Duke University School of Medicine - Aesculapian Yearbook (Durham, NC)

Text from Pages 1 - 204 of the 1978 volume:

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I ,Al V , V Him 3 ' 'w-'-N' .'n.f.-' X :L7vfe:iQf!7 , B m 5 w 1 mm - -' ss w .3 R1 a .ui e D -- si, qg Wl. 5-Sip. - ,- 1 ' Q THE MEDICAL CE TER Q I Pulau Qlinmersdg Cmehrcnl Cinder THE MEDICAL CENTER ADMINISTRATION DEPARTM ENTS I6 Anatomy ......... .... 2 2 Anesthesiology ................ .... 2 4 Biochemistry .................... .... 2 6 Community and Family Medicine ... . . . .28 Medicine .........,............. ,... 3 0 Microbiology .............. .... 3 2 Obstetrics and Gynecology .... .... 3 4 Ophthalmology ............ .... 3 6 Pathology ....... Pediatrics ..... Pharmacology . . . ....38 ....40 ....42 Physiology .... .--- 44 Psychiatry . . . - - . .46 Radiology ,....,..... --.- 4 8 Surgery ........,..... .... 5 0 Surgical Subspecialties Neurosurgery ....... .... 5 2 Orthopaedics ........... .... 5 3 Otolaryngology Plastic and Maxillofacial .... .... 5 5 Urology .......................,...,... 56 Bruce Schirmer, Section Editor Dr. William Cv. Anlyan Vice President for Health Affairs Duke is a dynamic, expanding medi- cal center, construction of a giant new hospital makes that dramatically clear. But progress in medical care involves more than new cement. Dr. William Anlyan is determined that improve- ment will accompany change, and Dr. Anlyan has the position and the per- spective to guarantee an audience for his ideas. As the University Vice President for Health Affairs, Anlyan is chief of the medical center, ultimately responsible for its operation and development. Cer- tainly, that task seems demanding enough. But his concerns span a much broader field, involving all aspects of health planning and policy-making in the United States. Dr. Anlyan has per- sonally inspected health care systems throughout the world, including Main- land China, and he incorporates his lessons learned abroad into well-doc- umented advice for the future of health care in American society. Though his pen may lately be mightier than his scalpel, Dr. Anlyan is a surgeon who continues to make rounds, keeping in touch with clinical medicine. Rapid recent advances in medical technology have made it difficult for institutions and practitioners to keep pace. Dr. Anlyan contends that health professionals have been slow to antici- pate needs in time to prepare for them, and he is excited about several innova- tive solutions at Duke. Unusual design features of the new Duke Hospital North will insure structural flexibility. For example, moveable walls and ceil- ings will accommodate equipment yet to be invented. Similar flexibility in use of floor space will grace the Searle Cen- ter for Continuing Education now being constructed on the ground floor of the Seeley Mudd Library. Dr. Anlyan believes that continuing educa- tion has enormous potential for main- taining high-quality, advanced stand- ards of medicine. He feels that Duke has a responsibility to make facilities and faculty accessible: he also believes that Searle Center activities will be both self-supporting and affordable. Dr. Anlyan is particularly concerned with health education - not only of YD Q.. fm ' I li t' t . . ! fx- 2 WN-X .r . YQ. 1- health professionals, but of the lay pub- lic. He emphasizes that high-cost medi- cal problems often relate directly tc social habits, including alcohol and drug abuse. cigarette smoking, and obesity. Anlyan calls for development of educational programs appealing to the entire population. Furthermore. he stresses the value of preventive medi- cine. a concern that must engage public and practitioners alike. Citing impressions of worldwide experience with national or socialized medical care systems. Dr. Anlyar affirms the role of the private sector ir, American medicine. Americans hold higher expectations for rapid. excellen care than most other systems have been able to provide. Anlyan believes that most issues can be successfully approached by the private sector. applying appropriate planning. A creative administrator and ar energetic diplomat, Dr. Anlyan is com mitted to excellence in health care While directing the development o' new facilities at Duke. he continues tc influence health policy nationally. Fur thermore, he maintains a physicianf emphasis on the major purpose anc. focus of medical design - the patient' benefit. Dr. Ewald W. Busse ASSOCIATE PROVOST AND DIRECTOR. MEDICAL AND ALLIED HEALTH EDUCATION Dr. Ewald Busse. Director of Allied Health Education. reflects on changes in medical education: I have been impressed with the manner in which our medical students are respon- sive to socie1y's needs, planning careers indicating they feel a responsibility to socienf. These needs will be reflected in the evolution of the Duke curriculum. Busse believes that medical educa- tion is dynamic: he does not accept the view that previous curriculae lacked responsiveness to society. ln fact. the same post-Sputnik public and congres- sional concern that spurred the space race encouraged a highly investigative. academic approach to the biomedical sciences at centers such as Duke. Pres- ently. public attention has shifted to family practice, increased interaction in the physician-patient relationship. and cost-effectiveness. Dr. Busse views these as appropriate and valid con- cerns. While scientific knowledge con- tinues to expand. Busse believes that scientific and human values need not conflict, and medical education can incorporate both aspects. Duke's recent expansion of commitment and course offerings in the field of epidemiology will allow students to apply scientific investigation to societal problems. Dr. Busse points to the growing Family Practice Program as exemplary in its leadership and in its potential for pro- moting excellent standards of family care. Still on the Duke drawing board, another program promises more aca- demic attention in Dr. Busse's own area of expertise - geriatrics. Dr. Busse speaks with animation of the need for physicians to gain skills appro- priate for America's aging society, and he predicts that a program in clinical geriatric training will take form within the next few years. Duke's center for Aging and Human Development offers the critical mass of interested people and experienced faculty that should spell success. Dr. Busse thus paints a kinetic por- trait of medical education. He admits that education policy emerges gradu- ally and often lags behind perception of needs. He does feel strongly that pol- icy decisions in private medical educa- tion are most fairly and effectively han- dled by the private institutions them- selves. Busse explains that such institu- tions are free from political pressures, and they can rely on a sense of continu- ity and store of expertise that govern- ment bodies cannot provide. Ultimately, the Duke program must be judged by its product - faculty, housestaff. students, leadership in med- icine. Future changes must be based on self-evaluation of existing policies, as well as emerging needs. Dr. Busse is confident that Duke is healthy - and growing. E. . Zr:jQw-- Dr. William D. Bradford ASSOCIATE DIRECTOR, UNDERGRADUATE MEDICAL EDUCATION lt's been a pleasure and an honor, smiles Dr. Bill Bradford. completing his final year in his position as Associ- ate Dean for Student Affairs. Dr. Bradford is ajaunty figure on the Duke tennis courts, and he carries his courtside manner back indoors. ln fact. he volleys all day, as a diverse range of student activities and needs cross his desk. He may be best known for his Dean's Letters of recommendation to postgraduate programs, which have brought him into acquaintance with every medical student for the past four years. However, he is the first to greet a new class: he directs the advising sys- tem, and he makes certain that students are aware of their options. Dr. Bradford is an enthusiastic sup- porter of the Duke system. citing its inherent flexibility as its prime strength. The Green Book of 3rd and 4th year electives emerges from his office, and Dr. Bradford discusses his concern with presenting it in a digesti- ble fashion. In the last two years he has coordinated a curriculum fair effort to allow greater faculty-student inter- action in the early planning stage. Bradford does feel that the advising system needs more improvement. He views himself as a facilitator for directing students to the appropriate sources. However, he has confidence in the student and he firmly believes in l .li I 1 ' Q ' ' i V' GV!! if 7' ', . . A if l . 2 g 1 I C X V ' 1 K b . 18 jf - 1 Q.. Xa. the benefit of student initiative for extracting optimal benefit from the Duke curriculum. Dr. Bradford has recently completed a novel survey whose results have potential for guiding the educational planning process at Duke. All Duke graduates from 1970-1977 - the New Curriculum years - received a ques- tionnaire concerning their present career status and plans. Although this data has not yet been thoroughly explored, Bradford is prepared to share it. For example, 33'Zi of these recent alumni had remained at Duke for at least one postgraduate year, with the largest number of these training in internal medicine. The second largest group went to Harvard hospitals. Of all graduates, 41? had trained as inter- nists. l8'Zi as surgeons, and 14'Zp as pediatricians, while 7, 6, 5, and TZ, respectively chose fields of pathology. psychiatry, family medicine for rotat- ingj, and obstetrics-gynecology. Dr. Bradford points out that area of spe- cialty training and eventual career do not always coincide - for example, many more internists may become family practitioners. Dr. Bradford is enthusiastic about this comprehensive new data resource. He is willing to speculate on the future of postgraduate distribution - he expects an increase in those choosing family practice resi- dencies and military-supported rotat- ing internships. ...I Dr. Bradford will return this summer to his full-time position in the pathol- ogy department - a part-time occupa- tion in the past four years. In this capacity he will continue to enjoy his association with medical students. .J-1 1 Dr. Suydan Osterhout ASSOCIATE DIRECTOR. ADMISSIONS 'A minuet in a madhouse' is Dr. Suydam terhout's colorful description of the admis- ns process at Duke Medical School - but he tens to stress the minuet. Medical students tinue to wonder how we got in: Dr. Osterhout ' the answer. In addition to his basic science clinical responsibilities in Microbiology and ectious Disease. he is Director of Admissions Duke. tatistics of the admissions process reflect both magnitude of our privilege and the burden on Admissions Office. The I977-78 first-year ss of II4 students resulted from an applicant ol of 4285. of whom Duke interviewed 4262. ceptances were offered to 2ll students before desired class size was attained. Selection involves a procedure including an 'tial screen. the interview. and the second een. Dr. Osterhout and a second faculty mem- r initially evaluate all applications and award erviews. Students within a 300-mile radius are vited to Duke. and 200 alumni conduct ional interviews. Dr. Osterhout uses a non- i 'l Dr. Shirley K. Osterhout ASSISTANT DIRECTOR OF MEDICAL EDUCATION The name Dr, Osterhout is more than dou- bly familiar at Duke. Drs. Shirley and Suydam Osterhout are the faculty couple best known to medical students: their enthusiasm keeps each involved in several roles. Dr. Shirley O. is a pediatrician. active in clini- cal teaching. and she directs the poison control center. She encounters another host of problems as Assistant Dean for Student Affairs, Dr. Osterhout originally expected to serve in the lat- ter pOSl as counselor to the increasing number of women entering medical school several years ago. Instead. she discovered that men and women at Duke usually face similar problems. and her job has evolved to a more general advis- ing role. standardized interview to expand his data base. and interview performance becomes one crite- rion in the second screen. Following the interview. each applicant is independently reviewed by Dr. Osterhout and two other faculty members drawn from a com- mittee of 22. This troika then assigns a group numerical rating. Evaluation is based on formal data. interview impressions. and newly defined non-cognitive factors such as compassion. sensi- tivity. and staying power. The entire committee meets periodically and votes to either definitely accept or suspend decision on the most highly rated candidates. Dr. Osterhout denies that quo- tas exist. but the committee does recognize com- mitments to minorities. women. alumni. and North Carolinians. When the new class convenes in August. Dr. Osterhout is thoroughly familiar with every stu- dent. But his minuet is on a treadmill. and the cards and letters are rolling in. Dynamic always. Osterhout is already thinking one year ahead. .,..- k .--.5 Q-v' 5:-.XRQ : .i 4 I Difficulties in adjustment to medical school still occupy much of Dr. Osterhout's time and concern. She believes that pre-med competition engenders habits of self-pressure that are aggra- vated by the intensity of the first-year curricu- lum. Students have little time to mature in their new roles as physicians before being thrust into patient care responsibilities. Soon after. they feel pressed to make career decisions. Dr. Osterh- out sympathetically preaches relaxation and emphasizes that one's entire life need not be determined in medical school. ln addition to dealing with a full catalogue of students' problems. Dr. Osterhout performs a variety of administrative tasks. She helps to guide the internship application procedure. and she directs planning for graduation activities. Recently. she has become involved with manage- ment of the new Early Identification program for Duke undergraduates. Dr. Osterhout's clinical. academic. administra- tive. and family responsibilities allow her little spare time. but she is currently writing a book on poisoning cases. A brief conversation reveals her myriad interests. and suggests there are several more books she could write. I9 . A - I Mrs. Nell Andrews COORDINATOR OF FINANCIAL AID The economics of medical education are a painful reality for many Duke students. and the remedy - alittle money for a lotJ - can be diffi- cult to come by. Mrs. Nell Andrews. Financial Aid Coordinator. has her facts and figures impressively in command. Her task is certainly not getting easier. While the proportion of medical students receiving financial aid has remained stable at 35- 40W:.. the dollars involved have skyrocketed. Funds have so far kept pace with rising need. and Mrs. Andrews attributes this success to the School of Medicine's intense interest in providing aid. ln 1976-77. 5826.000 was supplied as need- based aid. with only SI08.000 of this in direct federal financing as U.S. Health Professions Loans. and 558.000 derived from state funds. The majority. almost S700.000. came from Duke sources. through Federally Insured Student Loans. Medical School Loans. and gifts. Alumni gifts are a valued source. and an alumni endow- ment fund has recently been created to assure their lasting benefit. 20 Dr. Roscoe R. Robinson CHIEF EXECUTIVE OFFICER ADMINISTRATIVE DIRECTOR. DUKE HOSPITAL Sleight of hand or a crystal ball would be wel- come assistance for Dr. Roscoe R. Ike Robin- son. but he manages without them. You lenghthen your working day. he shrugs. He had to: in addition to his nephrology position he now serves as Associate Vice President for Health Affairs and Chief Executive Officer for the Hos- pital - a post formerly known as Director of the Hospital. Dr. Robinson denies that he runs the hospital on a day-to-day basis. He is quick to credit the Administrative Director. Mr. Richard Peck. and the supervisors of various services. At a policy- planning level. however. he is involved with all phases of the hospital. His responsibility is to coordinate the hospital interfaces between clini- cal programs. educational ventures. and research activities. Mrs. Andrews is anxious to settle some persist- ent myths about financial aid determination. For example. financial need is absolutely disregarded in the admissions process. Furthermore. minority status does not confer preference. although it may grant eligibility for specific scholarships. Overall allocation is based entirely on need. Buying your way in also does not happen at Duke. Mrs. Andrews does 'express concern about the near future. New federal legislation provides for unfavorable lending conditions and increased restrictions. As more physicians leave medical school with huge loan burdens. the ultimate result of such policies may be increased medical costs for the consumer. While Mrs. Andrews issues no guarantees. she believes that presently enrolled students will receive adequate aid through graduation. Cer- tainly. she has proved herself skillful at passing the buck A and many of us are very glad she does. Financial management and budget are a major focus of Dr. Robinson's job. He concerned with assigning priorities to program needs and requests for new The present hospital budget of S89 million increase to about SIOO million next year. Robinson attributes this rise to inflation. r programs. the opening of the Cancer Center. 1 to additional staffing needs. Cost containrr and a desire for improved services exert oppo pressures: Dr. Robinson strives to strike a l ance. Assignments for 4000 employees and ' patients does present problems. and Dr. Rol son faces the unusual challenge of effectin smooth transition to the new Duke Hospital. believes that innovative design features will m the new facility the world's outstanding exan of hospital architecture. This design reflects immense planning effort that involved all ho tal interests and required coordination of Predictably Dr Robinson sjob is also fra with apparently minor concerns. But he en- his unique opportunity to imagine a future Hospital - then lead in planning for it. separate task forces. D ,f X7 l 3.4-L.., .41 y 1 tl? Y. l I-'E '-XQW' in Q 1.1 ffl U. , l Xxy KKK 'x , N X MEDICAL SCHOOL PERSONNEL: Clockwise From Above Lefr: Mary Hicks: Lynn Lloyd: Stanley Morse: Charles Johnson: Rita Beski: Fran Wilson: Marilyn Pietrantoni: Ann Rimmer Cenler: Marilyn Pietramoni N , V M X ---1 1 .ztfzweefe 27 .Lift D pf N- j 215- ml ft:- I I Q 15 .. -l...f::,l ' f V . 'J' ,.. ,A-La.. .J 2 Q ' I .174 ,i ' l sf.: 1- ' i. ' J .JJ- ANATOMY The Departmcmt of Anatomy at the Duke Uni- versity Medical Center was organized in l930 Linder the leadership of its first chairman. Dr. Francis Huntington Swett. who headed the department until I943. He was succeeded by Dr. Joseph Markee. who retired in I966 to be replaced by the present chairman. Dr. J. David Robertson. Under its first two chairmen. the department was primarily involved in research in the areas of neuroendocrinology. neuroanatomy. and repro- ductive biology. Today the department is primar- ily concerned with cell biology. biophysics. and molecular biology. and more recently. develop- mental biology. A substantial effort is also being made to preserve and develop directions in the areas initiated by the first two chairmen. as well as continuing earlier studies of cell biology and physical anth ropology. Specifically. the Department of Anatomy places emphasis on studies of the macroscopic structure and evolution of man and his relatives at one cnd of the spectrum and at the other. the macromolecular organization of cells and tissues. Within this large framework. it is possible to pur- sue many different kinds of research activity. The senior staff have backgrounds ranging from med- icine. zoology, anthropology. biochemistry. to bio-physics. and physics. Many of the research programs are interconnected by collaboration of Below: Row I tL to Rl: J. D. Robertson. M. Cart- mill. J. Corless. W. Hylander. P, Beall. M. Jakoi. N. Cant. Row 2: W. Longley. K. Duke. J. Costello. J, Richardson. T. Mclntosh. H. Erickson. S. Counce. T. Peele. J r U V145 ffl , -J less la, . i .--57 -e ' uf lf., ' is 'r .- I 1 Y tl' 'TIG ur-1, hang., ,X ,X 2 We tt. 'N , K f 11? ' at - :Lf 4 r -. J. David Robertson. Chairman the investigators and their associates. both within and outside the department. lt should be empha- sized that there is much overlap and interplay between the laboratories. not as separate entities. but as interrelated components of the depart- ment as a whole. Departmental teaching in the medical curricu- lum prior to l966 emphasized gross and neuroan- atomy. and its graduate program reflected these interests. Curriculum changes since that time -1-ug! -F get A m v' - t-'Q ' t expansion of the faculty involving several new areas of concentration in anatomical research. Electron microscopy is the prominent techni- que employed throughout the department. There are seven different electron microscopes in use. and scanning electron microscope facilities are available in other departments. Much equipment is related to both small angle and wide angle x- ray diffraction analysis. There is also equipment devoted to various kinds of image analysis utiliz- ing laser optical and computer resynthesis meth- ods. Facilities are also available for cell fraction- ation and the isolation of intracellular compo- nents and their hiochemical and biophysical characterization. The facilities of the Department of Anatomy and the scope of its interests are sufficiently broad to provide a challenge to anyone desiring gl i. advanced training in the areas it represents. .X it Top Right: Dr. Hylander prepares a gross anat- omy tape. Right: Dr. Costello explains a slide. Below Right: Dr. Moses at his microscope. Below: Dr. Peele accepting an award. a 1 i . 'N -'ix , MIAMI 1...--.- .-1 Merel H, Harmel. Chairman 'r . 1, ANESTHESIOLOGY In I970. Anesthesiology was established as a separate department in the Duke University Medical Center, with responsibility for education and teaching in anesthesia at the undergraduate medical level, and the development of a program of research. The residency in anesthesia was re- established and the training and education of Nurse Anesthetists was strengthened. During the subsequent six and a half years, the faculty has expanded significantly and the department has engaged in an active role in teaching within the Medical Center. The bulk of its courses are lim- ited to the two elective years. but there is active participation in teaching in Pharmacology and in Surgery. Within the department there have been established the following divisions: Obstetric anesthesiology and Perinatology. cardio-vascular thoracic anesthesia. neurosurgical anesthesia. ophthalmic anesthesia, and instrumentation and measurement. ln addition. the department has devoted considerable energy in the area of hyper- baria and, under the leadership of Dr. Peter B. Bennett, there has been a significant expansion of the department's activities in the area of the :J w t I ll 1 I in li li mechanisms of narcosis and in diving medic in particular. There has been considerable effort given to 1 development of patient monitoring. with t objective of providing safer anesthetic practi research involving the physiology of the neu muscular Junction. environmental factors rel ing to anesthesia, and the problems involv respiratory exchange when complicated by l Members of the department are active ' i u a water. The Veterans Hospital which. in the p had been a major teaching source for anesthe has now been reactivated under the leadership Dr. Stanley W. Weitzner. and with the advent the new hospital the active participation of me bers of the department and its resident staff the intensive care of patients is looked forwa IO. Below: lst row: E. Camporesi. D. Davis. M. H: mel. l. Talton, C. Lanning. J. Karis. 2nd row: Parmentier. B. Shrivastav. J. Miller, K. Hall. Huang. 3rd row: P. Bromage. P. Bennett. L. F raeus. F. Dakermandji. 4th row: L. Burton. Klein. H. Wakakuri. 5th row: E. Bloch. S. Wei ner. B. Urban. W. Murray. i ' -.--p tiii, l .133 I t i , . ni. l ,gp-.-1 I I ii' 17. , ,?i,, :Mail .Q 3 .Xa X X, nr- ,,.,1f Above: Premedicating the patient Lefl: Anesthesia for cardiac surgery Below Lefz: In the recovery room Below: Dr. Karis intubates an infant. BIOCHEMISTRY is f. , luis- .4- , Robert L. Hill, Chairman Biochemistry has become the language of much of Biology and Medicine. We increasingly seek an understanding of human disease in bio- chemical terms, and use the developments in bio- chemistry for designing new diagnostic methods and more rational approaches to therapy. The faculty of the Biochemistry Department has the responsibility of introducing first year medical students to the chemistry of the human body. Much time is spent leaming the principles of the subject. including the chemistry of the constitu- ents in living things and their metabolic transfor- mations. Special attention is given to correlating biochemistry with human disease. and confer- ences are held weekly in which a particular dis- ease or disorder is discussed in biochemical tenns. The Biochemistry Department also has the responsibility of teaching Medical Genetics, including a review of the principles of molecular genetics. Here too, the course attempts to corre- late genetics and human disease. The many course offerings in Biochemistry and Genetics. as well as the opportunities for full-time research. are available to all students in their elective basic science year. The faculty. students and postdoc- toral fellows in the Department are involved in a number of areas of biochemical research. By actively contributing to the ever growing body of biochemical knowledge. the Department keeps abreast of new knowledge in the discipline, and its members provide a teaching and learning resource for all students and faculty in the Uni- versity. 26 -. 0'1- wal Dr. Hill and his associate take a pause from work. Below: Row l KL to RJ: R. Green. H. Kamin, D Steege, R. Hill, S. H. Kim. R. Harris, M. Bem- heim. Row 2: B. Kaufman, H. Sage. W. Guild, A Greenleaf. l. Fridovich, K. V. Rajagopolan, R Bell. D. Richardson. K. McCarty, P. Modrich, L Siegel. Y. Nozaki. 21 Harvey Estes, Chairman Below: Row l CL to RJ: R. Sullivan, S. Heyden, J. Ritter, J. Goetzl, S. Nelius. Row 2: D. Reich, M. Morris, T. Kane, P. Harrison. Row 3: H. Estes, J. Newell, J. Crellin, M. Woodbury, R. Carter. Row 4: D. Naumann, G. Solovieff, A. Streeter, M. Hilton, J. Gifford, B. Wilkinson. Row 5: E. Pope, J. Schmidt, R. Joslin, A. Hathaway, B. Loro. Row 6: M. Hamilton, C. Severns, J. Newsome, J. Hansen, F. Herpok. Row 7: B. Cleveland, E. Bal- ance, M. Helms, M. Ali. COMMUNITY AND FAMILY MEDICINE The Department of Community and Family Medicine is unique in that many of its activities are directed at medical problems faced by groups of individuals rather than individual patients. Most medical school training emphasizes the proper care of an individual patient who presents at the doctor's office for care. but seldom consid- ers those patients who do nor come to the doc- tor's office, because of the lack of available care, inconvenience, ignorance, of lack of financial resources. These problems of accessibility, cost effective- ness, distribution, etc.. require, for their solution. sufficient numbers of primary care physicians, properly distributed, and properly trained to care for the needs of most patients. Thus one of the department's main interests is the training of family physicians. The department also has the responsibility for training physician's assistants. The department teaches both basic and uclinical' topics. lts first contact with students is in the Interterm, during which it teaches a course divided into three parts. The first part covers cur- X wx., S, Y- , A1 rent issues in health care delivery. The other two segments are epidemiology and biostatistics, The department has no teaching responsibli- ties in Year 2, though it is actively attempting to obtain a mandatory rotation in a community set- ting during this segment of the curriculum. lt is hoped that this experience would more fully acquaint the student with the true nature of med- ical practice and the function of the physician within the community. In Year 3 the department has a variety of offerings. The most recent is a Study Program in Epidemiology, which combines didactic instruc- tion in epidemiology and biostatistics with a research project. Other major offerings include courses in medical history, medical ethics, medi- colegal issues, computers in medicine, etc. ln the fourth year, the department offers several clinical rotations, in the broad area of pri- mary care, ranging from experiences with family physicians in small communities, to rotations in the Family Medicine Center, the practice base for the Family Medicine residency. H! In addition to formal course offerings. the department is very active in working with student organizations interested in primary care and the broad organizational and ethical issues affecting the profession. Members of the department work with the Forum for Primary Care. assisting this organization with publications and conferences. The department also helps students organize seminars on broad issues involving medicine. It also works with organizations' such as the North Carolina Academy of Family Practice. and the North Carolina Medical Society as they attempt to interface with medical students. The department's major administrative head- quarters is located in the ground floor of the Trent Drive Hall fthe Graduate Centerj. Clinical activities are located in the Marshall l. Pickens building. and in the Family Medicine Center on the campus of the Durham County General Hos- pital. The latter is the teaching base for the Fam- ily Medicine residency. Still another base of operation is in the Allied Health building at the Veterans Administration Hospital, where all of the classroom work for the Physician's Associate Program is located. The Medical History pro- gram is located in the Seeley Mudd Medical Library. Below: lst row: J. Samuels, W. Tucker. E. Hart- mann. L. Jennings, T. Coughlin. V. Diaz. E, Stutt. M. Bowman, C. de la Torre. J. Copeland. W. Friedman. 2nd row:'G. Ripley, F. Woriax. M. Hilton, D. Elliott. J. Hartman. R. Gaskins. J. Dickinson, A. Bonin, B. Novik, E. Ballard. L. Area. 3rd row: R. McConville. C. Reams. P. Singer, L. Grantham, W. Kane, J. Bobula. J. Moore. H. Chatterton, G. Parkerson. G. War- shaw, S. Gehlbach. L. Lang. v 1 . - ll LII' y Ill illl I 'Ill Ill lg,..l..l, I MEDICINE James B. Wyngaarden. Chairman The Department of Medicine exists for teach- ing, research, and patient care. Its teaching pro- grams operate at four levels. for students, house staff and fellows. young faculty and practition- ers. As much as possible learners are incorpo- rated into the clinical and laboratory programs of the Department. so that intellectual growth and acquisition of practical skills occur simulta- neously. Ward rounds and teaching conferences are related to contemporary patients and active research problems. The lecture mode of informa- tion transfer is used sparingly except in postgrad- uate courses. The Department is organized in l2 divisions. Two recent additions are the Division of General Medicine. and of Infectious Diseases. Each divi- sion includes faculty of diverse interests. ranging from strong clinician teachers busily engaged in referral practices to laboratory based physician- scientists who conduct clinical or basic studies on disease mechanisms. new diagnostic procedures and new therapies. Among the active research themes in the Department are those in cardiovas- cular medicine which extend from studies of early discharge following myocardial infarction. to exercise conditioning and physiology, to basic studies of mechanisms of arrhythmia. or of cate- cholamine receptors. Another active theme which involves a number of Divisions is that of clinical immunology. including mechanisms of immune hemolysis. of inflammation. and of cel- lular and humoral immunity. A third prominent theme is that of metabolic diseases. including studies of calcium and vitamin D metabolism in bone diseases. bile acid formation and function. purine metabolism in gout. collagen and keratin structure in dermatological disorders. and the basic metabolic defects of muscular dystrophies. Finally, medicine participates actively in the institutional program in cancer research. both at the level of improved chemotherapy regimens. and basic biological and immunological disturb- ances in this group of diseases. 30 xx Dr. Harrison echoes a patient. Patient care and clinical teaching activities extend beyond Duke Hospital and the Durham V.A. Hospital to include participation in pro- grams at the Durham County Hospital. the Area Health Education Center in Fayetteville. and the continuing education program at the Cabarrus County Hospital in Concord. The Department of Medicine at Duke has proved itself over many decades as a good place to learn. The emphasis at all levels has been on the development of the individual as a competent clinician or investigator or both. Duke students compete successfully for leading internships, resi- dencies. and fellowships in medicine throughout the country. The house staff and fellowship pro- grams attract strong candidates from Duke and from other institutions. Graduates of the medical school and house staff programs occupy posi- tions of leadership in clinical practice and in aca- demic institutions. A significant number of divi- sion chiefs and chairmen of departments of med- icine throughout the country have had a substan- tial portion of their training or early careers at Duke University Medical Center. Opposite Page Bottom: Row l KL to RJ: D. Nort- man. M. Topolosky. R. Kaufman. D. Slosky. S. Preston. J. Feussner. W. Rundles. J. Wyngaar- den. E. Stead. M. Hindman. L. Lastinger. K. McCarty, G. McCarty. E. George. W. Rosse. B. Kaden. J. Moore. Row 2: N. Aronin. L. McNabb. J. Roche. R. Polisson. B. Jegasothy. R. Snyderman. S. Palmeri. D. Harrison. R. Corey. D. Henderson. H. Silberman. J. Wilson. C. Buck- ley. T. Hauch. J. Clapp. R. Kurlander. L. Sakhrani. L. Biel. Row 3: E. Holmes. A. Sarouch. H. Sieker. E. Schoomaker. B. Nicholson. L. Goldsmith. L. Hayatavaudi. R. Badaura. J. Wortman. F. Lecocq. M. Feinglos. D. Herter. M. Leshin. D. Rubin. S. Powers. J. Rice. M. Schneider. Row 4: C. Starmer. A. Heyman. E. Shusker, R. Goldstein, T. Blumfelder. J. Kelly. V. Szatalowicz. W. McKeown. K. Berzer. K. Kari- 1 iff. 1 j . l t. A 41-. - t fl ig Dr. Lazarus interviews a patient. man. J. Morris. J. Garbutt. B. Rosati. V. Single- tary. N. Hendson, C. Agner. D. Scullin. J. Hochsfrei. C. Rhodes. J. Hirkman. C. Brown. J Newman. M. Dillon. G. Eisenbath. J. Goldberg, Row 5: R. William. F. Behringer. F. Cobb, E Schulman, J. Crawford. M. Rothstern. B Kaplan. J. Feldman. P. Kellenburg. J. Ward. J Ellis. D. Boerner. E. Guthrow. P. McKee. F Neelan. M. Hershfield. -v 5 a--' ' .15'.,, .-Es 2: 5 'il 2' flaw 1 MICROBIOLOGY AND IMMUNOLOGY at ,G RO! , if ' j A x ei' ti ii gi X i ' l -B2 1 if X M i Wolfgang K. Joklik. Chairman The Department of Microbiology and Immu- nology is one of the largest departments of its kind. There are 29 faculty members of the rank of Assistant Professor and above. and 20 faculty members with primary appointments in other Departments. both clinical and basic. have joint appointments in this Department. Some 30 post- doctoral fellows and more than 40 graduate stu- dents proceeding to the degree of Ph.D. are being trained in the Department. The Department's primary responsibility is the teaching of medical students. The foundation of the Department's teaching program is the core course that is given to first year medical students in the spring semester. This is a course of some 70 lectures that covers the disciplines of basic and clinical bacteriology, basic and clinical virology. mycology and parasitology. This course. which also includes some 8-I0 clinical presentations and about 35 2-hour laboratory sessions devoted primarily to the identification of pathogenic bac- teria and basic techniques in virology. mycology and parasitology. is consistently rated by medical students as one of the best courses taught during the first year. In addition, the Department teaches a course in immunology in the first year which until recently was part of the course that has just been described. It was recently split off from it so as to emphasize the new and funda- mental role of immunology in medical research. The Department has designed several third year elective courses for medical students. The two principal ones are Immunology for Medical Students and Pathophysiology of Infectious Dis- eases. which are regularly taken by almost one- half of the third year class. The latter course is being expanded into a two semester course that will cover both bacteria and virus-caused dis- eases. In addition, the Department offers a Virol- 5 -gpo- 1 J H A V i s 227 1 q, 1 I J, ' .1 5 i. , A.:-v... at . ' ' I lr . Y.. I ry ig. Nimmo e 4 . . . . - Q Q 1' Ve v e la Z'9! 5' 'flint iii ,i lislfltmrrffiiiizi. Teaching rounds in the laboratory. if --2 'J' WW f 11--11 'C 4' 0 no The evening crew. ogy and an Immunology program. each one semester in duration. Finally. third year medical students are free to take any of the dozen or so courses designed for graduate students that are offered every year by the Department. The second major function of the Department is research. The Department has been very suc- cessful in attracting both research and research training funds: presently these total more than Sl.5 million per year. Major research training grants in Viral Oncology and Tumor Immunol- ogy are centered within the Department. With very few exceptions. faculty members have their own independent research grants that support research programs in which third year medical students are encouraged to participate on a pre- ceptorial basis. and every year many of them avail themselves of this opportunity. The primary research strengths of the Department lie in Virol- ogy and Immunology. as well as in'Molecular Microbiology and, in conjunction with faculty members with joint appointments. Infectious Diseases. The third function of the Department is serv- ice. The Director of the Clinical Diagnostic Microbiology Laboratory of Duke Hospital has a primary appointment in the Department. and the Director of the corresponding laboratory at the VA Hospital has a joint appointment in it. Both laboratories offer popular third year electives. A 'P YPD' Other laboratories in the Department perform tissue typing for histocompatibility antigens. assay various cancer-associated antigens, and participate in epidemiologic and genetic surveys. Further, the faculty member in charge of the Blood Bank at Duke Hospital has a primary appointment in the Department. Below: Row l QL to RJ: A. Proctor, L. Tiosejo. H. Willits. W. Joklik. C. Wilfert. T. Mitchell. R. Burns. A. Hizi. M. McCrae. Row 2: D. Klein. J. Li, H. Zweerink. R. Smith. L. Gooding. E. Reis- ner. E. Hayes. 'tfigpi i fi-1 1. it tix i ' ' Q1 H J Roy T. Parker. Chairman Below: Row l QL to Rl: A. Grandis. L. Wilson. M. Hammond. R. T. Parker. J. Dorminy. S. Scott. Row 2: D. Whitesides. F. Gober. S. Sha- piro. M. Prystowsky. E. Baker. N. Zorner. Row 3: J. Lane. B. Walls. A. Addison. M. Pupkin. Row 4: D. Schomberg. R. Forth, C. Crenshaw. S. Gall. Row 5: R. Jelovsek. A. Haney. J. Miller. S. Abu-Ghazaleh. Row 6: J. Steege. W. Creasman. H. Wiebe. C. Peete. C. Hammond. Row 7: M. Soules. E. Surwit, J. Swaim. L. Kaufman. OBSTETRICS AND GYNECOLOGY The Department of Obstetrics and Gynecol- ogy. under the direction of Dr. Roy T. Parker. Professor and Chairman. has continued to grow from that so ably begun by his predecessor. Dr. Bayard Carter. The department's educational program is a diversified one which involves both undergraduate and graduate medical education. The department is also responsible for the clini- cal care of patients from a large referral area that present with a wide variety of clinical problems. The departmental teaching program is care- fully integrated with the medical student courses in the second through fourth years. In addition to the basic core course second year. electives in the later two years offer experiences in all aspects of obstetrical and gynecological clinical practice. The basic residency program is four years. with places for six residents at each level. Tradition- ally. however. the Duke program has been flexi- ble and has attempted to meet the needs of the individual as he develops interests in obstetrical complications. gynecological surgery. anesthesia. pathology. endocrinology. infertility. family planning. radiation therapy. cancer. research. and academic medicine. Fellowships are availa- ble on a competitive basis to those interested in intradisciplinary training or who wish to pursue research training in an area of major interest as preparation for careers in academic medicine. There are 26 full time departmental faculty members at Duke tfive primarily in researchl and 38 clinical faculty members located at three North Carolina affiliated community hospitals: Durham County General. Cabarrus Memorial in Concord. and Cape Fear Valley Hospital in Fay- etteville. Duke Hospital maintains 84 beds assigned to Ob-Gyn. and they operate at a 90+'Z, occupancy rate. Carter Maternity Suite includes beds for labor and recovery. specialty operating rooms adjacent research labs. and the departmental library and conference room. About 2.000 deliv- eries are done annually at Duke. Approximately 2100 gynecologic patients are admitted to the Duke service annually. with over 1700 operations done each year. A similar number of surgical procedures are performed annually at Durham County and Cape Fear Valley Hospitals. while the delivery numbers are l400 and 3600 respectively for these affiliated hospitals through which Duke residents rotate. Woman's Clinic at Duke has 40.000 annual outpatient visits. Specialty clinics in Endocrinol- ogy. Infertility. Cancer. Family Planning. Prena- tal. and Abnormal Obstetrics are held once or more weekly. as well as the daily Ob and Gyn Clinic. Clinics at Durham County General and Lincoln Community Hospitals in Durham pro- vide residents with experience in a community hospital setting. ln conjunction with the North Carolina Board of Health. the department has a Maternal-Infant Care Project and Family Plan- ning Clinic in rural Warren. Person. Granville. Hoke. Scotland. Franklin. and Halifax Counties. Medical students are also exposed to these outly- ing clinical settings in the second year as part of the core course. Thus the Department of Obstetrics and Gyne- cology fulfills a maior role in health care for much of North Carolina. This concern with good clinical care along with the medical teaching and research which it stimulates combine to form a strong and diversified program. A -ll T -'-ex or f le ,. . l .P I . ,jx Ki . fi A V i iii s' , aa , Nr gakix. Top Left: Dr. Grandis and nurse - Clinician Rupp. Lefi: Dr. Zarutskie examines a mother-to-be. 9 -Q 5 E S, 'N--.-if Above: Dr. Arthur C. Christakos. Left: Dr. Gober leads bedside rounds. 35 X . OPHTHALMOLOGY The goals of the Department of Ophthalmol- ogy are similar to those in the other departments - achieving excellence in patient care. teaching and research. Dr. Wadsworth. departmental chairman since I965. is an example of outstand- ing achievement and balance in these three areas. An excellent surgeon with particular emphasis on plastic problems. Dr. Wadsworth also has devoted a great deal of time and effort to pathol- ogy. writing. and lecturing. with the vitreous and detachment of the retina being his particular interests. The teaching activities of the department encompass graduate medical education in the form of a three year residency program and undergraduate medical education in the form of elective courses for medical students. Six elective courses in ophthalmology are offered for medical students covering a spectrum ranging from gen- eral ophthalmology to investigative ophthalmol- ogy. These courses are taught hy the various members of the faculty in the department. The research interests of the department cover both clinical and basic ophthalmology. Current research projects include oxygenation of the ischemic retina via the choroidal circulation. the treatment of glaucoma with a new investigative drug. and the formation of cataracts from infra- red laser radiation. ii' J Anderson. Jr.. J. Wadsworth. Second row: N Shields. G. Brindley. C. Obenauf. E. nor. J. Reed. J. Sonntag. J. Holland. J. R. Joseph A. C. Wadsworth. Chairman i0f1. J- MilCl'lCll- D- FiSCl'lCf- i- 1 . S F O .-oe--fi-3. - . .,,,,z4.,1b F-f-ftei-r4 3 -: 'ff T .XT ,-..1.ezt..'.,- Wt., . . . .. . .,2,,,,,., . .Juv ht.. . .,..1,,...4 ' .fy-A , ,' Q5-,Q -,, - ' 'fy' .,.',',1 1' .wrjfy 't 'V'7 2.'1'-.lvN,,-1 ,,'7- -- ' ,--Wg .Q tg ,I-.QT . ,f IL- , -. -4 v , . 1-.Jag Rik-, .Ai . --...l,L::,,N? :gin s .-:NHL .i Zami.. I. n 4 V r 'lvl . , . H ,. it 1 4 K ,-t 4:7 ,SA 'gf 5 I F y X '-' ,-- -,-4 .' -. J -- W v i. .fan H. 36 H. Shaw. W. Macllwaine. IV. Third row! C. Below: First row KL to Rj: A. Chandler. Jr. Seaber. M. Wolbarsht. M. Landers. Ill. W. M Q.,-vw M0911 Dr. Anderson examines. Above: Juan Batlle in the patient's seat. f ,rm .,.-0' v .pi 1 A X' .f Xffvf, 41 sf , Hg. V ,Ma-- x J 4,-4 Above: Dr. Wadsworth during surgery. PATHOLOGY Robert B. Jennings, Chairman Below: Row I fL to RJ: K. Reimer, D, Adams, R Trapasso. P. Burger. E. Bossen. G. Klintworth R. Jennings, W. Johnston, W. Bradford, H. Haw- kins, K. Schneider. F. Widmann, R. Vollmer. Row 2: C. Lewis, A. Sanfilippo, B. Fetter, S Vogel, S. Bredehoeft, D. Croom. Row 3: M Yoshinaga, M. Arthur, D. Graham, W. Pfister, J Spahr, W. Lamb, P. Sides, J. Gaede. C. Daniels P. Ashton. G. Winders, R. Waite. W. Hamilton B. Kehne-Weinstein. Row 4: S. Cochi. C. Tisher B. Woodard, J. White, R. Farnham. M. Bryan, R Zaino, J. Schwartz, P. Zwadyk, L. Kemper. E Kamenar, E. Mikat. Row 5: S. Goscin. C. Alex- ander, R. Sahmel, K. Boekelheide. R. Draffin, D. Copeland, G. Phipps, P. Anderson. K. Broda, P Pickett, J. Shelburne, J. Lowe, L. Hill, P. Herd- SOIL - Few Departments of Pathology claim so rich a heritage in talent. strength. and productivity as Duke. Those knowledgeable about academic pathology in the U.S. list the department at Duke as one of the best in the country. Three distin- guished scholars, teachers, and investigators have led the department since its formation in l930. The quality of this leadership has been recog- nized nationally by the award of the Gold Headed Cane - symbolic of preeminence in American pathology to both Wiley D. Forbus and Thomas D. Kinney in their senior years. The master commitment of the department has always been to teaching and the creation of new tered within the department that environm which attracts teachers and investigators of hi quality and provides these individuals with t time and opportunity to develop their ideas a talents. The present staff includes persons who primary interest is in diagnostic and clinic pathology and those whose primary interest li in experimental pathology. We have identifie attracted. and trained pathologists whose edge in pathology parallels that of their leagues in the clinical specialties. Division cardiovascular. pulmonary. renal. orthopaedic, and central nervous system knowledge. To this end, the chairmen have ft e I S 1.1 K J . ' - i N .-. - l 16 - 'lx ogy are headed by persons with expertise in these areas. Over ten staff members hold the combined M.D.-Ph.D. degree. having been thoroughly trained in experimental pathology or one of the other basic medical sciences. The elective curriculum has provided the opportunity for medical students to be in our department in their last two years A those years when the student is making a career decision. These favorable circumstances permit good teachers to teach exciting material to talented students. ln the past ten years. more medical stu- dents have elected advanced course work in pathology than in any other basic science subject. and the number of Duke graduates interning in pathology has been twice the national figure. When Wiley Forbus established dedication to medical student teaching with his memorable tea parties and round-up, the die was cast. ln the Kinney years. the emphasis was experimental pathology and development of subspecialties in pathology. yet the basic commitment to teaching was sustained. Dr. Robert B. Jennings. an out- standing investigator, teacher. and administrator now presides over a pathology department encompassing two cramped floors of Davison Building. the Veterans Administration Hospital. and composed of 35 senior faculty. 35 housestaff. fellows, and graduate students. The department is responsible for the performance of l.900,000 laboratory tests. 3l.000 cytologies. 20.500 surgi- cals. and S00 autopsies annually. As always. the student is our most important product. Left: The residents at sign-out. R 'w fi ,A Till-E 1 PEDIATRICS Samuel L. Katz. Chairman The Department of Pediatrics participates actively in teaching during all four years of the medical school curriculum. The principal focus is on the second year clerkship when all students spend eight weeks in a clinical pediatrics rota- tion. Members of the Department are involved also in first year teaching with the basic biologi- cal science departments. more in the third year program in biologic science when various depart- mental faculty offer electives in laboratory research and epidemiological studies. and finally in the fourth year where clinical elective courses cover a broad range of general and specialty pediatrics. ln addition to the medical student curriculum. the Department provides postgradu- ate training for 29 residents and for approxi- mately I8 fellows each year. The residency pro- gram is a three year curriculum and the fellow- ships vary from two to three years depending on the particular specialty. The Department also conducts pediatric training for all residents in Family Medicine and some of those in Psychia- try. Finally. there is an active continuing educa- tion program for physicians in practice. The faculty of the Department has been assembled to offer a full spectrum of the field of child health. They range from generalists with a commitment to primary care through specialists with focus on specific areas. Each faculty mem- ber is expected to conduct teaching. clinical care and research activities but in a varying balance. Graduates of the program are prepared for careers in primary care. in specialty work. in pub- lic health and in other aspects of child health. Although the clinics and inpatient services of Duke Hospital are the major site of teaching activities. the Department also utilizes a number of related community and regional facilities. These include Durham County General Hospi- tal. the Lincoln Community Health Center. the Fayetteville Area Health Education Center. the Cabarrus Memorial Hospital in Concord. the Durham County School System. the Area K County Health Departments and a private prac- tice group in Durham. Because so much of pedia- trics involves preventive medicine. family educa- tion and support. assessment of normal develop- ment. ambulatory care and related activities. the 40 teaching programs lay heavy emphasis on these aspects. Other than the conventional physician faculty. the Department relies on other members of the health team for teaching, These include nurses. social workers. psychologists. recreation therapists. physical therapists. dieticians and oth- ers. With sound basic principles of pathophysiol- ogy developed through the biological science courses. students and trainees are expected to acquire an in-depth understanding of the health. development and illnesses of infants. children and adolescents. Abundant attention is given to counseling undergraduate medical students who seek careers in pediatrics. Each year a significant number of Duke medical students choose careers in pediatrics and are assisted by departmental faculty in locating the best training opportunities. 0ppa.vire.' Top: Dr. Osterhout in clinic. Bottom: A bundle ofjoy. Below: Dr. Rourke with a patient. fgii i -D A, P Dr. Samuel Katz -1' Above: Dr. German in the nursery. Below: Row I fL to RJ: S. Brown. J. Arena. M. Morris. S. Katz. M. Vernon. L. Harris. M. Fiser. S. Edwards. W. Benson. Row 2: J. Falletta. S. Rothman, S. Kimm. B. Raffin, J. Brazy. R. David. J. Philips. Row 3: D. Jones. S. Handwer- ger. L. Blackmon, P. Cannon. A. Woolf. C. Sibrack. M. Poth. S. Gross. G. Gallemore. D. Perlman. Row 4: R. Maguire. T. Frothingham. R. Gugelman. L. Gutman. G. Brumley. R. Buck- ley. R. Saul. M. Sher. S. Grufferman. J. Davis. L. Murphy. Row 5: S. Osofsky. P. Baker. B. Myones. A. Cantor. R. Sturner. A. O'Quinn. M. Rourk. G. Serwer. R. Byrd. L. Key. J. Duncan. H. Herrod. S. Josephs. Row 6: K. Peevy. L. Mumford. D. Lang. H. Filston. P. Anderson. R. Ettinger. S. Yancy. P. English. A. Spock. J. Kli- m3.S. The Department of Pharmacology was for- mally established this past year under the chair- manship of Dr. Norman Kirshner. The staff is comprised of the faculty of the Division of Phar- macology of the pre-existing Department of Phy- siology and Pharmacology with the addition of new members and associates now being actively recruited. The Department fulfills its principal roles of teaching and research at various levels. The Pharmacology staff is responsible for the organization and presentation of the course in medical pharmacology for the first year medical students flectures. conferences, clinical correla- tions, which is integrated with an elective course in clinical pharmacology for third year medical students. ln addition. a number of graduate courses aim at developing advanced knowledge in special fields such as pharmacokinetics, recep- tor theory, toxicology, biochemical pharmacol- ogy, and neuropharmacology. J 4 J ,Y,.1.-l v' qi Below Dr Otlolenghl Above Dr Bernhexm Below Dr Schanberg .Z SX' , w get .' 1 'jm . wi: ro. I J ju f J t ,ff ,, 1. fd A.. tl X I PHYSIOLOGY 1 l Edward A. Johnson, Chairman The Physiology Department consists of seven major laboratories: Cardiac Cellular Physiology. Integrated Neurophysiology. Cellular Neurophy- siology. Cellular Vitology. Cardiopulmonary Physiology. Molecular Physiology. and Mem- brane lmmunophysiology. The approach of the Physiology faculty to research problems is largely biophysical . . . each laboratory seeking to expand the under- standing of physiological processes at the cellular and subcellular level. The department's medical teaching goal is twofold: to give students a basic core of classical and contemporary physiology that is related to the practice of medicine. and to encourage the recognition that an understanding of basic physiological mechanisms is a key to the understanding of disease processes. GROUP PICTURE: Row l tL to RJ: J. Moore. G. Padilla. N. Anderson, E. A. Johnson. J. Blum. T. J. McManus. A. Sylvia. Row 2: M. Hines. F Ramon. P. K. Lauf. J. Salzano. S. Simon. M. Lie- berman. F. Jobsis. T. W. Anderson. L. Mandel. n'-.un - t VW!! E:G,,.rv4gj'. il. . ' . 9--255.1-. . 1 - - . 4-g:,v. A. N f ---- . ,, , ' 44 ' I :Q 1 'A' . gi Q -1 4'-,alla-,.. Dr. Salzano gathers some important data. Dr. Mendell adjusts the equipment. T5 .3 Members of the research laboratory under Dr. Joseph C. Greenfield, Jr. fcenterj 45 I4 PSYCHIATRY H. Keith Brodie. Chairman The Department of Psychiatry provides train- ing for first-year medical students in Human Behavior. Second-year medical students spend eight weeks in a Clinical Psychiatry clerkship. Third and fotirth-year medical students are offered a wide range of elective courses in psychi- atry and behavioral sciences. The Department of Psychiatry faculty of over l00 are responsible for a general psychiatry residency. Approximately 50 housestaff are currently being trained for Board certification in Psychiatry. In addition. the department is responsible for Child Psychiatry Fellowship training as well as several research and clinical fellowships in consultation-liaison psychiatry. research training and geropsychiatry. The department provides a medical psychology intership for Ph.D. candidates in clinical psychol- ogy. The clinical orientation ofthe department is an eclectic. Most faculty are specialists in individual psychotherapy. group psychotherapy. psycho- pharmacology. psychoanalysis. behavioral modi- fication. family therapy. leisure therapy. biofeed- back. child psychiatry. community psychiatry. medical psychology. or liaison psychiatry. The pluralism of the Duke faculty allows the develop- ment of resident graduates broadly trained in each of the psychotherapies. In addition to therapy. all faculty are engaged in research and teaching. Each year the depart- mental faculty authors several hundred publica- tions. Our faculty work in collaboration with several of the basic and clinical science depart- ments in the School of Medicine together with numerous graduate departments of Duke Uni- versity. Clinical services are provided on the 80-bed inpatient service. the outpatient clinic. the emer- gency room, and the liaison psychiatry service of Duke Hospital. ln addition, our faculty are responsible for the psychiatry inpatient service Q80-beds! of the Durham Veterans Administra- tion Hospital and serve as members of the attending staff of the Durham County General Hospital Psychiatry Department. Some of our faculty carry out teaching and research at the John Umstead State Hospital. Training in child psychiatry is offered at the Children's Guidance Clinic situated adjacent to the Duke University Medical Center. A developing collaborative rela- tionship has been established with the Durham County Community Mental Health Center and with the Lincoln Neighborhood Health Center for training. research and clinical care. In addi- tion. the department operates the Highland Hos- pital in Asheville. North Carolina. Here. approxi- mately l00 inpatients tmany of them adoles- centsl. are treated on a beautiful 80-acre campus given to the university. Highland Hospital is responsible for a Half-Way House and outpa- tient clinic in addition to its inpatient service pro- grams. Below: Row I QL to Rl: B. Yoder, J. Bonner. M Wertz. F. Hine. J. Rhoads. J. Fowler. C. Llewel lyn. W. Wilson. K. Brodie. E. Busse. M. Breslin R. Green. Row 2: J. D. Jones. H. S. Wang. F Houpt. J. Parker. H. Harris. A. Whanger. G. Sil ver. W. Groesch. D. Gentry. Row 3: D. Ander son. T. Cavanaugh. D. Blazer, L. Wyratt. E. Cro vitz. D. Ramm, E. Palmore. E. Clifford. G. Mad dox. W. Erwin. C. Keith. Row 4: B. Autrey. M LaBarr. R. Thompson, G. Marsh. D. Shows. E Seigler. J. Carter. W. Zung. E. Gehman. L Wang. D. Pauk. M. Flowers. A. Long. H. Zeisat. . I I -, -. ... .. ,, g A: T ,V , . 1 . A - Q .- ,.- .Q.fq..'-.L ' -fx ' 46 ,- 4 I l in :VJ A .4 1 :NS if 1 . J 4 I S., Counter Clockwise From Left: Dr. Silver chats with a patient. Dr. Hine pounds a problem. Dr. Bressler reviews a publication. Drs, Fulkerson, Gallagher, and Werman in conference. Q ', 4a . '-' RADIOLOGY itint? a ff. 1... Q ,hy Charles Putman. Chairman The Department of Radiology at the Duke University Medical Center strives to provide for students the broadest possible exposure to the field of Radiology through School of Medicine courses, clerkships, residencies and allied health programs. The growth of Radiology as a disci- pline in the recent past has been significant and shows no signs of abating in either volume or complexity. Radiology was originially used exclusively as an aid to clinical diagnosis. lt is now also employed to monitor the progress of patients during and after treatment. to screen for diseases before symptoms develop and to treat diseases. The increased usage of Radiology is directly related to the rapid development of increasingly complex, sophisticated. relevant technology. With advancing instrumentation the radiologist and the clinician must coordinate radiographic studies to provide for the patient the most efficacious and economical diagnostic evaluation. Continuing developments can be expected in computerized tomography, ultrason- ics. nuclear medicine. radiation therapy. vascular radiology and all other subspecialty areas within the discipline. It is the commitment of the Department of Radiology at Duke to provide the r 'P highest quality patient care. to advance the fron- tiers of medicine through research and develop- ment and to educate future generations of health professionals. Below: Row l QL to RJ: R. Zeller. S. Woodard, H. Grossman. L. Wolbarsht. C. Putman. R. Rice. J. Reed. J. Chen, D. Merten. L. Magness, A. McCrea. J. Carter. l. Johnsrude. Row 2: J. Geh- weiler. D. Call, P. Zakowich. J. Goree. K. Woo- dard, K. Noell. Row 3: O. Charlton. A. Fritz, V. Moore. K. Hicks. C. Briley, M. Halber, R. Daff- ner, S. Martinez, E. Effman. L. Miller. R. McLelland. R. Older. F. Kelvin. Row 4: R. Sather. B. Rodan. W. Trought. E. Rosenberg. Stewart. S. Souders. C. Morgan. W. Barry. Fishburn. F. O'Foghludha. J. Jiminez. Row 5: Lamont. C. Harris. W. Foster. F. Bruno, W. ner. J. Blum, R. Firtle. B. Warde, J. Blackburi G. Baylin. W. Currie. Row 6: H. Cable, W Clark. D. Cleeve. W. Thompson. T. Oddson. X Saunders. J. Workman. R. Max. B. Powers. T Brown. xi? J I 1 ..-, f 't Opposite Page Top: A lighter moment for the group. Opposite Page Middle: Operating the scanner. C ountercloekwise From A bove: Dr. Putman instructs. Dr. Kelvin reviews an abdominal film Dr. Grossman reads pediatric films Dr. Thompson at work in the lab, Dr. Rice eyes a contrast study. I l SURGERY David C. Sabiston Jr.. Chairman The aim of the Department of Surgery at Duke is the creation of an environment in both clinical and investigative surgery' for students. residents. and faculty. ln the areas of General and Car- diothoracic Surgery. under the direct supervision of tlte Chairman. Dr. Sabiston. thorough clinical training supplemented by individual laboratory and clinical research together form the basis ofa residency training program with an international reputation for excellence. Duke medical students profit from the keen interest for clinical teaching shown by members of the department at all levels. During the second year core course. stttdents are afforded the opportunity' of being directly instructed by virtu- ally every surgical faculty' metnber. A weekly' conference is led by Dr. Sabiston himself. The enthusiasm for teaching and investigative work 6 k QN v V- 1 1 i 6 . X 1 tl gun' N has also manifested itself throttgh the high per- centage of residents that have chosen to remain in some aspect of academic surgery upon com- pletion ofthe Duke program. Of the 895 beds at Duke Hospital. over 350 are devoted to surgical patients. who comprise approximately one half of the hospital's admis- sions. ln additiott. the Durham VA. Hospital has 200 beds for surgical patients and is a designated VA. Homotransplantation Center. Experience in surgery at a community hospital is gained at the Durham County Hospital. The basic surgical residency program is a two year program designed to prepare appointees for complete residency training in general surgery or one of the divisions of surgery. Following these two years. the program in General Surgery encompasses a period of three or more years of senior assistant residency aimed at preparing participants for the final intensive clinical year as Chief Resident. At the completion of the Chief year. one or two of those finishing the program may be appointed for an additional year as Teaching Scholar in surgery. a position required for candidates in the Cardiothoracic program. Current areas of research interest of the departmental faculty include: homotransplanta- tion. hyperbaric oxygenation. pulmonary circula- tioti. cancer research. cardiovascular research. gastrointestinal studies. lipid metabolism and atherosclerosis. trauma. and pediatric surgery. The Department-emphasizes the relevancy of the historical aspects of surgical science. as exem- plified bythe Clarence F. Gardner Lectureship in honor of the distinguished Chairman Emeritus. Duke is also privileged to yet today have one among us like Dr. Deryl Hart. Chairman Emeri- tus ofthe Department and President Emeritus of Duke University. who was present when Duke began its rise to prominence in the medical com- munity. 1: : Mis. 1 Q '1- I I . .,tii'tl't ist Q9 ML Bcluw: Row l tL to RJ: W. Sealy. S. Kramer. Lowe. W. Beltz. R. Perryman. K. Jones. D. Sabiston. Jr.. R. Millar. R. Gregory. J. Cox. llammon. Jr.. P. Horton. R. Kilpatrick. Row S. Fisher. D. Bynum. W. G. Young. Jr.. M. Bo' man. l.. Pasley. J. D. lglehart. R. Wesly. A. Ro: F. Chan. J. Sink. Row 3: R. Jonas. J. Fortune. VN Shingleton. R. Larson. L. Harrison. J. Boyd. 4 Olsen. W. Holder. V. Lonchyna. M. R. Bolma L. Kleinman. D. Andersen. B. Smith. H. M Lewis. Row 4: W. S. Ring. A. Wechsler. R. Jones. G. Leight. W. R, Howe, J. S, Rankin. Robinson. W. R. Chitwood. B. Blurnenkopf. Moylan. K. VanBenthuysen. C. Edwards. J l.owe. R. Hill. T. Marsicano. W. Old. R. Ho kins. D. Stickel. Row 5: R. Anderson. VV. Wolf lrl. N. Oldham. P. O. Hagen. M. Con DeVries. G. Austin. W. M. Linehan. W. Schen T. Dimmig. W. Dilley. D. Haagensen. P. R. Bollinger. l N. 1 Clockwise From Above Left: Dr. Wells and Dr. Haagensen Dr. Scott Jones explains a diet. Surgery in the cardiovascular lab. Treatment in the emergency room Listening to the patient's needs. moment in the OR. I i NEUROSURGERY Robert H. Wilkins. Chief The Division of Neurosurgery at Duke strives for excellence in the areas of patient service. graduate training. and research. The Division is fortunate in that the strong leaders under whom Duke's international Slalure was achieved are still emminently visible about the hospital. In l937. Dr. Barnes Woodhall. Emeritus Chairman and James B. Duke Professor of Neurosurgery. became the first neurosurgeon to join the staff. Dr. Guy L. Odom. James B. Duke Professor of Neurosurgery and past Chairman. came to Duke in l943 and still actively practices at Duke. Dr. Robert H. Wilkins. a Duke trainee and the new chief. feels that Duke's neurosurgical strength is based on the variety of the neurosurgi- cal disorders encountered and the volume of patients treated. The Division maintains an active clinical service. averaging an inpatient census of 50 at Duke and 30 at the VA Hospital. This year. residents began a trial rotation at the Durham County Hospital as well. Although this has resulted in a broad base of neurosurgical activity. the interests of the indi- vidual staff neurosurgeons have added extra dimensions in certain areas. Dr. Blaine S. Nas- hold. Jr.. for example. has long been active in the field of functional neurosurgery. and this year is President of the World Society for Stereotactic and Functional Neurosurgery. The Division of Neurosurgery runs clinics for patients with brain tumors and subarachnoid hemorrhage. and takes part with physicians from other disciplines in clinics for patients with pain, rnyelodysplasia, and craniofacial anomalies. Dr. Wesley A. Cook. Jr. is a key component of a cooperative effort concerned with the care of inpatients with spinal cord injuries. Dr. Richard S. Kramer has been conducting research concerning the effects of ischemia on cerebral metabolism. The residency program itself entails a five-year program following one year of general surgery. Right: First row: R. Wilkins. J. Fulghum. C. Duncan. G. Odom. B. Woodhall. Second row: R. Kramer. D. Bullard. A. Friedman. R. Ostdahl. Top row: J. Oakes. R. Woosley. W. Cook. J. Mullen. 52 Dr. Woodhall and Dr. Odom One year is spent in our neuropathological labo- ratory. and another is based on a study program in organic neurology. Supervision in the clinical years includes daily rounds on all patients by the senior staff. Several conferences are held weekly. both within the Division and in collaboration with other departments. Medical school teaching is another area in which the Division participates. A six lecture series is part of the second year Surgery rotation. Three advanced courses are offered for students with a career interest in the neurological sciences. an 3 X 3 1' S W -.ga QQ., Sdn -'A' The Neurosurgical Division anticipates the move to Duke North. where Neurosurgery and Neurology are to share a common floor of 80 beds. lt is hoped that this move will foster contin- ued excellent patient care and expansion of opportunities in the management of neurosurgi- cal disease. . -3 , . . ., ORTHOPAEDICS 'lg .l. Leonard Goldner, Chief The Division of Orthopaedics takes an active in medical teaching. patient care. and clini- cal and hasic research. Undergraduate medical education includes a series of lectures in the sec- ond year core course. as well as upperclass elec- tives. The latter include offerings in fractures. full-time clerkships. and clinical research pro- tects. 'lhe residency training program will prepare the trainee fora career in either academic ortho- paedics or community practice. Two years of pre- ltminary experience in surgery are desired. The length of training time is four years for those completing the preliminary two years. Eight trainees are appointed each year. and two Fel- lowships in Hand Surgery are available. Rota- tions during the four years are varied. During the first two years. the resident rotates through the services at Duke. the Veterans Hospital. Durham County General. and the children's hospital. l t 7 !1 lf ,ft ff ,A fi I JI... 51. :ull .Imran l nil! Other rotations during the first two years of training will include either Anatomy or Pathol- ogy. a part-time research assignment for certain residents. and participation in aspects of sports medicine. Affiliated institutions away from Durham include the Asheville. Nf, VA Hospital. the Greenville. Sf. Shriners Hospital. the North Carolina Orthopaedic Hospital in Gastonia. and thc Shriners Hospital in Erie. Pa. The full time Staff at Duke participate in resi- dent training activities. private practice. clinical and laboratory research. community medical activities. and attend outlying clinics to provide orthopaedic services throughout the state. They supervise various clinics and programs including electromyography. Orthotics and prosthetics. joint implants. arthritis. replantation. sports med- icine. orthopaedic pathology and anatomy. spi- nal cord injured patients. emergency care. and ttii .1 iii i t t J 1 l l ' t -v 5 I Al! l s 5 ff 7 . I. .K 1 1 lv I Q 4 1 . 5 , r e, P fl sw i , .ts .in f patients needing musculoskeletal rehabilitation. Hand Surgery is an active service within the gen- eral orthopaedic program. Dr. Urhaniak and Dr. Bright also supervise an active replant program with a wide referral area. .4!wi'e: Dr. Bright at work in the clinic. Below' Dr. Limhurd molds a cast. yr Left: Row I QL to RJ: R. Gelherman. D. Dalton. T. Nipper. J. L. Goldner. J, Schwartz. F. Gray, J, Schaeffer. B. Morfield. Row 2: D. McCollum. E. Bugg. J. Glasson. R. Ruderman. J. Harrelson. Row 3: T. Limbird, H. Davis. T. Whipple. W. Goodman. D. Bynum. Row 4: R, Sehayk. S. Schilperoort. T. Orvaldt. P. Friderichs. P. Whit- field. A. Dini. Row 5: P. Hendrix. F. Warren. J. Bloem. 1 53 OTOLARYNGOLOGY Xvv William R. Hudson, Chief Dr. William R. Hudson. Chief. Division of Otolaryngology. has developed a comprehensive program involving patient care. teaching and research. Many phases of this program overlap. Duke Medical Center is the focus of the pro- gram with satellite programs at Durham VA Hospital. Asheville VA Hospital and McPherson Hospital. They provide a base for clinical and research training for your physicians in our spe- cialty. both medical students and residents. In addition to the management of general problems related to Otolaryngology the following special interests have been developed: l. Head and Neck tumors via joint investiga- tion with several other related departments are under study with Dr. Boyce Cole as our primary representative. Data obtained can lead to better management oflhead and neck cancer patients. Z. Auditory and vestibular disorders give rise to a large number of our clinic patients. With our close association with the Center for Speech and Hearing Disorders and with the aid of a well- equipped Electronystagmography Lab, under the direction of Dr. Joseph Farmer. these patients can be more thoroughly evaluated and methods of proper treatment initiated. 3. Pituitary tumor surgery is available via cooperative efforts with the Department of Neu- rosurgery. Duke has become one of the foremost centers for pituitary surgery. and the transsphe- noid approach was primarily developed by Dr. Patrick Kenan. 4. Radiology of the head and neck is available in the ENT Clinic under the supervision of Dr. 54 pi'G Top: Dr. Baylin's discerning eye sees all. Right: Dr. Levin gets past the wax. George Baylin. Equipment includes a new strato- matic unit as well as a conventional head unit. Dr. Baylin is also actively engaged in our teach- ing program and the residents research projects. 5. Hyperbaric research of auditory and vesti- bular functioning. osteo-radionecrosis is availa- ble in the Duke Hyper-Hypobaric chambers. Dr. Farmer directs our activities there. 6. Otolaryngology Laboratories under the direction of Dr. John Casseday maintain a vari- ety of basic research projects studying auditory function. Below: Row l KL to RJ: G. Baylin. J. Farmer. W. Hudson. E. Drawbaugh. J, Loudermilk. Row 2: P. Kenan, J. Cole.-M. Levin. H. King. J. Tasher, T. Wantanabe. . hs B as n :oz , l j If ' ' nl -' f . ' X I '- ' 1 7 f 'i J J Q ' it if r S PLASTIC AND MAXILLOFACIAL Nicholas G. Georgiade. Chief The residency program is under the direction of Dr. Nicholas G. Georgiade tpictured abovej and is designed for Board certification in the spe- cialty of Plastic Surgery. Candidates who have completed a residency in General Surgery are given preference in the selection of residents for this program. Three trainees are accepted each year. one in January and two in July. The period of training is two years in length with an addi- tional six months of intensive hand surgery with Dr. Kleinert and Associates at the University of Louisville Medical Center. The entire program encompasses graduated responsibility and inde- pendent experience in excision and reparative surgery of the scalp. face. orbits. nose. oral cav- ity. neck. trunk. and extremities: the surgical treatment of neoplastic lesions of the head. oral .QA cavity. and neck: correction of congenital abnor- malities: reconstructive and aesthetic surgery: extensive surgical experience in dealing with sur- gery of the hands and extremities including microvascular surgery and the treatment of burns in all stages. Research facilities are available for the staff and they are encouraged to pursue indi- vidual investigation in the Plastic Surgery Research Laboratory. Facilities are available for fellowships in research in the Plastic Surgery Research Laboratory and many residents prefer to work at least six months in the Research Labo- ratory prior to assuming the responsibility in the residency program in order to enhance their experience in microvascular surgery and other active research areas. The residents in training spend approximately one half of their time in the Plastic Surgery Service at the Veterans Adminis- tration Hospital adjacent to the Duke Campus. During the final years the trainee is the Chief Resident at the Veterans Hospital and Chief Res- ident at the Duke Plastic Surgial Service. There are four full-time senior staff members who supervise the residents' work carefully and daily rounds and conferences are conducted. More intensive teaching sessions are held twice weekly. This division is closely associated with Oral Sur- gery. Orthodontics. Medical Speech Pathology. and Medical Psychology. The division participates in medical student education through a lecture presentation series during the second year rotation. as well as offer- ing an elective clinical clerkship in reconstructive plastic surgery. til . '1 C lg- x .L M381 is fl ' ll l. Q s. lr' l .Jffi Above: Dr. Georgiade busy in the clinic. Below Left: Row l lL to Rt: D. Serafin. J. Angel- illo. N. Georgiade. C. Peters. Row 2: R. Gregory. C. Shearin. H. Norberg. L. DeSouza. Row 3: R. Riefkohl. R. Morris. P. Pollack. Row 4: J. Fern- bach. D. Leipert, W. Rabe. Below: Dr. Pollack assesses the problem. , lil Ltd Wi' l '! t UROLOGY James F. Glenn. Chief An approved three-year residency program. leading to competence in all phases of Urology and exceeding the minimum standards for certifi- cation by the American Board of Urology. is offered by the Division of Urologic Surgery under the direction of Dr. James F. Glenn. Two years of assistant residency in General Surgery are minimum prerequisites to the appointment of three residents each year. The majority of resi- dents appointed have additional preliminary training in Sturgery. Medicine. Investigative Urol- ogy or other sciences basic to the clinical resi- dency. Research activities include extensive pro- grams of investigation of urinary physiology. urologic rehabilitation. and urological malignan- cies under grants by the United States Public Health Service. National Institutes of Health. Office of Vocational Rehabilitation. and private foundations and are coordinated in facilities of Duke Llniversity Medical Center and the adja- cent Veterans Hospital. Residents are encour- aged to participate in research and training activ- ities as well as to acquire progressive proficiency in patient care and surgery. Rotation between Duke Hospital. with active private and ward ser- vices. the Veterans Hospital at Durham and Oteen. and the Durham County General Hospi- tal insures a broad spectrum of training advan- tages. Close cooperation and assistance of the senior staff is rendered in diagnostic and thera- peutic areas in each hospital by means of com- prehensive teaching exercises. rounds. journal clubs. surgical and diagnostic procedures. and research conferences. Medical student education is provided through several available elective courses as well as through participation in the basic surgery rota- tion lecture series. The elective courses include a full time clerkship in urologic surgery. a clerkship dealing with management of renal disease. and a seminar in urologic diseases. Rfglllf Row l KL to RJ: J. Dees. E. Anderson. D. Paulson. L. Cleeve. S. L. Guice. J. Weinerth. ROW 2: J. Hughes. J. Grimes. T. Minami. R. Older. G. Webster. Row 3: G. Lockhart. W. Mabry. S- Kramer. C. Hinman. G. Lin. Row 4: S. Graham. J. J. Bredael. R. Reeve. J. Glenn. Rigs I: Dr. Hinman gets the history. Below: Drs. Paulson. Glenn. Hinman. Weinerth and Graham discuss an interesting urogram. . Y F . ,afr- 41' 5 R412 . x wx, x A u,4 , T-,, ,V ' F551 W 31 . L 1 , M.: 4. . . . . 7 H 'll W x .. n up . ... han, ' . n. I., , , M . A v L. .n I , , , .- , ... ,-..J 4 , ..,, J A I I A 271' , L' . ., wx Xe. 45 Q R . , .x , ' .lIf, . T ,vi ' TU -I-fvlqz 1 Q. -., 'T mt vqlfv- L ' by ' if' V+ M,-ri ,zmsf .aff-,Y-1 . Q - , Q, ,gp . I , -:,-1' .5..-er .: ,,Af,,g,4:, .1763-jdg H V 1 ., ,Q 1 E fl Q., -. -2, P 1. A C? , , .4 .1 44,' 11,1 W 'III' 'I 'JI I I1 1, fl., ge- , Y: Z X ,.: V ,V .1 tw as, PIT ll 3. Q V lr sf - 'nv f 1 ,Q .. - '- :r' as I, lb .-ia, agp: 1A:.wl..'g V P , ' 'M A-14. Y 55 I ,I U wr ' ' 1 Era- 4 . ' JY . ' ' 'Q Q :fy '-ilaf, A J- JL 12,4 I f f HISTORY Roots ........... Duke North ........ Students ............. Duke and Durham ........ l Juan Batlle Eric Smith ROOTS The history of Duke University Medical Center has its roots in the days of the Civil War when Durham was an insignificant railroad hamlet with a population of 200. Durham's fame as the center of the tobacco industry was the result of a historical accident that made bright-leaf tobacco popular across the nation. The growth of Dur- ham as an industrial town and the cre- ation of Duke Universtiy were the result of a fortuitous encounter. Two weeks before the end of the Civil War. Generals William T. Sher- man and Joseph E. Johnston. the com- manders of Union and Confederate armies in North Carolina. met west of the town to discuss terms for the end of hostilities. During the few days of cease fire the troops from both camps wan- dered into the town and sacked the supplies of bright-leaf tobacco in the warehouses. Days later the anticipated battle was never fought since the end of the Civil War had been declared with the surrender of the Confederate Army. After the surrender. the troops returned to their homes in different states exposing the entire country to the delights of Durham's bright-leaf tobacco. Washington Duke. who had fought in the confederate army during the war, was imprisoned by the Union troops during the end of the conflict and released with fifty cents in his pockets. On his return to the farm in Durham, he found that his tobacco possessions had been sacked by the troops of Sher- man and Johnston. With the help of his sons Brodie L.. Benjamin Newton, James Buchanan. and his daughter Mary Elizabeth. he packed the remain- der of his tobacco and sold it for enough money to see the family through that winter. Encouraged by his profits. he continued to manufacture tobacco and labeled his product Pro Bono PubIico tLatin for For the Public Good J. i During the next few years the family business expanded and Washington Duke took his sons Benjamin and James Buchanan into the firm as part- oo 1. 1' , v aim P' -. 1 , ' it Q W . vu ners. Washington Duke retired in l877 selling his interests in the firm to Rich- ard Wright. Ben Duke continued to handle the business. James Duke oper- ated the factory. and Wright acted as traveling salesman. The firm had accu- mulated a capital of 570.000 at the time of Washington Duke's retirement and had rapidly outcompeted all other tobacco factories in Durham except for the manufacturers of the Bull then owned by William Blackwell. James Buchanan Duke eventually became the leader of the company and his success in the tobacco industry can be attributed to his foresight in busi- ness matters. In 1881, when cigarette rolling had become popular in Europe and was still a new item in the Ameri- can market. James Duke decided to put his company's stake on the cigarette industry. The first cigarettes were rolled by hand but by 1884 James B. Duke was ready to open a new factory with the first Bonsack cigarette machine to be used in North Carolina. Duke spent many hours with the twenty-two year old James Bonsack perfecting the machine that reduced the price of rolling cigarettes to one third and the profit margin to 100 per- cent. James B. Duke left North Carolina that year and went to New York where he continued to expand the company. By 1889, the W. Duke sons and Com- pany produced 940 million cigarettes annually or nearly half of the nation's total production. The town of Durham. however, remained with many prob- lems of water sanitation, water supply. health. and education. Typhoid fever, malaria, dysentery and diarrhea were a problem as epidemics of these diseases visited the town. The incidence of tuberculosis was exceedingly high and typhoid fever was jokingly known around the area as Durham fever. Several drives were made to raise funds for a hospital all of which ended unsuc- cessfully primarily because the hospital was equated in those days with the place where the poor and indigent went to die. Durham's citizens were striving to make the town into a first class com- munity. Railroads were being built. companies expanded, new factories constructed, and Trinity College was brought to the town. Contributions from the businessmen for charity and education were substantial but little was done for the improvement of the community's health. Dr. Albert G. Carr was well aware of the health prob- lems of the community and had attempted on three occasions to have a hospital erected in Durham between 1884 and 1891. His efforts and enter- prise were finally rewarded when George W. Watts, then president or 'Lai-Q' ' lv .d'.tiQH'r'.J , g K ' I- Q, rf- -- .2 A 4 7 sg- -E 4' - S . 1 .V dr . at J. . director of tobacco companies. cotton mills, railroads, and banks decided to make a large philanthropic contrib- ution for the construction of a hospital. Watts' donation was substantial amounting to 580,000 Thirty thousand dollars were used for the construction of Watts hopsital and 550,000 were left as an endowment for the hospital. This was North Carolina's first private hos- pital and it was well received by the Durham community. The black people in Durham, how- ever, lacked any hospital facility for the care of the sick and it was not until 1893 when Washington Duke donated a total of 813.000 for the construction of Lincoln Hospital. Dr. Aaron Moore. a black physician was instrumental in convincing Washington Duke of the need for this facility. In the early 1900's. the Duke family business continued to prosper and diversify. James B. Duke's foresight was again exemplified when he diverted his investments into hydroe- lectric power. textile mills, and mining. In 1911, when the United States Supreme Court ordered The American Tobacco Company, then owned by Duke and Watts, dissolved, four power plants were operating and more were under construction. The power plants were organized in 1905 into the South- ern Power Company that later became the Duke Power Company. At the turn of the century, North Carolina's leaders became aware of the need for a medical school that would train the state's physicians and 5 IAP: ' Ei. ' nurses. Four schools had been built by 1 . '- , r waist. ' ai, 5 2 ' e'?ii'.'T1 fi' l 1 5. 'fl I, 1912, two of .. 'L - which survived Abraham Flex- ner's survey, Medical Education in the United States and Canada. These two medical schools were located in Wake Forest and Chapel Hill and only their pre-clinical departments were judged adequate for their purpose. The symbol of Flexner's standards was The Johns Hopkins University School of Medicine in Baltimore where European university practices and an energetic young faculty had placed medical edu- cation on a firm basis. s,- Duke family and business associates in Erwin, N.C., 1904. Front row, from left: B. N. Duke, Washington Duke, J. B. Duke. Back row. from left: Dr. A. G. Carr, W. A. Erwin, J. Ed. Stagg. . 1. As early as l9l6. James B. Duke told the Dean of Trinity College, William Preston Few, of his intention to give away dur- ing his lifetime a large part of his fortune. His philosophy was to arrange his philanthropy so that the profits of his electrical power holdings were directed to the social needs of the Caro- linas. In l923, Duke commissioned Alexander H. Sands, Jr. to survey the health needs of North and South Caro- lina. He asked for a complete survey including the number of free and pay beds operated by each hospital and the net cost of charity care they provided as the basis for devising a formula which would provide hospitals and doctors to the underdeveloped areas of the two states. James B. Duke also gave his attention to Trinity College which he desired to expand so as to include a College of Women. a Law School, a School of Religion, a School of Busi- ness Administration. a School of Engi- ' .I Bu- neering, and a Graduate School of Bus- iness Administration. A Medical School was only to be constructed when adequate funds became available after his death. On December ll, 1924, James B. Duke made his designs public. The Duke Endowment was created as a per- petual foundation for the benefit of orphanages, hospitals, eudcational institutions, and the Methodist Church. The endowment was valued at 40 mil- lion dollars of which twenty percent would be set aside until another forty million accumulated. Of the remaining income, Trinity College received thirty- two percent if and when it changed its name to Duke University. The endow- ment trustees were instructed to set aside six million dollars for the building of the new university. Thirty-two per- cent of the income was set aside for the support of every hospital in the Caroli- nas not operated for private gain. Each hospital was allotted up to one dollar per day for every day of care given to a charity patient. A substantial donation this was, considering that the average cost per hospital bed was three dollars a day in 1925. Dean Wilburt C. Davison. illl-I :stef '51 .Jai Ko . E' 'L fl Construction of Davison Building, l928. This was the first building of the new west campus. During the summer of 1925. James B. Duke suffered from a severe illness diagnosed as pernicious anemia that carried him to his death on October 10. 1925. In his testament. Mr. Duke left 51.236 shares of preferred stock of the Aluminum Company of America intended for the construction of a med- ical school. After James B. Dukels death. Dean William P. Few of Trinity College proceeded carefully and wisely to search for a Dean of the new medi- .cal school. After many months of scru- tiny. he selected Wilburt Cornell Davi- son who was then Assistant Dean of the Johns Hopkins School of Medicine. Dean Wilburt C. Davison was the son of a Methodist minister born in Michigan and educated at Princeton. While at Princeton. he was awarded a 'Rhodes scholarship and traveled to Oxford where he studied under Sir Wil- liam Osler. Davison studied at some of the leading schools of Europe and dur- ing the war he volunteered to serve with the French Army. Davison returned to America in 1916 to join the senior class at Johns Hopkins where under the influence of John Howland he entered the field of Pediatrics. From 1919 to 1927, Davison held teaching and administrative positions in the Department of Pediatrics at Hopkins and after l92'5 he was appointed assistant to the Dean. On Davison's arrival to Duke. he was faced with the problems of building a medical school that until then was only a dream. His dynamic character and ork capacity were great assets in win- ning the support of the local and state medical community. Davison traveled round the state and consulted with riends and experts of the medical com- unity that would give him advice on he construction of the new hospital. e began collecting books andjournals or the library and. together with Dean ew. made plans for selecting the new hairmen of the basic and clinical epartments of the new medical school. Davison's first appointment for Pro- essor of Medicine was Harold L. moss then Associate Professor of edicine at the Hopkins. Amoss greed to come and immediately after is acceptance. Davison sent him the ist of candidates for the position in the department of surgery. Davison's pol- icy was to include each full professor in the process of selecting other full pro- fessors. Julian Deryl Hart was recom- mended for the professorship in sur- gery. Hart was a native of Georgia and studied as an undergraduate at Emory. He obtained his M.D. at Johns Hop- kins where he was in the eighth year of his residency at the time of his appoint- ment. They also selected Wiley D. For- bus a graduate of Washington and Lee and Johns Hopkins. Forbus was Asso- ciate in Pathology at Hopkins and had experience as consulting patholigist for a number of Baltimore City Hospitals. Davison selected for the position of chief nurse Miss Bessie Baker who had experience as assistant superintendent nurse at Johns Hopkins. With these appointments the work load on Davison's shoulders eased somewhat and the team went to work on the task of equipping the new hospi- tal. The department heads were also given authority for final selection of their new staff. Since Amoss, Hart, and Forbus were still at Hopkins, they were able to serve as on the ground recrui- ters. Alfred R. Shands from Hopkins was appointed f- - -e 1 Attending Orthopedic sur geon. Robert J ,,. Reeves. lnstruc tor in Roentge nology. was cho- sen from the fac- 1 V ulty at Colum- bia. Francis H. Swett of Vanderbilt was chosen as Professor of Anatomy, George S. Eadie of Hopkins as Profes- sor of Physiology. Also from Hopkins came Instructor Roger D. Baker in Anatomy. Frederick Bernheim in Phy- siology, surgical resident Clarence E. Garnder. Jr.. and Robert R. Jones. pathology resident. PN.-I .-..--,mtg . - - :gazes - r - 1.1 it . 1 it V . V 'Mx Y., - 2' pri?-5 gf l' f ' T f 1 Zifiiilfl ' 1- T fer- , 'fill'-'glrt Zyliiir. .TP . . , - . . i p 'E ilk' L -,K . A .Ji ' gl . W' ' 'ive - P 4, ' ..1- , X H J Nr... 1. ,f w. --JA,--, 'ft . 2.1 1 Duke Hospital Staff two days before opening on July 19. 1930. First row: Dr. Bellows. Mrs. Martin. Mrs. Sykes. Miss Baker. Miss Patrick. Miss Laxlon. Dr. Swett lfrom left to rightj. Second row: Dr. Eagle. Dr. Alyea. Dr. Forbus. Miss Batcheldor. Miss Floyd. Miss Nelson. Mrs. Lawlor. Miss Muller. Dr. Amoss. Third row: Mr. Smith. Dr. Perlzweig. Dr. Oates. Miss Robinson. Dr. Hansen. Dr. Johnston. Last two rows: Dr. Gardner. Dr. Ziv. Dr. Jones. Mr. Reese. Dr. Magill. Dr. Craven. Mr. Ward. Dr. Davi- son. Dr. Taylor. Dr. Hart. Dr. Reeves. ' Bacteriologist David T. Smith, a Hopkins grad- X TT 1 uate and head of New York State Hospital at Ray Brook, became -. ' Duke's Profes- T' ' sor in charge of bacteriology with a joint appointment as Associate Professor of Medicine. Bayard F. Carter, Professor of Obstet- rics at the University of Virginia. was designated head of that department as of l93l and until then Robert Ross of Durham would serve as chairman. After the appointment of the new faculty members and the opening of the medical school. there was a power struggle between Dr. Harold Amoss and Dean Davison. Dr. Amoss was Davison's senior by about six years and the only member of the young faculty that held an appointment as Professor at Hopkins before coming to Duke. The power struggle ended in the joint submission of resignations by Dean Davison and Dr. Amoss to the Board of Trustees. The Board accepted the latter's resignation and rejected the for- X 'x If l X , ,, -... aj- 'v' mer's and Davison remained as Dean of the Medical School. Dr. David T. Smith was appointed provisional chair- man of the Medicine Department until Dr. Frederick M. Hanes was appointed a year later. The new faculty was composed mostly of graduates from the Johns Hopkins University which reflects the impact of that Medical School on the educational system of most American medical schools. Other schools across the nation had young graduates from Hopkins join their faculty. but Duke's Medical School stood as the most pure colony of Hopkins' trainees. The fac- ulty members were selected to come to Duke on the basis of their promise to the field of academic medicine and the tight budget dictated that they be young. The new medical school offered ample opportunities for this young fac- ulty to show their competitiveness and creativeness in academic medicine. Davison was encouraged by the knowl- edge that Welch, Halsted. and Osler were in their thirties when appointed to the faculty of Hopkins and the years demonstrated their competiveness and leadership in the field of medicine. T! Dedication of The Duke Medical School. April 20. l93l. I ' A From left to right: Dr. William Welch of Johns Hopkins. Dean David Edsall of Harvard. Director Lewis Weed of Johns Hopkins. Dean Elbert Russel of Duke Divinity School. President William Preston Few of Duke University. 64 Dr. David T. Smith 119783. Professor Emeritus Medicine and Microbiology. The hospital was formally opened l930 and at its opening there wer many more patients than Dr. Davisoi had expected. Davison was faced witl the problem of financing a medical fac ulty and medical school with a limiter budget. His desire to place the facult on a full-time salary could not be ful filled. However. under the recommen dation of Dr. Harvey Cushing from th Harvard Medical School. he institute a policy whereby the faculty member received a part-time salary and th right to conduct a private practice ani charge fees at Duke Hospital. This pr vate practice was to be restricted t Duke Hospital so that the residents an students could benefit to a greate degree from the larger patient popula tion. . Deryl Hart demonstrating the ultraviolet ht that he invented for the reduction of opera- e infection. 'I The depression of the l93O's made it fficult even for private patients to pay eir fees. In addition, the physicians at uke were so involved with their search and the care of the ward tients. that they were unable to aintain the percentage of charges col- cted so as to make their practices warding. Also, without the benefits of inical experience acquired over the ars. the young clinicians found it cessary to consult with each other in fficult cases thereby complicating the oblem of distributing the receipts quired from private patients. ln Sep- mber of 1931. Deryl Hart proposed to e executive committee a solution to e problem. He proposed the creation a voluntary cooperative program to clude all the members of the clinical ff. This organization was to insure e best possible diagnosis and treat- ent for the patients through wide con- ltation and laboratory work up. The nsultation fees. of necessity. would low so as to encourage the use of the nsultation services by the primary ysician. Where the patient could pay aly part of the charges made for his eatment. the doctors and hospital -ould agree to accept the same per- vntage of the amount collected as they ould if the whole bill was paid in its entirety. Thus. was created the Private Diagnositc Clinic and the separation of the billing and delivery of medical care at Duke Hospital. Dr. Frederick M. Hanes. Chairman of the Medicine Department. made another contribution by creating the Department of Internal Medicine Fund. Under this plan the entire department pooled its income collected from private patients. Hanes. an inde- pendently wealthy man. took no per- centage for himself but all the other members received every year a percent- age of the pool that was proportional to the percentage contributed by that physician during the preceding year fafter the deduction of overhead costsj. This system allowed each member one month a year for study and one for vacation while rewarding personal industry at the same time. Eventually this fund became the source of research money and the mechanism for guaran- teeing a competitive minimum income to new faculty members. Today. the PDC has become the main source of money for expansion of the center's borne out gs ' s -' thanks to the dedication and - personal sacri- fices of the young faculty. Those were years of hard- ship when the delivery of medical care could not depend on the patient's financial status simply because nobody had money available even for the essential com- modities. The Duke clinicians. how- ever, continued to deliver medical care and to teach their art of healing una- bated. NBS. L- '- n . W V49-J , Vx xX'7777T facilities. The years of the depression were P K is it i i 'J I . -tv hd - - i t-M--1 'f'.rs7:.....3geg.e...- ,A1'.,'..,a. fl Q1--'---1' 00.10 -416.0 0-5. VTLVXU-il Q1wvwc,g,f,glJ' --amiga if-1,1 .1-04 'IMI J. iu..u...i - ' i .41 3 Photograph of the first autopsy performed at Duke University in August. 1930. Dr. Forbus as dissector. T ' 3: In 1930 the r I. 4 . ii ,N A' first medical 1 TRN school class was Xl x admitted and their small size , .A i was a reflection 'xl-MX of the tight tv budget on which the school oper- ated. ln this first group. was a third year transfer student. Jay M. Arena. Today. Dr. Arena is internationally known for his contributions to the field of toxicology and for his active leader- ship in the Duke Medical Alumni Association. By l940. Duke had grown in size and reputation. The contributions received from private enterprises and research foundations helped to expand the cen- ter's facilities and the research labora- tories. The clinical practices were very successful and the patient population continued to grow. Modern trends in the delivery of medical care were adopted rapidly and Duke Medical Center stood in the forefront of medi- cal science. However. the next few years were accompanied by the gloomy spectre of war. In 1941. the medical center was organized into the 65th General Hospi- tal when the prospect of war was inevi- table. Dr. Elbert L. Persons. Jr.. Assist- ant Professor of Medicine was appointed unit director. Dr. Clarence Gardner. Jr.. Professor of Surgery. became chief of the surgical service. Students took accelerated courses through the summers and the number of students in each class was increased. Many of the members of the house staff were forced to enlist. thus trim- ming the hospital personnel to skeketal proportions. For example. Bernard Fetter. who was an intern in surgery. was forced to leave the center to join the armed forces and after the war he returned to Johns Hopkins where he completed his residency in Pathology. After an appointment at Vanderbilt. Fetter was invited by Dr. Forbus to join the faculty of the Pathology Department at Duke where he remains today as the most versatile surgical pathologist in the center and as an elo- quent teacher. The 65th General Hos- pital was eventually transported to 66 England where it served with distinc- tion and gained the reputation of being one of the most efficient units. ln l945. many young doctors were returning from the war and competing for scarce positions in the residency training programs. Dr. Davison. in an act that reflected his honorable and benevolent nature, decided to accept any resident applying for a position in Pediatrics that was not accommodated by any other medical center. Fifty house officers were accepted for train- ing at Duke that year. Many of these residents were sent as far as Columbia. S.C. so that they could obtain sufficient clinical experience. Two of these resi- dents. George Rankin and Desmond Pond. were British and today are well known members of the British medical community. ln A ' M ll M. ti Aerial view of Duke University and Medical Center in the late I950 s x nil 9, 'tu sibility of establishing Duke's reputa- tion as a referral center and could dedi- cate their time to the promotion of research and academic competitiveness within their departments. Dr. Eugene Stead was brought to Duke from Emory in 1947 to succeed Dr. Hanes after his sudden death in 1946. Dr. Stead is known for his tremendous working capacity and is responsible for leading Duke into the arena of aca- demic excellence. His unyielding pur- suit of excellence, his dedication. and above all his love for medicine and patient care have won him a national reputation as one of the best clinicians of all times. The department of Surgery was led for many years by Dr. Clarence Gard- ner who was among the first surgical residents trained at Duke by Dr. Hart. The medical center and the construction of the gerontology building. 1962. His contributions were substantial and the surgery department soon rose to national recognition under his leader- ship. Dr. Gardner is also given credit for the foundation of the Durham Cer- ebral Palsy Hospital. The department of Pediatrics was headed by Dr. Jerome Harris from 1954 to 1968 and Psychia- try by Dr. Richard Lyman from 1940 to 1951, then by Dr. Lowenbach until 1953 when Dr. Ewald Busse, who later became Dean, was invited from Colo- rado to occupy the chair. Dr. Deryl Hart, the first chairman of the surgery department, gradually expanded his surgery program to include a number of specialties in a very methodical man- ner. Every time a certain area of the hospital's general surgery practice became large enough that a new faculty member could be hired, Dr. Hart would arrange it so a new subspecialty Dr. Jay M. Arena. member of the first graduating class. Dr. Thomas D. Kinney. could be organ- ized and 5 brought in a new ' chairman to head it. Dr. X g Deryl Hart was ' -Q-4 involved in the is executive branch of the medical center and eventually became President of the University. His gentle mannerisms and diplomatic ability were instrumental in carrying the undergraduate university through very trying years of internal strife and almost complete disintegration during the 1960's. In 1937, Dr. Deryl Hart brought to Duke as chairman of the department of neurosurgery a very talented young man who had trained at Harvard and Johns Hopkins: Dr. Barnes Woodhall. Dr. Woodhall had a remarkable ability as an organizer and after getting the neurosurgery department on its feet, he became involved with the administra- tive aspects of the medical center where his foresight was considerable and his contributions many. Woodhall became the second Dean of the Medical School in 1960 after Davison's retirement and he held sequentially the offices of vice provost of health affairs, 1960-67, asso- ciate provost, 1967-68, and chancellor pro tem from 1969-70. One time he remarked facetiously that it was always difficult for him to keep the same job. Among his contributions are the con- struction of the Barnes Woodhall building for Red Zonel connecting the Gerontology and Diagnostic and Treatment building with the rest of the hospital, his active role in implement- ing the new curriculum, the long range plans for the expansion of the medical center including the Research Drive building and the conceptualization of Duke Hospital North. C During the mid 1960's a . 1 number of fl departmental -'-f I' .- '- chairmen tfN L,L5'-J reached retire- J 4' . ment age and I opened thier positions to another generation of men. Dr. David C. Sabiston Jr. was invited from Johns Hopkins in 1964 to replace Dr. Clar- ence Gardner. Dr. James B. Wyngaar- den replaced Dr. Stead in 1967. Dr. Roy T. Parker became chairman of Obstetrics and Gynecology in 1964, and Dr. Samuel Katz of Pediatrics in 1968. Dr. Joseph A. C. Wadsworth was invited back to his alma mater in 1965 to replace Dr. William B. Anderson in the Department of Ophthalmology.Dr. Wadsworth is well known for his fine work in the field of ocular pathology and ocular surgery. His presence at Duke culminated in the creation of the Duke Eye Center which stands out for its beauty and for its excellent delivery of patient care. The late Dr. Thomas D. Kinney also came to Duke in 1960 to replace Dr. Wiley D. Forbus as chairman of the Department of Pathology. Dr. Kinney POST WAR EXPANSIONS 1953 The Veterans Administration Hospi 1957 I-llos ital addition 1962 Gerontology and D8LT building tBIue Zonej I Blue Zonej 1967 Barnes Woodhall Building 5th floor addition tRed Zonej 1968 Clinical Research Building ll Nanline H Duke Building 1969 Marshall 1 Pickens Building 1970 Research Park Buildings I ll III and 1V 1971 Civitan Building 1972 Parking Garage tl 1973 Alex H Sands Jr Building Duke Eye Center 1975 Seeley G Mudd Building Animal Laboratory Isolation Facility 1976 Edwin L. Jones Basic Cancer Research Building 1978 Edwin A. Morris Clinical Cancer Research Building Parking Garage 82 1979 Duke Hospital North t l P . . Out patient Clinics 1963 Clinical Research Building I 68 is well known to the students for his love of teaching and for his talents as an educator that eventually led to his appointment as Dean of the Medical and Allied Health Education Program. Dr. Kinney came from Case Western Reserve which was unique at the time for having departed considerably from the traditional curriculum taught at Johns Hopkins. Instead of having dif- ferent departments teach the same sub- jects. Case Western organized their basic science material into organ sys- tems. In this manner. the anatomy, physiology, and biochemistry of each organ could be taught in unison rather than having the different departments treat these subjects independently and without cohesiveness. Dr. Kinney, together with Drs. Stead. Harris, Han- dler, and Sieker. was instrumental in organizing and implementing the new Duke curriculum which took the model started by Case Western one step further. The new curriculum condensed the basic sciences into the first year of medical school. Students could thereby individualize their interests and career goals. The third year would be dedi- cated to research or to the study of elective subjects in the basic science fields and the fourth year to the study of elective courses in the clinical fields. Dr. Kinney also deserves credit for starting the Medical Scientist program at Duke. Dr. William Anlyan. a thoracic sur- geon by training. also became a mem- ber of the executive committee formed by the younger faculty members of the l96O's. Dr. Anlyan was identified early on by Dr. Woodhall for his brilliance and leadership capabilities. He was appointed Vice President of Health Affairs in 1969 when Woodhall became Chancellor of the University. Dr. Wil- liam Anlyan deserves credit for his active role in the promotion of aca- demic excellence in the institution and for his arduous and relentless participa- tion in the planning and construction of Duke Hospital North. The story of Duke Medical Center, since its foundation in 1930, is a story of success and achievement. The repu- tation of this center in the arena of aca- demic medicine can be attributed to Dr. Barnes Woodhall the excellent quality and the strength of character of its leaders. Dr. Davison in 1930, Dr. Woodhall in the I960's. and today Dr. Anlyan. have dedicated all their life. energy. and talents to the for- mation of an institution that is indeed worthy of admiration. I am truly indebted to Dr. Frank Gifford whose personal communica- tions and excellent book. The Evolution ofa Medical Center. have facilitated the writing of this article. I am also grateful to Drs. Jay M. Arena, Bernard Fetter. Donald Hackel. David T. Smith and to Mr. Elon Clark for their contributions to my scant historical knowledge. J. B. .qu .3110 'iiyyg -, A-..'Wf? .' - G it ,3 -If 4 .-1559? We D KE ORTH '+- 1'f,- 'f U 5 5 .A 'Jgff t13Qs4.-:ff qi 'il 93514559 ...assess ----I IBSQIKS 11 45.1 4 '5i'i :?f',,.vn-1.-f,, ja' if. dt, iq L. 1 WT M: - ig! -g33. if . 'I g I.'i,fLQ?'.::.5jf'.fgfi A Ja AE ai-. nnl illI1Ilii t??3'- i !:i!Il.ll55ll55lU-lfillllh-ll :Jill .A., 1 i!IlL.ll..lI.4lBalLLllL.ll..lI if-Q at A fl I lziigmg-llpnnm -ll f Il Q,,4, .E5.,.lI..lL1l:.ll..ll..lL.lI 5 it ' iii!!! get Illlllllllll--U.mmm-.. T -.-e,.ll..ll.1L.ll..ll.1l..ll - , ' 'feb f e 5 ll-llllllltlse' Qxl' ll' f an - HD, f-llli iifliwfael ' . . ,--, . .1-i?t'w'wfll'll:g.'llYl'.l.fQ'J'llywwilltin - 4 - - - -T-7' T l Le 7 E 3' - ,. -. ,fr f - 1-T41 T ' .- - H V il i'iiiliH'iillillliiill't'i .iiii'lif' Irlltliililili1lil ii.iiiini' 'ii' '-- - , it ,,-, wtf.-f itilI.llllulllll':lltv'l':lfjUlllll.ll.l'l.'lltilllri1tt'il-'l2 '1-Milf T A 'T ' nwuiiiiuMiiiwnmimuiliwiuiliiitwl,ulllhlllllllllllllllllllllllllllilll , '1tlllii'i'liiil'ifllli ,Ml lif.ifi.iiiih ll1 'l Illr', will , Duke Hospital North: an artist's conception. IG' -5' 1 3- , A .55 0 . mfgflrfid fig? Q. 'i' far u f9'.'- ' iz' A r' fn ' Duke Hospital North under construction in early I978. In l958, Dean Wilburt C. Davison retired, and Duke soon began rolling on a new course. The new Dean. Barnes Woodhall, began in l960 a two- year internal study of departmental activities. requiring projections for each decade to 1985. During this time. Duke decided to expand beyond its regional role and seek to attain national status. The medical center projected to need at least 1000 beds in the 1980's for this purpose. Duke Hos- pital North represents the end result of the strive for national status. Over two hundred persons, on 54 task forces, compared national and regional trends with Duke facilities and perceived needs. Nine alternative expansion plans combined reconstruc- tion and renovation. The vision of a tri- angular campus emerged in the mid- 60's, linking basic research and educa- tion with a patient-care complex along Erwin Road. --T'-I-T-'fax e ln 1970. 'X American fx Health Facili- Kfff ties. a national A yi ' consulting firm. X g --'XT moved in to ' - study Duke's expansion needs. No more new additions, no renovations - they recommended complete relocation. But where'?! The new structure must com- municate with existing buildings: it would be far too costly to abandon the original hospital entirely. but studies also proved that moving the nearby parking garage was also overly expen- sive. The Eye Center. once so seem- ingly isolated. can now actually be seen as early evidence that Duke had decided to expand to border Erwin Road. Duke North would complete the envisioned triangle. Unprecendented foresight and coor- dinated planning contribute to the gen- esis of Duke North. Perceiving the interdependency between pediatrics. medicine. and surgery. Duke North will house only those specialties. Sub- specialties will inhabit separate wards. The three bed towers about a central cylinder of offices. and the adjoining ancillary building will enclose exten- sive diagnostic services. This entire complex is connected with Duke South by the Personal Rapid Transit. a twin horizontal elevator traversing the distance in seventy seconds. The medi- cal school. administration. psychiatry and Ob-Gyn will stay at Duke South where the emphasis will be on minimal care beds. Ambulatory services will be escalated as will outpatient surgery. The trend of merged clinics. as seen in the Cancer Center. may one day remove the privatefpublic dichotomy. Duke North has made the great leap. transcending prior step-by-step expan- sion. It is an expensive jewel, but S58 million in bonds and S34 million in equity tDuke Endowment and Private Diagnostic Clinic! provide totally self- contained financing. Duke University Hospitals will comprise Duke North and South. the Eye Center. and the Twenty-bed Edwin A. Morris Clinical Cancer Research Center. This is the patient care arm of the triangle: new 70 Aerial view of the foundations of Duke Hospital North in the forefront of the Seeley G Mudd Library construction in basic research is repre- sented by the Nanaline H. Duke. Sands, and Edwin L. Jones buildings. Education completes the triangle with the architecturally impressive Mudd Library. ' P' -K 1 y -. 4:55, 1 g 'f gi st .n - 1 K 3. , e l 'H 'iilif' X-K' .S ' f ' ft' ' ' ' 1 ,R STU NTS in . T' -. wg Since the foundation of the Duke .1 -4 .. W X 'Kip .V Medical School in l930, the character -1 . H j 1- f of the student body has changed con- ' '-tx f siderably. In the l940's, Duke was a R ' 'KA regional medical center most of the Dr. George Baylin -Inq students were from the South and Mid- 'E l'll Il KXlciX'l .A -ll t , 4..,.w wt rig ti Ki. '- ir, -- sw! l1.l.'t1i1g,'l 1 lvl Jllagizml- Rounding with Dr. Eugene Stead A Y, 9 tl' RlllHiiHiiEEI'iNll'i.N!s:-,I I Xl ll Students of the early l950's were typically older. married, and veterans of the war. fPicture taken from an old AESCULAPIANJ dle Atlantic states. The students were relatively homogeneous with respect to academic background, sex, race, and socioeconomic status. Most were mar- ried and frequently they were military veterans. Reflecting the customs of the times, students devoted their time almost exclusively to the study of medi- cine and also did not have or desire input into the administrative decisions affecting them. The dress code was stringent and a professional attitude was demanded of every student. Because the medical school class was smaller and because of the nature of the curriculum, the students and fac- ulty were closer. This intimacy had many positive effects: evaluations were more personal, students had greater exposure to senior faculty role models and the faculty was more attuned to the needs of the students whether they be advice on career decisions or assistance with emotional difficulties. There were instances, for example, where over- worked students would spend a few days at a professor's house to recuper- ate. Dr. Baylin, Professor of Radiology and a man who has witnessed the evo- lution of the student body. points out also that as there was less pressure on the faculty to do research. The stu- dents, therefore. enjoyed the benefits of a greater emphasis on good teaching. Beginning in the early 60's the admissions office began to transform the school's primarily regional charac- ter by actively recruiting a national stu- dent body of high academic quality. Statistics such as MCAT scores and GPA's reflect the improved academic credentials of the student body. Fur- thermore, in response to governmental and social pressures, the medical school classes became more heteroge- neous. Currently, the average class con- tains about 30 per cent women. I0 per cent minorities and about 39 per cent North Carolinians. Approximately 40 percent are children of physicians and about 30 percent were Duke under- graduates. This is partly explained by the traditional preference the admis- sions office grants children of Duke medical alumni and Duke undergradu- ates. 'fQv',3-i-Surg-svee The increase ,QL 1 U 1 in the financial t? f-1:?Qf aid needs of the -1 .qi y ii, student body is X! yn: further evidence X, X, nity- for the greater :Qi heterogeneity. Q iv lift' tThough this is also due to the considerable increase in the cost of medical educationj. Indeed. the finan- cial aid office did not exist until the late 60's. By l978. approximately 60 per cent of medical students were receiving some form of financial aid and tuition and fees totalled around 56.000 Dur- ing I977-78 academic year. Duke pro- vided almost S800.000 in financial aid to medical students. Students today are more involved in activities outside of medical studies: organizations like AMSA tAmerican Medical School Association! are well subscribed to. community service activ- ities such as Edgemont Clinic are run by medical students. and social and cultural events on campus are regularly attended. However. the great expan- sion in the size of the medical center has worked to deteriorate the commu- nity spirit and has increased the imper- sonal atmosphere. ln addition, though there is increased pressure to decide early on careers. the advising system is often inadequate. Furthermore. stu- dents. looking for appropriate role models. are often exposed predomi- nantly to overworked residents. Despite these negative aspects, there remains a tremendous variety of oppor- tunity and substantial freedom to explore personal interests particularly under the new curriculum. For the individualistic student of today. Duke can be an ideal place to learn medicine: most students at Duke, in fact. enjoy their experience. There are many pressures on medical schools to change further the character of the medical school classes. Increas- ingly. it has been in the form of govern- mental regulations that threaten the independence of medical education. For example. in I977. the Health Man- power Act included a Guadalajara clause which stated that medical schools receiving capitation grants must accept American students that my have completed two years of medical school in a foreign country and passed Part I of the National Boards. Duke chose to refuse the grants rather than compromise its independence. Simi- larly, individuals. Bakke being the most renowned, have used the judicial sys- tem to challenge existing affirmative action programs. Finally, the format of the MCAT's has been altered in order to assess pre-medical students on some of the intangible factors that make a competent and compassionate physi- cian. Duke's concern about improving the quality of medical students is eviden- ced by a recently adopted early admis- sion program for Duke sophomores supported in part by the Common- wealth Fund. The program is designed to address three problems: lj pre-medi- cal and pre-clinical courses fail to pro- duce doctors highly literate in the sciences. 23 pre-meds who are not accepted into medical school are at a disadvantage in seeking other higher education, 33 there is a general failure to obtain a liberal education as a pre- med. The participants design an inde- pendent study program that integrates the sciences, social sciences an humanities relevant to the medical pro- fession. Hopefully. utilizing programs such as these. Duke will continue striv- ing to educate people to take care of people. J I The Edgemont Clinic is a good example of the student's involvement with the community. 1-- in i t A busy evening in the Edgemont Clinic DUKE AND DURHAM While Duke cultivates its prestige in patient care. research and education. there is some question whether Dur- ham's health care system will benefit to any great degree. Duke admits over l30.000 patients each year. with some i350.000 out-patient visits. Only 24 per cent of these come from Durham County. though 85 per cent are from within North Carolina. As Duke becomes more of a national referral center. the number of Durham County patients will probably diminish. At present. 27 per cent of Duke medical graduates settle in the state. though 51 per cent from UNC stayg this differ- ence will likely widen. In I973. the Health Planning Coun- cil for Central North Carolina com- leted extensive studies and concluded that there was inadequate health care or many Durham County residents. ome of the recommendations for Dur- am were: IJ expanded and accessible rimary care facilities: 23 coordinated mergency services: 33 better inpatient are for the aged fwithout an increase n the overall number of beds: and 43 alternatives to institutional care. Since l970. the innovative Lincoln Commu- nity Health Center has provided fam- ily-centered primary care. outreach. prevention. and education with satellite programs in Bragtown and Rougemont !Bahama. For the County and Univer- sity Hospitals. the Council suggested a closer teaching coalition. an escalated primary care program fincluding men- tal and dental healthj and greater emphasis on preventive medicine. More specifically. Duke was recom- mended to provide child care. imple- ment geriatrics into its basic education programs. stress to all providers their role as health educators. and partici- pate the Council's coordination activi- ties. ln the l970's. a community health center blossomed, a new county hospi- tal opened. basic research boomed. education received a regal library. In April. I979. the culmination will be the completion of Duke North. Only in the l98O's can the benefit to the individuals in Durham. North Carolina. and the United States bejudged. .l x' tg, -. .X wr' n l l tl . li: my , X. i l J l A l Z Xl ,, ,l g . t t - fi' ll ' lf .W l L W. l 'la' ,P la I . x x . i i -15 J' :digg-g - ., in' JET :ii ss .-X 4 ' 2:55 11 Q5 ft 'X 9 Q Li,4.L - rl I A-1-Ag H its .24 Downtown Durham Gra hic re resenlation of the Medical Center P P Distinguished Alumni The following individuals represent just several of our outstanding alumni. ,A 1 1 . . fe- '. ' ' -4-t -- -, Dr. Martin M. Cummings M.D. 1944 Dr. Marlin Marc Cummings has departed from the traditional paths of medical practice - to a position which benefits and enriches the entire profession. As Director of the National Library of Medicine at Bethesda. Maryland. since 1964. Dr. Cummings holds a unique position among physicians in this country. Dr. Cummings. who presides over more than one and a half million pieces of biomedical litera- ture in more than seventy languages. is an insti- gator of the institution's basic philosophy - that medical libraries should not be passive repo- sitories of information. but dynamic information centers. lt is his job to determine the medical community's needs and arrange a communica- tions system to deliver this specialized informa- tion. His outstanding work in this area was recog- nized when he was awarded the Exceptional Service Medal from the Veterans Administration. the Superior Service Award and the Distin- guished Service Award from the Department of Health. Education and Welfare. In 1968. he received the honorary Doctor of Science degree from his undergraduate alma mater. Bucknell University. 74 - - .. 'Fic' -1' Q 'sf 'sa-:aff '- A QQ., . 'Q4 4.g:K '8a Dr. James L. Tullis M.D. 1940 Dr. James L. Tullis is a specialist in blood. his principal fields of interest being coagulation and hemostasis. and the preservation of cells. He has received several distinguished awards during his career. including the Hoekten Silver Medal of the American Medical Association. the Silver Medal of the Pasteur lnstitute. and the Katsunuma Award of the International Society of Hematol- ogy. Dr. Tullis earned the M.D. at Duke in 1940. then served as intern and resident physician at Roosevelt Hospital in New York City. During World War ll. he was attached to the Roosevelt Hospital Unit. U.S. Evacuation Hospital 129. then in 1945 went to Harvard Medical School as a research fellow in biochemistry. He has remained in the Boston area. and presently holds staff appointments at five hospitals in Massachu- setts and New Hampshire. From 1951 until 1971 he was on the faculty of Harvard Medical School. and has been senior investigator at the Protein Foundation. lnc. tnow Blood Research lnstitutej since 1957 and director of the cytology laboratories of the Blood Research lnstitute since 1963. Dr. Tullis held three positions with the lj.S. Department of Defense between 1952 and 1970. including those of consultant to the research and development board panel on military and field medicine. member of the Civilian Health and Medical Advisory Council. and member of the Department's Medical Advisory Council. He received the Defense Department's Meritorious Civilian Award, He is a former president of the American Society of Hematology and vice presi- dent of the International Society of Hematology. Dr. William H. Muller M.D. 1943 Dr. William H. Muller, Jr., after graduation from the Duke Medical School. began his advanced training in surgery as intern, resident and instructor at The Johns Hopkins Hospital. Following residencies in general and cardiovas- cular surgery and a year as an instructor at Hop- kins. Dr. Muller moved to the University of Cali- fornia at Los Angeles School of Medicine in 1949. ln 1954. Dr. Muller. only thirty-five years old. was named Stephen H. Watts Professor and Chairman of the Department of Surgery at the University of Virginia School of Medicine and Surgeon-in-Chief of the University Medical Cen- ter in Charlottesville. Virginia. Dr. Muller is a member of twenty-seven pro- fessional societies and honoraries and serves on the editorial boards of The American Journal of Surgery, The American Surgeon and Annals of Surgery. His curriculum vitae lists some one hun- dred thirty publications and he has held nine vis- iting professorships and lectureships. Typical of Dr. Muller's modesty is the omis- sion of two items from his curriculum vitae. In 1952 he was voted one of ten outstanding Young Men of the Year by the Junior Chamber of Com- merce. recognizing humane as well as scientific achievements. In 1966 the State of South Caro- lina honored him as one of its distinguished native sons. -NSF- Dr. Beverly C. Morgan M.D. l956 Ever since medical school days Beverbf Carver organ has been winning honors. A cum laude graduate of the Medical School, here she won the Mosby Scholarship Award nd was elected to Alpha Omega Alpha. Dr. organ is today chairman of the pediatric epartment at the University of Washington - he first woman to head a pediatrics department n the United States - and was voted chief-of- taff by her colleagues at the University of Wash- ngton Hospital. Although Dr. Morgan has over fifty scientific ublications to her credit. she never did get a achelor's degree. After attending the University f Wisconsin as an undergraduate, she enrolled t the George Washington School of Medicine nd transferred to Duke her second year. From she went to Stanford University Hospital serve an internship and assistant residency in ics and then. returning east. spent the next years at the Columbia Presbyterian Medical as a clinical and research fellow in pedia- and pediatric cardiology. ln l962 Dr. Morgan moved to the University Washington where she has been an instructor, assistant. associate and full professor of medi- A mother of three. she has been practicing cardiology continuously since her grad- from Duke. Dr. Lewis W. Wannamaker M.D. I946 Being born in St. Matthews, South Carolina: graduating from Emory University: and taking an M.D. and internship at Duke might not seem characteristic of a professor and member of the graduate faculty at the University of Minnesota. But in the case of Lewis W. Wannamaker, it is. After completing a second internship in pedia- tric pathology at Boston's Children's Medical Center, Dr. Wannamaker finished an assistant residency in contagious diseases at Willard Par- ker Hospital of New York before his assignment to Western Reserve University. As a research fel- low and associate in the department of preven- tive medicine at Case-Western Reserve, Dr. Wannamaker also held simultaneous positions with the U.S. Army streptococcal disease labora- tory where he later became assistant director. ln I952 he made his final move. Being an instructor, assistant, associate, and full professor of pediatrics and microbiology at the University of Minnesota has taken the better part of twenty- plus years. With l20 scientific articles published and more on the way. Dr. Wannamaker is the recipient of the Alexander von Humboldt Senior U.S. Scien- tist award for I973. A member of thirty-two pro- fessional societies and committees, the former Phi Beta Kappa wlas honored last year for out- standing civilian service by the U.S. Army. Alumni Association The Duke Medical Alumni Association cur- rently consists of over 5.000 members including all graduates of the Medical School, past and present faculty and all past and present house staff officers of Duke Hospital including those who are not Duke Medical School graduates. Associate membership is available to alumni of other Medical Center programs. A quarterly pub- Dr. .lay M. Arena M.D. l932 Secretary-Treasurer lication, The Newsletter, is sent to all members each year. Around clusters of five-year classes. November reunions are held annually in Dur- ham. Alumni groups have been organized in several states where luncheon and dinner meet- ings are held during the meetings of the Ameri- can Medical Association, the American College of Physicians, and several other departmental special society meetings. The objectives of the Association are to advance the cause of medical education. to pro- mote interest in the Duke Medical Center, to encourage and promote gifts and bequests for the support and endowment of the Center and Hos- pital and to promote a spirit of cordiality, mutual aquaintance and good fellowship among the members of the Association. s ,: 11 15: ew ' in 5 xx, ' . ,. ACTIVITIES Pulau: Qlmier ACTIVITIES Service Activities .......... ..... Davison Society .... ..... Edgemont Clinic ..... ..... Sex Ed .......... ..... AMSA ......,.... ..... SN MA ............. ..... Alpha Omega Alpha .... ..... AMWA ............... ..... AESCULAPIAN Staff... ..... Social Activities .......... ..... Student Faculty Show ..... ..... Graduation ........... .... ..... Anthony J. Limberakis. Editor Service Activities DAv1soN socnsrv All medical students are dues-paying members of the Davison Society which is governed by elected officers and class representatives com- prising the Davison Council. The Davison Coun- cil functions as the official representative body for Duke medical students and as such nomi- nates or elects students to serve on all appropri- ate Medical Center and University committees including: MedSAC. MEPAC. Admissions. Cur- riculum, Judiciary. Dean's Hour. Faculty Chair- man Search. Library. Human Experimentation. and several other committees. PRESIDENT Jackie Rutledge SERVICE VICE-PRESIDENT Anthony Limberakis SOCIAL VICE-PRESIDENT Kurt Newman TREASURER Tim Harward SECRETARY Joan Henderson PRESIDENT Bob Zeigler Representatives Emmett Schmidt Combined Degree Class Rob Shepard PRESIDENT Rob Califf Representatives Mike Gorman Class of l978 Bill Griffin Susan Kelley Jeff Johnston PRESIDENT Chris Alexander Representatives Jo Gordon Class of I979 Sid Gospe Gary Humphrey Ken Slate PRESIDENT Allan Crimm Representatives Jeff Giguere Class of I980 Barbara Hall Harry Severance Steven Wool PRESIDENT Jeff Davis Representatives Gwen Arens Class of l98I Pam Bowe Bob Parkerson Lamont Wooten 78 The Davison Council deliberatmg vy- -VN i A rs And deliberating he I J ' i ig? 1.4, D , i .--1,15 2 i I - And deliberating S 1 ff - ,-3, f f 'ff e ' If -r -.,,- ' ,A 1 gf in il 59 -.dl INF ' . rurlNUli? Y 1, Clsnlf' lu 05, U50 Edgemont Clinic, but still sewing a vital need. Rob Varvey making an astute diagnosis. Maggie Walsh working up a patient. Ken Trofatter screening for hypertension. EDGEMONT CLINIC . . . But then, the presence of this quality and the importance which it obviously assumes with you is one of the foremost reasons the Edgemont Clinic is special. Excerpted from a letter to the Edgemont Com- munity Clinic - by .loan Burton, Director Edgemont Community Center. l l-ld-76. After months of intensive planning and fund- raising by a coalition of Duke University Medi- cal Students and the UNC Student Health Action Committee, the Edgemont Community Clinic opened its doors for the first time in November l968. Within a year disaster struck, as the original clinic building on South Angier Street, and 535,000 in medical equipment were destroyed by an arsonist on June 29, 1969. The Medical Staff rallied behind the strong support of leaders from the Edgemont Community, and reopened clinic operations at the current location - l0l2 East Main Street. Since its inception, the Edgemont Community Clinic has functioned to provide free, humane, dignified, comprehensive health care for the peo- ple of Edgemont and surrounding Durham. The free medical services offered and the evening hours of operation encourage utilization by a patient population which otherwise might delay entry into the health care system because of pro- hibitive costs in terms of both time and money. Edgemont is a referring center for medical prob- lems which warrant special attention, as well as a convenient chronic maintenance facility. Though Edgemont's main concern is toward its patients, there is little doubt that the Clinic provides a rewarding and educational experience in the area of primary care to all its volunteers. ln many ways it is a model primary care facility integrating a staff comprised of volunteers gleaned from the Duke Schools of Health Administration, Medicine and Nursing, the UNC Schools of Nursing and Pharmacyg regis- tered and volunteer medical technologistsg and, preceptors in all divisions from both Duke and UNC. ln all, more than 100 volunteers are actively involved in the Clinic operations over the course of a year. This year alone. more than 2500 patients will walk through the doors of Edgemont Clinic. As the Clinic nears its 10th anniversary, a feeling of optimism prevails. If the interest among both staff and community remains at the current level, the next l0 years can be even more successful than the first. SEX ED This year's Sex Education Committee. under the leadership of Charlie Lutin. was again suc- cessful in its two main ventures. The undergradu- ate course in Human Sexuality was popular. well received and enjoyed by the thirty med students chosen as group leaders. Also. with the help of thirty-five other med students land other assorted typesj. a sex education course was offered to over 700 seventh graders in Durham's city schools. The other main happening in sex education this year was the incorporation of a ten-hour course in Human Sexuality to the lnterterm. This was done because of the prevai-ling attitude among administrators that first year students really needed additional course material to keep them from being bored. AMSA The American Medical Student Association QAMSAJ is a national organization of medical students. Originally known as the Student AMA QSAMAJ, the organization broke all ties with the AMA in the early l970's. AMSA serves as the recognized voice of medi- cal students. and plays an important lobbying role in Washington. Equally important are the numerous national projects sponsored by AMSA. These include the Medical Education and Community Orientation project. the Humanistic Medicine Task Force. and the Com- munity Technical Assistance Project. The Duke Chapter of AMSA sponsors the seminar series Issues in Health Care which is an optional part of the first year curriculum. Another local project, involving preventative medicine education in Warren County. is on the drawing board. Each year the chapter sends a small delegation to the national convention. with one member serving as our official delegate to the house. For the past year our delegate. Jack Rutledge. has served as the national vice presi- dent and was elected president for l978-79, wpjajsx . Y 4 :::'t f . ..l'i451 gb 1 15- ty-,, ,ixkxl A - , . ggi-P-N. Charlie Lutin relaxing at a Sex Ed meeting. 12 The Sex Ed Committee meeting. Af! I , Kar f ...Ah A it .3 v-if '11, ' t-1 AMSA members Gospe. Severance. Rutledge. and Crimm 4-Qs President Gary Humphrey makes a point. A recent speaker. James Douglas attentively listens, SNMA The Student National Medical Association as the name implies is a national nonprofit organi- zation founded in 1964. lt is comprised of some 3000 third world students in approximately ll0 medical schools across the country. The purpose of the SNMA is fourfold: First - To develop leadership abilities. Second - To develop a sense of social awareness and interest in com- munity activities. Third - To develop a sense of commitment towards service to humanity through medicine. Fourth - To promote academic excellence. The Duke SNMA Chapter comprised of 33 minority students is very active both locally and nationally in trying to fulfill their multifold pur- pose. Funded partly through the Davison Coun- cil and by its own efforts, they coordinate a wide gamut of activities involving the Duke Commu- nity, as well as the larger community of Durham. Some of their activities include visits to area High Schools to encourage students to enter health care professions, efforts to establish a third world pre-medical organization here at Duke, active recruitment of qualified minority students at a number of North Carolina Colleges, Hypertension, Sickle Cell and Diabetic screening clinics held at local churches and major shopping centers in the area, as well as starting a health column in the Carolina Times addressing some of the common health problems of our immediate community. The Duke SNMA has also sponsored several prominent speakers to address the Medical Cen- ter Community. In addition they sponsor a Sun- day Seminar Series which affords students an opportunity to present research projects to other students and faculty. The Chapter stays abreast of activities outside the Duke Chapter by attend- ing Regional and National Conferences each year and a number of our members have held National Offices, including Gene Wright, Class of 1978 - Director of region lV, and Chairman of the Board, 1976-77. Bl Alpha Omega Alpha Alpha Omega Alpha Honorary Medical Fra- ternity was organized nationally in l902 and the Duke Chapter fNorth Carolina Alphaj was char- tered in l93l. The aims of the society are the pro- motion of scholarship and research in medical schools, the encouragement of high standards of character and conduct among students and grad- uates. and the recognition of high attainment in medical science, practice. and related fields. Stu- dents who have demonstrated leadership and academic promise of future achievement are elected. Membership is limited to no more than one sixth of any class and of these as many as one half may be elected in the junior year. Honorary membership in the fraternity, as well as honorary alumni and faculty membership, may also be conferred upon certain physicians who have dis- tinguished themselves in the various areas of medical teaching. research, and practice. C ,Lf ' I . gy L . -:aff f?'.Q7T?f - . -it f t ' ' ' H ' -1 B2 sis-'V ,g 5 LQJ 1tf,',li- ' ii:---'f Q '11 Y -v1-. 2iV':'. , 21:5-'i V ,I . 515: Knit' V , AMWA The American Medical Women's Association MWAj is a sixty year old national organiza- on of female physicians. In the fall of I977. a roup of female medical students established a uke AMWA Junior Branch. AMWA has devoted this year to exploring terests generated by its members and other edical students. both male and female, who participated in its study groups. Out of these working committees grew several evening presen- tations designed for the entire medical commu- nity. The following are representative of the sub- jects pursued: Women and Authority. Career and Personal Goals - Approaches to their lnte- gration and Creative Dimensions in Child- birth. ln the spring AMWA cooperated with AMSA in sponsoring a weekly seminar series on alternative medical traditions and health care delivery systems discussing such topics as Acu- ' 1 wiv' gf--. .17s4+! 'Q-...-..p!!l . 'fi- . ,Ffa , A! qtilf V' -1' . Lf! ' -1-7' we 1 puncture. Chiropractic and the utilization of lay health workers in underserved populations. The final event sponsored by AMWA-was a reception for all female students. housestaff and faculty. AMWA hopes to serve as a catalyst for the sharing of ideas and experiences among the women of the medical center. Future plans include social gatherings for female doctors and students. women's support groups. a library of information on women's health care issues and professional concerns. and the continuation of study groups with presentations reflecting their interests. '51 '78 AESCULAPIA STAFF 'A-Q. ffm' i r I A Row l IL to RJ: C. Grace. M. Edmundson, J. Lucas, A. Limberakis, J. Battle, M. Prince. Row 2 QL to RJ: V. Lightner. B. Furguson, J. Isley, J Groeneveld. B. Schirmer, E. Smith. Missing: S. Burton, B. Hall. E. Harden. W. Griffin, S. Ryan, 'ibu- Editor Anthony J. Limherakis H 0 --- -. Un. 1.11- , 'i-c. J' Q -5, .Q .,'-'-2. r,-' qu' -1 -,. n ? .. !-. - -at Q.. 1 . 4.1, , -- 1 -. P5 i fo 1- A gfrft. . ?1 1 S - Associate Editor John F. Lucas if an 1 f 'v in Q ' ' 1 n 'gl If - Lx dl 'rt . 5151351 1,-f,1zY:i- Juan Batlle, History, Class Ill Berrylin Furguson. Class I .Iodelle Groeneveld, Class IV ii . A V sfiif' ? 7 WT C ,vii 15117 Asn X Al , r eefffaf 5532 Barbara Hall, Class Il Val Lightner, Joint Degrees Marilynn Prince, Medical Cenrer f F'T! + Bruce Schirmer, Medical C enter Eric Smith. Hislorv, Class Ill Brad L. Ward, Photography SOCIAL ACTIVITIES Describe the social life at Duke Medical School. That unenviable task is like trying to pin down whether there is life on Mars or deciding which is the best ACC basketball team. ln fact, many people claim that statement is a contradic- tion in terms, there being no social life worth describing at Duke. However for that handy majority of students who find time for relaxation after arduous studying, there are as varied activities as there are students at Duke. Take for example one weekend this December. when the Med School threw a party complete with band, mixers. and beautiful wives and dates. The dance floor was peopled with many refugees from Saturday Night Fever. Chapel Hill provides a constant source of entertainment with many bars and restaurants tthere being no liquor by the drinkb which Dur- ham is notorious for not having. Among class activities number various parties at people's homes. weekend camping trips. pic- nics. skating parties. andjust general get-zonked- because-it's-today-type parties. Athletics stimulate much camaraderie. either watching the Super Blue Devils or in intramural competition. Just this year the Med School won the Campus Volleyball championship and was among the tops in football. soccer. and basket- ball. There is a long historical tradition of partying at Duke beginning when all the med students lived together and periodically raided Hanes House. Although that tradition died hard. there is still much contact between the nurses and bud- ding doctors. Finally. the best thing Duke Med School Social Life has going for it is the marvelous per- sonalities of its students. These qualities are best exemplified in the Student-Faculty Show. when Duke. with its hallowed halls. is soundly carica- tured. 86 1 , 4- 'Wk ,J . Q' , .X ' f ' at , .' ,,fb a 91 1 V- 4 . M' W M' ' as if gg, N ? 4 TRACK X K TEAMS 1 N QQ: ounce. uqg veasn'5 memcm. cewrea WHAT WE HU MGST SA 1 x 3 Am-m.zz,us1e..J lg ky CAPID f I .INIQQ5 X. , 'mu-DILJ' Ha, , K.-J -S9ST'i,, NES CFM 3 ,.'fI,1f,'v: 8: - 1 'A . .,.':'.,':.2.e,.. -gk .rnbrn , ,N J 'Auf'---,X W Keep ms TICK-Z F05.Qb.DMBlN6.S.HO!.d a 3 1 3 Q X fi! 2 Q , , fi . A ,:Q' 5: G6 ' 1 .: I D' - f f if f , yr- 'N -K Vv- . 1 x Ynglt-K . . V4- uJ'V M 2' ',iff1:.g. W 'Y' E 11122 Qliniirerzitg UNIV 4 ? G E tilmlie tv 49- I ag! ra x fja ,x ME' if A 'H 'et 5 ! fel? I at lf' Q -5 g ' 5,1 ll! G ' U: .Eg W x ' .1 . 572. at l 'A' 6 Nga, - , X Q Q i EL 3 Z X dl o SS' ' oo V W3 C' 4 o nf-9 Qgrwffltbliintt 1978 Medical School Awards ELECTION TO A LPHA OMEGA A LPHA William Haywood Bobbitt, Ill Robert McKinnon Califf Thaddeus Leland Dunn Margaret Thompson Dydek Adam Philip Geballe David Ginsburg Eugene Wilson Griffin, Ill Marianne Jackson Anton Peter Nielsen Randall Craig Rickard Linda Celeste Robb-Nicholson Carlton Clark Sexton David Stuart Shimm Matthew Bruce Stern Frank John Suslavich. Jr. John Charles Wood The Davison Scholarship for 1976 J odelle Sue Groeneveld The Davison Scholarship for 1977 Michael Robert Gorman The Markee A natomy A ward Frank John Suslavich, Jr. The Mobsy Book A ward Jonca Camille Bull Joan Sanford Henderson Charles David Lutin Kurt Douglas Newman Lyn Alice Sedwick The Sandoz Research A ward Stephen Arnold Wank The Upjohn Community Service Award Eugene Wilson Griffin, llI The Trent Histoiy of Medicine A wardfor 1977 Dale Eric Bredesen The American Medical Women 's Association Achievement Citation Marianne Jackson Peggy Susan Lindsey Linda Celeste Robb-Nicholson The Lange Book A ward William Haywood Bobbit. Ill Robert McKinnon Califf .45 ' F hi. I 7 sn' xxo' -A -A EA '1 1 +1 f V X gf!-0 35 sf. 0 ' . L r Bb ' -t vi I 5 1 I MJ I -1 v 5' 'L X I4 Q -n- ,T , Y ,W - X .. 1, , -sf...... .K ,W 3 f J Ali 1? Q.- ,... , 5' ...K Ulf' -r -1? 1 , ' 4 9 ' 5 . , 'N I A K' Rza A . .v A .. g ,Qi V ' 1-MF puke Qblninersitg gliifehical Under CLASSES Fourth Year ............. ..... Third Year .......... .... l I4 Second Year ............. .... I 32 First Year ................ .... l 46 Combined Degree Programs . . .... 160 John Lucas. Section Editor :ZQQC :W-35 2551! I fifgt .Ii ' ii' u p 3 CLASS GF 1978 FIRST YEAR We've come a long way together and individually. Remember the way we were - that first day in the auditorium fresh out of college with eagerness. anxiety and idealistic skepticism listen- ing to Dr. Kinney tell us we'd be behind for the rest of our lives. upper- classmen assure us we'd all pass. and Dr. Shirley Osterhout prophesize that 40'Z:. would be married before gradua- tion. And they were right! At first we tried to do it all by read- ing on the bus, at the laundromat. over lunch and on the toilet. pulling all 96 -0 nighters, and cutting class. We assured ourselves that next test we'd be on top of the material and the curve. As the grim reality settled in. we independent souls swallowed our pride, formed study groups. tried memory tricks. established the infamous Back Row Forty. and asked for tutors. We well- rounded over achievers tasted failure. exhausted our joy of learning. and asked ourselves whether med school was really worth the suffering. Some of us left school and followed other paths: most returned. Med School gets in your blood. Yet, there were good times first year - picnic lunch in Duke Gardens. Proma Gravida and that l0 foot moose in the white coat. exam post-mortem. at the Cl over a beer. walks in Duk Forest to get away for an hour. friend ship and romance across the cadaver beach weekends, an ice skating party So passed first year - one of the long est and most depressing eight month of our lives. -8- 'C . 1 wg 'f .-1 f 4:2 1 A ,, ' ,. , ' 52515, , fi? f 35- X L--EP' 7 S' I ' ff ., '-LY' 7 , - 'I f , Q , . , eg . , J' . ' , x 9 ig ' N , 'lf' Q' J ' . ' x , '. Wi--A , A V-: 'g 'X ' - If w ' nl! f -ln. - U' i 1 . N, zswf -. . ' Ji A 1 V, 7-if ,. U was V , , wif :n':igx2:?:4 f' V - - 5455 . '5:q:.:'g, geig., X I , 1:1 ':: - ' , IL? , gt--J.-:Ti'.'f!p'i',gf'f:, . ' ' . HQ I uv SZ., - f4.'.'.'.f.!..:-.-'r , 1 4 IS!! ggi-fig -g1.'.'f.':-',c.2:A2-fg ' . - gf a gg. o.xi.i- .'.33::g:::Z2:::5,,, i .,-1522. 8 1- JW:--':.arf':....-1' ,-,. ' - 'g Y-1'.af .J ,,.n'',,nM 1,.-1 ,. I ' v ',- ,,ol',,Ml:.,,...nc1,,JIp L-: -5.---,..-'5.0--nf.----1-'r , ' ' n .- WuzZ22'- -- Tir1 ': .'fm1152:ge::::f?17? ' -Hz., 1-, .I Q af K, ,Alai 1 '11 V 4 Stephen E. Alpert David Alyono MIT Emory Washington, DC Atlanta, GA Children's Hospital, Phila. - Peds. U. Minn. - Surgery Lawrence Curtis Bandy Stetson Orlando, FL Ohio State U. - Int. Med. ., 'X' f 'Q' Henry Harold Bible Williams St. Louis, MO U. Colo. - Psych. all W 5' 1 Thomas L. Beardsley Duke Ridgefield. CT Dartmouth - lnt. Med. Vilray P. Blair. Ill Harvard St. Louis, MO Wash. U. - Surgery 119773 Er. Jerry Stewart Apple Duke Wallace, NC DU MC F- Radiology James Monroe Avent Duke Norristown, PA U. Utah - Surgery William R. Bell. Jr. Robert F. Bencze Rice Duke Pensacola. FL Cranbury, NJ DUMC - Path. Fairfax Hosp.. Va. - Fam. Prac ,fi ,gary .Y:?T,,i,,- 3 William H. Bobbitt. III UNC- Chapel Hill Charlotte, NC U. Colo. - lnt. Med. Daniel Booth Wake Forest Hendersonville, NC U. Utah - Surgery l H YEAR ,J-'-J Garrett Bressler Davidson Durham. NC U Texas Int Med DUMC Int Med Shands Hosp., Fla.-Int. Med DUMC Path H9775 i it vs-1' A l ' any - W.. Sgr?- Xiiv- K I x PHYSICAL DIAGNOSIS We breathed a sigh of relief as we started physical diagnosis. Finally they were teaching us what we had come to medical school to learn! The interterm was traumatic in its own way as we learned to ask the right questions in patient-language yet converse in medi- cal jargon with our instructors. Sud- denly white coats and ties or skirts 1-an replaced the college jeans and T-shirts. We looked around. amazed and excited by the transformation. Slowly the inse- curities of presenting oneself as Doc- tor - faded. There were embarrassing moments to endure f the miswrapped pressure cuff that shot off thenfirst patient's arm as we inflated it. the ophthalmoscope exam that included rubbing noses with a Vet. the first car- diac exam around a large breast, the xi kv.. L: , 5 ,--.n,,,..,,- ....-- - heart murmur that turned out to I the patient's breath sounds, and tl hemotoma in your lab partner's ante ' . . l .. - ,. E c i ubital fossa Everyone developed t medical student syndrome and s diagnosed in some way - a tensi headache was a developing bra tumor. the productive couch signalle bacterial pneumonia, a premenstr breast nodule had to be cancerous. little knowledge is a dangerous thing. ..,.- 1 ....-Q ' .s-'H' -,L nag. Jonca Camille Bull Princeton Spartanburg. SC Geo. Wash. U. - Int. Med. ,Ln fi -'.A' i 'X li. Joseph Yat-Sing Cheung McGill Ontario, Canada DUMC - lnt. Med. Philip J. Bulera Duke Brooklyn. NY Wilford Hall- Int.Med W. 6-' f 4'L l Wm. Tucker Cline Davidson Waynesville, NC N.Y. Hosp. - Surgery .L ..4AffA 1 ir .1,., FL,f , , ' '- r - . '52 l' 'J sl. .N , I xg, 'thu Patrick Conner Johns Hopkins Burlington. NC U. Alabama - Int. Med. Thaddeus Leland Dunn Duke Savannah. GA Vanderbilt- lnt. Med. .V H . - ,, ex md-w S 5 ' ll John A. D. Cooper. Jr. Northwestern Arlington, VA U. Wash. lSeattIeJ - Int. Med. 'f-4.5. J: uf Y ,Q w ,ll s L YQ- fff. Nllfl ii. A 1.3-'ar rel l is J, ffl 5 , 'K f JN' ,.QLfi3rlGJl ,-iii ik .-5 Margaret Thompson Dydek SMU Tarrant. TX DUMC - Ob-Gyn. Phyllis Decarlo Cross john Rockwell Culp Q Dllkf Davidson Arlington. VA Mooresville, NC U.S.C. CCharlestonj- Fam. Prac. Shands Hosp.. Fla. - Int. Med 16' MarshaO Edmundson Douglasj Erickson UN G Duke Wilson NC Durham NC Fayetteville Hosp Fam Prac Vanderbilt Path l 3lt lll ' lllli T 'ree z. 'N 'gi' , if L. vim ' Elaine Ferguson Brown Highland Park. Ml U. Chicago 3 Peds. .Sain lf 1' f -, V , '1 David Ginsburg Yale Union. NJ Brigham - Int. Med. - ga f gsm 3113551111 Y E: -H1111 'EQ 11 a Y ,ms Q M i, 3 .Lyn-be 'if l John Douglas Graham Wabash Indianapolis, IN U, Michigan - Int. Med. 'Ms Harley Freiherger Florida Gastonia, NC U.S.C. QCharlestonJ - lnt inf i' John W. Gnann. Jr. . Med. X Adam Philip Geballe Stanford Woodside. CA U. Chicago - Int. Med. Joel Steven Goldberg Jbilm William Gibson Williams Ithica. NY DUMC -- Path. 0977! Michael Robert Gorman Davidson Duke Duke Savannah. GA Linden, NJ Bay Village. OH U. Alabama - Int. Med. Reese fChicagoJ - Int, Med. U. Texas SW - Surgery C 2 ff W 'M A 1 1 '11 'sw f ,,, 1115 f,s, ,, ?i:J'l,, llE 'ig 1 1E li g' 111.22221 L' , Y Q , l - , T ff? E. Wilson Griffin. Ill Jodelle Groeneveld Sarah W. Hainline Denison Mich. Stare Wellesley Aurora. OH Owasso, MI Chapel Hill, NC DUMC - Fam. Prac. U. Wisconsin - Int. Med. DUMC - Ob-Gyn, ,K SECOND YEAR Second year rotations brought their own challenges. Presentations were an art that we refined at home late at night into a rapid fire recitation of the dis- tilled facts, pertinent physical findings and memorized lab data. Initially, tack- ling a chart seemed like reading Dur- ham's phone directory. We knew lab skills had improved when fewer admis- sions had 300721 eosinophils. Our sagging ego was bolstered by the patient who insisted on speaking to his ureal doc- 4 tor and called us to his bedside. We had learned clinical medicine and sorted through the hospital hier- archy. Interns. resident, attendings. and DTO's assumed their proper niche. We waded our way throughuendless abbreviations - p.c.. o.s., NCAT. PERRLA, ROM. MI. We spent hours chasing down lab results. admission films, and consultants. The lectures suddenly seemed relevant to patient care and disease. We learned to steady our quaking hands after the first lumbar puncture. The patient could still think and walk! Rounding required endurance on medicine. speed on surgery. and patience on psychiatry. We gave each one what it took. Medical school required our hearts and souls at times. and our personal lives suffered. We were changed slowly day by day into physicians. Some patients died despite our efforts to understand and correct the pathology. We suffered and died a lit- tle, too. 104 Melissa Hamp Duke Grand Rapids. Ml U. Pittsburgh - Peds Jeffrey Hanson Dartmouth Geneve, lL U. Colorado - Peds. U QF. L.. Elizabeth Harden South Carolina Manning. SC .Texas SW A lnt. Med. l TM 1 'm XJ , lx Wayne Lee Harper Duke Raleigh. NC N.C. Baptist- lnt. Med. M. Alycia Hassett Lynn R. Hayes Joan S. Henderson Melvin Lee Henderson Duke Mich. State Stanford Brown Wyomissing. PA Seattle, WA Fresno, CA Fayetteville, NC Grady Mem. Hosp., Ga. - lnt. Presbyterian St. Lukes -Ob-Gyn. Mass. Gen. Hosp. - Dermatology E. Carolina Univ. - Ob-Gyn Med. FOURTH YE R tb , G. Byron Hodge. Jr. Robert Miles Hoffman Joseph Plonk Isley Vanderbill Yale UNC - Chapel Hill Spartanburg, SC Hillsdale. NJ Burlington. NC DUMC - Surgery U. Pittsburgh - lnt. Med. Harrisburg. Pa. - lnt. Med. -2 '32-,Rh A. , Marianne Jackson Duke Concord. MA MPH - UNC. f 'Q-t 'L Robert Bruce Johnson Duke Ontario. Canada U. N.C. - Int Med Piciure Noi' Available l i I John David Lambeth SMU El Paso. TX DUMC - Path Charles W, Mains Tennessee Marietta. GA U. Colorado - Surgery 106 Stephen M. Johnson Duke West End. NC U. Alabama - Int Med ull, . Yf Jeffrey Johnston Susan Lisa Kelley Davidson Cglgafe Charlotte. NC Mahopac, NY Vanderbilt - Int Med U. Colorado -Int Med Peggy Susan Lindsey Howard Lipton Charles D. Lutin Duke UNC - CH Vanderbilt Washington. GA Durham, NC Nashville. TN Johns Hopkins - Opth Beth Israel Hosp. - Surgery UNC - MPH Eric C. McClees N. C. Stare Durham, NC DUMC - Radiology Donald Mclntosh. lll David Clarence Morris UN C -Chapel Hill Duke Marion. NC Arapahoe, NC Vanderbilt - lnt Med Columbia Richland Co. - Fam Prac John Lewis Myers Bowdoin Salisbury Cove. ME Maine Med Ctr. - Int Med ,ln Claire Cooper Nord Tulane Athens. GA UNC - Psych K urt Douglas Newman UNC-Chapel Hill Raleigh. NC Brigham - Surgery Thomas Novick Duke Durham. NC DUMC - Surgery William Newman Princelon Clinton, NC DUMC - Int Med Anton Peter Nielsen Duke Venice, FL DUMC - lnt Med Lauren O'Brien Pennsylvania Swarthmore, PA N.E. Deaconess - Path FOURTH YEAR Charles Plummer Linda H. Pozner Haverford C ol. of C hasln. Durham. NC Kershaw, SC DUMC - Anesth L.A. Harbor Generals - Peds Randall Craig Rickard Duke Spartanburg. SC U, S.C. fCharlestonJ - Fam Prac i: Marc Lee Peters-Golden FcQM Pennsauken, NJ Tufts - Int Med Steven Forest Roark Duke Wallingford, PA DU MC - Int Med A L. Celeste Robb-Nicholson Alfred Roberts Jvhn R055 pamela M, Runge Rfldfffffe N. C. Stare Morehouse Slanhgrd Albuqueff-IUC N M Durham, NC Decatur. GA Augiii-1, TX Brigham A lnt. Med. E. Va. Med. Ctr. - Ob-Gyn. U. Pittsburgh - lnt. Med. U, Va, A Pedg, R . V Q -, ' uv -toe .Q -- . V X I tk 1 George Rutherford Steven Robert Savona Lyn Alice Sedwick Carlton C, Sexton Sfwllbfd Duke Princeton S lanford NPalo Alto. CA Bayside. NY Maitland, FL Stevenson. MD U. Calif. fS.D.J - Peds. NYU 1Bellevuej - lnt. Med. U. Texas, San Antonio 4 lnt. Yale - Radiology Med. THIRD YEAR Third year we rejoined the human race. With less academic and ward pressures we had time to grow outside of medicine. We developed our bodies via belly dancing, akido. kayaking. ski- ing. swimming or basketball. We pol- ished our musical talents in the choir or a band. We read best sellers and watched television. and found that we could converse with the average Ameri- can. We discovered the beauty of North Carolina on weekend trips to the IO8 mountains. the beach, and Seagrove's pottery shops. We audited classes in ballet. music, and Spanish. There was our play, Zen and All the Beer You Can Drink. lts success is tribute to our ability to work together as a group despite strong egos. Afterward we could have danced all night - and almost did! Free time did present problems at times. Suddenly there was no one to share our lives. We had isolated our- selves from spouses, classmates, and friends for two years. Our hearts bled little, and we were humanized durin the transition. We did work. Many experienced th frustrations and repetition inherent i research. We coerced each other to giv blood. answer the questionaire, or ge superscanned. We learned the gri reality behind the glamour of publish ing. Lectures seemed more relevan since they were electives. A few more o the medical puzzle pieces fell int place. v !'!' X N S Fi fx 109 I Thomas Shelburne Hampden-Svdnqv Raleigh. NC' DUMC - Fam Prac T fr. .i Jeffrey C. Shivers Duke West Chester. PA Vermont - Path Grady Mem Hosp.. GA - Surgery time yt l . ,R Il lla . 'ii we Robert Shepard Douglas Paul Sherman Harvard Duke West Hampstead. NY Winter Park. FL Tallahassee Mem. Hosp. - Fam Prac 4.197 .AZ 'sf' 4-4' L. G. Thomas Shires. lll Roherdeau D. Simmons Texaf Duke Dallas. TX All0Wf1y. NJ U. Miami - lnt Med David Shimm Harvard Durham. NC DUMC - Int Med Margaret Lynn Smiley Kansas Goodland. KS DU MC f Int Med FO RTH YE R , i sn ' .Y Norman Stockbridge UNC- Chapel Hill Durham, NC Mathew Bruce Stern Harvard West Newton, MA U. Pa. - Neurology I ,tx Catherine T. Suslavich Union Rhinebeck. NY DU MC - Psych. X. Frank Suslavich. Jr. Bowdoin Darein. CT DU MC - Radiology tl, i' iv'- . il I 4 . ff . Hanes M. Swingle Terry Taylor James S, Tiedeman W. Howard Tiller. Jr. Vanderbilt Smith Drake Wake Forest Johnson City, TN Santa Cruz. CA Des Moines, IA Spartanburg. SC Mass. Gen. - Peds. Georgetown - Int. Med. UNC - Peds.. Int. Med. DUMC - Ortho Surgery ' ' ' ...ii is.. - RT l - . FQURTH YEAR pool, including our classmates. ioritis is still a recurrent disease with- The Ides of March again became an out a cure. Senior year is always a year of deci- historic date as we opened the enve- Retrospectively we have aged dur- sions and transition. Fall passed fever- lope for our future. Joy and disap- ing med school. Even now, hairlines ishly as we corresponded with secre- pointment faded into resolution. Psy- recede, waistlines expand and wrin- taries. ran up astronomical phone chologically we moved one step fur- kles creep into our faces. We have bills, criss-crossed the U.S. in jets or ther from studenthood. become more settled into our patterns cars and interviewed for the perfect We experienced an itchy eagerness of Iife and work. Congratulations. residency program. As the dust set- to try patient management our own doctors. We have earned our degrees tled, we puzzled over the match list. way as senior year wore on. Some stu- with blood, sweat and tears. I hope I We changed our minds, searching for dents took a plunge as sub-interns into speak for all of you when I say. I can't the least painful way to serve an internship. Competition raised its ugly head as we sized up the applicant the joys, responsibilities and frustra- tions awaiting us on July l, 1978. Sen- imagine investing the last four years of my life any other way. Ill Oo.. X L H2 4 l J N 'J j. C FO RTH YE R lb ' '. 2' - V ' , A s l, fl George Tyson Joseph Vincent Vogel Francis Marion Duke Florence, SC Durham, NC DUMC - Surgery N.Y. Hosp. - Path. Stephen Arnold Wank Duke Great Neck, NY Johns Hopkins - lnt. Med. ii John Charles Wood Duke Richmond. VA U. Va. - Fam. Prac I Qgji 1 i' , Q Fl - D Vt: Q gigs. . .V 1 Xt ii if . - 7 Eugene Wright. Jr. Princelon Durham, NC DUMC - Int. Med. FO YE R .yr Eric Monroe Yoder Mafvland Columbia, SC U. Va. - Fam. Prac. 4 A: 'L g 5. 'fx V '-N at l '?2 4 3 3 I 1 Jeannie Guyton As one might guess from the photo- graphs. Jeannie devoted most of her third year to taking courses. This approach suited her desire: to fill in gaps, to help her decide on a specialty, and to pursue some personal interests. In retrospect, Jeannie feels her goals have been achieved. Her career choice is internal medicine. John Fath ln perhaps the most unusual approach to the third year. John com- pleted a master's degree in Public Health from the University of North Carolina. His aim was to acquire a broader outlook on America's Health Care system and to learn more about infectious diseases. CThis he did.J Cur- rently, John is expecting to go into sur- gery with a possible specialization in trauma. Greg Fitz What's a country boy from Hickory. N.C. doing in a laboratory performing experiments on epileptic rats? Finding the idea of returning to the classroom unappealing and enjoying research Qparticularly on barnyard verminj, Greg arranged to work at the Veterans' Administration's Epilepsy Center. Looking back on his experience. Greg feels he not only learned a lot about Epilepsy but also solidified his inten- tion of going into Neurology. Y l l r I . I 1 5 ,, li fi' '- . b HL 1 Jim Douglas The question was not whether to become a surgeon but what kind of sur- geon to become? By combining research experience with relevant courses, Jim was able to clarify his per- sonal goals within his chosen specialty. The photographs show .lim wiring a nuclear scan procedure on a patient participating in his study of Adriamy- cin toxicity on the heart. ll .1 Rx Q r N ' 5. 1 lg. K . . -1 N , ,Isl ek 1 . 3 , Christian M. Alexander Madison. Wis. Oberlin Juan F. Batlle Santo Domingo. Dom. Rep. Duke N-nf fmt . i, Genie L. Bailey Kenly. N.C. Meredith fj' N ll l Q, . Charles S. Baker. lll Havelock. N.C. UNC - Chapel Hill -1-'P Nanetle H. Bishopric Sara M. Bodner Sarasota, Fla. Coral Gables. Fla. Duke Wellesley 3. 4' 6, ii ' QNX ll, ' . N. 1, fx. , - .,'-5-tl . 'l t George T. Bartels Chapel Hill. N.C, UNC - Chapel Hill 5 Betty L. Bradley Carrboro, N.C. UNC - Chapel Hill 1 ey 'MT . 9, Hx vw .5 .nn it ntl ,fi ., , 4 kj, 'JITYEJ4' Y ,-n.,.'v.pH - 5 ' L .'-'- 1 ' Rl. 'TP if -' bf. PAH' gif , . IQ ' i 53' HPR rf ll-'K' JT - 1 RFQ M. 3, -3 ME li .V 1 Q l-4 ,iv r F f- r Ng, 1 l 'Jn' mg In J A . O- 4Qf1'-Al THIRD YEAR - nr , sf 5 . av' Hg' T A x ,gg i gig A Xb Qflf' QZif'i-:L ' 92:52 ,,.,j 7 - S,-f-fr ' . -fi'-5 1-:. ,XZ7 Gordon A. Brody Claude S. Burton, III William F. Cappleman. Ill Cynthia C. Chua New York, N.Y. Durham, N.C. Carrboro. N.C. Lake Katrine, N.Y. Duke Davidson UNC - Chapel Hill Mt. Holyoke ll? 'R CF Lindsay L. Clarkson Glen Head. NY Radcliffe Darilyn H. Dealy Fairfield. Conn. Tufts Xie X lfzvycii C' .Mfg . . ffvif I , f 1 ' I' ' Y '51-1-Q . .'.i, .', 'f'f'5'r'r'f,' ' gif. l i 1 i ' V- I I t ' i ' ' ' - '- - 1' 1' THIRD YEAR David F. Colvard Durham, NC Georgia lnst. of Tech. Esther E. Costel Lexington. KY Princeton 62 a J-Ilia., I .1 I. W u U W I ,jf . ' - fp' ,J-,':f,',N.x:, -'.f.' '.' L Jennings R. Dawkins Fayetteville. NC North Carolina State fi. James M. Douglas. Jr. Michael E. Dresser Robert P. Drucker Spartanburg. SC Davidson. NC Charlottesville. VA Duke Duke Harvard I .Q L . '- 1 A N if 'J .' Howard J. Eisenson White Plains. N.Y. Union Coll. of Schnectady L-!. Richard D. Floyd Lexington, Ky. Duke 3- . v- , l l Jean M. Guyton Jackson. Miss. Radcliffe ' . 6 iv ir 1 'Q' F . 'lil' Af i .5 5 f x we . i J-1' -..Q 1 .4 gl ! Lag' , Arn H. Eliasson Safety Harbor. Fla. Davidson 4: V,N ,rar .gf-,il-2,7 ,W 7 gil 3, John J. Fath John G. Fitz Hickory Corners. Mich. Hickory, N.C. Villanova UNC - Chapel Hill THIRD YEAR it X N X Jerry M. Foster Newton, N.C. North Carolina State Barbara L. Hamm Elberton. Ga. Mt. Holyoke Verna C. Gibbs Jo C. Gordon Jersey City. NJ. Los Gatos. Calif. Harvard Stanford ' gfi. J J J V I L.. 4 l . : X . , J , X .1 1 'it J ,., l il I ly tif- V . - John W. Harlan Timothy R. S. Harward Sylvania, Ohio Durham. N.C. Harvard Duke , , 9 Vx in s I' is X I .uf . . I 1 -.I 'A Q ff- l l 'X p .Al .. -, I Christiopher M. Hunt Pittsburgh. Pa. U. of Pennsylvania .X ., n P'1 , I I 'I if I i, ':':' i Lisa Kaufman Villanova. Pa. Duke - -W' . - 'Q'-. i --A .1 f l 5... . 7 'f ,. if 1 ,,, i .iff X . .,,.u . . 1 7 ' . - 1 A f . 'P 'f -ali' iff Wayne B. Jonas David C. Jones Potomac, Md. Mebane. N.C. Davidson UNC - Chapel Hill William N. Lane Anthony J. Limberakis Winston-Salem. N.C. Jenkintown. Pa. U.S. Military Academy U. of Pennsylvania l lf. A 1' Edgar M. Kahn Franklin. N.C. St. Andrews Presbyterian Q1- d, Philip N. Lister Brevard. N.C. Hampshire vi Karen L. Long Snyder. N.Y. Denison David S. McAlister Huntsville. Ala. Washington and Lee .4 Mack H. Mabry Norwood. N.C. Davidson X i i v X Q Samuel S. McCachren Concord. N.C. UNC -Chapel Hill S Henry G. Marrow Tarboro. N.C. Davidson f-si fig- -. it Y . D l Steven R. McCoy Westport. Conn. Duke ., rg- ,il .,,, . .- S i it .lon V. Martell Durham, N.C. UNC - Chapel Hill . X, A f Zvi ll I g Marguerite E. Meyers Moorestown. NJ. Pennsylvania State . -'LM' David E. Mold Durham. N .C . Michigan V . h .Q t S ,. I 1 ji tx' A .,,,, H .- 'l X A 'Q' N.:-A: ., Xwstnil'-4 N 14-31,1 v' J., 4 S' 'Ns' . - - Q Robert W. Paterson Solon. Ohio Duke Maria E. Moll Hampton. Va. Randolph-Macon if ,f A- NX X L George Phillips, Jr. Alexander City. Ala. Northwestern .1 I fl' 'i a 1 JK X F ' 5 SQ!! James E. Nordstrom Farmington, N.M. Harvey Mudd Q lx , : Nfl Nancy Post New York, N.Y. Michigan THIRD YEAR vrui-v 3 J 1 il JY, - X 1 N t . kg Richard A. Orland Cherry Hill, NJ. Princeton Marion M. Preston Lake Forest. lll. Yale 1 1--7' I X X .f ly i ' 4 1 ' rr Marilyn A. Prince Wilfred L. Raine Thomas L. Ramey Douglas S. Reimgen Richmond, Va. Mobile, Ala. Charlottesville. Va. Latrobe, Pa. Duke Williams Virginia Duke THIRD YEAR .rw L if,-4-9 Li Y.. V 'SMH AIJ -Q--df rn Y - I 4 5 , 511 9254. . l Reuben N. Rivers Durham. N.C. Duke 4 -., w ' 1 X xx M K Bruce O. Schirmer Closter. N..l. Princeton E' 4-1' Richard K. Slate Clemmons. N.C. UNC -Chapel Hill X . l N y -1 X... N 5, w L , .f John W. Ross-Duggan Newport Beach. Calif. California-lrvine -1 ,E 'iii' . I 'J-tl. rt. . David C. Ruck Kennebunk. Me. U.S. Military Academy THIRD YEAR . fe sf ,3-of? David P. Sealy Hillsborough. Calif. Claremont Men's College Eric P. Smith Durham. N.C. Dartmouth ,- F5 'F' .15-l'h ff Q L' Q1 'S Diana R. Silimperi Bethlehem. Pa. Duke Marybeth Spanarkel Jersey City. N.J. Marymount tall .v 7'-if Wayne K. Ruth Raleigh. N.C. North Carolina State 5 Victoria S. Cerf State College. Pa. Mills Beverly J. Spivey Brooklin. N.Y. Cornell x vi' rl if -l Christiane E. Stahl Durham. N.C. Bennington David G. Teasley Milwaukee. Wis. Case-Western Reserve 128 THIRD YEAR Y . , . ' ,QQ . I G ,341 ' rx lx -A N - Edward S. Stanton Plymouth. N.C. Duke L E ,li 'st af P .ffl z ' L , il A Ellen A. Thalmann Suffern. N.Y. Duke QT? Anne Stockton Robert K. Tatum Johnstown, Pa. Harrington Park, NJ. UNC - Chapel Hill Duke fi 1 ' Robert R. Varney Ronald L. Vereen Darien. Conn. Durham. N.C. Colgate UNC - Chapel Hill in i I - . I 1 1 - 4 S ,, 35,1 N ii., A I u 5.9 -'I . ' 9 Margaret A. Walsh Poughkeepsie. N.Y. Smith Nr' 444- li K .ii Terri A. Weyrauch Silver Spring. Md. Pomona THIRD YEAR 1 Bradley L. Ward Taylorsville, Ga. Georgia its ve 'l David M. Wheeler Baltimore, Md. Duke - I, I! H1 1 V,'l l4lt':t if fl W H Y . X, a'e Mfr ' I .sill k sf i I il I Q ,iauiiu William G. Ward Lincolnton. N.C. UNC - Chapel Hill ,ei 5 ,Il Bruce D. Wilhelmsen New Orleans, La. Southern Methodist 1? Zgi iz l 1, W 1 3 l Q Michael R. Wessels Grand Junction. Colo Oberlin 'T Lan. Kenneth D. Williams Liberty, S.C. Davidson lv li. ,1 I, ' ,iw 1 W. 'Y . 'ii Lawrence S. Wissow North Plainfield, NJ Amherst 4' ua? l r 'Ns l k N Dale C. Young Orlando. Fla. Davidson M 15. r .A Stephen C. Worsley Greenville, N.C. UNC - Chapel Hill Ruthann T. Zern Wyckoff. NJ. Douglass 53' . rff lf Q maya J' 'if 2: .f v I sugig ,fg ll',. X- If .Qi-nospdaizd Al ' .:-Q we , --w,..s -. l I .illhb gg S I 4 x A. , I' fly ,as 69 ' d ', i 1 is 4 -- 9l'lC3' FNLFJZL -l Anne H. Wright Philadelphia, Pa. Wellesley Richard Strauss Silver Spring. Md. Bowdoin wlll 'i.i Bag T iii,ai 'ifi.1.?: 36 W' 5 Michael F. York Bethesda, Md. Maryland -4-JL 5-T Qwa, 1 :weft R sxnx L BTV. l' '-1-. x -N llllll .0 .4 r. 4.1-3' If 0 Q, 'I fi-ra. I 1 Zfflf'-j'f. v,,l' f. ,',:'::'?? I , 9 ' K f I v in kifrr --N, 7, .N E I 9 .If , u f , .J , I , A hy , . ,. A , .,, HA , - , . QQ, 9, , Yip:-, , . 'V 1.'bj:. 3f.2,l.f?f, ' ':u'fiil3 K U .5,g35ff3 --,'fy:::-r1 ' 11 li 4. I ' ,, , . , , - ' . '-'f? 3a-'.f., - ,, R' A 'f?i ' iff-g1?.2gLg2f1v - sf . - :fx , gifgsf ' qi' 2-v - R--1fF'fE 3 ffflf:.?.fbi95'Y1'- ffm- fi 411.-5.51 7 164- .33 Ngfif. V- tif'f.VJf' 'f ' -1. . -.-- Jak! if L'-2142,- -. .f , 5 41 .' 1 ' fefq-we-:.a., , V - F V,-E Mzgghi- ' f' fi:,,-n,- , Y 'P-' Iyer' -f'3 9i-11543655-'Q'F4iv?1fi1Vf f- :+ , 12g.,f P ' W 1 ' 'j' WA ' ' .,Jw02:4'3.'f,4'm':4.Qfggg:.i ,..4v::-1g,jef,5,gr,:,1 'g s' ' . ' I . ' ' I . f ,,-, . ,, 'f,- . , A , av- , dvzh 1: '- ' ' - ff' . qiffffb J-.agmr-V' - -f, X-2-J! - kr -Ui :Elf . '-'-1--J- f ' Y v ' ,xi .- , ' -.if '73 'Z - 1 1:71 . - A4 M - 1.vJ'3gq4'l' ' ' ' gl .- ' ' A-22-+'f ' ' AQ 3 1sg pm-Lgeff ff' F7 -4'E3 A -a , , , -.ggi k Q, ,' .Y - 17, ' '--Q.. - fm rf-f A , r J I a iff' . , , -.f,.'-4, ,gf ' ' ' - ' T 'f . ' 1 SL 1, NHL Q f ff fzw ifq1'f f:-1 V N - w-f-f--N ww ,. Wf. sacoz-:D YEAR MEDICINE Diseases of their own accord. Cures come difficult and hard. Samuel Butler, Sazyr Upon the Weak- ness and Misery of Man Medicine is the 'lbear rotation: the one on which even the most industrious student is overwhelmed by the work- load, the lack of sleep, and the emo- tional stress of close contact with sick people. If there is anyone who goes into the service feeling guilty when asked a question to which he doesn't know an answer. he is cured of this failing by the end of the eight weeks. The emphasis on Medicie is LISTS: Lists can be of Patient problems t Mr. Jones is a chronically white patient with a fifty pack-year history of ciga- rettes: a twenty year history of diabe- tes: and recent onset of angina pec- toris. galucoma, alcoholism, TB. and ingrown toenail. j . . . of differential diagnosis tex., Dif Dx of Large Tongue: cretinism. Trisomy 2l. amy- loidosis, idiopathic large tongue. post- trauma. etc.J . . . or ofjournal articles. References loom large in importance when discussing patients with attend- ing doctors, and the student who can cite month. page number. paragraph. and line is held in awe. That was JAMA, not NEJM, dumbkoff! .X I Let's see: three weeks. two days. five hours. and twenty-one minutes left. 132 - OB-GYN is divided into several short segments spent in various sub- specialties. One of the frustrating spects of this arrangement is that as oon as one learns what his responsibil- 'ties are. they are changed. A single however. runs through the tire rotation - that of wailing. Wait- ing can be for babies t has she prog- ressed any? J. for evening rounds on Prevost, or forjust about anything else. The experience of delivering one's first child, however, is an unforgettable one. and makes the waiting entirely worth- while. Q V4 N ,it .ST ,J - 4 Julia She s very near her hour for evening rounds. ,, , I 1 iii 2 is contrary to the nature of children to come into the world with feet first. - Pliny the Elder. Nalural 2 Mn I fm.. 4-.W I 4 . 3 Ei 0 4.25--, 4' 'V up J . kfg .W .gg 3- 'lan -af' 5 fails.. -M : Wal A x. A I L 1 ' nfl' 21 ' - 'I ll ' L ft : W'-133: - - 3- .Sim A' 'hz is HJ-x PEDIATRICS Here we have a baby. lt is composed of a bald head and a pair of lungs. - Eugene Field. The Tribune Primer The above quotation is often all too accurate on the pediatrics service. Probably every student has a vivid memory of the first time he attempted to restrain a child's flailing limbs one emergency room night. and. equipped with his trusty otoscope. peered down the external ear canals. mentally debat- ing whether to write TM'S WNL BILAT or Lft TM BULGING. RED. WXO LIGHT REFLEX. L l hold that it is better to give children only the most dilute wine. - Hoppocrates, On Waters, A irs, and Vapors F, f 134 Oo I ff, elm Q- But the chaos is well balanced more personal experiences with dren on the ward. It is both fascinatin and rewarding to participate in the for mation of intimate relationship between patients and staffg it is no uncommon to see the child's natura suspicion of people in white f thej have sharp things J beautifully dis placed by an uncalculating affection. ,lf K 19 - Al Capp The psychiatry rotation is a refresh- .5 change from the other, more stren- ous clinical rotations. The hours are horter, and the dress code is relaxed. here is time for the intellectually clined to contemplate the mind-body roblem and for the athletically clined to play tennis. The enthusiastic teaching staff, by Dr. Hine, does a good job in the student with exposure to broad variety of patients, ranging those with documented organic disease to those who are simply help in dealing with a difficult situation. And 'it is a further to the staff that many students enter the rotation skeptical of the of the specialty emerge with a not only in its intrinsic worth, but its implications for medical in general. Psychiatrists are often amusing company, especially when they are drunk. The dress code is relaxed on psychiatry. and i PSYCHIATRY A neurotic is the man who builds a castle in the air. A psychotic is the man who lives in it. And a psychiatrist is the man who collects the rent. Lord Robert Webb-Johnstone X, ! nnovative therapies are stressed. SURGERY That sir. is what l like to see: noth- ing so wholesome in a wound as a good discharge of laudable pus. Sir Clifford Allbutt ,3 as X The most tragic thing in the world is a sick doctor - George Bernard Shaw, The Doctorlv Dilemma ef g... l ,K 4 I 5 ,,.,d!v- . gy X , , Li In the present state of my ignorance it seems more useful to gather facts than to formulate hypotheses. 136 Sir William Richard Gowers A didactic approach by an excellent teaching staff is combined with a rela- tively relaxed schedule to make surgery one of the most worthwhile and enjoya- ble rotations. Case presentations are a big part of the rotation: probably all of us remem- ber starting out: Th-th-the p-patien for p-p-presentation t-today . . Th smoother, more confident presentatio often makes a better impression tha the technically better but nervousl delivered one. Getting to feel comfortable in th OR can also be traumatic, and whe one first contaminates a sterile,' per son, he desperately hopes to receive gentle reprimand rather than an angr lecture. The worst reaction, however, i a haughty Ugh, I've been contami r1ated that makes one feel like a si foot colon bacillus. Second year at Duke has been some- thing of a culture shock for our class. Part of this is due to the mere fact of being medical students exposed to intensive clincial work for the first time. Part is due to the state of medi- cine today, replete with its technical advances Qand Duke is certainly a leader herelg widespread social impactg and complex, pressing, moral issues. But a major reason why we are cultur- ally shocked, one must conclude, is that as a class we have cherished a sense of wonder and a spirit of opti- mism. It is our capacity to wonder at technical marvels, that has led to our sense of responsibility as the wielders thereof. It is our fundamental optimism that enables us to face the personal and health problems of our current and future patients, and cheerfully work to solve them. Life is good. S gi l37 jg Y V A V 3 f, ,J ,, P 'if A uv' Y -.lf J r 3 I N V J l f 1 f'-f' t 1 Q f J 1 ' 1 1. E I '- E , ------'Z Linda Jean Abbey David Smith Abernathy Manuel Aguilar Meredith Alden Muhlenberg Earlham Duke U. N . C . Somerville. NJ Little Rock, AR San Jose. .Costa Rica Chapel Hill. NC , I. ' eff - k ' John E Alexander Davidson Laurinburg, NC Barbara Jo Basuk Brown Gloversvllle NY Elizabeth J Anders Emory Riverdale GA 'S Charles R Beasley Pembroke Maxton NC JA, William C Andrews Duke Norfolk VA William H Bell lll Tulane New Bern NC gk, 'ft , ' David E Attanan Prmcelon Vero Beach FL James Kent Bennett Clark Elberton GA e wgg if J A, ' , , ' Eben Alexander, Ill U. N. C. Chapel Hill. NC Ralph Parr Baker Jr Duke Newberry SC 'sfff Janice Lynn Bird Duke New Carrollton MD M. Wm E wg- kg hawaii. -Q -1 4 l f. 'W'- ,J v r n w 1, .Q 29, Q' P l , 'A J L .-. XA 1 x N l .-. F E. ,X up Q HQ' fix 1 it ' . pt ,f A A f -C- I RQ' 'J Q ' it J . SH' --p+a-if. AAR ' X Q. .' liz! iw., 7 1- N .1 J Richard Brasington. Jr. James Howell Broom Leslie Ann Brothers John Kern Buckner Chris V. Chambers Harvard Univ. of Alabama Harvard U. N. C' . Princelon Asheville. NC Hartselle. AL Concord. MA Chapel Hill. NC Wilmington. DE 4' . i . A it - X ' 1'l. . if .i t' '1 - J . h 1 -Q W f -- f'- ' J' l ' J 1 I 4- H L , l Q ,Af .lj - Caroline Chiles Linda Chiu Alan Chu Barbara Ann Clark Charles Edward COHCY M. l. 71 Princeron McGill Yale Wqgord High Point. NC Baltimore. MD Hong K0ng. Hong Dearborn. Ml Little River. SC Kong j ' s. ,f - A '-ll. -J 2- B ,, .1 A 5' , sr, - ' ' i . V ' N A ' . Peter C. Cote James M. Craword Allan C. Crimm Ralph R. Damiano. r Steve M. Denning Slale Univ. ofN. Y. Dartmouth Yale Darlmoulh Duke Syracuse. NY Fairfield. CT Atlanta. GA Vista. NY Rutherfordton. NC , ,LLL L , . L be i , :xii E .-. it -QQ-L-ff Q' , ' - , if 1 , -W it it D E., :exf t ' If '5 . ll H' ' A Q A e it M ' ' ' A J ' ll ... ... A iii an .- A ' . xg- V ,., ...' 8 ' f , l ' .. S Jil L .QS-.5 an ' ex' 5, Sink! rf ffl l 9-5 I I. ,wifi - . ff ,,,s . t V. ijfl 'ev if Fall' 5 ill .I W JM llllil . .. itl. J, ' Eleanor H. Dewitt William Jay Dole l'Vl10.t'IL'I' Duke New Wilmington. PA Cincinatti. OH X. 12-11 ,. 1-i' ' A - Fig.. at aa ft, e 'Lk Af , Robert Scott Eden Herbert H. Englehard Duke' Duke' Atlanta. GA Northbrook, IL '?'Q Joe Walton Frazer Duke Greensboro. NC 4 - if 1 'vi 5' ,W- ' X iz Lynn Carol Froome Benninglrm Penfield. NY ,4 1? I 9- ' SECOND YEAR ,-' . ,. lv-at . 11. ,-Q' QU, li' High: Mitchell Bennett Dunn Duke West Hartford. CT 3 R' 25. I ,A ' ' QA, Warren Dixon Ervin Slmiford Redmond. WA Jeff K. Giguere f' I 165 If xi 1 N r l 9, l .lamesDykes Duke Bartlesville. OK Nancy E. Fitch Brown Johnson City. TN in Fi? I ' if f fig. ..f I , ' , . -.: ., f-. :,, Scott Dale Gillogly Duke U. S. M ilimrv A C'UfI'L'l11l' Wilmington. DE East Aur-ora. NY i .l, Mary Francis Earley Duke Garden City. NY 15,5 6, . P' 1 Paul Alan Foster Micfiigun Dearborn. Ml Thomas B. Gore Duke LaGrange. GA 1M- e:-fe Fx it i. ..,-NT 'i D ' .. in-1 .' f 4' 1 at 1 v .sf 'ks' A vi W2 ,1:. A:,. -iv -.1:.:,'5.4,1.g:. .,..v,. .. -1.1: Paul Farrell Gores Mao-1 Iesler Rochester. MN Gwen M. Haagensen Skidmore Durham. NC X'- Michael James lmber N orlhweslern Chicago. lL Ron H. Gottlieb Pennrvlvunia Englewood. NJ Barbara Jean Hall Duke Houston. TX ip. fv. M ' P wwf, Richard Glen King U.N.C. Gastonia. NC Q x . gr 1 E lfs. sz: Thomas C. Graham, Jr. Emoqv Newman. GA 4, Sherry Lene Hall Duke Snow Hill. NC 'QI Janet Shepard Kinney Duke Durham. NC if'-44. Y 'Ur F? i Y-Q James W. Grant N.C. Slate Rocky Mount. NC L3-3 -sv ll' XX -N 'X N , f Kevin Michael Hepler Princeton Myerstown. PA ,Q-up n vs ,FH at A l l Kent Howard Kistler N.C. Slale Raleigh. NC X Raymond S. Greenberg U. N.C. Chapel Hill. NC fav? 4, '--xx David Noble Howell Duke Greenville. NC 9' Cynthia Lisa Krause Pennsylvania Baltimore. MD Qxf 5 lvl Susan Lacks Queens Flushing. N Y Y A fs Xp, Em i se 'I' 2' , ig L xy' l 1 Q Michael E. Mabry Duke Lexington, KY l ei l, ne Edward D. Miller Greg E. Morrison Colgate Princemn Columbus. OH Westfield. NJ Okafor M. Lekwuwa Norma Celeste Lemon Duke Harvard - Radcliffe Cincinnati. OH 1 ' 'A is . A fx f 1 F. Greg Mappin Duke St. Simons lsl.. GA Charles Bruce Murdock S . Carolina Belton. SC INIXXTTX if , iw ,Lv ... F. FA David Emil Ludlow Brigham Young S. Spanish Fork. UT Dale Matthews Princeton Hanover. N H x I - Nl' -.,,, .QF .1- ,'. . Michael N. Neuss Michigan Indianapolis. IN Ti Lillian L. McKay Swarlhmore Charlotte. NC ?'F' if Richard G. Michal UNC Charlotte. NC ., f -L , 1 , , I I ,I Li... Chalmers M. Nunn. .lr Duke Clarksville. VA K .v 3 M. Rich A. Olson Minnexula Canby. MN I i Y A ,,. Q if ,, . v. . .. . 34' ' ' .' ... 'v .. Marshall B. Plotka Duke Mt. Brook. AL 1. Dana W. Rosenberg Brown Scarsdale. NY R' S x L n e V V p ll l i 5.- Margaret E. Parker Duke Sarasota. FL -q-W MUN Louise Peacock Lucy E. Peterson William J. Placilla U, N . C , 4 G Wellesley Rensselaer Polvleehmc Greensboro. NC Matthews. NC Somerville. NJ .txt H 1 . - -'- Stephen E. Post Joel Gregg Puleo U. N,C'. Duke Greenville. NC Elam. NY 45 wiv , 'M 'A , ' ' ,io g , A , .', . 1 w i 5 A ill V .il , tl- . 11.4 '. Y Q 1 : 41?-it Michael H. Rotberg Janet Y. Russell Haverford Duke W. Orange. NJ 'eff M Mx W Wai? Mickleton. NJ 4 H ll if 551. H-' w ll all H 1 it 1 iwflfflilllll llzlfiiiiiiglig -.. . 'fri-2.5. 1 'L pi, .ex gr. V - , Michael S. Rabkin M. 1. 71 Marblehead. MA rw? .i ,. e . wr f fl 'rm frm' Steven G. Ryan Georgetown Kensington. MD ag , 5 Y -1 f,. sei'-fe 2. i'f312ilvv 1 l S, i ,. m ,DL '51-f .. LQ- -. 9'--33: + ' r ' .wif 4 Rf ,Mfr Michael B. Rocco Georgetown W. Orange. NJ hx rg' XF ' ,i l., Carolyn M. Salafia Darlmoulh Middletown. CT efhi ,nw N .W.w W,.N,h...5i..,5g??, Q 3 l 'si V-.7 Elizabeth Schreiner Rensselaer Pobzlechnic Hinckley. OH A tk, 5' James M. Small Colorado Englewood. CO fr 'N Kim R. Tibbetts Stanford Granada Hills. CA Gregory G. Swartz Brown Jackson Heights. NY Stephanie Smith S, Carolina .Columbia. SC i Q, an J' px you Alan Tipermas M. I. T Fair Lawn. NJ Randale C. Sechrest U.N. C. Jamestown. NC ni ev- A 'i John W. Stringfield U.N.C. Hazelwood. NC ' y-or ,. 2'Er..r-1 Alan R. Treiman Franklin and Marshall Merrick, NY L md: N Mfr Kr? A, N Harry Severance, Jr. East Carolina Wilson, NC , ' Y , .t .Q Ni i .gr L' J i xx!! JE. ,I - 17 ,T ' it RTW Chris M. Teigland Duke Miami. FL Jon Jay Tumen Brandeis Deal Park. NJ Wulf-f'u --' ,, A ff-WZ' xy 'VI Mitchell Silverman Harvard Massapequa, NY 3 ti 1 Y 'rl 1 Katherine Thompson Duke Lexington. KY ,L , Robert Van Dalen Duke Clifton, NJ ,J Richard M. Ward Duke Charlotte. NC Thomas R. White Duke Cherryville. NC fi il l Ronald G. Washburn Brown Lake Bluff. lL llllll illill 'V 1,1 95 9 . l AL . 'V rr Isabelle A. Wilkins Barnard Pittsburgh. PA SECOND YEAR Giles F. Whalen Princelon Shrewsbury. NJ in r 1- illillx lf Christopher Williams Florida Venice, FL Steven Alan Wool Emily E. Yarborough Washington Duke Waukegan. lL Durham. NC iw' 5 I ,R- Ralph E. Whalley Duke Raleigh. NC Rebecca M. Willis Yale Perry, IA Hans P. Vogel UNC Durham, NC A-f.!eil'.f -7 4. an if If ., '. W. - .4 A- ! Q l. 'I e ll Johnny L. White, Jr. Harvard Virginia Beach, VA ,-,k J 4 it 9 i -.Jifx , Y Yi .gj',iQQ,..,.'fx -i , -- i il B. Hadley Wilson Davidson Boone, NC .11 -.-, . .--q1n- I -sn 1 -ts ,,-.:- Di A - .1 .fy -L ' .1 iw -I' 14125:-v '2. Alwvc: FIRST YEAR DAVISON COUNCIL REPRESENTATIVES: One word can best describe the refreshing and unique contribution of the first year representa- tives to the Davison Council and its activities - ENTHUSIASM! Their vast array of talents and skills included: song-writing tWho could forget the memorable metabolic and neurologic rendi- tion of Jingle Bells for the DUMC Xmas party7l: choreography 1Did you miss the first coed cho- rus-line can-can center stage in the MCA?J: advertising and ticket-selling te.g. arm-twisting. subtle peer pressure. bomb threatsjz letter-writing lCan medical students and undergrads find hap- piness and peaceful conexistence in the carrels of MUDD ?J: and most importantly. keg-tapping. Truly a valuable delegation! 46 ':T l: dvi-o ll BF AND CLC Almvc: L to R: Lamont Wooten. Pam Bowe. Jeff Davis. Gwen Arens. and Bob Parkerson. Above Riglil: FIRST YEAR CURRICULUM COM- MITTEE: Steve Barns and Marcia Angle. The two elected First Year Curriculum Com- mittee members are directly responsible for solic- iting and coordinating evaluations of the lec- turer. course. text and schedule of the first year core curriculum via computer-scored forms and open-ended comment sheets. At the end of the academic year. students. faculty. and administra- tors meet for a day-long retreat at Quail Roost to consider criticisms and suggestions. From these meetings student input helps shape the evolution of the core curriculum. IJ'-.i'ill. ' Ir- 'su ' -sa ,' ' '31, . . ' . z 'I . .. -l I 'ffl' II I l' I , , .gt I I it ll illl-5 he , i.: - 31142: L., Above, Tap Ill Bormm: .lim Morris. Marcia and Steve Barns. Above Riglil: SECOND Until this year the Second Yeir C Committee dealt solely with complaints tions and revisions regarding the five rotations. Now the Interterm Session. aimed 2 instructing the student in examination and diax nostic techniques has come under thejurisdictio of the committee and last year. due largely to stt dent insistence. Pelvic examination was officiall included in this section of the curriculum. Th year. the committee allocated time for an add tional course - Human Sexuality. CURRICULUM COMMITTEE: .lim Morris. s PX 3? 'Z- That First Year of Medical School This is the story of our First Year Class. A tale spun among the pillars of sleep and study: lectures and labs: and weekends and wits' ends. ln the begin- ning. hyperawareness reigned. We transcribed each lectured word with acquired four color pens. desperately trying to keep up with the strangers at our sides. We all had our suspicions . . . Who are you looking at. Dick? Do Ran'll's ties intimidate you? Chip, John and Hugh knew what they came to med. school for. . .Anatomyl Though first day of anatomy lab was gross, it didn't take long to attack our cadavers in the recommended fashion - glove- less. Mat Cartmill's typical body seg- ment shaped our framework. As the newness wore off. our sensitivities became refractory and caffeine was sought. De Luca and his gang cornered the market. Their customers were awake and oblivious and Pete Bressler was just oblivious. We quickly found cooperation eased the way and besides it's more fun . . . hum, hum . . . Bran- don . . . Deb . . . Verena and Brian. Jeff Davis. our president, directed Gwen's choral arrangement plugging the Med School Christmas Party, while he surreptitiously checked our smiling faces for caries and wisdom teeth. In the intervening ten minutes before lab or another lecture. our classmates scat- ter . . . that line at Teller Two looks familiar . . . hurry to check full mail- boxes - full of your box-mates old. uncollected mail . . . or why is there always a line in the women's room? Sb lil: g if i. f fn On to lab and CTF. The micro- scopes. the adjustments. and when you have lots of practice. oil on your 40 X is no big deal. according to And who can rack a condensor the way Gene can? Most of left at five. but Sam was determined to count every hepatocyte. lf you ever followed Jan or Frank in the Demo room. you spent more time adjusting the scope to a more pano- ramic or heady-eyed state depending upon whom you followed. Nonetheless. we found the time to take it seriously. Hey. where's Harry e who made his beautiful drug note cards last year - and learned them this year. We never knew what would be in the gross pan: nutmeg liver. sugar coated spleen. strawberry gall bladder. Laurie's lung cake or Dr. Fetter's ice cream delight e guaranteed to make your hair stand on end. Claire's cookies would proba- bly be an unknown in anyone's pan. We suppose it isn't really obvious that one should slice Slice 'n Bake cookies before one bakes them - and as we've been taught in path.. if you don't know what it is. just describe it as a long. smooth. cylindrical. doughy mass of even consistency. Each lab had its own intrinsic character, Dr. Burger's troops were living proof that cervical neo- plasms are infectious . . . yes. yes. indeed. indeed. Outside help was occa- sionally brought in . . . Darth Vader and Dave Blakey hit things off. Exams were given in CTF. but the proximity of potted brains never seemed to help. We still had to study. Bill Tyor tried to concentrite 1nd Lxurie knew that studying wasnt always a laughing matter Tony and Due Albert Studied by pict and their P s proved they d pulled some ultimtte magic acts Studying in Mudd was messy. but if you ever wanted to locate an occupant. well Ken l,'iz'1rus or David Simel could usually point you to the right carrel. And if you needed Valerie Krieger or S'1r'1h Bel- lum. Jim Secars would be glad to page them for you. We needed diversions during the day. Nobody could do a crossword puzzle like Ann Lansing. most of us used the team approach. Often the puzzles were attended to more than the after lunch lecture. and finishing one was a great source of Endo-gain fHine. l978j. William Pryor dreamed of better days. and Gilda wished for the sixties. The cafete- ria was a social place of questionable activities. enter the turkey lottery. get your blood pressure checked. buy your ticket to the Christmas party. and if you timed it right A you might get a S6211 in the middle of the table. instead of two people beyond the end. Besides. at this time. Mark Ling. et al. organized Volleyball and Basketball intramurals. This page would be incomplete if Bagels and MacDukes went unmen- tioned or the facility with which the cafeteria turnstile was negotiated. refluxively. was not acknowledged. H V ' i I A ,Q F5 , 1 9' 3 - .'.g :: V-A 1 ' ihfrvlsf I J U ,- 4' ' ' . , ' 2 ',:'F4:,1gi hr , V , IQ' - gb B i at 1 A ' A.l- t it Q f l f - 7 f if , Y Mil, , V I l 1 ':Aj I 'N 'K NWN i W H W - H ' 1 WKm' H V1 ' x . ,nd 1 .l'f' 2 J',,1f-'X .X i Yr' A ww , ax-:P , w.f,sh wx J X 4 XM' ' 'y 1. - N 1' 1 1 , -ul ' -14 K 1 , , W, fl 'X' if . x v , ' 12-N 'g..2N-Z' w',w3,',RhH' ' Hgxhkl 1 igg. Mari ls' Q' F ,gk Q. 'ii 1 I, . E 51 , . -,Cy ' -.'-, .4-fl 'lit' s 'W un :Q-'41o: V: , 'L T- ' fr, x Lfglr-f, f I rffzrw . ,ma Mis: 1- I-.' .X '14 lug., Q' bf MI, 3- s f BH- -A - wulff. wr ' ,N '- wr- we 5 ,- .311 Sf w -155' ' ' 'W W-1 --- me-rage-Y pf'-'A-'12-, f. KL ty-. ' , at 5 ' 'W' WWE! uw' f7dfw? if' 'ex 1.--' .- T ?' 1. 1 I I J,'.- A't,Gfl-5!-'rjf 't nr,-- M my sm , 1' . 'I 1 V 1 R, 'uri 47 :.,4g.1'C.I vi bgwllg, Q, :V I 'JJ-' ,.,'j3:v 'f-it -AL., 'lf 's-- ' f. '.1'.1' J mf- -ff 1, . ,Af 61 'K '-FI -i,.31',K,? -'G,4.?J: , 3 - 21 :L-f4Ng'f?.gQ-ff-1 ,2gfVP'L:lf?'fb Tj it fig, Zig .uv re' wie' ff' ' ' ,, 1 ' -J' .' 'TQ 213:14 HN' Y.. ., ' :L -,C-1: afgggi x. fi 5 313 'ff ' 45 ,L - A. X I 5-, ii x I-4-s -C 'N Relax and recall some of the memo- rable goodtimes which range from Eddie's wok to Marcia's eggnog to the color TV at .lim Morris's. where Duke won the semifinals against Notre Dame. And there was the North Caro- lina State Fair. after Physiology exam and before Biochem and there was Dr. Steege. champagne and Thanksgiving break and more ultimately there was December 23 - Noon. A Sunday. early spring brunch at Pam's revealed three interpretations of cheese grits and Margo decided a First Year Recipe Sharing was in order. Joe Germino headed the list with hotdogs and more hotdogs and more . . , A further look at the parties reveal that Quay's pic- tures need no captions. But parties and rumors weren't the only distractions. Nanny was always reassuring us with her Mona Lisa smile that, yes. sex is on Wednesdays fsex ed. that isj We apologize for the many omis- sions, some censored. some suppressed. and some left out. for there is inade- quate space or talent to detail in words all the faces. situations and interactions that compose this year 3 this first year of medical school. but you were there. Together. we did appreciate the earli- ness of eight A.M. on cold mornings. the freedom of petition as guaranteed by Anne McKnight. and rumors of suntans to be had if we could only make it to Physical Diagnosis. In toil and exhaustion. exultation and relief. we got to know one another. and as Bruce sits the party out. Steve Schiff drifts away. and Dan's smile sums up more than all our verbage. 41- .., Ll e6 .rl .NW ff t -Y' Q5 1 Y sv- i l 11 I X David E. Albert Harvard McAlester. OK fe -. wil, 393 f s, x . Marcia Angle Harvard Omaha. N B David N. Blakey Norlh Carolina Sfale Greensboro. NC -'sv , 'tl t if-'X ',., , , V QP: L 'Z -'CP' 2 1 + J fav fig S 1 ' iw 1 . ml . Renata Albrecht Yale Rockville. MD , 'Z-eh 5. Gwen Arens Duke Silver Spring. MD t Craig A. Bloch Tufls Allenton, PA fig' l , 'X Ax X N . David B. Allen Stanford LaGrange. lL K ' i i'p'f' fi:- . gzs 1 '.:L'Er ,.- , .fi lzllllnlibil ,, Ilia :frlll-Miha? 'Q ryplkl Gloria E. Ashland Yale North East. M D Pamela L. Bowe Welleslev Cincinnati. OH FIRST YEAR . N X qw , N 'fl g ' jgi. are-N V-1-Lf, Pamela L. Allen DePauw Charlotte. NC Steve Barnes A uburn Greenville. NC i , V x X I N t l Bruce Brasher Duke Basking Ridge. NJ ei ki Roger F. Anderson Duke Durham. NC 5 1 ... lkir' is' f Ugg? fa naar 33-'af ga if E ' i f l ..f?l3'7 :fi 'Nm 'lit' 5.1-.H xmas! ,ills Faith Birmingham North Carolina Stare Durham. NC .lei-L ,- 4--. lis. X Febe l. Brazeal Birmingham-Southern Fairhope, AL Y ti' i 'Q w 1 J . L 'F it X x . it I., , Q ,K if , . 5. Q pete gressler GenZBroiadhead Pelosi R.fBr3nec Phil CbB:CSChCl' H -1 aw on mn or u e Durfglniolgg Charleston. WV Racine. Wl Ft. Washington, PA f i N fi J . l 1. g -, V T 4. N: 1 4 if . - Rob F. Campbell Jonathan Christenbury Debfajl- Clapp Timcf- Clark Northwestern Oral Roberts Univ- 0 Virginia Uiby Oak Ridge. TN Chai-lone, NC Bluefield. WV Winston-Salem. NC . ' :L V 1.-il p . i 5. A - .N I Q - , I F I v- Q li, Q 1 IN' . K 'A-A lv- ' P6 1111. ., l l f: ' Q f ' la v l l Diane M. Davidson Chip B. Davis Jeff U- Davis John S. Davis Yale Duke Wake Fares! Univ. of Akron Monroe, NY Orlando, FL Winston-Salem. NC Akron, OH FIRST YEAR ,Q 'lf' Fil N if l, i 1' K l Dick Calvert Duke Worthington, OH Camell Cooper Yale Dillon. SC, .lohn R. Dein Duke San Antonio, TX fi'- I' , 5 ' A x K Y Peter A. DeLuca St. Peters Jersey City, NJ . W' X. Q, Edward J. Fudman Duke Baltimore, MD be ' David M. Harlan Michigan Sylvania, OH B 4 R l L l Nancy E. Dunlap Wellesley Gainesville, GA ,G- W li fl If -444 Joseph Germino Hobf Cross Palos Park. IL V 6 .ln :Z- fs ' x Greg L. Hudson Brown Wellesley, MA FIRST YEAR si L-. 4'-V -'v A 5 v Laurie L. Dunn Davidson Laurinburg, NC fl V 'V K Matthew W. Gillman Harvard Chevy Chase, MD lVllCl'l3Cl 11. JUIIHBUH Brigham Young Mesa, AZ ,QA Berrylin Ferguson Princeton Jacksonville, FL A1 Candis D. Grace S. C. Slate College Charleston, SC MG ? Claudia K. Jones E Verena Jorgensen Duke Slanford Durham, NC Garden City NY , x 1 . XRS V i J. i Ax ,f '. ' x C-. 1- i f li f . . . 4 ll 'M Jeff R. Kappa Stephen R. Keener X Duke Davidson Kingsport. TN Swannanoa. NC X.. .. 1 ' .r ' 1 . . ,L-JY. v X'.Q.l1,iiviQl!gXgLiff ii? is ss ' Laz9S.fau Joanne Lang Ann M. Lansing Wisconsin Duke Milwaukee. WI Durham. NC 3 G. M 1, 'Fi-'i '44 X ' ' X X 1 . vs. 'lata bfi. if L -I Cap B. Lesesne Mark Ling Princelon Harvard Grosse Pointe, Ml Merion. PA FIRST YEAR M . K' Edward H. M. Koo AI11h9l'Sl Hong Kong G ia' l . .g. :f:igff'. .1-:ease a...f.- 1 'iEE:::, '. ,iw -J::::: 5 ..- .. 1I- L::--EE1':S!- ' 55? W-1::11lE::l111:r.2'Q .rr f,q':: Ken J . Lazarus M.l.71 N. Miami Beach. FL . .2 fi Gilda J. Lorensen Stanford Orinda. CA John W. Kreil Jr. Duke Hebron. MD . ,-. ..,, fr.. ' . J ' J. Tommy Lee Ill Davidson Wilmington. NC 1 1 'L 4'-X L .i 1 Gerald Louis Lourie Brown Syracuse. NY ...-2-. an -an A U Lf if Jean E. Junin Wisconsin Madison. WI i t -. -. .,-' 3 gurl- '-', - -I Q 1 Joann C. Leone Williams C allege Pelham. NY 1 y,lL John F. Lucas Ill Univ. Qf Mississippi Greenwood. MS .1 ,lf A-i , Q:- Wwe- V i JM. :Jin Q' Si-air A ' ':i ? tiff AJ .-lla RL C . , 5,5-B! . rv V- - , Anne McKnight UNC - Chapel Hill Charlotte, NC ' 40- ' ,., f' Nkmll' V Greg A. Mencio Duke Naugatuck, CT X, A Nancy Milliken Demetria Montgomery Harvard Clark College Spartanburg, SC Ashville, AL wif tg fl . : ' ,J 4 sm ' ' A fig? ,- Elffig, . ,Q ' tl ' - i e . fff-.5 f -- v fi -if . !SQhi 3izQff?l W A 9 iii. A .. .' L .9-15-F1 i ll: no J John G. Morrison Beth Murdaugh Erskine Brown Due West. SC Columbia. SC ir' cl? . 4 ., l l i 1 XX l v W llll x lla Thomas M. Michel Harvard Cranston, RI Ran'll W. Moreadith Norlh Carolina Stale Leland. NC an v 2 I Ply f L?-1 i Kathryn A. Ney Pinsburgh Atlanta. GA FIRST YEAR il I Bill D. Middleton Duke Muncie. IN er' - ' .ff S ,- I 4 l Hugh B. Morris Duke Aiken. SC .lim F. O'Neill Colorado St. Petersburg. FL -4' J .. 'S-A' i X li ,., -AZ e on David L. Milbauer SUN Y - Buffalo Massapequa. NY .J .lim J. Morris Darlmoulh Durham. NC 0 1 li i l Bob Parkerson Duke Durham. NC ,Q 'x Bryan M. Peters UNC - Chapel Hill Elizabeth City. NC X Bill S. Putnam Duke Roanoke, VA !'3 lV, ., 4:133 1 ' t 4+ 'lv 4 Asela C. Russell Yale Washington. DC 1 A vm .A A lun W 1 , .ti Ft . . - 1. .3 ,N 0 f , ' ,f aw, J , Q ., . f ' l' l if ' l lll l r ' - --i ' , i 1 , . Joanne Piscitelli Jan L. Porter Claire M- PWC! Occidental College Cvnneflifur Duke Arcadia, CA Memphis. TN Coral Gables. FL 1. jg A 4 . V 62 i A H 4 s- gif 1 5 N Q -fi 1 5 fg X1 , f t 4 1 ' 5 if l . '15 Q . Jim E. Ramage Brandon Rankin Eric M. Reiman Stanford Davidson ' Duke Columbia. SC Concord. NC FOFI Washington. NY . 4- A 1 G - hx: ' , Hx. ' aff' 4' Z r L V :il t :Lui f g. Q .h . lla-X., IA ,yy X' 5 I 1' S , If ' 1' Lil 1 L , 5 'rl , zf .:.:z-ml i A L.. .1 Q Steve .l. Schiff Steve W. Schwartz Jim H. Segars M. I. Tl Duke Duke Liberty. NY Newport News. VA Lenoir. NC FIRST YEAR 33 - . , r f Q5 B! - K 1 William W. Pryor Furman Simpsonville. SC 3 .fs 'Q . 47, -in Ken Riley Stanford Oakland. CA K. Lea Sewell DUflIH0lllh Middleburgh. NY f ,sl I - , I Ei QHQIF f f lf Pam W. Sholar A gnex Scott Mooresville. NC Jeff J Sourbeer Dulte Largo FL fwhx W Chad Stephens Davtdson Ltttleton C0 Btll Tyor Emorv Durham NC t , ' f' ,fr Earle Shugerman Jr. Hampshire College Birmingham. AL Barbara Spector Cornell New York NY Stewart F Stowers Duke Stgnal Mountatn TN t S' , fx Daniel E. Siedler Dartmouth West Falls. NY UF A lf. ,ffxf .A i l A . I Q. David L. Simel UNC- Chapel Hill Greensboro. NC YEAR S a 'ai- Af Frank Spence .I r Florida Tech Orlando FL 'S' ,AX Sam B Thtelman Wheaton Montreal NC E K Van den Berg .lr Jtm Walsh Washmgton and Lee Mtsstsstppt S tate Wtnter Park FL Montgomery AL av'- T Stanley Duke Savannah GA 1 ?' Margo L Thtenemann Duke Rockford lL Patncta A Watkts Cm College of 'VY Brooklyn NY Qt ' , .3 .5 ,Q-' ,xt . A Quay Snyder Jr US Air Force Aeademv Carlisle Barracks PA .ga- Roy M Stem Massachuretts 'Montgomery AL Davtd W Trader Stanford Greensboro NC X ii-'M Bruce Watson Dulte Glen Ridge NJ l uh l ' in ,,..., .l ' lx ,C 0 AN ' ' fig fx f ' f 'il a nm tv l ' ,N i i f W! X, ' .Vx nl ' w .ii -B , Q1 - 'll 4 N Bob Whitehurst Bernard R. Wilcosky S. Lamont Wooten Nnrlli Cllflllfllll Slcllc' Mvllwdisl Cullegc Duke' New Bern, NC Fayetteville. NC Greenville. NC 1 X L 4 lf' Q - K 4 V Valerie Krieger Yorick Locklear Holi' C ross Pembroke Univernri' Nun Better. MS Lumberton. NC FIRST YE R tvs. grit--ja rf. 'N 1- -Te - W I -as L-'Qumran W :'x f .44 J. ' 'ti H' ' 'N . at 5 N ' W W f 1 B fl B IA rl ' A , + -1' 4- 1, L Qi If KN Combined Degree Programs ln addition to offering a course of study leading to the Doctor of Medi- cine degree, Duke University Medical School, in conjunction with the other schools of Duke University, offers a variety of combined degree programs. These include the Medical Scientist Training Program QMSTP MDfPhDJ, MD!PhD History, MDXJD, MD! MPH fMaster of Public Healthy, MD! MHA fMaster of Health Administra- tionj, and the MD! Public Policy Pro- gram. At present there are students enrolled in all but the MD! MHA and MD! Public Policy Programs. The Medical Scientist Training Pro- gram is the largest of these programs. It provides the opportunity to integrate graduate education in one of the basic sciences with the study of medicine. The MSTP was designed to equip the scientist with the training and experi- ence needed for basic medical research in his field of interest. The Medical Historian Program QMDI PhD-Historyj is conducted to train professional med- ical historians. The MDIJD Program seeks to develop a professional who can function in areas of overlap between the disciplines of law and medicine. Such overlapping areas as legislation regulating medical practice, health care delivery, and medical ethical problems are emphasized. Finally, the MD! MPH Program seeks to train the physi- cian in epidemiology, biostatistics, environmental sciences, and the prob- lems of health care delivery. All combined degree students are required to fulfill the individual requirements of their departments. It is expected that. through the completion of these dual fields of study, these indi- viduals will receive superior training that will enable them to bridge the gap between their related fields of interests. .BZ--. 1 . .t i lx x - Ai 1119 4 iff-m Students enrolled in the combined degree programs complete the first two years of their medical education before entering study towards their second degree. Because of this, students in the first two years of combined degree pro- grams have been included in their med- ical school class sections. First year MSTP students are Joseph Germino, Mark Haas, Michael E. Johnson, Ken- neth J. Lazarus, Mark Ling, Thomas M. Michel, Kathryn A. Ney and James P. Walsh. Second Year MSTP students include James M. Crawford, David N. Howell, Michael J. Imber, Gregory G. Schwartz, Mitchell S. Silverman, and James M. Small. , . fn... .yr 3 ill? L 1 -fd I Him John L. Abernathy Duke Charlotte. NC Dept. Biochemistry I 'vi 1. Q x L. X. Dale L. Blazey C olgale Pittsford. NY Dept. Microflmm -I -. . I V ' .r- -f '. ii 1 i P . EV l 4 55' 'C .1 Marsha G. Adams Duke Malvern. PA Dept. Biochemistry Kim Boekelheide Harvard Chapel Hill. NC Dept. Pathology MSTP Third Year ,ir- 55? i x i . Stuart R. Adler Harvard Statesville. NC Dept. Biochemistry 455 . rg -' . David J. Browning Harvard Huntsville. Ala. Dept. Pharmacology Scott J. Anderson California GI S. D. Long Beach. Cal. Dept. Microflmm .95 Robert H. Cassell Harvard Atlanta. Ga. Dept. Biochemistry Robert L. Becker. Jr Miami Columbus. Ohio Dept. Microflmm William R. Clarke Duke Cincinnati. Ohio Dept. Pharmacology MBINED DEGREES , u I 'lol' an ,v n:l.kll!xvN 'l ,. u ,'s..uv,1x,t. i s tl , l lltl Ui t, 0 I g'.ll V I, il i fgu I ' 4 gl p 1 n 'N' i.d.f',Y U N six s x s' 'Q 0:0 xxx' 'fd l . is fl, - l Barbara J. Crain C aldornia at Irvine Long Beach. Cal. Dept. Anatomy 6 1 Stuart I. Harris Duke Miami, Florida Dept. Physiology MSTP Third Year gil: x f ,rf lla ttitailiifla Lisa Ebihara Northwestern Wilmette, lll. Dept. Physiology 4 ,i i I l'1 X .lll 'sl - . mtttll H 'Q' John Ralph Edgar MIT Atlanta. Ga. Dept. Biochemistry Pamela J. Honeycutt Claude L. Hughes, Jr. Mississippi East Carolina Jackson, Tenn. New Bern, N.C. Dept. Microflmm Dept. Anatomy Ll A l A X' is , H ,px 3 if 4 4 Y Q. , if it -'-, A 5, ii , is Y v- i. it I 1 H i ' i ill ' Gail H. Geier Smilh White Plains, NY Dept. Biochemistry 1 . All Peter A. Janick Cornell West Lafayette, lnd. Dept. Biochemistry COMBINED DEGREES lr ' A , 1-l k Y PfQiL'2.gg,N V. , N 'E A eiipcx JE- .tx . , Fgmlr, 'O GM- ' I - . I .63- P 1. .9 Ml. 1. 'i,5,'i.x Sidney M. Gospe. Jr. Stanford San Francisco, Cal. Dept. Physiology t t. 1 Michael F. Johnston Georgia Athens, Ga. Dept. Physiology ,ll l . 'iIT..ui.i ,' ....l1f.. James W. Larrick Colorado Englewood. Colo. Dept. Microflmm Dennis E. Ose Purdue Indianapolis. Ind. Dept. Biochemistry 164 11.5.- COMBINED DEGREES MSTP Third Year James E. Lee Duke Oak Park, lll. Dept. Biochemistry Y Caroline L. Peterson Marquette Bloomington. Minn. Dept. Pharmacology James T. Li Princeton Jamaica. NY Dept. Microflmm .ff .. J-1 fkfa, g -ww :i Y f S' it 'R 6 C f E . 0.0 , -- Q ,y' 1.0 014' Gary J. Roloson C'alU'ornia at S. D. San Gabriel. Cal. Dept. Microflmm 5 ' f: , Virginia Ann Lightner MIT Atlanta. Ga. Dept. Biochemistry Jasper E. Sadler. III Princeton Huntington, W. Va. Dept. Biochemistry Mary L. Markert Smith Ogdensburg. NY Dept. Microflmm Reinhardt O. Sahmel Princeton Staten Island. NY Jin. . l ,A Ng l . . I David M. Schlossman Columbia Kenmore, NY Dept. Biochemistry Kenneth F. Trofatter Duke Bound Brook, NJ Dept. Pathology .ff V 'm A . .cl I f 1 ' COMBINE DEGREES MSTP Third Year I 1 . X rg, p NI F 1' LY. -:Z, t A s ,fl ,ry ' RN--f- X I R '7'!Qx ' if :'- I f ' Us fm' Lx . l I fl. 1. .lAli.'l'll'li,i i l Emmett V. Schmidt Gregory H. Sharp Peter J. Sims Robert B. Stein Harvard Cal. Tech. Amherst Indiana Elmsford. NY Squantum, Mass. New Rochelle, NY Kokomo, Ind. Dept. Microflmm Dept. Physiology Dept. Physiology Dept. Physiology 1, 3 41 ,. . 1:11 E o g , .f A at Ml, I A ia. X V . A -.fy Q A l X U L O ,fb iyzmmili K . f xx ' 'Y'-. Giles W. Vick, III Catherine L. Wood Tien-Sze Yen Robert E. Ziegler Duke Macalester Stanford Colorado Monroe. N.C. Rochester, Minn. Palo Alto, Cal. College Park, Ga. Dept. Physiology Dept. Pharmacology Dept. Biochemistry Dept. Microflmm NOT PICTURED: Bryan E. Hainline. Georgia Tech, Atlanta. Ga., Dept. Biochemistry 166 I V' 'Q sn J 6 N ' 5,4 X .A 4 . i J John C. H. Steele, Jr. Duke North Augusta, S.C. Dept. Biochemistry Wm. Shands Hosp - Path MSTP Fourth Year 2 is Lewis T. Williams Rice Toccoa, Ga. Dept. Physiology Mass General - lnt Bert A. Brantley. Jr. Duke Columbia, S.C. Dept. Computer Science Internal Medicine Med Pictures Not Available Stephen R. Butler Robert E. Drake, Jr. UNC Princeton Roseboro, N.C. Winter Park, Fla. Dept. Pharmacology Dept. Psychology Stanford - Pediatrics Duke - Psychiatry MD! JD Program Clinton H. Joiner Georgia Tech. Decatur, Ga. Dept. Physiology Duke - Pediatrics K- , I f I' Egg, 'Q ' is 5 1 l V .1 -are . . Xl I ,ti . ,AIA William B. Bunn, lll Duke Raleigh, N.C. John H. Rutledge Southwestern-Memphis Humboldt. Tenn. Picture No'l'N ,W John J. Fath Villanova Hickory Corners, Mich. Piclure No? Available Ann G. Carmichael DePauw Roanoke. Va. MD! MPH Program ..t. ,5, ., Er.-f:g!l9Hg.r. :.if.'f.v 'r xi - . nf:- ' - g77,:3,11-wf..r.?f3xx- Xxx - :? KT ?.,g'l. , M -'-,Lf , ' ., .., Q J-L.-ix . COMBINED DE W , . Q1 l ,.11,..q..y , MD! PhD - History Michael W. Shannon Washington St. Louis. Mo. TP 1 'f. J Llllixf Stephen Y. Wilkerson King Portsmouth. Va. Naval Reg. Med. Cen - Path 167 ini? 2? My Q- 0:5591 IN A '00'ZED AREAS .cr ,..-f .,f- Xw f 'X. X., .419 f4,,,.,..1 Q., ! Bula Qblnmersdg Cmehtnal Qfenier ADS! POTPOURRI Faculty Patrons A s Potpourrl Edltor s note! Acknowledgements Anthony J Llmberakls, Sectlon Edxtor John F Lucas, Section Editor '77 M .,,, B 9 '5453 A 1 -' Q w f B . . . d ................,............ 172 ' .....................,.. 190 ' ' .... 192 FACULTY PATRONS John C. Angelillo, D.D.S., M.D. Jay Arena '32 Anonymous George J. Baylin Lillian R. Blaclcmon, M.D. Dan G. Blazer ll, M.D. Marianne Breslin, M.D. H. Keifh H. Brodie, M.D. Dr. George W. Brumley Ka+herine Buckner Peier C. Burger, M.D. Ewald W. Busse Arlhur C. Chrislalcos James R. Cla pp A. Derwin Cooper S. Joseph Cosiello S. J. Counce Carlyle Crenshaw, Jr., M.D. John T. Daniel, Jr., M.D. Dr. and Mrs. B. F. FeHer Sfanley A. Gall, M.D. Rober+ S. Gilgor James F. Glenn, M.D. Lowell A. Goldsmilh, M.D. Herman Grossman Laura and Bob Gufman Dr. Donald B. Hackel William B. Hall, Jr., M.D. Charles B. Hammond John P. Hansen, M.D. Merel H. Harmel Roberi L. Hill William F. Hollis+er, M.D. Roberl' B. Jennings, M.D. Dr. W. K. Jolclik James David Jones Lyndon K. Jordan Dr. and Mrs. Samuel L. Ka+z Frederick M. Kelvin Anonymous FACU LTY PATRONS '-' FACULTY PATRONS -' Norman Kirshner Dr. David J. Lang Gerald S. Lazarus, M.D. Joseph K. K. Li F. Max+on Mauney, Jr. Roberl' McLelland, M.D Michael E. McLeod Lowell S. Miller Joseph A. Moylan, M.D. Barbara Newborg Anonymous, M.D. Guy L. Odom, M.D. Drs. Syd and Shirley Os+erhou+ Calvin R. Pelers, M.D. Sheldon Pinnell Philip C. PraH', M.D. Dr. Charles E. Pulman Galen W. Quinn, D.D.S., M.D. Lloyd F. Redick, M.D. J. David Roberfson S+a nley Ro+hma n Rober'r J. Ruderman . . M David C. Sabislon, Jr., William W. Shingleron , M Harold R. Silberman Dr. and Mrs. George A. Joachim R. Sommer Madison S. Spach Eugene A. Slead, Jr. William M. Thompson Ber+ R. Tilus Malcolm P. Tyor James R. Urbanialc, M.D Joseph A. C. Wadsworl Galen Wagner H. S. Wang Roberl H. Wilkins, M.D. Hilda Pope WilleH' James B. Wyngaarden .D. .D. Silver h, M.D FACULTY PATRCJNS BEST WISHES TO THE MEDICAL SCHOOL CLASS OF I978 FROM THEIR FRIENDS AND COLLEAGUES IN THE MEDICAL ALUMNI ASSOCIATION OF DUKE UNIVERSITY PresicIen+: Ralph P. Baker, M.D. '43 Presidenf-eIec+: W. ScoH James, M.D. '57 Secrefary-Treasurer: Jay M. Arena, M.D. '32 li l A Liv. 'f , ' ' , w . ,, - S 1, 'H , , Am Redi Comb Drive Car1'ersville, Georgia l 30l2O 'sm I V W' U. l ' 1 la 'gfik E T 'i H H H 5 N BESTWISH E5 ,, -,A xiii il - if. M L w N :- 55121: sr, af- .-2, w 1, K w ,, H H :L Q I: 2+ 5 ff' l l R , I i 4 F'Yf0aS'wY0f '01 Discover the wonders of Mexico, the Caribbean, Wa.i11ltDiSney.World, Los Angelee, A and e l much mor , Unlimited September f days in advance, l but not more than 21 'l Conlyionce Cnty, except i adult fare therentire in one tmp with Eastern Airlines Fate twill be available through You must stop, l Travel to or from Canada is not included. l For more information, call the travel specialist, your travel agent: or write toaEastern's Unlimited Mileage Fare,f'RO.lBox78'Z Miami, Fla. 33148, i for a detailed brochure. A ' TH l 'Prices quotedare coach fares which will vary dep l routingllown. departuretaxesandfueix v hohday PF'm'?Fi?' and 12- Seed to Cir-es?-a fEhs at E S from countries, -MMMTEYM-m W 7 ,mrmfsmh .SC!lm0fl,, . wurwgnnpn. ou '+.'.H'.'wMyllpmmflfliwmwuHw A composite of six separate sleep laboratory studies. . .1 A M DEL FOR HYP OTIC UATICJ Gnly a rigorous program of evaluation in through 28 nights in chronic insomniaes. the sleep laboratory can provide objective Prolonged administration of Dalmane is proof of sleep medication effectiveness. And not generally necessaryg but should Dalmane only Dalmane Qflurazepam HCIJ has under- be used repeatedly, periodic blood counts gone such comprehensive evaluation and and liver and kidney function tests should has proved effective for short-,I intermedi- be performed. The usual adult dose of ate- 12 and longer-term IJ-4 administration... Dalmane is 30 mg h.s., but 15 mg is recom- mended initially in the elderly or debilitated. ,wwplllf WW Nfgfl M,-W t ll 1 MFI During short, intermediate and 28 -night administration... HE ODEL 0 OTIC EFFgcT1yE1-yasst' lflurazepam HCIJ 15-mg and 30-mg capsules Please see reverse side for a summary of product information- Thoroughly evaluated, thoroughly effective Dalmaneiiiiurazepam Hoi io 30 -mg and 15-mg capsules g proved in sleep laboratory studies: l effective in both inducing and maintaining sleep l effective without increasing dosage from night to night l effective for short-, intermediate- and longer-term administration Before rewribing Dalmane lllurazepam HCIJ, plzase consult complete product infomlation, a summary of which follows: Indications: lillcutixc in all tvpcs ol insom- nia cliaracturizcd hx' dillicultx in lalling asleep, lrcqucnt rtocttnnal auakcnings andf or carlx' morning zuvakt-ningj in patients with liL'L'l1l'l'lI1g insomnia or poor sleeping hahits: in llL'LllL'tjl'L'l1I'UI1lC medical situa- tions rt-qttinng rcstlitil slut-p. Since insomnia is oltcn transient and intctrnittcnt, pro- longed adniinistration is gcncrallx not neces- sary or rectimrncndcd. Contraindications: Known hypcrsunsilivitv to llumfepam HCl. VVamings: Caution patients about possible combined cllocts with alcohol and other CNS dt-prcssants. Caution against hazard- ous occupations rcquinng complete mental alertness tug., operating ntachinciy. dnvingi Usage in Pregnamjv: Rveral studies of minor tranquilizers lchlordiaze- poxide. diazepam, and meprobamatej sug 'est increased risk of congenital mafiomiations during the first trimes- diaze ine, has not been studied ade- quateiiy to detemiine whether it may be zmmiated with such an increased risk. Because uw of these drugs is mrcly a matter of urgcncv, their use durin this period should almost al- ways ie avoided. Consider possibility of pregnancy when instituting therapy: advise patients to discuss thempy if they intend to or do become pregnant. Not rccommcndcd lor use in persons under I5 years ol agt-.Thougli phxsical and psy- chological dcpcndcncu liavt- not horn reported on i'v.-contmcndcd closes, use cau- tion in administtfiing to addiction-prone individuals or those who might increase dosage. Precautions: ln elderly and dchilitatctl, limit initial dosage to I9 ing to prcclticle over- setlalion, dizziness and oi ataxia. Uvnsidcr potential additiw ctlects xxitli other hvpnot- ics or CNS dcprcssants. iimplox usual pre- cautions in paticnts who are scvcrcly' dc 'irc-sscd. oi with latent depression or sui- cidal tcndt-ncics. Periodic hlood counts and liver and ltitlncx' lunction tests arc advised during rcpeatctl thcrapxp Ohsciwc usual prc- cautions in pivscrtct- of impaired rcnal or he atic function. A verse Reactions: Diuincss, droxxsincss, liglilhcadcdncss. staggctin r, ataxia and lall- int: have occtirrcd, paiticuhirly in elderly or dtdvilitatcd patients. Mvcit- sedation, lcth- argy, disoncntation and coma, prohalalv intlicmivt- ol drug intolcrancc or ovcrdosagc ham: hccn reported, Also reported: head- achc, heartburn. upsct stomach, nausea, vomiting, dianht-a, constipation, CEI pain, nt-n'ousncss, talkativcnt-ss, apprehension, initahilitv, weakness, palpitations, chest pains, body and joint pains and Ulf com- plaints. The-rc haw also bv.-cti rarc occur- rcnccs ol' lculu rpcnia, granulocvttapt-nia, sxtcatirig, tlushcs, dilliculty in focusing, hlutrcd vision, hunting cycs, laintnwss, hvpotcnsion, shortness ol' hrcath, pmiitus, slain rash. difv mouth, hitter taste, cxccssivt- salivation. anorexia, cuphotia, depression, sltincd speech, confusion, rcstlcssmrss, hal- lucinations, paradoxical reactions, ug., '- ' -it -r' - I slirrniiznjinn anti iu'n:1i':n-lit-ilv and clcvatcd SGCJT, SKQVIQ total and dirt-til hilirubins and alkaliric pliosphatasc. Do. e: Individualifc lor rnnxintum hunt-li ciztf2i'cct.Atf11lis: 30 mg usual dosagc: li mg may sullicc in sonic patients, l:'ltIw'li' UI zJ't'l7iIi'111lr'r1puticntsg I5 mg initially until rcsponsc is dctcnnint-ti. Sup lied: Cfapsultcs containing I5 mg ol 'lo mg urazcpam HCI. REFERENCES: l. Kalcs A, vt til: C7111 l'l1r1onut'ol I'ln'i I9:57o-383, Max' ll-976 2. Kalcs .-X. t-1 alt .ftrr-li ffm l'wt'f1i'u1vw F2226-232, Sup NYU 3. Kalcs A,t-1 ali flirt l'llr:mnJt'oi' Him 183356-363, Sep I'-375 4. Dcmcnt WL',t'lt1l: long-tt'rtn vllcctiw- ness ol lluruncpam ill mg lu, on uluonit' insoniniaus. Prescott-tl at thc 15th :annual rnectinp ol tltt'fXssotii1ttionlot l'su'i1oplix- siological Sttttlx' ol Sleep. lidinluirglt, Scotland, .lun ill-,lul -1, N73 ROCHE PRODUCTS INC. Alinnufi Dunn.-. Di,-A rvvlrn R. B. Brunemann 8: Sons Inc. La+hing, Plasfering, Acous'rical, Flooring Drywall, Fireproofing I I l2O Kenwood Road, Cincinna'ri, Chio 45242 The radiopaque disc permits postoperative clinical observation of valve function via radiography or fluoroscopy. Bjork-Shiley Cardiac Valve Prostheses are into their eighth clinical year. Shiley Laboratories, lnc. 17600 Gillette Avenue Irvine, California 92714 17141979-0500 OTIS 'elevators' will soon be operating HORIZONTALLY between buildings The OTIS ELEVATOR COMPANY is recognized as the world's leading supplier of automated people mover systems. OTIS Transportation Technology Division is engaged in the deslgn, assembly, test, and delivery of automated horizontal transit systems as exemplified by the Duke University Medical Center peoplelcargo transportation system currently under construction. '---eff-'-Us---' --f- 7--,-V,-:-1-:-1+-mfg-gre., . V ,WY W lf A M .at-. 4. csa,:.i, .r- I ' A- 1 - f -Lg, , Duke Vehicle at Denver Test Facility For over ten years, Otis has been working on new solutions to transportation problems We have added a third dimension using elevator technol0Qy, and can now provide horizontal service within and between build ing complexes, parking lots, and along busy corridors within city centers. we expect that these automated people movers - uhorizontal elevatorsn - will have as signi ficant an impact on the form and structure of our cities during our third century as the elevator did during the second century. Downtowns and other congested areas will air-floated Otis system, unlike other systems, vehicles cannot only be moved forward and for loading movement is Duke system ways into a .may soon be to your off backward, but also laterall and unloading. Up and down also being built into the by moving the vehicle side- large freight elevator. It possible to call a vehicle ice on the top floor of one building and go directly to any floor i another building across town. Otis Model Guideway and Vehicle Superimposed Along Proposed Downtown People Mover Alignment in Los Angeles If you are interested in learning more about Otis People Mover systems for downtown or Q303l other applications, call: 343-8780 - or write to: soon benefit from systems similar to Duke's. Transportation Technology Division People mover systems are safe, efficient, Post Office Box 7293 non-polluting, and quiet. And with the Denver, C0 80207 Y n Medtronic CCDMPLIMENTS CDF A FRIEND SDUTHLAND ASSOCIATES 212 Corcoran Street - Durham. N. C. H Telephone BBB-B121 Developers andfor Sales Agents for the most delightful and livable subdivisions Renting? Cr wanl' +o rent? Whether you have rental inveslmenls, or are looking for a home or aparlmenl' +o rent, +alk 'ro our Property Management s+aff. We represenl' some of the finest rental properties in SOUTHLAND ASSOCIATES E12 Corcoran Street: Telephone BBB-E121 ,the area. Realtors and Insurers Q ' ' Experienced Insurance Specialists I -1 Tame. For 'Every Business and Personal Requirement .... uNcl.umNG um ALL KINDS OF BONDS Expert Analysis Immediate Coverage SDUTHLAND . ASSOCIATES T e Y 'e 'S 212 Corcoran Street Telephone BBB-B121 Representing the strongest, most dependable companies Pnaltsoru and lnuur-an in the notion. Call for a personal appointment. ouR HEARTFELT CONGRATULATIONS Rev. and Mrs. John A. Limberakis and Ca+herine BEST WISHES AND CONGRATULATIONS TO THE CLASS OF I979 Dr. and Mrs. An+hony G. Borden and George Besf Wishes 1' ' I . -, -11 sANDoz d ,A T T PHARMACEUTICALS or East Han0Vel', Mr. Qruce Eoen, Aseo te MedlcaISclences Lua n '919'm 562 seely G. Mudd Building CONGRATULATIONS TO THE CLASS OF 1978 BEST WISHES From +0 BUl'l'0U9hS Wellwme THE MEDICAL sc:-noon. Co. CLASS OF me from eadqua t 3030C ll R d ResearchT gl P k NC 27709 anu acturi M f g Intersectio fl-Igh y ll dl3 Greenv 11 NC 27834 INDUSTRO TECH CONSTRUCTORS Denver, Colored Durham, Norrh Carolin Plant: 927 Lake Road 0 Medina, Ohio 44256 0 216-7233271 Homo: 688 N, Parkwood Rd. 0 Decatur, Ga. 30030 0 404-373-0797 TUCKER C. PINNEFI COMPLIMENTS OF GOLD KIST, INC. Durham, North Carolina Regional Manager rights-RQ ASINWIUBCUVDGWA-d - I y 1- The . . Olde House Q Restaurant ' Featuring leisurely dining in the European manner in our Victorian home ' Gourmet dishes of beef, poultry, and seafood from the finest ingredients ' Quality wine list availableg Homemade bread and pastries Serving lunch M-F1 tea and scones daily at 4: dinner 5-12 every night BEST WISH ES TO THE AESCULAPIAN STAFF SAM'S i' Bee' 5 .. .. 1.1, 6 Domestic and Imported 1 sf oulK -We . 5 ,H dl One ofthe Largest Selections fs Have S H O P Around' i ' ' ' Hgh a E ' 5 ecial Party Prices 1 N 1- I CS 'l ' Little orij Large Party or Wine Orders X 5 d Taste ' ' ' ' 'We DEllV6F A I . s D ' I ' , xg U ' S ownstms 5 7 AM.-12 P.M. DAILY N f Resitaurant: - - Erwin Rd. at East-West N eaturmg continental Groceries Expressway 286-4110 X entree s, fresh seafoods, N t d X a variety of homemade ews an s . Out-of-town Newspapers Mx appetizers and desserts, H d d f M , Q as well as seven draught I un re S O agazmes 25 beers, and a wide 1' assortment K. C. I-lUNG'S ,I of the finest imported 'I' beers, ales, and wines. y I C N A N N y Upstairs. . . New York XX H I I Style delicatessan and X 3311917 ' . , ' Banquets - Parties Seating for 100 . Open M-S for lunch or ' ' l..Ul'lCl'l SCI'VCd l A.M.-2200 H dinner N Q MONFKI' X 1 Q - ' ' Dinner Daily 4:30 P.M.-9:30 P.M. 111 W- Malfl 688-3663 Xl! gl Fri. and sat. 'rin l0:30 P.M. X Downtown Durham I ,u A :E ' ' lxnggrted Be? v mm 'F J ' ' lqLl0l' Cfmll , X 688-3664 - .J-6 , i 1, For Carry out and , ,,,,, gl V K I1 7 1- .5 Reservations Call 5 If mn I 1 ' Wa , 17312, ' 3- . 286-2444 ' S 2701 rmtssonouoh ol ' . dual-:AM mvawnn .mawalnha Tllllld LHUEJHHEI E 'QJOIS Jazopnng V ueqlzuow 101 V 9.29135 .J Q w 9 LU I 9 'IUPIJJDTI oundlawa rfuxuzs-alll apmoxd on woxemuaff Aqpuems Jelpdnxcg uo pundap J91U2Y'j lempaw ming pun lzuowaw mguM mpg 9Il!JldSOx,4l .1gaLl.Ho A.1o+s5q amp, A4.!s.1aA!un exlnq 9 l+ SSLISIM CHO snommcmv 'CTN 'I-Isla-:vu HWS xlddns 'IVDIEDHDS Nvldv-lnosav VN'- vD an-I1 Ol :lg SNOIJ.V'If1J.'v'EI9NOO S-LNHWl'ldWQQ 1 Working Hand in Glove With the Medical Profession effyi A Division of Affiliated Hospital Products, lnc. Massillon, Ohio 44646 latex gloves for every medical need complete urinary drainage systems For Further information Call I-2I6-833-28l I baby talk The magazine for expectant and new parents. Articles on pregnancy, baby care, child growth and development Copies available for all doctor's offices Write to: Baby Talk Magazine 66 East 34th St. New York, NY 10016 merry christmas T ssl 9LIOLId adog PU? PIAPC1 'OH HSDOHOHSTIIH 'S lN3H.L lV 35400 WO!!! SNJ018 ONU. 5332 I O. N gweqmq GQHHQAV aaqsipg 315 -9 .Wd M , .W.dSl?.Nni 'W'V l' 'W'V 6 'IV 'IH SuOF1990 I LUOH HIAIHG JM 'wus Zl - 'w'v 6 'sanm - 'NOW 9 :SHOOH 1V 319910 P99dS 91BP991ddY1 M xaow 'Q oawsnaa 'casino - 391 .DW 'g72,07ZS'7Zg azwmssvwo '9 seas sax , ' SdU'l3S M8Vd 'S' SOOO! ADNVJ 3N9VdWVHD '9 SBNIM 'SH339 OELHOJWI '? DIJSBWOO :IO NOLLDBTSS 'IVNOILVNHEMNI 3934 .,NOIlD313S 3l3'ldWOD .LSOW '9 SEDIZM MOT 'MOL W Q 'ful iv 01S mv-1 ., .,.. w ill - Lueqxnq 'lalusg Sugddoqg sium ug sbamoq O1 lxau 'pg q2no1oqsHgH IZVS S.LlWH3d OHV 'l'lV 'lAI'dOI -INdS 'W'dZ-WVOUII DIEIEIAAVSAVCILNEHO f uaugsgng Bupiad puv asauolueg aoosvas mu was os1v1M 6991189 l'!G mm, -, 5,010 SZZLZLTNO 1so3 rmxil oN nz suosxvd 09 01 dn H1008 A.LHVd ELLVAIHCL. S mf' U0 'W 'W 'O VEIHV EVIDNVIHL HHJ. NI HFIDINH . vcnowvsncuns aasowa G 5 308 Z HSDOH HVELS' H l 9 N I Pl OOO EI SEI N I H D nuaw augM Q nuaw aung ow agaldmoj Q an Bugugq MagAaqn1 X E 17999-sae AOFNEI 2z!zi:':e.i,,f,g1 S.NVW,'L11VH I mm' I AHVSSEDZN SNQIIVAUHSJU ON c2SS9u!dd.eH POOH .LNVHOVLLSEIH IIVAAVH EHTIH SFIOWANONV :I:lVlS NVIdV'lf1OSEIV EIH.L Ol SEIHSIM lSEIH IN MEMGRIAM xx L , a , a a a q a ,, ,,W . if a ' Thomas C. Graham, Jr. .l F? Q4 ,Af5....., 2. ,- A 'gt 1 If-s. ,. ' A ,B il? if 'C ,ii ANTHONY JOHN LIMBERAKIS EDITOR A year and a half ago when I first considered the possibility of reawakening the AESCULAPIAN which had lain dormant for six years, little did I realize what was in store for me. During the summer of 1977 I interviewed various prospective yearbook publishing firms. During the fall months, my wife and family assisted me in preparing and mailing over three hundred letters to potential advertisers in order to finance th nture. Meanwhile l had undertaken the task of recruiting my dedicated staff, and after several organizational meetings, staff assign- is ve ments, and receipt of approximately twelve thousand dollars, we were well on our way to producing what we hope to be one of the best AES- CULAPIANS the Medical Center has seen. However, the 1978 AESCULAPIAN could not have been published if it were not for the tireless efforts of a number of individuals whom I ' h t acknowled e and deeply thank First and foremost John Lucas As my Associate Editor, John has been both my left and right hand wis o g . , . man and, succinctly stated, without him we would not have a yearbook. I must congratulate John not only for sacrificing and working on ' ' ' ' I 'll ' h t a her ar excel layouts often until six a.m.. but also for succeeding in keeping me awake to work with him. Brad Ward, Tay orsvr e s p o ogr p p - lence, deserves much credit for his photographic and technical contributions. His many hours in the darkroom and his forthright advice will l b ' ted. Section Chiefs Bruce Schirmer, Juan Batlle and Eric Smith have done an admirable job in their respective sections. They ong e apprecia have been creative and have contributed above and beyond the call of duty. Special thanks also go to Dr. Jay Arena, who was an unfailmg ' ' ' ' ' ' ' h ' ' d encoura ed, and source of advice and historical anecdotes. Lastly, I wish to express my deepest gratitude to my wife, Maria, w o inspire , g helped me in countless ways. I salute these individuals, and express to them my sincere thanks and wishes for continued success and happi- ness in the years to come. And to you the reader for whom this book was pu is e , ope a y 5 pleasant memories of Duke Medical Center in future years. ACKNOWLEDGEMENTS Dr. William Anlyan, Dr. Ewald Busse, Mr. Joseph Sigler, Mr. Bob Blake fcover art workj, Mr. William Wilkerson Qopening page photo- . . .... . . . . .L.H. H. B d H, graphj, Miss Debra Ann Reilly, Rev. John A. Limberakis, Mrs. Elizabeth Limberakis, Miss Catherine J. Limberakrs, Mrs 1 ian or e Mrs. Marilyn Pietrantoni, Mrs. Rita Beski, Mr. James Gifford, Miss Lynn Lloyd, Miss Mary Hicks, Mr. Warren Wagner, the Medical Center Department Chairmen. Mr. George A. Borden. bl' h d I h th t ou have en'oyed penising it, and that it will continue to bring you