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November 23, 2022 | Volume IV, Issue 23


LCOM in Winter

Message from the Dean

Dear Larner Community, 

As the holidays approach, I want to express my sincerest thanks to each of you and wish you the best for the days ahead.

Over the past challenging three years, the response from our College was characterized by innovation, professionalism, commitment, and compassion. Even with unexpected challenges to our teaching, research, and clinical missions, our people—students, staff, and faculty—have prevailed. My thanks to you all.

As we look forward to additional accomplishments in the year ahead, we approach our clinical, research, and education missions with an emphasis on equity, inclusion, mental health, and wellness. We have recently updated our Vision 2025 strategic plan to include specific DEI objectives, and within two years we plan to open a student fitness center in the Given Building. Not long after that, we hope to receive NCI designation for our UVM Cancer Center. These are just a few of our upcoming priorities, with the best yet to come. 

Warm wishes for a holiday season that brings you together with friends and family.

Dean Page Signature

Pictured above: a photo of snow-covered tree branches full of red berries with the Robert Larner College of Medicine building signage in the background.

 


Kate Tracy

Tracy Appointed as Larner's Next Senior Associate Dean for Research

Kathleen (Kate) Tracy, Ph.D., has been named as the next senior associate dean for research at the Larner College of Medicine, and will begin her new role in February 2023. Dr. Tracy will also serve as professor of medicine and director of research at the UVM Health Network.

A scientist with deep expertise in women’s health, with a concentration on cervical cancer prevention in underserved populations, Tracy has published nearly 100 peer-reviewed articles in a variety of fields. Tracy comes to Vermont from the University of Maryland School of Medicine (UMB-SOM), where she is a professor of epidemiology and public health, vice chair for research services, epidemiology and public health, and head of the Division of Preventive Medicine. Since 2010 Tracy has directed the UMB-SOM Clinical and Translational Research Informatics Center, and from 2017 to 2020 she was the inaugural director of the Richard and Jane Sherman Center for Health Care Innovation, a UMB center formed to foster cross-campus research and education collaborations related to health care innovations. 

“We are delighted to welcome Dr. Tracy to our College and UVM,” said Dean Richard L. Page, M.D. “She brings extensive experience in science and leadership that will complement our existing strengths and will provide for growth of our research impact. We especially look forward to expansion of clinical investigation in the UVM Health Network in her role as director of research for the Network.”

Read the full article about Dr. Tracy's appointment.

Pictured above: Dr. Tracy (Courtesy photo)

 


Jordan Munger

Innovative Approaches Hold Promise for Improving Rural Health Across Region

 

On November 17, the nation celebrated National Rural Health Day. This event provides an opportunity to “recommit to delivering quality, affordable health care to every zip code in America by making insurance and prescription drugs more affordable, expanding mental health and substance use disorder services, and keeping rural facilities open and staffed with dedicated doctors, nurses, and other health professionals,” according to the Presidential Proclamation on National Rural Health Day 2022. 

While the terms “innovation” and “rural” are not typically bedfellows, they are commonly paired in Vermont, and researchers at the Larner College of Medicine have long been committed to finding innovative ways to improve access to health care for residents in the state and surrounding region.

“People living in more rural areas may find it more challenging to find a primary care physician, find transportation, access primary and preventive care, and experience more challenges related to employment,” said Jan Carney, M.D., M.P.H., associate dean for public health and health policy and the Community Engagement & Outreach Core director for the Northern New England Clinical & Translational Research Network (NNE-CTR).

Led by Gary Stein, Ph.D., chair of biochemistry, the NNE-CTR is a health care collaborative network, which includes, in addition to Larner, partners in Maine and New Hampshire. Among the network’s initiatives is the development of a Rural Health Communications Network to promote two-way communication of health information to improve health literacy, enhance rural participation in clinical trials, promote access to health and social services, and help respond rapidly to public health emergencies. A recent $20 million renewal grant from the National Institutes of Health aims to provide residents in Vermont and Maine with greater support for addressing cancer, substance use disorders, food insecurity, obesity, diabetes, Alzheimer’s, and cardiovascular disease.

Funded by a Health Resources and Services Administration grant, the UVM Center on Rural Addiction, led by Professor of Psychiatry Stacey Sigmon, Ph.D., serves as a resource for scientific and technical assistance, and provides information and training to clinicians, programs, and policymakers seeking guidance on how to address opioid addiction and other substance use disorder challenges in their rural communities. 

“As the only medical school in a small, rural state, we have a commitment to supporting the addiction treatment providers in our rural communities,” says Dr. Sigmon.

Read the full article about rural health care initiatives at Larner.

Pictured above: An interest in rural health inspired alum Jordan Munger, M.D.’22 (rear center), to complete clinical training with pediatrician Irene Flateau, M.D., in a Hudson Headwaters Health Network clinic in upstate New York. (Photo: David Seaver)

 


Student Voices Banner

Sydney Cardoza

Quote Marks It is easy to feel discouraged, but when challenges arise it is important to remember we are not alone. Elevate the voices of those around you and always have your teammates’ back. Because it really does take a village."


-Sydney Cardozo (pictured, at left), Class of 2024 medical student, in a UVM Larner Med blog post titled "To Protect Reproductive Health, It Takes a Village."


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Interprofessional Faculty Development in Simulation

This two-day workshop is designed to promote faculty development and interprofessional collaboration in simulation within health care curricula and is open to UVM Larner College of Medicine and College of Nursing and Health Sciences faculty, as well as UVM Medical Center clinicians.

January 12 & 13, 2023
7:30 a.m. - 4:00 p.m.
UVM Clinical Simulation Laboratory
237 Rowell Building

Space is limited to 12 participants. To register, contact Helen.Brunelle@med.uvm.edu or
802-656-0748.


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Accolades & Appointments

Cate Nicholas

Cate Nicholas, Ed.D., M.S., PA, director of simulation education and operations for UVM’s Clinical Simulation Laboratory and associate professor of obstetrics, gynecology and reproductive sciences, was honored with a 2022 MedEdPORTAL Associate Editor of the Year award at the Association of American Medical Colleges 2022 “Learn Serve Lead” annual meeting in Nashville, Tenn., on November 11-15. 


New Team Members

The Office of Medical Education is pleased to announce a number of new team members.

Clerkship

  • Jason Bartsch, M.D., assistant professor of medicine, is the new director of the inpatient medicine clerkship, and Louis Polish, M.D., associate professor of medicine, is the new co-director.
  • Erin Curtis, M.D., assistant professor of psychiatry, is the new director of the psychiatry clerkship.
  • Rhonda Hanley is the new coordinator for the family medicine clerkship.
  • Susan Thompson is the new coordinator for the surgery clerkship.

Office of Medical Education Staff

  • Catherine Daniel is the new clinical curriculum coordinator.
  • Justine King, M.P.A., is the new clinical curriculum manager.
  • Amir Sadick, M.M.S., is the new student services administrative assistant.
  • Lisa Wilda is the new human resources administrator.

Medial Student Council group shot
The Medical Student Council serves as the official student governance body and represents all medical students enrolled at UVM’s Larner College of Medicine. After a recent vote, Class of 2026 medical students Adama Aja, Arman Grewal, Molly Hurd, Christopher Kruglik, and Casey Norton were elected as representatives. Pictured at left (from left to right): Grewal, Aja, Kruglik, Norton, and Hurd.

cystic fibrosis foundation logo

The UVM Cystic Fibrosis Center, which cares for both pediatric and adult patients, was recently recognized by the Cystic Fibrosis Foundation (CFF) for the center’s success in enrolling patients in CFF-sanctioned studies. UVM was ranked first out of 80 CFF Therapeutics Development Network centers in this category. The adult and pediatric CF program at the UVM Medical Center serves approximately 160 patients across Vermont and northern New York, with adults composing about 60 percent and children/youth composing about 40 percent of this population. Principal investigators for UVM’s CF research program include Charlotte Teneback, M.D., associate professor of medicine, associate chief of pulmonary and critical care medicine, and director of the Adult Cystic Fibrosis Program; Thomas Lahiri, M.D., professor and vice chair of pediatrics and director of pediatric pulmonology; Jillian Sullivan, M.D., associate professor of pediatrics; and Zachary Weintraub, M.D., assistant professor of medicine. Sub-investigators include Kelly Cowan, M.D., associate professor of pediatrics and associate director of the Pediatric Cystic Fibrosis Center; L.E. Faricy, M.D., assistant professor of pediatrics; Keith Robinson, M.D., associate professor and vice chair for quality improvement and population health in the Department of Pediatrics; and Abraham Sender, PA-C, physician’s assistant in pulmonary and critical care.


Laurel Wreath
CORRECTION: Some important information was missing from this accolade in the November 9 issue of Larner Medicine. The corrected information is below.

The Department of Emergency Medicine has announced the receipt of two new Substance Abuse and Mental Health Services Administration (SAMHSA) grants: 
  • A five-year, $3.75-million, Medication Assisted Treatment-Prescription Drug and Opioid Addiction (MAT-PDOA) grant; Roz King, M.S.N., RN, program manager for research in emergency medicine, is project director for the grant titled “Start Treatment and Recovery” (STAR). Co-investigators include Daniel Wolfson, M.D., associate professor of emergency medicine; Miles Lamberson, AEMTSanchit Maruti, M.D., associate professor of psychiatry; Richard Rawson, Ph.D., professor of psychiatry; Elly Riser, M.D., assistant professor of medicine; John Brooklyn, M.D., clinical associate professor of family medicine; Kyle DeWitt, Pharm.D.Blake Porter, Pharm.D.; and Nicholas Aunchman, M.D., assistant professor of emergency medicine.
  • A one-year, $200,000 Rural Emergency Medical Services (REMS) Training grant. The Vermont REMS Training Program is a collaboration of the Department of Emergency Medicine, the Larner College of Medicine, and four rural Vermont EMS Districts. Ellen Stein, M.D., assistant professor of emergency medicine, is principle investigator. Kate Soons, M.S.N., RN, and Chris McCarthy, AEMT, have been brought on as lead course instructors for the program, bringing with them over 50 years of combined EMS training experience, and a reputation as two of the most respected and successful EMS-educators in the state. The program goals include providing no-cost, high-quality, geographically accessible EMT training that includes novel EMS-specific training on mental health and substance use disorder. The program aims to educate and certify 96 new EMTs in rural Vermont.

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CITATION HIGHLIGHTS

Blum K, Bowirrat A, Gomez LL, Downs BW, Bagchi D, Barh D, Modestino EJ, Baron D, McLaughlin T, Thanos P, Ceccanti M, Elman I, Badgaiyan RD, Dennen C, Gupta A, Braverman ER, Gold MS. Why haven’t we solved the addiction crisis? J Neurol Sci. 2022 Nov 15;442:120404. doi: 10.1016/j.jns.2022.120404. [Epub 2022 Sep 2.] PMID: 36084363.
 
Flannery DD, Edwards EM, Coggins SA, Horbar JD, Puopolo KM. Late-Onset Sepsis Among Very Preterm Infants. Pediatrics. 2022 Nov 11:e2022058813. doi: 10.1542/peds.2022-058813. [Epub ahead of print.] PMID: 36366916.
 
Ostapenko A, Kleiner D. Challenging Orthodoxy: beyond the Critical View of Safety. J Gastrointest Surg. 2022 Nov 7. doi: 10.1007/s11605-022-05500-z. [Epub ahead of print.] PMID: 36344799. 
 
Hunter T, Komocsar WJ, Colletti RB, Liu C, Benkov KJ, Dotson JL, Steiner SJ, Zhang N, Crandall W; ImproveCareNow Network. Treatment and biologic maintenance-dosing patterns among pediatric patients with ulcerative colitis or Crohn’s disease. Curr Med Res Opin. 2022 Nov 7:1-7. doi: 10.1080/03007995.2022.2135836. [Epub ahead of print.] PMID: 36263735.
 
Profit J, Edwards EM, Pursley D. Getting to health equity in NICU care in the USA and beyond. Arch Dis Child Fetal Neonatal Ed. 2022 Nov 15:fetalneonatal-2021-323533. doi: 10.1136/archdischild-2021-323533. [Epub ahead of print.] PMID: 36379698.
 
Novick AM, Duffy KA, Johnson RL, Sammel MD, Cao W, Strasser AA, Sofuoglu M, Kuzma A, Loughead J, Epperson CN. Progesterone Increases Nicotine Withdrawal and Anxiety in Male but Not Female Smokers During Brief Abstinence. Nicotine Tob Res. 2022 Nov 12;24(12):1898-1905. doi: 10.1093/ntr/ntac146. PMID: 35713950; PMCID: PMC9653080.
 
Bhave VM, Ament Z, Patki A, Gao Y, Kijpaisalratana N, Guo B, Chaudhary NS, Garcia Guarniz AL, Gerszten R, Correa A, Cushman M, Judd S, Irvin MR, Kimberly WT. Plasma metabolites link dietary patterns to stroke risk. Ann Neurol. 2022 Nov 14. doi: 10.1002/ana.26552. [Epub ahead of print.] PMID: 36373825.
 
Yamaguchi H, Shen J, Little DR, Li M, Sozen S, Suzuki K, Mishina Y, Komatsu Y. Enhanced BMP signaling through ALK2 attenuates keratinocyte differentiation. Biochem Biophys Res Commun. 2022 Nov 12;629:101-105. doi: 10.1016/j.bbrc.2022.09.014. [Epub 2022 Sep 10.] PMID: 36116371.
 
Olson NC, Doyle MF, Buzkova P, Huber SA, de Boer IH, Sitlani CM, Tracy RP, Psaty BM, Mukamal KJ, Delaney JA. Circulating differentiated and senescent lymphocyte subsets and incident diabetes risk in older adults: The Cardiovascular Health Study. Endocrinol Diabetes Metab. 2022 Nov 5:e384. doi: 10.1002/edm2.384. [Epub ahead of print.] PMID: 36333945.
 
Cao Z, Cupertino RB, Ottino-Gonzalez J, Murphy A, Pancholi D, Juliano A, Chaarani B, Albaugh M, Yuan D, Schwab N, Stafford J, Goudriaan AE, Hutchison K, Li CR, Luijten M, Groefsema M, Momenan R, Schmaal L, Sinha R, van Holst RJ, Veltman DJ, Wiers RW, Porjesz B, Lett T, Banaschewski T, Bokde ALW, Desrivières S, Flor H, Grigis A, Gowland P, Heinz A, Brühl R, Martinot JL, Martinot MP, Artiges E, Nees F, Orfanos DP, Paus T, Poustka L, Hohmann S, Millenet S, Fröhner JH, Robinson L, Smolka MN, Walter H, Winterer J, Schumann G, Whelan R, Bhatt RR, Zhu A, Conrod P, Jahanshad N, Thompson PM, Mackey S, Garavan H; IMAGEN Consortium; ENIGMA Addiction Working Group. Cortical profiles of numerous psychiatric disorders and normal development share a common pattern. Mol Psychiatry. 2022 Nov 15. doi: 10.1038/s41380-022-01855-6. [Epub ahead of print.] PMID: 36380235.
 
An C, Jones E, Fujii MH, Callas P, Sternberg K. Opioid Use and Associated Patient Satisfaction with Pain Control After Endoscopic Surgery and Robotic-Assisted Radical Prostatectomy. Urology. 2022 Nov 16:S0090-4295(22)00948-7. doi: 10.1016/j.urology.2022.10.022. [Epub ahead of print.] PMID: 36402273.
 
Polish LB, O’Connell EM, Barth TFE, Gottstein B, Zajac A, Gibson PC, Bah A, Kirchgessner M, Estrada M, Seguin MA, Ramirez-Barrios R. European Haplotype of <i>Echinococcus multilocularis</i> in the United States. N Engl J Med. 2022 Nov 17;387(20):1902-1904. doi: 10.1056/NEJMc2210000. PMID: 36383717.
 
Bowerman C, Bhatka NR, Brazzale D, Cooper BR, Cooper J, Gochicoa-Rangel L, Haynes J, Kaminsky DA, Lan LTT, Masekela R, McCormack MC, Steenbruggen I, Stanojevic S. A Race-neutral Approach to the Interpretation of Lung Function Measurements. Am J Respir Crit Care Med. 2022 Nov 16. doi: 10.1164/rccm.202205-0963OC. [Epub ahead of print.] PMID: 36383197.
 
Rose GL, Bonnell LN, Clifton J, Natkin LW, Hitt JR, O’Rourke-Lavoie J. Outcomes of Delay of Care After the Onset of COVID-19 for Patients Managing Multiple Chronic Conditions. J Am Board Fam Med. 2022 Nov 17:jabfm.2022.220112R1. doi: 10.3122/jabfm.2022.220112R1. [Epub ahead of print.] PMID: 36396416.

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Published by the Office of Medical Communications
The Larner College of Medicine
at The University of Vermont
Copyright 2022