2009 BluePrint

BLUEPRINT Duke Anesthesiology

http://blueprint.duhs.duke.edu

FALL 2009 | Vol. 1

Building the future of Patient Care

LEADERSHIP

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I N N O VAT I O N

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CLINICAL CARE

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MISSION Extraordinary care through a unique culture of innovation, education, research, and professional growth.

RESEARCH & E D U C AT I O N

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GLOBAL OUTREACH

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PHILANTHROPY

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BluePrint highlights the collaboration behind Duke Anesthesiology's individuality and innovation that intertwine to build the future of patient care.

through collective research that incorporate genetics and personalized medicine, pain management, and state of the art equipment in laboratories and operating rooms.

It is with great pleasure that I share with you in our inaugural BluePrint the talent and expertise that permeates our department's faculty and staff.

During the current economic climate, our faculty rise to the occasion by submitting an astounding number of NIH grants and face the challenges with noble accord.

Duke Anesthesiology is a global leader in advancing perioperative medicine and pain management. By sustaining the highest standards in clinical practice, teaching and research, the Anesthesiology Department at Duke is committed to training and developing outstanding physicians who are, in turn, dedicated to their patients.

Ambition to advance our delivery of patient care drives the success of the department.

Our team is comprised of nine subspecialized divisions whose leaders and faculty members dedicate their careers to advancing patient care, innovation in research and educational programs. Advancements are made everyday

I am pleased to share the successes of our dynamic and talented group and hope that each reader will find a way to be part of it.

Mark F. Newman, MD Merel H. Harmel Professor of Anesthesiology and Professor of Medicine Chair, Department of Anesthesiology

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(Photos from left to right, starting from the top)

Chair: Mark F. Newman, MD Merel H. Harmel Professor of Anesthesiology and Professor of Medicine Chair, Department of Anesthesiology

Senior Cabinet: The chair's senior advisors collaborate as the Senior Cabinet to define overall strategy that assists in implementing the department’s mission.

Solomon Aronson, MD Executive Vice Chair Tong Joo (TJ) Gan, MD Vice Chair, Clinical Research Catherine M. Kuhn, MD Vice Chair, Education; Director, Residency Program Daniel Marcantonio Chief, Business Administration Holly A. Muir, MD Vice Chair, Clinical Operations; Chief, Division of Women’s Anesthesia David S. Warner, MD Vice Chair, Research; Chief, Division of Basic Science

Executive Team: The Executive Team manages the day-to-day operations of each clinical division through mentorship, knowledge and expertise, enabling us to achieve our initiatives effectively throughout the department.

Cecil O. Borel, MD Chief, Division of Otolaryngology, Head, Neck & Neuroanesthesia; Off-site Anesthesia Meri Gilman-Mays, CRNA Chief, Certified Registered Nurse Anesthetists Allison Kinder Ross, MD Chief, Division of Pediatric Anesthesia Stephen M. Klein, MD Chief, Division of Ambulatory Anesthesia Jonathan B. Mark, MD Chief, Division of Veteran’s Affairs Gavin Martin, MD Chief, Division of Orthopedics, Plastics & Regional Anesthesia Joseph P. Mathew, MD Chief, Division of Cardiothoracic Anesthesia & Critical Care Medicine Richard E. Moon, MD Chief, Center for Hyperbaric Medicine; Chief, Division of General, Vascular & High Risk Transplant & Critical Care Medicine Winston Parris, MD

Chief, Division of Pain Management

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DUKE ANESTHESIOLOGY

LEADERSHIP The Framework “Great leadership is a thing that the department has displayed in so many of its many endeavors and I define leadership not in grand, new ideas, but in making grand and new things happen.”

- Jerry Reves, MD

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t Duke Anesthesiolog y, our mission is to provide extraordinary care through a unique culture of innovation, education, research and professional growth. We challenge ourselves to hold the highest values by exhibiting mutual respect and dignity in all that we do. The honesty and integrity of each individual within our department contributes to immaculate performance, by leading the advancement of perioperative medicine and pain management.

From the time of our inception in 1944, the Anesthesiology Department has been present at Duke in many capacities.

From 1930 to 1944, nurse anesthetists performed all anesthetics administered at Duke under the supervision of surgeons. Duke’s first anesthesiologist, Dr. Ruth Martin, was recruited in 1944. The Anesthesiology Division worked under the Surgery Department as a congruent service, setting the stage for subspecialization and discovery, better known as the Duke Department of Anesthesiology.

Dr. Ronald Stephens led the department in its youth and cultivated our residency program from 1950 to 1966.

We became an independent, academic department of anesthesiology in 1968 under the guidance of Dr. Sarah Dent, establishing the framework for innovation, excellence, research, education, and growth.

Dr. Merel Harmel, former chair of New York Downstate Medical Center and Pritzker School of Medicine in Chicago, came to Duke in 1971 and served as the department's first chair. As a visionary foreman, Dr. Harmel added new clinical

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programs and grew the quality and quantity of faculty and residents. In 1983, Dr. Harmel retired and was succeeded by Dr. David Watkins, from the Harvard system. During this time, growth of the department’s institutional and clinical roles continued to unfold.

After seven years of leadership, cardiac anesthesiologist, Dr. Jerry Reves succeeded Dr. Watkins as chair. Dr. Reves’ belief in teaching, patient care, research and anesthesia subspecialization revolutionized anesthesiology. This unique opportunity for subspecialization created dynamic work for our anesthesiologists, focusing efforts in pediatrics, regional anesthesia, pain management, women’s services, ambulatory care, transplant, cardiac, and neuroanesthesia.

In 2001, Dr. Mark Newman succeeded Dr. Reves. Prior to his tenure as chair, his invaluable contributions to the department in both research and clinical endeavors continued to drive exploration in the field of anesthesiology.

Today, Dr. Newman promotes a culmination of success from anesthesiology leaders and prominent individuals to a department investing in education, research, and the aspiration of exceeding the highest standards for medicine here at Duke.

Given the ingenious contributions of past and current leaders, Duke Anesthesiology is poised to face the challenges of our future based on a center that encompasses a large and diverse clinical caseload, a solid research foundation, and balanced academic excellence.

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INNOVATION Building the Future of Patient Care Duke Anesthesiology is recognized worldwide for the strength of its clinical research program. Our discoveries range from a wide spectrum of subspecialities and permeate operating rooms around the world. We are committed to exploring new ways to serve our patients.

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DUKE ANESTHESIOLOGY

As we have evolved in the Duke University Health System, so has our vision for the future. The desire to be the leader in the advancement of perioperative medicine and pain management drives our progress in all aspects of care. We invest in great research initiatives, striving to surpass standards for anesthesiology.

Tong Joo (TJ) Gan, MD discovered that acupuncture for treating chronic headaches is more effective and has fewer side effects than medication. In addition, he also found that acupuncture reduces the need for opioid medication after surgery.

Stuart Grant, MD and the Regional Anesthesia team have been successful using ultrasound-guided peripheral nerve blocks, improving safety and reliability. The use of ultrasound allows physicians to see the nerve that is being blocked while identifying other structures such as blood vessels, which should be avoided. In many cases, these nerve blocks allow us to discharge patients soon after surgery so they experience a more comfortable recovery.

Mark F. Newman, MD and his team discovered that there was a strong correlation between cognitive dysfunction and warming a patient too quickly after heart surgery. They found that patients who were allowed an additional 10 to 12 minutes to return to a normal body temperature after their procedure scored better on standard tests of cognition after surgery. This practice of rewarming has since become a standard of care at all medical institutions around the world.

Mihai Podgoreanu, MD and his colleagues are the first in the world to extend genetic research to examine the relationships between our genes and complications after surgery. Dr. Podgoreanu’s research is making huge strides in the direction of “personalized medicine,� in which the treatments are tailored to the individual patient.

Scott Schulman, MD pioneered drug safety in children when he led the first pediatric clinical research trial to study the safety of nitroprusside, a blood pressure-lowering drug commonly used in children. Historically, drugs are rarely tested on children, but there is a growing awareness that children need to be tested because they tend to react differently to drugs than adults. Dr. Schulman was awarded one of the largest National Institutes of Health Grants of $5.1 million for this three-year study.

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CLINICAL SPECTRUM “It’s the commitment that the doctors have. They watch you so closely throughout the procedure. Your life is in their hands from the moment you’re in until the moment you come back out, and now I found, a long time after that.”

– Mary Pat Heath, Patient

Duke Anesthesiology values diversity as we interact with a deep understanding for the suffering of others with an unwavering obligation to attempt to remove their pain.

Our commitment to our patients engages our department to make individual and joint efforts to support career development, education, research and innovation. Our foremost priority is to serve each patient that comes through our doors with dignity and compassion. We use our clinical expertise to achieve ultimate health, empowering patients with the opportunity to live life to the fullest.

Subspecialization allows each patient to receive expert and modern care, while allowing the department’s physicians to master their craft.

The Anesthesiology Department at Duke University Medical Center is comprised of nine distinct divisions which represent nine subspecialities.

Ambulatory Anesthesia uses advanced regional anesthesia to facilitate complex outpatient surgery using a broad array of targeted peripheral nerve blocks, continuous ambulatory infusions of local anesthetic, diverse multi-modal analgesia and paravertebral blockade for breast surgery.

Cardiothoracic & Critical Care Medicine provides anesthesia for thoracic surgery as well as for minimally invasive surgery (port-access), “off-pump” surgery,

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robotic surgery, and transmyocardial revascularization to valve repairs, multi-valve replacements, re-operations, thoracoabdominal aortic aneurysm repairs, and “routine CABG” surgery. This division is well known for its expertise in transesophageal echocardiography, outcomes research, and systems modeling of perioperative injury.

Critical Care Medicine provides care for the sickest of patients in the Surgical Intensive Care Units at both the Duke University Medical Center and the Veteran Affairs Medical Center.

General, Vascular, High-Risk Transplant & Critical Care Medicine provides comprehensive services for patients

DUKE ANESTHESIOLOGY

Hospital Addition For Surgery Building

In 2008, Duke University Medical Center expanded its facilities which created five more operating rooms, new family waiting rooms, a brand new post-anesthesia care unit (PACU), and office space for faculty. The department’s new office space houses the latest technology including state of the art informational touchscreens, a training laboratory for transesophageal echocardiography (TEE) as well as future opportunities for an on-site learning center.

undergoing general, peripheral and major vascular, urologic, trauma, and abdominal transplantation surgery.

Orthopedics, Plastics, & Regional Anesthesia serves a large patient population including patients requiring total joint replacement, adult and pediatric spine surgery, advanced plastic surgery, and orthopedic trauma surgery.

Otolaryngology, Head, Neck & Neuroanesthesia provides anesthetic care for adults undergoing procedures such as complex head and neck surgery including awake craniotomy, airway laser surgery,

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and translabyrinthine acoustic surgery.

Pain Management includes a comprehensive evaluation of pain problems and provides medical and interventional therapies depending on the individual's clinical needs.

Pediatric & Critical Care Medicine provides a comprehensive range of pediatric anesthesia services throughout the health system.

Women’s & Critical Care Medicine is responsible for obstetric and gynecologic anesthesia and provides continuous in-house faculty coverage of obstetrics.

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OUR FACULTY Each subspecialty is comprised of expert faculty members who are dedicated to extraordinary patient care.

These outstanding individuals are the pride of Duke Anesthesiology.

Ambulatory Anesthesia

Elliott Bennett-Guerrero, MD

Pain Management

Stephen M. Klein, MD, Chief

John J. Freiberger, MD

Anne M. Fras, MD

M. Stephen Melton, MD

Tong J. Gan, MBBS

Brian Ginsberg, MBBS

Karen C. Nielsen, MD

Nancy W. Knudsen, MD

Billy K. Huh, MD

Marcy S. Tucker, MD, PhD

Catherine M. Kuhn, MD

Winston C.V. Parris, MBBS, Chief

Basic Science

Timothy E. Miller, MB

Lesco L. Rogers, MD

David J. Doolette, PhD

Richard E. Moon, MD, Chief

Dianne L. Scott, MD

Madan M. Kwatra, PhD

Eugene W. Moretti, MD

Pediatric & Critical Care Medicine

Gregory A. Michelotti, PhD

Anthony M. Roche, MBBS

Warwick A. Ames, MBBS

Daniel P. Morris, PhD

Hagir B. Sulliman, PhD

Guy D. Dear, MBBS

Wulf Paschen, PhD

Kerri M. Wahl, MD

John B. Eck, MD

James D. Reynolds, PhD

Christopher C. Young, MD

Heather J. Frederick, MD

Noa Segall, PhD

Off-site Faculty

Hercilia M. Homi, MD

Huaxin Sheng, MD

Richard L. Jacobs, MD

Richard J. Ing, MBBS

Dan D. Tracey, PhD

Edward Mackenzie, MD

Allison K. Ross, MD, Chief

Richard D. Vann, PhD

Orthopedics, Plastics & Regional Anesthesia

Scott R. Schulman, MD

Joshua R. Dooley, MD

Veteran’s Affairs Anesthesia Services

Mitchell E. Fingerman, MD

Atilio Barbeito, MD

Ellen M. Flanagan, MD

Raquel R. Bartz, MD

Jennifer T. Fortney, MD

Charles S. Brudney, MBBS

Stuart A. Grant, MBBS

Joel S. Goldberg, MD

David B. MacLeod, MBBS

Jonathan B. Mark, MD, Chief

Gavin Martin, MB, Chief

Terri G. Monk, MD

Stephen J. Parrillo, MD

Srinivas Pyati, MD

John B. Winchester, MD

Amy M. Rice, MD

Otolaryngology, Head, Neck & Neuroanesthesia

Rebecca A. Schroeder, MD

Cecil O. Borel, MD, Chief

Women’s & Critical Care Medicine

Swapna Chaudhuri, MD

Terrence K. Allen, MBBS

Michael L. James, MD

Kallol Chaudhuri, MD

John C. Keifer, MD

Peter D. Dwane, MD

David L. McDonagh, MD

Ashraf S. Habib, MBBS

Andrew F. Meyer, MD

Cheryl A. Jones, MD

Allan B. Shang, MD

Abigail H. Melnick, MD

Huaxin Sheng, MD

Holly A. Muir, MD, Chief

Bryant W. Stolp, MD, PhD

Adeyemi J. Olufolabi, MBBS

Jeffrey M. Taekman, MD

Cathleen L. Peterson-Layne, MD, PhD

David S. Warner, MD

John R. Schultz, MD

Melanie C. Wright, PhD Zhiquan A. Zhang, PhD Biostatistics Barbara G. Phillips-Bute, PhD William D. White, PhD Cardiothoracic & Critical Care Medicine Solomon Aronson, MD Maria D. Fritock, MD Katherine P. Grichnik, MD Steven E. Hill, MD Frederick W. Lombard, MBBS G. Burkhard Mackensen, MD, PhD Joseph P. Mathew, MD, Chief Mark F. Newman, MD Wendy L. Pabich, MD Mihai V. Podgoreanu, MD Andrew D. Shaw, MBBS Mark Stafford-Smith, MD Madhav Swaminathan, MBBS Ian J. Welsby, MBBS General, Vascular, High-Risk Transplant & Critical Care Medicine & Center for Hyperbaric Medicine Barry W. Allen, PhD 10

B. Craig Weldon, MD

Dana N. Wiener, MD

David R. Wright, MD DUKE ANESTHESIOLOGY

RESEARCH

Through significant research in neuroscience, molecular biology, molecular and human pharmacology, our team is making crucial advancements for patients worldwide. Our laboratories offer an environment for innovative results that transcend boundaries in our field.

The Molecular Genetics of Pain Signaling Laboratory uses the genetics of the Drosophila melanogaster (the so-called fruit fly) to study fundamental neurobiological problems.

In this lab, Dr. Dan Tracey studies responses to pain stimuli using behavioral analysis, molecular genetics, biochemistry, electrophysiology and functional imaging.

Many of our studies focus on enhancing the surgical experience as well as improving patients’ quality of life after surgery. Advancement in genetic contributions, infection recovery, bowel function, stroke and heart attack, nausea and vomiting, kidney function and other important surgical outcomes are some of the key focuses that engage our research team.

The Systems Modeling of Perioperative Injury Laboratory provides a programmatic translational approach that capitalize on several unique resources, including wellcharacterized small (rodent) and large (porcine) animal models of cardiopulmonary bypass, deep hypothermic

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circulatory arrest and cardioplegic arrest, expertise in high-throughput molecular profiling of organ specific responses to ischemia-reperfusion injury, computational and evolutionary biology capabilities, as well as large biorepositories of well-phenotyped cardiac surgical patients. This systems biology paradigm enables elucidation of the complex mechanisms underlying perioperative organ injury (brain, kidney, and heart in particular), identification of organ dysfunction biomarkers, and prioritization of novel cardio- and neuroprotective compounds.

Under the leadership of Dr. G. Burkhard Mackensen and Dr. Mihai V. Podgoreanu, researchers are studying two key genetic factors that produce outcomes not yet explored in this field. Their research, dedication and clinical knowledge bring trendsetting discoveries to medicine and continue to advance improvements for our patients' health and well-being.

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EDUCATION Revolutionizing Education “The Duke Anesthesiology Residency offers one of the best learning environments, expert attendings, interesting and challenging cases, and cutting edge technology and research.”

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– Mingda Chen 3rd Year Clinical Anesthesiology Resident

DUKE ANESTHESIOLOGY

Duke Anesthesiology allows residents and fellows the freedom to mold their career paths according to their clinical and research interests. Our medical education programs are continuously evolving to create the best learning opportunities possible.

The Anesthesiology Department at Duke distinguishes itself through its residency, fellowship, and Continuing Medical Education programs. Each highly qualified individual has unparalleled experience, which gives them the impetus to further their careers and advance the field at large.

Residency

Duke Anesthesiology Residency is fully accredited by the Accreditation Council on Graduate Medical Education and is sponsored by the Institutional Committee on Graduate Medical Education.

Our program has a long legacy of producing clinicians who are well-prepared to face the challenges throughout the course of their career. Residents are exposed to a wide variety of routine and complex cases, and complete residency training with case numbers that far exceed the minimum requirements. In addition, the program strives to provide innovative educational methods such as our Academic Career Enrichment Scholars (ACES) program. This program offers select residents the opportunity to combine significant research training in their core residency, with the intention of increasing the number of academic anesthesiologists in the country.

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Fellowship

Our fellowship programs offer advanced clinical training and research opportunities in specific areas of expertise based on each individual’s interests and abilities. Currently, the department offers fellowships in the following specialties: Adult Cardiothoracic Anesthesiology, Critical Care Medicine, Pain Medicine, Pediatric Anesthesiology, Regional and Ambulatory Anesthesiology, Obstetric Anesthesiology and Underseas and Hyperbaric Medicine.

Continuing Medical Education

Engaging and investing in education sets us apart and inspires us to achieve our mission. Our department extends education beyond the institution, offering a robust set of Continuing Medical Education (CME) opportunities each year.

Human Simulation and Patient Safety Center

The Human Simulation and Patient Safety Center (HSPSC) provides a key element of effective learning through interactivity. Human simulation training prepares residents and fellows for the operating room using immersive learning techniques that allow them to experience critical situations without endangering patients.

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GLOBAL OUTREACH Transforming Health Care Globally

google maps

Our faculty members travel worldwide to share their expertise with patients and colleagues, improving the delivery of health care across the globe.

Holly Muir, MD | Ghana

Joseph Mathew, MD | China

Under the umbrella of the non-profit organization, Kybele, Dr. Holly Muir and her multidisciplinary team offer their services at Ghanaian hospitals several times a year, creating centers of excellence in maternal care. Dr. Muir's team work with local colleagues to reduce the incidence of maternal and stillborn deaths while using local resources to help make system changes that produce more efficient patient care. Surplus monitoring equipment from Duke and other institutions have been donated and shipped abroad. An anesthesia nursing school has been established to cater to anesthesia service shortages, introduce anesthesia services within the labor ward and improve patient safety. Dr. Muir and her team have provided vital assistance, training and equipment to the physicians, staff and patients in Ghana.

Fuwai Hospital in Beijing, China currently performs over 5,000 cardiovascular surgeries annually. With a new hospital building underway, they project that figure to rise to over 8,000 patients, making them one of the largest cardiovascular surgical centers in the world.

Dr. Joseph Mathew is pioneering a program that will mentor and train talented physicians from Fuwai who will come to Duke with the commitment to return to China.

Ultimately, this program was designed with hopes to grow the practice of academic medicine and improve patient care in China. Collaborating with Fuwai to conduct clinical research gives us the opportunity to expand our research and globally impact anesthesia care.

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DUKE ANESTHESIOLOGY

TEACH

EQUIP

TRANSFORM

Norbert de Bruijin, MD and Fiona Clements, MD | Zambia, Tanzania

Retired Duke anesthesiologists, Drs. Norbert de Bruijin and Fiona Clements expanded their roles to surgeons before embarking on a journey to Africa. Since 2006, they have served as missionary physicians in Zambia and Tanzania, Africa, treating patients with conditions such as: osteomyelitis, fractures, burns, contractures, tumors, club feet, cleft lips, intestinal obstructions, abscesses, peritonitis, appendicitis, intussussception and pyloric stenosis.

Dr. David Macleod | Uganda

Duke anesthesiologists and clinicians of other specialties continue their service in East Africa providing anesthesia, nursing, and neurosurgical efficiency and utilization through training camps and technology.

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In Uganda, six of Duke's neurosurgeons work alongside with five neurosurgeons from Mulago National Hospital in Kampala to serve a population of 30 million. Their goal is to determine if an infusion of technology, anesthesiology, neurosurgical and nursing training camps could improve output, utilization and efficiency in Uganda. The team facilitated neurosurgery camps where they trained Ugandan clinicians in the operating room, recovery room, intensive care unit and general patient ward. Duke contributed over 16 tons and over $3 million of medical equipment.

After two years of directing training camps, the surgical services, operative cases and elective procedures have increased dramatically, and have equipped Mulago National Hospital to handle more complex cases.

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PHILANTHROPY Duke DREAM Campaign

The invaluable discoveries made at Duke Anesthesiology have impacted operating rooms and benefited millions of patients, globally. Our successes have only driven us to find more support for our talented team of clinical and basic scientists. The Developing Research Excellence for Anesthesia Management (DREAM) Campaign is the first philanthropic initiative to support anesthesia research. Our goal is to raise support for research that is most likely to improve the health and outcomes of patients undergoing surgery. Through partnerships with our supporters, we hope to build a solid foundation to help sustain and encourage our physician scientists who continue to make pioneering discoveries.

The Duke DREAM Campaign was developed to address the problem of reduced funding. The strategic goals of this campaign are to: Establish endowed professorships ($1.5-2.5 million) to invest in world-class faculty who would, in turn, secure funding from the National Institutes of Health. Interest dollars from these endowments are to be used to support investigator 16

salaries and provide them with the time and resources necessary to develop research programs.

Raise $2 million in philanthropic support over five years to provide bridge funding for key research programs, prevent successful research programs from terminating due to the lack of funding, and to start new projects that incorporate innovative techniques to advance the frontiers of anesthesiology research.

Establish philanthropic support as a long-term mechanism of limiting the adverse consequences of lapsed federal funding.

Duke Anesthesiology has remained a leader in the field because we encourage our researchers to fulfill their potential. Not only do we seek to provide safe care for our patients during surgery, we strive to provide an opportunity for a better life after surgery. From organ protection to genetic contributions to surgical outcomes to patient safety, we redefine patient care around the world. Join us as we change the future of medicine.

DUKE ANESTHESIOLOGY

WAYS TO GIVE TO DUKE ANESTHESIOLOGY Duke University can accept donations in many different ways. For more information, please contact Elizabeth Perez (919.681.2849 or elizabeth.perez@duke.edu) or visit: http://dreamcampaign.duhs.duke.edu.

When giving to the DREAM Campaign, please indicate that your gift is designated to Anesthesiology Research.

Cash

The most popular and easiest way to make a donation to Duke is by cash or check. Please make checks payable to Duke University.

Matching Gifts

Double, or even triple, your gift to Duke by having your employer match your donation!

Payroll Deduction

Duke Employees are eligible to make charitable contributions to Duke via payroll deduction. The deductions occur monthly or biweekly depending on your payroll status.

Personal Property/Real Estate

Duke University gladly accepts gifts of tangible, personal property that the University would otherwise need to purchase, or that further the endeavors of Duke's educational and/or medical communities.

Stock/Securities

There are several ways to transfer securities to Duke: electronic transfer, mailing certificates, or hand delivery.

Electronic Transfer

Through electronic transfer, Duke University offers you the opportunity to make your gift without writing a check. W ith your authorization, on the same day each month (usually on or about the 10th of each month) we will automatically debit your checking account in the amount you designate.

Bequests

Gift Annuities

Life Insurance

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As the most common and simplest form of planned giving, a bequest is a gift that is made through a donor's will.

The gift annuity agreement provides older donors who give cash, securities, real estate, or personal property with fixed annual payments for a specified period of time.

A gift of whole life insurance can be made to Duke by naming Duke University as the irrevocable owner and beneficiary of the policy.

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OUR DONORS & SUPPORTERS We are pleased to recognize the generous individuals who made gifts to the Duke DREAM Campaign during fiscal years 2005-2008.We also extend a heartfelt thanks to the invaluable support of our dedicated corporate sponsors who made the public launch of the DREAM Campaign possible: Anthony & Company (Founding Sponsor), Clancy and Theys (Ambassador), and SunTrust (Grantor).

FOUNDERS $100,000 or more

Mr. and Mrs. Warren S. Newman

Mrs. Jacqueline B. Eig

Peters Family Charitable Fund

Dr. Ellen Flanagan

Anthony & Co.

Dr. Ralph Snyderman

Dr. and Mrs. Michael Frank

Mrs. Margaret Cathcart

Dr. Mark Stafford Smith

Dr. and Mrs. Peter Glass

Dr. Nicolas Gilliard

Dr. Thomas Stanley, III

GlaxoSmithKline

Dr. and Mrs. Joannes Karis

Dr. David Wright

Mrs. Susan Goble

Dr. and Mrs. Mark Newman Dr. and Mrs. Jerry Reves

FRIENDS Up to $4,999

SUSTAINERS $75,000 to $99,999

Dr. and Mrs. Aaron Ali

Dr. and Mrs. Michael Alvis

Mr. Vincent Asaro

AMBASSADORS $50,000 to $74,999 Clancy & Theys GRANTORS $25,000 to $49,999 Dr. Donat R. Spahn SunTrust Investment Services, Inc. SPONSORS $10,000 to $24,999 Dr. and Mrs. Jonathan Mark

Drs. Solomon and Lena Aronson

Dr. and Mrs. Ralph Baker Dr. and Mrs. Paul Barash Dr. Peter Bennett Dr. Elliott Bennett-Guerrero and Mrs. Karin Bagin Dr. and Mrs. Arthur Bergh Mr. and Mrs. Michael Boch Mr. and Mrs. Edward Boiar Dr. and Mrs. Cecil Borel Ms. Alki Burdett

Dr. and Mrs. Stuart Grant Dr. Joseph Greenfield, Jr. Dr. William Greeley Drs. James and Katherine Grichnik Mr. Sorine and Dr. Aline Grigore Dr. Hilary Grocott Halifax Anesthesiology Associates Mr. Donald Haile Drs. Merel Harmel and Ernestine Friedl Mr. and Mrs. Peter and Mary Pat Heath Dr. Lewis Hogge Dr. Billy Huh Mr. and Mrs. Pete and Charlene Hundley

Dr. and Mrs. Robert Califf

Dr. James Jacobs

Dr. John Campbell

Dr. and Mrs. Luke James

Mr. and Mrs. Toby Church

Dr. and Mrs. Najmi Jarwala

Dr. Eugene Moretti

Drs. William and Paula Corkey

John P. McConnell Foundation

Dr. Debra Schwinn

Dr. Joseph Corless

Dr. and Mrs. J. Wes Jones

Mr. and Mrs. Shelton Zuckerman

Dr. Ronald and Mrs. Rosemary Cumbie

Dr. and Mrs. Joseph Mathew Mr. and Mrs. Steven and Catherine Miller

ASSOCIATES $5,000 to $9,999

Dr. and Mrs. Jonathan Davidson Mr. and Mrs. Jeff Davis

Ms. Ann Keefe Drs. John and Anne Keifer Mrs. Carlton Kelley

Dr. Randall P. Brewer

Dr. Guy Dear

Dr. Tong Joo (TJ) Gan

Dr. Dennis Doherty

Dr. and Mrs. Steven Hill

Mr. and Mrs. Bud Doughton

Mr. Jerry Kirchner

Mr. and Mrs. Sam Mathan

Mr. and Mrs. D. St. Pierre Dubose, Jr.

Dr. and Mrs. Steve Klein

Drs. Ron Olson and Holly Muir

Dr. and Mrs. Peter D. Dwane

Drs. Michael and Nancy Knudsen

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Mr. and Mrs. Percival King

DUKE ANESTHESIOLOGY

Ms. Suzanne Koenigsberg

Dr. Kerri Robertson

Dr. Madan Kwatra

Dr. Anthony Roche

Ms. Laura Lao

Dr. Allison Ross

Dr. and Mrs. Michael Lasecki

Mr. and Mrs. Joseph Rybicki

Dr. and Mrs. Bruce Leone

Dr. and Mrs. David Sabiston

Ms. Shelli Lieberman

Dr. Iain Sanderson

Dr. Catherine Kuhn

Dr. Robert Savage

Drs. David and Mary Lee Lobach

Dr. Randy Schell

Drs. Wilhelm Lombard and Charlotte Schnetler Dr. and Mrs. Walker Long Dr. and Mrs. David Lubarsky Drs. Burkhard Mackensen and Jutta von Stieglitz Dr. and Mrs. Darryl Malak Dr. and Mrs. Gavin Martin Drs. David McDonagh and Anne Tuveson

Dr. and Mrs. David Schinderle Dr. Scott Schulman

Dr. and Mrs. Christopher Willett Mr. and Mrs. Jack Williams Dr. Ruby Wilson Mr. and Mrs. John Wolfe Mr. David Work Dr. and Mrs. Robert Zucker

ADVISORS

Drs. Andrew and Kate Shaw

As mentors and community advocates, our advisors help us raise support for our initiatives.

Dr. Nikolaos Skubas

Jim Anthony, President

Dr. Thomas Slaughter

Susan Anthony

Dr. and Mrs. Allan Shang

Society for the Advancement of Blood Management Dr. Joseph St. Geme, III and Ms. Lynn White

Alice Chou Roberta d'Eustachio Bud Doughton Janeen Drinkard

Dr. Susan Steele

Jeff Drinkard

Dr. and Mrs. Charles McLeskey

Dr. Madhav Swaminathan

Ernestine Friedl, PhD

Medical University of South Carolina Department of Surgery

Mr. and Mrs. Stanley Tanger

Merel Harmel, MD

Mr. and Mrs. James Temo

Mary Pat Heath

Dr. and Mrs. David Theil

Peter Heath

Triangle Communications Group

Merlie King

Mrs. Laraine Tuck

Percival King

Dr. John Ulatowski

Shelli Lieberman

Mr. Reginald Mapson and Dr. Stephanie Vanterpool

Anne Lloyd, CFP

Dr. Cathleen Peterson-Layne Dr. Keith Phillippi

Mr. and Mrs. Karl von der Heyden

Asun Mathew

Dr. and Mrs. Mihai Podgoreanu

Dr. Anil Vyas

Kit McConnell

Mr. James Poole

Wachovia

Jeff Merritt

Mr. and Mrs. Frank Quinn

Dr. and Mrs. David Warner

Mr. and Mrs. Glenn Ranson

Ms. Laura Webb

Dr. and Mrs. Lloyd Redick

Dr. and Mrs. Stanley Weitzner

Dr. Scott Reeves

Dr. Ian Welsby

Dr. and Mrs. Greg Michellotti Dr. J. Lloyd Michener and Ms. Gwyn Murphy Dr. and Mrs. Richard Moon Dr. and Mrs. Nathaniel Nonoy

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Jerry Maccioli, MD

Catherine Miller Mary Sidney Troidl Bucky Waters

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Fall 2009

Volume 1

Editor: Karen E. Entrekin Assistant Editor: J. Cindy Cho Creative Director: Elizabeth T. Perez, RN, BSN Photography Contributions: Elizabeth T. Perez, RN, BSN, editor Holly A. Muir, MD Anthony M. Roche, MD Richard E. Moon, MD Karen E. Entrekin J. Cindy Cho Joseph P. Mathew, MD Duke Medical Center Photography Production: Elizabeth T. Perez, RN, BSN Karen E. Entrekin J. Cindy Cho

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