David Gimbel
Charisse Orme and Keri Oxley
 

Good doctors and great doctors

Dean Robert Alpern urges the Class of 2008 to practice medicine with humility, empathy and compassion.

Stitched through the threads of the physician’s white coat are emblems of both power and responsibility, Robert J. Alpern, M.D., dean of the medical school, told the Class of 2008 in late August, as the new students gathered for the ceremony that marks the beginning of their medical education.

Each of the 100 first-year students—who come from 14 countries, 44 undergraduate institutions and previous endeavors in public health, scientific research, the performing arts and investment banking—can be proud to have won admission to a highly competitive medical school, Alpern said. But he urged them to temper that pride with a sense of duty. “Each slot in a medical school is a precious resource to this country,” he said, advising students to use that resource wisely and to assume primary responsibility for their education under the Yale System. “We’re so confident that [you will] that we’re not going to give you grades for a few years.”

He encouraged his listeners to pursue paths to leadership positions in public policy, service, medical education and research and to use their time at Yale to “find out what separates a good doctor from a great doctor.”

While urging the first-years on to high achievement, his primary message was one of humility, empathy and compassion for patients. “You control something that is the most important possession of people, and that is their health,” the dean said. The most important question physicians will ask themselves is: “How would I feel if I were in the position of my patients?” The answer, Alpern said, should determine how a doctor runs a practice, including how long patients are kept waiting, when their phone calls are returned and what sort of respect they receive from their doctor.

“All people deserve your respect. … Perhaps no one needs it more than a patient who is struggling to cope with an illness,” Alpern said. He cautioned against the desensitizing aspects of a physician’s daily routine and urged students to remember that sickness “is not a daily event for your patients.”

Following the dean’s remarks, students walked on stage one by one to be clothed in their white coats by senior faculty. The day was, as the dean said, a celebration of their “talent and hard work.”

But along with high praise, he sent the new class out with a gentle reminder: “As others look up to you, never look down on them.”

Colleen Shaddox


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Former surgeon general urges PA graduates to “look for a calling”

Antonia C. Novello, M.D., M.P.H., Dr.Ph., the first woman and first Hispanic to become surgeon general, offered congratulations and counseling and posed challenges to the 34 graduates of the Physician Associate Program at their Commencement in September.

“It has been said by the sociologist Robert Bellah that your work as a professional defines you as a human being,” said Novello, now the health commissioner for New York state. “First there is a job, where the goal is simply earning a living and supporting your family. Then there is a career, where you trace your progress through appointments and achievements. Then there is a calling, the ideal blending of activity and character that makes work inseparable from life. I hope you are not just looking for a job. I hope you are not just building a career. I hope you are looking for a calling.”

The first of the challenges facing the new graduates, said Novello, is an increasingly diverse society, one that is aging, comes from all over the world and speaks a multitude of languages. Health care providers, she said, must understand all aspects of their patients’ lives. “Patients don’t care how much you know until they know how much you care.”

Access to health care was the second challenge she cited, pointing out that 45 million people in this country lack health insurance. “Don’t treat poor people as second-class citizens just because they may not have the same economic or educational advantages that you enjoy.” Again citing the diversity of the patient population and the 14 million Americans who lack proficiency in English, she said, “Medical training has to address the biases that we bring to medical school.”

Domestic violence is another challenge. “Health care professionals will fail 95 percent of the time to identify victims of domestic violence,” she said.

The final, and most important, challenge, she said, is professionalism. “Can we health care professionals maintain the traditional humanistic qualities of medicine in an increasingly corporate structure?” she asked. “I think we can. To do that, take care of people. Become a voice for the disenfranchised. Use your voice. Have the courage to put patients first.”

John Curtis

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Geordie Glass
Bernadette Shaw
   
 
football game
 


Auction raises more than $26,000

Among the first fund-raising events of the 12th annual Hunger and Homelessness Auction in November was a flag football game pitting first-years against second-years. The game, played on a soggy Harkness Lawn under a light rain with temperatures in the 40s, featured faculty “ringers” on the second-year team—Dean Robert Alpern, Associate Professor Jack Hughes and Registrar Terri Tolson. At half-time, with the second-years leading 12-6, Alpern couldn’t help teasing the opposing side. “I’m a little disappointed in the admissions committee,” he joked. An anonymous first-year offered a rejoinder: “You better not come back on the field!” The second-year team won the game 28-12. The activities, including silent and live auctions, raised more than $26,000 for several New Haven charities.

J.C.

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Downs fellows
 


Downs fellows share a world of knowledge

Last summer, 17 students in medicine, nursing and public health traveled to Africa, Asia, the Middle East, the Caribbean and Latin America on research projects supported by the Downs International Health Student Travel Fellowship. In October they reported on their findings on topics including diabetes risk in Haiti and post-traumatic stress disorder among victims of chemical attacks in Iran. Three students made oral presentations. Medical student Jessica Beard described the mental health of children in a refugee camp in northwestern Kenya. Anna M. Beitin, a student in public health, reported on the genetic susceptibility of children in Zambia to malaria. And nursing student Catherine E. Virostko, on right in photo, discussed the beliefs and practices of traditional birth attendants in Kenya regarding HIV/AIDS.

John Curtis

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  Kyeen Mesesan

Kyeen Mesesan


Lisa Gary

Lisa Gary


Nicole Quon

Nicole Quon


Angela Snyder

Angela Snyder

Ranjit Bindra

Ranjit Bindra

 


Notes

Kyeen Mesesan, an M.D./Ph.D. student in the Division of Epidemiology of Microbial Diseases at the School of Public Health, received the Lee B. Lusted Student Prize for best student presentation at the 26th annual meeting of the Society for Medical Decision Making in Atlanta in October. Her abstract, “Predicting the Impact of a Partially Effective HIV Vaccine and Subsequent Risk Behavior Change on the HIV Epidemic in Developing Countries: A South African Example,” was one of six delivered at the opening plenary session.

Three Ph.D. candidates in the Division of Health Policy Administration at the School of Public Health have received grants to support their research. Lisa Gary has received a grant from the Nonprofit Sector Research Fund of the Aspen Institute to support her research on racial disparities in health care and the role of the nonprofit sector in promoting more equitable health care. Nicole C. Quon has received awards from the National Science Foundation and the Horowitz Foundation for Social Policy to support her research into decision making at the National Institutes of Health and the Food and Drug Administration. Angela B. Snyder has received a dissertation grant from the Department of Health and Human Services Substance Abuse and Mental Health Services Administration to pursue her research. Her thesis is titled The Effect of Substance Abuse Treatment on Wages.

Ranjit Bindra, a student in his fifth year of the M.D./Ph.D. Program, has received the Marie Curie Award from the Radiation Research Society. The award recognizes the scholar-in-training who shows the highest potential for a successful career in radiation and hyperthermia research. The award-winner receives $1,500 to attend the annual meeting and present research findings.

   
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Originally published in Yale Medicine, Spring 2005.
Copyright © 2005 Yale University School of Medicine. All rights reserved.