Genetic counseling at Comprehensive stopped cancer before it could strike.
Comprehensive Cancer Centers believes that the most effective method of cancer treatment is preventive. We are now in the era of personalized medicine, where your genes can predict your risk of cancer, and certain genetic tests could help your doctors provide more effective treatment. If you have cancer in your family you may be at higher risk. Comprehensive can help you form a clearer picture of how your genetic history might affect your future health. Ask your doctor about genetic counseling at Comprehensive.
Congratulations Casey Maurice 2025 Health Care Headliner
Touro Nevada is fortunate to have CASEY MAURICE directing our simulation center, ensuring our students receive the most state-of-the-art health care education and training available in Nevada.
Casey Maurice is leading Touro University Nevada’s efforts to deliver cutting-edge simulation training to the next generation of physicians and healthcare professionals and our community’s first responders.
Casey leads an expert staff of simulation technicians in our Michael Tang Regional Center for Clinical Simulation, providing students with hands-on experience, the opportunity to practice teamwork, and the chance to encounter various stages of medical procedures and real-life emergency situations.
We’re extremely thankful for Casey’s leadership and the critical role she played in the center’s successful effort to achieve full accreditation by the Society for Simulation in Healthcare’s Board of Review, making it the first simulation center in Nevada to receive this distinction.
Director of Clinical Simulation, Michael Tang Regional Center for Clinical Simulation
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From the editor
With Las Vegas’ exponential growth, the need to solve complex issues in our health care system has never been greater. But our city’s future in health care is ripe with promise. Not only are we building an infrastructure that puts patients first, but we are also laying the groundwork to meet the health care needs of our community efficiently and effectively. Such a future is foreseeable because of the vision, leadership and innovation of the physicians, surgeons, administrators, educators and more who grace the pages of this year’s Health Care Headliners. The accomplishments of our honorees show what Las Vegas’ health care system gets right, exemplifying the shared vision of the city’s health care needs between our medical professionals and the local community.
Our Lifetime Achievement honoree, Michael Ciccolo, is a pediatric cardiothoracic surgeon at Sunrise Hospital and has served the community for 25 years. When interviewed by Vegas Inc in 2019, he explained his desire to come to Las Vegas: “Opportunity—the opportunity to have relationships with the right kind of pediatric cardiologists with whom I knew we could build an excellent practice in a rapidly growing community with increasing health care needs.” Ciccolo’s vision was prescient and still relevant—opportunities in health care abound in this city.
In addition to our cover story, you’ll find articles that address our city’s complex health care needs. Among them, the Kirk Kerkorian School of Medicine at UNLV focuses on expanding residency programs in Nevada. Since most doctors decide to practice in the city in which they completed their residency, such programs in our state are imperative in enticing and retaining talented physicians.
Another way our community is meeting demand for physicians is the use of Advanced Practice Providers, who act in support of physicians to deliver timely, high-quality care. In this issue, Rupesh J. Parikh explains how APPs are helping to fill the gaps in our growing need for oncologists.
Aside from the needs of our community, you may find helpful insight into your own health. I’d venture to guess most people love food. More so, most people probably love junk food. But food also acts as medicine. In an article by Wael Eid, you’ll learn that food can be a step toward preventive care.
As always, we are grateful to all the health care professionals who contribute to our publication. Not only are we enamored of the research, expertise and innovation you willingly share within these pages, but we are also appreciative of your commitment to serving our community through your awareness and advocacy.
Further, a few of this year’s honorees are setting the stage for excellence in future care. One example is our honoree in education, Casey Maurice, the director of the Michael Tang Regional Center for Clinical Simulation at Touro University Nevada. She leads the first fully accredited simulation center in Nevada, offering students structured clinical experience and high-tech learning opportunities. It’s yet another step forward in growing our health care industry.
I want to congratulate this year’s Health Care Headliners. You are all deserving of this recognition and we are happy to recognize your accomplishments. Thank you for the care and attention you provide to our community.
Alex Haase Associate Publisher and Editor of Special Publications
PROMISING PROTEIN MAY HAVE ANSWER TO RISING CANDIDA INFECTIONS
There has been an increase in hospital-acquired candidemia and invasive candidiasis across the country, with Nevada accounting for a disproportionately high number of these cases. Brad A. Haubrich, Ph.D., associate professor and principal investigator at Touro University Nevada College of Osteopathic Medicine, is working with medical students to explore new pharmaceutical targets to treat fungal infections. Preliminary results identified a few compounds that can block this protein’s activity.
NEVADA’S FIRST STANDALONE CHILDREN’S HOSPITAL NAMES PRESIDENT
Intermountain Health announced that longtime health care leader Lawrence Barnard was selected as president of Nevada’s first standalone children’s hospital. Barnard previously held executive roles at Dignity Health and University Medical Center before joining Intermountain Children’s Health as associate vice president in 2021. He will guide the hospital through construction and manage operations after its grand opening in 2030. The hospital aims to provide local care for families previously forced to leave Nevada for treatment.
UNLV MEDICAL STUDENT CALLS FOR BAN OF PLASTIC CUTTING BOARDS
Citing published research from 55 sources that microplastics are being found in multiple organs of the human body, UNLV medical student Joshua Khorsandi is proposing that Las Vegas ban plastic cutting boards in restaurants. Khorsandi spoke to the Las Vegas City Council in January, asking the city to consider swapping out commercial plastic cutting boards for wood, glass or stainless steel. Khorsandi is also working with state legislators on potential legislation. (Photo by Steve Marcus)
08 Contributed columns: Medical professionals share their insights
14 What are autoimmune diseases and how do they affect the body?
18 Vegas Inc honors the Valley’s 2025 Health Care Headliners
34 Exploring UMC’s decade of health care transformation
38 Food is the often overlooked ingredient in treatment plans
50 Heart screenings in student-athletes can save countless lives
Begin your weight loss journey here.
From the moment you step in for your initial consultation to post-surgery support, our dedicated team at Dignity Health Bariatrics is with you at every step of the way. Our mission?
To guide you into a new beginning marked by improved health, vitality, and longevity. We’re here to help you lose weight with dignity and jumpstart your journey to a better quality of life with improved health and sustained long-term success.
To learn how weight loss surgery can transform you and your life, visit DignityHealth.org/NVbariatrics or call (702) 675-3240.
Punam Patel, MD
Board certified and fellowship trained
Bariatric and Minimally Invasive Surgery
Robot-Assisted Surgery
Morgan Pomeranz, MD
Board certified and fellowship trained
Bariatric and Minimally Invasive Surgery
Robot-Assisted Surgery
These healthy habits can encourage joint health without surgery
BY BRIAN CARR, MD
While surgery is often a solution for joint pain, there are many other options to maintain joint health and postpone or even avoid surgery entirely. These include controlled resistance training, flexibility and balance training, and vitamins and supplements including vitamin D, calcium and glucosamine chondroitin.
Strength training
Muscle strength is vitally important to maintain proper function of the joints. Supervised weight training helps ensure that our bones are strong and well-supported throughout the range of motion. Bones respond to stress by making more bone to support the body and resist the stress we put on it. By putting our bones through safe and controlled resistance training, the bones become stronger. Starting with lighter weights and focusing on a full range of motion is important in preventing injury.
Flexibility and balance
Moving the joints through a full range of motion during weight training can help with flexibility, and gentle stretching can improve flexibility and decrease stiffness in the joints. Stiffness and associated pain are primary reasons why patients visit orthopedic surgeons. Many patients experience significant stiffness, particularly if they sit in one position for a long time. Regular stretching can make a huge difference, and patients can experience significant relief with activities like yoga and Pilates. Once the joints are both flexible and strong, patients tend to have significantly less pain, stiffness and risk for injury.
Vitamins and supplements
Most orthopedic surgeons recommend daily doses of calcium and vitamin D for patients’ bone
health. Some patients with osteopenia (decreased bone density) or osteoporosis (significantly decreased bone density) may be candidates for other medications. Some medications help improve bone density but may also have negative side effects, including certain cancers or increased risk of atypical fractures. Glucosamine chondroitin supplements have been known to help with joint pain and function in certain patients, but their true efficacy is difficult to discern.
Other nonoperative interventions
Steroid injections: Steroid joint injections are an option for some patients and may be a terrific option for patients suffering from arthritis. In many cases these injections last more than three months and can work well. However, if they are given too frequently, more than every three months, the medication can hasten cartilage loss and worsen the problem. Many of our patients receive regular steroid injections to help reduce their symptoms and get them back to their day-to-day activities.
Hyaluronic acid injections: The primary molecular precursor to cartilage in the joints is called hyaluronic acid. Long chains of this molecule form the articular cartilage in our joints, which is what wears out over time in patients with arthritis. When the cartilage wears out, the joint starts to become inflamed and painful. Hyaluronic acid injections can replace the cartilage precursor molecules in the joint, which can slow the degeneration of cartilage and return some “cushion” to the joints.
Iovera treatment: Iovera treatment is an in-office procedure that is relatively painless and involves “freezing” the nerves in the anterior or front part of the knee to eliminate pain for several months. This treatment is so effective at reducing pain in the front of the knee that our patients are required to undergo this procedure prior to knee replacement surgery.
Brian Carr, MD , is an orthopedic surgeon at Las Vegas Concierge Orthopedics
Exploring the vital role of advanced practice providers in oncology care
BY RUPESH J. PARIKH, MD
Oncology is rapidly evolving with advancements in treatment and an increasing number of patients requiring specialized care. As the population ages and more individuals survive cancer, the demand for oncology services continues to grow. However, we are facing a pressing challenge: a physician shortage in oncology. To address this gap and ensure patients receive timely, high-quality care, Advanced Practice Providers support physicians and enhance patient access.
APPs consist of nurse practitioners and physician assistants who work alongside oncologists to ensure that patients are seen promptly and that their acute needs are assessed efficiently. APPs are highly trained medical professionals who provide expert care, assisting with diagnosis, treatment planning, symptom management and follow-up care. Their role is critical in improving access to care for both new and existing patients, ultimately reducing delays in treatment and enhancing overall patient outcomes.
One of the primary goals of integrating APPs into hematology and oncology care is to keep patients out of the hospital by managing their symptoms and addressing their concerns in a timely manner. As cancer treatments become increasingly complex and specialized, the need for comprehensive patient management is greater than ever. APPs help bridge this gap by ensuring continuity of care and providing immediate attention to patients who might otherwise require emergency medical services.
Cancer survivors require ongoing follow-up care to monitor for recurrence, manage longterm side effects and maintain overall health. With APPs helping manage these aspects of care, oncologists can focus on treating patients with active disease, optimizing their time and exper-
tise where it is needed most.
One of the key areas where APPs will play a crucial role is in the management of benign hematology patients. Conditions such as leukopenia, hemochromatosis, polycythemia, iron deficiency, deep vein thrombosis, pulmonary embolism and hypercoagulability require specialized evaluation and ongoing monitoring. By entrusting these cases to our APPs, we can ensure timely treatment while freeing up our oncologists to focus on cancer patients who need their expertise the most.
The APPs at Comprehensive Cancer Centers receive specialized training to manage these conditions. They work closely with oncologists to develop treatment plans, monitor progress and address any complications that may arise. This collaborative approach not only improves patient outcomes but also enhances the overall efficiency of our practice.
Cancer care is becoming increasingly personalized, with targeted therapies, immunotherapies and other advanced treatments requiring close monitoring and specialized management. APPs are trained to handle these evolving treatment modalities, managing side effects and addressing the acuity of care required for oncology patients. Their ability to assess and intervene promptly can make a significant difference in patient outcomes and quality of life.
The health care landscape is shifting and the need for innovative solutions in oncology care has never been greater. At Comprehensive, we recognize the invaluable role that APPs play in delivering exceptional oncology care. By integrating APPs into our practice, we optimize the expertise of our oncologists and our patients receive the best possible care. This collaborative model ensures that we are not only improving efficiency but also reinforcing our commitment to providing the highest standard of care in oncology.
Rupesh J. Parikh, MD , is practice president and medical oncologist at Comprehensive Cancer Centers
Should you see a physical therapist even if you’re not injured?
BY ROBERT FRAMPTON, PT
Physical therapists are neuro-musculoskeletal experts who are keen on spotting and treating movement impairments.
What are some of the conditions that one could benefit from the interventions of a physical therapist? Some might include muscle strains/sprains, muscle tightness, unsteady gait, episodes of a loss of balance, increased neck and shoulder pain, or generalized weakness. All these conditions lead to a loss in movement or an alteration of normal movement.
Physical therapists emphasize wellness, as well as return to function from pathologies or conditions that impair movement. They also utilize exercise in addition to light, sound and thermal modalities to assist patients in obtaining optimal function.
There are at least three primary benefits from visiting a physical therapist even if you are not injured: overall wellness, postural health and mental health. These benefits are not limited to one age group or demographic. Physical therapists treat all ages from birth to death and all vocations, from students, physical youngadults, working-adults to athletes of all performance levels.
To assist in your overall wellness, a physical therapist will consider your movement demands and design a personalized exercise program aimed at improving strength, endurance and flexibility. If you need more individualized focus due to discomfort or dysfunction, the physical therapist can use modalities like electric stimulation, biofeedback or even thermal agents to assist in controlling soreness brought about by other conditions.
By seeking the assistance of a physical therapist, you will likely head off the development of
muscular imbalances, muscle weakness, early alterations in movement or injuries.
Postural health is important whether working at home or in an office. Physical therapists can perform postural assessments to determine if you are at risk for neck, back, or other upper extremity injuries from muscular imbalances. If imbalances are identified, an exercise prescription and education may be accompanied by ergonomic advice or modifications for adjustments.
Postural assessments can identify the root causes of carpal tunnel syndrome, forward head posture, temporomandibular joint dysfunction or early onset of upper/lower back pathologies related to poor sitting postures.
Seeing a physical therapist is good for your overall mental health. We have all been in situations where the thought of a disease or traumatic injury weighs heavy on our mind. When we experience a loss in movement or function, we grieve. It is normal to remember what was possible to do or the tasks that we could previously complete without difficulty. Eventually, we may seek medical intervention to alleviate the struggle or identify the possible treatment options available to us.
As we pursue those treatment options, we are faced with other challenges related to making and getting to appointments, additional unplanned expenses, or even more time away from the activities we enjoy. Seeking the skills of a physical therapist often prevents the onset of these conditions.
Knowing we are functioning at our best and that the minor adjustments and/or exercises will benefit us in the future is worth the time of the assessment. By addressing the root cause of the problem with a licensed physical therapist, the individual can rest assured that relief is just around the corner.
Robert Frampton, PT , is director of the School of Physical Therapy at Touro University Nevada
Avoid illness by handling food properly at summer barbecues
BY NEIL GOKAL, MD
We are approaching the start of summer vacation, which is a time for family getaways, flavorful barbecues and picnics.
According to the U.S. Department of Health and Human Services, foodborne illnesses tend to increase during the summer months because bacteria multiply faster when it’s warm, so following food safety guidelines is important.
Foodborne illnesses are caused by bacteria (e.g., salmonella and E. coli) and can be serious or, in some cases, life-threatening. The Centers for Disease Control and Prevention estimates that each year, 48 million Americans get sick, 128,000 are hospitalized and 3,000 die from foodborne diseases.
Typical food poisoning symptoms include diarrhea, fever, stomach cramps and vomiting. Some people have an increased risk of becoming very sick from foodborne illness, especially pregnant women, older adults, young children and people with weakened immune systems.
Guidelines to protect your friends and family from food poisoning
Clean everything: The germs that cause food poisoning can survive in many places and spread around your cooking area. Those preparing and handling food should frequently wash their hands with soap and water before, during and after they start cooking, and use fresh, clean plates and utensils for serving cooked food. Wash your utensils, cutting boards and countertops with hot, soapy water after preparing each food item, and be sure to rinse fresh fruits and vegetables under running water. Always wash your hands after handling uncooked meat, chicken and other poultry, seafood, flour or eggs.
Don’t cross-contaminate: When grocery
shopping, keep raw meat, poultry and seafood away from other foods. These food items can spread germs to ready-to-eat food.
Be sure to keep raw or marinating meat, poultry, seafood and eggs separate from all other foods in the refrigerator too. You should store these items in sealed containers or wrap them securely so the juices don’t leak onto other foods. Use one cutting board or plate for raw meat, poultry and seafood, and a separate cutting board or plate for produce, bread and other foods that won’t be cooked. Raw chicken is ready to cook and doesn’t need to be washed first. Washing these foods can spread germs to other foods, the sink and the counter, and make you sick.
Get the temperature right: Food is safely cooked when the internal temperature gets high enough to kill germs that can make you sick, and the only way to tell for sure is to use a food thermometer.
n Whole cuts of beef, veal, lamb and pork, including fresh ham: 145 F (allow the meat to rest for three minutes before carving or eating)
n Fish with fins: 145 F or cook until the flesh is opaque and separates easily with a fork.
n Ground meats, such as beef and pork: 160 F.
n Poultry, including ground chicken and turkey: 165 F.
n Leftovers and casseroles: 165 F.
Chill! (refrigerate promptly): Bacteria can rapidly multiply if left at room temperature. The “danger zone” is between 40 F and 140 F. Be sure to keep your refrigerator at 40 F or below and your freezer at zero or below. Refrigerate perishable food within two hours. If the food is exposed to temperatures above 90 F, like a hot car or outdoors at a picnic, refrigerate it within one hour.
Sourced from the Centers for Disease Control and Prevention
Neil Gokal, MD, is chief medical officer, Southwest Medical, part of Optum
Andrew Stanton, DO , is a family medicine physician
at Southwest Medical, part of Optum
Take charge of your health journey and be your own advocate
BY ANDREW STANTON, DO
Maintaining your health is a lifelong commitment and becomes increasingly important as we age. A significant aspect of good health is frequent visits to your doctor, but for some, doctor’s appointments can be stressful and overwhelming.
Here are some strategies you can use to manage these challenges and be your own advocate.
Before your visit
Acknowledge and understand that your doctor may not have instant answers to all your questions. What they do have is the expertise to find the information you need. This mindset can reduce anxiety before your appointment.
The National Institute of Aging recommends that patients prepare a list of specific questions and concerns to discuss. This ensures that all necessary topics will be covered. Further, be sure to bring any medical records, medication list, or the contact details of other specialists you consult if needed.
During your appointment
n Consider bringing a friend or family member to your appointment. Having someone with you can help you remember details and decisions made during the visit.
Facing new diagnoses or tests
Some of the most stressful appointments can be those where you’re learning about a new health condition or when your doctor is recommending a specific test or screening.
If your doctor recommends you consider a particular medical test, there are questions you should ask to give you a better understanding of your health and to make you feel more confident in taking an active role in your health. Those questions may include:
Remember, your doctor is your ally, and you should turn to them for help, even with sensitive issues.
Here are some things you can do to make sure your visit is as productive as possible:
n Stay focused on your pre-planned priorities. Keeping the conversation on track ensures a productive session.
n Don’t hesitate to take notes during your appointment. This may help you retain important information, and it can be useful to refer to your notes later.
n Follow up after your appointment. Review your notes and contact your doctor if you have any further questions.
n Why do you recommend this test?
n What does the test itself entail?
n Are there steps I should take ahead of time to prepare?
n Does the test have any potential side effects? If so, how can they be managed?
n How long will it take to get the results? What are the next steps after receiving them?
If you’re diagnosed with a new condition, there are similar questions you can ask to help ensure you get the information you need and to hopefully put your mind at ease. Questions may include: What may have caused or contributed to this condition? Is it permanent? How is it treated and does the treatment have the potential of side effects?
Remember, your doctor is your ally, and you should turn to them for help, even with sensitive issues. While it may not be possible to make a trip to the doctor a completely stress-free experience, taking an active role in your own care and being your own advocate may make for a significantly easier, more productive process.
Breast augmentation has evolved—it’s no longer just about size
BY CHRISTOPHER COSTA, MD
Breast augmentation remains one of the most sought-after procedures in aesthetic surgery, with more than 300,000 cases performed annually in the United States alone. While the demand for breast augmentation remains strong, patient expectations have evolved significantly.
Today’s patients no longer prioritize size alone. They want natural movement, personalized results and long-term safety. This shift has led to a greater emphasis on biocompatibility, innovative implant technology and surgical techniques that enhance natural aesthetics while minimizing complications.
The evolution of breast implant technology reflects a continuous effort to improve both aesthetic results and patient safety, ensuring that the materials used integrate seamlessly with the body’s natural tissues and reduce the risk of adverse reactions.
Technological evolution of breast implants
To meet these evolving demands, cutting-edge gel formulations and advanced surface technologies have been developed. These new implants provide a more realistic tissue response while minimizing the risk of capsular contracture, a condition where scar tissue forms tightly around the implant, causing discomfort and distortion.
Additionally, modern implants have enhanced texturing and cohesive gel properties, which provide improved structural stability while ensuring a soft, natural feel. The goal is no longer just augmentation, it’s now about harmonizing the implant with a patient’s anatomy to create a seamless, undetectable enhancement.
Minimizing scarring and optimizing aesthetic outcomes
A major concern for many breast augmentation
patients is the potential for visible scarring. With advancements in implant design and surgical approaches, surgeons can now make significantly smaller incisions while still achieving optimal implant placement and natural-looking results.
Techniques such as the transaxillary (underarm) approach, inframammary fold incisions and Keller funnel-assisted placement allow for reduced trauma to surrounding tissues, which promotes faster healing and minimizes visible scarring. This is particularly beneficial for patients who want subtle, undetectable enhancements.
Beyond incisions, advancements in post-surgical scar management also play a role in improving outcomes. Silicone-based scar treatments, laser therapy and microneedling are being incorporated into recovery plans to ensure that any residual scarring is as inconspicuous as possible.
Personalized implant selection and customization
Given the inherent variability in patient anatomy and aesthetic goals, breast augmentation must be approached with a personalized treatment plan. Today’s implant options include a wide variety of shapes, sizes and profiles, allowing for a truly customized augmentation experience.
Patients are able to preview their results using 3D imaging and simulation technology, which helps them visualize different implant sizes and shapes in relation to their body proportions.
Clinical implications and future directions
The introduction of advanced breast implant technologies represents a significant shift in aesthetic surgery. These innovations improve patient outcomes by enhancing biocompatibility, optimizing aesthetic results and minimizing complications. However, it is not just the technology that is evolving—the approach to aesthetic procedures is becoming more holistic and patient-centered.
Christopher Costa, MD , is a board-certified plastic surgeon and founder of Platinum Plastic Surgery
THE UNPREDICTABLE NATURE OF AUTOIMMUNE DISEASE
Autoimmune disease occurs when the body’s immune system—designed to protect against harmful invaders like viruses, bacteria and other pathogens— mistakenly attacks its own healthy cells and tissues. The immune system consists of a complex network of cells and molecules, including white blood cells, antibodies and other components that identify and ght infections. In autoimmune diseases, the immune system is unable to di erentiate between self and nonself, causing it to target and damage the body’s own organs and tissues. According to the Mayo Clinic, this can lead to chronic in ammation, tissue damage and dysfunction of the a ected organs. The immune system’s failure to recognize the body’s own tissues as “self” is often triggered by a combination of genetic and environmental factors. While researchers continue to explore the exact causes, the National Institute of Allergy and Infectious Diseases reports that autoimmune diseases can be in uenced by genetic predisposition, infections, hormonal changes and lifestyle factors such as diet and stress.
MOST COMMON TYPES
There are more than 80 di erent autoimmune diseases
HASHIMOTO’S THYROIDITIS
This condition occurs when the immune system attacks the thyroid gland, often resulting in hypothyroidism. Symptoms include weight gain, fatigue, depression and sensitivity to cold.
LUPUS (SYSTEMIC LUPUS ERYTHEMATOSUS)
Lupus is a systemic autoimmune disease that can a ect various organs, including the skin, kidneys, heart and lungs. It is characterized by periods of flare-ups and remissions. Common symptoms include joint pain, fatigue, skin rashes and kidney problems.
GRAVES’ DISEASE
In Graves’ disease, the immune system stimulates the thyroid gland to produce excessive amounts of thyroid hormone, leading to hyperthyroidism. Symptoms include rapid heartbeat, weight loss, tremors and eye problems.
Autoimmune diseases are more prevalent in women than in men, with women accounting for about 75% of all cases. The reasons behind this gender disparity are not entirely understood, but hormonal di erences, particularly the e ects of estrogen, are believed to play a role.
ARE THEY PREVENTABLE?
TYPE 1 DIABETES
In Type 1 diabetes, the immune system destroys insulin-producing cells in the pancreas. This leads to a deficiency of insulin, which is needed to regulate blood-sugar levels. Without insulin, bloodsugar levels rise, causing symptoms like excessive thirst, frequent urination and fatigue.
Currently, there is no known way to prevent autoimmune diseases, as their development is influenced by a combination of genetic and environmental factors. While it is not possible to change genetic predispositions, certain lifestyle choices may help reduce the risk or delay the onset of autoimmune conditions.
RHEUMATOID ARTHRITIS
Rheumatoid arthritis primarily a ects the joints, causing inflammation, pain, sti ness and potential deformities. It is a chronic condition where the immune system attacks the synovium, the lining of the joints. If untreated, RA can lead to irreversible damage to the joints and surrounding tissues.
CELIAC DISEASE
Celiac disease occurs when the immune system reacts to gluten, a protein found in wheat, rye and barley. The immune response damages the lining of the small intestine, which a ects nutrient absorption and can lead to symptoms like gastrointestinal issues and fatigue.
WHAT MAKES AUTOIMMUNE DISEASES DIFFICULT TO TREAT?
Treating autoimmune diseases is notoriously complex due to the unpredictable nature of the conditions and the lack of one-size-fits-all solutions.
CHRONIC NATURE
Many autoimmune diseases are chronic, meaning that treatment often focuses on managing symptoms rather than curing the disease. Patients may require lifelong treatment to keep their symptoms under control, and even then, there may be periods of flare-ups.
VARIABLE SYMPTOMS
Autoimmune diseases present with a wide range of symptoms that can vary greatly from person to person. This means that treatment needs to be highly personalized. A drug or therapy that works for one individual might not be e ective for another.
LIMITED UNDERSTANDING OF UNDERLYING MECHANISMS
While significant progress has been made in understanding autoimmune diseases, the exact mechanisms behind many of these conditions are still not fully understood. This makes it challenging to develop targeted therapies. Treatments like immunosuppressive drugs, which suppress the immune system, are used to manage many autoimmune diseases, but they come with risks, such as increased susceptibility to infections.
SIDE EFFECTS OF TREATMENTS
The medications used to treat autoimmune diseases, such as corticosteroids and immunosuppressants, can have significant side e ects, including weight gain, osteoporosis and increased vulnerability to infections. Long-term use of these drugs can lead to additional health problems, making it di cult for patients to manage their condition without further complications.
FLUCTUATING COURSE OF DISEASE
MULTIPLE SCLEROSIS
Multiple sclerosis is a condition where the immune system attacks the protective sheath (myelin) around nerve fibers in the central nervous system. This disruption impairs communication between the brain and the body, leading to symptoms like numbness, weakness, and di culty with coordination and balance.
Autoimmune diseases often follow an unpredictable course, with periods of flare-ups followed by remissions. This fluctuation makes it hard to know when to adjust treatment and whether the treatment approach is e ective. In some cases, treatments may only be e ective for a certain period, after which they need to be modified. Sources: Arthritis Foundation,
2025
VEGAS INC’s Health Care Headliners highlights the remarkable medical professionals making a difference in Southern Nevada. These doctors, researchers, educators and administrators work tirelessly not only to help solve our community’s toughest challenges in health care, but to also ensure that the Valley has access to quality care today and in the future.
Carmen Flores is a double board-certified critical care and general surgeon, currently serving as the Medical Director of Surgical Services at University Medical Center. A dynamic and visionary leader, Flores is at the forefront of surgical innovation in Nevada, playing a transformative role in expanding and advancing surgical care at UMC and throughout the state.
Since assuming her role, Flores has made remarkable strides in increasing both the volume and complexity of surgeries performed at UMC, home to one of the busiest surgery centers in the region. Her strategic initiatives have led to improved patient outcomes, operational efficiency, and the integration of groundbreaking surgical technologies.
Under her leadership, UMC’s surgical capabilities have rapidly evolved, including the growth of a highly successful robotic surgery program that contributed to more than 16,000 surgeries performed last year alone.
“In collaboration with industry partners and a number of surgical practices, we have, over the course of a short ninemonth period, grown our robotic surgery volume by 135 percent and diversified our robotic surgery footprint to expand access for our patients to complex robotic interventions such as foregut surgery, complex abdominal wall reconstruction, bariatric surgery, complex gynecological surgery, thoracic surgery and urologic surgery,” Flores said.
Flores’ forward-thinking approach and dedication to excellence continue to shape the future of surgical services at UMC. She works tirelessly to bring the latest clinical innovations to the community, ensuring patients receive world-class care close to home.
PHOTOS BY WADE VANDERVORT
CARMEN FLORES
Medical Director of Surgical Services, University Medical Center of Southern Nevada
Michael Ciccolo has changed the landscape of pediatric cardiac care in Nevada during his 25-year career developing the congenital heart surgery program at Sunrise Children’s Hospital with Children’s Heart Center Nevada.
Committed to providing essential services so families wouldn’t need to leave the state for care, Ciccolo has achieved remarkable outcomes, including performing the first successful Norwood procedure in Nevada.
“Recently, I ran into a friendly family at Harry Reid airport. They turned out to be the parents of a baby born around 2007 with hypoplastic left heart syndrome,” Ciccolo said. “He was the first patient to survive a Norwood procedure done in Nevada and I had done the surgery. They informed me he is currently in college studying mechanical engineering.”
Ciccolo emphasizes the importance of developing high-level health services for Nevada’s growing population. “Good health is a key component to a successful life that allows an individual the ability to give back to their family, friends and community,” he said. “Las Vegas is a young, large metropolitan area and critically needs to develop high-level health services for its population.”
A board-certified thoracic surgeon specializing in congenital conditions, Ciccolo earned his medical degree and has devoted his career to advancing pediatric cardiac care in Nevada.
MICHAEL CICCOLO
Director of Congenital Heart Surgery, Sunrise Children’s Heart Surgery Center
RACHEL MACK
Program Director, Roseman University of Health Sciences— EMPOWERED Program
Rachel Mack is reshaping addiction treatment services in Nevada as a leader for Roseman University of Health Sciences’ EMPOWERED Program, which supports pregnant and postpartum individuals who use or have used opioids and stimulants. Overseeing clinical sta at four locations across Nevada and Utah, Mack manages field and outreach activities, fosters community partnerships and collaborates on grant reporting to sustain vital services for vulnerable populations.
“Growing up, I was able to clearly see the need for support and community resources for families in need to be stable and learn to thrive,” Mack said. “Resources that promote education, health and wellness, limiting barriers, improving access to care, advocacy and done with compassion.”
The EMPOWERED Program recently received preliminary accreditation from the Liaison Committee on Medical Education. “With this great achievement, the EMPOWERED Program now has the opportunity to become more established in the College of Medicine curriculum,” Mack said.
A licensed social worker and alcohol and drug counselor, Mack has extensive experience in working with patients experiencing opioid-use disorder and mental health disorders. She currently serves on the Nevada Congenital Syphilis Case Review Team and the Northern Nevada Public Health Fetal Infant Mortality Review Board, advocating for clients facing health care barriers.
Mack is passionate about providing support to those who need it most and helping patients break generational patterns and thrive in motherhood.
STEPHANI CHRISTENSEN
Medical Oncologist, Comprehensive Cancer Centers of Nevada
Stephani Christensen is advancing cancer treatment in Southern Nevada as a medical oncologist at Comprehensive Cancer Centers, where she combines cutting-edge research with compassionate patient care focused on breast cancer and serious blood disorders.
A Las Vegas native, Christensen recently served as principal investigator in the NATALEE trial, which demonstrated a 25.1% reduction in recurrence risk among patients with HR+/HER2stage 2 and 3 early breast cancer. The trial led to FDA approval of Kisqali (ribociclib), significantly improving disease-free survival rates.
“I am really proud of our participation in this trial, and research is so important to the advancement of cancer treatment,” Christensen said.
The practice has participated in more than 100 clinical trials leading to FDA approvals.
Beyond her clinical work, Christensen serves as chairwoman of Comprehensive’s marketing committee and holds leadership positions on the Breast Cancer Tumor Board and Breast Program Leadership Committee at Sunrise Hospital. She is also a clinical assistant professor in oncology/hematology at UNLV School of Medicine.
“Direct, compassionate patient care is always my focus,” she said. “I enjoy getting to know each of my patients. I make it a point to stress the importance of teamwork with my patients, their families and my coworkers.”
Christensen received her medical degree from UNR School of Medicine in 2009 after earning a bachelor of arts in American history from the University of Pennsylvania. She completed her residency in internal medicine and fellowship in hematology and medical oncology at Rush University Medical Center.
2025
STACEY WEBB
Chief Administrative O cer, Steinberg Diagnostic Medical Imaging
Stacey Webb turned her military experience into a distinguished career in health care administration, serving as chief administrative o cer at Steinberg Diagnostic Medical Imaging in Las Vegas.
With 45 years in the industry, Webb’s journey began at age 16 as a tray line aide at a local hospital. After eight years in the Air Force working in health care administration at various bases worldwide, she joined SDMI in 1994, eventually rising to her current position in 2008.
“I never intended to build a career in health care,” Webb said. “But as I gained experience, I discovered a genuine passion for the field.”
In her role, Webb manages multiple responsibilities including regulatory compliance, accreditation standards, patient experience oversight and sta training.
Her educational background includes a master’s in health care administration, a bachelor’s in business administration and associate degrees in health care management and accounting.
Webb finds fulfillment in advocating for patients and supporting sta . “Health care can be complex and overwhelming, and I take pride in helping our patients feel supported and informed throughout their experience with us,” she said.
She identifies patient education as a critical health care priority for Southern Nevada. “Too often, people turn to the internet for medical advice, which can lead to misinformation and confusion. If health care professionals take the time to educate patients directly, it would have a positive impact on the industry.”
“Health care can be complex and overwhelming, and I take pride in helping our patients feel supported and informed throughout their experience with us.”
PETER BONIFATTO
General Dentist, Summer Dental & Orthodontics
Peter Bonifatto is transforming the dental experience for Las Vegas patients through compassionate care and innovative education strategies. As a general dentist at Summer Dental & Orthodontics in Summerlin, Bonifatto brings a personal understanding to his practice.
“I know firsthand how life-changing a confident smile can be,” Bonifatto said. “I had really misaligned teeth as a kid, got bullied for it and begged for braces for years.”
With more than eight years in the industry and having treated more than 20,000 patients, Bonifatto focuses on reshaping negative dental narratives. His approach emphasizes listening to patients and creating a judgment-free environment, particularly for those with dental anxiety.
Beyond his practice, Bonifatto leverages technology, including AI, and social media to extend his impact to millions by sharing educational content. “I’m focused on making dental education more accessible through social media,” Bonifatto said. “Most people only spend a couple of hours a year in my chair, but they make decisions about their teeth every day. There is a ton of misinformation out there. My goal is to cut through the noise and give people clear, science-backed advice so they can take better care of their teeth before problems start.” He is also launching his own whitening brand, Dr. Bonifatto Whitening, providing a safer alternative to drugstore products.
A proud Las Vegas native, Bonifatto earned his doctor of dental medicine from the UNLV School of Dental Medicine. His dedication to excellence has earned him several recognitions including the Star Dentist Award from the Southern Nevada Dental Society in 2024.
Spine Surgeon and Director at The Robotic Spine Institute of Las Vegas
With more than 20 years of medical experience, Kornelis Poelstra has dedicated his career to advancing spine surgery through the integration of cutting-edge robotic technologies. He is the founder and lead surgeon at The Robotic Spine Institute of Las Vegas, where he combines his surgical expertise with advanced technology to improve patient outcomes.
Poelstra has performed more than 2,000 robotic-assisted spine surgeries— more than any other surgeon worldwide—and has pioneered techniques that increase precision, reduce recovery times and minimize surgical risks.
“What excites me the most about advancements in health care is the rapid evolution of robotic-assisted surgery and minimally invasive techniques,” Poelstra said. “These innovations allow us to perform spine procedures with greater precision, significantly reducing recovery times, surgical risks and patient discomfort.”
Poelstra is board-certified by the American Board of Orthopaedic Surgery and holds memberships in several prestigious organizations, including the North American Spine Society, the Society for Minimally Invasive Spine Surgery, and the American Academy of Orthopaedic Surgeons.
For Poelstra, expanding specialized care is a critical health care priority for Southern Nevada. “As Las Vegas continues to grow, there is a critical need for more advanced medical services, including specialized spine care,” he said.
“Patients shouldn’t have to travel out of state to receive world-class treatment.”
“What excites me the most about advancements in health care is the rapid evolution of robotic-assisted surgery and minimally invasive techniques. These innovations allow us to perform spine procedures with greater precision, significantly reducing recovery times, surgical risks and patient discomfort.”
KORNELIS POELSTRA
CASEY MAURICE
Director of Clinical Simulation, Touro University Nevada
Casey Maurice is revolutionizing health care education as director of clinical simulation at Touro University Nevada, where she creates immersive learning experiences that bridge the gap between classroom theory and real-world patient care.
Maurice coordinates with deans, program directors and faculty to design simulation cases in Touro’s state-of-the-art center that features high-fidelity manikins, standardized patients and ultrasound equipment. Her work helps students develop both technical expertise and crucial communication skills.
“One of my favorite aspects of my role is witnessing the tremendous growth students experience,” Maurice said. “On their first day, they often come in shy and timid, afraid to make mistakes. By graduation, they proudly call themselves DOs, PTs, PAs, NPs or OTs.”
Under Maurice’s leadership, the Michael Tang Regional Center for Clinical Simulation received full accreditation from the Society for Simulation in Healthcare in December 2024, becoming the first simulation center in Nevada to achieve this distinction. Maurice also serves as co-chair of the Las Vegas Simulation Group, which has grown from 10 to more than 150 members after being established two years ago. “I am dedicated to expanding this group and fostering collaboration to enhance the educational experiences of students throughout the Valley,” Maurice said. “Our collective goal is to standardize health care practices across the region and ensure they are the best they can be. By focusing on our specialty as simulation experts, we aim to elevate the quality of care and education for all.”
Sarasota,
UMC’ s BIG TURNAROUND
In a span of 11 years, UMC transformed from struggling public hospital to sophisticated health care system
BY SCOTT KERBS
When visiting UMC’s newly modernized, state-of-the-art campus in the heart of the Las Vegas Medical District, it’s difficult to imagine that Nevada’s largest nonprofit public hospital stood on the brink of closure just 11 years ago. In stark contrast to the widespread uncertainty and financial instability of years past, this 26-acre site now serves as a hub for clinical innovation and expansion.
“Throughout the past decade, UMC has experienced one of the most impressive financial transformations in health care,” said Mason Van Houweling, CEO of UMC. “With the support and leadership of our entire team, we have saved local taxpayers nearly $1 billion
while significantly expanding access to life-changing care for our community.”
A new era
When UMC’s Governing Board appointed Van Houweling as CEO in 2014, the health care system faced a number of daunting challenges. At this point, UMC relied heavily on Clark County taxpayer dollars to stay afloat, receiving annual subsidies of more than $100 million in some cases. Amid persistent financial losses, UMC had downsized its workforce and eliminated key services in hopes of weathering the storm.
As rumors swirled about UMC shutting its doors, this was an extraordinarily challenging time for the employees who had dedicated their careers to serving the community. “Before
TURNAROUND
Mason arrived, there were discussions about privatizing UMC or closing it completely,” said Shana Tello, who has worked at UMC for 28 years and now serves as the Academic and External Affairs Administrator. “There was a great deal of uncertainty and UMC employees didn’t have much of a voice at the time. Thankfully, this culture shifted quickly when Mason became CEO. He broke down the silos between the C-suite, employees and health care providers.”
As Van Houweling took the mantle as CEO, he accepted the harsh reality of the situation in 2014: Southern Nevada’s public safety net hospital was not financially viable in its current state. UMC needed to change the way it did business.
Motivated to preserve this treasured institution that has served Southern Nevada since 1931, Van Houweling led a rapid trans-
formation by collaborating with experts at all levels of UMC to renegotiate costly contracts, expand vital services, and invest in technology and capital improvement. Under Van Houweling’s leadership, UMC also implemented new strategies to increase elective surgeries, enhance physician engagement and improve employee morale.
“Together, we focused on elevating core services, reducing unnecessary expenses and empowering our team members to become stakeholders in UMC’s success,” Van Houweling said. “We began operating like a business, leaving behind the outdated notions that limited our capabilities as a public hospital offering the highest level of care in the state. Within just two years, we began to see positive operating income.”
Continued on page 36
Scott Kerbs is UMC’s brand and public relations director
The renovation of UMC’s hospital campus represents the largest capital improvement project in UMC’s 94-year history. (Courtesy)
Today, UMC stands on its own, no longer relying on large subsidies from local taxpayers. “With UMC on sound financial footing, these taxpayer dollars now support a wide range of other vital services across our community,” Van Houweling said.
Investing in a healthier future
As UMC moved from the red into the black for the first time in recent memory, community members and employees breathed a collective sigh of relief. UMC is home to the state’s only Level I Trauma Center, Verified Burn Center and Transplant Center. Losing these vital services would have led to devastating results for patients like Hugo Betancourt, who sustained burns over 95% of his body in a plane crash several years ago. Betancourt spent nearly a year receiving round-the-clock care for his severe injuries at the UMC Lions Burn Care Center.
“If we didn’t have the burn center at UMC, I wouldn’t be here today,” Betancourt said. “I feel as though the hospital’s story is a reflection of my own and other patients who receive care here. At one point, I was too weak to even breathe on my own, and now I’m talking and walking. In the same way, the hospital went from almost shutting its doors to recovering and expanding.”
As UMC’s financial situation rapidly improved, the health care system finally had the opportunity to reinvest its operating income and elevate the level of care available in Southern Nevada. This included the introduction of the state’s most advanced robotic surgery program, bringing state-of-the-art clinical technology to the community to support reduced recovery times and improved clinical outcomes.
Throughout the past decade, UMC has expanded access to care across Southern Nevada, introducing new outpatient clinic locations and medical practices to meet the growing needs of community members. This includes eight new Quick Care and Primary Care locations, in addition to two UMC Orthopedic & Spine Institute clinics, a
UMC CEO Mason Van Houweling speaks with team members in the hospital’s dedicated COVID-19 Testing Laboratory in 2020. UMC performed more than 1.3 million COVID-19 tests during the pandemic. (Courtesy)
24/7 telemedicine practice and many new in-hospital services.
In recent years, UMC has made strategic investments to transform the UMC Cardiovascular Center. “We recognized a growing need for comprehensive heart care in our community,” Van Houweling said. “This led our team to complete a large-scale remodel of our cardiovascular care infrastructure, building additional cardiac catheterization laboratories, introducing expanded electrophysiology services, renovating existing labs and outfitting all of these clinical areas with state-of-the-art equipment.”
UMC’s financial turnaround also had a monumental effect on its response to the largest public health crisis in the hospital’s 94-year history. As the world braced for the impact of COVID-19, UMC had the resources needed to serve as a leader in the statewide response. In a matter of weeks, UMC built a second on-site laboratory from the ground up, significantly expanding Nevada’s overall COVID-19 testing capacity. In total, UMC performed more than 1.3 million COVID-19 tests throughout the pandemic and served as the only hospital in Southern Nevada to offer large-scale public testing and vaccination centers. At the height of the pandemic, UMC operated the largest testing center in the
state at the Las Vegas Convention Center, providing vital testing resources local to casino and resort employees.
“With new resources available to our team, UMC helped Las Vegas safely reopen while protecting the health of our community’s front-line workers,” said Tello, who managed UMC’s COVID-19 testing centers. “This level of response simply wouldn’t have been possible in the past.”
New campus, new opportunities
UMC recently completed the largest capital improvement project in its history, upgrading and modernizing its entire 26-acre flagship hospital campus. This multiyear project included the renovation of UMC’s facade spanning across every building on the campus, in addition to the development of two healing gardens, upgraded parking lots, refreshed landscaping and lighting, and improved pedestrian access.
“What began nearly a century ago as a simple, one-room hospital with one doctor and one nurse has transformed to become a sprawling complex of clinical excellence,” Van Houweling said. “As we operate in an increasingly competitive environment, this modernization project will support UMC’s continued momentum for years to come.”
Food is the often overlooked ingredient in treatment plans
Wael
Eid, MD, is co-founder and CEO of MDMeals and director of pulmonary and critical care services at Sunrise Hospital & Medical Center
For more information visit mdmeals.com
BY WAEL EID, MD
When treating health issues, most patients think of prescription medications, diagnostic tests or surgical procedures. Rarely, if ever, does food take center stage; yet nutrition is a cornerstone of health, a dynamic factor that can help prevent illness, manage chronic conditions and promote overall well-being.
The need is vast
According to the Centers for Disease Control and Prevention, chronic illnesses such as heart disease, stroke and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation’s annual health care costs.
With 6 in 10 Americans diagnosed with at least one chronic disease, and 4 in 10 with two or more chronic diseases, any help to alleviate the underlying causes is needed. The CDC lists poor diet as a major contributor to these conditions and despite this, nutrition remains underemphasized in clinical care.
A 2015 study published in the Journal of Biomedical Education indicates that fewer than 25% of medical schools provide the recommended 25 hours of nutrition education, leaving many health care providers underprepared to offer dietary guidance.
Little guidance or support
As a practicing physician in Las Vegas, I see this disconnect daily. Patients diagnosed with chronic illnesses are often handed a list of dietary recommendations with little guidance or practical support. While well-intentioned, this approach rarely leads to lasting change. When faced with a serious health diagnosis,
patients are already overwhelmed. Asking them to overhaul their diet without tools or resources only adds to their stress.
Unfortunately, many patients lack access to registered dietitians or nutrition counseling, making it even more difficult for patients to consistently make healthy choices.
Reactive, not preventive
Modern health care tends to focus on treating illness after it arises rather than preventing it in the first place. This tendency overlooks one of the most powerful preventive tools available: proper nutrition. Studies show that adopting a healthier diet can reduce the risk of chronic diseases, slow disease progression and, in some cases, even reverse certain conditions.
Research from the American Heart Association suggests that a heart-healthy diet can lower blood pressure, reduce cholesterol levels and improve overall cardiovascular health. Similarly, dietary changes in patients with Type 2 diabetes have been shown to enhance blood sugar control and decrease the need for medication. These outcomes highlight a critical but underutilized truth: Food can be as powerful as medicine.
Yet, patients face significant barriers to accessing and maintaining a nutritious diet. Time constraints, lack of nutritional literacy and the cost of healthy food all present challenges. For individuals managing chronic illnesses, these hurdles can feel insurmountable.
Food as a form of empowerment
As a quote attributed to Hippocrates said, “let food be thy medicine and medicine be thy food.” Known as the father of modern medicine, Hippocrates emphasized the vital connection between diet and health, a principle that remains profoundly relevant today. One of the
most empowering messages we can share with patients is that they have more control over their health than they realize. Small, consistent changes in diet can yield profound health benefits over time. Encouraging patients to view food as a form of medicine shifts the narrative from passive to active participation in their well-being.
When patients feel empowered to make informed decisions about their diet, they become active participants in their treatment journey, which fosters a sense of control and optimism.
Bridging the gap between knowledge and action
Health care providers play a critical role in bridging the gap between knowledge and action. Simply informing patients about what they should eat is not enough; we must also provide practical solutions that fit their lives. This means integrating nutrition into treatment by prescribing tailored food plans, recommending reliable nutrition apps, scheduling regular follow-ups to track dietary progress and partnering with qualified healthy food providers. By treating food as a foundational element of care, providers can help patients make lasting changes that support their overall health.
Investing in nutrition not only benefits individual patients but also has the potential to reduce overall health care costs. A 2019 study published in PLOS Medicine found that subsidizing healthy foods through Medicare and Medicaid could prevent millions of cases of chronic disease and save billions in health care expenses. By embracing food as a powerful tool for healing, we move closer to a health care model that is proactive, preventive, patient-centered and truly comprehensive.
The conversation around food as medicine is gaining momentum but there is still much work to be done. As clinicians, we have an opportunity to reshape how we approach patient care by making nutrition a central part of the treatment plan. For patients, access to practical, nutritious options can mean the difference between struggling with illness and thriving in health.
Graduate medical education at UNLV is transforming health care in Nevada
Wonda J. Riner is chief information and marketing officer at Kirk Kerkorian School of Medicine at UNLV
BY WONDA J. RINER
Nevada, and particularly Clark County, has long struggled with a shortage of physicians. With one of the lowest doctor-to-patient ratios in the country, the state faces a critical challenge: how to provide adequate health care to its rapidly growing population. Nevada ranks near the bottom in key health care workforce metrics. According to the Association of American Medical Colleges, the state has approximately 218 physicians per 100,000 residents, compared with the national average of 277 per 100,000. Nevada currently ranks 45th for active physicians, 48th for primary care physicians, and 49th for general surgeons per 100,000 population, underscoring the pressing need for more medical professionals. Clark County bears the brunt of this shortage. This situation is even more severe in certain specialties such as primary care, psychiatry and pediatrics, leaving many Nevadans with long wait times or forcing them to seek care out of state.
The Kirk Kerkorian School of Medicine at UNLV is actively working to expand access to health care and increase the number of physicians in the state. The school is making significant strides in addressing this shortfall through its robust Graduate Medical Education (GME) programs. By training the next generation of physicians and encouraging them to stay and practice in Nevada, the medical school plays a vital role in improving health care accessibility and quality in the region.
The lack of in-state medical training opportunities has historically exacerbated the problem. Medical school graduates often leave Nevada for their residency training and never return, contributing to the state’s ongoing physician deficit. Recognizing this challenge, the Kirk Kerkorian School of Medicine at UNLV has been
actively expanding its GME programs to provide new pathways for aspiring physicians to train and remain in Nevada.
Gov. Joe Lombardo, in his 2025 State of the State address, underscored the critical role of GME in enhancing Nevada’s health care landscape. After completing medical school, doctors must undergo several years of hands-on training in hospitals and clinics under the supervision of experienced professionals — also known as residency programs. These residency programs are not just crucial for developing competent physicians but also serve as an effective workforce retention strategy. Nationally, more than 60% of doctors choose to practice where they complete their residency training. In Nevada, approximately 55% of physicians who complete their residency training in the state opt to stay and practice in the state. While that is below the national average, Nevada is eighth in the nation for retaining physicians who complete both their medical degree and residency training in the state—77% of physicians who complete both undergraduate medical education and graduate medical education opt to stay.
Recognizing this, the Kirk Kerkorian School of Medicine has prioritized the expansion of its residency and fellowship programs to meet Nevada’s health care needs. Currently, UNLV’s GME programs train more than 350 residents and fellows across multiple specialties, including family medicine, internal medicine, surgery, pediatrics, psychiatry and emergency medicine. This effort is significantly increasing the number of doctors entering the state’s workforce and helping to stabilize Nevada’s health care system.
The impact of UNLV’s medical training programs is already being felt across Clark County, where UNLV residents and fellows, alongside faculty physicians, are providing care through the school’s associated practice plan, UNLV Health, and in the local hospitals that have partnered with the school. Under the supervision of UNLV
faculty physicians, residents are exposed to a high-volume, high-acuity patient population, preparing them to handle the complexities of modern medicine.
While the strides made by UNLV’s medical school are impressive, more work remains to be done. The state still lags behind national averages in the number of residency slots available, due in part to limited funding for GME programs. Expanding these programs requires both state and federal investment, as well as partnerships with local hospitals and health care practices.
Additionally, the ongoing development of new residency and fellowship programs—particularly in high-demand specialties like neurology and hematology, and medical oncology—will ensure that Nevada continues to build a comprehensive health care workforce capable of meeting the needs of its
growing and aging population.
The importance of Graduate Medical Education cannot be overstated. Residency programs are the cornerstone of a well-functioning health care system, and the Kirk Kerkorian School of Medicine at UNLV is leading the charge in addressing Nevada’s physician shortage. By training, retaining and expanding the number of doctors practicing in the state, UNLV’s GME programs are making a tangible difference in the lives of Nevadans.
As Clark County and the rest of Nevada continue to grow, the need for qualified physicians will only become more pressing. Through sustained investment in GME programs and a commitment to keeping medical talent within the state, Nevada can work toward a future where everyone has access to quality health care.
Surgical residents from Kirk Kerkorian School of Medicine at UNLV (Courtesy)
Partnership brings health and medical services to Nevada’s vulnerable youth
Lanette Rivera is director of engagement and communications, Nevada Partnership for Homeless Youth
To find out more about how you can make an impact, visit nphy.org
BY LANETTE RIVERA
With new pediatric resources generating buzz around town, it’s clear that providing access to top-tier medical support is not only something all youths deserve but also essential for building a healthier, safer community, and securing a better future for Southern Nevada. But what happens to those who don’t have adults around them advocating for their health needs? What about young people experiencing unaccompanied homelessness?
According to the Clark County School District’s Title I Homeless Outreach Program for Education (HOPE), more than 13,500 youths experiencing homelessness were enrolled in schools in the 2023-2024 school year. On any given day, there are 444 unaccompanied youths experiencing homelessness in our community— 34% increase from 2023 to 2024.
Homelessness can have devastating impacts on the health of young people. According to the American Academy of Pediatrics, lack of stable housing and proper nutrition can lead to a weakened immune system, developmental delays and a higher risk of chronic illnesses.
The increase in stress also can result in higher rates of depression, anxiety and other mental health issues. On top of this, lack of knowledge about health resources or when to access care, lack of funds to pay for services, and lack of transportation can keep youths from even seeking life-saving services they need, resulting in long-term impacts on their health.
The Nevada Partnership for Homeless Youth (NPHY) is the most comprehensive service provider in Southern Nevada exclusively working with youths experiencing homelessness between 12 to 24 years old. Our mission is to end youth homelessness and its wide-ranging, devastating impact. NPHY provides compre-
hensive services including outreach, mobile crisis intervention, emergency shelter, Drop-In Center services, family reunification and housing programs. In addition to our programming for youth, eight years ago, NPHY launched the Movement to End Youth Homelessness in Nevada to unite communities across our state to attack youth homelessness from all angles. The movement is a systems-level initiative focusing on advocacy and awareness, legislative action, cross-sector collaboration, systems transformation and youth empowerment.
With almost 25 years of experience providing high-quality services to youths in our community, NPHY has become an expert in engaging with youths to find out the most frequent challenges they face while on the streets. Again and again, our case managers saw youths facing challenges accessing medical services, mental health services and even dental care.
True to our spirit of collaboration, NPHY met with leaders from Nevada Health Centers (NVHC) to discuss solutions. Through this partnership, we began bringing NVHC’s Nevada Children’s Health Mobile Clinic to our Drop-In Center (DIC) campus weekly, eliminating barriers and providing youths a warm handoff to access health care in a safe, familiar, accessible and no- to low-cost environment.
Every Friday, youths can expect the “big blue medical office on wheels,” in the back of our DIC to provide a range of services that include: full examinations; testing and treatment for STIs; behavioral/mental health screenings, evaluation and treatment; sick visits and acute care; minor surgical procedures; immunizations; health education and counseling; prescriptions and lab testing.
Even as we removed these barriers for youths within our programs, we still faced the challenge that many health care providers were uncertain about the regulations guiding their
ability to care for unaccompanied minors, even those being seen by the mobile clinic. Recognizing a timely need for action in 2020 during the height of the pandemic, NPHY acted again by working on legislation to clear up confusion around providing services to unaccompanied minors experiencing homelessness.
In 2021, the Movement to End Youth Homelessness successfully advocated to break down barriers and empower unaccompanied minors to access critical health care services. AB 197 created new rules allowing unaccompanied youths under age 18 to access physical, behavioral, dental and mental health care without parental consent. The law removed a dangerous waiting period that prevented youths from receiving needed care, clarified the types of health care services young people can access on their own and helped health care providers implement the law correctly by establishing a simple process to verify that a youth is an unaccompanied minor experiencing homelessness.
Now, after years of partnership, the impact
has been invaluable in bridging gaps for the most vulnerable youths in our community. The Mobile Clinic visiting NPHY’s facility has served hundreds of homeless youths over the course of thousands of visits, and its medical professionals have provided consistent treatment for common illnesses such as flu and cold, along with providing ongoing support for diabetes, asthma, birth control and immunizations. For example, one client’s life was transformed when connected to life-changing weight loss support, while another was recently treated for a chronic thyroid disorder.
Bridging health care divides for our most disadvantaged youths is not only necessary for the future of their health, but also for the future of our community. As we continue to work toward ensuring all young people in our community have access to the best health care systems, it’s important that youths experiencing homelessness are a part of the conversation. For now, NPHY and NVHC will continue our work to ensure they have what they need to be healthy and thriving community members.
Nevada Children’s Health Mobile Clinic provides services that include examinations, testing and treatment for STIs, behavioral/mental health screenings, sick visits and acute care, minor surgical procedures, immunizations, health education and counseling, prescriptions and lab testing. (Courtesy)
Teaching children healthy eating and activity needs to be a collaborative effort
Macy
Helm
is
nutrition education programs senior coordinator at UNR Extension
BY MACY HELM
Childhood obesity is on the rise in Nevada, driven by a combination of poverty, food insecurity, low fruit and vegetable intake, and excessive screen time. This alarming trend not only affects children’s physical health but also has long-term implications for their overall well-being, academic performance and future productivity. Addressing childhood obesity is not a challenge that can be solved by one organization alone. Instead, it requires a united effort from charities, higher education institutions, government agencies and private industry.
One powerful example of this collaborative approach is the partnership between Chefs for Kids, UNR Extension, and the Division of Welfare and Supportive Services. Together, these organizations are working to equip Nevada’s youth and their families with the knowledge, skills and resources needed to make healthier lifestyle choices.
Understanding SNAP-Ed’s role
The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is a federally funded program designed to enhance dietary and physical activity habits among low-income individuals and families, particularly those eligible for SNAP. Administered by the Nevada DWSS and implemented by UNR along with its partner organizations, NV SNAP-Ed delivers evidence-based educational resources aimed at promoting healthier eating and increased physical activity. In 2024 alone, SNAP-Ed reached more than 4,000 youths across Nevada, equipping them with essential tools to make informed decisions about nutrition and exercise.
Through interactive lessons, hands-on activities and engaging materials, SNAP-Ed
fosters lifelong habits that can combat obesity and related health issues. By focusing on both individual behavior changes and community-wide initiatives, the program ensures that its impact extends beyond the classroom and into everyday life.
The impact of Chefs for Kids
Chefs for Kids, a grassroots organization started by local chefs and members of ACF Chefs of Las Vegas with a mission to alleviate malnutrition and hunger through education and awareness, plays a vital role in this multiagency effort. The organization partners with UNR Extension, whose educators visit third-grade classrooms to conduct nutrition education classes in at-risk Title I elementary schools.
“It is important to start nutrition education early,” said Crystal Momii, program officer 1 at UNR Extension and lead educator of the Chefs for Kids program. “Third grade is perfect, as they are at an age that they can understand cause and effect in a more complex setting. Eat nutritious foods and it will help you to be healthy.”
The curriculum follows the latest guidelines set forth by SNAP-Ed. These classes include a physical exercise, interactive lesson, and food tasting to help teach students the importance of eating fresh fruits and vegetables and incorporating physical activity into their daily routines. While the classes are taught at several schools throughout the Valley, a few (between 12-14 schools each year) are designated as Chefs for Kids schools.
This is where culinary magic happens. Chefs for Kids schools also receive a free breakfast for the entire school courtesy of partnering chef teams at local resorts and restaurants.
“We take each breakfast as a challenge as we try to design and create a memorable experience for the kids. An example of this would be incorporating the school’s colors in the dessert options
and having the ability to introduce food to the kids that they may not have ever tried before, or rethinking the classic items all kids like,” said Justin Fredrickson, executive chef of Mandalay Bay, Luxor and W Las Vegas, and a long-standing partner with the organization.
But Cookin’ Up Breakfast isn’t Chefs for Kids’ only food insecurity initiative. Chefs for Kids also partners with professional chefs, educators and volunteers to provide direct support to families in need. In 2024, the organization worked alongside SNAP-Ed and UNR Extension to distribute fresh produce and nutrition education to food insecure children and their families through initiatives like Holiday Helpings, Farmers Markets and Produce Picasso classes.
The results
In 2024 alone, these initiatives added up: 1,338 students received nutrition education lessons, and 761 students received mini-nutrition education at 11 schools and one community center. These educational efforts also came with food insecurity efforts which added up to 14,487 meals and 10,783 snacking opportunities. Each family participating in the mini-nutrition education lessons received a bag filled with fruits and vegetables, along with educational materials and physical activity playing cards designed to make movement fun for children. This initiative helps bridge the gap between knowledge and action, ensuring that families not only understand the importance of healthy eating but also have access to nutritious foods.
A healthier future through collaboration
The success of this initiative highlights an important lesson: Real change happens when organizations align their resources and expertise to serve the community. By working together, Chefs for Kids, UNR Extension, SNAP-Ed and the many local businesses who support Chefs for Kids are addressing multiple facets of childhood obesity, from education and awareness to fresh food access and
physical activity.
This collaborative model is particularly critical in today’s environment, where funding for nutrition programs and public health initiatives can be uncertain. By demonstrating measurable outcomes and long-term benefits, these partnerships provide a compelling case for continued investment in community health efforts.
A model for nationwide change
While this program is making a significant impact in Nevada, it also serves as a model that can be replicated in other states. The key components of its success include:
n Multiagency collaboration: By bringing together nonprofits, universities, government agencies and private industry, the initiative leverages diverse resources and expertise.
n Evidence-based education: Using research-backed strategies ensures that the program delivers meaningful and lasting results.
n Direct community support: Providing hands-on assistance, such as fresh produce and physical activity resources, helps families overcome barriers to a healthy lifestyle.
n Long-term commitment: Sustainable change requires ongoing efforts, and this partnership is committed to making a lasting difference.
The path forward
As childhood obesity rates continue to rise, the need for collaborative solutions becomes even more urgent. Expanding programs like this to reach more communities, securing longterm funding and fostering additional partnerships will be essential in ensuring a healthier future for Nevada’s children.
This initiative exemplifies what is possible when organizations put the health and well-being of the community first. By working together, we can create an environment where every child has the opportunity to grow up healthy, active and well-nourished. This is not just a fight against childhood obesity—it’s a fight for a brighter and healthier future for all.
Courtesy photos
Nevada Physician Wellness Coalition created to combat doctor burnout and suicide
Colleen Camenisch , MBA, is Executive Director of the Nevada Physician Wellness Coalition
BY COLLEEN CAMENISCH, MBA
Described as a national public health crisis, physician burnout is highly prevalent and its impacts are devastating. Research directly points to the connection between physician burnout and errors in medicine, as well as less compassion for patients, early retirement, substance abuse and suicide.
According to the 2020 Medscape National Physician Burnout & Suicide Report, 42% of physicians reported they are burned out. This statistic has remained steady over the past two decades, with more than 50% of practicing physicians reporting feeling depressed or having signs of professional burnout pre-pandemic. In 2021, the Mayo Clinic reported that 62.8% of physicians experience at least one manifestation of burnout. A 2022 report by the American Medical Association found that 1 in 5 physicians plan to leave their current practice and that 1 in 3 plan to reduce their hours.
than others, specifically those in rural areas, marginalized and low-income populations, and those seeking specialty care. By not focusing on physician retention and well-being, we compound suffering and increase health disparity for these groups.
What can be done? Following the suicides of two physicians in Northern Nevada, a group of fellow physicians established the Nevada Physician Wellness Coalition (NPWC). The nonprofit organization aims to address the devastation and negative community impact of physician burnout and suicide.
By providing confidential and independent spaces to support physician well-being, the NPWC expands physician capacity, retention, and access to quality health care services for our community.
The suicide rate for physicians is four times higher than the national average, and suicide is the leading cause of death among medical trainees. Complicating the issue, physicians tend to not self-report burnout and are reluctant to seek help for mental health issues due to social stigma and fear of reprisal from licensure boards or employers.
Further, physician retention and well-being directly affect health equity. Physician shortages negatively impact some groups more
Based on input from physicians, medical staff and industry-research, the NPWC offers evidence-based well-being programs and resources across the spectrum of acuity statewide to address the highly sensitive nature of physician burnout and associated stigma.
Providing multiple group programs per month as well as access to a confidential Physician Resource Line staffed by psychologists who specialize in physician stress, the NPWC operates independently of regulatory and licensure bodies, medical societies and medical employers. The NPWC serves Nevada physicians, medical students and their families across the state, regardless of place of employment or employment status.
NPWC staple programs include the monthly speaker series and the twice-monthly Enhancing Humanism in Medicine series. The speaker series features experts on physician
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well-being, representing a wide variety of backgrounds and offering evidence-based tools. The Enhancing Humanism in Medicine series are evidence-based, interactive sessions developed specifically for physicians. Adapted from the University of Rochester’s Mindful Practice in Medicine curriculum, each session includes a didactic component as well as small-group discussion. The small-group discussion is an important aspect of these sessions, as it helps physicians understand that they are not alone and contributes to dismantling the culture of silence in medicine. The NPWC has engaged 2,283 providers, predominantly Nevada physicians, in their programs since October 2020.
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While NPWC programming provides tools for physicians to navigate and mitigate burnout, more must be done to address burnout at the source. Research clearly identifies that physician burnout is largely a systemic issue, and the NPWC is now facilitating two working groups that will steward organizational change to reduce burnout for clinicians: leadership working group available to sponsoring hospital systems as well as a medical education working group.
The NPWC has been working with the Patient Protection Committee, MD Board, DO Board and Department of Insurance to propose changes to remove invasive health questions on credentialing, licensing and employment forms. The MD and DO boards have both made significant revisions, and both boards are now recognized by the Lorna Breen Heroes Foundation as “All In Wellbeing First for Healthcare” champions. Changes to these forms have the potential to increase help-seeking behavior among physicians, which promotes better health outcomes for themselves as well as their patients.
The NPWC contributes to physician well-being, which positively affects Nevada’s health care system in numerous ways. NPWC interventions aim to prevent physicians from dying by suicide as well as seek to keep providers from retiring early, reducing hours or leaving the state. By providing confidential and independent spaces to support physician well-being, the NPWC expands physician capacity, retention and access to quality health care services for our community. Ultimately, the NPWC has a significant statewide impact by helping patients from all demographics and backgrounds continue to have access to quality care.
The urgent, life-saving need for heart screenings in student-athletes
Troy Roques is
executive director of Vegas for Athletes
Heart screenings shouldn’t be a privilege, they should be a priority. Together, we can create a future where every young athlete plays the sport they love with confidence— knowing their heart is safe. To learn more, support our mission or sign up for upcoming events, visit vegasforathletes.org.
BY TROY ROQUES
The scoreboard buzzed, sneakers squeaked on the gym floor and families cheered from the bleachers. No one saw it coming. In a blink, a 15-year-old athlete collapsed during warmups. His teammates froze. His coach shouted for help. Within seconds, everything changed. He had suffered a sudden cardiac arrest.
Sudden cardiac arrest is the leading medical cause of death among student-athletes and on school campuses, and it often strikes without warning. Undiagnosed heart conditions are preventable tragedies, yet standard sports physicals often fail to detect them.
What is SCA and why are young athletes at risk?
Sudden cardiac arrest happens when the heart unexpectedly stops beating due to an electrical malfunction. Unlike a heart attack, which is caused by blocked arteries, SCA results from abnormal rhythms that can suddenly and fatally disrupt the heart’s function. Without immediate intervention, it is almost always fatal.
What makes SCA especially dangerous in youths is that most affected young people don’t show any outward signs of heart disease. Hidden conditions such as hypertrophic cardiomyopathy, long QT syndrome and other electrical abnormalities can lie dormant for years until a moment of intense exertion reveals them. Young athletes are particularly vulnerable because the physical strain of sports can trigger these silent conditions. A simple electrocardiogram (ECG) test can often identify these issues, and they can be treated before it’s too late.
A preventable tragedy
In 2023, Southern Nevada lost three young
athletes to sudden cardiac arrest. These were kids with futures, families and friends. Their losses sent shockwaves through the community and served as a painful reminder that awareness alone isn’t enough—we need action.
That’s where Vegas for Athletes steps in. As a nonprofit dedicated to heart health in youth sports, we’re on a mission to provide ECG heart screenings to as many student-athletes as possible and to educate families on why screenings matter.
Real impact: Screening to save lives
In 2024, there were seven heart screening events where 467 young athletes were evaluated. Sixteen of those were found with heart abnormalities. Six of those conditions were potentially life-threatening.
With growing support, including from the Las Vegas Aces, Las Vegas Aviators, Clark County School District, Meesha Moulton Law, United Healthcare and Chase Bank—we’re expanding our reach and helping schools prioritize ECG screenings in youth sports programs.
Why screenings should be part of the game
Traditional sports physicals typically do not include ECG tests, though they are often the only way to detect serious heart conditions before symptoms appear. According to a study published in the Journal of American College of Cardiology examining results from a 25-year health initiative in Italy, routine ECG screenings among young athletes may decrease sudden cardiac deaths by 90%. This powerful outcome shows what’s possible when communities come together to prioritize prevention.
Every screening is a chance to find a hidden condition. Every child we test is one step closer to a safer future on and off the field.
Your heart is in the right place.
Whether you need specialized care for hereditary heart disease, or you’re experiencing chest pains, UMC is here to provide the complete cardiovascular care you deserve. Our world-class teams bring the power of the latest clinical breakthroughs and advanced technology to you. From innovative minimally invasive procedures to the most complex surgeries, when you choose UMC, rest assured your heart is in the right place.
Comprehensive Care for Your Heart
Interventional Cardiology • Open Heart Surgery Program • Cardiac Rehabilitation Heart Failure Clinic • Nevada’s Only Cardiology Fellowship Program • Serving Nevada Since 1931
Heartfelt Care Meets Cutting-Edge Curriculum
Through the development of Roseman University’s new MD-granting, allopathic College of Medicine, Dr. Pedro Jose “Joe” Greer Jr., Presidential Medal of Freedom winner, recipient of the MacArthur Genius Grant, and Founding Dean, together with his team, will deliver a transformative educational experience designed for future physicians ready to embrace the rapidly changing landscape of healthcare.
We are now accepting applications for our inaugural class in our new Doctor of Medicine (MD) program!
By aligning students, educators, partners and the community, we will create an inclusive and collaborative environment for innovative learning, healthcare and research. Together we can improve the health of our most vulnerable communities and our region’s health overall.
Roseman University congratulates EMPOWERED’s Rachel Mack for being selected as a “2025 Health Care Headliner” in the Community Outreach Category.
Transforming Education. Reimagining Healthcare. Embracing Discovery. Committed to Community.
