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 pi
'-11
]_2 Southern Medical
Program opens
its doors
15 An artificial
epidemic of
ADHD
29 John Webb: Heart
valve replacement
pioneer
MEDIC
E
VOL 8   |   NO 1   SPRING 2012   THE MAGAZINE OF THE UBC FACULTY OF MEDICINE
Personality    Transference
T MOO
Recovery
BURNABY
COQUITL
Catharsis
Iture shock
PITT MEADOWS
entity
Gender
roles
Coping
mechanisms
MAPLE RIDGE
cognitive
behavioural
therapy
a place of mind
THE  UNIVERSITY OF  BRITISH COLUMBIA UBC
FACULTY OF MEDICINE
EDICINE
Message from the Vice Provost Health and Dean
Focus on: The Fraser Health region
Extending psychiatric training - and care - to Fraser Health
A "Surrey boy" comes home
Royal Columbian: A history of clinical education
A new model for medical education - by way of Chilliwack
The Faculty of Medicine's Fraser footprint
Research thriving in Fraser region
A new window on patients' personal struggles
The first wave: Southern Medical Program opens
Making hospitals healthier places
Investigations and breakthroughs
A dedication to solving hematology's puzzles
The Dodeks' multi-generational relationship with the Faculty of Medicine
New faculty members
Making a mark: Achievements and awards
Philanthropy news
Medical alumni news
UBC MEDICINE
VOL. 8 | NO. 1 SPRING 2012
A publication of the University
of British Columbia's Faculty
of Medicine, providing news
and information for and about
faculty members, students,
staff, alumni and friends.
Letters and suggestions are
welcome. Contact Brian Kladko
at brian.kladko@ubc.ca
Editor/Writer
Brian Kladko
Contributing writers
Libby Brown
Anne McCulloch
Ian McLeod
Additional Research
Melissa Carr
Distribution coordinator
Elizabeth Kukely
Design
Signals Design Croup Inc.
www.signals.ca
Online at
http://med.ubc.ca/news/
ubc-medi cine-magazine
MIX
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" responsible sources
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UBC MEDICINE*    3
is =] 3
ESSACE FROM THE
VICE PROVOST HEALTH AND DEA
Recognizing those who add value and meaning to our lives -
whether partners, family, friends or colleagues - is probably
one of the most neglected items on my "to-do" list.
I'm probably not alone in this regard. But as Dean of the
UBC Faculty of Medicine, my list of recipients deserving
recognition (and not always receiving it) is particularly long.
And as the Dean of this particular medical school, with its
elaborate web of partnerships across the province, my list might
be longer than those of my counterparts across Canada or the
U.S. The distribution of medical education across B.C. has
required an enormous amount of collaboration and hard work
by an ever-widening circle of people at academic institutions
and health authorities - a circle so wide, it's hard to keep track of
them all. Our collective success is dependent on our partnerships.
Among those deserving recipients are the people of the Fraser
Health region. Much has been made of our ambitious expansion
to places far from UBC's "home" in Vancouver - to northern B.C.,
Vancouver Island and now the Interior. But health care providers,
support staff and patients in nearby towns like Surrey, Chilliwack,
Cloverdale and Abbotsford have been quietly, consistently and
conscientiously contributing to our educational and research
enterprise.They set the stage for our wider expansion over
the past few years, and are helping make sure that it
maintains momentum in the years ahead.
Those contributions have been recognized by designating
Royal Columbian Hospital and Surrey Memorial Hospital as
Clinical Academic Campuses, and designating the hospitals
in Chilliwack and Abbotsford as Affiliated Regional Centres.
Among our four geographically-based MD programs, we call
the largest the "Vancouver Fraser Medical Program," reflecting
how much time those students spend in Fraser Health sites.
We have worked with Fraser Health to create full-fledged
residency programs in Family Practice and Psychiatry, and
[ook forward to other regionally-based postgraduate training
programs to be aligned with the needs of the population.
But that is surely not enough, and this issue of UBC Medicine
magazine is a modest attempt to honour and celebrate the vital
role that Fraser Health and other health care providers in that
region are playing in academic medicine. We want the people
of those communities to know it too, because it has paid
dividends - expanded facilities, an influx of health care talent,
and greater attention to the latest, evidenced-based medicine.
have long been well aware of that mutually beneficial relationship.
We want to make sure all of our stakeholders know it, too.
Gown C.E. Stuart, MD, FRCSC
Vice Provost Health, UBC
Dean, Faculty of Medicine BURNABY
Identity
COQUITL
tlimation
PITT MEADOWS
NEW
STMIN'
SURREY
DELTA
solation
Coping mechanisms
Sanity
Personality
EXTENDING PSYCHIATRIC TRA
AND CARE-TO FRASER HEALTH
G-
It's a Wednesday afternoon at the in-patient psychiatry unit of
Royal Columbian Hospital, and UBC Clinical Assistant Professor
Anson Koo is getting an update from resident Charlena Chan
on the ward's current roster of patients.
Dr. Chan discusses a middle-aged female patient with depression.
"She always loops back to abuse from her mom as a kid, and how
it's affecting her," she says. "When she talks about her mom, she
becomes super-anxious and then self-isolating. She looks about
the same, but I think I understand now where her depression
is coming from."
Dr. Chan thinks she should be referred for outpatient cognitive-
behavioural therapy. Dr. Koo, Division Leader of Fraser Health's
Adult Mental Health Programs, agrees, and suggests assessing
her after the weekend.
The next patient - let's call him C.N. - is a young adult with
a history of sporadic drug use who exhibits a muted but
unmistakable paranoia.
"He can hold it together for an hour interview," Dr. Chan says.
"But if you see him often enough and ask the right questions,
it comes out."
Dr. Koo explains that there will always be murky cases
like C.N.'s - where the patient's symptoms don't fit neatly
into a diagnosis, whose scant medical record offers no clues,
whose accounts of his own behavior and illness aren't reliable.
"He's exhibiting some pretty serious symptoms of psychosis, but
we can't quite say that this is schizophrenia at this point," he says.
The diagnosis may be frustratingly elusive, and the path to
recovery uncertain, but C.N. offers a valuable learning experience
for Dr. Chan. She is in her second-year of a five-year psychiatry
residency program, and must come to grips with the occasional
ambiguity in her chosen field.
Such learning experiences have become increasingly commonplace
in Fraser Health, which created its psychiatry residency program
three years ago to keep pace with the growing prevalence of mental
llness in Fraser Health - including depression, substance abuse,
bipolar disorder, geriatric mental illness, and schizophrenia.
"We are undergoing a demographic explosion, and had the
second-lowest psychiatrist-to-population ratio in the province,"
says Dr. Koo, who also oversees academic psychiatry programs
in Fraser Health. "With a large cohort of psychiatrists preparing
to retire, and ever-increasing needs for mental health care in
Fraser Health, we needed a comprehensive, sustainable
approach to physician recruitment. Training and educating future
psychiatrists within Fraser Health is a cornerstone of this strategy."
Fraser Health is not a newcomer to psychiatry residency training.
Until 2009, the health authority trained residents for their first
two years - after that, post-graduate trainees had to find training
positions elsewhere.This meant losing potential psychiatrist recruits. Catharsis
Projection
MAPLE RIDGE
Counselling
MISSION
Individuation
Loneliness
CHILLIWACK
Now the UBC-Fraser Greater Vancouver Psychiatry Residency
Program, coordinated by Ambrose Cheng, the Assistant Postgraduate Program Director, has six new psychiatric residents
a year, each able to complete their training - and to care for
patients - in the health authority's wide array of hospitals,
residential mental health facilities, and outpatient clinics.
As word spread about the opportunities for aspiring psychiatrists,
the demand for residency positions has risen. In 201 2, applications
more than doubled, and all six positions were filled in the first
round of the CaRMS residency match in March.
The growing number of psychiatry residents is attracting other,
experienced psychiatrists drawn bythe health authority's growing
academic profile. Fraser Health has hired 45 new psychiatrists in
the past two and a half years, covering a variety of subspecialties,
such as child, geriatric and rehabilitation psychiatry.
"Many of them wouldn't have come here if they didn't have
a sense that we were building an academic program," says
Theresa Isomura, a Clinical Associate Professor and Fraser
Health's Mental Health-Substance Use Program Medical Director.
"They now have an opportunity to be engaged in the educational
enterprise and have contact with students and residents."
As a result, the months-long waits for outpatient mental health
services are becoming increasingly rare, and patients can be
offered specialized services.
Another area targeted by Fraser Health is substance misuse -
a problem that is widespread in Fraser Health's service area,
despite being commonly associated with more urban areas
[ike Vancouver's Downtown Eastside. In response, Dr. Isomura,
working with Paul Sobey, Division Leader of Fraser Health's
Substance Use Programs, has created an elective in addiction
medicine this year - the residency's first.
"Substance abuse is more common than depression," Dr. Sobey
says. "So being in psychiatry, and not knowing how to assess
and treat substance misuse, is like a cardiologist not knowing
how to treat hypertension." John Diggle. PHOTO CREDIT: surrey memorial hospital foundation
Royal Columbian Hospital in 1889.
DHOTO COU RTESY OF NEW WESTMINSTER MUSEUM & ARC HIVES
A "SURREY BOY" COMES HOME
John D/ggletimed his homecomingjust right.
He moved back to his birthplace of Surrey, and his post as a
neurologist at Surrey Memorial Hospital, in 2007, just as the
town's startling growth - and the need for expanded health
care services - precipitated a major expansion of the hospital
and its elevation to a Clinical Academic Campus of the Faculty
of Medicine.
"It was a great time to come on the scene," says Dr. Diggle, whose
ancestors were among Surrey's first settlers, and whose wife
also has deep roots in the town. "We've seen accelerating growth
in health care services in Surrey, and in Surrey's ties with UBC."
Energized bythe changes happening around him, Dr. Diggle
became the hospital's Site Director for UBC medical education
in 2008. In that role, he has played a crucial role in planning
the new critical care tower, which will be finished in 2014,
and in exploiting the educational potential of the Jim Pattison
Outpatient Care and Surgery Centre, which opened last year.
Even now, 100 or more UBC health students are training
in Surrey in any given week, including a two-year medical
residency in Family Practice and resident rotations in Pediatrics.
The diversity of the population and the sheer amount of cases
make it an increasingly sought-after learning venue.
"We're seeing many more research-oriented graduates coming
out to work here," Dr. Diggle says. "It's an amazing thing for
sure to attract these graduates and their academic expertise.
It's changing the way people think about Surrey."
Dr. Diggle has also been working to foster the hospital's
educational culture, by showing physicians how it ups
everyone's game.
"There is a deep collegiality that grows from working with trainees,
because we start sharing more," he says. "We're also becoming
more introspective about how we're practicing medicine."
ROYAL COLUMBIAN'S ENDURING TRADITION OF TRAINING
Royal Columbian Hospital will be marking two numerical
milestones this year: celebrating its 150th year of operation,
and welcoming its 1000th first-year medical resident.
In a province identified by its relative youth, the New Westminster
hospital is an institution steeped in history, born in the days
when many of the city's inhabitants still lived in tents and British
Columbia was still a colony ruled from distant England.
Besides becoming a regional hub of medical care, it also became
a major training centre for health professionals. It was the home
of the province's first nursing school, and launched a medical
residency program in 1950, the same year the Faculty of Medicine
was founded. (One of the residents who came through the hospital,
John Noseworthy, is now the CEO of the Mayo Clinic.)
The hospital formalized its educational role with UBC in 1988,
leading to greater numbers of its physicians becoming clinical
faculty, and aligning its curriculum with other postgraduate
training programs in B.C.
That identity was reaffirmed in 2002, when Royal Columbian
became a Clinical Academic Campus of UBC, reflecting its extensive
educational programs and facilities. Today, those programs and
facilities include a clinical teaching unit that combines training
of undergraduate medical students and residents. A first-year
residency program draws 29 new physicians to the hospital
each year to pursue postgraduate training, and a student-led
rehabilitation clinic serves the occupational therapy and physical
therapy needs of New Westminster and surrounding communities.
"Royal Columbian has a huge capacity in
clinical care," says Dale Stogryn, UBC's Site
Director for medical education. "For example,
it has the highest interventional cardiology
•j JM   volume in Canada outside Toronto, and very
j   ,..      I high neurosurgery volumes. Atthe same
time, we've maintained a family atmosphere.
1  ^ Students like to come here because they're
\^ |    welcomed as part of the team."
I
V
■R)
Dale Stogryn. photo credit: andrea walker/walker park media Integrated clerkship student Caylib Durand checks in with
patient Henry Burrows at Chilliwack General Hospital.
PHOTO CREDITS: ANDREA WALKER/WALKER PARK MEDIA
A NEW MODEL FOR MEDICAL
EDUCATION - BY WAY OF CHILLIWACK
When the 81-year-old man dropped in at a Chilliwack family
practice with mild anemia, his prognosis appeared positive
- or so it appeared to Jeff McKay, a third-year UBC medical
student and his preceptor, Sean Larsen.
For most medical students, the encounter between student
and patient would have ended there.
But two months later, when the man came to the emergency
department of Chilliwack General Hospital with severe stomach
pains, McKay was on hand. He was guided through an examination
that detected low levels of hemoglobin and platelets, and a
decision to order a blood transfusion and to prescribe a proton
pump inhibitor.
McKay continued to be on hand for further consultations, a
repeat of the treatment and then a bone marrow biopsy, which
revealed that the patient had stopped making red blood cells.
After an exhausting course of further transfusions, McKay was
in the room when the patient agreed to enter end-of-life care.
"For me, the process highlighted the relationship a family doctor
has with a patient," McKay says. "It also gave me the experience
of working with different specialties on the same problem."
Such a continuity of relationships with patients and preceptors
is the defining feature of the Integrated Community Clerkship
(ICC), a form of medical education piloted in North America
by UBC, starting in Chilliwack in 2004.
As with conventional training based on brief, specialized
rotations, the program aims to introduce students to core
medical disciplines. But the route is markedly different.
Students are assigned for a year to a primary preceptor, a family
physician with both an office practice and responsibilities for
patients at the local hospital. Students gain specialty experience
longitudinally, as they follow patients through the health care
system, supplemented by academic sessions with local
and visiting specialists.
So a typical ICC student might see an expectant mother each
week at a pre-natal clinic; help deliver her baby at Chilliwack
General Hospital; and then provide follow-up exams.
"It's stressful for some students,"
says Mark MacKenzie, a Clinical
Associate Professor in the Department
of Family Practice who was site director
j^, of the Chilliwack ICC from 2006 until 2011.
^fl B^^K   ' "They have to integrate multiple disciplines
M^H    on an ongoing basis, so they're pulled
^^^       M    back and forth. But bythe end of the year,
they're seeing the commonalities
Mark MacKenzie. among all disciplines."
The success of the Chilliwack ICC led the Faculty of Medicine to
adapt the model to five other communities -Terrace, Fort St. John,
Duncan,Trail and Vernon. Other medical schools across Canada,
ncluding McGill, Queen's and Alberta, have also launched
community clerkship programs in the past five years.
Chilliwack made an appropriate launching point for the clerkship.
It had a teaching culture built up around a two-year residency
program for family physicians, in operation since 1990. With an
area population of 100,000, Chilliwack has a busy general
hospital, extended care facilities, street clinics and a diversity
of private practices.
"It's also a tight-knit medical community," says Lori Laughland,
a Chilliwack family physician and Clinical Instructor. "I can go to
a colleague at the hospital and arrange an assignment at short
notice if there are special things a student wants to explore."
Throughout the province, 20 third-year students enter the ICC
each year, with demand for spaces exceeding available spaces
every year since 2007.
"The Chilliwack pilot showed that this model can deliver academic
success, and prepares our students for residency programs,"
says Dr. MacKenzie, who now oversees all of UBC's integrated
clerkships. "In most cases, in fact, they get their first choice
of residency and location. Once we could prove the model
was sustainable, it was easy to start looking at expanding
it throughout the province." THE FACULTY OF MEDICINE'S
FRASER FOOTPRINT
ining family dOCS: n 2011 Surrey Memorial
Hospital became a new site of the University of British
Columbia Family Practice Residency Program, taking
on six newly-minted MDs a year.The postgraduate
trainees spend two years rotating through the hospital's
departments, such as Emergency and Pediatrics, and
through satellite facilities, such as hospices and senior
residential care facilities. Stacey Erven, the program's
Chief Resident, says working in such a
populated area - and the resulting diversity
of cases - makes the residency particularly
valuable: "Surrey is a big hospital with
complex cases, but family docs manage
a lot of it, so it has been a great learning
experience. When I finish my training here,
I'll be competent to provide care at
a smaller centre, where specialists
Superbug Clinic: Yazdan Mirzanejad, a Clinical
Assistant Professor in the Division of Infectious
Diseases,started an outpatient clinic in 2005 at
Sui i oy Memorial Hospital dedicated to intravenous
antibiotic treatment.The Outpatient Parenteral
Antibiotics Therapy clinic sees patients who are
having difficult infections for whom oral antibiotics
would not be effective, but who are clinically not sick
enough to be admitted to the hospital. Most of the
nfections are skin-related, but the clinic is expanding
its clientele to include a wider array of illnesses
and infections, includingthose of the urinary tract,
lungs (pneumonia), joints or bones.The clinic allows
patients to avoid being admitted to the hospital or
to be discharged sooner, reduces the burden on the
hospital's Emergency Department, provides proper
care at one-tenth the cost of in patient treatment,
and promotes better stewardship of antibiotics
therapy by applying best practices in infection control. rfc
UBC MEDICINE     9
Meet one of Coquitlam's newest physicians:
Patricia Gabriel, who finished her family medicine
residencythrough UBCatSt. Paul's Hospital in 2008,
now practices at the Medicalwest clinic and does baby
deliveries at Royal Columbian Hospital.Through UBC's
Clinical Scholar Program, she is examining the health
of refugees in Canada.She also recently started
teaching International Medical Graduates at St. Paul's
9|(H ilQ^I     Hospital, and is pursuing a master's degree in health
sciences atSimon Fraser University.
l$f\
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Delivering education, and babies:
Kim Campbell, a Lecturer and Interim Associate
Director in UBC's Division of Midwifery, is founder of
the Valley Midwifery Group, a collective of midwives
that has provided care to hundreds of women and
families in Abbotsford, Mission and Chilliwack si nee
1998. Her group has supported nine UBC midwifery
students, one at a time, for periods of two to six
months per placement, since the program started
in 2002. One of those students, Carolyn Hostynksy,
will graduate next month after completing her
fourth and finalyearwith Campbell's group.
<v^.
iiujii
CON
A A
The BC Generations Project:
The Faculty's School of Population and Public Health
is creating a "living laboratory"- a large, ongoing
collection of data from 40,000 people,seeking to
discern patterns among genes, the environment,
lifestyle and disease.The project recruited 1,11 6
participants lastyearthrough an assessment
centre in Coquitlam, where participants were
measured for bone density, blood pressure, grip
strength and bodyfat percentage.This year, the
project signed up 1,1 61 volunteers at another
centre in Abbotsford. Want to join them?
Go to www.bcgenerationsproject.ca.
Promoting health in Punjabi: UBC's
eHealth Strategy Office has drawn more than 3,500
people to its Punjabi-language forums on diabetes,
dementia and cardiovascular health in Surreyand
Abbottsford since 2009. The events, put on bythe
nterCultural Online Network (iCON), are also webcast
to reach as wide an audience as possible. ICON'S
goals: teaching people how to better manage their
health, connectingthem with health professionals in
their community, and using the Internet and modern
computingtechnologies for 24/7 patientsupport.
Learn more atwww.iconproject.org. RESEARCH THRIVING
FRASER REGIO
Frances Wong, photo credit:
CAMERON HERYET, BC CANCER AGENCY
MAKING THE BEST OF THE LAST DAYS
Advance care planning (ACP), the process by which patients
identify the type of care they want to receive if they can't speak
for themselves, has the potential for improving the quality of
life in their final days, lessening the strain on family members,
and reducing health care costs.
But there hasn't been a rigorous evaluation of ACP's clinical or
economic benefits in Canada. Doris Barwich, a Clinical Assistant
Professor in the Department of Family Practice and Fraser
Health's Program Medical Director of End Of Life Care, is the
principal decision-maker in the three-year national study that
is auditing current practices related ACP in elderly patients at
high risk of dying. The prospective surveys at four B.C. sites,
ncluding Royal Columbian and Burnaby General hospitals,
will determine to what extent patients and their families have
engaged in ACP the obstacles they may have encountered,
and their satisfaction with communication and decision-making.
It also will compare the experiences of people who have engaged
in ACP with those who have not. After each round of surveys,
a Fraser Health team will develop intervention plans, and then
measure the impact of those changes in subsequent rounds.
PATIENT, HEAL THYSELF
Suture removal is safe and simple, and most patients should
be able to do it on their own, sparing themselves the bother
of a follow-up visit and saving the health care system some
money in the process. But are people too squeamish to do it?
Peter Macdonald, a Clinical Assistant Professor in the Department
of Emergency Medicine and the Head of Royal Columbian Hospital
Emergency, found that a little coaxing can make a big difference.
He examined whether providing the
appropriate instructions and equipment
would affect the level of such self-care. In
a study of 183 patients at Royal Columbian
and Eagle Ridge Hospital in Port Moody
Dr. Macdonald and colleagues found that
92 per cent of those given instructions and a kit (cost: $1.40)
removed their own sutures, compared to 63 per cent in the
control group, who received standard wound instructions that
didn't include a suture removal kit. Only 10 per cent of those
who received a kit and instructions needed to visit a physician or
clinic for follow-up, compared to 35 per cent of those in the control
group, while the complication rate was similar for both groups.
"With minimal effort and expense, we can make the treatment of
simple lacerations easier on patients, and less costly for the health
system," says Dr. Macdonald, whose research will be published in a
forthcoming issue of the Canadian Journal of Emergency Medicine.
HELPING SOUTH ASIAN CANCER PATIENTS
- ON THEIR TERMS
As harrowing as breast cancer treatment can be, the aftermath
is no picnic. Women often return to their "pre-cancer" lives
without much guidance and support to cope with the physical
and psycho-social consequences.
Frances Wong, a Clinical Associate Professor in the Department
of Surgery and a radiation oncologist at the BC Cancer Agency's
Fraser Valley Centre in Surrey, believes "survivorship" issues are
a particular challenge for women of South Asian background.
In addition to language barriers, South Asian women often
demonstrate "quiet acceptance," and are less inclined to pursue
counseling due to social stigmas surrounding mental health.
Using the results of a focus group and a subsequent survey of
a larger group of South Asian breast cancer patients, Dr. Wong
and her research team developed a culturally-sensitive discharge
protocol, complete with "cue cards" and patient literature in
Punjabi, Hindi and Urdu. Rather than explicitly recommending
mental health counseling atthe discharge planning session,
nurses are urged to ask specific questions about patients'
psychological state of mind, and to frame suggestions about
counseling in medical terms. "If we tell them that the doctors
recommend something, they will likely do it," Dr. Wong says.
She is now measuring whether such an approach makes it
easier for South Asian women to seek additional help, if
needed, to enhance their quality of life. Left: A mentorship group at its first meeting, photo credit: college
of health disciplines Right: Health mentor Hilary Brown meets with
students from his discussion group, Anita Rashidi (MD program,
RosieHiggins (OccupationalTherapy). photo credit: don erhard
A NEW WINDOW ON PATIENTS'
PERSONAL STRUGGLES
Patients are supposed to be the centre of attention for students
preparing to work in one of the health professions. But somehow,
in the rush to learn all there is to know about treating, curing
and healing, students rarely get a chance to know patients
in any meaningful way - the choices they have to make,
the barriers they confront, the frustrations they encounter.
A new program spanning several UBC faculties is now injecting
greater humanity into the learning process.
The Interprofessional Health Mentors Program has matched
90 students with 23 people grappling with chronic conditions,
such as spinal cord injury, multiple sclerosis, arthritis, epilepsy
HIV/AIDS and mental health problems.
Four students are assigned to each mentor, making for intimate,
full-participation discussions.Their meetings take place during
a 1 6-month period - a virtual epoch in the frenzied, "if it's Tuesday
it must be anatomy" whirlwind of becoming nurses, occupational
therapists, dentists, physicians and pharmacists.
"We want the students to develop relationships with the
patients overtime, in contrast to most of their one-off, transitory
encounters," says Associate Professor of MedicineAngefcj Towle,
who is leading the project. "At the same time, they are also building
relationships with students from other health fields, gaining
nsights that could help them collaborate as professionals."
Towle, who promotes interprofessional education through the
Division of Health Care Communication in UBC's College of Health
Disciplines, borrowed the idea from Thomas Jefferson University
in Philadelphia and Dalhousie University, but reworked it to give
students and mentors more control.
"We obviously set some objectives, but we didn't want to constrain
the learning,"Towle says. "We wanted to see what would happen."
So students and mentors - all of whom have volunteered to
participate - meet on their own, without an instructor, every
couple of months. They are given themes to discuss, and students
write about their insights in online journals that are read by
Towle and an instructor from their particular program.
"Usually, we don't have the opportunity to spend more than
30 minutes with a client," said Heather Lyons, a first-year
occupational therapy student, whose mentor has multiple
sclerosis. "Here, we're delving into the human aspect. Being able
to learn so much about someone - their family, the barriers in
their environment, how certain words carry different meanings
for them - is allowing us to learn on a deeper level."
Mentors were selected in part based on previous experience as
educators or facilitators. Hilary Brown, who teaches laboratory
science at Vancouver Community College, thought the program
might help raise awareness about his condition - he lost use of
his legs due to a motor vehicle accident 23 year ago - among a
broader range of health professionals.
"When I'm in an office or examining room, there's an uneasiness
that doesn't have to be there," he says. "Maybe if I can get in at
the ground level of the training of these health professionals,
can break down some of the barriers that I sense."
One of Brown's students, Anita Rashidi, sees those barriers
coming down already.
"It's an open environment, so you feel comfortable asking
questions that might be awkward in the 'real world' of a doctor's
office, and that awkwardness could end up affecting how you treat
your patients," says Rashidi, a first-year medical student. "It's good
to clear up those uncertainties now, in a safe environment."
The program, which receives financial support from the College of
Health Disciplines and UBC's Teaching and Learning Enhancement
Fund, will double in size with a second wave of students in
September, and perhaps include even more health
training programs. sxiA*
I
Wee Provost Health and Dean Gavin Stuart (left) on opening day with
Regional Associate Dean, Interior, Allan Jones, photo credit: darren hull
THE FIRST WAVE: YEARS OF PLANNING CULMINATE
IN OPENING OF SOUTHERN MEDICAL PROGRAM
The Southern Medical Program had been eagerly anticipated for
years by B.C.'s Interior communities, as buildings went up, staff
and faculty were hired, and programs and technology tested.
But that eagerness met its match in January, when theSMP's
first 32 students actually arrived in Kelowna.
"I've wanted to be a doctor since my early days in high school,"
says Ashley Shaw, a first-year medical student from Chase,
60 kilometres east of Kamloops. "But I never expected to be
able to go to medical school in a smaller centre, close to
home, with a small class. It suits me perfectly."
The Southern Medical Program (SMP) brings to four the number
of distributed sites of UBC's MD undergraduate program, which
began in 2004 to help bring about a more even distribution
of physicians to B.C. The other three are located in the Lower
Mainland (Vancouver-Fraser), Vancouver Island and northern B.C.
"By creating more opportunities to study and train in the Interior,
we are helping lay the groundwork for increasing the number
of practicing physicians in communities across the region,"
says Allan Jones, Regional Associate Dean, Interior. "At the
same time, we are creating additional centres of excellence
for medical education in B.C."
Like the students in the other three programs, SMP students
spent their first semester at UBC's Vancouver campus. Now that
they are settled in the Interior, they are shuttling between two
new buildings - the new Health Sciences Centre at UBC's
Okanagan campus for academic courses and the Clinical
Academic Campus at Kelowna General Hospital for clinical
training. Each location is equipped with high-tech classrooms,
lecture theatres and research and teaching laboratories.
Students are also spending one-half day per week at family
practice offices in Kelowna, West Kelowna, Vernon and Winfield
during weekly mentoring sessions. More than 40 family physicians
from these communities signed on as preceptors, many for the
first time.
"I've enjoyed it more than I ever thought I would," says mentor
Wendy Wickstrom, of Kelowna. "I run my office as I usually do
and it's had a very positive effect on my patients - they love the
fact that these students are listening and learning through them."
Dr. Wickstrom is part of a force of 480 Interior physicians - and
counting - who have been appointed clinical faculty members,
certified to teach medical students and residents. But the service
goes beyond medical professionals. Over 180 members of the
community have registered to become Volunteer Patients to
participate in clinical skills training sessions for students.
Clearly, that welcoming spirit is not lost on the SMP's first
cohort of students - whether they are Okanagan natives,
[ike Shaw, or newcomers to the region.
"They had time to read our biographies and knew quite a bit
about us," says Shaw, the student from Chase. "It created a
very intimate feeling from day one."
"Everyone is incredibly excited.The faculty and staff are so
hands-on and available to help us," says Sandy Wright, another
member of the SMP's first class, who grew up in the Maritimes.
"I was left with a very positive feeling when I met with Dr. Jones
during the interview weekend, and that has carried through
in our first few weeks here. We're in good hands."  14     UBC MEDICINE
L- R:Annalee Yassi and Elizabeth Bryce. photo credit: martin dee (above;
AND CHUCK RUSSELL (FACING PAGE)
AKING HOSPITALS HEALTHIER PLACES
Tuberculosis, once thought to be vanquished, has made
an alarming comeback - in 2010, 8.8 million people got
the disease and 1.4 million died from it, almost all of them
in the developing world.
But the risk faced by health care workers has been largely
overlooked, even though they face the highest risk of
contracting it, and can then spread it to others.
Annalee Yassi and Elizabeth Bryce know well the perils of
neglecting the health of health workers. During the SARS epidemic
of 2003, health workers represented almost half of the cases.
"People think health workers can get by with 'corridor consultation
- if they have concerns, they can just talk to their colleagues,"
says Dr. Yassi, a Professor in the School of Population and Public
Health who specializes in occupational medicine. "Ironically, there
is less focus on the well-being of health care workers than there
is for most other sectors."
Dr. Yassi and Dr. Bryce, a Clinical Professor in the Department
of Pathology and Laboratory Medicine who heads infection
control for Vancouver Coastal Health, joined forces as a result
of that crisis. After the outbreak subsided, they determined
what protective measures should be used by health workers,
depending on the patient's symptoms, the procedure being
done and the setting.
Then they adapted their evidence-based recommendations
into easy-to-follow guidelines, checklists, diagrams, online
tutorials and face-to-face training sessions.
"SARS brought us together, and we found that we really enjoyed
working together," Dr. Yassi says. "That was the silver lining to this."
They have since taken that approach to places where infection
control is even more pressing - the developing world - and
applying it to diseases, like TB, that are similarly contagious,
but far more persistent.
Building on work originally done for B.C.'s health care workforce,
Drs. Bryce and Yassi created the Occupational Health and Safety
nformation System (OHASIS), a web-based system to track
ncidents, exposures, risks, immunizations and infection among
health workers in health facilities or even entire health systems.
They also developed a workplace audit that enables health
workers to systematically evaluate their facilities and identify
problems, and a new online tutorial, "Protect Patti"
(http://innovation.ghrp.ubc.ca/ProtectPatti/eng/) to train
health workers about personal protection.
The outbreak of H1 N1 in 2009 spurred the Pan-American
Health Organization to take up these tools. (Drs. Bryce and
Yassi had previously helped Ecuador lower its rate of
hospital-acquired infections.)
In South Africa, however.TB is the over-arching threat -
one that is unlikely to recede anytime soon.
Their tools are being piloted in two hospitals in the Free
State province of South Africa. Although Drs. Yassi, Bryce and
Jerry Spiegel (a Professor in the School of Population and Public
Health) are conducting a study of the programs' efficacy there,
South Africa's national laboratory service has already adopted it.
Such rapid roll-outs make Dr. Yassi a bit uneasy, given hospitals'
sorry track record of implementing and maintaining information
system tools.
"They rarely get used properly, because the technology is
transferred without understanding the constraints of where
it's being used," she says.
But she understands the urgency, especially in a country where
most of the population has latent TB (the bacteria is in their lungs,
but hasn't spread and isn't yet causing symptoms), and especially
among a workforce that is five to seven times more likely than
the general population to be admitted to the hospital for the
drug-resistant variety of the disease.
"We need to make infection control a workplace issue,"
Dr. Bryce says. "Protecting heath care workers is synonymous
with protecting patients." \
■
%
C MEDICINE    15 A
I
01 | An artificial epidemic
of ADHD?
The youngest children in the
classroom are significantly
more likely to be diagnosed
with attention deficit hyperactivity disorder - and given
medication - than their peers
in the same grade, according
to cross-disciplinary research
bythe Faculty of Medicine.
Children born in December,
close to the cut-off date for
entry into school in British
Columbia, were 39 per cent
more likely to be diagnosed
with ADHD than children born
11 months earlier, according
to the study, published in the
Canadian Medical Association
Journal. The researchers also
found that December-born
children were 48 per cent
more likely to be treated with
medication than their
January-born peers.
The gap in ages among
students in the same grade
creates what researchers
call a "relative age effect,"
in which younger children
within an age cohort are at a
disadvantage in academic and
athletic activities. In this case,
the researchers suggest that
younger students within
a grade may be diagnosed
with ADHD because they
are less mature.
Medication to treat ADHD,
ncluding Ritalin, Dexedrine,
Adderall and Strattera, can
have negative health effects
in children, such as sleep
disruptions, increased risk
of cardiovascular events and
slower growth rates. In addition,
younger children who have
been labeled ADHD may be
treated differently by teachers
and parents, which could lead
to negative self-perception
and social issues, said Richard
Morrow, a health research
analyst in the Department of
Anesthesiology, Pharmacology
and Therapeutics.
"This study raises interesting
questions for clinicians,
teachers and parents," says
co-author Jane Garland,
Clinical Professor in the
Department of Psychiatry and
clinical head of the Mood and
Anxiety Disorders Clinic at BC
Children's Hospital. "We need
to ask ourselves what needs to
change. For example, attention
to relative age of children for
their grade and more emphasis
on behaviour outside the school
setting might be needed in the
process of assessment."
02 | A promising pair of drugs
to control "absence seizures"
A team led by Department of
Psychiatry Professor Terrance
P. Snutch has developed a new
class of drugs that almost
completely suppress absence
seizures - a brief, sudden loss
of consciousness - in rats,
and which are now being
tested in humans.
Absence seizures, also known
as "petit mal seizures," are a
symptom of epilepsy, most
commonly experienced by
children. During such episodes,
the person looks awake but
dazed.The seizures, arising
from a flurry of high-frequency
signals put out bythe neurons
of the thalamus, can be
dangerous if they occur while a
person is swimming or driving,
and can also interrupt learning.
Available medications don't
completely control such
seizures in many patients.
They also cause severe side
effects, including sleepiness,
blurred vision and diminished
motor control.
Dr. Snutch's team developed
two new drugs that block
the flow of calcium ions into
neurons. When given to rats
with absence epilepsy, they
suppressed seizures by 85 to
90 per cent, according to their
findings, published in Science
Translational Medicine.
The team, which included
collaborators at Zalicus
Pharmaceuticals Ltd. of
Vancouver and the University
of Melbourne, was surprised
to find that when seizures did
occur, they were also of shorter
duration; existing medications
don't have any effect on the
length of seizures.
The first phase of human
clinical trials of Z944 began
in December, with results
expected later this year. 03 | Exploring the perils
of paralysis
Cardiovascular disease has
now usurped kidney failure
as the main cause of death in
people with spinal cord injury
(SCI). They develop it at younger
ages and at greater rates than
the able-bodied population.
To counteract that threat, a
team led by Andrei Krassioukov
- a Professor in the Division
of Physical Medicine and
Rehabilitation, an investigator
at ICORD, and a physician at GF
Strong Rehabilitation Centre -
has embarked on an effort to
improve cardiovascular health
among people with SCI, and to
improve the care they receive.
Thanks to a $1.9 million
grant from the Canadian
nstitutes of Health Research,
Dr. Krassioukov and his
20-scientistteam in British
Columbia, Manitoba and
Ontario will compare two
different types of exercise
for people with SCI: arm cycle
machine training (the standard
approach in rehabilitation
clinics) vs. body-weight
supported treadmill training,
which is rarely used with people
with extensive paralysis.
The team will analyze the
impact of both forms of
exercise by measuring central
arterial stiffness, a crucial
risk factor for cardiovascular
disease, as well as other risk
factors.
Dr. Krassioukov's project also
will examine how to better
manage one of the more
common cardiovascular
abnormalities among
people with SCI - autonomic
dysreflexia (AD). Characterized
by episodes of high blood
pressure, it can result in a
heart attack, cerebral damage
or even death. But emergency
personnel and paramedics are
often uninformed about the
optimal treatment for someone
undergoing AD.
Dr. Krassioukov's team will
examine the treatment of AD
at several Canadian hospitals,
and then re-examine it after
emergency staff have been
trained in the proper care
of individuals with AD.
The researchers estimate
that proper management
of the condition could reduce
annual health care spending
by$70 million.
Canada's Minister of Health,
Leona Aglukkaq, announced
the grant February 24th at the
Blusson Spinal Cord Centre at
Vancouver General Hospital.
"We've known for a long time
that to have a healthy heart,
you need to exercise," Minister
Aglukkaq said. "However, we
still don't know if people with
spinal cord injuries respond
d ifferently to exercise than
able-bodied people.The goal
is to develop effective exercise
programs that could have
an impact on a person's
overall health."
"I
I;',",
r
^1
04 | Devising a new model
for hip fracture recovery
A fall-related hip fracture is
often devastating for older
adults. As many as 20 per cent
of people die in the following
year. Up to half never regain
their previous level of mobility
and face a risk of further
falls, fractures and loss of
ndependence.
The Centre for Hip Health
and Mobility, with funding
from the Canadian Institutes
of Health Research, is trying
to understand why some
older adults recover faster
than others. The outcomes of
patients receiving standard
orthopedic and post-operative
rehabilitation treatment are
being compared with the
outcomes of others enrolled
in a clinic at St.
Paul's Hospital,
led by Wendy
Cook, where
they receive
enhanced care
and follow-up.
That extra attention includes
an overall geriatric assessment,
a cognitive and functional
assessment by an occupational
therapist, and a balance and
gait assessment by a physical
therapist. Patients taking
sedatives - which raise the
risk for falls - are more closely
evaluated, and given guidance
on sleep hygiene, relaxation
and anxiety management,
in conjunction with sedative
tapering.Those with urinary
L - R: Mustafa Hasan, a research
participant, demonstrates the
body-weight supported treadmill
for Howard Feldman, Executive
Associate Dean, Research;
Leona Aglukkaq, federal Minister
of Health; and Andrei Krassioukov,
Professor in the Division of Physical
Medicine and Rehabilitation.
PHOTOCREDIT: MARTIN DEE
E
urgency - another risk factor
for falls - are evaluated with
an eye toward optimizing their
medication, diet and fluid intake.
Patients also return for weekly
balance practice sessions.
"We believe the additional
assessment and follow-up with
appropriate multi-disciplinary
team care is the difference-
maker for optimum recovery,"
says Dr. Cook, a Clinical
Assistant Professor in the
Division of Geriatric Medicine.
The average hospital cost of
a hip fracture resulting from
a senior falling is $18,508,
and the annual average
hospital costs for all senior
hip fracture hospitalization
cases in B.C. is over $75 million.
With an aging population, the
number of falls - over 225,000
a year - will likely double in
20 years if prevention
strategies are not in place.
"There is an enormous
economic and social burden
related to fall-related
fractures in older adults,
and we need to aggressively
seek community-based
solutions in falls management
and prevention," says Maureen
Ashe, an Assistant Professor
in the Department of Family
Practice and a Research
Scientist at the Centre for
Hip Health and Mobility, a
UBC-Vancouver Coastal
Health research partnership. Linda Vickars and Shelly Naiman,
attending the 2006 Thalassemia
International Federation Conference
in Dubai.
A COUPLE DEDICATED TO SOLVING HEMATOLOGY'S PUZZLES
- IN THE LAB, AT THE BEDSIDE, AND IN RETIREMENT
The husband and wife team of Shelly Naiman and Linda Vickars
devoted their careers to solving the puzzles of hematology,
including bleeding and clotting disorders. So when the time
came for the couple to plan their giving, they decided to
enable such sleuthing by others.
Drs. Naiman and Vickars created an endowment with a $30,000
gift and made a planned gift to the Centre for Blood Research.
The funds will support the education and research of trainees,
a clinician-scientist to conduct research and a visiting
professor - all in the areas of non-malignant (i.e., non-cancerous)
hematology, a category that includes inherited and acquired
bleeding and thrombotic disorders, red blood cell and platelet
disorders, and white blood cell abnormalities.
"Our careers were part of our lives in an enormous way,"
Dr. Naiman says. "We would like to see the learning continue,
particularly in the field we truly love."
Dr. Naiman, the founding head of the Division of Clinical
Hematology at Vancouver General Hospital, was instrumental
in establishing the Bone Marrow Transplant Program for
British Columbia, and later became head of the hematology
laboratory at St. Paul's Hospital. A former Clinical Professor,
his other passion was teaching, exemplified bythe fact that
he won numerous teaching awards and was the first recipient
of what is now known as the Dr. Patricia Clugston Memorial
Award for Excellence in Teaching from the Professional
Association of Residents of British Columbia.
Dr. Vickars, a Clinical Professor in the Division of Hematology
who headed that division for 1 2 years at St. Paul's, oversaw
the establishment of the Provincial Hemoglobinopathy Program
for adults. (Hemoglobinopathies, such as thalassemia and
sickle cell disease, are genetic disorders of red blood cells most
commonly seen in particular ethnic groups.) She also oversaw
the use of medication to reduce potentially life-threatening
ron levels in persons requiring chronic transfusion therapy.
"Mine was a career of teaching and laboratory work,"
Dr. Naiman says. "Making a diagnosis of a bleeding
disorder was always a challenge - I loved that sort of
thing. My wife did too, and she did it well, at the bedside."
"Our careers were part of our lives
in an enormous way," Dr. Naiman
says. "We would like to see the
learning continue, particularly
in the field we truly love."
During their combined 65 years of diagnosing and treating non-
malignant blood disorders, the couple have seen major changes
in these areas. In the 1960s, people with severe inherited bleeding
disorders usually did not survive past their teenage years; now
they may live into their 80s or even beyond.That success brings
new challenges - for example, treating heart attacks or strokes
with blood thinners, which carries obvious risks for people who
are prone to excessive bleeding.
Dr. Vickars and Dr. Naiman hope the endowment they created
will continue to stimulate interest in the field among medical
residents, physicians, postdoctoral fellows, graduate students
and science undergraduate students.
"The estate gift will open up all kinds of opportunities for
education and training of future generations," says Professor
Ed Conway, Director of the Centre for Blood Research. "And the
thinking behind the gift is fitting. Clinical practice has changed
dramatically, but it would never have happened without the
knowledge base built through research."
"More and more, especially lately, we're getting answers
and solving puzzles because of the research that's being done,"
Dr. Vickars says. "I've looked after families and known something
wasn't quite right, yet didn't have the tools at the time to work
it out. Then I'd get a phone call from a research laboratory with
the answer. It was very exciting, not only for me, but especially
the patient and their families."
7b support the Centre for Blood Research, please contact
Stephanie Huehn at 604-218-2075 or stephanie.huehn@ubc.ca. Max and Susie Dodek.
Rick Hansen wheels alongside Benn Taylor as the 25th Anniversary
Relay comes through Hansen's hometown of Williams Lake, B.C.
in March, photo credit: rick Hansen foundation
GENERATIONS OF LEARNING, GENERATIONS OF GIVING
Max Dodek immigrated to Canada in 1927 from what is now the
Ukraine with dreams of a future filled with opportunity. He realized
those dreams, co-founding Dodek Brothers Master Furriers, a
landmark retail establishment in Vancouver. But he encouraged
his children to set their sights on a professional career.
The children, and the grandchildren and great-grandchildren who
followed, took that directive to heart. Several chose the medical
profession, forging a multi-generational involvement with the
Faculty of Medicine.
Morton, their first born, graduated with UBC's first medical class in
1954, becoming a family practitioner in East Vancouver. His younger
brother, Arthur, followed in 1967, and went on to become a Professor
in the Division of Cardiology.
The tradition continued - first with Morton's first daughter, Gail
(MD'81), and one of his sons, Peter, who became a Professor in the
Division of Critical Care. Meanwhile, Arthur's son, Daniel (MD '99)
is following his father's and uncle's paths. The Dodeks' involvement
carries on with Gail's son, Joshua, who earns his MD this year.
The Dodeks have been determined to show their appreciation
for the Faculty's role in fulfilling Max's long-ago wish.
"Our parents' wealth was their family," Morton says. "They made
it a priority to show their appreciation for a community that gave
us so much."
Max and his wife, Susie, began the family's tradition of philanthropy
to the Faculty by creating the Max and Susie Dodek Medical Prize,
first awarded to a graduating medical student in 1971. In 2004,
Morton's progeny, Gail, Peter and Carla, honoured their parents with
the establishment of the Morton and Irene Dodek Prize in Family
Practice, also for graduating medical students. Arthur honoured his
brother by creating the Dr. Morton Dodek Award in Family Practice
in 2009 for residents in the Department of Family Practice.
"I'm thankful to our parents for passing along the legacy of
giving back," Arthur says.
7b support student awards, please call Lisa Slater at 604-822-7087.
A LONG-RUNNING PARTNERSHIP CREATES A TRAIL OF PROGRESS
When Rick Hansen wheeled 40,000 kilometres through 34
countries to raise awareness of the potential of people with
disabilities, months of bed rest and traction were the treatment
for spinal cord injuries.
Twenty-five years later, advancements in surgical strategies
developed by UBC scientist-clinicians Marcel Dvorak and Brian
Kwon - in collaboration with engineers and the medical device
ndustry - allow surgeons to stabilize the spinal column,
enabling patients to start rehabilitation soon after injury.
So it's only fitting that one of the last stops on Rick Hansen's 25th
Anniversary Relay this spring is ICORD (International Collaboration
on Repair Discoveries), the joint UBC-Vancouver Coastal Health
research centre where Drs. Dvorak and Kwon are working towards
the next leap forward - spinal cord repair.
This type of interdisciplinary research by ICORD has directly benefited
from two decades of support from the Rick Hansen Foundation,
which has contributed $30 million to the centre since 1993.
In ICORD's laboratories, the Foundation has supported research
by investigators such as Professor Wolfram Tetzlaff, the Rick Hansen
Man In Motion Chair in Spinal Cord Injury Research. Dr.Tetzlaff
works with clinicians to explore the spinal cord's failure to
regenerate after injury, and to develop techniques for neural repair,
ranging from diet to the use of transplanted skin-derived stem cells.
"I am very proud of the extraordinary progress achieved in the area
of research for a cure, and our partnership with UBC and ICORD has
played an integral role in this," Hansen says. "Through collaboration,
we are learning more and more about how the spinal cord works
and how to foster greater regeneration, post-injury While much has
been accomplished, I truly believe our best work lies ahead, and
look forward to continue working with UBC and ICORD to achieve
our shared goal of a cure for paralysis after spinal cord injury."
7b support spinal cord injury research at ICORD, please call
Fatima Hassam at 604-822-8079. ENHANCING EXCELLENCE
IEW ARRIVALS
HE FACULTY OF MEDICINE
. /t..
IHIHITo foster the continuous growth and development of
an academic pediatric healthcare system in British Columbia
that is a role model for treating pediatric populations
around the world.
IHIHI To be an excellent anatomy teacher in the Faculty of Medicine.
POSITION: Professor and Head, Department of Pediatrics;
Chief of Pediatrics, B.C. Children's Hospital
OLESEGUNOYEDELE
POSITION: Instructor, Department of Cellular and Physiological
Sciences
EDOCATION: Bachelor's degree in
Medicine and MD from McMaster
University Faculty of Health Sciences;
pediatric residency at Montreal
Children's Hospital, McGill University;
fellowship in pediatric nephrology at
University of Minnesota.
PREVIOOS POSITION: Professor of
Pediatrics, University of Washington
(UW) School of Medicine; Chief, Division
of Nephrology, Seattle Children's
Hospital; Director, Center forTissue
and Cell Sciences, Seattle Children's
Research Institute.
DISTINCTIONS: Firstto hold the Dr.
Robert 0. Hickman Endowed Chair
in Pediatric Nephrology at UW;
Deputy Editor of the Journal of the
American Society of Nephrology,
2001-2007; Associate Editor of
Pediatric Nephrology; elected to
Council of the International Society
of Nephrology and the International
Society of Pediatric Nephrology;
served on several National Institutes
of Health study sections and the
NephrologySub-Board of the
American Board of Pediatrics.
DID YDO KNOW? Skiing has been one of
my passions since the age of 10years;
memories from many trips to B.C. are
timeless, including skiing off a cliff on
Piste Perdue in the Selkirk Mountains
duringa white-out.
"It is a great privilege to become the seventh Head of the
Department of Pediatrics at UBC. Since graduating from medical
school, I have spent almost equal amounts of time in Canada
and the U.S., first training and then practicing as a clinician,
a teacher and an investigator. I hope to combine the lessons that
I have learned with the wealth of multidisciplinary expertise that
exists within the university, the hospital and the community to
improve pediatric clinical care, teaching and research in British
Columbia. The Oak Street campus provides a unique opportunity
to create a seamless interface between research and clinical care
to ensure that all children receive the best care possible. Through
multidisciplinary research programs, I hope that one day several
of the acute childhood and adolescent illnesses will be preventable
and many chronic illnesses can be cured. Extension of teaching
and research activities to distributed provincial and international
sites, and our partnership with Child Health BC, provide unique
opportunities to develop standardized clinical care guidelines and
to develop systems to measure outcomes as we strive to improve
health care in a fiscally responsible manner. The work before us
is challenging, but the rewards are immeasurable."
EDOCATION: Bachelor's degree in
biochemistryand master's degree in
anatomy, University of Ibadan, Nigeria;
MBChB (equivalent of MD), Olabisi
Onabanjo University (formerly Ogun
State University), Nigeria; PhD in
neurodevelopmental biology, University
of the Witwatersrand, South Africa.
PREVIOOS POSITION: Senior Lecturer,
Centre for Health Science Education,
University of the Witwatersrand.
DISTINCTIONS: Brocher Foundation
Visiting Researcher Award; examiner
in neuroanatomyfor the South African
College of Psychiatnsts;short-listed
for the regional literature prize for
fiction in Ibadan, Nigeria; published
poems in The International Who's Who
in Poetry (2004), and A Surrender To
The Moon (2005).
DID Y00 KNOW? Won third prize (out of
more than 200 cadets) in high school
paramilitary marching competition;
won first prize in a drama competition
for playing Macbeth; has been
mistaken for Eddie Murphyon
more than one occasion.
"We all remember those teachers who made lasting impressions on
our lives and careers. I have a couple of those in my life, and I credit
them for how I have turned out professionally. I want to be the kind
of teacher who conveys a passion for his subject and students,
and who disassembles complex principles, then assembles them
again. If my students turn out to be proficient, compassionate and
resourceful doctors and scientists, who draw frequently from the
fountain of anatomical knowledge that we produced together,
then my job will have been well done." 3C MEDICINE    21
;
IHIHI To support and/or lead the development and implementation of
the Faculty of Medicine's vision, including undergraduate curriculum
renewal and a vibrant, innovative Vancouver-Fraser program.
iEWLY
UBLISHED
POSITION: RegionalAssociate Dean,Vancouver Fraser
Medical Program; Associate Dean, Undergraduate Medical
Education; Professor, Department of Medicine
Boris Sobolev ■ Victor Sanchez
Lisa Kuramoto
Healthcare
Evaluation Using
Computer Simulation
Concepts, Methods, and Applications
EDOCATION: Bachelor's degree
in biology, Holyoke College,
Massachusetts; Master of Science,
Zoology,Trinity College, Cambridge
University; MD, Harvard I '- ileal
School; General Internal Medicine
Residencyand Chief Residency,
University of Washington Affiliated
Hospitals; Certificate of Medical
Education, University of Washington.
PREVIOOS POSITION: Chair, Rural
Health Academic Centre-Melbourne
Medical School; Clinical Dean, Rural
Clin leal School, and Professor and
Foundation Chair of Rural Medical
Education, University of Melbourne
Faculty of Medicine, Dentistry and
Health Sciences.
DISTINCTIONS: University of Melbourne
Normal Curry Award for Excellence
in Program Innovation; Melbourne
Medical School Program Teaching
Award; University of Washington Alpha
Omega Alpha Honor Medical Society
teaching award; Golden Apple Teaching
Award, MEDEX Northwest (University
of Washington School of Medicine's
Physician Assistant Program).
DID Y00 KNOW? Before entering
medicine, worked as an experimental
engineeringassistantfor Enstrom
Helicopter; also worked as a night-
weekend doctor attheSeattle Jail;
played LadyThiang in The Kmgand I,
Mrs. Potts in Beauty and the Beast,
and Mame in Mame; sat next to Mr.T
on a 14-hour flight from Australia.
Health Care Evaluation Using Computer Simulation
Authors: Boris Sobolev (Professor, School of Population
and Public Health), Victor Sanchez (Post-doctoral
fellow, University of California, Berkeley), Lisa Kuramoto
(Statistical Analyst, Centre for Clinical Epidemiology and
Evaluation, Vancouver Coastal Health Research Institute).
Publisher: Springer Science+Business Media
"This is an amazing time to be in medicine and medical education,
and I think we have a real opportunity to make a difference.
In the last 50 years of medical education, we have often focused
on the first part -the "medical." Now with avast array of
technology and information at our fingertips, we need to facilitate
active learning and problem-solving around patient-centred
clinical questions from day one, while making the curriculum
learner-centred - "what do I, and my team, need to know to
help this patient in this situation in the most evidence-based,
humanistic, socially responsible way?" Finally, we need to create
competent, caring physicians with "evolutionary capability"
- an internalized ability to transfer skills from a set of defined
competencies to new combinations, so that we, as doctors,
can handle an ever-increasing array of situations and settings."
Computer simulations have great potential to drive
full-scale improvement in health care intervention
and policy, yet the technology has been used mainly
to optimize systems that are already in place, rather
than change them. This book explains how to link health
services research, operations research and information
system in an innovative, practical framework. It presents
a complete methodology for conducting simulations
for evaluating policy alternatives using discrete-event
models.To encourage maximum
usefulness across disciplines,
it introduces United Modeling
Language and Statechart
diagramming.To clearly illustrate
simulation modeling in context,
it provides examples that apply
simulations throughout a single
department in a busy hospital.
Boris Sobolev 22     UBC MEDICINE
MAKING A MARK:
ACHIEVEMENTS 8c AWARDS
Anthony Tang,
Professor in
the Department
of Medicine
and a member
of the Island
Medical Program, received a
Top Achievements in Health
Research Award from the
Canadian Institutes of Health
Research and the Canadian
Medical Association Journal for
helping reduce cardiac mortality
rates with resynchronization
therapy and implantable
defibrillators.
Dr.Tang, an attending
physician at Victoria's Royal
Jubilee Hospital, showed that
combining two therapies could
significantly reduce mortality
and rates of hospital admission
among patients with mild to
moderate heart failure.
Joanna Bates,
Professor in the
Department of
Family Practice
and founding
Director of the
Centre for Health Education
Scholarship, received the
President's Award for Exemplary
National Leadership for her role
in improving health education,
her commitment to greater
access to medical training
and medical care, and her
mentorship of researchers
in the field of education
scholarship. She was
previously the Senior
Associate Dean, Education.
David
Huntsman,
the Dr. Chew
Wei Memorial
Professor
in the
Department of Obstetrics
and Gynaecology, received
the first-ever Karen Campbell
National Award for Research
Excellence from Ovarian
Cancer Canada.
Dr. Huntsman leads a research
team that discovered ovarian
cancer is not one disease
but encompasses five
subtypes that behave
[ike distinct diseases.
Among the newest crop of
UBC Wesbrook Scholars were
two MD students - Lawrence
Haiducu and Shazeen Suleman.
Haiducu has led education
and community engagement
projects for socio-economically
disadvantaged areas in
Romania and Latin America,
ncluding the development
of teaching resources, novel
teaching approaches and
entrepreneurship opportunities.
Locally, he has been involved
with agencies such as Outreach
and Support, the Special
Olympics and development of
a platform for medical student
health.
Suleman was a vice president
of the UBC Arts in Medicine
Society and co-chair of
Medicina, the first student-run
conference on the integration
of the arts in medicine.
She is the co-founder and
President of MusicBox Children's
Charity, an organization that
brings music education to
vulnerable children in Canada.
T'V. I   Shafique
I   Pirani, Clinical
Professor in the
Department of
Orthopaedics,
was given the
the 201 2 Humanitarian Award
from the American Academy
of Orthopaedic Surgeons for
his commitment to improving
the function and quality of life
of Ugandan children afflicted
with clubfoot.
Dr. Pirani, an orthopaedic
surgeon at Royal Columbian
Hospital in New Westminster,
helped launch the Uganda
Sustainable Clubfoot Care
Project, which is dedicated to
reducing widespread disability
from clubfoot.The organization
was instrumental in teaching
and institutionalizing the
nonsurgical Ponseti Method of
clubfoot treatment throughout
Uganda's healthcare system.
Steve
I    Beerman,
Clinical
I   Associate
Professor in
the Department
of Family Practice, received
the 2011 Dr. Derek Puddester
Resident Well-Being Award
from the Canadian Association
of Interns and Residents.
Dr. Beerman is the Nanaimo
Site Director for the UBC
Postgraduate Family Medicine
Residency Program and the
Chair of the UBC Department
of Family Practice Residency
Resilience Committee.
His initiatives within the
Nanaimo Family Medicine
Residency Program include the
implementation of academic
weeks in place of academic
half-days and the promotion
of a culture of wellness by
ensuring residents look after
themselves.
Kendall Ho,
Associate
Professor in
the Department
of Emergency
Medicine,
received the inaugural AFMC-
nfoway Canada e-Health
Award for his leadership
and commitment to e-health
and informatics in medical
education.
As the founding Director of
the eHealth Strategy Office,
Dr. Ho initiated the eHealth
Young Innovators Summer
Camp, the "BC Guidelines"
mobile application, and
the Knowledge Studio
at UBC Hospital. il   Robert Taylor,
Clinical
Professor in
the Department
of Surgery
B   received the
Teasdale-Corti Humanitarian
Award from the Royal College
of Physicians and Surgeons
of Canada, in recognition of
his altruism, integrity, courage
and perseverance in providing
health care.
Dr.Taylor, the Director of
the Branch for International
Surgery at UBC, has dedicated
a significant part of his 38-year
career to surgical care in
underserved populations of the
world. Between 1971 and 2008,
he undertook short- and long-
term assignments on nearly
every continent of the world.
Several of his assignments
have been in conflict zones,
ncluding working for the
nternational Red Cross in
Sri Lanka and Cote d'lvoire
in surgical service, surgical
training and infrastructure
capacity-building.
The Department of Psychiatry
at Providence Health Care
named its annual Education
Award in honour of the late
Kristin Sivertz, former Executive
Associate Dean, Education
and Clinical Professor in the
Department of Psychiatry.
Throughout her career at
the Faculty of Medicine and
Providence Health Care,
Dr. Sivertz was dedicated to
improving medical education
and held a number of
leadership roles. The inaugural
award was presented to
Harpreet Chauhan, Clinical
nstructor in the Department
of Psychiatry and Head of the
Division of Geriatric Psychiatry
at Providence Health Care.
Julio Montaner,
Head of the
Division of
I AIDS in the
JB Department
■£.  AU .  of Medicine,
has been awarded the Grand
Decoration of Honour for
Services to Austria by the
Government of Austria.
Dr. Montaner, who is also
Director of the BC Centre for
Excellence in HIV/AIDS (BC-CfE),
a program at Providence Health
Care, and past president of
the International AIDS Society
has led key advancements
in the treatment and
prevention of HIV and AIDS.
He helped pioneer and prove
the efficacy of highly active
antiretroviral therapy and
developed the groundbreaking "HIVTreatment
as Prevention" strategy.
JackTaunton,
Professor in
the Department
of Family
Practice,
has been
named the 2011 BC Athletics
Hall of Fame inductee for his
outstanding contributions as
an athlete, community-builder
and sports medicine physician.
Dr. Taunton, co-founder of
the UBC Allan McGavin Sports
Medicine Centre, was the
Chief Medical Officer (CMO)
for Vancouver's 2010 Winter
Games and served as CMO
for the Canadian teams at
the Sydney Olympics, two Pan
American Games and two World
Student Games. Dr.Taunton was
Team Physician and Association
Coordinating Physician for
the Women's National Field
Hockey team for over 25 years.
Lisa Avery,
nstructor
and Clinical
Coordinator
in the School
of Audiology
and Speech Sciences, was
presented with the 2011
Recognition of Service Award
from the B.C. Association of
Speech/Language Pathologists
and Audiologists (BCASLPA).
Avery received the award for
her work with the Vancouver
Fluency Interest Group and
the B.C. Association of People
Who Stutter, and her mentoring
of students and clinicians
in the area of fluency.
PieterCullis,
Professor in
the Department
of Biochemistry
■   & Molecular
Biology, received
the Prix Galien Canada Research
Award - the most prestigious
award in the field of Canadian
pharmaceutical research
and innovation.
Dr. Cullis is an internationally
recognized pioneer and leader
in the field of lipids, biological
membranes and liposomal
drug delivery systems. His drug
delivery systems have produced
improved formulations of
several cancer therapies as well
as other drug agents. His lipid
nanoparticles delivery system is
a leading technology worldwide,
enabling the therapeutic
potential of small interfering
RNA(siRNA) to be realized.
I   Brian Lentle,
Professor
Emeritus in
the Department
of Radiology
was given the
2011 Lindy Fraser Memorial
Award in recognition of his
contributions to knowledge
about osteoporosis.
Dr. Lentle, former Head of
the Department of Radiology
and consultant radiologist
to the Osteoporosis Clinic at
the Women's Health Centre
in Vancouver, serves as a
radiologist with the Canadian
Multicentre Osteoporosis
Study and the Steroid-Induced
Osteoporosis in a Pediatric
Population Study. He was
was a driving force behind
Osteoporosis Canada's 2010
clinical practice guidelines,
and has published over 170
scientific articles and numerous
book chapters.
fll        lb-      Gurdeep Parhar,
IJ y     Associate
Dean, Equity
& Profession-
talism, received
an Alumnus
of Distinction Award from the
University of Calgary's Faculty
of Medicine for his contributions
to medical education.
In addition to his administrative
duties, Dr. Parhar, a Clinical
Assistant Professor in the
Department of Family Practice,
teaches professionalism,
equity, psychosocial aspects
of health care, medical
disability, informatics, reflection
and self-care. As a member
of the MD Undergraduate
Curriculum Renewal project,
Dr. Parhar is Chair of the Social
Responsibility & Accountability
working group. PHILANTHROPY
EWS^^^^
L - R: Ed Kampschuur, back on his Norton motorcycle; Lois and Colin Pritchard
with their daughter, Alison Moscrop, a director of the family foundation.
DHOTO CREDIT: RICHARD HOOPER
ACCIDENT RECOVERY INSPIRES
MOTORCYCLIST TO GIVE BACK
A serious motorcycle accident near the Grand Canyon in 2000
left Ed Kampschuur with several breaks in his humerus and
wounds covering his arms, legs and face.
After a week in intensive care in Las Vegas, he returned home to
Vancouver, where Peter O'Brien, Associate Professor and Deputy
Head of the Department of Orthopaedics, performed surgery
that, combined with a year of rehabilitation, saved the mobility
in Kampschuur's right arm. "The reception and treatment was
such that I felt obliged to support Dr. O'Brien's team," Kampschuur
says. Since 2002, he and his wife Josepha have made gifts
totaling $100,000 to the Department of Orthopaedics to support
of residents specializing in orthopaedics and nurses pursuing
additional training in trauma care.The Kampschuurs have also
donated $6,000 to Alzheimer's and dementia research in the
Centre for Brain Research and student awards in the Rural
and Clinical Community Practice Program.
A LONG-TERM INVESTMENT
IN THE OKANAGAN
The Colin 8c Lois Pritchard Foundation has made a $50,000
matching gift for bursaries in the Southern Medical Program,
spurred on by a $400,000 gift from an anonymous donor.
The endowed bursary will support SMP students who graduated
from high school in theThompson/Okanagan/Kootenay region of
B.C. and demonstrated a commitment to community service and
the practice of medicine. Colin Pritchard, whose family foundation
also donated $500,000 to create a simulation-based education
facility for SMP was born and raised in Vernon, graduated from
UBC with degrees in commerce and law, and practiced law in
Langley before retiring back to the Okanagan. He hopes medical
students trained in the region will stay as practicing professionals
and contribute to the quality of health care in the communities
of the Southern Interior.
THE RIGHT PLACE TO INVEST
IN BLOOD RESEARCH
mmiiiiiiiiiiiiH
After Hal Kettleson received care for a mild form of lymphoma,
he and his wife Anna wanted to support research that would
advance treatment for leukemia patients.
The Kettlesons asked Hal's physician, Luke Chen, Clinical
Assistant Professor in the Division of Hematology, for advice
on where to direct their gift. Dr. Chen connected the Kettlesons
with the Faculty of Medicine, where they established the
Kettleson Thrombosis and Hematology Fund at the Centre for
Blood Research.The funding will support academic education
and research related to blood disorders led by Agnes Lee,
Associate Professor in the Division of Hematology. Dr. Lee will
use the gift to fund summer students to conduct research
projects, including an investigation of the optimal dosing
of intravenous immunoglobulin in immune thrombocytopenia
(a relative decrease in platelets in the blood).
Desire Collen, the Belgian
physician and biochemist
who led the team that
developed t-PA - currently
the most effective drug for
thrombolytic therapy of
acute myocardial infarction -
donated $50,000 to the Faculty
of Medicine for a translational
research fellowship at the
Centre for Blood Research.The fellowship will focus on hemostasis
(the cessation of blood loss) and thrombosis (the formation of
obstructive blood clots). Under the co-direction of Drs. Lee and
Ed Conway, Professor in the Division of Hematology and Director of
the Centre for Blood Research, fellowship recipient Erica Peterson
will seek to identify novel
biochemical pathways that may
contribute to our understanding
of why patients with cancer have
such a high risk of thrombosis.
Desire Collen SPRING 2012: MEDICAL ALUMNI NEWS
President's Report
26
MUS/MSAC Report
32
Alumni Event Highlights
27
Student Event Highlights
33
Feature: John Webb, MD '82
28
Upcoming Events
34
Awards, Achievements, Activities
30
Golf Tournament
35
MD Alumni Membership Subscription    31 VIEDICAL ALUMNI ASSOCIATION
BOARD 2011-2012
President
Marshall Dahl, MD'86
President-Elect
JackBurak, MD'76
Past-President
Jim Lane, MD'73
Treasurer
Harvey Lui, MD'86
Island Medical Representative
Ian Courtice, MD'84
Northern Medical Representative
Donald MacRitchie, MD'70
Southern Medical Representative
TomKinahan, MD'84
Michael Golbey, MD '80
Newsletter Editor
Beverley Tamboline, MD'60
Admissions Selection Committee
Jim Cupples, MD'81
Admissions Policy Committee
David W.Jones, MD'70
Directors
Bob Cheyne, MD 77
Bruce Fleming, MD'78
Ron Warneboldt, MD'75
Nick Carr, MD'83
Stacy Elliott, MD'85
Advisors
Arun Garg, MD'77
David Hardwick, MD'57
Charles Slonecker, DDS, PhD
Ex-Officio Members
Dean, Faculty of Medicine
Dr. Gavin Stuart (Hon.]
Faculty Representative
Barbara Fitzgerald, MD '85
MUS Representative
Michael Yang, MD'14
Alumni Relations Director
Anne Campbell-Stone
Alumni Relations Officer
Kira Peterson
OBJECTIVES
To support the Faculty of Medicine and its
programs directly and through advocacy
with the public and government;
To ensure open communication among
alumni and between the alumni and the
Faculty of Medicine;
To encourage and support medical students
and residents and their activities;
To organize and fosteracademic and social
activities for the alumni.
The Medical Alumni News is published
semi-annually and this edition was
produced bythe UBC Faculty of Medicine.
We welcome your suggestions, ideas and
opinions. Please send comments, articles
and letters to:
Beverley Tamboline, MD '60
Alumni Affairs Faculty of Medicine
2750 Heather Street
Vancouver, BCV5Z3M 2
Ph: 604875 4111 ext. 67741
Fax: 604 875 5778
med.alumni@ubc.ca
"Medical Alumni are colleagues who
represent a valuable reservoir of shared
experiences and engagement with
each other and with UBC."
TRANSITIONS AND CONSTANTS
PRESIDENT'S REPORT
N A DOCTOR'S LIFE
DHOTO CREDIT: EVANGELOS PHOTOGRAPHY
"Match Day" was March 2nd.
Final year medical students and
others, such as International
Medical Graduates who were
seeking Canadian residency
training positions, learned
where (or sometimes if) they
will start the next phase of
training, what kind of practice
they will pursue and where
they will need to live this
July. This was a day of high
tension, exhilaration and some
disappointments. The Medical
Student and Alumni Centre
was full of smiles, tears
and conversation.
This is the first of many
transitions of a doctor's life.
The Match feels like a major life
event, but in perspective, affects
on average the next two to
five years of a forty year career.
There are many more transitions
to come. Our Medical Alumni
could provide a long list.
Many of these are professional
changes. Finishing residency
and passing exams for the
College of Family Physicians
or Royal College of Physicians
and Surgeons is an obvious
next step and is probably
more stressful than achieving
medical school graduation.
A surprise for many people is
the challenge of transition from
being a regulated resident to
an autonomously practicing
professional with no safety net.
There is a complex environment
of professional, business,
regulatory and medico-legal
interactions to negotiate.
Our medical class had its
25th reunion last September.
We realized that many of our
transitions had been personal:
births, deaths, marriages,
separations and relocations -
all happening in parallel with
busy professional lives. There
was a sense for many of us that
we were just lifting our heads
for the first time as children
left the house and we had
settled into mid-career practices.
My point is that there is a
thread of professional and
personal transitions that runs
through our whole working
life, beginning with entry to
medical school. Yet, at the same
time, there are unchanging,
enduring values and academic
standards common to all of us
in Medicine and the University.
Medical Alumni are colleagues
who represent a valuable
reservoir of shared experiences
and engagement with each
other and with UBC.
I encourage all of us to
remember our connections,
help each other through
transition times and stay
engaged with students,
colleagues and our Alumni
Association.
This also marks my transition
away from a pleasant two
years as UBC Medical Alumni
President. I am grateful for
the support of the Board of
Directors and staff, particularly
to Anne Campbell-Stone,
Alumni Relations Director.
Dr. Jack Burak is our incoming
president and will be an
excellent leader as we make
our next transition.
Best wishes,
Marshall Dahl, MD '86
President
UBC Medical Alumni Association L-R: 2011 Faculty of Medicine Sun Run Team; 2012 Vancouver Sun Run poster photo credit: Vancouver suk
UBC FACULTY OF MEDICINE SUN RUN TEAM
Last year 49,365 registrants
signed up for the Vancouver
Sun Run with participants
taking in the beautiful
Vancouver scenery under
sunny skies. Incredible
alumni, staff, faculty, and
students made up a team of
158, double the size of the
2010 team, and stormed the
streets as one of the largest
corporate teams entered.
The Faculty's team finished first
in its category (Health/Medical
Dental Division, 74 teams) and
second overall (1084 teams)!
This year the tradition
continued as Richard
Alexander, a 2nd year MD
student, organized the Faculty
of Medicine team. He also
coordinated a registration
pick-up event at MSAC and
had Dr. Jack Taunton there to
share his story about the Sun
Run. On the day of the Sun
Run, some people raced to the
finish line while others went at
their pace and supported each
other to the end. A big thank
you to all who came out to
make this a memorable event.
With close to 50,000
participants, the Sun Run
is Canada's largest 10km run.
Founded by Doug Clement,
MD'59 and Jack Taunton,
MD'76, the Sun Run's goal
is to promote the benefits of
running to improve health and
fitness as well as support elite
amateur athletics. The event has
morphed into the phenomenon
it is today with thousands upon
thousands descending on the
streets of Vancouver each year.
The Faculty of Medicine was
extremely pleased to enter such
a large and enthusiastic team
again this year and will be sure
to keep this tradition alive for
the coming years. If you have
not participated before, get
on your running shoes, start
training, and join the UBC
Faculty of Medicine Sun Run
Team next year!
For more information on
how to become a part of our
Sun Run team for 2013, please
contact med.alumni@ubc.ca
or 604-875-4111x67741.
CELEBRATION OF MEDICINE & THE ARTS
On March 18, 2012, the
Faculty of Medicine held a
special reception for alumni
and donors prior to the
student Spring Gala.
Medical students joined the
reception as special guests and
had the opportunity to share and
compare their stories of being
students at UBC with alumni.
Spring Gala often brings back
wonderful memories for alumni
as they remember their talent
shows and skit nights. The
dancing, musical acts, and
choreographed pieces performed
by the students proved that
UBC medical students were
and still are truly well rounded
individuals.
Thank you to all of the guests
who came out to support current
medical students in their annual
Spring Gala. It was amazing to
see all of the talent among
future physicians.
If you are interested in attending
next year's reception and
Spring Gala performance, please
contact med.alumni@ubc.ca
or 604-875-4111x67741.
L - R: Kathleen Newmarch, MD'13; Lawrence Burr, MD'64; Margaret Burr;
Dr. Chuck Slonecker (Hon.);Alexander Boggie, MD'54; Pat Knudsen; Kari Wink
DH0T0 CREDIT: VARUN SARAN JOHN WEBB:HEART VALVE REPLACEMEI
JOHN WEBB, MD '82
T PIONEER
There was no 'ah-ha' moment
or a single person to take
credit for a life changing
procedure which has saved
the lives of thousands around
the world, but there was one
alumnus from UBC's Faculty
of Medicine who led a team
of individuals through a
series of incremental steps
to pioneer percutaneous
heart valve replacement:
a lifesaving, non-invasive
procedure to replace the
aortic valve in individuals
who do not qualify for
open heart surgery.
John Webb was born and
raised in Vancouver, BC,
graduated from UBC Faculty
of Medicine's MD program
in 1982 and is now an
interventional cardiologist at
St. Paul's Hospital. In school,
he had a strong interest
in biology and started his
undergraduate life studying
this field at Simon Fraser
University and Capilano
College. Growing up with
a father who specialized in
obstetrics, Webb had seen
first-hand that the hours and
responsibility of a doctor and
medicine was not his initial
choice for a career. However,
his interest in biology and
having an impact on other
people's lives drew him to
medical school. The heart
became his fascination as it was
a moveable part which could
be held in the hand and fixed.
Webb interned for one year
in Toronto and then returned
to Vancouver as an internal
medicine resident for two
years. He was soon offered a
two year cardiology fellowship
in Toronto and then spent
another two years as a Canadian
Heart Foundation fellow in
San Francisco at the University
of California. However, the sun
was not enough to keep Webb
south and he soon returned
to Vancouver where he began
his incredible career at
St. Paul's Hospital.
In 2005, Webb and his team
developed the percutaneous
heart valve replacement
procedure used today. A
compressed valve, made of
cow tissue, is sewn to a circular
mesh stent. This stent can
expand and collapse with ease
and in its compact form has
a diameter no larger than a
few millimeters.
The stent is threaded through
the femoral artery in the leg
behind a small balloon on a
catheter. Once in the desired
position of the aortic valve,
the stent is then pulled over
the balloon and is prepared for
expansion. The stent expands
when salt water fills the balloon
and forces the metal mesh
frame open to fit snugly against
the existing valve. The balloon
is then deflated and the flaps
of the artificial valve begin to
pump open and closed with
blood flow.
This innovative method is
a remarkable alternative
procedure for people who
are unable to undergo open
heart surgery due to age or
other health risks. It is a
minimally invasive procedure
with successful results, shorter
recovery time, and, most
importantly, gives life back
to those who could not have,
or were at very high risk
with, traditional surgery.
With more than 500 successful
procedures having been
performed at St. Paul's Hospital,
Webb and his team are now
training doctors across North
America, Europe and Australia.
Webb knows the importance of
sharing this discovery with other
medical professionals worldwide
and spends much of his time
travelling the globe teaching
and overseeing this procedure.
Recently, St. Paul's Hospital
installed a new Virtual Teaching
Laboratory, which allows Webb
to offer real-time broadcasts
and two way communication
of the percutaneous heart valve
replacement. This gives him
more time to continue his
research quest in transcatheter
management of structural and
valvular disease and new device
development, but still allows
him to continue educating
colleagues about this technique.
While Webb has made
medical history developing
this procedure, he is modest
and believes that his greatest
life achievement is his family.
Spending time with his family
and living an active lifestyle
is what is most important.
Webb and Jennifer, his wife,
met in high school and are the
proud parents of two sons, one
who now lives in Vancouver and
the other who lives in Montreal.
In keeping up with his own
cardiac health activity and
with the support of his family,
Webb hopes to complete a
Gran Fondo race this summer. While Webb has made
medical history developing
this procedure, he is modest
and believes that his greatest
life achievement is his family.
John Webb,MD'82 photo credit: st. paues hospital L - R: Marius Laurentiu Haiducu, MD'14; Shazeen Suleman, MD'M; Felix Durity, MD'63; Dr. Robert Taylor (Hon.);
J. David Naysmith, MD'77 (left) and Dr. C. Peter Innes (right).
AWARDS, ACHIEVEMENTS, ACTIVITIES
Wesbrook Scholars
Twenty UBC students received
the designation of Wesbrook
Scholar for 2011 -12, which
recognizes top undergraduate
students based on academic
performance and demonstrated
ability to serve, work with
and lead others, on and or off
campus. Two of the students
were from the Faculty of
Medicine: Marius Laurentiu
Haiducu, MD'14 and
Shazeen Suleman, MD'12.
George Steiner, MD'60 was
awarded the 2011 Lifetime
Achievement Award by the
Canadian Diabetes Association
on October 29, 2011.
Felix Durity, MD'63 received
the Outstanding Faculty
Community Award and
Meghan Macdonald, MD'll
received the Outstanding Future
Alumni Award at the 2011
UBC Alumni Achievement
Awards on November 29, 2011.
Dr. Robert Taylor (Hon.)
was awarded the 2012 Teasdale-
Corti Humanitarian Award by
the Royal College of Physicians
and Surgeons in recognition of
his altruism, integrity, courage
and perseverance in providing
health care. The award
acknowledges and celebrates
Canadian physicians who,
while providing health care or
emergency medical services,
go beyond the accepted norms
of routine practice, which
may include exposure to
personal risk.
Gerry Karr, MD'69 was
recently appointed by the
Lieutenant Governor of BC
to UBC's Board of Governors.
Larry Burr, MD'64
(Vancouver) and E. Alan
Broome, MD'69 (Okanagan)
are now sitting on Senate at
UBC as Representatives
of the Convocation.
J. David Naysmith, MD'77
received the Award for Service
to Medicine and Society from
the Victoria Medical Society
on January 28, 2012 at the
Victoria Medical Society's
Student Welcome Dinner.
This award has been in place
for 8 years and to date there
have been 5 recipients.
All recipients have made
outstanding contributions
to medicine and society in
a volunteer capacity around
the world or in their
own community.
The Faculty of Medicine
Office of Alumni Affairs
received an Award of Excellence
from the Association of
American Medical Colleges
(AAMC) in March 2012.
The alumni relations team,
in working with the MD Class
of '85 on their 25th reunion,
wanted to put on a celebration
of the late Peter Jepson-Young,
MD'85. The event focused
on Dr. Peter's life and legacy.
Special thank you to UBC
Alumni Affairs, Dr. Peter
Foundation, CBC, and
Bob and Shirley Young.
Treasures
On March 5, UBC's Museum
of Anthropology (MOA)
put on display 11 pieces of
gold and silver jewelry by
famed Haida artist, Bill Reid
(1920-1998). This extraordinary
gift was received from
Dr. Sydney Friedman
(Hon.), Professor Emeritus,
UBC Faculty of Medicine and
his late wife, Dr. Constance
Livingstone-Friedman (Hon.),
UBC Emerita. They had been
acquainted with the artist for
many years; the pieces they
commissioned were all made
between 1952 and 1974, the
early decades of the artists'
goldsmithing career.
Two particuarly outstanding
pieces in the collection are a
hinged gold bracelet featuring
a raven and a silver picture
frame fully engraved on the
back with a bear motif.
A must see!
Top - Bottom: Gold metal raven
bracelet by Bill Reid, c. 1955;
silver metal photo frame by
Bill Reid, c. 1954. Both items
from the Dr. Sydney and
Dr. Constance Livingstone
Friedman Collection, on
display at the UBC Museum
of Anthropology. L - R: Tara Ann Cessford, MD'11 & Marshall Dahl, MD'86 with a Doctor's
Shingle at the 2011 Hooding Ceremony; Medical Student & Alumni Centre
2012 MEDICAL ALUMNI ASSOCIATION MEMBERSHIP
The UBC Medical Alumni
Association would like to
thank everyone who became
a member in 2011.
As a member of the UBC
Medical Alumni Association,
you have access to invaluable
opportunities for connecting
with medical alumni across BC,
throughout Canada, and around
the world, as well as supporting
the next generation of medical
students.
With over 5,000 MD alumni,
UBC Faculty of Medicine is
active at university and clinical
campuses throughout BC,
including the Vancouver Fraser
Medical Program, the
Northern Medical Program
in Prince George, the Southern
Medical Program in Kelowna
and the Island Medical
Program on Vancouver Island. In
addition, students and alumni
are connected through state-
of-the-art videoconferencing,
which facilitates a wide range
of professional, social and
recreational connections
for students and alumni
province-wide.
Your annual membership
fee of $65 and additional
donations support the many
vital initiatives the Medical
Alumni Association is involved
with throughout the year.
Please register for your
membership today and
continue to keep your
membership current each year
to be part of this influential
network of peers. Your
additional donation will
support our priority project -
the development of social and
recreational centres for students
and alumni at each of our
program locations.
Your membership fee and
additional donations support
social and recreational events
and activities for medical
students on university and
clinical campuses across BC;
the ongoing operations of the
William A. Webber Medical
Student & Alumni Centre
(MSAC) in Vancouver, a
unique social and recreational
centre for medical students
and alumni; the development
of new social and recreational
centres for medical students and
alumni in Kelowna, Victoria and
Prince George; state-of-the-art
videoconferencing technology
to connect students and alumni
across BC; a gift of a "doctor's
shingle" for each member of
the graduating MD class; and
the MAA's Annual Recognition
Awards program, including
the Wallace Wilson Leadership
Award and our Honorary
Medical Alumni Awards.
Please complete the
attached 2012 membership
subscription form or go to
http ://startanevolution. ubc.ca/
maa and help us to continue
to build our community of
medical students and alumni.
UBC Medical Alumni Association 2012 Membership Subscription
Name.
Address.
City	
Province/State.
Postal Code	
Country	
Field of Practice
Email 	
Phone 	
Please include in my subscription:
□ Regular membershipfee of $65 or      □ Medical resident at the reduced fee of $25
□ Donation amount*:       Q $435       □ $235       □ $135      □ Other$  	
Total amount: $     *Your donation is taxdeductible.
If you require a MSAC access card, please contact med.alumni@ubc.ca or 604.875.4111 ext. 67741
Preferred payment:
D  I have enclosed a cheque payable to the University of British Columbia.
D I am usingmycreditcard:   DVisa      D MasterCard      DAmex
A
Card Number
Signature
zxpirytmm/yy) Dr. David Hardwick meets with MD
2015 distributed VPsand VP Socials
to discuss their continuing social and
recreational needs. Front row: Natasha
Qureshi, VP IMP 2015, Bhupinder Johal,
VP NMP 2015, Dr. David Hardwick, Colten
Wendel, VPSMP2015. Back row: Nancy
Thompson, Kim Allan, Rosie Hsu, Sarah
Campos, Robyn Buna, Scott Walker.
US REPORT
The Medical Undergraduate
Society (MUS) and its student
body have been busy this past
academic year. As we near the
end of another successful year,
I want to highlight some of
our accomplishments to date.
Last November, 2nd year
medical students participated in
a new initiative administering
flu shots across UBC.
Approximately 75 medical
students volunteered their time
and 2,300 vaccinations were
given over a one-month period.
This initiative gave students an
opportunity to improve their
injection technique and at
the same time these flu clinics
benefited the entire University.
It is hoped that this initiative
will be an annual tradition.
On March 15th, the MUS
hosted the UBC Medicine
Research Forum in conjunction
with the UBC Medical Journal
(UBCMJ) and the Faculty of
Medicine. We had over 60
research abstracts presented by
medical students across Canada.
During this event, UBCMJ
also launched their newest issue
on "Preventative Medicine"
(www. ub cmj. com).
One of the goals for MUS
this year was to improve
Career Resources for students.
As medical students one
of the stressors is trying to
figure out which field of
medicine will suit them best.
The MUS in partnership with
the Professional Association of
residents of British Columbia
hosted the inaugural Residents
Library, an informal networking
event where medical students
can ask residents questions
about residency and specialty
programs. The event was very
well received by students
and faculty alike.
At MUS we are focused
at providing students with
an unrivaled educational
experience. This is only possible
with the continual support
and collaboration of UBC
medical alumni and community
members. If you have any
questions about MUS or ideas
on how we can collaborate,
please don't hesitate to
contact me.
Sincerely,
Michael Yang
MUS President
yangmh@interchange.ubc.ca
SAC NETWORK
The Class of 2015 marks
a new stage in the life of the
Faculty of Medicine, with
thirty-two students admitted
to the new Southern
Medical Program.
Since the first students were
admitted to the Island and
Northern Medical Programs
in 2005, the William A.
Webber MSAC has held
more than 1,000 interactive
videoconferences connecting
students to the same social
events, activities, and colleagues
in MSAC as the Vancouver
Fraser medical students.
In November, the MSAC
team of Dr. David Hardwick,
Nancy Thompson and
videoconference (VC)
technician Scott Walker
met with first-year distributed
site Vice-Presidents and VP's
Social to learn about their
experiences with the medical
school's social and recreational
life while in Vancouver, and
their hopes and expectations
for continued connection
with their classmates and
school for the next 3Vi years.
While the role of MSAC and
the MSAC Videoconference
Network has increased to meet
the demands of enrollment
and increased engagement
of the medical students, it has
become obvious that the largest
barrier to creating the MSAC
experience in Victoria, Prince
George and Kelowna is the
absence of relaxed comfortable
facilities, one that would allow
pizza and popcorn, and would
provide students with a social
and video-conference centre.
No matter how small a
space, it would be a great
improvement over distributed
students watching classmates
in Hardwick Hall from
their university-located PBL
classrooms.
MSAC's social and recreational
events bring medical students
together for collaboration,
support and friendship.
The MSAC VC Network is
available to medical students
to foster this goal. STUDENT EVENT HIGHLIGHTS
5
ALUMNI NEWS     I     UBC MEDICINE     33
L-R: All in the Timing photo credit:
mo de villiers Spring Gala Performance
DHOTO CREDIT: CYRUS MCEACHERK
The 2012 Medical Ball
The annual Medical Ball
is a much anticipated
formal evening featuring
dinner, dancing, awards and
entertainment. This year the
Med Ball was held on Saturday,
March 3, at the Four Seasons
Hotel, and was attended by 300
guests. The theme of this year's
ball was Viva Las Vegas, with
after-dinner gambling tables
using "$10,000 chips" each
guest "won" at the door.
Attendees celebrated the
recipients of the annual Medical
Undergraduate Society's
Excellence in Teaching Awards.
The Dr. William A. Webber
Award was presented to
Associate Professor of Cellular
& Physiological Sciences,
Carol-Ann Courneya, MD'87.
In Dr. Courneya's acceptance
speech, she noted that Dr.
Webber had been her academic
advisor, so this award was
particularly meaningful to her.
Dr. Hardwick gave a short
speech about gambling, noting
that when fundraising for the
Medical Student and Alumni
Centre began, the Medical
Alumni Association took a
gamble on medical students
who had not yet been born!
The evening was emceed by
MDT4 students Bradley
Locke and Andrew Hurlburt,
originators of the Medical
Student Comedy Club, and
actors in the 2nd Year play at
MSAC the previous week.
Before dinner, the appreciative
audience cheered through the
annual video put together by
first year students, and after
dinner stopped at the photo
booth before heading out to
the lobby to win more poker
chips, redeemable for raffle
tickets for the door prizes.
This year's event was sponsored
by Haslett Insurance, BCMA
and the Royal Bank. Haslett
Insurance gave one lucky
guest a new iPad.
2nd Year Play:
All in the Timing
Have you ever wondered how
things would have turned out
if you had said something
different? Or what it might
be like if there was a single
language uniting the world?
What about whether three
monkeys, left to their own
devices, could manage to
create a piece of literature
that competes with the works
of Shakespeare? Well, these
questions and more were
explored at this year's Med
Play and the audience was
delighted by the answers!
For six nights the Medical
Student Alumni Centre
(MSAC) was converted into
a New York style theatre that
showcased a selection of one
act comedies from David Ives'
collection "All in the Timing."
The annual medical student
play was a huge success.
The show opened on February
23 to a full house and each
night scores of students,
friends, and faculty laughed
(uproariously at times) to Ives'
quirky and clever humour.
The Med Play is a spring
tradition in the Faculty of
Medicine and celebrated
its 10th Anniversary with
this year's production. It is
performed entirely by medical
and dental students at the
Medical Student and Alumni
Centre as a fundraiser for the
MD program's third-year
rural electives.
With a fantastic cast of students
with natural comedic instincts
and a talented production
team that pulled it all together,
the theatrical bar has certainly
been raised a notch higher
for next year.
Submitted by Jen Rurak, MD'14
Spring Gala 2012
On March 18, 2012, the
Chan Centre at UBC was
bustling with talent at this
year's 18th Annual UBC
Medicine/Dental Spring Gala.
It was an incredible evening
filled with art, song, dance,
and martial arts delivered
entirely by the medical and
dental students and alumni.
The Spring Gala is a non-profit
production and is organized by
the students. All proceeds this
year were donated to WISH,
a drop-in centre for survival
sex workers in the downtown
eastside of Vancouver.
UBC Faculty of Medicine
hosted an alumni and donor
reception, Celebration of
Medicine and the Arts, prior
to the performance. It was a
wonderful opportunity for some
students to meet and mingle
with alumni from our medical
community and donors.
With such entertainment and
charity, it is a tradition that will
be continuing. See you at next
year's Spring Gala! Upcoming Events
MAA Annual
General Meeting
May 12, 2012
Vancouver, BC
Hooding Ceremony
May 22, 201 2
Vancouver, BC
Student Graduation
Ceremony
May 23, 201 2
Vancouver, BC
UBC Alumni Weekend
May 26, 201 2
Vancouver, BC
UBC Medical Alumni
& Friends Golf Tournament
June 26, 2012
Event Highlights from
2011-2012
And Now for Something
Completely Different:
Featuring William Carpentier,
MD'61
September 15, 2011
Vancouver, BC
UBC Alumni
Achievement Awards
November 29, 2011
Vancouver, BC
Victoria Medical Society
Student Welcome Dinner
January 28, 201 2, Victoria, BC
A special thank-you to
Jo Ann Dubney for organizing
this annual event!
Here & Now: Ottawa
Alumni Reception
January 31, 201 2, Ottawa, ON
Vernon Hockey Tournament
March 2-3, 201 2
Organizers: Dr. Will Cawkell,
Chris Cunningham, MD'93,
Gavin Smart, MD'84
Spring Gala & Celebration
of Medicine& the
Arts Reception
March 18, 201 2, Vancouver, BC
Sharing Knowledge
and Breakthroughs in
Cancer Prevention
Panelists: Harvey Lui, MD'86,
Dianne Miller, MD'80, Carolyn
Gotay, Barbara Kaminsky,
Penny Ballem, MD'78
March 28, 201 2, Vancouver, BC
Sharing Knowledge and
Breakthroughs in Cancer
Prevention - Okanagan
Panelists: Carolyn Gotay,
Barbara Kaminsky,
Joan Bottorff, Juanita Crook
March 29, 201 2, Kelowna, BC
Dr. Bob Ewert
Memorial Lecture
Speaker:John Furlong
April 14,2012,
Prince George, BC
Here & Now: Calgary
Alumni Reception
April 17, 201 2, Calgary, AB
Building Your Practice
Student &YoungAlumni Event
April 26, 201 2, Vancouver, BC
For more information
regarding past or upcoming
events, please call
604-875-4111 X67741. UBC Medical Alumni &
Friends Golf Tournament
Tuesday, June 26,2012
University Golf Course
5185 University Blvd.
Come join the UBC Medical Alumni Association for an enjoyable
day with 18 holes of golf, contests, dinner and prizes!
• All levels of golfers welcome
• Both individual and best ball format
• Register as a foursome or as an individual
• Connect with colleagues and friends - with no work expected!
• Proceeds help support medical students' activities across
the province
To register or sponsor th
year's tournament contact
med.alumni@ubc.ca
or 604-875-4111 x67741
www.med.ubc.ca/alum
Upcoming Class Reunions
Class o
June 6-13
Cruise to Alaska
Organizers: Dr. John
Hamilton & Dr. Hugh
Class of 1957
September 14, 201:
Vancouv^,, ^
Organizers: Dr. lanT
Dr. David Hardwick
Class of 1962
May 25-27th, 2012
Organizers: Dr.Johr
& Dr. Gary Romalis
September 14-16,2012
Vancouver, I
Organizers: Dr. Leith Dewa
Dr. Allan Holmes, Dr.Trevo
Newton & Dr. KathyBell
Class of 2002
September 8-9 201 2
Vancouver, Lv
Organizer: Dr.Tanya Orton
Class of 1960
October 12-14, 2012
Come back to campus this spring and enjoy university as it
should be: Great lectures and seminars (with no quizzes!),
tours and cultural performances. Thousands of alumni,
donors, friends and their families will be back on campus
to take part. Come join the party!
alumni, ubc.ca/alumniweekend
start an evolution UBC FACULTY OF MEDICINE
FACULTY OF MEDICINE
NORTHERN HEALTH AUTHORITY
Prince George
Vanderhoof UNBC
INTERIOR HEALTH
VANCOUVER ISLAND
HEALTH AUTHORITY
VANCOUVER
COASTAL HEALTH
Enderby
■r,™!"*,    Armstrong
Westbank
Summerland       Kelowna      ^^
Penticton ^^bfl.
Prinrptnn        Trail      Castlegar Cranbi
Chilliwack    osoyoos   Rossland
io Island
9 University Academic Campus
■jf Clinical Academic Campus
• Affiliated Regional Centre
O Community Education Facility
•   University Academic Campuses
Jniversityof British Columbia (UBC) in Vancouver
Jniversityof Northern British Columbia (UNBC) in Prince George
Jniversityof Victoria (UVic) in Victoria
■  Affiliated Regional Centres
Abbotsford Regional/Chilliwack General Hospitals
=t. St. John General/Dawson Creek Hospitals
Jons Gat- Hospital
Mills MemonalHospital
Janaimo Regional General Hospital
Richmond Hospital
Royal Inland Hospital
St. Joseph's General/Campbell River General Hospitals
Vernon Jubilee/Penticton Regional Hospitals
W Clinical Academic Campuses
3C Cancer Agency
3CChildren's Hospital
3CWomen's Hospitaland Health Centre
Kelowna General Hospital
RoyalColumbian Hospital
Royal Jubilee Hospital
St. Paul's Hospital
Surrey Memorial Hospital
Vancouver General Hospital
Victoria General Hospital
dniversity Hospital of Northern BC
O Community Education Facilities,
Rural and Remote Distributed Sites
Serving medical students and residents,
student audiologists, speech language pathologists,
occupational therapists, physical therapists
and/or midwives in the community
DUBLICATIONS MAIL AGREEMENT NO. 4102050S
RETURN UNDELIVERABLE CANADIAN ADDRESSES TO:
Faculty of Medicine
The University of British Columbia
317-2194 Health Sciences Mall
Vancouver, BC
Canada V6T1Z3
T: 604822 242'
=: 604822 606'
www.med.ubc.ca
FACULTY OF MEDICINE

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