Group Title: Post
Title: The Post
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 Material Information
Title: The Post
Uniform Title: Post (Gainesville, Fla. : 2001)
Physical Description: v. : ill. ; 28 cm.
Language: English
Creator: Office of News and Communications, UF Health Science Center
University of Florida -- Health Science Center
University of Florida -- Health Science Center. -- Office of Public Information
Publisher: HSC Office of Public Information,
HSC Office of Public Information
Place of Publication: Gainesville, Fla
Publication Date: October 2010
Frequency: biweekly
Subjects / Keywords: Health occupations schools -- Periodicals -- Florida   ( lcsh )
Genre: government publication (state, provincial, terriorial, dependent)   ( marcgt )
periodical   ( marcgt )
Periodicals   ( lcsh )
Statement of Responsibility: The University of Florida Health Science Center.
Dates or Sequential Designation: July 27, 2001-
General Note: Title from caption.
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Bibliographic ID: UF00073869
Volume ID: VID00059
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: oclc - 47826372
lccn - 2001229452
Classification: lcc - R747.J54 F74
 Related Items
Preceded by: Friday evening post (1989)

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On the Cover
Eric Coon, M.D., an intern in the
department of pediatrics, is one of
1,135 residents across the Health
Science Center.
Photo by Maria Belen Farias


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Table of Contents

O Post it
0 Administration: New hospital for children and women
O Education: A day in Kenya
SJacksonville: Safety through simulation
0 (Extra)ordinary Person: Muna Oli
SPatient Care: Inside Tacachale
SCover Story: Doctors in residence
SResearch: Funding dental research
SResearch: Lung transplant center
SResearch: New hope for breast cancer
SProfile: Glenn Morris


Ladies first
Speaking about her life experiences
working in the medical field and in
academia, UF's first lady Chris
Machen spoke to members of the Association
for Academic Women on Sept. 13. The
event kicked off the group's 2010-11 year.
Led by Rebecca Pauly, M.D., the AAW fos-
ters the careers and personal growth of UF
women in all faculty and administrative
roles and other professional positions. The
group's next meeting will be held from 4:30 -
p.m. to 6 p.m. Oct. 28 and will feature a pan-
el discussion about leadership in higher ed-
ucation. College of Dentistry Dean Teresa
Dolan, D.D.S., M.P.H., will be one of the
featured speakers, and Gwen Lombard,
Ph.D., associate residency program director
for the department of neurosurgery, will
moderate the event. For more information, *

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Your prescription for October: Celebrate pharmacists.
The American Pharmacist Association atthe College AWARDS, YAY!
of Pharmacy is promoting the profession with events
like the Shands and UF College of Pharmacy Health If you could pick someone, anyone, to win an award f
Fair from 10 a.m. to 4p.m. Oct.22 on the first floor of hard work, who would it be? Well, don't just sit there
the Shands Medical Plaza. The event is open to the about Seriously Nominate your all-stars or the UF
community and presented in conjunction with AccomplishmentAwards. The awards honor all-star
Shands HealthCare and the Florida Society of Health occurred between August 2009 and July 31, 2010. Th
System Pharmacists. There will be information on for nominations is Oct. 29. For more about the award
nutrition, immunizations, first aid, poison prevention categories, visit
and tobacco awareness, as well as blood pressure
screenings and blood glucose testing for diabetes.

Dat 10/224_0, /0 .. c q ..

The small animals are getting a bigger hospital, and their
friends can take a sneak peek. The new UF Small Animal
Hospital will be open for public touring from 2 p.m. to 4 p.m. Oct.
24. Treats will be served (for humans, of course). This sneak
preview will markthe end of a weekfilled with celebration
events with friends of the College of Veterinary Medicine and
the UFVeterinary Hospitals. The new$58-million facility is
located at 2015 SW 16th Ave. in Gainesville. The hospital will
officially open for business Nov. 1.

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By Melanie Fridl Ross

U F and Shands aim to spend approximately $100

million over the next five years to create the

Shands Hospital for Children and Women, subject

to final board approval and completion of a fundraising

feasibility study that supports this direction.

The plan currently consists of a 175-bed
four-story hospital to be built in phases by
reconfiguring existing space at Shands at
UF. It will feature a family-friendly
environment including a new dedicated
hospital entrance and lobby, pediatric
emergency department and inpatient and
outpatient units that will serve as the
clinical home for a broad-based program for
children and women.
The expansion is backed by an
independent analysis that projects growth
in the demand for children's services in the
region and supports increased investment
in pediatric services at Shands at UF. These
findings dovetail with the longstanding
mission of the Sebastian Ferrero
Foundation to create a nationally prominent

children's hospital and with the
commitment outlined in the UF&Shands
strategic plan to open the Shands Hospital
for Children and Women on the campus of
Shands at UF.
The analysis identified opportunities to
expand patient-centric pediatric health and
wellness services by capitalizing on existing
strengths and committing necessary
resources amid a rising call for enhanced
pediatric services in the area. Investments
at UF and Shands will focus on meeting the
specific needs of pediatric patients, their
families and the community; adopting a
more patient- and family-centered
integrated care model; and growing the
ranks of pediatric specialists and other
pediatric health-care providers.

"We're pleased the independent analysis
is consistent with the plans we've
developed as part of a much broader
strategic process focused on achieving the
highest level of quality care and safety for
all our patients, as well as training the next
generation of health-care professionals and
sparking important new discoveries to
improve health," said David S. Guzick,
M.D., Ph.D., senior vice president for
health and affairs and president of the
UF&Shands Health System.
The first step will be the pediatric
emergency room, which will be situated in
the former Shands at UF emergency
department and will factor in the special
needs of children. The commitment to
complete by next summer a dedicated
pediatric ER is an important milestone for
the Sebastian Ferrero Foundation, which
will contribute to the project, and its
"Throughout this journey I have heard
from the community and personally
experienced how critical a pediatric ER is
needed ... it brings me joy to be part of
making this a reality," said Luisa Ferrero. Q

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Nursing dean, faculty member work in rural villa

Nursing dean, faculty member work in rural village

By Tracy Brown Wright

// ou do good work here.

People who come here get

I well. I want to say thank you

very much."

These simple words were painstakingly pieced together
and written on a folded piece of paper by a Maasai man in
rural southeastern Kenya. The man not fluent in English
- had managed to find a way to impart this simple message
in order to thank those who work at the Africa Infectious
Disease Village Clinics. The clinics are a U.S.-based charity
that provides medical care and education to roughly 100,000
Maasai people. At the helm of this venture is UF nursing
alumna Ann Lurie, a global philanthropist and president of
AID Village Clinics.

&.. -1

In 2009, Lurie received an honorary doctorate in public
service from UF and was named the UF College of Nursing
Alumna of the Year. Upon reconnecting with UF and the
college, Lurie offered UF nursing Dean Kathleen Long,
Ph.D., and Clinical Assistant Professor Sally Bethart,
M.S.N., A.R.N.P., a unique opportunity to visit the clinic in
Kenya and witness the work being done to improve the
health and quality of life for rural village communities
in Africa.
Long and Bethart traveled to Kenya in September. Long
stayed for 10 days and Bethart will be there through
mid-December, assessing infection control measures at the
clinics and working closely with Lurie and the nursing and
health-care staff to establish protocols.
To provide a glimpse of the experience Long and Bethart
shared at the AID Village Clinics, here is Dean Long's
recount of a day in Kenya:

I thought I would tell you about what I am calling "my best day" to give
you a flavor of the clinic and our work here, which is multifaceted.
On Friday morning, Sally and I went to rounds I to pediatrics and
Sally to the adult area. In rounds it was noted that one of the little girls who is
HIV-positive continues to be terribly anemic despite their best nutritional
efforts. For several days all she has done is sleep fitfully and cry scream
actually whenever she is touched. They needed a blood transfusion for her,
and they did not have a donor with her type. I happen to have a type she can
use and volunteered. The staff seemed a bit surprised that I would do this; I
was amazed that anyone in the same circumstances would not.
I had had my blood typed and cross-matched earlier, and then was ready
to donate, which I did. Lest you wonder about any risk to me, I had been
thoroughly assured by the clinic's sponsor that she and her family members had
donated several times, and they were absolutely confident in the
sterile procedures used. Sally accompanied me for the donation and her "eagle
eyes" assured me that the sterile technique was perfect.
At the end of that day, as we turned to leave the ward, I spotted the same
tiny little girl who was so lethargic and irritable earlier in the day. She was
now sitting up in bed with her grandmother nearby. I waved to her and she
smiled and waved back; the transfusion was running and almost completed,
and already she seemed so much better. While we, of course, cannot take any
photos of patients in my mind it is a picture that I will never forget.
The next morning at rounds, the pediatrician commented that I must have
"magic blood" because the child was so much stronger. I think the magic
was actually in the experience. It was very meaningful to have done something,
however small, to help. Q

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Gift stop celebrates birthday

By Elizabeth Behrman
he Gift Stop turned 30 this year and partied all
week long.
The Shands gift shop celebrated the 30th
anniversary of its opening in September, and
celebrated with raffles, giveaways and birthday cake.
The store was all decked out for its party, too. A
birthday banner hung over the store entrance, and
visitors could take a gander at the red posters lining
the store, outlining a little bit about its history and
displaying photos of its opening 30 years ago. The
promotion lasted from Sept. 7 through Sept. 11.
"There's a lot of history with the Gift Stop," said
Kimberly Cheatham, retail coordinator for the store.
Kathryn Seagle, president of the UF Medical Guild,
said in 30 years the store has grown from a simple drug
store in a space the size of a utility closet to a store with
three locations and a team of paid employees. The UF
Medical Guild founded the store in 1980.
They don't even have to hand-write the price tags
anymore, and the balloons and flower stands are
actually inside the store.
Cheatham said all the proceeds of the store go back
to the hospital, and the shop even helps fund student
"We were the ones that provided the dry erase
boards so patients could know who their nurse was,"
Cheatham said.
Seagle said the Gift Stop, which has three locations
at Shands at UF, the Davis Cancer Pavilion and at
Shands Cancer Hospital, is more than just a gift shop.
She said she has seen husbands come in because
they forgot to buy an anniversary gift for their wives.
But she has also seen how relieved families are to be
able to buy basic toiletries because they are stuck at the
hospital for whatever reason.
"Times have really changed," Seagle said. Q

Tiffany Tseng, a second-year pharmacy student, plays the simulation game at
the Health Science Center Library. Winners can score a medium coffee from
Einstein Bros. Bagels.

By Elizabeth Behrman
At the beginning of September, a new computer game appeared in the lobby of
the Health Science Center Library.
But it isn't just any computer game. It's a ticket to learning how to
measure blood pressure ... and winning a free cup of coffee.
Samsun Lampotang, Ph.D., director of the Center for Simulation, Safety and
Advanced Learning Technology, said the Health Science Center library, in
collaboration with the center, wanted to create a way to help students learn valuable
medical skills and have fun at the same time.
The center already had a simulation for calculating blood pressure, but staff
members turned it into a video game for students and residents in the HSC and put
it in the library, right where students are studying.
Team members that helped put the game together include Cliff Richmond of the
HSC library, Dave Lizdas and Nik Gravenstein.
The game asks questions about converting blood pressure units and inferring
blood pressure in various parts of the body taken from different positions.
At the end of the game, players enter their name and e-mail address, and if they
are one of the two with the highest scores that day, they receive a voucher for a free
medium coffee from Einstein Bros. Bagels.
But, Lampotang said, the game is more than just a game.
"The real objective is not the coffee, it's the learning," he said.
The blood pressure game is the first in a series of exhibits in the HSC Library
Alternative Learning Technologies Showcase. Lampotang said the next game his
team designs will challenge students about prepping skin for surgical procedures.
He said the group is already planning on moving the game around to different
residency libraries to build up the competition between departments.
"It would be sort of a traveling game," Lampotang said.
He said the game will help refresh everyone's basic medical skills, and still be fun.
"The concept that's nice, I think, is that it's a game and there's a prize and it gets
people to compete." 0

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Game 4

S'free coffee


campus revamps
patient safety

The College of Medicine-Jacksonville is using simulation to teach residents and fellows
important patient safety skills.

By Bridget Higginbotham

P hones ringing. People running around. Equipment

beeping. Colleagues asking for advice or a signature.

Everything happening so fast.

"As doctors, that's the environment we
work in," said Constance Haan, M.D., M.S.,
senior associate dean for educational affairs
for the College of Medicine-Jacksonville.
"How are you sure you're safe? How are you
sure your patient is safe?"
The Institute of Medicine estimates that
each year medical errors cause between
44,000 and 98,000 patient deaths and result
in a total cost of $17 billion to $29 billion. So
patient safety training is important, but how
much do physicians really absorb from
sitting in a classroom or lecture hall?
Enter simulation learning: the college's
new method of teaching residents and
fellows the fundamentals of safety such
as good communication, teamwork and
With the help of Andy Godwin, M.D., and
the staff at the Center for Simulation
Education and Safety Research, the training
provides hands-on practice with
standardized patients and high-fidelity
mannequins computer-controlled,
interactive robots that mimic the
human condition.

"We're giving them a chance to practice
what we expect them to do in day-to-day
work," Haan said. "We're trying to help
young physicians prevent errors by
reinforcing behavior patterns for safety."
Reading material is posted online and
residents and fellows sign up for one of the
12-person, 90-minute, hands-on sessions.
The trainees work through different real-life
situations that emphasize the fundamental
principles of patient safety, such as
communication; thorough hand washing
and hygiene; properly identifying patients;
and medication safety, stressing that some
drugs may look and sound similar.
Haan does not know of any other
institution teaching patient safety with
simulation scenarios and vignettes, so the
training is set up in an Institutional Review
Board study format. The trainees are split
into two different groups so Haan and her
team can determine which teaching method
is more effective. The first group works
through brief vignettes as small teams. The
second works through more complex
scenarios using role-playing and interaction

with larger groups.
So far, residents and fellows who have
gone through the new training say they
appreciate not sitting in a classroom. The
true results of the program will be explored
when trainees are later tested for learning
retention and patient safety indicators are
analyzed for impact.
"I don't want them to just enjoy it,"
Haan said. "I want them to apply what
they've learned."
Eventually, the goal is for everyone on the
Jacksonville campus to go through the
training as teams because physicians,
pharmacists and nurses work together in
real situations. Right now, pharmacy and
nursing faculty participate in the training as
actors so the residents and fellows can
become accustomed to interacting with
other disciplines.
The program uses principles of evidence-
based adult learning theory to modify
behavior in accordance with national safety
goals issued by the Joint Commission. These
goals are designed to avoid mistakes such as
wrong-site surgery, health care-associated
infection or misinterpreted written or
verbal orders.
"These are the fundamentals," Haan said.
"It matters less how smart and skilled we are
if we're missing the fundamentals." 0

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Teen UF researcher winning awards, meeting presidents ...

By Shayna Brouker

The ideal summer for many
high school students
includes vacationing
at the beach or attending
sports camps. But Muna Oli, a
senior at Eastside High School
in Gainesville, was happy to
devote every day of her three
months of freedom to "playing
around" with gold nanorods,
photosynthesizers and
aptamers. Sound like fun? She's
having a blast blasting cancer
tumors, that is.
Muna, 17, has been investigating the use of
gold nanorods as a cancer tumor treatment since
June 2008.
The last time The Post caught up with her in
2008, Muna's research was just beginning in the
lab of renowned neuroscientist Brent Reynolds,
Ph.D., director of UF's Adult Stem Cell
Engineering and Therapeutic Core. She now works
in two other labs on campus and has turned heads
in the science world from here to California.
Muna earned $1,000 for her project at the 2010
International Science and Engineering Fair in San
Jose, Calif., where she competed against 150
students. She placed second in a state science
competition, represented Florida in a regional
competition and won two scholarship awards from


the Florida Institute of Technology and Drexel University in Philadelphia, as well as a few
others, which altogether total $203,200.
She met one of her heroes, Balamurali Ambati, who at 16 was the youngest person ever to
receive an M.D., as well as the past two presidents quite the tally of accomplishments for
someone who can't even cast a ballot yet. She's even the editor of Young Scientist, a journal for
junior researchers like herself.
The accolades stand testament to Muna's dedication to finding a better therapy for cancer.
Her investigation of a two-pronged treatment shows promise as a less invasive, milder
alternative to full-on chemotherapy. She uses gold nanorods, which heat up when exposed to
a certain light, to explode cancerous tumors without harming surrounding healthy cells. By
simultaneously attaching a low dose of chemotherapy drugs to a molecule called an aptamer,
she can target the malignant tumor and avoid damaging healthy tissue.
"From what I've read and everyone I've talked to, it really seems that the way research is
going is toward an integrative approach to treating cancer," she said. "You kill a lot of the
cancer cells without harming or having a lot of side effects for the patients, which is really
Besides combating cancer, she also enjoys doing "normal kid stuff," like watching TV,
reading and practicing karate. She looks forward to college and has her sights set on Drexel,
Berkeley, Stanford, the University of California at San Francisco, and of course, UF. Muna
hopes to continue her research and pursue a combined M.D./Ph.D. degree in neuroscience
oncology or biomedical engineering.
Reynolds has high hopes for her.
"Muna clearly has the inspiration, the ideas and the drive to carry those ideas," he said. "I
don't see that in anyone her age, in undergrad students, or even some Ph.D students. I don't
think any of them are as driven as Muna to find a treatment for cancer." 0

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In hiqh cottnn

Labrador on the mend after treatment at UF

Dr. Carsten Bandt, Ben Puckett, Keith Puckett, Mary Lee Puckett and Dr. Katie Baxter visit
with Cotton in August.

By Sarah Carey

Cotton, a 4-year-old yellow Labrador, led a fairly
cosmopolitan, stress-free life up until August. She
summered in the Bahamas. She was comfortable
on a boat, in a truck or in a tractor in Pass Christian, Miss.,
on the Gulf Coast, where she frequently spent time with
her owner's parents. She had adjusted to city life quite well
after following her owner, Mary Keith "Keith" Puckett, from
Starkville, Miss., to her new job in Dallas.

But it was in the idyllic community of
Hope Town, Abaco, Bahamas, that Cotton
suddenly grew deathly ill.
"At first, it didn't seem too serious, but we
took her to the local vet in Marsh Harbour, and
after two afternoons of treatment, we decided
she needed more help," said Keith's mother,
Mary Lee Puckett, adding that her veterinarian
in Pass Christian, Jennifer Hendrick, D.V.M.,
had recommended taking Cotton back to the

U.S. for critical diagnostic testing.
What happened next involved an odyssey of
veterinary consultations and referrals, ulti-
mately leading Cotton to the UF Small Animal
Hospital to receive lifesaving dialysis after be-
ing diagnosed with kidney failure.
The family flew to Florida, where an inter-
nist, Bettina Mayer-Roenne, D.V.M., imme-
diately recognized the dog was a good candi-
date for hemodialysis treatment.

"She said the sooner the better, called UF
and arranged for our arrival after midnight,
even printing out phone numbers and driving
directions," Mary Lee Puckett said. "Cotton
was so sick at that point, and we were frantic."
Cotton was able to receive care immediate-
ly through the UF Small Animal Hospital's
24-hour emergency service. The family was
met by Katie Baxter, B.V.Sc., a third-year
small animal medicine resident, Jordan
Nickell, D.V.M., an intern with the emergen-
cy and critical care service, and Theresa
Rodina, a junior veterinary student.
Cotton received two five-hour hemodialy-
sis treatments, one the day of her arrival and
another two days later.
Within days, her blood values had im-
proved. For another week, however, she re-
mained at UF while Baxter and Carsten
Bandt, D.V.M., an assistant professor and
head of the UF Small Animal Hospital's he-
modialysis unit, monitored her liver and kid-
ney function. Although Keith Puckett had
returned to work in Dallas, for the next 10
days, Ben and Mary Lee Puckett were fre-
quent visitors to the hospital.
"Our lives at this point revolved around
when we could visit Cotton," Mary Lee
Puckett said.
On Aug. 23, the Pucketts received the go-
ahead to take Cotton home to Pass Christian.
UF clinicians say she has a good prognosis,
although they were never able to determine
the cause of her illness.
"We may never find out what it was,"
Baxter said. "In about half of the dogs with
renal failure, the cause is never determined."
As for the Pucketts, they were happy to fi-
nally be able to take Cotton home, after two
and a half weeks of uncertainty.
"Our family so appreciates everyone who
touched Cotton's life," Mary Lee Puckett
said. "We are overwhelmed by Dr. Baxter's
expertise and are so indebted to her for her
selfless consideration of her patients and
their families, and are thankful for Dr.
Bandt's skilled knowledge of dialysis. We are
huge fans of the UF Veterinary Hospitals,
and are so pleased that Cotton was able to be
treated there." 0

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UF dentist helps Florida's disabled patients at Tacachale clinic

Bobby Carver looks
on as his daughter,
Miranda, gets her
teeth cleaned. He
helps her brush her
teeth every morning
and night.

Story by Shayna Brouker Photos by Maria Belen Farias

Miranda Carver tries her best to sit still in the chair, but her limbs
twitch and shake uncontrollably. Her dentist takes it all in
stride. An assistant holds her head still while Dr. Garvey peers
into her mouth and examines her teeth.

"Miranda, I think we can make these really pretty
and clean," he reassures her. "Does she chew OK?"
he asks her father, Bobby Carver, looking on from
the doorway.
"Yes, she chews real well," Carver answers.
Miranda, 28, was born with cerebral palsy. Her
father helps her brush her teeth twice a day, but it's
been four years since she's seen a dentist. They drove
an hour and a half from Live Oak, Fla., to come to
the Gainesville clinic for a cleaning.
Most people dread their yearly visit to the dentist,
but Miranda is one of 600 patients who travel to the
Tacachale After Hours Dental Clinic from across
Florida. Many dentists shy away from treating these

patients because of their special needs, but the
volunteers at Tacachale are happy to help.
Timothy Garvey, D.M.D., a clinical assistant
professor of pediatric dentistry in the UF College of
Dentistry, has been involved with the dental clinic at
Tacachale for 21 years. Those lucky enough to live in
this community for physically and mentally disabled
adults enjoy their own room and medical and dental
care and can even earn their own money with a job.
But specialized dental care is hard to come
by elsewhere.
"The community here is only a little microcosm of
the numbers everywhere," he said.
So with the Agency for People with Disabilities,

laM.O T l-IIhtlleshatufed


Garvey convinced the state of Florida to allow patients
to come to the dental clinic. In December 2008, the
Tacachale After Hours Dental Clinic opened its doors.
News spread quickly through word of mouth alone,
and the patient list grew from 30 to more than 600.
"There is nowhere else to go," said Dominika Marczsak.
Few dentists want to wrestle through the legal red
tape that comes with patients' insurance, the Medicaid
Waiver. The additional staff and resources needed to
treat disabled patients slows efficiency, and therefore,
income. They must obtain permission to treat and
restrain patients, if necessary.
But Garvey and his staff understand patients and their
distress. He knows that behavioral problems in patients
are often signs of an underlying physical ailment.
"It takes someone with heart to really want to do
this," said Swanna Keely, caretaker of 11 years for
patient William "Wiggy" Wigginton, 47. Keeley says he
is "like family" and she knows Wigginton is in the best
care when she brings him here.
Garvey hopes to expand the clinic's model of care
throughout the state and serve as a resource for
private dentists.
"Sometimes the biggest challenge is getting them
into the chair and figuring out how we're going to do
this so they're safe," he said. "But this is just general
dentistry. Anyone can do it." Q

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They teach. They I I i.
learn. They work Story by Shayna Brouker Photos by Maria Belen Farias

long hours. They're
Between the colleges
of Medicine, Dentistry
and Veterinary
Medicine, there are
about 1,135 residents
training in clinical
specialties across the
Health Science Center.
This month, The POST
gives you an inside
took at their world.

Hushed lull settles over the fourth floor as pa-
tients sleep. The clamor of nurses giving IVs,
crowds of clinical teams walking on rounds,
babies crying and machines beeping has slowed to
an almost peaceful pulse. It's 10 p.m. and pediatrics
intern Eric Coon, M.D., has already been at work at
Shands Children's Hospital at UF for four hours.
It's his third shift this week on "nightfloat," the aptly named rite of passage for
residents who stand watch over 20 or so patients from 6 p.m. to 7 the next morn-
ing. Just three months into his first year of a three-year residency, Coon is the
first responder for anything that goes bump in the night. He sits down for a mo-
ment in the resident breakroom but is soon interrupted by a piercing alert from
his beeper.
Madison, 3, needs her ostomy bag examined. Her small intestine was removed
and now a bag collects waste from her tiny body. A nurse follows Coon into the
room and they gather around Madison's bed as her grandmother explains that the
ostomy bag fell off. Madison's elfin face, framed by unruly blond wisps, peers up
at them with questions.
"There's salt forming on her ostomy. I don't want to force it," her grandmother says.
"Do you want anything on it?" the nurse asks Coon.
He looks down at Madison. "I'll page the senior resident," he decides with cau-
tion, referring to the third-year resident supervising him.
As an "intern" a first-year resident Coon is in a curious in-between stage
of medical education. Having earned the title M.D. after four years of medical
school, but not yet practicing independently as a full-fledged doctor, residents are
both students and teachers. Residency is their time to gain valuable hands-on
experience in their chosen specialty in the clinic or operating room with su-
pervision before striking out on their own. The term dates to the mid-20th
century, when "housestaff," as they are also known, actually lived at the hospital.
Known for enduring grueling schedules of 80-hour workweeks and graveyard
shifts with few breaks, they are the workhorses in the hospital and the first in line
to help patients. From pediatrics to urology, each residency program is a micro-
cosm within the microcosm of the UF Health Science Center, and each forges its
own unique culture of camaraderie from shared adversity.

-Att. /p F ..L . / I -. .



Dr. Eric Coon, a pediatrics intern, checks in on patient Madison Barrett, 3. Her grandmother, Judy Fight, keeps her company though the iiglt.


In "peds," for example, caring for kids fosters a family-oriented
"I feel like all my classmates are married and some have kids,"
Coon says.
Indeed, many of the 48 residents are married and have chil-
dren. In the resident class of 2010, three interns and three third-
years were pregnant and an intern's wife had a child.
Co-chief resident Teresa Lynch, M.D., planned a wedding,
got married in Tennessee and recently had a baby herself.
"Life doesn't stop," asserts Lynch, who has completed resi-
dency but now serves as a leader and mentor to the residents in
her role as co-chief resident. "You're never going to have as
much time as you want to do the things you want, but you can
find some time."
Co-chief resident Meredith Mowitz, M.D., who had a baby
her intern year, agrees. If you want something, you can make it
work, she says.
"If you look at the ages of people who are in medical school and
residency, that's the time of your life when you're making those
decisions," Mowitz observes. "For me, I know I can't be a good

physician at work if I'm not in a good place at home. Being in a
good place at home is having a good marriage and my daughter."
Flexible leadership and support at home make it work, and as
Mowitz acknowledged, not many other programs would be will-
ing to allow so much time off. Her husband helped by bringing
her baby to the hospital at night to be nursed. Some nights they
eat dinner with her there.
"My daughter has seen the inside of the hospital more than
other kids who are not sick," she jokes.
The long hours, napping in the same on-call room and shared
experience of suffering and death form lasting friendships.
Mowitz worked Thanksgiving Day during her intern year. In a
curious switch of traditional gender roles, husbands brought in
dinner for their wives during their nightfloat duty.
It can be difficult, being caught between two worlds, she said.
"I think it's hard that no one else comprehends where you are
or what state you're in. You're in this odd place," she muses. "My
grandmother keeps asking me, 'When are you going to be a real
Likewise, parents sometimes doubt that "doctors-in-train-



: ,.. .Wd?

. .

Despite her stay in the hospital, Madison is all smiles.

ing" are qualified to care for patients. "I was told by one par-
ent that his child was not a guinea pig. I said, 'No, you're
right, he's not,' Lynch reflects.
But, she adds, the best, safest care for patients is always the
primary focus, and most parents are very receptive. To further
ease potential concerns, residents are creating a brochure and
video to not only explain to parents who each person is on
their child's care team, but also to describe what to expect dur-
ing a typical hospital stay and what resources are available.
And attending physicians, whom parents view as the "real
doctors," often help explain the role of residents.
"That goes a long way," Lynch said.

Vet Med
Across Archer Road and across species, Katie Baxter, B.V.Sc.,
checks on her dialysis patient. Pearl, an elderly Welsh corgi,
lays on a plush pillow and smiles at Baxter as she kneels
down to gently stroke Pearl's head.
"She's doing much better today," she says in her soft
British lilt.
A third-year internal medicine resident in the College of
Veterinary Medicine department of small animal clinical
sciences, Baxter approaches Pearl with the same tenderness
and care one would expect from any physician.
"A number of people equate pediatric medicine with vet-
erinary medicine because we are dealing with people's chil-
dren," she points out. "They're fluffy children, but we have a
large number of clients who tell us, 'This is my baby, and I
want you to treat it as such.'"
Vets, however, treat more than one species and see huge
variations between them.
"Even two dogs can be quite different if you compare a
Chihuahua to a Great Dane," Baxter explains. "The types of
diseases they suffer from and the treatment options available
to them can be very different."
Vets also form emotional attachments to their patients,
who like children, cannot always tell them where or why it
hurts. The team structure in a "vetmed" residency is similar
to that of pediatric rounds, too. Teams of faculty members,
residents and interns take turns seeing appointments and
taking emergency patients. Long days and overnight shifts
are expected.
While the Accreditation Council for Graduate Medical
Education limits medical residents to workweeks averaging
80 hours, there is no such limit for veterinary residents. But
even after a long day, they don't go home until they feel
comfortable leaving their charges alone sometimes stay-
ing overnight.

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Dr. Katie Baxter, a third-year internal medicine resident in the College of Veterinary Medicine, checks up on her patient Daisy.

"The people here are of such quality, they don't bail out,"
affirms Michael Schaer, D.V.M., a professor in the depart-
ment of small animal clinical sciences.
The American Association of Veterinary Medicine also does
not require veterinarians to complete a residency. After four
years of veterinary school, about half go on to private practice.
Schaer says those who continue their education do so out of a
"desire to be state-of-the-art, to be all that you can be."
The only veterinary school in Florida, UF offers a variety
of residency programs from small and large animal clinical
sciences to the more exotic aquatic animal medicine. There's
even an acupuncture program.
During a monthlong program at Cornell University, Baxter
began to see vet school not as the end of her training, but
rather as a steppingstone.
"The idea of practicing only within that specialty was very
attractive to me," she says.
Though Baxter does not work directly with the two other
internal medicine residents, they share an office and a sympa-
thetic ear.
"The resident class changes every year we lose one, gain

another but I've been lucky to have a good resident class
the three years I've been here," she says. "It's just essential for
surviving your residency, especially when you're new here. I felt
enveloped by my resident mates, and that was a great feeling."

Another closely-knit, exclusive program, urology's highly
specialized nature attracts those seeking excellence. The sur-
gical urology program accepts just three residents each year
and is five years long.
"Each resident has a lot of responsibility. We need to have a
culture of camaraderie because if one person is missing it af-
fects us all," says Dan Willis, M.D., a fourth-year resident. "I
also think we have a great working relationship with our fac-
ulty members that a lot of other residents don't get because
they don't have that continuity. We'll work with them all five
years and they will be there with us every step of the way as we
develop as surgeons."
Willis starts his day around 4 a.m. At 4:30, he prepares for




rounds by taking patients' vital signs, col-
lecting bloodwork results and checking
results of tests. At 5:30 or 6, he and a team
of residents, and sometimes an attending,
go on rounds and see anywhere from five
to 25 patients. Almost every day at 7,
there's an educational conference to pre-
pare for boards or discuss interesting sur-
gical cases.
Willis performs surgeries most days,
usually until 6 or 7 p.m. He often stays an-
other hour or so to check on his patients
and get an update on their progress.
Contrary to what some people might
think, his motivation has never been about
the steep salary he'll earn after residency.
"The biggest thing I've learned from
residency is what motivates me. After
four years of residency, you're not moti-
vated by the money or by what people
think of you," he reflects. "What moti-
vates me and keeps me happy during a
long day is the satisfaction I get making a
difference in the lives of our patients, to
be honest with you."
What he was not prepared for, he says, is
the commitment it takes to excel in resi-
dency. The hours are especially taxing
when you spend the day operating and
taking care of patients, only to face a re-
search project and more studying when

you get home.
Willis, who is married with four chil-
dren, returns home to a family that re-
quires just as much care and attention as
he devotes to patients.
And like Lynch from pediatrics, he too
has encountered family members who
doubt his credentials.
When Willis' daughter took a spill in
the house, he tried to stitch her head in the
emergency room himself. She was scared,
and he wanted to help.
"She looked up at me and said, 'Daddy, I
want a doctor to do it!'" he recalls. "So, the
non-surgeon ER physician sewed her up.
Just when I thought I could mesh work
and family, I was foiled again."
Willis is "100 percent committed" to
both work and family. He enjoys what lit-
tle leisure time he has working on his
house, visiting local springs and going to
the beach with his family.
But in pursuit of excellence, he pays a
price. He's realized he can't do it all. The
key to residency, someone once told him,
was to learn to live with guilt.
"I like to play golf and have a bunch of
hobbies, but my wife reminds me I chose
my career and to have a family," he says.
"There will be a time and a place."
Until then, it's business as usual. 0



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Building better dentists

UF awarded $7 million to train dentists to serve children, at-risk patients

The College of Dentistry received $300,000 to expand its dental
simulation laboratory, where first- and second-year students train. This
was one of several projects that recently received funding in the college.

By Karen Rhodenizer

aculty in the UF College of Dentistry
received five grants totaling nearly $7
million to improve access to dental care for
underserved children and adults from the Health
Resources and Services Administration of the U.S.
Department of Health and Human Services.

The funding will be used to enhance education for dental students and
specialists with an emphasis on public health dentistry and to ensure that
tomorrow's dentists graduate with an understanding of how to treat a
diverse patient population, and are culturally competent to deliver care to
the underserved.
"These grants direct much-needed funding and resources to allow us to
build our infrastructure to train more dentists, and to enhance that part of our
dental education that relates to serving the most at-risk populations in our
state," said Teresa A. Dolan, D.D.S., M.P.H., dean of the College of Dentistry.
"There are pieces in these five grants that address a broad range of critical
care issues, including pediatric dental care, tobacco cessation, increasing our
minority enrollment and providing care for minority populations. It's a
comprehensive package and it will have a dynamic effect on our curriculum
and our students during the next five years," she said.
Dolan was one of four faculty members who received grants. She received

$300,000 for equipment upgrades and
expansion of the college's dental simulation
laboratory where first- and second-year
dental students learn the hands-on practice
of dentistry before entering the clinics and
working with patients. Improving the
laboratory allows the college to increase the
number of students admitted annually, a Teresa A. Dolan
necessary step to expanding access to care for patients
in Florida. Other recipients include:
* Frank Catalanotto, D.M.D., a professor
and chair of community dentistry and
behavioral sciences, received two of the five
grants. The first, for $3.7 million, will focus
on enhancing the predoctoral dental
education program's curriculum that relates
to serving diverse populations, recruiting
more minority students, teaching students Frank Catalanotto
how to promote tobacco cessation, and
increasing understanding and awareness of public health
dentistry. He also received a grant for almost $300,000 that
will provide equipment to support the training goals of his
larger grant.
* Scott Tomar, D.M.D., Dr.P.H., a
professor of community dentistry and
behavioral sciences, received $1.3 million to
fund a unique program that will prepare
pediatric dental residents for future
leadership positions in public health
dentistry. It expands an existing two-year Scott Tomar
residency program, adding an optional third
year during which the resident practices in a public health
facility and conducts a field or community-based research
project. Residents graduate with a certificate in pediatric
dentistry, a master's in public health and an understanding of
the needs of children along with fundamental understanding
of public health programs and health administration. The goal
is to increase the number of pediatric dentists who work in
public health and are able to provide the specialized scope of
services that children need.
* Micaela Gibbs, D.D.S., an assistant
professor in community dentistry and
behavioral sciences, received $1.3 million to
assist with transitional funding of the
college's Internationally Educated Dentist
Program, based in Hialeah, Fla. The
program's graduates mirror the ethnic and
Micaela Gibbs
socioeconomic demographics of Florida and
can help address the oral health disparities of the
state's population. Q

Visit us online @ for the latest news Snd HSC events. 0I 1 17


The link between

depression and dementia
By Jill Pease
A n episode of depression can raise a person's risk of developing dementia by 14 percent and
two or more episodes can double the risk, according to a new UF study. The findings were
published in the July 6 issue of Neurology.
"A lot of researchers have shown that a history of depression increases your risk for dementia. I
became intrigued by the possibility that having multiple episodes of depression might increase
your risk even greater," said lead researcher Vonetta Dotson, Ph.D., an assistant professor in the
College of Public Health and Health Professions' department of clinical and health psychology.
For the study Dotson and colleagues analyzed data collected from older adults participating in
the National Institute on Aging's Baltimore Longitudinal Study of Aging. Participants completed
a general depression survey at one- to two-year intervals. Of the 1,239 participants, 142 developed
dementia and 88 developed mild cognitive impairment.
Each episode of elevated depressive symptoms was associated with a 14 percent increased risk of
developing dementia. Participants with two or more depressive episodes were nearly twice as
VONETTA DOTSON, PH.D. likely to develop dementia.
Experts aren't sure why depression and dementia are linked, but one theory is that depression
can damage the brain's hippocampus, an important area for memory, Dotson said.
"I'm hoping this research will lead to more recognition of the importance of treating depression
in older adults," Dotson said. "This is one way we can actually intervene and potentially reduce
the risk of dementia." 0

Got stations?

Cardiologists recommend new use for old drug

By Czerne M. Reid
C ardiologists at UF are pointing to a new use for an old therapy. Giving patients
cholesterol-lowering stations before surgery and other invasive procedures can halve
the risk of heart attacks, deaths and other complications, they report in the Journal
of the American College of Cardiology.
"The magnitude of benefit we found in terms of reducing mortality and post-procedure i
myocardial infarctions and reduction in atrial fibrillation after bypass surgery is really
quite large," said first author David Winchester, M.D., a cardiology fellow in the College of :
Medicine's department of medicine. "If you look at some of the other interventions we use, =
such as using beta-blockers before surgery, you don't get nearly the kind of benefit that we DAVID WINCHESTER, M.D.
are seeing with using stations prior to procedures. That is very surprising."
The results strongly support the routine use of station therapy before invasive procedures,
experts say.
Statins are known for their ability to lower cholesterol. But a different mechanism is at play in reduction of postsurgery complications.
Although researchers have not pinpointed the specifics, they have clues about how stations work to benefit patients after surgery.
After invasive procedures, the risk of heart attack is raised thanks to a combination of factors. Just the act of inserting wires and
catheters directly into major blood vessels can damage those vessels or dislodge unstable plaques that then travel in the bloodstream
and restrict blood flow to the very artery that doctors are trying to mend.
Led by Anthony A. Bavry, M.D., M.P.H., the researchers found that patients who took the therapy before surgery had a 43 percent
lower risk of heart attack and 46 percent lower risk of atrial fibrillation. Postsurgery death rates were lower by 34 percent. 0




Lung Transplant Center receives

$1 million from state

By April Frawley Birdwell
E eight years ago, he sat in his living
room, tethered to oxygen, his
lungs rapidly deteriorating from
pulmonary fibrosis. If Tom Telford
had not become Patient No. 199, he
probably would have gone on this way,
unable to breathe, until he died.
That year, 2002, Telford became the 199th patient to receive
a lung transplant at Shands at UF. He can't run a marathon
and struggles walking up a flight of stairs, but Patient No. 199
is alive. But for many lung transplant recipients, a successful
transplant does not always ensure years of survival.
"At five years post-transplant, only 50 percent of recipients
survive," said Telford, a semi-retired nuclear engineer who
lives in Gainesville. "I was No. 199. I knew 195 to 205. I
exercised with these people and got to know them. Now, many
of them are not alive. It is pretty depressing."
To help change these statistics, the state of Florida has
awarded a $1 million grant to UF to establish a lung transplant
center and fund research projects focused on problems such as
chronic rejection, the most common reason why patients die
after a lung transplant. The center emerged in 2010 from the
flagship lung transplant program.
"Of the solid organ transplants, the survival rate of lung
transplants is unfortunately the lowest," said Mark Brantly,
M.D., division chief of pulmonary medicine in the UF College
of Medicine and a director of research efforts for the new lung
transplant center. "There are many challenges in transplanting
lungs not the least of which is chronic rejection. We are
looking to develop a multicollege research group that will help
advance our knowledge about rejection and will develop new
therapeutics to improve our patients' lives."
According to the U.S. Organ Procurement and
Transplantation Network and the Scientific Registry of
Transplant Recipients, about half of lung transplant recipients
are still alive after five years, and only about one-quarter of

Lung transplant recipient Tom Telford (center, in blue shirt)
worked with UF doctors and other patients to lobby the state for
funding lung transplant research and care.

them make it to 10 years.
"This grant will allow us to put our three objectives
into motion: education, clinical care and research in lung
transplantation," said Maher Baz, M.D., director of the
lung transplant center. "We are hoping this will allow us to
advance lung transplant knowledge, which in turn will
lead to more funding from varied sources that will advance
knowledge further and ultimately help our patients."
After his transplant in 2002, Telford set up a charitable
trust to donate money to Baz's research and UF's
transplant efforts. But after raising $62,000 during a tennis
benefit in 2007, he teamed with John Ross, M.D., a
professor emeritus of pediatrics in the College of Medicine,
to take fundraising efforts a step further. The duo, along
with other transplant recipients, lobbied state legislators
for help. After three years, the help came through.
Aside from the research projects, the funds will also go
toward the first steps toward developing an improved
pediatric lung transplant program through Shands
Transplant Center at Shands Children's Hospital at UF.
"Shands is the best," Telford said. "They have
performed the most transplants, and it is the obvious place
to develop this resource for the state of Florida. Q

Visit us online @ for the latest news ncd HSC events. I ;60 19


Savings for science .

Researchers to pay Medicare rates
for clinical study services

By Czerne M. Reid

Anew initiative of the UF Clinical and Translational
Science Institute in collaboration with Shands
HealthCare and the College of Medicine Research
Administration and Compliance Office is removing
obstacles for investigators who want to establish clinical
research studies.
In September, researchers began receiving the Medicare rate for study-related services
performed at Shands HealthCare and UF Physicians facilities. That means individual
investigators will no longer have to negotiate their own prices, and rates will not vary by
funding agency.
Instituting a set payment rate is the first of a number of changes that will, over time,
revamp the entire system of clinical research budgeting and payment called the "R99
process." The changes will reduce delay and hassle for UF researchers, and boost clinical
research at the university.
"The simple new process will save weeks off the typical protocol development timeline,
resulting in more efficient and effective patient-oriented research," said David R. Nelson,
M.D., director of the Clinical and Translational Science Institute. "This will enhance
translational and clinical research opportunities for the UF community."
The pricing structure applies to new studies that request an R99 number from the
Research Administration and Compliance Office.
"We can now make the process more efficient for everyone, including our research and
hospital teams," said Yvonne Brinson, R.N., M.H.Sc., assistant dean for research
administration and compliance.
In the past, researchers had to contact the service provider for each lab test or medical
service and request a quote, then wait to get confirmation of that service. Prices varied by
type of funding, and the process created significant delay.
Not anymore.
The new standardized Medicare-based cost schedule will help investigators quickly put
together study budgets that optimize the use of research dollars, and prepare grant
proposals that are viewed favorably by prospective funders.
"Streamlining the pricing process will allow the principal investigators to remain
competitive," said Bill Robinson, senior vice president for finance at Shands HealthCare.
Later, the mechanisms of research budgeting, billing and payment will be overhauled to
ensure accuracy, avoid effort duplication and give researchers more control and accountability.
"Our ability to forge this solution reflects well on the collaboration between CTSI
leadership, HSC faculty and hospital administration, and serves as an important step in our
journey from 'us and them' to 'we,'" said David Guzick, M.D., Ph.D., senior vice president
for health affairs and president, UF&Shands Health System.
To learn more about the rate changes, visit
Rates for Research.pdf, attend a Research Administration and Compliance Office
budget-building class or call 352-273-5946. 0

Decisions, decisions
A new UF study will take an in-
depth look at the factors involved in
treatment decisions made by people
with colorectal cancer. The study is
funded by a $1.2 million grant from
the Bankhead-Coley Florida Cancer
Research Program. After surgery,
patients with newly diagnosed
colorectal cancer are routinely asked to
make a series of treatment decisions,
in particular, whether to undergo
chemotherapy. UF researchers will
examine how these patients make
decisions that fit their individual needs
and offer the best health outcomes.
Team members include Dr. Shahnaz
Sultan, Barbara Curbow, Elisa
Rodriguez, Tracey Barnett,
Evelyn King-Marshall and Dr.
Thomas George.

Sea-worthy finding
A chemical compound
made from a type of
bacteria discovered
in the Florida Keys
by UF pharmacy
researcher Hendrik
Luesch, Ph.D., has
shown effectiveness
in fighting colon
cancer in preclinical
experiments. Writing Hendrik Lues(
online in the Journal of Pharmacology
and Experimental Therapeutics,
scientists say the compound known
as largazole because it was first found
near Key Largo inhibits human
cancer cell growth in cultures and
rodent models by attacking a class of
enzymes involved in the packaging and
structure of DNA.

200ST mm-l ItpInw~eat~f~


New technology, new hope

By Laura Mize
T his fall, the UF Shands Multidisciplinary Breast Cancer Program will become t, .
the first health-care entity in Florida to offer Intrabeam treatments for breast > 4 '.
"It's a technology that's been recently validated as an approach for drastically
shortening the period of treatment for early stage breast cancer," said Stephen ..
Grobmyer, M.D., an associate professor of surgery in UF's College of Medicine who "
specializes in researching new treatments for breast cancer patients. ,,,,
In some cases, Intrabeam therapy can shorten the duration of a woman's radiation
treatment "from about three to six weeks down to one day."
For other patients, the device is used to administer an initial "boost" of internal
radiation before external radiation therapy begins, allowing for a shorter treatment time.
Administering the treatment inside the breast also means less healthy tissue is
exposed to radiation and ensures therapy is delivered directly to the former tumor site. In July, Dr. Stephen Grobmyer and colleagues visited
UF physicians expect the Intrabeam machine to arrive in October. Surgeons insert Jerusalem Hospital in Hamburg, Germany, one of the
the device directly into the breast during a lumpectomy, or resection operation, to busiest breast cancer programs in that country, to learn
deliver a single dose of radiation therapy to the site where the tumor once was. The how to use the Intrabeam and to train a team to
device is not meant to treat women undergoing mastectomies. Q administer the treatment during surgery.

Stopping breast cancer

Grant to help develop new treatments

Research team members
include (from left) Scott
Brown, Dr. Luke Gutwein,
Dr. Stephen Grobmyer,
Brij M. Moudgil and
Parvesh Sharma.

By Laura Mize
U F surgeon Stephen Grobmyer, M.D., and his collaborators in the
department of surgery and College of Engineering have been
awarded three U.S. Department of Defense Breast Cancer Concept
Awards and a research foundation grant totaling nearly $600,000 to
develop new ways to deliver treatment to breast cancer patients.
The money will fund research on three potential delivery methods that
may one day allow doctors to target tumors in hard-to-reach places
without damaging healthy cells nearby. All three projects rely on
Working with Grobmyer, an associate professor of surgery in the
College of Medicine, are surgical resident researcher Luke Gutwein,
M.D., and College of Engineering researchers Brij M. Moudgil, Ph.D., a
professor and director of the Particle Engineering Research Center; Scott
Brown, Ph.D., a research assistant scientist at the center; and postdoctoral
associates Vijay Krishna, Ph.D., and Parvesh Sharma, Ph.D.
The grants will allow UF's researchers to conduct preliminary studies
and collect data needed to secure funding for further research on potential
delivery methods. The research could lead to less invasive treatments that are more effective and more
comfortable for patients than current procedures. They also could enable new theranostic strategies,
which link therapeutic and diagnostic techniques, for breast cancer.
"Right now what we do is we image cancer, and then we design a treatment for it," said Grobmyer.
"With theranostics, which nanotechnology is enabling, you can combine the diagnosis and treatment
all into one modality." Q

Visit us online @ for the latest news and HSC events

*s e ir1



D.D.S., M.S., joined
the department of
periodontics on July 1 as
the graduate program
director and a clinical
associate professor. An
accomplished lecturer,
author and researcher, Rodrigo Neiva
Neiva earned his D.D.S.
in 1997 from Vale do Itajai University
in Itajai, Brazil, and his master's degree
in periodontics from the University of
Michigan in 2004.


M.D., a professor of
medicine, has been
appointed by the
American Board of
Internal Medicine to
be its next chair of the
ABIM Interventional Theodore A. B
Cardiology Test
Committee. He will serve a four-
year term on the national committee
beginning in 2011. Bass serves as chief
of the cardiology division, medical
director of the cardiovascular center and
program director of the interventional
cardiology fellowship.

M.D., a professor and
chair of the department
of pathology and
laboratory medicine,
was appointed chair of
the Scientific Committee
by the Florida Breast
Cancer Foundation at Shaha a
the September board
of directors meeting. The committee
reviews scientific grant proposals,
makes recommendations on funding
and analyzes the opportunities for
development of research fellows for
the Florida Breast Cancer Foundation,
a nonprofit organization dedicated to
ending breast cancer through advocacy,
education and research.


M.D., has been named
senior associate dean
for clinical affairs at the
UF College of Medicine
and chief medical
officer for Shands at
UF. In both roles, Flynn TimothyC. Fl



will help department chairs and clinical
faculty and staff achieve highest-quality,
patient-centered care for hospitalized
patients. He will also serve as a point
person for planning and implementing
quality and patient safety initiatives. He
also has recently been elected chair of
the Accreditation Council for Graduate
Medical Education's board of directors
and is vice chair of the American College
of Surgeons Board of Governors.

JR., M.D., an
assistant professor of
was tapped last month
by Gov. Charles Crist
to serve as chair of
the Florida Cancer
Control and Research Thomas J. George
Advisory Council.
George, a member of the UF Shands
Cancer Center and director of the UF
Gastrointestinal Oncology Program,
has been a member of the 35-member
council since 2006. The council advises
Florida's governor, Legislature, surgeon
general and other state agencies on
cancer control issues.

a postdoctoral fellow
in the department of
pathology, immunology
and laboratory
medicine, received a
travel grant from the
Society for Molecular Rebecca Gr
Biology and Evolution
to attend the group's annual meeting
in Lyon, France, in July. Gray, one of
20 awardees from around the world,
gave an oral presentation on the use of
sophisticated statistical models to study
past and current epidemics and predict
the emergence of new ones.


Ph.D., R.N., an
associate professor of
nursing, was elected
to serve a three-year
term on the National
Pressure Ulcer Advisory
Panel board of
directors. Stechmiller Joyce Stechmiller
is a national expert in wound care. Her
research focuses on chronic wound
healing, nutrition, immune function
and health outcomes among older
adults. Stechmiller holds secondary
appointments at the North Florida/
South Georgia Veterans Health System

as director of skin and wound education
and research and as an investigator with
the Rehabilitation Outcomes Research


Ph.D., a professor of
medicinal chemistry, has
received a $1.8 million
grant from the National
Institute of Drug Abuse
to develop novel drugs
as pharmacotherapy Raymond Booth
for methamphetamine Raymond Booth
abuse and induced psychiatric disorders.
This new award complements his
ongoing NIDA funding to discover and
develop novel serotonin 5-HT2 receptor
drugs for cocaine addiction and his
National Institute of Mental Health
award to develop antipsychotic drugs
without weight gain.

R.Ph., a development
coordinator in
the UF Office of
Education, is Kappa
Epsilon fraternity's
Woman Pharmacist of
the Year. Candidates Judith M. Riffee
for this award are chosen and voted on
by active KE members. Riffee received
the honor for her dedication as a faculty
adviser to UF students traveling this
ay spring to Ayuda, Nicaragua on a health
outreach trip.


P.T., D.P.T., and
P.T., M.S., N.C.S.,
doctoral students in the
college's rehabilitation
science program,
received scholarships
from the Foundation Meryl Alappattu
for Physical Therapy
board of trustees. The
program funds the most
highly qualified doctoral
and postdoctoral
students preparing
for research careers.
Alappattu's scholarship
was supported by the Virginia Little
Georgia State-Marquette
Challenge and Little received the Marylou
Barnes-Patricia Leahy Award for post-
professional studies in neurology.

220ST losl Itplnw~eat~f~

jr .


Shoe-leather epidemiology

How three years in the CDC Epidemic Intelligence Service shaped Glenn Morris

By Laura Mize
When camps of Vietnamese
refugees living in Thailand were
overrun by cholera in the late
1970s, the Thai government called the
national Centers for Disease Control and
Prevention for help. The CDC sent Glenn
Morris, M.D., an officer in the agency's
Epidemic Intelligence Service.

Morris, having just completed his second year of residency at the
University of Texas medical system, spent several months in the
refugee camps, working with local authorities to reduce
transmission and understand why the disease was spreading so
rapidly. The illness caused medical chaos in the camps and aboard
large flights of refugees abroad. There also was a danger of cholera
spreading once the planes landed.
Morris and Thai authorities determined that, predictably,
population density in the camps was a major factor in the outbreaks.
"We worked with the camp operators to try to minimize the
crowding, to try to improve sanitation facilities," Morris explained.
They also separated refugees preparing to fly and stored medical
supplies on planes to treat passengers who became ill.
"There's a very strong feeling at CDC that there is no substitute
for what is called 'shoe-leather epidemiology,'" he said. "It's one
thing to read reports, but until you're actually there, using your shoe
leather, you don't really understand the epidemiology."
Today Morris directs UF's Emerging Pathogens Institute.
During his two-year employment with the EIS, Morris traveled to
Bangladesh, India, Argentina, the Virgin Islands and numerous
destinations within the U.S. Assigned to track and investigate
outbreaks of enteric diseases such as cholera, ciguatera, shigella,
salmonella and Campylobacter, Morris' work ranged from the
adventure of studying cholera in Thailand to the monotony of
conducting phone surveys.
A half-packed suitcase in his closet kept him prepared for
last-minute assignments like the time he had two hours to
prepare for a two-week trip to Argentina.
He called his time in the EIS "the most exciting two years of
my life."
But the job left Morris with questions about the diseases
he'd encountered.
"I really wanted to understand the underlying science," he said.
"I had questions that couldn't be answered by an epidemiologic


After working for the EIS, Morris headed back to the laboratory.
He finished his residency at Emory University, then completed a
fellowship in infectious diseases at the University of Maryland and
returned to academic medicine. From 1994 to 1996, Morris served as
director of the U.S. Department of Agriculture's Epidemiology and
Emergency Response Program.
Today, Morris' EIS experiences provide him with the knowledge
he needs to continue working with cholera and ciguatera. But it
gives him something else, too.
"After my two years as an EIS officer, I felt like there was no
outbreak anywhere, no matter what disease, that I couldn't walk in,
take control and figure it out, just because I'd done it so many
times," he said. "It gives you confidence in your ability." 0

\A/A NIT TA .ini?

Visit us online @ for the latest news ncd HSC events. I|* I 23


College of Medicine alumna Dr. Jean Bennett, College of Medicine Dean Dr. Michael
L. Good and Dr. Heather Harrell unveil the George Harrell historical marker.
U ".. .

Brian Moore
waits with
Cody, a
black lab mix,
for the start
of the 2010
Heart Walk.

Meet the 2010 Shands at UF Heart Walk team. This year's Heart Walk was held at the North Florida Regional Medical Center Sept. 18.

Published by
UF Health Science Center
Office of News & Communications
Senior Vice President,
Health Affairs; President,
UF&Shands Health System
David S. Guzick, M.D., Ph.D.
Director, News &
Melanie Fridl Ross

April Frawley Birdwell
Senior Editors
Melanie Fridl Ross, John Pastor
Mickey Cuthbertson
Photo Editor
Jesse S. Jones

Photo Intern
Maria Belen Farias
Staff Writers
April Frawley Birdwell, Jennifer Brindise,
Tracy Brown Wright, Sarah Carey, Karen
Dooley, Linda Homewood, Laura Mize,
John Pastor, Jill Pease, Czerne M. Reid,
Karen Rhodenizer, Melanie Fridl Ross,
Priscilla Santos, Christine Velasquez
Contributing Writers
Elizabeth Behrman, Shayna Brouker,
Bridget Higginbotham
Support Staff
Cassandra Mack, Beth Powers,
Kim Smith

The POST is the monthly internal newsletter for
the University of Florida Health Science Center,
the most comprehensive academic health center
in the Southeast, with campuses in Gainesville
and Jacksonville and affiliations throughout
Florida. Articles feature news of interest for
and about HSC faculty, staff and students and
Shands HealthCare employees. Content may
be reprinted with appropriate credit. Ideas for
stories are welcome. The deadline for submitting
items to be considered for each month's issue
is the 15th of the previous month. Submit to
the editor at or deliver to
the Office of News & Communications in the
Communicore Building, Room C3-025.

U lF IHealth Science Center


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