Newsletter Accolade Photo(4)

February 23, 2022 | Volume IV, Issue 4

Into the Fray(1)

A Very Different Beginning of Residency 

Medical students in the Larner Class of 2020 celebrated their Match Day on March 20, 2020 just nine days after the World Health Organization declared COVID-19 a global pandemic. Their online Match ceremony—the first of many Zoom events—signaled just how different the start of their medical careers would be from those of previous classes. In a matter of weeks, as cases surged, and caregivers dealt with a shortage of both knowledge of the novel virus and basic protective gear, they began residencies at medical centers across the country.

“Normally, there’s a hierarchy of decision-making and what correlates with that is a hierarchy of knowledge,” says, Collin York, M.D.’20, an internal medicine resident at the University of Virginia. “But in many cases, the knowledge would be so new, and there were so many unknowns about COVID, that you’d find yourself in rounds, looking to the ‘expert,’ and they would shrug their shoulders and not quite know what to do.”

The Class of 2020 physicians felt the anxiety and uncertainty all new residents have, while contending with an unmatched public health crisis. In the latest issue of Vermont Medicine, members of the class have shared thoughts on some of their experiences as the pandemic unfolded around them.

Read the Vermont Medicine story.

Pictured above: A blurred image of an ambulance in motion at night. Red font reads “Into the Fray.”


Heart Month: Bouncing Back after Atypical Heart Attack

It was summer 2021, when, two miles from home, a sudden pain stopped 44-year-old Sara Rutledge in her tracks. As a burning feeling crept into her chest, her black lab, Goose, turned and looked back, curious why their daily run was being cut short.

Could it be the poor air quality from western wildfire smoke migrating to the Green Mountains, or was she dehydrated or overexerted? As she caught her breath and took a few sips of water, the pain intensified, shifting to her back and arms.

“I didn’t know what was happening, but I knew something was very wrong,” says the Fayston, Vt., resident, adding, “I knew I had to get help.”

That help came first at Central Vermont Medical Center's (CVMC) Emergency Department. Amos Hare, P.A., a CVMC physician’s assistant, consulted with cardiologists at UVM Medical Center and arranged Rutledge’s transfer there.

In Burlington, cardiologist and Associate Professor of Medicine Marc Tischler, M.D., diagnosed Rutledge with a spontaneous coronary artery dissection, or SCAD, which occurs when a tear in an otherwise normal artery blocks the flow of blood to the heart.

Jamie Rowell, M.D., a clinical instructor and third-year resident in internal medicine at UVM Medical Center, cared for Rutledge during her inpatient stay.

“When patients are hospitalized with a rare condition…making the diagnosis is only half the battle,” says Dr. Rowell. In such cases, she advocates for taking the time to explain a diagnosis and discuss how the condition may affect the patient’s life after they are discharged.

Read the full article

Pictured above: Sara Rutledge (far right) with her husband, son, and dog. (Courtesy photo).


Complete the UVM Campus Climate Survey!

All UVM Larner College of Medicine faculty, staff, post-doctoral trainees, medical students, and graduate students are strongly encouraged to take the UVM Campus Climate Survey. Your feedback is valuable and important. Link to survey.

Newsletter Feature(2)

Reinventing the Wheel with Open-Source Science

Like most inventions, the Lockable Open-Source Training (LOST) Wheel, a 3D-printable open-source rodent wheel created by J.J. Bivona, Ph.D.’22, was born of necessity.

A current University of Vermont postdoctoral fellow and recent Cellular, Molecular, & Biomedical Sciences alum, Dr. Bivona had been working on a grant-funded project in the laboratory of Professor of Medicine Matthew Poynter, Ph.D., which aimed to identify myocyte involvement in inflammation and examine if exercise might diminish prolonged inflammation. The research relied heavily on the study of mouse models after they exercise, but commercially available rodent treadmills and wheels didn’t meet Dr. Bivona’s budget and functionality needs. Frustrated with the price and limitations of commercial mouse wheels, he set out to not only create his own, but do so in a reproduceable way that could help other researchers in similar situations.

“Labs in the top 10 percent of funding receive 45 percent of the research project grants, which makes the funding pool for everyone else much smaller,” says Dr. Bivona. “They already have the expensive tools and machines necessary to make the latest and greatest technologies and breakthroughs.”

By making the LOST-Wheel open-source, he hopes to play a part in interrupting that cycle and, in doing so, help early career researchers like himself contribute meaningfully to current scientific discourse.

His mentor, Dr. Poynter, sees the enduring value of an open-source tool.

“The motivation for being a biomedical scientist in an academic setting is to bring new knowledge to an audience who is able to use it to move the field forward and, eventually, contribute to helping humanity,” says Poynter. “Oftentimes, the brightest and most innovative minds are those waiting to be inspired, or without the resources to enable them to conduct meaningful work. Providing information and materials in an open-source manner may enable such high-potential individuals to make scientific contributions that they may not otherwise be able to do.”

Read the full story and view video tutorials and manuals for the LOST-Wheel.

Pictured above: Dr. Bivona sits as his desk in the Poynter lab wearing a black cloth face mask and holding up a prototype of the LOST-Wheel.

Green graphic that reads

Student Voices Banner
Newsletter Patient Quote and Blog

QuoteMarkBlueSince beginning medical school at the UVM Larner College of Medicine in Vermont (the state where the first major U.S. polio outbreak occurred), my curiosity about vaccines has evolved into an interest in vaccine equity—promoting fair and just access in communities with structural barriers such as historical racism, limited resources, or zip code. In between studying, I have spent my time trying to understand and mitigate the challenges Vermonters face related to avoiding vaccine-preventable illness. What I did not expect was that I’d also have a role in advocating for vaccination in my personal, very privileged life.”

Finlay Pilcher, Class of 2024 Medical Student 

(Excerpted from UVM Larner Med Blog post by Finlay Pilcher.)

Read “From mobilization to fragmentation: approaching COVID-19 vaccine hesitancy through the lens of the polio epidemic.”

Pictured: Finlay Pilcher poses for a photo outside of the UVM Given and Medical Education Buildings on a snowy cloudy day.

Accolades & Appointments

LCME 150x150

On February 10, 2022, Larner College of Medicine medical student Matt Brandt ’22, alum Sidney Hilker, M.D.’21, and medical student Vinh Le ’23 were guest speakers during the Liaison Committee on Medical Education (LCME) “Connecting with the Secretariat” webinar. They discussed the College of Medicine’s general student involvement in the LCME self-study and site visit processes and shared how the College’s ISA committee organized, designed and launched the survey, prepared the report, and communicated the results. Larner students achieved a 100 percent response rate across all four classes for the 2021 ISA.

A paper, titled “Walking Habits During the COVID-19 Pandemic are Associated with Functional Health Among Primary Care Patients,” and presented at the 2021 North American Primary Care Research Group (NAPCRG) Annual Conference by Levi Bonnell, M.P.H., Clinical and Translational Science doctoral candidate, was selected as a “2021 NAPCRG Pearl.” Pearls are chosen each year by the Community Clinician Advisory Group (CCAG) as the top research studies having the greatest impact on clinical practice as presented at the NAPCRG Annual Conference. Members of the CCAG present the Pearls at local, regional, and national venues.

A manuscript, titled “Evaluating diversity in neurosurgery through the use of a multidimensional statistical model: a pilot study,” authored by Larner College of Medicine alum and current UVM Medical Center psychiatry resident Jonathan Borden, M.D.’21 (pictured, at left), was published in the Journal of Neurosurgery. UVM coauthors on the paper include current UVM medical students Will Holden ’22, Lud Eyasu ’23, and Brian Shaw ’24, and Biomedical Statistics Research Core Director and Research Associate Professor Peter Callas, Ph.D.

Newsletter Accolade Photo(1)

“Things We Do for No Reason™: Routine Inclusion of Race in the History of Present Illness,” a paper authored by UVM Larner College of Medicine medical alum Jonathan Gau, M.D.’21 (at left), was recently published in the Journal of Hospital Medicine. In addition to Dr. Gau, who is currently an internal medicine resident at University of California Irvine Medical Center, coauthors include UVM Professors of Medicine Tim Lahey, M.D., and Allen Repp, M.D.; Christle Nwora, M.D., an internal medicine resident at Johns Hopkins University; Shaden Eldakar-Hein, M.D., former Larner interim assistant dean for medical students and current senior associate dean at Lewis Katz School of Medicine at Temple University; and Mita Goel, M.D., M.P.H., associate professor of medicine at the Feinberg School of Medicine.

Jennifer Oshita, CCC-SLP, a UVM Clinical and Translational Science doctoral candidate, is coauthor of a research review paper in American Journal of Speech and Language Pathology, titled “Implementation Science Research in Communication Sciences and Disorders: A Scoping Review.” The purpose of the study “was to complete a scoping review of implementation science (IS) research in communication sciences and disorders (CSD) over time and to determine characteristics of IS research in CSD.” Coauthors on the article include Natalie Douglas, Ph.D. (first author) and Margaret Danowski, M.I.L.S., of Central Michigan University; Julie Feuerstein, Ph.D., CCC-SLP, of University of Central Florida; and Megan Schliep, Ph.D., CCC-SLP, M.P.H., of MGH Institute of Health Professions.


Class of 2024 medical student Elise Prehoda (pictured at left, right photo) has been elected president-elect for the UVM Larner College of Medicine Medical Student Council. Current President-Elect Vinh Le ’23 (pictured at left, left photo) will transition into his new role as the 2022-2023 Medical Student Council president on March 18, succeeding current president, Patrick Clarke ’22.

VBB (2)

The Vermont Brain Bee took place at the Larner College of Medicine on February 12 and was sponsored by the UVM Neuroscience Graduate Program (NGP), Vermont Chapter of the Society for Neuroscience, and a number of local businesses and organizations. A group of four Larner community members helped plan and execute the event, including NGP students Jenan Husain and Dan Peipert, second year medical student Elise Prehoda, and Molly Hurd, M.S., a laboratory technician in the Department of Neurological Sciences. After taking place virtually in 2021, the 2022 Bee had eight young women participants representing five local high schools. The students took part in three rounds of competition—a written quiz, a practical exam, and an oral round. Event facilitators were Nate Jebbett, Ph.D., assistant professor of neurological sciences, and Lisa Bernardin, M.S., Vermont Brain Bee coordinator. All of the questions posed during the competition were based on the brain facts published by the Society of Neuroscience. The first place winner is Hlba Ali, a senior at South Burlington High School. Second place winner is Deepika Muthuswamy, also a senior from South Burlington High School. The third place winner is Uma Chirkova, a sophomore from St. Johnsbury Academy.

(Pictured, top, from left to right) Jenan Husain, Molly Hurd, Elise Prehoda and Dan Peipert. (Pictured, bottom left) Dr. Jebbett (far left) and Lisa Bernardin (far right) pose with the eight participants.



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The Larner College of Medicine
at The University of Vermont
Copyright 2022