Summer Student Research Program

2011

Presented by

thursday, August 11, 2011Ala Moana Hotel

Summer Student reSearch Program

An Investment in the Future of Medicine

Hawaii Pacific Health

CelebratingYears

Research Scholars attend EPIC Class

Our first day of the program was spent contemplating the complex questions of medical and research ethics, and I knew

then that this would be a summer of exploration and change.

2011 SSRP Research Scholars

Path to Kalaupapa

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er Student Research Program 2011

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The opportunities it has to offer are endless.

Every day has something new and

exciting.

On Cover: Dr. Michael H. Plumer and Research Scholar Eddy Zandee van Rilland on the tour of Wilcox Memorial Hospital and Kauai Medical Clinic

Pathway to Medicine

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Hawaii Pacific Health welcomes you to the Scientific Presentation featuring our twelve Research Scholars who participated in the 2011 Summer Student Research Program (SSRP). Each Research Scholar conducted a project, and today, will present the results of their research findings with their physician mentors.

On Sunday, July 31, 2011 Alumni, parents, physicians, donors, and friends of the SSRP attended Celebrating 25 Years: An Investment in the Future of Medicine at The Kahala Hotel & Resort. In addition to reacquainting ourselves with SSRP Alumni and physician volunteers, it was a great opportunity to see everyone and commemorate this milestone.

Established in 1986, this unique program partners the experience of participating in a clinical research project, with a structured medical curriculum highlighted by the life cycle of research meetings, careers in medicine talk-story sessions with physicians, and visits to our Hawaii Pacific Health affiliated hospitals---Kapiolani Medical Center for Women & Children, Pali Momi Medical Center, Straub Clinic & Hospital, and Wilcox Memorial Hospital on Kauai.

Our students took advantage of every opportunity to observe surgeries and shadow physicians. They listened intently and asked questions during each talk-story session to grasp as much information about many specialties in medicine. Through this curriculum and optional activities, the Research Scholars learned about research design and methodology, and got a flavor of the role of clinical research in the daily practice of medicine.

To our principal investigators from Kapiolani, Pali Momi and Straub, thank you for sharing your research projects and spending personal time from your busy schedules to mentor a student. To our careers in medicine physician volunteers and tour escorts, and to so many other physicians who allowed our students to shadow and observe their surgeries, your contribution added to the success of the program.

A special thanks to Dr. Kathy Kozak who invited the research scholars to discuss their studies on her radio program, The Body Show.

Congratulations to the 2011 Research Scholars. You have worked hard the past eight weeks. We felt your enthusiasm, your curiosity intrigued us, and we were challenged by your questions.

We wish you every success in the future and we hope the SSRP has inspired you to continue your journey toward a career in medicine.

Sincerely,

S. Kalani Brady, MD, MPH, FACP Curtis B. Kamida, MD, FACRCo-Director Co-DirectorSummer Student Research Program Summer Student Research Program

Dr. Curtis B. Kamida

Dr. S. Kalani Brady

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Celebrating 25 Years - An Investment in the Future of MedicineAs one of the states leading health care providers, Hawaii Pacific Health has the responsibility to invest in the future of medicine in Hawaii. One of the ways to fulfill this commitment is through its Summer Student Research Program, also known as SSRP.

The SSRP is part of a tradition of excellence that began in 1986. Each summer, 6 to 12 undergraduate college students are competitively selected from a field of outstanding applicants on the basis of their outstanding scholarship and commitment to pursuing a career in medicine.

During the past 25 years, more than 250 students have participated in this invaluable hands-on introduction to the real world of medicine and clinical research. Many of our Alumni have gone on to medical/research programs at prestigious institutions nationwide, and several have returned to Hawaii to practice.

Chuck Sted, President and CEO of Hawaii Pacific Health, welcomes guests of the 25th Anniversary Celebration.

Ray Vara, Executive Vice President and CEO of Operations of Hawaii Pacific Health speaks with the 2011 SSRP Research Scholars in a careers in medicine talk-story session.

CelebratingYears

Its a great program and it had been based just at Straub and now its all across the system, so its just fantastic. Now I am

meeting young doctors who are with us, either in private practice, or employed at Straub who have

come through the program.

One of the critical components to any great health care

institution is research and education. We see this program

as a real opportunity to begin developing the next generation of

health care professionals.

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Dr. Brandy Kaneshiro Yeung (1997 SSRP Alumni) talking with Dr. Albert Yeung (Radiologist) and Dr. Randy Yates (Chief Medical Officer) of Straub Clinic & Hospital.

Dr. S. Kalani Brady with Dr. David Andrew and Dr. Robert Kistner, former directors of the Straub Foundation, who established the SSRP in 1986.

Dr. Jerris Hedges, Dean of the John A. Burns School of Medicine, University of Hawaii at Manoa, with SSRP Alumni who are attending JABSOM Medical SchoolFront Row: Sony Ton, Dr. Hedges, and Sean Matsuwaka. Back Row: Nicole Shirakawa, Brooke Yorita, Neil Onizuka, Emmanuel De Jesus, Michael Yim, Emily Pak, and Be Thi Ho.

Parents of the Alumni who greeted our guests at the Celebrating 25 Years event Launa Luk, Betlynda and Maynard Young, Aileen Yim, Ken Lum, Sherri Loo, Margie and Ric Wo, and Kathy and Kazuo Shirakawa.

Dr. Virginia Pressler, Executive Vice President and Chief Strategic Officer of Hawaii Pacific Health discussed health care reform with the Research Scholars.

Dr. Kenneth Robbins, Executive Vice President and Chief Medical Officer of Hawaii Pacific Health speaks to Alumni and parents at the celebration brunch.

The students really get a sense to know what its like to be a physician

as well as to get the opportunity to do research and learn presentation skills.

I am excited for any opportunity we have to

have our youth in Hawaii get excited about a health

care career, whatever it might be, and we can

attract them to come and practice in Hawaii.

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WELCOME AND INTRODUCTIONS S. Kalani Brady, MD, MPH, FACP, Moderator Co-Director, Hawaii Pacific Health Summer Student Research Program

PRESENTATIONS BY RESEARCH SCHOLARS MEGAN KIRA, Senior, University of HawaiiProject: Changes in Clinical Practices to Improve Outcomes in Very Low Birth Weight Infants in the Neonatal Intensive Care Unit Principal Investigator: Sheree Kuo, MDCo-Investigator: Lynn Iwamoto, MD

NIKKI KUMURA, Senior, University of California, Los AngelesProject: Changes in Clinical Practices to Improve Outcomes in Very Low Birth Weight Infants in the Neonatal Intensive Care Unit Principal Investigator: Sheree Kuo, MDCo-Investigator: Lynn Iwamoto, MD

ANGELA KIM, Senior, Carleton College Project: Characterization of Respiratory Syncytial Virus (RSV) Hospitalizations of Infants and Children in Hawaii Principal Investigator: Milette Oliveros, MDCo-Investigator: Venkataraman Balaraman, MD

JANNA TAYLOR, Senior, University of DenverProject: Correlation of Laboratory Measurements to Degree of Anticoagulation in Patients Supported on Extracorporeal Membrane Oxygenation (ECMO) Principal Investigator: Len Tanaka, MD

STEPHANIE CHU, Senior, Wellesley CollegeProject: Resectable Pancreatic Cancer Outcomes for Patients Treated by Straub Clinic & Hospital OncologistsPrincipal Investigators: Keola Beale, MD & C Galen Choy, MD

JUSTIN LEE, Junior, Stanford UniversityProject: Outpatient Prevalence of Core Measures Documentation for Heart Failure PatientsPrincipal Investigator: Hingson Chun, MD

MARI KUBOYAMA, Senior, University of HawaiiProject: Surgical Outcomes of Minimally Invasive Endovascular Procedures for Varicose VeinsPrincipal Investigator: Elna Masuda, MD

MONICA ARNOLD, Junior, New York University Project: Neuropsychological Test Results of High School Athletes with Concussions and SubconcussionsPrincipal Investigator: William Tsushima, PhD

Program

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KELLY SHIBUYA, Junior, Carnegie Mellon University Project: Diffuse Large B-Cell Lymphoma Outcomes Principal Investigator: Randal Liu, MD & Ian Okazaki, MD

LEE HARUNO, Junior, University of Notre Dame Project: Defining Emerging Trends in a Team Triage Emergency Department SettingPrincipal Investigator: James Kakuda, MD

EDDY ZANDEE VAN RILLAND, Senior, Johns Hopkins University Project: The Role of Arthroscopy in Treating the Symptomatic Total Knee Arthroplasty Principal Investigator: James Scoggin, MD Co-Investigator: Cass Nakasone, MD

Project: Assessment of Injuries Sustained in Brazilian Jiu-Jitsu Tournament Competition in HawaiiPrincipal Investigator: James Scoggin, MDCo-Investigator: Byron Izuka, MD

KIMBERLEE HASHIBA, Senior, Northwestern UniversityProject: Surfers Myelopathy: A Clinicoradiologic StudyPrincipal Investigator: Beau Nakamoto, MDCo-Investigator: Brian Sinclair, MD

EDDY ZANDEE VAN RILLAND, Senior, Johns Hopkins UniversityProject: Failure Rate with the Trabecular Metal Base Plate Following Total Knee ReplacementsPrincipal Investigator: Cass Nakasone, MD

KIMBERLEE HASHIBA, Senior, Northwestern UniversityProject: Type of Breast Biopsy for Initial Diagnosis of Suspicious Lesions Co-Investigators: Bryan Gushiken, MD, Curtis Kamida, MD & James Sheperd, MD

MESSAGE FROM RESEARCH SCHOLARS Nikki Kumura & Janna Taylor, Class Delegates

PRESENTATION OF AWARDS AND CERTIFICATES S. Kalani Brady, MD, MPH, FACP Curtis B. Kamida, MD

2011Summer Student

reSearch ProgramAn Investment in the Future of Medicine

Hawaii Pacific Health

CelebratingYears

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Monica ArnoldJunior, New York University

My interest in medicine began after suffering from two ACL tears in the same year; one as a senior in high school and the other as a freshman in college. During that year, I had a lot of time to contemplate my upcoming surgeries and the long recovery ahead. It was then that I began asking the orthopedic surgeon questions about specific areas of the knee, and requested if I could have the images from the surgery. That same year, a friend underwent shoulder surgery and again my curiosity was captured. I offered to help with his physical therapy and from that moment on I havent looked back from the world of medicine. I stumbled upon the Hawaii Pacific Health (HPH) Summer Student Research Program (SSRP) after that same friend encouraged me to seek out research opportunities. Upon applying to the program, I had very little confidence

that I would be accepted, as I had no prior research experience and the program was extremely competitive. However, today I am blessed to be part of such a prestigious program.

Never did I expect to get so much access to the medical field. The SSRP offers a wide variety of unique opportunities, such as touring all of the HPH facilities, meeting the Director of Admissions of the John A. Burns School of Medicine, shadowing physicians in their clinic, learning the history of Hansens Disease at Kalaupapa, and talking with physicians or medical administrators about their careers. I am also thrilled to have seen surgeons at their best, whether it is an ophthalmologist performing eye muscle surgery, or a plastic surgeon reconstructing a breast, or a cardiothoracic surgeon putting a heart on bypass. However, it is the opportunity to do research that I am most grateful for, as it has given me the skills and knowledge that I was hoping to gain.

Overall, I am honored to walk away with new friendships, a unique perspective of medicine, and gratitude to all of the physicians and members of HPH who helped make my summer unforgettable. Particularly prominent in my experience are Dr. Tsushima for his patience and priceless mentoring, Dr. Brady for his enthusiasm and guidance, Dr. Kamida for his advice and kindness, Dr. Geling for her support and skills, my fellow Research Scholars for the laughter and memories, and the HPH Conference Services staff for the management of the program.

Monica and Principal Investigator William Tsushima, PhD, a psychologist at Straub Clinic & Hospital, discuss their research project.

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Stephanie ChuSenior, Wellesley College

Ive always known I wanted to go into medicine since I was a freshman in high school. All I needed to do was follow my plan: take the MCATs, apply to medical school, and become a radiation oncologist - no big deal. But after my experience in Hawaii Pacific Healths (HPH) Summer Student Research Program (SSRP), I realized that life doesnt always go the way you plan. There are a wide variety of opportunities in medicine that I had never considered before, and SSRP opened my eyes to them.

Have you ever seen a beating heart? Before SSRP, I would have never dreamed I would have the chance to see anything as amazing as an open heart bypass surgery, or any surgery for that matter. As a lucky research scholar I was able to observe several different surgeries, in numerous areas, ranging from orthopedics to

vascular. I had never seen medicine so physically vivid and dynamic. It was exciting and I enjoyed all of my trips to the OR, even if it meant losing a few extra hours of sleep.

Comparatively, the trip to Kalaupapa was a time for reflection and understanding. I feel so blessed to have been given the opportunity to interact with and see people who have had the strength to rebuild their lives, and forgive the terrible effects of disease. It forever changed my life.

At the end of these amazing eight-weeks, I have many people to thank for their time and generosity: to all of the physicians and administrators for giving us tours of the HPH facilities, sharing all of your personal experiences, and willingly giving us your advice, Dr. Kamida for always keeping us on track, Dr. Brady for your encouragement and support, Dr. Geling for all of your patience, the wonderful conference staff, the best research scholar class ever, and most of all, my mentors Dr. Beale & Dr. Choy for their invaluable guidance in completing my research project. Thank you all for making me a better person and hopefully one day a better doctor.

Stephanie meets with Co-Principal Investigators, C Galen Choy, MD (left) and Keola Beale, MD (right); both are oncologists at Straub Clinic & Hospital.

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Lee Haruno Junior, University of Notre Dame

I feel truly fortunate to have had such a unique opportunity to explore all of the engaging perspectives, settings, and facets of the dynamic medical field. Through a variety of exciting resources at our disposal, this program has helped to foster and enhance my understanding of clinical practice, and has profoundly validated my desire to pursue a medical education.

I am grateful for the patience and guidance of my Principal Investigator, Dr. James Kakuda. His passion and vision were instrumental throughout our project. I was afforded tremendous career insight and thoroughly enjoyed shadowing Dr. Kakuda at Pali Momi Medical Center. I would also like to share my sincere appreciation with the many individuals at Pali Momi Medical Center, the Corporate Offices of Hawaii Pacific Health, and

Conference Services who made our research project possible, and provided such a diverse, immersive, and influential experience.

As Dr. Brady and Dr. Kamida often impress upon us medicine is an inspired calling one that compels us to serve, express compassion, seek learning opportunities, and build relationships. It has been an honor to share the many memorable experiences of this program with my 11 talented and enthusiastic peers. I certainly look forward to our continued growth and wish you all the best as we continue to pursue our aspirations.

When we first began our summer with Hawaii Pacific Health, we were told that our involvement with the program represents an investment in the future of medicine. I can only hope that as we continue to cultivate our vocational values and refine our individual passions, we can someday reinvest our experiences and opportunities in the service of the community.

Principal Investigator James Kakuda, MD, a surgical oncologist at Pali Momi Medical Center, and Lee scrub for surgery.

Medical Education does not exist to provide students with a way of making a living,

but to ensure the health of the community. dr. rudolf Virchow

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Kimberlee HashibaSenior, Northwestern University

As my eyes glazed over in an attempt to memorize stacks of notes for my biochemistry midterm, I began to wonder, even doubt, why I had chosen to pursue a career in medicine. Id always known I wanted to become a doctor, but the long, trying nights of rote memorization had begun to weaken my resolve. Still a hopeful premed, I applied to SSRP hoping to gain a better idea of what a career in medicine really entailed and to have the opportunity to work on research that was more immediately connected to patient care. SSRP has since exceeded my greatest expectations and moreover, has reminded me why I aspired to become a physician in the first place.

This summer, Ive been fortunate to experience the world of medicine often hidden behind closed doors. It has been eye-opening to observe surgeries and to be able to witness what I have learned in the classroom come to life. By touring HPH facilities, shadowing doctors, visiting Kalaupapa, putting on a program at Lanakila Senior Center, and having informal meetings with physicians and hospital administrators, Ive gained a much better insight into what practicing medicine in Hawaii is all about. I leave SSRP with a greater appreciation for the research process and am so grateful to have had the opportunity to work on two amazing projects. Time and time again we were told by physicians, You have to love what you do. Everyone Ive met this summer has been an inspiration, and I am indebted to SSRP for helping renew my passion for medicine.

I would like to thank my Principal Investigators, Dr. Kamida, Dr. Sheperd, Dr. Nakamoto, Dr. Sinclair and Dr. Gushiken for their guidance and support, and for taking time out of their busy schedules to work with me this summer. Thank you Dr. Geling for your assistance throughout the research process and Dr. Brady for your public speaking advice and the memorable tour of Kalaupapa. Thank you to the ladies of conference services for everything you do. Last, but certainly not least, I want to thank my fellow students. Weve grown close over the past eight weeks and, because of you, I looked forward to work each day and could always count on having a good time. I couldnt have asked for a better groupyou made this a truly amazing and unforgettable experience.

Curtis B. Kamida, MD (left) and Beau Nakamoto, MD, neurologist at Straub Clinic and Hospital, on the right.

Brian Sinclair, MD, Radiologist at Straub Clinic & Hospital with Kimi.

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Angela Kim Senior, Carleton College

For as long as I can remember Ive wanted to be a doctor. Driving along the H1 as a kid, I would look up at the big pink hospital, and with childish naivety, tell my mom that one day I would buy that hospital for her. Since then, my interest in biology and my respect for doctors has kept me on the path towards medicine. However, it wasnt until this program that Im truly beginning to understand what it means to be a doctor.

Listening to Dr. Brady, as he took us all around Kalaupapa, telling us stories of patients and the horrors and joys theyve experienced throughout their lives, I realized the importance of the non-science aspect of medicine. Being a good physician means knowing the science that makes the human body work and sometimes fail, but it also means having compassion and understanding for the many different cultural

backgrounds of patients, and an overall respect for human dignity. Another very informative part of this program was the Careers in Medicine series, where doctors from various specialties came and talked to us about what they do and how they got into medicine. These talks provided a valuable look into the careers and lives of doctors, and inspired me to take a deeper look at why I wanted to go into medicine.

I want to thank Dr. Oliveros and Dr. Balaraman for being great PIs to work with, being very open to explaining things, and especially for being so approachable. Through this research experience Ive been able to see first-hand the importance of research for evaluating and improving medicine and care. Overall, this program has been a very eye-opening and thought-provoking experience. I think that as I look back on all the advice given and first-hand experiences with doctors, this program will have an immense influence on the kind of doctor I become. I want to thank Dr. Kamida, Dr. Brady, and all of the wonderful ladies at Conference Services for making this program not only informative but fun and exciting as well.

Co-Principal Investigators Dr. Venkataraman Balaraman and Dr. Milette Oliveros, perinatal medicine and neonatologists at Kapiolani Medical Center for Women & Children.

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Megan Kira Senior, University of Hawaii

As I readied myself for the jump off the pier in Kalaupapa, Molokai, I felt a chill shoot down my spine as I peered into the clear blue below. At the count of THREE! I launched myself off the edge and plunged into the cold water that shocked my dry skin. After a few kicks I broke the waters surface and saw the gleeful faces of my fellow scholars, who had jumped in also. Our anticipation of the jump off the pier reminded me of my anticipation of the start of the SSRP, and like the jolt of the cold water, my introduction to the world of medicine was slightly abrupt our first day of the program was spent contemplating the complex questions of medical and research ethics, and I knew then that this would be a summer of exploration and change.

For the past few weeks I have been exposed to something new and exciting on a daily basis: I have observed open heart surgery, watched babies being born, completed a midnight shift in the emergency room, and chatted with some of the most sought-after minds in health care. Through the SSRP, Ive gained precious insight that only comes from shadowing and meeting physicians, and witnessing the gut-wrenching effects of illness and the heart-warming relationship between doctor and patient. By touring various medical facilities and exploring the historical and mystical Kalaupapa peninsula, I was reminded of Hawaiis rich heritage and the island community that continues to support my journey towards medicine. This program has enlightened me to not only the current status of health care, but also the future, which I am more inspired than ever to join. Thank you to Dr. Kamida, Dr. Brady, guest speakers, and sponsors who have invested in my classmates and my future.

My experience as part of the SSRP couldnt have been complete without the invaluable mentorship of Dr. Kuo and Dr. Iwamoto. I am inspired to achieve the same dedication to the well-being of their patients, and words cannot express how grateful I am for their time, patience, and words of wisdom as we worked towards the formidable goal of completing our study. Research, they have taught me, is an integral part of the continuous improvement of medicine.

This summer has been a whirlwind that has swept me off my feet and dunked me into a pool of exciting possibilities. I am happy to have plunged into the SSRP and emerged, invigorated, informed, and encouraged to join the tradition of excellence produced by this unique program. Finally, to my eleven classmates, thank you for all of the laughs and memories that have enriched these past weeks. I could not have asked to have taken the plunge with better people than all of you.

Megan meets with Principal Investigator Dr. Sheree Kuo (center), and Co-Investigator Dr. Lynn Iwamoto (right); neonatologists at Kapiolani Medical Center for Women & Children.

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Mari Kuboyama Senior, University of Hawaii

During my undergraduate studies, I was always conflicted between becoming a physician or a veterinarian. After volunteering in both settings, I found the world of medicine to be more exciting and rewarding. Since my exposure to medicine was very limited and my heart was not yet set on becoming a physician, I hoped to gain a basic introduction to medicine and research through the Hawaii Pacific Health Summer Student Research Program. Little did I know that I would walk away from the program with invaluable insight, inspiration and confidence to become a practicing physician here in Hawaii.

Nothing could have prepared me for observing my very first open heart surgery. Watching bones being sawed apart, blood shooting out of arteries, and seeing a heart beating right in front of my eyes was a sight I will

always remember. While some may cringe at the thought, I found the experience to be fascinating and could not wait to see more. I am extremely grateful for the opportunity to observe many different surgeries and shadow physicians. Our Careers in Medicine lunches provided great insight into the different lifestyles, personalities, and specialties of the physicians at Hawaii Pacific Health. It was especially valuable to hear each physicians journey in medicine, as well as their love for what they do.

I am grateful to have worked with Dr. Elna Masuda; thank you for your patience, kindness, and guidance throughout my research experience. Youve introduced me to the exciting practice of a surgeon, and have shown me how to always be gracious and full of life.

Participating in the HPH SSRP has provided me with amazing opportunities that no other program can offer. Thank you Hawaii Pacific Health, for allowing us to experience the best you have to offer; Dr. Kamida and Dr. Brady for your genuine care, mentoring, and dedication to providing us the best opportunities; Dr. Geling for your expertise; the Conference Services staff for planning our activities; and the uniquely wonderful research scholars who made this an unforgettable experience. I am now ready and excited to embark on the journey ahead. Though I know it wont be easy, I have seen through this program that the end result is absolutely worth it.

Mari Kuboyama with Principal Investigator Elna Masuda, MD, a vascular surgeon at Straub Clinic & Hospital.

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Nikki KumuraSenior, University of California, Los Angeles

Since childhood my heart was set to follow my dads footsteps in pursuing medicine. The ability for a doctor to utilize her knowledge in touching the lives of others in powerful ways had always drawn me to the field. Though my conviction to apply to medical school was strong, I applied to SSRP to gain insight about clinical research and experience for further direction.

These past 8 weeks exceeded all my expectations by far. I have been humbled to learn from inspiring individuals who helped develop essential skills that would guide us in our careers and beyond. The breadth of medical faculty has opened my eyes to the possibilities in career paths. We gained both clinical and public health perspectives, and exposure to rural medicine, which fueled a curiosity in me to explore career options.

They had different lifestyles, personalities, and priorities in life. Yet, each had a radiating passion for their patients I want to emulate. They stressed the importance of teamwork, and reminded me that a fulfilling life that benefits others and myself requires that I embrace who I am and remain true to my values.

The live-radio, the video interviewing, and Lanakila experiences channeled an unexpected reassurance to face fears and gain self-confidence in public speaking. Our weekend trip to Kalaupapa instilled in me the healing power that comes from respecting the human dignity that lies in everyone.

I am honored to have been a scholar this unforgettable summer, and have never been more motivated to pursue medicine. Thank you Dr. Kuo, Dr. Iwamoto, Dr. Brady, and Dr. Kamida for your enthusiasm to share your wisdom and generosity. One day I hope to return to Hawaii so I may give back as much as I received.

Nikki Kumura with Principal Investigator Dr. Sheree Kuo (right), and Co-Investigator Dr. Lynn Iwamoto (left); neonatologists at Kapiolani Medical Center for Women & Children.

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Justin LeeJunior, Stanford University

The past eight weeks were a transition.

It started with Uncertainty. On June 20, 2011, I wondered, during orientation, what the shadowing vs. research ratio would be. Which physicians would we interact with, and how? Would my PI care about me? What exactly goes on in Kalaupapa? At that time, I felt a rush of unease about medicine; would my pursuing medicine just be following the physicians around me? Why walk down such a long and trying road? Will I have time for family at all as a physician? What is the requisite temperament for a career in medicine? Can I, as just one physician, make a sufficiently meaningful impact in the world? How will I react to seeing bones buzz-sawed in half?

Next, came Experience. In the time we shared, I admired the methodological focus of doctors in life-saving operations. I took notes on the down-to-business compassion of doctors serving patients and basked in the down-to-earth charm of doctors relaxing on vacation. I felt the drive of exploring a potentially health care policy-changing research question. At the same time, I absorbed the philosophical life advice and concerned guidance of my partner-in-research, Dr. Hingson Chun, as well as tens of other doctors. I thrived off the collaboration-and-camaraderie-dual-effect of working around similar-minded students, all with personalities and life experiences as interesting as open-heart cardiothoracic surgery.

A wise person encouraged, this program is about Justin in the future, and it is true: these rare opportunities set the stage for a future Vision. Through SSRP experiences, many of my uncertainties, which once seemed irremediable, have been addressed. New questions have arisen, but I anticipate them excitedly, knowing that I face the path ahead with a newly gained brood of friends, an arsenal of relevant experiences, and some of the worlds best people behind me.

Justin with Principal Investigator Hingson Chun, MD, electrophysiologist at Straub Heart Center.

Dont get too old before you learn what is real for you. dr. hingson chun

You gotta do what you love. dr. curtis Kamida

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Kelly ShibuyaJunior, Carnegie Mellon University

Until recently, I didnt think much about my future. When asked about possible career decisions, I would joke about how I didnt even know what I would be eating for lunch, while secretly devising a plan to change the subject. All I knew was that I liked science, but the idea of becoming a physician was intimidating to say the least.

The SSRP provided me with a truly humbling opportunity to witness and explore the medical field. Between early mornings spent observing surgeries in the OR, lunches with physicians of various specialties, touring medical facilities, travelling to Kalaupapa, and, of course, carrying out clinical research, I couldnt have asked for a better summer. I never knew that, as an undergraduate, I could have so many unique and eye-opening

opportunities tossed my way. Before this program, my conception of a doctor consisted of only the dramatic lives of those portrayed in Greys Anatomy. However, through my SSRP experiences, I have realized the breadth of medicine, and have been exposed to the various perspectives on the personal and professional lives of physicians.

This summer has shown me the true rewards of being a physician. From witnessing the joys of a couple first discovering the sex of their child to the delicacy of open-heart surgery, I have seen first hand what doctors go through and have learned that their job requires more than just mastering medical knowledge.

Thank you to Dr. Liu and Dr. Okazaki for your patience and support throughout this program. I truly appreciate the time you both took to guide me through this great research experience. Thank you also to Dr. Geling, Dr. Kamida, Dr. Brady, the ladies of conference services, and all the physicians who helped us make the most of our summer. And finally, thank you to my 11 fellow research scholars for your endless entertainment through it all. Because of the SSRP, I am no longer hesitant to commit myself to a future career as a physician, and I look forward to the opportunities that lie ahead.

Kelly meets with Co-Principal Investigators, Ian Okazaki, MD (left) and Randal Liu, MD (right); both are oncologists at Straub Clinic & Hospital.

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Janna TaylorSenior, University of Denver

I distinctly remember my first writing assignment of second grade. On the first day of school we were asked to write about our summer vacation. I immediately began describing my family trip to Disneyland. I filled pages about how I had met Ariel, my favorite Disney character, rode atop Dumbo, and even hugged Mickey Mouse. Now fourteen years later, I will return to the University of Denver for my senior year. When my friends ask how I spent my summer, I wont know where to begin.

Should I start with all the surgeries Ive been fortunate enough to observe? Such as a pediatric open-heart surgery, knee revision, twin caesarean section, and many more. Or should I begin with the numerous Careers in Medicine talks we shared with doctors and administrators? And I cant leave out my research

project with Dr. Len Tanaka on Extracorporeal Membrane Oxygenation, a life-saving device that helps to support pediatric patients who otherwise have a slim chance of surviving on their own. I could even describe my unique and unforgettable experience to Kalaupapa, or our community service presentation at Lanakila Senior Center.

At the beginning of these eight short weeks, I expected to learn about the life of a doctor and discover if medicine was for me. I was thrilled to discover that my experiences this summer exceeded my expectations. Not only did this program confirm my desire to practice medicine, it additionally instilled in me the importance of being a life-long learner.

I feel so fortunate to be a part of this program. The opportunities it has to offer are endless, and I am grateful to all those who made it possible for my peers and I to have such an incredible summer.

Thank you Dr. Tanaka for your patience, time, and guidance. I never expected to learn so much about a project that was completely new to me eight weeks ago. This ECMO research project has been an invaluable part of my SSRP experience and I am glad I was able to contribute to something bigger than myself.

I would additionally like to thank Dr. Kamida, Dr. Brady, Dr. Geling, the Conference Services staff, the ECMO team (Hanuola program), and all the faces of Hawaii Pacific Health for your advice, constant support, and encouragement.

Dr. Kalani Brady said at the 25th Anniversary of the SSRP when describing the program, Disneyland aint got nothing on us. Its been such a magical summer, and when I think back on this 8-week whirlwind, I know for a fact that hes right.

Principal Investigator Len Tanaka, MD, a pediatric intensivist at Kapiolani Medical Center for Women & Children.

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Eddy Zandee van Rilland Senior, Johns Hopkins University

Prior to this program, the process of conducting a clinical research project and writing a journal-worthy paper was completely foreign to me. However, under the direct mentorship of Dr. Nakasone and Dr. Scoggin, as well as the statistical knowledge and guidance of Dr. Geling, I was able to take full advantage of the opportunity, and for that I am very thankful. I also would like to extend my deep gratitude to Dr. Kamida and Dr. Brady for their continued support; their leadership and expertise was of great value throughout the entire duration of the program.

The second aspect of the program that made it truly unique was the extensive interactions with physicians through shadowing and frequent sessions with various members of the medical community. Through my

experiences shadowing Dr. Nakasone and Dr. Scoggin, I was able to observe two distinct characteristics that I have come to greatly admire: a strong dedication to their work and patients, and a continued sense of intellectual curiosity and commitment to learning. These are characteristics that I will forever hold in high regard.

Furthermore, through conversations with a broad range of practicing physicians and health care administrators, I was able to gain a much broader understanding of the very unique lifestyles of physicians in various fields of medicine here in Hawaii . More importantly, their insight has helped me better prepare myself for the challenges that I will undoubtedly be faced with in the years ahead.

The Summer Student Research Program has been a thoroughly enriching experience through the successful combination of clinical research, physician shadowing, and conversations with distinguished members of Hawaii s medical community. The program has not only reinforced my strong desire to pursue a career in medicine, but it has also strengthened my connection and attachment to Hawaii and the local community.

I would like to close by thanking the staff, organizers, and supporters of the HPH SSRP. This summer has been a truly enjoyable and stimulating experience, and has left me both humbled and motivated. To my eleven fellow research scholars- work hard, have fun, and continue to strive for excellence. Good luck to you all!

Principal Investigators James Scoggin, MD (left), an orthopedic surgeon in private practice and Cass Nakasone, MD (right), an orthopedic surgeon at Straub Bone & Joint Center.

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A Passion for Medicine - Our Mentors

Venkataraman Balaraman, MBBS Perinatal Medicine and NeonatologyKapiolani Medical Center for Women & Children

C Galen Choy, MDOncologyStraub Clinic & Hospital

Bryan Gushiken, MDBreast RadiologyKapiolani Breast Center

James Kakuda, MDSurgical OncologyPali Momi Medical Center

Sheree Kuo, MDNeonatologyKapiolani Medical Center for Women & Children

Keola Beale, MDOncologyStraub Clinic & Hospital

Hingson Chun, MDElectrophysiologyStraub Heart Center

Lynn Iwamoto, MDNeonatologyKapiolani Medical Center for Women & Children

Curtis B. Kamida, MD, FACRRadiologyStraub Clinic & Hospital

Randal J. Liu, MDOncologyStraub Clinic & Hospital

Byron Izuka, MDPediatric Orthopedic SurgeryChildrens Orthopaedics of Hawaii LLC

My PI is always available, very supportive, a great teacher, and genuinely caring.

It has been a true privilege to work with my PI. His passion and vision were

instrumental throughout our project.

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A Passion for Medicine - Our Mentors (continued)

Elna M. Masuda, MDVascular SurgeryStraub Clinic & Hospital

Cass K. Nakasone, MDOrthopedic SurgeryStraub Bone & Joint Center

Milette Oliveros, MDNeonatologyKapiolani Medical Center for Women & Children

James Sheperd, MDRadiologyStraub Clinic & Hospital

Len Tanaka, MDPediatric IntensivistKapiolani Medical Center for Women & Children

Beau Nakamoto, MDNeurologyStraub Clinic & Hospital

Ian Okazaki, MDOncologyStraub Clinic & Hospital

James Scoggin, MDOrthopedic SurgeryPrivate Practice

Brian Sinclair, MDRadiologyStraub Clinic & Hospital

William T. Tsushima, PhDClinical PsychologyStraub Clinic & Hospital

His experience and intelligence are apparent. He is willing to go the extra mile for me.

SSRP couldnt have been complete without the invaluable mentorship of my PIs. Words cannot express how grateful I am for their time, patience, and words of wisdom.

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Life Cycle of Research

Hawaii Pacific Health Research Institute David Horio, MD Andrea Siu, MPH

Health Sciences LibraryJohn A. Burns School of Medicine University of Hawaii Leah Gazan

Research Study Design/ Biostatistics Olga Geling, PhD

Medical Ethics and Patient Rights Curtis B. Kamida, MD

How to Write a Research Paper Olga Geling, PhD

How to Present Your Research S. Kalani Brady, MD, MPH, FACP

Cancer Research Center of Hawaii University of Hawaii

Guest speakers presented elements of research, from idea generation to statistical analysis, and presentation of research.

Dr. David Horio and Andrea Siu, MPH from Hawaii Pacific Health Research Institute, meet with the students to discuss research at Hawaii Pacific Health.

Principal Investigator Dr. Len Tanaka introduces his ECMO team to Research Scholar Janna Taylor.

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Lee Haruno and Justin Lee in the Hawaii Pacific Health Simulation Lab.

On the JABSOM tour, Research Scholars met with Dr. Satoru Izutsu, Vice Dean and Director of Admissions.

Dr. Olga Geling, Reseach Consultant and Biostatistician, discusses research results with Drs. Beale and Choy and Research Scholar Stephanie Chu.

Research Scholars visited the Cancer Research Center of Hawaii, University of Hawaii and met with Researcher Dr. Wen-Ming Chu.

Life Cycle of Research (continued)

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Careers in Medicine

Anesthesiology Lucie Roux, MD

Cardiology Hingson Chun, MD

Cardiothoracic Surgery Mark Grattan, MD

Dermatology Jay Grekin, MD

Emergency Medicine Jennifer Ping, MD

Family Practice Dale Glenn, MD

Health Care Reform Virginia Pressler, MD, MBA Executive Vice President Chief Strategic Officer Hawaii Pacific Health

Health Care Administration Kenneth Robbins, MD Chief Medical Officer Hawaii Pacific Health

Raymond P. Vara, Jr. Executive Vice President & CEO of Operations Hawaii Pacific Health

Randy Yates, MD Chief Medical Officer Straub Clinic & Hospital

Infectious Disease Francis Pien, MD

Internal Medicine Todd China, MD Kathleen Kozak, MD

Intensive Care Malcolm Haruno, MD

Kistner Vein Clinic of Hawaii Robert L. Kistner, MD

Neonatology Venkataraman Balaraman, MD

Neurosurgery Mark Gerber, MD

Obstetrics/Gynecology Bradley Sakaguchi, MD

Orthopedic Surgery Cass Nakasone, MD

Oncology C Galen Choy, MD Keola Beale, MD Randal Liu, MD Ian Okazaki, MD

Ophthalmology Kenneth Lee, MD

Otolaryngology Alfred Park, MD

Patient Safety and Quality Service Melinda J. Ashton, MD Vice President, Patient Safety and Quality Services Hawaii Pacific Health

Pediatrics Keith Matsumoto, MD

Pediatric Intensive Care Len Tanaka, MD

Plastic Surgery David Cho, MD

Radiology Rosalyn Cheng, MD Curtis Kamida, MD Tour: Albert Yeung, MD

John A. Burns School of MedicineUniversity of Hawaii at Manoa Satoru Izutsu, PhD

Vascular Surgery Elna Masuda, MD

The Research Scholars met with physicians of different specialties to discuss the education, challenges, and rewards of a career in medicine.

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Dr. Keith Matsumoto, Pediatrician with Kapiolani Medical Specialists

Dr. Rosalyn Cheng, Radiologist at Straub Clinic & Hospital

Dr. Bradley Sakaguchi, OB-GYN with Straub Clinic & Hospital

Dr. Melinda Ashton, Vice President of Service Excellence and Quality Services for Hawaii Pacific Health

Careers In Medicine (continued)

Dr. Mark Grattan, Cardiothoracic Surgeon at Straub Clinic & Hospital

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Tours

Kapiolani Medical Center for Women & Children Kenneth T. Nakamura, MD Chief Medical Officer Kapiolani Medical Center for Women & Children Pali Momi Medical Center Jen Chahanovich Chief Operating Officer

Straub Clinic & Hospital Art Gladstone Chief Operating Officer Straub Clinic & Hospital

Wilcox Memorial Hospital/Kauai Medical Clinic Geri Young, MD Chief Medical Officer Kauai Medical Clinic

Hawaii Pacific Health Simulation Lab Paul Patterson, RN, BSN, CCRN

Behind the Scenes with Hawaii Pacific Health

The Research Scholars enjoyed the visit to the pathology lab with Dr. Mark Pitts, Pathologist at Pali Momi Medical Center.

Principal Investigator Hingson Chun, MD invited the students to the Straub Heart Center to learn about a career in cardiology.

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Tour of Radiology Department Monica Arnold, Mari Kuboyama, Lee Haruno and Angela Kim.

Dressed in scrubs, the Research Scholars visited the ER as part of their tour of Wilcox Memorial Hospital and Kauai Medical Clinic on Kauai.

Dr. Kenneth Nakamura, Chief Medical Officer of Kapiolani Medical Center for Women & Children, takes the Research Scholars on a tour.

The Students visited the Hawaii Pacific Health Simulation Lab with Paul Patterson, RN, BSN, CCRN.

Tours (continued)

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Medical Curriculum

Dr. Brady presented how to present your research and tutored the students in preparation for the Healthy Aging community service project and the Scientific Presentations.

Each year, Dr. Kamida has personally escorted the Research Scholars through the Radiology Lab.

Olga Geling, our Research Consultant and Biostatistician, discusses the research results with Dr. James Scoggin, Research Scholar Eddy Zandee van Rilland and Dr. Cass Nakasone.

As Dr. Brady and Dr. Kamida often impress upon us medicine is an inspired calling one that compels

us to serve, express compassion, seek learning opportunities, and build relationships.

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On July 18, 2011 the 12 Research Scholars organized a community health event, Healthy Aging, at the Lanakila Multi-Purpose Senior Center. 200 seniors attended to hear presentations on Alzheimers, The Golden Years, Good Hygiene, Medications, Nutrition, and Fitness. Registered Dietitian, Amy Tousman, and Skip Ludloff, a Certified Aerobics Instructor with the Kapiolani Womens Center, followed the presentations with a healthy cooking demonstration and a rousing session of Chair Robics! The event is supported by the M. Lou Hefley Endowment established at the Straub Foundation.

Healthy Living - Promoting Life-Long Learning

Research Scholars Mari Kuboyama, Kelly Shibuya, Stephanie Chu, Justin Lee, and Nikki Kumura begin registration for Healthy Aging at the Lanakila Multi-Purpose Senior Center.

Kimberlee Hashiba and Angela Kim present Get Ahead, Know Your Meds, assisted by Nikki Kumura, Eddy Zandee van Rilland, and Stephanie Chu.

Amy Tousman, assisted by Janna Taylor, demonstrates how to prepare spicy maple baked beans. Samples were shared with the participants.

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Optional ActivitiesThe Research Scholars had the rare opportunity to observe surgeries and shadow physicians of various specialties. Several of the students visited the, The Body Show, a weekly radio program on Hawaii Public Radio, hosted by Kathleen Kozak, MD, Internal Medicine, Straub Clinic & Hospital.

Kimberlee Hashiba and Angela Kim work on their research projects.

Dr. Albert Yeung, Radiologist at Straub Clinic & Hospital, explains a film to Monica Arnold.

Monica Arnold and Kelly Shibuya distribute samples of spicy maple baked beans to seniors following the cooking demonstration at the Healthy Aging program at Lanakila Multi-Purpose Senior Center.

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Optional Activities (continued)

The Research Scholars had the opportunity to meet and talk with our Alumni at the Celebrate 25 Years event at The Kahala Hotel & Resort.

Research Scholars Mari Kuboyama, Megan Kira, Nikki Kumura, Stephanie Chu, Angela Kim and Kimberlee Hashiba taking a tour of Kalaupapa.

Dr. Robert L. Kistner, a vascular surgeon, met with the Research Scholars at the Kistner Vein Clinic.

Dr. Kathleen Kozak, internal medicine at Straub Clinic & Hospital, and 2011 Research Scholars had a chance to talk about their experience on The Body Show.

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AcknowledgementsMahalo to the Major Sponsors of SSRP: Chia-Ling Chang Endowment M. Lou Hefley Endowment Guy Champion and John C. Milnor Endowment

Pietsch Family TrustBerni Francis Schiller Endowment Henry A. Walker, Jr. Research and Education Fund

Straub Foundation, an affiliate of Hawaii Pacific Health, acknowledges the following donors for their generous support of the Summer Student Research Program:AnonymousDr. & Mrs. Cedric K. AkauMs. Lucille M. AlmonDr. and Mrs. David J. AndrewAnonymousBank of HawaiiMs. Elizabeth BeckMr. & Mrs. James R. BolanMr. Zadoc W. Brown, Sr.Dr. Edwin C. CadmanMr. & Mrs. Samuel R. CaldwellMs. Chia-Ling ChangMr. Cheon P. CheeMr. Emanuel ColtatuR.L. DavisMr. & Mrs. Richard De CoiteMr. Laurence (Baron) H. DorcyDr. and Mrs. Bo G. H. EklfEllen M. Koenig Memorial FundDavid K. EndoEPIC Systems CorporationFirst Hawaiian BankFirst Hawaiian FoundationFirst Insurance Company of Hawaii, Ltd.Ms. Sara FischlowitzMr. Takashi FujiwaraGeorge L. GilkeyMr. & Mrs. Joseph H. Goldcamp, IIIMr. David Maxwell GrayMr. and Mrs. Charles K. HamaneMrs. Margaret L. HarnishMrs. Jane C. HashimotoHawaiian Electric Industries Charitable FoundationSusan Heftel-LiquidoAnonymous

Mr. Gene A. HinoRonald Hino, MD & Doreen Fujita-HinoMr. Chung Ta HsinArthur C. HydeJhamandas Watumull FundMrs. Karen KamimuraLeonard & Rebecca KampLorraine & Mike KennettDarcy KesslerMr. George T. KodaniAnonymousAkemi & Misako KurokawaMr. and Mrs. Takuzo KusakaGeoffrey S.Y. S. LauJohn E. LaursenDrs. Kenneth C.M. and Karen C. LeeDr. Edward W. Leone, MDMrs. Bertha F. LeongDr. and Mrs. John J. LowreyMs. Sally A. LowreyMs. Helen J. LuisMs. Lillian LumKevin Lui, OD & Elna Masuda, MDMr. & Mrs. John A. McCormickMs. Dorothy A. McMillanGeorge O. McPheeters, MDMr. Chiyeko MiyasakiMs. Elaine M. MiyashiroFrancis S. MorganAnonymousMs. Victoria Y. NaholowaaMrs. Florence K. NishimotoMr. Myrl K. NoggleMrs. Eleanor C. NordykeMs. Kay K. Oishi

Mr. and Mrs. Richard Y. OtaniOutrigger EnterprisesKit PaternoJames H. Penoff, MDPhilpotts & Associates, Inc.David & Becky PietschJennifer & Jonathan PingMr. and Mrs. Robert W. PowersJune & Arthur ReinwaldMrs. Jean G. RiglerMarguerite M. RosaMr. and Mrs. Alvin H. Sato, Sr.Morris & Saeu ScanlanMr. James C. ShingleMr. and Mrs. Edward ShiromaMansfield M. SnyderMr. Francis SogiDr. and Mrs. John S. SpanglerStraub Hospital Auxiliary, IncDr. & Mrs. James N. TajimaMs. Gloria B. TamashiroChung S. TangSophia S. TangTe Chih Sheh AlumnaeThe James and Juanita Wo FoundationAnonymousMr. & Mrs. Henry Y. TokunagaAnonymousMr. Yasuo Uesaka, AIAAnonymousIn Memory of Henry A. Walker, Jr.Mr. Henry A. WilksMr. and Mrs. Laurence H. YamamotoMrs. Ellen S. YanagisawaMr. Watson T. Yoshimoto, Sr.

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Since the formal Summer Student Research Program began in 1986, community support has played a major role in allowing more than 250 students to take part in this unique 8-week program.

And its not an exaggeration to say that your contribution has and will continue to help change the lives of a group of motivated young people who are contemplating careers in medicine.

Many SSRP Alumni and their parents would agree that the program was the deciding factor in their decision to study medicine.You have to be called to be a physician, says Dr. Kalani Brady, Director of Education for Hawaii Pacific Health Conference Services. The SSRP exposes bright young minds to the real world of medicine and helps them consider medicine as a calling or career.

However, its not just the students that benefit from the program.

This program is an investment in the future health care workforce for Hawaii and therefore an investment in the community, says Dr. Kenneth Robbins, Chief Medical Officer of Hawaii Pacific Health. We hope that the students who experience this program are inspired to pursue a career in medicine and that after their training, they will come back to practice in Hawaii.

Because of your support, the SSRP will continue to provide students with an invaluable hands-on introduction to a career in medicine.

The Summer Student Research Program has a legacy of being a partnership between Hawaii Pacific Health and donations from the community, says Ray Vara, Executive Vice President and CEO of Operations for Hawaii Pacific Health. Since this program has an opportunity to make an impact on future health care professionals in Hawaii, that partnership has never been more critical than during these difficult economic times.

For more information on the many ways you can support the SSRP, please contact the Straub Foundation at (808) 535-7100 or visit www.straubgift.org.

Investing in the Future of Medicine

Dr. James Penoff and Sherri Loo discuss the SSRP at the 25 Year celebration event.

Ric and Margie Wo chat with Dr. Venkataraman Balaraman and his son.

Dr. Robert and Adelaide Kistner chat with Mr. Kazuo Shirakawa and his daughter, Nicole Shirakawa, 2010 SSRP Alumni, and 1st year student at JABSOM.

Kalaupapa An Unforgettable Experience

The trip to Kalaupapa was a time for reflection

and understanding. I feel so blessed

for being given the opportunity to interact with and see people who have had the strength to rebuild

their lives, and forgive the terrible effects of disease. It forever changed my life.

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Hawaii Pacific HealtH conference ServiceS

1100 Ward Avenue, suite 1045

Honolulu, Hawaii 96814-1617

Phone: (808) 522-3469

Fax: (808) 522-4455

Summer Student Research Program

Documents

Transcript of Summer Student Research Program