"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School

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"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
SEP T EMBER , 2018

  “ON THE CUTTING EDGE”
  NEWS FROM THE DEPARTMENT OF SURGERY

Feature Stories:
DR. JONATHAN KEITH:

First Phalloplasty
in New Jersey
                             DR. STEPHANIE BONNE:

                          Preventing Gun
                      Violence is Personal

DR. JAMES GUARRERA:

Liver Transplant              DR. ANNE MOSENTHAL:

Program Exceeds          Progress Toward
Expectations              Strategic Vision

                                                          1
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Contents
   Honors & Awards                 Welcome               Highlights

GOLDEN APPLE AWARD         DR. ASHLEY IGNATIUK    DR. HOSSEIN SADEGHI-NEHAD

AOA HONORS DR. GORE        DR. DUSTIN CUMMINGS    DR. ADAM FOX

PROMOTIONS                 DR. JOSEPH OLIVER      DR. JESSICA ROUAN

GRADUATES                  NEW RESIDENTS          DR. ADAM FOX &
                           JONATHAN BATISTA       DR. FRANK PADBERG
WHERE ARE THEY NOW

RETIREMENTS

     On the Scene                  Speakers         On a Personal Note

WASHINGTON ADVOCACY        NATIONAL SPEAKERS AT
RESEARCH SYMPOSIUM         GRAND ROUNDS

               Have a great story to tell?
                      SHARE IT WITH YOUR COLLEAGUES:
     CONTACT DONNA SHORE, EXECUTIVE ASSISTANT TO THE CHAIR,
                        DSHORE@NJMS.RUTGERS.EDU

                                                                 SEP T EMBER , 2018
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Inside this issue:
   People doing

DR. JONATHAN KEITH:   DR. ANNE MOSENTHAL:   DR. STEPHANIE BONNE:
First Phalloplasty    Progress Toward       Intervening with
in New Jersey         Strategic Vision      gunshot victims in
Page 16               Page 4                “teachable moments”
                                            Page 18

   People doing

ALIKAH GREEN:         DR. JAMES GUARRERA:   Welcome New
“Big Sister” Helps    Liver Transplant      Surgeons
Gun Victims To        Program Exceeds       Page 6
New Path              Expectations
Page 20               Page 28

                                            U.S. Senator Cory
                                            Booker Visits NJMS
                                            U.S. Senator Cory Booker, D- New
                                            Jersey, receives a “Gun Violence is a
                                            Public Health Issue” T-shirt from Dr.
                                            Stephanie Bonne during a visit to
                                            Rutgers NJMS.
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
SEP T EMBER , 2018

OUR STRATEGIC VISION:

To Raise the Rutgers
NJMS Surgery Profile
in the Region Through
Research, Education,
and Specialty Care

                                4
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
SURGICAL NOTES FROM THE CHAIR:
Progress Toward Strategic Vision
By Anne Mosenthal, MD, FACS, Chair, Department of Surgery

I hope you share my excitement at the ongoing results of our journey to raise the
regional profile of the Rutgers NJMS Department of Surgery as you will see in
this newsletter.

As we expand the reach of our specialty practices out into        We had many distinguished visiting professors
the region, the department is seeing the impact of our efforts    conduct Grand Rounds lectures this year, including
to recruit more people who bring research and innovation          an important talk on gun violence in The Dr. Eric
such as Dr. James Guarrera. Since his arrival in February         Muñoz Memorial Lecture given by Dr. Rochelle
as Chief of Abdominal, Liver and Hepatobiliary Surgery, Dr.       Dicker from UCLA and attended by New Jersey
Guarrera has reinvigorated the Transplant program,                Assemblywoman Nancy Muñoz, wife of the late
performing 20 liver transplants. Read more of the interview       Dr. Muñoz.
with Dr. Guarrera in this issue.
                                                                  We are excited to announce new physicians who
The Rutgers Center for Transgender Health has performed           are joining our team: hand surgeon Dr. Ashley
gender affirming surgery on its first two patients, including     Ignatiuk in Plastic Surgery, Dr. Dustin Cummings,
the first phalloplasty in New Jersey. This is an exciting         a minimally invasive surgeon and Dr. Joseph
program for us, a collaborative center that will provide a full   Oliver, one of our former graduates, in general
spectrum of medical, psychiatric and surgical care for the        surgery.
transgender person. Read more in the story with program
co-founder Dr. Jonathan Keith, assistant professor in             We celebrated retirements of two longtime, stalwart
the Division of Plastic and Reconstructive Surgery.               members of our faculty and wish farewell to Dr. Paul
                                                                  Bolanowski, and Dr. Anne Sheffet.
As surgeons, especially in Trauma, we seek hope in efforts
to reduce the impact of the epidemic of gun violence. Many        I am extremely proud of our residents and they are
of our colleagues participated in The Student Walkout             featured throughout our newsletter. We graduated
for Gun Violence Awareness in March. A new program                another cohort of spectacular residents and you can
within Trauma, led by Dr. Stephanie Bonne, is making              see the amazing places where they are going next.
gains in helping victims of gun violence find a new path.         At the same time, we welcomed in the new class
Read more about Dr. Bonne’s work and collaboration with           —one of our most diverse groups and you can meet
caseworker Alikah Green.                                          them here.

Within the past year, we have begun work on integrating our       I appreciate hearing story ideas from several of
practices with University Hospital as an opportunity to focus     you who reached out after the first issue of “On the
on delivering a consistently high-quality experience with more    Cutting Edge,” which you will see published.
patient-centered care. To further enhance our capabilities, we
are also launching a new performance improvement initiative.

                                                                                                                         5
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Welcome New Surgery
Department Physicians

                                               Dr. Ashley Ignatiuk Brings
                                               “Wide Awake Hand Surgery”

Ashley Ignatiuk, MD, MSc, FRCSC                                                          Dr. Ignatiuk said he is excited about
looks forward to bringing new capability         “Wide awake hand                        the opportunities “to join a great group”
in “wide awake” hand surgery and a               surgery is more like                    as part of the Division of Plastic and
brachial plexus clinic to the Division of                                                Reconstructive Surgery. “They are
                                                 going to the dentist
Plastic & Reconstructive Surgery as                                                      doing fantastic stuff with trauma, cancer
a primary specialist in hand and wrist          using local anesthesia                   and burn reconstruction. I look forward
surgery. He is an Assistant Professor              for treatment of                      to test my skills with the type of cases
of Plastic Surgery and an Attending at                                                   that come in.”
                                                  carpal tunnel and
University Hospital.
                                                    trigger finger.”                     In addition to hand surgery for carpal
Dr. Ignatiuk comes to Rutgers NJMS                                                       tunnel and trigger fingers, Dr. Ignatiuk
Surgery from the University of Colorado     “It is better for the patients and for       will perform breast reconstruction, head
Hospital in Denver. Board-certified         me, they can participate and talk            and neck reconstruction, and treat
in Plastic Surgery, Hand Surgery,           with me during the surgery. It is more       Raynaud’s Syndrome and Spasticity.
he completed a Fellowship at the            cost effective and has better patient
University of Texas Southwestern            outcomes,” Dr. Ignatiuk said.
Medical School. He completed his
residency in Orthopedic Surgery at          In partnership with orthopedist Dr.
the University of Western Ontario           Michael Vosbikian, Dr. Ignatiuk said
and earned his medical degree at the        they will launch a brachial plexus and
University of Saskatchewan College          peripheral nerve clinic. “It will be a big
of Medicine.                                part of limb restoration and limb salvage
                                            programs for high energy injuries such
                                            as in motorcycle crashes.”
 6
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Dustin Cummings, MD, M.P.H.,           Joseph Oliver, MD, M.P.H Asst.
Bariatric Surgeon                      Professor, General Surgery

Dr. Dustin Cummings has joined the     Former Administrative Chief
Department of Surgery as Assistant     Resident Dr. Joseph Oliver returns
Professor, General Surgery. With       to Rutgers NJMS Surgery after
experience in bariatric surgery, Dr.   a Fellowship at the University of
Cummings will predominately provide    Southern California.
clinical services at New Bridge
Medical Center, NBMC.                  Dr. Oliver, an Assistant Professor,
                                       General Surgery, will practice
Dr. Cummings comes to Rutgers          predominately at New Bridge Medical
NJMS Department of Surgery from        Center, NBMC.
a fellowship in minimally invasive
foregut/bariatric surgery at the       Prior to completing his residency in
University of Washington in Seattle.   General Surgery at Rutgers, NJMS,
He completed a residency in general    Dr. Oliver was a Research Fellow in
surgery at Icahn School of Medicine    the Department of Surgery, Division
at Mount Sinai Health System.          of Liver Transplant and Hepatobiliary
                                       Surgery at Rutgers NJMS.
Dr. Cummings earned his medical
degree and a Master of Public Health   A graduate of Rutgers New Jersey
in epidemiology at the University of   Medical School, Dr. Oliver earned an
Michigan Medical School.               MPH in Quantitative Methods,
                                       Biostatistics at Rutgers School of
                                       Public Health, and his undergraduate
                                       degree from Lafayette College.
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Introducing New Finance Manager
                                      JONATHAN BATISTA, MBA, MPA

Jonathan Batista, MBA, MPA joins the Department of               Batista said, “I was attracted to this opportunity in that it
Surgery as the new Finance Manager.                              is a new position, Rutgers’ reputation, its leadership in the
                                                                 community, and the accomplishments of the Department
Batista comes to Rutgers NJMS Department of Surgery from         and faculty.”
the Science Division of City College of New York where his
nine years of service included roles as Finance Manager, Sr.     Batista, who started July 2 said he will be interviewing all the
Budget Advisor to the Provost and Administrative Executive       division chiefs and their staff members to understand their
Coordinator. Previously Jonathan was a Senior Analyst at JP      needs for financial reporting for day-to-day decisions, and
Morgan Chase.                                                    with the UPA staff, about their financial needs. Consolidating
                                                                 financial reporting efforts from others who have done the
Batista earned an MPA, Masters’ in Public Management             work for their own divisions will be important, Batista said.
& Public Policy at Baruch College, an MBA in Accounting,
and is pursuing his CPA.                                         “My goal is to bring experience and best practices to this role
                                                                 to make sure we have enough resources for capital purposes,
This is a new position for the Department of                     student aid and facilities’ needs,” Batista said.
Surgery, reporting to Larry Gold, Interim Vice Chair,
Administration. Batista will be responsible for overseeing the   Little known fact: At CCNY Jonathan frequently saw
financial management of the department, supporting and           renowned theoretical physicist and professor Dr. Michio Kaku
developing the annual operating budget, financial planning,      in the halls or the elevator. “I noticed how often we got the
reporting, analysis and forecasting.  Financial oversight of     same ‘M&Ms’ out of the vending machine.”
sponsored and non-sponsored funds and representing the
department to the school administration are also part of
Batista’s responsibilities.

                                                                                                                  SEP T EMBER , 2018
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Welcome New Residents
In June we hosted a welcome reception for our newest residents.
We look forward to all their accomplishments.

FRONT ROW: Rachel Berger, Parvin-Nejad Parnian, Mario Figueroa, Najib Allababbi, Elgamma Fatima, Laura Bloom,
Sofia Gilels. BACK ROW: Karen Mann, Thomas Bachman, Eddie Ndichie, Posada Erazo, Rawan Sharma, Yu Yasong,
Edwin Suarez, Steven Cai, Thomas Hwang, Maya Jackson, Abigail Morris.

SEP T EMBER , 2018

                                                                                                                9
"ON THE CUTTING EDGE" - NEWS FROM THE DEPARTMENT OF SURGERY - Rutgers New Jersey Medical School
Prominent
National Speakers                                                     In the first half of 2018, the
Highlight Grand                                                       Department of Surgery Grand
                                                                      Rounds hosted outstanding external
Rounds Presentations                                                  speakers of national prominence.

                                                                                  SPE A K E R S

The Eric Muñoz, MD, Memorial Lecture
Andre Muñoz, Dr. Stephanie Bonne, Dr. Anne
Mosenthal, Assemblywoman Nancy Muñoz, Dr. Rochelle
Dicker, and Dr. David Livingston gather for The Eric Muñoz,
MD, Memorial Lecture. The event honors the former Rutgers
Trauma surgeon, administrator and assemblyman. His wife,      In January, Dr. Carla Pugh, Professor of Surgery from
Nancy Muñoz, assumed the legislative seat upon his death      Stanford, spoke to a full house regarding the use of sensor
and then won re-election. Their son, Andre Muñoz, is a NJMS   technology to assess technical skills
medical student.

                                                              In March Dr. Julie Freischlag, the Dean, Wake Forest School
                                                              of Medicine, CEO of Wake Forest Baptist Medical Center,
                                                              and a nationally sought-after speaker discussed aspects of
                                                              leadership and lunched with residents.
SEP T EMBER , 2018

                                                               Dr. Gregory Jurkovich, Professor of Surgery, Lloyd F.
                                                               and Rosemargaret Donant Chair in Trauma Medicine
                                                               and Trauma Research, University of Callifornia, Davis
                                                               presented on Surgical M&Ms.

 Our Transplant team had a great day planned in May            Dr. Rochelle Dicker, Chief of Surgical Critical Care,
 for Dr. Jeffrey Matthews, Chair, Department of Surgery at     Associate Chief of Trauma and Emergency General Surgery
 University of Chicago.  Dr. Matthews spoke on HPB topics      at UCLA was the featured speaker at The Eric Muñoz, MD
 of Pancreatitis and complimented the resident presentations   Memorial Lecture, discussing Hospital Violence
 given the night before.                                       Prevention. Assemblywoman Nancy Muñoz, wife of the former
                                                               Trauma Surgeon and Assemblyman attended.  

                             Planning is underway for an equally exciting
                                Grand Rounds schedule for 2018-2019.
Highlights

                                 Dr. Sadeghi-Nejad
                    Serving On Urology Exam Board

Hossein Sadeghi-Nejad, MD, FACS,                the main affiliate of the American Urological
Professor of Surgery/Urology has been           Association, with a focus on male and female
selected to serve on the national examination   sexual health.
committee of the American Board of Urology.
                                                He is the Chief of Urology at VA New Jersey
In May, Dr. Sadeghi-Nejad became the            Health Care System.
President of the Sexual Medicine Society
of North America. This organization is

                                                                                                12
Dr. Adam Fox Interim Director
             New Jersey Trauma Center, Section Chief

Dr. Adam Fox has been appointed Interim           after practicing in the divisions of Trauma/
Director of the New Jersey Trauma Center          Critical Care and Emergency Surgery at the
at University Hospital and Section Chief of       University of Pennsylvania and Penn State
Trauma, effective July 1 according to an          University.
announcement from Dr. Anne Mosenthal,
Chair, Department of Surgery.                     He is an instructor and course director for
                                                  multiple trauma and critical care related
Dr. Fox will oversee all clinical, operational,   courses. He is an active member of The
quality and regulatory aspects of the             International Medical Surgical Response
NJ Trauma Center.                                 Team (IMSuRT) and Mobile Acute Care
                                                  Strike Team (MAC-ST) of the National
Dr. David Livingston will continue to be          Disaster Medical System (NDMS). He has
the Division Chief of Trauma/Critical Care        also provided surgical care on multiple
and Acute Care Surgery and represent the          medical missions around the world.
Trauma Center on the state level as Vice          Additionally, he provides medical care and
President of the State Trauma Systems             education to the Newark FBI SWAT Team.
Council.
                                                  Dr. Fox sits on the editorial board of several
Dr. Fox is an Assistant Professor in the          journals and is the author of multiple journal
Department of Surgery at Rutgers New              articles and has presented at conferences
Jersey Medical School and faculty in the          both nationally and internationally. His
Division of Trauma Surgery and Critical           interests include leadership in trauma,
Care. Dr. Fox joined the faculty in 2011          education, and global trauma and disaster
                                                  response.

                                                                                                   13
Resident Jessica Rouan, MD,
Poster Presentation, 2018 Vascular
Annual Meeting in Boston
“Side Branch Ligation Improves Function of Arteriovenous Fistula”

                                                       “We looked at non-maturing
                                                       AVF with evidence of side
                                                       branches presumed to be
                                                       diverting flow and took
                                                       them for ligation. Ligation
                                                       was performed as either an
                                                       open procedure or via coil
                                                       embolization. We reviewed
                                                       pre- and post-ligation vein
                                                       diameter and flow volumes
                                                       using duplex ultrasound
                                                       and found that post-ligation
                                                       values were statistically
                                                       significantly increased for
                                                       both. Additionally, functional
                                                       patency was improved
                                                       post-ligation possibly due
                                                       to increased vein diameter
                                                       and flow volumes.”

                                                       Pictured Left:
                                                       Frank Padberg, MD, Jessica Rouan, MD,
                                                       Michael Curi, MD, Frank Caputo, MD, a
                                                       recent NJMS residency graduate, currently
                                                       Vascular Surgeon at the Cleveland Clinic.
SEP T EMBER , 2018

                            DR. ADAM FOX AND DR. FRANK PADBERG

         Department of Surgery physicians

        Attended Surgical Lecture Series NJ-ACS Pilgrimage to Bologna, Italy

      The event was held in a renaissance building, The Rizzoli Institute, decorated with ceiling frescos from its previous
      life as a monastery. Dr. Fox spoke on Disaster Management and the US and Italian Surgeons discussed comparative
      training for surgical residents.

                                                                                                                              15
An Epicenter
for Transgender
Care and Surgery
DR. JONATHAN KEITH

               Now that Dr. Jonathan                 The mission of the Rutgers Center
                                                     for Transgender Health “is to
               Keith has performed                   establish an epicenter in New Jersey
               New Jersey’s first                    that will improve the health and
                                                     well-being of transgender people
               successful female to
                                                     through evidence-based clinical
               male gender affirmation               care, research and education.” The
                                                     vision is to “create fellowships in
               surgery, a phalloplasty,
                                                     transgender medicine and surgery.”
               he continues to study
               the progress of patient               While Dr. Keith spent three years
                                                     planning the phalloplasty for patient
               Elijah Stephens as he                 Elijah Stephens his interest and
               plans similar surgeries,              training in gender affirmation surgery
                                                     is some 13 years in the making.
               academic research and
               “teaching others how to               In 2005 Dr. Keith witnessed his first
                                                     vaginoplasty in Pittsburgh and wrote
               perform the operation.”
                                                     in a recent Op-Ed article published in
                                                     USA Today, that after the surgery, “I
               Dr. Keith is Assistant Professor
                                                     came to understand that the
               in the Division of Plastic and
                                                     transformative power of the gender
               Reconstructive Surgery at Rutgers,
                                                     affirming surgery was much more
               NJMS and co-founder, co-
                                                     than physical, the patient could finally
               director of The Rutgers Center for
                                                     live as she felt inside.”
               Transgender Health along with Dr.
               Mark Einstein, Chair of Obstetrics,
                                                     In May, Dr. Keith performed the first
               Gynecology and Women’s Health at
                                                     vaginoplasty in northern New Jersey.
               Rutgers, NJMS
A team of surgeons led by Dr. Jonathan Keith, Assistant
  Professor, Divsion of Plastic and Reconstructive Surgery,
  performs gender affirmation surgery for Elijah Stephens
  at St. Barnabas Hospital.

   “I had never experienced such a demonstrable need for urgent medical intervention
  outside the Trauma Bay. My patients were at death’s door and needed someone to act.”

He wrote, “the patient told me that           and vaginectomy, leaving only the       Dr. Keith joined the Division of
she would now celebrate her birthday          labia and urethra, in preparation for   Plastic and Reconstructive Surgery
on the anniversary of her surgery.”           the phalloplasty.                       at Rutgers NJMS in 2012 following
                                                                                      a seven-year residency in the plastic
The 14-hour phalloplasty operation            To create the penis, Dr. Keith          surgery training program at the
at St. Barnabas Hospital involved             removed skin and tissue from the        University of Pittsburgh.
urologist Dr. Nitin Patel and plastic         patient’s left forearm. He used the
surgeon Dr. Edward Lee among 7                tissue to create a “tube within a       His training included the 2012
physicians and 8 residents.                   tube,” to extend the urethra to carry   Stephen S. Kroll Fellowship in
                                              urine to the tip of the penis.          microsurgery at the University
Dr. Keith told NorthJersey.com that                                                   Hospital of Gent, Belgium where
Elijah Stephens recovered quickly             Dr. Keith told NewJersey.com that       he gained expertise in microsurgery
after the surgery and is able to stand        he grafted nerves from Elijah’s         and gender affirmation surgery.
to urinate and achieve orgasm.                forearm to a nerve in the clitoris to
The phalloplasty followed hormone             create feeling in the new phallus.      Dr. Keith wrote in his USA Today
therapy, testosterone, for Stephens           He transferred arteries and veins       op-ed that he views his work
beginning 10 years ago. Then “top             from the forearm, attaching the         as “life-saving” for people with
surgery,” a double mastectomy in              them to the femoral artery for blood    gender dysphoria for whom the
2016 at University Hospital.                  circulation to the penis. He used       psychological distress has driven
                                              labial tissue to create a scrotum. An   nearly 40 percent of the trans
Last August, Dr. Keith performed              operation will implant an inflatable    population to attempt suicide.
“bottom surgery,” a hysterectomy              pump to create an erection.
                                                                                                                          17
DR. STEPHANIE BONNE:
Preventing Gun Violence is Personal

                                                                         “I have seen a lot of firearm
                                                                         injury and death since medical
                                                                         student days and as a trauma
                                                                         surgeon. Then as a mother myself,
                                                                         the impact of having to tell another
                                                                         mother that her child had died,
                                                                         that really changed it for me. I
                                                                         got so fed up, I felt I had to do
                                                                         something, so I don’t have to have
                                                                         these conversations with mothers,
                                                                         anymore. It really is the most awful
                                                                         thing we have to do as physicians.”

Participating in the national school      In the Trauma Center at University         caseworker to help mitigate risk and
walkout with her colleagues to bring      Hospital, Dr. Bonne and                    navigate community resources, after
attention to gun violence is just one     caseworker Alikah Green (see               hospital discharge.
of many proactive initiatives             story below) engage one-on-
Dr. Stephanie Bonne, Assistant            one with gunshot victims “in that          “This is a ‘warm handoff’ for the
Professor Division of Trauma              teachable moment after trauma when         victims to talk with someone what are
and Surgical Critical Care, has           individuals are more receptive to          the risk factors in their life that may
undertaken to get beyond what she         discussion about prevention,               lead to an increased risk of becoming
calls “secondary prevention,” of a        and maybe willing to discuss the risk      a victim of violence,” Dr. Bonne said.
public health epidemic. “It was a         factors,” related to the shooting,
positive time to reflect and raise        Dr. Bonne said.                            More than sixty people have been
awareness, to come together as a                                                     enrolled in the program and positive
university, to recognize that this is a   She obtained a pilot foundation            outcomes are already taking place.
problem everybody cares about,”           grant from the Healthcare                  “People are getting counseling
Dr. Bonne said.                           Foundation of New Jersey to                that otherwise would not. People
                                          establish a Hospital-Based Violence        in wheelchairs from their injuries
                                          Intervention Program, HVIP, that           are getting support and learning
                                          matches the gunshot victims and            about self-care. One person finished
“If you help people with other social outcomes in their
                                   life, they will be less at risk and have better
                                              post-discharge outcomes,”

a GED, one enrolled in college. Two patients received               Now, Dr. Bonne is interested in research funding to
probation from a judge instead of jail time since                   investigate the impact of stress biomarkers, cortisol levels,
our caseworker went to court and advocated for them,”               TNF alpha, testosterone, interferon gamma and other
Dr. Bonne said.                                                     things related to stress and depression and social and
                                                                    psychological problems.
As part of her research on best practices to establish HVIPs,
Dr. Bonne received the American College of Surgeons,                       ”Can we reduce the levels of the
Claude H. Organ, J. MD, FACS Traveling Fellowship and
visited “The Wraparound Project” at the University of
                                                                          biomarkers when we give people a
San Francisco, UCSF, San Francisco General Hospital.                      positive social network with their
She spent one week meeting case managers who work                         prevention and health outcomes?”
with gunshot victims, and met with community-based
organizations that provide assistance to clients needing            She is encouraged that the New Jersey legislature passed
follow-up social services.                                          funding for a gun violence research center to be based at
                                                                    Rutgers, although details are not finalized.
“I learned it would be important to develop relationships
with Newark organizations that offer job training,                  Dr. Bonne said, “I think it is great that the Governor has
employment and mental health services.”                             insight into the problems of gun violence research. Of the
- Dr. Stephanie Bonne                                               2600 trauma patients we see each year, 40 percent are the
                                                                    result of interpersonal violence. Among the root causes,
In an article published in “The Bulletin” of the American           domestic violence, poverty, child access to guns, the gun is
College of Surgeons, “Trauma Surgeon uses Traveling                 a vector that is highly lethal.”
Fellowship to Learn about HVIPs” Dr. Bonne wrote:
“I began to recognize my own implicit bias, that clouded            On a personal level, Dr. Bonne still feels saddened and
the way I defined ‘recovery’ for victims of violence… As            motivated by a school shooting 20 years ago that killed her
surgeons we see patients for a few postoperative visits,            chemistry lab partner at Kalamazoo College.
but we may have an incomplete understanding of how long
it takes someone to heal from the psychosocial trauma               “Maggie Wardle was a friend of mine, and she was killed by
of being a victim of violence and how that affects their            her boyfriend in the dorm with a shotgun and then he killed
recovery.”                                                          himself. It really deeply affected everybody. I have always
                                                                    carried that with me. I’m still mad about it.”
Data from other HVIPs in the National Network of Hospital
Violence Intervention Programs, suggests recidivism is              She channels her personal experience with firearm injury to
reduced, that fewer repeat gunshot victims are seen as              look for public health-based solutions to firearm injury and
a result of the intervention. “If you help people with other        death in the United States.
social outcomes in their life, they will be less at risk and have
better post-discharge outcomes,” Dr. Bonne said.
                                                                                                                                    19
ALIKAH GREEN:

“Big Sister” Helps Gun
Victims To New Path

                Every morning caseworker Alikah Green checks in
                with the Trauma Center at University Hospital “and
                they give me a list of guys who have been shot,” so
                she can help create a pathway to protect them from
                further violence.

                A “civilian” working in the Hospital Violence Intervention Program under
                the direction of Dr. Stephanie Bonne, (see story above) Green relies on her
                experience in the community to create trusting relationships with the gun
                violence victims.

                “When I was in high school, lots of my friends were passing away. I wanted
                to know, where are the people who can help these guys? I was tired of all
                the violence, and then I heard about this job opening. I know I can’t stop
                gun violence all by myself, but I’m trying my best to help one person at a
                time.” Alikah Green

                “I walk the community. Everybody knows me from working for the city of
                Newark. I engage with the victims, one on one, to help them find jobs, school,
                housing, mental health services.”

                Green said her involvement extends beyond meeting the clients in the
                hospital. She provides six months of follow up.

                                                                                     20
“I just talk and help them
     open up and be more
 comfortable in my presence.
  After a while they see that
  I really care. I’m like a big
  sister, like a mom figure.”
She recalls a client who was “standoffish
to me. I’m a stranger. A couple days went
by, I kept making him feel comfortable, and
then he tells me he wants to go to school
and to work. I went with him on the search
and found a school that would pay him to get
a GED. He’s been there ever since, getting
a paycheck every two weeks and he will
graduate. It is a big impact on my life that I
could help and make a difference.”

Green said that when clients get
discharged, “they leave here with
appointments. I call, I check in on them, I grab
lunch. I help clients get a state ID card, social
services, mental health care. I go out to make
connections to help these people. I do the
footwork, we build relationships to help find
jobs. I teach them there are lots of positive
ways to make lots of money, go to school and
get the knowledge.”

A client who wanted to build elevators is
getting assistance from Green to go to a
technical school.

Progress and outcomes are a series of
small steps.

“It can be very discouraging to see new
clients every day, but I’m here to help.”

                                                    21
PRO M OTI O NS

         Honors and Awards

Dr. Anthony Scholer                   AOA NJ Honors
Wins Golden Apple                     Dr. Amy Gore
Teaching Award
                                      Administrative Chief Resident Amy       Dr. Ravi Chokshi, to
                                      Gore, MD, a recent 2018 graduate,
Anthony Scholer, M.D., recent
                                      was elected to Alpha Omega Alpha,       Associate Professor,
residency graduate, is presented
                                      NJ Beta Chapter. She was inducted        Surgical Oncology
the Golden Apple Teaching Award
                                      on April 17. From Left to Right
by Asmi Panigrahi, MD from the 2019
                                      are: Dr. Frank Padberg, Dr. Augustine
NJMS students. Anastasia Kunac,
                                      Tawadros, President AOA; Dr. Amy
M.D. FACS, Program Director,
                                      Gore, Dr. Amy Weiss, Vice-President
General Surgery Residency, said,
                                      AOA and Dr. Michael Shapiro.

   “We had so many resident nominees
   and I am proud that so many of our
   surgical residents were honored with
  nominations. Teachers affect eternity;
  no one can tell where their influence
 stops. Each of you is shaping the future                                     Dr. Edward Lee, to

  of our profession. Thank you for your                                       Associate Professor,
                                                                                Plastic Surgery
   commitment to our students and for
    being excellent surgical educators.”
Pictured Left
                                                                               Dr. Anthony Scholer, M.D., recent
                                                                               residency graduate, is presented The
                                                                               Golden Apple Teaching Award by Dr. Asmi
                                                                               Panigrahi, from the 2019 NJMS students.

Amy Gore, MS, Former Administrative Chief Resident, a 2018 graduate, was elected to Alpha Omega Alpha, NJ Beta Chapter,
Attending are: Dr. Frank Padberg, Dr. Augustine Tawadros, President AOA; Dr. Amy Gore, Dr. Amy Weiss, Vice-President AOA
and Dr. Michael Shapiro.

                                                                                                                          23
Congratulations 2018 NJMS
                          Surgery Graduates Celebrating
                          their residency graduation,
                          from left to right :

 Congratulations          Christopher McGreevy, MD;
NJMS SURGERY GRADUATES!   Anthony Scholer, MD;

                          Amy Gore, MD;

                          Anne Mosenthal, MD, Chair;

                          Anastasia Kunac, MD, Program Director;

                          Edward Andraos, MD;

                          Dhaval Chauhan, MD;

                          Neil King, MD.

                          Not pictured: Vijayaumar Tanjavur, MD
JUNE 2018 RESIDENCY GRADS:

                         Where are they Going?

                                    Division of General Surgery

                          Edward Andraos, MD - Houston Medthodist for
                                                    Vascular Surgery

                          Dhaval Chauhan, MD - Montefiore Medical Center in NYC for
                                                    Cardiothoracic Surgery Fellowship

                                 Amy Gore, MD - University of Colorado for
                                                    Trauma and Acute Care Surgery Fellowship

                                 Neil King, MD - Mount Sinai Hospital in NYC for
                                                    Laparoscopic and Advanced Gastrointestinal Surgery Fellowship

                     Christopher McGreevy, MD - University of Pennsylvania for
                                                    Breast Oncology Fellowship

                     Anthony Scholer, MD, MBS - John Wayne Cancer Institute in California for
                                                    Surgical Oncology Fellowship

                      Vijayaumar Tanjavur, MD - Staten Island University Hospital for
                                                    Vascular Surgery Fellowship

SEP T EMBER , 2018                                                                                                  25
2018

              Retirements

    Ceremonies Honor Long-Time Retiring Doctors

DR. PAUL BOLANOWSKI, MD          DR. ALICE SHEFFET, PH.D.
SEP T EMBER , 2018

Ceremonies Honor                         “There are not many here                Lecturer at University of New Mexico,
                                                                                 Brandeis Institute in California,
Long-Time                                   who have not had the
                                                                                 University of Albuquerque, Drew
Retiring Doctors                          pleasure of learning and               University and NYU.
                                              working with him.”
                                                                                 At Rutgers Dr. Sheffet was among
Paul Bolanowski, MD,                   Dr. Mosenthal said, “Paul received        the principal designers of Carotid
Cardiothoracic Surgeon                 his MD degree at this institution,        Revascularization Endarterectomy
                                       and after his surgery residency, he       vs. Stenting Trial, CREST, working
                                       came back to New Jersey for his           with the initial PI, former chief of
Ceremonies marking the retirements
                                       cardiothoracic residency and loved        vascular surgery Dr. Robert Hobson.
of Paul Bolanowski, M.D.  and Alice
                                       it so much he decided to never
Sheffet, Ph.D. highlighted their
                                       leave.” He was a specialist in thoracic   She supervised the $21 million NIH-
significant contributions to Rutgers
                                       oncology, tracheal reconstruction         funded CREST study conducted
NJMS as faculty members in the
                                       and chest wall reconstruction.            at 117 clinical sites involving 2,522
Department of Surgery.
                                                                                 patients in the U.S. and Canada from
                                       Dr. Bolanowski served two years as        2000 to 2017.
Dr. Bolanowski, a cardiothoracic
                                       a Captain in the U.S. Army Medical
surgeon and Professor of Surgery,
                                       Corps in Viet Nam and received the        Dr. Sheffet published 33 research
devoted 48 years of his medical
                                       Army Commendation Medal and a             works as a result of the study and co-
career to Rutgers, NJMS and
                                       Bronze Star.                              authored papers in the New England
received many awards including
                                                                                 Journal of Medicine and other
“Top Docs in New Jersey,” “Best
                                       “As an avid member and President          leading medical journals. The FDA
Doctors in New York” and “Best
                                       of the Alumni Association, Paul           approved the Acculink and Accunet
Doctors in America.”
                                       continues to serve the Rutgers            stent systems in 2012 based on data
                                       NJMS community,” Dr. Mosenthal            reported from the CREST study.
Dr. Sheffet, an Associate Professor
                                       said. “Paul’s expertise and skills
of Surgery, worked 29 years at
                                       are carried on for future generations
Rutgers NJMS, highlighted by her                                                    Dr. Mosenthal said, “Dr.
                                       of surgeons.”
service as Director of the multi-
                                                                                   Sheffet’s leadership of this
million-dollar CREST grant. (Carotid
Revascularization Endarterectomy       Alice Sheffet, Ph.D.                      research changed the delivery
vs. Stenting Trial)                                                                  of treatment for carotid
                                       Dr. Sheffet earned her Ph.D in              artery disease worldwide.”
“Paul is an icon here at NJMS,” said   Education at New York University
Anne Mosenthal, M.D., Chair of the     and came to Rutgers NJMS in 1989
Department of Surgery.                 after work as an Instructor and

                                                                                                                          27
The Liver Transplant Team has performed 20 liver transplants since the
              arrival of Dr. James Guarrera in February.
DR. JAMES GUARRERA:

Liver Transplant Program
Exceeds Expectations
In February Dr. James Guarrera joined Rutgers NJMS                 led to the completion of a fully portable perfusion device
and University Hospital as Program Director of Liver               that can be brought to the donor hospital via ground or air
Transplantation “with a lot of confidence that there would be      transport. Organ Recovery Systems will be sponsoring the
great potential.” Since performing his first liver transplant at   upcoming trial under Dr. Guarrera’s leadership. As part of
University Hospital March 20, by mid-July the program has          the clinical trial sample tissue and blood will all be analyzed
already completed 20 transplants.                                  here in our lab, and biopsies studied by the department of
                                                                   pathology here, Dr. Guarrera said.

 “There is a great referral base of liver
                                                                   Dr. Guarrera has also proposed starting a living donor
  disease patients and also many organ                             transplant program at University Hospital “which may allow
 donors in New Jersey and we projected                             more people to get better access to transplants, before they
                                                                   get too sick,” he said.
doing about 30 cases in the first year and
now we are on target to do over 50 Liver                           There are currently no living donor transplant programs in
    Transplants.” Dr. James Guarrera                               New Jersey, Dr. Guarrera said.

Dr. Guarrera, Professor of Surgery and Division Chief of Liver     “Due to upcoming policy changes in organ distribution, we
Transplant and Hepatobiliary Surgery, previously Surgical          may in the near future have to go further for donor organs
Director of Adult Liver Transplantation at Columbia University     and be a little more creative about what donor organs we
Hospital, said “I’m excited to continue my research in new         can obtain; these initiatives may help protect and position
strategies to expand access to transplantation by working on       us to be successful,” Dr. Guarrera said.
organ preservation, and living donor transplantation.”
                                                                   The program has recruited another surgeon to join the
The holder of seven patents from his research and                  transplant and hepatobiliary team. Dr. Flavio Paterno from
development, including “Machine Perfusion for Liver                University of Cincinnati Health will be joining in October.
Preservation,”  Dr. Guarrera said he will be the Principal         “In addition to his being an experienced transplant surgeon,
Investigator for an upcoming multicenter clinical trial of 10      Dr. Paterno has an MPH and is an accomplished outcomes
centers that will study use of his portable perfusion device       researcher who will help us grow our research endeavors”
to extend the life of livers for potential transplant.             Dr. Guarrera said.

He was previously federally funded and ran two clinical trials     Recruitment is also underway to add additional staff such
to develop the device and more recently has partnered with         as Physician Assistants, transplant coordinators and an
Organ Recovery Systems, the industry leader                        experienced transplant administrator as the program
in Organ Preservation technology. This collaboration has           continues to grow.

SEP T EMBER , 2018

                                                                                                                                 29
Research Symposium Scenes

In late February, the Department of Surgery conducted its fourth annual
Research Symposium, highlighting the accomplishments of nearly 30
             faculty, researchers, residents and students.

                                                                          30
31
Rutgers NJMS Surgery Staff Conduct
Advocacy Visits to Washington, DC
Members of the Rutgers NJMS Surgery                            Congressman Leonard Lance (R-NJ 7th District) met
                                                               with delegates to discuss the issues. Dr. Frank
Department visited Congressional                               Padberg, ACS Governor, Professor of Vascular Surgery,
Leaders in Washington during the                               NJMS; Dr. Stephanie Bonne, Assistant Professor,
                                                               Trauma, Critical Care, Young Surgeons Association;
American College of Surgeons (ACS)
                                                               Representative Leonard Lance; Dr. Joseph Cauda,
Governor’s Meetings and Leadership                             Vice-President NJ-ACS, Dr. Diana Arellano, 4th year
                                                               Surgery Resident NJMS; Dr. Justin Sambol, President NJ
and Advocacy Summit, held May 18-22.
                                                               ACS, Associate Professor, Cardiothoracic Surgery, NJMS.

An enthusiastic leadership session on Sunday included
Chapter Success stories and motivational talks. Monday
presented several sessions on the state of health care
in the country and how ACS Advocacy may be most
beneficial. Tuesday was reserved for visits to Capitol Hill.
Each Congressional Office--Senators, Congressmen, and
Congresswomen--was visited. In most offices, physicians
met with the Health Care Assistant but two congressmen
personally hosted the delegation.

                                                                                                                 32
On a Personal Note
Congratulations and best wishes to Residents
Dr. Young Mee Choi and Dr. Dhaval Chauhan
                                                                                                            CONGR ATULATIONS
on their recent wedding.

                  BEST WISHES

                                                                                                Former Vascular Surgery Instructor, Dr. Ben Chandler,
                                                                                                Dr. Laurel Karian, Plastic Surgery Residency graduate,

                                                                                                   welcomed their baby girl in March!

                                   C o py r i g ht 2 018 Ru t g e r s , T h e S t ate U n i ve r s i t y o f N ew J e r s ey,
                           a n e q u a l o p p o r t u n i t y, a f f i r m at i ve a c t i o n i n s t i t u t i o n. A l l r i g ht s r e s e r ve d

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Vol. 1, No.2 | Summer 2018
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