taking a new course · • dr. david and lola rognlie monson endowed professorship in medical...

Taking a New

CourseAn Expanded View

Raising a North Dakota Healthcare

FamilyCollaborating

to Improve Cardiac Care

Taking a New

CourseAn Expanded View

Raising a North Dakota Healthcare

FamilyCollaborating

to Improve Cardiac Care

Fall 2014VOLUME 39, NUMBER 3www.ndmedicine.org

“�ank you for the generous donation you made to the UND Medical Laboratory. �e new technology has

truly been a major bene�t for the students studying Medical Laboratory Science.” —Brandon Johnson, fourth-year student

Lino Lakes, Minn., native

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NORTH DAKOTA MEDICINE Fall 2014 3

POSTMASTER: Send address corrections to:ND Medicine Address Correction UND School of Medicine and Health SciencesOffice of Alumni and Community Relations, Attn: Kristen Peterson501 North Columbia Rd. Stop 9037, Grand Forks, ND 58202-9037 e-mail: [email protected]: 701-777-4305

NORTH DAKOTA MEDICINE is available online at www.ndmedicine.org

FEATURESTaking a New Course 10 Tom Mohr’s and David Relling’s new roles will help to lead the School in the new era of healthcare education.

An Expanded View 14 The Edward C. Carlson Imaging and Image Analysis Core Facility opens windows to cellular processes for SMHS researchers.

Collaborating to Improve Cardiac Care 20 Evaluating a lifesaving device leads to a cooperative effort to review statewide cardiac care.

Doctor of Physical Therapy Class of 2016 22 Fifty-two students started their clinical studies.

Doctor of Medicine Class of 2018 28 The largest class in School history began their journey to become

physicians.

DEPARTMENTS Dean’s Letter 4 News Briefs 6 Guest Author - Lonnie Laffen 16 Workforce 18 Alumni Profile - Dr. Marlys Schuh 24 Alumni Notes 26 In Memoriam 30 Philanthropy 32 Parting Shots 34

10

22

UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE AND HEALTH SCIENCES

ROBERT O. KELLEY, President, University of North Dakota

JOSHUA WYNNE, Vice President for Health Affairs and Dean, School of Medicine and Health Sciences

EDITOR Denis MacLeodWRITERS Alyssa Konickson, Stacy Kusler, Denis MacLeod, Nikki Massmann, Juan Pedraza, Jessica SobolikCONTRIBUTORS Kristen PetersonGRAPHIC DESIGN Laura Cory, John Lee, Victoria Swift PHOTOGRAPHY Wanda WeberCOVER ART Wanda Weber

www.ndmedicine.org

WEBMASTER Eric Walter

NORTH DAKOTA MEDICINE (ISSN 0888-1456; USPS 077-680) is published four times a year (March, June,September, December) by the University of North DakotaSchool of Medicine and Health Sciences, Room 1106, 501 N. Columbia Road Stop 9037, Grand Forks, ND 58202-9037.Periodical postage paid at Grand Forks, ND.

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All articles published in NORTH DAKOTA MEDICINE, excluding photographs and copy concerning patients, can be reproduced without prior permission from the editor.

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14

4 NORTH DAKOTA MEDICINE Fall 2014

While a nautical phrase may not becompletely appropriate in North Dakota, itdoes describe the School’s status during thistime of intense change. To help betterposition the School for the future andmaximize our effectiveness in addressingour primary goals of educating thehealthcare workforce for North Dakota,discovering new knowledge to improve thelives of North Dakotans, and serving theentire community of North Dakota, we aremaking a number of changes. But have nofear—the School is on course, and headedin the right direction!

From a facility standpoint, thedirection we’re headed is north. The newbuilding is rising from the ground a fewblocks north of the current building, and isprogressing well—and on budget! Weanticipate that the doors will open in July2016, just in time to greet the incomingmedical school class of 2020. As I talkabout the building to people around thestate, there is great interest in and supportfor the eight novel learning communitiesthat are an integral component of the newfacilities. These communities will providethe physical space to house ourinterprofessional teaching and learningefforts, where we will have variousmembers of the healthcare delivery team—medical students, nurses, physical therapists,

speech therapists, et al.—working togetherwhile in school as they learn from andteach each other.

The class size expansion that is part ofthe Healthcare Workforce Initiative (HWI)is progressing nicely. The just-started first-year medical school class is composed of78 students, the largest class size in UNDhistory! That’s up from 62 students a shortthree years ago, a 26 percent increase. Andthe health sciences departments (thateducate other healthcare providers likeoccupational therapy and physicianassistant students) have increased theirclass size by a total of 30 students per year.Importantly, we also are adding residency(post-MD clinical training required forstate licensure) slots. North Dakota hasalready added residency training slots forrural family medicine, rural surgery, andhospitalist practice, and additional newprograms recently were approved forobstetrics and gynecology, rural psychiatry(that will highlight the use of telemedicineto deliver care in rural regions), anadditional rural family medicineexperience, and a one-year geriatricsfellowship.

Partly as a consequence of the classsize expansion and partly as a consequenceof the School’s growth and maturation, wehave a variety of recruitment activities in

DEAN’S LETTER

Steady as She Goes!

”“We are making a number of changes. But have no fear—the School is on course, and headed in the right direction!


full swing. We have active searchesunderway for at least six new senior-levelfaculty members, in addition to therecruitment we do throughout the yearbecause of faculty turnover and retirement;we hope to recruit three additionalmembers for the School’s leadership team,and three faculty members. The leadershippositions include the following:

• Chair, Department of PopulationHealth—The new department willgive an academic home to thevarious faculty members at theSMHS who are interested inpopulation and public health issues,including those in the Center forRural Health and the Master ofPublic Health Program.

• Associate Dean of Medicine—Anew faculty position that will helpcoordinate the clinical and teachingactivities of our clinical medicaldepartments (i.e., internal medicine,family medicine, surgery,psychiatry (clinical neuroscience),pediatrics, OB-GYN, radiology, andpathology). One major impetus forthis new position is the feedbackthat we received from our medicalaccrediting body, the LiaisonCommittee on Medical Education(LCME). One major citation fromthe LCME focused on ourdistributed governance structure,with much autonomy and flexibilitygiven to the regional campus deansand clinical department chairs.While I think that there is littledoubt that our organizationalmodel works well as evidenced byour successful students—excellent,high-quality graduates—it’s clearthat we’ll need to tighten up thecentral control and oversightprovided by the School. Hence, theneed for this new position.

• Dr. David and Lola RognlieMonson Endowed Professorship inMedical Education—A new facultyposition to provide the leadershipand pedagogical expertise toaugment our educational programsschool-wide.

Because the educational enterprise isthe primary focus of the School’s purpose(along with discovery and service to thecommunity), we have been thinking aboutother ways to take our already outstandingprograms to an exceptional level, inaddition to the new Monson professorship,which is being made possible by agenerous endowment from David and LolaMonson. Our own Dr. Gwen Halaas willlead the School’s educational enterprise,and her title has been changed to thesenior associate dean for education; theMonson professor will report to her. Theformer Office of Medical Education hasbeen renamed Education Resources (ER)to emphasize that the function of the unitis to provide support and assistance to theteaching faculty school-wide. And I’m verypleased that Dr. Pat Carr has assumed theleadership of ER as its inaugural director.

So steady as she goes does accuratelycharacterize the current status of the School.There are many projects underway, andsome of them may cause choppy seas,especially as we make some necessarychanges. But we are aware of where theshoals are, and the course that we’vecharted is judicious and should ensure asafe passage. So full steam ahead!

Joshua Wynne, MD, MBA, MPHUND Vice President for Health Affairs and Dean


A University of North Dakota researchteam, led by Associate Professor MatthewNilles, PhD; Assistant Professor DanielleJessen, PhD; and Associate Professor DavidBradley, PhD, in the Department of BasicSciences at the School of Medicine andHealth Sciences, reported they havediscovered that a molecular “needle” foundon the surface of a group of bacteria signalsthe body’s immune system it is underattack by a virulent family of bacteria thatincludes the flea-borne pest that causes theplague and other bacteria that are theculprits in contaminated food and producethat cause mild to severe cases of diarrheaor dysentery.

For more information, please readmore at http://tinyurl.com/q7myn6l.

UND scientists find another way bacteria needle us

NEWS BRIEFS

Danielle Jessen, Matthew Nilles, and David Bradley

Fifty-seven undergraduates presented the results oftheir labors this summer at the University of NorthDakota School of Medicine and Health Sciences 2014Summer Undergraduate Research Experience postersession on August 7 in the Vennes Atrium of theSchool. For 10 weeks, students from UND, as well asrural and tribal colleges in Minnesota, North Dakota,and across the nation conducted research andparticipated in a number of related educationalopportunities. Students participated, shoulder-to-shoulder, with their mentor scientists from the UNDDepartment of Biology, the UND SMHS Departmentsof Pathology and Basic Sciences, and the UND SMHSCenter for Rural Health.

Funding for the students came from a variety oforganizations, including the National Institutes ofHealth, National Science Foundation, U.S.Department of Health and Human Services, and theOffice of the Dean at the UND School of Medicineand Health Sciences.

The students conducted biomedical research with scientistswhose work has implications in the areas of neurologicaldisease, cancer, diabetes, drug addiction, heart disease, andaging.

In addition to the University of North Dakota, this year’sparticipants are from Cankdeska Cikana Community College,Fort Totten, N.D.; Turtle Mountain Community College,

Belcourt, N.D.; Bay Path College, Longmeadow, Maine; CentralMichigan University, Mount Pleasant, Mich.; McCookCommunity College, McCook, Neb.; Mississippi Valley StateUniversity, Itta Bena, Miss.; Peru State College, Peru, Neb.; St.Mary’s University, San Antonio, Texas; and the University ofArizona, Tucson.

For a list of the students and their hometowns, please readmore at http://tinyurl.com/p48oml2.

UND summer undergraduate students present biomedical research


NEWS BRIEFS

Ten medical students from the Medical Doctor Class of 2015 atthe University of North Dakota School of Medicine and HealthSciences were inducted into the Gold Humanism Honor Society.

Roger Schauer, MD, associate professor in the Department ofFamily and Community Medicine, and rural medicine clerkshipdirector, was inducted into the society as a faculty member.

Limited to fifteen percent of the senior class, the Class of2015 inductees were selected through a process that includedpeer nomination and subsequent confirmation by the School’sGold Humanism Honor Society Oversight Committee. Eachstudent’s clinical performance and record of community servicewas considered.

Honorees from the Class of 2015, and their hometowns, arethe following individuals:

• Kirk Bjella, Bismarck, N.Dak.• Amanda Blanchard, Dickinson, N.Dak.• Jessica Corean, Hettinger, N.Dak.• Elizabeth Gray, Fargo, N.Dak.• Joshua Johnson, Mandan, N.Dak.• Bethany Kaemingk, Albert Lea, Minn.• Emily Lenz, Duluth, Minn.• Craig Meiers, Minot, N.Dak.• Andrew Mills, Bottineau, N.Dak.• Amanda Peterson, Valley City, N.Dak. For more information, please read more at

http://tinyurl.com/nucpemc.

Pictured, left to right, are Amanda Blanchard; Associate Dean Nicholas Neumann, MD; Jessica Corean; Kirk Bjella; ElizabethGray; Joshua Johnson; Bethany Kaemingk; Craig Meiers, Emily Lenz; Amanda Peterson; Andrew Mills; Associate Dean CharlesChristianson, MD; Rural Medicine Clerkship Director Roger Schauer, MD; and Director of ND STAR Simulation Center, Year-2Clinical Skills, and Director of SIM-ND Jon Allen, MD.

SMHS inducts Gold Humanism Honor Society members


NEWS BRIEFS

A University of North Dakota Schoolof Medicine and Health Sciencesscientist has received a $1.7 million,five-year R01 grant from the NationalInstitutes of Health to study a uniquedefense against superbug infections.

The National Institute of Allergyand Infectious Diseases of the NIHrecognized the promising researchbeing conducted by AssociateProfessor Min Wu, MD, PhD, in theDepartment of Basic Sciences at theUND School of Medicine and HealthSciences, by awarding him the grant.

For more information, please readmore at http://tinyurl.com/p7ear9e.

NIH grants $1.7 million to UND scientist to study unique defense against superbuginfections

The National Institutes of Healthgranted $16.8 million to ProfessorDonald Sens, PhD, in the Departmentof Pathology at the University of NorthDakota School of Medicine and HealthSciences. The five-year grant renews theNIH’s longstanding investment in thework by Sens that began in 2001.

For more information, pleaseread more at http://tinyurl.com/lmtdt9f.

NIH grants $16.8 million to UNDbiomedical scientist, continuing heavyinvestment in sound biomedical research

Donald Sens

Three rural critical access hospitals (CAHs) in North Dakotahave been named among the twenty highest-ranked CAHs in thenation, as determined by iVantage Health Analytics. The awardswere announced by the National Rural Health Association.

Carrington Health Center, West River Health Services inHettinger, and St. Andrew’s Health Center in Bottineau wererecipients of this honor. The determining factors for the TopTwenty CAHs were based on ten indicators of strength,including quality of care provided, patient outcomes, andfinancial stability.

For more information, please read more athttp://tinyurl.com/o4pmw3s.

Rural North Dakota hospitals namedamong Top 20 in the nation

Rural and public health providers, volunteers, and organizationswere recognized with awards at the 2014 Dakota Conference onRural and Public Health’s annual banquet.

The Dakota Conference is a joint effort by Altru Health Systemof Grand Forks; the North Dakota Public Health Association; theNorth Dakota Rural Health Association; the UND College ofNursing and Professional Disciplines; and the UND Center for RuralHealth.

For more information, please read more athttp://tinyurl.com/opka7pr.

Awards honor rural and public healthproviders

Pictured left to right, front row: Min Wu, MD, PhD; Alec Hildenbrand, second-year medical student participating in the ResearchExperience for Medical Students Program; Yan Ye, graduate student; and Xuefeng Li, graduate student. Back row: Shirui Tan,graduate student; Qiang Guo, MD, PhD; Rongpeng Li, PhD; Shuang Zhang, PhD; and Changpei Gan, graduate student.


NEWS BRIEFS

Jacqueline S. Gray, PhD, associatedirector at the Center for Rural Healthat the University of North DakotaSchool of Medicine and Health Sciences,has been voted as president-elect of theAmerican Psychological Association’sDivision 45 for the 2015 term.

Division 45 of the AmericanPsychological Association is the Societyfor the Psychological Study of Culture,Race, and Ethnicity.

For more information, please read more athttp://tinyurl.com/kg4gmq2.

Gray voted as president-elect of theAmerican Psychological Association'sDivision 45

Jacqueline S. Gray

The State Board of Higher Educationadded three new members. GovernorJack Dalrymple appointed Kevin Melicherand Christopher McEwen to fill the twovacant voting positions on the board.

Eric Murphy, PhD, was elected by theCouncil of College Faculties to serve asthe faculty adviser on the board. His one-year term will run through June 30, 2015.

Murphy is an associate professorwith tenure in the Department of Basic Sciences at theUniversity of North Dakota. In addition to his work at UND, heis also the editor-in-chief of Lipids, a journal of the American OilChemists’ Society, as well as the chief scientific officer and executivevice president for research and development for biotechnologycompany Agragen, LLC and its subsidiary, Unicrop, OY, locatedin Finland. Murphy holds a bachelor’s degree from HastingsCollege and a PhD from Ohio State University.

For the complete North Dakota University System pressrelease, please read more at http://tinyurl.com/qdrhatg.

Murphy to serve as the faculty adviser onState Board of Higher Education

Eric Murphy

The National Institutes of Healthgranted $1.6 million to Chester FritzDistinguished Professor JonathanGeiger, PhD, and his colleague andcollaborator Assistant ProfessorXuesong Chen, MD, PhD, in theDepartment of Basic Sciences at theUniversity of North Dakota School ofMedicine and Health Sciences. Thefive-year R01 grant from the NIH’sNational Institute of Mental Healthfunds research on some very new, noveland potentially important mechanismsthat control levels of intracellularcalcium in neurons that may explainneurological complications associatedwith HIV-1/AIDS.

For more information, please readmore at http://tinyurl.com/nakbbo7.

NIH grants $1.6 million to UND scientistsfor study of HIV-1/AIDS neurologicalcomplications

Jonathan Geiger

The University of North Dakota School of Medicine and HealthSciences awarded scholarships to medical laboratory sciencestudents at the School. Funds for the scholarships are given fromvarious private sources, endowments, and scholarship funds.

• Amanda Stevens of Valley City, N. Dak., received the JeanHolland Saumur Hematology Award for achieving the highestgrade in hematology in the fall semester of 2013.

• Mallory Custer of Baldwin, Wisc.; Heather Howatt ofDevils Lake, N. Dak.; and Brandon Johnson of Lino Lakes, Minn.,each received the Ralph and Hazel Rohde Medical TechnologyScholarship Award, which is given each year to UND senior medicallaboratory science students who have shown academic excellence.

• Brandon Johnson also received the Miltza Luper ScholarshipAward, which is given each year to a UND medical laboratoryscience student who demonstrated outstanding accomplishmentsin the subject of biochemistry and molecular biology.

• Mary Kading of Coon Rapids, Minn., received the Dr.Cyril J. Dillenburg Memorial Medical Scholarship, which isgiven annually to a full-time senior medical laboratory sciencestudent at Altru Hospital in Grand Forks.

• Stephanie Gellner of Langdon, N. Dak., received the EileenSimonson Nelson Pathology Award. This award goes to themedical laboratory science student who receives the highestgrade in the MLS 101 course in the fall semester of 2013.

For more information, please read more athttp://tinyurl.com/m52v8pd.

Medical laboratory science studentsreceive scholarships for 2014—2015

Pictured at the left are the Dakota Conference on Ruraland Public Health 2014 award recipients. Front row,left to right, Dr. Hubert Seiler, Trisha Jungels, andUnited Tribes Technical College Wellness Circle mem-bers Pat Aune, Sue Kahler, and Wanda Agnew. Backrow, left to right, Dani Schell, Dr. Mark Strand, TheresaWill, Penny Hamilton, Caleb Behm, and Ivan Mitchell.

Xuesong Chen


Taking aNewCourse

om Mohr already has put a fair dent into a successful career in healthcare.

Enough time, some would reckon, that he could justifiablycall it a day. In fact, he recently relinquished the chair of theDepartment of Physical Therapy, which he had headed for 21years following his 15 years of teaching.

But the energetic Mohr, ever enthusiastic about teachingthe next generation, isn’t giving up just yet.

Just about as quickly as he closed the door on his old office,he opened a new one at the UND School of Medicine andHealth Sciences.

The Chester Fritz Distinguished Professor of PhysicalTherapy was recently named as associate dean for healthsciences, a new position at the School, by UND Vice Presidentfor Health Affairs and SMHS Dean Joshua Wynne.

“Tom was ready for a new challenge after doing anexceptional job as PT chair for 21 years,” Wynne said in pressrelease announcing the appointment. “Having Tom take on therole of associate dean for health sciences means that the School’slargest group now has one of its own leading all of the healthsciences programs.”

T

By Juan Pedraza

Tom Mohr’s and DavidRelling’s new roles willhelp to lead the Schoolin the new era ofhealthcare education.


This appointment represents a major,positive shift for the School of Medicineand Health Sciences—and it signals UND’senthusiastic leadership in a new era inmedical and health sciences education.

“We wanted to have the healthsciences organized in a cohesive andcooperative way,” said Wynne, acardiologist, noting that there are 2½ timesmore health sciences students thanmedical students. “Before this, the healthsciences already were used to workingtogether very collaboratively and also withthe medical school faculty. This new structureformalizes that internal relationship.”

Wynne said Mohr had earlierexpressed an interest in moving on fromphysical therapy.

“He was the logical candidate to headup the health sciences group,” said Wynne.“So now he’s the associate dean for healthsciences. We’re doing a similar thing on themedical curriculum side. We’re recruitingfor an associate dean for medicine. Thatperson will lead the clinical departmentsand our regional campus deans also willreport to that person.”

Mohr’s new position as associate deanis part of a broader move by Wynne tocreate a much more collaborative medicaland health science education andbioscience research enterprise.

“We’re going to have severalenterprise-wide deans,” Wynne said. “Dr.Gwen Halaas has a new title and a new roleas senior associate dean for education. Aseducation is the foundation of theinstitution, Dr. Halaas will intersect withthe associate dean for medicine, theassociate dean for health sciences, and thechair of the Department of Basic Sciences.She will help support, direct, andcollaborate with the educational activitiesin every area of the SMHS. It’s anintegrative approach to medical andhealthcare education.”

Wynne says that interprofessionaleducation—such as that envisioned inMohr’s new role—is a key for the future ofhealthcare in the state and in the country.

“It’s about having people fromdifferent disciplines, different specialtiesand professions working together, becausethat way they can best practice together inthe future,” Wynne said.

The new organization reflects thestate’s Healthcare Workforce Initiative,which has four major components:

• Reduce disease burden.• Retain more of our graduates for

practice in North Dakota.• Train more healthcare professionals,

that is, increase class sizes.• Increase the efficiency and the

effectiveness of the healthcare delivery system.

“We’re an educational institution, sowe don’t do a lot of healthcare delivery—we mainly educate people,” Wynne said.“So the best way we think we can improvethe efficiency of the delivery of healthcareis through these interprofessionalhealthcare teams. We believe that approachwill lead to greater patient satisfaction,higher quality of care from less duplicationof services, and better coordinated care,and, therefore, lower costs.”

But, Wynne and Mohr note, you cannotpractice integrated, collaborative teamapproaches unless you learn how to do it.

“We think learning how to do this,from the first day of school, is critical,”Wynne said. “We’re a leader in this—otherschools are doing it, of course, but we havea unique opportunity, with the new building,of bringing all of our students together inone of the eight learning communities. Thenew building is specifically designed forlearning communities. Here we’re designingthe space that will support our approach toeducation.”

Mohr, who joined the PT faculty in1978, served as chair of the Department ofPhysical Therapy since 1993. He earned hisbachelor's in physical therapy from UND, amaster’s in physical therapy from theUniversity of Minnesota; and a doctoraldegree in physiology from UND. Hisongoing research interests are neuroscience,biomechanics, electromyography, andmotion analysis. Mohr has served as amember of the Board of Directors of theFederation of State Boards of PhysicalTherapy and the North Dakota Board ofPhysical Therapy.

In his new job, he’ll oversee thedepartments and programs of physicaltherapy, occupational therapy, physicianassistant studies, and medical laboratoryscience, and will coordinate with sports

”“ He was the logical candidateto head up the

health sciences group.


medicine. He’ll also keep a full teachingload.

Dave Relling, chair, Physical TherapyDave Relling, a physical therapist andUniversity of North Dakota alum, recentlytook over as chair of the physical therapyprogram at the School of Medicine andHealth Sciences.

Relling is only the third chair since thedepartment was founded by Bud Wessmanin 1967. Thomas Mohr recently steppeddown as chair after 21 years.

A native of Dilworth, Minn., Rellingcompleted his BSPT at UND in 1991, hisMaster of Science in Kinesiology at KansasState University, and he earned a PhD inPhysiology with an emphasis incardiovascular physiology from UND in2003. His role as chair will includeteaching, which he is passionate about.

“I first became interested in physicaltherapy as a result of a leg injury in highschool football,” he said. “A physicaltherapist helped to reduce the swelling andpain from the significant bruising andhelped improve the function of my leg—then I was able to return to the sport. Thatwas my first experience with PT.”

“After that, I was able to do someobservation of PTs, and I workedweekends at the medical centerrehabilitation hospital—now part of AltruHealth System—in Grand Forks as an aide,and I started to understand the benefits,the opportunities, and the life-changingimpact of PT,” Relling said.

After graduation from UND, Rellingworked for a couple of years at the samefacility where he’d been an aide, thenjoined the UND PT faculty part-time in1996 while maintaining a half-timeposition as a clinician.

“The next year, I applied for a full-time position and got it,” Relling said. “Iwas able to transfer clinical skills into theclassroom, and I found that I reallyenjoyed teaching.”

He takes over a program that has seensignificant changes since he got hisbachelor’s degree in physical therapy.

“This biggest change is in the educationand training of physical therapists,” saidRelling, noting that changes are national inscope. Today, all of the country’s 225

accredited physical therapy programs offera Doctor of Physical Therapy degree (aclinical doctorate).

At UND, which opens 52 slots annuallyin its DPT program, the program runsabout six years from freshman year tograduation.

“We have 200 to 250 qualified applicantson average for every class,” he said. “Thatcompetition means we get very talented,highly motivated students in our program.”

Students complete three years ofundergraduate education then apply to theDPT program, which takes another threeyears to collect the professional degree.UND does not require a bachelor’s degreefor admittance to the DPT degreeprogram, although applicants mustdemonstrate a depth and breadth of collegecourses within a discipline.

“After their first year in the DPTprogram, students have the opportunity toobtain a Bachelor of General Studies with asub-plan in Health Studies,” Relling said.

Medical school advantageUND’s Doctor of Physical Therapyprogram is part of the School of Medicineand Health Sciences.

“For us, the largest advantage of that isaccess to the other health scienceprograms,” Relling said. “There’s a stronginterprofessional component in theeducation of physical therapists here atUND. Among other things, our studentstake an interprofessional healthcare course,which brings them together with otherhealth professions such as speech languagepathology, medicine, occupational therapy,physician assistant, social work, nursing,and music therapy—that’s a large groupthat mirrors healthcare systems where thestudents will eventually be employed.”

“The other thing that is modeled forthe students at the SMHS is that healthsciences faculty and medical facultyinteract, and students can see that modelin action,” Relling said. “They carry thatover into their clinical practice.”

Another benefit is access to resources,such as the human cadavers and anatomyfacilities that are essential to the training ofphysical therapists.

The class each year comprises a cohortof 52 students—including two slots


reserved for INMED students. Each newclass spends its first year all on campus, fallthrough the following summer.

“The students are taking courses inclinical sciences, basic sciences, and they’relearning the hands-on techniques ofexamination, evaluation, and intervention,”Relling said. “In their second year, theybegin to go out into clinical sites for twonine-week clinical education experiencesin different facilities around the countryunder the supervision of a licensedphysical therapist. These clinicalexperiences are essential for students toapply their new knowledge and skills. Wereally appreciate the clinical instructorsand sites that provide students with thisimportant opportunity.”

After they complete the fall semesterof their clinical experiences, they comeback to Grand Forks, usually to start ascholarly project plus advanced courses inevidence-based practice, imaging, andpharmacology during the spring andsummer session of the second year.

In their third year, students completeadvanced neuro-rehabilitation, differentialdiagnosis, and manual therapy courses inthe fall semester and then finish with twomore nine-week clinical rotations

“So they end with 36 weeks full-timein the clinical setting under thesupervision of a licensed physicaltherapist,” Relling said. “It’s an excitingprofession with lots of opportunities.There is a strong demand for PTs inhealthcare.”

“And the opportunities aren’t just inthe healthcare system,” Relling noted.“Physical therapists today have an excellentbackground in evaluating movement,exercise prescription, and in improvingperformance, all of which enhance life andhealth well beyond clinical rehabilitation.So there are many opportunities for DPTsin wellness and health.”

Relling is currently president of theNorth Dakota Board of Physical Therapyand is on the board of directors for theFederation of State Boards of PhysicalTherapy. His research interests includeexercise physiology, biomechanics,orthopedics, and educational methods.

”

“The other thing that ismodeled for the students at

the SMHS is that health sciences faculty and

medical faculty interact, and students can see that

model in action.They carry that over into

their clinical practice.”


Bryon Grove views images obtained from the Carlson Imaging Facility.

An Expanded View

Today, bioscientists at the University ofNorth Dakota School of Medicine andHealth Sciences can view cellularactivity—and many other phenomena inlife systems—in sharp molecular detail inthe Edward C. Carlson Imaging andImage Analysis Core Facility.

“This is a comprehensive core facilitythat offers our researchers and studentsaccess to advanced microscopy resources,”said Bryon Grove, director of the imagingfacility and himself a cell biologist with anintracellular signaling research programthat makes good use of the facility.

It’s named after Edward Carlson,longtime chair—now semiretired butactively teaching and researching—of theformer UND SMHS Department of

Anatomy and Cell Biology and vitalsupporter of advanced microscopy at theSchool, Grove said.

The flood of 1997 damaged themicroscopy facility and several of its keyinstruments. A grant from the FederalEmergency Management Agency allowedthe SMHS to purchase new electronmicroscopes, the first confocal microscope,and other more advanced technology tosignificantly enhance the utility of the labto researchers.

“In 2002 we submitted our first NIHCOBRE [Center of Biomedical ResearchExcellence] grant; we were funded, and weacquired a second confocal microscope, aZeiss 510 META confocal microscope,which further increased our capabilities,”

By Juan Pedraza

The Edward C. Carlson Imaging and Image Analysis Core Facilityopens windows to cellular processes for SMHS researchers.


Grove said. “With that money, we alsorenovated our light microscopy facility andhired a part-time technician.” Since then,the grant has been renewed twice underthe leadership of Chester Fritz DistinguishedProfessor Jonathan Geiger, PhD, andcontinues to support the core facility.

Though the imaging facility primarilywas designed, funded, and built to supportthe UND SMHS research enterprise, Grovesaid the facility also encourages researchersin other departments and at othereducational and research institutions in theregion to make use of this sophisticatedequipment.

The light and electron microscopyfacilities, complete with ancillary supportequipment, are located in proximity toeach other within a suite of rooms housedin the School—soon they’ll get a newpurpose-built space in the new medicalschool building.

In 2011, the SMHS acquired themultiphoton microscope through fundingfrom the SMHS, UND, and COBRE. Thisinstrument was a big leap in analyticaltechnology for the scientists.

“We purchased it primarily to allowinvestigators to follow molecular andcellular events in live animals,” said Grove,explaining that this technology is ideal forgaining images deep inside live tissueswithout causing damage. “They’re able toanalyze a living sample in real time, whichis of special interest here to folks interestedin such areas as brain function,neurodegenerative diseases, and bacterialpathogenesis. We frequently see this kindof instrumentation used to monitor andtrack physiological activity in a wide arrayof organ systems.”

“Most recently we acquired theOlympus TIRF microscope system; withthat instrumentation you can followcellular activity over many hours,” Grovesaid. “It’s set up so that you can keep cellsalive for as long as you want.”

“It’s also set up so that you can monitorevents such as calcium changes within cells;you can monitor signaling events withincells using specialized molecules that act asbiosensors to tell you what’s going on.”

TIRF microscopy is also useful tofollow cellular events occurring right at thecell–substrate interface.

TIRF also is ideal for studying thefunction and organization of receptors, ionchannels, and transporters at the cellsurface.

“A lot of researchers here are doingjust that. That’s why it was important forus to purchase the Olympus TIRFmicroscope, which we acquired throughfunding from a National Institutes ofHealth Shared Instrumentation Grant,”said Grove, who is principal investigator ofthe grant.

“There are research areas at theSMHS that use this facility a lot,” Grovesaid. “I have been collaborating with Drs.Roxanne Vaughan and Jamie Foster intheir efforts to understand the dopaminetransporter. In addition, other groups suchas Jonathan Geiger’s group, Brij Singh’sgroup, Saobo Lei’s group, and Dr. Wu’sgroup as well as some folks from theDepartment of Biology have been usingthe facility to study a number of questionsrelated to areas such as Alzheimer’sdisease, calcium signaling and metabolism,epilepsy, bacterial pathogenesis, and cancer.For me, the facility has been criticallyimportant for our studies of how A-kinaseanchoring proteins control signalingnetworks within cells.”

Grove notes that many of the studentsin the SMHS also are applying microscopyin the facility to research problems.

“The nature of modern microscopetechnology today allows us to studymolecular events at the cellular level with adegree of resolution that was not possiblejust a decade ago,” Grove said. “As a result,microscopy has become critical to ourquest to understand cellular andphysiological processes, and in manyinstances, it is the only way in which wecan begin to figure out their mechanisms.”

“For a school our size, we areextremely well-equipped with the kind ofsophisticated microscopy equipment thatwill be necessary for answering many ofthe exciting, unresolved questions that westill have about the structure and functionof cells in health and disease,” Grove said.

For more information, visit theEdward C Carlson Imaging and ImageAnalysis Core facility website athttp://www.med.und.edu/imaging/index.cfm.

Types of microscopyLight, or optical and fluorescence—Uses visible light to illuminate theobject to be magnified through asystem of glass lenses. Fluorescencemicroscopes visualize fluorescent dyes.

Confocal—A fluorescence microscopethat sharpens the image by eliminatingextraneous light and increasing the“crispness” of the sample being viewed.

Fluorescence resonance energytransfer (FRET)—Used mostly toanalyze molecular activity in livingcells, FRET sees changes influorescence when two fluorescentmolecules come close together.

Multiphoton fluorescencemicroscopy (MFM)—This is a highlyspecialized form of optical-fluorescence microscopy that usespulsed infrared laser light to stimulatethe natural fluorescence in the samplethat is being observed. Used to studybiological processes in animal models.

Scanning electron microscopy(SEM)—Invented in 1937, SEM uses abeam of electrons to scan the surfaceof a sample. SEM allows cellularstructures to be seen at a higher levelof detail than is possible with light orfluorescence microscopy.

Total internal reflection fluorescence(TIRF)—Uses laser light reflectedinternally off of the underside of aglass coverslip to visualize cellularstructures and molecules at the cellsurface.

Transmission electron microscopy(TEM)—Passes electron beam througha thin section of a sample; the image isformed by focusing the beam usingelectromagnetic lenses on aphosphorescent screen, film, or adigital imaging system. TEM allowscellular structures to be visualized at alevel of detail that exceeds what ispossible with light microscopy by upto 200 times.


The new SMHS building moves to the construction administration phase.

A new school year is upon us, and with itcomes a new phase in the architecturalprocess for the new University of NorthDakota School of Medicine and HealthSciences building. The design work is nowcompleted, and we are fully engaged in theconstruction of this groundbreakingfacility—and, I’m pleased to note, onbudget and ahead of schedule.

As noted in previous issues, the sitehas technically been under constructionsince early May, thanks to theconstruction-manager-at-risk process, inwhich PCL Construction Services andCommunity Contractors were selected atthe same time as the architecture team toassist with cost estimating and to get anearly jump on efforts such as soilscorrection and the ordering of long-lead-time materials. However, the actual design

was only recently completed in mid-Julywith the finalization of the constructiondocuments.

While we knew, generally, the size ofthe building and how it fit on the site, thedetails were fully determined in theconstruction documents (CDs) phase, inwhich the design team put together thedetailed plans. The CDs include veryspecific minutiae, like the size andplacement of the door hinges. On thisproject, a single CD set is made up of 537sheets, which translates to roughly 6,000square feet of paper. During the previousdesign development phase, PCL andCommunity Contractors were able to puttogether a guaranteed maximum price, orGMP, which pledges they will build theentire SMHS for a set price. After CDswere complete, the changes between the

On the RiseBUILDING PROGRESS

By Lonnie Laffen, President and CEO, JLG Architects


design development and the constructiondocuments phases amounted to less than0.2%—an awesome number for the largestproject in the history of our state.

With construction fully underway,PCL and Community Contractors havemade tremendous progress in a shortamount of time. Concrete grade beams,which sit six feet on top of the piles, werecomplete as of mid-August. After the gradebeams were in place, the entire site wasbackfilled. A 140-foot-tall tower crane waserected, which will remain for the rest ofthe project, assisting workers with “flyingin” equipment and material, and locatingmajor parts of the building.

If you were to pass by the site today,you will see that PCL and CommunityContractors have poured concrete columnsand located and installed major siteutilities. The first deck, or floor, will bepoured before the printing of this article.This will include 500 cubic yards ofconcrete, equal to the weight of five Boeing747s. The concrete will be placed on thedeck with the use of a pump truck, whichcan move concrete at a speed of more than100 cubic yards per hour. While you maythink that the first deck would mean theground level, in construction it is actuallythe level above. In fact, the at-grade level,or slab, is actually the last to be poured.Why, you ask? The number ofsubcontractors working on the ground-level is immense because of the number ofutilities. If we waited until all of the subswere complete and coordinated, it wouldhave halted all other concrete work and thebuilding would not be enclosed beforewinter. There will be fourteen totalconcrete pours this summer and fall,representing about 75 percent of the floorson the project, and the team has loggedover 15,000 worker hours—andcounting—on the site to date.

PCL and Community Contractorshave gone above and beyond to ensure thatthe SMHS building lives up to theexceptional standards for which UND isknown. Their rigorous safety and healthstandards have kept them accident-freesince day one, and many visitors haveremarked at how clean and organized—and smoke-free—the site is at all times. Allof us at JLG really appreciate their level of

care, as we know this attention to detailand respect for the environment willextend to every aspect of the constructionprocess and will deliver a building thatlives up to the intent of the design.

Just as a building has coderequirements, a construction site has themtoo. For example, if you go over to the site,you will notice a portable restroom, orport-a-potty, with a steel cage around it.Code requires a certain number ofrestrooms within a certain proximity to acertain number of workers on site, so theconstruction managers “fly” the restroomsaround the site with a crane for usewherever needed for an extended period oftime—including up to the second-leveldeck.

Even though design is complete, JLG,Steinberg Architects, and Perkins+Will willbe active participants in the projectthrough not only the entire constructionprocess but long after. We are currently ina phase called Construction Administrationin which we collaborate with theconstruction managers to bring to life thebuilding and make sure what was designedis actually built. Thanks to top-of-the-linetechnology, we can reference documentsand drawings in the field using only aniPad, where we can collaborate on markups(called redlines) and track documentprogress and share them immediatelyamong all of the disciplines on the site.

We may have snow by the next issue,and so you will hear more about theimportance of enclosing a building inNorth Dakota. Until then, check out theon-site website camera athttp://oxblue.com/open/pcl/UNDSMHSand have a beautiful fall!

Lonnie Laffen


WORKFORCE

Many healthcare facilities face retention oftheir healthcare workforce as an ongoingchallenge. Even before retention becomesan issue in the professional world, it startsas an issue in the educational world. Howdo we keep medical students succeedingthrough the most challenging times ofschool to eventually get them to bepracticing physicians in a community? If you ask Dr. Ken Peterson thatquestion, he will give you a knowing nodthat says it’s not an easy answer. Petersonexperienced and observed the journeys ofUniversity of North Dakota medicalstudents for nearly 40 years while he was amember of the adjunct faculty for theSchool of Medicine and Health Sciences.What Peterson will rarely admit is that hehad a hand in producing many physiciansand medical professionals who are practicingtoday just by being a supportive andunderstanding instructor who gave his timeand energy to help students through school. Dr. Ken Peterson (’69, ’72) has alwayshad a natural knack for being someoneyou can trust, someone you can talk to,someone who listens when he needs toand gives advice when he feels it’s right.Maybe it’s his counseling background.Maybe it’s his pastoral background. Or,maybe “it just came naturally,” saidPeterson. “I’ve always had an interest in humanbehavior and psychology,” Peterson said.“That and I loved learning so much that Ijust continued going to school.” Petersonis no stranger to the classroom, as aninstructor or as a student. Before attending UND, where heearned his master’s and PhD in counselingand guidance from the College of Educationand Human Development, Petersongraduated from Waldorf College in Iowaand St. Olaf College in Northfield, Minn.He married his wife Lucille in 1954. Hebecame ordained as a Lutheran ministerin 1962 after attending seminary. He thentook a leap of faith (pun intended) and

relocated his family to Grand Forks afterhearing about a master’s program at UNDthat interested him. The decision was asuccessful one. While completing hiseducation at UND, Peterson opened hisown private psychotherapy practice inGrand Forks. He also served as pastor fora small Lutheran church in Inkster,N.Dak., for 35 years, all while he andLucille also had four children! After completing his own educationand beginning his own career, Petersonbecame an adjunct faculty member at theUND SMHS, teaching small groups offirst- and second-year medical students ina patient interviewing class. It was herethat Peterson’s influence on retainingmedical students was first born. “Few people realized the sacrificesstudents had—and have—to make topursue a career in medicine,” saidPeterson. “It wasn’t long into that first yearthat some would question their decisionto enter med school. Disclosing their doubtsto others was not easy. Parents, family, andothers were of course proud that theywere ‘now in med school.’ Thoughts ofletting others down [or] wondering if theyhad the ability [to continue] were trulytroubling experiences for some of them.” Through these times, Petersonoffered caring guidance and supportivefeedback to medical students. “He was agreat facilitator of these groups because hewas a great clinician in private practice,”said Chester Fritz Distinguished ProfessorSharon Wilsnack, PhD, director of theneuroscience program for which Petersoninstructed. The clinical skills he used in hisprivate practice were useful in recognizingeach person’s individual way of handlingproblems. Peterson was supportive of hisstudents not only in the classroom butoutside of it as well. During the middle ofone particular school year, a fellowprofessor at the medical school passedaway after a difficult battle with illness.

Raising a North Dakota Healthcare Family

At home and atwork, Ken andLucille Petersonnurturedgenerations ofdoctors.

By Stacy Kusler


Ken and Lucille Peterson

The students took the loss very hard, andPeterson was there to tend to the personaland emotional side of the loss while helpingthem move on and continue with medicalschool. On another occasion, Petersonrecalled rushing downtown to the riverbankin Grand Forks to be with a student whilethe authorities searched the river for herfiancé, who went missing during a canoeouting. On a happier note, Peterson recalledoffering his own home for a medical studentto have his wedding there, which Petersonhimself officiated. This wasn’t the only timePeterson opened his home to medicalstudents. One of Peterson’s sons, Dr. MarkPeterson, remembered his dad invitingmedical students to the house overChristmas breaks. “It gave us exposure tothese students and helped create the sensethat this was something that was possiblefor us, as well.” Two of Peterson’s sons latercompleted medical school and currentlypractice in Grand Forks.

For generations to come Through Peterson’s work at the medicalschool, he assisted numerous medicalstudents who went on to become doctors;some still practice in North Dakota. On apersonal level, Peterson passed on his lovefor medicine and for helping others to hisfour children. Two of his childrengraduated from the UND SMHS (Mark

Peterson, MD ’89; and Thomas Peterson,MD ’90) and have gone on to expand themedical landscape in North Dakota.Thomas Peterson started the Richard P.Stadter Psychiatric Hospital in GrandForks, as well as the Center for PsychiatricCare. He provides psychiatric services tothese two facilities as well as to ruralNorth Dakota and Minnesota. MarkPeterson owns and manages the AuroraClinic, a family medicine practice inGrand Forks. He also spends part of histime providing rural North Dakotafacilities with family medicine care. Kenand Lucille Peterson’s two daughters,Kathryn and Karin, along with theirfamilies, reside in Colorado Springs,Colo., and Rochester, Minn., respectively.

Then and now Since retiring from both teaching andleading church services on the weekends,Ken Peterson and his wife Lucille spendtheir summers at their Minnesota lakehome. Ken writes books about faith andfamily, and Lucille edits his work. Ken isalso a self-taught film and documentarymaker. They enjoy tending to their rosebushes and flower beds in betweenthe many visitors to their lake home.


Collaborating to Improve Cardiac CareEvaluating a lifesaving device leads to a cooperative effort to reviewstatewide cardiac care.

CPR is an initialism most people recognize.It stands for cardiopulmonary resuscitation,which when performed efficiently, saveslives of those suffering a cardiac arrest.Many people are trained in CPR, but fewknow how to effectively use it. PerformingCPR is physically intense and can beemotionally draining, even for professionalemergency medical personnel, who arewell trained in doing so. The effectiveness ofCPR drops quickly, even after only a minute.

A relatively new medical device,known as a LUCAS 2 Chest CompressionSystem (LUCAS 2), is changing how CPR isadministered. The LUCAS 2 is a mechanicalCPR device that delivers automated andconsistent chest compressions for a patientsuffering cardiac arrest. The device islightweight and portable and can beapplied in less than a minute. LUCASstands for Lund UniversityCardiopulmonary Assist System.

In October of 2013, the state healthdepartments of North Dakota and SouthDakota received grants of just over $7 million

to provide LUCAS 2 devices to more than400 ambulances and hospitals across thetwo states. The grant, provided by the LeonaM. and Harry B. Helmsley Charitable Trust,represents the most expansive use of the newtechnology in the nation.

Once the LUCAS 2 devices were inplace in North Dakota, the state healthdepartment’s Division of EmergencyMedical Services and Trauma (DEMST) wasin need of an evaluation of the effectivenessof the devices on patient outcomes. Theywanted to know how often the devices wereused, when they were used, and the outcomesfor those patients receiving CPR from theLUCAS 2. Having a history of workingwith the Center for Rural Health (CRH) atthe University of North Dakota School ofMedicine and Health Sciences, the DEMSTapproached the CRH with the need forevaluation and the idea to work together.

Ralph Renger, PhD, a professor at theCRH, has over 17 years of experience inthe evaluation field. He approached theevaluation of the use of the LUCAS 2 devicein the state as not just an evaluation of thedevice but as an assessment of the entirecardiac care system within North Dakota.

“The LUCAS 2 device is an importantpiece of the way we care for patients withcardiac arrest,” said Renger. “With cardiacarrest, time is of the essence. The LUCAS 2device works quickly and allowsemergency personnel to provide other typesof needed care for a cardiac-arrest patient,such as administering IV medications. It’sone factor in the big picture.”

That “big picture” is a statewidesystem of care for cardiac-arrest patients.The system has many elements, particularlyin rural areas. In a large city, residents maybe only a few minutes from the nearestambulance and emergency room, and theirhospital is likely equipped to treat a cardiacpatient. But in rural North Dakota, acardiac-arrest patient may be transferred

By Nikki Massmann

Members of the Center for Rural Health’s cardiac-care systems evaluation teamare, left to right, Karin Becker, Carmen Cryer, Dustin Dalbey, Eric Souvannasacd,Makenzie McPherson, and Ralph Renger.


”“The health departments inNorth and South Dakota are

working togetheron their statewide cardiac

systems of care.”

from one ambulance to another and fromone hospital to another.

In order to fully understand thesystem and engage healthcare professionalsin the evaluation process, Renger and theCRH evaluation team began meeting withemergency medical professionals andhospital staff in rural communitiesthroughout the state to create process flowmaps (PFM). The PFMs provide a visualrepresentation of how all parts of thesystem affect each other. Creating thePFMs is a collaborative effort and requirescommitment and input from allorganizations involved in treating acardiac-arrest patient, from dispatchers torescue personnel to hospital staff. The goalis to create a synthesized PFM for long-term use so that the North DakotaDepartment of Health can continuallyevaluate and improve the statewide system.The project has quickly expanded toinclude South Dakota as well.

“The health departments in North andSouth Dakota are working together on theirstatewide cardiac systems of care,” saidRenger. “All of the leadership meetings forthis project are held together with bothstates. The decision-making is donecollaboratively. The states have slightlydifferent systems in place to deal with cardiacarrest, and they are learning from each other.It’s an efficient way to make decisions, andis truly cooperation at its best.”

Collaboration has been a key factor inevaluating and improving the cardiacsystems of care in both states. In NorthDakota, evaluating the system led severalcommunities, hospitals, and healthorganizations to coordinate a simulatedcardiac-arrest training drill.

“The training drill was very successfuland served several purposes,” said Renger.“Emergency personnel, dispatchers, andhospital staff received real-time training ontreating a patient with cardiac arrest. Thedrill also informed the evaluation processon the steps involved and helped create thePFM. When we evaluate the system, we’renot there to drive the question. It’s importantthat the input comes from those actuallydoing the work—performing the CPR,administering medications, saving lives. Itcouldn’t have happened if the health systemsinvolved hadn’t collaborated so willingly.”

While the evaluation project is fundedby a three-year grant, the outcomes will beself-sustaining. All of the pieces will be inplace for the North Dakota Department ofHealth to monitor its statewide cardiacsystem of care and understand where it canmake improvements.

“The bottom line is that everyoneinvolved has the same goal: to save morelives,” said Renger. “Every element that isimproved upon within the cardiac systemof care can lead to one more cardiacpatient having a positive outcome.”

While the CRH has conducted anumber of program evaluations over its34-year history, the recruitment of Rengerand the efforts underway for the LUCASmechanical CPR device represent asignificant step forward for the CRH.

“It has been a goal of the Center forRural Health to develop a full-scaleprogram evaluation division to workalongside our other divisions that focus oncommunity development and engagement,Native American health, health workforce,policy, research, and informationdissemination,” said Brad Gibbens, deputydirector, of the CRH. “The HelmsleyCharitable Trust and our partners atDEMST have provided the CRH with thenecessary resources to fast-track thisdevelopment. Ultimately this helps to supportthe CRH in its efforts to improve health forNorth Dakotans and others.”

The CRH’s evaluation team and theUND Television Center developed a videoregarding use of the LUCAS device inNorth Dakota. The video is featured on theLeona M. and Harry B. HelmsleyCharitable Trust website:http://helmsleytrust.org/case-studies/lifesaving-cpr-technology-cardiac-arrest-patients.


Doctor of Physical Therapy Class of 2016

Fifty-two physical therapy students, membersof the Doctor of Physical Therapy (DPT)Class of 2016, started the clinical studiesportion of their journey to become doctorsof physical therapy at the University ofNorth Dakota School of Medicine andHealth Sciences. The students receivedwhite coats at the Entrance Into ProfessionalService Ceremony held at the AlerusCenter on July 17.

The students, 16 men and 36 women,range in age from 21 to 36 years, with the

average age of 23. Many are from NorthDakota, and most completed their pre-PTcoursework at UND.

Keynote speaker was William A.Hatherill, chief executive officer of theFederation of State Boards of PhysicalTherapy.

For more information and a list ofstudent’s hometowns, read more athttp://tinyurl.com/l3c4y4t.


begins clinical studies at SMHS

Front row, left to right: Kelli Renner,Kayla Hoff, Anna Jung, Sierra Maucort,Nicole Jefferson, Brittany Griffith, LauraNelson, Katie Anderson, Mary Loken,Rachel Pederson, Betsy Richards, LyndseyWunderlich, Sierra Heeren, and LisaGrandpre.

Middle row: Cory Sailer, Alex Barney,Megan Storstad, Kelsey Meyer, PaigeNordstrom, Corissa Kruse, Brie Dahl, ToniLinneman, Ashley Sebelius, KaylaAndreasen, Brittany Wirth, Amy Harmon,Catherine Heggie, Talya Tysver, HollyKoch, Julia Fisher, Megan Volden, HeidiHansen, Erica Hjelmstad, and DanielVilaubi.

Back row: Eric Estes, Mike Brooks, TyBommersbach, Joe Taylor, AdamMeidinger, Brett Morlock, Braidy Solie,Jamie Flint, Anthony Charbonneau,Brandon Moeller, Natalie Gleason, JenniferRamsay, Lisa Monson, Brittney Herbst,Joel Kramer, Robert Kasprick, EricNefstead, and Brooke Vandenbergh.


ALUMNI PROFILE

Dr. Schuh, wearing sunglasses,embarked on an African safari withthis travel group, including guides.

Hope and HealingWhen medical treatments are expensive for those who may be justdown on their luck, a UND alumnus and soon-to-be Sioux Awardrecipient is helping patients receive needed breast cancer treatmentsand rehabilitation.

Breast cancer doesn’t affect only womenwho can afford expensive treatment throughtheir health insurance policies. Take Janice,for example. She lost her job at the age of60 when her longtime employer downsized.She was diagnosed with breast cancer lessthan two months later.

Chantelle, a new mom who had justlost her own mother to breast cancer,exhausted her insurance benefits one weekafter her own diagnosis. Kim, a singlemom and self-employed hairdresser,couldn’t continue working while receivingtreatment for breast cancer and thereforecouldn’t afford health insurance.

These are a few of the 1,000-pluspatients who received treatment and

support through the Gateway to HopeFoundation cofounded by Dr. MarlysSchuh, BSMT ’73, BSMed ’77; and Dr.David Caplin in St. Louis, Mo. Schuh’sdesire to help these women is one of thereasons she was nominated for a SiouxAward by the UND Alumni Associationand Foundation this year.

Gateway to Hope providescomprehensive breast cancer care fromsurgery to radiation as well as medicaloncology and reconstruction for womenwho are uninsured or underinsured. TheFoundation utilizes 165 partners andproviders with the overall goal of returningthe women to “normal life” after treatment.“Think of it as a cancer center without

By Jessica Sobolik


walls,” Schuh said. For more information,visit www.gthstl.org.

The Lakota, N.Dak., native and hercolleagues enlist the help of physiciansfrom all disciplines, including surgeonslike her, and also from other diagnosticand care centers. All of the healthproviders’ time and their high-quality careare donated. “Everyone has donated a littlebit, and it has grown exponentially fromthere,” Schuh said. “It’s gotten to be thatbreast cancer can be very expensive totreat, including radiation and medication.”

It’s impressive that so many partnershave joined the endeavor. Schuh says theydon’t often hear “No.” “Everyone is willingto do something,” she said. “It’s been verygratifying. Women say, ‘I didn’t knowwhere to turn.’ There is Medicaid, but notall qualify.”

Multidisciplinary CareCreating the Foundation was not the onlytime Schuh used her Midwestern commonsense and work ethic to identify a problemand find a way to fix it. After earning hermedical degree from WashingtonUniversity in St. Louis, and completing hersurgical residency at the same facility, shecompleted a surgical oncology fellowshipat the Roswell Park Cancer Institute inNew York. There, she experienced one ofthe first multidisciplinary cancer treatmentgroups in the nation. “When I came backto St. Louis, it made sense for cancerpatients to get their care in one place,”Schuh said. With colleagues, she helpedform the St. Louis Cancer and BreastInstitute, which recently merged withMercy Clinic, one of the larger hospitalnetworks in the area.

The multidisciplinary care teamincludes medical and radiationoncologists, surgeons, nurses, geneticscounselors, pathologists, nutritionists,radiologists, and researchers who explorenew treatment options. “Good patientcontinuity equals good patient care,” Schuhsaid. “Patients didn’t have to go to differentplaces for radiology, surgery, etc. Theyknew they would get coordinatedcomprehensive care.”

The continuity-of-care model alsohelped improve communication betweenhealthcare providers and patients. “By the

time they were partway through treatment,they were on a first-name basis here,”Schuh said.

Fond of UNDDr. Schuh still returns to North Dakotaperiodically to visit her mother and familyin Lakota and her sister Janice, BSMT ’68,in Grand Forks. She acknowledged thatUND provided an excellent foundation tobuild her career upon. “When I transferredto Washington University in St. Louis, itwas daunting,” she admitted. “I came froma small town. How was I going to stack up?But we were well-prepared.”

She has fond memories of EileenSimonson Nelson, assistant professor ofPathology, and Jean Saumur, director ofthe UND Medical Technology program(1949–1978). William Eugene Cornatzer,MD, PhD, chair of the Department ofBiochemistry and Molecular Biology(1951–1983), was also influential. “Dr.Cornatzer was so energetic andenthusiastic,” Schuh said. “I can still seehim hopping down the halls.”

Schuh continues to share the idea ofmultidisciplinary healthcare withinterested providers across the UnitedStates. “This can be done elsewhere,” shesaid. “Healthcare is evolving very rapidly.There’s the Affordable Care Act. Patientneeds are changing. The need is not less,but the needs are different. We all aretrying to adapt.”

For a video of Schuh, visithttp://www.mercy.net/doctor/marlys-e-schuh-md.

The annual awards given beforecommencement to fourth-yearmedical students at the UND Schoolof Medicine and Health Scienceswere first provided as early as 1977(although not always in conjunctionwith commencement). In 1977,Marlys Schuh received these awards:

• The North Dakota StateMedical Association Prize foran outstanding student inmicrobiology.

• The Robert D. CampbellPrize for scholastic excellencein the first and second years.

• The Grand Forks ClinicAward given in memory ofDr. R. O. Goehl, Sr., by theGrand Forks Clinic to asophomore student foroutstanding performance inbiochemistry.

She was one of 10 women in herclass of 66 students.


ALUMNI NOTES

Laura Ermer, PA ’14, is now at Pembina County MemorialHospital in Cavalier, N.Dak., seeing patients at CliniCare.

Ahmad Hazem, IM Res ’14, has joined the hospitalistdepartment at Essentia Health–St. Mary’s Medical Center inDuluth, Minn.

Suhail Alkilani, FM Res ’13, has joined Trinity Health inMinot.

Taleb Taha, FM Res ’13, has joined the faculty at St. AlexiusMedical Center Hospital in Bismarck.

Muhammad Jawad Sethi, IM Res ’12,has joined the medical staff at TrinityHealth in Minot as an endocrinologistand lipidologist. He will also serve asmedical director of the Trinity HealthDiabetes Center.

Jean Gustafson, MD ’11, has joined thefamily medicine department at MidDakota Clinic in Bismarck.

Ashley Kremer, MD ’11, FM Res ’14, has joined the team ofmedical doctors at Heart of America Medical Center in Rugby,N.Dak. Originally from Tioga, Kremer will be providingwomen’s healthcare, prenatal care, and expanding on the currentservices offered at the clinic.

Krystal Butgereit, MOT ’05, has joinedthe team of rehab specialists at TrinityHealth in Minot. Originally fromMohall, N.Dak., Butgereit has eightyears of pediatric OT experience,practicing previously in Idaho.

Jeremiah Penn, FM Res ’05, has joined Mid Dakota TODAYClinic in Bismarck.

Becky Benz, MD ’01, is now at Advanced Medical ImagingConsultants, PC in Fort Collins, Colo., as a practicingradiologist.

David Erickson, MD ’97, has joined the Park Ridge Healthteam of providers and specialists in Hendersonville, N.C.Erickson, a board-certified pediatrician, has been providingcare for 14 years. Previously he had been at Bemidji, Minn.,where he served about 8,000 patients each year as a pediatricianat Sanford Clinic.

Kay Rau, PA ’95, retired from her work at the Napoleon Clinicin Napoleon, N.Dak., after 42 years of practicing medicine. Shewas a practicing physician assistant for the past 19 years.

Todd Cortese, BS OT ’91, is now at St.Luke’s in Duluth, Minn., as an acuterehabilitation program manager. Beforejoining St. Luke’s, he worked as therehabilitation director at Grand ItascaClinic and Hospital in Grand Rapids,Minn.

Randall Flick, MD ’87, has beennamed medical director of the MayoClinic Children’s Center in Rochester,Minn. A native of Fargo, N.Dak., Flickoversees the care that Mayo provides forall children, including relationsips with itssatellite facilities in Florida and Arizona,as well as through its affiliation withAltru Health System in Grand Forks.

Eric Lunn, BS Med ’82, has beennamed the next president of AltruHealth System in Grand Forks. Thechief medical executive succeedscurrent president Casey Ryan, who heldthe role for 17 years. Lunn’s first daywill be January 1, 2015.

Jay Spracklen, BS PT ’79, has joined the rehabilitation staff atEastmont Towers in Lincoln, Neb.

’90s

’10s

’00s

’80s

’70s


’60s

ALUMNI NOTES

Stanley Sateren, BS Med ’67, washonored with the Lifetime AchievementAward during the PhysicianRecognition Celebration at MountCarmel Hospital in Columbus, Ohio.

Sateren graduated fromNorthwestern University MedicalSchool, Chicago, Ill., in 1969. Aftercompleting a rotating type 0 internshipat Mercy Medical Center in Springfield,

Ohio, he worked as a “general practitioner” in Britton, S.Dak.,for three years. This was followed by a three-year internalmedicine residency at Mount Carmel Medical Center. In 1976, he joined the Mount Carmel medical staff andbegan working at Mount Carmel East Hospital as chief criticalcare physician, a position he held for 18 years. During that time,he assisted with the development of the Critical Care Programand other hospital-based physician programs such as MedicalHouse Physicians, both of which he directed. He served as vicepresident of System Medical Affairs at Mount Carmel East from1994 to 2002. Throughout his tenure at Mount Carmel, Sateren served onthe following Mount Carmel committees: Clinical DepartmentCouncil (1979–2002); Continuing Medical Education Committee(1980–2002); Medical Staff Peer Support Committee (1988–2005, chair 1988–2002); Special Care Units Committee(1977–2000, chair 1977–1988); Ethics Advisory Committee(1986–1993); Advanced Treatment and Bionics Institute AdvisoryCommittee (1986–1989); Patient Care Committee (1977–1992);Hospital Code Blue Committee chair (1977–1995); MedicalInformatics Committee (1995–1997); and the Infection StudyCommittee (1986–1995). In addition to Sateren’s commitment to quality patient careand education, he has been an advocate and a visionaryregarding physician health and well-being. He was an earlyleader in computer applications in medicine. Many of theseactivities were covered by local and national media outlets. Heplanned and directed over 150 continuing medical educationprograms, ranging from the 1985 hands-on workshops“Accessing Remote Medical Information Data Bases” thatintroduced physicians to online medical literature searches tothe “Annual Mount Carmel Medical Staff Wellness Symposia”from 1990–2003—a retreat for medical staff members and theirfamilies. From 2002 to 2009, Sateren served as president andmedical director of the Ohio Physicians Healthy Program.Sateren is certified by the American Board of Internal Medicineand the American Board of Addiction Medicine. He is a fellowof the American Society of Addiction Medicine. He retired from the medical staff in October, 2009, andwas granted honorary staff category.

Got news?We want to hear it!

Please send your news items for the next issue of North Dakota Medicineto Kristen Peterson: [email protected] or call 701.777.4305.


Seventy-eight first-year medical students,members of the Doctor of Medicine Classof 2018, began their journey to becomephysicians at the University of NorthDakota School of Medicine and HealthSciences. Students were formally inductedat the School's White Coat Ceremony onAugust 8. The students, 47 men and 31women, range in age from 21 to 36 years,with the average age of 24.They come to medical school with workexperience in an array of fields andacademic degrees.

David O. Monson, MD, delivered thekeynote address for the ceremony titled"We've Only Just Begun." Monson liveswith his wife Lola Rognlie Monson, also aUND graduate, in River Forest, Ill., aChicago suburb. He earned his BA and BSdegrees in medicine from UND in 1961. For more information, please read more athttp://tinyurl.com/m2mkck8.

Doctor of Medicine Class of 2018


Front row, left to right: Dean JoshuaWynne, Deland Weyrauch, Meg Staires,Nathan Seven, Rebecca Oglesbee, AbigailFeldman-O’Leary, Lisa Poole, KatherineWilt, Katrina Lybeck, Carrie Mahurin,Mari Goldade, Dhilhan Marasinghe,Whitney Bettenhausen, Kelsey Lambrecht,Jennifer Glatt, Elizabeth Anderson,Kathryn Johnson, Benjamin Maliske, andAdria Johnson.

Second row: Benjamin Keith, DanielKolm, Nolan Kleinjan, Thomas Seaver,Spencer Campbell, Anna-Lisa Martino,Sabina Hyder, Jordan Bleth, Justin Buzick,Siri Urquhart, Travis Geier, Lejla Gasevic,Grace Carson, Brock Davidson, JoleyBeeler, Anthony Arveschoug, TravisAnderson, Seth Kalin, Daniel Augustadt,and Jill Wieser.

Third row: Jonathan Werner, GregoryWieland, Amber Stola, Marc Granrud,Logan Erz, Tempset Dawson, MeganStrube, Justin Berger, Joshua Brackett,Matthew Glogoza, Cory Miller, WestonBowker, Landon Melchior, Mary Jeno,Katherine Benedict, Tyrone Berenston,Anna Kozlowski, Bruce Pehl, and SethZygarlicke.

Fourth row: Vanessa Stumpf, MatthewWagner, Adam Swigost, Adel Mergoum,Nabeel Hyder, Kiswendsida Ouegarogo,Jordan Ernst, Erik Arnold, Brandon Hart,Cameron MacInnis, Brandon Fisher,Maxwell Otto, Jocelyn Fetsch, MeganSchmidt, Elizabeth Blair, Shane Gores,Jason Greenwood, Michael Gilchrist, EricChristensen, Mark Hovland, and JaredSteinberger.

begins studies at the SMHS


IN MEMORIAM

Carl John Baumgartner, BS Med ’63, age 81, of Bloomington,Minn., passed away on Friday, June 13, 2014, joining Sharon, hisbride of 51 years, who passed away on March 13, 2014. He wasthe son of Cecile Delores Dohnalek and Carl John Baumgartner.

Robert G. Fischer, (Bob), 93, Grand Forks, N.Dak., passedaway on Saturday, July 26, 2014, at 4000 Valley Square–Woodside Village, Grand Forks. Robert George Fischer wasborn on October 17, 1920, in St. Paul, Minn. He was the son ofFrederick and Agnes (Cooney) Fischer. He graduated fromMechanic Arts High School, where he was on the swimmingand water polo teams. He went on to obtain a BS degree fromthe University of Minnesota, where he was in ROTC. He servedin the Fifth Army as a captain in the Second World War, and hesaw action in North Africa and Italy. He served in Europe for“two years seven months and five days,” which he liked to tellhis family frequently. He returned to the University ofMinnesota and completed his master’s and PhD inmicrobiology. He met Margaret Mary Roddy at a USO dance,and they were married in Anoka, Minn., on June 28, 1947. In1948, he and Margaret moved to Grand Forks, where he took aposition in the Microbiology Department in the School ofMedicine at the University of North Dakota. Bob was to spendhis entire career at UND, serving as chair for 20 years. Under hisguidance, there was a great increase in research and development.Through his efforts, he was able to secure substantial researchdollars for cancer studies and virology. The Fischers raised threechildren in Grand Forks: Mary (Dan) Martinsen, Redmond,Wash.; John (Karen) Fischer, Bloomfield Township, Mich.; andJames Fischer, Chicago, Ill. Robert was an avid photographer,and many of his photographs can be seen hanging in buildingsat the University, in local business places, and in homes offriends in Grand Forks.

Mary Ann Hoffman, BS OT ’59, age 77, of Tucson, Ariz.,passed away Monday, June 16, 2014, after a courageous battlewith brain cancer. Mary Ann was born April 4, 1937, to Ralphand Ardyce (Stephenson) Wallbridge in Grace City, N.Dak.Upon graduating from high school, she attended the Universityof North Dakota, earning a degree in occupational therapy. Sheworked as an occupational therapist in the Veterans Hospital inDes Moines, Iowa, where she met the love of her life Paul R.Hoffman. They were married on June 17, 1961, in Grace City.Their union of 46 years would be blessed with four children.She and Paul soon moved to Tucson, where Paul received hisdoctoral education at the University of Arizona. In 1964, theymoved to Menomonie, Wisc., where they lived for 40 years andraised their children. Mary Ann was a homemaker who happilydevoted her life to her family. She was always highly supportiveof her children’s many activities and sports and was a very activemember of the First Congregational Church–United Church ofChrist in Menomonie, and more recently a member of Churchof the Painted Hills in Tucson. After her children were grown,Mary Ann returned to the work world. Having had polio as achild, she became the peer advisement coordinator for the

Center for Independent Living for Western Wisconsin. In 1990,she was invited to the signing of the Americans with DisabilitiesAct at the White House for her tireless work on behalf ofdisabled people. Upon retirement, Mary Ann and Paul returnedto Tucson. There she was an enthusiastic member of the RedHat Society and enjoyed spending time with her family andfriends. Throughout her life, she was an ardent Bible studymember as well as an avid reader who enjoyed book clubs.

Walter Daryl “Bill” Kelsch, BS Med ’53, died June 5, 2014. Billis now with his beloved wife Phyllis, who passed away lastAugust. He is deeply missed but fondly remembered by hisfamily. Bill was born on August 7, 1925, in Glendive, Mont., andgrew up delivering papers, riding the railroad, and climbingtrees to build his eggshell collection. After graduating fromDawson County High School, he attended the University ofMontana. His studies were interrupted by his service in theNavy during the war in the Pacific, stationed in Hawaii. Afterthe war, he returned to U of M to earn both a BA and BS by1949. While working at the Northern Pacific Hospital inMissoula, he met Phyllis, who was the love of his life. They weremarried in 1950 and moved to North Dakota where he earned amaster’s degree in chemistry. He continued his studies at theUniversity of Washington, receiving his MD in 1955, and laterspecialized in anesthesiology. He was a founding member ofAnesthesia Associates of Spokane, serving the Spokanecommunity for many years. An eminently practical man, he wasdevoted to his family and his gardening, passing on his love forthe earth to his children and grandchildren. His curiosity aboutthe world in which he lived was enriched by his extensivetraveling with Phyllis. He loved to learn, reading forinformation and knowledge, and taking classes at thecommunity colleges of Spokane and other venues. He was anavid golfer, and played bridge, cribbage, and poker with hisfamily and friends. He was a member of the Spokane ElksLodge, Indian Canyon Golf Club, and Central MethodistChurch. He and Phyllis contributed much to the Spokanecommunity.

Paul D. Ray, 79, of Grand Forks, N.Dak., was born December 7,1934, in Monmouth, Ill., the son of Elmer and Dorothy Ray. Dr.Ray died on July 15, 2014, at Altru Hospital in Grand Forks aftera brief battle with cancer. Paul grew up on the family farm southof Monmouth. He graduated from Monmouth High School in1952 and Monmouth College in 1956 with a Bachelor of Sciencedegree in Chemistry. He married Annette Thrift in Chicago, Ill.,on June 15, 1957. Paul completed his PhD in Biochemistry at St.Louis University, in St. Louis, Mo., in 1962. He completed apostdoctoral fellowship and held an assistant professorship atthe Enzyme Institute at the University of Wisconsin in Madisonfrom 1962 through 1967. In 1967, Paul and Annette moved toGrand Forks, where Paul began his 47-year career at theUniversity of North Dakota in the Department of Biochemistryand Molecular Biology. Paul directed and advised a number ofgraduate students to their MS and PhD degrees. He was widely


published for his research focusing on liver enzymes as theyrelate to diabetes and the synthesis of blood sugar. He wasextremely proud of his involvement in INMED (Indians IntoMedicine Program), and enjoyed his work as a recruiter ofstudent athletes interested in the basic sciences. Paul received amultitude of honors, including the Chester Fritz DistinguishedProfessorship in 1992. He continued to teach until March of2014 as professor emeritus. Paul followed all his grandchildren’sactivities, and was an avid sports fan. He was a die-hardsupporter of the Chicago Cubs, as well as UND. He spent a greatdeal of time at his lake place in Minnesota with family andfriends, where he enjoyed fishing and bird-watching. Paul was a47-year member of Zion United Methodist church and choirand was a longtime supporter of youth performing arts.

James D. Rudd, 63, of Hillsboro, N.Dak., died Saturday, August2, 2014, at Altru Hospital in Grand Forks after a brief illness.Jim was born July 10, 1951, in Cranford, N.J., the son of JamesW. and Margaret F. Rudd. He graduated from Cranford HighSchool in 1969 and went on to receive his bachelor’s degree inbiology from St. Lawrence University in Canton, N.Y., in 1973.Jim started his athletic training career in 1973 when he was anassistant athletic training intern with the Philadelphia Eagles. In1974, he came to the University of North Dakota as a graduateassistant athletic trainer and received his master’s degree inphysical education in 1981. He held various athletic trainingpositions at Mercer County Community College in Trenton,N.J.; Kansas State University in Manhattan, Kans.; West VirginiaUniversity in Morgantown, W.Va.; and Valdosta State College inValdosta, Ga. In 1989, he returned to the University of NorthDakota as head athletic trainer and program director. In 2004,he was semiretired but continued to teach classes and acted asan academic advisor within the UND School of Medicine andHealth Sciences. Jim married Elaine Lerfald from Grand Forkson December 20, 1975, and they had one daughter, Jennifer,who was born on April 6, 1979, in Manhattan, Kans.

Merry K. Turner, BS OT ’56, 80, of Hamilton, Mont., passedaway on June 12, 2014, at Valley View Estates. She is the wife ofDon Edward Turner, 82, of Discovery Care Center also ofHamilton. Born in Fargo N.Dak., she was the only child of JoyceE. (Martin) and Edgar P. Mattson of New Rockford, N.Dak.,where she grew up. She attended the University of NorthDakota in Grand Forks, where she excelled in a lifelong passionfor music and earned her bachelor’s degree in occupationaltherapy. She moved to Hamilton in 1992, where she worked asan occupational therapist in the Home Health Department ofMarcus Daly Hospital. Before living in Hamilton, Merry K. andher husband Don lived in Arizona, Colorado, and NorthDakota. They enjoyed hiking, camping, and travelingthroughout the world together, including a three-month trip toAustralia and New Zealand in the late 80s.

Scott Leroy Walker, BS Med ’48, passed away May 11, 2014, inPortland, Ore., at the age of 94. He was born to Harry Walkerand Margaret Lang in Wishek, N.Dak., on July 9, 1919.Margaret was part of the German farmer migration from thesteppes of Russia that relocated to south central North Dakotain the late 1800s. Scott grew up in Ellendale, N.Dak. He becamewell known for his talent as a clarinet and saxophone player, andplayed in local bands. He was the winner of the talent show inhigh school. Following graduation during the depths of theDepression in 1937, he joined the U. S. Army 1st Cavalry at FortMeade, S.Dak., and played in the band. After discharge, heattended the University of North Dakota at Grand Forks, wherehe met and married Jeanne LaFleur in 1940. Following thebeginning of World War II at Pearl Harbor, he joined the Navyand became a radio operator. At the end of the war, he was acommunications officer on the USS Essex. Inspired by Navydoctors on the aircraft carrier, he returned to UND in thepremed program. He graduated from the Bowman Gray Schoolof Medicine at Wake Forest in 1950. After an internship at theDetroit Receiving Hospital, he did a residency in generalpractice at the Butte, Mont., Community Hospital. In 1953, hewent into private practice in Anaconda, Mont., as a physicianand surgeon. He thrived at being a small-town doctor, makinghouse calls, removing tonsils and appendixes, having manyfriends, enjoying hunting and fishing, being a Rotarian, andraising dogs. He also joined the Freemasons and Shrine. Heplayed in the Shriners’ band in Butte and Deer Lodge. InSpokane, he joined the El Katif Shriners concert and Dixielandbands, and continued in Portland with the Al Kader Shrinersband into his nineties. He remained a member until his death.In 1962, he married Marian Peterson Mohan. He entered theradiology residency program at the Dallas, Texas, VeteransHospital. He later served in the VA at Portland and Spokane,where he became chief of radiology. Following retirement, heand Marian moved to Wilsonville, Ore. He will be rememberedfor his long interest in the practice of medicine, retiring in hislate 70s. He was interested in politics, and usually took the sideof the party that was out of favor. He was a champion of theunderdog. He had varied interests, including being a licensedHam radio operator, private pilot, sports fan of the GonzagaBulldogs and University of Oregon Ducks and Oregon StateUniversity Beavers, and the breeding and training of dogs. Hislove of music and musical skill was passed on to many childrenand grandchildren.

IN MEMORIAM

PHILANTHROPY

Who can benefit from a gift of appreciated property, stock, orsecurities?Anyone who is considering a charitable gift or thinking aboutselling an asset can benefit from a gift of appreciated property.Making a gift to the School of Medicine and Health Sciencesthrough the UND Foundation using appreciated assets such assecurities or a mutual fund allows you to give more, favorablyaffecting your cash flow and minimizing taxes.

What are some examples of appreciated properties?Stocks, bonds, mutual fund shares, and real estate (for example,farmland and mineral interests in North Dakota) can harbor anumber of strategic financial benefits.

Why is this a good time to give?Most assets have had a nice recovery since the market collapsein 2008 and are valued well above their cost. Converting fromone investment to another, in this case an investment in medicaleducation in North Dakota, with a gift of appreciated assets maybe a perfect, tax-wise philanthropic strategy.

How do I save on taxes?When given to the UND Foundation for the benefit of theSchool of Medicine and Health Sciences, gifts of appreciatedproperty avoid the capital gains tax you would otherwise payupon selling, produce a charitable income tax deduction for thefair market value of the asset, and in some cases, can be used toprovide you income for life. With income tax rates now as highas 39.6 percent, and capital gains tax rates that could be as highas 23.8 percent, the total tax savings on gifts of appreciated

property can be significant. In addition, for those taxpayerssubject to the 3.8 percent Medicare contribution tax on capitalgains, dividends, interest, and other unearned income (thosewith adjusted gross income over $250,000 filing jointly or$200,000 for singles), the savings may be even higher.

How might a gift of this nature work? For example, Dr. Jones is single, age 65, and in the 39.6 percentincome tax bracket. Capital gains incurred in 2014 will be taxedat the highest capital gains rate, 23.8 percent. Dr. Jones ownssecurities valued at $250,000, for which he paid $50,000 fiveyears ago. He decides to transfer these securities to a charitableremainder trust with the UND Foundation that will pay himincome for the rest of his life equal to 6 percent of the annuallyvalued assets. Here are some of the outcomes of his gift. First,Dr. Jones receives a charitable income tax deduction exceeding$97,000. In his tax bracket, this deduction could save himapproximately $38,000. Second, he avoids paying capital gainstax on $200,000 of gain, saving about $47,600. And, if Dr. Joneshappens to be a North Dakota resident, his gift is eligible for theNorth Dakota Tax Credit, providing him a credit on his NorthDakota income tax. If he is a North Dakota resident, Dr. Jones’s“cost,” net of taxes, to establish the charitable remainder trust isreduced substantially from the original gift amount. This trustwill provide Dr. Jones $15,000 of income in the first year($250,000 x 6%). Last, and very important, the School ofMedicine and Health Sciences receives the remainder at thetrust’s maturity. All in all, this is a tax-efficient plan to minimizetaxes, increase income, and benefit the SMHS.

By Alyssa Konickson

Appreciated Property

Dave Miedema, Senior Director of Development

School of Medicine and Health SciencesUND Foundation

[email protected](701) 777-4933(800) 543-8764

Jessica Sobolik, Director of Alumni and Community [email protected](701) 777-6048

For additional information on how to best structure your bequest or gift to benefit the School of Medicine and Health Sciences, please contact:

e information presented is not legal or tax advice, but is intended as accurate general information. And, although the UND Foundation’s gi planning professionals are knowledgeable about giving techniques and their taxconsequences, you should seek the advice of a qualified estate and/or tax professional.



A bequest from the estate of Linda Redmann of Seneca, S.C.,has established the Linda Redmann Cancer ResearchEndowment, the Linda Redmann Public Health Endowment,and the Linda Redmann Rural Health Endowment. They willsupport cancer research, the School’s Master of Public HealthProgram, and the Center for Rural Health, respectively.Redmann, a Crystal, N.Dak., native, earned her bachelor’sdegree in education from UND in 1967. She died of cancer inMarch. Allison and Bud Gentle of San Antonio, Texas, continue tosupport the Gertrude Dammen/Allison Gentle Medical

Education Endowment, which provides scholarships formedical students with a proven record of academicachievement, strong potential to succeed in the future, andfinancial need, with preference given to a North Dakota student.Allison earned her bachelor’s degree in education from UND in1958, despite her mother’s desire for her to enter a medical field.The Gentles created this scholarship as a tribute to Gertrude. Dr. Joel, MD ’93, and Julie Johnson of Park River, N.Dak.,made a substantial contribution to the School’s AnnualExcellence Fund, which supports the dean’s top academicpriorities.

who recently gave gifts or made pledges to supportthe UND School of Medicine and Health Sciences.

to our thoughtful donors

At commencement in May,Laura Luick, MD ’14, isassisted in her hooding byher mentor Othmann Ghribi,PhD, associate professor,Department of Basic Sciences(left), and Martin Rothberg,MD, assistant dean of theNorthwest Campus–Minot. Inthe fall of 2013, she receivedthe Gertrude Dammen/AllisonGentle Medical EducationScholarship.



The University of North Dakota held a ceremonial groundbreaking for the new $122 million School of Medicine and HealthSciences building on June 12. Governor Jack Dalrymple, Senators Ray Holmberg, Robert Erbele, Judy Lee, Grand Forks MayorMichael Brown, Altru Health System CEO Dave Molmen, UND President Robert Kelley, and SMHS Dean Joshua Wynne providedremarks on the effect the new building will have on healthcare training in the state.

PARTING SHOTS

The Department of Family and Community Medicine, and the Office of Medical Education celebrated Dr.Roger Schauer’s service to North Dakota on June 17 in the Vennes Atrium at the School. He has been theheart and soul of the Rural Opportunities in Medical Education Program from its inception. His role in theeducation of our medical students will be greatly missed. Dr. Schauer and his wife Janet are shown listeningto Dr. Robert Beattie’s remarks about Dr. Schauer and his lasting effect on medical education in the state.


PARTING SHOTS

On June 20, the tower crane that contractors will rely on in theconstruction of the new SMHS building was up and running.

At the Groundbreaking Ceremony on a blustery June 12,Governor Jack Dalrymple presents SMHS Dean Joshua Wynnewith a signed commemorative ND license plate. The governorreminded Dr. Wynne to properly register and pay applicablefees for the plate.

SMHS researchers from theDepartments of Basic Sciencesand Pathology had their articletitled “Quantitation of HumanMetallothionein Isoforms: AFamily of Small, HighlyConserved, Cysteine-richProteins*” featured on thecover of the April 2014 issue ofMolecular and CellularProteomics.

Aaron A. Mehus, WallaceW. Muhonen, Scott H. Garrett,Seema Somji, Donald A. Sens,and John B. Shabb were theauthors. The focus of thearticle was onmetallothioneins, which aresmall, highly conservedcysteine-rich proteins importantfor metal homeostasis. Thetwelve human isoforms,potential biomarkers for heavymetal toxicity and cancer,present special challenges forquantitative proteomics.Associate Professor JohnShabb was the lead author.John Lee, a graphic designer inInformation Resources,collaborated with Shabb increating the image on thecover.

University of North Dakota School of Medicine and Health SciencesA National Leader in Rural Health - Serving North Dakota since 1905501 North Columbia Road Stop 9037 � Grand Forks ND � 58202-9037 701-777-4305 www.med.und.edu

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* Invitations are sent via e-mail or mail. To ensure you receive this information and that ourrecords are up-to-date, please submit your contact info at www.med.UND.edu/events/contact.cfm.

Upcoming Alumni Events*

UND Homecoming 2014

October 9-11Grand Forks, ND

Universities of North and South Dakota ReceptionNovember 8 Chicago, IL

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taking a new course · • dr. david and lola rognlie monson endowed professorship in medical...

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