NEW PHYSICIAN JOINS PRACTICE 6/21/2008 Maui Chest Medicine is proud to announce that Dr. Peter Muthard will be joining our practice in July 2008. Dr. Muthard worked as an Internist / Hospitalist at MMMC for a number of years prior to returning to Academics for Fellowship training in Pulmonary / Critical Care / Sleep Medicine. After successfully completing his training, Dr. Muthard now returns to Maui. His presence will allow Maui Chest Medicine to enhance the timeliness of service to our community. "Welcome home Dr. Muthard and Welcome to the practice." National Re-Accreditation as a Sleep Center 1/20/2008 Maui Chest Medicine was recently visited and reviewed by site visitors of the American Academy of Sleep Medicine (AASM). The Board of Directors of AASM has granted full accreditation to Maui Chest Medicine as a Sleep Center. Mentorship in Medicine IV 9/3/2007 --MAUI NEWS 9/5/2007-- The Mentorship in Medicine Program has just completed its fourth summer of operation on Maui. The program was founded in 2004 by Dr. Melvin Burton while serving as Chief of the Medical Staff at MMMC. It is a collaboration between the Maui County Medical Society and MMMC, in which high school students are paired with physician mentors for a 5 to 6 week period. The students spend complete days with the physicians in the hospital and in some cases the physician office. The students’ level of exposure was comparable to that of a first or second year medical student. This year there were 8 students in the program, representing Baldwin High School, King Kekaulike High School and Kamehameha High School. Each student gave a formal powerpoint presentation at a Celebration Dinner at Café O’ Lei on July 26, 2007. They also answered questions from an audience of their peers, their parents and physicians. Chantel DePaepe (entering Senior at King Kekaulike) spent her summer with Drs. Jay Lakkis and James Jones studying Nephrology. Her presentation was on Chronic Kidney Disease and Dialysis. Bree Aguinaldo (entering Senior at Baldwin) spent her summer with the Anesthesiology Department at MMMC. Her presentation was on Airway Management with emphasis on the “Difficult Airway.” Deanne Sameshima (departing Senior at Baldwin) spent her summer with the Dr. Ronald Boyd and colleagues in the Radiology Department at MMMC. Her presentation was on Cerebral Aneurysms with emphasis on “Endovascular Management.” Kelton Kealoha (entering Senior at Kamehameha) spent his summer with Dr. John Mills and colleagues in the Emergency Department at MMMC. His presentation was on Pulmonary Embolism. Kayla Ueshiro (entering Senior at Kamehameha) spent her summer with Dr. Mitchell Tasaki (Surgeon) studying General Surgery. Her presentation was on Colonoscopy with emphasis on screening for polyps and colon cancer. Tiffany Cabos (entering Senior at Kamehameha) spent her summer with Dr. Philip Milne (Cardiologist) and Dr. Frank Baum (Pediatrician). Her presentation was on the role of Echocardiography in understanding heart disease. Amy Gonsalves (entering senior at Kamehameha) spent her summer with Dr. Zora Bulatovic (a Hospitalist) studying Internal Medicine. Her presentation was on Stroke, with emphasis on prevention and early treatment. Caronne Rozet (entering senior at Kamehameha) spent her summer with Dr. Jeff Drood (Cardiologist and Electrophysiologist) studying cardiology. Her presentation was on the role of Pacemaker in heart diseases. At the conclusion of the program, each student received a Certificate of Completion and a $1000 educational award. As of this summer 25 students have completed this Mentorship in Medicine Program. A number of the students are currently attending universities around the country including, University of Hawaii, University of Portland, Creighton University, Stanford University, Pacific University of Oregon, University of California at Los Angeles, Eastern Washington University, Washington University and Pepperdine University. All are still considering careers in health-related sciences. This program is made possible by support from the Maui County Medical Society, the Medical Staff at MMMC, the Administration at MMMC and Maui Chest Medicine. Mentorship in Medicine III 8/20/2006 Students see doctors at work during summer By MELISSA TANJI, Staff Writer (MAUI NEWS 8/14/2006) WAILUKU – Observing autopsies, colonoscopies and reading echocardiograms was just a small part of what five Maui teenagers did over their summer vacation. The high school students from Kamehameha Schools Maui and Baldwin High School shadowed Maui doctors and worked long hours as participants in the third "Mentorship in Medicine" program held over five weeks this summer at Maui Memorial Medical Center. "This program was a wonderful experience and a great opportunity for people of our age to gain some insight into the medical field," said 16-year-old DeAnna Basques, who is starting her senior year at Kamehameha Schools Maui. Basques, who wants to be an anesthesiologist, met professionals in the field and learned about different procedures and protocols utilized by anesthesiologists. "Just working with the doctors in general, you get to see what they do every day, it motivated me even more to become a doctor," said May Salcedo, a 17-year-old Baldwin senior. Salcedo said she was interested in emergency medicine and pediatrics. She shadowed radiologists at Maui Memorial. Others in the program were Megan Tokeshi, now a Baldwin senior; and Sasha Cockett and Chanley Malia Purdy, both Kamehameha Maui seniors. Dr. Melvin Burton, a respiratory and sleep specialist, heads up the mentorship program along with the help of the Maui County Medical Society and the Maui Memorial medical staff. Over the three years the program has been running, Burton said a majority of the student participants are still thinking about health sciences as a career option as they attend college. Eight former participants now in college are studying biology or are in pre-med programs, while one is still a senior in high school taking advanced math and science courses to prepare for science and biology studies in college. Burton said the purpose of the program is to encourage students in the community to pursue a career in health care and to return to the island to practice. "The number of health care providers moving to Maui and becoming permanent residents does not appear to be increasing at the rate of the population," Burton said. "The current health care providers are aging. If this pattern continues, there will not be enough providers to care for the population." Burton, an assistant professor with Harvard Medical School before he relocated to Maui from Boston in 1999, had participated in a similar program for seven years at Massachusetts General Hospital, where he was a mentor to 10 students. All of the students this summer were committed to their learning experiences, with several logging 12-hour days with their doctor-mentors while also participating in a discussion with Burton every Friday. At the end of the program on July 27, the students gave formal presentations on their observations, including overviews of chronic kidney disease, and general practice principles in anesthesiology in a program with their mentors held at the Dunes at Maui Lani. Tokeshi, 16, was mentored by Dr. Camilo Rosales, a surgeon who introduced her to the specialty of vascular surgery. Tokeshi said she also observed colonoscopies and an amputation and was allowed to sit in on post-surgery examinations. She said it did not bother her to be standing next to Rosales as he examined a patient’s colon and in another procedure needed to amputate a limb. "I loved it," she said of observing the procedures and the successful outcomes. "They come in, and they feel so much better." Observing colon cancer in patients also had a personal effect on Tokeshi. "It’s so scary how fast (cancer) can grow," she said, adding that she is telling family members about the need to be screened for cancer. For Tokeshi, the most challenging part of the program was on Fridays when the students analyzed and discussed what they learned with Burton, who challenged them with questions about how a surgical procedure resolved a patient’s problem and whether a diagnosis made before surgery was accurate. Cockett, 16, followed Dr. Mark Schwab in cardiology, learning about heart conditions and how to read EKGs and echocardiograms. Cockett, who is still unsure of what type of medical field she would like to pursue, visited the Cardiology Department, emergency room, Intensive Care Unit and observed an operation. Purdy, 16, said she is looking into studying ophthalmology. But this summer, she studied nephrology (dealing with kidney diseases), with Dr. Jay Lakkis and Dr. James Jones. "I learned that doctors are very, very busy people and highly in demand. I also learned that Maui is in need to doctors, specifically nephrologists." Purdy studied the complications of kidney disease and the types of treatments available for patients with kidney disease, observing work at the St. Francis Outpatient Dialysis Unit, the acute dialysis unit at the hospital, the emergency and operating rooms as well as the Radiology Department and the morgue. "I think the most interesting thing that I learned was how many people are on dialysis and how common kidney disease is," she said. Salcedo was assigned to interventional radiology with Dr. Ronald Boyd and his colleagues, and Basques was assigned to anesthesiology with Dr. Lance Whitney and his colleagues. All of the students received a $1,000 educational award through their successful participation. The program is supported by the Maui County Medical Society, the Maui Memorial Medical Center staff and Maui Chest Medicine. n Melissa Tanji can be reached at mtanji@mauinews.com. Mentorship in Medicine II 8/5/2005 The mentorship in medicine program which was started by our medical director has just completed its second year. Seven students from two local high schools (Baldwin High and Maui High) were the participants. The students successfully completed 6 weeks of intense exposure to medical science. The experience culminated with formal Powerpoint presentation by each student before an audience of their peers, parents, physicians, hospital administrators and the Mayor of Maui County. Each student received special commendations from the Governor of the State of Hawaii for their work. See the Maui News, August 5, 2005. Leadership Role at Local Hospital 1/15/2005 Dr. Burton recently completed his term as Chief of Staff at Maui Memorial Medical Center. He also served in the capacity of interim Chief Medical Officer. During his term a new Heart & Vascular Center opened, a new Administrative Team was empowered, the Medical Staff underwent Bylaws revisions and restructuring and a $38M expansion project began. Mentorship in Medicine 8/15/2004 Our Medical Director, with the help of a number of local physicians, establishes a summer program for high school students to inspire interest in medicine as a career (See Maui News August 2004). Please Stop Smoking! 5/1/2004 Visualization of the smoking process including views within the lungs are presented and contrasted with the healthy nonsmoking state. See SMOKING CESSATION under the Pulmonary Medicine section. Interventional Pulmonology Course at LAHEY CLINIC 4/9/2004 Dr. Burton recently completed a week-long hands on update in Interventional Pulmonology at the Lahey Clinic under the direction of Dr. John Beamis, an internationally known leader in pulmonary interventions. Certification in Critical Care Medicine 1/23/2004 The American Board of Internal Medicine has granted Diplomate status (Board Certification)in Critical Care Medicine to our Medical Director. Our physician hold active certification in 4 disciplines (Internal Medicine, Pulmonary Diseases, Sleep Medicine and Critical Care Medicine). Right Heart Catheterization 6/17/2003 Animations of right catheterization with associated common hemodynamic changes seen in the ICU have been added to the Critical Care Medicine section. This will serve as an invaluable teaching resource for our fellow physicians, nurses and those in training in this community. It will also provide a visual understanding of the procedure for patients who require such interventions. ANIMATIONS of Sleep Testing 1/6/2003 Animations of sleep testing / waveforms have been added to MCM site under sleep medicine section. This visual imagery is provided to facilitate discussion with our patients and colleagues in the quest for a more complete understanding of Sleep Medicine. Maui Chest Medicine Receives Accreditation by AASM 5/1/2002 On March 11 and 12, 2002 Maui Chest Medicine was visited by Representatives of the American Academy of Sleep Medicine (including the Chair of the Accreditation Committee). The facility was found meeting and exceeding all standards for professional, quality care as designated by the Academy. Maui Chest Medicine was therefore awarded "Accredited Sleep Center" status. Maui gets its First Accredited Sleep Center. Using Technology To Understand Disease and Help People 4/20/2002 Maui Chest Medicine began caring for Maui in April 2000. It is a free-standing facility with state-of-the art computer-based technology that is used for comprehensive lung testing and for sleep investigations. This marks the beginning of this unique work in the history of medicine on Maui (see The Maui News April 2000).