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UBC Medicine 2007

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OF    MEDICINE        Volu me 4 Nu m ber 1   Fall/Winter 2007
Our Goal
for Toda^
Thinking Globally,
Acting Locally 15   '
Medical Alumni
News 25
is published twice a year by the Faculty of Medicine at
the University of British Columbia. It provides news and
information for and about faculty members, students,
staff, alumni and friends.
Submissions and suggestions are welcome.
Letters are published at the editor's discretion
and may be edited for length.
Contact editor.med@ubc.ca
Volume 4 Number 1
Fall/Winter 2007
Editor-in-Chief (Acting)
Dr. Dorothy Shaw, Senior Associate Dean,
Faculty Affairs
Editor/Managing Editor
Miro Kinch
Editorial Advisory Committee
Naomi Broudo
Alison Buchan
Alison Liversage
Chris Petty
Dr. Beverley Tamboline
Editorial Assistant
Shonna Malczewski
Tim Carlson
Shawn Conner
Erin Creak
Dr. Lynn Doyle
Dr. Tal Jams
Miro Kinch
Christopher Zappavigna
Copy Editor
Vicki McCullough
Tandem Design Associates Ltd.
Martin Dee
Darin Dueck
Additional photographs courtesy of individuals,
their colleagues,family and friends, and
Les Baszo/Vancouver Sun
British Columbia Medical Association
BC Ministry of Advanced Education
Janis Franklin, Media Group
Brian Hawkes for the World Congress of Physiotherapists
Heart and Stroke Foundation of BC & Yukon
Trasi Jang
Karyo Communications
Dr. Harvey Lui
Medical Alumni Association/MSAC Archives
Pacific Alzheimer Research Foundation
Nancy Thompson
UBC Public Affairs
Vancouver Coastal Health Authority
VGH & UBC Hospital Foundation
Printed by Mitchell Press
Online at
On the cover
"Portrait of a Boy with a Map of Africa on his Face"
Opposite page
Photo by Med student Jessica Chiles, taken in Honduras.
Chiles, Adam Watchorn, four other UBC students and clinical
instructor Dr. Tammy Attia worked in collaboration with the
Honduran Program for Development of Infant and Mother,
installing community-run health centres and offering educational programs on public health issues. See story, page 4.
In This Issue
2 Letters
3 The Dean's Page! Global Health Is Local Health
6     Flash: News from . . .
11 Point Of View: Life as Usual
18        FOCUS On Research: A Global Agenda
20     Focus on Special Populations: street smarts
22        FOCUS On Philanthropy: Conquering Stroke
4 What Are You Doing After Class?
Faculty of Medicine students—in Midwifery,
Physiotherapy, Occupational Therapy and Medicine—
are passionate about international health.
10     Dr. Nelly Auersperg
A children's storybook launches an award-winning career.
12 Our Goal for Today
The state of women's health in Uganda is a shocking
contrast to the beauty of the country—but Dr. Jan
Christilaw and colleagues from the Faculty, BC Women's
Hospital and Makerere University are working hard to
change that.
15     Thinking Globally, Acting Locally
AIDS delights in human conflict and trauma—in
Thailand, Uganda, on Vancouver's Downtown Eastside
and in the interior of BC.
MAA President's Message
Clinical Faculty Affairs Report
ew JName
for MSAC
Honouring a Leader: A Ne
MAA Awards
MUS Report
Alumni Awards, Achievements & Activities
Last Words: Class of 2007
Together we create knowledge and advance learning that will make a vital contribution
to the health of individuals and communities locally, nationally and internationally.
Fall/Winter 2007 UBC Medicine LETTERS
Parsley, Sage, Rosemary . . .
I note in the article, "The Institute of
Mental Health," which appears in the
Spring/Summer 2007 edition, a reference to
the " University of Newcastle upon Thyme."
Though perhaps an attempt to add spice, it
behooves me to report, having spent some
time there myself, that Newcastle upon Tyne
still sits comfortably astride the River
Tyne in the sunny northeast of England.
Steve Keh
UBC Department of Cellular
& Physiological Sciences
Death to "Passed Away" Continued
I agree with [Jennifer] Gait's letter in your
Spring/Summer 2007 issue. People need very
much to confront and to discuss openly
the inevitability of dying.
It is interesting to read the obituaries
in other places and see how many people die
and how many pass away. In Hawaii, almost
100 per cent die. In Rochester, Minnesota,
home of the Mayo Clinic, [it's also] 100
per cent. That's healthy!
Ken Morrow, MD '59
Bellingham, Wash
From the Author of What Dying
People Want
I remember vividly one of the most
embarrassing moments on the palliative care
unit at St. Paul's Hospital. At a family meeting to discuss a patient's wishes for his
remaining months of life, we spoke in generalities. The patient himself, however,
wanted to speak specifically—about dying,
about the end of his life and about his
relationships with people who were important to him. He gently reminded us that,
while we were providing a great service, we
seemed not to be able to speak candidly
about dying and death. Avoiding the "real"
words, and their meaning, only increased his
anxiety and frustration.
As physicians and health care professionals, [we deal with situations] that are difficult
for a lot of us to talk about—all the more
reason to use the most definitive terms we
can and to discuss them in ways that guide
patients through difficult times.
David Kuhl
St. Paul's Hospital
BC MP Keeps Up-to-Date
We recently noticed that we have not
received a copy of UBC Medicine in some
time. As the NDP Health critic, Ms. Priddy
finds it very helpful to have on hand the
many wonderful publications that are produced by the Canadian health sector.
I would greatly appreciate it if we could
again be placed on your mailing list.
Thank you very much.
Nicole Smith, Member's Assistant to
Penny Priddy, MP (Surrey North, BC)
Art in Our Hospitals
Your recent issue on the intersection of art
and health provided an opportunity I could
not pass up.
I have been working for over seven years
with a group of volunteers from the community, including [Faculty member, ophthalmologist and artist] Jack Rootman, to collect
donated art for VGH, UBC Hospital and
GF Strong. The support for art from the staff,
medical students, patients and general public
has been so positive—I cannot imagine
our hospitals without art.
Jim O'Hara
VGH & UBC Hospital Foundation
At the Gallery
Alberta-based artist Ron Moppett was
quite taken by photographer Martin Dee's
cover shot for the Fall/Winter 2006 issue
of UBC Medicine Magazine. Moppett's oil
painting Early One Morning (Keats) (below),
incorporates his version of the same image
on the far right, and is reproduced here
by permission of the artist. To see more of
Moppet's work, go to
ArtistID=31 &currPage=2.
UBC Medicine Fall/ Winter 2007 GLOBAL   HEALTH   IS   LOCAL   HEALTH
In a global society, the health of every human being is relevant
to each of us.
In the winter of 2002, the deadly SARS
virus emerged unnoticed in Southern China,
spreading quickly to Hong Kong and
Southeast Asia. Airline passengers carried
the virus to two of Canada's largest
cities, Vancouver and Toronto.
Infectious diseases are oblivious to
political boundaries. They emerge locally, but
spread globally—global health is local health.
A provincial team led by UBC faculty
member Marco Marra identified the genetic
code for SARS, providing the basis for a
worldwide effort to develop a vaccine.
Numerous other equally innovative and
far-reaching national and international
research collaborations within the Faculty
have addressed causes, cures and
prevention across the whole spectrum
of human diseases and disorders.
But therapeutics are not the only solution. We have also come to understand
that other determinants of disease, such as
Through knowledge, creating health.
Together we create knowledge and advance learning
that will make a vital contribution to the health of
individuals and communities locally, nationally and
Through education, research and service, UBC's Faculty
of Medicine will positively and measurably influence
the health of people in British Columbia, Canada and
the world.
In its words, attitudes and behaviour, UBC's Faculty of
Medicine will build a common identity as a single, integrated entity across British Columbia.
As a global leader in health education and research,
UBC's Faculty of Medicine will be a source of pride
to all its members.
We choose to advance our mission through leadership
in information technology and communication.
For the full text of the Faculty's strategic plan, Health
Trek 2010, go to "About Us" at www.med.ca and click
on "Health Trek 2010."
socio-economic issues, social behaviour and
public policy, are as critical as virology and
biology. Water management and childhood
obesity are as important as microbiology.
The burden of disease is not evenly distributed across the globe. Sub-Saharan
African nations, for example, suffer some
of the highest rates of HIV infection.
In Vancouver's Downtown Eastside, often
described as "the poorest postal code in
Canada," the prevalence rate of HIV/AIDS
is comparable to that of Botswana.
Diarrheal diseases, tuberculosis, cardiovascular
disease and many other conditions show
similarly disproportionate distributions.
The causes of such disparities are
complex. By taking a "population health"
approach—an approach that considers
"health" as a capacity or resource rather
than a state—it is possible to identify a
range of factors that contribute to these disparities. These health determinants are
broad and include income, education, nutrition, child development, social and
physical environment, gender and culture, to
name just a few. By acting locally to address
the deficiencies in these factors, we can
have a profound effect on health globally.
In 2000, the idea of global collaboration
took on a new dimension with the United
Nations Millennium Summit. World leaders
agreed to a set of measurable Millennium
Development Goals (MDGs) that each of the
191 members of the UN pledged to
meet by 2015. Four of the eight major goals
are specifically health related—to eradicate
extreme poverty and hunger; to reduce child
mortality; to improve maternal health; and
to combat HIV/AIDS, malaria and other
The Faculty and UBC, in collaboration
with the University of Hong Kong and
Mexico's Tecnologico de Monterrey, will
act as the UN's first educational partners
in building capacity, accelerating knowledge
transfer and including the MDGs in the
everyday practice and plans of the health
professionals we train. We are extremely
proud to be part of this pioneering effort to
create a generation of global population
health providers. I am particularly pleased
with our undergraduate, student-led
initiative to develop a curriculum embracing
this project.
Worldwide, our scientific knowledge,
technological expertise and economic
resources are greater than at any point in
history. We can access information in
nanoseconds on the Internet, and we can
communicate with one another,
electronically, almost as quickly. It would
seem intuitive that we should be able to
locally apply our collective knowledge
and wealth to reduce the health risks faced
globally and to alleviate human suffering.
Dean, Faculty of Medicine
Every month, Dean Stuart posts a new video
message on the Faculty website. To watch—
and respond—go to www.med.ubc.ca.
Fall/Winter 2007 UBC Medicine WHAT   ARE   YOU    DOING   AFTER   WORK   CLASS?
Gift of Experience
What would you do if you found yourself in South India, in a rural clinic with little equipment, less money
and a patient with an ankle injury? Physical Therapy student Maggie Phillips put her creative problem-solving
skills to work. There were hundreds of discarded bicycle tubes in the area—why not try incorporating some
of them into a brace? It worked. The patient was able to walk.
by Erin Creak, Faculty Liaison, Division of Educational Support and Development
On another occasion, Phillips asked an
elderly man suffering from post-polio syndrome for permission to perform hands-on
muscle resistance testing. It didn't occur
to her that he would turn down her request,
but refuse he did.
"Manual muscle testing is a very
basic, subjective way to assess strength. How
in the world was I going to proceed if I
couldn't touch him?"
The answer was surprisingly simple.
Her male colleague,Virupaxsni, became her
arms and her senses. He performed the tests
and reported his findings to her. Together
they were able to complete the assessment
UBC Medicine Fall/Winter 2007
and move on to address their client's equipment and rehabilitation needs.
Half a year later, when she encountered
another instance of cultural sensitivity
at Vancouver's GF Strong Rehabilitation
Centre, Phillips was prepared." Cultural
awareness is just one of the many valuable
lessons I learned during my international
placement," she says.
Not Just Physical Needs
For Occupational Therapy student Lea
Harper, an international placement delivered
a different, but equally valuable, experience.
In Maneadero, Mexico, Harper met a bright
and enthusiastic 17-year-old boy who had
lost both limbs in an electrical accident.
Sergio was using an old, badly fitting
wheelchair. Harper and a local Mexican
man named Angel—also a wheelchair
user—worked on Sergio's chair to improve
the fit and functionality. They replaced
the tires, adjusted the frame and constructed
a new cushion.
"As I spent more time with Sergio and
stopped focusing on the wheelchair," Harper
says, "I began to realize that better tires were
only going to solve one part of his problem."
What Sergio wanted most was to find work
and help support his parents and five siblings.
Harper and Angel connected him with
Gabriel House, the orphanage where Harper I
was doing an OT placement, and Sergio
was hired to help with the children who,
like him, had disabilities.
"It was amazing," Harper reports. "He
became a real mentor to the children—and I
learned how important it is to pay attention
to the needs of the whole person, to all
of their needs, not just the physical ones."
From Passion to Skill
"Many students see international health
as a way to a sustainable and equitable future
for all citizens, but they don't feel they have
the education and skills to be effective
workers," says Vancouver medical student Siu
Kae Yeong. So, with Faculty members Drs.
Andrew McNab andVidesh Kapoor,
Yeong and other medical students created
the Global Health Initiative (GHI) in 2005.
The student-driven program offers
monthly skill-building workshops throughout the school year. During the summer,
students put those skills to work, volunteering in one of three GHI programs—the
Uganda Brighter Smiles Africa Project,
the India Spiti Valley Health Project and
the Honduras Rural Health Project.
Global health work is truly interdisciplinary in nature, and the GHI reflects that.
Participants include students, residents, faculty members and practising professionals from
Medicine, Midwifery, Nursing, Arts, Science,
Engineering, Architecture and Commerce.
Igniting Passion
Northern Medical Program (NMP)
students Adam Watchorn and Jessica Chiles
coordinate the Honduran project. Watchorn's
passion for global health was first ignited
in Honduras when he met a little girl with a
round worm infection. The worm grew
from her stomach, through her esophagus
and into her lungs. She suffocated to death.
" Antiparasite medication could have
prevented such a needless death," says
Watchorn." [But] the nearest health centre
was four hours away, and not only was
medical treatment expensive, the time it took
to get there also meant lost wages."
Not surprisingly, the Honduran project
helps install health centres in remote
rural areas to, as Watchorn says, "provide
people like the girl I knew with easier
access to treatment."
Sports, Theatre and Other
Creative Skills
Island Medical Program (IMP) student Ross
Davidson drew upon his experience as a
volunteer in Kenya to create the intriguingly
titled GHI seminar Teaching Public Health
Using Sports,Theatre and Other Creative
Ways. His presenting partner-in-crime was
fellow IMP student Melanie Szirony
Workshop participants played games similar to tag and Marco Polo and were given
tips on how to bridge from sports to serious
topics like AIDS and discrimination." During
one of the games," Ross says, "we had a
medical student sit blindfolded, with a cup
of water under her chair, in the middle
of a circle of other students. The others tried
to grab the cup of water without being
caught. The blindfolded student was being
attacked on all sides—she didn't know where
or when the next assailant was going to
strike. [Melanie and I] took that exercise and
bridged it into a discussion about asymptomatic sexually transmitted infections. It can
be a tough leap, but when it's successful,
it's really powerful."
The Gift of Experience
Midwifery student Elaine Barnes sums it
up. She spent her summer at Saint Francis
Hospital in Katete, a rural town in Zambia's
Eastern Province. With one of the highest
maternal mortality rates in the world,
Zambia was the setting for birthing experiences unlike anything Barnes had come
across in BC.
"The opportunities for learning were
amazing. Without resources and equipment
such as ultrasound—we rely on technology
so much—it was an incredible opportunity
to learn from people who are used to
providing maternity care with very little.
"It is a great privilege to go to an under-
served place and [be able to] help out,
while also receiving the gift of experience.
Sometimes it was sad and challenging,
and people died from illnesses and a lack
of resources that we just would not see in
Canada. The strength of the human spirit was
an incredible lesson, however, and I am very
grateful to have had this opportunity."   ■
Fall/Winter 2007 UBC Medicine F LASH!
Child Health in China
With an assist from the Center
for International Child Health
Faculty members ROBERT
and SIMON DOBSON were in
Shanghai, China, this summer
for the launch of the Center for
International Child Health
(CICH) training programs in
infectious diseases and emergency medicine at the Children's
Hospital of Fudan University.
They were accompanied by
Colin Hansen, BC Minister of
Economic Development and
Minister responsible for the
Asia-Pacific Initiative, and CICH
cabinet member Jill Krop.
CICH also runs training
programs in cardiac sciences
and neonatal education and
practice in Shanghai and in neu-
rosciences at the Children's
Hospital in Guangzhou, and
offers training opportunities for
Chinese health professionals
at BC Children's Hospital. For
more about the centre, go to
UBC at the UN
Faculty member
spearheads project
KENDALL HO, associate dean
of Continuing Professional
Development & Knowledge
Translation, is working with
the United Nations to develop
educational and training programs that will raise awareness
of, and help achieve by 2015,
that organization's health-related
Millennium Development Goals
(MDGs).The MDGs' main beneficiaries are children and mothers, the weak and the poor.
The International Health-
MDG steering committee, with
Ho at the helm, aims to "engage
the health sector as the educational partner in MDG training
to build capacity, accelerate
knowledge transfer and help all
health [professionals] include
the MDGs in their everyday
practice and plans."
UBC, the University of
Hong Kong and Mexico's
Tecnologico de Monterrey are
the pioneering academic collaborators in this pilot project.
For more information
about the MDGs, go to
Family Physicians
and Researchers
Innovative program funds
community research
COLLINS, Med Res'91,
MHSC'97, and clinical faculty
MD'89, MHSC'97, and DAVID
TU are family physicians who
will dedicate a half or a quarter
of their time to research
over the next three years. This
is thanks to salary awards of
$25,000 to $50,000 a year from
the Community-Based Clinician
Investigator (CBCI) program.
CBCI—the only such program in Canada—invites family
physicians to partner with
local community groups to conduct research on mutually
identified, high-priority health
issues. Applicants must secure
20 per cent of funding requirements from community partners
to be eligible for CBCI support.
The CBCI is itself a partnership
between the department of
Family Practice at UBC and the
Vancouver Foundation.
For more information,
contact the Family
Practice Research Office at
604-827-4185 or go to
www. f amilypractice. ubc. ca
and click on " Research."
A Provincial First
New Aboriginal Health
Physician Advisor
EVAN ADAMS, (1 below) one of
the inaugural graduates of the
department of Family Practice's
Aboriginal residency program
and currently director of
the department's division of
Aboriginal People's Health, was
recently appointed the BC
government's first Aboriginal
Health Physician Advisor. Adams
will have specific responsibility
for monitoring and reporting on
the health of Aboriginal people
in BC and for tracking progress
against performance measures in
the government's First Nations
Health Plan.
The World Comes
to Vancouver
Faculty departments in
international spotlight
Major international conferences
in Vancouver in June turned the
spotlight on three Faculty of
Medicine departments—Physical
Therapy, Health Care &
Epidemiology and Dermatology
& Skin Sciences.
(2 below) organized and chaired
the world's first Physical Therapy
Summit on Global Health, part
of the 15th International World
Conference of Physical Therapy.
More than 3,500 physical therapists from around the world
attended the conference.
Associate professors JIM
served on the coordinating
committee for the 19th
International Union for Health
Promotion and Education
(IUHPE) World Conference
on Health Promotion and
Health Education.
Clinical professor JERRY
SHAPIRO chaired the Fifth
International Congress of Hair
Research, "the largest hair
research meeting ever held."
The conference attracted over
400 clinicians and scientists
in the field.
Participants and presenters
at the three conferences came
to Vancouver from Africa,
Australia, Central and South
America, the European Union,
Hong Kong, India, Japan,
Korea, the US and Canada.
Are Cell Phones the
Health study in Africa
Sub-Saharan Africa has the
highest rate of mobile phone
uptake in the world and continually expanding network
coverage. It also has more than
eight million people who
could benefit from antiretroviral
therapy. The drugs are free,
but drug centres are centralized
and far apart.
In correspondence in the
journal AIDS in 2006, RICHARD
LESTER (3 below) and colleagues
observed that "cell phones are
already influencing personal and
business communications
on a wide scale in developing
regions." And, they asked,
"Do they also have a potential
for use in health care?"
Lester, a former Fellow in
the division of Infectious
Diseases, currently divides his
time between St. Paul's Hospital
and Nairobi, Kenya. He
reports that the studies he and
his colleagues are conducting
in very rural Kenyan communities show that introducing
and encouraging cell phone use
can have a significant, positive
impact on patient follow-up,
drug adherence, reporting of
side-effects and the overall efficiency of health care delivery.
Alzheimer's Early
New diagnostic criteria could
also rule it out
Physicians may be able to
detect and treat Alzheimer's
disease in patients experiencing
mild degrees of cognitive
impairment, thanks to new
diagnostic criteria proposed by
an international group of
researchers led by HOWARD
FELDMAN (4 below) and French
researcher Bruno Dubois.
The proposed criteria are
based on examining the
structure and function of the
brain using advanced brain
imaging techniques, as well as
looking at spinal fluid for
the imprint of the disease. "We
now have advanced diagnostic
tools—distinctive and reliable
biological indicators—that can
be detected before the patient
crosses the dementia threshold
of disability," says Feldman, head
of the division of Neurology
and senior investigator with the
Brain Research Centre.
Conversely, the absence of these
indicators could mean that an
individual's cognitive impairment is just cognitive impairment, not Alzheimer's.
Validation studies are
needed to further explore the
criteria and improve their
sensitivity, specificity and
accuracy, say the researchers.
New resource for
Chinese Community
Diabetes website launched
More than 700 people celebrated the launch of the Chinese
Online Health Network (iCON)
at Vancouver's Chinese Cultural
Centre in September.
iCON, which focuses on the
prevention and/or active self-
management of diabetes, was
led by KENDALL HO, (5 below,
right) associate dean of
Continuing Professional
Development & Knowledge
Translation (CPD-KT),and
FRANCIS HO,MD'61, (5 below,
left) and professor emeritus
of Family Practice. Working
with clinical assistant professor
THOMAS HO, MD'80, physician
RAYMOND MAH, medical
ALBERT TU, Chinese diabetes
patients, and CPD-KT staff
NOREEN KAMAL, the team
created a Chinese language
website designed to reflect their
target audience's unique diet
and culture.
The website is at
Fall/Winter 2007 UBC Medicine F LASH!
Hitting the Cellular
Sea sponges key to
treating inflammatory diseases
and leukemia
ONG, assistant professors in the
department of Surgery, have
identified a compound in sea
sponges that "puts the brakes
on" abnormal blood cell growth
in a range of inflammatory
and autoimmune disorders and
blood cancers.
"Previous research efforts
were aimed at trying to control
the cells through blocking stimulation signals," says Mui. "That
[is] like taking your foot off the
accelerator—[the vehicle] eventually stops when it runs out of
fuel—versus this new approach
of directly applying the brakes."
Mui and Ong collaborated
with GERALD KRYSTAL, a senior
scientist at the BC Cancer
Research Centre and a professor
of Pathology & Laboratory
Medicine, and with Raymond
Andersen, a renowned natural
products chemist and professor
of Earth & Ocean Sciences
at UBC. The team screened Dr.
Andersen's library of sea sponge
extracts for compounds that
would have the desired effect on
the human immune system.
Their work is highlighted in
the September 15 edition of
Blood, journal of the American
Society of Hematology.
Major commitment to BC s
future health professionals
On September 20 Advanced
Education minister Murray
Coell presented this year's UBC
class of 256 first-year student
doctors—the CLASS OF 2011
(6 below) with white lab coats.
This celebrated the fulfillment of
the provincial government's
promise to double the number
of spaces for first-year medical
students in British Columbia.
All 256 students begin
their education on the UBC
Vancouver campus for their first
semester. In January, 32 move to
the Northern Medical Program
based at the University of
Northern BC, and 32 go to the
Island Medical Program based
at the University of Victoria.
Students in all three programs
share interactive, simultaneous
classes, linked by some of
the most advanced audiovisual
technology in the world.
The program is delivered in
collaboration with UVic, UNBC
and all the province's health
authorities. "I congratulate our
partners, whose vision, determination and sheer hard work has
turned government's investment
into one of the biggest and
very best medical schools in all
of North America," Coell said.
This distributed learning
model is designed to train doctors in a wider range of communities, where many are likely
to practise after they graduate.
A fourth program in
the southern Interior is in the
planning stages.
In the spring, Health minister George Abbott announced
additional funding for
EDUCATION. "By 2008, the
first graduates from the expanded and distributed UBC [MD]
undergraduate program will be
ready for post-graduate medical
education, and we are ensuring
there are sufficient residency
positions for them," said Abbott.
A snapshot of recent honours,
awards, offices and achievements
Order of Canada
DONALD RIX, clinical associate
professor emeritus, dept. of
Pathology & Laboratory
Medicine, and well-known
BC businessman, philanthropist
and volunteer.
Order of British Columbia
MAX CYNADER, professor,
dept. of Ophthalmology &
Visual Sciences, and director,
Brain Research Centre.
National Lab of Medical
Genetics of China
WEIHONG SONG, associate
professor, dept. of Psychiatry,
the Jack Brown and Family
Professor and the Canada
Research Chair in Alzheimer's
Disease, was recently named
the head of the National Lab's
advisory board. He will hold
this position until 2011.
Royal College of Physicians and
Surgeons of Canada/Associated
Medical Services, Inc. Donald
Richards Wilson Award
ROGER WONG, clinical associate
professor, dept. of Medicine.
Royal Society of Canada
BRIAN MACVICAR, professor,
dept. of Psychiatry.
MARCO MARRA, (7 below)
associate professor, dept. of
Medical Genetics.
Canadian Medical Association
May Cohen Award
professor, dept. of Obstetrics
& Gynaecology.
BC Innovation Council Awards
BC Science & Technology
Champion of the Year
JULIO MONTANER, professor,
dept. of Medicine, Chair in
AIDS Research and director,
BC Centre for Excellence
Frontiers in Research Award
MARTIN GLEAVE, professor,
dept. of Urological Sciences, and
director, Prostate Centre.
Health Employers of BC
Excellence in BC Health Care
Top Innovator Awards
HOLLY TUOKKO, clinical
associate professor, Island
Medical Program.
(Northern Health Authority).
Collaborative Solutions Award
DAN HORVAT, clinical assistant
professor, and BILL CLIFFORD,
clinical instructor, dept. of
Family Practice, and their team
(Northern Health Authority).
YWCA Young Woman of
Distinction Award
DIANNA LOUIE (8 below)
MD Class of 2010.
UBC Killam Teaching Prize
ROGER WONG, clinical associate
professor, dept. of Medicine.
UBC Alma Mater Society Just
Desserts Award
services coordinator, Medical
Student & Alumni Centre.
Faculty of
Medicine Awards
Applegarth Staff Service Award
HELEN MERKENS, (10 below)
head technician, Biomedical
Research Centre.
SHIRLEY TAM,(11 below)
program administrator, dept.
of Family Medicine.
Career Award in
Clinical Teaching
professor, dept. of Pediatrics.
Clinical Excellence in
Teaching Award
assistant professor, dept.
of Pathology & Laboratory
JEAN GILLIES, clinical instructor,
dept. of Medicine.
JENNA SCOTT, clinical
assistant professor, dept. of
Medical Genetics.
Distinguished Service to
GRANT INNES, clinical
professor, dept. of Surgery.
Innovation in CME/CPD Award
professor, dept. of Psychiatry.
Significant Impact of Teaching
in the Local Community Award
assistant professor, dept. of
Medicine, Northern Medical
Program, Prince George.
The Faculty of Medicine celebrates the accomplishments of its staff
and faculty members at a number of events throughout the year:
1 For a full list of the individuals recognized at these events, go to
www. med. ubc. ca/faculty _staff/awards. htm
1 Photos can be viewed at www.med.ubc.ca/news/Photo Album.htm
2007 UBC Alumni Achievement Awards
Thursday, November 15, 2007, 5:30 - 10:00 p.m.
Chan Centre for the Performing Arts and UBC's Sage Bistro
We have two outstanding award winners to celebrate
in the Faculty of Medicine
The Lifetime Achievement Award
DAVID HARDWICK, professor emeritus, dept. of Pathology &
Laboratory Medicine, special advisor to the dean—and, the first
physician to receive this award!
The Faculty Citation Community Service Award
JOANNA BATES, senior associate dean, Education
Tickets & registration: www.alumni.ubc.ca/events/awards/index.php
Fall/Winter 2007 UBC Medicine PROFILE
The Bill and  Marilyn Webber
When Nelly Auersperg was 12 years old, she read a children's book about a magic doctor. The magic
doctor shrank two children down to the size of a rain drop and placed them in a person's bloodstream.
by Erin Creak, Faculty Liaison, Division of Educational Support and Development
On their voyage of discovery, the
children investigated the internal organs and
learned about the role of the endocrine system in growth and development. Captivated
by the story, Nelly thought to herself,
"Exploring the human body—this is what
I am going to do."
And she ended up doing just that. For
the past 66 years, Dr. Nelly Auersperg s love
of exploration has informed a highly productive research career—and laid the foundation
for our current understanding of ovarian
cancer, the most lethal gynaecological cancer
in Canada.
So, when the Faculty of Medicine
considered the nominations for the Bill
and Marilyn Webber Lifetime Achievement
Award, Dr. Auersperg was an irrefutable
choice. The Webber Award recognizes
an extraordinary member of the Faculty
who has sustained a distinguished career
at UBC in the areas of research, teaching
and/or service.
10     UBC Medicine Fall/Winter 2007
The Compelling Question: "Why?"
After completing medical school at the
University of Washington, Auersperg s enthusiasm for asking the question " why?" drove
her towards research. She completed a
PhD in Cell Biology at UBC and went on
to become one of Canada's foremost cell
biologists and cancer researchers.
Throughout her professional life,
Auersperg has supervised and mentored
more than 60 undergraduate, medical,
graduate and post-doctoral students. Many
of her previous trainees, now scattered
throughout the world, have achieved considerable success themselves.
A Research Career and A Family
Despite the demands of her career, Auersperg
always found time to be with her husband
and two children—a difficult balancing act at
best. Auersperg distinctly remembers telling
one of the scientists she worked for that she
wanted a family as well as a research career.
Without hesitating he told her, "No way.You
can't serve two gods." Auersperg's response?
"I will." And that she did. Her family now
includes six grandchildren.
"Knitting" Was Never an Option
At 79, what keeps her going? Auersperg
explains with a wry smile, "I like knitting,
but not as a full-time job." The same
passion for uncovering answers that propelled
her through her career continues to drive
Auersperg in her post-retirement years. Since
mandatory "retirement" in 1994, she has
published 82 peer-reviewed papers and five
book chapters. She and her research team
have recently made a discovery that may lead
to the development of clinical markers for
the early detection of (pre) neoplastic lesions
in women at high risk of developing
breast/ovarian cancer.
"This award means a lot to me,"
acknowledges Auersperg. "I have been connected to UBC ever since I worked at the
university during my summers off from
medical school. And I loved Bill Webber,"
she adds with a smile." He was a really good
person—someone you would trust with
any form of problem, personal or professional. To get an award with his name
attached to it is just great." ■ POINT   OF   VIEW
The first questions people ask when they find out that I am from Israel are: "Wow, weren't you afraid to live
there? How did you deal with the tension, the war and the terrorist attacks?"
by Tal Jarus, Head, Department of Occupational Science & Occupational Therapy
And I am amazed at how surprised I am
every time they ask. When you live with it,
you simply—and unconsciously—learn to
deal with it.
I first really understood how stressful
my life in Israel was when my family moved
to Canada in 2000 for my sabbatical. During
our stay, the second Palestinian intifada
erupted, so when we returned to Israel, I was
acutely aware of the increased tension and
how it affected my day-to-day life. I thought
twice before I went outdoors, and I avoided
going to crowded public places with my kids
or using public transportation, as those
were the places where most terrorist attacks
on civilians occurred.
My homecoming experience led to a
shift in my research focus. As an occupational
therapist I wanted to know more about
how terrorist attacks on civilians influence
parents' attitudes, behaviour and everyday
activities at home, at work, at school and in
the community.
The first study I conducted, with my
colleague Dr. Dalia Sachs, was a qualitative
one. We investigated how Israeli mothers
perceive, adapt to and organize their families'
activities—particularly their children's. We
discovered three common themes. First,
mothers adapt family activities for, and
limit them to, the home safety zone. Second,
rebalancing their family's activities in
response to the ever-changing conditions is
a major challenge. And third, although
family life continues as usual for the kids—
or appears to—their mothers live in nonstop "alert" mode, continually monitoring
and assessing external events.
Two years later, in a quantitative study
of a much broader group of women in Israel
(including Muslims, Christians, Jews,
lesbians, transgendered women, women with
breast cancer, and more), we found no
difference between the health and well-being
of women who lived in cities prone to terrorist attacks and that of women who lived
in "safer" cities. All of the women reported
deterioration in their physical and mental
health and their economic status—but one of
the most significant sources of stress was their
role as caretakers and protectors of children
and people in need. Many of the women
also suffered sexual harassment and domestic
violence. Interestingly, these women found
the violence in their personal lives more
stressful than their fear of external terrorism.
Regardless of their individual situations,
however, after a few years all the women
we studied had learned how to live with the
stress. They adapted their behaviour, did
not allow themselves to perceive the conditions as stressful anymore, and continued to
shoulder the burden as society's caretakers.
I find this outcome sad—and potentially
dangerous. Does it mean we can—and
should—adapt to anything? In a time when
terrorist attacks are a worldwide phenomenon, and when many women live in terror
within their own homes as well, will we
become inured to such events and conditions? Will we simply assume that women
who live in far worse situations—in the
occupied territories, for instance, or in Iraq
and other war zones—will also adapt?
And will we therefore feel justified in ignoring their plight?   ■
Dr. Tal Jarus (L) and family.
rl    *•
1   :l    mui ill    I
i -     » i
FhflJ.ft Ciofi Q aft Q Q Q Q 0 L3Q^^ i ,
12      UBC Medicine F; When clinical professor Jan Christilaw first arrived in Uganda,
she found a country "so vibrant and full of life it's like a heartbeat. You land there and you see mangos hanging from the
trees and you think, how can this place be poor? It's just dripping with lush vegetation and the weather is perfect and there
are fruits and vegetables everywhere."
Yet, the majority of people live in poverty. AIDS is rampant. And the maternal
mortality rate is "200 times as high as it is in North America," she says, "a ratio that
is one of the most disparate in the world." Her first day on a Ugandan labour ward
brought the numbers home.The experience, she says, was "life-changing."
"A woman was admitted, [who] had been in obstructed labour for days and was
in septic shock and HIV positive. She died that afternoon. You hear these statistics,
but when it happens when you're there, it's unbelievable. Suddenly, it's a real person
with a real family. It changes everything in terms of how you think about it."
Six Hundred Thousand a Year
Christilaw decided to get involved with international health, particularly women's
issues, five years ago when she left her full-time private practice in White Rock to
join BC Women's Hospital and Health Centre. As a former president of the
Society of Obstetricians and Gynaecologists of Canada, she was painfully aware
that 600,000 women worldwide die in childbirth or from related causes annually.
But "you just can't go over and decide you're going to do something," says
Christilaw, interviewed at her office at BC Women's Hospital, where she is head of
Specialized Women's Health and vice-president of Medicine. Her framed Nobel
Peace Prize, received in 1985 for her role in helping found International Physicians
for the Prevention of Nuclear War, is offset by a personalized hockey jersey hanging casually on the back of her door.
"What works much better is if you can form a partnership with an institution
wherever you're going to be working. What we try to do is work with our partners on projects they've identified as priorities. Sustainable projects with long-lasting positive effects are best achieved through ongoing relationships."
The Ugandan Connection
The idea for a collaboration with an African hospital came about shortly after
Christilaw joined BC Women's and was encouraged by former UN Special Envoy
for HIV/AIDS in Africa Stephen Lewis. A few months later, when Dr. Nelson
Sewankambo, dean of Medicine at Kampala's Makerere University, and Dr.
Florence Mirembe, the head of Makerere s obstetrics department, visited Vancouver
seeking both an academic and a clinical relationship, the die was cast.
The Makere University hospital delivers 27,000 babies a year—nearly
20,000 more than BC Women's Hospital—and faces a number of pressing problems, including a lack of resources to deal with this huge demand for maternal
health care.
Christilaw acknowledges that after just two years it's far too early
to say whether or not the relationship between faculty, residents
and students at the two universities has had an impact on lowering
the maternal mortality rate.
But the implementation of training projects in emergency obstetrical care and neonatal resuscitation gives her cause for optimism.
"You can see a difference in morale over there.That's what keeps us
all going. And when you go back and see friends, and they're
happy to see you and want to hear about what's been happening in
Canada, you feel you're on the right track."
Isn't Your Life Worth Saving?
Giving women a voice and educating them about the options
they have for their own health, and that of their children, is crucial.
When Christilaw first visited Africa in 2005, 40 per cent of
Ugandan women weren't taking AIDS tests, mostly because their
husbands wouldn't let them. (A test is required before antiretrovirals,
which decrease the chance of transmitting infection to the baby
in utero, can be administered.) "Virtually all transmission to women
in Uganda is through heterosexual sex," explains Christilaw. "If the
test is positive, it usually means exposure for the husband, who has
I think people are numb to the numbers. A
woman dies every minute of pregnancy-related
causes that are easily preventable. We lose
10 million women in every generation. And
those are only the women who've died. Thirty
times that number are living with serious complications. Their lives are a living nightmare, and
very challenging for them and their families . . . Although this all
sounds very dire, and it is, there are a number of success stories.
And we've learned from our initiatives. With the best will in the
world, in the early years of the Save the Mothers Initiative,
someone donated an ambulance. Well, if you've ever seen the roads
in Uganda, you'd know a) an ambulance would be quite unhelpful
on most of those roads, b) who has the keys, who's going to drive
it, and where are they when you need them? and c) where's the
gas for it? People who live here have no concept of how fortunate
we are, despite whatever problems we think we have with our
health care system.
Dr. Dorothy Shaw, Senior Associate Dean, Faculty Affairs,
and President, International Federation of Gynecology
and Obstetrics (FIGO)
been having extramarital sex, and there's a shaming thing that
goes on." Once the women discovered that the medication would
help prevent transmission of the disease to their babies, however,
within a year the number who refused testing dropped to less than
5 per cent.
Christilaw recalls her conversation with one woman about why
she decided to have the test: "She was afraid of her husband, but
she was more afraid for her baby—which is poignant in a way. She
won't actually stand up for herself, but as a mother she can be
proactive in looking after her baby. 'You mean, you're not worth it?'
I asked.'You can't do this for yourself?'And she replied,'You know,
I am worth it. I can do it for myself.' So we're seeing these
attitudes shift."
Waking Up the World
Christilaw's voice takes on an urgent tone as she discusses the
need for the developed world to take notice of the problems in
Africa. "Things desperately need to be done, and we have to
wake up the world to what's really happening," she says.
She salutes the leadership role taken by the International
Federation of Gynecology and Obstetrics (FIGO)—headed by the
Faculty's senior associate dean of Faculty Affairs, Dorothy Shaw.
FIGO's current priorities include international committees on Safe
Motherhood and on Child Health and Women's Reproductive
Rights. The organization's Saving Mothers and Newborns initiative
is currently underway in nine countries, including Uganda.
Christilaw has no patience for people who say that we have
enough problems to deal with here at home. "As long as there are
problems anywhere on the globe, [I feel] they are my responsibility,
and I want my students and residents to feel that way too. That's
why we want to send as many of them as we possibly can over there."
That said, Christilaw isn't focusing solely on Africa. She's
working equally hard here at home, where Aboriginal health rates
remain distressingly out-of-step with the rest of the province's
population. The life expectancy for Aboriginal women in BC is 10
to 12 years shorter—14 in the Downtown Eastside—than the
average. But, Christilaw cautions, "There's no way anyone can 'fix
things' for the First Nations people. They have to be driving
the process."
The same applies to the programs in Africa with which she is
involved—it's the Ugandans who are taking the lead in turning
maternal mortality rates around.
One Day at a Time
"All these women dying in childbirth seems overwhelming," says
Christilaw." [But] as my friend Florence Mirembe, head of Obstetrics
at Makerere, says, 'If we can save one woman's life today, that's great.
That's our goal for today. "' ■
14     UBC Medicine Fall/Winter 2007 THINKING
by Tim Carlson
In refugee camps in Uganda, on the streets in Thailand
and Vancouver's Downtown Eastside, and in the BC
interior, Faculty members Patricia Spittal, Thomas Kerr and
Evan Wood serve on the front lines of HIV/AIDS prevention,
jnching the numbers and interpreting the data that
.loves agendas."
V\oving agendas is half the battle in the war on HIV/AIDS.
As world-renowned AIDS researcher Dr. Julio Montaner
states, medical science cannot battle the disease on
its own. Advocacy and innovative programs are as
essential as groundbreaking drug cocktails.
iter 2007 UBC Medicine Creating a Safe Environment
"HIV/AIDS delights in human conflict and trauma," says Spittal, an
assistant professor in the department of Health Care & Epidemiology,
based at the Centre for Health Evaluation and Outcome Sciences
(CHEOS) at St. Paul's Hospital in Vancouver. An anthropologist by
training, she studies the stories of traditional cultures and collects current data to formulate interventions aimed at halting the spread
of the disease—in BC and in Uganda.
"The northern Uganda project is about understanding traditional
ways of creating sexual security for girls and then adapting those
mechanisms to the context of displacement camps," says Spittal.
"These girls have been gang raped in the camp or they return from
the bush after having been abducted, discover they have a disease,
and have nowhere to turn." The trauma—and the disease—spreads.
The displacement camps are the result of a reign of terror
begun in the late 1980s by the rebel Lord's Resistance Army in an
attempt to control its own people, the Acholi. In the frantic
move to the "security" of militarized camps, villages were abandoned
and, along with them, many long-standing traditions.
In 2003, an agreement between the Faculty of Medicine and
Makerere University Medical School in Kampala opened the door for
Spittal and Ugandan colleagues—supported by Canadian Physicians
for Aid and Relief and by Save the Children in Uganda—to conduct
research with over 150 women and girls in three displacement camps.
"In the Acholi family, there was traditionally an 'auntie,' who men-
tored a girl through sexuality issues, bride price negotiations and marriage obligations. Girls had an incredibly protected environment."
In the resulting program, women whom girls in the camps trusted
took on the traditional "auntie" roles, as well as new ones—dispensing
condoms and providing referrals for sexually transmitted infections
(STI) treatment and HIV testing.
From Uganda to the Shuswap to the Downtown Eastside
Based on the success of the Uganda project and recent research
on HIV transmission in First Nations populations in BC, Spittal and
Chief Wayne Christian, from the Splats'in First Nation, Secwepemc
(Shuswap) Territory, are designing a similar community-driven initiative for that community. "What we learned in Africa is applicable in
Canada," says Spittal. "We are working with First Nations colleagues
to look at how we can merge those [common] understandings."
"This is about pain, poverty and trauma," Spittal continues.
"The commonalities around the dignity of women, and the gender
and power issues that you see in Africa, are the same in the
Downtown Eastside. When you look at First Nations issues, there is
a whole historical trauma piece which is also about British colonial
history, loss of land and territory, as well as the residential schools."
Under the Microscope on the DTES
Spittal landed in Vancouver in 2002 from Uganda, where she had
been doing post-doctoral work. She joined the Vancouver Injection
Drug User Study (VIDUS) as a researcher.
The 1996VIDUS revelations were shocking—Vancouver's
Downtown Eastside had the highest documented rates of infection
in the developed world. In the United Nations' recently released
report, State ofWorld Population 2007, they put it another way—the
Downtown Eastside "is home to ... an HIV prevalence rate of
an estimated 30 per cent—the same as Botswana's."
Today the VIDUS study is headed up by Dr. Thomas Kerr, with
Dr. Evan Wood as principal investigator. Their work with VIDUS
paved the way to their current project, evaluating North America's
first legal medically supervised injection facility, InSite, which opened
in Vancouver's Downtown Eastside in 2003. By far the most comprehensive study of such a facility in the world, the evaluation is no
doubt destined to be both influential and controversial.
"We were in the best position to evaluate, since we already had
a cohort of injection drug users under active follow-up in the
Downtown Eastside," says Wood.
Kerr and Wood, clinical faculty members in the department of
Medicine, also work at the BC Centre for Excellence in HIV/AIDS.
Their mandate is to bring together studies looking at marginalized
populations in the Downtown Eastside and at street youth outside
the neighbourhood.
The researchers knew the InSite study would be "under
the microscope" internationally—there has been little comprehensive
evaluation of similar sites in Europe—but also federally, because
the facility's very existence, Wood says, "pushes all sorts of moral panic
buttons." The external review of InSite was a condition of the
federal licence that allowed illegal drugs to be consumed within the
facility during its pilot phase. InSite's future is uncertain—the
current government approved only a six-month extension of the initial three-year licence, saying there was little proof of its efficacy
and that further study was necessary.
Kerr emphatically rebuts those contentions. "We're three and a
half years into the piloting of the site and there are 25 published
studies, peer reviewed, that not only speak to its benefits, but also rule
out potential negative consequences that people feared. For example,
a recent study showed that drug-related crime has not increased since
the opening of the facility. We don't attribute that to the site, but
it's comforting to know that it hasn't gone up due to the presence
of the facility."
16     UBC Medicine Fall/Winter 2007 We're now into the third decade of the HIV/AIDS epidemic, having gone from total ignorance to the
point where it's a fully preventable and treatable illness. The next generation of researchers are creating
a new culture of medical research—a paradigm shift that's not only about exploring, but about
advocating and activating.
We have to use strong language, because for every success, celebration and pint of glory, there
is an exponentially greater frustration when we can't deliver treatment to those who need it. In a recent
speech in Montreal, Dr. Anthony Fauci, director of the US National Institute of Allergy and Infectious
Diseases, said, "We will be judged, not by the significance of our discoveries, but instead judged harshly
by what we do with those discoveries." That means there's a moral imperative to help those in need.
Choosing not to—due to some twisted ulterior political motive—means that we just don't care.
And that's a crime against humanity.
DR. JULIO   MONTANER,  Director of the BC Centre for Excellence in HIV/AIDS
and President-Elect of the International AIDS Society
Wood calls on a quote from a quintessential scientist to describe
his feelings about the current political climate:" Einstein said that
insanity is defined as doing the same experiment over and over again
and expecting a different result. [The get-tough] type of beliefs are
not based on a strong foundation of reality. Many of these people have
terrible histories of physical and sexual violence. They've had tough
lives and tough love is not the solution."
Against the Odds in Thailand
People with AIDS in other parts of the world know about
tough "love," and Kerr knows intimately the price of it, having
recently helped a coalition of Thai intravenous drug users
fight for help in battling the epidemic.
"The sad thing is that the government of Thailand has done
little other than totally oppress them," says Kerr. "In 2003, the
country launched a vicious war on drugs, which in three months
resulted in thousands of people being killed in extrajudicial
executions. About 55,000 people were forced into military-style
addiction treatment camps."
Kerr flew to Thailand that year to help the coalition draft
an application to the Global Fund to Fight AIDS, Tuberculosis and
Malaria—ordinarily only a country can apply—which would
help the users themselves to provide addiction treatment, care and
support. It was successful. He co-authored a Fancet article in 2004
("The Global Fund to Fight AIDS,Tuberculosis and Malaria: Funding
for Unpopular Public-Health Programmes") on the project and has
returned to the country since to evaluate it.
"It's hard to say what the future of the program is, because
there's still a general acceptance that it's okay to discriminate against,
or even execute, drug users."
In Canada, there is no state-sanctioned violence against those
infected by AIDS, but as Montaner points out, there is ultimately little
distinction between such extremism and a lack of full support for
prevention and treatment programs like InSite. The end result is still
an unnecessary and ultimately unjustifiable loss of life.
More Than an Ounce of Prevention
On June 27, 2007,Vancouver's supervised injection facility oversaw a
record number of injections—1,000 in one day. Canadians might
well ask if such sites will always run over capacity regardless of how
many resources are dedicated to eradicating the problem.
"I totally agree that the ultimate goal is to stop people from
injecting, but the means by which we pursue that objective need to
be scientifically based," says Wood. "One of the most promising
things we've seen in terms of getting people into addiction treatment
is the injecting facility. If you compare the year before and [the
year] after the opening, there was a 30 per cent increase in referrals
to medical detoxification."
That statistic is relevant in terms of both health and economics,
Wood continues. "If something is saving lives and saving health care
dollars, then it's worth continuing. Every case of HIV infection costs
the taxpayer approximately $250,000 in lifetime medical costs. Not
too many cases need to be prevented before these programs start to
be cost-effective."
A Fiery Balancing Act
Despite decades of dealing with the worst the world has to offer—
and sometimes becoming political targets for their trouble—Kerr,
Wood and Spittal never give the sense that they have lost their fire.
"We're passionate about what we do, and good days help
balance the bad days," Wood says. "We're very fortunate to be working
on such a high-profile project—a social experiment. It's actually a
lot of fun."   ■
Fall/Winter 2007 UBC Medicine     17 A GLOBAL AGENDA
by Tim Carlson
The 2003 outbreak of severe acute respiratory syndrome (SARS) was a lesson in how rapidly new infectious
diseases can spread and kill globally.
It also illustrated how far the medical and
scientific communities have advanced in handling the spread of new infectious diseases in
the relatively short time since the outbreak
of AIDS in the 1980s, says Dr. Robert C.
Brunham, professor of Medicine and director
of the UBC Centre for Disease Control
UBC CDC—the academic arm of the
BC Centre for Disease Control (BCCDC),
of which Brunham is the provincial executive director—played a lead role in coordinating the response to SARS in the province.
It disseminated the breakthrough genome
map sequenced at the Michael Smith
Genome Sciences Centre in Vancouver.
"It was the global connections among
people that put us at risk for SARS," says
Brunham, "but also the connections between
people that allowed us to get information
out and stop the transmission. It worked well
in BC, preventing those first few cases from
seeding the hospitals and creating a Toronto-
like experience."
The most important lesson, Brunham
says, is that preventing the spread of infectious disease demands agencies like the CDC
be active internationally as well as locally.
Our Risks Are Global Risks
"The risk for such diseases as HIV and
tuberculosis in BC are really determined by
the global risk," says Brunham. "Our best
efforts to protect the population here really
relate to engaging in this global agenda."
"There have been 35 new infections to
emerge in the last 25 years—more than
at any [other] time in recorded history," he
adds. "Because of BC's position on the
west coast and the fact that we know many
of the emergent diseases are coming from
Asia, where there has been such rapid economic expansion, we're especially interested
in forming an Asia-Pacific observatory on
this whole phenomenon."
Brunham also highlights the importance
of the social context in controlling infectious
disease. "We need to work at both levels,"
he says," on the social variables that are
driving transmission of the organism, as well
as on attacking biological targets. That's how
we're going to best deal with the emergence
of resistance. We've seen this with multiple-
drug-resistant strains of TB and malaria
and HIV, so we need to acknowledge our
therapeutics are not the ultimate solution.
We need to deal with it on a more fundamental level."
Brunham was at "the eye of the
storm" during the SARS outbreak and, as
a University of Manitoba researcher, was
working in Kenya when the HIV/AIDS crisis
hit in the 1980s. "We were there studying
STDs among high-risk groups—particularly
commercial sex trade workers—when
AIDS arrived. We began to document its
spread in the larger population and the
role the sex trade played. We built on our
experience with other diseases to come
to a global understanding of the problem."
Lessons From Vancouver:
Hope in Ho Chi Minh City
The CDC currently plays an international
role in sharing the lessons of HIV/AIDS prevention in Vancouver's Downtown Eastside
(DTES) with those facing similar challenges
in other countries.
Dr. Michael Rekart, clinical professor
of Medicine and director of STI/HIV
Prevention and Control at BCCDC, met a
delegation from Vietnam at the 1996
International AIDS Conference in Vancouver.
He was invited by that country's health
minister to do an assessment ofVietnam's
medical response to the growing crisis
of AIDS/HIV infection.
Rekart, who was instrumental in
starting the street nurse program and needle
exchange in the Downtown Eastside in
1986, found that conditions in 1996 in areas
of Vietnam with high infection rates—a
transient population disconnected from traditional family and community structures,
pervaded by poverty, prostitution and intravenous drug use—were very similar to
those in the DTES a decade earlier.
With a $500,000 pilot project grant from
CIDA, Rekart and the CDC opened a
clinic in Ho Chi Minh City's red light district. They called the clinic Cafe Hy Vong
("hope" in Vietnamese). Between 1998 and
2000, the clinic offered medical, street
outreach and needle exchange services, as
well as first aid and basic health care for
homeless and poor clients, based on peer
counselling models developed in Vancouver.
Today, funded by an additional
$5-million CIDA grant, and with two full-
time Canadian and five full-time Vietnamese
staff, the Cafe Hy Vong model has evolved
into a network of 12 clinics throughout
the southern part of the country. Rekart still
visits Vietnam annually, and like other
CDC staff, contributes his holiday time to
the project.
"There is a strong government with a
vast medical infrastructure in Vietnam—more
hospitals and health care workers per capita
than in Canada—plus a growing economy
and a hard work ethic," says Rekart. "The
successes so far have stimulated a real morale
boost for our people at BCCDC, who are
dedicated to making the program work."
Bioterrorism on the Radar
Bioterrorism is another area of CDC
responsibility. Says Brunham, "We are the goto agency when there is concern about a
bioterrorism event. All of us were shocked by
the anthrax threats following 9/11, and that
really put bioterrorism on the radar screen."
Putting it in perspective, he adds, "It's there:
it's real; but when you compare it to the
threats that Mother Nature creates, bioterrorism is a smaller risk. Still, as we prepare for
it, there is a side benefit of making us better
prepared against all infectious diseases."
Detectives Who Can Change
the Course of History
In talking with both Brunham and Rekart,
one is struck by the passion they have for
their work.
" There is a high sense of excitement
and the almost detective-like storyline that
goes along with these situations that
makes my job exciting and rewarding,"
Brunham says.
It's work that can literally alter the
course of history.
"AIDS, which emerged only 30 years
ago, is now the single most common reason
why a person will die of infection on
planet Earth," Brunham continues. "This has
happened in our lifetime. If we had recognized in those early days what was pushing
the transmission and had been able to stop it,
what a different world it would be."  ■
Faculty of Medicine, Research
317-2194 Health Sciences Mall
Vancouver BC V6T1Z3
Senior Associate Dean, Research
Assistant Dean, Graduate Si
Post-doctoral Education
Post-doctoral Coordinator
Administrator, Research
Secretary, Research
Research Grant Development Officer
Research Grant Development Officer
Database Analyst
Fall/Winter 2007 UBC Medicine     19 STREET SMARTS
by Tim Carlson
Life on the street looks dangerous and desperate. Beneath that surface, however, students in the health
professions at UBC have discovered a resilient, fiercely independent population of young people.
As pioneering volunteers with the newly
created Youth Wellness Project, our future
health practitioners gain street-level insight
into this marginalized segment of society.
The volunteers work with street youths to
help turn their peers—ordinarily resistant
to medical interventions—towards harm
reduction and prevention.
Mostly between 14 and 24 years of age,
usually fleeing domestic violence or sexual
abuse, street youth tend to avoid "authority"
and instead create their own peer-based
survival systems to deal with the daily realities of life on the street—hunger, poverty,
violence and addiction. And although the
street poses formidable health risks for these
young people, there is also great potential
for them to apply their keen survival skills to
help themselves and others—and that's what
the UBC students are attempting to facilitate.
The students are working with street
youth on Vancouver's south side to develop
short sessions on substance use, nutrition,
mental health and pregnancy/child care. A
first aid component was recently added. The
students provide medical information and
communication strategies, while the young
people take the lead in delivering the
sessions to peers in their own "language."
Program manager Sean Nixon, a
UBC graduate student in Health Care Si
Epidemiology, developed the program in
collaboration with Dr. Peter Granger,
thesis advisor James Frankish and the support
of the Community Health Initiative by
University Students (CHIUS).
Two years ago, Nixon connected with
the Vancouver Youth Visions Coalition, a
street-youth-led group formed initially to
lobby for safe houses. The members of
that group played a key role in getting the
Youth Wellness Project off the ground.
"The welfare of street-involved youth
continues to be a serious concern for community health care providers," says Nixon.
Investing time and resources with them now,
however, is the best way to reduce the
kind of chronic problems associated with
long-term life on the street—one of the
most obvious being complications from
untreated injuries or illnesses.
A Two-Way Street
Nixon says establishing trust between street
youth and the health system is one of the
main goals: "Many of them feel stigmatized
because of their clothes or because they're
dirty from being on the street. Collaborating
with medical students helps to break
down barriers."
The lessons flow in both directions.
Keri Ruthe, a third-year medical student
who volunteers for the Youth Wellness
Project, says she initially thought she would
be "doing good" for a group of substance
users with little self-control. In fact, however,
the experience challenged Ruthe s preconceptions and she came to respect their way
of life rather than judge it." At our first
meeting, one of the women, a crystal meth
addict, said that if they were given the
opportunity to be a leader, they might be
really great at it," says Ruthe. "And some
of them are.
"One of the biggest things I've learned,"
she continues, "is that it takes a lot of skills
to survive on the street and they should
be given credit for that. They're committed
to creating security for themselves." That
includes finding shelter outside when neces-
20     UBC Medicine Fall/Winter 2007 sary, food and clothing on the cheap, and
staying out of harm's way in an environment
where sexual and other physical abuse is a
constant threat.
Supporting Each Other
Ruthe expects to stay involved in the project
this year: "It's really refreshing to see this
group come together, support each other
and share information. Not everyone wants
to be treated in the same way, but everyone
wants to be listened to and acknowledged.
For a family physician, those are two important tools in building a partnership with
respect and integrity."
Dr. Peter Granger, director of Inner City
Medicine in the Faculty of Medicine and
a mentor for CHIUS, is impressed by the
progress of the program. "It's a great example
of a community engagement project—a
true partnership between street-involved
youth and UBC students," says Granger.
"I haven't heard of anything else like it."
CHIUS, which involves about 400
student volunteers from nine health science
disciplines in a truly interprofessional experience, was itself a pioneer project. Its vision
now is to stimulate a chain of similar projects
across the country. There are already fledgling
projects in Alberta and Saskatchewan.
Ruthe went to a Youth Wellness Project
information meeting at CHIUS last year
and was immediately drawn in by the participants' request for information on pregnancy
and child care. "It was right up my alley,
being a recent mom and having an interest
in family practice, including obstetrics."
But No PowerPoint
Of the dozen or so young people taking a
leadership role in the project, four work
with Ruthe on her sessions.
"I suggested we use PowerPoint and
they were totally against that," Ruthe says.
"They had strong ideas on how to take
the information and present it in a de-med-
icalized way. For a unit on STDs, we
organized it with PowerPoint, but ended up
taking all the writing out. They didn't
need to know what virus caused a certain
STD or how it incubated. We printed
and laminated 8x10 photos to be passed
around. It hit home. They're gross
pictures. The participants agreed that they
would definitely go to a doctor before
having a disease progress to that stage."
The program continues to evolve. Ruthe
is developing a five-week seminar for young
pregnant women. One of the street youth
organizers is working on a social network for
pregnant and new moms, who tend to
become isolated from friends.
Granger, who was slated to retire two
years ago, knows how compelling this kind
of work can be. "It's the opportunity to
make a real difference in people's lives," he
explains." [That's why] there's such absolute
enthusiasm for this work on the part of the
students." ■
The Special Populations Fund
Special Populations Focus (SPF) provides
funding support for projects, programs and
academic divisions aimed at improving
health care for underserved people and
communities. By anchoring health care professionals' education, research and service
to the needs of the community, SPF is at the
forefront of health professional education,
and a leader in engaging and learning from
communities in order to serve them better.
Since 2001, SPF initiatives—supported
initially by the Faculty of Medicine's Strategic
Teaching Initiative and now by the BC
Ministry of Health's Capacity Development
Fund—have built capacity in:
> interprofessional education
> community-oriented and patient-centred
education and service
> community-based participatory research
'reciprocal learning between academia, communities and the health service system
Everyone involved in SPF—students,
faculty members, health care providers,
decision-makers and community members—
is passionate about supporting healthy
communities. Under the SPF banner, they
are demonstrating the power of a socially
accountable, interprofessional approach in
achieving their goals.
For information about Special Populations
Focus, contact Lesley Bainbridge at
Fall/Winter 2007 UBC Medicine     21 CONQUERING STROKE
by Shawn Conner
Every year, thousands of Canadians are struck down by a killer we are
only beginning to understand. Between 40,000 to 50,000 strokes occur in
this country every year, and the results are devastating.
"Of every 100 people who have a
stroke, approximately 15 will die, 10 will
recover completely, 25 will recover with a
minor impairment or disability, 40 are
left with a moderate to severe impairment,
and 10 will be so severely disabled they
will require long-term care," according to
the Heart and Stroke Foundation of Canada.
And in a new data analysis released earlier
this year, the foundation added another
chilling statistic to the list: stroke kills 45
per cent more Canadian women than men.
Dr. Phil Teal, the Sauder Family
and Heart and Stroke Foundation of BC
& Yukon Professor in Clinical Stroke
Research at UBC, calls stroke "a horrific,
life-altering disease." To combat this
disease, the Heart and Stroke Foundation
of BC & Yukon (HSFBCY) has partnered
with UBC to improve prevention, treatment,
rehabilitation and care.
22      UBC Medicine Fall/Winter 2007 The HSFBCY has supported research at
UBC since 1955. Of the $7 million the foundation awarded for research in BC last year,
the vast majority went to UBC researchers.
"Our research grants are nationally
peer-reviewed," says Bobbe Wood, president
and CEO of the HSFBCY. "We have a
process that is a gold standard and the envy
of the country. UBC researchers score
exceptionally well, which speaks to the high
calibre of individuals the university is able
to attract and develop."
The foundation has initiated three major
endowments that support medical research at
UBC. These include the Chair in Cardiology
(1997), currently held by Christopher Buller:
the Chair in Stroke (1999), now held by Yu
Tian Wang; and the Professorship in Clinical
Stroke Research (2006), held by Teal. The
Chair in Cardiology and the Professorship in
Clinical Stroke Research have both included
major support from the Sauder family.
"Our mandate ranges from public education and prevention, to research and patient
support," says Wood. "We work in five key
areas—health promotion, public awareness,
research, advocacy and patient support—[so]
the stroke-related endowments are very
important. Yu Tian is doing amazing research
at the molecular level. And Phil's mandate
is to ensure that what we know from bench
research is applied in a clinical setting,
and that our patients are getting the best
treatment available."
At the Bench: Saving Neurons
Yu Tian Wang is part of a world-class team
of cerebrovascular scientists at the UBC
Brain Research Centre. A professor in the
department of Medicine and one of only
20 Howard Hughes International Research
Scholars in Canada, Wang is investigating
ways to save those neurons not immediately
killed by stroke.
"We use fundamental, biomedical
research to understand why and how neurons die off," he says." Once we know
what's going on, we can develop some specific strategies to protect those neurons."
Wang and his team have discovered a way,
using a peptide, to block massive brain
cell death following stroke in rats. The phase
I clinical trial on humans was successfully
completed in May, and phase II is currently
in the planning stages.
At the Bedside: Time Is Critical
"We're getting a lot better at preventing
stroke," says Phil Teal. "We also better understand the dynamic and time-critical nature
of acute stroke, and how important it is to
treat it rapidly."
The HSFBCY's Wood agrees. "There's
nothing more devastating than experiencing
a stroke and missing the opportunity to get
help because you didn't get to the hospital in
time," she says. "Time is absolutely critical
where stroke is concerned."
Currently, there is a three-hour window
following stroke in which to administer the
clot-busting drug, tissue plasminogen activator (tPA). As a clinical researcher, Teal has
been working with drugs that may have
biological advantages over tPA. But progress
is slow and, as he says, "The brain is a tough
organ for effective intervention."
Stroke in the Spotlight
Teal—one of the country's leading stroke
experts and chair of the Canadian Stroke
Consortium, an academic network of
researchers pursuing anti-stroke therapies
has been a spokesman for the foundation's
public awareness and health promotion
campaign for 15 years.
Over the years, he has seen a shift in the
foundation's priorities as recognition of the
toll that stroke takes on its victims, their families and the health care system has grown.
"Increasingly, they have shifted some of their
focus [from heart disease] to stroke, providing
more resources and being extraordinarily
helpful in areas such as increasing public
awareness of the warning signs and symptoms, and the risk factors."
Says Wood, "We want all British
Columbians to know the risk factors. If we
can reduce Canadians' intake of salt by
half, we would reduce the number of people
in Canada with high blood pressure by a
million and would, consequently, reduce the
number of stroke victims."
The foundation has also recognized the
importance of developing research infrastructure and machinery dedicated to stroke as a
clinical condition.
"I think that change has been enormous," Teal says. "There's been a real recognition on the part of the foundation that
the heart has had a lot of machinery in place
for a long time, [but] that stroke is probably
as important as heart disease—maybe
more—not only as a killer, but as a disabler."
We may still be years, even decades
away from therapies that will prevent
or reverse the devastating effects of a stroke.
But the ongoing partnership between
the Heart and Stroke Foundation and the
Faculty of Medicine gives us every reason
to be optimistic.  ■
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24     UBC Medicine Fall/Winter 2007 MEDICAL
alumni news
D. Lynn Doyle, MD'78
David Wlones, MD'70
Jim Lane, MD'73
Harvey Lui, MD'86
Newsletter Editor
Beverley Tamboline, MD '60
lim Cupples, MD'81
Ron Warneboldt, MD'75
Drew Young, MD'59
Dean (ex-officio)
Gavin Stuart, MD
Faculty Representative (ex-officio)
Bruce Fleming, MD'78
Medical Residents'
Representative (ex-officio)
Catherine Gray, MD'05
MUS Representative (ex-officio)
Deny Dance, Class of 2009
Arun Garg,MD'77
David Hardwick, MD'57
Charles Slonecker (Hon.), DDS, BhD
Representatives to
Faculty of Medicine Committees
Admissions Policy Committee
David Wlones, MD'70
Admissions Selection Committee
lim Cupples, MD'81
Victoria Alumni Representatives
Basil Boulton, MD'81
William Bell, MD'54
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 foster academic and
social activities for the alumni.
26     UBC Medical Alumni News Fall/Winter 2007
Due to the vagaries of the publishing
world, I am writing this in early July. By the
time you read it, hopefully, warm weather
will have arrived and not yet left.
As you have undoubtedly noticed
from the photograph on the previous page,
the UBC Medical Student & Alumni
Centre building has a most befitting new
name. It is now officially known as the
William A.Webber Medical Student Si
Alumni Centre.
Dean Webber left us in January of 2006.
He was far too young. There were still
hundreds of medical students for him to
mentor, thousands of hours to be spent on
Gambier Island, years to be spent watching
grandchildren grow and mature, countless
"discussions" to be had with colleagues and
endless walks to be shared with Marilyn.
Following his passing, much was written
about Dean Webber's multitude of
accomplishments, his legendary gift with
words and his strong sense of family.
My family first met the Webbers when
Bill was a fun-loving, hard-working, wry-
witted, brilliant high school student clearly
destined for greatness. In those early years,
Bill gave me a copy of The Complete Works of
Winnie the Pooh. To this day, my fondest
memory of Bill is the spirit of the dedication
he wrote in the book: "NO ONE IS ANYONE
Clinical Faculty Affairs Report
I am pleased to report that in May
2007, UBC, with the support of the British
Columbia Medical Association (BCMA),
announced a revised contract for appoint -
ments/reappointments of clinical faculty
members. Full details are available online at
In addition, UBC and the BCMA have
developed a formalized joint liaison
committee to provide a strategic and proactive forum for the discussion of common
interests, including those that are relevant to
clinical teaching of medical students and
residents. The committee will be co-chaired
by Dr. Gavin Stuart, dean, UBC Faculty
of Medicine, and Dr. Mark Schonfeld,
The Faculty is committed to working
with clinicians across the province in
order to offer our future alumni an outstanding education. These are just some of the
new initiatives the Office of Clinical Faculty
Affairs is leading in order to advance recognition of clinical teaching. Stay tuned to
our website for news and information about
upcoming events, including Celebrate
Clinical Faculty Week in early 2008.
Katherine Paton, MD, FRCSC
Special Advisor to the Dean,
Clinical Faculty Affairs,
UBC Faculty of Medicine
The Office for Clinical Faculty Affairs is an advocate for
fostering the recognition and reward of clinical faculty
in the UBC Faculty of Medicine. For more information,
visit the website at www.med.ubc.ca/clinfac. —
Visitors to the UBC Medical Student & Alumni Centre (MSAC) in Vancouver will be greeted by a
new line of gold letters on the ivy-covered wall beside the front gate (4 above). On October 11, 2007,
MSAC officially became the William A.Webber Medical Student & Alumni Centre.
Dr. Bill Webber, MD'58 (1934 - 2006), was
Dean Webber when the idea of a social
and recreational facility for medical students
and alumni was first proposed in 1983.
He championed and saw it through from
concept, to the fundraising campaign,
to the opening in 1990. The newly created
(1983) Medical Alumni Association (MAA)
was an important part of the MSAC success
story, and it continues to provide financial
support for the centre thanks to graduates'
annual membership fees.
Bill's involvement with the centre and
the MAA was ongoing. He and his wife
Marilyn (3 above) attended countless events
and took part in hundreds of activities at
MSAC over the years.
Bill would be particularly delighted
with the latest developments. Social and
recreational videoconferencing via the
province-wide MSAC Network has taken
off. After three years of participating in
classes via simultaneous videoconferences to
and from the distributed sites (the Island,
Northern andVancouver-Fraser Medical
Programs at their respective academic
campuses), students have taken immediate—
and extensive—advantage of videoconferencing facilities now available at MSAC.
In the first term of 2007/08, the MSAC
Network broadcast 27 student club meetings
and events involving 750 students, and
in the second, those numbers almost tripled
to 75 videoconferences and more than
2,000 student participants.
At the opening of MSAC, Phase II, 1995
1. (L to R) UBC President Strangway, MAA
President Treadwell, Dean Hollenberg and
Bill Webber.
2. President Strangway and Bill Webber.
Fall/Winter 2007 UBC Medical Alumni News     27 MEDICAL   ALUMNI    ASSOCIATION    AWARDS
Dr. Joanna Bates— Honorary Alumna
"Outstanding community service" perfectly
describes the contributions of Joanna
Bates. Dr. Bates has crafted the program that
will double UBC's output of physicians in
response to British Columbia's pressing need
for medical practitioners in underserved
Achievement of this goal required a
leader with sophistication and sensitivity to
real community needs expressed across
the province, from Vancouver Island to the
North, from coastal BC to the mountainous
Interior. Diplomatic skills and enormous
patience have been essential because
resources to expand the medical program
derive from two provincial government
ministries, Health and Education, and involve
the collaboration of three universities and
six health authorities—all with individually
defined goals and aspirations.
In 2000, a massive demonstration of concern by the people of northern BC—with a
particular focus in Prince George—triggered
the provincial government to act immediately to address the lack of rural medical practi
tioners. The government initiated a formal
process to educate more MDs through the
expansion (more students) and distribution
(students educated in more locations across
the province) of UBC's medical school.
Joanna Bates has worked for all British
Columbians to achieve this social goal in a
remarkably short time. The first expanded
medical class enrolled at UBC in September
2004, and was fully distributed to northern
BC (UNBC campus) and Vancouver Island
(UVic campus) in January 2005. In 2006,
their third year, these same medical students
continued their education at new Clinical
Academic Campuses in hospitals in Prince
George, Victoria and New Westminster, as
well as at those already established at
Vancouver hospitals.
In 2003, there were 128 first-year
medical students enrolled in the medical
undergraduate program. In 2004, the first
year of the expanded program, that number
increased to 200. In August 2007, the
UBC Faculty of Medicine welcomed 256
aspiring doctors into first year.
In addition to leading this
outstanding contribution to both the
Faculty of Medicine and the people
of British Columbia, Joanna has maintained
her "day job," with continuing research
output and involvement in teaching.
Although she earned her MD at McGill,
Joanna can lay claim to a long history
with our own medical school as the daughter
of the late David Bates, professor emeritus,
Health Care & Epidemiology, and dean
of the UBC Faculty of Medicine from 1972
to 1977.
Joanna, a family practitioner, was
appointed to the Faculty of Medicine in
1992 as an assistant professor, became
an associate professor in 2002 and senior
associate dean of Education in 2005.
Her previous administrative portfolios
include associate dean of Admissions
and senior associate dean of MD
Undergraduate Education.
Joanna has worked on behalf of the
Faculty and BC communities with
prodigious energy and perspicacity. She is
committed to social ideals of equity, yet
undertakes pragmatic and decisive actions
that achieve the required ends effectively
and in a timely manner.
from the presentation by
David Hardwick, MD'57
28     UBC Medical Alumni News Fall/Winter 2007 Dr. Sharon Dougan—Wallace Wilson Leadership Award
It would be difficult to find a better model
of a good physician than Sharon Dougan.
Raised in the Cowichan Valley on
Vancouver Island, Sharon was an outstanding
student and athlete in high school, winning
awards and scholarships in academics,
sports, citizenship and service. She began
her post-secondary education at Victoria
College, but the next year, at the urging of
one of her high school teachers, she successfully applied for—and accepted—a scholarship toVassar College in New York State. The
offer was extended for a second year, but
she decided to move closer to home, and
enrolled in a Biochemistry honours program
at UBC.
Sharon entered medical school at
UBC in September 1965 and graduated in
May 1969. At medical school, she also met
and married her classmate, Tom McMurtry
After an internship at Victoria Hospital
in London, Ontario, Sharon spent the
next three years caring for their three young
children, while Tom did his post-graduate
training in internal medicine.
In 1975, she and Tom moved to Vernon
to start their practices. Sharon started a
full-time family practice, including emergency and maternity care. Her practice grew
quickly, as did her reputation as a caring,
sensitive and reliable physician.
While her practice and family consumed
most of her time, Sharon still managed
to work with medical students and residents
and on various hospital committees—
especially those related to medical education.
She also became an active member of
the BCMA, serving as a long-term member
and/or chair of several significant
education-related committees.
As a member of UBC's department
of Family Practice, Sharon has been active
on many departmental committees. She
has also played an important role as a preceptor for undergraduate and post-graduate
(medical residency) programs.
Her non-medical community service
efforts were largely devoted to the
Vernon Community Concerts program
committee and the Vernon Community
Music School board.
Unfortunately, Sharon's busy and happy
life was interrupted by Tom's sudden and
untimely death in 1996. With strong support
from family, friends and all her patients,
however, she carried on.
Sharon's many and varied contributions
have been recognized with a clinical associate
professorship in the department of Family
Practice, departmental and Faculty awards for
teaching excellence and the Faculty's Jubilee
medal. She became a Fellow of the College
of Family Practice in 2000.
In 2006 Sharon retired from her full-time
responsibilities, although she is still available
from time to time to her colleagues in need
of a locum.
Sharon Dougans's long and productive
career has, indeed, set an example to which
all should aspire.
from the presentation by
Al Boggie, MD'54
Several members of Dr. Dougan's family joined her at the awards
ceremony, including (L to R) her daughters Lynne McMurtry and
Donna McMurtry pictured here with their cousins Kelly Dougan
and Angus Dougan
Fall/Winter 2007 UBC Medical Alumni News     29 MEDICAL   ALUMNI    ASSOCIATION    AWARDS
Dr. Henry Hildebrand—Honorary Alumnus
Henry was born on a farm in southern
Manitoba, the eighth of 12 children. At a
time when most of his confreres left
school at age 14, Henry stayed—and graduated from the University of Manitoba
with his MD in 1956. While a student, he
worked for the CPR as a porter and on
numerous trips rode the trains from
Winnipeg to Vancouver. Vancouver made
a big impression on him, which he
never forgot.
Henry interned at St. Boniface General
Hospital, did one year of General Surgery
Residency in Cleveland and then a year of
Tropical Medicine in Belgium, where he
learned French as well. His goal—shared
with his wife Hilda, whom he had married
during the later part of medical school—
was to work in the Belgian Congo. But after
their first year there, civil war broke out.
They and their two sons hastily escaped to
Angola, were flown by the US Air Force
to Paris and returned to Winnipeg. All the
surgery he had done in Africa, however,
convinced Henry that surgery was what he
wanted to do.
Ah,Vancouver . . . Henry's application
for Surgical Residency at Shaughnessy
Hospital was accepted. He completed his residency at VGH, added a daughter to
the family and, in 1966, got his FRCSC. He
started practising at VGH as a clinical
instructor that same year and rose through
the academic ranks to become a clinical
professor in 1993.
During his residency, Henry became
interested in vascular surgery, which was not
a separate specialty at the time. In 1983,
when it did become a Royal College specialty, Henry and a small group—including
Henry Litherland, with whom he practised
for 30 years—developed a curriculum for
themselves and took turns giving lectures.
When exam time came, every member
passed. This came in handy later when VGH
and UBC Hospitals applied to have a
vascular surgery program—no problem, the
Faculty had the appropriate FRCSCs!
His was a career dedicated to the practice
and teaching of vascular surgery. I'm
told that vascular residents are still taught
the " Hildebrand Hitch," a manoeuver for
doing a graft anastomosis.
You might get the impression that
Henry is very serious. But there is another
side of him—he is an avid golfer and an
accomplished woodworker. He also enjoys
capable cars and motorcycles, especially
if they look like the racing versions. In the
late sixties, there was an orange Dodge
Charger! And, oh yes—in Vascular Surgery
at VGH, you knew spring had arrived when
Henry started wearing his white shoes again.
From the presentation by
David Jones, MD70
30     UBC Medical Alumni News Fall/Winter 2007 Dr. Robert Conn, MD'82—Silver Anniversary Award
Robert Conn has come a long way from
Kelowna, BC, where he first—at the age of
eight—decided to become a doctor. His
medical career took him from UBC to subspecialty studies at the University of
Alabama's Birmingham Medical Center in
1987—and, a year later, to a position as
Chief Fellow in children's heart surgery at
the Hospital for Sick Children in Toronto.
In 1990, Robert was one of the youngest
physicians ever to earn a fellowship in the
Royal College of Physicians and Surgeons of
Canada as a specialist in children's cardiovascular and thoracic surgery. That same year, he
was awarded the prestigious McLaughlin
Fellowship, allowing him to train at any hospital in the world.
Robert, however, believed he could save
more lives by devoting his life to preventing
unintentional injuries than he could by
working a lifetime as a surgeon. He turned
down the fellowship, put down his scalpel
and used his modest savings to launch the
Canadian Injury Prevention Foundation—
known today as SMARTRISK.
SMARTRISK is a national, non-profit
injury prevention organization, headquartered in Toronto. The organization offers
an impressive array of programs, services,
tools and resources for children, youth,
seniors, teachers and injury prevention practitioners and researchers. SMAFJTRISK
helps people "see the risks in their everyday
lives and take those risks in the smartest
way possible so that they can enjoy life to
the fullest."
Robert's earlier medical career and his
current role as founder, president and CEO
of SMARTRISK clearly demonstrate his
abilities in leadership, teaching, administration and public service.
Chris Zappavigna, Class of 2009, President
Hello, my name is Chris Zappavigna. I
would like to say how proud I am to represent undergraduate medical students at
UBC—it is an honour to be chosen by my
peers to fill this role.
It is an exciting time to be a medical
student at UBC. The entering class—the
Class of 2011—is 256 students strong. The
distributed program is going into its
fourth year, with a new fourth-year curriculum in place, and the entire MD program is
undergoing an external accreditation process.
As part of the Faculty-wide preparations
for accreditation, the MUS has produced a
survey soliciting student opinions on all
topics relevant to the undergraduate medical
experience at UBC. This huge project has
been led by our vice-president, Academic,
Heather O'Donnell. Heather and her
team compiled the results of this survey over
the summer and have given the Faculty—
and will give the external accreditation
team—a report summarizing the results.
Over the past two years, the MUS has
been actively involved in the creation,
implementation and organization of the
Student Medical Education and Resource
Centre (SMERC) in the Gordon and
Leslie Diamond Health Care Centre.
SMERC provides both study space and tools
for all medical students—from textbooks
to anatomy models, and from clinical teaching aids to a desktop computer. The study
tools are organized by bodily system, so, for
example, a second-year student wanting
to study for the Brain and Behaviour block
would find all of the related neuroanatomy
models, posters and textbooks located in one
area. The MUS is very proud of its involvement in this project and has funded many of
the resource centre's materials.
This year is also the first year of a
three-year agreement between the MUS and
the Faculty of Medicine to purchase pagers
and pager plans for all third-year students.
Previously, third-year UBC medical students
paid for pagers out of their own pockets.
The MUS, like the Faculty, is making
changes in response to the expansion
and distribution of the medical program.
In an effort to keep the students at the
distributed sites connected and to help create
a cohesive student body, the MUS is
currently rewriting and editing its constitution to reflect the new circumstances.
In addition, the MUS will continue its
Medicine Beyond Medicine lecture series
with the BCMA. These educational evenings,
which address issues such as how to set up
and manage a profitable medical practice, are
critically important to our futures as practising physicians.
I am looking forward to working with
all of the class councils to ensure a successful
year. Events to look forward to include the
annual Med Ball, the second-year play and
the Spring Gala!
Fall/Winter 2007 UBC Medical Alumni News     31 Alumni Awards, Achievements & Activities
Writing from Bellingham, Washington, KEN
MORROW, MD'59, (1 above) reports on
his US adventures since graduation. His first
job was in an EENT clinic in Minot,
North Dakota, where he earned the money
for an ophthalmology residency at Henry
Ford Hospital in Detroit. He practised ophthalmology in Ashland, Wisconsin, for 28
years, then "retired" to Bellingham in 1993
to work at the Northwest Eye Clinic for
11 more years.
Since retirement, Ken has written four
books. Sales of A Boyhood in Nelson: Growing
Up During the Depression and Feaving
Nelson: Beyond Toad Mountain have contributed $15,000 to the Nelson Museum to
date. Fadies of Easy Virtue in the West Kootenay
will be published this fall, while Boomers,
Retire Early—With Great Care is still at the
"working title" stage. In June, Ken and
his wife Dorothy, who have been married
for over 55 years, took a three-day, 10-miles-
a-day stroll along part of the Hadrian's Wall
trail in Northern England.
BASIL BOULTON, MD'63, (2 above) had
a very moving encounter with Chief Adam
Dick from the Kwagiulth Nation over a
small totem pole Basil brought to a recent
Institute of Child Rights and Development
conference. The Chief—who has committed
his life to the cultural work of his people—
was being honoured by the institute. The
totem pole had been carved by his late
brother, and Chief Dick had not seen the
little artwork since 1971.
TOM STERN, MD'72, was adopted as a son
and crowned Prince of Sulu and North
Borneo by the Sultan of Sulu in gratitude
for his efforts to preserve peace in the area,
and for his work promoting economic ties
with the United States and China. He was
also appointed the sultanate's special representative to the US. Rich in oil, precious
metals and marine products, the sultanate has
approximately six million subjects. It is the
second longest-lived royal house on the
planet, dating back to 1415.
Tom is married, the father of four
children and the author of two novels. He
practised family medicine in Berkeley,
California, for 30 years, and taught at
Stanford, the University of California at
San Francisco and at San Diego, and the
University of Southern California. In 2006,
he sold his practice and became chairman
of the board of the One World Institute, a
humanitarian organization "that works
with the poorest of the poor in Asia"
(www.theoneworldinstitute.org). Classmates
and friends can catch up with him at
COLM COLE, MD'79, head of Anesthesiology
at St. Paul's Hospital and a clinical
professor at UBC, is a stand-up comic in
another side of his life. A comedy clinic at
Langara College launched his parallel career.
"I find humour in what we do every day,"
Cole told the St. Paul's Hospital Foundation's
Promise magazine in an interview this past
spring, "but I don't tell a lot of doctor jokes."
JEAN GILLIES, MD'82, (3 above) received
the 2007 Faculty of Medicine Clinical
Excellence in Teaching Award at the Faculty's
Recognition Reception in May of this year.
Earlier this year, SAMUEL PANG, MD'83,
was appointed medical director of the
Reproductive Science Centre of New
England (www.rscnewengland.com). Located
in Lexington, Massachusetts, it is now the
seventh largest of the over 400 in vitro fertilization programs in the US.
Husband-and-wife team NICK CARR (4
above) and FRANCES JANG, (5 above) both
MD'83, were featured in an article called
"Making It Work" in the February 2007 issue
of Vancouver Fifestyles Magazine. The secret
to their success at combining work and marriage—and parenting three children? "We
love hanging out together," says Nick in the
article. Frances adds, "He's my best friend,
who never complains about my late hours
and has always supported me in my career."
Their joint ventures include Skinworks,
the first and only medical clinic to offer
the full range of dermatology, laser skin care
and cosmetic surgery in Vancouver. They are
also fundraising for a $2.4-million chair in
burn-wound healing at VGH/UBC Hospital.
The Vancouver Sun recently reported that at
a gourmet dinner in the Carr-Jang home
prepared by firefighters from five halls—
including Kamloops—Frances and 20 of her
(female) friends raised $26,000 towards the
final $600,000 for the project.
(PEDIATRICS), is spending six months in
Karachi, Pakistan, working much of the time
with Dr. Zulfi Bhutta, chair of Pediatrics
at the Aga Khan University and one of the
authors of the influential Child Survival
Series published in The Fancet in 2003.
R. LOCH MACDONALD, MD'86, (6 above)
is back in Canada. He practised neurosurgery
at the University of Chicago and was
UBC Medical Alumni News Fall/Winter 2007 professor of Surgery there until moving to
Toronto earlier this year. He is now head of
the division of Neurosurgery at St. Michael's
Hospital and Keenan Endowed Chair
and professor of Surgery at the University
of Toronto. He has published several
hundred scientific articles, book chapters
and books on aneurysmal subarachnoid
hemorrhage and cerebral vasospasm. He and
Sheilah Stedman, a UBC and University of
Chicago graduate and a senior financial analyst for her Chicago alma mater, have three
children: Iain (17), Robyn (15) and Erin (12).
Iain will start his mechanical engineering
studies at McGill this fall.
MANRAJ HERAN, MD'96, is one of three
Outstanding Shadow Preceptor award
winners announced by the Faculty of
Medicine Career Counselling Program.
Heran volunteers for the program in
Vancouver; his fellow volunteers and award
winners are Peter Pomeroy (Victoria) and
Ramesh Lokanathan (Prince George).
Jack McCreary: Pediatrician,
Pedagogue, Pragmatist and Prophet
DR. ROBERT HILL'S new biography of the
former dean of Medicine and outstanding
member of the local, national and international medical community has something
intriguing for everyone—those who knew
Dr. McCreary, those who knew of him, and
those whose closest connection is having
seen his name on one of the many plaques
displayed in various locations around the
province. With contributions from Dr. Judith
Hall and the late Dr. Bill Webber, among
many others, as well as much in McCreary s
own words, lack McCreary is a fascinating
glimpse into a piece of BC's and BC
Children's Hospital's colourful medical history.
BCMA Awards
LARRY COLLINS, MD'68, received the
Dr. David M. Bachop Gold Medal for
Distinguished Medical Service.
ARUN GARG, MD'77, (7 above) was recognized with the association's highest honour,
the BCMA Silver Medal of Service.
SIOBHAN KEY, MD'04, (8 above) received
the Dr. David M. Bachop Silver Medal in
General Medical Practice.
WILLIAM MACKIE, MD'76, was installed
as the BCMA president-elect, and
CAROLINE WANG, MD'84, (9 above) as
honorary secretary treasurer.
Canadian Medical Association Honorary
Membership Awards were conferred on
The 20th Annual UBC Medical
Alumni Golf Tournament
New this year, the BRAD FRITZ PRIZE
for the lowest score over nine holes for a
golfer who doesn't win the low net or low
gross prize—was created to thank BRAD
FRITZ, MD'75, (10 above, left). Not only did
Brad originate the tournament, but he also
spent many years organizing it. The first recipient of the prize was DOUG BLACKMAN, MD'69
(10 above, right).
At the post-tournament banquet, many
golfers remembered BERNIE DEJONG,
MD'57, who was a tournament organizer
and its master of ceremonies for many years.
Brad Fritz did well at the tournament,
scoring low net of 73, hitting the longest
drive and, along with JACK BURAK, MD'76,
and BOB CHEYNE, MD'77, as a member of
the first-place team. First-place team members received copies of books by fellow
alumni DANIEL KALLA, MD'91, and HARVEY
Cheyne also won the Low Gross Trophy
with a score of 75. Other winners included
STEW MADILL, MD'59 (winning senior),
LORNA SENT (Hon.) (11 above, left)
(women's longest drive and low net score)
and DON WAGAR, MD'70 (putting contest).
GORDON—won the prize for the lowest
score for a class team.
Special thanks go to the tournament's prize
Thanks also go to the tournament's
organizers—DREW YOUNG and RON
WARNEBOLDT, MD'75—who are already
planning for the 21ST ANNUAL TOURNAMENT ON JUNE 12, 2008, AT THE
Grad Class Photos
An unframed, composite photograph of
your medical school graduating
class is avail-
able for $60.
Please send a cheque with your
year, address and contact detail;
MSAC, 2750 Heather Street
Vancouver BC V5Z 4M2
Or, e-mail med.alumni@ubc.ca
Fall/Winter 2007 UBC Medical Alumni News     33 \
Ladies and gentlemen, please welcome your
new colleagues and fellow alumni—the Class of
2007. Here's where you'll find them as they
start their residency programs at a university and
in a hospital near you. Congratulations and
best wishes to each and every one of them!
Emergency Medicine
Gina Gill, University of
British Columbia,
Vancouver, BC
Dennis Lefebvre, University of
Alberta, Edmonton, AB
Ian Ricketson, University
of British Columbia,
Vancouver, BC
Family Medicine
Jill Blaser, University of
Saskatchewan, Saskatoon, SK
Kelvin Chan, University
of Calgary, Calgary, AB
Zoe Chan, University of
Calgary, Calgary, AB
Tyler Cheek, University of
British Columbia,Victoria, BC
Doris Chiu, University
of British Columbia,
Vancouver, BC
Joyce Choi, University of
British Columbia,
Vancouver, BC
Natasha De Sousa, Dalhousie
University, Halifax, NS
Ryan Falk, University
of British Columbia,
Chilliwack, BC
Mike Atherstone, University of
British Columbia,Vancouver, BC
Richard Gardiner, University of
British Columbia,Vancouver, BC
Thomas Kosick. University
of British Columbia,
Vancouver, BC
Pavan Kumar, McGill University,
Montreal, QC
Warren Luksun, University
of Toronto, Toronto, ON
Roohina Virk, University
of British Columbia,
Vancouver, BC
Brady Warnick, Dalhousie
University, Halifax, NS
Community Medicine
Jin Hee Kim, University of
Toronto, Toronto, ON
Tatyana Hamilton, University
of British Columbia,
Vancouver, BC
Christina Han, University
of British Columbia,
Vancouver, BC
34     UBC Medical Alumni News Fall/Winter 2007
Martin Grootendorst, University
of British Columbia,
Vancouver, BC
Caitlin Humphreys, University
of Ottawa, Ottawa, ON
Sharlene Kolesar, University
of British Columbia,
Vancouver, BC
Richard Kretschmann,
University of British Columbia,
Victoria, BC
Helen Law, University of
Alberta, Edmonton, AB
Kit Shan Lee, Queen's
University, Kingston, ON
Robert Lewis, University of
British Columbia, Prince
George, BC
Morgan Lindsay, University
of British Columbia,
Victoria, BC
Pamela Liu, University of
Toronto, Toronto, ON
Joel Mawhorter, University
of British Columbia,
Prince George, BC
Christa McPherson, University
of British Columbia,
Nanaimo, BC
Lucinda McQuarrie, University
of British Columbia,
Prince George, BC
Phil Miller, University of
British Columbia,
Nanaimo, BC
Ka Young Park, University
of Toronto, Toronto, ON
Christine Paul, Seattle, WA
Alicia Power, University
of British Columbia,
Victoria, BC
Claire Robinson, University
of British Columbia,
Vancouver, BC
Benjamin Shettell, Redding, CA
Amy Spink, University of British
Columbia,Victoria, BC
Rosanna Switzer, University of
British Columbia,
Chilliwack, BC
.      .
Candice Sy, University of British
Columbia,Victoria, BC
Rhonda Vanderfluit, University
of British Columbia,
Vancouver, BC
Katrin Veiel, McMaster
University, Kitchener, ON
Christopher Vipler, University of
Alberta, Edmonton, AB
Sherry Yang, University of
British Columbia,Vancouver, BC
Family Medicine (Rural)
Rebecca Adams, University of
Alberta, Grand Prairie, AB
Eric Baker, University of
Alberta, Lethbridge, AB
Colin Duncan, University of
Alberta, Lethbridge, AB
Brook Glanville, University of
British Columbia, Kelowna, BC
Andrea Rose, University of
British Columbia, Kelowna, BC
General Surgery
Amanda Johner, University of
British Columbia,Vancouver, BC
Jasmine Lam, University of
British Columbia,Vancouver, BC
Shaila Merchant, University of
British Columbia,Vancouver, BC Infectious Disease MSc,
Anne Huang, London School of
Hygiene & Tropical Medicine,
London, UK
Internal Medicine
Selena Au, University of Calgary,
Calgary, AB
Nicole Baur, University of
Alberta, Edmonton, AB
Rudy Chow, University
of British Columbia,
Vancouver, BC
Chad Evaschesen, University
of British Columbia,
Vancouver, BC
Allison Gelfer, University
of Toronto, Toronto, ON
Shirley Huang, University
of British Columbia,
Vancouver, BC
Vitharani Kunanithy, Queen's
University, Kingston, ON
Adrienne Lee, University
of Alberta, Edmonton, AB
Wilson Li, University of British
Columbia,Vancouver, BC
Vanessa Luks, University
of Ottawa, Ottawa, ON
Lukasz Materek, University of
Western Ontario, London, ON
Trina Mcllhargey, University
of British Columbia,
Vancouver, BC
Naaz Parmar, University
of British Columbia,
Vancouver, BC
Vanja Petrovic, University
of British Columbia,
Vancouver, BC
Michael Tsang, McMaster
University, Hamilton, ON
Rohit Verma, University
of British Columbia,
Vancouver, BC
Andrew Yadegari, University
of British Columbia,
Vancouver, BC
Shaoyee Yao, University of
Toronto, Toronto, ON
Tamir Ailon, University
of British Columbia,
Vancouver, BC
Ryan Alkins, University of
Toronto, Toronto, ON
John Cho, University of
Calgary, Calgary, AB
Shahin Nabi, University of
Western Ontario, London, ON
Obstetrics & Gynaecology
Jennifer Mills, University
of British Columbia,
Vancouver, BC
Nao Nakatsuka, University
of Alberta, Edmonton, AB
Aditya Seth, University
of British Columbia,
Vancouver, BC
James Douglas, University
of British Columbia,
Vancouver, BC
Kenny Lee, University of
Saskatchewan, Saskatoon, SK
Parth Lodhia, University
of British Columbia,
Vancouver, BC
Luke Pugh, University of British
Columbia,Vancouver, BC
Ian Robles, McMaster
University, Hamilton, ON
Julian Sernik, University of
Alberta, Edmonton, AB
Brent Weatherhead,
University of British Columbia,
Vancouver, BC
Mandy Manak-Muhr,
University of British Columbia,
Vancouver, BC
Michael Rauh, University
of Toronto, Toronto, ON
Titus Wong, University of British
Columbia,Vancouver, BC
Adetayo Adeleye, Queen's
University, Kingston, ON
Elsa Fiedrich, University
of Alberta, Edmonton, AB
Shir Minnes, Queen's University,
Kingston, ON
Darcy Scott, University of
Ottawa, Ottawa, ON
Anindita Tjahjadi, University of
Manitoba, Winnipeg, MB
Joanne Yeung, University
of British Columbia,
Vancouver, BC
Plastic Surgery
Kevin Calder, Dalhousie
University, Halifax, NS
Kam Athwal, University of
British Columbia,Vancouver, BC
Joanna Cheek, University of
British Columbia,Vancouver, BC
Kortney Hillier, University of
British Columbia, Vancouver, BC
Novin Ihsan, University of
Calgary, Calgary, AB
Andrew Morgan, University of
Toronto, Toronto, ON
Fulroop Sidhu, University of
British Columbia, Vancouver, BC
Chris Wilier, University of
Toronto, Toronto, ON
John Dufton, Queen's University,
Kingston, ON
Michael Lane, University of
British Columbia, Vancouver, BC
Andrew Scott, University of
Saskatchewan, Saskatoon, SK
Andrew Scott-Moncrieff,
University of British Columbia,
Vancouver, BC
Tony Sedlic, University of British
Columbia,Vancouver, BC
Vicnays Venu, University of
British Columbia, Vancouver, BC
Michelle Chang, Dalhousie
University, Halifax, NS
Brian Mayson, University of
British Columbia, Vancouver, BC
Dinesh Samarasekera,
University of British Columbia,
Note: If your name is missing
from these pages it is because we
needed written permission to
print your name and were unable
to contact you. Please make sure
your contact information is updated
at www. advancement, ubc. ca/
address_ update, h tml
Fall/Winter 2007 UBC Medical Alumni News     35 -.<•>.
Thinking about
planning a reunion?
Alumni Weekend 2008 is the perfect opportunity
to reconnect with your fellow classmates. To
coincide with graduation celebrations and UBC's
2008 Centenary, Alumni Weekend has moved to
the spring. From May 23 - 25, the campus will be
abuzz with activities, reunions, events and morel
On November 15, come share in the
achievements of UBC's outstanding alumni
at a reception and awards ceremony, then
celebrate in style at an exclusive after-party.
Congratulate your esteemed colleagues,
Dr. Joanna Bates and Dr. David Hardwick,
as they are recognized with a 2007 UBC
Alumni Achievement Award.
Visit www.alumni.ubc.ca/awardsior more information
www.med.ubc.ca/alumni friends/alumni affairs
Catch up with
classmates and friends
Update your address
Hold a class reunion
The Reunion Planning
Guide explains it all.
Tell us your stories
• Join the Medical Alumni
• Nominate your
classmate(s) for an award
• Connect with
current students
• Get informed—
and inspired
No matter which Faculty of Medicine program you
graduated from—or when—you are a member of
our community!
You don't have to be in Vancouver to get connected. Just
go to the website!
36     UBC Medicine Fall/Winter 2007 THE   UBC   FACULTY   OF   MEDICINE
UBC        Together we create knowledge and advance learning that will make a vital contribution
s^jm)      to the health of individuals and communities locally, nationally and internationally
One Faculty of Medicine—Six Health Authorities—Two Partner Universities
j University Academic Campuses
^^ University Academic Campuses are
located at UBC, UNBC and UVic in
Vancouver, Prince George and Victoria.
yV Clinical Academic Campuses
Clinical Academic Campuses
are hospital based.
BC Cancer Agency
BC Children's Hospital & Sunny
Hill Health Centre for Children
BC Women's Hospital
& Health Centre
Prince George Regional Hospital
Royal Columbian Hospital
Royal Jubilee Hospital
St. Paul's Hospital
UBC Hospital
Vancouver General Hospital
Victoria General Hospital
Community Education Facilities
Rural and Remote Dispersed Sites
Medical students and residents, student
audiologists, speech language pathologists,
occupational therapists, physical therapists,
and/or midwives in the community.
* Revelstoke
Chase   * Salmon Arm
amloops ••        #Enderby
Vernon I Armstrong
0 Invermer
• Penticton
Princeton    , ,_ ^   Trai
• Fern if
MSalmo   Cranbrook
• Castlegar
/   X)uncan
Qualicum Beach     * Mill Bay
MiSon • Hope  7 "T^nd Fc*s Tra^« • C
• •JT"upe ..KeremTosmosoyoqs     ,*Fruitvale
^      Kossland
Salt Spring Island
Fall/Winter 2007 UBC Medicine     37 From
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