Fenves and Johnston: Kirk Watson Transformed Health and Health Care in Austin – The Alcalde

ByGregory L. Fenves and Clay Johnston in 40 Acres on April 30, 2020 at 11:28 am |

Dear Senator Watson,

In your final week as a Texas state senator, we have been reflecting on the extraordinary impact you have had on our community and your special legacy in shaping the health care mission of The University of Texas at Austin.

In the early 2000s, there was much talk of building a medical school in Austin. It was an ambition that had been discussed for decades but had never materialized. A medical school in one of the largest cities without one felt like an idea that would be perpetually pushed to the future for a later generation to take on.

But in 2011, you changed everything. Your 10 Goals in 10 Years for Health Care lit the fire. Immediately, the pathway forward for our city and county was illuminated.

The No. 1 goal on your 10 in 10 list was to build a medical school. This was your priority because you understood the tremendous talent and resources available at our university. You knew that UT Austin had the ability to build a medical school like no other and train generations of doctors who could serve our city, county, state and nation. So, you did what you do best brought people together to make it happen.

You made sure that a broad coalition worked collaboratively on a shared vision for health in Texas. You helped people see health care as a fundamental issue that affects everyone regardless of background, beliefs or politics. And you made your case for change by telling your personal story as a cancer survivor, and people responded. Nobody else could have done that.

It all came together in 2012, when Travis County voters in an unprecedented move approved a ballot measure to invest in the creation of a new medical school. That commitment launched the Dell Medical School. And with strong support from the UT System Board of Regents, the Michael & Susan Dell Foundation and so many others in our Longhorn community, Dell Med welcomed its first class of 50 students in 2016.

And here we are now, nearly four years later, with Dell Meds inaugural class preparing to graduate next month.

Senator Watson, you made it possible for Dell Meds nearly 200 students to receive a world-class medical education right here in our states capital. And now, the first graduates are going to pay it forward all have matched with residency programs across the country and almost half of them will remain in Texas (11 will stay right here in Austin) to practice medicine and serve at a time when they are needed to help lead us through an unprecedented public health crisis.

And your impact on the universitys health care mission goes beyond our students and future doctors: UT Health Austins medical workers have been on the front lines of the COVID-19 crisis and are delivering patient-centered, value-focused care to our community; our unique partnerships with Central Health and Ascension Seton are further elevating the level of care in Austin; in 2014, the Livestrong Cancer Institutes emerged to pioneer new approaches to cancer treatment and care; in 2016, the Mulva Clinic for the Neurosciences took shape to advance patient treatment and neuroscience research; and just last year, your tireless work helped to prioritize the mental health needs of patients and families at the Austin State Hospital, which is now poised to become a premier center of brain health.

There is an old saying: Education is not the filling of a pail, but the lighting of a fire. You were the leader who lit the fire that sparked a health care revolution that started on our campus and is growing across Central Texas. Generations of Texans will benefit from all you have done.

You may be a University of Houston Cougar now, but forever in our community, you will be known as a Longhorn. Thank you, Senator Watson. We are deeply grateful.

Gregory L. Fenves is President of The University of Texas at Austin.

S. Claiborne Clay Johnston is dean of the Dell Medical School at The University of Texas at Austin.

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Fenves and Johnston: Kirk Watson Transformed Health and Health Care in Austin - The Alcalde

Michigan med school residents feel excitement, anxiety as they head to front lines in coronavirus fight – Detroit Free Press

The 2020 graduating class of medical students has been anticipating this season for years.

Tony Gjocaj, at the Michigan State College of Human Medicine, has been dreaming of Match Day ever since he was in middle school. Taylor Novice, who will be graduating from the University of Michigan Medical School and the Ross School of Business with her MD/MBA, cannot remember a time when she did not want to be a doctor.

Instead, a spring that traditionally brings recognition and celebration has become a time of stark uncertainty. On top of that, Gjocaj and Novice both have had to rescheduletheir respective May weddings.

Fourth-year medical students in Michigan were pulled from patient contact across the state in mid-March because of the coronavirus pandemic, marking an abrupt end to their final clinical rotations. Match Day banquets, scheduled for March 20 to honor the release of the National Resident Matching Program results, when students learn what hospital they will be placed in for their medical residency, were canceled and replaced with a day spent on FaceTime with loved ones. Graduation ceremonies planned for the coming months have shifted to be held virtually, if at all.

For students that matched with residency programs in-state, they have watched Michigan rise to be among the top 10in the nation for known coronavirus cases a pandemic hotspot, particularly in southeast Michigan.Incoming residents are grappling with an eagerness to join the front lines of COVID-19 care while experiencing some relief that they have a moment to prepare themselves before doing so. The excitement of altruism and commitment to service, lingering with an awareness of the risk and inevitable fear.

We sit in this limbo, explains fourth-year Wayne State School of Medicine student Andrew El-Alam, were overqualified students, but underqualified physicians.

Andrew El-Alam, medical student of Wayne State University poses for a photo in Detroit, Tuesday, April 21, 2020.(Photo: Junfu Han, Detroit Free Press)

In recent weeks, the Michigan Department of Licensing and Regulatory Affairs issued a directive allowing medical students who have successfully completed their academic requirements to secure an education license early. With the licensing option, graduates can enter the workforce ahead of the typical July 1 start date, helping to bring some relief to an already overworked army of health care workers fighting a medical war against an invisible and unforgiving enemy.

After consulting the students and the residency programs at which they were placed, Michigan State is one of the universities expediting the licensure of health care professionals entering the workforce from the colleges of Human and Osteopathic Medicine. For residencies in the state of Michigan, 61 students in MSU's College of Human Medicines graduating class are eligible.

If a residency or hospital wants to start their people early we are making that possible, said Dr. Aron Sousa, interim dean of the College of Human Medicine at Michigan State.According to Sousa, the students will be available as soon as May. He noted that early licensure is a choice that students can opt-in to. There are a lot of things that have to happen for this to work for people, he acknowledged, but that were just trying to make our people available to do good in the world.

Leadership at Oakland University's William Beaumont School of Medicine also havepresented early licensure as one option among several others, including research, telemedicineand volunteering opportunities, for fourth-year students. At present, the University of Michigan Medical School does not have plans to graduate doctors earlier than expected. Similarly, Wayne State School of Medicine will conduct graduation as scheduled for June 2.

Having residents start earlier than July 1 could relieve hospitals whose providers have become sick or exhausted, but poses additional logistical challenges and an increase of work to onboard new staff. A University of Michigan spokesperson confirmed that residency programs at Michigan Medicine will not start earlier than scheduled, stating, starting the new doctors in their usual time sequence and orientation this summer will allow the faculty physicians now focused on the urgent pandemic patient care needs to maintain that focus.

Graduates across the state are staying prepared for either scenario.

No one truly ever feels prepared for residency, said Craig Matisoff, a Michigan State College of Human Medicine student who matched at Spectrum Health in Grand Rapids. It is a really difficult transition in the best of times, and I think this (pandemic)has just compounded a lot of those feelings. At the same time, it is hard to just sit on the sidelines knowing that we are capable, we have been prepared and are ready to contribute.

Matisoff said he would welcome the opportunity to begin earlier if needed:Im happy to support the folks here in west Michigan, but I would be lying if I said I wasnt nervous about the whole prospect as well.

Safetyand the possibility of becoming a vector for the virus, is a primary concern. Tony Gjocaj, who matched in family medicine at Beaumont HospitalWayne, has been following its response to COVID-19 on the hospital's Instagram to get a sense of if it may need additional support in the coming months. While that location initially intended to convert to a center specifically for COVID-19 patients, staff has now been deployed to other hospitals in the Beaumont system and Wayne is serving as a reserve hospital in case of a surge.

Gjocaj has already submitted the required paperwork for early licensure, but hesitates to say for certain whether he would elect to start his residency early.

I think I would. I would if I knew the proper PPE (personal protective equipment) was in place and it was safe to do so. That is the No. 1 thing. We do not want to hurt people by contracting the virus ourselves and spreading it to others, he explained. Quoting the oath he has yet to take at graduation, do no harm, he said.

Some representatives from programs on the west and east side of the state say they do not anticipate a need to start first-year residents before the usual July 1 date. Major hospitals in metro Detroit, including Henry Ford Hospital, are in aStage 2: Increased Clinical Demands status in line with the updated guidance by the Accreditation Council for Graduate Medical Education (ACGME) in response to the pandemic. That status allows residents to focus solely on caring for the crucial surge of COVID-19 patients while educational activities are suspended.

Dr. Kimberly Baker-Genaw, vice chair of Internal Medicine and director of Medical Education at Henry Ford Hospital, said she is optimistic that countermeasures will continue to flatten the curve, and it will not be necessary to disrupt asmuch day-to-day education and patient care activities to direct all staff to COVID-19 care, even given a possible surge in the fall.

Im hoping in the fall that we do not see this surge, she added, but if people dont socially distance and we see the resurgence of the spread like we had initially I think it is possible again.

It remains unlikely that residents will be dispatched to field hospitals, such as the ones recently erected at the TCF Center (formerly Cobo Center) in Detroit or at the Suburban Showplace Collection in Novi, unless the state sees another extraordinary surge in cases.

There are so many variables at play that LaVana Greene-Higgs, who is part of both the University of Michigan Medical Schools graduating class and the incoming residency cohort, is unsure of how to brace herself for what comes next. She articulates the question hanging over the class of 2020:Im trying to figure out what it looks like to begin training in a pandemic. Until then, she is staying up to date on the guidelines and recommendations for COVID-19 treatment.

LaVana Greene-Higgs, graduating U-M medical student and incoming resident at Michigan Medicine poses for a photo in Ann Arbor, Wednesday, April 22, 2020.(Photo: Junfu Han, Detroit Free Press)

Wayne State student Andrew El-Alam, who matched in emergency medicine at Henry Ford Hospital, hopes that by his July start the incoming coronavirus cases are at a more manageable level.

Ive come to terms that this is likely going to be here for a long, long time. But hopefully not at this level, he said. El-Alam said he felt suited for emergency medicine after growing up working in his parents restaurant, and pursued the specialty out of a desire to help people at their most vulnerable.

Dr. Candace Smith-King, vice president for academic affairs at Spectrum Health, aims to have adjusted to a new normal before residents begin in July. COVID-19 is not going to just disappear, were going to have to learn how to function with it within our health care system, she explained.And how we do that as a health care system has yet to be determined.

The incoming class of residents are asking that central question, too, and will play a role in answering it. They can expect to care for COVID-19 patients until a treatment is determined or a vaccine is available, but could also see sicker than normal patients who may have been impacted by the consequences of prolonging care. Residency programs may transition some of the orientation process to be held virtually, but plan to begin patient care uninterrupted in July.

Theyre coming into a situation where there is more uncertainty, Smith-King acknowledged.They may learn medicine differently. The hospital may look different. Those details are yet to be understood all the way. But theyll still be the ones going in to take care of patients. Theres no way, really, for our hospital to function without them. They are an integral part of what we do.

Matching into the obstetrics-gynecology residency at Beaumont HealthRoyal Oak was fulfilling a lifelong dream for Alison Thomas, particularly since 23 of her cousins were born there. Thomas, who will be graduating from Oakland University's William Beaumont School of Medicine, has expressed to the university her interest in their option to graduate early and plans to remain flexible.

Alison Thomas of Orchard Lake is seen outside of her home on Tuesday, April 21, 2020. Thomas is at the Oakland University William Beaumont School of Medicine and has expressed to the university her interest in their option to graduate early and plans to remain flexible. Alison matched into the obstetrics-gynecology residency at Beaumont Health, Royal Oak where twenty-three of her cousins were born.(Photo: Ryan Garza, Detroit Free Press)

Thomas has braced herself, knowingthat the pandemic will shape the start of her medical career. It is definitely an added stressor," she said.But this is history.

She acknowledged that it is an amazing opportunity to learn how to handle and work through a pandemic. In the end, its just going to help me learn more and help me be more equipped if this ever happens again. And, as she says, Moms will still be delivering their babies regardless of whether were in a pandemic or not.

For all, this moment in time represents precisely why they chose to become doctors. In just a few weeks, the graduating classes will take the Hippocratic Oath for some, only quietly to themselves reciting, And may I long experience the joy of healing those who seek my help.

The vice dean of Medical Education at Wayne State University School of Medicine, Dr. Richard Baker, has confidence in the class of 2020. As he says, Wayne State is graduating 290 leaders.

This is a heroic time. They will be heroes, whether they want to or not. Its scary, Baker said, adding, This experience for this cohort of students going to residency will probably change them forever. But theyre up to the task.

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AAMC recognizes Tulane medical student whose perseverance inspired a nation – News from Tulane

Russell Ledet, PhD, a Tulane School of Medicine student, received a Herbert W. Nickens Medical Student Scholarship for his leadership in working to eliminate inequities in medical education. Ledets inspiring journey to become a doctor made national headlines this month. Above, he is pictured speaking at the School of Medicine's peaceful protest earlier in June. (Photo by Paula Burch-Celentano)

The AAMC (Association of American Medical Colleges) has awarded Tulane University medical student Russell Ledet, PhD, a Herbert W. Nickens Medical Student Scholarship for his leadership in working to eliminate inequities in medical education and health care.

The $5,000 scholarships are awarded annually to five outstanding third-year medical students who are leaders in addressing the educational, societal and healthcare needs of racial and ethnic minorities in the United States.

Through his own extraordinary example and through the work of the nonprofit he co-founded, Russell Ledet is inspiring more Black and other students of color to unapologetically pursue their dreams of becoming physicians, said Tulane University President Michael Fitts. Were so proud of him and his dedication to making the field of medicine more equitable, inclusive and more representative of the nation as a whole.

Russell Ledet is the personification of Tulanes values.

Dean Lee Hamm, MD

Russell Ledet is the personification of Tulanes values, said Dr. Lee Hamm, senior vice president and dean of Tulane University School of Medicine. His thoughtful approach to creating a constructive dialogue around the issues of healthcare inequity is an inspiration to those around him, and we are extremely proud he is a member of the Tulane community.

Ledet made headlines around the world last December when he organized a trip to Whitney Plantation in Louisiana for members of Tulanes Student National Medical Association. He and 14 other Black classmates posed for a series of pictures in front of the plantation, one of the few dedicated to telling the experiences of enslaved people in the South.

The powerful photos of 15 Black medical students standing proudly in their white coats where so many were denied a future quickly went viral. He and his classmates were featured inUSA Today,NPR,The Washington Post, CNN, Essence magazine, NBC News and more than 400 media outlets across the globe.

The students spurred a national conversation about Black excellence and the need for greater representation in medicine for people of color. African Americans make up 13 percent of the population in the United States, but account for only 5 percent of physicians and less than 7 percent of medical students, according to the AAMC.

The students formed a nonprofit called The 15 White Coats to get as many as 100,000 of the photos into K-12 schools across the country to inspire more young Black students to pursue their dreams in medicine. Ledet is president and manager of the nonprofit, which also raises money to help medical school applicants of color pay for the application process, which averages around $3,500 to $10,000 per student.

This month, Ledetmade national headlines again. On his first day of clinical training for surgery, he posted an emotional video from the parking lot of Baton Rouge General Medical Center. It was the same hospital where he worked years ago as a security guard who would ask doctors what it was like to be a physician. Many didnt notice him.

Even some of the people I used to work with who were security guards used to laugh at me when I would tell them, One day, I will be a doctor, he said in the video. When I was growing up, I didnt even know of a Black doctor I didnt know of any. So for this moment to come full circle is priceless.

Teen Vogue wrote about his unconventional path to medicine and People, Good Morning America, CNN, NBC Nightly News and more picked up his inspiring story of determination and perseverance.

Russell is the ideal recipient of the Herbert W. Nickens Medical Student Scholarship, said Bennetta Horne, director of the Office of Multicultural Affairs at Tulane University School of Medicine. His leadership efforts among his classmates here at Tulane School of Medicine, with his colleagues in the 15 White Coats organization, and in the community align perfectly with Dr. Nickens contributions to diversity and equity in medical education. His efforts will have a major effect on the reduction of health disparities and will show countless youth that medical education is a tangible opportunity for their futures.

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Study Finds That Children’s Immune Response Protects Against COVID-19 – PRNewswire

BRONX, N.Y., Sept. 21, 2020 /PRNewswire/ -- The first study comparing the immune responses of adults and children with COVID-19 has detected key differences that may contribute to understanding why children usually have milder disease than adults. The findings also have important implications for vaccines and drugs being developed to curb COVID-19. The study was published today in Science Translational Medicine and was conducted by scientists at Albert Einstein College of Medicine, Children's Hospital at Montefiore (CHAM), and Yale University.

The study involved 60 adult COVID-19 patients and 65 pediatric COVID-19 patients (less than 24 years old) hospitalized at CHAM and Montefiore Health System between March 13 and May 17, 2020; 20 of the pediatric patients had the novel multi-system inflammatory syndrome (MIS-C). The patients' blood was tested for the presence of several types of immune cells, antibody responses, and the inflammatory proteins, known as cytokines, that immune cells produce.

Children with COVID-19 fared significantly better than adults. Twenty-two adults (37%) required mechanical ventilation compared with only five (8%) of the pediatric patients. In addition, 17 adults (28%) died in the hospital compared with two (3%) of the pediatric patients. No deaths occurred among pediatric patients with MIS-C.

"Our findings suggest that children with COVID-19 do better than adults because their stronger innate immunity protects them against SARS-CoV-2, the novel coronavirus that causes the disease," said co-senior author Betsy Herold, M.D., chief of infectious diseases and vice chair for research in the department of pediatrics at Einstein and CHAM. Kevan C. Herold, M.D., C.N.H. Long Professor of Immunology and of Medicine at Yale School of Medicine, was the other co-senior author on the study.

People have two types of immunityinnate and adaptive. Innate immunity, in which immune cells respond rapidly to invading pathogens of all kinds, is more robust during childhood. Adaptive immunity, the second type of immune response, is more specific and features antibodies and immune cells that target specific viruses or other microbes.

Compared with adult patients, pediatric COVID-19 patients in the study possessed significantly higher levels of certain cytokines associated with the innate immune response. This suggests that young people's more robust innate response protects them from developing acute respiratory distress syndrome (ARDS)the hallmark of severe and often fatal COVID-19 cases. One cytokine in particular, known as IL-17A, was found at much higher levels in pediatric patients than in adults. "The high levels of IL-17A that we found in pediatric patients may be important in protecting them against progression of their COVID-19," said Dr. K. Herold.

Both pediatric and adult COVID-19 patients were found to make antibodies against the coronavirus' spike protein, which the virus uses to latch onto and infect cells. Those spike-protein antibodies include neutralizing antibodies, which block the coronavirus from infecting cells. Counterintuitively, the researchers found that neutralizing antibody levels in adult COVID-19 patients who died or required mechanical ventilation were higher than in those who recoveredand significantly higher than levels detected in pediatric patients.

"These results suggest that the more severe COVID-19 disease seen in adults is not caused by a failure of their adaptive immunity to mount T-cell or antibody responses," said Dr. K. Herold. "Rather, adult patients respond to coronavirus infection with an over-vigorous adaptive immune response that may promote the inflammation associated with ARDS."

The findings have important implications for COVID-19 therapies and vaccines. "Our adult COVID-19 patients who fared poorly had high levels of neutralizing antibodies, suggesting that convalescent plasmawhich is rich in neutralizing antibodiesmay not help adults who have already developed signs of ARDS," said Dr. B. Herold. "By contrast, therapies that boost innate immune responses early in the course of the disease may be especially beneficial."

As for vaccines, Dr. B. Herold notes that most vaccine candidates for protecting against SARS-CoV-2 infection are aimed at boosting neutralizing-antibody levels. "We may want to consider assessing vaccines that promote immunity in other ways, such as by bolstering the innate immune response," she said.

The paper is titled "Immune Responses to SARS-CoV-2 Infection in Hospitalized Pediatric and Adult Patients." Additional Einstein-Montefiore authors are: Carl A. Pierce, B.S., Clare Burn Aschner, Ph.D., Natalia Cheshenko, Ph.D., Benjamin Galen, M.D., Scott J. Garforth, Ph.D., Rohit K. Jangra, Ph.D., Erika Orner, Ph.D., Sharlene Sy, M.D, Kartik Chandran, Ph.D., and Steven C. Almo, Ph.D.; and Einstein Ph.D. students Natalia G. Herrera, B.S. and Nicholas C. Morano, B.S. Additional Yale authors are Aaron Ring, M.D., Ph.D., Paula Preston-Hurlburt, M.S. Yile Dai, Ph.D., and James Dziura, Ph.D.

About Albert Einstein College of MedicineAlbert Einstein College of Medicineis one of the nation's premier centers for research, medical education and clinical investigation. During the 2019-20 academic year, Einstein is home to 724 M.D.students, 158 Ph.D. students, 106 students in the combined M.D./Ph.D. program, and 265 postdoctoral research fellows. The College of Medicine has more than 1,800 full-time faculty members located on the main campus and at its clinical affiliates. In 2019, Einstein received more than $178 million in awards from the National Institutes of Health (NIH). This includes the funding of major research centersat Einstein in aging, intellectual development disorders, diabetes, cancer, clinical and translational research, liver disease, and AIDS. Other areas where the College of Medicine is concentrating its efforts include developmental brain research, neuroscience, cardiac disease, and initiatives to reduce and eliminate ethnic and racial health disparities. Its partnership with Montefiore, the University Hospital and academic medical center for Einstein, advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Einstein runs one of the largest residency and fellowship training programs in the medical and dental professions in the United States through Montefiore and an affiliation network involving hospitals and medical centers in the Bronx, Brooklyn and on Long Island. For more information, please visit http://www.einstein.yu.edu, read our blog, followus on Twitter, like us on Facebook,and view us on YouTube.

About Montefiore Health SystemMontefiore Health System is one of New York's premier academic health systems and is a recognized leader in providing exceptional quality and personalized, accountable care to approximately three million people in communities across the Bronx, Westchester and the Hudson Valley. It is comprised of 11 hospitals, including the Children's Hospital at Montefiore, Burke Rehabilitation Hospital and close to 200 outpatient care sites. The advanced clinical and translational research at its medical school, Albert Einstein College of Medicine, directly informs patient care and improves outcomes. From the Montefiore-Einstein Centers of Excellence in cancer, cardiology and vascular care, pediatrics, and transplantation, to its preeminent school-based health program, Montefiore is a fully integrated healthcare delivery system providing coordinated, comprehensive care to patients and their families. For more information please visit http://www.montefiore.org. Followus onTwitter and view us onFacebook andYouTube.

SOURCE Albert Einstein College of Medicine

http://www.einstein.yu.edu

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$30M gift to establish the Elizabeth Weiser Caswell Diabetes Institute at the University of Michigan – University of Michigan Health System News

Press release authored byTiffani Langford

ElizabethWeiserCaswell and Regent Ron Weiser

ANN ARBOR, Mich. Regent Ron Weiser and his wife, Eileen, of Ann Arbor, have committed $30 million to the University of Michigan for diabetes research and the development of life-changing diabetes therapies at Michigan Medicine, in collaboration with other University of Michigan schools and units for diabetes research. The gift named for Regent Weisers daughter who has two sons and a husband with Type 1 diabetes (T1D) will be used to establish the Elizabeth Weiser Caswell Diabetes Institute, pending approval by the Board of Regents, and advance U-M faculty-led collaborative projects that have the potential for rapid clinical application.

Elizabeth has been a relentless educator and advocate for people with diabetes and for diabetes research, said Regent Weiser. Our family hopes that the collaboration among physicians, researchers, innovators and advocates across campus will allow the work shes done and continues to do to be rewarded with cures for diabetes. She has served tirelessly on behalf of the diabetes nonprofit JDRF and will be a member of the FY21 JDRF International Board of Directors and vice-chair of the JDRF Research Committee.

The Elizabeth Weiser Caswell Diabetes Institute will centralize and coordinate campus resources anchored by a group of more than 250 world-renowned, dynamic researchers in diabetes, diabetic complications, obesity and metabolism and allow U-M to bring new depth and discovery to the quest for answers to diabetes.

This is one of the most important things that has happened for diabetes research, not just for the University of Michigan, but for the whole country, said Martin Myers Jr., M.D., Ph.D., director of the new institute. The institute is built on the idea that we cant only study one aspect of diabetes, but rather that we need to work together to attack every piece of this disease at the same time. Thus, we will simultaneously work toward making designer insulin-producing beta cells as a therapy for diabetes, seek to understand how to block the onset of Type 1 and Type 2 diabetes, and focus on how to improve clinical care and access to current lifesaving therapies.

And, to ensure that a new generation of researchers are trained to continue investigations that mitigate the impact of T1D, Elizabeth and her husband, Trey, also partnered with Regent Weiser and Mrs. Weiser to establish the Caswell Family Fellowship in pediatric endocrinology, part of the $30 million commitment.

The Weiser family has a long history of championing the work of faculty and teams at the University of Michigan through their generosity and proliferation of vital partnerships, said U-M President Mark Schlissel. This gift will ensure that U-M is able to translate scientific discoveries into treatments for diabetes that save lives in our community and beyond. I am personally touched by the way this family has translated their personal experience with diabetes into hope for all people, and grateful for their confidence in U-Ms promise to make a difference.

Ron and Eileen Weiser are longstanding U-M alumni, volunteers and donors, committing more than $100 million to the university to date. In addition to Ron Weisers service on theU-M Board of Regents, they both served as vice chairs of theVictors for Michigan campaignand support a wide range of programs across all three campuses of the university, including the Weiser Center for Real Estate, the Weiser Diplomacy Center, theWeiser Center for Emerging Democracies, theWeiser Center for Europe and Eurasia, Michigan MedicinesMary H. Weiser Food Allergy Centerand theChad Carr Pediatric Brain Tumor Cancer Center, among other programs. TheCollege of Literature, Science, and the Arts;Michigan Medicine;School of Music, Theatre & Dance;UM-Dearborn; Ross School of Business; Ford School of Public Policy; and dozens of other units have been beneficiaries of the Weisers generosity.

The Elizabeth Weiser Caswell Diabetes Institute will build on best practices of the standout programs developed at U-M and other top institutions. As part of the top public university in research spending in the United States, and in partnership with 20 divisions and departments within Michigan Medicine and 14 schools and units across the U-M campus that focus on diabetes care and research, the Elizabeth Weiser Caswell Diabetes Institute will strengthen U-Ms leadership nationally and globally in this space. Several national and international collaborators will work with the U-M and Michigan Medicine teams.

This gift is transformational, said Marschall S. Runge, M.D., Ph.D., executive vice president for medical affairs, dean of the University of Michigan Medical School and CEO of Michigan Medicine. We are immensely grateful to the Weisers for opening the doors that enable our physicians and researchers to push the boundaries that will transition cutting-edge discoveries in diabetes investigations into lifesaving therapies for children and adults.

Michigan Medicine is known for excellence in research and care for those with diabetes and the complications that it causes.

Diabetes is so hard. You dont want to think about complications, but you know theyre out there, said Elizabeth Caswell, of Ann Arbor. Diabetes doesnt allow anybody to shut down and forget about it; theres no break. Fortunately, the team at Michigan Medicine has been there for us every step of the way advising us on daily care, advances in treatment technologies, and opportunities for clinical research. Until T1D is cured, we are grateful for top-notch care at one of the best research institutions in the world.

About Michigan Medicine:At Michigan Medicine, we advance health to serve Michigan and the world. We pursue excellence every day in our three hospitals, 125 clinics and home care operations that handle more than 2.3 million outpatient visits a year, as well as educate the next generation of physicians, health professionals and researchers in our U-M Medical School.

Michigan Medicine includes the top ranked U-M Medical School and the University of Michigan Health System, which includes the C.S. Mott Childrens Hospital, Von Voigtlander Womens Hospital, University Hospital, the Frankel Cardiovascular Center and the Rogel Cancer Center. Michigan Medicines adult hospitals were ranked no. 11 in the nation by U.S. News and World Report in 2019-20 and C.S. Mott Childrens Hospital was the only childrens hospital in Michigan nationally ranked in all 10 pediatric specialties analyzed by U.S. News and World Report for 2019-20. The U-M Medical School is one of the nations biomedical research powerhouses, with total research spending of more than $500 million annually.

More information is available at http://www.michiganmedicine.org

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Mother-daughter duo begin their medical careers together – Insider – INSIDER

Dr. Cynthia Kudji Sylvester and Dr. Jasmine Kudji caught national media attention in March 2020 for becoming the first mother-daughter duo to attend medical school at the same time at the same institution.

The two will now be continuing their career journeys together as medical residents in the Louisiana State University Health System Kudji Sylvester at LSU Health Lafayette as a family medicine resident and Kudji as one of 11 incoming surgical residents at LSU Health New Orleans.

For 49-year-old Kudji Sylvester, this dream has been 27 years in the making.

Kudji Sylvester's family moved from Ghana to Louisiana when she was two-years-old. She told USAToday she was inspired to become a doctor during a visit back to West Africa with her family. When a young woman approached Sylvester and her mother asking them to help her sick child, she was deeply moved.

"I've always wanted to be a physician," Kudji Sylvester told USA Today. "Seeing that disparity really, it shook me, you know, and it made me want to do something about it."

However, Kudji Sylvester had to pause her dream of becoming a doctor when she became pregnant with her daughter when she was 22-years-old. She instead started out her career as a nursing assistant before she became a registered nurse two years later.

"I had to put my dream of being a physician on hold because I needed a job. I needed to bring in an income. And so that's where being a nurse came in."

Kudji grew up visiting her mother in hospitals and watching her work as a nursing assistant.

"Being exposed to patients and being exposed to medicine at such an early age, it wasn't really something I just decided to do. It's just something that was always a part of my life, so much of it was just natural," Kudji told USA Today.

Seeing her mother care for patients inspired her to want to pursue a career in medicine which she did as she attended LSU New Orleans for her undergraduate degree.

While Kudji was seeing to her undergraduate studies, Kudji Sylvester rekindled her dream to become a physician and enrolled in the University of Medicine and Health Sciences on the eastern Caribbean island of St. Kitts when she was 43-years-old.

"When Jasmine was in college, I was like, you know what, this is the perfect time for me to pursue my dream of being a physician," Kudji Sylvester told USA Today.

When Kudji graduated undergrad, she Kudji followed suit two years after her mother enrolled in med school by attending the same institution.

"The thing that's difficult about medical school is that not everyone truly understands what you go through during those four to five years that you're there. So having my mom be the person who does understand that was great. You're just able to rely on each other throughout the entire process," Kudji said.

Dr. Cynthia Kudji Sylvester and Dr. Jasmine Kudji Adrienne Battistella / New Orleans

In 1864, Dr. Rebecca Crumpler became the first Black women in the United States to earn a medical degree. Sadly, in those 156 years, the number of Black doctors in the United States haven't risen to even match the population of Black people in the US.

According to the Association of American Medical Doctors, only 5% of doctors identify as Black or African American as of 2019, despite Black Americans making up 13.4% of the US population in 2019 on the US Census.

This disparity inspired Kudji Sylvester and Kudji to create a blog called "The MD Life" to show young Black girls in particular that a medical degree is attainable and inspire them to pursue a career in medicine.

"When you're young and you don't see someone that looks like you doing something that you want to do, when you see other people doing it, you kind of start to think well, maybe these people are inherently somehow better than me," Kudji told USA Today.

"That's why I think representation matters. It shows young people or even older people that, no, there's nothing inherently wrong with you, you're not less intelligent or less capable. You know, you can do it too."

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Mother-daughter duo begin their medical careers together - Insider - INSIDER

There’s a pandemic and a physician shortage. In Michigan, more people are applying to med school – Lansing State Journal

EAST LANSING Going to medical school was always part of the plan for Mohaymin Kadir.

He grew up in Hamtramck where many of his neighborslackedaccess to affordable medical care and affordable nutrition. Sometimes, he did, too.

Kadir's sense of the health care system'sdeficiencies was only sharpened during his studiesat the University of Michigan, where he earned a master's degreeinpublic health focusing on epidemiology.

I learned more about the disparities and how they cement themselves, said Kadir,who was born inBangladesh. We need more diversity in medicine and more representation to sustain positive change in medicine.

Which is why he'sstarting this fall at the Michigan State University College of Human Medicine, one ofthousands of hopefuls who submittedapplications to the College of Human Medicine and other medical schools around the state, one of the successful ones.

Lots of people want to be doctors these days.

Nearly 9,000 prospective students have applied for seats in the next 190-student class, said Joel Maurer, assistant dean of admissions for the MSU College of Human Medicine,up from 7,959last year.

For the entering class of 2019, six of Michigan's medical schools received 43,602 applications,up 4,193 from 2018 and up 15,157 from 2014. These numbers likely reflectprospective students submitting applications at multiple medical schools.

The number of applicants nationwide trying to get into medical schools also grew, hitting53,371 prospective studentsin 2019. That comparesto 49,480 in 2014 and 33,623 in 2002.

This means more people are vying for spots in what's become a significant competition. To meet the demand, some schools increased their class sizes or are considering expanding.

TheCMU College of Medicine accepted 64 students for its first year in 2014 and increased the class size to 104 for each year since, Austin said.

The medical schoolcould consider adding 20 more spots to the incoming class in 2021, he said.

TheWestern Michigan University Homer Stryker M.D. School of Medicine, a private school affiliated with WMU, first accepted a class of 54 students who graduated in 2018. Since then, the class size has grown to 60, to 72 and now to 84 students, according toJean Shelton, WMed assistant dean of admissions and student life.

A sign at the Michigan State University campus in East Lansing, Michigan.(Photo: LSJ file photo/Derrick L. Turner)

Some schools, like the MSU College of Human Medicine, say they're at capacity with their current class size of about 200 students. Hiring more faculty and adding more training space and buildings at their East Lansing and Grand Rapids campuses would be the only way to increase the class size, Maurer said.

They may have to consider changes as more people apply.

The University of Michigan Medical School saw 7,896 applications submitted in 2019, about 2,269 more than in 2011.

Medical schools across the board have seen more and more applicants in recent years, including the MSU College of Osteopathic Medicine, which received 6,653 applications in the last window, said Katherine Ruger, the college's associate dean of admissions and student life. That's up from the 6,169 applications in 2019 and a growth from 5,015 in 2014.

Enrollment officials from different medical schools pointed to a variety of reasons for the trend. Ruger suspects this year's applicants had more time for submissions since COVID-19 shut downs reduced their opportunities for traveling, working or volunteering.

The MSU College of Human Medicine's efforts to increase marketing and recruitment and additional work to increasepublic interest in science, medicine and human service may have helped, Maurer said.

It was the human service aspect and helping the underserved, an element of the College of Human Medicines mission statement, that brought Momodou Gobi Bah across the world to pursue a career in medicine.

He grew up in Gambia, a country in western Africa where Bah said there aren't enough hospitals and medical facilities. Hedreamed of studying medicine at a university and coming back to help his country.

Momodou Gobi Bah will train to become a physician at Michigan State University's College of Human Medicine starting this fall.(Photo: Momodou Gobi Bah)

I would love to know, looking at a patient, that I can help them and two weeks later the patient gets better, he said. Its a powerful feeling and I want to be a part of that world.

Central Michigan University began training future physicians in 2013. Thenumber of applicants has jumped every year since.

That first year, 2,765 students applied. The 2019 application window hit 7,442 applications, with nearly 7,000 applications so far for 2020.

Wayne State University School of Medicine, the only medical school in Detroit, may be helped by its urban environment, said Kevin J. Sprague, associate dean for admissions and enrollment management.

Wayne State has seenthe number of applicants nearly double since 2014, when the medical school received 4,588 applications, according to Sprague. In 2019, the number hit 9,993.

Wayne State is an excellent school in an inner-city, urban environment, Sprague said. Its an excellent place for medical education.

More applicants could mean more doctors to address the country's physician shortage.

In an April 2019 study, the Association of American Medical Colleges projecteda total physician shortage nationwide of between 46,900 and 121,900 by 2032. Included in that is a projected primary care physician shortage of21,100 to 55,200 physicians.

The growing number of applicantsis a good sign for those concerned about the coming shortage, saidGeoffrey Young, senior director ofstudent affairs and programs for the Association of American Medical Colleges.

"It really demonstrates a strong interest in a career in medicine," he said. "This is what we think is critical as the nation faces a shortage of physicians."

And at CMU, Austin expects the COVID-19 pandemic will motivate even more people to go into the medical field, bringing another spike in applications.

Seeing more and more people succumb to the coronavirus made Khaleel Quasem more determined than ever to enter the fight.

The MSU College of Human Medicine accepted Quasem, from Marquette, into its next class of future physicians. He comes from a family of doctors, including his father and several uncles, but he didnt feel pressure to follow in their footsteps.

Rather, thepath leading him to medical educationstarted when he wasa food service worker in the University of Michigan health system. He later becamea phlebotomist. It was when he began shadowing physicians at Memorial Endocrinology in Owosso and Marquette Internal Medicine and Pediatric Associates that it became clear the career he would choose.

Watching physicians helping the thousands of patients diagnosed with COVID-19 and making dramatic changes to work styles so they can continue caring for patients fighting the contagious disease madehim want to be a part of it.

In the end, we will get through the coronavirus pandemic, but only in a way that we would be much better off than we were before, Quasem said. In a decade from now, health care education will look back on this and use it as a lesson on what we did right, what we did wrong, and how to combat a situation if it happens again.

Eneka Lamb(Photo: Eneka Lamb)

The pandemic has highlighted howeasily public health can be politicized, which disappointed Eneka Lamb, who once thought medicine was apolitical.

Still, political infighting over the disease hasnt pushed Lamb away from pursuitof a medical career. She came from Hong Kong to complete her undergraduate education at Duke University and now plans to start at the MSU College of Human Medicine in the fall. The coronavirus galvanized her desire to become a doctor.

I really dont fear going into the medical field, she said. I feel a little bit antsy. I want to hit the ground running as quickly as possible.

For many students entering medical school this comingfall, helping with future disease outbreaks is just a piece of why they chose to study medicine.

Kadir still doesnt know the area of medicine he wants to specialize in. Maybe infectious disease, he said, or a public health specialty.

He hopes to shine a light on the health disparities many people face, especially people of color. COVID-19 helped bringthe issue to light death rates were higher in communities with larger populations of African-Americans and other people of color, according to Centers for Disease Control and Prevention.

People who have looked into it have always been aware of it, Kadir said. I think having more people from that background in positions of power is key to sustain change.

Contact Mark Johnson at 517-377-1026 or atmajohnson2@lsj.com.Follow him on Twitter at@ByMarkJohnson.

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Sharing a lifelong interest in science | News | Harvard TH Chan School of Public Health – HSPH News

Chidi Akusobi, MD-PhD 22, wants to understand the biology of infectious diseases, and help build the science pipeline for students of color

May 27, 2020Like everybody else these days, Chidi Akusobi, MD-PhD 22, is thinking a lot about COVID-19. But for Akusobiwho defends his doctoral thesis at Harvard T.H. Chan School of Public Health in June before finishing his degree at Harvard Medical Schoolthe virus is both a potential spark for future research and a deeply personal concern.

Akusobi grew up in the Bronx, the heart of New York Citys COVID-19 outbreak, where his parents and sister work as nurses. During the initial weeks of the pandemic, they lacked adequate personal protective equipment even as they cared for sick and dying patients. It was a stressful time for Akusobis close-knit family, including his two brothers and extended relations in Nigeria, but by early May, his parents and sister reported they were feeling adequately protected and seeing fewer severe cases of COVID-19.

From his parents, Akusobi said, hes learned the value of education and hard work, and what it takes to truly care for patients. They emigrated with him to the U.S. when he was a toddler and sacrificed to put themselves and their children through school. His decision to become a physician-scientist, he said, speaks to both their influence and his lifelong curiosity about the natural world.

As a kid, Akusobi improvised experiments at home because science education at his school was under resourced. But everything changed when he caught the eye of New York Citys Prep for Prep program for gifted students of color. Through the program, he was admitted in seventh grade to the Horace Mann School in the Bronx, where science class was a regular part of the curriculum. For the first time, my passion was matched with resources, said Akusobi.

From there, he went on to a post-high school research internship through the National Institutes of Health; Yale, where he studied evolutionary biology; and the University of Cambridge in the UK, where he earned a master of philosophy research degree with a Gates Scholarship. He then matriculated at Harvard Medical School for his MD-PhD degree, and received a Paul and Daisy Soros Fellowship and NIH F31 Fellowship for his graduate school work.

Essential genes

Working in the lab of Eric Rubin, Irene Heinz Given Professor of Immunology and Infectious Diseases at Harvard Chan School, Akusobi researches Mycobacterium abcessus, which is related to the bacterium that cause tuberculosis. He used a method called transposon sequencing (Tn-seq) on clinical isolates of M. abcessus to identify essential genesthose that enable M. abcessus to survive.

M. abcessus is a naturally occurring bacterium found in the outdoor environment as well as in indoor water sources such as showers and drinking fountains. It can infect the lungs and other parts of the body and cause illness in those with lung disease and compromised immune systems. And like TB, its resistant to many antibiotics. In his research, Akusobi discovered a gene that is uniquely essential in M. abcessusfor an enzyme that builds the cell walland thus represents a potential important new target for treatment.

He had hoped to complete a few more experiments, but the COVID-19 pandemic brought his work to a premature end. Fortunately he had enough data to complete his dissertation, he said. From his apartment in Boston, Akusobi is writing up his findings for eventual publication. Hes also making use of the time to learn a few new skills like coding, and read science fiction novels.

The pandemic has sparked some new ideas for research questions hed like to explore in the future. When theres an emerging infectious disease like COVID-19, theres so much that we dont know about the pathogen, he said. I would like to work on understanding the basic biology of infectious diseases. I think of biology as the armor of the organism. When you understand the armor, you can find the chinksand exploit them for therapeutics.

Mentoring students of color in science

In gratitude for the life-changing support he has received, Akusobi has made it a priority to give back. Throughout his academic career, he has mentored and taught science to young students and, through leadership roles with the WhiteCoat4BlackLives movement and the Student National Medical Association, helped to build the pipeline of underrepresented minority students in science and medicine.

Its a key part of what he sees as a successful career. I want to be an excellent, caring physician, and I hope that any research I conduct will have an impact on how medicine is practiced and how diseases are treated, he said. But I wont truly feel successful if I look around the room decades from now and Im the only one there who looks like me.

Amy Roeder

Photo: Kent Dayton

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Michigan Medicine Ranked No. 5 Hospital in the US, No. 15 in the world by Newsweek – University of Michigan Health System News

ANN ARBOR, Mich. Michigan Medicine has earned the No.15 spot in Newsweeks 2020 Worlds Best Hospitals list.

The institution also came in fifth in the United States and as the top hospital in Michigan.

The rankings are based on recommendations from medical professionals, patient surveys and key medical performance indicators, including patient safety, readmission rates and staffing levels.

Its our organizations mission to advance health to serve Michigan and the world, and its an honor to be ranked in this years Worlds Best Hospitals ranking, says Marschall S. Runge, M.D., Ph.D., CEO of Michigan Medicine and dean of the University of Michigan Medical School. We are pleased to be deemed an international health care leader.

The Worlds Best Hospitals 2020 analysis lists leading hospitals in 21 countries, including the U.S., Canada, Germany, France, United Kingdom, Italy, Spain, Switzerland, Netherlands, Sweden, Denmark, Norway, Finland, Israel, South Korea, Japan, Singapore, India, Thailand, Australia and Brazil.

A new and independent global board of medical experts has helped create this years list, according to Newsweek. The board, chosen based on national and international expertise, is tasked with the constant development of the quality and scope of the Worlds Best Hospitals Project.

Newsweek has reported on advances in medicine and science since its founding in 1933. For the last two years, the group has partnered with Statista Inc. to curate a ranking of the 100 best hospitals in the world.

For 2019-20, Michigan Medicine was also among the nations best hospitals and No.1 in Michigan in the U.S. News and World Report rankings. Hospitals are rated based on high-quality patient care, commitment to patient safety, clinical resources, family centeredness and other measures.

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About Michigan Medicine:At Michigan Medicine, we advance health to serve Michigan and the world. We pursue excellence every day in our three hospitals, 125 clinics and home care operations that handle more than 2.3 million outpatient visits a year, as well as educate the next generation of physicians, health professionals and scientists in our U-M Medical School.

Michigan Medicine includes the top ranked U-M Medical School and the University of Michigan Health System, which includes the C.S. Mott Childrens Hospital, Von Voigtlander Womens Hospital, University Hospital, the Frankel Cardiovascular Center and the Rogel Cancer Center. Michigan Medicines adult hospitals were ranked no. 11 in the nation by U.S. News and World Report in 2019-20 and C.S. Mott Childrens Hospital was the only childrens hospital in Michigan nationally ranked in all 10 pediatric specialties analyzed by U.S. News and World Report for 2019-20.The U-M Medical School is one of the nation's biomedical research powerhouses, with total research funding of more than $500 million. More information is available atwww.michiganmedicine.org

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Michigan Medicine Ranked No. 5 Hospital in the US, No. 15 in the world by Newsweek - University of Michigan Health System News

Grad Profile: Med School valedictorian reflects on L.A. filmmaking past and a new future in medicine – Dal News

This article is part of a series focusing on the grads of the Dalhousie Class of 2020. Visit our Class of 2020 virtual space to share in the excitement with our newest graduates.

David Hung was sitting in Kanye Wests office when he learned he would be attending Dalhousie Medical School.

Born in Palo Alto, California, and raised in Halifax, David originally set his sights on becoming a skateboard video director. Armed with a camera at a young age, David and his friends started to make music videos, commercials, short films and even a feature film, in addition to medical education videos with his physician father.

I feel like in film theres these really fast-paced and high-stake environments, says David. That was where I thrived.

While working on filmmaking projects in Halifax, David completed a BA with Honours in Theatre at Dalhousie but decided to follow that need for high-stakes into a career as a paramedic.

Although working as a paramedic allowed him to follow his passion for a fast-paced environment, combined with his inherent interest in medicine filmmaking options in Halifax were limited.

David, and his friends Tyler and Jacob, made the incredible decision to move to Los Angeles to follow their filmmaking dreams. Over a span of two years, they made the right connections and began working with rap superstars such as Kanye West and Travis Scott, and celebrities like Kylie Jenner.

Tyler worked with Kanye West on tour, and then toured with Travis Scott, which eventually led to the Netflix original documentary, Look Mom I can Fly, which David worked on as an editor and cinematographer.

Even with this burgeoning success in the industry, the pull to practise medicine remained. So with the support of mentors such as Dr. Ron Stewart, who was supportive of Davids Arts career and passion for pre-hospital and emergency medicine, David finally decided to apply for medical school.

He was a huge inspiration for me to not only pursue this as a career but also to keep rooted in my creative outlets and mediums, says David.

Fast-forward to sitting in Kanye Wests office. At the time they were just finishing up work on the music video for the hit song Famous, but uncertain what the next job would be and where the next paycheque would come from.When I got that letter, it was a huge relief, says David. It was something that not only represented hard work and determination that everyone who applies puts in, but it represented stability which is something I think I was looking for at the time.

Four years later, and David is set to graduate from Dalhousie Medicine School as valedictorian of the Class of 2020 and preparing to start his residency in Emergency Medicine in Halifax.

Hes travelled the world learning what makes a strong leader and observed the collaboration it takes to make a hit record which is a nice correlation to working successfully in interprofessional teams.

While from the outside it seems that he has been chasing the thrill of filmmaking with stars, or the high-acuity world of emergency medicine, its been those closest to him that have kept him grounded and helped him survive medical school.

My wife-to-be, Meghan, was a huge part of my success. Being able to have a person to talk to, to go on adventures with and experience life together outside of the hospital was the key to my wellness, says David. Now we have a beautiful daughter, Violet, and spending time with her is all that matters.

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Harvard MBA Admit: Battling COVID-19 On The Frontlines – Poets&Quants

Shahdabul Faraz, a resident surgeon, will be joining Harvard Business School as an MBA student this fall

The exact time that the application portal for Harvard Business School admissions decisions comes open is an anxiety-ridden moment for any applicant to the schools MBA program.

But few candidates would have been in the same position as Shahdabul Faraz. A resident physician at Bostons Beth Israel Deaconess Medical Center, he was scrubbing up to perform a surgery minutes before the noon EST deadline on Dec. 10.

It was literally 11:58 and I had to scrub in, he recalls. I was really waiting two or three more minutes to see if I got in. But everyone was waiting and it was a three- or four-hour surgery.

THE ANSWER IS YES!

Faraz couldnt wait any longer. He strolled into the operating room for a complex abdominal surgery, not knowing his HBS fate. For the entire time, I kept telling myself, Dont think about this.

Somehow, he managed to put it out of his mind for the next three and one-half hours. Finally, I stepped out, logged into the portal from my phone and couldnt believe it.

The message? The answer is YES!

APPLYING TO BUSINESS SCHOOL WHEN YOU HAVE TO DO 24-TO-28-HOUR WORK SHIFTS

As difficult as the journey to a top school for most MBA candidates, few could imagine what it would be like to take that journey while you are a resident surgeon at a teaching hospital of the Harvard Medical School. The pressure, particularly for someone wielding a scalpel, is formidable. The hours just pile on top of each other. In fact, its not uncommon for Faraz to work 24-to-28 hour shifts at a time, often without a break for a meal. In the first two months of his residency, Faraz shed 30 pounds.

Yet, somehow, while in his acute surgery rotation, he managed to fit in time to study and take the GMAT exam. I was doing surgery during the day and at night learning how to do long division again, laughs Faraz who would ultimately land a score of 720.

Since he has gotten the good news from Harvard, he has been on the frontlines of the deadly virus that has claimed hundreds of lives in the city of Boston alone. In a recent New York Times essay, written after he read one of Trumps tweets on immigration, he unloaded in a remarkably candid way.

I JUST REMEMBER BEING VERY, VERY FRUSTRATED AND OVERWHELMED BY TRUMPS TWEET

My hours are grueling, he wrote. The physical and mental toll, unimaginable. Ive begun to suffer from panic attacks. I have trouble sleeping. In one of the toughest moments of our careers, my colleagues and I cannot properly console one another. Amid all this mental anguish and physical danger, some of us must also contend with a government that seems to want to get rid of us.

When he wrote the Times opinion piece under the headline President Trump, I Am Not Your Enemy. I Am a Doctor, nearly 4,000 coronavirus patients were lying in hospital beds in Massachusetts, with 675 in intensive care units. Faraz felt compelled to puts his feelings in print after returning home from a long hospital shift on April 20th and encountering a tweet announcing that the U.S. was about to close the border to immigrants. Trump said that he was acting as a response to the coronavirus pandemic and to protect the jobs of American citizens.

I had just come home after a rough 14-hour shift and had just showered and laid in bed browsing Twitter when I saw his tweet, recalls Faraz. I just remember feeling very, very frustrated and overwhelmed by it. Even though I had to work the next day, I stayed up from 10 p.m. until 5 a.m. to write that piece and then went to work in the morning. What I was trying to get out in that piece was an honest reaction to the national conversation as someone who is a non-American physician on the front lines taking care of mostly American patients.

I REALIZED THE VIEWS OF THE CURRENT ADMINISTRATION ARE NOT SHARED BY THE MAJORITY

The reaction from the public at large and from his HBS classmates has been positive. I got a lot of emails from around the country showing support. Thats been true in our HBS class, too. So it has been great. I really have appreciated the support Ive gotten. I realized that the views of the current administration are not shared by the majority of Americans.

Faraz, who has spent the last ten years in the U.S., has come to view the U.S. as his home. Born in Bangladesh, Faraz spent his formative teenage years in Canada where his family immigrated in search of a better life, far from the inequality and political unrest that has plagued the South Asian country for decades. In 2010, he applied and was accepted into Emory University in Atlanta, where his aunt and uncle lived. He started Emory as a philosophy major but that didnt take and he transitioned to pre-med.

In my first year, he says, I started branching out and taking all the different pre-med courses starting with general chemistry and biology. I loved those courses, and I knew I could help a lot of people. It made sense to me to do something where there was a lot of demand. Society needs a lot of doctors and medical professionals. But there was a lot of pushback because it is very, very difficult for international students to get into a U.S. medical school.

IF THEY ONLY TAKE ONE, WHY SHOULDNT IT BE YOU?

If you go to the pre-med advising department, everyone pretty much tries to discourage you. They give you grim statistics about how few international students get into med schools each year. The stats on internationals also made me understand I had to be at the top of my game. I hunkered down and studied when people were going out on Friday and Saturday nights. I did what I needed to do because I realized the odds were stacked against me.One of my mentors at Emory retired a couple of months ago and always said, if they only take one why shouldnt it be you?There were 20 or 30 of us who applied in our cohort and I was the only one who actually got into a U.S. medical school.

Cornell Universitys medical school in New York City accepted Faraz and that obviously led to his general surgery residency, a seven-year-long path to becoming a full doctor. After two years of non-clinical work, every resident then leaves for a stint, usually to work in a lab doing clinical research.

Faraz had other ideas. Mid-way through med school, he was elected class vice president, went to networking events and eventually began working with hospital administration. I realized that I wanted to have a clinical career but do something different as well. So I became interested in inequality outcomes research and hospital administration.

I THOUGHT APPLYING TO HARVARD WAS GOING TO BE A LITTLE BIT OF A CRAPSHOOT

During his residency, he became involved with his hospitals quality improvement council, working closely with administrators on those issues, an experience that led to his interest in getting an MBA. Five to ten years down the line when I finish my residency and my MBA, I do want to have a part-time clinical career but also want to focus on hospital administration. Im also keeping an open mind to explore healthcare consulting or something related to healthcare.

After getting his GMAT out of the way, heapplied to a half dozen business schools: Harvard, Wharton, MIT, Yale, Chicago, and Northwestern. I honestly didnt know how competitive I was because I didnt have many resident friends or doctor friends who went to business school, he says. I thought it was going to be a little bit of a crapshoot.

When he began studying for the GMAT, Faraz found the quant the most challenging, despite his science background. The verbal wasnt difficult because I grew up speaking English. But math was a real challenge because I hadnt done any math for eight or nine years. I actually had to relearn long division. When he scored 720, he hit the 98th percentile in verbal and the 50th in quant.

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Its the American dream: Law school and medical school grads visit their grandpa at La Crescenta nursing home in emotional reunion amid pandemic – KTLA…

Vana Ebrahimi, a 25-year-old from Glendale, graduated from Loyola Law School on Sunday as her brother graduated from medical school. Although their in-person commencement ceremonies were canceled due to the coronavirus pandemic, they found a way to make the day special.

The pair went to visit their grandpa, Hayrik Abnous, at a La Crescenta nursing home, where he has been since January. In an effort to curb spread of the virus, the facility has been under a lockdown since March.

So Ebrahimi and her brother first generation college students got to see their grandpa through a glass door in an emotional reunion.

We just decided since were both graduating, lets go and surprise him and wear our cap and gowns, Ebrahimi said. It was a big deal for us to include him.

The video of the special moment shows Ebrahimi and her brother, who did not want to share his name or school information, in their gowns, waving to their grandpa while he looks at them in tears from his wheelchair.

It was heartbreaking but cute at the same time, said Ebrahimi, who was also in tears in the video. It was a surreal feeling for us both. Its the American dream.

Her parents and grandparents escaped war in Iran and went to Austria, eventually making it to the U.S. in 1993, just before she was born.

My mom and dad came here literally with no money and not knowing English, Ebrahimi said. For us to be able to not just go to college, but also get a graduate degree It was like the struggle of coming here and escaping war and doing all that was worth it. For us it feels like were finally paying them back.

Having her children graduate from law school and medical school has been emotional for her own mother too, Ebrahimi said. While her uncles were able to leave Iran during the war on student visas, her mother was not.

You dont just, you know, send your daughter to America on her own, Ebrahimi reflected. So my mom had to stay back, and she never got to go to college because the war happened and the schools closed.

As an Armenian American, she says the accomplishment has even more meaning for her as a minority.

From a culture thats had a genocide, were still here were still standing. Were pursuing our dreams and they didnt destroy us, she said.

Ebrahimi has been staying with her grandmother while her grandpa remains at the nursing home for a broken hip and a heart condition. She says she and her grandma were going to the nursing home every day before they closed their doors, and at the time of their graduation reunion, she hadnt been able see her grandpa in two months.

It was a huge deal to be able to have us all together to celebrate, even though it wasnt the type of celebration we wanted or imagined, she said. Quarantine has had its perks of having more intimate moments with your family.

Ebrahimi said her metspop, as she calls him, has never stopped smiling, even while in the hospital or the nursing home. He is the most easygoing patient, she said, always smiling.

As an Armenian immigrant family, this meant the world for my grandfather who came here with little to nothing and not knowing the language to see us accomplish the American dream, she said.

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Northeastern president says school will rethink whole operation in order to brings students back in fall – MassLive.com

In an interview with CNN Wednesday night, Northeastern Universitys president reiterated that the school will welcome students back to its campus in Boston this fall but business as usual is not going to make it happen.

Describing the process as the new normal," Joseph Aoun detailed how the university plans to bring students back to campus while others in the city like Boston College havent made a decision yet and first-year students at Harvard Medical School will learn online.

Every department in every university and every university has a different context and different circumstances," Aoun said. "We have been working with other peers, not only in Boston, but in the nation as well. The Chronicle of Higher Education has announced that 70% of the colleges and universities have the goal to reopen in the fall. We are not outliers. But once again we have to do it in a different way.

Updated numbers as of Wednesday from The Chronicle of Higher Educations database show that 65% of colleges and universities in the country are planning for on-campus learning in the fall. Many in Massachusetts have yet to come to a decision, though, according to the database.

Aoun said in order to have the 37,000 students back on campus in the fall, the university has to rethink every aspect of what it has done in the past. Northeastern is looking how to lower density of classrooms, labs and dorms.

Aoun said during the interview with CNN, the university secured 2,000 additional beds to lower density in the dorms.

The school will also look at athletic events differently, although Auoun didnt provide specifics.

Its is going to be a rethink of the whole operation in order to ensure our that our students, our faculty, our staff and our community at large is safe and secure, Auon said.

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Northeastern president says school will rethink whole operation in order to brings students back in fall - MassLive.com

Medical students offer insights on inequities during COVID-19 – American Medical Association

The nations COVID-19 pandemic has brought to light glaring systemic inequities in the provision of care to marginalized demographic groups. A panel of medical students working to address those issues through organized medicine recently offered insight on the injustices, how the pandemic has amplified them and potential remedies.

Hosted by Aletha Maybank, MD, MPHthe AMAs chief health equity officer, overseeing the Associations Center for Health Equitythe panel brought together student leaders from the AMA, Association of American Medical Colleges (AAMC), Asian Pacific American Medical Student Association (APAMSA), Medical Organization of Latino Advancement (MOLA), Student National Medical Association (SNMA) and Association of Native American Medical Students (ANAMS). A recording of the panel discussion is available on YouTube.

Amid reports of individuals and organizations encouraging use of language like the Wuhan virus, the Chinese coronavirus, and similar variations, the AMA recently released a statement calling for an end to those references. The verbiage serves no legitimate purpose and is ethically inappropriate, derogatory and divisive.

According to APAMSA president, Yingfei Wu, those remarks are affecting medical students of Asian descent as well as the larger Asian American community.

Through APAMSA we have heard about a lot of different instances of [that language] toward medical students and of people in the community being abused and having racist remarks directed toward them, said Wu, a medical student at theMedical College of Wisconsin.

APAMSA members have been sharing their reflections with each other and offering advice on how to cope.

We are supposed to be this model minority, Wu said of a common conception regarding Asian Americans. We are supposed to have expectations that we are safe and nothing will happen to us. This has been challenging.

As Dr. Maybank has highlighted, the need to understand how the COVID-19 pandemic is affecting communities of color is imperative to addressing its spread. But even within those communities, there is a divide.

One thing I have noticed as we are seeing a lot of data showing that [COVID-19] is impacting the Latinx community significantly is a fact that theres a disproportionality among those who can work from [home] and those who have to go out in the environment for work, said Richard Gomez, a member of MOLAs board of directors and a medical student at Loyola University Chicago Stritch School of Medicine.

There have been these moments or arguments I have had with [community] members who are in white-collar jobs and have the fortune of earning a paycheck to work from home being very critical of those who dont. Some people dont have the fortune of being able to work from home. They have to go out and endanger themselves whether its through work in restaurants or in airports as flight-crew staff. Ive noticed that is something significant with the Latinx and Hispanic community, especially for immigrants.

Disparity figures are one thing. Why they exist is another. To tell a true story of inequity, both are required. That dynamic is playing out in Native American communities.

When I first started medical school, a physician in the community told me the only thing I needed to know about Native American health as a medical student is that if a tribe has a casino they have great health care, which couldnt be further from the truth, said Alec Calac, a medical student at the University of California, San Diego School of Medicine. He is the schools ANAMS chapter president, and national policy director for the larger ANAMS organization.

The pandemic has really laid bare the inequities we are seeing in tribal communities and the Indian Health Service. People dont understand why the Indian Health Service exists. They dont understand that this system that cares for than 3 million people has less than 100 ventilators in the entire system. You can go from factoid to factoid, but the reality today is there are more than 4,600 cases of COVID-19 in areas served by the Indian Health Service.

Throughout the COVID-19 pandemic, the AMA is carefully compiling critical health equityresources from across the web to shine a light onthe structural issues that contribute to and could exacerbate already existing inequities.

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Medical students offer insights on inequities during COVID-19 - American Medical Association

Coronavirus question: How long does the virus live on surfaces? – NJ.com

NJ Advance Media has launched a daily coronavirus question, a service in which our reporters provide answers to commonly asked questions about the epidemic that has hit hard in New Jersey.

Todays coronavirus question is answered by Dr. David Cennimo, an infectious disease specialist who teaches at the Rutgers New Jersey Medical School.

Q: How long does the virus live on surfaces?

A: Its still unknown. The Centers for Disease Control and Prevention (CDC) has recently updated its guidance to note that the coronavirus doesnt spread easily from surfaces, although it can nonetheless live on them. But, according to Cennimo, researchers dont yet know the true length of time the virus can remain on surfaces because the growth rather than detection of a virus is a stronger indicator of its existence. In other words, how long a virus exists on a surface is ascertained by taking the virus, putting it on a surface, and picking it back up and attempting to put it in a cell culture to see if it will grow a complex process for which conclusive answers have yet to be produced.

Is it safe to ride in elevators?

Can the virus be spread from swimming?

If I already had the coronavirus, am I now immune to it?

Is a face mask really effective in preventing the spread of the virus?

If you would like to submit a question about the coronavirus, please email your question to coronavirus2020@njadvancemedia.com.

Our journalism needs your support. Please subscribe today to NJ.com.

Caroline Fassett may be reached at cfassett@njadvancemedia.com. Tell us your coronavirus story or send a tip here.

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Coronavirus question: How long does the virus live on surfaces? - NJ.com

‘A heart for service’ beats within this medical superhero’s chest – Longview News-Journal

As the world endures the COVID-19 pandemic, medical staff at hospitals, clinics and public health departments have become the selfless superheroes of our day.

Family nurse practitioner Debbie Mahoney is one of those superheroes, though shes been fighting death and disease at home and abroad for more than 20 years.

Mahoney first went to Guatemala on a medical mission trip in June 2000 with a group from Texarkanas First Baptist Church.

I took students to San Raymundo in May 2019, and the improvements that (local residents) have done over 20 years are mind-boggling. The students were just blown away by how the Guatemalan people have improved that hospital. Its really gratifying, she said.

Mahoney also volunteers in the medical clinic at the Hiway 80 Rescue Mission in Longview, a project supported by Refuge.

Ive always enjoyed working with under-served people. Ive worked with veterans and HIV patients, said the longtime Gladewater resident.

It makes me feel good to have that feeling that you may have helped another person. . A nurse told me one time that a patient had said that every time she saw me, I made her feel special. That is the highest compliment I could have, Mahoney said.

So many things in life can make you feel beat down. If someone can help you recognize your uniqueness, thats a real gift, she said.

Its almost a ministry, to help build people up, to help them realize their potential, said Mahoney, a professor and coordinator of the masters degree in nursing program at Texas A&M Commerce.

Deborah Bell, Refuges founder, has known Mahoney for more than 20 years. They met while teaching in the College of Nursing and Health Sciences at the University of Texas at Tyler during the 1990s.

Sense of adventure

Mahoney has a very generous spirit. Shes very intelligent, very dedicated to her profession, a great mother and grandmother. Shes a great friend. She always has a sense of adventure, Bell said.

Mahoney was one of Refuges first board members. She soon began recruiting her nursing students for medical mission trips to Guatemala.

Her initial effort had a snowball effect. Now Refuge takes students from all over the country, Bell said.

Mahoney received her bachelors and masters degrees in nursing from the University of Texas at Austin. The Missouri native received a doctorate in nursing from Texas Womans University in 1993.

A post-doctoral fellowship from the Kellogg Foundation enabled her to complete the family nurse practitioner program at East Carolina University in 1998. She also taught nursing at the University of Texas at Tyler for 21 years.

Since 2003, Refuge has conducted three or four health clinics each year at a hospital in San Raymundo, Guatemala. The hospital was built with funds raised in 2000 by Texarkanas First Baptist Church, according to the Refuge website.

Because the nonprofit wants to ensure its projects are sustainable, a local committee in Guatemala raises money for each clinic, Mahoney said.

I took students to San Raymundo in May 2019, and the improvements that they have done over 20 years are mind-boggling. The students were just blown away by how nice the Guatemalan people have improved that hospital. Its really gratifying, she said.

Mahoneys family also has joined in her efforts in Guatemala. Her husband, Tom, is a nurse anesthetist who has been to Guatemala twice. Her son Stephen Mahoney, a general surgery resident, and his wife, Rachel, a plastic surgery resident, have gone to Guatemala as well. Stephen Mahoney started the organization Refuge Guatemala at University of Texas Southwestern Medical School, with medical students and residents going to Guatemala to deliver health care. She also has another adult son and daughter, Joseph and Sarah, and four grandchildren.

While the more than 3,000 procedures performed since 2003 by Refuge medical mission teams have improved the local populations health, not all patients respond to treatment, Mahoney said.

The need is so great. You do what you can, and you have to let it go. There are people whom you just cant save, she said.

Small efforts, big rewards

Still, the rewards for just being there and trying to help are great.

I cant emphasize enough how appreciative (Guatemalans) are, Mahoney said.

And small efforts can reap big rewards.

In developing countries where many people dont have access to clean water, intestinal parasites are a big problem. Children develop open sores; they become anemic, and that makes it hard for them to learn in school.

In 2007, Refuge started a national school-based program called Adis Lombrices! which is Goodbye Worms! in Spanish, Mahoney said. It aims to eliminate parasites hookworms, roundworms and whipworms by giving all rural children aged 2-15 a chewable tablet of Albendazole.

Rotary International clubs have generously supported this effort, Mahoney said.

Its such an inexpensive program and it does such good. Thirty cents will treat 10 children for a year, she said.

Children who get the worm medicine are growing up to be taller than their parents. (The previous generations) short stature wasnt because of genetics, it was because of malnutrition, Mahoney said.

Closer to home, Mahoney also volunteers at Longviews Hiway 80 Rescue Mission.

We can take care of small problems before they become large problems. We want to take care of everyone because their health can affect all of us, she said.

No unnecessary suffering

I have had patients at Hiway 80 who got back up on their feet and were successful, Mahoney said. I dont want any individual to suffer more than is necessary, because we are all precious individuals.

Refuge Internationals Medical Director Dr. Ken Eveland has known Mahoney since 2006, when he joined the organizations board.

When asked to describe her, the retired general surgeon said compassion.

She really does care about other people and taking care of other people. She excels in both academic and clinical areas, Eveland said.

We both have a lot in common in practicing medicine, how medicine ought to be practiced. Patient first, ethics second. Our passion is to take care of the least of these, in Guatemala and at the Hiway 80 Rescue Mission in Longview, he added.

Groups who contribute to the clinic include emergency medicine physicians at Leading Edge Medical Associates and nursing faculty and students at UT Tyler.

The clinic sees about 40 to 50 patients a month, and it has provided unexpected benefits: some homeless individuals now volunteer at Refuge International.

Whenever we have projects, we call them. They have helped with a fund-raising bike ride. Theyve helped us with packing for medical mission trips, Mahoney said.

By giving them the opportunity to help others, it builds them up. It gives them joy. They may not think they have anything to give, but they do, she said.

The COVID-19 pandemic has forced the cancellation of an upcoming medical mission to remote Sarstun, Guatemala. Mahoney had planned to again take some of her nurse practitioner students with her on the trip.

To the moon and back

However, Refuge still found a way to help others.

In late March, it donated about 11,000 items of personal protection equipment surgical caps, face masks, gloves and gowns to Christus Good Shepherd Medical Center-Longview, Longview Regional Medical Center, Christus Mother Frances Hospital in Tyler and The University of Texas Health Science Center at Tyler.

Refuge International Executive Director Ginia Northcutt has known Mahoney for just six months.

When you first meet her, it is very obvious where her heart is. Shes intelligent, shes thoughtful and she has a heart for service, Northcutt said.

Bell added, Shes the quintessential nurse practitioner. Her patients would follow her to the moon and back.

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'A heart for service' beats within this medical superhero's chest - Longview News-Journal

A Young Doctor Fights to Survive the Coronavirus – The New York Times

A few weeks ago, I visited two hospitals in the Bronx to report from the front lines of this pandemic. While there, I kept hearing about a young doctor with Covid who was fighting for his life in the ICU. Things just were not getting better. The amount of anger and frustration and sadness that I felt. Just the idea of losing my son was unbearable. But ultimately, he survived. Im Andres Maldonado, and Im an ER doctor here in the Bronx. Im a healthy 27-year-old guy. No medical problems. But I got Covid-19. I was so sick that, at one point, I thought I was going to die. This is my story, which should be a warning to everyone. I was working mostly in the two weeks where it was really starting to ramp up. It was quite dire. Stretchers lined two or three deep. You were just being called from one patient to the next. I need a vent. I need a vent. How many vents do we have? All these questions that we had never considered, ever. Theyre starting to ration out these N95s. Were in a spot where were wearing stuff a day at a time, multiple days at a time. A lot of these patients that Ive met are scared. I want to be able to help people when they need you the most. There was a patient, and she coughed right on my face. And thats when I got scared. What if she does have coronavirus? Day one, March 23rd. It was the middle of the night. I started to feel just really horrible chills. But I thought to myself, oh, you know, Ive been sick like this before. You know, Ive had a virus. Im young. Im 27. Im invincible. Like, you know, nothing can touch me. Day two. When I would take a really deep breath, it would hurt. Day three. Fevers that would come up to 102. But I would take Tylenol, and Id be OK. Day four. I spoke to my mom. Through the whole week, it was like, whats going to happen, whats going to happen? Day five was actually when I went to go get tested. Day six, and my coronavirus is positive. Our worst fears were coming true. Day seven. I was pacing my room, and I was just thinking, come on, Tylenol, just start working already. It worked a little bit, but then the fever would come back two hours later. Day eight. Couldnt finish my sentences without taking a breath. Thats when it clicked, I cant continue to stay home. Day nine, March 31st. Andres calls me, and he tells me, the first thing is, Mommy, dont panic. And when he says dont panic, what do you think Im going to do? And he goes, Im going to the ER right now. I dont feel good. And I said, whats wrong? And he said, Im short of breath. I met Mike Jones, our leader in residency, inside of a tent in front of the ER. He came to the hospital where I was that day. Every patient with COVID reaches a critical time period where you can see that theyre heading in the wrong direction. Theyre kind of going over that tilt of that cliff, heading in the direction where they may need intubation. At least 70% to 80% of patients who were placed on ventilators were dying. So we tried very hard to avoid intubation. Everyone who was there knew me. All the nurses, Mike Jones. I know Dr. Romo personally. They were alarmed. Just looking at him through the window, it just felt like I got kicked in the stomach. I ended up writing we love you and taping it on the window so he could see it. I went in the room and I cried. I cried. I wanted to remain strong and support Andres, and not let him see that I was worried. I was terrified. When I walk into the room, I realize that he was breathing at a faster rate than he was before. That was a significant moment for me because I have been in that position where you see a patient, they were critically ill. I knew that sense of urgency meant that they were considering more invasive options. We decided that he was getting sicker, and that maybe he was going to need to be intubated. We made the decision to admit him to the intensive care unit. I said, call the ICU right now. Let them know hes coming. I heard Dr. Romo say he needs to be placed on a high-flow nasal cannula. A device that provides a large volume and high velocity of oxygen to a patient. So we brought him right up and started the high-flow nasal cannula. The only thought in my head was, just please get better on this. Please, please work. I woke up in the middle of the night. I heard a lot of commotion outside, and people turned on all the lights. I looked at the monitor to check my vital signs, and overhead, you hear Rapid response. Rapid response. Theyre calling for extra doctors to report two rooms down from me. She was a 25-year-old. She just kept saying, I cant breathe, I cant breathe. Then she had this cardiac arrest. Her heart stopped. And I was terrified. You know, I was thinking, thats two doors down, and that could have been me. Sometimes, you think about what would happen if you would die. And then you think about your parents if you died, the permanent distress theyd probably feel. And I havent really seen my husband cry, and he did break down. I have never seen him like that. He went on his knees, and he was asking God to please save Andres and take him instead of Andres. My dad doesnt get like that. You know, hes serious. Hes like a military guy. Just let me get over this. Just the idea of losing my son was unbearable. Despite thinking I can die, I still felt determined to somehow get better. And the way that translated to me and my medical mind was focus on your breathing. One breath at a time. Think about the air going in, out. Try and take deep breaths. Makes you cough? OK., take a break. Try again. And then at some magical point, we turned the corner. Whats up, Andres? Welcome back. Hey, thank you. Wow. [CHEERING AND APPLAUSE] (CHANTING) Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Im completely overwhelmed right now. Its a victory. Every victory helps us try to help the next patient get through this. It was an amazing feeling of triumph. It was like, yes, we did this, we beat it. They saved my life. 24 of our 84 emergency medicine residents have been out sick during this crisis. The number of health care workers that have died is horrible. All health care worker infections are preventable. I really, truly believe that. I believe the government failed everybody. Oh, only 400 died today, not 700 like last week. Its like, for goodness sake, were talking about human lives. Its a virus. It will infect you. It doesnt care who you are, where youre from, what you do, who you support politically. It just doesnt care. Please appreciate your life more before you choose to ignore the stay at home orders or the quarantine, because anyone can get sick.

Originally posted here:
A Young Doctor Fights to Survive the Coronavirus - The New York Times

Foreign doctors want to help fight the coronavirus. But the US health system stands in their way. – Vox.com

As the coronavirus pandemic continues to rip through the US, hard-hit areas have been facing doctor shortages, placing both patients and overworked health care workers at greater risk.

Thousands of foreign doctors who already have clinical experience and are waiting for a chance to practice medicine in the US could step in to help. But even before the current crisis, the immigration system, coupled with medical licensing requirements, have made it difficult for them to work in the US and go where theyre needed.

Graduates of foreign medical schools face the same certification requirements as any American graduate they have to pass their medical licensing exams and obtain a highly sought-after spot in a three- to seven-year residency program.

Many foreign students, though, have already completed years of training in their home countries before they seek US certification. That experience has little bearing on their admission into residency programs, where available spots are always fewer than the number of applicants, and graduates of US medical schools are given preference.

In 2020, about 40 percent of foreign medical school graduates didnt match with a residency program, compared to only 6 percent of American graduates. That means thousands of qualified doctors being effectively shut out of practicing medicine in the US. And if they want to try again next year, that comes with a hefty price tag: It can cost thousands of dollars to apply to residency programs.

Amid the pandemic, both New York and New Jersey have eased some of these licensing requirements so that foreign medical graduates can contribute to the coronavirus response. As the virus continues to spread to rural America, where there was already a shortage of doctors, other states may also have to relax their licensing requirements for foreign grads, or else face imminent shortages.

For S, an aspiring doctor from Canada who asked to be identified only by his first initial for fear of harming his residency applications, the decision to attend medical school abroad has put him at a disadvantage in finding a residency placement in both the US and his home country.

He had applied to Canadian medical schools but wasnt accepted into a single program. Thats not uncommon; medical school admissions are highly competitive in Canada the average acceptance rate is about 10 percent, compared to nearly 40 percent at US schools.

At the advice of his guidance counselor, S opted to attend medical school in the Caribbean instead, where dozens of programs now cater to students seeking to practice medicine in the US. He chose Saint James School of Medicine, spending about 16 months in class there before moving on to clinical rotations in the US. He worked in hospitals in Illinois, New Jersey, and rural Kentucky alongside US medical students and passed his medical licensing exams.

But when it came time to apply for residency programs in the US a process that costs between $10,000 to $12,000 a year for foreign medical students he couldnt get a placement. He has applied three years in a row with no luck, but he knows people who are still applying for the sixth or seventh year in a row. And practicing medicine in Canada, which also has a doctor shortage, isnt really an option either since hospital residency programs strongly favor Canadian medical school graduates.

Its kind of sad, because youre so close. You have your degree. You just need your foot in the door, he said. Especially with coronavirus, you really want to help. Youre in a situation where you have the training.

After he didnt match with a residency program this year, hes planning to work as a physicians assistant part-time and take up a flexible gig on the side, such as driving for Uber, to help pay off his student loans. He cant work at a hospital amid the pandemic, but hes been working with several volunteer organizations to aid coronavirus medical research.

Still, he feels hes capable of contributing so much more to the pandemic response, especially if he were placed at one of the rural hospitals where he did his clinical rotations, since many of them are facing doctor shortages and a lack of specialists. But instead, hes stuck in Canada.

I am one among many sitting on the sideline while this pandemic unravels, he said. I have years of training, experience, and medical knowledge but cant do anything but watch the situation unfold.

Even for foreign medical students who are already living in the US, finding a placement in a residency program can prove difficult.

Sana Javed, a foreign medical school graduate from Pakistan hoping to specialize in psychiatry, lives in Germantown, Tennessee, with her husband, a physician on an H-1B skilled worker visa. He was able to get a waiver for the requirement that he work in Pakistan for two years prior to applying for residency programs in the US because hes working in a medically underserved area at Le Bonheur Childrens Hospital in Memphis.

Javed can get a work permit through him, but she said she didnt match with a residency program this year, even though she has clinical experience in both the US and Pakistan.

She graduated from Nishtar Medical College & Hospital in Multan, Pakistan, in 2011 and worked for two-and-a-half years alongside doctors treating psychiatric patients examining their mental status, designing treatment plans, and counseling them and also volunteered at a military hospital. When she moved to the US in 2016, she worked for a few months as a clinical extern in a psychiatrists office in Troy, New York, and has been volunteering for a psychiatrist specializing in addiction medicine since.

Javed is planning to reapply for residency programs in the next application cycle. In the meantime, she is trying to accumulate more clinical experience in the US to improve her application, but the pandemic has made that difficult. Her clinical externship in Chicago that was supposed to start in March was canceled, but she has another one lined up in New York later this year.

She said the field of psychiatry is especially critical during a pandemic and that shes ready to contribute but because she doesnt have a placement in a residency program, her ability to do so is limited.

With this whole pandemic going on, there are many mental health issues emerging suicide rates and attempts are increasing, PTSD will be on the rise as we will be nearing the end of this pandemic, she said. I am hoping to contribute to the mental health of the people of the United States as much as possible now and even after matching into residency.

But even if she had more years of clinical experience, its not clear whether that would assure her a place in a residency program.

Rizwan Rabbani, who is from Pakistan but attended medical school in China, had over seven years of clinical experience under his belt when he applied to residency programs.

He went back to Pakistan after graduation for a one-year internship in internal medicine, surgery, and urology, and then to work as an internal medicine practitioner in a teaching hospital for five years where he instructed undergraduate medical students.

When he came to the US, he did an eight-month clinical rotation in cardiology at Mount Sinai Hospital in New York City and another six-month rotation in family medicine in Pensacola, Florida.

Nevertheless, he failed to match three years in a row. Every time, he had to spend thousands of dollars.

Its a money-making process, he said. They are making money every time you apply to one program.

He decided to move back to Pakistan instead, where hes currently working in the government coronavirus quarantine facilities at a teaching hospital in Lahore. Hes also hoping to practice in the UK instead, where he can start working immediately as a physician with the clinical experience he already has. But he also could have brought that experience to coronavirus patients in the US.

I would have contributed as a frontline doctor in US hospitals and with my experience and skills, would have been very beneficial, he said.

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Foreign doctors want to help fight the coronavirus. But the US health system stands in their way. - Vox.com

Focus on What You Can Control: Brown Alpert Med School Orthopaedic Surgeon’s Advice to Athletes – GoLocalProv

Thursday, April 30, 2020

Smart Health on GoLocalProv

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Dr. Brett Owens appeared on "Smart Health" on GoLocal LIVE.

These are unprecedented times and you know sports certainly has taken a back burner at every level of course, the professional athletes get the most attention but college sports has been a huge hit, said Owens.

For injured athletes, it does make things a little bit easier in my office. When Im working with athletes that are recovering from knee or should surgery, theres very much always that sense of fear of missing out and thats not there, said Owens. But theres certainly a lot of missing out to go around. Athletes want to be able to be back in full performance and I think potentially using this time to really refocus their rehab efforts is helpful, but for all athletes, its extremely frustrating.

University Orthopedics' Owens is the Team Physician at Brown as well as for the Providence Bruins.

Preparing to Come Back

In general, conditioning can be challenging right now. I think redoubling your efforts, focusing on the things you can control you cant control COVID and all the impacts on society but you can control your own condition, whether thats aerobic conditioning running, biking, said Owens, of his advice to athletes.

Some people are getting really inventive, folks that dont have weights available to them are working out with milk jugs of water, sand etc. and focusing on core [strength], said Owens. In addition, you mentioned diet and maintaining body weight. Some people have unfortunately been more sedentary than they usually would be. Youre going to come back at potentially a higher body weight and that impacts not just athletes but us middle-aged folks trying to stay in shape.

Surgeries in Focus

Patients and their safety is our number one priority, so we work and communicate directly with the Department of Health and theyve strongly encouraged us to continue to take care of our patients, said Owens. Weve transitioned to telehealth for many but weve also continued to do semi-urgent surgeries for people that otherwise would have to be at the hospital.

Owens is a Professor of Orthopaedic Surgery at Brown and Chief of Sports Medicine at Miriam Hospital. He is a board-certified orthopaedic sports medicine surgeon whose clinical practice focuses on complex knee, shoulder, and cartilage injuries.

About Alpert Medical School -- and Smart Health

Since granting its first Doctor of Medicine degrees in 1975, the Warren Alpert Medical School has become a national leader in medical education and biomedical research.

By attracting first-class physicians and researchers to Rhode Island over the past four decades, the Medical School and its seven affiliated teaching hospitals have radically improved the state's health care environment, from health care policy to patient care.

"Smart Health" is a sponsored content segment on GoLocalProv.com featuring experts from The Warren Alpert Medical School on GoLocal LIVE.

Excerpt from:
Focus on What You Can Control: Brown Alpert Med School Orthopaedic Surgeon's Advice to Athletes - GoLocalProv

Cary Brothers Lends A Hand to Aspiring Physicians Fighting Outbreak in Roanoke – The Roanoke Star

The students pandemic response efforts began shortly after they were no longer allowed to go in hospitals to gain hands-on training, much of which occurs during the third year of medical school.

It was definitely disappointing because we wait our whole lives to get to this part of medical school, said fellow student, Grace Lee. It left us with a lot of time on our hands and wanting to help.

Channeling that desire to assist local health care workers, some of whom they had been working with prior to the outbreak, was sparked by a text from their classmate, Vaishnavi Sridhar.

She actually asked our group chat about starting to help the residents and attending physicians with childcare and groceries, Kar said.

As the statewide social distancing guidelines grew into a stay-at-home order, the students efforts evolved from helping out with general errands to raising funds and coordinating with businesses to get PPE for the workers.

They also decided to use their annual student open mic night as an online fundraiser for the effort and reached out to the broader VTC community for help putting together a lineup. The group email asking for help connected them with Becki Morrison, the lead vocalist with a regional band, Becki and the Boom Booms, and an occasional standardized patient with the medical school.

I was in the unique position as working with the school and having a band, and also knowing all of these great musicians, Morrison said. I thought, if theyre struggling to pull together music for this fundraiser, I have the inside loop to that.

With Morrisons help, within 10 days the lineup was filled out with about 10 Roanoke-area musicians and three medical school students. Cary Brothers also learned of the fundraiser via a medical school employee and quickly signed on as the finale for the event, which had a goal of raising $1,000.

Kudos to the students who put on this event, Brothers said. Their cause is noble, and the show was every bit as smooth and technologically sound as the online charity shows Ive played in recent weeks run by music industry folks. I think the students did a great job, and Im so happy they hit their goal.

While the pandemic caused the students to miss out on learning experiences in the hospitals, they feel the experience fundraising and locating PPE has helped them learn many other valuable lessons.

[Were seeing how] how difficult it is to navigate the health care system, Lee said. This is really shining a light on the systemic issues within health care by showing us the challenges that we are forced to face during a pandemic. We are learning how to promote public health as well as advocate for the safety of health care workers.

And being located in Roanoke has also helped enlighten them to health care related disparities that exist between localities.

Weve seen how an emergency situation of this scale impact communities and how rural voices get lost, Kar said. When theres a global lack of PPE, were almost at the bottom of the totem pole, even though our patients continue to get sick. We have similar needs, but not as many resources.

Travis Williams

Read more:
Cary Brothers Lends A Hand to Aspiring Physicians Fighting Outbreak in Roanoke - The Roanoke Star