St. George’s University announced a new direct admission partnership with Kwantlen Polytechnic University in British Columbia, Canada.
Each student admitted to the new 4+4 program will receive a $10,000 scholarship to begin studies in medicine or veterinary medicine at SGU following completion of their undergraduate degree at KPU.
“We’re proud to team up with Kwantlen Polytechnic University to provide a direct pathway for students to pursue careers in medicine,” said Dr. G. Richard Olds, president of St. George’s University. “With US and Canadian medical school admissions more competitive than ever, this partnership can relieve students of the stress of the standard application process.”
Students can gain provisional acceptance any time during their first three years at KPU. They learn if they’re accepted to the KPU/SGU program in the fall of their fourth year. All applicants must complete a degree in health sciences. To qualify, medical school applicants must maintain a 3.4 grade point average and record a competitive score on the MCAT. Veterinary applicants must maintain a 3.2 grade point average and post a score of at least 300 on the GRE.
Upon graduation, successful applicants may enroll immediately at SGU. Medical students have the opportunity to spend one year at Northumbria University in the United Kingdom.
Admitted students are eligible for merit and need-based financial aid, in addition to the $10,000 grant from St. George’s. Graduates of St. George’s can pursue residencies throughout the United States and Canada.
“Canada is facing acute shortages of both doctors and veterinarians,” said Sandra Banner, SGU’s director of admission for Canada. “Partnerships like this one can boost the number of skilled professionals working in these fields—and help people make their dream of becoming a physician or veterinarian a reality.”
“We are very excited about this new partnership with St. George’s University in Grenada. It has been years in the making,” said Carole St. Laurent, associate vice president, KPU International. “This partnership will not only provide the opportunity for our health science students to achieve their goals to become doctors, it will also make KPU an attractive destination for local and international students to more readily access a graduate level education in medicine by beginning their educational journey at KPU.”
“This partnership is welcome news to our students who will now have the opportunity to pursue their dreams to become doctors,” said Dr. Elizabeth Worobec, dean of the Faculty of Science and Horticulture at KPU. “The seats for medical schools in the lower mainland are highly competitive, so for many of our students, a chance like this to study abroad to fulfill their goals is a welcome opportunity.”
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Ninety aspiring physicians were inducted this month into St. George’s University’s chapter of the Gold Humanism Honor Society for the 2020-2021 academic year. The prestigious award recognizes students, residents, and faculty who exemplify compassionate patient care and serve as role models, mentors, and leaders in medicine.
“Being inducted into the Gold Humanism Honor Society is a testament to the character of our medical students when it comes to treating and caring for patients with the utmost care and compassion,” said Dr. Stephen Weitzman, dean emeritus of the School of Medicine. “It is a recognition of them as finest exemplars of the best ideals of medicine—characteristics that are especially critical to portray during the global healthcare crisis.”
The School of Medicine held a virtual ceremony on June 2 to celebrate the latest inductees. Clinical students from the 2019-2020 class also attended the event as their induction was put on hold due to the COVID-19 pandemic.
“Being inducted into the Gold Humanism Honor Society is a testament to the character of our medical students when it comes to treating and caring for patients with the utmost care and compassion. It is a recognition of them as finest exemplars of the best ideals of medicine—characteristics that are especially critical to portray during the global healthcare crisis.”
Dr. Stephen Weitzman, Dean Emeritus, School of Medicine
Inductees were chosen from approximately 400 peer nominations. Students were invited to nominate their clinical peers who demonstrated exemplary patient care, devotion to the community and the underprivileged, trustworthiness, and strong listening skills reflective of the ideal SGU medical student. In addition, students must be in good academic standing. New members were chosen from among the nominees by a committee of SOM faculty and administration.
“It is a great honor to become a member of the Gold Humanism Honor Society—only a small portion of each class receive this well-respected accolade,” said Dr. Cheryl Cox-Macpherson, SGU GHHS chapter advisor, and chair of the bioethics division of SOM’s Department of Clinical Skills. “We are so proud of these students and know these qualities will guide them in their careers as compassionate and caring physicians.”
The Arnold P. Gold Foundation established the Gold Humanism Honor Society (GHHS) in 2002 out of a desire to foster and acknowledge humanism during medical education. Since its inception, the GHHS has been established at more than 160 medical schools, awarding thousands of students with honors. The SGU chapter was established in 2004.
– Laurie Chartorynsky
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An article by SGU President Dr. G. Richard Olds was recently featured in RealClearHealth.
The piece, “How to boost diversity in medical school,” details the importance of diverse representation in medical education. Dr. Olds reasoned that by making diversity a bigger recruiting priority, today’s medical schools can “cultivate a more diverse physician network” and bring about a “more accessible, more equitable healthcare system.”
He also detailed some of the measures that SGU is taking to open doors for underrepresented students:
“Making medical school more affordable is another way to attract and enroll a more diverse group of students. More than 75 percent of students at St. George’s University, the school I lead, receive scholarships. Dozens of students have benefited from our CityDoctors scholarship program, which provides aid to students from the New York metropolitan area who commit to working in the city’s public hospital system upon graduation,” Dr. Olds wrote.
He added that international medical schools are a key source of diversity to the U.S. physician workforce. SGU’s student body represents 49 U.S. states and more than 100 countries.
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Mixed in with classes, exams, studying, and time to unwind, medical students have to squeeze in all-important sleep. Getting enough sleep, and implementing bedtime habits to do so, is a challenge not only for aspiring physicians but for everyone, this according to Sam Al-Saadi, MD ’05, the sleep medicine director at the University of Pittsburgh Medical Center (UPMC) Carlisle location, and assistant clinical professor of psychiatry for Penn State Health in Hershey.
According to the American Sleep Association, more than 50 million US adults have a sleep disorder, most notably insomnia and obstructive sleep apnea. Dr. Al-Saadi shared his perspective on what people can do to improve their sleep, and also the journey he took to lead the discussion in addressing the oft-ignored health crisis.
St. George’s University: How important is sleep to a person’s health?
Dr. Sam Al-Saadi: Sleep medicine is the secret of all secrets to good health. People have no idea how influential sleep is to the quality of their lives. To compensate, they pick up bad sleep habits, and they don’t believe that they need to fix them. The fact is that when they’re younger they can compensate, but when they get older, it just gets worse and they aren’t able to.
Sleep disorders are associated with each other. If you have one, you likely have another, whether it’s snoring, sleep apnea, insomnia, narcolepsy, or something else. The quality and quantity of sleep impact diabetes, cardiac disease, cerebral circulation, cognitive function, blood pressure, and other systems.
Sleep medicine is a subspecialty that has evolved from multiple specialties. It is a relatively new and evolving field. It started in psychiatry, moved to pulmonology and now includes neurology, ENT pediatrics, family medicine, and internal medicine.
SGU: What are some ways that people can improve their sleep?
Dr. Al-Saadi: Everyone can start by making a few minor adjustments that will make a big difference.
Your bed should be for sleeping and intimacy only. Many people use an iPad or phone in bed or watch TV, but these are bad habits that can disrupt your sleep. If you don’t fall asleep within 10 minutes, you should get out of bed and come back later.
A fixed wakeup time. Yes, it’s difficult for medical students and residents, but it’s good to have the same wakeup time, which will then dictate when you go to sleep.
Be careful with caffeine intake. This can be cultural—you have people drinking tea at night, an energy drink to keep up with studying, coffee, or something with caffeine. The thing is, if you drink caffeine six hours before you go to bed, you still have half that caffeine in your body when you’re trying to sleep. Because of that, you’re more likely to have arousals—when you wake up for less than 30 seconds—that you aren’t even aware of. You may not be aware of these, but you’re likely to be more tired the next day.
Limit long naps. Some people take long naps, but then you’re not going to be able to fall asleep later that night. Naps need to be just to catch up and keep you going for that day—no more than 30 minutes.
SGU: How did you make the journey from the UAE to the US and finally Grenada?
Dr. Al-Saadi: I was born and raised in the UAE. My dad was a microwave communications engineer, and my mom worked at the library, so I didn’t have any medical background in my family. When I came to the US at 17, I was on my own, had no money, and my English wasn’t very good. But I worked hard. I was taking courses to take the MCAT while working and supporting my family the entire time I was doing it.
I was a chemical engineering major at the University of South Florida, but when I got out, I just didn’t feel like I was using the skills I had learned. I was more fine-tuning things that were already set up. So I went and got a master’s in biomedical engineering and then when it came time to decide whether to go for an DO or MD, I went for an MD. I chose SGU because it had a lot of rotations in Florida and New York.
SGU: How was your experience in Grenada?
Dr. Al-Saadi: My experience was great. The campus was phenomenal, and I felt safe both on and off campus. We had a good time, and I think the students who came after me had it even better.
SGU: What advice would you give to a student entering medical school?
Dr. Al-Saadi: It’s important to have a plan for what you’re going to do after you graduate. It could change of course, but where you do your rotations will influence your path to residency, not only in terms of location of the residency but the individuals who you get your letters of recommendation from. I recommend that you have a plan, a backup plan, and overall a clear image in your mind of where you want to go with your career and how to get there.
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Their journey may have been different than the classes before them, but the St. George’s University School of Medicine Class of 2021’s commitment to excellence and their future profession was very much the same.
In a virtual ceremony held on June 6, SGU conferred Doctor of Medicine degrees to graduates from 47 US states and territories, as well as 35 other countries around the world. The SOM’s newest alumni forged ahead despite hurdles and wrinkles caused by the COVID-19 pandemic and emerged on the other side with a bright future in front of them.
“With your new MD degree, you join the ranks of thousands of physicians, including our proud SGU alumni, and other healthcare workers fighting this pandemic,” said Dr. Marios Loukas, dean of the School of Medicine, in his address. “In joining this fight, you will need to call upon the same perseverance and commitment that carried you through four years of medical school.
“Go forth and do good by taking care of millions of people who will look toward your humanism in science to keep them safe and healthy,” he continued. “Remember that your positive attitude and determination have brought you this far, and life is as much about living the journey as much as it is about eventually reaching your destination.”
This summer, more than 1,080 newly minted SGU physicians will enter residency at hospitals across the US. These positions span 21 specialties, including anesthesiology, emergency medicine, pediatrics, psychiatry, surgery, urology, and more.
“I’m sure many of you have been dreaming of this moment for many years, and I do hope that you’re all taking a moment to stop and reflect and celebrate your success,” said Dr. Lucy Clunes, dean of students at SGU. “As you transition from student to physician, and embark on the next phase of your career, I encourage you to reflect on the values and experiences throughout your tenure at SGU that have led to the success we are celebrating today.”
Dr. Charles Modica, chancellor and co-founder of SGU, also bestowed the St. George’s University Distinguished Service Award to Dr. Stephen Weitzman, former dean of the School of Medicine, and Dr. Vishnu Rao, longtime dean of students and the current dean of university alumni affairs.
Dr. Weitzman joined SGU in 1978 as a visiting professor and remained on the faculty as a professor, chair of medicine, dean of clinical studies, and dean of the SOM.
“Dr. Weitzman really is a special person, but I think the most special thing about him is that his name is on the diplomas of more physicians in the US—having signed them—than any other person in the world,” Dr. Modica said. “He helped set up the clinical programs, he nurtured them, and he became involved with each and every student’s education through them.”
Dr. Rao started at the University at its inception, joining as a professor of anatomy before serving as the University’s Dean of Students for more than three decades. He will stay on as a member of SGU’s alumni affairs department.
“I’m so proud to be able to work with him in the future to make sure we are involved with and look after the thousands of graduates of the University, in all fields,” Dr. Modica said.
– Brett Mauser
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St. George’s University President Dr. G. Richard Olds recently penned an article on KevinMD.
The article, “Here’s how we can rebuild health care post-pandemic,” outlines the critical role that international medical graduates (IMGs) will play in the future physician workforce. Thousands of new doctors will soon begin residency programs at hospitals across the country. That includes 7,500 IMGs—more than 1,000 of which are SGU alumni.
“These newly minted doctors, many of whom are U.S. citizens who chose to study abroad, will play an outsized role in treating the underserved communities hit hardest by the pandemic,” Dr. Olds wrote.
He goes on to argue that internationally trained physicians are uniquely suited to address our country’s growing doctor shortage. They have a history of working in underserved areas, including rural regions and majority-minority communities.
“Internationally trained doctors are also more likely to treat people from historically marginalized groups. In areas where the population is 75 percent non-white, IMGs account for nearly 40 percent of the physician workforce. And according to a study published in the Journal of General Internal Medicine, IMGs often care for Medicare beneficiaries with more complicated needs than their domestically trained counterparts,” he wrote.
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Responsibility has followed and increased throughout Ki (Steve) Lee’s time as an internal medicine resident at Newark Beth Israel Hospital in New Jersey. A year after helping the department through the COVID-19 pandemic as an intern, the St. George’s University graduate is now in a managerial role, overseeing a team of medical staff and full ward of patients. This spring, Dr. Lee will become one of four chief residents in the department, helping to supervise and train its more than 40 residents.
The South Korea native looks back on the path that led him to one of the state’s most high-traffic, high-impact critical care units.
St. George’s University: What has it been like supervising such a critical element to healthcare at Newark Beth Israel?
Dr. Steve Lee: In your first year of residency, you’re learning how to help and figuring out how things work. In my second year, you’re asked to do a lot more. In my case, I’m managing a team that is overseeing the 16 patients on our floor. It’s been a great experience, I have a lot of autonomy, and it has allowed me to grow as a team leader and a decision maker.
SGU: What’s the best part about doing residency at NBI?
Dr. Lee: It’s amazing how much clinical experience we get here. We’re the only lung transplant hospital in New Jersey and the only heart transplant facility too. The most critically ill patients get transferred here, and it’s up to us in the ICU and critical care unit to take care of them. We get a lot of hands-on experience, use all these state-of-the-art devices, and I feel like we learn a lot. If you do residency here at NBI, you can go anywhere else and be comfortable.
“You go to Grenada and meet all these new people on day one, and you’re all there to help each other out.”
Ki (Steve) Lee, MD
SGU: You were a first-year resident during the height of the COVID-19 pandemic in and around New York City. What was that like?
Dr. Lee: COVID was very difficult. We typically have a maximum of 16 patients on our list, but at that time we were managing 30-40. Our department was running the entire hospital, and there were so many different teams on the floor—pediatricians, radiologists, and many, many others—helping out in any way that they could. What was so difficult was that patients’ outcomes could change in a matter of minutes. Fortunately, for our staff, we all had each other to lean on. We were able to talk through things and we covered each others’ shifts when needed.
SGU: How would you describe your experience at SGU?
Dr. Lee: You go to Grenada and meet all these new people on day one, and you’re all there to help each other out. The education was great, and many of my classmates are now attendings at these major hospitals. They’re doing amazing, and I feel like everyone has done great.
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More than a year of preparation came down to one day for one patient and the surgical team that was about to change his life. Joseph DiMeo, a 22-year-old man from New Jersey, had been severely injured in a motor vehicle accident, and in an effort to regain his independence, he turned to NYU Langone Health to perform the world’s first-ever successful face and double hand transplant.
Over the 23-hour operation last August, Zoe Berman, MD ’17, stood alongside the surgeons, confirming each critical step as the hands and face were detached from both the donor and Mr. DiMeo, and then the donor hands and face were carefully affixed to the recipient. For Dr. Berman, a reconstructive plastic surgery research fellow under world-renowned doctor Eduardo D. Rodriguez at NYU, the “groundbreaking” operation was a culmination of in-depth research and planning that she and her colleagues had contributed to in order to ensure its success.
After finishing up her fellowship at NYU, Dr. Berman will return to Maimonides Medical Center to complete a surgery residency this July, not without an experience she deemed “life-changing” just as it was for the patient. She shared what it was like to participate in the planning and execution of such an intricate procedure.
St. George’s University: How unique of an undertaking was this for Dr. Rodriguez and his team?
Dr. Berman: This was the first-ever hand transplant to be performed at NYU. There have been two face transplants done at the institution—one in 2015 and another in 2018—but NYU physicians had never done a hand transplant. Only 150 or so have been performed worldwide, and the combined face and double hand transplant procedure had never been done before successfully.
SGU: What was your role prior to and during the operation?
Dr. Berman: I was a part of the four-person research team that helped procured the necessary information to build the foundation for this procedure to happen. We started with a review of the peer-reviewed literature on hand transplant and other combined transplants, where we evaluated more than 1,800 articles and ended up critically appraising 93 of those articles to see how we could use that information to inform what our procedural steps were going to be, and how to execute the surgery safely and successfully. We were looking for what elements contributed to the successes of past surgeries, and perhaps even more importantly so, where the unsuccessful operations fell short—whether they were too ambitious in terms of the amount of skin that they took, the blood supply wasn’t adequate, or the patient simply wasn’t the best candidate. We then centralized all of this information and presented it to the surgical team.
Our research team also worked with the surgeons over a series of monthly rehearsals to develop the procedural steps for the hand transplant element. We created a surgical checklist to ensure adherence to every single agreed-upon step of the donor procurement, the recipient operation, and the re-attachment of the hands. Each operative sequence had between 30 and 50 steps and it took all the guesswork out of it.
SGU: Describe what it was like the day of the operation.
Dr. Berman: We had two adjacent operating rooms functioning simultaneously. Our team physically stood alongside the surgeons during all the cadaver rehearsals as well as the actual transplant to ensure that everyone was adhering to the procedural steps. When you’re talking about connecting multiple blood vessels, tendons, bones, and lot of different structures that meld together, it can make it a very complicated procedure.
Dr. Berman working with Dr. Rodriguez in the cadaver lab.
The NYU plastic surgery team
The research team
SGU grads Matthew and Zoe Berman, with father Peter
Dr. Berman: Joe is a very motivated young man. It was important to him to get back to work, get back to the gym, to be independent, and to really get back to the life that he was living before his accident. I think it’s the most remarkable thing about him and part of the reason why Dr. Rodriguez and the team thought he was an exceptional candidate for this surgery.
Since the operation, he’s done very well with his rehabilitation and continues to improve functionally every day. He has been monitored very closely for any signs of rejection and he continues to heal and to accept all three of his allografts (face and both hands).
SGU: What prompted you to pursue this fellowship at NYU?
Dr. Berman: My father is a head and neck surgeon, so I think I’ve always had that influence me to a degree. There’s something about the symmetry and the intricacies of that part of the body that I find extremely fascinating. I’ve always had an appreciation for the face and what it represents for a human being in terms of providing a sense of identity and an outlet to communicate verbally and emotionally. To help restore that identity is very meaningful in somebody’s life. When I learned about the remarkable things Dr. Rodriguez and his team were doing at NYU, I jumped at the opportunity to be a part of it. Face transplant is the ultimate reconstructive surgery.
SGU: How has being part of this procedure changed your life?
Dr. Berman: It has been an extremely unique, once-in-a-lifetime opportunity. I feel so fortunate to be able to partake in this incredible experience that has truly pushed the field of reconstructive surgery forward. To be a part of this patient’s journey, to see him continue to be so motivated and so beautifully supported by his parents has really been a privilege.
More so than anything, I’ve been so fortunate to have had the mentorship of Dr. Rodriguez, who is a real visionary. He put trust in me to be a part of this, and to be able to contribute to changing somebody’s life—that’s why I went into medicine in the first place—to give someone the opportunity to live a better life, a more fulfilling life, and to have a second chance.
SGU: Why did you choose to go to SGU, and how has it set you up for success in your career?
Dr. Berman: I would have never had the opportunity to do anything I’m doing if I hadn’t first made the decision to go to SGU to get my MD. At the time, I was ready to go to medical school, and I didn’t want to wait for another US application cycle.
The foundation that the education at SGU provided me has allowed me to grow beyond what I ever imagined to be possible. I think coming from SGU gives you a sense of humility that will serve anybody well in the medical field. I have never felt entitled to anything. For me, I’ve always considered being a doctor and working with vulnerable patients to be an unbelievable privilege.
There’s also something sacred and beautiful about the island. I met my husband there (Matthew Bushman, MD ’16), who’s now an anesthesiologist, and my brother (Matthew Berman, MD ’17) also followed me to the island a semester later, who met his wife there (Taylor Dodds, MD ’19), and they’re both in residency now and doing well. We all had an incredible time at SGU, and considering where we all are now, I would never change my decision to go there.
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Why is learning the basic sciences so crucial to the study of medicine?
“In the basic sciences, we set the framework for all of the foundational requirements of clinical knowledge, skills, and behaviors” needed to apply to hospital medicine, according to Mark Clunes, PhD, the new senior associate dean of basic sciences at St. George’s University. He took on his new role when Dr. Marios Loukas was appointed dean of the School of Medicine earlier this year.
As dean of basic sciences, Dr. Clunes is tasked with ensuring that first- and second-year MD students are well-prepared to enter their clinical years. He knows the terrain well, having been a professor of physiology within the School of Medicine since 2008 and most recently serving as the associate dean of basic sciences. His wife, Dr. Lucy Clunes, also an SOM professor, was recently named the school’s dean of students.
Dr. Clunes shared his perspective on why mastering the basic sciences curriculum is crucial to clinical learning, the future of the virtual learning environment at SGU, and what he is most excited for when students return to campus.
St. George’s University: When students complete their basic science curriculum, how will they be prepared for the clinical years?
Dr. Clunes: Essentially, in the basic sciences, we set the framework for all of the foundational requirements of clinical skills; then in their clinical years they have to apply that knowledge to real patients with all the complexity of real patient presentation.
“Campus is more than a location; it’s a place of study, a place where students relax, and a place where they interact and gather and share academic and extracurricular life. It’s a dynamic community and a space we share together. I am very much looking forward to regaining our community.”
Mark Clunes, PhD, senior associate dean of basic sciences at St. George’s University
SGU: How can students prepare for the transition from virtual back to in-person learning? What is the advantage to being back on campus?
Dr. Clunes:Although our curriculum has been delivered remotely during the COVID pandemic, we have continued to provide live interactive sessions, so the time management and study skills required to be successful in the remote program are very similar to those required for the on-campus environment.
However, the advantages of being back on campus are that this is a center of academic activity. The learning environment here on campus is tailored for study, either as individuals or in groups, whereas home is not always equivalent. So for the most part, the return to campus will provide an opportunity to re-establish study communities and provide a stable supportive learning environment for success.
SGU: Will there be aspects of virtual learning that remain a part of the curriculum, even when students are on campus? In what ways?
Dr. Clunes:Certain elements have undoubtedly been advantageous virtually.
For instance, virtual “office hours” have allowed faculty to substantially increase the volume of students we can meet with, and these sessions have been appreciated by faculty as well as the students.
In terms of the core curriculum, we still think that community and engagement are vital, so the core elements of the curriculum will be delivered on site, but flexibility around supplemental activity will undoubtedly be increased.
Some examples include:
Patient interviews using remote technology—this won’t be retained as an exclusive modality for patient encounters but targeted sessions for remote technology use with patients will be incorporated
The advisory services will very likely offer both live or online options for students.
Many of the supplemental learning sessions that run in the evenings on campus can now also be offered online, so that students can choose to remain on campus or participate from their home or dorm.
SGU: From an academic standpoint, what are students’ biggest concerns when they enter their first term?
Dr. Clunes: There is often apprehension about medical school and the demands of studying medicine. It is of course an academically challenging course of study. However, there is a wealth of support from the faculty, the course directors, University administration, and all of the advisory and support services. Everyone at SGU is here for one outcome—student success.
Students will return to campus for the August 2021 term.
SGU: Is the study of COVID-19 now a part of the curriculum?
Dr. Clunes:Infectious disease, immunology, and public health have always been an important part of the curriculum. Our experience over the last 12 months demonstrated why it was so important to learn.
Moving forward, the faculty of the Departments of Microbiology, Immunology and Pharmacology, and Public Health will undoubtedly use the COVID pandemic and the wealth of research garnered as valuable educational tools.
SGU: What are you most excited about when students return to campus?
Dr. Clunes: Seeing campus return to the busy, energized place that it was when the students were present. Campus is more than a location; it’s a place of study, a place where students relax, and a place where they interact and gather and share academic and extracurricular life. It’s a dynamic community and a space we share together. I am very much looking forward to regaining our community.
To learn more about the School of Medicine’s MD curriculum, visit the SGU website.
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Andrew Kowalski, MD/MPH ’12, knows Chicago. He grew up in the Second City suburbs, went to college at Loyola University Chicago, and now works as an interventional nephrologist and assistant professor at MacNeal Hospital—the Illinois-based hospital where he was born and where he volunteered prior to becoming a medical student at St. George’s University.
Like in many American cities, kidney disease is a widespread issue in Chicago, which is where Dr. Kowalski comes in.
St. George’s University: How big of a problem is kidney disease in America?
Dr. Andrew Kowalski: More than one in seven people in the US have kidney disease—that’s about 15 percent of the population. Of those people, nine out of 10 have no idea they have any sort of disease, and two in five aren’t aware that they have severe disease and are very close to initiating dialysis. I see it a lot. I will tell some patients about significant issues that they face and they’re shocked.
I practice both general and interventional nephrology. As a general nephrologist, I see these patients and discuss ways to change their lifestyle, augment risk factors, and create treatment plans to move forward. Oftentimes we can put in 110 percent into a patient and, for whatever reason—likely their genetics—they still progress to requiring dialysis.
SGU: How closely is kidney disease associated with socioeconomics?
Dr. Kowalski: The majority of kidney disease patients have some issue with diabetes and/or high blood pressure. And it’s usually uncontrolled. Much of this closely relates to socioeconomics; those in the poorest communities tend to not have adequate access to healthcare, or whoever they see might not be the best. A lot of them have advanced conditions and complications that come with them.
Also in the mix, albeit less frequently, are patients from affluent neighborhoods. You see the same diabetes and high blood pressure, but the disease is more related to medications, drug use, and genetics. These patients feel like they know more and tend to try to treat themselves.
“SGU blew my mind in terms of the resources that were available, the culture there, the people there. It was fantastic.”
Andrew Kowalski, MD/MPH
How did you get into nephrology?
Dr. Kowalski:What drove me into nephrology was meeting my mentor, Dr. Edgar Lerma. The way that he practiced, the way he carried himself and interacted with patients, it was really something I wanted to emulate. He wasn’t a very tall man, but he had a presence about him. He never spoke at the patients but always spoke with them. By the end, you would think you were speaking to a friend and bouncing ideas off of him. They truly trusted him and knew that they were in the right hands.
Nephrology has many avenues too. As an interventional nephrologist, I get to use both my hands and my head. As an interventional nephrologist, I see these patients and plan and manage their dialysis access. I would place their hemodialysis catheters, peritoneal catheters, and manage their fistulas and grafts so that they are receiving adequate dialysis treatment.
SGU: What’s your favorite part about your job?
Dr. Kowalski:I love teaching residents. I love explaining something that has a reputation of being difficult and seeing light bulb go off in their heads.
SGU: In addition to your MD, you obtained your Master of Public Health from SGU. How has that factored into your practice?
Dr. Kowalski: When I went to medical school, I wanted to have as many career options available as possible, and it helped not only with that, but it made me more well-rounded. I use the principles and practices that I learned in the MPH program more than I thought I ever would have. The coursework for that degree dove into many aspects of medicine that I was unaware of. We had in-depth discussions about population’s access to care, the influence of insurances, and the thought process that patients go through about their diagnosis and overall patterns of disease. An MPH degree gives you more options, and taking into account what you’re taught and the fact that it’s just one additional year, I think it’s extremely valuable to have.
SGU: How would you describe your SGU experience?
Dr. Kowalski: Going to SGU was much, much better than I thought it was going to be. It blew my mind in terms of the resources that were available, the culture there, the people there. It was fantastic. And time really flew by. During the week, you got a top-notch education—it really was phenomenal what we learned. And then every weekend it was like you were vacationing at a beautiful resort.
SGU really set me up for success. A lot of it had to do with riding on the shoulders of the giants who came before me who built a culture where everyone works together and helps each other out. We’re all on the same team, and our goal is to be better and do better as a whole.
https://www.sgu.edu/wp-content/uploads/2021/04/Kowalski-845.jpg500845bpmauserhttps://www.sgu.edu/wp-content/uploads/2020/02/sgu-logo-grenada.svgbpmauser2021-04-29 16:56:472021-04-29 20:15:12Nephrology alum tackles kidney disease in Chicago
