Celebrating Nurses at Commencement 2017

Members of the Class of 2017 of the Phillips School of Nursing at Mount Sinai Beth Israel

In a jubilant ceremony, the Phillips School of Nursing (PSON) at Mount Sinai Beth Israel graduated 80 new nurses who received an Associate’s Degree in Nursing, and conferred a Bachelor of Science in Nursing degree to 24 registered nurses. The 113th graduation ceremony was held on Tuesday, June 6, at Stern Auditorium on the campus of the Icahn School of Medicine at Mount Sinai.

Presiding at the ceremony were Janet A. Green and Ruth Nerken, Co-Chairs of the Board of PSON, who presented the degrees. Carleen Graham, MSN, RN, Program Coordinator, RN-BSN Program, served as the Platform Marshall, and Lorraine McGrath, MA, RN-BC, Assistant Dean for Academic Affairs, gave graduates their PSON pin.

Twenty graduates were inducted into the Honor Society, which was founded in 2012. These students successfully achieved a grade point average of 3.7 or higher.

Todd F. Ambrosia, DNP, MSN, RN, Dean, welcomed the graduates, faculty, staff, and guests. The commencement address was given by Betsy M. Tirado-Ortiz, RN. Now retired, Ms. Tirado—a 2016 recipient of the Nurse of the Year Award from the National Association of Hispanic

Nurses—maintains a passion for nursing and continues to participate in a number of international missions that help children with congenital heart defects.

“Don’t waste your time waiting to win the lotto. You have already won the lotto—you are a professional nurse,” Ms. Tirado told the graduates. “Make your own riches, share them, and enrich your own life and the lives of others. You each carry within you the power to go from magical thinking to the power of completion.”

A New Milestone in Mount Sinai Health System and Children’s Hospital of Philadelphia Alliance

From left: David L. Reich, MD, President and Chief Operating Officer, The Mount Sinai Hospital; Dennis S. Charney, MD, Anne and Joel Ehrenkranz Dean, Icahn School of Medicine at Mount Sinai, and President for Academic Affairs, Mount Sinai Health System; Kenneth L. Davis, MD; Madeline Bell, President and Chief Executive Officer, Children’s Hospital of Philadelphia; and Lisa M. Satlin, MD, Herbert H. Lehman Professor and Chair, Jack and Lucy Clark Department of Pediatrics, Icahn School of Medicine at Mount Sinai.

The Mount Sinai Health System and Children’s Hospital of Philadelphia (CHOP) launched the next phase of their 18-month-old alliance on Wednesday, May 31, as they officially opened their Fetal Medicine Program and announced an affiliation of the Mount Sinai Children’s Heart Center with the Cardiac Center at CHOP. The celebration included a ribbon-cutting ceremony on the third floor of the Annenberg Building—the location of the new Fetal Medicine Suite—that was attended by several dozen leaders and staff from both institutions.

The Mount Sinai and CHOP alliance began in the fall of 2015 and includes three areas: fetal medicine, pediatric cardiac care, and pediatric oncology. In all three areas, the collaboration intends to give patients and their families access to the most advanced diagnostics and treatments by Mount Sinai and CHOP specialists at several Mount Sinai locations.

“We are combining our strengths to give children in the New York metropolitan area access to an unprecedented scope of pediatric services,” Kenneth L. Davis, MD, President and Chief Executive Officer, Mount Sinai Health System, told the guests.

“CHOP is pleased to mark this milestone in the relationship between two health care institutions that are totally dedicated to caring for the health of children and their families,” Madeline Bell, President and Chief Executive Officer of Children’s Hospital of Philadelphia, said. “The alliance continues to evolve and reflects both a shared vision to better serve families in the New York region and a mutual professional respect and admiration between our organizations.”

The Fetal Medicine Program is unique for New York: it allows expectant parents facing a high-risk pregnancy to have a comprehensive fetal diagnosis conducted and then reviewed in full detail with a team of specialists, all in a single day. “By the end of the day, parents will have their questions answered, understand the treatment options, and be equipped to make the best decisions for their families,” said Dr. Davis.

From left: Khanh Nguyen, MD, Professor of Cardiovascular Surgery, and Pediatrics, Icahn School of Medicine at Mount Sinai, and Chief, Pediatric Cardiothoracic Surgery, The Mount Sinai Hospital; Joanne Stone, MD, MS; and Peter Pastuszko, MD.

Ultrasound, echocardiography, fetal magnetic resonance imaging, and all diagnostic testing will be performed at The Mount Sinai Hospital. Images will be read by specialists in fetal radiology at CHOP and Mount Sinai in coordination with Mount Sinai maternal-fetal medicine specialists using telemedicine video links. “In effect, we are building a dream team of fetal medicine,” said Joanne Stone, MD, MS, Director, Division of Maternal-Fetal Medicine, Mount Sinai Health System, and Professor, Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai.

The new pediatric cardiac care alliance includes the Fetal Heart Program, which aims to diagnose congenital heart disease as early as 12-14 weeks gestation using fetal echocardiography. Specialists at Mount Sinai and CHOP would then jointly develop an optimal plan for care. Additionally, the Children’s Heart Center at The Mount Sinai Hospital, overseen by the divisions of Pediatric Cardiology and Cardiac Surgery, and offering a continuum of care from fetal to adult life, will now have access to the expertise of CHOP’s Cardiac Center in areas such as pediatric cardiac intensive care and pediatric cardiothoracic surgery. The Mount Sinai and CHOP teams are able to provide joint expertise at all points of treatment through direct consultation and use of telehealth technology.

“Every day, we are confronted with new babies who depend upon us for life,” said Peter Pastuszko, MD, Chief, Pediatric Cardiac Surgery and Director of Pediatric Cardiovascular Services, Mount Sinai Health System, and Professor, Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai. “Today, we are well equipped to handle a congenital heart defect of any complexity.”

The event featured a videoconference with N. Scott Adzick, MD, Surgeon-in-Chief and Director of the Center for Fetal Diagnosis and Treatment, Children’s Hospital of Philadelphia (CHOP), and Professor of Surgery, University of Pennsylvania School of Medicine, and the CHOP team.

Addiction Institute to Explore Effective Therapies

The Icahn School of Medicine at Mount Sinai recently opened a new Addiction Institute that will address one of the nation’s greatest health concerns by exploring effective treatments for patients with substance abuse problems.

“Bringing science to bear on the development of new therapies has reached the top of the national agenda, and that is where Mount Sinai excels,” says Yasmin Hurd, PhD, the Ward-Coleman Chair in Translational Neuroscience and Director of the Addiction Institute at Mount Sinai.

The Institute will manage therapies for all types of substance abuse. By removing the traditional silos that separate research and clinical care, and unifying all areas of addiction under one umbrella, Dr. Hurd says the Institute is “well positioned to meet the challenges of New York City and the nation.” The Institute will leverage Mount Sinai’s considerable body of research and clinical expertise in neuroscience and behavioral health in order to move the field forward.

According to the 2016 U.S. Surgeon General’s Report on Alcohol, Drugs, and Health, more than 20 million Americans have substance abuse disorders and 12.5 million reported misusing prescription painkillers. Despite decades of expense and effort focused on a criminal justice-based model for addressing substance-related problems, the report acknowledged that addiction remains a public health crisis with economic consequences in crime, health, and lost productivity totaling more than $400 billion annually. Dr. Hurd says the Institute’s collaboration with Mount Sinai’s other specialties such as precision medicine, population health, infectious disease, epidemiology, and genomics will help advance treatments and novel discoveries.

“The Institute’s modernized structure across a large, integrated health system will enable us to approach addiction in a cohesive way,” says Dr. Hurd. “In addition to prioritizing our research based on clinical needs, we want to understand the populations at risk and their patterns of behavior. Addiction is complex and one group cannot do it alone.”

Yasmin Hurd, PhD

An important aspect of the Institute’s work will be dispelling the stigma associated with addiction through greater understanding of the biological and behavioral complexities of substance use disorders. Another goal will be encouraging young clinicians to enter residencies and fellowships in the fields of addiction psychiatry and addiction medicine.

“We want to train the best and the brightest through enhanced clinical and research rigor to elevate the field,” says Dr. Hurd. “Clinical treatments for some addictions have not advanced in 50 years. This and other stigmas can deter young physicians from going into this field. Unless we improve the clinical toolkit available for clinicians we will not be able to change the trajectory of care.”

Decades of scientific studies have established that chronic substance misuse leads to profound disruptions of brain circuits involved in pleasure, reward, habit formation, stress, and decision-making. Repeated drug use alters the expression of genes to ultimately increase or decrease their production of proteins, leading to long-term changes in cellular function and even reshaping of the physical structure of neurons.

“Drugs can change the morphology of cells and induce a cascade of adverse events in the brain,” says Dr. Hurd. The Institute plans to move forward with multiple clinical trials that seek to reverse those disruptions. “Most addicts do not want to be addicted,” she adds. “Addiction can be treated. We need medical therapies that partner with behavioral therapies, and we need to be diverse in our treatment portfolio.”

Music Therapy Found to Aid Spine Surgery Patients

Researchers at the Louis Armstrong Center for Music and Medicine and the Department of Orthopaedic Surgery at Mount Sinai Beth Israel found in a recent study that music therapy—an integrative treatment that addresses mind, body, and spirit—decreased the perceived pain of patients recovering from spine surgery.

“Our aim was to substantiate years of evidence-based reporting on the benefits of music therapy,” says John Mondanaro, MA, LCAT, MT-BC, Clinical Director, Louis and Lucille Armstrong Music Therapy Program, Mount Sinai Beth Israel, and the senior author of the study, which was published in the January/February 2017 issue of The American Journal of Orthopedics. The principal investigator was Joanne V. Loewy, DA, LCAT, MT-BC, Director of the Louis Armstrong Center, which has been at the forefront of integrative medicine for the past 24 years, conducting numerous clinical trials with doctors and nurses as co-investigators.

The study, which was conducted from 2009 to 2014, involved 60 patients who had just undergone spinal fusion surgery, for which recovery is often extremely painful, Mr. Mondanaro says. The patients, who ranged from ages 40 to 55, were randomly divided into two groups: One group received a half-hour music therapy session plus standard care (medical and nursing care, with pain medication). And a control group received standard care only. Measurements for both groups were completed within 72 hours after each surgery, then about 30 minutes after the intervention.

Joanne V. Loewy, DA, and John Mondanaro, MA, co-investigators

The music therapy session provided the patient with guided breathing exercises accompanied by live music played by members of the team and selected to fit the patient’s preferences, such as jazz, pop, or classical.

“Patients had opportunities to release tension through clinical improvisation, where they played musical instruments and focused on themes related to their lives and their recovery,” Dr. Loewy says. The sessions ended with a relaxation exercise in which patients envisioned a place that brings them peace—“a beach, a park, their bed at home,” Mr. Mondanaro says. The control group and the music therapy group showed significant differences in pain as measured by the visual analog scale (VAS), in which zero is “no pain” and 10 is “worst pain imaginable.” Pain levels rose slightly in the control group, to 5.87 from 5.20, but fell by more than 1 point in the music group, to 5.09 from 6.20.

Although the results for the control and music therapy groups did not differ in hospital anxiety and kinesiophobia (a fear of movement that can impede recovery), the decrease in VAS pain levels was significant. Overall, the study concluded, “Conventional pain-alleviating medical interventions can be enhanced with integrative therapies that empower patients to marshal their inner resources during recovery. Music therapy may be particularly suited to this effort, as it is adaptable to the patient’s individual and culturally specific needs.”

Calls for Courage and Caring at Commencement 2017

Vivek H. Murthy, MD, MBA, former U.S. Surgeon General, receives an honorary Doctor of Science degree from Dennis S. Charney, MD.

A former U.S. surgeon general, the chief executive officer of an innovative health care system, a leader in public health, and pioneers in chromatin biology and genome editing were honored at the 48th annual Commencement of the Icahn School of Medicine at Mount Sinai, held on Friday, May 12, at Alice Tully Hall, Lincoln Center.

The Icahn School of Medicine granted a total of 139 MDs, 79 PhDs, and 25 dual degrees. Vivek H. Murthy, MD, MBA, the 19th Surgeon General of the United States, delivered the commencement address to the 1,000 faculty, staff, graduates, and their families and friends who filled the hall.

The event began with a sweeping overview of the “unusual times” facing graduates as they start their careers, in an address by Kenneth L. Davis, MD, President and Chief Executive Officer, Mount Sinai Health System. “Our ability to treat each and every patient in need of care, to prevent disease, and to optimize care is under threat today,” Dr. Davis said, describing a bill passed by the U.S. House of Representatives that might cause as many as 24 million Americans to lose health care coverage.

“At Mount Sinai, we are committed to caring for everyone,” Dr. Davis told the graduates. “We have always been committed to that core value—serving the most vulnerable, as well as the most fortunate. So now I implore you to retain and live the values you’ve been taught here.”

Dr. Murthy said the nation is increasingly divided, driven by a fear of change, and struggling with an epidemic of chronic illness. Yet he expressed a strong belief in “the power and the promise of America,” which allowed him, the grandson of a poor rice farmer in India, to become the nation’s chief public health officer. “As society’s newest leaders, the choice of how to lead starts with all of you,” Dr. Murthy said. “Lead with love, always. Love is our greatest source of power. It is what we need to build a nation that is safe and strong for our children.”

Dr. Murthy received an honorary Doctor of Science degree for his work addressing public health challenges, including tobacco-related disease, the Zika virus, and the nation’s opioid crisis.

Honorary degrees also were awarded to:

David Allis, PhD, Joy and Jack Fishman Professor, and Head of the Laboratory of Chromatin Biology and Epigenetics, Rockefeller University, who received an honorary Doctor of Science degree for discovering that a protein complex called chromatin plays a crucial role in expressing and silencing genes, paving the way for new approaches to treating birth defects, cancer, and neurological disorders.

Jennifer Doudna, PhD, Professor of Biochemistry and Molecular Biology, and Howard Hughes Medical Institute Investigator, University of California, Berkeley, who received an honorary Doctor of Science degree for research that led to the development of CRISPR-Cas9, a revolutionary technique that may enable researchers to manipulate DNA in order to someday treat, and potentially cure, devastating diseases.

Bernard J. Tyson, Chairman and CEO, Kaiser Permanente, who received an honorary Doctor of Humane Letters degree for leading a $65 billion integrated health system that embraces advances in technology and a holistic approach to preventive care.

Howard Alan Zucker, MD, JD, Commissioner, New York State Department of Health, who received an honorary Doctor of Science degree for devoting his career to advancing public health and safety, and pioneering programs that influence the health of individuals in New York State and around the world.

In his address, Peter W. May, Chairman, Boards of Trustees, Mount Sinai Health System, focused on the fast-changing world of health care, with innovations in treatment and a shift from a fee-for-service model to a population health approach. “The training you have received at Mount Sinai has given you the tools that you need to meet these challenges,” Mr. May said. “And knowing what you have already accomplished, I have every faith that you will be compassionate and formidable leaders of this exciting evolution in health care.”

The graduates were congratulated for their scholarship, research, and “legendary” community service by Dennis S. Charney, MD, Anne and Joel Ehrenkranz Dean, Icahn School of Medicine at Mount Sinai, and President for Academic Affairs, Mount Sinai Health System.

“To be a great leader, you are going to need to be resilient and have courage,” Dr. Charney said, and recounted three “profiles in courage”: A young woman who fought off beta-cell lymphoma and dreams of being a researcher; a young man who lost his father to cardiomyopathy, then was treated for the same disorder, and founded a health nonprofit in his native Zimbabwe; and a young woman who was hit by a drunken driver and, still suffering from residual health problems, organized a citywide antiracism coalition.

“Do not underestimate how hard it is to be resilient. It requires the courage to confront painful realities, the faith that there will be a solution when one is not immediately evident,” Dr. Charney said. “In my dream, where Mount Sinai graduates change the world, they do so by shining through on their darkest days. How do I know this is possible? The three heroes I just described are not only in this room right now, they are graduates of the Class of 2017.”

A Special Ceremony For Master’s Degrees

Graduates in the Master of Public Health program, from left: Ceciley Bly, who was the student speaker, Alycia Gardner, and Heather Omdal.

The Graduate School of Biomedical Sciences of the Icahn School of Medicine at Mount Sinai conferred 207 master’s degrees at Alice Tully Hall at Lincoln Center on Friday, May 12, during a ceremony that marked significant growth in its master’s degree programs.

“This is a special ceremony,” noted Dennis S. Charney, MD, Anne and Joel Ehrenkranz Dean, Icahn School of Medicine at Mount Sinai, and President for Academic Affairs, Mount Sinai Health System, who presided over the commencement before a jubilant audience of graduates, their families and friends, and Mount Sinai faculty and staff. “It is only the second time that we have had a commencement just for Master’s graduates. This signals that the master’s programs at the Icahn School of Medicine at Mount Sinai are very important—and much larger.” The Graduate School granted 54 more master’s degrees this year compared to last year’s 153 master’s degrees.

In total, the Graduate School conferred 121 degrees in Public Health, one of its oldest master’s degree programs, and 22 in Health Care Delivery Leadership, one of its newest master’s programs, as well as 35 in Biomedical Sciences, 17 in Clinical Research, 9 in Genetic Counseling, and 3 in Biostatistics.

Marta Filizola, PhD, Dean of the Graduate School of Biomedical Sciences, and Professor of Pharmacological Sciences, addressed the graduates. “Our Class of 2017 comes from all over the world and represents different cultures and backgrounds,” she said. “But your common strength—and what unites you—is your desire to learn, to embrace new challenges, to experiment, to discover, and to collaborate with others to envision and create a better world.”

Eric J. Nestler, MD, PhD, Dean for Academic and Scientific Affairs, Nash Family Professor of Neuroscience, and Director of The Friedman Brain Institute, greeted the graduates and spoke about the need for continued diversity in the research community. “Empirical evidence has shown that a diverse group of people, with different backgrounds, perspectives, and viewpoints, can tackle highly complex problems with far greater innovation and creativity,” he said, “but despite progress, we still have a lot of work to do to create a society and culture that values what we have in common, as well as what makes us all different. Mount Sinai is at the vanguard of capturing this strength through diversity and demonstrating to others how we can do better.”

Helene D. Gayle, MD, MPH, Chief Executive Officer of the nonprofit organization McKinsey Social Initiative, who has addressed social inequity and health-related challenges on an international scale, was the commencement speaker. She told the graduates that in the midst of a deeply divided political landscape, economic inequality, and racial tensions across the United States, “You have taken an affirmative step toward action by choosing a career in health” and would be able to make a difference in the lives of people everywhere—an effort, however, that would take more than science, technology, and know-how to achieve. “If we want equality in health care, we are going to have to stand up for it, and we’re going to have to keep standing up for it,” she exhorted. “It is time that we affirm that access to health services is a right. It is as basic as education, clean water, and clean air.”

Dr. Gayle concluded: “If you can maintain the will to pursue that highest ambition, I believe we can all meet the greatest challenges of our time and leave a legacy of healthy populations and health equity for generations to come. So, let’s go do it!”