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Vital Signs Vol. 43, No. 1 Winter 2021 4 COVID blueprint James Augustine, M.D., ’83, manages national COVID care guidelines. COVID-19 How COVID-19 has impacted the Boonshoft 14 School of Medicine’s community. New dean New dean ready to take a great school to new heights.
From the Dean What’s Inside 2 Vital Signs 020, I believe most will agree, was a year like were among some of the challenges created by no other. Not only did we face a pandemic, the pandemic. I am impressed by the creativity which caused dramatic changes to how we see of our dedicated faculty and staff who were able 4 20 24 34 patients, teach, learn, work and live, we to successfully navigate the changes necessary Vol. 43, No. 1 witnessed tragedies of social injustice and a to continue providing our students with quality Winter 2021 divisive presidential election. There are no words learning experiences. to describe the pace of change and the number Assistant Vice President You will read about an alumnus whose expertise Issues in Depth Giving Thanks Research In Good for Advancement of issues our world has faced. Spotlight Company Angela Clements, C.P.A. in dealing with disaster has put him in a position James Augustine, BSOM remembers The Wright State University Boonshoft School of to assist the Centers for Disease Control and M.D., ’83, manages Catherine MT Steven Dale Writer and Editor Jack Gruber, M.D., Lisa Coffey Prevention and emergency medical services national COVID care Sherwin, Ph.D., Burdette, M.D., Medicine (BSOM) community should be proud of and how his guidelines. FCP, answers the FIDSA, FACP, ’00, Design all that has been accomplished during this nationwide, with guidelines for COVID-19 care. scholarship is quarantine is recognized as a Josh Trippier turbulent period. Whether changing curricula and Another alumnus has been labeled a hero and helping many. question. COVID-19 hero. Contributing Writer courses on a dime, creating new processes on awarded for his dedication to COVID-19 care in Jim Hannah the fly to continue research and other essential the Dayton area. Photography Erin Pence functions of the school, or providing outstanding, Ask any parent of a school-aged child and they Chris Snyder compassionate patient care, we have simply not will agree their students’ education has been Faculty in Focus 10 On The Move 30 How to contact us: missed a beat. Editor, Vital Signs affected by COVID-19. K–12 students have been Wright State University In this issue of Vital Signs, we focus our attention challenged by not being in the classroom Faculty adapt delivery of education Boonshoft School of Medicine on COVID-19 and how the BSOM community is consistently for almost a year. You will learn during COVID. 3640 Colonel Glenn Hwy. Dayton, Ohio 45435 making significant contributions to fighting this about a study—made successful by Future Docs 32 Tel: 937-245-7634 disease, assisting the community around us and collaboration between BSOM, Dayton Children’s the world at large. Faculty, students and alumni Hospital, and administrators from several A Closer Look 14 som_adv@wright.edu medicine.wright.edu from BSOM have been involved with COVID-19 southwest Ohio school districts—The results of New dean ready to take a great from testing to vaccinating, and all points in which played a role in getting kids back in the Alumni Notes 36 school to new heights. To submit Class Notes: between. We have collaborated with each other classroom. som_adv@wright.edu and those outside our community during this Tel: 937-245-7634 I was thrilled in November to begin my role as pandemic to provide solutions and support. 1,000 Words 22 Vital Signs is published each year BSOM’s dean. I am excited to have the In Memoriam 40 for alumni, faculty, staff, and friends Wright State University students from all across opportunity in this issue to share my story, so of Wright State University Boonshoft you can learn more about me and what I will School of Medicine. campus, aided by BSOM students and the In Residence 28 © 2021 Wright State University Department of Population and Public Health bring to BSOM. Boonshoft School of Medicine Sciences, provided contact tracing support to As we continue into 2021 with the hopeful area public health departments. You will read promise of better things to come, I am grateful View Vital Signs online at about a resident who organized a virtual for the strong and dedicated BSOM community medicine.wright.edu/about/ symposium, attended by over 150 Dayton-area and the support from the Wright State family and vital-signs/786 medical professionals, which provided critical our many community partners. We are achieving information about COVID-19 vaccines and ways great things and caring for patients and our to overcome vaccine hesitancy. We also share a community, all while educating the next story about our students who helped to get @WSUBSOM generation of physicians. those vaccines in arms at local COVID-19 @WSUBoonshoftSOM vaccine clinics. While COVID-19 was altering day-to-day life, at WrightStateMedSchool BSOM, like all learning institutions, we were having to make adjustments. You will see how @wsubsom quickly switching to virtual instruction and trying to maintain personal connections with students Valerie D. Weber, M.D., M.S. Wright State University Boonshoft School of Medicine 2 Vital Signs Winter 2021 medicine.wright.edu 3
Issue In Depth Experience, Insight and Wisdom: A Blueprint for Handling COVID-19 4 Vital Signs Winter 2021 medicine.wright.edu 5
Issue In Depth J ames Augustine, M.D., ’83, Emergency Medicine, is quite experienced at handling disasters. From especially during the SARS crisis in 2003 and Ebola in 2014. He also worked with the CDC in 2009 during the H1N1 flu COVID-19 information and share it. “The CDC supplies the science, and I work with the IAFC, Eagles and fire and EMS train derailments to pandemics, the outbreak. Augustine was able to build agencies across the country to formulate emergency medicine physician, who also upon these past experiences with viral best practices for patient care,” completed his emergency medicine outbreaks and working with the CDC said Augustine. residency at Wright State University and use them as a blueprint Boonshoft School of Medicine (BSOM), for COVID-19. Augustine also shares the CDC’s science “Having options and a he receives with the emergency has assisted with disaster planning and creating best practices for many crisis Throughout Augustine’s career, he has physicians who are part of US Acute second dose is some- served as medical director for fire and Care Solutions. US Acute Care Solutions care situations. He is now using this EMS with nearly 20 agencies between is a national physician group based in thing that’s never been experience to assist with, and try to stay one step ahead of, COVID-19. Ohio and Florida. These roles facilitated Augustine’s membership in 2009 with the Canton, Ohio. Augustine is the immediate past chair of the group’s part of the pandemic Augustine has been involved in helping International Association of Fire Chiefs National Clinical Governance Board. playbook.” emergency physicians, firefighters and (IAFC) and “the Eagles.” Equally important in this process is emergency medical service (EMS) IAFC members are experts regarding sharing with the CDC what is going on in agencies across the nation plan, prepare policy for disaster response and public the field. Augustine communicates what and execute processes related to safety, and represent the leadership of IAFC and Eagles members, emergency COVID-19 since before the first case in James Augustine, M.D., ’83 firefighters and emergency responders providers and the community are the United States was confirmed. worldwide. As the IAFC began planning experiencing day-to-day, what processes When the Centers for Disease Control for the virus, Augustine was asked to join are or are not working, and what needs and Prevention (CDC) first began to hear their COVID-19 Task Force. to be addressed. For example, since the Department medical director, also an of the Hospital Professional Technical and is doing well. about the virus, preparations began. Part beginning of the outbreak, more Eagles member, shared the early Advisory Committee. The Joint The Eagles, a de-facto coalition of the Augustine shared the initial focus of CDC of that preparation included reaching out emergency care has been happening in experience of dealing with the first Commission is the accreditation group Metropolitan Municipalities EMS Medical communication, including disseminating to colleagues, including Augustine, to the home. People fear COVID-19 COVID-19 case in the country. Another for hospitals and is responsible for Directors Alliance, is composed of most information to the public, caring for the discuss how to plan for the disease, exposure and do not want to be Eagles member from Minneapolis, improving hospital disaster plans and of the jurisdictional EMS medical infected, limiting the spread and manage care and curtail the spread. transported to the hospital. Guidelines infectious disease expert Mike regulating care standards. He also directors for the 60 to 70 largest cities’ improving the effectiveness of diagnostic Eventually this group would become the are needed for this change in emergency Osterholm, Ph.D., M.P.H., who would served for six years on the Board of 911 systems in the United States. This testing, has now shifted into the next CDC COVID Health Systems and Worker care. “Sharing of information is definitely later appear with some regularity on the Directors of the American College of group also includes the chief medical steps. He is now working with the CDC Safety Task Force, which has been a two-way street, and necessary,” news broadcasts, provided early insight Emergency Physicians (ACEP), a group officers for several pivotal federal on COVID-19 vaccine distribution and crucial to the CDC’s efforts in battling Augustine added. on how COVID-19 would affect people, involved with establishing clinical care agencies such as the FBI, United States vaccine confidence. He recently the pandemic. and how systems would have to standards within emergency medicine. Secret Service and the White House This past fall, as COVID-19 cases began presented via a webinar on the vaccines respond. Eagles members from Italy, He continues to serve with ACEP’s Augustine’s working relationship with the Medical Unit, as well as numerous global to ramp up, Augustine coordinated fire to fire chiefs and EMS medical directors Germany and France shared what was epidemic expert panel. CDC began in 2001 while he was living counterparts, from Paris to Auckland, and EMS providers to assist with testing across the nation. “There are many happening in their countries, enlightening and working in Atlanta. During this time, and Berlin to Manila. This cohesive cadre at public health clinics and high-risk sites, Creating COVID-19 best practices, firefighters and EMS personnel who are him as to what to expect in the United he was assistant professor and vice chair of EMS specialists is responsible for such as nursing homes. Now, with the keeping providers safe and avoiding risk unsure about the vaccines. It’s important States, so that preparations could be of emergency medicine with Emory stewarding the medical protocols and rollout of the vaccines, he is organizing are also of the upmost importance. they understand that the vaccines are initiated in hard-hit areas like New University and medical director for both respective training for all aspects of fire and EMS personnel to assist with Augustine knows all too well how safe and that their families, co-workers York City. the city of Atlanta Fire Rescue day-to-day 911, 999, 112 and 000 type administering vaccines at many devastating this disease can be. In and the community need them to be Department and Atlanta’s Hartsfield emergency responses within their community sites. Beneficial to Augustine in developing November of 2020, his son’s father-in- vaccinated,” Augustine added. Jackson International Airport. respective jurisdictions, encompassing national COVID-19 guidelines is his law, a 52-year-old firefighter in Ohio, died The IAFC and Eagles have been The technical issues around COVID-19 well over one-third of the population of experience in managing hospital from COVID-19. That same month, As medical director for one of the busiest instrumental in providing insight and vaccines themselves are a challenge. the United States and more than 130 operations and seeing the big picture. He Augustine’s son, a paramedic and airports in the nation, Augustine worked helping Augustine stay one step ahead of “Never before in the pandemic playbook million citizens worldwide. served from 2004 to 2011 with The Joint battalion chief, also in Ohio, contracted with the CDC to establish guidelines for the virus in his planning. Before it was have there been multiple vaccine options, Commission as a member and then chair COVID-19. Fortunately, his son recovered international flights and travelers, Augustine’s primary role is to take national news, the Seattle Fire or those that must be given in two 6 Vital Signs Winter 2021 medicine.wright.edu 7
Issue In Depth North Collier Fire EMS in Naples, Florida. Throughout his career, Augustine has contributed his wisdom and crisis care experience to more than 250 publications and articles, including “Emergency Considerations in COVID-19 Vaccine Administration” and “Physician at the Scene of an Emergency.” He also has held editorial positions with a half dozen medical publications. Augustine has received many awards and honors, including most recently the Street Medicine Society and the John P. Pryor Award for exemplary service. He has received multiple service awards with Atlanta Fire and Rescue. Augustine shared, “This past year has truly been overwhelming,” but emphasized that he is blessed to have the opportunity to help other people. He stated, “We will learn from this pandemic and the world will be better for it!” Augustine lives in Naples, Florida, and Dayton, Ohio. His wife Linda is a 1981 Wright State University graduate with a degree in nursing. They have three grown children and four grandchildren. —Lisa Coffey doses,” said Augustine. These have with crisis care to experiences from his Augustine’s early learning in disaster triage and coordinated medics from Lessons learned there have allowed me resulted in major logistics challenges, early years in Dayton. Working as an responsiveness was the train derailment nearly 30 jurisdictions to assist police to help so many.” such as coordinating where people go emergency physician at Miami Valley in Miamisburg, Ohio, in 1986. The train, with evacuations and care for victims. When Augustine isn’t wearing his for the second shot and making a Hospital, Augustine was able to learn carrying phosphorus and sulfur, ignited Augustine does not forget where it all “national hat,” as he calls it, he is particular vaccine brand available upon emergency preparedness procedures and released a toxic plume over the began. “I credit everything I know about teaching students at BSOM as a clinical request. It’s also about addressing issues from physicians who, just a few years community, creating what was the health care to Wright State,” said professor in emergency medicine. after vaccinations, such as when will it be earlier, cared for victims of the 1974 largest evacuation in the nation’s history. Augustine. He acknowledges the Additionally, he serves as medical safe to stop wearing a mask. tornado in Xenia, Ohio. “Dayton has Augustine was serving as medical community hospital experience at BSOM director for the Washington Township great emergency preparedness and director with the fire department in the Augustine sees vaccine confidence provides instruction in a variety of clinical Fire Department near Dayton, Ohio, and provides great emergency care because Dayton suburb West Carrollton, in growing and vaccine availability settings and allows first-hand learning with Forest Park Fire EMS, City of of this tragic event. I am so fortunate to addition to working in the emergency improving. “This pandemic has been about different approaches to care. He Morrow EMS, Hapeville Fire Department, have had an opportunity to learn department at Miami Valley Hospital. He different than any other, and different believes the diverse clinical settings allow South Fulton Fire Department and emergency care in a Dayton area worked around the clock for two days from what we planned and prepared for,” students to gain maturity by learning Riverdale Fire and Emergency Services hospital.” and nights at the fire station, functioning Augustine added. agility and how to think on their feet. “I’m all near Atlanta, Georgia. Augustine is as command central, for emergency An event which further expanded proud of my Wright State heritage. also associate medical director with Augustine credits his success in dealing medical personnel. He assisted with 8 Vital Signs Winter 2021 medicine.wright.edu 9
Faculty in Focus Q uickly switching to virtual instruction, maintaining personal connections with students and shouldering an increased workload were among the challenges created by the COVID-19 pandemic for the Wright State University Boonshoft School of Medicine (BSOM) faculty. However, the restrictions posed by the pandemic enabled students, faculty and staff to adjust to and master virtual instruction in multiple locations at the same time, creating new educational possibilities for the future. Boonshoft Tackles Dr. Brenda Roman, associate dean for medical education and chair of the Department of Medical Education, said, “The pandemic has been a reminder of the incredible dedication of our faculty and staff in having the flexibility to teach differently Instructional and spend many more hours in the day to accomplish the work as facilitators of the students’ education. While it has been a challenge to foster the close-knit environment that Boonshoft has been known for, I am grateful for the grace of our faculty, staff and students during these challenging times.” Challenges Posed Wright State moved to remote delivery for most courses in March 2020 to help prevent the spread of COVID-19. BSOM was forced to begin planning for virtual pre-clinical instruction for first- and second-year students, only one day prior to by COVID-19 switching to virtual instruction. “Given that we have a lecture-free curriculum, this was a huge undertaking, as we could not simply put lectures online,” said Roman. “Our staff in the Department of Medical Education, Restrictions MedOps instructional technology support team, faculty and students deserve so much credit in shifting to virtual instruction literally overnight and not missing any crucial information in their medical education.” But while the students were having peer-instruction and team-based learning sessions online, they were missing some of the more subtle aspects of teamwork and the informal aspects of getting to know one another. Roman said there were only minor changes in the curriculum. While the teaching styles have stayed the same with peer- instruction and team-based learning, faculty use multiple platforms to approximate in-person teaching. “Students and faculty needed to have two to three platforms running at once on a computer, or computer and phone, in order to effectively move back and forth from large group sessions to small group sessions,” she said. Gregory J. Toussaint, M.D. Roman said the greatest challenge by far has been getting to 10 Vital Signs Winter 2021 medicine.wright.edu 11
know the first-year students and maintaining the personal due to the PPE shortages meant frequency of meetings for faculty and staff given the ease Roman said the most difficult thing has been having to connection with all of the other students. fewer learning opportunities. of virtual meetings. hold a virtual graduation in 2020, and a small graduation ceremony with a few faculty and limited number of Moving to a virtual learning format did have a different “As hospital systems prepared for an “Maintaining work-life balance has been even more guests in 2021. impact on some students. Roman said, “Our pre-clinical influx of COVID-19 patients, elective surgeries were challenging as more meeting times creep into the students did not feel that they were getting the same cancelled or postponed, so students did not get as robust evenings, and parents of younger children do double duty “The medical school graduation and hooding ceremony is education, although content and engaged learning experiences as in the past,” she said. in having to home-school and care for their children while such an intimate affair with family and friends—truly a methods did not change; it was just all done virtually.” She trying to get their jobs done,” she said. “For most faculty highlight for both students and faculty, a culminating event “We continue to provide the best experiences possible added, “Our test averages have remained the same and and many staff, workload has increased since the after all the years of hard work,” she said. during the pandemic, but know that some students feel we have been more transparent with showcasing the pandemic began. Our students who are parents are more anxious, they do not feel as prepared to enter The fourth-year students also missed out on the Match students’ and faculty’s efforts.” especially challenged with the rigors of medical school and residency,” she said. “Our fourth-year students interviewed Day celebrations in 2020 and 2021, a time where they find trying to balance their personal lives.” Roman said having to remove third- and fourth-year for residency positions virtually and matched to programs out where they will go for residencies. students from clinical instruction for three months was one in cities where they never visited before.” Roman said faculty and staff in the school’s Skills “It is definitely a major disappointment for our students to of the hardest decisions she had to make, but necessary Assessment Training Center (SATC) who lead clinical Roman said welcoming the Class of 2024 virtually was not have these traditional medical school milestone as that was the guidance nationally for medical schools teaching programs in the pre-clinical phase have had an difficult for the students, faculty and staff. celebrations,” she said. “Both Match Day and graduation due to concerns about the shortage of personal protection especially challenging time as they must prepare students were times that students, faculty and staff could say equipment (PPE). “We do not get to interact with our students in face-to- in clinical skill development. goodbye to each other; not having those opportunities face discussions that used to occur routinely in class,” she “Faculty, especially our clerkship directors, had to become “In order to make the program work, significant leaves an empty place in our hearts.” said. “We are more isolated from students than ever very creative in their educational endeavors, such as adjustments have been made, which include wearing before and they are isolated from us. They are also —Jim Hannah quickly developing telemedicine rotations at the same time masks and face shields and having fewer people in the isolated from each other; while discussions can occur in that they were pivoting to conducting medical rooms together when assessing students,” she said. small break-out rooms virtually, it limits the spontaneous appointments virtually themselves,” she said. “Fewer people in rooms have meant that SATC faculty and interactions and getting to know people on a staff must also utilize Saturdays for many of our skills Roman said maintaining similar levels of education has deeper level.” training sessions to get all the students through been more challenging in the clinical settings. Not having Roman said there has been a massive increase in the each session.” clinical students involved in the care of COVID-19 patients 12 Vital Signs Winter 2021 medicine.wright.edu 13
A Closer Look New Dean Ready to Take a Great School to New Heights O n November 1, 2020, the Wright State University Boonshoft School of Medicine (BSOM) welcomed a new good fit for me, especially my chosen field of internal medicine,” she added. After finishing high school, Dr. Weber dean, Valerie D. Weber, M.D., M.S., attended Washington and Jefferson FACP, the eighth in school history. Dr. College in Washington, Pennsylvania, Weber was hired as dean following the and earned a Bachelor of Arts degree in June 2020 retirement of Margaret Dunn, psychology. She then attended the M.D., M.B.A., FACS. University of Pennsylvania School of A Pennsylvania native, Dr. Weber grew Medicine in Philadelphia, earning her up in the small town of Harborcreek, Doctor of Medicine. She completed Pennsylvania. She is the youngest of residency training, serving as chief three children and enjoyed spending time resident, and completed an internship at on the water during her childhood, the Graduate Hospital in Philadelphia, a especially with her dad, an facility that at the time was an affiliate of avid boatsman. the University of Pennsylvania Health System. Her chosen specialty is internal Dr. Weber’s interest in getting a good medicine. “I often describe the choice of education and pursuing medicine goes Dr. Valerie D. Weber, specialty as ‘finding your tribe.’ Internal back to her childhood. “My father, an medicine was always a natural fit for me; engineer, made it very clear that I didn’t experience the angst of career education was the way out of poverty,” choice that many of my classmates did,” shared Dr. Weber, whose parents were shared Dr. Weber. In 2008, she went raised very close to poverty. Her mother, back to the classroom to earn her Master M.D., M.S., FACP a homemaker, also volunteered in the of Science degree in health care community assisting the elderly, and Dr. management from the Harvard University Weber would often tag along with her. Chan School of Public Health. This led to her working as a candy striper in the local hospital. “I think my Dr. Weber began medical practice in interest in science, along with a Philadelphia as assistant medical director fascination with older people and their for the J. Edwin Wood Clinic, a teaching stories, made medicine a particularly clinic for internal medicine residents and a provider of safety net care. She was 14 Vital Signs Winter 2021 medicine.wright.edu 15
A Closer Look promoted to the position of medical new medical school, which awarded its of medical school faculty across a director at J. Edwin Wood Clinic after first degrees in May 2013. 16-county region, establishing academic only a year. Other clinical activities affiliations with nearly 30 hospitals, When asked about creating a new throughout her career included internal dozens of physician groups, and crafting medical school Dr. Weber said, “It was medicine practice with Geisinger Internal a robust assessment plan. by far the most challenging role I’ve had Medicine, Pennsylvania Department of professionally, but it was also incredibly In 2014, Dr. Weber joined DUCOM, Health tuberculosis clinics, and physician serving as professor of medicine and the volunteer with the Eliza Shirley Women’s Clinic, part of the Health Outreach “I saw the notice for Deborah J. Tuttle, M.D., and John P. Piper, M.D. senior vice dean for Program at Drexel University College of Medicine (DUCOM). the Boonshoft School educational affairs. Other administrative roles at DUCOM included vice dean of Along with being a practicing physician, of Medicine position, educational affairs and the William Maul Dr. Weber has also been heavily involved Measey Chair in medical education. in educating future physicians. Her most read the description of Throughout her career, Dr. Weber has recent positions include professor of medicine with DUCOM in Philadelphia what the school was been very active in community service. She has volunteered her time with and the Geisinger Commonwealth looking for in their next various groups and programs, including School of Medicine (GCSOM), formerly the Commonwealth Medical College, in dean, and it sounded Saint Francis of Assisi Soup Kitchen in Scranton, Pennsylvania, and the Visiting Scranton, Pennsylvania. like a great fit. I had Nurse Association of Philadelphia. Weber Throughout her career, Dr. Weber has has won numerous awards and honors. been involved in innovation and been at DUCOM for She is a member of nearly a dozen leadership. In 2000, Dr. Weber was medical professional societies, and has department director for general internal many years as a vice held national leadership and institutional medicine and geriatrics with Geisinger Health System in Danville, Pennsylvania. dean, and then as administrative committee positions. She has served as principal investigator on She later took on the duties of vice chair senior vice dean, so I grant awards for work in areas including of the division of medicine. While with improving health outcomes in the rural Geisinger, Dr. Weber led implementations was starting to think I elderly and establishment of an of the advanced medical home model, as outcomes-based geriatrics well as multiple other system might be ready to be a assessment clinic. performance improvements and patient safety initiatives. “As division chief of dean” “I saw the notice for the Boonshoft School of Medicine position, read the internal medicine, I was challenged to rewarding.” Dr. Weber was part of the description of what the school was improve performance at many levels. We team responsible for recruiting and looking for in their next dean, and it were one of the first groups to implement developing more than 400 faculty for the sounded like a great fit. I had been at the EPIC electronic health record system, departments of medicine, surgery, and DUCOM for many years as a vice dean, open access scheduling, group visits and psychiatry, as well as faculty leaders to and then as senior vice dean, so I was medical home models,” shared Dr. create and implement the curriculum. starting to think I might be ready to be a Weber. Following her work with She also led the development of the dean,” said Dr. Weber. She has a brother Geisinger, Dr. Weber served as chair of school’s innovative clinical curriculum, a in Dayton, another reason the opening the Department of Clinical Sciences, highlight of which is a third-year caught her attention. Dr. Weber also associate dean for clinical affairs, and longitudinal integrated clerkship, the considered the advice of a mentor, who professor of medicine with GCSOM. As a largest implementation of that model in encouraged her to take her career to the member of senior leadership, she played the world. This involved the development next level, and impressed upon her the a major role in the development of the 16 Vital Signs Winter 2021 medicine.wright.edu 17
A Closer Look need for more women medical music, traveling, and restaurants. I’m education and the tragedies affecting especially in the areas of chronic disease, medical school with a successful with preconceived ideas. Of course, I do school deans. outdoorsy, so I’ve still been able to Black Americans, Dr. Weber wants to infant mortality and mental health. community-based medical education have ideas about things that I’d like to continue hiking and rowing. I joined the use her voice as dean to improve their model. Her involvement in helping start a work on,” said Dr. Weber. In July of 2020, Dr. Weber visited Wright Through its programs, Dr. Weber Greater Dayton Rowing Association soon medical school experience, and hopefully medical school exposed her to what is State campus, and after seeing firsthand acknowledges BSOM has already made Dr. Weber has big plans for BSOM. “In after moving here,” shared Dr. Weber. have a positive effect on their lives as needed to begin to build a strong legacy the quality of the people, BSOM’s a tremendous impact on the community 2020, BSOM graduated its 40th class of She has two young adult children, a well. How does BSOM create a for a new institution. Weber sees important organizational mission and and the region, and would like to see medical students. It has evolved as a daughter who is 24 and a computer welcoming, more inclusive environment similarities with BSOM, which is still a values, and its strong clinical partners, it these programs continue to grow and strong, community-focused medical engineer and a son who is 21 and a for everybody? “I would like to see relatively young medical school with so was an easy decision for her to make. “I provide even greater impact. Particularly, school that provides an outstanding, junior studying business at West Chester BSOM be a beacon of diversity, equity much opportunity ahead for building saw how great BSOM is, and felt certain she wants to see research funding state-of-the-art medical education, and University. They remain in the and inclusion, a place where differences its legacy. that I could help it become even better,” increase. Dr. Weber added, “Discovery is retains many of its brightest students in Philadelphia region, so traveling to see are embraced, so that we can create a Dr. Weber added. a vital part of what a medical school can The beginning of her time as dean, Dr. the region and the state. At this juncture, them has been a bit more challenging strong and diverse health care workforce, provide to a region.” Weber recognizes, will be spent learning we must ask what the next 10 years She acknowledges that this last year has than she would like. reflecting the needs of society,” said Dr. and becoming a part of the BSOM and will hold?” been difficult for everyone, “Interviewing Weber. She wants to also see BSOM Dr. Weber brings years of experience Noting the difficulties of the past year and Wright State communities. “This initial for the dean’s position and moving to have a greater impact on the health with community-based medical schools, —Lisa Coffey what students have been faced with, period of time is really about listening and Dayton took some creativity, but disparities facing the Dayton region, serving in leadership roles, teaching including the pandemic, changes to their learning. You can’t come into a place everything went smoothly. I miss live students and, notably, helping to create a 18 Vital Signs Winter 2021 medicine.wright.edu 19
Giving Thanks Scholarship Helps Students J ack Gruber, M.D., former vice chair and professor with the department of obstetrics and gynecology with the internal review board for Miami Valley Hospital in Dayton, Ohio. by donating to the Jack Gruber Endowed Scholarship in Obstetrics and Gynecology. This scholarship is available Gruber was born in Marion, Ohio, and Boonshoft School of Medicine (BSOM), to any fourth-year BSOM medical earned his undergraduate degree from passed away in January 2021 as a result students who have expressed an interest Otterbein College in Ohio. He attended of complications from COVID-19. in obstetrics and gynecology. For more medical school at The Ohio State information on this scholarship, or to Gruber joined the faculty of BSOM in University and completed residency contribute please visit medicine.wright. 1976 as a professor in the department of training in obstetrics and gynecology at edu/giving. obstetrics and gynecology. He was BSOM in Dayton. His fellowship training serving as vice chair of the department in gynecological endocrinology and —Lisa Coffey when he retired as professor infertility was completed at Wayne State emeritus in 2006. University in Detroit, Michigan. Along with his position as a member of Following his retirement, Gruber settled the faculty at BSOM, Gruber was also on a 35-acre farm in North Carolina, near chair of the institutional review board, the Smoky Mountains. He saw it as division director of reproductive returning to his roots of self-sufficiency endocrinology and infertility, director of and living off the land. teaching associates and clerkship The Gruber family encourages friends director. He also served as chair of the and family to honor Dr. Gurber’s memory 20 Vital Signs Winter 2021 medicine.wright.edu 21
1,000 Words T he incoming class of 2020. Taken on July 13 2020, on Wright State Unviersity’s campus. Before the students arrived, markings were measured and placed on the ground to ensure that each student could stand 6 feet apart, abiding by social distancing guidelines. 22 Vital Signs Winter 2021 medicine.wright.edu 23
Research Spotlight Research Spotlight COVID-19 Protocols, Ohio Schools are Getting it Right Q uarantining students for close contact to a COVID-19-infected classmate, even if they don’t become training lead for the southwest Ohio study site. She was involved in all visits to schools and in training the BSOM sick, is causing children to miss a students who volunteered to be part of substantial amount of in-person class. In the study field team. Students were a nine-week grading period, a 14-day trained on procedures required to be quarantine, which health officials research assistants, and how to recommended for most of the school administer the COVID-19 test. Staff from year, would result in a student missing Dayton Children’s Hospital assisted with nearly one-fourth of in-person class time. their training for COVID-19 testing. Trainings were recorded and shared with The Ohio Schools COVID-19 Evaluation the other study sites statewide. (OSCE) created a study in the fall of 2020 to answer the question: If a child in a The field team for the study site supervised setting was in close contact consisted of Sherwin and BSOM to another child with COVID-19 and both students who traveled weekly to children were wearing masks properly, designated schools within southwest did the close-contact child need to stay Ohio to perform COVID-19 testing. “The at home to quarantine? students were great and contributed a lot of hours and dedication to this project; I The OSCE used The Centers for Disease couldn’t have done it without them,” said Control and Prevention (CDC) definition Sherwin. BSOM students participating in of close contact for their study purposes. the project included Hilary Kleppel, The CDC defines close contact as being Amber Prater, Cameron McGlone, Charu Schools within 6 feet of an infected person, for a Gupta, Mirjana Grocic, Abigail Schmidt total of 15 minutes or more over a are doing 24-hour period. That applies to the two and Kyle Henneke. days before a person is symptomatic or The study also received support from it right, the tests positive. school administrators. To encourage protocols Catherine MT Sherwin, Ph.D., FCP, participation and build confidence in the safety of the process, the superintendent Wright State University Boonshoft School in place of Medicine (BSOM) vice chair for of Mason City Schools, near Cincinnati, was videoed being COVID-19 tested. pediatric research, professor of pediatrics are and pharmacology and toxicology, and The video was shared throughout the district for parents and students. “We working. director of pediatric clinical pharmacology with Dayton Children’s Hospital, along also relied on good communication between the school superintendents and with several BSOM students, participated principals, and our team,” said Sherwin. in the six-week study that took place in Every Monday, the field team received November and December of 2020. reports from the districts on the numbers Sherwin’s role was field supervisor and of positive COVID-19 cases, along with 24 Vital Signs Winter 2021 medicine.wright.edu 25
Research Spotlight confirmation on which students focused on information regarding policymakers for the purpose of been exposed to COVID-19. As school ‘like normal,” said first-year were allowed to be tested. This prevention practices at home, and improving the state’s health long as students in the classroom BSOM student Hilary Kleppel. information dictated which schools stressors related to the pandemic. systems. Timothy R. Sahr, director wore masks and complied with “Participating in this study 70% the team visited that week. Teachers were asked about school of research with GRC, was social distancing, they had no re-emphasized the importance of structure, class activities and mask principal investigator with the increased risk of catching teamwork,” said fourth-year BSOM COVID-19 rapid-tests were given usage, and district superintendents project. The GRC kept the teams COVID-19 from a nearby student, student Cameron McGlone. “I’ve to students, twice weekly for answered questions related to amply stocked with testing kits as compared with students further never seen science move as fast children who had been in close Over 70 percent of pandemic communications, equity and personal protective equipment away in the same classroom or in as the OSCE study,” contact with an infected students believe masking challenges and paths forward. (PPE). Sherwin chuckled as she the same grade outside that McGlone added. classmate, and once weekly for stops the spread recalled her dining room filled with classroom. the comparison group of students OSCE included over 700 children of COVID-19. “This was the fastest study I’ve boxes of test kits and PPE. of the same age and grade who in the study, with nine Ohio school Survey findings showed over 70 ever seen; it went at lightning had not been in close contact with districts participating in the survey Jonathan Thackeray, M.D., served percent of students believe speed! I credit Wright State an infected student. “I was portion, and seven of the nine as the project’s medical advisor. masking stops the spread of University and Dayton Children’s surprised by how many students participating in both the survey Thackeray is vice-chair and COVID-19, and that student mask Hospital for pulling this off. They volunteered to be part of the and COVID-19 testing. The professor of pediatrics with BSOM, usage in school is high. Teachers provided great volunteers and comparison groups,” participating schools and districts and chief medical officer of also believe masks prevent the support throughout the project,” Sherwin added. included Marysville Exempted population health with Dayton spread and reported high mask said Sherwin. She also specifically 97% Village and Whitehall City Schools, Children’s Hospital. Sherwin usage by students. Administrators thanked John Duby, M.D., chair To be included in the project, in the Columbus area; Lakota shared how much she appreciated responded that masking was near and professor of pediatrics with close-contact children had to have Local Schools, Mason City his support during the project, 97 percent in the schools, and that BSOM. “This project was a little been exposed to a COVID-19 Schools and Princeton City including filling in for her on field nearly all schools had a mask out of my scope, but it’s because case in school, been within 6 feet Administrators responded Schools near Cincinnati; Ashland testing when she was out. policy. They also found that of Dr. Duby’s support I became for more than 15 minutes, and that masking was near 97 City Schools and Champion Local exposure outside of school was involved.” both COVID-19 infected and close OSCE was managed by several percent in the schools, Schools near Cleveland; Athens substantial, with participation in contact students were wearing entities in the state of Ohio, and that nearly all schools OSCE was a pilot evaluation and City Schools; and Troy City out-of-school activities high and masks appropriately. Students including The Office of the had a mask policy. not intended to answer mask and Schools, near Dayton. mask usage low. During exposure exposed to COVID-19 outside of Governor, the Ohio Department of quarantine questions definitively. to other children outside of school school, for example, during The schools were chosen Health, the Ohio Department of The schools saw value in the data in informal settings, mask extracurricular activities, were not intentionally by the state. Effort Medicaid, the Ohio Department of collected, and the results from this usage was low. eligible to participate. was made to ensure the schools Insurance and the Ohio Pandemic project are helping Ohio’s health had a reasonable representative Leadership Team. Funding was Sherwin’s big take-away from the officials modify school quarantining Schools could choose whether to sample with regard to provided by two grants through study is that schools are doing it protocols to get more kids back in have close contact children characteristics that included Wright State and came via the right; the protocols in place are the classroom. M quarantine at home or remain in ost COVID-19 number of recent COVID-19 Medicaid Technical Assistance and working. Most COVID-19 school with regular testing. transmission was Educators agree it is important to cases, school size, location, Policy Program (MEDTAPP), a transmission was happening in the Close-contact children were happening in the commu- have the kids in the classroom. instruction model (hybrid or federal program that provides community and away from the identified by the schools, who nity and away from the Their social, emotional and in-person) and proportion of funding solely to universities from school setting. “I was surprised worked with their local health school setting. academic well-being is more impoverished students and the department of health, Medicare and pleased by how good the departments. All children with a important now than ever. students enrolled in Medicaid. and Medicaid, for students were at following safety positive test were isolated, and the research purposes. protocols, mask wearing and —Lisa Coffey local health department Sherwin worked closely with other social distancing, especially in the was informed. program participants, The Ohio Overall, results from the study high schools,” said Sherwin. State University and the Ohio showed that children who were Surveys were also administered as Colleges of Medicine Government appropriately masked and in close “I loved engaging with the part of the project. Children were Resource Center (GRC). The GRC contact to an infected student in communities. Going into a school, asked about interactions with partners faculty at Ohio’s colleges school had rates of COVID-19 I enjoyed seeing students following friends and exposure to people of medicine with state health similar to children who had not safety guidelines, but going to beyond school. Parent surveys 26 Vital Signs Winter 2021 medicine.wright.edu 27
In Residence BSOM dean, who spoke about addressing vaccine hesitancy as just one part of BSOM’s goal of supporting the community. Ohio Governor Mike Boonshoft School of DeWine and Dayton Mayor Nan Whaley also spoke and provided information on vaccine roll-out plans and goals for the state and the Dayton area. Several physicians and medical professionals from BSOM Medicine Resident Creates and the Dayton area presented on topics including COVID-19 virology and management, COVID-19 vaccine misconceptions and unanswered questions, Task Force Focused on vaccine distribution, and how to communicate with patients about the vaccine. The event ended with a COVID-19 Vaccines The T his past December, a few medical colleagues, including We’am Hussain, M.D., ’18, a third-year internal professionals, we believed that it would trickle down from provider to patient.” With this realization, the idea of formally professor and chair of internal medicine and neurology; Cynthia Sheppard Solomon, B.S.Pharm, R.Ph., FASCP, Boonshoft School of COVID-19 vaccine, the task force recommended panel discussion to answer questions. Medicine providers understand their patients, concerns and medicine resident at Wright State sharing information about the vaccines registered pharmacist and clinical COVID-19 recognize that people may have been hearing The vaccine task force also compiled information, University Boonshoft School of Medicine with the Dayton area health care assistant professor of internal medicine; Vaccine Task contrasting information. The team suggested health creating a library of resources to share with the (BSOM), were enjoying a cup of tea community grew from concept to reality. Steven Burdette, M.D., division director Force. From care professionals educate themselves as much as Dayton area medical community, including recording together. They were discussing how they of infectious disease and professor of Hussain and Anam, with assistance from left to right, possible about the vaccine, so they could better the virtual symposium and making it available online. could give back to the community. internal medicine; Jonathan Miller, M.D., Glen Solomon, M.D., BSOM chair of We’am explain it to patients. The task force also It can be viewed on the BSOM website, medicine. resident physician in psychiatry; and H. During that same time, pharmaceutical internal medicine and neurology, began Hussain, M.D., recommended using motivational interviewing to wright.edu, as well as on the Wright State University Bradford Hawley, M.D., professor companies Pfizer and Moderna began reaching out to others in the BSOM Anam Hussain, discuss the vaccines. Motivational interviewing is a YouTube channel. Search for COVID-19 symposium. emeritus with the BSOM internal announcing the release of COVID-19 community and finding experts in other M.B.A., Glen type of communication that involves collaboration medicine department, and past president The goal of this task force was to help the community vaccines. Hussain, her sister Anam medical specialties who were interested Solomon, M.D., and good listening. It requires engaging with patients of the Infectious Diseases by helping local clinicians partner with their patients, Hussain, M.B.A., a third-year medical in becoming involved, and formed a Cynthia as equal partners and empowering them to make Society of Ohio. to inform them and instill confidence in the vaccines, student at BSOM, and others they knew COVID-19 vaccine task force. Sheppard decisions, while refraining from scare tactics, Solomon, B.S. and get vaccinated. Hussain added, “Ultimately in health care began fielding questions The focus of the task force was to warnings or confrontation. “We wanted to provide knowledge from a vaccines are only beneficial when they are from friends and hearing a lot of provide information about the vaccines Pharm, RPh, diverse group of medical experts,” said In an effort to share information with the Dayton-area appropriately distributed and used. This is our vision misinformation concerning the vaccines. and techniques to help providers talk to FASCP, Steven Hussain. The COVID-19 vaccine task medical community, the task force held a free virtual for the Dayton community.” This situation helped Hussain and Anam patients about them. “Often times the Burdette, M.D., force included BSOM faculty, residents symposium in January of 2021. Nearly 150 people realize that sharing what they learned way we present information to patients is Jonathan Miller, —Lisa Coffey and students, representing various attended. Those invited to the event consisted of about the COVID-19 vaccines with the just as important as what we are saying,” M.D., and H. disciplines and specialties, and was members of the BSOM community and providers at community, was their opportunity to help. said Hussain. “We saw two aspects to Bradford supported by BSOM and the Department the hospital systems in the Dayton area, including communicating with patients, first, Hawley, M.D. Hussain and her colleagues recognized of Internal Medicine and Neurology. Dayton Children’s Hospital, Dayton VA Medical understanding their concerns, and Bradford there was often a delay regarding Center, Kettering Health Network, Premier Health and Along with Hussain and Anam, the second, having the appropriate Hawley, M.D. accurate health care information getting Wright-Patterson Medical Center. vaccine task force included the following knowledge to share,” Hussain added. to the general public. Hussain said, “By BSOM clinicians: Glen Solomon, M.D., The virtual event opened with Valerie Weber, M.D., first getting information to health care When talking to patients about the 28 Vital Signs Winter 2021 medicine.wright.edu 29
On The Move disparities and are destructive, physically As director of medical Erica Taylor, M.D., completed her internship in internal medicine and pediatrics and spiritually. student education, Lader is named assistant in 2007, and in 2010 completed —Lisa Coffey responsible for designing, dean for diversity residency training in internal medicine and pediatrics, managing and evaluating the program, as well as and inclusion both at BSOM. communicating “As an alumnus of BSOM, I am Boonshoft School of expectations of the pediatric clerkship to aware of the rich legacy of Erica Taylor, M.D. Medicine grad to BSOM students, faculty, Miri Lader, M.D. E rica Taylor, M.D., ’05, is the new assistant dean for diversity and wonderful physicians this medical school has supported, with an help students go staff and administration. “I would be honored to be inclusion at the Wright State University understanding that even with the position. She is currently assistant from good to great considered the link combat infantry drill sergeant and was Boonshoft School of Medicine (BSOM). progress we have made as an institution, professor and clerkship director for the department of pediatrics at BSOM. Taylor between students and faculty during the with the Israeli Army for 30 months. Taylor transitioned into the role in fall we have an obligation to continue to be is also community medicine residency pediatric portion of their medical Lader shared, “I believe that guiding 2020 from her previous position as an ally, advocate and voice for our BSOM pediatrics clerkship director. She will continue to serve as a pediatric patients and our community,” said Taylor. Taylor added, “I have directly benefited elective director with the integrated pediatric residency program. M iri Lader, M.D., FAAP, a 2014 graduate of the Wright State University Boonshoft School of Medicine education,” said Lader. John Duby, M.D., FAAP, CPE, chair of soldiers to be the strongest warriors they can be is not unlike guiding future physicians to become the strongest hospitalist at Dayton Children’s Hospital. Taylor’s past roles with BSOM have the BSOM Department of Pediatrics, from a rich legacy of wonderful leaders in (BSOM), is the new director of medical warriors they can be.” Following her included clinical preceptor for internal shared, “As a graduate of the Boonshoft In her new role, Taylor is supporting the diversity and inclusion. From my first day student education with the BSOM military service, Lader attended Cornell medicine and pediatrics, clinical assistant School of Medicine, and the Integrated development of future physicians who on campus, leaders such as Alonzo Department of Pediatrics. Lader comes University where she earned a Bachelor professor and associate clerkship Pediatric Residency program, Miri brings will provide excellent medical care with Patterson, M.D., shared that BSOM’s into this role from Dayton Children’s of Science in Biomedical Ethics. director for the department of pediatrics. a depth of understanding and experience compassion and cultural humility, helping goal of not only recruitment, but Hospital where she was a pediatric that has prepared her well to continue According to Lader, “The classic model to maintain the BSOM commitment to a matriculation of its students was Taylor has served on nearly 20 local and hospitalist and director of continuing our legacy of providing high-quality of education, where the teacher bestows diverse student and faculty population important. In my class there were 17 national committees throughout her medical education. clerkships in our primary care specialties. knowledge onto young and curious reflective of today’s multicultural society, minority students, which created an career. Her most recent roles include Lader, who began in this role in January I greatly appreciate her passion for and pupils, does not necessarily fit the and helping to provide a supportive, safe environment rich in support and teaching and learning lead for the 2021, shared, “I was drawn to the commitment to assuring that our complexities of medical education.” She environment that allows students to encouragement. This is the reason that I national nonprofit Aquifer Educators position because the education I students see pediatrics as a fulfilling, yet believes that becoming a great physician develop their skills and discover their stand here today. Students’ journeys are Consortium, chair of the BSOM student received at BSOM needs to be challenging profession. She is highly requires more than memorizing facts and place in the medical community. challenging, and not just reflective of their promotions committee, member of the carried on.” respected by her fellow faculty members numbers from books. Learning the art of Collaboration with faculty and staff is also academic performance, but of BSOM doctoring committee, and and the entire team at Dayton Children’s medicine, intertwined with the science, a goal for Taylor, including working with knowledge of self and knowledge of member of the residency education While completing rotations at Dayton Hospital, and will represent our helps separate good from great. “I have BSOM in developing strategies that others (or the mature recognition of a committee at Dayton Children’s Hospital. Children’s Hospital as a BSOM medical profession well to our future physicians.” been exceptionally lucky to have had support curricular diversity, organizational lack thereof). BSOM has a longstanding student, Lader fell in love with the field of Taylor has been published several times, mentors take the time to teach me their needs assessments in the areas of vision of providing a medical community pediatrics. “Kids are all little miracles, When asked why she is a good fit for this and presented with multiple awards, art,” shared Lader. “I would be diversity and inclusion, and coordination that is reflective of the national landscape and I wanted to spend my days position, Lader shared that she has been including the Dr. Algernon B. Jackson dishonoring my mentors if I kept their and support of longstanding pipeline and supports the need to demonstrate watching miracles take place,” said a leader and caregiver most of her life. Award of Distinction in Medical Education teachings to myself.” programs for increasing diversity why diversity is important. Wright State Lader. She felt a strong sense of Born in Brooklyn, New York, and the in medicine. and the Leonard Tow Humanism in belonging while at Dayton Children’s oldest of seven children, her mother —Lisa Coffey University’s celebration of the 50th Medicine Award. Hospital as a student and chose to stay passed away when she was young, “We hope to serve as a safe space for anniversary of the Bolinga Black Cultural Resource Center is a testimony to our Taylor received her undergraduate on for her internship and residency thrusting her into a leadership role of students to discuss concerns, and to community’s commitment to advocacy, degree from Xavier University of training. Lader became chief resident, caregiver to her siblings. Her family provide the supportive environment that activism and representation.” Louisiana in New Orleans in 1998, and remained on staff full-time after traveled extensively, due to her father’s is needed for success for BSOM graduating cum laude. graduation. She added, “Professionally I career with the U.S. Army, and she students, as well as support of the Taylor’s academic appointments with grew up where my students will be graduated from high school while living in development and retention of inspired BSOM go back to 2010, when she was Taylor said there is no more critical time completing rotations, offering me a Israel. Soon after graduation, she was and dedicated faculty,” stated Taylor. chief resident with the BSOM integrated than today to continue speaking up, and unique opportunity to show them what I recruited by the Israeli Army, and and A 2005 graduate of BSOM, Taylor pediatric residency program. Taylor was for understanding how policies that are have learned.” enlisted at age 17. She served as a the first African American to hold this rooted in systemic racism create health 30 Vital Signs Winter 2021 medicine.wright.edu 31
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