UCSF School of Medicine

Alumni-Faculty Association

745 Parnassus Avenue, Box 0970San Francisco, CA 94143–0970

Nonprofit OrganizationU.S. Postage

PA I DUniversity of California

San Francisco

Fresno CampusBy John Blossom, MD

Professor of Clinical Family and

Community Medicine, UCSF

Director, California AHEC

As the former Associate Dean for UCSF Fresno, I want to take advantage of this opportunity topublicly thank Haile Debas for his support ofUCSF Fresno during his tenure as School ofMedicine Dean.

UCSF Fresno, currently under the leadershipof Associate Dean Joan Voris, MD, is uniqueamong UCSF programs, both in terms of thechallenges it faces and the opportunities it represents! Fresno itself also is in many ways

the future face of thestate and nation. TheCentral Valley is one of the most rapidlygrowing and mostdiverse areas of thestate; however, it is also among the poorest.A recent study by UCSF

medical student, Veronica Rivera, doing researchat the UCSF Fresno Latino Center for MedicalEducation and Research (LCMER), documentedthat many of its health indicators are also at thebottom of relevant lists.

Few outside of Fresno know that Dean Debasprovided the “venture capital” to create LCMERwhich, headed by Dr. Katherine Flores, has developed a national model “Doctors Academy.”

This high school program attracts underrepre-sented and educationally disadvantaged youth tothe health professions and gives them the toolsthey need to succeed. At the inauguration of this program, Debas commented that it had the potential to become one of Fresno’s most important and lasting accomplishments.

Dr. Adrianna Padilla, UCSF ClerkshipDirector for Fresno, reports that she usually has twenty medical students in her Model Fresno Pathway and traditional clerkships. UCSF Fresno’s seven residency programs are recognized locally as the most important source of physicians.

UCSF is the sponsoring institution for theCalifornia Area Health Education Center(AHEC), which is also located in Fresno. TheAHEC supports health professions training in ten underserved sites in California and is theonly program of its type in the state. Amongrecipients of its grant support are the UCSF affiliate family practice residency programs in Fresno, Salinas, and at the San FranciscoGeneral Hospital.

The dean’s breadth of vision has stretchedacross California, and we appreciate his contribu-tions to improve health in the Central Valley.

Dean Debas, KatherineFlores, and John Blossom.

University of California

San Francisco

Bulletin1Hail toHaile!

5Leadership Rolesfor Women

7Osher Center forIntegrative Medicine

8Homecoming 2003

11ClassNotes

School of MedicineAlumni-Faculty Association Spring/Summer 2003

Volume 44, Number 2

HailtoHaile!

A tribute to his decade of leadershipand innovation

Haile!toHail

A tribute to his decade of leadershipand innovation

Spring/Summer 2003 Volume 44, Number 2

Editor-in-Chief: H. John Blossom, MD ‘70

Managing Editor: David L. Simmons

Executive Director, AFA: Mark A. Jordan

Writers: Lisa Zimmerman, Eric Skjei

Design & Production: Washam Design, San Francisco

ADMINISTRATIVE COUNCIL 2002-2003

OFFICERSAndré R. Campbell, MD ‘85, President; Eileen Z. Aicardi, MD ‘74, President-Elect; John C. Fletcher, MD ‘57, Vice President (No. California); H. JohnBlossom, MD ‘70, Vice President (Central California); Ronald P. Karlsberg, MD ‘73, Vice President (So. California); Carol J. Blaisdell, MD ‘88, VicePresident (East Coast Area); Judith A. Luce, MD ‘74, Secretary-Treasurer

COUNCILORS AT LARGEPatrick M. Bennett, MD ‘89; Neal H. Cohen, MD ‘71; Timothy J. Crowley, MD ‘80; Fiona A. Donald, MD, Faculty; Scott D. Kelley, MD ‘84; Robert C. Lim, Jr., MD ‘60; David N. Schindler, MD ‘66; Lloyd H. Smith, Jr.,MD, Faculty; Susan D. Wall, MD ‘78; Harlan B. Watkins, Jr., MD ‘63; Joseph Elson, MD ‘85, President, Association of Clinical Faculty

PAST PRESIDENTSKenneth H. Fye, MD ‘68; Lenora V. Fung, MD ‘74; Albert D. Hall, MD ‘52

EX-OFFICIOJ. Michael Bishop, MD, Chancellor; Haile T. Debas, MD, Dean, UCSF School of Medicine

Alumni-Faculty Association UCSF School of Medicine745 Parnassus Avenue, Box 0970, San Francisco, CA 94143-0970(415) 476-1471; fax (415) 476-9570; e-mail: editorial@support.ucsf.edu

© 2003 UCSF School of Medicine AFA, All rights reserved.

BulletinSchool of MedicineAlumni-Faculty Association

Dear Colleagues,

This issue of the Alumni-Faculty Association Bulletin is a special onefor we are dedicating it to our Dean, Haile Debas, upon completionof his deanship. His ten years of leadership have been exciting,sometimes stressful, but most of all very productive for the School

of Medicine. Our articles in this issue reflect highlights of some of themost meaningful and lasting contributions Haile has made to our school.

Three of our school’s most admired educators, David Irby, MaxinePapadakis and Molly Cooke, describe innovations in the way medicaleducation is conducted, including the Academy of Medical Educators, the medical curriculum overhaul, and the development of AdvisoryColleges—all of which he stimulated and supported. A recent site visit by the Liaison Committee on Medical Education is expected to result in seven years of accreditation for the school and elicited specific praise for our educational leadership, innovations in teaching

and curriculum, and broad support for medical student education from department chairs. Such praise comes as the result of consistently firm andcommitted leadership from the top.

The interviews of Diane Wara and Jackie Boydendescribe the tremendous support Haile has provided to women on our campus. The changes that have taken place are impressive and serve as an excellentfoundation for further gains.

The interview with Hal Luft and Jon Showstackgives an insider’s look at the Institute for Health PolicyStudies, truly a national asset. Haile was instrumental in the establishment of the Osher Center for IntegrativeMedicine which brings the best of UCSF’s researchskills to bear on this fascinating and popular area ofmedicine. He has also been very supportive of the UCSFFresno Medical Education Program (see back cover).

In addition to the subjects profiled, Bay Area alumni in particular can see Haile’s most “concrete” legacy in the ongoing construction at the Mission Bay site, a move he championed.He also spurred the creation of the Institute for Global Health, an area of medicine to which he will devote the next chapter of his life.

As we both prepare to step down from our own terms of office, we want to express our thanks for the support that Haile has shown the AFA throughout his tenure. A dean’s role for a medical school asvenerable and prestigious as ours is to draw faculty and students to hisvision, and to inspire alumni to stay connected. We have been fortunateindeed to have such a graceful and talented man in this role. We wishhim continued success on his professional and personal journeys ahead.

Sincerely,

André R. Campbell, MD ‘85 H. John Blossom, MD ‘74President Editor

welcome

A F A P R O F I L E

The mission of the Alumni-Faculty Association (AFA) is toadvance the science and art of medicine, the welfare of theUCSF School of Medicine, and the welfare of its members. The AFA serves alumni, faculty, housestaff, and students of theUCSF School of Medicine. For medical students, we host classparties and subsidize fourth-year student attendance at theHomecoming dinner dance. In addition, we sponsor academicexcellence awards and a gift fund for fourth-year students.

Homecoming is a major activity of the AFA. It reunitesalumni of the School of Medicine and includes class reunions, aSaturday morning lecture and awards program, presentation ofthe Alumnus of the Year Award, and a gala dinner dance, to whichall alumni, faculty, and graduating medical students are invited.

Membership dues to the organization help support thispublication, outreach and support to medical students, regionalalumni events and Homecoming Weekend, among other programs.

Benefits from active membership in the AFA includeUCSF vacation and travel programs; medical/life insuranceplans; eligibility for Golden One Credit Union; no-fee UCSF VISAcard; personal loan and debt consolidation programs; UCSF-branded cell phones; discounted car rentals and auto insuranceplans; discounts at San Francisco’s Westin St. Francis Hotel andother area hotels; and—with some restrictions or additional fees—UC library privileges, Millberry Fitness Center membership, anduse of the Faculty/Alumni House for events and parties.

For more information on AFA membership or to requestan application/renewal form, please call (415) 476-1471.

As a direct result of Dean Haile Debas’s vision, commitment, andresources, many things are different now about the fundamentalway we pursue education here,” says David Irby, PhD, Vice Deanfor Education in the UCSF School of Medicine. The dean’s vision,explains Irby, is of a worldclass medical education program. The

dean’s commitment has been a personal one encouraging the implementationof that vision and devoting the resources of his Office to make possible theappropriate changes necessary to realize his vision.

The School of Medicine says thanks and farewell to aremarkable man and physician who led it through adecade of remarkable achievements.

HailtoHaile!

“

By Eric Skjei

Educational Innovations—Bringing Change and Leadership to UCSF

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Five years ago, UCSF students and faculty began to recognize the need for innovation in order stay abreast of dramatic changes in the knowledgebase, technology, economics, and demographics of medicine. There was a general recognition that, while the School had long been a leader inresearch and clinical care, it had yet to give medical education the institutional prominence it deserved.

Task forces examined curricula from schools across the country, considering their successes and setbacks, and drawing from the best models. Dean Debas and Vice Dean Irby then committed the School to far-reaching changes. The first two years of the medical program, designatedthe “Essential Core,” now offer a wholly new approach to the basic sciences.Instead of the individual, discipline-based courses students find in a traditionalcurriculum, students now spend about eight weeks in a multidisciplinaryblock course, organized around particular themes or learning issues thatconnect the basic, clinical, social, and behavioral sciences. Faculty from avariety of departments lead discussions and lectures. Lecture time has beenreduced to two hours a day; another two hours are spent in laboratory and small-group sessions. Even more innovative student-directed learningtakes the form of problem-based case discussion, in which the studentsthemselves designate learning objectives as they collaboratively investigate a patient case.

In addition to the block courses, students participate in Foundations ofPatient Care, a longitudinal course devoted to professionalism and clinicalskill building that spans the entire Essential Core. Overall class time for theweek has been limited to 24 hours in order to maximize student opportunityto undertake individual projects.

The third year of the curriculum has been transformed as well. Clinicalclerkships have been organized into eight-week blocks, which are moreexplicitly organized around integrated learning objectives. Three week-long"intersessions" punctuate the clerkships, providing a unique time for students to step back from their clinical experience and return to the classroom.Case-based, interactive, small-group sessions build on learning in areas likehealth systems, ethics, clinical decision-making, and medical science.

Within the space of a few short years, the curriculum at UCSF hasbecome both multidisciplinary and multidimensional, offering an array ofopportunities for students to develop the knowledge, skills, and sense of purpose and responsibility that will be most critical in 21st-century physicians. If there is one thing that most characterizes the change, it is that the new curriculum challenges old assumptions about the way studentslearn and encourages their active participation in the process of medicalstudy and investigation.—Eric Skjei

*This is an edited version of a longer article on the new curriculum authored by Ramu Naggapan thatappeared in the previous issue of the AFA Bulletin, Vol. 44, No. 1, Summer/Fall 2002, pp. 3-4, 14.

Improving the quality of medical education,say many of those who have worked most closelywith Debas, has been a high priority for him.And the many educational innovations thatcharacterize his tenure as dean share severalcommon traits. These include the promotion ofexcellence in teaching and learning, encouragingmore collaborative, collegial learning, and finding ways to better support students in their learning processes. On the whole, the goal,says Irby, has been to make the experience ofmedical education at UCSF more learner-centered and less teacher-centered.

The results are many and wide-ranging.According to Irby, they include the Academy ofMedical Educators; the Advisory Colleges; a newintegrated curriculum; an electronic curriculum,known as iROCKET, along with a database tosupport it; the Teaching Scholars Program; anexpanded faculty development program; a newclinical skills center; an International ProgramOffice to coordinate international affiliations and student travel and research; and Offices of Community-Based Education, MedicalEducation, and Medical Education Research and Development. “All these are new,” says Irby, “and all are here as a result of the dean’scommitment and leadership.” Four of theseinnovative programs are briefly profiled below.

Advisory CollegesThere’s no doubt that medical school isdemanding. Having a cohesive group of fellowstudents and a familiar face on the faculty toturn to for advice and guidance throughout thefour-year experience is an invaluable benefit. It was for this reason the Student AdvisoryColleges were established a little over two yearsago at UCSF. The concept can be likened to the residential college system found at otherfour-year colleges, or even to a home room.“Basically the purpose is to support the professional and personal growth of our students,” says Maxine Papadakis, MD. “Wedon’t want our students graduating from UCSFfeeling anonymous.” Dr. Papadakis is AssociateDean for Student Affairs at the School.

According to Papadakis, the AdvisoryCollege system has four main objectives: to provide personalized academic advising; to facilitate communication among peers and faculty; to provide guidance regarding school,professional, and community resources; and to

CurriculumNewthe

provide information and insight into careeroptions. More generally, the Colleges are meant to facilitate interaction and cohesion within eachclass and with preceding and following classes.

Each first-year student is assigned to aCollege at the outset of his or her experience at UCSF. By the time the program is fully implemented, each College will include studentsfrom all four years of the curriculum, maximizingthe opportunity for peer interaction and support.Students remain in the same Advisory Collegethroughout their experience at UCSF. As well asindividual meetings with their mentor, studentsalso participate in small- and large-group activities throughout the year.

Each College is under the direction of onefaculty mentor (soon to be two), who receivessome financial support from the Dean’s Office forthis work. Mentors apply for the position and aredrawn from the ranks of full-time faculty; thosenow in place represent a variety of clinical fields,ranging from primary care to subspecialty areas.

How has it fared so far? “I think studentslike feeling that they have somebody to turn to,” says Papadakis. “They particularly like having an avenue where they can meet studentsfrom the years ahead of them, to help them with understanding what’s coming up, from astudent’s perspective.”

Dean Debas, says Papadakis, has brought acritical element of vision to the program. “Hereminded us of the big picture, that it was important to have some inspirational aspects to it, that we needed to keep the higher calling in mind,” says Papadakis.

Teaching Scholars ProgramNow in its fifth year, the Teaching ScholarsProgram is a one-year, part-time fellowship forUCSF faculty members. Designed to foster a cadreof academic leaders for the School of Medicine, it was created to support and develop facultymembers with a strong passion for teaching.

About a dozen members of the UCSF facultyare taken into the program each year. They meetevery other week for an integrated seminar thatcomprises readings and discussion about educa-tional research and theory; faculty development;curriculum planning, design, and evaluation; educational research methods; and leadership and organizational change. In addition, seminarsfocus on career planning, on achieving success as an educator in the School of Medicine.

Participants in the program develop a networkof similar, like-minded faculty peers who workacross departments; in so doing, they prepare formajor leadership roles in their departments andschools. They also complete a mentored project,typically in curriculum or educational research,and many find time to publish.

About the program, says David Irby, its creator, “I think it’s been very successful indeveloping a leadership group in the School thatreally understands education and can take aneffective role in it.” Debas also participates in theprogram as a teacher, providing a session duringwhich he meets with participants and shares hisperspectives on leadership and the nature of thedean’s role. “The dean has been very encouragingin the development of the program,” says Irby. “It has his strong endorsement and support.”

Academy of Medical EducatorsAt many top medical schools, the value of teachingitself can get overshadowed by an emphasis onresearch and clinical practice. The purpose of the Academy of Medical Educators is explicitly to redress this imbalance, by highlighting anduplifting the importance of teaching, mainly bycreating a cadre of medical educators recognizedfor their excellence as teachers. “The first goal of the academy,” says Molly Cooke, MD, theAcademy’s director, “is to highlight the work of talented teachers and to support and encouragefaculty members who choose to spend a significantpart of their time teaching and do it very well.”Additionally, the Academy seeks to improve thequality of teaching across the School, to promoteinnovation in the curriculum, and to advancescholarship in teaching and education.

Membership occurs through a rigorous selection process covering five areas of educationalactivity: direct teaching; curriculum design, program innovation, and assessment of learnerperformance; mentoring and advising; educationaladministration and leadership; and educationalresearch. Faculty members apply by preparing an educator’s portfolio and submitting it alongwith additional supporting documentation. Thepacket is reviewed internally by the Academy’smembership committee; top candidates are alsoassessed by members of an external, nationalreview committee.

Promoting curricular innovation takes placemainly through an internal grantmaking process,the Innovations Funding Program. The Academy,

The role

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Debas has

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the Academy

has been

visionary.

Academy of Medical Educators

A Helen Loeser and MartinBogetz (MembershipCommittee Chair) confer-ring certificates at ourSecond Annual Symposiumhonoring newly electedAcademy Members.

B Dean Haile T. Debas at the same Symposium,September 22, 2002.

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working in conjunction with other groups, identifies areas of high priority for curriculuminnovation, then twice a year issues a call forproposals. Most of the funding supports facultyrelease time, allowing recipients to devote moretime to creative curriculum development work.“We have no shortage of people who want to docreative program design,” says Cooke. “But theyhave a severe shortage of time, so this is a way tohelp faculty members with a good idea find thetime to make that idea come to life.” To advancethe scholarship of teaching and educationalresearch, those projects funded through the grant program are invited to present their workpublicly, through oral presentations or posters.

The role that Dean Debas has in shaping theAcademy has been visionary, says Cooke. “Thedean loved the idea when he first heard it, andsupported it vigorously at its first public airing,”Cooke notes. He has also dedicated significantfunding to the program, and his support hasbeen characterized by a high degree of energyand excitement. “He has been the source ofenthusiasm, support, and great advice at everyturn,” she states.

E (L–R) Michael Rabow, MD,Flavia Nobay, MD, Preetha Basaviah, MD,Susan Smiga, MD, Timothy Berger, MD,Caroline Day, MD, Igor Mitrovic, MD

Academy of MedicalEducators

F Education Day, April 14,2003 in the Lange Room of the Library–Molly Cooke,Lee Shulman (from theCarnegie Foundation for theAdvancemeny of Teaching)and Manuel Pardo Jr., MD(our Scholarship CommitteeChair).

G (L–R) Vice Dean ofEducation, David Irby withJeffrey Tabas, MD, andScott Young, MS 3, atEducation Day in theLange Room of the Library.

H Tim Kelly (CurricularInnovations Chair), mentoring with NaomiBardach, MS 4.

Advisory Colleges

C Hughes AdvisoryCollege, White CoatCeremony.

Teaching Scholars Program

D David Irby, PhD, Director of FacultyDevelopment and ViceDean for Education, UCSF School of Medicine

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When Diane Wara, MD, came to UCSF in 1970, her life centered around threethings: her residency, her three-week-

old baby and her husband. While she’s no longerchanging diapers or cooking on a one-coil burner,this esteemed professor of pediatrics and pediatricimmunology/rheumatology and allergy; pastassociate dean of women and minority affairs;and director of an NIH-sponsored program forchildren with HIV, is still working out the art of balancing the personal and professional parts of her life.

“I made the decision back then,” sheremembers, “that once my children and careerwere established, I’d help make UCSF a morerealistic and friendly environment for womenfaculty and trainees: a good place for workingparents, that encourages people to care for theirchildren and parents, and that fully values itsfaculty regardless of gender, race or ethnicity.”

After nearly 30 years of tireless effort, Wara’svision continues to be realized. Today, for instance,the maternity leave policy Wara helped establishin the eighties (the first in the country) providesleave for women and men and addresses a whole range of family issues. Women now holdmore leadership positions in the School thanever before, and over 50 percent of UCSF medical students are women. In fact, the progresswith students has been so great that “we nolonger need to count,” she declares proudly.

Dean Debas has played a significant role inthis transformation, moving highly talentedwomen to visible leadership positions in theSchool. When Jaclyne Boyden, vice dean foradministration and finance, came to UCSF in

1992, she was one of only three female associatedeans. Today nearly half are women, includingassociate deans for the San Francisco Veterans’Affairs Medical Center, Fresno Medical EducationProgram, Graduate Medical Education,Curricular Affairs and Student Affairs.

“In some areas of the university I sensewomen still feel they are token,” Boyden explains.“But Haile has a wonderful way of making youropinion matter.” She adds that he gave women a mandate to be creative and successful, and terrific contributions have been the result.

These contributions are evident in many of the School’s research and health centers aroundAIDS, integrative medicine, women’s health, andcommunity health. Debas was encouraging ofwomen’s early insight into these areas. “Notbecause he wrote a prescription,” cautions Boyden,“but because he let them follow their dreams.”

The dean has also worked with departmentchairs to increase the number of women in divisionchief positions, the traditional breeding ground fornew deans and department chairs. Twenty yearsago there were only two women division chiefs;today there are 46. A greater challenge though hasbeen increasing the number of women chairs.Today there are only two: Nancy Ascher in Surgery and Nancy Byl in Physical Therapy andRehabilitation Sciences. (Valerie Ng also serves as interim chair for Laboratory Medicine.)

Even with such progress, Wara and Boydenadvise that there is still far to go. “Leadershiproles for women are still a little on the fringe,”warns Wara. “But I’m hopeful that the next timewe search for a dean there will be several womencandidates. We still have search committees saying,‘let’s look at the pool of women candidates.’ Iwant that to go away. With the next generation of leaders, I hope we won’t need to pay specialattention to gender.”

With more women in leadership positions,the practice of medicine is changing as well.Physicians are becoming much more attuned and sympathetic to the personal and social needsof their patients, asking whether patients canadequately follow their regimens, whether they continued on page 10

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By Lisa Zimmerman

The Rising Role of

Women at UCSF

An OpportunityAllfor

Women Associate DeansSchool of Medicine

C. Diana Nicoll, MD PhDSan Francisco Veterans’Affairs Medical Center

Susan D. Wall, MD ‘78Graduate Medical Education

Maxine A. Papadakis, MDStudent Affairs

Helen Loeser, MDCurricular Affairs

Joan Voris, MDFresno Medical Education Program

Diane Wara, MD Jaclyne Boyden

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Of all the departments, programs, andother units at UCSF, it might surpriseyou to learn that the Institute for HealthPolicy Studies (IHPS) would be the one

with the power to touch the greatest number oflives. Since its founding in 1972, its grant-sup-ported research has delved into the wide range of public healthcare policies at the international,national, state, and local levels, shaping the wayhealthcare is legislated, managed, and ultimatelypracticed for millions of people.

“We’ve got people who are working veryhard on issues ranging from school-based healthprogram evaluation to risk-taking behavioramong adolescents, investigating the ways thatthe tobacco industry influences legislatures, andthe effect of smoking bans,” says Hal Luft, PhD,the Institute’s director. “Our researchers aredeveloping tools for measuring the quality ofpatient outcomes in hospitals, looking at differentways to pay hospitals and health plans to getthem to want to take very good care of very sickpeople, and developing prevention programs forHIV in countries around the world.” Other IHPSstudies range from focusing on the nature ofphysician/patient communication with respect to issues like breast cancer and how this variesacross racial and ethnic groups; to how the quality of scientific research can be influenced by funding sources and publication policies.

Dean Debas has played a key role in high-lighting the Institute and the work done there.“The dean has been quite supportive of and gen-erous with the Institute,” says JonathanShowstack, PhD, MPH, associate director of theInstitute. For example, the dean has made apoint of drawing on the expertise of Institute fac-ulty members and incorporating them into med-ical school committees and task forces. He hasgone out of his way to ensure that federal rulespertaining to the costs of administrative supportdo not unfairly penalize IHPS and similar

research units, which typically cannot draw fromother income sources, such as clinical programs,to defray such costs.

Debas was also instrumental in forming theCenter for Health and Community (CHC), under the direction of Nancy Adler, PhD. CHC is an umbrella organization under which manypreviously scattered social and behavioral scienceresearch units were gathered in one location, theLaurel Heights campus of UCSF. The results havebeen stimulating and synergizing, says Luft. Toillustrate the benefits, he tells the story of a retreatof as many 100 faculty and senior staff held earlyon to discuss the process of creating the CHC.

After the meeting, four faculty members from different departments who did not previouslyknow each other, but who all had expressed aninterest in infertility, got together to share theirthoughts. “After about two years of careful plan-ning, that initial contact led to a large multimil-lion-dollar grant to develop a cohort of couplesthat were (having trouble) trying to have kids andto look at the different ways they were dealing with it,” says Luft. Also the project is developing, inconjunction with Kaiser Permanente, a large data-base pertaining to birth outcomes for these samecouples. “That is going to be a tremendous resourceover time,” Luft adds. The point here, he continues,is the CHC provides a place where people withsynergistic interests are now connected, not onlyphysically but intellectually, and where highlyfruitful collaborations can take root and grow.

“IHPS is a place where faculty from differentdisciplines can get together and do interdiscipli-nary research,” says Showstack. “We have clinicians collaborating with sociologists, witheconomists, with pharmacologists, and so on.” The Institute’s faculty includes members with primary appointments within all four schools atUCSF—dentistry, nursing, pharmacy, medicine—as well as from various departments within those continued on page 10

By Eric Skjei

The Institute for Health Policy Studies

researchb r i n g i n g

t o b e a ron health issues

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hat is most striking about the OsherCenter for Integrative Medicine is thatsuch diverse perspectives can be at homein the same place. While the quilts bycancer patients on the wall and yogamats in the meeting room indicate this

is not medicine as usual, the Center’s contempo-rary, professional feel makes it clear that UCSF’stradition of quality and rigor are fully at work.

It is precisely that balance, says directorSusan Folkman, PhD, that the Center aims toachieve through its tri-fold mission of research,education and clinical care. And Folkman, a psy-chologist highly regarded for her research, pro-fessor of medicine and Osher FoundationDistinguished Professor in Integrative Medicine,is just the person to lead the way. “We’re showingthat good science can apply outside the boundsof conventional medicine. While cutting-edgeresearch is not new to UCSF, it’s the new sciencethat stretches those boundaries.”

Statistics show, however, that complementaryand alternative medicine (CAM) is actually verymuch within the norm. The public visits moreCAM practitioners than their primary care practi-tioners and spends over $20 billion each year onthis care. Even UCSF faculty are predisposed toalternative practices: about half use some formthemselves or recommend CAM to their patients,and there is already evidence of efficacy in manycases. Says Folkman, “The chasm isn’t as great assome think. It’s education and science that willbring the best of CAM into conventional practice.”

Started by a unique partnership betweenDean Haile Debas and the Bernard OsherFoundation, the Center opened its doors in 1998.Folkman was named director in May 2001. Thedean’s decision to advance CAM as a respectableapproach to health care did not initially appeal tothe general School of Medicine faculty, Folkman

explains. Yet the dean felt it was a direction UCSFshould pursue, given the school’s location in SanFrancisco where the ethnically diverse and culturally progressive population was alreadyusing alternative practices. His anticipation ofCAM’s growing importance proved correct.

The dean’s push for a more healing-orientedapproach has been felt nationally as well. When NIH launched the National Center forComplementary and Alternative Medicine, start-ing the first major influx of research funding intothe field in 1998, the dean was invited to join the advisory council. According to Folkman, hisleadership in academic medicine lent importantsupport to the entire field.

The Center’s chief aim is to weave intohealth care practice the principles of integrativemedicine: respect for the human capacity toheal; the importance of the practitioner-patientrelationship; a collaborative approach to patientcare among practitioners; and the practice of evidence-based conventional, complementaryand alternative medicine. “We look at the patientas a whole person with a mind, body and spirit,not just a symptom,” she explains, “and activelybring the patient’s own ability to heal into thepractice of medicine.”

One of the Center’s most important achieve-ments to date has been in the area of education,directed by Ellen Hughes, MD, PhD. With thesupport of an NIH grant, Center faculty nowteach CAM in the required UCSF medical schoolcurriculum and offer several elective classes. For example, fourth-year students can elect tospend a month learning about the cultural dimen-sions of integrative medicine. Students are notonly learning about alternative modalities, such as acupuncture and herbal medicine, but also the very principles of integrative medicine, such continued on page 10

By Lisa Zimmerman

Artthe

Scienceof Medicine

We’re

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Homecoming May 2003UCSF: Gateway to the Pacific

Thank you to

volunteers and

classmates from

1953 ❖ 1958 ❖ 1963

1968 ❖ 1973 ❖ 1978

1983 ❖ 1988 ❖ 1993

1998 ❖ 2003

for your leadership,

participation, and

generosity.

ReunionsAs always, the 12 class reunions that met onFriday evening and Saturday afternoon wereopportunities to catch up on what everyone’sbeen doing, enjoy good food and wine, and present their class gift to the School. To date, the2003 Reunion Campaign has raised a combinedtotal of $404,833 supporting programs, such asStudent Scholarships and the Clinical SkillsCenter that directly benefit students currentlyattending the UCSF School of Medicine.

A Dean Haile Debas and AFA President AndréCampbell ‘85 are seen here accepting the Classof 1993 campaign check. B And big cheers to theClass of 1963 for raising $170,724, the secondhighest amount ever in Reunion Campaign history!

Saturday Lecture & Awards Program

This year’s program featured a variety of presen-tations to and from alumni, faculty and graduatingstudents. The topics covered the scientific, the nostalgic, the talented, the service-oriented, andeven the artistic with a journey to the jungles ofnineteenth-century Burma, courtesy of keynotespeaker C medical student, Daniel Mason. Class speakers included Del Fisher ‘53, AnnPetru ‘78 and graduating med student, RalphErmoian ‘03. D After Dean Haile Debas told us “so long” and not goodbye, he was madean honorary alumnus, shown here presented withthis distinction by André Campbell ‘85 andcolleague, Susan Wall ‘78.

C

A B

D

And the Award Goes to…”School of Medicine Awards

Sadie E. Berkove Fellowship Award—Giveneach year to three outstanding women graduatesfrom the School of Medicine: Lydia Siegel •Jennifer Cummings • Tania Esakoff.

Robert H. Crede Student Award—Designated forthe graduating medical student best exemplifyingthe personal and professional characteristics of aprimary care physician: James Pehling.

Alumni Association Awards

AFA Academic Excellence Award—Presented

to the graduating medical student who exhibits

excellent work in all areas of medical school:

John Howlett.

AFA Student Service Award—Recognizes

medical student contributions to the community

and school through volunteer activities not limited

to health care: Group Award to Class of 2003.

Alumnus of the Year Award

The highest honor given by the Alumni Association

and the School of Medicine, it recognizes a graduate

of the school who exemplifies outstanding qualities

as a physician in any or all of the areas of private

practice; service to the Association, School or the

field of medicine in general; research; teaching; or

community service. E Here Anthony Sebastian ‘65receives the award from the AFA president AndréCampbell ‘85 (left) and colleague and faculty

member, Curtis Morris.

“

E

Homecoming 2004–Save the Date! Friday & Saturday,May 14–15, 2004

If your class year ends in a “4” or a “9”—your reunion is next!

Dinner Dance

In keeping with this year’s Pacific itinerary,Saturday’s dinner dance guests were welcomed to UCSF’s very own Club “Med,” a tropical paradise complete with shell necklaces, palmtrees, coconut drinking cups, and hula dancers.Homecomings are always about journeys—sostayed tuned for next year’s adventure!

All photos are courtesy of Steven P. Batiloro.

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continued from page 5have children or elderly parents, or how suggested therapies can be made more consistent withpatient life. “Women and men are now doingthis,” Wara maintains, “but women began it.”

This focus on the whole person is evidenteven in the simple act of taking a patient’s histo-ry. Wara, for instance, always asks her patients if they are taking herbal remedies, vitamins orother non-traditional medicines. “It’s very important that I know what they are taking before

I prescribe something,” she says. Otherwise apatient may end up experiencing a pharmaceuticalreaction with some component in their herbalmedication that his or her physician would otherwise not know about.

And so, as the dean leaves office, it is clear thathis commitment to providing greater opportunitiesfor women has altered UCSF and the practice ofmedicine indelibly. Says Wara, “The roots wereestablished when he got here. But no matter howbig the trees, they would have toppled without his incredible vision and support.”

We look at

the patient

as a whole

person

with a

mind,

body and

spirit, not

just a

symptom.

continued from page 7as how to effectively communicate with patientsabout CAM. Practicing physicians, too, receivecontinuing medical education courses, while thepublic benefits from community programs.

In the area of research, directed by FrederickHecht, MD, the Center develops its science.According to Folkman, “We’re starting to train awhole new research faculty to do this kind ofwork. Right now we’re bringing scientists fromother fields into this area.” One current project isstudying the relationship between yoga and backpain reduction, while another is looking at theefficacy of yoga for reducing breathing difficultiesassociated with coronary obstructive pulmonarydisease. A proposed study hopes to examine thepossibility of using meditation to slow the progressof early HIV infection by reducing stress.

The clinical side of the Center, directed byBrad Jacobs, MD, MPH, is also very active. Herepatients come for help with all kinds of ailmentsand illnesses, often cancer and back pain, frompractitioners who use both conventional andalternative healing systems, such as acupuncture,massage, yoga, tai chi, nutrition counseling andothers. The approaches include the psychological,social and spiritual aspects of health and illness.This unique approach has conventionally traineddoctors working side-by-side with alternativemedicine practitioners.

With the Center’s rapid success, Folkmanenvisions an exciting future for complementarymedicine at UCSF. She sees the planned newbuilding filled with possibilities and the people tomake those possibilities come alive. She empha-sizes, “Most important, I see the Center providingoptions for safe and effective care and forapproaches that treat patients as whole beingswith body, mind and spirit. Without the dean’spast support, none of this would be possible. Hislegacy will be with us for years to come.”

The Rising Role of Women at UCSF

continued from page 6schools. For example, Institute faculty from the School of Medicine include individuals specializing in medicine, pediatrics, and surgery, among others.

Educating future researchers and scholars isalso an essential role for the Institute. Herescholars-in-training can learn or enhance policyanalysis skills to prepare for leadership roles inacademia, government, and the private sector.Training for the 20 or so full-time and part-timefellows at IHPS typically includes supervisedresearch, a seminar program, publications, andcareer development. The Institute has hosted fellows from the pulmonary medicine, pediatrics,family and community medicine, and derma-tology departments.

Guiding the Institute into the future requires a deft touch, and the collaboration betweenIHPS and the dean again proves the case. “Hedoes help us think about our future, in variousways,” says Showstack. “Basically, his approachhas been that if he can be helpful, he will be,and he has been.”

Collaboration and collegiality is generallyregarded as a hallmark of the style that Debashas brought to his role. His guidance has alsobeen inspiring, by all accounts. “Dean Debas is exuberant about the kinds of questions thatpeople at IHPS and people more broadly in thesocial and behavioral sciences are looking into,”says Luft. “By fostering the broader social andbehavorial sciences faculty research on campus,he has brought us all into the spotlight in a very exciting way.”

The effect, adds Luft, is to energize the facul-ty, to make them feel less insular and more con-nected to the larger mission and vision of UCSF.“What Dean Debas has done makes being at the Institute exciting and fun,” he states. “It’s the kind of place you want to be.”

Institute for Health Policy StudiesOsher Center for Integrative Medicine

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a lumn i

1920s

Dan Brodovsky ‘29 retired in 1974and continued playing golf until2001. He and his wife Beatrice live at the Terraces of Los Gatos, a retirement community.

1940s

Marseille Spetz ‘41 has been activesince our last bulletin in promotingher play, Someone Puts a ManTogether, through local perform-ances of skits from the show. Since1972, she has been a member of the Pavlovian Society and presenteda paper entitled “When the Oedipus Complex Goes the Way ofPhlogistan” at a meeting of the soci-ety in Baltimore in December 1995.

John A. Kerner ‘43 is an emeritusprofessor of obstetrics and gyne-cology at UCSF. He recently published a book, Combat Medic, A World War II Memoir, which he says has made it possible for his classmates and friends to know he is still around.

Thomas L. Nelson ‘46 is a professoremeritus of pediatrics at the UCIrvine College of Medicine. Heretired nine years ago, but is activefarming in Sutter County on 500acres. He also enjoys designing andmaking jewelry, metalsmithing andvitreous enameling, and is involvedwith amateur radio on stationWGEO.

Donald Guisto ‘47 retired in 1994from his position as professor ofsurgery at the Medical College ofVirginia in Richmond, VA. He isnow living in Vero Beach, FL,where he is active in the Vero

Beach Choral Society and theSalvation Army. In his free time he enjoys golf, fishing and travel.

Richard Onofrio ‘47 retired in 1990from his urology practice. He hasenjoyed travel, family history andmeeting his classmates at the Schoolof Medicine Homecoming 2002.

Thurid B. Lininger ‘48 is a derma-tologist and has been doing locumtenens work for doctors away fromtheir practices. She is also a docentfor the Asian Art Museum in SanFrancisco.

1950s

Walter M. Bowman ‘51, since retiringin 1997, has volunteered as a medical consultant at PlannedParenthood. He also volunteered as an anesthesiologist with severalplastic surgeons from Stanford whotraveled to Mexico to repair cleftpalates and similar deformities,mostly on children. Other volun-teer work included telephone hotline service in San Jose. Hetook a course from the Santa ClaraCounty UC Cooperative Extension,leading to a master gardener desig-nation. Currently, Bowman volun-teers once a week at the TechMuseum in San Jose as an exhibitinterpreter on the life tech floor.He and his wife, Patricia, have fivechildren and “almost eight” grand-children.

Jerome A. Motto ‘51, retired in1991, remains active in the community and was cited in BestDoctors in America. He received aResolution of Commendation fromthe San Mateo County Board ofSupervisors for his volunteer pro-fessional services to the county. His community service includesvolunteering with the San MateoCounty General HospitalPsychiatric Service for high-risksuicidal patients and providingforensic consultation on suicidecases. He also volunteers as aHomework Central tutor for thirdthrough fifth graders in need ofacademic help. His recent publica-tions include coauthoring “ARandomized Controlled Trial ofPost-Crisis Suicide Prevention” inPsychiatric Services, June 2002;and authoring “The Mixed Legacy

of 20th-Century Suicidology,” abook review in ContemporaryPsychology, August 2002.

John Epstein ‘52 currently practicesdermatology in San Francisco.

M. Donald Merrill ‘53 retired in 1993 after a long career in radiationoncology at Merritt Hospital inOakland from 1960 to 1986 andthen Ottumwa, IA until 1993. Afterhis retirement, he and his wifemoved to Provo, UT and then spenta year on a mission for their churchin Florida. In 1994, while inOrlando, Merrill underwent coro-nary bypass surgery. He and hiswife now reside in St. George, UT.

Frederick J. Sobeck ‘53 retired in1997, but is active on the Davis(CA) Planning Commission andSchool Board, and as a delegate tothe California Medical Association.He has enjoyed traveling sinceretirement, while serving on theship HOPE in Ecuador and as aPeace Corps physician in Kenya.

Theodore L. Bushnell ‘54 retired in September 1994 after a longcareer of practicing ophthalmologyin Prince George’s County,Maryland. He moved back toCalifornia in 1997 to be closer tofamily after undergoing coronarybypass surgery in 1996. Sinceretirement, he has traveled toEurope, Asia, and around the U.S. by car, plane and motorhome.

Olga Daiber ‘54 retired in 1997after having worked as an internistat the Medical Clinics of SantaBarbara County since 1963. Shealso served on the State AlcoholAdvisory Board from 1976 to 1980and as board member and presi-dent of Casa Serena, a women’salcohol recovery home in SantaBarbara from 1984 to 1987. Sinceher retirement, Daiber has been acommunity activist in environmentalorganizations, and organizationspromoting women’s issues andlocal history.

Ruth Hase Matsuura ‘54 is semi-retired from her private pediatricspractice in Hilo, HI. She co-authored the autobiography of the late Senator Richard Matsuura,Rebel with a Dream from Hawaii,published in 2002.

S. K. Abul-Haj ‘55 is retired, butremains active doing consultationand charity work. He is past president of the American CancerSociety of Ventura-Santa Barbara.In addition, he is involved with the Tri-Counties Blood Bank, the Boys’ Club, the Navy League, and is attending physician for theSalvation Army Clinic. His biographyis listed in several Who’s Whodirectories, including The Best Doctors in America andOutstanding People of the 20thCentury by the InternationalBiographical Center in Cambridge,England. Two of the publicationshe authored were among thosemost referenced and quoted in the world medical literature.

Melvyn H. Krause ‘57 still enjoys his active family practice and hasno plans to retire. On weekendsKrause is part of a popular radiotalk show called “Jeff Levy onComputers.” It is heard Saturdaysand Sundays on KFI 640 AM andalso worldwide on the KFI Web site.

Stanley Fahn ‘58 works full time as the H. Houston Merritt Professorof Neurology at the ColumbiaUniversity College of Physiciansand Surgeons in New York City. He is head of the Center forParkinson’s Disease and OtherMovement Disorders, and is principal investigator for the NIH-awarded Morris K. UdallParkinson’s Disease ResearchCenter of Excellence. His researchinvolves clinical trials and thegenetics and natural history ofmovement disorders. His grouppublished in 2001 the first con-trolled surgical trial of fetal tissuetransplants for treatment ofParkinson’s. He is now completing a two-year term as president of theAmerican Academy of Neurologyand felt deeply honored to beelected in 2002 as a member of the Institute of Medicine of theNational Academy of Sciences.

M. Milton Watchers ‘58 works at an ob/gyn practice in Oakland, CAand is an attending physician at theAlameda County Medical Center,and a Fellow of the AmericanCollege of Obstetricians andGynecologists. He volunteers at the Indian Health Service, the

classnotes

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Northern Navajo Medical Centerand Loaves and Fishes, and is adocent at the USS Hornet Museum.

Harvey B. Weintraub ‘58 has a pri-vate psychiatry practice in LosAngeles. He is an emeritus clinicalprofessor of psychiatry at theUniversity of Southern CaliforniaMedical School/Los AngelesCounty Hospital and an emeritusfaculty member and attendingphysician at Cedars-Sinai MedicalCenter. He is also a senior facultymember at the Southern CaliforniaPsychoanalytic Institute, and a faculty member at the Los AngelesGroup Psychotherapy Society and the Graduate Institute forPsychoanalytic Study of ChildDevelopment and Therapy.Weintraub is a psychiatric consultantto the Program for Torture Victimsand the International MonitorInstitute of the U.N. War CrimesTribunal. He and his wife, HelenDesmond, have three children andfour grandchildren.

Edmund Van Brunt ‘59 is semi-retired from his practice at KaiserPermanente in Oakland. He ischairman of the InstitutionalReview Board of the KaiserPermanente Medical Care Program,Northern California Division. He is also a member of the UCSFEmeritus Faculty Association and a member of the Board of Trusteesof the French Foundation forMedical Research and Education.

1960s

Bruce Scrivens ‘60 retired inDecember 1999 from practicingpediatrics and pediatric nephrology.He and his wife reside in Yacolt, WA.

Gary G. Kardos ‘61 left his privatepractice and has been workingpart-time at UCSF since January2002 as an attending nephrologist,as well as a clinical professor ofmedicine. His responsibilitiesinclude attending in-patient consultations, attending in the renalclinic and shared coverage of out-patient chronic dialysis patients.

John R. Harris ‘62 closed his oto-laryngology practice in 2001, butcontinues to assist other surgeons

performing surgeries in the operat-ing room. He and his wife reside inWalnut Creek, CA.

William T. Sueoka ‘63 is a patholo-gist in Santa Paula, CA.

Michael R. Nagel ‘64 was the presi-dent of the California Chapter ofthe American College of Cardiologyfrom 2001 to 2002 and was amember of the Board of Governorsof the American College ofCardiology from 2001 to this year.He received his certification innuclear cardiology in October 2002from the Certification Board ofNuclear Cardiology. He was med-ical director of cardiology at theGood Samaritan Hospital of theSanta Clara Valley in San Jose, CAfrom 1973 to 1995. He was on theAmerican Heart Association of theSanta Clara County Chapter Boardof Directors from 1973 to 1976;president of the American HeartAssociation of the Santa ClaraCounty Chapter, 1975-1976; and amember of the Good SamaritanHospital Charitable Foundation,1992-1993. This year he is on theeditorial board of the AmericanHeart Hospital Journal.

Michael Sinclair ‘66 holds anappointment as clinical assistantprofessor of surgery at the Collegeof Medicine of Pennsylvania StateUniversity in Hershey, PA. He hasa “climbing resume” that detailshis numerous mountain climbingexpeditions in which he reachedthe summit, was expedition leaderor both. His latest adventure waswhen he and his wife bicycledacross the U.S. in Summer 2002. It took 790 days and 4,779 miles to get from Seattle, WA to BarHarbor, ME.

John L. Chase ‘67 is owner ofBenchmark Medical Consultantsand Institute (BMCI). BMCI provides administrative services to physicians and other healthcareproviders who act as independentexperts in litigation and disputeresolution. The company has beenin business for 12 years and hasbeen qualified as a Category OneCME provider by ACCME.

Frances Ann Edmonston ‘67 retiredin 1998 from her ob/gyn practiceat Kaiser in Hayward, CA. Since

then she has developed an outpatient gynecology practice inPeshawar, Pakistan at a hospital forthe poor. In 2001, she traveled toSpain, Italy, Switzerland, Germany,France, Thailand, Sikkim, andBhutan. Upon returning, she wentback to work at the VeteransHospital in Reno doing primarycare at the Women’s HealthServices and Gynecology Clinic. She lives near the shores of Lake Tahoe in beautiful InclineVillage, NV.

Nobuhiro Sugino ‘67 retired in1995. Since 1991, he continues to serve as chairman of the Kidney Foundation of Japan.

Robert Shulman ‘68 practices radiology in Belfast, ME.

Clair S. Weenig ‘69 retired from aprivate practice of anesthesiologyin 1995. He was an assistant pro-fessor at the University of KentuckyMedical School from 1995 to 1998.Since 2000, he has been a clinicalprofessor of anesthesia at UCSF,also serving as a councilor of theAssociation of the Clinical Faculty,and is also a part-time volunteerclinical attending physician.

1970s

Edward Schneider ‘70 retired fromfamily medicine in 2001 and nowteaches human biology at a localcommunity college. He says he is en-joying much more free time and stilldoes occasional surgery assistance.

Bruce J. Rice ‘71 has a head andneck surgery practice and is aboard member of ABMG IPA,where he is also chair of the utilization management committee.He is a member of the ethics committee of ABMC and holds an appointment as an ENT clinicalprofessor at UCSF.

James Kim Bauriedel ‘72 retiredfrom clinical practice in 1997 andworks part-time as medical directorfor utilization review of theHumboldt/Del Norte Foundationfor Medical Care. He has beenactive with the American CancerSociety since 1998, working inprostate cancer advocacy, and isthe past president of the RotaryClub of Eureka (2000-01). He is

also active with the Union LaborHealth Foundation and has servedas a council board member for theBoy Scouts of America since 1982.In 2001, Bauriedel led a group ofRotarians for five weeks in Siberiaand in the last two years createdover 15 international humanitarianprojects with the Russian Rotariansworth more than $300,000.

James Peck ‘72 practices vascularand general surgery in Portland,OR. He is president-elect of theNorth Pacific Surgical Association,and serves as counselor for thePacific Coast Surgical Associationand delegate to the Oregon Medical Association. He is active in the Oregon chapter of theAmerican College of Surgeons andhas an appointment as associateclinical professor of surgery in thedepartment of vascular surgery atthe Oregon Health SciencesUniversity. Peck participates inmany community service activitiessuch as educational activities forinner city kids, church activities,Project Erase (gang tattoo removal),and advocacy for children with cancer and their families.

David F. Giansiracusa ‘75 is vicechair of the department of medicine at the University ofMassachusetts Medical Center in Worcester, MA. He is also a professor of medicine and staffrheumatologist. From July 2003 to June 2004, Giansiracusa willparticipate in a palliative care fellowship at Massachusetts General Hospital in Boston.

Robert C. Lowery ‘76 recentlyreturned to New York City fromWashington, DC to become chief of cardiothoracic surgery at SUNYDownstate Medical Center. Herecently climbed Mt. Kilimanjaroto raise money for inner-city elementary school children.

Anthony Rodas ‘78 became boardcertified in internal medicine in 1981, and in occupational medicine in 1997. He received a JD degree from the University of West Los Angeles in 1998 and isnow an attorney.

Diane Sklar ‘79 is currently on staff at Kaiser Permanente in San Francisco. She has traveled

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classnotes

to Guatemala each year over the past four to five years with avolunteer group called Faith inPractice. Many of her former professors and residents havejoined the group, working in asmall hospital in Antigua.

1980s

Jo Ellen Brainin-Rodriguez ‘80 isworking at Bridge to Wellness inSan Francisco as a staff psychiatrist.She was also certified as a yogateacher in April 2002 and nowteaches one day a week.

Peter N. Bretan ‘80 is chief of theNorthern California RenalTransplant Service at Santa RosaMemorial Hospital. He is also vice-chief of staff of NovatoCommunity Hospital.

Gary Clark ‘82 is a general surgeonspecializing in endocrine and tho-racic surgery. He is also a formerchief of surgery and has beendirector of surgical services forseven years. He is currently attend-ing UC Irvine as a student for theHealth Care Executive MBAProgram and is due to graduate inSummer 2004. In addition, he is avolunteer surgeon for uninsuredpatients in the East Bay.

Joseph Elson ‘85 recently joinedKaiser San Francisco in the pri-mary care department of the HIVmodule, after serving as directorfor 13 years at the Haight-AshburyFree Medical Clinic. He is also current president of the Associationof the Clinical Faculty at UCSF.

Keith Benzuly ‘88 practices cardiology in Chicago, IL.

Dong H. Kim ‘90 spent the past fiveyears at the University of Texas inHouston specializing in cardiovas-cular surgery. In July 2003 hestarts work at the Brigham andWomen’s Hospital and will alsobecome a Harvard Medical Schoolfaculty member. His research isfocused on finding a gene thatcauses intracranial aneurysms.

1990s

Lawrence Lustig ‘91 subspecializesin otology, neurotology and skullbase surgery, and is an associate

professor in the department of otolaryngology at Johns HopkinsUniversity.

Linda Aranaydo ‘92 currently serves as medical director of theSacramento Urban Indian HealthProject and as quality managementconsultant to the California RuralIndian Health Board.

Kenneth Bermudez ‘92 works at aplastic and reconstructive surgerypractice in San Francisco.

Robert Moore ‘92 completed theadvanced training program inQuality Improvement in HealthCare Delivery at IntermountainHealth Care in Salt Lake City, UT.He continues to serve as medicaldirector of the Community HealthClinic Olé, with six sites through-out Napa County. The clinic moved to a new site, the Vintners’Community Health Center, a state-of-the-art facility in Napa thatincludes the county dental clinic,Healthy Moms and Babies, NapaEmergency Women’s Services andother services through NapaCounty Health and HumanServices. Moore also serves astreasurer of the board for HealthyMoms and Babies, which providesperinatal support services toMediCal patients in Napa County.

Sondra Vazirani ‘94 currently holdsan appointment as an assistantclinical professor of internal medicine at UCLA.

Paul M. Hwang ‘96 is a cardiologistand works as an investigator forthe cardiovascular branch of theNational Heart, Lung and Blood Institute at the National Institutes of Health.

Sophia Yen ‘97 is completing a fellowship in adolescent medicinethis year.

recent grads

Kavita Kacholia Mishra ‘02 is anMPH student at the HarvardSchool of Public Health. Her focus is cancer epidemiology.

Judy Ou ‘02 is starting an ophthal-mology residency at StanfordUniversity in July 2003.

faculty/staff

Margaret Chesney was appointedthe first deputy director of theNational Center for Complementaryand Alternative Medicine (NCCAM),one of the 27 institutes of theNational Institutes of Health (NIH).As NCCAM’s first deputy director,Chesney will help formulate, guideand oversee the management of allNCCAM-funded extramural cen-ters, investigator-initiated research,research contracts, fellowships, andtraining and career awards—totalingover $86 million in investments in fiscal year 2002. Before joiningNCCAM, Chesney was professor of medicine and epidemiology atUCSF School of Medicine, whereshe was co-director of the Centerfor AIDS Prevention Studies anddirector of the behavioral medicineand epidemiology core of theUCSF Center for AIDS Research.Most recently, she was also a seniorvisiting scientist in the Director’sOffice of the NIH Office ofWomen’s Health.

Gerry J. Cropp is a professor emeritusof pediatric pulmonology at UCSF.

Stephen J. Mathes, chief of theDivision of Plastic andReconstructive Surgery at UCSF,was appointed president of thePlastic Surgery EducationFoundation for 2003. The PSEF’smission is to develop and supportthe domestic and internationaleducation, research and publicservice activities of plastic surgeons.The PSEF was established in 1948as the Education Foundation for the American Society of PlasticSurgeons and has been instrumentalin promoting high standards oftraining not only in the U.S. butalso internationally. Mathes statedhis goals for the upcoming year asthreefold: education, research, andservice. His goals include increasinginstructional courses, finding moreresearch funding for young doctorsand increased promotion of theservice programs that provide care and teaching to third world countries.

Maria Alicia Mayorga is a staff pulmonologist at Walter Reed Army Medical Center.

Lewis Sheiner was named chairmanof the scientific advisory board byPharsight. He joined the companywhile on sabbatical from UCSF.Sheiner is a professor in the depart-ments of laboratory medicine, medicine and pharmacy at UCSF.

Mallory Witt is an associate professorof medicine at UCLA School ofMedicine. In addition, she isAssociate Chief, Division of HIVMedicine; Director of HIV Clinicsand Associate Program Director ofInternal Medicine at Harbor-UCLA.

in memoriam

Earle M. Marsh ‘39

Dorothy M. Horstmann ‘40

Arthur H. Bazell ‘50

Robert A. Braun ‘55

Jean Procter ‘64

Eddie T. DeWeaver ‘76

Margaret Malveaux ‘82

James J. Archibald ‘93

faculty, housestaff

Monroe E. Alenick

Yvonne M. Andejeski

Lillian F. Bennett

Kristie S. Blees

Dante F. Campagna-Pinto

Thomas R. Carney

Conrad H. Casavant

M. Margaret Clark

Patricia E. Evans

Laurence T. Giles

Thomas W. Holmes, Jr.

Karen S. Kalustian

James Klint

Samuel D. McFadden

Charles D. Meier

Donald M. Palatucci

William Parson

Victor Richards

Martin A. Shearn

Drop us a line! ClassNotes welcomesprofessional and community serviceupdates along with photos. If youhave an update you’d like us toshare in our next Bulletin, let usknow and we’ll put out the word.Fax to (415) 476-9570, e-mail toeditorial@support.ucsf.edu or mail to Bulletin at UCSF Alumni-Faculty Association, Box 0970, San Francisco, CA 94143-0970.