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

2020 SGU/NU Entering Class Begins on Path Toward Unique Role in Society

Thirty-eight students commit themselves to the medical profession with last month’s White Coat Ceremony in the UK, part of St. George’s University of Grenada School of Medicine/Northumbria University Four-Year MD Program. With last month’s White Coat Ceremony, the 38 students in the St. George’s University of Grenada School of Medicine/Northumbria University Four-Year MD Program not only committed themselves to the medical profession but, through their training, putting themselves in a unique position in society.

“You will develop the skills for close and intimate contact with patients during some of their most difficult times,” said Dr. David Heymann, director of the Center of Bioethics and Humanities, University of Colorado, the evening’s keynote speaker. “You will have their full trust. From your interaction with them and their families, you will see the world in a way that many others cannot. If you take advantage of this special gift of trust, you will gain insight that only the medical profession can provide.”

This year’s class joined a network of more than 1,800 SGU students who began their studies at NU’s campus in Newcastle, United Kingdom. The class includes 37 students from countries such as the United States, Canada, the UK, Uganda, Thailand, and Australia. The students were robed in their white physicians’ coats – symbolizing their entry into the medical profession—and took an oath of commitment to uphold the highest ethical and professional standards of “duty and trust.”

“The next four years will help mold you into the doctor you will become,” said Jonathan Ashcroft, MD/MSc ’10, deputy lead microbiologist for the UK’s Public Health Rapid Support Team, who emceed the ceremony. Dr. Ashcroft began his own studies at SGU as part of the program, then the Keith B. Taylor Global Scholars Program. “While the lectures, practical labs, and clinical skills workshops will provide you with the critical and indispensable knowledge and skills, it is the lessons you learn from interactions with your patients that will always remain with you and truly shape what sort of physician you will be.”

Dr. Richard Liebowitz, vice chancellor of St. George’s University, harkened back to his own medical school journey, and spoke of how the experience changed his life. Like the 2020 entering class will do, Dr. Liebowitz spent the first two years learning the basic sciences, but it wasn’t until his clinical rotations that he fully grasped the connection that physicians make with patients and their families.

“I learned that being a physician was much more than being somebody who knew how the body operated,” he said. “I was exposed to a number of people from varying backgrounds, which helped me understand that you are granted access that no other profession has. You’re there at the happiest times—with birth—and also at the most trying times—with death. It’s important to be professional. Being given the opportunity to partake in this part of people’s lives puts a responsibility and a demand on us, and being professional as a physician is critical as you go through training and your practice.”

The SGU/Northumbria joint program, formerly the Keith B. Taylor Global Scholars Program, was founded in 2007 to create a pathway for highly qualified international students to pursue a medical education by spending the first year of their physician training with SGU at Northumbria, before going to Grenada to continue their studies.

“Today is a very special occasion as we recognize the start of our new students’ learning journey on the way to becoming qualified doctors,” said Professor Andrew Wathey, Vice Chancellor of Northumbria University. “Our partnership with St. George’s University is a clear example of both institutions’ global perspective in action, and our shared vision for building on our international reputations for academic excellence.”

Photos by Caed Parker, Class4studios.com

 

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

SGU Students Post Perfect Pass Rate on Canadian Medical Exam

St. George’s University students and graduates soared on the Medical Council of Canada Evaluating Examination (MCCEE) in 2017-18, registering a 100 percent first-time pass rate according to a report issued by the MCC. The exam is a measurement of medical knowledge compared to Canadian graduates, and a passing grade is a prerequisite for obtaining licensure to practice medicine in Canada.

By contrast, the MCCEE pass rate for students and graduates from all other international medical schools was 67 percent.

“We are so proud of our students, who emphatically demonstrated their depth of medical knowledge on the MCCEE,” said Sandra Banner, SGU’s director of admission for Canada. “The MCCEE has long been the gateway to residency training and practice in Canada, and we’re excited not only for these students but for the patients who will count on them.”

In place since 1979, the MCCEE was replaced in 2019 by the Medical Council of Canada Qualifying Examination (MCCQE) Part I, which is comprised of 210 multiple choice questions.

“St. George’s University strives to provide all the necessary elements for students to not only succeed on such exams but to provide the highest quality of care,” said Dr. G. Richard Olds, SGU president. “We look forward to continuing to educate top-notch physicians for Canada and countries around the world.”

St. George’s University’s pipeline to Canada grew even stronger in 2019. SGU welcomed four institutions to its network of clinical training sites in CanadaPembroke Hospital, North Bay Dermatology Centre, Ottawa Cardiovascular Centre, and Booth Neurology. In addition, 18 SGU graduates matched into Canadian residency positions across six provinces and in fields ranging from family medicine and psychiatry to pathology and anesthesiology. From 2010-2019, more than 140 SGU grads obtained a residency position in Canada.

– Brett Mauser

From the Navy to the OR: SGU Grad Trades Uniform for White Coat

A high-pressure environment. Critical problem solving. A wide array of challenges. The operating room was exactly the type of workplace atmosphere that Georgios Mihalopulos, MD ’18, set out to find when he began working toward a career in medicine. It also mirrored his life as an officer in the Canadian Navy, a position that he held before and during medical school.

“I always say I love stress and I hate sleep, so that’s why surgery is the perfect field for me,” said Mihalopulos, a second-year surgery resident at Waterbury Hospital in Connecticut. “It just seemed like the most natural thing in the world for me to do.”

His military career began in 2008 when, while completing his undergraduate degree at the University of Western Ontario in London, he joined the Canadian Navy Reserves, convinced by a friend that it would be “the greatest adventure of a lifetime.”

He wasn’t wrong.

“I thought this was something I would do just for two or three years while I was at university,” Mihalopulos said. “But after I graduated, I took an additional two years off and worked for the Navy full-time. I just fell in love with it—the atmosphere, the training commissions, and the unique opportunity that it was. It was a great experience and I think it was the one thing that prepared me the most for medical school.”

Dr. Mihalopulos joined the St. George’s University of Grenada School of Medicine/Northumbria University Four- and Five-Year Program, which offered him the opportunity to learn a new healthcare system, enjoy smaller class sizes, and immerse himself in European culture. As an added bonus, he was able to work with the British Navy, with a naval reserve unit only a 10-minute walk from the NU campus.

“Through our embassy and theirs, we were able to coordinate an exchange program where I got to work with British sailors, do a couple of exercises and learn how they do things, as well as show them how we do things in Canada,” he said.

Dr. Mihalopulos spent 10 years in the Navy, graduating to become a fully qualified naval warfare officer responsible for the day-to-day navigation of the ship, coordinating its activities, and managing inter-ship operations. He has drawn comparisons between the operating room and his military background in how they function day-to-day. The bridge of the ship and the operating room are a lot alike in gathering information, working with a team to coordinate the best course of action, and making critical decisions within a short space of time.

After residency, he will look to complete a fellowship in plastic surgery, and hopes to work with fellow surgeons and medical personnel to coordinate a multi-disciplinary approach to upper- and lower-lip trauma.

“What we’ve found in our research is that if you can have the best people from multiple disciplines approach a problem together you get better results,” he said. “It’s amazing to take muscle or bone from one part of the body and use it to reconstruct another part of the body. You really have the ability to change somebody’s life.

“There’s a saying: ‘the general surgeon can save your life while the plastic surgeon can give you your life back,’” he continued. “You see it especially with breast cancer, which is such a life-changing experience for the patient. I enjoy doing anything that helps get patients back to where they were and get their confidence back.”

–Ray-Donna Peters

 

 

St. George’s University School of Medicine to Welcome First April Class of Students

St. George’s University School of Medicine announced that it will launch a new spring class that will allow students to begin pursuing their medical degrees in April.

“St. George’s is a leader in medical education, and our new April Class will enable us to offer our educational experience to even more students from all over the globe,” said Dr. Richard Liebowitz, vice chancellor of St. George’s University. “We look forward to welcoming a diverse group of talented students seeking a more flexible medical education to campus this spring.”

Students who enroll in the April class will become part of an intimate learning community that will help them adjust to the rigors of medical school. Members of the April Class will have access to all the same academic supports and services as students who enroll in January and August. Additionally, each student who enrolls in the April class will receive an Inaugural April Class Grant and are eligible to receive other merit- and need-based scholarships.

April enrollees have additional time to prepare for Step 1 and Step 2 of the U.S. Medical Licensing Exam, just as those who start in January do. They’ll also have more time to prepare for residency. They will have the opportunity to complete more electives in competitive specialties and will gain increased exposure to residency directors prior to the match process.

St. George’s is the second-largest provider of licensed physicians to the U.S. healthcare system.[1] In 2019, its graduates matched into residency programs in 18 different medical specialties across 42 U.S. states and the District of Columbia.[2]

“St. George’s strives to make medical school accessible for aspiring physicians from traditional and non-traditional backgrounds alike,” Dr. Liebowitz said. “We are excited to help a new class of students fulfill their dreams of becoming doctors.”

[1] https://www.fsmb.org/siteassets/advocacy/publications/2018census.pdf p. 13-14

[2] https://www.sgu.edu/academic-programs/school-of-medicine/graduate-success/

US News Shines Light on “What to Know about Caribbean Medical Schools”

US News & World Report recently published a news story titled “What to Know About Caribbean Medical Schools,” in which it outlined the success of institutions such as St. George’s University and identified criteria by which aspiring physicians should evaluate all of their options, in the US and beyond.

In the story, reporter Ilana Kowarski spoke with Dr. G. Richard Olds, president of SGU, and Robert Ryan, Dean of Admissions about what separates SGU from other often non-accredited Caribbean schools that haven’t demonstrated a clear path to residency and a career in medicine. They also shed a light on the many qualities that SGU is looking for on applications.

“We often see that our very strong students after year one and two are those that we took that chance on and said, ‘Hey, we’re going to give you that opportunity to show us that you can succeed in medicine,'” Mr. Ryan said.

In addition, Ms. Kowarski interviewed Ashley Steinberg, MD ’11, who graduated from SGU and now serves as a plastic and reconstructive surgeon at The Clinic for Plastic Surgery in Houston.

“The best indicator of how good a school is would be where its recent graduates matched into residency and what they are doing now,” Dr. Steinberg said.

SGU Year in Review: A Look Back at the New Stories that Defined Us in 2019

2019 was a monumental year for students, faculty, and alumni of St. George’s University. SGU became the second-largest source of doctors for the entire US workforce. We placed 979 graduates into US and Canadian residencies—our highest number to date.

But that’s not all.

The School of Veterinary Medicine received full accreditation by the Royal College of Veterinary Surgeons (RCVS), and is now one of the few schools in the world that is accredited by the American Veterinary Medical Association in the United States and RCVS in the UK. The School of Arts and Sciences welcomed its first Caribbean national as dean.

SGU profiled many graduates who are making waves in human and animal healthcare industries—showcasing the diversity and reach of our global alumni—and how becoming a doctor (or veterinarian) has changed their lives and the lives of their patients.

These are the stories that underscore SGU’s strengths and define us as a University as we aim to enhance student success and grow the number of healthcare professionals around the world. Read on to see the top news stories of 2019 on SGU.edu.

Match Day 2019

On Match Day 2019, hundreds of SGU students secured first-year residency positions in the United States. Students matched into highly competitive positions in fields such as anesthesiology, child neurology, diagnostic radiology, emergency medicine, family medicine, internal medicine, internal medicine/emergency medicine, internal medicine/pediatrics, neurology, obstetrics and gynecology, pathology, pediatrics, physical medicine and rehabilitation, psychiatry, surgery, urology, vascular surgery. They joined residency programs in 42 US states and the District of Columbia over the summer.

In addition, SGU students and graduates obtained first-year residency positions through the Canadian Resident Matching Service (CaRMS).

Profound Impact: SGU Educated Second-Most Licensed Physicians in US In 2018

For more than 40 years, St. George’s University has provided highly qualified physicians to the United States, and never before has its impact been more evident. According to a report published in the Journal of Medical Regulation, SGU educated the second-most licensed physicians in the United States in 2018.

SGU Commencement 2019

In June, the School of Medicine’s newest class of physicians convened together one last time in New York City for SGU’s annual commencement ceremonies. Family and friends gathered at Lincoln Center to watch the graduates join an alumni network of more than 17,000 physicians who have gone on to practice in all 50 United States and in over 50 countries worldwide.

In addition, animals of all shapes and sizes gained caretakers and advocates when the SGU School of Veterinary Medicine granted Doctor of Veterinary Medicine degrees to 83 new veterinarians in New York City. New veterinarians joined an alumni network of 1,670 veterinarians who built a foundation for their careers at SGU.

In Grenada, graduates from 31 countries were among the 2019 class that included more than 230 students from the School of Arts and Sciences, and 110 from the School of Graduate Studies, with one PhD graduate in attendance.

DVM Program Gains Full Accreditation from Royal College of Veterinary Surgeons

Adding to its growing list of achievements, the St. George’s University’s School of Veterinary Medicine’s Doctor of Veterinary Medicine (DVM) program 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.

Grenada-Born SGU Alum Returns Home to Care for His Nation’s Heart

As a practicing cardiologist, Diego Humphrey, MD ’84, a native Grenadian, serves the retired men and women of the US Armed Forces at the Jack C. Montgomery Veterans Affairs Medical Center in Muskogee, OK. Yet Dr. Humphrey, who never forgot his roots, returns each year to donate his time and expertise to the SGU-Physician Humanitarian Network.

Commonwealth Conference Focuses On Student Success

More than 350 educators from Grenada and around the world descended on SGU for the Council for Education in the Commonwealth (CEC) 2019 annual conference. The 2019 conference marked the first time that the CEC’s annual event had been held in the Caribbean region.

Mother’s Cancer Battle Motivates SGU Grad to Become Breast Surgeon

Joseph Di Como, MD '14

A doctor delivered the news—cancer, an aggressive form. Joseph Di Como’s mother, a cornerstone of the family, would have to undergo surgery and many months of treatment. Her struggle changed the course of his life forever. More than 15 years later, now a doctor, Joseph Di Como, MD ’14, is providing important care and instilling hope in patients as a breast surgical oncology fellow at Brown University, Women and Infants’ Hospital of Rhode Island.

Major Canadian Hospital Joins SGU’s Burgeoning Clinical Network

Adding to more than 70 clinical training locations across North America and the United Kingdom, St. George’s University finalized an agreement with Pembroke Regional Hospital in Ontario, Canada that will offer fourth-year students a range of disciplines to choose from for their clinical electives.

Eugene Becomes First Caribbean National to Lead SAS

As the new Dean of St. George’s University’s School of Arts and Sciences (SAS), Dr. Lucy Eugene is deeply committed to its growth. A native of Trinidad and Tobago, she is the first Caribbean national to become the school’s dean.

Equine Veterinarian Shares Path to Horse Country

When S. Heath Soignier, DVM ’12, CVMST, isn’t visiting his equine patients, one can usually find him practicing new holistic veterinary medicine techniques on his quarter horse, Margarita.

“To me horses and dogs are two of the best animals: if you trust them completely, they are most willing to reciprocate that trust. Not a lot of animals are like that,” Dr. Soignier said. “I love that I get to work with horses all day long.”

—Laurie Chartorynsky

Global Touch of Medicine Selective Celebrates 10-Year Anniversary

This past November, faculty members with the St. George’s University of Grenada School of Medicine/Northumbria University Four- and Five-Year MD Program celebrated the 10-year anniversary of the Global Touch of Medicine (GToM) selective, hosting its landmark 150th event.

Professor Steve Clark, a consultant cardiopulmonary surgeon at Newcastle Hospitals, delivered a lecture as part of the Global Scholars Lecture Series, speaking on the topic of “Robotics in Heart and Lung Surgery – Friend or Foe?” A regular contributor to the GToM selective, Professor Clark is one of over 60 physicians and scientists who have given presentations to the students studying in the SGU/NU program. Other examples of regular contributors include Professor Alan Fenwick from Imperial College, London on “The Fight Against Neglected Tropical Diseases”; Professor Simon Bailey, consultant paediatric oncologist at The Great North Children’s Hospital on “Children with Cancer in Malawi”; and Professor Deiary Kader, consultant orthopaedic surgeon, SW London Elective Orthopaedic Centre, on “The Work of the Newcastle-Gateshead Medical Volunteers in Orthopaedic Surgery in Iraq and the International Red Cross in The Lebanon.” Topics have ranged from the Jehovah’s Witnesses beliefs and practice relating to “Blood Conservation and Non-Blood Management” to the work of Medecins Sans Frontieres in South Sudan, Haiti, Bangladesh, and Sierra Leone).

Students taking the GToM selective have also benefitted from hearing presentations by some of their fellow students who have been on SGU’s international selectives in India, Kenya, Prague, Thailand and Sweden. The accounts of the experiences of these students are delivered with professionalism and enthusiasm and have inspired many students in their audience to also participate in such selectives when the opportunity arises.

The Global Touch of Medicine selective was initiated in the early years of the Global Scholars Program by SGU faculty members, Drs. Robbie Hage and David Holmes, with the aim of giving the SGU MD students studying in Newcastle the opportunity to learn more about various aspects of global medicine. The Global Scholars Lecture Series has welcomed eminent physicians and scientists to present their experiences of working in various countries worldwide and give students and faculty the opportunity to learn about medical practices in the developed world that may be applicable globally, now or in the future. Selective activities have also included workshops on global medical issues (e.g. FGM and malaria), visits to medical museums in the UK (e.g. The Surgeons’ Hall Museum in Edinburgh), and attendance at the North of England Physicians Symposia at various hospital locations in the North East England.

Cardiology in Ghana

In terms of knowledge and understanding of global health issues, the SGU/NU MD students taking the GToM selective benefit in many ways, not least in the appreciation of the humanitarian ethos that is so fundamental to medical practice. The following account of the work of a group of local UK physicians carrying out cardiac surgery in Ghana, presented in another Fall 2019 GSLS lecture, is a good example of the ethos that the GToM selective attempts to instill in its participants.

In September, students and faculty from the SGU/NU program were privileged to hear a presentation by Mr. Enoch Akowuah, clinical director and cardiothoracic surgeon at South Tees Hospitals NHS Trust, about the work of his team in performing heart operations in an under-resourced region of Ghana. His team included cardiologists, surgeons, an anesthesiologist, intensive care nurses, and technicians. Their destination was Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana’s second largest city, which they visited in February 2019. The audience learned that Ghana’s only functioning cardiothoracic center is located in southern city of Accra. In central and northern Ghana—the area served by KATH—there has been no access to cardiac surgery for the 15 million people who live there. Although KATH had recently appointed a cardiac surgeon, there was a severe lack of the equipment required to carry out heart surgery for the many patients who require operations.

The incidence of acute rheumatic fever in Ghana is very high, with 13 percent of the population being throat carriers of Group A Streptococcus, 40 percent of whom develop rheumatic heart disease. In KATH itself, rheumatic heart disease accounts for 22 percent of all admissions with heart failure. By contrast, the mainly Western condition of ischemic heart disease accounts for only 4 percent of cases. The median age of patients admitted with heart failure is 29 and, of all deaths in KATH, 29 percent are due to heart failure resulting from rheumatic heart disease. Until the visit of Mr. Ahowuah’s team, no patients received surgery for this condition.

The Teeside team was inspired by the work of Dr. Emily Farkas, a US cardiac surgeon famed for her humanitarian work in developing countries. Dr. Farkas’ CTSNet video on her work in Nigeria was the trigger for Ghanaian-born Enoch Akowuah to bring together a team for the medical mission to Kumasi. Indeed, Dr. Farkas was present on the team’s arrival at KATH to support them with her wealth of experience in similar missions throughout the world.

Mr. Akowuah explained to his audience that, before the mission could start, £30,000 needed to be raised to fund the equipment and medical supplies required for the intended operations. His videos about the logistics of raising that sum of money, together with the purchasing, storing, transporting, and unpacking the equipment in Ghana, allowed the audience to appreciate the amount of work and planning required even before the mission began.

Videos were also shown of the South Tees team enacting a “practice run” operation on a manikin; this highlighted issues, particularly in resources, that needed to be resolved before surgery was performed on real patients. Mr. Akowuah then showed clips of operations involving both heart valve replacement and the fitting of pacemakers on actual patients.

It was sobering to hear that the cost of a pacemaker is about $6,000 whilst the average annual income in Ghana is $2,200. Not surprisingly, the many young adults in the locality who have rheumatic heart disease cannot afford treatment. However, the work of this volunteer team is ongoing, and they hope to continue to fund the equipment required for the operations, including artificial heart valves and cardiopulmonary bypass circuits. In addition to the work the team carried out in Ghana, 10 KATH doctors are currently being trained at the Teeside University hospitals, with the intention of them being able to carry on the work of Mr. Akowuah’s team in the future. Indeed three of the physicians from Kumasi—Dr. Yaw Adu-Boakye (cardiologist) Dr. Lambert Appiah, (cardiologist), and Dr. Samuel Kontoh (pharmacist)—were present at the lecture and were able to have further discussions with the SGU MD students afterwards, including the possibility of raising funds for the vital work being carried out in Ghana.

Learn more about this initiative by visiting justgiving.com/crowdfunding/heartsurgerymissiontoghana.

SGU Physician Humanitarian Network Gives Back to Host Nation

Many SGU graduates feel a strong desire to give back to a nation that they credit as playing a major part in successfully achieving their dreams. Now in its 12th year, the St. George’s University Physician Humanitarian Network (SGU-PHuN) continues to allow them to do just that.

Over the years, the program’s visiting specialists have donated their time and expertise to providing much-needed healthcare services, pharmaceuticals, supplies, and other medical equipment to the Ministry of Health and Government of Grenada in efforts to facilitate substantial improvements to the island’s healthcare infrastructure. This year was no different.

“2019 has been another productive and impactful year for the SGU-PHuN in physician participation by our graduates and associates,” said Brendon La Grenade, vice provost for institutional advancement. “SGU-PHuN captures the community spirit of SGU in a very direct way. Our graduates continue to return to the island to deliver a vast array of voluntary specialty medical care including ophthalmology, cardiology, endocrinology, and neurology to name a few. The value in these programs is not measured in the millions of dollars in donations and services delivered but more so in the lives of the individuals we impact in a positive way.”

“For 2020, St. George’s University will continue to collaborate with the Government of Grenada and the Ministry of Health in tackling the most critical issues on our priority list,” added Dr. G. Richard Olds, president of SGU. “Working with our alumni and growing network of support, SGU-PHuN will continue assisting with the improvement of healthcare with the goal of ensuring that Grenada and our St. George’s family are given the level of healthcare that everyone expects, and everyone needs.”

With more than 25 visiting physicians, this year cardiology and ophthalmology continued to flourish as the flagship programs, benefitting more than 1,000 patients with 113 surgeries performed. Other specialty visits included OB/GYN, neurology, endocrinology, podiatry, and a first-time otolaryngology visit during which 81 patients were screened. These are all procedures that were once unavailable to the people of Grenada due to lack of access to specialists and the funds to attain these required surgeries.

Particularly noteworthy this year was the new collaboration with Surgical Eye Expeditions (SEE) International, a non-profit organization that treats a variety of sight-impairing conditions around the world. The partnership spearheaded by the father-daughter duo of Orazio Giliberti, MD ’82, and Francesca Giliberti, MD ’10, performed a two-week clinic with six visiting surgeons who evaluated approximately 250 patients and performed 49 surgical procedures, including cataract surgery. Considerably the largest eye care event in Grenada’s history, the overall donation provided free of charge to the clinic, including airfare, shipping costs, patient visits, and ophthalmic surgeries, totaled over $750,000 USD.

“In an amazing outpouring of philanthropy, our team and SGU’s Division of Ophthalmology secured an additional operating scope, slit lamp, phaco machinery, and microinstruments, as well as, pharmaceutical donations to the SGU-PHuN clinic,” said Orazio Giliberti, MD ’82, FACS. “These machines and materials mimic a US-style operating room, which will allow future graduates, physicians, and SGU friends and guests to provide essential ophthalmic services.”

Interventional cardiologist, Mark Lanzieri, MD ’85, was also recognized this year for his 20 years of service, receiving an honorary Doctorate of Humane Letters for his selfless contributions of cardiology services free of charge to Grenadian citizens. As the founder of SGU-PHuN’s interventional cardiology program, Dr. Lanzieri and his team, which includes his wife, Annie; an X-ray technologist; and cardiovascular specialist, have seen a wide variety of patients since the program’s inception. The value of their time and the equipment donated has exceeded $1 million and resulted in countless lives saved.

“For many people, this is life changing, whether it is a single-chamber pacemaker, a stent, or simply something that allows them to go back to work or keeps them out of the hospital,” said Dr. Lanzieri, staff cardiologist, Steward Health Care in Massachusetts. “This work is important because there are immediate benefits conferred to patients who do not need to leave their family and social support networks. It is pure humanitarian medicine at its best and I love what I do.”

Highlights from this year also included, visits from two top-tier Grenadian-born physicians, endocrinologist Dwight Matthias, MD ‘92 and Diego Humphrey, MD ’84. The program also hosted a number of legacy visits, as several graduates returned with their children to participate in giving back to Grenada, such as interventional cardiologist Thomas Vazzana, MD ’85 and his daughter Virginia Vazzana, MD ’17, OB/GYN Philip Lahrmann, MD ’81 and his son Jeffrey Lahrmann, MD ’15, and ophthalmologist Dr. Fred Lambrou, whose stepson is currently a student in SGU’s School of Medicine.

According to Mr. La Grenade, 2019 saw tremendous growth both of the program and the University as a whole. With SGU grads now participating alongside their children, this highlights SGU-PHuN as an incredibly worthwhile venture and showcases the reach of SGU and the value it places on the Grenadian community. Continuing to build on the past 12 years of achievements, the program is poised to provide even greater improvements in the future, further strengthening its connection to Grenada’s medical community and reinforcing the bond between the University and its host country.

“SGU, through SGU-PHuN, is all about working with the Grenadian community toward improving access and expanding the range of available healthcare to its citizens,” Mr. La Grenade said.

–Ray-Donna Peters