First-Year IM Resident Shares How Coronavirus Pandemic Has Impacted His Training

Matt Heckroth, MD '19, IM resident

Matt Heckroth, MD ’19, a first-year internal medicine resident at University of Louisville, was interviewed by his hometown local paper, the Tallahassee Democrat, on what its like to be a resident during COVID-19 pandemic.

“The things I am sure I am going to see over the next couple of weeks and the next couple of months are going to be helpful,” Heckroth told the newspaper. “We are learning about this virus and about how it affects people.”

Dr. Heckroth had a nontraditional path to medicine. The aspiring gastroenterologist originally wanted to become a professional baseball player. He was a highly touted pitching prospect before suffering a shoulder injury that prevented him from playing past his sophomore year in college.

He credited his strong relationship with his orthopedic surgeon for helping him decide on medicine.

Former International Athlete Addressing COVID “Head-On” in Canada

Dan Devlin, family medicine resident, Kelowna General Hospital, BC

Aspiring physicians from Canada have long used St. George’s University School of Medicine as a springboard to a career in medicine, and for SGU graduate Daniel Devlin, MD ’19, his journey was no exception. Now a first-year family medicine resident at the Kelowna General Hospital, in rural British Columbia, Dr. Devlin serves one of the largest medical centers between Calgary and Vancouver, Canada.

Now more than ever with the ongoing coronavirus disease (COVID-19) pandemic, physicians like Dr. Devlin are being called to the frontlines to help fight against the virus. His vacation plans along with him competing in his first-ever triathlon this spring and summer have all been put on hold with the uncertainty surrounding the pandemic.

“Everyone at our hospital—from housekeeping and maintenance to nurses and physicians—has all been working very hard to face this challenge head-on,” said Dr. Devlin. “Things like vacation plans are inconsequential when you look at the bigger picture. I feel like we all got into this job to help people in need, and we will continue to do that now and for the rest of our careers.”

His path back to Canada began when he enrolled in the St. George’s University of Grenada School of Medicine/Northumbria University Four- and Five-Year Program, for which students spend the first year of basic sciences in the United Kingdom. He called the program “a perfect fit.”

“Since I knew I was going to be a mature student, and didn’t want to waste any time in getting started, this program allowed me to begin in January, learn a new healthcare system, enjoy smaller class sizes and most importantly get the opportunity to secure a residency position back home in Canada,” he said.

However, before Dr. Devlin began his pursuit of a career in medicine, another career path opened up for him at age 15 when he joined his high school handball team. As a gifted athlete, he then progressed to the provincial level before eventually making it all the way to the Canadian national handball team in 2007.

“As an athlete on the national team, I got the opportunity to travel all throughout Europe and South America playing in international tournaments,” said Dr. Devlin. “I even met my fiancée, Kate, who was also a professional handball player with the Women’s Canadian team at the time.

The highlight of his career was his three trips to the Pan American Games—in Rio de Janeiro, Brazil in 2007; Guadalajara, Mexico in 2011; and Toronto, Ontario, Canada in 2015. He played one year professionally in France.

Although a successful athlete, Dr. Devlin always knew he would one day become a physician. At school, he excelled in the health sciences and could be seen after school soaking up information at the hospital where his mom worked as an x-ray technician. After graduating from university, he then became a nurse for nine years before entering medical school once things started to settle down in his athletic career.

“After reaching the pinnacle of my athletic career, it just seemed like the right time to retire and so, I decided to move on to pursue my childhood dream,” said Dr. Devlin. “After doing my research and checking out their information sessions, SGU was just the right call. In terms of timing, attending SGU worked out perfectly with my schedule—allowing me to play in my final Pan-Am Games during my summer break after my first semester.”

Today, Dr. Devlin is settling into his role as a first-year resident, splitting his time between practicing at the hospital and his family medicine clinic. He is also currently working on a quality improvement project analyzing the clinic to make sure it meets the national standard of guidelines set across Canada. The scholarly project would then strive to implement any changes or make improvements found in his research.

“As an international grad, I get asked by prospective students in information sessions all the time, ‘would I do it again’?” said Dr. Devlin. “And my answer would be ‘yes’ because my goal was to come back and be a physician in Canada, and SGU helped me to do that. It was my pathway to getting to where I wanted to be.”

That place is Kelowna, where he and his colleagues are working hard—and together—to address the ongoing pandemic.

“We will get through this at some point, and we have definitely felt the love and support from the city of Kelowna as we work to keep everyone safe and healthy,” he said.

–Ray-Donna Peters

SOM Alumni Association Advances the Art of Medicine at Annual CME

Designed to provide physicians with an overview of changes in the diagnosis, treatment and management plans in today’s changing health care environment, this year’s School of Medicine Alumni Association (SOMAA) continuing medical education conference was especially beneficial in light of the ongoing coronavirus disease (COVID-19) pandemic—as physicians are turned to in order to provide valuable, high-quality care in communities around the world, for individuals who desperately need it.

“The benefits of our alumni returning to campus to attend the CME conference is that they experience the momentum of the University while connecting with the energy and accomplishments of our current students—the future physicians who will follow in their footsteps,” said Robert Alig, vice president of alumni affairs at St. George’s University. “With the increasing number of people being impacted by the coronavirus, it will be St. George’s University students and graduates who will be called on to assist in the fight against the virus.”

Titled “The Art of Medicine,” the four-day conference was held once again in association with the American College of Emergency Physicians (ACEP). It featured prominent SOM alumni and faculty presenters such as:

    • Hematology and medical oncology specialist Shannon O’Connor, MD ’05, whose topics included, “Unlocking the Mystery of Hereditary Cancer Genetics” and “Five Things to Know About – Hematologic Disease in Older People”
    • Paul Mathew, MD ’05, currently an assistant professor of neurology at Harvard Medical School and expert in headache medicine discussed “Headache: It’s All in Your Head…Or is it?” – accurately classifying headaches and formulating effective treatment plans and interventions
    • Pulmonary and critical care expert Nirav Shah, MD ’02, who discussed the highly relevant topics of “Decoding the Alphabet Soup of Interstitial Lung Disease (ILD)” and “ARDS: Where are we now?” – defining acute respiratory disease syndrome, how the definition has changed over the last few years and the treatment strategies to help improve outcomes.

In attendance at these presentations were two familiar faces among the SOM alumni, Jack Davidoff, MD ’88, and his wife Tracey Davidoff neé Quail, MD ’90. They were returning for the fourth time in a row to attend the CME conference in Grenada since earning their medical degrees at St. George’s University three decades ago. After attending the first CME in 2017, held as part of SGU’s 40th anniversary celebrations, the couple was so impressed with the advances made by the University, they felt compelled to return and to keep returning year after year with no plans of stopping. The Davidoffs’ love for the Grenadian people and the country that allowed them to receive their medical education has inspired them to plan a next trip to provide clinical services to the Grenadian community in the near future.

“We received an excellent education at SGU and were able to get invaluable hands-on experience,” said Dr. Tracey Davidoff, vice president of the College of Urgent Care Medicine. “I would do it all over again because SGU made me into the physician I am today, and I have no regrets.”

“We had outstanding instructors and professors, some of whom were the actual authors of the medical textbooks we were currently using,” commented Dr. Jack Davidoff, an emergency medicine physician and president of the Air Medical Physicians Association. “During my time here, I got the opportunity to gain real-life experience and it has made me a much better doctor today. Every day that I go to work, I use the knowledge and skills that I learned at SGU.”

The fourth annual SOMAA CME grew in participation since last year, with 74 attendees, 32 of whom were SGU alumni, as well as 17 Grenadian physicians who practice locally. Additionally, their time in Grenada wasn’t only about lectures and education. The SOMAA provided plenty of opportunities to experience a taste of culture and hospitality on the island many called home during their studies. The group enjoyed a sightseeing tour of Grenada’s natural beauty; lunch at Belmont Estate, a fully functional and historic plantation; a shopping tour of Grenada’s capital, St. George’s; and a catamaran sunset cruise, which included snorkeling and a visit to the Underwater Sculpture Park and Hog Island.

“This CME doesn’t just give us, practicing physicians an opportunity to earn 16 continuing medical education credits and a chance to learn new innovations and advances in our respective fields,” stated SOMAA President Bruce Bonanno, MD ’83. “It also enables our alumni to come back and visit and see the progress the University has made, interact with the students, and have a great time. This level of camaraderie is not found anywhere else.”

– Ray-Donna Peters

From Orphaned Alpacas to Puppy Care: Knoxville Veterinarian Dishes on What It’s Like to Own a Vet Clinic

Leah Wulforst, DVM '05

As a companion animal veterinarian in Knoxville, TN, Leah Wulforst, DVM ’05, has seen her fair share of emotional pet owners who have been forced to make tough decisions about their pet’s health. And it’s her responsibility to assist in coming to the right conclusion.

One memorable case involved a young dog named Lexi, who was brought to Dr. Wulforst showing symptoms of a fever, decreased appetite, and discomfort in its left eye. Despite medication, Lexi’s health worsened and within 48 hours she developed glaucoma. A urine test revealed that she had blastomycosis, a type of fungal infection dogs can get from inhaling spores from the ground.

After a heartfelt discussion with the pet’s owners, Lexi’s left eye was removed, and when similar symptoms emerged in her right eye, it had to be removed as well. Lexi continued the fight against blastomycosis with the help of medication for almost a year. The owners were aware that removal of her eyes was only the first step to treatment, and there was no guarantee that she could clear the infection, but they decided to move forward, step by step.

While Lexi had a poor prognosis then and her condition required expensive medication, today she is vibrant, happy, and free of infection.

“At some point, all owners of a pet are going to have to make a difficult decision regarding the pet’s well-being,” Dr. Wulforst said. “As veterinarians, we hope that we can make these decisions easier.”

Today, Dr. Wulforst is the owner of Riverside Veterinary Clinic in Knoxville, making a name for herself in the close-knit community. Dr. Wulforst made Knoxville News Sentinel’s 40 under 40 Class of 2017; she also was featured in People magazine and a local news story when her office took in an orphaned alpaca.

She treats a variety of household pets and the occasional backyard animal including goats, chickens, and pheasants, setting aside a portion of her day for any surgical appointments or emergencies. Dr. Wulforst also works closely with several local cat and dog rescue groups.

“What I love about being a vet is seeing the client’s face when the pet gets better, how relieved they are, and how appreciative they are,” she said. “It’s that look on their face that I really enjoy.”

She added: “I also enjoy the challenge of it. [Veterinary medicine] is always evolving and I am always learning. From research to disease processes, we’re finding out so much more information from genetic testing and cancer testing. As long as you keep reading and researching, you are always going to improve.”

Dr. Wulforst opened her clinic in 2017 after she realized she wanted to set her own protocols for her patients and dictate their quality of care.

“I want to make sure I keep striving to do what’s best for the client and for the patient,” she said. “Clients want definitive answers, but sometimes that takes a lot of money or is just not possible. I want to be able to have all options placed in front of them and help them decide what’s going to work for them and their budget, and what will be the best care for their pet.”

ARE VACCINES ALWAYS THE ANSWER?

One example is household pets don’t always need annual vaccines. Some can be given every few years, based on individual exposure levels, which should be discussed with the client, she said.

“It’s very important as a puppy, for example, to get baseline vaccines that can protect them against diseases such as parvo,” she said. “But the other thing we know is that some vaccines last a lot longer than we think—in fact anything we inject into our body, like extended release antibiotics, can stimulate the immune system or create injection-site sarcomas. So, it’s important to get baseline protections and from there many times we can check titers, specifically for distemper, parvo, and even rabies, depending on state laws.”

Dr. Wulforst is also optimistic about using certain alternative medicine in vet practice, including supplements that help joint support, turmeric as an anti-inflammatory and for mild pain relief, cold laser therapy to stimulate blood circulation and help arthritis, and even specific probiotics to reduce anxiety and other behavioral disorders in pets. “I do feel there has to be evidence-based research to show proof on how it works and that it’s safe,” she said.

TO KNOXVILLE AND BACK AGAIN

After graduating SGU, Dr. Wulforst moved to the Knoxville area with her husband to start her professional career in nearby Seymour, TN. Yet in 2007, they relocated to Long Island, NY (where Dr. Wulforst grew up) to be closer to family. Seeking a slower-paced lifestyle, the couple returned to Knoxville in 2013 with their son, where she worked briefly for an area veterinarian before striking out on her own.

Dr. Wulforst hasn’t forgotten how her SGU roots helped her become the vet she is today. She was among one of the early graduating classes of SGU’s School of Veterinary Medicine, which opened in 1999.

“I loved the change in scenery and since it was a [relatively] new program I felt like there was a lot more flexibility,” she said, referencing the program’s adaptability to course topics and tracks.

Additionally, she is very thankful for the direct mentorship and individual attention she received from faculty and hands-on learning while in Grenada. “I definitely felt the hands-on experience I got at St. George’s was so much more than I have seen from some of the students coming out of the universities in the US,” she said.

Yet being a business owner is not without its challenges. While she plans on adding another full-time veterinarian as well as a part-time vet in the next few months to accommodate her growing caseload, finding employees who are a good fit with her philosophy is the hardest part of a running a business.

“A lot of this was a learning process,” which includes being closed on the weekends, she said. “My goal is to have a good work-life balance for myself and my staff.”

–Laurie Chartorynsky

 

SGU Vet Students Secure Highly Specialized Postgrad Positions in 2020

Vet students at St. George's University

St. George’s University School of Veterinary Medicine students and graduates took the next step in their careers as aspiring veterinarians, matching into highly competitive postgraduate positions throughout the United States and Canada. Early 2020 reports confirm that DVM students secured 25 internships and 11 first-year residencies, with more results likely to come in throughout the spring.

This summer, SVM alums will begin postgraduate training in a variety of clinical specialty areas such as orthopedics, cardiology, ophthalmology, anesthesiology, immunology, diagnostic imaging, and pathology, matching into positions at veterinary hospitals such as the University of Florida, North Carolina State University, and the University of California, San Diego, as well as veterinary centers in Alberta and Saskatoon, in Canada.

“We congratulate our students who are on to the next chapter in their careers in veterinary medicine,” said Dr. Neil Olson, dean of SGU’s School of Veterinary Medicine. “Throughout their basic science and clinical years, they endured a rigorous course load and absorbed a wealth of information. We are pleased that the curriculum has adequately prepared them to meet the highest of practicing standards and are delighted that their efforts have been rewarded.”

After graduating, students may obtain an internship, a one-year clinical training program used to prepare a veterinarian for high-quality service in practice, or even a residency, which is a two- to three-year program. Students must receive a passing grade on the North American Veterinary Licensing Examination (NAVLE) in order to achieve certification by any of the veterinary medical specialty boards. The 360 multiple-choice-question test is required for licensure to practice veterinary medicine in both the US and Canada. St. George’s University’s veterinary medical students posted a 95 percent pass rate on the exam in 2017-2018 according to the International Council for Veterinary Assessment (ICVA).

“We couldn’t be prouder of our students. They’ve made it through a very strenuous program with great drive and determination,” praised Dr. Anne Corrigan, associate dean of academics in the SVM. “At St. George’s, we believe it’s important that our students have a strong foundation of knowledge, hands-on clinical skills, and confidence when they set off for their careers as veterinarians. As faculty, we believe that we have provided our students with the knowledge and skills to succeed in advanced training programs. We have the utmost respect for our students and are proud to call them our colleagues.”

Adding to its many accomplishments, St. George’s University’s School of Veterinary Medicine’s Doctor of Veterinary Medicine (DVM) program recently received full accreditation from the Royal College of Veterinary Surgeons (RCVS), the organization that sets the standards of veterinary care in the United Kingdom, through 2024. The School of Veterinary Medicine is now one of the few schools in the world accredited by both the American Veterinary Medical Association Council on Education (AVMA COE) in the US and Canada, as well as the RCVS in the UK.

SGU’s DVM graduates are now fully eligible to seek licensure in the US and Canada without further steps other than successfully passing the NAVLE. DVM graduates who have also completed the Global Veterinary Health Track will also be eligible to register as members of the RCVS and practice in the UK without further examination.

Now in its 21st year, the School of Veterinary Medicine has graduated nearly 1,700 students who have gone on to practice in 49 states in the United States and 16 other countries around the world. The School also maintains partnerships with 31 universities and clinical facilities in the US, UK, Canada, Ireland, and Australia, where fourth-year students spend a year of clinical training at an affiliated veterinary school.

–Ray-Donna Peters

SGU Welcomes Back Familiar Faces at Beyond Spice Family Weekend

SGU Family Weekend - January 2020

When Alex Gantz found out her husband, Benjamin, was accepted to St. George’s University School of Veterinary Medicine, she was thrilled. Even though she was pregnant with their youngest child at the time and would be leaving their New Hampshire home for the move to Grenada, she was still excited about joining her husband on his new journey to becoming a veterinarian.

“Like most of us in the veterinary medical profession, I wanted to become a vet since I was a child,” shared Mr. Gantz, a Term 3 SVM student. “Then life happened. I got married and had two kids. But as I got older and wiser, I decided to go for it. Now I’m in my second year in the Doctor of Veterinary Medicine program. I’m thankful to SGU for giving me the opportunity to fulfill my childhood dream.”

This year the couple was joined once again by his parents, who made SGU’s Beyond Spice Family Weekend their family getaway for the second year in a row.

“At first, it took a little getting used to a new country and culture,” said Ms. Gantz. “But now we love it here and so do Ben’s parents. They’ve had so much fun on the sea excursion and at the sunset barbecue that they just keep coming back. For them, family vacation means SGU’s Family Weekend.”

The Gantz family weren’t the only repeat visitors this year. The University also welcomed much of its alumni, coming back and bringing with them many additions to the incoming class. Francis Rienzo, MD ’88, and his brother, Peter Rienzo, MD ’85, returned to coat their children, Emily and Jake Rienzo, at the Spring 2020 School of Medicine White Coat Ceremony, as did Abayomi Odubela, MD ’83, who also shared in that honor by coating his daughter, Ibironke. Altogether, this spring’s incoming SOM and SVM class welcomed backed five SGU graduates, including members of the Class of 1983, 1985, and 1988 to join in the special privilege of coating their children.

Now celebrating its 12th year since the inception of Family Weekend, SGU continually looks forward to opening its doors to host students’ families who’ve come to visit the country and campus that their students now call home. The bi-annual festivities include guided campus tours; the historical sightseeing tour of Fort Frederick, the famous Grand Etang Lake, and the 30-foot Annandale Waterfalls; and lunch at Belmont Estate, a fully functional and historic plantation, among other activities.

“Family Weekend serves as more than an occasion to bring families together; it is a chance to celebrate the University’s growth and success by now welcoming the children of our graduates to continue their legacy,” stated Colin Dowe, associate dean of admissions. “Additionally, our goal is to also provide an atmosphere where our visitors can explore all that the University and Grenada have to offer and be converted into lifelong visitors to our beautiful tri-island state.”

Family Weekend Fall 2020 is set for August 26- 30. Learn more about the festivities by visiting the Family Weekend webpage or by emailing familyweekend@sgu.edu.

–Ray-Donna Peters

St. George’s University Awards Nine Students with Prestigious Scholarships

St. George's University 2020 CityDoctors scholarship recipientsSt. George’s University announced that it has awarded nine incoming students with CityDoctors scholarships. The winners hail from several cities and towns, including Bronx, Brooklyn, and Monmouth County in New Jersey.

“This program gives medical students from New York and New Jersey the unique opportunity to return home after graduation and serve their communities,” said Dr. G. Richard Olds, president of St. George’s University. “We’re thrilled to welcome the 2020 recipients to our campus community.”

Created in 2012, CityDoctors Scholarships are awarded cooperatively by St. George’s University and several partner hospitals in New York and New Jersey to applicants who wish to start their studies in the January term.

Students chosen for a NYC Health + Hospitals CityDoctors Scholarship must commit to working in one of the system’s 11 public hospitals following graduation. Those who receive a CityDoctors Scholarship from Jersey Shore University Medical Center or HackensackUMC need not commit to working in those hospitals.

To be eligible for a NYC Health + Hospitals CityDoctors scholarship, students must have maintained a permanent residence within the five boroughs of New York City for five or more years, graduated from high school or college in New York City, or have other ties to NYC Health + Hospitals.

Residents of Monmouth County, Ocean County, or Bergen County, as well as students with some connection to JSUMC or HackensackUMC, are eligible for the CityDoctors Scholarships from St. George’s New Jersey hospital partners.

In 2019, more than 375 St. George’s University graduates entered residency programs in New York and New Jersey. St. George’s is the second-largest provider of practicing doctors to the U.S. healthcare system.

“New York and New Jersey need more highly skilled physicians to meet the needs of their residents,” Dr. Olds said. “We have no doubt that this class of CityDoctors scholarship winners will emerge as leaders in the practice of medicine.”

Continuing the Legacy: Class of 2024 Welcomed to Medical Profession at School of Medicine White Coat Ceremony

Cousins Jake and Emily Rienzo join their fathers and proud SGU graduates to accept their white coats at the Spring 2020 School of Medicine White Coat CeremonyFor the Rienzo family, practicing medicine seemed to run in their blood. Thus, it came as no surprise when cousins Jake and Emily Rienzo also decided to join the family business, taking their first steps into the medical profession at the Spring 2020 School of Medicine White Coat Ceremony.

Sharing the stage with them were their fathers and proud SGU graduates, Francis Rienzo, MD ’88, and his brother, Peter Rienzo, MD ’85, who had the honor of coating them. Emily, a CityDoctors Scholarship recipient, will also be the first female physician continuing the legacy in their family. Both she and Jake grew up being regaled with stories of SGU by their dads, who even carry their old SGU ID cards with them still to this day.

“I’m just so proud of my daughter; words can’t even express it,” said Dr. F. Rienzo, now an internist practicing in New Jersey. “Jake and Emily are going to be fourth-generation physicians following in both their father’s and grandfather’s footsteps, and I couldn’t be more excited to be back in Grenada for their White Coat Ceremony.”

“I’m elated that they chose to follow in our footsteps and attend SGU,” added Dr. P Rienzo, an anesthesiologist also practicing in New Jersey. “It’s great to be back and see how far the University has come and how it continues to provide opportunities for success for so many people from different countries all over the world.”

The Rienzos weren’t the only alumni coming back to SGU to coat their loved ones. Altogether, this spring’s incoming SOM and SVM class welcomed backed five SGU graduates, including members of the Class of 1983, 1985, and 1988 to join in the special privilege of coating their children.

Among them was alumnus Abayomi Odubela, MD ’83, who also shared in that honor by coating his daughter, Ibironke. Since graduating over three decades ago, Dr. Odubela has been back to Grenada three times to visit the place where he began his medical career.

“Today I am so happy to see the tremendous growth and expansion of SGU,” praised Dr. Odubela. “I am extremely proud that she has chosen to take the same path as I did. SGU’s success rate and the high caliber of its faculty makes me feel confident that she’s in good hands.”

The 2024 Grenada class joined its fellow students from St. George’s University of Grenada School of Medicine/Northumbria University Four- and Five-Year Program, who began their journey two weeks earlier at Northumbria University in the United Kingdom. This spring, SGU also welcomed 277 Caribbean students, 94 of whom are aspiring physicians in the School of Medicine. The students represent 10 countries, including Grenada, Antigua, Barbados, Jamaica, Dominica, Trinidad, British Virgin Islands, St. Lucia, Cayman Islands, and Guyana.

In his keynote address, current president and CEO of The Arnold P. Gold Foundation, Dr. Richard Levin shared the reason behind the creation of the White Coat Ceremony, explaining that it was a “modern invention to correct a modern problem.” The Ceremony was devised after recognizing a shift during the late ’70s and early ’80s of students being taught to move further away from the patients, both literally and figuratively. According to Dr. Levin, rounds moved from the bedside to the hallway and now to the screen. Doctors were spending more time with data than with their patients and it had become harder to remember that illness affected a family and a community as well as the patient in the bed.

“The White Coat Ceremony is designed to remind you, your faculty, and everyone who loves you that fundamentally medicine is a human interaction,” stated Dr. Levin. “Today’s ceremony is intended to emphasize the importance of that connection right from the beginning of your training.”

A highlight of Dr. Levin’s address was his endorsement of this year’s master of ceremonies and alumnus Cholene Espinoza, MD ’15. He called on Dr. Espinoza to share the podium with him as he completed his speech.

“An extraordinary example of humanistic practice is our master of ceremonies today, Dr. Cholene Espinoza,” extoled Dr. Levin.  “She has led a life that has put her in harm’s way: as a pilot in the US Air Force she has been shot at, she was an embedded radio journalist in the Iraq war, and she is now an OB/GYN who believes that humanistic practice is as important as scientific excellence. If any of us are an example for you as you start out on this pathway, I think it is Cholene Espinoza.”

After a resounding round of applause, Dr. Espinoza shared a few words of wisdom of her own with the Class of 2024.

“I want you to really focus today on what it means to be here—to enter this profession which I call a tribe, to wear this white coat, and the immense privilege it is to be able to be a part of this institution and enter into your patients’ lives,” she said. “It is also very important to acknowledge what you have achieved to this point. I know you’re probably nervous about whether or not you’ll make it to the end, but this is an enormous achievement and you need to do a victory lap with your family, who got you here.”

Additionally, the School of Medicine White Coat Ceremonies kicked off the first full day of activities of the University’s Beyond Spice Family Weekend. A customary element to each term in Grenada, students and family members soaked up nature and culture prior to attending the special ceremony that serves as a rite of passage for aspiring physicians. 

– Ray-Donna Peters

 

 

Grad Tackles Hem/Onc and Integrative Medicine Fellowships to Treat Patients’ “Whole Health”

Onyemaechi Okolo, MD ’15, dual fellow in hem/onc and integrative medicine

Onyemaechi Okolo, MD ’15, feels a strong affinity to the world of pathology.

“I love looking at cells under the microscope—they’re actually really beautiful,” said the Nigerian-born doctor, who is a dual hematology-oncology fellow at The University of Arizona Cancer Center, a National Cancer Institute-designated comprehensive cancer center, and an integrative medicine fellow at The University of Arizona Andrew Weil Center for Integrative Medicine.

But she admits it wasn’t until late in her clinical rotations while at St. George’s University that she had clarity on what type of doctor she wanted to be. “What I loved the most in basic sciences was pathophysiology and learning about normal and abnormal cells; I was particularly intrigued by how cancer cells hijack your body,” she said. “In the clinical setting, it was my experiences with the patients during my hematology-oncology rotation that connected the pathophysiology and clinical aspects of oncology for me. I actively looked forward to learning more every day.”

She furthered solidified her path to medicine while doing her internal medicine residency at The University of Arizona Medical Center. Dr. Okolo became interested in learning preventative health, meditation, and other forms of holistic medicine to further help patients with serious illnesses like cancer and blood disorders.

“I wanted to learn about not only how to treat patients, but how I can help them live better,” she said. “I really enjoy learning both traditional and holistic medicine so that I have a lot more tools in my toolbox to help my patients.”

By completing her fellowships concurrently—she is expected to be finished in the summer of 2021—her goal is to obtain the knowledge and tools necessary to assess and treat patients’ “whole health,” not just the symptoms that brought them to see her in the first place.

“When you tell people they have cancer, their first reaction is ‘I don’t want chemotherapy,’” said Dr. Okolo. “I want patients to know that they have an entire team working for them whose goal is to help heal their bodies, minds, and spirits.”

As a dual fellow, Dr. Okolo spends her days at the Arizona Cancer Center where she actively treats and manages patients with a variety of blood disorders, sickle-cell anemia and hemophilia, as well as tumors and blood cancer. As part of her Hem/Onc fellowship, she is learning how to utilize newer treatment methods, especially stem cell transplants and immunotherapy. That includes CAR T-cell therapy, which involves engineering a patient’s immune cells to recognize and attack specific cancer cells. Right now, Dr. Okolo said that the treatment is approved for use in acute lymphoblastic leukemia and diffuse large B-cell lymphoma. However, “it’s looking like CAR T-cell therapy is going to be translatable to a lot more cancers, so it’s really exciting that we’re also learning how to treat cancer with it.”

At night, she alternates between reviewing her patient cases or working on her integrative medicine nodules that, similar to an online classroom, include instructors and chapter assignments.

“Integrative medicine is more of a healthy philosophy,” she said. “It tends to be more individualized, and we use evidence-based medicine alongside complementary practices from a range of cultures such as following certain diets like the Mediterranean diet. We also stress the benefits of things like yoga, meditative movement, aerobic exercise, and herbal medicine.

“Integrative medicine is especially important in oncology because it’s important for physicians to know what supplements or practices patients should avoid when on certain cancer therapies due to interactions or lack of safety data,” Dr. Okolo added.

FINDING HER PATH TO BECOMING A DOCTOR

Dr. Okolo, who moved with her family to Texas from Nigeria when she was 9, was not always interested in medicine. She originally wanted to major in art, but as first-generation immigrants, her parents wanted her to enter a more traditional profession, such as a doctor, she said. Dr. Okolo graduated from Johns Hopkins University with a bachelor’s degree in cognitive sciences, but still needed a gap year in Spain where she taught English, to think about if she truly wanted to pursue medicine.

“It was probably the most illuminating year of my life,” she said. “I returned to the US and was ready to go to med school.”

However, by the time Dr. Okolo came back to US, she had missed the application cycle for US schools. She didn’t want to have to retake her MCATs, so family members suggested she look into SGU given its January and August admissions cycles.

“My SGU interviewer sealed the deal,” Dr. Okolo recalled. “She was an attending psychiatrist and she was honest and said ‘You’re going to a Caribbean med school. You have to be the person who determines if you will be successful. If you want to be a doctor and plan on working hard and want a little bit of adventure, then this is the school for you.’ For me, going to an international med school was exciting.”

CREATING MEANINGFUL RELATIONSHIPS

As a physician, Dr. Okolo attributed honesty, courage, empathy, and resilience as the most important qualities of a good physician, especially in the field of oncology.

“You’re going to have to look someone in the eye and be able to tell them a lot of difficult news including ‘This is not a curable stage anymore.’ I’ve been in situations where you don’t want to extinguish hope, but you want to be able to prepare them for what is coming,” she said.

“It’s a hard field. You definitely share in their joys, but also their heartbreaks. You have to remember to go home and be present in your life and be with your own family,” added Dr. Okolo, who is recently married.

In order to be able to do both fellowships concurrently, Dr. Okolo formed a strong support system while at Arizona Cancer Center. Ravitharan Krishnadasan, MD, FACP, an associate professor of clinical medicine in the department of hematology and oncology at the University of Arizona Cancer Center, is one of Dr. Okolo’s mentors and an attending physician.

“Integrative medicine is one of the things that Onyema has a passion for,” said Dr. Krishnadasan, who is also an SGU graduate. “It makes her more of a comprehensive physician because she is not closed off to other treatments or medication to help decrease, for example, the anxiety that comes along with a diagnosis of cancer.”

Yet Dr. Krishnadasan noted that it is Dr. Okolo’s strong rapport with patients that will make her an excellent physician. “In oncology, you really do have the opportunity to have relationships that are so much deeper because a patient looks to you to really guide them to what they’re going to face in the future. If you handle it correctly, as a physician, it can make your life so much more rewarding,” he said.

Dr. Okolo credits her early experiences at SGU as helping her form a good patient-doctor bond.

“SGU really exposed me to variety,” she said. “When you go into St. George’s Hospital, there were some people who were incredibly grateful to have the students there and other patients who were there and you could feel the distress immediately. I definitely learned how to read a patient when you first walk into the room and understand where they are coming from. If you’re sensing distress and mistrust, it’s your job to help them understand you want the best for them. People can tell if you are being honest or not with them.”

– Laurie Chartorynsky

Grad Serves Her Country as US Air Force Physician and Flight Surgeon

Mayra Zapata, MD '15, US Air Force physician and flight surgeonDuring her time serving in active duty in the United States Air Force, Maj. Mayra Zapata, MD ’07, has participated in her fair share of humanitarian and disaster relief missions in places like Peru, West Africa, as well as across the US. But it is the people and cases she sees close to home as an internal medicine physician at the Joint Base Langley-Eustis in Virginia, and as a flight surgeon for the 911th AF Reserve unit in Pittsburgh, that make her proud to be a military doctor.

“As an officer in the Air Force, you have the opportunity to touch the lives of many young adults who need your guidance in a positive way. This is the reason why I love this job,” said Dr. Zapata. “I love being able to use my skills as a doctor to help someone understand what is going on with their health and what’s happening to their bodies.”

As an active duty internal medicine physician from August 2011 to August 2015, Dr. Zapata was stationed at Langley Air Force Base in the base’s clinic, where she treated those in service as well as their dependents for a variety of ailments and chronic illnesses.

In 2013, during a trip to Peru on a humanitarian mission with the Air Force, Maj. Zapata worked with a flight surgeon who asked her to join her team. She agreed and through the military she learned aerospace medicine and its effects on pilots and the flying crew.

“To be a flight surgeon, you need to understand the changes in physiology that occur when the flying crew are exposed to different environments, such as flying thousands of feet above ground,” Dr. Zapata said. “The job is important since we use our medical knowledge and knowledge about aerospace to decide if a military member is fit to fly or not.”

Added Dr. Zapata: “I have grounded pilots when they have a common cold for the simple reason that they might not be able to clear their airways when flying at high altitudes, which can cause oxygenation difficulties, trauma to their ears, and additional safety concerns.”

Today, as a civil services internist in the operational clinic at Joint Base Langley-Eustis, she serves the active duty population, doing what she loves. As a reservist, she travels to Pittsburgh once a month to fulfill her requirements, which gives her a more balanced lifestyle in order to take care of her four children while still serving the military in some capacity.

“As a reservist, I can get orders to deploy and serve my country any time, and I am up for the challenge,” she said. “I do not see a better way to thank the country which adopted me and has given me the opportunity to be who I am today as a doctor and as a human being.”

Col. Jennifer Brooks, USAF, MC, a family health flight commander at Joint Base Langley-Eustis and Dr. Zapata’s supervisor, echoed her dedication to her job. “Dr. Zapata is compassionate and thorough—she clearly cares about her patients and goes above and beyond to do the right thing for them,” she said. “She is always thinking about how a patient’s condition will affect his or her military duties and ability to deploy. She never loses this focus. This attribute is crucial to be an excellent military physician.”

PATH TO MEDICINE

Originally from the Dominican Republic, Dr. Zapata moved to the Bronx, NY, with her family when she was a teenager. She learned English and received her bachelor’s degree in psychology from nearby Lehman College. Having an interest in medicine, Dr. Zapata took pre-med classes at Columbia University, but put med school on hold after she got married and had her oldest two of four children. After working for a few years as an HIV case worker in the Bronx, she sought out advice from her student advisor at Columbia on how to get into med school. The advisor recommended she consider international med schools. She applied to St. George’s University and began in January 2003, bringing her children with her to Grenada.

“The school made me and my family feel welcomed, and SGU’s faculty, notably Dr. CV Rao and his wife, Dr. Vijaya Chellapilla, were very important in my success,” said Dr. Zapata.

Following her internal medicine residency at Lutheran Medical Center in Brooklyn, NY, as she was contemplating her next step, Dr. Zapata came across an officer of the US Air Force who encouraged her to look into military medicine. Being in her late 30s, she was concerned she was too old to go into the military. However, there is no age limit to enter the military as a physician.

She contacted a medical recruiter for the USAF, and after a lengthy eight-month process and background check, Dr. Zapata was commissioned as a USAF medical officer. She took her medical boards in August 2011 and just days later left for basic training in Alabama. The experience has only strengthened her medical knowledge and skills.

“In the Air Force, I have worked with many doctors from Ivy League schools, and as a graduate from SGU, I do not see any difference,” she said. “As a doctor, I feel as competent and as effective. SGU was an amazing experience for me.”

 

–Laurie Chartorynsky