Dunleavy MS2; Ellen Flanagan, MSI; Jeff Ralph, MS2; 
Latonya Brown. MS2; Mike Armstrong, MSS; Shaiuu)n Sawin, MSI ; Mark Wood, MS2; 
Carrie Dow-Smith, MS4; Tres Pittman, MS4; Shaida R\an, MS2; Anne Waters, MS4; 
Michael Gill, MS4; Jennifer Klenzak, MS3; Mike Batten, MS4; Anne Hillman, MS4. 



Darlyne Menscer. MD. Charlotte. NC 

James G. Peden. Jr. MD. Greens ille. NC 

Thomas B. Prebble. MD. Marshfield. WI 

Veronica J. F. Ra\. MD. Durham. NC 

Charles N. Reed. MD. Hickon-. NC 

J. Mark Rowles. MD. Atlanta. GA 

James L. Sanderford. Jr. MD. Winston-Salem. NC 

Da\ id M. Siegel. MD, Rochester, NY 

William L. Stewart, MD, Southern Pines, NC 

R. Mark Sliesel. MD. Charlotte. NC 

Margep, S. S\ed. MD. Raleigh. NC 

Frances R. Thomas. MD. Chicago. IL 

Doualas B. Thomson. MD. Bow lins; Green. KY 

PaulA. \adnais. MD. Charlotte. NC 

Mack W. W bite, III. MD. Charlotte. NC 

C. Phillip Whitworth. MD. Forest City. NC 

Leonard S. \\'ojnowich, MD. Savannah, GA 

Nonnan F Woodlief. MD. Cedar Falls, lA 

O. Barry Wynn. MD. Charlotte. NC 

CLASS OF 1980 
Number in class: 156 

Percent donors: 27% 

Edward H. Bertram. 111. MD. Charlottesville, VA 

Roger D. Billica, MD. Houston, TX 

Wilbur B. Carter, Jr, MD, Chapel Hill, NC 

Neale A. Cogswell. MD. Windermere. FL 

David M. Eason, MD. Corvallis. OR 

Ernest B, Eason. MD. Burlincton. NC 

Patricia T Edkins. MD. Chapel Hill. NC 

W. L. Wells Edmundson. MD. Raleiah. NC 

Walter E. Eeerton. 111. MD. Newburgh. NY 

C. O'Neil Ellis. MD. Charlotte. NC 

Barry J. Freeman. MD. Pacific Palisades, CA 

Sandra K. Haigler, MD. Lexington, KY 

Carl L. Havnes, Jr, MD, Kinston, NC 

Mark A. Helvie. MD. Ann Arbor. Ml 

J. Patrick Holland, MD, W inston-Salem, NC 

Kenneth E. Hollmtisworth. MD. Bethesda. MD 

Douglas K. Holmes. .MI), Raleigh, NC 

R. Brtice Jackson. II. MD. Boone. NC 

Janice D. Key. MD, Charleston, SC 

Chnstopher M. Lakin, MD, Charlotte. NC 

Daniel M. Lewis. MD. Charlotte. NC 

Christine C. Malivi. MD. Middleton. Wl 

E. John Markushew ski. Jr. .MD. Decatur. AL 

Steven K. McCombs, MD, Chapel Hill, NC 

J. Euuene McMurrv. Jr. MD. Wilminaton. NC 

T Michael D. O'Sliea. Jr. MD. Winston-Salem. NC 

Dwight D. Perry. MD. Durham, NC 

Bayard L. Powell, MD. Winston-Salem. NC 



Petrie M. Rainey. MD. Cheshire. CT 

Judith L. Rissman. MD. Lexington. MA 

Suzanne Rogacz. MD. Potomac. MD 

Lv le S. Saltzman. MD. Melbourne. FL 

Mark .A. Shapiro. MD. Santa Moriches, NY 

Paul C. Sontm. MD, Schenectady, NY . 

James P Srebro, MD, Napa, CA 

James V. Tavlor. 111. MD. Wilson. NC 

Ben D. Thomas. Jr. MD. .Atlanta. GA 

Donna W. Tilson. MD. Louisville. KY 

Enrique J. Tomeu. MD. Virginia Beach. VA 

Kenneth W. Wilkins. Jr., MD, New Bern, NC 

Susan J. Williams. MD. Winston-Salem. NC 

Jerry W. Withrow. MD. Charlotte. NC 

CLASS OF 1981 

Number in class: 156 

Percent donors: 40% 

G. VMIliams Adams. MD. Severna Park. MD 

Martha F .Anderson. .MD. Mount Pleasant. SC 

Rebecca I. .Ay res. MD. Rosh ell. G.\ 

Elizabeth S. Babcoy. MD. Sh.iker Heiahts. OH 

David S, Barnes. MD, Shaker Hemhts, OH 

Ali\ Lov 11/ Baxter, MD, Gaincsv ille, FL 

Philhp M. Brid.jman. MD, Hannawa Falls, NY 

Stephen E, Buie. .MD. Ashev ille. NC 

Graham W. Bullard. MD. HuntersyiUe. NC 

Lena W.Buttcrworth.MD. Charlotte. NC 

David M. Cow herd. MD. Pinehurst. NC 

David A. Crews. MD. Greensboro, NC 

Susan L. Crittenden. MD. Carv. NC 

Deborah H. Davis. MD. Auburn. WA 

David M. Deitz, MD, Olv mpia, WA 

Steven H. Dennis. MD. Ralcish. NC 

Amelia F Drake. MD. Chapel Hill. NC 

Kathrvn T. Georae. MD. Tow son. MD 

Terry R. Gordon' MD. Detriot. Ml 

David K. Harper. MD. Concord. NC 

W illiam M. Herndon. Jr.. MD. Charlotte. NC 

M. Bradford Hua'-'ins. MD, Conover, NC 

Edward K. Isbev. 111. MD. Asheville. NC 

Jane Lvsko Lsbev. MD. .Asheville. NC 

G. Wallace Kemodle. Jr. MD. Burlinaton, NC 

Douglas P Kiel, MD, Medfield, MA ' 

Garland C, Kine. MD, Franklin, NC 

Leiah S. Lehan. MD. Raleigh. NC 

Robert E. Littleton. MD. Raleigh. NC 

Nanetta B, Lowe-Roache. MD. Winston-Salem. NC 

John R. Manaum. MD. Sanford. NC 

Thomas H. McCoy, MD, Charlotte, NC 

William H. Merw in. Jr.. MD. Knoxville. TN 



28 



Stephen I. Moore, III. MD. Raleigh. NC 

Charles B Nemerciff. MD. PhD. Atlanta. GA 
J. Thomas Newton. MD. Clinton, NC 
Larr\' C. NIckens. MD. Goldsboro. NC 
William B. Olds. MD. Roxboro. NC 
Paul M. P^irker. MD. Atlanta. GA 
Ruth M. Piirker. MD. Atlanta. GA 
Herbert O. PhiMips, IV, MD, Sylva. NC 
Peter 1.. Pleasants. MD. Providence. Rl 
Larry B. Poe. MD. Bmghamton, NY 
Scott L. Ramev. MD. Panama City. FL 
Carol R, Reid.MD. Wilkesboro. NC 
Nancv Reierson, MD, Miami, FL 
Timothy G. Saunders. MD. Charlotte. NC 
George'H, Steele. Jr. MD. Menon Station, PA 
Elwood ¥.. Stone, Jr., MD. Cedar Rapids. lA 
William \V. Stuck, .MD, Columbia, SC 
James D. Whmna. .MD. Monroe. NC 
Warden L. Woodard. III. MD. Charlotte. NC 
Michelle H. Wynn. MD. Charlotte. NC 

CLASS OF 1 982 
Nimiber in cla.ss: 149 
Percent donors: 26'7r 

Jinimie \V. Adcock. MD. Charlotte. NC 
Joseph L. Albright, Jr., MD, Charlotte, NC 

Rohen Arasi. MD. .Alpharetta. GA 

Mary John Baxley. MD. Greensboro. NC 

Karen P. Beckemian. MD. San Francisco. CA 
Laurence N. Bennett. MD. Moras ian Falls, NC 
Barb;u-a L. Bethea. MD. Dunn. NC 
J. Lawrence Brady. Jr. MD. Charlotte, NC 
Dennis N, Casev. MD, Kinston. NC 
Nancv C. Chescheir. MD. Chapel Hill. NC 
Rick J Cornelia. MD. Mvnie Beach. SC 
Patsv F Daniels. MD. Raleiah. NC 
Chnstie C. DaVanzo. MD. Newport Beach. CA 
Robert J , Da Van/0. M D. New port Beach. C A 
Robert C, Dellmger. Jr. .MD. Thomasville. NC 
Cindy S. Dieringer, MD, Camden, SC 
Steven A. Dingeldem. .MD. Burhnaton, NC 
H. Alexander Easlev, 111. MD. Greenville. NC 
Marv H. Foster. MD. Gulph Mills. PA 
John S. Gaul. HI. MD. Charlotte. NC 
Sarah W. Hudson. MD. Eli/abeth Citv. NC 
Stephen M. Hux, MD, W inston-Salem, NC 
Timothy O. Jenkins. MD. Concord. NC 
Beverly N. Jones. 111. MD. Wmston-Salein. NC 
J. Stephen Jones. MD. Ocean Spnncs. MS 
Vincent J. Kopp. MD. Chapel Hill. NC 
David \V. Lee, MD. Tarboro. NC 
J. Temll Massatiee, MD, Greensboro. NC 
Howard D McClamrock. MD. Baltimore, MD 
Linville M. Meadow s. Ml), Sanford, NC 
Horace \S Miller. I\. Ml). [-a\elte\ille.NC 
James H. Peace. Jr.. MD. Los Anaeles. CA 
Rildia J. Pntchett. MD. Car\, NC 
John H, Rennick, Jr. MD. Charlotte, NC 
Anne G, Tyson. MD. Lakeland. FL 
Eric D. Van Tavsel, MD. Asheville. NC 
Kathrv n L. Weise. .MD. Charlottesville. VA 
Stanley A. Wilkms. Jr.. MD. Raleigh. NC 

CLA,SSOF198.'! 
Number in class: 148 
Percent donors: 27% 

l)a\ id J Ballard. MD. PhD. Atlanta. GA 

Marv G. Bartels. MD. Mercer Island. WA 

James A. Brvan. 111. MD. Chapel Hill. NC 

Sallv L. Carpenter. MD. Smilhrield. NC 

Donald W. Camnger. MD. Robbinsville. NC 

Vincent K. Cheek. MD. Greensboro. NC 

Ralph S. Christy. Jr. MD. Concord. NC 

Douglas W. Clark. MD. Chapel Hill, NC 

Cristin Babcock Cullander MD. Aloha. OR 

Thomas (■ Darrell. MD. Fuquay-Varina. NC 

Mark II. Davis. MD. Crescent City. CA 

Pamela S. Dockery-Howard. MD. Winston-Salem. NC 

James L. Everetle Jr.. MD, Dover, DE 

GarvL. Fink, MD, Faith, NC 

Michael B Fischer, MD, Glastonbury, CT 

Kinibcrlv S llaltiwanger, MD, Selauket, NY 

Robc-n N Meadley. Jr. Ml) I vnchbiirg. VA 

John M. Merion.Ml), \\ iiminylon, NC 

David M. Herrington. Ml). \\ instiin-Salem,NC" 

( ecilia <;. Hipp. Ml), Charlotte, NC 

Stephen W. Hipp, Ml), Charlotte, NC 

Rebeii.il llnpkinv MD. Anderson. .SC 

Tlionias LI lunlei,.\lD. Jacksonville, NC 



Mark W, Jacokes, MD. Nashville. TN 

Randy O Knt/er. MD. Greensboro. NC 

James I), l.add. MD. AshcMlle. NC 

Paula K Miller. MD. Chapel Hill. NC 

Carlos J. Page, MD. Baltimore. MD 

Cathenne C Pamsh. MD. Baltimore. MD 

Joan T. Perrv. MD. Kinston. NC 

Gary T. Podgorski, MD, Columbia. TN 

Jackie N. Saleeby, MD, Raleigh. NC 

Gail L. Shaw. MD. Odessa. FL 

Hermon W. Smith. 111. MD, West Fnendship, MD 

Paula Y. Smith, MD, Cary, NC 

C. Stephen Stinson. MD, Winston-Salem, NC 
Deborah L, Tussing, MD, Severna Park, MD 
Gregory A. I nder\vood,MD, Charlotte, NC 
Mary c' Wasko. MD. Pittsburgh, PA 
Lawrence M. W> ner. MD. Chlu^leston, WV 

CLASS OF 1984 
Number in class: 143 
Percent donors: 29% 

James P. Alexander. Jr. MD. Decatur, GA 
Amelia F Bell, MD, Winston-Salem, NC 

D. Antonio Bell, MD. Winston-Salem. NC 
Steven J. Citron. MD. Dunwoody . GA 
PaUncia F Culhane. MD. Campbell. CA 
W. Kent Davis, Ml). Ralemh. NC 
Charles L. Ewell. Jr.. Ml). Columbus, OH 
Eli D. Finkelstein, MD. Edison, NJ 
Ronald P. Hargrave, MD. Charleston, SC 
J. Robinson Harper. Jr. MD. Wilmington. NC 
J. Carver Hill. MD. Cary. NC 

Linda E. Jafte. MD. Wilton. CT 
Susan J. Joyner. MD. Raleigh. NC 
Elizabeth W. Koonce. MD. Charlotte. NC 
Robert R Lineberger. MD. Chapel Hill. NC 
BrendaC. McClain. MD. Brentwood. TN 
R. Glen Medders. MD, Raleigh. NC 
Howard W. Newell. Jr. MD. Goldsboro, NC 
R. Claiborne Noble. MD. Raleigh. NC 
Gregory S. Pape. MD. Wilmington. NC 
Douglas W. Peed. MD. Chapel Hill. NC 
Mark E. Peele. MD. San Antonio, TX 
Alfred L. Rhvne. 111. MD. Charlotte. NC 
Richard G. Saleeby, Jr., MD. Raleigh, NC 
David L. Sappenfield. MD. Durham. NC 
Paul W. Sasser. MD. Eden. NC 
Mary A. Saunders. MD. Springfield. IL 
John M. .Schotfstall. MD. Glen Mills. PA 
Jonathan L. Sheline. MD. Durham, NC 
Thomas C. Spangler, MD, Winston-Salem. NC 
Sharon R. Stephenson. MD, Carv. NC 
Nathan R. Strahl, MD, Chapel Hili NC 
Richard C. Stuntz. Jr.. MD, Charlotte. NC 
Dennv C. Tate, MD, Burlington, NC 
Jean G Tavlor. MD, Greensboro, NC 
Paul I.. \ iser. Ml), Clinton, NC 
Robcii A Wainei. MD. Greensboro. NC 
Rolf 15. Wallin. MD. Fayetteville, NC 
Robert E. Wiggins. Jr. MD. Asheville. NC 
Daniel W. Williams. 111. MD. Winston-Salem. NC 
Phyllis M. Woodnng, MD. Ga,stonia, NC 
Michael N. Zarzar, MD, Chapel Hill. NC 

CLASS OF 1985 
Number in class: 155 
Percent donors: 25% 

William H. Billica. MD. Glendale. AZ 

Leslie A. Bunce. MD. Rochester. NY 

Kathleen M. Clarke-Pearson. MD. Chapel Hill. NC 

Jonathan S. Cohen. MD. Signal Mountain. TN 

Eli/abeth J. Engelhardt. MD. Gaithersburg. MD 

Douglas S. Feltman. MD. Coral Gables. FL 

Sheryl A. Gillikin. MD. Fayetteville. NC 

John H. Gilmore. Jr. MD. Chapel Hill, NC 

W. Scott Haddon. MD. Clarksdale. MS 

Susan C. Hadler. Ml). Chapel Hill. NC 

James J, Hardy. Ml). Charlotte. NC 

Giu^ M. Hoiowii/. MD. Vacaville.CA 

Susan D. Hunt. .Ml). Raleigh. NC 

Bennie L. E. Jarvis. MD. Rixky Mount. NC 

Margaret G. Johnson. MD. Chapel Hill. NC 

Peter M Jordan. MD. C}reensboro. NC 

Stuart II Jordan. MD. Fayelteville, NC 

Theodore C. Kemer, Jr., MD, Eewisville, NC 

John A. Kirkland. Jr. MD. Charlotte. NC 

Mark H. Knelson. MD. Durham. NC 

Gwcnn E. McUiughlin. MD. Coral Gables. FL 

W. Davis Memtt, III, MD, Boise, ID 



Nancv H. Miller. MD. Longmeadow. MA 

Stephen B Mitchell. MD. Dunn. NC 

Albert R Munn. 111. Ml). Ralei.jh. NC 

Robert F. Murray. Ill, Ml), Pleasant Ridge, MI 

Albert J. Osbahr. 111. MD. Waynesville. NC 

Janice L. Rea, MD. Lawrenceyille. GA 

Eric S. .Scharling, MD, U-wisville. NC 

B;u-hara L. Shehne, MD, Durham, NC 

Martin E. Shehne. Ml). Athmla. GA 

H. Elizabeth Smith, Ml), Roanoke. VA 

S. Patrick Stuart, Jr, Ml). V\ inston-Salem, NC 

Caria A. Sueta. MD. Chapel Hill. NC 

Claudia L. Thomas. Ml). Sands Point. NY 

Bradley K, Weisncr Ml). Charlotte. NC 

P.illi B WlKvlei, \II). Iliehlands. NC 

Randall W. Williams, Ml), Raleigh, NC 

Sherrie L. Zweig. MD. Cha[x-I Hill. NC 

CLASS OF 1986 
Number in class: 145 

Percent donors: 26% 

Andrew S Blum. MD. Elmhurst. IL 

Richard E. Brownlee, .Ir, MD, (!ainesyille, EL 

Mark A. Callahan. Ml). New ^ork. NY 
Mary Beth Carter. Ml). Wilmington, NC 
Michael D. Carter, Ml), W ilmington. NC 

Hersh Chopra. MD. Atlanta. GA 
William M. Clark. Jr. MD. Oak Park, IL 
Eh/abelh T. Clark. MD. Oak Park, IL 
Robert B. Conley, MD, Washington, DC 
Lisa F DeJaniette, MD. Raleigh, NC 
Kenneth R. Ellington. MD. Asheville. NC 
Herbert G. Gamson. 111. MD. Greenville. NC 
Lynne C. Garrison, MD, Greenville, NC 
Janice M. Garvey, MD, San Francisco, CA 
Kelvin C. Hams. MD. Gastonia. NC 
Brtice E. Herman. MD. Salt Lake City. I IT 
William D. Hoover. Jr. MD. Concord, NC 
Eli/abeth C. Huber, MD. Richmond. VA 
Paul E. Johnston. MD. Ogden. UT 
Kim R. Jones. MD. Chapel Hill. NC 
Walton K. Joyner. Jr.. MD. Raleigh. NC 
Rebecca S. Kennedv. MD. Graham. NC 
Jonathan K, Levine; MD. Charlotte. NC 
Sidney Mallenbauni. Ml). Virginia Beach. VA 
Al L, .MeK in. Ml). Memphis. TN 
Michael E. Norins. MD. Greensboro, NC 
David C. Pearce, MD, Williamsburg, VA 
Grayson K. Rodgers. MD. Bimiingham. AL 
Susan L. Sanderson. MD. Ogden, LIT 
Deborah A. Schwengel. MD. Baltimore. MD 
Calhv Jo W. Swanson. MD. Roanoke, VA 
L. Tyler Wadsworth, III, MD, Des Peres, MO 
Deborah T. Wadsworth, MD, Des Peres, MO 
Calvin G. Wan-en. Jr.. MD. New Bern. NC 
Johnathan D. Williams. MD. Ga.stonia. NC 
Jack H. Wolf. MD. Chapel Hill. NC 
James C. Womble. MD. Cary. NC 

CLASS OF 1987 
Number in class: 150 
Percent donors: 23% 

Linda R. Belhom. MD. Missouri Citv.TX 
Thomas H. Belhom, MD, PhD, Missouri Citv,TX 
David W, Boone, MD, Raleigh, NC 
M. Lisa Abemethy Chnstman. MD. Raleigh. NC 
Gregor G. Cleveland. MD. Florence. SC 
James B. Collawn. MD. Raleigh. NC 
James E, Crowe. Jr. MD. Brentwood. TN 
Eli/abeth H. Crowe. MD. Brentwixid. TN 
I. Gordon Early, Jr, MD, Chapel Hill, NC 
Lee A. Furlong, Ml). Portland. OR 
Jama B. Greene. Ml ). Rocky Mount, NC 
James S, Hagood. Ml). Birmingham. AL 
W. Stuart Hartley. Ml). Ch;irlotte. NC 
Dennis N. Jacokes. Ml). Raleigh, NC 
R.U-eJobe.MD. Raleigh. NC 
William W. King. MD. Wilmington. NC 
Dennis D. Kokenes. MD. Charititle. NC 
Thomas E, Lawrence. MD. Greensboro. NC 
Catherine K. Lineberger. MD. Chapel Hill. NC 
James J. Ijickwood. MD. Portsmouth. VA 
GustavC Magrinal. Ml). Greensboro. NC 
Jayne P. M.iynor. Ml). Luinberton. NC 
CaryC. McDonald, Ml). Cha|X-l Hill. NC 
Peter R, MuMcr. MD.CIi.irlolle. NC 
John M. IVtitlo. MD. Newben^,. FL 
Virginia B IVlilto, MD. NewblTTV. FL 
Mark K. Robbins. MD.Charlotteiville. VA 



29 



Joseph E. Roberts. Jr.. MD, Pembroke. NC 
C. Alan Ross. MD. Summerfield. NC 
Daniel M. Sappentleld. MD. Charlotte. NC 
Robyn L. Stacy-Humphries. MD. Charlotte. NC 
Brian S. Strauss. MD. High Point. NC 
William R. Sutton. MD. Wilmington. NC 
Jonathan J. Weiner. MD. Durham. NC 
Paul A. Young. MD, San Antonio, TX 

CLASS OF 1988 
Number in class: 150 

Percent donors: 19% 

Ehzabeth C. Adams. MD. Eden. NC 
Amanda I. Adler. MD. Seattle. WA 
Elizabeth I. Blair. MD. Raleigh. NC 
Jon P Bnslcy. MD. Roanoke. VA 
Brenton T. Burkholder. MD. Atlanta. GA 
J. Craig Ch:irles. MD. Winston-Salem. NC 
Peter G. Dalldort\ MD. Greensboro. NC 
Keith A. Davis. MD. San Diego. CA 
Margie B. Eason. MD. Martinsville. VA 
Paul R. Eason. MD. Martinsville. VA 
C. Gaelyn Garrett. MD. Nashville. TN 
Kirsten M. Gross. MD. Charlotte. NC 
James R. Hallman. MD. Chew Chase, MD 
Hunter A. Hoover. MD. Charlotte. NC 
Allison L. Jacokes, MD. Raleigh. NC 
Michael D. Johnson. MD. Goldsboro. NC 
Asha R. Kalhanpur. MD. Nashville. TN 
Kathryn P King. MD. Carrboro. NC 
Hannah R. Kngman. MD. Chapel Hill. NC 
Stuart J. Levin, MD, Raleigh, NC 
Marsden H. McGuire. MD. Baltimore. MD 
Cathenne L. Munson. MD. Fort Mill. SC 
Philip J. Nahser. Jr. MD. Greensboro. NC 
Charles E. Parke, MD, Greenville, SC 
Mahrad Paymani. MD. Pittsburgh. PA 
Marjorie D. Paymani. MD. Pittsburgh. PA 
Jacquelyn L. Redd, MD. Silver Spring. MD 
Jeffrey E. Roller. MD. Morganton. NC 
Mary F Smith. MD. Chapel Hill. NC 

CLASS OF 1989 
Number in class: 139 

Percent donors: 9% 

Christopher Bullock. MD. Greenville. NC 
Lisa K. Burke. MD. Marietta. GA 
Margaret F Campbell. MD. Greensboro. NC 
Michael Gruenthal. MD. Louisville. KY 
W. Randall Harris. IV. MD. Greensboro, NC 
Robert S. Jablonover. MD. Owings Mills. MD 
Daniel M. Kaplan. MD. Raleigh. NC 
William H. Kelly. MD. Fayetteville. NC 
Kenneth S. Maxwell. MD. Winston-Salem. NC 
H. Merle Miller. MD. Boulder. CO 
Mary C. Moody. MD. Raleigh. NC 
Yolanda V. Scarlett. MD. Carrboro, NC 
Arthur J. Shepard, III, MD. Albany, GA 

CLASS OF 1990 
Number in class: 149 
Percent donors: 14% 

L. Lorraine Basnighl. MD. Greenville. NC 
Anna R Bettendorf. MD. Wilmington. NC 
Marian I. Butterfield. MD. Durham. NC 
Martyn J. Cavallo. MD. Nashville. TN 
Edward M. Cox. Jr. MD. Binghamton. NY 
Amy S. Ende. MD. Marion. NC 
John W. C. Entwistle. 111. MD. Richmond. VA 
Robert M. Gay. Jr. MD. High Point. NC 
Sonia V. George. MD. Atlanta. GA 
Dominic A. Jaeger. MD. Burlington. VT 
John H. Krege. MD. Carrboro. NC 
Knut Kvemeland. Jr. MD. Orlando. FL 
Linda J. Matthews. MD. Huntersville. NC 
Clifford V. Moms. MD. Richmond. VA 
Nicolette B. Na.so. MD. Mount Pleasant. SC 
William B. Naso. MD. Mount Pleasant. SC 
Babatunde A. Olatidove. MD. Chapel Hill. NC 
Ph.hp W. Ponder, MD'. Raleigh. NC 
Pamela J. Reitnauer. MD. Chapel Hill. NC 
Ami J. Shah. MD. Arlington. T,\ 
Mark S. Vernon. MD. Mesa. AZ 

CLASS OF 1991 
Number in class: 144 

Percent donors: 27% 

Carrie D. Alspaugh. MD, Morrisville. NC 
Fredrick J. Brody, MD, Washington, DC 



Robert C. Brooks, MD. Pittsburgh. PA 
N. Elaine Broskie. MD. Salem. OR 
Linda H. Butler. MD. Raleigh. NC 
S. Lynn Carter. MD. Chapel Hill. NC 
Thomas R. Coleman. MD. Madison. NC 
Robert L. Cook. MD. Pittsburah. PA 
William W. Crone. MD. Atlanta. GA 
C. Neill Epperson. MD. Hamden. CT 
TrellaC. Fitz-Henley. MD. Ballwin. MO 
Roy D, Flood. Jr. MD. Fairfax. VA 
Catherine M. Gordon. MD. Boston, MA 
Parlyn T. Hatch. MD. APO AP 
Robert S. Hatch. MD. Washington. DC 
Leon W. Hemdon. Jr.. MD. Carrboro. NC 
William B. Inabnet. III. MD. Evanston. IL 
Ann R, Johnson. MD. Oak Ridge. TN 
W. Evans Kemp. Jr.. MD. Na.shville. TN 
W. Perry Killam. MD. Fort Defiance. AZ 
Valerie J. King. MD. Pittsboro. NC 
Michele C. Larson MD. Bryn Mawr. PA 
Constantine G. Marousis. MD. Gainesville. FL 
Thomas L. Ma.son. MD. Huntersville. NC 
Todd D. McDiarmid, MD, Greensboro, NC 
Scon R. McDuft'ie. MD. Sumter. SC 
Julien L. Navlor. MD. Sitka. AK 
Bryan R. Neuwirth. MD. Hickory, NC 
Linda M. Nicholas. MD. Chapel Hill, NC 
Jerry D. Nix. MD. Wilmington. NC 
Gary J. Pace. MD. Pittsboro. NC 
Brian E. Platz. MD. Los Angeles. CA 
Danny Silver. MD. Van Buren. AR 
Brian D. Smith. MD. Nashville. TN 
C. Anthony Staley. MD. Inman. SC 
Richard L. Toothman. MD. Carrollton, GA 
Gilbert R. Upchurch, Jr. MD. Wellesley. MA 
Robert C. Vogler. MD. St. Louis. MO 
Andrew B. Wallach. MD. New York. NY 

CLASS OF 1992 
Number in class: 153 

Percent donors: 27 % 

Richard A. Bennett, MD, Durham, NC 
LisaT. Benz, MD. Buflalo. NY 
J. Weslev Boyd. MD. Northampton. MA 
John C. Brockington. MD. Oak Ridge. TN 
Kalpana V. Char. MD. Pittsburgh. PA 
Nancy C. Clayton. MD. Denver. CO 
Billie F Cosgrove. MD. Gainesville. FL 
Christopher C. Cosgrove. MD. Gainesville. FL 
Carol L. Czop. MD. Winston-Salem. NC 
Gregory R. Davis. MD. Virginia Beach. VA 
John F Ende. MD. Marion. NC 
Margaret F Fanner. MD. Durham. NC 
Scott K. Garrison. MD. Atlanta. GA 
Mark W. Jenison. MD. Chapel Hill. NC 
Pamela C. Jenkins. MD. West Lebanon. NH 
Ron L. Kaplan. MD. Chapel Hill. NC 
Stephanie H. Kaplan. MD. Chapel Hill. NC 
Michael W. Kendall. MD. Charlotte. NC 
David A. Konanc. MD. Scotisdale. AZ 
Robert W. Larkin. II. MD. Latrobe. PA 
Robert E. Larson. MD. Bryn Mawr. PA 
Thomas C Logan. MD. Chapel Hill.NC 
William E. Mangano, MD. Durham. NC 
Susan R. Marcinkus. MD. Durham. NC 
Marcella T. McCord. MD. Can. NC 
Thomas R. Moore. MD. Ooltewah. TN 
Walters. Monis. 111. MD. .Southern Pines. NC 
Edward J. Primka. III. MD. Avon Lake. OH 
Lynda R. Pnmka. MD. Avon Lake. OH 
Robert B. Raybon. MD. Wendell. NC 
Randolph R Sellers. MD. Hendersonville. NC 
Derek L. Stirewalt, MD, Seattle. WA 
Stephen L. Tilley. MD. Chapel Hill. NC 
Rita E. Treanor. MD. Oakwood. GA 
Charles D. Wells. MD. Decatur. GA 
John P Williams. MD. Houston. TX 
Kim C. Windley. MD. Battleboro. NC 
Bradford T. Winslow. MD. Denver. CO 
Lisa C. Winslow. MD. Denver. CO 
Karen S. Wood. MD. Durham. NC 
Tony M. Wright. MD. Memphis. TN 
William V. Yount. MD. Chicago. IL 



CLASS OF 199.1 
Number in class: 134 

Percent donors: 34% 

Susan M. Beck. MD. Fort Collins. CO 



Stacy H. Bizzell. MD. Greenville. SC 
Mark L. Boles. MD. Lj;xington. NC 
David A. Browder. MD. Rocky Mount. NC 
Lesley B. Browder. MD. Rocky Mount. NC 
John S. Chase. MD. Iowa City. lA 
John D. Corey. MD. Can-boro. NC 
William L. Craig. 111. MD. Chapel Hill. NC 
Carolyn J. Dalldort'. MD. Charlottesville, VA 
Karia L. DeBeck. MD, Chapel Hill. NC 
Holly A. Dunn. MD. San Antonio, TX 
Therese M. Durkin. MD. St. Paul, MN 
Yvonne Y. Fenner. MD. Baltimore. MD 
Vance G. Fowler. Jr. MD. Hillsborough. NC 
Pauick L. Fry. MD. Irving. TX 
JennepherN. Hart. MD. West Trenton. NJ 
Raymond C. Hausch. MD. Danville. PA 
Lauren P. Johnson. MD. Portland. ME 
C. Anthony Kim. MD. Decatur. GA 
Laura S. Lenholt. MD. Pittsboro. NC 
David S. Leslie. MD. Wellesley. MA 
Lisa L. Lucas May. MD. Chapel Hill. NC 
David T. May. MD. Chapel Hill. NC 
Eugene H. Maynard. Jr. MD. Smithfield. NC 
Richelle L. McDaniel. MD. Charlottesville. VA 
Jennifer L. Miles. MD. Oakland. CA 
Harold Moses. Jr.. MD. Rochester. MN 
Karl H. Olson. MD. Mountain Home. ID 
John D. Phipps. MD. Charlottesville. VA 
Edward M. Pickens. MD. Chapel Hill. NC 
John B. Piecyk. MD. Durham. NC 
Eileen M. Raynor. MD. Augusta. GA 
Anthony D. Realini. MD. Durham. NC 
Stephen E. Ross. MD. Denver. CO 
Norman E. Sharpless. MD. Newton. MA 
Virginia I. Simnad. MD. Salt Lake City. UT 
Ellison L. Smith. Jr. MD. West Roxbury. MA 
Tammv R. Spear. MD. Summerfield. NC 
Enc S.'Stem. MD. Alius. OK 
Holly A. Stevens. MD. Gainesville. FL 
Charles B. Teague. MD. Charlottesville. VA 
Theodore T. Thompson. MD. Iowa City. lA 
Paige C. Walend. MD. Phoeniz. AZ 
Bnan R. Webster. MD, Columbus. OH 
David A. Wells. MD. Asheville. NC 
Kirk L. Woosley. MD. Greenville. NC 

CLASS OF 1994 
Number in class: 150 

Percent donors: 31% 

Na/ir A. Adam. MD. Greensboro. NC 
Jonathan G. Austin. MD. Winston-Salem. NC 
Grace T Ayscue. MD. Durham. NC 
Kurt C. Bachmann. MD. Binningham. AL 
Laura H. Bachmann. MD. Birmingham. AL 
William L. Barrett. MD. Arlington. VA 
Evan H. Black. MD. Chapel Hdl. NC 
Michael E. Brame. MD. Tampa. FL 
Terrence D. Brayboy. MD. Morgantown. WV 
Jane H. Brice. MD. Pittsburgh. PA 
Ench G. Buehler. MD. Falls Church. VA 
Wendi M. Carlton. MD. Bethesda. MD 
Jennifer E. Charlton. MD. Chapel Hill. NC 
Peter T Chu. MD. Chapel Hill. NC 
Karen M. Eller. MD, Chapel Hill. NC 
Vivian G. Fischer. MD. St. Paul. MN 
Amy B. Fowler. MD. Hillsborough, NC 
LisaA. Gillespie, MD. Decatur, GA 
Natalie S. Gould. MD. Chapel Hill. NC 
Wendy J. Gram. MD. Salt Lake City, UT 
Laura K Hardin. MD. Chapel Hill. NC 
Vanessa M. Hash. MD. Columbia. SC 
Robin P B. Hicks. MD. Newton Highlands. MA 
Kathleen G. Hill. MD, Baltimore. MD 
Deborah C. Hsu. MD. Houston. TX 
Tasha B. Jiles. MD. Memphis. TN 
Jeffrey C. Johnson. MD. Chapel Hill, NC 
Teny G. Kaplan, MD. Chapel Hill. NC 
Kenneth C. Lennon. MD. Greenville. SC 
John L. Matthews. MD. Durham. NC 
Michael W. Meredith. MD. Cooperstown. NY 
J. Whitman Minis. MD. Winston Salem. NC 
Daniel H. Moore. Chapel Hill. NC 
Julia E. Norcm-Coker. MD. Fayetteville. NC 
Susan M. Park. MD. Denver. CO 
Carolyn P Pcarsall. MD. Famiington Hills. MI 
Lisa A. Rietz. MD. Philadelphia. PA 
John W. Rusher. MD. Raleigh. NC 
H. Ian Savage. MD. Baltimore. MD 
Nitin P. Shenoy, MD, Mountain View, CA 



30 



Chandra Y Smith. MD. Pittsburgh. PA 
Terr\ S. Strand. .\1D. Greensboro. NC 
Mar> J. Teague. .\1D. Charlottesville. VA 
James A. Thompson. MD. Silver Spring. MD 
Hilar> H. Timmis. Jr. MD. Pittsburgh. PA 
Bristol R. Winslow. MD. Carrboro. NC 

CLASS OF 1995 
Number in class: 159 
Percent donors: 27% 

Michael D. Applegate. MD. Winston-Salem. NC 
Joshua E. Benistein, MD. Boston. MA 
Barbra P Bluestone. MD. New lork. N^' 
Paul H. Bowman. MD. Gaines\ ille. FL 
M. Kellev Bullard. MD. Cairhoro. NC 
W. Scott Burain. .MD. R.Khester. NY 
Michele R. cW-\. .MD. Winston-Salem. NC 
David A. Chesnutt. MD. Chapel Hill. NC 
W. Llo\ d Clark. MD. Chapel Hill. NC 
Marcus F Co\. MD. Houston. T.\ 
Dana L, Da\ is. MD. Upper Marlh<iro. MD 
Elizabeth C Deterding. MD. Summert'ield. NC 
•Andrea B. Dickerson. MD. San .Antonio. TX 
Da\ id B Doroll. MD. Charlotte. NC 
Dade D. Fletcher. MD. Rochester. MN 
Marcus T Hisi. MD. St. Pelersburs. FL 
Charles L, Hulse. MD. Burlington. VT 
Christopher D. Ingram. MD. Durham. NC 
Richard H. Jones. MD. Chiirleston. .SC 
Elisabeth A. Kahl. .MD. Boston. MA 
Su/anne La/orick. .MD. Chapel Hill. NC 
E. CatAs lie LeRov. Jr.. MD. Baltimore. MD 
A. Joseph Lofton. MD. Winston-Salem. NC 
Thomas L. O'Connell. Jr. MD. Cincinnati. OH 
John W. Ofile. III. MD. Palo Alto. CA 
Hiten K. Patel. MD. Charlotte. NC 
Manlvn R. Pearson. MD. Charlone. NC 
Monica L. Piecv k. MD. Durham. NC 
Mark D. Piehl. MD. Chapel Hill. NC 
Laura M. Robert. MD. Oakton. VA 
Wesles G. Schooler. MD. Durham. NC 
David R. Shaffer. MD. St. Louis. MO 
Amanda I. Slater. MD. Worcester. M.A 
R. Scott Spies. MD. Pentleld. NY 
Jawal Suleman. MD. Lindenwold. NJ 
John W. Surles. .MD. High Point, NC 
Gregg M. Talente. MD. Lexington. KY 
Suzy A.Thompson. MD. Silver Spring. MD 
Ketan K. Tn\edi. MD. Arlington. VA 
Kelly .M. Waiciis. MD. Cincinnati. OH 
Eileen M. Washbuni. ,MD. San Francisco. CA 
Deidra F;. Woods. WD. Washington. DC 
Douglas J. Wyland. MD. Durham. NC 

CLASS OF 1996 
Number in class: 138 
Percent donors: 8% 

Da\ id K Becker. MD. Chapel Hill. NC 



Michael J. Casev. MD. Winston-Saletn. NC 
Joan E. East. MD. Asheville. NC 
Emma E. Fortney. MD. Boston. MA 
KimbeHv J. Hamilton. MD. Hanover. NH 
Scott M.KIenzak. MD. Chapel Hill. NC 
E. Allen Liles. Jr.. MD. Durham. NC 
John E. Milko. MD. Omiond. FL 
Leslie A. Montana. MD. Chapel Hill, NC 
Jeffry R Simko. MD. PhD. San Francisco. CA 
Carlos A. Vargas. MD. Lincolnton. NC 

MEDICAL ALLIED HEALTH GRADUATES 

Ras M. Adams. Jr. Charlotte. NC 

Jane M. Allaman. Aurora, CO 

Cathenne A. Barrett, Favetteville, NC 

Pamela M. Bimbo. Asheboro, NC 

AlettaG.Bnass. Burner. NC 

Janet B. Callahan. Chapel Hill, NC 

Bettv H. Callo«a\, Wilmington, NC 

Linda Ryan Charles. PhD. Durham. NC 

Sarah B. Damiano. Charlotte. NC 

Carol L. Dixon. Salt Lake City. UT 

Pamela O. Dol\ . New Hasen.'CT 

Claudette A. Douslas. Concord. NC 

Rebecca Edmondson. PhD. Chapel Hill. NC 

Debra R. Ernst. Southfield. MI 

Horine Davenport Everton. Greensboro. NC 

Katherine Fulenwider Fischer. Winter Haven. FL 

Madeline Hechenbleikner Freeman. Greenville. SC 

Judith L. Glas. Oakdale. PA 

Edna D. Hodges. Washington. NC 

Gail R. Hunter. Joneshoro. GA 

Linda R. Jackson. Anniston. AL 

Cathy C. Kim. Archdale.NC 

Scott C. Livingston. Poulsbo. WA 

Jane P. Lockamy. Lumberton. NC 

Lita Locklear. Red Spnngs. NC 

Sheila R. McMahon. Raleigh. NC 

Joyce J. PnlliTian. Mocks\ ille, NC 

Jane K. Pritchard. Tulsa. OK 

Janet T Robbins. Lew is\ ille. NC 

Rachel J. Sanders. MS.. Juneau, AK 

Victoria K. Stevens. Bow ling Green. KY 

Alicia B. Tyson. Waxhaw. NC 

Elizabeth E. Via. Winston-Salem. NC 

Tracey M. Wilde. Simpsonville. SC 

BASIC SCIENCES 

Kathy F. Baldwin, Kalamazoo, MI 
Aziz A. Boxwala, Carrboro, NC 
Victoria Z. Coward, Jacksonv ille. FL 
Merie Moses Crawford. Hummelstown. PA 
Catherine Eamhart Currin. Oxford. NC 
Martha W. Easley. Gainesville. FL 
Michelle Elisburg. Carrboro. NC 
Angela Creasy Femandez. High Point. NC 



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This year's fi\e-\car Li\alt\ f-'idul iiioiip liuliulctl. fnnii left. Dick Lilcs. MD '57: Doiin 
Wells. MD '61. Josh Tayloc. MD '61: Carol Tayhic: Dick Shcrnicr MD '63: Cordon 
U'Craiid. MD '65: Jiulx U-Crand: /'cfif^y Phipps: .lean Spatii^ler: Carl Phipps. MD '62: and 
Ernie Spant^ler MD. Hoiiseslalf '61 . The\ are joined hy first-year Associates Michael 
Caller. MD 'H6 and Man Beth Carter. MD 'H6. 



Elisabeth H. Gibbons. Cincinnati. OH 

Harnett L. Hargis. Durham. NC 

Ann E. Harris. Fairfax. VA 

Alfredo J. Julian. Decatur. GA 

Billy M. Nichols. Cincinnati. OH 

Linda Moore Nye. Canton. NC 

Nancy Jo Peterson. Oriando. FL 

Emily A. Rantzos, Asheville, NC 

Carole Ann Sease, Roanoke, VA 

Kurt W. Seufert, Charlotte, NC 

Phillip G. Smith, Chapel Hill, NC 

Anne Steward Solari, Florissant, MO 

Su/anne Cra\'en Tate-Henderson, Southptirt, NC 

Marisa M. Tomasic, M.S.. Pittsburgh. PA 

Elizabeth Cheatham Wilkinson. Youngsville. NC 

Rebecca R. \ork. Greensboro. NC 

FACULTY 

Anhur S .V Isw ,,rth. MD. Chapel Hill. NC 
A. Criswold Bevin. Ml). Chapel Hill, NC 

Sluan Boiiduraiil, MD, Chapel Hill. NC 
Garv D, Bos. MD. Chapel Hill. NC 
Carl L. Bose. MD. Chapel Hill. NC 
Watson A. Bowes, Jr., MD, Chapel Hill, NC 
H. Robert Brashear, Jr., .MI). Chapel Hill, NC 
Robert A. Brigganian. MI). Chapel Hill. NC 
Kenneth M. Brinkhous. Ml), Chapel Hill, NC 
Roben C. Brownlee. MD. Chapel Hill. NC 
James A. Bryan. II. MD, Chapel Hill, NC 
Joseph A. Buckwalter, MD, Chapel Hill, NC 
Hartw iy Bun/endahl. MD. Chapel Hill. NC 
Michael Caplow. PhD. Chapel Hill. NC 
MauiicioCistillo. MD. Chapel Hill.NC 
Robert C. Cefalo. MI). Chapel Hill. NC 
Hame R.Chamberiin. .Ml). Chapel Hill. NC 
Thomas V. Clanc\. Ml). W ilniiiiiitoii. NC 
Richard L. Clark, MD, Chapel Hill, NC 
William Lord Coleman. MD. Chapel Hill. NC 
Albert M. Collier. MD. Chapel Hill. NC 
Ernest Craige, MD, Chapel Hill, NC 
Robert E. Cross. Durham. NC 
Laurence E. Dahners, MD, Chapel Hill, NC 
J. Charles Daw, PhD, Chapel Hill, NC 
Floyd W. Denny. Jr. MD. Chapel Hill. NC 
Georgette A. Dent. MD. Chapel Hill. NC 
William Drocgemueller. MI). Chapel Hill, NC 
Rclxvc.ifdiii.iiKls,.n.l'hl).Ch,ipcl Hill.NC 
Newkiii I), l-isctier. MI). ( luipcl Hill. \C ' 
EInian G. Krantz, Ml), Chapel Hill, NC 
Jeffrey A. Frelinger, PhD. Chapel Hill. NC 
Eric C. Frev. PhD. Durham. NC 
Stanley C. Froehner. PhD. Chapel Hill. NC 
Joseph M. Garfunkel. MD. Chapel Hill. NC 
Peter H. Gilligan, PhD. Chapel Hill. NC 
Robert N. Golden. MD. Chapel Hill. NC 
Mark L. Griiham. 111. MD. Durham. NC 
Ian S. (;rimm, MD. Chapel Hill, NC 
Joe W. (Jrisham, MD, Chapel Hill. NC 
Joseph W Hall. MD. Chapel Hill. NC 
Roheil A H.iirell.MD. Chapel Hill.NC 
W illiam I). Meizer, MD, Chapel Hill, NC 
Carole llo.jue. Ml). Chapel Hill.NC 
W.iliei Hollander. Jr . MD. Chapel Hill. NC 
J,llo^l,l^ K Hulka. MD. Chapel Hill. NC 

I )a\ k1 G. Kaufman. MD. Chapel Hill. NC 
W illi.im K. Kaufmann. PhD. Durham. NC 
llenr\ N Kirkman. Chapel Hill. NC 
l.niesiN Kiavbill. Ml), (hapel Hill.NC 
lAtuaid \i Law son. Ml), Chapel Hill. NC 
loseph K.T. I,ee, MD, Chapel Hill, NC 
M.iiLMiel W, Leigh. MD, Chapel Hill, NC 

1 .111(1.1 K, U-ininger. MD, Chapel Hill. NC 

II K I.esesne. MD. Chapel Hill. NC 
Keniielh J lx-\ in. Ml). Cliapel Hill. NC 
Steven N Lichlm.in. MD. Chapel Hill. NC 
C.in.lN Lucis. PhD. Chapel Hill.NC 
Warner J. I.ucas, MD, Chapel Hill, NC 
Si,,nle\ R. Mandel. MD. Chapel Hill. NC 

I lizabeth S. Mann, MD, Chapel Hill. NC 
S J Marlinkosks. PhD. Chapel Hill.NC 
( .eui.jc A Mason. MD.Cha|vl Hill. NC 
W illi.iiii 1) M.UIem. Ml).Chapc-l Hill. NC 
Mallhew A M.iuio. MD.Chapc-l Hill. NC 
F.u.jene S Ma\ei. .Ml). Chapel Hill. NC 
C,inipbe-ll W. .McMillan. MD.Chapcl Hill, NC 
Gerhard W. Meissner. PhD.Cha|vl Hill. NC 
I )av id 1- Merlen. MD. Chapc-I I lill. NC 
Michael R Mill. MD. Chapel Hill. NC 



3i 



Melanie Mintzer. MD, Chapel Hill, NC 
Edward J. O'Keefe, MD, Chapel Hill, NC 
Anlhonv N. Passannante, MD, Chapel Hill, NC 
Diana (3. Perkins, MD, Durham, NC 
Edward R. Perl, MD, Chapel Hill, NC 
David R. Perry, Chapel Hill, NC 
Harold C. Pillsbury, III.. MD. Chape! Hill. NC 
Arthur J. Prange, Jr, MD, Chapel Hill, NC 
Kenneth (J. Reeb, MD. Chapel Hill, NC 
George Z. Retseh-Bogart, MD, Chapel Hill, NC 
Jon M;iix- Rhoads, MD, Chapel Hill, NC 
Robert S. Sandler, MD, Chapel Hill, NC 
James H. Scatliff, MD, Chapel Hill, NC 
George F. Sheldon, MD, Chapel Hill, NC 
William W. Shocklev, MD, Chapel Hill, NC 
Michael A. Simmons, MD, Chapel Hill, NC 
Judith D. Smith, Chapel Hill, NC 
Sidney C. Smith, Jr, MD, Chapel Hill. NC 
P. Frederick Sparling, MD, Moncure, NC 
Bnan Stabler. PhD. Chapel Hill. NC 
Frank T. Stntler, PhD, Chapel Hill, NC 
Colin C.. Thomas, Jr., MD, Chapel Hill, NC 
James D. Thullen, DO, Raleigh, NC 
Judith E. Tintinalli, MD, Chapel Hill, NC 
Svein U. Tovemd. PhD, Chapel Hill, NC 
Robert D. Valley, MD, Chapel Hill, NC 
Charles M. Van'Der Horst, MD, Chapel Hill, NC 
Judson J. Van Wyk, MD, Chapel Hill, NC 
Mahesh A. Vana, MD, Chapel Hill, NC 
Kathleen A. Veness-Meehan, Chapel Hill, NC 
Leslie A. Walton, MD, Durham, NC 
Thomas James Wasileski, MD, Chapel Hill, NC 
MarkC. Weissler, MD, Chapel Hill, NC 
Clayton E. Wheeler. Jr., MD, Chapel Hill, NC 
Clarence E. Whitefield. Chapel Hill. NC 
Frank C. Wilson, MD, Chapel Hill, NC 
John B. Winfield, MD, Chapel Hill, NC 
Richard V Woltenden, PhD, Chapel Hill. NC 

HOUSE STAFF 

Jerome H. Abramson, MD. Chattanooga. TN 
Henry Akinbi, MD, Cincinnati, OH 
Richard C. Andringa, MD, Greensboro, NC 
James W. Asaph, MD. Portland, OR 
David E. Ballard, MD, Albuquerque. NM 
A. John Bambara, MD, Bridgewater, NJ 
Marv Quentin Barnes, MD, Olvmpia, WA 
Thomas M. Bashore, MD, Durham, NC 
Douglas F Berry, MD, Bend. OR 
Pouru R Bhiwandi, MD, Raleigh, NC 
Philip M. Blatt, MD, Wilmington, DE 
Robert S. Boaer, MD, Brookt'ield, CT 
Jeffrey P Bomze. MD. Haverford, PA 
Thomas A. Brackbill, MD, Greensboro, NC 
Marianne S. Breslin, MD, Chapel Hill, NC 
Maria T Bntto, MD, Cincinnati, OH 
Wallace D. Brown, MD, Raleigh, NC 
George F. Brumback, MD, Greensboro. NC 
Edwin L. Bryan. MD. Greensboro, NC 
Robert V. Buccini, MD, Greensboro, NC 
Steven Bujenovic, MD, Baton Rouge, LA 
William R. Bullock, MD, Charlotte, NC 
W. Tom Callahan, MD, Gainesville, GA 
Manuel O, Campano, MD, Greensboro, NC 
Elizabeth E. Campbell, MD, Ralemh, NC 
Edmund R. Campion, MD, Chapel Hill, NC 
Robert E. Carithers, Jr., MD, Seattle, WA 
Wayne Cascio. MD, Chapel Hill, NC 
G. Raybum Cheely, MD, Raleigh, NC 
John Q. Cleveland, Jr, Miairii, FL 
Herbert A. Cooper, MD, Chapel Hill. NC 
Arsenio O. Cordoves. MD. Miami. FL 
John T. Cumes, MD, Greensboro. NC 
Peter T Curtin, MD, Tiburon, CA 
Robert N. Davis, MD, Greensboro. NC 
Michael B. Davison, MD, Marquette, MI 
Thomas E. Digby, MD. New ton. NJ 
Douglas R. Dirschl, MD, Chapel Hill, NC 
Douglas A. Drossnian, MD, Chapel Hill, NC 
Sigsbee W. Duck. MD. Hiah Point. NC 
Diane M. Duffv. MD, Gibsonville, NC 
Mary E. Eberst. MD, Chapel Hill. NC 
R, David Edrington, MD, Raleigh. NC 
Ronnie-Gail Emden, MD, Portland. OR 
John R. Emmett, MD, Memphis, TN 
Ronald A. Epner, MD, Cary, NC 
David M. Fajgenbaum, MD, Raleigh, NC 
R. Kent Farris, MD, Knoxville, TN 



Michael Faurest. MD, Louisville. KY 

Gary J. Fischer, MD, Greensboro, NC 

Charles E. Frederick, MD, Greensboro. NC 

Guiliana G. Gage. MD. Raleigh, NC 

James C. Garbutt, MD, Pittsboro, NC 

Gaia Georgopoulos, MD, Denver, CO 

Ali E. Haas, MD, Venice. FL 

Todd H. Han.sen. MD, Asheville, NC 

Carl R. Hartrampf, Jr., MD, Atlanta, GA 

Michael T. Hartsfield, MD, Pace, FL 

D. Allen Hayes, MD, Raleigh, NC 

Glenn B. Hays, MD. North Eon Mvers, FL 

Richard M. Helman, MD, Columbia, SC 

Xaver F Hertle, MD, Greensboro, NC 

Michael A. Hill, MD, Durham. NC 

Alan S. Holt/. MD, St. Louis. MO 

James R. Hubbard, MD. Dubuque, lA 

Robert R Huntlev, MD. Chapel Hill. NC 

Harold N. Jacklin. MD. Greensboro. NC 

C. Gary Jackson, MD, Nashville, TN 

Ah Jarrahi, MD, Winston-Salem, NC 

Patrick L. Jasper. MD. Somerset. KY 

J. Jeff Johnson. MD. Paducah, KY 

Raleigh O.Jones, Jr., MD, Nichola.sville, KY 

Janine C. Jones, MD, Nicholasville, KY 

Thomas M. Jones, MD, Chapel Hill, NC 

Sheryl S. Joyner, MD. Raleigh, NC 

Rick B. Kappelmann, MD, Durham, NC 

Lee Kasik, MD. Cireensboro, NC 

Jeffrey D. Katz, MD, Greensboro, NC 

Blair A. Keagy, MD, Chapel Hill, NC 

Shannon C. Kenney, MD, Chapel Hill, NC 

John L. Kiesel, MD, Louisville, KY 

Jospeh W, Kittinger, HI, MD, Wilmington, NC 

Jonathan S. Krauss. MD, Augusta, GA 

Richard S. Kruse, MD, Pinehurst, NC 

Roger W. Lamanna. MD. Chapel Hill, NC 

Halcut C. Lawrence, HE MD, Asheville, NC 

Terrence J. Lee. MD. Asheville, NC 

Peter R. Lichstein. MD. Greenville, NC 

John R. Lina, MD, Southern Pines, NC 

Marv D. Livingston, MD, Fort Worth, TX 

Frank A. Loda. MD. Chapel Hill. NC 

William D. Lyday. MD. Charlotte. NC 

H. Raymond Madry. Jr. MD. Raleigh. NC 

Bruce T. Malenbaum. MD, Durham. NC 

Charles A. Mancano, Jr., MD. Raleigh, NC 

G. P. Manire. PhD, Chapel Hill, NC 

John R M.in/clki, Ml). York, PA 

Peter J, Massicoit, .\1D, Boston, MA 

W. Benson McCulcheon, Jr., MD, Durham, NC 

Morton Mell/er, MD, Cameron, NC 

Steven L. Mendelsohn, MD, Asheville, NC 

Donald B. Middleton, MD. Pittsburgh. PA 

David K. Millward, MD, Raleigh, NC 

Thomas A. Montgomery, MD, Athens, GA 

Daniel F. Murphy, MD, Greensboro, NC 

James J. Murphy. MD. Arden. NC 

Albert J. Naftel. Jr.. MD. Chapel Hill, NC 

Charles L. Nance, Jr., MD, Wilmington, NC 

Keith A. Nance, MD, Raleigh, NC 

Henry R Nathan, MD, Clyde, NC 

John E. Nehil, MD, Louisville, KY 

William E. Nefson. MD. Alexandria, VA 

Deloy C. Obedin. MD. Newton, NC 

Marguerite H. Getting, MD, Jefferson City. MO 

Roy C. Orlando. MD. New Orleans. LA 

Louis V. Pacilio. MD, Leeds, MA 

William R Parker, Jr. MD. Wilmington. NC 

Edward N. Pattishall. MD. Chapel Hill, NC 

Georce H. Pierson, Jr.. MD. Greensboro, NC 

Cedne W. Porter. Jr, MD, Asheville, NC 

William C. Powell, MD, Fayetteville, NC 

Mark A. Powers, MD, Durham, NC 

Rupa C. Redding-Lallinae, MD, Dar-Es-Saleem, TZ 

Hal J. Rollins, Jr.. MD. Green.sboro. NC 

Thomas N. Saari, MD. Madison, Wl 

Alexander J. Sabo, MD, Parkersburg, WV 

Nat H. Sandler. MD, Lexington, KY 

Randall K. Sather. MD, Chapel Hill, NC 

Roland E. Schmidt. MD, Chapel Hill. NC 

Michael S. Schur. MD. Satellite Beach. FL 

Stephen B. Schuster, MD, (Jreensboro, NC 

Martin L. Schwartz, MD, Portland, OR 

Ronald R Schwarz, MD, Raleigh, NC 

Michael C. Sharp. MD. Chapel Hill. NC 

Frank S. Shaw. MD. Fayetteville. NC 

James D. Sidman. MD, Wayzata, MN 

John L. Simmons, MD, Cashiers. NC 



Stephanie A. Skolik. MD, Huntington. WV 

Samuel W. Smith. Jr.. MD. Greenville. SC 

Bryan W. Smith. MD. Chapel Hill. NC 

John J. Solic. MD, State College, PA 

Dixie E. Soo, MD, Chapel Hill. NC 

Liang \. Soo, MD, Chapel Hill, NC 

E. B. Spangler, Jr., MD.(;reensboro,NC 

R. Knight Steel. MD. Guttenberg. NJ 

Mary C. Steutemian. MD, Greensboro, NC 

Thomas D. Stuckey, MD, (Jreensboro, NC 

Thomas M. Swantkowski, MD, Southern Pines, NC 

Charlotte A. Sweeney, MD, Raleigh, NC 

Robert V. Sypher, Jr., MD, Greensboro. NC 

Peter M. Szymoniak, MD, Milton, FL 

Nancy L. Tang. MD. Rockville, MD 

BryceTempleton, MD, Villanova. PA 

John A. Thompson, Jr., MD, Charlotte, NC 

John M, Thorp, Jr., MD, Chapel Hill, NC 

Ed Tiinberlake, MD, Lexington, NC 

Lisa A. Tolnitch, MD, Raleigh, NC 

Brian A. Torre, MD, Roanoke, VA 

Cheryl A. Viglione, MD. Chapel Hill, NC 

Peter A. Wallenborn, UE MD, Asheville, NC 

Brent W. Weston, MD, Carrboro. NC 

Charles F Willson, MD, Greenville. NC 

Robert K. Wilson. Jr.. MD. Pensacola, FL 

George T. Wolff, MD, Greensboro. NC 

Charles 1. Woods. MD. Manlius, NY 

Halbert O. Woodward, MD, Brownwood. TX 

John T Woosley, MD, PhD, Chapel Hill, NC 

H. Linton Wray. MD, Chevy Chase. MD 

Virgil H. Wynia. MD. Raleigh. NC 

Peter R. Young, MD, Greensboro, NC 

Nakhleh P. Zarzar, MD, Raleigh, NC 

PhD GRADUATES 

Phyllis G. Andrews, PhD, Durham, NC 
Lu-Ann M. Caron-Leslie. PhD, Wellesley, MA 
Nadia C. Chesla. PhD. Bethesda, MD 
Nancy R. Clendenon, PhD, Arapahoe, NC 
David N. Collier, PhD, Greenville. NC 
William D. Cume. PhD. Durham. NC 
Janet M. Dubinskv, PhD, Saint Paul. MN 
David J. Edwards] PhD, Pittsburgh, PA 
Janet L. Evans. PhD. Stockton. NJ 
James C. W. Finlev. PhD, Shaker Heights, OH 
W. Barry Foster, PhD, Chelmsford, MA 
Nancy L. Haicwood-Scandella, PhD, Seattle, WA 
Vicki L. Horton, PhD, Lake Elmo, MN 
Robert S. Krauss, PhD, New York, NY 
John F R. Kuck, PhD, Atlanta, GA 
Tee-Pins! Lee, PhD, Williairisville, NY 
Geraldine H. Luginbuhl. PhD, Raleigh, NC 
Joseph P. Manberg. PhD. Mansfield, MA 
Thomas K. Miller. III. PhD. Raleiah. NC 
David M. Moltola, PhD, Chapel Hill. NC 
R. Edward Otto. Jr. PhD, Charlotte. NC 
S. Michael Owens, PhD, Little Rock, AR 
Marguerite G. Pennington, PhD, Goldsboro, NC 
Mary Ella M. Pierpont, PhD, Saint Paul, MN 
Robert A. Schwartzman. PhD, Gaithersburg. MD 
Drusilla L. Scotl, PhD, Ann Arbor, Ml 
George H. Spooner. PhD. Charleston, SC 
Milbrev C. Stames. PhD, Chapel Hill, NC 
Charles J. Viviano. PhD, Huntington. CT 
Michael D. Waters. PhD, Chapel Hill, NC 
Baoli Yang, PhD. Chapel Hill. NC 



32 



President's 
Letter 



We attended the Fall Alumni 
Weekend October 11 and 12 
in Chapel Hill. I believe these 
programs continue to im- 
pro\e in numbers of involved alumni, signif- 
icance of the av\'ards and grants, and value of 
the CME program both in terms of number 
of attendees and quality of the program. 

Friday, the CME presentation was a 
six-hour program on ethics and managed 
care. It was jointly sponsored by our Alum- 
ni Association, the Association of Profes- 
sional Women in Medicine, the Department 
of Social Medicine, and the Office of CME 
and Alumni Affairs. There were about 100 
attendees, who benefited from an outstand- 
ing guest faculty and very meaningful 
discussions on gatekeeping, cost conscious- 
ness and the doctor/patient relationship, pa- 
tient advocacy, medical necessity and 
capitation dilemmas. One attendee told mc 
he didn't think the topics were relevant 
since he had no managed care patients: 
most, however, identified with the issues as 
ones we are all beginning to face. 

The Medical Alumni Endowment Board 
met and approved grants totaling $25.(KK) to 
students and faculty for research projects. 
The Endow ment Fund was started 1 years 
ago u ith contributions from alumni and has 
grown to more than $1 million. Joe Russell 
has ended his five-year term as chair of the 
Endowment Board. Joe"s hard work, with 
others, is responsible for the fund's success. 
Noel McDevitt was nominated to assume 
the chair. He has been closely associated 
with the fund since its inception, so its fu- 
ture is in good hands. 

On Friday night the Fall Alumni Banquet 
was held in the Morehcad Building and 1 
thought it was very successful. There were 
more than 225 attendees. The new alumni 
Loyalty Fund associates and five-year asso- 
ciates who attended were recognized. Most 



of the 42 medical student scholarship recip- 
ients from the Loyalty Fund attended and 
weie recognized. The growth of the Loyalty 
Fund was reported, as were plans for the 
coming year. These have been reported to 
you previously. 

On Saturday, the Alumni Council met 
and was updated on these and other issues. 
Dean Bondurant introduced Dr. Tom 
Bacon, the new associate dean and AHEC 
director, and announced that Dr. Tom Sibert 
is the new co-director of the UNC Health 
Plan. The Health Plan is to provide a more 
coordinated network of physicians to work 
w ith the UNC Hospitals system. 

Dr. Bondurant is serving as interim dean 
until the search committee selects the new 
dean. Dr. Darlyne Menscer, president-elect 
of our Alumni Association, sits on the 
10-person selection committee. 

Dr. Bondurant reported that searches are 
also underway for chairs for the depart- 
ments of Orthopaedics, Biochemistry, Ob- 
stetrics and Gynecology, and Pathology and 
Laboratory Medicine. 

Fifteen separate campaigns are being or- 
ganized to obtain alumni participation sup- 
port for the Loyalty Fund. These include the 
classes holding reunions in the Spring, as 
well as most of the large regional or county 
associations. We will be visiting with many 
of you at these meetings. 

I hope you will begin making plans now 
to attend the Spring meeting as well as 
county meetings in areas in which they are 
held. I look forward to seeing you and again 
would welcome any suggestions you have 
on how we can improve the operation of the 
Medical Alumni Association. 

Carl S. Hiipp.'.. MD 62 




CME/Alumni Calendar 




Medical Alumni Activities 




January 9- 1 


Challenges in Geriatric Practice 


Chapel Hill 


January 18-21 


4th Practical Neonatal Pharmacology Conference 


Breckenridge. CO 


February 12-14 


TEACCH Winter Inservice Training 


Chapel Hill 


Fehruary 13 


Guilford County Alumni Reception 


Greensboro 


February 25 


Wake County Alumni Reception 


Raleigh 


February 27 


Forsyth County Alumni Reception 


Winston-Salem 


February 28 


Issues in Pediatric Urology 


Chapel Hill 


March 5 


Mecklenburg County Alumni Reception 


Charlotte 


March 12-15 


2 1 St Annual Internal Medicine Conference 


Chapel Hill 


April 18-19 


Spring Medical Alumni Weekend 


Chapel Hill 


May 2 


May Day Trauma Conference 


Chapel Hill 


May 22-23 


1 8th Annual TEACCH Conference 


Chapel Hill 



For more information about CME courses or alumni activities, contact the Office of Continuing Medical Education and Alumni Aflairs, 
School of Medicine. 23 1 MacNider Building. UNC, Chapel Hill. NC47599, or call 1 -800-862-6264. 



Nonprofit Organization 

U.S. Postage 

PAID 

Chapel Hill. NC 

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