at the U N I V E R S I T Y O F V E R M O N T F L E TC H E R A L L E N H E A LT H C A R E DEPAR TMENT OF SUR GERY 2012 Annual Report

Table of Contents 1 2 3 8 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 49 50 52 54 56 A Letter from the Chair A Word from our Executive Leadership Surgical Education Research Innovation Division of Cardiothoracic Surgery Division of Dentistry, Oral MaxilloFacial Surgery Division of Emergency Medicine Division of General Surgery Division of Neurosurgery Division of Ophthalmology Division of Otalaryngology, Head Neck Surgery Division of Pediatric Surgery Division of Plastic Reconstructiv

A Letter from the Chair I have the distinct honor of being the interim Chair for the Department of Surgery at the University of Vermont. The University of Vermonts College of Medicine has a close alliance with Fletcher Allen Health Care, a high quality hospital in a rural setting. We carry on our proud tradition of being expert educators, researchers, and innovators. Our faculty continues to grow as we recruit faculty with premiere training and expertise. We welcome the addition of Jesse Moore G

A Few Words From Our Executive Leadership The University of Vermont College of Medicine and teaching hospital partner Fletcher Allen Health Care comprise Vermonts academic medical center, where more than onethird of Vermonts physicians have been educated or trained. Located in Burlington, the College was founded in 1822 as the nations seventh medical school, and is recognized for its innovative curriculum and worldclass research on a compact campus that enhances accessibility, communication and

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The Department of Surgery has a rich history of education at all levels of learning. From the entering novice medical student to the most experienced practitioner, the educational contribution of our department significantly and positively impacts the quality of care throughout Vermont and the areas throughout the country where our graduates practice. The major focus of our educational programs lies in Medical Student Education, Resident Education, Conti

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The success of our undergraduate education program is evidenced by our current possession of the Silver Shovel Award for Excellence in Teaching which is the award given by the graduating seniors to the department that they rate as having the best educational program in the school. Our current intent is to keep residency clinical training is augmented by the innovative surgical simulation resources available to the University of Vermont Clinical Simulatio

surgical residents were recognized by the UVM College of Medicine with the prestigious Arnold Gold Foundation Humanism in Medicine award for teaching and mentorship, the most of any department Dr. Kiankhooy, Dr. Mace, Dr. Parsons. Neurosurgery Bruce Tramner, MD Program Director This fully accredited program graduates one chief resident a year. Recent graduates have gone on to complete fellowship training in pediatric, skull base functional and spine neurosurgery. We pride ourselves on the oneon

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Samuel B. Michelle D. Labow Endowed Lectureship in SurgeryRobert D. Madoff, MD, Professor of Surgery, Chief of the Division of Colon Rectal Surgery, University of Minnesota, is the founding director of the William C. Bernstein MD Familial Cancer Registry at the Masonic Cancer Center, University of Minnesota. The Albert Mackay, M.D. 32 and H. Gordon Page, M.D. 45 Annual Lecture in Surgery Martha Zeiger, MD, Professor of Surgery, Professor of Oncology, C

Skills Laboratory The Clinical Skills Lab opened in March, 2011 and Surgery has been at the center of this important institutional resource since the outset. This lab has designated facilities for virtual reality and laparoscopic training, task training, and team training using high fidelity simulators in a variety of clinical scenarios. Currently, the clerkship students in the Surgery rotation receive an exposure early in the rotation to bedside procedures NG, Foley catheters, IVs, knot tying a

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Until about 5 years ago, few treatment options were available and AMD was considered a blinding disease. With new treatments, specifically the VegF inhibitors, up to 90 of patients can maintain their vision, and up to 30 can actually improve with treatment. For the past 5 years, Brian Kim, MD, and clinical trials coordinator Theresa Goddard, have been able to enroll their patients in a clinical trial of Eylea VegFTrap. Recently FDAapproved, Eylea is just

for treatment because they are thought to be too high risk for conventional surgical aortic valve replacement. Led by Joseph Schmoker, MD and Harold Dauerman, MD Cardiology, the Divisions of Cardiothoracic Surgery and Cardiology are collaborating in an effort to enroll patients in a randomized prospective study of transcatheter aortic valve implantation TAVI. This new technique will offer many of these highrisk patients a treatment option. Experimental Urodymanics and Microsurgery Suite in the

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Bladder dysfunction affects millions of people worldwide, seriously impacting their ability to function normally. Despite the magnitude of this health problem, only limited progress has been made toward improving the brain structures that are active during micturition. The results of this study are in press in the Journal of Urology. Traumatic brain injury TBI affects approximately 1.7 million, mostly young, patients every year, but there are few options

molecular mechanisms and functional consequences of vascular responses to traumatic brain injury. Chris Jones, D Phil, is a newly recruited faculty member who brings health economics expertise to the Department of Surgery. His present research focus is on using performance incentives patient and provider to predict and attain costeffective and costbeneficial treatments for chronic disease. Dr. Jones also directs the Global Health Economics Unit in the UVM Center for Traumatic brain injury TBI af

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Antonio DiCarlo, MD, Division of Transplantation, in collaboration with the Boyson laboratory, is investigating underlying mechanisms of liver transplant tolerance. Among all solid organ transplants, liver transplants are therapeutic advances in transplantation. A relatively new addition to the Division, Brian Sprague, PhD is an epidemiologist whose research focuses on reducing breast cancer incidence by identifying modifiable lifestyle and environmental

number of DCIS lesions perhaps as many as half that would never have harmed the life of the woman. However, Particularly, he is striving to understand the neurophysiology of the under overactive bladder. Using a murine model, sophisticated urodynamic testing is performed. He then investigates the role of ion channels, nerve density, and myogenic function in mice. Much of Dr. Spragues research to date has focused on the increasingly common form of early stage breast cancer, ductal carcinoma in

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE UVM professor David Krag MD, S. D. Ireland Professor of Surgical Oncology, has been developing new methods for treating cancer for more than 20 years, earning international recognition as a highly published researcher. At UVM as a significantly less invasive means compared to conventional surgery, and resulting in less pain and fewer complications for the patient. For these past and present accomplishments, the UVM Medical Group of Fletcher Allen recentl

cancer antibodies from a patient with breast cancer and producing high quantities of those antibodies in the lab for administration back to the same patient to treat that cancer. The idea is to study a patients immune cells and test or screen them against his or her own cancer cells to see which ones bind or stick to the cancer. This allows all of the steps within a given experiment to be done with clinical material derived from a single patient. Ultimately, this will help define the specific se

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Robotics Roboticassisted surgery provides surgeons with what may be the most effective, least invasive surgical treatment option available today. It enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision. Through tiny, 12 cm incisions, surgeons can operate with greater precision and control, minimizing the pain and risk associated TEM Innovation We are a national leader in trans

elderly, and becomes lifethreatening as it develops in severity. About onethird of these patients are deemed too highrisk to undergo openheart aortic valve replacement, the traditional treatment. This trial will study the efficacy of a lessinvasive treatment that would offer highrisk patients a viable treatment option. The TAVI Team Dr. Joseph Schmoker Transcatheter Aortic Valve Implantation, or TAVI, enables aortic valve replacement without the need for traditional open heart surgery, allowi

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Our mantra is team work, cooperation and communication. The Division of Cardiothoracic Surgery has been providing care to patients in Vermont and northern New York State with cardiac and thoracic related diseases for over sixty years. During that time, we have Dr. Mitch Norotsky, Deputy Chair, Executive Council tried to establish a reputation for providing consistently high quality patient care in a welcoming and safe environment. Every day we rededicat

and residents the art of cardiothoracic surgery. We engage these individuals in multiple venues, be it the operating room, the classroom or the bedside. The division members also mentor residents and students with advice and council on goals and career choices. Innovation Innovation has become a very important part of the Division of Cardiothoracic Surgery at Fletcher Allen Health Care. In addition to performing all types of adult cardiac surgery, both simple and complex, we are expanding our

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Dentistry and Oral and Maxillofacial Surgery has over a 60 year history of contributing to the mission of Fletcher Allen Health Care to deliver high quality academic health care in a rural environment. Division of Dentistry, Oral Maxillofacial Surgery Our division members include practitioners in the areas of general practice, oral and maxillofacial surgery, periodontics, endodontics, pedodontics, orthodontics, orofacial pain and prosthodontics. Memb

Fletcher Allen Health Care is the sponsoring organization of a one year, fully accredited, general practice residency in dentistry. The fulltime program director, Dr. Kevin Risko, is a graduate of the residency. The program has recently expanded to four residents per year. The main general dental clinical exposure for the program is at the Burlington Community Health Center. In addition there are clinical rotations in oral and maxillofacial surgery, anesthesia, the emergency department and a rur

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Division of Emergency Medicine Ray E. Keller, MD, FACEP Interim Division Chief, Associate Professor Martin Bak, MD, FACEP Assistant Professor Andrew Bushnell, MD, FACEP Associate Professor David W. Clauss, MD Associate Professor Maj Eisinger, MD, FACEP Associate Professor Kalev Freeman, MD, FACEP Research Assistant Professor Ramsey Herrington, MD, FACEP Assistant Professor Page Hudson, MD, FACEP Assistant Professor Steven Hulsey, MD, FACEP Associate Pr

formulate a plan for workup and evaluation of the presenting problem. Logic and reason are stressed. Direct attending supervision is supplied by dedicated faculty. Lectures and simulations are a large part of our didactic curriculum. Students are asked to take responsibility for the care of their patients, including keeping the patient and family informed on the results of lab tests and x rays, informing them Dr. Mario Trabulsy of the likely diagnosis, teaching them about the diagnosis and fut

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE We provide surgical leadership in a multidisciplinary Digestive Disease Center as well as participating in the care of patients in our multidisciplinary Continence Center. Division of General Surgery James C. Hebert, MD, FACS Division Chief, Albert G. Mackay H. Gordon Page Professor in Surgical Education, Executive ViceChair for Academic Affairs Wasef AbuJaish, MD, FACS Assistant Professor Edward Borrazzo, MD, FACS Associate Professor Peter A. Catald

microsurgery for excision of rectal cancers and polyps. Through the leadership of Dr. Edward Borrazzo we offer single port laparoscopic cholecystectomy as well as other innovative minimally invasive procedures. Dr. Gino Trevisani leads our development of a program in robotic colorectal surgery for specific procedures. At the General Surgery Attending Surgeons from left to right Dr. Jesse Moore, Dr. Neil Hyman, Dr. Wasef AbuJaish, Continence Center, Dr. Gino Trevisani, Dr. James Hebert, Dr. Edwar

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The Donaghy Cerebrovascular and Skull Base Laboratory, run by Dr. Horgan, is the only facility of its kind in New England and is used to train residents throughout New England in handson surgical techniques. Division of Neurosurgery Michael A. Horgan, MD Division Chief, Associate Professor Ryan Jewell, MD Assistant Professor Paul L. Penar, MD, FACS Professor, Vice Chair Quality Assurance Bruce Tranmer, MD, FACS Professor, Cordell E. Gross Green Gold

The Neurosurgical Team Neurosurgical Excellence that will be disease focused and provide our patients with multidisciplinary care in a single setting. This is the most important aspect of care that we will provide our patients and it will help them and our referring providers navigate an otherwise unwieldy system. Through this association, our patients will receive the finest in collaborative care. Although we may be rural, we have the infrastructure and expertise as can be found in any city in

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Our core values include a strong dedication to quality of patient care, patient satisfaction, as well as compassion for others. Division of Ophthalmology Brian Y. Kim, MD Interim Division Chief Duncan W. Persons Green Gold Professor in Ophthalmology, Assistant Professor Phil Aitken, MD, FACS Associate Professor Lisa P. Alexander, MD Assistant Professor Armando Coello, MD Assistant Professor Gladys Lee, MD Assistant Professor Robert H. Millay, MD Prof

while continuing to learn ourselves, we aim to achieve an environment of ongoing education, which ultimately results in the best patient care possible. Quality Quality is an important metric by which we can often gauge our level of patient satisfaction, as well as their safety. Dr. Stephen Pecsenyicki sits on the board of the Department of Surgery Quality Assurance Committee, in which issues We firmly believe that our involvement in clinical research allows us to help in the development of to

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE inflammatory pathophysiology of this wasting syndrome. The OtolaryngologyHead Neck Surgery residency program is the crown jewel of our division. Education The Otolaryngology Head and Neck Division of Otolaryngology William J. Brundage, MD Division Chief, Residency Program Director, Associate Professor Marion Couch, MD, PhD, MBA, FACS Surgery Interim Chair, Professor Richard N. Hubell, MD Professor Gary P. Landrigan, MD Associate Professor Donald Le

receive a full fiveyear accreditation. We have an active medical student rotation. We have had very successful UVM graduates go into toptier residencies in Otolaryngology. In the spring of 2011, all three UVM applicants in Otolaryngology matched at excellent training programs. Our newest faculty member, Dr. Donald Leopold is an international expert in rhinology, taste and smell and participates in national and international conferences. He was the past Chair of OHNS at the University of Nebraska

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE We seek to utilize all available resources to optimize the outcomes of the pediatric patients whose surgical care is entrusted to us. Education Division of Pediatric Surgery Kennith Sartorelli, MD, FACS Division Chief, Professor, Program Director General Surgery Residency Program John Lawrence, MD, FACS Associate Professor Our division performs around 600 operative procedures each year and additionally oversees the care provided to approximately 110

In collaboration with the UVM anesthesia services, nearly 2,500 surgical procedures have been performed under spinal anesthesia, the largest reported experience with this technique. We continue to work closely with our anesthesia colleagues to expand the applicability of this mode of anesthesia for our pediatric patients. Innovation Nearly 2,500 surgical procedures have been performed under spinal anesthesia, the largest reported experience with this technique. Medical Student Christine Velaz

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE In 2011, the division had 4581 clinic visits, 811 inoffice procedures, and 637 surgeries performed in the operating room. Those rotating on the plastic surgery service obtain an intensive exposure to wound management and oneonone instruction in suturing. All of the surgeons in the division are trained in microsurgery. Using Microvascular surgery, a plastic surgeon has the ability to perform reconstructive surgery by moving a muscle, a portion of skin o

Hand Surgery Dr. Laub is a fellowship trained hand surgeon with experience in treatment of nerve compression syndrome, trigger fingers, Dupuytrens disease, and congenital hand anomalies. Pediatric Plastic Surgery Dr. Laub is Medical Director of the Vermont State Children with Special Health Needs Cleft Palate Craniofacial Clinic. This multidisciplinary clinic, founded in 1969, is affiliated with the American Cleft Palate Craniofacial Association. Dr. Laub Plastic Surgery Team left to right Davi

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Our division has the only three fellowship trained surgical oncologists and the only fellowship trained breast surgeon in the state of Vermont Division of Surgical Oncology Seth B. Harlow, MD Division Chief, Associate Professor Ted A. James, MD, FACS Associate Professor, Director, Surgery Clerkship and Student Education David N. Krag, MD, FACS S.D. Ireland Family Professor in Surgical Oncology, Professor Michelle Sowden, DO Assistant Professor The Di

Dr. Seth B. Harlow, Division Chief This has led to the Department of Surgery winning the Silver Shovel Award as the outstanding clinical teaching service by the graduating medical school class. This leadership in teaching also extends to the senior majors in surgery and resident teaching as well. Dr. Michelle Sowden, the only fellowship trained breast surgeon in the state of Vermont, consults with a patient Innovation Through the work of Dr. James the division has Surgical Oncology developed

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The Department of Surgery has long been a proponent of the notion that an opportunity to conduct basic and clinical research is a critical piece of Medical Student and Resident education. The mission of the Division of Surgical Research is to enhance patient care through the advancement of biomedical knowledge, and to employ cuttingedge technologies to pursue new therapeutic breakthroughs. The research in the Division spans a variety of disciplines, and

type of T cell, called an NKT cell, plays in the regulation of the immune response. One of the unusual features of NKT cells is their ability to rapidly produce large amounts of a wide variety cytokines and their ability to elicit the rapid activation of leukocyte subsets important in inflammation and in immune tolerance. These characteristics suggest that NKT cells could play a pivotal early role in shaping the quality of the developing immune response. Research from Dr. Boysons laboratory indi

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The spectacular success of organ transplantation over the last few decades has saved, lengthened and immeasurably improved thousands of lives. improved thousands of lives. The first transplant at Fletcher Allen occurred on March 6th, 1972. Currently, we provide the following options for kidney transplantation Deceased Donor transplantation, Living Donor transplantation, High RiskHighly Sensitized Protocols and Pediatric Kidney Transplantation. Nearly a

Multidisciplinary Transplant Team secondary complications. A successful pancreas transplant means that the recipients glucose remains normal without insulin injections. Our pancreas program is currently the largest in the region. We are also actively involved in transplant immunosuppression research studies to ensure that our patients have access to the most current medications available. Education The transplant team is committed to providing education to residents and students to ensure tha

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE The Division of Trauma has been an American College of Surgeons verified Level I trauma center for 18 years without interruption. and critical care nurses, provide state of the art care to the most critical surgical patients in the Surgical Intensive Care Unit. Our division has been highly active in clinical research. We have a multidisciplinary research meeting were we share ideas and propose new research initiatives. We have 13 clinical studies that

Center to enhance the learning of critical skills including central line placement, needle thoracostomy, chest tube placement, pericardiocenthesis, vessel cut down, wound management, and difficult airway skills including surgical airway. Our faculty are instructors in Advanced Trauma Life Support, Advanced Burn Life Support, Advanced Trauma Operative Management. We offer courses that are widely attended by participants throughout the Northeast. We also offer a highly successful, annual critical

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE With over 12,000 patient visits and surgeries annually, Vermonts only academic subspecialty urology practice delivers integrated care delivery for the most complex problems. attention to discovery, albeit in an ever more challenging funding environment, remains among the most ardent and important efforts we can have to deliver on the necessary symbiosis of quality patient care and academic medicine. Division of Urology Marke K. Plante, MD, FRCSc, FAC

especially in Vermont and New England. Our new training program will afford some improvement in this regard but also allows for the invigoration of the Urology faculty with robust interactions that set the stage for patient care improvement and research strategies. Innovation The fulltime faculty within the Division of Urology each have areas of practice focus with subspecialty training and expertise across the disciplines of Pediatrics Urology, Urologic Cancers, Lower Urinary Tract Pathophysi

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Minimizing complications and resource utilization while maximizing patient outcomes is the focus of our practice. The past 15 years has seen incredible change in the treatment of patients with peripheral vascular disease. Less invasive alternatives to treat aneurysmal and obstructive disease, new methods of treating patients with venous disease, and noninvasive imaging of vascular pathologies have all combined to make the treatment of vascular pathologi

has participated in the VSGNE since 2003. This group is dedicated to the improvement in care of vascular patients through careful riskweighted measurement of outcomes. In the past 3 years our group has taken evidence from this database and translated it into changes in our clinical practice. Use of BBlockers, statins and antiplatelets in all patients Dr. Andrew Stanley, Executive Council region. Patients harboring thoracic and complex infrarenal aortic aneurysmal disease can now be treated wi

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Surgery Outreach Across the Region Many divisions within the Department of Surgery are actively engaged with hospitals, health systems and agencies in Vermont and New York to respond to the needs of colleagues and patients across the region. General Surgery Otolaryngology Burlington Pediatric Urologic Surgery Urologic Surgery Vascular Surgery Berlin Plastic Surgery Pediatric Surgery Neurosurgery General Surgery Neurosurgery Ophthalmology Commu

Endowed Professorships S.D. Ireland Family Professorship in Surgical Oncology 1999 David N. Krag, MD Cordell E. Gross, MD Green Gold Professor in Neurosurgery 2005 Bruce Tranmer, MD Duncan W. Persons, MD34 Green Gold Professor in Ophthalmology 2003 Brian Kim, MD Albert G. Mackay, MD32 and H. Gordon Page, MD45 Professor in Surgical Education 2005 James Hebert, MD Samuel B. and Michelle D. Labow Green Gold Professor in Colon Rectal Surgery 2005 Neil Hyman, MD The following endowed profes

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Humanitarian Work Peter Cataldo, MD In January of 2010, an earthquake shattered the lives of countless Haitians. People from around the world reached out to help the island nation recover and Vermont did its part. In the fall of 2011, a team of physicians and providers from the University of Vermont and Fletcher Allen, made their ninth trip to a hospital in northern Haiti to provide muchneeded surgical expertise. The team was led by UVM surgeon Peter C

John Lawrence, MD For pediatric patients between the ages of 8 and 18, trauma is on the brink of surpassing infectious disease or malnutrition as the lead cause of childhood mortality in Africa. Attempting to address the disparity in surgical services between populations in the United States and those in resource poor areas of the world led Dr. John Lawrence to pursue surgical activities in disadvantaged settings such as Haiti, Cambodia, Guatemala, the Ivory Coast and the Democratic Republic of

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Philanthropy Samuel B. Labow, MD Michelle D. Labow The depth of commitment to the Department by Dr. Samuel and Michelle Labow is unparalleled. After an impressive career as a colorectal surgeon, Dr. Labow retired to Stowe, VT. Michelle Labow, RN, had managed Dr. Labows practice and in Vermont she immediately became involved with many local organizations. In 1995, Dr. Neil Hyman invited Dr. Labow to teach UVM medical students. As they got to know the de

Building a Legacy of Giving OHNS supports medical students The members of the Division of Otolaryngology, Head and Neck Surgery formally recognized their deep commitment to medical education with a group gift of 10,000 to the College of Medicine Fund, which primarily supports medical student scholarships and activities. This gift is commemorated with four named student lockers in the Given Building. Honoring the legacy of John Davis, MD The John H. Davis, M.D. Endowment was established several

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE Comings Goings New Faces Chris Jones, DPhil Assistant Professor, Dept. of Surgery John Lawrence, MD Associate Professor, Div. of Pediatric Surgery Gladys Lee, MD Assistant Professor, Div. of Ophthalmology Donald Leopold, MD Professor, Div. of Otolaryngology Louis T. Merriam, MD Associate Professor, Div. of General Surgery Mariah McNamara, MD Assistant Professor, Div. of Emergency Medicine Jesse Moore, MD Assistant Professor,

Farewells Gino Trevisani, MD, will deploy with the U.S. Army as Commanding Officer for a year and a half tour of Afghanistan with the 691st Medical Team Forward Surgical, Army Reserve out of Utica, NY. Sheila Foerster, Financial Associate for the Department of Surgery for the past 13 years, moved to Ohio in February 2012 to be near her daughter and family. Jeanne Jackson, recruiting specialist, is retiring after 22 years at UVM, the last 12 with the Department of Surgery. Richard Kershen, M

UNIVERSITY OF VERMONT COLLEGE OF MEDICINE In Remembrance John Hershel Davis, MD May 11, 1924 January 19, 2012 It was with great sadness that the Department of Surgery at Fletcher Allen Health Care and the University of Vermont announced the passing of one of its finest, John Hershel Davis, M.D. Dr. Davis died peacefully at Fletcher Allen Health Care following an overwhelming infection on January 19, 2012. He was 87 years of age. From the moment of Dr. Davis arrival in Vermont, he demonstrated

Credits Layout Design Content Kim Swain Center Project Manager Recruiter Troy Simpkins Right Graphic Design Communications Professional Donald Rock Rockwell Left Business Manager Department Administrator Photography David Seaver Chief Photographer David Seaver Photography Also included in this report are some photos from contributing photographer, Raj Chawla, UVM Medical Photography Some images and excerpts of some texts reprinted from ONE by permission of Eleanor Osborne.

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