Pathology Resident Making Impact Through COVID-19 Research at Mayo Clinic

Nicholas Boire, MD '19

Photo courtesy of the Mayo Clinic.

Being a pathologist is an important specialty in the medical field that is critical to understanding how diseases affect the human body. It is a specialty that is particularly applicable as the healthcare industry grapples with treating those affected by the novel coronavirus (COVID-19), according to Nicholas Boire, MD ’19, a pathology resident at the Mayo Clinic in Rochester, MN.

“Infectious disease pathology has never been more relevant than now, when we’re actually in a situation where we have a new disease and we, as a science community, are not yet sure how this disease functions,” Dr. Boire said. “We’re still uncovering how COVID-19 affects each body system and its pathophysiology. There are a lot of unknowns with the disease and that’s where my specialty comes into play.”

As an anatomical and clinical pathology resident in the Department of Laboratory Medicine and Pathology at the Mayo Clinic, the top hospital in the United States according to the U.S. News 2020-21 Best Hospitals Honor Roll and Medical Specialties Rankings, Dr. Boire is already making strides within the specialized field. The Long Island, NY, native was part of a team of the institution’s pathologists who performed some of the early autopsies on COVID-19 patients. The group recently published a case report citing its findings.

“COVID-19 (as a pathogen) has been fascinating with regards to my specialty,” he said. “What we saw [in the findings] was a spectrum of neuropathology, including white matter hemorrhages, acute axonal injury, and some lesions that resemble acute disseminated encephalomyelitis. All of this has not been documented before. As our research and understanding of COVID-19 continues to evolve rapidly, it’s helping to highlight what could happen over a clinical course in patients who are hospitalized, which will ultimately help to identify and manage the disease.”

Photo courtesy of the Mayo Clinic.

At the Forefront of COVID-19 Research 

The Mayo Clinic has been doing its part to provide critical COVID-19 information and education to the public, to physicians, and to laboratory scientists. In February, the institution developed its own test and had it validated within three weeks—an “incredible and daunting task to those that know how the process works,” Dr. Boire said. In the following days, the institution brought in other commercial tests, and now has those at its disposal as well.

By the end of August, the institution expects to be able to perform up to 30,000 tests a day on the COVID-19 virus, with results within 48 hours if not sooner, according to Dr. Bobbi Pritt, MD, MSc, DTM&H, chairperson of the Division of Clinical Microbiology at the Mayo Clinic and director of the clinical parasitology laboratory at the institution. As an international reference lab, the institution has been asked by the state of Minnesota and nationwide to help out with testing patients.

In terms of research, the Mayo Clinic has concentrated on four main areas, according to Dr. Pritt: finding new ways to detect the virus itself; finding new ways for detecting antibodies to the virus; looking at ways to detect protective immunity from the virus from those who are infected so that their plasma could be given to other sick patients; and also looking at innovative ways for those who are possibly infected to collect a specimen for testing from the comfort and safety of their own home.

COVID-19 has “really brought pathology to the forefront,” Dr. Pritt said. “It’s a powerful opportunity for us as pathologists to be at the table as part of the team making decisions about testing and treating people.”

Working under Dr. Pritt, his mentor, Dr. Boire has thrived in his residency.

“He is a very enthusiastic, innovative, and an intelligent resident. He is very passionate about microbiology and pathology in general. I can see he has a very promising career ahead of him,” she said of Dr. Boire.

Nicholas Boire, MD '19, with mentor Dr. Bobbie Pritt

Nicholas Boire, MD ’19, with his pathology mentor, Dr. Bobbi Pritt. Photo courtesy of the Mayo Clinic.

A Dream Come True

Obtaining a residency at the Mayo Clinic was a dream come true for Dr. Boire, given the institution’s extensive facilities and strong commitment to patient care and research impressed him.

“The size and scope of their microbiology department is incredible. Each individual pathology subspecialty here is larger than most hospital’s entire pathology department,” he said. “But it’s not only the facility; it’s about the individuals I work with. No matter how difficult a case, there’s always someone to help and one case can be shared with five or six pathologists—each one an expert in a different specialty.”

Dr. Boire spends his days reviewing cases alongside attending physicians involved in his specialty.

“The guiding principle of the Mayo Clinic is that ‘the needs of the patient come first.’ If they believe something will help a patient, they will invest,” he said. “When people around the world don’t know what they have, they come to us. It has been an incredible educational opportunity.”

Nicholas Boire, MD '19

Photo courtesy of the Mayo Clinic.

A Scientist from an Early Age 

Growing up, Dr. Boire was always interested in science and wanted to be a research scientist. With a natural curiosity to learn more, he gravitated toward biology and chemistry. Dr. Boire received his undergraduate degree in biochemistry/molecular biology at Gettysburg College.

Following undergrad, he decided to tackle one of his bucket-list items—by spending time in Africa to serve in the United States Peace Corps. It was while in Africa, volunteering in various clinical settings and shadowing physicians who were providing care to local populations, that Dr. Boire became fascinated with pathology, specifically that of infectious diseases, which were prevalent in the area.

“Pathology interested me because, in medicine, it’s the closest thing to basic science research—uncovering the how and the why of diseases,” he said. “Pathologists are considered the doctor’s doctor.”

Upon returning to the states, he obtained his master’s degree in molecular biology and immunology from the Johns Hopkins Bloomberg School of Public Health. Soon after, Dr. Boire decided to take the next step in his career path by entering St. George’s University School of Medicine MD program.

“SGU got me to where I am and made sure I had the foundational knowledge to be considered competitive during residency interviews,” Dr. Boire said. “The school gave me a foot in the door by helping me get a residency position in one of the best, if not the best, hospitals on the planet, doing exactly what I want to do.”

 

— Laurie Chartorynsky 

D’Elia Memorial Scholarship Established to Honor Late SGU Graduate

Alexis D’Elia, MD ’08

Her future as a cardiologist was as bright as a fresh white coat, her list of achievements in just a short time both long and staggeringly impressive. Alexis D’Elia, MD ’08, was a rising star in medicine, deeply committed to her practice, medical research, and the well-being of her patients.

Only cancer—a difficult opponent for many—could hold her back, and even then it couldn’t. Diagnosed with a rare and aggressive form of breast cancer in 2012, Dr. D’Elia continued to practice and teach and help all of those around her for nearly four years, before passing away on October 26, 2016, at just 34 years old.

To honor their dear friend and roommate, St. George’s University graduates Christine Goette, Panagiota Korenis, Anuradha Naidu, and Francine Scaffidi have created the Dr. Alexis D’Elia Memorial Scholarship Fund. With Alexis’ parents, Joseph and Ann D’Elia, and the fund’s board of directors, they hope to provide funding for a future generation of physicians to attend SGU and conduct potentially life-changing biomedical research.

Dr. Goette said that the ideal candidate not only exhibits a passion for medicine and publishing research but also a zest for life.

“This scholarship is a way to continue to honor Alexis’ passion by continuing her legacy of supporting others, of striving for excellence, contributing to important research, and helping others reach their goals,” said Dr. Goette, an internist with San Rafael Medical Center in California. She added that the board aims to make the scholarship “bolder, bigger, better, and touch even more people” in hopes of it mirroring the ambitions of that for whom it was named.

“We couldn’t be prouder of all that Alexis accomplished in her time as a physician,” added Daniel Ricciardi, MD ’81, dean of US clinical studies for St. George’s University. “She was one of those people who lit up a room and who you never forget. With this scholarship, we look forward to helping other bright students realize their own dreams and make a positive impact on countless patients in the world of medicine.”

A Commitment to Excellence

Alexis D’Elia grew up in a family of lawyers—her grandfather a State Supreme Court judge, her father a magistrate judge, and her brother, Justin, a lawyer as well. Yet she was drawn to medicine from a young age, according to her family.

“She just had a passion for it,” said Ann D’Elia. “She did very well in her science courses. It just clicked with her more so than business or law.”

Dr. D’Elia graduated from Connecticut College with a 4.0 grade point average, with degrees in neuropsychology and psychobiology. During that time, she saw the first of her many research articles published while just a junior in college. Dr. D’Elia was accepted to two osteopathic schools in the United States but opted to pursue a Doctor of Medicine degree at St. George’s University.

While in Grenada, she dove into her studies, and became part of a close-knit student community. Upon graduating, Dr. D’Elia made a quick ascent in cardiology, completing an internal medicine residency and cardiac fellowship at New York University Winthrop Hospital—the hospital where she was born. It was in her second year of her fellowship that she was diagnosed with stage 2 metastatic breast cancer. After major surgery and nine months of chemotherapy and radiation treatment, she returned to her fellowship and caring for patients.

“As long as she could do it, she was going to do it—that’s just who she was, that’s who we remember, and that’s who this scholarship award is named after,” Joseph D’Elia said. “She was an extraordinarily talented woman.”

Her drive led her to finish her cardiac fellowship at Montefiore Hospital Albert Einstein College of Medicine, and take on a second fellowship in cardiac imaging. Then, at the behest of world-renowned cardiologist Mario Garcia, she applied for and was accepted into a vascular fellowship at the prestigious Cleveland Clinic in Ohio.

Shortly after arriving in Cleveland, however, Dr. D’Elia was forced to return home to continue her battle with cancer, yet she still managed to work as a cardiologist at Montefiore.

“She was an extremely caring person, and despite the difficulties she faced personally, she was 100 percent devoted to her patients,” said Dr. Garcia, chief of the Division of Cardiology at Montefiore. “I think she worked until probably the last day she could stand on her feet. It was quite a moving experience for all of us to see what she had to endure. Even until the last moment, she was dedicated to her profession, her patients, and her peers.”

Dr. D’Elia was often accompanied her mother or father on long drives to the Bronx, sometimes through snowstorms, to care for patients.

“I remember asking her when she got out of the car one day, ‘don’t you think you’ve put in enough? Maybe it’s time to sit back,” Mr. D’Elia recalled. “She said to me, ‘I’ve been given a bad hand. I did everything I wanted to do. I’m going to see people in there today who may have never seen a cardiologist in their life. I need to help them.’”

Finding a Cure

In reviewing her own diagnostic imaging, Dr. D’Elia was the first to identify the tumor that spawned a four-year battle with cancer. She and her family visited and consulted with hospitals and cancer institutes around the country—Memorial Sloan Kettering, MD Anderson, New York University, the Cold Spring Harbor Laboratory, and many more. However, her form of breast cancer—HER2-positive disease­—was both rare and aggressive, resistant to customary cancer treatment drugs Herceptin and Perjeta.

For the D’Elia family, their voyage forward is less about treatment than it is finding a cure for their rare condition. Through the scholarship in their daughter’s name, they hope to inspire future physicians to aim high in their own research, to solve the kinds of mysteries in medicine that Alexis D’Elia was primed to find herself, if given more time.

“We’ve dedicated ourselves to this,” Mr. D’Elia said.

The D’Elia family presented the inaugural scholarship award last fall to Matthew Peachey, MD/MSc ’20. Dr. Peachey, who began an internal medicine residency at The Brooklyn Hospital Center in July, was honored with the $10,000 scholarship at a dinner in Dr. D’Elia’s honor.

“I was beyond flattered to receive the award,” said Dr. Peachey, who hopes to serve as a hospitalist in the future. “I keep the award on my desk, and during my most trying days, it is a reminder that things could be exponentially more difficult, and someone believes in me.”

Interested in learning more information or applying for the scholarship? Contact Dr. Panagiota Korenis Rios at korenismd@gmail.com

 

— Brett Mauser 

St. George’s University Adds New US Clinical Sites for Medical School Student Core Rotations

SGU Students at Clinical Rotations

St. George’s University has finalized agreements with seven new hospitals across the United States, including several in California as well as a new venue into the South that will allow for third-year medical students to receive core clinical training during a crucial time in healthcare.

The hospitals that will now be designated as SGU clinical sites include:

  • Baton Rouge General Medical Center in Baton Rouge, LA
  • Doctor’s Medical Center in Modesto, CA
  • Hemet Valley Medical Center in Hemet, CA
  • MacNeal Hospital in Maywood, IL
  • Mission Community Hospital in Panorama City, CA
  • Westchester General Hospital in Miami, FL
  • Wyckoff Heights Medical Center in Brooklyn, NY

Each hospital will offer a range of core rotations for third-year students including: internal medicine, emergency medicine, pediatrics, family medicine, OB/GYN, surgery, and/or psychiatry. The hospitals will also offer students elective rotations; more information on electives available at each hospital will be forthcoming.

“The new clinical sites offer placement for all students, but especially for those who hail from Florida, California, Louisiana, or nearby states, who would like to continue their clinical training closer to home,” said Daniel D. Ricciardi, dean of clinical studies for SGU’s School of Medicine. “In addition, given that each hospital has a residency associated with it, a clinical placement could also lead to opportunity to audition and interview for residencies in any of these hospitals for our students—that’s the key.”

Wyckoff Heights Medical Center

Wyckoff Heights Medical Center in Brooklyn, NY.

With accredited programs in emergency medicine, internal medicine, surgery, obstetrics, and pediatrics—in addition to electives that span the gamut—Wyckoff Heights Medical Center is ready for SGU students to enter its doors for continued medical education, said Dr. Ken Freiberg, vice president of medical education at the institution.

“We are really looking forward to this,” Dr. Freiberg said. “We are going to probably have approximately 100 SGU students at our institution for clinical training by September or October.”

Following rotation fulfillment, students will be encouraged to apply for the highly competitive residency programs at the hospital, he added.

This year, more than 1,100 SGU grads matched in residency programs that span internal medicine to pediatrics, emergency medicine, surgery, and anesthesia, among other specialties.

SGU has developed longstanding relationships with many hospital and clinical center partners in the US and United Kingdom. The additional clinical sites boost SGU’s clinical network to more than 60 locations across the US, with another 17 clinical sites in the UK.

In 1999, SGU’s School of Medicine inaugurated a system of clinical centers to add to its already impressive list of affiliated hospitals. A clinical center is defined as a hospital, or group of hospitals, able to provide at least four core rotations and train 80 to 100 students at all times while providing sub-internships, primary care rotations, and electives.

View SGU’s list of affiliated hospitals and clinical centers on our website.

“Our clinical rotations allow our students to gain knowledge of different patient populations in a variety of settings and environments, offering valuable hands-on experience as they complete their final two years of medical studies,” said Dr. Richard Liebowitz, vice chancellor at SGU. “These clinical site additions allow SGU to expand upon a system that has proven successful not only in the education of our medical students, but also in creating a community for students to thrive. We are thrilled to add these new locations to our broad clinical network.”

Incoming third-year students will be able to apply for clinical rotations at each of the hospitals starting in September. For more information, please email Dean Ricciardi at dricciardi@sgu.edu.

 

 

 – Laurie Chartorynsky

SGU Grad Translates Research Evidence to Combat COVID-19

Ahmad Firas Khalid, MD '09

Ahmad Firas Khalid, MD ’09

As a medical doctor, a health policy researcher, and a lecturer on health systems, Firas Khalid, MD ’09, finds himself in the perfect position to utilize the knowledge and experience he’s acquired to address the present health crisis and its urgent population health needs.

Currently a research manager at Evidence Aid, Dr. Khalid’s expertise in health policy, specifically in health and humanitarian emergencies, is put to good use, as he dedicates his time and effort into translating research evidence to inform policy and practice since the beginning of the pandemic. He spends most of his days ensuring that review summaries relevant to COVID-19 displayed on the company’s website are robust, high-quality, clearly-written and accessible to all users.

“I was always keen to pursue a career in healthcare and in health systems,” said Dr. Khalid, who’s originally from Jordan. “I was particularly drawn to learning how to better strengthen health systems’ response to emergencies. Although I no longer practice medicine as a clinician, I utilize the medical knowledge and experience I acquired from SGU daily in all the roles I play—as an educator to my diverse set of students and as a health policy researcher and advisor on key health issues.”

On a professional level, for Dr. Khalid and many others in the medical community, the pandemic has had a significant impact on his life. He finds himself on the news almost daily, answering COVID-19 pressing questions by the public and utilizing his social media platforms to help disseminate the best available evidence. Meanwhile, as an educator, he’s used this time to push himself to create a new course for his students at McMaster University in Hamilton, Ontario, Canada that addresses current health issues related to governance in health and humanitarian emergencies.

“However, it is on a personal level that I feel this health crisis has had an even bigger impact on my life,” shared Dr. Khalid. “It has brought me much closer to my family and friends, especially my colleagues from SGU that are currently practicing in the US in various specialties, who I turn to daily for their expert insights on major health issues.”

Today, Dr. Khalid is currently leading a monitoring and evaluation research project on COVID-19 evidence summaries to better understand how to support knowledge needs in crisis zones. While in addition to his course at McMaster, he is also teaching two other health policy and systems courses in the fall at Wilfred Laurier University, and York University located in Brantford and Toronto, Ontario respectively.

“COVID-19 has tested my medical and health policy knowledge to the maximum,” added Dr. Khalid. “Hence, I am forever grateful to SGU for the exceptional medical education and experience I received. It has served me throughout my professional and personal career, and I am especially grateful for the lifelong friendships I developed during my time there. My colleagues are my go-to source for the most up-to-date medical insights on a diverse set of critical health issues and they are also part of my extended family. We developed a strong bond because of SGU and the experiences we shared in Grenada and beyond.”

Are you an SGU doctor succeeding in your career? Send us your story ideas. You can also share your story with us on social media by tagging SGU or using the hashtag #WeAreSGU and #SGUAlumni. 

– Ray-Donna Peters

Pediatrics Specialist Wins Patients’ Hearts By “Getting Down on Their Level”

Tara Matthews, MD '99, development behavioral pediatrician at Children's Specialized Hospital in Mountainside, NJ

Tara Matthews, MD ’99, is a development behavioral pediatrician at Children’s Specialized Hospital in Mountainside, NJ.

For development pediatricians like Tara Matthews, MD ’99, being a good physician comes down to more than just a diagnosis, or knowledge, or treatment. Because of the unique patient population for which she provides care, she must emphasize learning what brought the patient to her office to begin with, and what makes him or her tick.

“In medical school, learning to care about patients and being compassionate is as important, and possibly even more important, than getting straight A’s,” Dr. Matthews said. “You need to listen to the patient because if you hear the clinical history and story from the patient, you will be able to figure out what’s going on with them.”

That is especially the case in her role as a developmental behavioral pediatrician at Children’s Specialized Hospital in Mountainside, NJ, yet it is not always easy. “Children are not little grownups,” she said. “You have to make the child feel comfortable and get down on their level.” Taking parents’ concerns and questions seriously is also imperative to success.

Since graduating from SGU, Dr. Matthews has spent the past 20 years working with young children in a variety of social, educational, and clinical settings, and has a special interest in Autism Spectrum Disorders. She focuses on children with a variety of development delays and behavioral issues, including children with autism, attention deficit hyperactivity disorder (ADHD), or other learning disabilities. The hospital network also offers outpatient therapies of all kinds for special-needs children.

In addition, if there is suspected behavior that warrants a medical investigation or neurological testing, the hospital is considered a first step for an evaluation, said Dr. Matthews, who is also the medical director of the fetal alcohol spectrum disorders program at the FAS Regional Diagnostic Center at Children’s Specialized Hospital.

According to the Centers for Disease Control and Prevention (CDC), one in six children aged three to 17 years were diagnosed with a developmental disability, during a study period of 2009 to 2017. These disabilities included autism, ADHD, blindness, and cerebral palsy, among others, as reported by parents.

“I was really drawn to children with special needs, particularly those with autism. I somehow understand these kids, I get them, and these children are more relaxed with me.”

Following her pediatric residency at Newark Beth Israel Medical Center, Dr. Matthews worked as a hospitalist for seven years and held a short stint in private general practice. After seeing several patients in the practice who had autism, it bothered her that she couldn’t give children with developmental issues the extra individualized care they needed.

“I was really drawn to children with special needs, particularly those with autism,” Dr. Matthews, who is an aunt to several children, including one with autism who holds a special place in her heart. “I somehow understand these kids, I get them, and these children are more relaxed with me.”

At the time, Rutgers Robert Wood Johnson Medical School/Children’s Specialized Hospital had just restarted a fellowship in developmental behavioral pediatrics. Dr. Matthews was the first fellow in the program.

Dr. Matthews acknowledged that the COVID-19 pandemic has been a challenge with treating some patients. While some have accepted virtual telemedicine as a way to see their doctor (and for their doctor to see the children in their home environment), for others it has been more taxing.

“I miss seeing patients in person; many draw pictures for me. My patients tend to hug me all the time, so I miss the personal touch,” she said.

Tara Matthews, MD'99, development behavioral pediatrician, Children's Specialized Hospital, Mountainside, NJ

DEFINING HER CAREER PATH IN PEDIATRICS EARLY ON

Dr. Matthews credits her time at St. George’s University to help define her career path, with a strong background in pediatrics.

“At SGU, I feel like we really learned medicine,” she said. “When I was there, I don’t even think they had an MRI machine. We really learned how to diagnose clinically as opposed to relying on all kinds of tests.”

During clinical rotations, “St. George’s gave me the opportunity to rotate at a variety of different hospitals that exposed me to so much more than many of medical schools in the US,” she added. “As a medical student, I saw a large variety of patients who had unique needs.”

While in Grenada, Dr. Matthews also volunteered at the local orphanage, which provided her first exposure to children with special needs.

“My experience going to the orphanage every weekend really taught me a lot,” she said. “You could already see some children who were developmentally delayed—from having poor nutrition, for example. You could also see the emotional effects of being abandoned and then growing up in an orphanage. I learned that children are so different developmentally and so many factors play into it.”

ALUMNI REFERRAL

Dr. Matthews believed so much in her path to becoming a physician that she took advantage of SGU’s Alumni Referral Grant program to nominate her medical scribe, Earyn Calvis, who will start Term 1 in August.

Ms. Calvis “reminds me a little bit of myself in that she is very good with children. The kids really take to her. She puts her whole heart into the work. She was always willing to go the extra mile to stay later with me and to learn about the patients,” Dr. Matthews said. “She’s has the right motivation for being a physician.”

While it is still early in her medical education, Miss Calvis is considering a career in pediatrics, partially as a result of her inspiring experience with Dr. Matthews.

“I think from the first day I met her I could tell that she was always willing to put the patient first,” Ms. Calvis said. “It set her apart from other physicians I worked with in the past. Even when she was getting their history or updates, you could tell she really connected with the kids and that’s especially hard in pediatrics. You have to make sure that the patient, as a child, really trusts you.”

“Dr. Matthews had a good gauge of what to expect in her interactions with patients,” she added. “It was so great to watch because that’s the type of doctor I want to be.”

Do you know of someone who is hoping to fulfill their dreams of becoming a doctor? SGU has launched a new referral program for deserving candidates to support their medical school journey—accepted School of Medicine students who are referred by our grads are eligible to receive a financial scholarship of up to $20,000 towards tuition. With online classes ready to go, SGU is welcoming new students for the Fall 2020 term, which starts on August 17. Learn more or refer a candidate today.

 

 

–Laurie Chartorynsky

Patient of SGU Alum: “I Owe This Doctor Everything”

In a recent edition of the Los Angeles Times, pulmonary and critical care specialist Baljinder Sidhu, MD ’06, was praised for the role that he played in the treatment of a patient who was intubated and on a ventilator at Marian Regional Medical Center due to the coronavirus disease (COVID-19). Even after receiving a plasma infusion, she remained extremely ill and it was recommended that she be moved to another facility to be put on a lung bypass machine.

To facilitate this move and avoid any adverse consequences, Dr. Sidhu accompanied the patient in an ambulance for the three-hour trip to Providence St. John’s Health Center in Santa Monica, CA.

“I owe this doctor everything,” said the patient’s husband. “I’m not kidding you, this guy went above and beyond, riding in the ambulance all the way to make sure she got there safely.”

SGU Legacies: Father-Child MDs Share Love of Medicine

All of those who attend St. George’s University are warmly welcomed to the SGU family. But for many, the pursuit of a career in medicine is truly is a family affair—fathers, mothers, and then years later, their children. There are also brothers and sisters, aunts and uncles, and many more familial connections that are linked in the history of SGU.

To commemorate Father’s Day, SGU caught up with several physician graduates who either led the way for their children, or followed their father’s path to medicine.

Michael (’88) and Alexandra Lacqua (’20)

All her life, family and friends told Alexandra Lacqua, MD ’20, that she was just like her dad, Dr. Michael Lacqua, MD ’88, a reconstructive plastic surgeon in Staten Island, NY. Except she didn’t see it—at first.

The first inklings of her interest in medicine happened in high school, when she began to notice more often when patients would see her dad out in the community and thank him for his help. When Dr. A. Lacqua was in college, her dad founded a nonprofit organization—Healing Hands Abroad. The organization provides volunteer surgical care for underserved communities, scheduling trips to countries like the Dominican Republic, Ecuador, and Belize, among other places.

Dr. Lacqua, who is a triplet with two brothers and also has a younger sister, travelled to Belize several times with her dad to help with the mission work. It was during these trips that she began to envision herself in a career in healthcare.

“The first trip was the first time I saw him in that doctor role,” she said. “It was the first time I was ever in an OR with him and that’s when it started to click for me. I had always seen my dad as my dad, but now I was able to see him as the doctor everyone told me he was. And I could see he truly loved it.”

Dr. Lacqua is about to start an internal medicine residency at Florida Atlantic University in Boca Raton, FL, on Monday. “The biggest thing I learned from him—especially on the mission trips—is to be an advocate for your patients,” she added. “He speaks up for them and always make sure their voices and their concerns are heard and validated. Patients know that and they really value that. That’s the biggest thing I want to take with me. I want patients to know that I am their doctor, and whatever it may be, we are going to work together to fix it.”

Dr. Michael Lacqua actually recognized that his eldest daughter had an interest in medicine when she was just a little girl.

“When she was younger, she saw me excited about going to work and the stories I told. She always asked about my emergency room visits—how did it happen, is the patient OK, how many stitches, etc.,” he said. “As I got into more elective surgeries, and she got older, she would ask more mature questions—they became more medically focused.”

“I want patients to know that I am their doctor, and whatever it may be, we are going to work together to fix it.”

And he noticed the dedication and perseverance in his daughter that it takes to be a good doctor.

“The best advice I could give her was to treat people as if they are your sister, brother, mother, or father, to treat them like they were your own family,” he said.

Dr. M. Lacqua said St. George’s University provided many opportunities—not only with the education but the exposure to variety and diversity on and off campus. “I began to realize that there is more to the world and appreciated more of what was happening in the world,” he said.

He hopes one day that Alexandra will take over the Healing Hands Abroad organization and mission work—and offer additional ways to support underserved communities around the world.

Dr. A. Lacqua said going to SGU was an easy decision for her, after seeing the success her dad has had as a surgeon. “I knew I would be in good hands going to Grenada,” she said.

Following her residency, Dr. Lacqua said she is considering specializing in endocrinology. “I like how comprehensive it is; I am interested in how hormones can really affect every part of the body—especially with diabetes and thyroid issues. I also like how you really get to follow your patients. l like having that time with the patient and being able to have those long-term relationships with patients,” she said.

Two weeks ago, Dr. Lacqua marked her graduation from SGU by having a small graduation ceremony in at her grandmother’s house with family, where her dad hooded her. Despite not being able to attend graduation at Lincoln Center due to COVID-19, “it was nice to mark to the day,” she said.

  • More Family Legacies

    The Sujkas: Joseph (MD ’14) and Stanley (MD ’82)

  • The Gilibertis: Francesca (MD ’10) and Orazio (MD ’82)

  • The Lahrmanns: Jeffrey (MD ’15) and Philip (MD ’81)

  • The Vazzanas: Virginia (MD ’17) and Thomas (MD ’85)

  • The Focazios: Cara (MD ’13) and William (MD ’82)

  • The Bagheris: Kaveh (MD ’87) and Kian (Term 3 student)

  • The O’Briens: Tracey (MD ’19) and John (MD ’81)

  • The Stranskys: Anna (MD ’19) and Martin (MD ’83)

  • The Lacquas: Alexandra (MD ’20) and Michael (MD ’88)

  • In 2018, Dr. Sarah Falk (right) accepted her diploma in 2018 from Chancellor Charles R. Modica, who welcomed SGU’s charter class, including Sarah’s father, Steven (pictured), to the university in 1977.

  • The Narulas. From left to right: Karan (Term 4 student), Samir (MD ’19), and Rajiv (MD ’89)

Rajiv (’89), Samir (’19), and Karan Narula (Term 4)

Rajiv Narula, MD ’89, is proud to keep the SGU legacy alive through both of his sons. His older son, Samir, is a 2019 graduate of the School of Medicine and a current surgical resident at Brooklyn Hospital Center in Brooklyn, NY. His younger son, Karan, is currently a Term 4 student at SGU.

“I am super proud to have them doing what they are and of course going to SGU,” said Dr. Narula, associate section chief of occupational health at Mid-Hudson Regional Hospital and medical director of International Travel Health Consultants, located in Poughkeepsie, NY and New York City.

“SGU gets you ready for the real world of medicine by pushing you to succeed in a very competitive environment with all the needed resources, be it the physical layout of the school, access to study aides, clinical instructors, small study groups, etc.,” he said.

According to Dr. Narula, his son, Samir, is enjoying his surgery residency, while his son Karan aspires to be a cardiologist. Dr. Narula also has a daughter finishing up her undergraduate degree who aspires to go into dental medicine.

“My wife is a nurse, so naturally we have a special interest in health issues,” he said. “I am blessed to have gone to SGU and the life that it opened up to me. I showed them the positive sides of medicine—healing and comforting of people who are at a vulnerable stage in their life.”

Dr. Narula began his career practicing family medicine and made the transition to occupational health. Through the move, he was able to show his children that, in medicine, one can always make a transition into other areas of interest as long as you continue to study and learn.

When asked about the changes between when Dr. Narula started residency and now, he said: “I started residency in June 1990 when healthcare was very different. Managed care was about to start and change the field from fee-for-service with its own issues, to the issues that we see now with insurance overreach into healthcare decisions etc.”

He added: “Today, healthcare is driven by policy, the price of care, and technological advancements—everything is geared toward empowering the patient and toward the prevention of illness. Additionally, patients have much more access to information through the internet, and so it’s much more collaborative now. It makes things easier in a way.”

Despite all these issues in healthcare, the key relationship that matters is the special ones that exists between the doctor and the patient, he added.

Steven (’81) and Sarah Falk (’18)

When Sarah Falk, MD ’18, sat in lectures at St. George’s University, she was taught by some of the same professors who instructed her father, Steven, more three decades earlier as part of SGU’s charter class. It was special for her. When she was just 9 years old, he passed away due to a spreading infection stemming from a hairline fracture in his tooth, and now she too was journeying into medicine.

“Because he passed away when I was so young, my connections with people who actually knew him are very few,” she said. “It was such an honor to come to know people who knew him and were also part of my career path—like Dr. Rao, who remembered so much and said he used to ride motorcycles with him around Grenada. Every person I talked to had such a fondness for him. It was incredible to hear the memories they had of him.”

Sarah Falk seemed destined to become a doctor from a young age—her father an internist, her mother a psychiatrist. Even at a young age, she remembers the impression that her father made on his staff at his convenient care clinic in St. Petersburg, FL.

“I didn’t know the exact hierarchy there, but I do remember how much his staff just adored him,” she said. “I know that he found medicine to be very fulfilling, and I’m just so happy to be walking in his footsteps.”

March 12, 2018 was an emotional day for Dr. Falk—not only was it the anniversary of her father’s death but also the Monday of Match Week. She rejoiced upon learning that she had secured a psychiatry residency at East Tennessee State University’s Quillen School of Medicine in Johnson City, TN. This month, Dr. Falk completed her first two years during which residents provide inpatient care. For her third year, she will undertake outpatient services beginning this summer.

She hopes to further her career by entering a child and adolescent fellowship at this time next year. Dr. Falk is also passionate about fighting for equal healthcare access and rights for marginalized populations, including members of the LGBTQ community. She is proud to continue the legacy of physicians in her family.

“When I was young, I remember my parents coming home and how energized they were about how much they had helped their patients. And I wanted that,” she said. “So when I was deciding what I wanted to do with my life, medicine was always at the top and I never kind of strayed away from that.

“I think about my dad frequently and hope that I’m making him proud.”

– Laurie Chartorynsky and Brett Mauser

SGU Class of 2020 Joins Physician Ranks During Crucial Time in Healthcare

The format of this year’s St. George’s University School of Medicine commencement ceremony may have been different, yet it could not put a damper on the achievement, the celebration, and the pride felt by the Class of 2020 on Sunday.

For the first time in the school’s 43-year history, graduation festivities were held online as a result of the coronavirus disease (COVID-19) pandemic, with families and friends from around the world tuning in to witness graduates’ official transition from medical student to physician.

This class of graduates will bolster a healthcare system at a time when highly skilled and knowledgeable physicians are greatly needed. All told, more than 1,100 SGU grads will begin first-year residency programs next month—across a wide range of specialties—in the United States and Canada. They are now part of a network of more than 18,000 SGU-trained physicians who have earned their medical degrees from SGU since its opened its doors in 1977, and over 22,000 grads in all schools.

The 2020 ceremony took place as the world’s attention has been focused on the fight for racial equality in the United States and around the world. Dr. Charles Modica, the University’s chancellor and co-founder, stated that SGU graduates are uniquely positioned to bring positive change to the world.

“St. George’s University has diversity in its core DNA,” he said in his address. “This class includes individuals from over 60 countries, all of whom have studied in Grenada—our home—and worked, lived, and played side by side for years with people from every race, color, creed, and nationality. Our faculty as well as our students are among the most diverse in the world. The totality of your multicultural experience at SGU will prepare you to be an exemplary citizen of the world as well as an extraordinary medical professional.”

Dr. Marios Loukas, dean of basic sciences in the School of Medicine, cited Aristotle in his address:“Excellence is never an accident. It is always the result of high intention, sincere effort, and intelligent execution; it represents the wise choice of many alternatives – choice, not chance, determines your destiny.”

Dr. Loukas acknowledged that this year’s graduates took many different routes to come to SGU and to earn their MDs, but each is prepared to carry out a mission of helping humanity in their chosen field.

“It has taken hard work, constant effort, repetition, courage, and a lot of energy to overcome challenges, but you have ultimately done it,” he said.

Among those who earned his medical degree was Suyansh Sharma, MD ’20, a native Indonesian who will be headed off to an internal medicine residency at Saint Peter’s University Hospital in New Brunswick, NJ. He is one of more than 450 graduates from the Class of 2020 who will begin their careers in New York and New Jersey this summer.

“I don’t think words can describe the feeling,” said Dr. Sharma. “I remember dreaming about this day when I was still on the island. I feel very grateful, especially to my parents along with SGU, each of which have given me an opportunity to come to the United States and practice medicine. I feel ecstatic that I’m going to be able to serve my community in a way that I think is really meaningful.”

Classmate Emily Wassmer, MD ’20, looks forward to joining residency at her top-choice pediatrics program, Good Samaritan Hospital Medical Center in West Islip, NY. After four years of medical school, seven different apartments and six different clinical training sites, she looks forward to practicing medicine at the very hospital she visited as a patient growing up on Long Island.

“It’s exciting, scary, and surreal,” said Dr. Wassmer. “It’s exciting to have all of these years of hard work finally pay off and to be able to settle in one place for a few years. It’s scary that we now have the autonomy to be responsible for our patients’ lives and that we’re going into this in the midst of a pandemic. And it’s surreal that it’s actually happening and we really are doctors now.”

To equip graduates with the proper graduation attire, the University sent robes and regalia to each new alum, and many shared images from before, during, and after the ceremony on social media. In lieu of an in-person ceremony, the Class of 2020 will be invited to walk with its SGU brethren at the traditional graduation site—Lincoln Center in New York City—next spring.

SGU’s web page celebrating the class of 2020 School of Medicine graduates captured students’ moments of celebration—on social media, with photos, and through stories. Visit the page online.

–Brett Mauser

Highlighting the Student National Medical Association: A Conversation with Leadership of the SGU Chapter

SNMA President Tom Diamond II, and Vice President, Jhanae O'Guin

The Student National Medical Association (SNMA) is a national association that is committed to supporting current and future underrepresented minority medical students by addressing the needs of underserved communities, and increasing the number of “clinically excellent, culturally-competent, and socially-conscious physicians.” SNMA chapters are based at allopathic and osteopathic medical schools throughout the US, with programs designed to serve the health needs of underserved communities and communities of color.

In addition, SNMA is dedicated both to ensuring that medical education and services are culturally sensitive to the needs of diverse populations and to increasing the number of African American, Latino, and other students of color entering and completing medical school. The SGU chapter of the SNMA has nearly 200 members and implements programs that benefit underserved communities in Grenada.

We spoke with SGU Chapter President Tom Diamond II, a soon-to-be Term 5 student and aspiring cardiologist, and Vice President Jhanae O’Guin, a Term 3 student and aspiring OB/GYN, who shared their perspectives on the importance of the organization’s mission, not just now but year-round, and how students can get involved.

What is the overall mission for the Student National Medical Association?

TD: Our mission is to simply diversify the face of medicine, both at the physician level by increasing the number of minority physicians and physicians of color, and also at a socioeconomic level, where physicians use their skills to treat people in low-income and underserved areas—areas that are so-called medical deserts.

 

What does the organization do to champion equality in healthcare career throughout the year?

JO: We do a lot of mentoring. It can be a very hard road as a physician, period, but as a minority physician, it can be even harder. So being able to reach out to someone who took that class or that session before you, who can give you valuable advice that you can trust, who is walking a similar pathway to you, is a big part of what we do. We are hoping to ramp up our mentoring program even more this semester than ever. We think it’s very important because, as Tom was saying, these physicians are going to go into these medical deserts and it’s critical that we talk about the importance of how patients see their doctors—if they feel like they can identify with them, they are more likely to have better health.

Can you share examples of the activities that the SGU chapter has done on the island to enhance medical services to underserved communities?

JO: We partner with local Grenadian schools to mentor local children and we call it “mini med school.” The goal of that activity is to get local Grenadians interested in medicine. And we also know that in general, if we can bolster these programs and also create these pathways for these students, that the healthcare system in Grenada could stand to be improved that way.

Another program that we do is we raise money to support JJ Robinson Trust scholarships for children. That’s important because we know, in general, educational outcomes are associated with good health outcomes. We typically do a game night to raise the money for a scholarship program.

Lastly, and probably most notably, is our diabetes clinic. I had the pleasure of being the diabetes clinic coordinator this past semester. This particular program is so important because it targets diseases that are impacting minorities at a disparaging rate. So, during these clinics we do high blood pressure monitoring; diabetes monitoring; we check vision deficits; and we counsel on nutrition and good overall health. And we give Grenadians an opportunity to also consult with SGU-trained physicians, who we partner with to do this event. Every year, we go to a different parish and it gives Grenadians the opportunity to interact with us, for us to get some hands-on experience, and of course help the community.

Why is it important to showcase diversity within the medical profession?

TD: In medicine, one of the things we learn about is contributing factors and its impact on health prognosis. A contributing factor to a diagnosis may be miscommunication. If a person cannot relate to you or there’s any type of communication barrier that impacts the prognosis, that impacts the probability of a healthier, better outcome. If you don’t understand what a patient’s lifestyle is, if you are not able to communicate with them about their eating habits, where they live, the environmental stressors that they face, you’re going to miss how to assess and how to interact with that patient. That’s why it’s so important to diversify the face of medicine. We need people who understand medicine and who will be able to relate to patients.

How do you feel that the campus’ overall diversity has contributed to your academic experience? How do you think it will help you in your eventual careers?

TD: SGU has physicians and facilitators from all over the world. I’m going to quote one of my favorite professors, Dr. Kesava Mandalaneni who said that “Accent is the paint brush of life. And that gives us the color to how we live.” You become used to speaking with patients who may not sound like you, who may not pronounce the same words the way you do, who may not have the same cultural background as you, but on a daily basis, we meet people from different countries and you learn to communicate with them.

JO: I agree 100 percent with that. And it does make you more attentive to people when they’re speaking, because you want to try to do your best to catch what they’re saying. And I think it’s important as a doctor to be a good listener. So being able to de-code what someone’s saying is an essential tool as a great physician.

I would also say that being at SGU, the students are coming from many backgrounds, countries, and cultures. And I think that has been enriching experience. And while there are more initiatives for diversity that can be implemented, including increased workshops, possibly a selective on health disparities affecting communities of color, and inclusion of minority students on decision-making boards, I believe that this experience at SGU in particular will contribute meaningfully to a career as a future physician because we’re interacting with different cultures already and getting some basis for what their cultural norms are.

This also highlights the meaningfulness of SNMA at SGU because we are an organization that is trying to encourage different cultures to come together. And I always like to use the example that when I came to SGU and I joined SNMA, that’s where I met Tom. Tom saw me studying in Taylor Hall and offered to help on me on a topic I was studying. This interaction empowered me to forge a relationship with him and ask him to be my mentor. And now he is my mentor. Without the SNMA, I probably would not have had that opportunity.

In what ways have the recent events in the US reinvigorated you on your path to becoming a physician?

TD: That’s probably the biggest question of today for the answer is multi-faceted. Many people like me set out as first-generation physicians of color, first-generation physicians of our family, and first-generation physicians in our communities. It’s not that blacks and African Americans don’t want to get into medicine—there is some kind of invisible barrier that stopped them from being able to move in.

There are four historically black colleges or university medical schools in the United States…for a population of people that represent 13 to 16 percent of the nation. So, there is no equality at the level of even physician training. And then you look at what’s happening in the world right now. It’s just a reminder that racism is still present. Unfortunately, it’s ingrained into American society in some ways to the degree that people don’t even understand how their actions affect others, because they’re so used to doing it.

One of the things that’s been damaging to myself and students all across the country and, and especially SNMA nationwide—we have medical students right now who are having to focus on rigorous curriculums while being online, and on top of all that they’re experiencing trauma (from the recent news of George Floyd’s death). Without letting it bog you down or mentally deter you; it should light a fire under you and invigorate you to understand that I have a part to play in eradicating racism. We all do. But more specifically, I have a part to play in eradicating racism and health disparity for people of minorities and for everybody by giving people healthier lives, by standing up to institutions that deny people access from basic need of health. And so as hard as it is, especially at moments like this to focus, it’s your responsibility, it’s your burden. You feel a charge to produce these outcomes for yourself in order to be able to impact the community at large.

JO: I’ll just follow up and say, maybe you’re not able to be on the front lines, doing your part in that way, but in a lot of ways, being in medical school as an African American, that is doing your part, because you want to be in a position where you can pour back into your community. So if anything, when it’s hard and you’re taking that class or you’re getting ready for that test, and you’re seeing this happening, you can’t give up, not only in yourself, but because you have people counting on you to be the change that people are so desperately on the front lines fighting for.

What inspired you to become a doctor? What are your future career plans?

TD: I’m from Jacksonville, FL. I am a graduate of Florida A&M University in Tallahassee. One of the things that inspired me to become a physician is that, in the area of the city where I grew up, there is a major health disparity as far as simply just it’s a medical desert. There is one hospital that sits centrally located that is supposed to service the entire north side. You have quarter of a million people who live in this area that have one hospital.

The second reason is just the lack of representation that I saw growing up. And I knew that this is an area of concern. African Americans lead nationwide in cardiac disease, hypertension, diabetes—those kinds of things. I have a passion for helping people. And so, it led me here, and thank God it led me to SGU because the school is allowing me to chase my dreams. I want to go into internal medicine and eventually enter a fellowship in cardiology.

JO: When I was in kindergarten, I got this Mason jar that my teacher said I shouldn’t open until I graduate. Well, graduation came and went, I had already completed a semester of undergraduate college, I was already involved in a medical academy, and I finally opened it and found this piece of paper. My teacher asked me what I wanted to be—I told her I wanted to be a doctor. It even surprised me because I don’t remember wanting to be a doctor. I thought I wanted to be a teacher before, but apparently when I was in kindergarten, I wanted to be a doctor. So, this pathway is in a lot of ways for me a self-fulfilling prophecy derived as a kindergartener.

I am from Houston, TX. I went to Prairie View A&M University. And then after that, I continued my education to get my master’s degree in public health in health promotion and health education with a concentration in maternal and child health, bolstering my passion for women’s health. There are just a lot of disparities, including infant mortality and low birth-weight babies that are affecting people of color and just bad maternal outcomes for women of color. So, a lot of that has been a catalyst for me wanting to go into obstetrics and gynecology. If not that, I know that I want to work in primary care. I can impact the most people in helping with these chronic diseases and ailments that are impacting my community. And so, all of that’s very important to me because I believe that women’s health is the foundation of good family health. Because when we have healthy mothers, we have healthy children and healthy spouses.

The SGU chapter of the SNMA is actively welcoming new members for the August semester and will be transitioning many of their programs to a virtual setting. Students who are interested in joining are welcome to reach out to the organization via its Facebook and Instagram pages.

–Laurie Chartorynsky

 

Florida Emergency Medicine Doctor Shares Silver Lining of COVID-19

Megan Kwasniak, MD ’08, an emergency medicine physician at Saint Mary’s Medical Center in West Palm Beach, FL

Shortly after the coronavirus disease (COVID-19) pandemic intensified, Megan Kwasniak, MD ’08, an emergency medicine physician at Saint Mary’s Medical Center in West Palm Beach, FL, took part in her hospital’s swift action to ensure it was ready to address sick patients.

To test patients, the hospital set up a tent outside of the emergency department to accommodate and screen any potential COVID-19 patients. Those showing more serious symptoms were quickly identified and then sent to the main emergency department for further treatment. Less sick patients were evaluated fully in the tent and discharged home to minimize the risk of exposure to the rest of the staff and other patients, she said.

Since early March, the hospital has seen and treated more than 1,000 patients who potentially had coronavirus. Almost all of those who indeed had the disease have since recovered.

“We have been able to fine-tune our treatment process and now feel much more confident in handling the disease. I have hope that this will continue to improve with time,” said Dr. Kwasniak, who pursues her interest in photography during her free time. She has also captured photos of how she and her colleagues were responding to the healthcare crisis on her blog, This Photography Life.

While COVID-19 has presented physicians and healthcare workers with tremendous challenges, Dr. Kwasniak acknowledged that her training as an emergency physician helped her to effectively “handle the unpredictable and the life threatening.”

“In any unknown situation, we are trained to go back to basics: airway, breathing, circulation. In that manner, COVID has been no different,” Dr. Kwasniak said. “No matter what course the disease would eventually take, the role of the emergency physician is to stabilize the sickest patients first and to begin a course of treatment that hopefully will affect the final outcome in the best possible way.”

The crisis also provided an opportunity for increased communication between healthcare workers, she said. Especially in the early days of the disease, “there was a frequent exchange of information among all physicians through various social media groups and within individual facilities,” she noted.

“I feel as though, for the first time ever, we have truly come together in the medical community,” she added. “The support we’ve shared has carried us through this pandemic and has definitely been the silver lining in an otherwise daunting situation. I have never before felt this connected to my fellow doctors, nurses, and all of the emergency department staff.”

Dr. Kwasniak offered new and aspiring physicians some words of advice while training: “By the time you start your residency, you will already have learned so much and be so much more prepared that you think you are. My greatest and most important advice to any medical student is this—get involved. Don’t wait on the sidelines, don’t be merely an observer, but take initiative and be proactive in your learning process. The best way to learn is through experience.”

Are you an SGU doctor succeeding in your career? Send us your story ideas. You can also share your story with us on social media by tagging SGU or using the hashtag #WeAreSGU and #SGUAlumni. 

–Laurie Chartorynsky