Skip to main content

Full text of "Medical alumni bulletin [serial]"

See other formats 


*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 

U.S.  Postage 

PAID 

Chapel  Hill,  NC 

Permit  No.  24 


Tjf;;.i;GD:i:CAI...8  DEPARfMENf 

■A1...TH  sc:i:ewces  library 

CB  7^85 

CHAF'El...  l-i:i:i...L  IMC  27:399 


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 0  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 


;; R  ;i;  (3 d  i c; ai._ s  d e i-' a i^;; J tu euj 

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 

:«^ 

M 

^Km^iJU^S^'^^    ^m  ^^^M^^^^^ 

1  ^^^^aa^^BH 

mm 

g 

g 

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 


^op 

H^H 

PH 

iMfSjti 

gJBIl 

^bC^^H 

mil 

mtl 

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 0  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 0 

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 

Permit  No.  24