FILLING THE GAP New Medical Residencies Meet Future Healthcare Needs - SUMMER 2021MCWm
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SUMMER 2021 MCW magazine FILLING THE GAP New Medical Residencies Meet Future Healthcare Needs 1 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
SUMMER 2021 LEADERSHIP MESSAGE MEDICAL COLLEGE OF WISCONSIN EXECUTIVE LEADERSHIP John R. Raymond, Sr., MD – Moving Forward with Optimism President and Chief Executive Officer Joseph E. Kerschner, MD ’90, FEL ’98 – Provost and Executive Vice President; The Julia A. Uihlein, MA, A Dean of the School of Medicine Ravi P. Misra, PhD – s we enter our new academic year, we are optimistic on Dean, Graduate School of Biomedical Sciences George E. MacKinnon III, PhD, MS, RPh – a number of fronts. We are excited to welcome our new Founding Dean, School of Pharmacy incoming students to the MCW Family and to welcome Christopher P. Kops, CPA, MBA – back those who have returned to their studies for the fall Executive Vice President for Finance and Administration; Chief Operating Officer semester! As I have frequently said, it is the PEOPLE of MCW MEDICAL COLLEGE OF WISCONSIN BOARD OF TRUSTEES who make our institution special, and our students are truly at Jay B. Williams – Chair Joseph E. Kerschner, MD ’90, the center of this sentiment. “...it is the PEOPLE Cory L. Nettles – FEL ’98 We are particularly pleased that our environment has largely Immediate Past Chair Philip B. Flynn – Vice Chair John R. Kirby David Lubar returned to pre-pandemic in-person instruction. We value the of MCW who make Jacqueline D. Herd-Barber – Gregory Marcus excellence of our educational programs, and bringing students our institution special, Secretary Chris Miskel back to in-person interaction is critical to maintaining excellence. Mary Ellen Stanek – Treasurer Justin Mortara Marie L. Nakata, MD’ 89, Our ability to safely provide in-person instruction has been and our students are Elizabeth (Betsy) Brenner GME ‘93 enhanced by the students’ nearly 100 percent vaccination rate. truly at the center Christy L. Brown Wayne Oldenburg I am pleased to share that the Liaison Committee on Medical John Donofrio David Gay Janis M. Orlowski, MD ’82 Rebecca J. Pirozzolo-Mellowes Education (LCME) – the accrediting body for educational pro- of this sentiment.” Linda Gorens-Levey Austin Ramirez grams at schools of medicine in the US – voted at its June 2021 Paul W. Griepentrog John R. Raymond, Sr. meeting to continue full accreditation of our medical education John M. Grogan Kristina M. Ropella Jon D. Hammes Peggy Troy program for the maximum term of eight years. My gratitude Ted D. Kellner and congratulations to all the PEOPLE of MCW: students, staff, ALUMNI ASSOCIATION EXECUTIVE COMMITTEE faculty and trustees who devoted countless hours to ensure this Matthew I. Goldblatt, MD ’97, GME ’04 – President positive outcome. See story on page 4. Barbara B. Calkins, MD ’96 Bruce H. Campbell, MD, GME ’85 Earlier this summer we celebrated an exciting milestone: Beth B. Krippendorf, PhD ’93 the graduation of the seven members of our inaugural class George M. Lange, MD ’75 of psychiatry residents from our new programs in central Jessica M. Olson, PhD ’15, MPH ’17 and northeastern Wisconsin. These new residencies, and Executive Director of Alumni Relations dozens of others that we and our partners have created Angela K. Nelson alumni@mcw.edu / (414) 955-4780 throughout the region in the past few years, are enabling MCW MAGAZINE STAFF us to fill the projected shortfall of physicians in Wisconsin. Sara L. Wilkins, MA, MPA – Executive Editor MCW not only has brought creative solutions to this issue, Greg Calhoun – Senior Editor but also has provided funding and expertise to ensure Kristina Awadallah – Graphic Designer Marina Thao – Graphics Assistant success. See the cover story on pages 16-21 for how we are filling Lyniece Rzepka – Web Production Consultant the gap with new medical residencies to meet the state’s future Contributing Writers: healthcare needs. Holly Botsford, Anthony Braza, Greg Calhoun, Alex Krouse, Despite unprecedented challenges from the COVID-19 Emily Marquardt, Michael Mathias, Anthony Perez, Maureen pandemic, MCW will end fiscal 2021 with a better than Remmel, Sai-Suma K. Samudrala, Karri Stock, Sara L. Wilkins budgeted margin. The PEOPLE of MCW have been the S enior Vice President for University Engagement and Strategic Planning: Mara Lord, MBA underlying force allowing us to overcome obstacles and achieve this success. I am grateful for their creativity and Vice President and Chief Development Officer: Mitchell R. Beckman flexibility as we re-imagine and jump-start our clinical A ssociate Vice President for Marketing, Brand Strategy engine, pursue excellence in our research, education and and University Engagement: community engagement missions, and enhance efficiency Mary M. Reinke, MBA, MS in order to achieve and surpass our goals! CONTACT US We continue to be grateful for the thousands of MCW Phone: (414) 955-8016; E-mail: MCWmagazine@mcw.edu alumni around the globe who are doing their utmost to Medical College of Wisconsin protect the health and safety of patients, families, loved 8701 Watertown Plank Rd. Milwaukee, WI 53226 ones and communities. CONNECT WITH US Joseph E. Kerschner, MD ’90, FEL ’98 The Julia A. Uihlein, MA, Dean of the School of Medicine TO DONATE A GIFT OR PLEDGE Provost and Executive Vice President Phone (414) 955-4700 | www.mcw.edu/giving
CONTENTS PLEASE NOTE: PHOTOGRAPHS THROUGHOUT THIS ISSUE IN WHICH INDIVIDUALS ARE NOT WEARING PERSONAL PROTECTIVE EQUIPMENT WERE TAKEN BEFORE THE PANDEMIC. COVER STORY 16 / F ILLING THE GAP: NEW MEDICAL RESIDENCIES MEET FUTURE HEALTHCARE NEEDS 6 / NEWS FOR ALUMNI 8 / 2021 MCW SCHOOL OF MEDICINE GRADUATES BEGIN RESIDENCY PROGRAMS ACROSS THE US 9 / NEW AND EXTENDED-TERM FACULTY LEADERS 10 10 / EXPANDING THE SKILLS AND ABILITIES OF PHARMACY PROFESSIONALS 12 / BREAST CANCER SURVIVOR CREDITS MCW DOCTORS 14 / MCW TEAM LEADS PEDIATRIC STUDY 15 / BUILDING VACCINE CONFIDENCE IN MILWAUKEE 22 / EXTENDING COVID-19 CARE BEYOND “RECOVERY” 23 / PRESERVING CRITICAL LANGUAGE REGIONS DURING EPILEPSY SURGERY 24 / PHILANTHROPY SPURS INNOVATION 12 26 / A NEW PUZZLE PIECE IN HYPERTENSION 27 / EXAMINING CONCUSSIONS IN COLLEGE FOOTBALL 28 / FIFTY YEARS IN ACADEMIC MEDICINE 29 / VOICE OF THE STUDENT INSIDE EVERY ISSUE 4-5 / STAT REPORT 32-34 / I N MEMORIAM 30-31 / ALUMNI NOTES 35 / C HANGE AGENT MCW IS COMMITTED TO EQUAL OPPORTUNITY AND NON-DISCRIMINATION INCLUDING 15 COMPLIANCE WITH TITLE IX. PLEASE SEE MCW.EDU/TITLEIX FOR MORE INFORMATION. FEATURED PHOTOGRAPHERS: Greg Calhoun; Michelle Schaefer; Jay Westhauser ON THE COVER: The US is projected to have a significant shortfall of both primary care and specialty care physicians through 2032. More residency training positions are needed throughout the country to counter this trend. To that end, the Medical College of Wisconsin is working diligently to fill the gap by creating new medical residencies to meet future healthcare needs. MCW.EDU 3
NEWS AND ANNOUNCEMENTS STAT REPORT School of Medicine Receives Full Accreditation from the Liaison Committee on Medical Education M CW has received notice that the accreditation, retroactive to 2019, is the and community medicine before his Liaison Committee on Medical maximum length of accreditation awarded retirement in May 2021. Dr. Hueston and Education (LCME) – the accred- by the LCME. To be accredited, a school the task force worked with MCW leaders iting body for educational programs at must demonstrate compliance with LCME and student representatives to improve schools of medicine in the US – voted standards in five areas: institutional, specific focus areas that were identified at its June 2021 meeting to continue full educational program, medical students, during the LCME Site Visit in 2019. accreditation of MCW’s medical education faculty and educational resources. Only “I am very grateful for the efforts of program. Full accreditation means that LCME-accredited institutions may receive Bill and the task force, and especially the MCW School of Medicine was found federal grants for medical education all of our students who were deeply to meet or exceed national standards for and participate in federal loan programs. involved in this meaningful work, for structure, function and performance. MCW’s preparations throughout the their commitment to MCW and to making This important milestone is a testament reaccreditation process were under- our learning environment better every to the Medical School’s faculty, staff and taken by a large task force of faculty, staff day,” says Joseph E. Kerschner, MD ’90, exceptional future physicians, as well and students led by William J. Hueston, FEL ’98, The Julia A. Uihlein, MA, Dean of as to MCW’s trustees – all of whom are MD, who served as associate provost the MCW School of Medicine, provost and committed to improving health across for education, senior associate dean for executive vice president. ■ Wisconsin and beyond. This eight-year medical education and professor of family 4 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
NEWS AND ANNOUNCEMENTS MCW and Children’s Wisconsin Renew Partnership F or two decades, MCW and Children’s Wisconsin (Children’s) have been engaged in a successful joint venture, Children’s Specialty Group (CSG), to pro- vide the best care for Wisconsin kids. About 650 CSG providers support communities throughout the state through excellence in pediatric clinical, academic and research endeavors. A new affiliation agreement among MCW, CSG and Children’s went into effect on July 1, 2021. It allows the partners to enhance integration of their clinical work. demic and clinical affiliation include strate- evolve the structure of their pediatric One of the primary drivers for this change gic, financial and operational integration. In enterprise to ensure it will continue to is a desire to better coordinate efforts to addition, it will allow Children’s, MCW and remain strong well into the future. This jointly achieve goals. The best pediatric CSG to reinvest in the academic missions, important milestone also officially extends enterprises have adopted structures that pursue growth and partnership strategies, the partnership for another 30 years. allow them to be nimble in responding to offer a unified payer contracting strategy, Nationally, schools of medicine, child- environmental factors, including the needs create a single pediatric billing statement, ren’s hospitals and pediatric faculty prac- of patients and their families. and recruit and retain the most talented tices are redesigning their relationships to Benefits of this stable, long-term aca- pediatric faculty and staff members. ■ MCW Physician-Scientist MCW Names New Contributes to National Pediatric Practice CEO Cancer Trial Jason A. Jarzembowski, MD, PhD, was named chief executive officer for Children’s Specialty Group I n an international, multicenter, potential to address a growing and (CSG) and senior associate dean for phase I/II clinical trial, scientists unmet need for alternative therapies clinical affairs – pediatric practice tested Pirtoburtinib, a for patients who have not had at MCW. Dr. Jarzembowski had new protein Bruton tyro- success with other treatments. served in these roles in an interim capacity since sine kinase (BTK) inhibitor, Specifically, the two main August 1, 2020, before transitioning to the perma- for safety and effectiveness indications were for the B-cell nent role in May 2021. Dr. Jarzembowski has pro- against blood cancers affect- malignancies of chronic lym- vided leadership critical to the successful ratification ing certain white blood cells, phocytic leukemia and mantle of the new affiliation agreement between MCW and called B-cell malignancies. cell lymphoma. Children’s. His acceptance of this permanent role Previously, patients in the “In many cases, we’re ensures important leadership continuity during the Dr. Nirav Shah trial had been unsuccessfully looking for a drug like Pirto- critical 18- to 36-month implementation period for treated with other approved brutinib to act as a bridge to get the agreement, which will position the practice for therapies. patients to other advanced treat- long-term success. MCW was one of only 30 sites ments such as chimeric antigen Dr. Jarzembowski also serves as professor of in the world – and the only cancer receptor T-cell therapy or stem pathology at MCW and vice chair for pediatric center in the Midwest – selected to cell transplant. What we found was pathology. He also is medical director for pathology participate in the study sponsored Pirtobrutinib achieved longer-term and laboratory medicine at the Children’s Wisconsin by Loxo Oncology. After analyzing benefits and remission among some Milwaukee and Fox Valley hospitals, director of peri- results from 323 patients, research- patients in the study,” says Nirav natal pathology for Children’s and director of core ers found that Pirtobrutinib was Shah, MD, MSHP, a leading investi- laboratories at Children’s Research Institute. safe and active in multiple B-cell gator of the trial and MCW associate malignancies. Trial results published professor of medicine (hematology MCW.EDU 5 in The Lancet suggest the drug’s and oncology). ■
ALUMNI ASSOCIATION PRESIDENT'S MESSAGE MATTHEW I. GOLDBLATT, MD ’97, GME ’04, PRESIDENT NEWS FOR ALUMNI The Alumni Association Accomplished Many “Firsts” This Year O n behalf of the MCW/Marquette Medical Alumni “ Virtual stages meant alumni from Association, I extend wholehearted congratulations to the all over the country participated in remarkable Class of 2021 from the Graduate School, School of Medicine and School of Pharmacy! I was proud to be a part of programs with MCW students...” the very special graduation events celebrating the achievements of – Dr. Matthew Goldblatt our graduates and conferring their academic degrees, including MCW-Central Wisconsin and MCW-Green Bay. I welcome all the • Our focus is now on supporting students from the beginning, new graduates to our accomplished MCW Alumni Community. at matriculation. All MCW students now receive a monthly Reflecting on this past year, I feel so gratified with what the communication from the Alumni Association. This will be Alumni Association has accomplished as I share this list of sustained as a vital connection upon graduation. “firsts”: • This year, we were able to reach out to each and every MCW • We all adapted and thrived in environments that utilized new student. Through the Masks4Students project, we let them know platforms. Virtual stages meant alumni from all over the “We’ve got you covered” – not just with this gift, but always. country participated in programs with MCW students, I am so grateful to those who supported me during the past year. including the Student Health Sciences Conference, Operation: It was an honor to lead the Alumni Association. I am excited about Education and Mentor Connections for Wisdom and Wellness. our incoming officers, and I welcome George M. Lange, MD ’75, Please continue to explore the new section of the Alumni who will assume the role of president in October. We need all E-Newsletter that highlights MCW Alumni Opportunities alumni to keep the momentum going. Remember our ability to each month. connect is vital. If you are not receiving the Alumni E-Newsletter • Video conferencing capabilities also opened the door for all or invitations by email, please share your contact information at alumni to experience our MCW Lifelong Learning Programs, alumni@mcw.edu. Your partnership in the work we do is deeply which is another new section in the Alumni E-Newsletter. Each appreciated. ■ month, CME Programming, Grand Rounds, Department Lectures and other programs are featured. The Alumni Association is dedicated to facilitating the lifetime connection Degrees Bestowed by the Graduate of alumni with MCW as a resource for continued learning. School of Biomedical Sciences at • Virtual Alumni Reunion Activities brought to the table alumni Commencement 2021 who had never attended an in-person event. Our Alumni Reunion Activities will continue virtually through 2021, PhD – 38 MMP - 9 MA - 7 and we look forward to in-person events again in 2022. MS – 17 MPH - 9 Congratulations to these newest MCW alumni! 6 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
MCW/MARQUETTE MEDICAL ALUMNI ASSOCIATION OPERATION: EDUCATION On April 7, 2021, 100 registered MCW students from all three campuses attended the virtual event, Operation: Education. Also attending were 30 MCW alumni from graduation years 1968-2019, representing 17 specialty/research areas and 13 states. Operation: Education was co-hosted by the MCW/ Marquette Medical Alumni Association and the Wisconsin Medical Society. Students had an opportunity to explore and engage with a variety of specialties and research areas to discuss how best to prepare for careers in those fields. MCW.EDU 7
SCHOLARSHIP 2021 MCW SCHOOL OF MEDICINE RESIDENCY DISTRIBUTION 35% Remain in WI 5 2 New Hampshire 2 2 11 4 Massachusetts 3 84 9 11 1 Rhode Island 4 8 1 Connecticut 1 1 6 2 9 5 3 Maryland 8 1 21 3 7 5 1 1 4 1 2 1 1 Hawaii 6 1 5 Some students have elected to not share their residency placements. All aggregate statistics are inclusive. Summary of First-year Residency Programs for Milwaukee, Green Bay and Central Wisconsin Campuses Anesthesiology 21 Obstetrics & Gynecology 11 Physical Medicine & Rehabilitation 1 Child Neurology 1 Ophthalmolgy 2 Plastic Surgery (Integrated) 1 Emergency Medicine 18 Orthopaedic Surgery 11 Psychiatry 14 Family Medicine 28 Otolaryngology 4 Radiology-Diagnostic 1 Internal Medicine (IM) 42 Pathology 1 Surgery-General 19 IM/Pediatrics 1 Pathology - Anatomic & Clinical 3 Surgery-Preliminary 2 IM/Psychiatry 2 Pediatrics (Peds) 33 Transitional Year 13 Interventional Radiology (Integrated) 1 Peds/Anesthesiology 2 Urology 4 Neurological Surgery 1 Peds/Psych/Child Psychiatry 1 Vascular Surgery 1 Neurology 3 8 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
CLINICAL | COMMUNITY ENGAGEMENT | DISCOVERY | SCHOLARSHIP MCW Welcomes and Congratulates New and Extended Faculty Leaders José Franco, MD ’90, GME ’93, David Margolis, MD, GME ’92, Staci A. Young, PhD Interim Director for Community Engagement FEL ’94 FEL ’95 Interim Senior Associate Dean for Community Interim Senior Associate Dean for Academic Affairs Interim Chair and Professor of Pediatrics Engagement Professor of Medicine (Gastroenterology and Interim Pediatrician-in-Chief, Children’s Wisconsin D S Hepatology) taci A. Young, PhD, associate professor avid Margolis, MD, has agreed to J osé Franco, MD, professor of medicine of family and community medicine, extend his appointment as interim (gastroenterology and hepatology) was appointed interim director for chair of pediatrics at MCW and interim was appointed interim senior associ- community engagement and interim senior pediatrician-in-chief at Children’s Wiscon- ate dean for academic affairs in the MCW associate dean for community engagement, sin (Children’s). Dr. Margolis has served in School of Medicine, effective April 21, 2021. effective March 1, 2021. Dr. Young succeeds this role since January 20, 2020. Dr. Franco joined the MCW faculty in 1996 as Syed M. Ahmed, MD, MPH, DrPH, who Dr. Margolis has demonstrated excellent assistant professor of medicine (gastroenter- retired from MCW following 20 years of leadership during his current tenure and ology and hepatology). He was promoted to valuable service to the institution. has provided insight and direction related associate professor in 2002 and professor in Dr. Young joined the MCW faculty in to MCW’s work toward a new affiliation 2010. His extensive service to the education 2008 as assistant professor of family and agreement between MCW and Children’s to mission also includes past roles as Discovery community medicine. She was promoted to further strengthen the Children’s Special- Curriculum director and associate director of associate professor in 2014. Dr. Young has ty Group (CSG) joint venture. Due to his the Robert D. and Patricia E. Kern Institute served as director of the Center for Healthy exemplary performance and management, for the Transformation of Medical Education. Communities and Research since 2018 and as the leadership teams at Children’s, CSG and Dr. Franco has been dedicated to the edu- co-director of the department of family and MCW felt it was important to extend his cation of students, residents and fellows community medicine’s Qualitative Research tenure in these roles to provide continuity of since the earliest days of his training. Consulting Service since 2019. leadership during the implementation of the Having completed almost his entire med- Dr. Young is a medical sociologist new affiliation agreement. See story on page 5. ical training at MCW and MCW Affiliated with expertise in qualitative methods and Dr. Margolis continues to serve as pro- Hospitals, he has witnessed and/or been in- community-based healthcare delivery. Her fessor of pediatrics (hematology/oncology/ volved in curriculum reform, innovation and skill set is in developing and conducting BMT) and program director, MCW Bone excellence in teaching at MCW for more than in-depth interviews, focus groups, narrative Marrow Transplant (BMT) and Cellular 30 years. Dr. Franco was an active member of inquiry and ethnographic fieldwork. Her Therapy Program. He also holds the David A. MCW’s Curriculum and Evaluation Commit- research examines the structural causes of Margolis Chair in Pediatric BMT at Chil- tee for years, including serving as chair health disparities and the effects on tradi- dren’s. Prior to beginning his interim role, from 2008-2011. As director of the new tionally vulnerable populations. Her bibliog- Dr. Margolis also served as associate chair Discovery Curriculum from 2011-2014, Dr. raphy includes more than 50 refereed journal of pediatrics and program director for Franco guided the solicitation and synthesis publications/original papers; books, chapters Children’s BMT and Cellular Therapy of MCW’s collective input reflecting more and reviews; abstracts; and peer-reviewed Program at the MACC Fund Center for than four years of planning. ■ educational products. ■ – GREG CALHOUN Cancer and Blood Disorders. ■ MCW.EDU 9
SCHOLARSHIP Expanding the Skills and Abilities of Pharmacy Professionals T he coronavirus pandemic presented challenges unlike anything faced in this country for generations and brought to light gaps and inequities in our health system. Millions of Americans lack adequate access to healthcare services. This limited access may continue to be exacerbated by COVID-19, phy- sician shortages and inequitable reimbursement models that could strain the healthcare system into the future. Leveraging the role of pharma- cists, the third-largest number of healthcare providers in the United States, is essential to the health and welfare of all communities. “Pharmacists are highly accessible, yet vastly underutilized. The average person lives within five miles or less of the nearest commu- Faculty members in the MCW School of Pharmacy, including Dr. Michael DeBisschop, testified to the Wisconsin State nity pharmacy, which places the community Legislature in support of Wisconsin Act 3, which expands pharmacy professionals’ ability to provide vaccinations. pharmacist in a unique position to help America close the gap on patient access and bring greater serious infectious diseases that are preventable through immu- affordability to healthcare costs,” says George E. MacKinnon III, nizations,” remarks Michael DeBisschop, PharmD, professor PhD, MS, RPh, founding dean of the MCW School of Pharmacy. in the department of clinical sciences at the MCW School of “More than 200 million Americans visit a community pharma- Pharmacy. cy within a six-month period each year. Thus, leveraging the In response to the passage of this legislation, the School of pharmacist’s unique expertise is essential and necessary.” Pharmacy is now able to provide immunization training earlier The MCW School of Pharmacy, in collaboration with in the Doctor of Pharmacy (PharmD) program. Students previ- other Wisconsin pharmacy schools and the Pharmacy Society of ously were certified through the American Pharmacists Associa- Wisconsin, advocated for passage of legislation (2021 Wisconsin tion (APhA) Pharmacy-Based Immunization Delivery Certificate Act 3) that expands pharmacy professionals’ ability to provide Program in Session 5 during the second year of the program, vaccinations. Members of the Pharmacy School faculty testified when they are the equivalency of a third-year student compared to the Wisconsin State Legislature in support of the expansion to a traditional program. Beginning with the incoming Class of to back vaccination efforts. 2024, pharmacy students will now complete the certification in On February 19, 2021, Wisconsin Act 3 was signed into law. their very first session – a full year earlier. The legislation allows first- and second-year student pharma- “The MCW School of Pharmacy has prepared us exceed- cists to administer vaccinations recommended by the Advisory ingly well. We have been provided the necessary knowledge Committee on Immunization Practices (ACIP) and allows and skills to administer not only vaccinations, but intra- other healthcare providers the ability to supervise student muscular and subcutaneous medications. Having worked pharmacists during vaccinations. Pharmacy professionals can the influenza clinics in September 2020 and now the now administer epinephrine and diphenhydramine to treat COVID-19 clinics, giving vaccinations is something I anaphylaxis. It also allows pharmacy technicians the ability to feel we as pharmacy students can do anywhere there is initiate and administer vaccines under pharmacist supervision. a need,” notes Jackson Straughan, MCW pharmacy student. “Taken together, these provisions will allow all pharmacy professionals (technicians, students and pharmacists) to be full New Community-Based partners in the vaccination effort and will help bring a quicker Residency Programs conclusion to the ongoing pandemic. These measures move the For MCW School of Pharmacy Class of 2021 graduate Jessica pharmacy profession forward and increase our capability to Barazowski, PharmD ’21, a pharmacy career is a seamless com- vaccinate the people of Wisconsin against COVID-19 and other bination of her interests. 10 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
“After getting my bachelor’s degree, didactic, practical and experiential edu- Standards. Thus, postgraduate training is I still wanted to do more. I was strongly cation. Their time will be split between not required in all sectors of practice. considering pursuing a career in organic the clinical setting at one of the part- “The goal of the program is to create chemistry but had always had an interest nering pharmacies and the academic high-functioning community-based in medicine. The job I was working at environment at MCW. practitioners who will be instrumental the time trained me on their pharmacy Dr. Barazowski will fill the residency in addressing social and economic station (at a veterinary clinic), and it was position at Good Value Pharmacy in determinants of health in our communi- like a light-bulb moment – medications Kenosha. Two other pharmacists from ties and delivering optimal care,” shares are organic compounds and pharmacy is the Midwest also matched with the res- Sara Revolinski, PharmD, residency pro- a medical profession. It seemed like the idency program for the 2021-2022 year: gram director and director of experiential perfect marriage between my interests,” Brendan Lehman, PharmD (Concordia education and professional labs with says Dr. Barazowski. University Wisconsin) with Evergreen the MCW’s School of Pharmacy. She will be continuing to pursue Pharmacy and Alaura Meister, PharmD As access to high-quality and innova- her interests in chemistry and medicine (Cedarville University in Ohio) with the tive primary care services remains critical as a Post-Graduate Year 1 (PGY-1) position at Welltopia. These new pharma- across the country, MCW continues to resident through the MCW School of Pharmacy’s new community-based residency program, developed in part- nership with several pharmacies in southeastern Wisconsin: Evergreen Pharmacy in West Allis, Good Value Pharmacy in Kenosha and Racine, and Welltopia Pharmacy in Thiensville. The program will offer intensive patient care and faculty development experiences that will prepare residents as community- based primary care pharmacists and academic leaders who will ensure access to high-quality, innovative primary care services, reduce health disparities and promote community wellness. “Being an MCW School of Pharmacy graduate, I knew that an MCW residen- cy would be equally as challenging and Dr. Jessica Barazowski, a first-year resident through the MCW School of Pharmacy’s new community-based residency rewarding. I was also drawn to the fact program, administers a COVID-19 vaccination at a local clinic. that, in addition to offering a teaching certificate, the program has an academic cists participated in the annual post- make strides in preparing healthcare component that provides the opportunity graduate pharmacy match program professionals to enter the workforce with to gain more experience with teaching sponsored by the American Society of the experience needed to begin reducing and precepting,” shares Dr. Barazowski. Health-System Pharmacists earlier this year. health disparities and promote commu- Through the one-year program, resi- A pharmacy residency is one of the nity wellness in Wisconsin and beyond. dents will participate in comprehensive post-graduate training options for The MCW School of Pharmacy Class of patient care including medication therapy students once they have earned their 2021 achieved a 75 percent match rate management, physical assessment and PharmD degree. First-year residencies for post-graduate training, surpassing immunization and other injectable medi- provide additional, in-depth pharmacy the 2021 national average. More than cation administration. They will have the practice experiences and offer graduates 20 members of the class will pursue opportunity to collaborate directly with the opportunity to specialize in areas post-graduate training through residen- interprofessional healthcare providers such as emergency medicine, pediatrics, cies and fellowships after graduation. and scientists with expertise in popula- cardiology, pharmacogenomics, on- Four members of the School’s inaugural tion health management, patient- cology, psychiatry and more in subse- Class of 2020 are pursuing second-year centered care and chronic disease quent years. In the US upon graduation, residencies specializing in ambulatory self-management. Residents also will PharmD graduates are deemed to be care, internal medicine and infectious receive academic experience through “practice-ready” per ACPE Accreditation disease. ■ – MICHELLE SCHAEFER MCW.EDU 11
CLINICAL Breast Cancer Survivor Credits Team of MCW Physicians with Saving Her Life W hile it may take a village to lump had further grown in size, Lanza breast surgery. Within two days, in mid- raise a child, it often requires finally had an ultrasound – which January 2018, Lanza met with Dr. Kong. an exceptional team of revealed a large mass. A biopsy con- “I was really scared, and Dr. Kong talented, dedicated and compassionate firmed it was malignant, and nearby immediately helped calm my nerves,” healthcare providers to save a life. nodes were involved. The doctor shared Lanza says. “She was very personable Lauren Lanza can attest to this. the news with Lanza in an offhanded and talked with me like I was a human Six weeks after giving birth to baby and compassionless manner. being and not a patient. She acknow- Louie in March 2017, Lanza, then age 31 Dismayed at this lack of concern and leged that there were more tests to be and a resident of Wauwatosa, Wis., caring from her physician – especially done to confirm the diagnosis and found a lump in her left breast. Her because Lanza had a family history of shared with me a treatment path with doctor, who was outside the Froedtert & cancer – she reached out to a friend two options. This made me feel much the Medical College of Wisconsin health who recommended Joseph Bovi, MD, more at ease knowing what we needed network, diagnosed a clogged milk duct GME ’07, professor of radiation oncol- to do to move forward.” from not nursing. But when Lanza ogy and neurosurgery at MCW and Stage 3 breast cancer was confirmed, became pregnant again several months medical director of radiation oncology and Lanza began meeting with her later, the lump was still present – yet at Froedtert & the Medical College of MCW oncology team, which includes her doctor remained unconcerned. Wisconsin. Dr. Bovi suggested that Lubna Chaudhary, MD, FEL ’15, MCW Twenty-eight weeks into the preg- Lanza contact Amanda Kong, MD, MS assistant professor of medicine (hema- nancy, in December 2017, and after the ’10, MCW professor and section chief of tology and oncology), Angela Halbach, NP, and “Nurse Patty.” Lanza immediately began two rounds of chemotherapy (with few side effects) before being induced to deliver at 36 weeks; baby Leni was born healthy on March 7, 2018. Lanza credits her high-risk OB team at MCW – led by Erika Peterson, MD, associate professor of obstetrics and gynecology and chief of maternal-fetal medicine, along with her nurse practitioner, Julia Houdek, NP – with keeping her safe and ensuring, through weekly monitoring, that the fetus was growing properly. Concurrently, Lanza discovered that she is BRCA-positive – confirming that she has a mutation in one of the breast cancer genes (BRCA1 or BRCA2) and therefore a much higher risk of developing breast and ovarian cancer compared with someone who doesn’t have the mutation. Lanza resumed chemotherapy about a month after giving birth but soon Breast cancer survivor Lauren Lanza with her husband, Luke Mytych, son Louie and daughter Leni, 2020. developed cold-like symptoms that sent 12 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
reconstructive surgery – which included feeling ill and tired, she persevered placing expanders in her chest. knowing that every step of treatment In October, Lanza began five weeks of was important for the success of her radiation, led by Adam Currey, MD ’05, outcome,” Dr. Kong shares. GME ’10, associate professor of radiation “I am feeling great and could oncology and director of the Radiation probably cry when talking about my Oncology Medical Residency Program. care team. They saved my life, and Lanza also underwent physical therapy changed my life. As I mentioned before, due to the removal of several lymph they care for you as a person and not as nodes from her left armpit. She also had a patient. I would tell anyone who asks to take anti-cancer drugs for a year, not to go anywhere else but Froedtert & which caused significant side effects. the Medical College of Wisconsin for Because of her radiation therapy, healthcare,” Lanza adds. Lanza’s expanders had to remain in Lanza, the consummate grateful place for a full year; unfortunately, one patient, continues to live in Wauwatosa, of the expanders had to be removed Wis., with her husband, Luke Mytych, within nine months due to an infection. son Louie (age 4) and daughter Leni (age 3). ■ – SARA L. WILKINS Lauren Lanza with baby Leni shortly after resuming “Lauren’s case was incredibly chemotherapy for breast cancer in 2018. complicated and required a her to the hospital; blood clots in her well-orchestrated team of doctors Shining a Spotlight with the highest level of on Women’s Health lungs were discovered, and she was placed on blood thinners. She continued communication to ensure the Disparities through June 2018 with 12 rounds of best outcome for mom and baby.” Results from an MCW study chemo, followed by a double mastec- – Dr. Amanda Kong published in the Journal of tomy performed by Dr. Kong in August Clinical Oncology this year iden- and two additional rounds of chemo. Lanza finally received breast implants in tified a link between contem- Erin Doren, MD, MCW assistant profes- the fall of 2019. porary “redlining” (mortgage sor of plastic surgery, performed Lanza’s An additional MCW physician rela- lending bias based on property tionship arose in October 2020 when location) and mortality after Lanza developed a hernia while dancing breast cancer diagnosis among Breast Surgery with her young son. She finally had surgery to repair the hernia in January women in the US. Program 2021, which was performed by Rana Kirsten Beyer, PhD, MPH, MS ’12, associate professor The Froedtert and the Medical Higgins, MD, FEL ’16, assistant professor of epidemiology at MCW’s College of Wisconsin’s world-class of surgery. Institute for Health & Equity breast surgeons completed their After a healthy spring this year, and researcher at the MCW fellowship training at: Lanza underwent a preventative Cancer Center, says the results oopherectomy (removal of her ovaries) Amanda L. Kong, MD, MS ’10: affirm the upstream effects of in May due to her BRCA-positive status, The University of Texas discrimination on persisting which was performed by Camila M.D. Anderson Cancer Center health disparities for indivi- Bomtempo, MD, MCW assistant profes- duals facing a cancer diagnosis. Tina W.F. Yen, MD, MS ’06: sor of obstetrics and gynecology. “There is a wide gap for The University of Texas Lanza also continues to see Drs. Kong women of color diagnosed with M.D. Anderson Cancer Center and Currey once a year (in February and breast cancer,” says Dr. Beyer. September, respectively). “Lauren’s case Caitlin R. Patten, MD ’10: “We’re doing ongoing research was incredibly complicated and required Carolinas Medical Center to understand why so we can do a well-orchestrated team of doctors our part to improve patient Chandler S. Cortina, MD, MS ’21: with the highest level of communication care and health outcomes for Northwestern University Feinberg to ensure the best outcome for mom and all people.” ■ School of Medicine baby. Most importantly, though, was –NIKITA VILIM Lauren’s attitude. Even when she was MCW.EDU 13
ALUMNI | CLINICAL | DISCOVERY | PHILANTHROPY MCW Team Leads Pediatric Study M CW and health system partner Children’s Wisconsin are on the vanguard of best practices for gastroschisis, the most common congenital abdominal wall abnormality in developing fetuses. This birth defect, in which the intes- tines are outside the body floating in the amniotic fluid, is diagnosed by prenatal ultrasound at 18-20 weeks gestation. During fetal development, the abdom- inal wall fails to close properly, leaving an opening which is usually to the right of the umbilical cord. Gastroschisis affects one out of every 4,000 births – and the number of cases an increased risk for being stillborn, and in MCW’s Institute for Health & Equity, continues to increase. Experts do not their intestines may be damaged while has been working alongside Dr. Wagner know what causes gastroschisis, but it in the amniotic fluid. from the beginning of the GOOD Study. is associated with younger maternal age A piece of “good” news is that re- Other MCW faculty working with Dr. and rarely occurs in mothers over 30 search is now underway that could help Wagner include Erika Peterson, MD, years of age. Gastroschisis is treated the health of babies diagnosed with gas- associate professor of obstetrics and immediately after birth with surgery troschisis. The Gastroschisis Oucomes of gynecology (maternal-fetal medicine) to put the organs back into the baby’s Delivery (GOOD) Study, which comprises and Steven Leuthner, MD, MA, professor body. Often, these tiny patients need 26 participating centers across North of pediatrics (neonatology). additional treatments, such as receiving America, will help doctors determine the MCW and Children’s Wisconsin nutrients through an IV line and antibi- best time to deliver a baby with gastro- are home to the Data Coordinating otics. As importantly, attention must be schisis and will help the infant live as Center for the study, which is designed paid to their body temperature. healthy as possible post-birth. to answer the question: Should moms of The GOOD Study began nationally in babies with gastroschisis deliver early “The GOOD Study has potential to February 2018 and had its genesis in a or carry their babies closer to term? A affect the lives of the thousands of 2016 seed grant from the We Care Fund clinical trial is currently underway to mothers and infants diagnosed with for Medical Innovation and Research investigate the hypothesis that deliv- gastroschisis every year.” in MCW’s department of surgery that ery at 35 0/7 - 35 6/7 weeks in stable was awarded to Amy Wagner, MD ’01, patients with gastroschisis is superior to – Dr. Amy Wagner FEL ’11, professor of pediatric surgery observation and expectant management Some doctors believe pregnancies at MCW. with a goal of delivery at 38 0/7 - 38 6/7 complicated by gastroschisis should The success of the study and Dr. weeks. deliver early, while others think that Wagner’s leadership resulted in the “The GOOD Study has potential to mothers should carry their babies until receipt in April 2021 of a five-year, affect the lives of the thousands of the onset of labor. Unfortunately, there $4.2 million grant from the Eunice mothers and infants diagnosed with is no definite answer regarding whether Kennedy Shriver National Institute of gastroschisis every year,” Dr. Wagner a mother carrying a baby with gastro- Child Health & Human Development to says. By the conclusion of the study in schisis should deliver early or carry continue research on the outcomes of 2025, the team expects that its research the baby closer to term, and no scien- babies born with gastroschisis. Dr. efforts will have made a significant and tific data exists to show if one delivery Wagner is the principal investigator on positive difference in the quality of life method is better than the other. Addi- the grant and oversees all 26 participat- for these tiniest of patients and their tionally, babies with gastroschisis are at ing centers. Aniko Szabo, PhD, professor families. ■ – ELIZABETH KARNOWSKI 14 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
ALUMNI | COMMUNITY ENGAGEMENT MCW and Partners Build Vaccine Confidence Across Milwaukee Area I n December 2020, the Milwaukee Unified Emergency Operations Center (UEOC) COVID-19 Vaccine Coordinating Committee mobilized to coordinate a public health response to the COVID-19 pandemic. MCW – as a member of UEOC – led the way in providing unbiased health and safety information to communities across Wisconsin. As part of the UEOC response, the Vaccine Integrated Com- munications and Outreach Mobilization (VICOM) Committee was formed and chaired by Mara Lord, MCW senior vice pres- ident for university engagement and strategic planning. The VICOM Committee comprised loaned talent from businesses and organizations across the Milwaukee area and provided Supporting materials for the community-wide public health response to the COVID-19 affected vulnerable populations with education, information pandemic included an ad campaign in support of vaccinations. and resources related to COVID-19 through equitable channels and community-informed approaches. Campaign contributors include: 2 Story; Bader Philanthro- VICOM’s communications efforts encouraged individuals to pies; Baird; Children’s Community Health Plan; City of get vaccinated while still respecting their personalized need to Milwaukee; Greater Milwaukee Committee; Greater Milwaukee make an informed decision. The committee developed support- Foundation; Hanson Dodge; Johnson Controls, Inc.; Jump at the ing materials such as HealthyMKE.com, a centralized repository Sun; Marcus Theatres; Milwaukee Bucks; Milwaukee County; of real-time COVID-19 and vaccine information developed and Milwaukee County Zoo; Milwaukee Health Care Partnership; managed by the Milwaukee-based Black- and women-owned Rockwell Automation; Summerfest; United Way of Greater agency INPOWER; a weekly educational newsletter distributed Milwaukee & Waukesha County; VISIT Milwaukee; WE Energies; to almost 500 community collaborators; and a multimedia, Wisconsin Department of Health Services; and Zilber Family omni-channel marketing campaign including social media, TV, Foundation. ■ radio and billboards. – MAUREEN REMMEL “The overall campaign was developed pro-bono by Milwaukee-based creative agency Hanson Dodge,” explains Lord. “We also engaged and equitably paid a variety of local A Data-Driven Approach minority- and women-owned vendors to develop photo and Ben Weston, MD, FEL ’15, associate professor of video assets to support the campaign theme. These partner- emergency medicine at MCW and emergency department ships proved invaluable as we launched a campaign to share physician at Froedtert Hospital in Milwaukee, serves as the unique and trusted voices of our community members.” director of medical services for Milwaukee County Partnership was essential to the growth and reach of through the Office of Emergency Management (OEM). COVID-19 response efforts. For example, the Advancing a While navigating the pandemic, he, along with the OEM, Healthier Wisconsin Endowment at MCW made a significant developed the Evaluating Vulnerability and Equity Model financial investment in VICOM’s communications work as well (EVE Model), which evaluates and as an ongoing commitment to building vaccine confidence guides equitable vaccine deployment through an equity lens. strategies across the county with Since December 2020, more than 25 civic and commu- socially vulnerable populations. The nity partners have contributed to the effort in time and model’s regular mapping of vaccina- dollars. Combined, the Milwaukee-area multimedia campaign tion rates drove targeted messaging and community mobilization efforts represent a more than for VICOM communications and vac- $900,000 investment to build vaccine confidence in the cine resource allocation in a dynamic, Milwaukee area. needs-focused manner. MCW.EDU 15
ALUMNI | CLINICAL | SCHOLARSHIP Filling the Gap By Anthony Braza and Sara L. Wilkins T he United States faces a shortage of up to 122,000 physicians by 2032, according to a 2019 study by the Association of American Medical Colleges (AAMC). The projected shortfall includes both primary care and specialty care physicians. Major factors underlying these predicted shortages include continued population growth and an increase in the proportion of adults over the age of 65. Wisconsin is facing the same challenges. As early as 2011, a Wisconsin Hospital Association (WHA) report New Medical Residencies Meet noted that 100 new physicians a year were needed in the areas of primary Future Healthcare Needs care, psychiatry and general surgery, especially in rural settings. In 2016, the WHA projected a shortfall of 2,000 It is clear that Wisconsin continues BY 2032, 122,000 physicians in the state. to require more GME positions – and Medical schools have increased the Medical College of Wisconsin is enrollment by more than 30 percent working diligently to fill the gap by since 2002. However, due to federal creating new medical residencies to caps on support for graduate medical meet future healthcare needs. MCW not PROJECTED SHORTFALL OF education (GME), the pace of increase only has brought creative solutions to PHYSICIANS IN THE US in GME positions during this timeframe this difficulty as outlined below, but also has substantially lagged the increase in has provided funding and expertise to IN 2016, PROJECTED undergraduate medical education (UME) ensure success. SHORTFALL OF 2,000 positions – and has led to the physician shortages in the US. Medical College of Wisconsin The AAMC notes that fixing the Affiliated Hospitals doctor shortage requires a multi- The Medical College of Wisconsin PHYSICIANS IN pronged approach that includes finding Affiliated Hospitals, Inc. (MCWAH) WISCONSIN ways to increase GME positions to aug- combines vast experience and extensive Sources for infographic: ment the overall number of physicians resources to provide a solid foundation Association of American Medical Colleges (AAMC); trained in the US annually. The AAMC for graduate medical education. Led by Wisconsin Hospital Association (WHA) – of which Joseph E. Kerschner, MD ’90, Kenneth B. Simons, MD, executive FEL ’98, The Julia A. Uihlein, MA, Dean director and designated institution- of the MCW School of Medicine, provost al official, and MCW senior associate programs. At present, MCWAH offers and executive vice president, served as dean for graduate medical education 98 Accreditation Council for Graduate chair of the board of directors from and accreditation, MCWAH, MCW and Medicine Education (ACGME)-accredited November 2019-November 2020 – its affiliated institutions provide the residency and fellowship programs; each continues to work closely with elected elements necessary for a broad spec- program is supervised by a dedicated officials to address this important issue. trum of graduate medical education program director. Most of the residents 16 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
(at left) Camille Garrison, MD ’06; MCW residency in family and community medicine (2006-2009); now an MCW associate professor of family and community medicine. and fellows rotate through two or three of In addition, there has been a reduction The difficulties noted above were the MCWAH’s 10 affiliated institutions. in the stigma surrounding mental illness recognized by leaders at MCW. When MCWAH has more than 900 residents and the openness of individuals seeking new funding provided an opportunity to and fellows in its graduate training pro- treatment – both of which have contri- increase GME positions – particularly grams and offers approximately 200 first- buted to an increased demand for mental in mental health areas – MCW sought year residency positions in 23 disciplines. healthcare and professionals. Further, partners at the Veterans Administration Fellowship positions are available in 68 public/governmental policy and health- Health System and elected officials in ACGME-accredited subspecialties. care system strategies have under- the state of Wisconsin (among others) invested in both personnel and infra- to create a novel solution for the state. New Psychiatry Residency Programs structure for those individuals seeking MCW already had embarked on a Launched in 2017 care. All of these forces have resulted regional campus medical school model Access to mental healthcare is a crisis in an aging mental health professional that allowed students to complete their in the US and much of the rest of the workforce and lack of access, which is entire medical training – both medi- world. Several underlying factors have arguably among the most important cal school and residency – in regions of led to this predicament, including an impediments to overall health and greatest physician need in Wisconsin. incomplete (but positive) emerging well-being in society today. These As such, creating a psychiatry resi- understanding that mental illness impacts difficulties are further exacerbated in dency program linked to these regional a substantial percentage of individuals, less populated areas of the US where campuses would provide an opportunity and that with appropriate intervention, access to mental health professionals to attract medical students and residents positive outcomes are achievable. is even more challenged. to learn and ultimately to practice in areas According to the Centers for Disease A 2012 analysis by the state Depart- of greatest need in the state. Control and Prevention, about 25 percent ment of Health Services found Wisconsin Some of the funding for this plan of Americans experience some form of needed more than 200 additional psy- became a reality in 2014 when the US mental illness and close to 50 percent will chiatrists to address shortages. Sixteen Department of Veterans Affairs (VA) develop at least one mental illness within counties – all in rural areas – reported their lifetime. having no outpatient psychiatrists. Continued on page 18 MCW.EDU 17
(at left) Malika Siker, MD; MCW residency in radiation oncology (2007-2011); now an MCW associate dean of student inclusion and diversity, and associate professor of radiation oncology. this, the regional psychiatric communities are now connected, and stronger, which has improved care for those in need. When you look at Wisconsin as a whole, we have a severe lack of psychiatrists, and outside of the big cities, the disparity is even worse. Plus, more than half of the psychiatrists in Wisconsin are over 50 and nearing retirement. If we can keep one or two of our residents from every class in Wisconsin, it will make a huge difference.” Dr. Gouthro adds, “Three graduating residents from the rural MCW psychiatry programs are substantially involved in education and will be working in approved the addition of 10 new training psychiatry and behavioral medicine and Inaugural Class of slots for mental health professionals in former training director of MCW’s psychi- northeastern Wisconsin. The positions atry residency program, served as interim Psychiatry Residency were established to train seven psychia- residency training director, pending Programs in Central trists, two psychologists and a pharmacist ACGME approval of the training program. and NE Wisconsin to help alleviate a critical shortage of The assistance of MCWAH and Dr. Simons Six graduates remain in Wisconsin mental health professionals in that region in creating these new residencies was and one practices in rural Iowa: of the state. invaluable. Concurrently, in May 2014 (as part These new mental health training Amy Butterworth, MD, GME ’21: of the 2013-2015 biennial budget), the programs, which were launched in July St. Mary’s, Ascension, Wisconsin Department of Health Services 2017, are training three residents per year Rhinelander awarded MCW two grants of more than in central Wisconsin and four residents $370,000 each to support the develop- per year in northeastern Wisconsin. The Daniel Hoppe, MD, GME ’21: ment of psychiatry residency programs efforts are already bearing fruit, as six North Central Health Care, in central and northeastern Wisconsin. medical school graduates from MCW- Wausau Additionally, more than $3.3 million was Milwaukee, four medical school Andrew Kordus, DO, GME ’21: awarded to six Wisconsin healthcare graduates from MCW-Green Bay and Winnebago Mental Health organizations by the State Legislature to two from MCW-Central Wisconsin are Institute, Oshkosh help them establish the new residency current psychiatry residents in these new training programs in their communities. GME programs. And even more impor- Brooke Mastroianni, MD, In May 2016, initial accreditation tantly, of the first seven graduates from GME ’21: Continued training, was received from the ACGME for two the psychiatry residency programs, six Child & Adolescent Psychiatry new four-year psychiatry residency have taken positions within Wisconsin Fellowship, Milwaukee programs attached to the institution’s and one in nearby rural Iowa (see sidebar). medical school campuses in central and According to Robert Gouthro, MD ’07, Ryan Stever, MD, GME ’21: northeastern Wisconsin. Jon Lehrmann, GME ’11, program director of the Central Gundersen Health System, MD ’90, GME ’94, the Charles E. Kubly Wisconsin Residency Program and MCW Lansing, Iowa Professor and chair of psychiatry and assistant professor of psychiatry and Waqas Yasin, MD, GME ’21: behavioral medicine and the Milwau- behavioral medicine, “One of the biggest North Central Health Care kee VA Medical Center’s associate chief impacts of the rural residency programs of staff for mental health, was tapped is that they have brought the psychia- Albina Zimany, MD, GME ’21: to oversee the overall program. Carlyle trists in these areas together to train our Continued training, Child & Chan, MD ’75, professor and vice chair of residents and their future colleagues. With Adolescent Psychiatry Fellowship, Milwaukee 18 MEDICAL COLLEGE OF WISCONSIN MAGAZINE
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