2018 SCIENTIFIC PRESENTATION - SUMMER STUDENT RESEARCH PROGRAM - Hawaii Pacific Health
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AN INVESTMENT IN THE FUTURE OF MEDICINE 2018 SCIENTIFIC PRESENTATION SUMMER STUDENT RESEARCH PROGR AM T H U R S D A Y , A U G U S T 9 , 2 0 1 8 5 : 3 0 – 8 : 3 0 P. M . | PRINCE WAIKIKI PRESENTED BY H AWA IIPA C IF IC HEA LT H.O RG | HAWA I‘I PA C IF IC HEA LT H IS A NO T-F O R-PRO F IT HEA LT H C A RE S Y S T EM.
“The 8-week SSRP has been a one-of-a-kind opportunity to experience medicine first-hand.” “SSRP allowed me to experience the remarkable art of people caring for a community.” “These opportunities opened my eyes to the breadth of the medical profession and piqued my interest in a variety of specialties that I have never previously considered.” Ray Vara, President & CEO of Hawai‘i Pacific Health, welcomed the 2018 Research Scholars to the 8-week Summer Student Research Program (SSRP). “Each week has been a new adventure into practicing medicine.” “I have emerged from the SSRP with reshaped goals and stronger passion and appreciation for the medical field and life.” Dr. Kenneth Robbins, Executive Vice President & Chief Medical Officer, met Executive Vice President & Chief Quality Officer Dr. Melinda Ashton with the students and answered many questions on the future of health care. welcomed the Research Scholars at the SSRP Kick-Off on June 26. On the cover: Top left-The 2018 Research Scholars. Top right-Dr. Charles Kim organized a robotic surgery demonstration. Bottom left-Dr. Maria Ver at the Pali Momi Medical Center Simulation Lab. 2
Aloha Welcome to the 2018 Hawai‘i Pacific Health Summer Student Research Program (SSRP) Scientific Presentation, which features the research projects of our 13 research scholars and their principal investigators. During the last eight weeks, the research scholars have had the opportunity to not only conduct a clinical research project, but also receive an in-depth introduction to the real world of medicine. From “Careers in Medicine” talk-story sessions with physicians of various specialties and behind-the-scenes tours of medical facilities, to interactive lectures on the life cycle of research, surgery observation and physician shadowing, the research scholars have had the unique opportunity to witness the practice of medicine, up-close and personal, from physicians, nurses and allied health professionals throughout the Hawai‘i Pacific Health system who work together to create a healthier Hawai‘i. Since its inception in 1986, SSRP has sought to assist pre-med students in affirming that a career in medicine is the right path. Each year we learn of more SSRP alumni who have found their home in medicine. Many alumni have become doctors in our community and beyond. Tonight, these 13 research scholars have embarked on their own journeys in the medical community. This year’s projects represent a variety of medical specialties, including palliative care, quality and patient safety, oncology, pediatric emergency medicine, pediatric intensive care, psychology, nephrology, health care administration, rheumatology, internal medicine, pulmonology, cardiology and the Ornish Lifestyle Medicine Program. We’d like to acknowledge and thank the 20 investigators who volunteered their time this summer: Melinda Ashton, MD; Michelle Cantillo, RN; Owen Chan, MD; Andrew Feng, MD; Edward Fong, MD; Heidi Hillesland, MD; Charles Kim, MD; Sian Lik Yim, MD; Gerard Livaudais, MD; James Musgrave, MD; Jessica Nishikawa, DNP, NP-C; Shilpa Patel, MD; Prashant Purohit, MD; Marti Taba, MD; Len Tanaka, MD; William Tsushima, PhD; Jeffrey Wong, MD; Brian Wu, MD; Loren Yamamoto, MD; and Albert Yazawa, MD. We would also like to acknowledge Andrea Siu, MPH, SSRP research consultant from the Hawai‘i Pacific Health Research Institute, and the JABSOM Biostat Core for their support and assistance with all of the projects. A special thanks to D. Suehiro Electric, our 2018 SSRP Program Underwriter, and the Thomas and Sumie McCabe Foundation for their generous grant. It is because of the support and contributions from individual donors that we are able to offer this program each year. Congratulations to the 2018 SSRP research scholars. It was a pleasure introducing you to a career in medicine. Please keep in touch as you continue your journey. Sincerely, S. Kalani Brady, MD, MPH, MACP Curtis B. Kamida, MD, FACR Co-Director | Summer Student Research Program Co-Director | Summer Student Research Program SUMMER STUDENT RESEARCH PROGRAM | 3
Program WELCOME AND INTRODUCTIONS LAUREN MOONEY SOPHOMORE, UNIVERSITY OF SOUTHERN CALIFORNIA Raymond P. Vara, Jr. PROJECT: Incorporating Immature Granulocytes into Clinician Workflow President & CEO, Hawai‘i Pacific Health PRINCIPAL INVESTIGATORS: Shilpa Patel, MD; Melinda Ashton, MD Kenneth Robbins, MD and Amy Onaka Executive Vice President & Chief Medical Officer, Hawai‘i Pacific Health JAIMEE KATO Melinda Ashton, MD SOPHOMORE, UNIVERSITY OF HAWAI‘I AT MĀNOA Executive Vice President & Chief Quality Officer, PROJECT: The 80/20 Rule: A Study of Super High Utilizers of Health Care Hawai‘i Pacific Health Resources S. Kalani Brady, MD, MPH, MACP PRINCIPAL INVESTIGATOR: Gerard Livaudais, MD, MPH, FACP Moderator and Co-Director, SSRP Curtis B. Kamida, MD, FACR MARCUS YAMAMOTO Co-Director, SSRP SOPHOMORE, CREIGHTON UNIVERSITY PRESENTATIONS BY RESEARCH SCHOLARS PROJECT: Invalid Pre-season Cognitive Testing: Does Sandbagging Occur with High School Athletes? ZACHARY PANG PRINCIPAL INVESTIGATOR: William Tsushima, PhD JUNIOR, LOYOLA UNIVERSITY CHICAGO PROJECT: Factors Contributing to Clearance of Hepatitis B Virus in the LINDSEY HODEL Setting of Chronic Hepatitis B Infection JUNIOR, DARTMOUTH COLLEGE PRINCIPAL INVESTIGATOR: Heidi Hillesland, MD PROJECT: Correlation of Multiparametric MRI of the Prostate and Prostatectomy Specimens in Men with Prostate Cancer KELLY WATANABE PRINCIPAL INVESTIGATORS: Charles Kim, MD and Owen Chan, MD SOPHOMORE, CLAREMONT MCKENNA COLLEGE PROJECT: Factors Influencing Change in Disposition After STR RYAN OGASAWARA PRINCIPAL INVESTIGATORS: Albert Yazawa, MD and SOPHOMORE, YALE UNIVERSITY Jessica Nishikawa, DNP, NP-C PROJECT: The Nature of Infections Preceding the Onset of Acute Poststreptococcal Glomerulonephritis DAYNE RAMOS PRINCIPAL INVESTIGATOR: James Musgrave, MD; Susan Ingraham, MD JUNIOR, CREIGHTON UNIVERSITY and Rhiana Lau, MD PROJECT: What Decisions do Patients and Families Commit to When Faced with Life and Death? PRINCIPAL INVESTIGATORS: Jeffrey Wong, MD and Michelle Cantillo, RN 4
JORDAN FERNANDEZ A SPECIAL PRESENTATION BY THE SENIOR, WASHINGTON STATE UNIVERSITY 2018 RESEARCH SCHOLARS PROJECT: Continuous Bumetanide Infusion in Pediatric Intensive Care Unit PRINCIPAL INVESTIGATORS: Prashant Purohit, MD; Andrew Feng, MD PRESENTATION OF AWARDS AND CERTIFICATES and Len Tanaka, MD S. Kalani Brady, MD, MPH, MACP VICTORIA MAK Curtis B. Kamida, MD, FACR JUNIOR, ST. LOUIS UNIVERSITY PROJECT: Outpatient and Emergency Department Utilization Trends of Gout as Compared to Rheumatoid Arthritis PRINCIPAL INVESTIGATOR: Sian Yik Lim, MD LAUREN AU JUNIOR, SCRIPPS COLLEGE PROJECT: The Cost of Incorrect Penicillin Allergy PRINCIPAL INVESTIGATOR: Loren Yamamoto, MD, MPH, MBA EVAN LUM SENIOR, UNIVERSITY OF SOUTHERN CALIFORNIA PROJECT: The Ornish Impact on Hypertension, Hyperlipidemia and Diabetes PRINCIPAL INVESTIGATOR: Marti Taba, MD LAUREN MURAOKA JUNIOR, UNIVERSITY OF HAWAI‘I AT MĀNOA PROJECT: Effect of a Standardized Inpatient Asthma Protocol on Healthcare Utilization The 2018 SSRP Research Scholars PRINCIPAL INVESTIGATORS: Edward Fong, MD and Brian Wu, MD Photo and Video Notice Please note that you may be videotaped or photographed as part of your participation at this event. These video and still images may be used for the benefit of Hawai‘i Pacific Health. SUMMER STUDENT RESEARCH PROGRAM | 5
The 2018 Research Scholars Tour of Kapi‘olani Medical Center for Women & Children Robot Demonstration with Dr. Charles Kim and Noelani Kohner, RN Tour of Pali Momi Medical Center Wilcox Medical Center and Kaua‘i Medical Clinic Tour SSRP Kick-Off Reception Hawai‘i Pacific Health Simulation Lab Tour 6
Lauren “9:37!” The words cut through the air as the preemie burst out of its red pouch. I was awestruck as the doctors and nurses raced the clock to keep the preemie warm while also calling out the seconds leading up to the optimal time for clamping and cutting the umbilical cord. Lauren Au I had yearned to observe a birth sometime within the eight weeks of the Summer Student Research Program, but JUNIO R, S C RIPPS CO L L EGE had never expected this wish to be fulfilled within the first ten minutes of shadowing. This past summer, I’ve had the privilege of being given access to explore my passions while also being introduced to aspects and fields of medicine I was not previously aware of. This program has provided many precious opportunities to learn more about the constantly transforming field of medicine through talks with health care administrators and a wide array of physician role models. I’ve come out of the program with even more reasons to pursue a future in medicine. Each physician has spoken of the long and winding road in medicine, but has also expressed why this journey to such a career is so essential and worthwhile to us as human beings. To Dr. Yamamoto, thank you for showing me what it really means to be genuinely passionate about striving to solve issues one encounters. Hearing your stories about how new ideas to investigate come to mind always remind me of why research is so necessary for growth in medicine. I deeply appreciate your time, knowledge and advice. Thank you Dr. Kamida, Dr. Brady, Andrea, Jun, the SSRP staff and fellow scholars for making each incredible opportunity possible and enjoyable. I am so grateful to have had the chance to be in this program. 7 SUMMER Lauren with Principal STUDENT Investigator RESEARCH Dr. Loren Yamamoto. PROGRAM | 7
Jordan “...keep an open mind because each path is unique and unpredictable. Before I entered this program, I was at a crossroad of whether I wanted to pursue a career as a physician. I was not confident in myself and it was difficult to picture a future of wearing the white coat, caring for patients, and entering the life-long journey of a practicing physician. However, being able to be a part of the Hawai‘i Pacific Health Summer Student Research Program has reinforced my aspirations to pursue medicine. Jordan Fernandez SENI O R, WA S HINGTO N STATE This program went above my expectations and exposed me to so many aspects in medicine through doing U NIV ERS ITY research, shadowing surgeries, and connecting with various doctors of different specialties. The doctors and medical staff have shown me that medicine is not just about the clinical conditions that a patient has, but about the complete picture; it is more about the person. Being able to provide compassionate care to patients in a way where you can eliminate their fears and stigmas about being ill and empathize with them, is what being a doctor is all about. This program helped me have that confidence in myself, and now I see that the only thing preventing me from moving forward were the demons of my own doubt. I am leaving this program with a newfound perspective and a deeper connection to health care. I would like to thank Dr. Kamida and Dr. Brady for giving me the opportunity to work with them throughout this program. I would like to thank Andrea and all the biostatisticians for being patient with me. Most of all, I would like to thank Dr. Prashant Purohit, Dr. Len Tanaka and Dr. Andrew Feng for helping me conduct research, being astonishing mentors, and for making a huge impact in my journey into medicine. 8 Jordan with Principal Investigators Dr. Len Tanaka, Dr. Prashant Purohit and Dr. Andrew Feng.
Lindsey “...to appreciate medicine as a multidisciplinary effort that extends beyond the examination room.” Before this program I had no idea what a career in medicine would look like or if I would pursue one. The only window I had into the medical field was TV shows and when I tore my ACL last year. However, eight short weeks later I not only have a better understanding of the different medical fields but I know the population I may one day Lindsey Hodel serve, and I can envision my place in medicine. JUNIO R, D A R TM O U TH C OL L EGE I am so grateful for the experiences SSRP has given me. From visiting Kalaupapa for a weekend, to using the DaVinci Surgical Robot, to shadowing surgeries, and talking with physicians from a variety of specialties, each week has been a new adventure into practicing medicine in Hawai‘i. This program has helped me to identify specialties, some that I didn’t even know existed, that I would like to pursue. Thank you to the SSRP staff, Dr. Kamida and Dr. Brady for all your hard work and guiding us smoothly through this program. To Dr. Kim, Dr. Chan, Andrea and Jun thank you for making this research experience as rich as possible. I appreciate all the shadowing opportunities and hands on work experience. I never thought I would enjoy conducting research as much as I did. Lastly to the 12 other scholars, thank you for keeping life for the past eight weeks interesting. You all have made going to work everyday fun and full of laughs. I am excited to see where we all end up! 9 SUMMER Lindsey with Principal Investigator Dr. Charles Kim. STUDENT RESEARCH PROGRAM | 9
Jaimee Before participating in the SSRP program my view of medicine was limited to the idea of a doctor in a hospital helping patients. However, through this program, I have gained experiences this summer that have broadened my view of the medical field and taught me that medicine extends beyond the hospital and out into the community. Jaimee Kato Reaching out to the seniors at Lanakila Multi-Purpose Senior Center allowed me to learn about the needs of the S OPHOMO RE, U NIV ERS ITY OF HAWAI ‘I – puna. In addition to doing a community outreach, elderly population in Hawai‘i while also giving back to the ku AT M Ā NO A having the opportunity to shadow doctors and listen to their experiences and views on the transformation of health care has made me more aware of the challenges ahead but also made me excited to learn more about medicine and how I can use my knowledge to help create a healthier Hawai‘i. As I move forward along my pathway towards a career in medicine, the invaluable experiences I gained through touring the Hawai‘i Pacific Health facilities, talking to doctors, and getting exposed to the different aspects of medicine will continue to motivate me to become a physician able to serve Hawai‘i. Most importantly, I would like to thank everyone who helped make this summer unforgettable. To my mentor, Dr. Gerard Livaudais, thank you for the continuous guidance, patience and encouragement. You have inspired me to persevere through life’s obstacles and taught me that behind each hardship is a lesson to be learned. I would also like to thank Dr. Brady, Dr. Kamida and the Hawai’i Pacific Health staff for giving me a one-of-a-kind opportunity to experience the medical field first-hand through this program. Finally, to my fellow SSRP peers: thank you for the irreplaceable memories and lifelong friendships. 10 Jaimee with Principal Investigator Dr. Gerard Livaudais.
Evan After graduating from college, I was uncertain about my path or role in medicine. My knowledge of medicine was only limited to physicians, nurses, pharmacists, medical assistants and other health professionals. I had not explored many of the other health-related jobs or how their work influenced the medical profession. The Summer Student Research Program (SSRP) gave me the opportunity to widen my view and learn about the different roles Evan Lum various health care workers and supporting staff play in improving patients’ health. SENIOR, U NIV ERS ITY O F SOUTHERN C A LIF O RNIA From the Careers in Medicine talks and panels, I had discussions with administrative executives, physicians and other health professionals about their roles in health care maintenance and the evolution of health care delivery. During tours to Hawai‘i Pacific Health’s four hospitals, I learned how much care is put into the layout and architecture of each hospital to make patients feel happier and more at home. I visited the hospitals’ simulation labs and observed a robotic surgery demonstration where I saw how new technologies can provide more practice for health professionals and reduce errors in treatment. During my time in SSRP, I learned that patient care and quality is not only managed by health care workers, but also the talents of architects, engineers, and many other supporting staff and volunteers. From understanding each worker’s roles and contributions in health care management, I have a better understanding of my role in managing and improving Hawai‘i’s health. I would like to thank Dr. Taba for mentoring me in my research and one-week Ornish Program experience, Dr. Brady and Dr. Kamida for leading our group to successful trips to Lanakila Multi-Purpose Senior Center, Kalaupapa, and our research talks, and Andrea and Jun for their help in making my research project possible. Thank you also to all the Hawai‘i Pacific Health staff for giving me a reason to smile every day in the program. 11 Evan with Principal Investigator Dr. Marti Taba. SUMMER STUDENT RESEARCH PROGRAM | 11
Victoria My dedication to medicine began when I was 13 years old; my grandmother was admitted to the emergency room. Observing the skill, care and compassion at work made me realize that, rather than standing by, I could use my abilities to alleviate suffering. I left the hospital with the firm knowledge that I want to provide the same comfort to another family. Victoria Mak JUNIOR, S T. LO U IS U NIVERSI TY Since that moment, I have strived to widen my breath of exposure to medicine through shadowing, volunteering, seminars and research. However, the exposure from these extracurriculars does not compare to the abundance I experienced during SSRP. SSRP has allowed me to understand all aspects of medicine. Conversations with physicians and administrators highlighted the collaboration to create a healthier Hawai‘i. Tours of facilities highlighted the importance of architecture in the healing of patients. Simulation labs highlighted the importance of interprofessional health care with effective communication and active listening. The sacred lands of Kalaupapa highlighted the importance of reflecting on the past for the betterment of the future. Most importantly, I have gained a deeper appreciation of the dedication and the care displayed by physicians, which confirms my impression that medicine is not just about the acquisition of certificates: it is about being driven by a deep respect for each other and the patients under our care. I hope to become a physician and practice in Hawai‘i to give back to the community who supported and nurtured me. I am grateful for Dr. Lim for mentoring me through this experience. Andrea and Jun, thank you for your support during the research process. Special thanks to Dr. Brady, Dr. Kamida, and the Hawai’i Pacific Health staff, physicians, and administrators for investing in our futures and for their valuable time and guidance. Fellow SSRP scholars, let’s strive together for the future of Hawai‘i. 12 Victoria with Principal Investigator Dr. Sian Yik Lim.
Lauren The Summer Student Research Program has reminded me why I initially wanted to be a physician, while giving me infinitely more reasons to continue pursuing my dream. SSRP is centered around genuine people who dedicate their lives to creating a healthier Hawai’i. This passion is Lauren Mooney palpable throughout the entire Hawai‘i Pacific Health system. I am beyond honored to have been allowed an inside S OPHO M O RE, U NIV ERSI TY OF look at the incredible work being done here. S O U THERN CA LIF O R NI A This summer has reconnected me with my original desire to serve the community and eliminated any doubts I had about my future in medicine. It is so rare to find physicians, like those at Hawai‘i Pacific Health, who are willing to discuss the triumphs and pitfalls of their personal journey to medicine. The “Careers in Medicine” talks have been invaluable to me and my development as a future physician. I am greatly appreciative to all those who took time out of their days to speak with us, give us tours, or allow us to shadow them in their practices. I also feel fortunate to have had the opportunity to visit Kalaupapa and experience first-hand how culture and history impact medicine. These unique opportunities are what make SSRP so eye-opening. I would especially like to thank Dr. Patel, Dr. Ashton and Ms. Amy Onaka for guiding me through this process and being incredible female role models whose commitment to improving the quality of health care in Hawai‘i is inspiring. I would also like to thank Andrea for sharing her knowledge and facilitating my research project. Lastly, I’d like to express my appreciation for Dr. Kamida, Dr. Brady and the rest of the Hawai‘i Pacific Health staff for creating such a memorable and impactful summer. 13with Principal Investigator Dr. Shilpa Patel. Lauren SUMMER STUDENT RESEARCH PROGRAM | 13
Lauren Having been through this whirlwind of a program, I can say without a doubt that medicine is the field that will continually challenge, grow and teach me. We were exposed to medicine from a myriad of perspectives— from administrative roles, surgery, and primary care, to quality improvement and physician wellness, this program allowed me a glimpse at how all the different nuances in this field work together to create better Lauren Muraoka care for our community. JUNIOR, U NIV ERS ITY O F HAWAI ‘I AT M Ā NO A In one of our weekly meetings, Dr. Kamida told us the purpose of the SSRP is to give us experience—to expose us to the awesome, real and sometimes tough parts of medicine to determine if and how we fit into that. I believe this program went above and beyond its purpose, and provided unique experiences that challenged me to ask not only what kind of physician I want to become, but also what kind of person I should strive to be. I had many ideas of what the SSRP would be like, but my actual experience has surpassed them all. From observing surgeries, learning the basics of research with our mentors and getting to talk with Hawai‘i’s physicians—to going to Kalaupapa, spending time with my classmates after work and building life-long friendships, the SSRP provided us with an immeasurable wealth of experiences that I will always appreciate. I would like to thank Dr. Kamida and Dr. Brady for allowing me to be a part of this amazing summer. Thank you Dr. Fong and Dr. Wu for your mentorship—your commitment to helping me get the most out of this project has made this such a fun and insightful experience. To Andrea, Ellaine and Jun, thank you for your patience and guidance throughout the research process. To the staff, thank you for welcoming us so warmly. Finally, to my classmates, I would not have wanted to go through this program with anyone else, and I look forward to seeing the great things each of you will do! 14with Principal Investigators Dr. Brian Wu and Dr. Edward Fong. Lauren
Ryan “Why do you want to go into medicine?” The most basic medical school interview question and yet one of the hardest questions for me to answer primarily because there has never been that momentous, paradigm shifting event that set me on a path towards a career in medicine. Rather, my love for medicine has evolved and grown over time through a series of small moments making it hard to pinpoint the exact moment of my realization because I Ryan Ogasawara always seem to be in the process of further refining my appreciation of medicine. My time in the SSRP has provided S OPHO M O RE, YA LE U NI VERSI TY me with an opportunity to rediscover, strengthen and reflect on my appreciation of medicine. Through this program, I was given the unique opportunity to speak with physicians from a myriad of specialties, observe surgeries, shadow physicians and so much more. These opportunities opened my eyes to the breadth of the medical profession and piqued my interest in a variety of specialties that I had never previously considered. One of the salient points that was repeatedly underscored by many of the physicians we spoke with, and which resonated deeply with me, was the idea of not only curing a patient but also caring for them. The importance of the human connection in addition to the clinical aspect of medicine is a lesson that I will carry with me going forward in my journey through medicine. I feel incredibly privileged to have had the opportunity to participate in this program. I would like to thank my principal investigator, Dr. Musgrave, for taking time out of your busy schedule to mentor and guide me toward a career in medicine. To Dr. Brady, Dr. Kamida, Andrea, Jun and the Hawai‘i Pacific Health staff, thank you for making this experience so amazing. Finally, to my fellow research scholars, thank you for all of the wonderful moments that made this experience truly unforgettable. 15 Principal Investigator Dr. James Musgrave. Ryan with SUMMER STUDENT RESEARCH PROGRAM | 15
Zachary “Are you squeamish?” a nurse asked me the morning of my first surgery shadowing experience. Not sure how to answer this question, I was quickly relieved to find that I very much enjoyed the excitement, precision and concentration that an operating room demands and I couldn’t wait for my next shadowing opportunity! Zachary Pang The Summer Student Research Program (SSRP) has been a journey that has broadened my perspectives. JUNIOR, L O YO LA U NIV ERS IT Y CHI C AGO From spending a weekend in the sacred lands of Kalaupapa, to talking with professionals in the medical field, to shadowing various physicians, the SSRP has increased my understanding of the medical profession and the health care field. The opportunity to learn from and watch various health care professionals interact with patients in Hawai‘i has confirmed my desire to pursue a career in medicine. I aspire to become a physician who is as compassionate, humble and proficient as the health care professionals I have met this summer. The SSRP has also reaffirmed my desire to return home and practice medicine in Hawai‘i. Thank you to everyone who made this experience possible. Special thanks to Dr. Kamida, Dr. Brady, Dr. Hillesland, Andrea Siu, Jun Ahn, my other fellow research scholars and the physicians I was able to shadow this summer. I am so grateful for this experience and have emerged from the SSRP with reshaped goals and a stronger passion and appreciation for the medical field and life. 16 Zachary with Principal Investigator Dr. Heidi Hillesland.
Dayne As I began to realize that my college career was quickly coming to a close, I knew something was keeping me from feeling more like a complete undergraduate pre-med student. Going into the SSRP, I had no idea how much this program would mold me, both as a student and as a person. Now, I am glad to say that this program not only put Dayne Ramos any fears of uncertainty to rest, but it also shattered all expectations of how profound of an impact it would have JUNIOR, CREIGHTO N U N I VERSI TY on me. My understanding of the extremely expansive and dynamic world of medicine has developed so much over the past eight weeks, and my incentive to pursue a career as a physician has also grown along with it. Having the privilege to observe medical procedures in real time next to the physician and conducting our own research are opportunities I never imagined myself doing at this early stage in my career. One of the more inspiring realizations I’ve had during this program is that medicine and medical research is much more than just laborious chart review and organizing data; the human element and a patient-oriented approach to creating a healthier community should always be found at the head of every medical enterprise we decide to take on. I would like to give a big thanks to Dr. Wong as well as Michelle for guiding me along quite an unfamiliar path in the world of medical research. I would also like to thank Dr. Kamida and Dr. Brady for providing me with this great opportunity in the first place. Finally, to the most wonderful and ever-so charming 12 fellow students, thank you for making this one of the most unforgettable summers I have ever had. 17 SUMMER Dayne with Principal Investigators Dr. Jeffrey Wong STUDENT and Michelle Cantillo. RESEARCH PROGRAM | 17
Kelly Every passion needs a purpose; I always had an inherent admiration for medicine, but I did not know why. Week by week SSRP helped me to envision what type of doctor I wanted to be and the type of person I want to become. SSRP is so much more than clinical research and health care exposure; this program helped me to Kelly Watanabe appreciate medicine as a humanistic service to Hawai‘i’s community. Our humbling visit to Kalaupapa revealed S OPHOMO RE, CLA REM O NT MCKENNA the importance of cultural sensitivity and research ethics in medicine. The beauty and privilege of medicine CO LLEGE is remembering that patients are people, that patients are someone’s loved one. As I continue my journey into medicine, I remind myself why I chose this profession: to bring comfort and joy to patients when they need it most. Through “Careers in Medicine” talks and hospital tours, I could create a holistic view of an integrative health care system. It takes a team to ensure the best care for patients. The health care professionals I met had a – puna contagious passion for their medical service. I shared a glimpse of that passion through educating the ku at Lanakila Multi-Purpose Senior Center. There is so much joy in creating impactful connections across – puna in Geriatrics. generations, and I hope to one day care for the most vulnerable, complex and lovable ku I would like to thank Dr. Kamida, Dr. Brady, Andrea and Jun for their inspiration and guidance through SSRP. Dr. Yazawa and Dr. Nishikawa, I am truly blessed to have learned from your mentorship. Thank you SSRP staff and fellow scholars for your encouragement and friendship! 18 Kelly with Principal Investigators Dr. Jessica Nishikawa and Dr. Albert Yazawa.
Marcus People say that all good things must come to an end; the SSRP is an ideal exemplification of this saying. A summer filled with countless opportunities into the world of medicine has provided more exposure than I could have received anywhere else. This experience has shown me how impactful and rewarding a career in health care can Marcus Yamamoto be. More than ever, I feel the urge to pursue medicine, care for patients and give back to the community I call home. S OPHOMO RE, C REIGHTO N UNI VERSI TY In hindsight, it is hard to believe everything that was accomplished during eight short weeks. From observing surgical procedures and working on clinical research to touring the facilities and the sacred land of Kalaupapa, it has been a privilege to be a part of the SSRP. This program has taught me so much, but more importantly I have learned that there is so much in the health care field that I have yet to experience. Prior to this program, I had a limited view on what a life in medicine entailed. Since then, I have seen the breadth of careers and realized that the ability to impact someone’s life outweighs any sacrifices I may make. Spending the summer with Hawai‘i Pacific Health and learning about their values, I find myself driven to continue down this path to become a contributor to a “healthier Hawai‘i.” I would like to express my gratitude toward Dr. Tsushima for taking the time to guide me through this process. I would also like to thank Dr. Brady, Dr. Kamida and the wonderful Hawai‘i Pacific Health staff for making this opportunity possible to begin with. Finally, a warm mahalo to the other twelve scholars for the laughs, unforgettable memories and friendships that will last a lifetime. I am humbled to have been part of such an extraordinary program. SUMMER Marcus with Principal Investigator Dr. William Tsushima. STUDENT RESEARCH PROGRAM | 19
Inspiring Mentors - A Passion for Medicine Melinda Ashton, MD Michelle Cantillo, RN Owen Chan, MD Andrew Feng, MD Edward Fong, MD Executive Vice President & Advance Care Planning Pathology Pediatric Intensivist Pediatric Pulmonology Chief Quality Officer Hawai‘i Pacific Health Pali Momi Medical Center Kapi‘olani Medical Center Kapi‘olani Medical Center for Women & Children for Women & Children Hawai‘i Pacific Health Heidi Hillesland, MD Charles Kim, MD Gerard Livaudais, MD, Sian Yik Lim, MD James Musgrave, MD Internal Medicine Urology MPH, FACP Rheumatology Pediatric Nephrology Wilcox Medical Center Pali Momi Medical Center Vice President Straub Medical Center Kapi‘olani Medical Center for Hawai‘i Health Partners Women & Children 20
Jessica Nishikawa, DNP, Shilpa Patel, MD Prashant Purohit, MD Marti Taba, MD Len Tanaka, MD NP-C Pediatric Hospitalist Pediatric Intensivist Family Medicine Pediatric Intensivist Geriatric Medicine Kapi‘olani Medical Center Kapi‘olani Medical Center for Straub Medical Center Kapi‘olani Medical Center Straub Medical Center for Women & Children Women & Children for Women & Children William Tsushima, PhD Jeffrey Wong, MD Brian Wu, MD Loren Yamamoto, MD, Albert Yazawa, MD Clinical Psychology Palliative Care Pediatric Pulmonology MPH, MBA Geriatric Medicine Straub Medical Center Kapi‘olani Medical Center Kapi‘olani Medical Center Pediatric Emergency Medicine Straub Medical Center for Women & Children for Women & Children Kapi‘olani Medical Center for Women & Children SUMMER STUDENT RESEARCH PROGRAM | 21
Amazing Experiences “Medicine is deeper than diagnoses and treatments, it's a relationship.” 22
Our Advisors Curtis B. Kamida, MD, FACR, Co-Director of the SSRP S. Kalani Brady, MD, MPH, MACP, Co-Director of the SSRP “Thank you for the privilege to participate in a remarkable learning experience.” “You provided continuous guidance, patience and encouragement. You have inspired me to persevere through life's obstacles and taught me that behind each hardship is a lesson to be learned.” SUMMER STUDENT RESEARCH PROGRAM | 23
Life Cycle of Research The Research Scholars attended informational sessions on research, from idea generation to protocol development, statistical analysis and research presentation. Hawai‘i Pacific Health Research Institute David Horio, MD Literature Search Health Science Library John A. Burns School of Medicine University of Hawai‘i at Mānoa Melissa Kahili-Heede Dr. Owen Chan takes the students on a tour of the Pali Momi Medical Center Lab. Research Study Design, Protocol Development, Biostatistics, How to Write an Abstract/Paper Andrea Siu, MPH, Hawai‘i Pacific Health Research Institute How to Present Your Research S. Kalani Brady, MD, MPH, MACP Biostatistics and Data Management Core John A. Burns School of Medicine – noa University of Hawai‘i at Ma Hyeong Jun Ahn, PhD So Yung Choi, MS Ryan and Dr. Musgrave review their data. 24
"Thank you for investing in our future and for your valuable time and guidance." Visit to the JABSOM Health Sciences Library SSRP Research Consultant Andrea Siu, MPH meets with Lindsey. Evan and Ryan work on their projects. SUMMER STUDENT RESEARCH PROGRAM | 25
Careers in Medicine Through the “Careers in Medicine” talk-story sessions, the Research Scholars had the opportunity to speak directly with physicians and health care administrators about the daily practice of medicine. Anesthesiology Health Care Administration- Matthew Haight, DO Hawai‘i Pacific Health Bariatric Surgery/General Surgery Raymond P. Vara, Jr. President & CEO Maria Ver, MD Cardiology Kenneth Robbins, MD Executive Vice President & Jared Oyama, MD Chief Medical Officer Cardiology-Electrophysiology Hingson Chun, MD Melinda Ashton, MD Dr. Keith Matsumoto, Pediatrics Executive Vice President & Cardiothoracic Surgery Chief Quality Officer Mark Grattan, MD Diagnostic Radiology Lee Goerner, MD Emergency Medicine Thomas Hemingway, MD Jennifer Ping, MD Family Medicine Dr. Mark Grattan, Cardiothoracic Surgery Dale Glenn, MD Marti Taba, MD General Practice Richard Goodale, MD General Surgery Gregorio Maldini, MD Dr. Russell Woo, Pediatric Surgery Dr. Justin Young, Sports Medicine 26
"I aspire to become a physician who is as compassionate, humble and proficient as the health care professionals I have met this summer." Health Care Administration – Pediatric Anesthesiology Hawai‘i Health Partners Jason Brown, MD Gerard Livaudais, MD, MPH, FACP Pediatric Hospitalist Vice President Barry Mizuo, MD Hospitalist-Internal Medicine Pediatric Intensive Care Brian Kim, MD Len Tanaka, MD Kimberly Naahielua, MD Pediatric Nephrology Infectious Disease James Musgrave, MD Francis Pien, MD Pediatric Palliative Care Internal Medicine Michelle Cantillo, RN Dr. Jennifer Ping, Emergency Medicine Anne Dempsey, MD Dawn Minaai, MD Heidi Hillesland, MD Jeffrey Wong, MD Michael Mihara, MD Pediatric Surgery Neonatology Russell Woo, MD Venkataraman Balaraman, MBBS Sports Medicine Lynn Iwamoto, MD Justin Young, MD Kara Wong-Ramsey, MD Urology Obstetrics and Gynecology Franklin Lee, MD Bliss Kaneshiro, MD Dr. Gregorio Maldini, General Surgery Ophthalmology Scott Kortvelesy, MD Orthopedic Surgery Spencer Chang, MD Cass Nakasone, MD Pediatrics Grace Galiza, DO Keith Matsumoto, MD Carl Yu, MD Dr. Franklin Lee, Urology Dr. Cass Nakasone, Orthopedic Surgery SUMMER STUDENT RESEARCH PROGRAM | 27
Behind the Scenes WE WANT TO THANK THE FOLLOWING WHO Straub Medical Center ORGANIZED TOURS AND ORIENTATIONS: Art Gladstone Hawai‘i Pacific Health - Epic Training Straub Medical Center Operating Room Orientation Toni Asis Lindlee Butcher Hawai‘i Pacific Health Simulation Lab University Health Alliance Bridget Lai, BSN, RNC George McPheeters, MD Beth Berry, RN University of Hawai‘i Cancer Center Regan Ramos, BSN, CNOR Sharon Shigemasa HMSA (Hawai‘i Medical Service Association) Wilcox Medical Center and Kaua‘i Medical Clinic Mark Mugiishi, MD Jen Chahanovich InVision Imaging Geri Young, MD Eric Hannum Waikiki Health Center John A. Burns School of Medicine, University of Hawai‘i Elliot Kalauawa, MD Ivy Nip Asano, MD Kapi‘olani Medical Center for Women & Children Kenneth Nakamura, MD Pali Momi Medical Center Art Gladstone Gidget Ruscetta Cheryl Kozai, RN Kathleen Souza Robot Demonstration, Pali Momi Medical Center Charles Kim, MD Tour of Pali Momi Medical Center with Brandon Letoto 28
Dr. Geri Young conducted the tour of Wilcox Medical Center and Kaua‘i Medical Clinic. Dr. Kenneth Nakamura arranged the tour of Kapi‘olani Medical Center for Women & Children. CEO Art Gladstone organized the tour of Straub Medical Center. Tour of InVision Imaging with Eric Hannum. SUMMER STUDENT RESEARCH PROGRAM | 29
Healthy Living- A Community Service On July 9, 2018, the 13 Research Scholars presented a community education event on health and wellness topics to over 180 seniors at the Lanakila Multi-Purpose Senior Center. The M. Lou Hefley, MD Endowment Fund, established at the Straub Foundation supported the event. Also presenting were Erica Hawkins, MS, RD, Registered Dietitian at Straub Medical Center’s Ornish Lifestyle Medicine Program and Chieko Kimata, PhD, MPH, MBA, Certified Zumba Instructor and Lead Biostatistician with Hawai‘i Pacific Health’s Patient Safety and Quality Services Department. Erica Hawkins, MS, RD, Ornish Lifestyle Medicine Program The 13 Research Scholars prepared posters for their health and wellness presentations. Marcus and Kelly register walk-in participants. 30
Research Scholars Lauren Muraoka and Lauren Au The Research Scholars enjoyed a tour of HMSA organized by Dr. Mark Mugiishi, Executive Vice President & Chief Health Officer. Jordan discusses his research project on Hawai‘i Public Radio’s Chieko Kimata, PhD, MPH, MBA engage the participants and Research Scholars with "Zumba Gold for Seniors." “The Body Show,” hosted by Dr. Kathleen Kozak. SUMMER STUDENT RESEARCH PROGRAM | 31
Support the Future of Medicine Attracting some of Hawai‘i’s most talented college students interested in a career in medicine, Hawai‘i Pacific Health’s Summer Student Research Program (SSRP) is a highly competitive program, now in its 32nd year. “From its inception in 1986, the SSRP has been the legacy of a great partnership between our organization and the community” says Ray Vara, President & CEO of Hawai‘i Pacific Health. “It’s not every day that students are offered a backstage pass into the world of medicine.” The SSRP is a unique program partnering the experience of conducting a clinical research study with a structured medical curriculum, which includes sessions on the “life cycle of research,” “careers in medicine” talk-story sessions with physicians of various specialties, visits to medical facilities, physician shadowing and Sean Chan, 2016 SSRP Alum and first year medical student at JABSOM, welcomes the Research Scholars at the Kick-Off Reception. surgery observation. The SSRP is an investment in the future health care workforce for Hawai‘i and therefore an investment in the community,” says Dr. Kenneth Robbins, Executive Vice President and Chief Medical Officer of Hawai‘i Pacific Health. “There is a shortage of roughly 600 physicians in Hawai‘i – the SSRP is one way that we’re working to help solve this problem; we hope that the students who experience the program are inspired to pursue a career in medicine and that after their training, they will come back to practice in Hawai‘i.” A very special thanks to Mr. Daryl Suehiro and D. Suehiro Electric Inc., our 2018 SSRP program underwriter, and the generous grant from the Thomas and Sumie McCabe Foundation. Your contribution has and will continue to help change the lives of a group of motivated young people who are contemplating a career in medicine. Because of your support, the SSRP will continue to provide students with an invaluable hands-on introduction to a career in medicine. For more information about supporting the SSRP, call 808-535-7134. 32
Mr. Daryl Suehiro, D. Suehiro Electric, Inc. (2018 SSRP Program Underwriter), joined the Research Neonatologist and SSRP Alum Dr. Christopher Gibu and Lauren Au Scholars on the tour of the Hawai‘i Pacific Health Simulation Lab. One of the original SSRP founders, Dr. James Penoff, retired plastic surgeon from Straub Medical Center. Dr. Kenneth Nakamura, Chief Medical Officer, Kapi‘olani Medical Specialists speaks with SSRP Alumni at the Kick-Off. SUMMER STUDENT RESEARCH PROGRAM | 33
Reflecting on the Rich History of Kalaupapa “From the second you step foot in Kalaupapa, you can feel the faith and pride that is deeply rooted in its history.” “I will never forget meeting the people; their hearts filled with love, joy and forgiveness.” “Kalaupapa reminds us all that even in times of great hardship, there is also a side of discovering peace.” 34
Journey Into Medicine Creating a Healthier Hawai‘i "Thank you for the memories and lifelong friendships." SUMMER STUDENT RESEARCH PROGRAM | 35
Thanks to 2018 SSRP PROGRAM UNDERWRITER AND THE THOMAS AND SUMIE MCCABE FOUNDATION HAWAI‘I PACIFIC HEALTH SUMMER STUDENT RESEARCH PROGRAM ENDOWMENTS/FUNDS Berni Francis Schiller Endowment Chia-Ling Chang Endowment M. Lou Hefley, MD Endowment Nonaka Memorial Fund Pietsch Family Trust Endowment Snyder Fund William and Patricia Taylor Endowment CONFERENCE SERVICES 1100 WARD AVENUE, SUITE 1045 | HONOLULU, HI 96814 | PHONE: 808-522-3469 | FAX: 808-522-4455
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