Medical Student Takes Detour to Understand the Potential of Artificial Intelligence

Interrupting your fourth-year medical studies is a bold decision. But that’s what Gabriel Marx did, immersing himself in the world of artificial intelligence (AI) through the Master of Science in Biomedical Data Science (MSBDS) program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai.

Mr. Marx is working with Mount Sinai’s Neuropathology Brain Bank and Research CoRE and the Crary Lab on AI-based computer vision algorithms that use digitized brain slides to enhance understanding of neurodegenerative disease and aging. For his master’s thesis, he created a novel model that predicts a person’s age based on a post-mortem slide section of the individual’s hippocampus, an area of the brain important for memory yet vulnerable to the effects of aging and Alzheimer’s disease. John F. Crary, MD, PhD, is Director of the Neuropathology Brain Bank and Research CoRE, and Professor of Pathology, Molecular and Cell-Based Medicine; and Neuroscience.

“I envision myself becoming an ambassador between the clinical side and the engineers and technicians who are on the development side, or even developing tools myself. Either way, my goal is to be on the forefront of harnessing AI for the benefit of dementia patients.”

Mr. Marx then applied this model on a cohort of deceased professional athletes with confirmed chronic traumatic encephalopathy, a neurodegenerative disease caused by repetitive concussions. He found that these athletes’ brains exhibited marked accelerating aging. “These athletes who passed away in their 60’s had brains that looked like they belonged to a 90-year- old,” he says. “This is some of the first quantitative evidence that repeated concussions can cause your brain to age faster.”

In continuing his research, Mr. Marx plans to use this model to discover genes and other environmental factors that either accelerate or protect against the effects of aging in the brain. Mr. Marx is also working with Mount Sinai researchers on a project that uses sophisticated AI models to look at digitized slides and determine the areas of the brain that are most predictive of cognitive impairment. Areas of interest include white matter and the vasculature. “The whole scientific community is still in a place of discovery regarding dementia and neurodegenerative disease,” he says. “Tools like these can form the foundation for effective treatments by advancing our understanding of what is going on in the brain.”

After earning his MSBDS, anticipated in spring 2022, Mr. Marx will return to the medical school where he is pursuing his MD.

Mr. Marx intends to specialize in cognitive impairment and neurological disease and sees AI playing a key role in his efforts to advance therapeutic treatment. “I envision myself becoming an ambassador between the clinical side and the engineers and technicians who are on the development side, or even developing tools myself,” he says. “Either way, my goal is to be on the forefront of harnessing AI for the benefit of dementia patients.”

Briana Bell Came to Mount Sinai for a Master of Public Health (MPH) and Discovered a World of Research Opportunities

Briana Bell planned to explore the knowledge and attitudes about mental health among farm workers and lower-caste members in India as her Applied Practice Experience project when she enrolled in the epidemiology track of the Master of Public Health (MPH) program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai—until the COVID-19 pandemic made that impossible.

When the pandemic also shut down her plans for another project to conduct health fairs for documented and undocumented individuals on both sides of the border in Nogales, Arizona, she began to wonder, “Would I ever be able to do research again?”

But Ms. Bell discovered other research opportunities in New York City, some that could make an impact during the pandemic. First, she connected with Contra COVID, an organization that is providing Latinx and immigrant families with information, health, and social resources. Passionate about its mission, she joined the workshop committee and began designing mental health workshops and delivering supporting booklets.

“I was also drawn [to Mount Sinai] by the extensive research experience of the program’s directors…their expertise and mentorship have been very beneficial for me.’’

She soon began pitching the successful workshops to other nonprofits, resulting in partnerships with the National Alliance on Mental Illness (New York City Metro), Ventanilla de Salud through the Mexican Consulate, Immigrant Health & Cancer Disparities at Memorial Sloan Kettering Cancer Center, and Pesquisa, a community of physicians and organizations based in the South Bronx.

During her studies, Ms. Bell also completed a research project for the Seaver Autism Center for Research and Treatment at Icahn Mount Sinai. Her preliminary findings—that most adults with autism could live independently but there are few interventions in place to support them—will be included in a manuscript Ms. Bell is preparing. “It is imperative we find solutions so that individuals with autism can function on their own without high insurance or out-of-pocket costs for daily needs,” she says, as she continues her research.

“The opportunity to write a manuscript was one reason I chose Mount Sinai,” she explains. “Many programs do not offer that. I was also drawn by the extensive research experience of the program’s instructors. Most have worked at the Department of Health or the Centers for Disease Control and Prevention, and their expertise and mentorship have been very beneficial for me.”

Nils Hennig, MD, PhD, MPH, Director of Mount Sinai’s Graduate Program in Public Health, says, “Briana represents the best of our program and our students: a strong commitment to research and to serving the community. A small group of thoughtful, committed people can change the world.”

Ms. Bell received her MPH in 2021. Now, Ms. Bell is working for NYU Langone Health, conducting intervention-based clinical research, and she is looking at growing Contra COVID, which she co-leads, into a 501(c)(3) not-for-profit organization. She is interested in applying her epidemiology expertise in other ways. “My goal is to take my experience with Contra COVID to start a similar program in the next 10 years overseas,” she says. “Prayerfully, I will get there.”

Aleta Murphy, MSBS: How a Brother With Autism Started a Mount Sinai Graduate Student on a Scientific Journey

Watching her younger brother, Patrick, grow up with autism, Aleta Murphy saw how much support he needed. “I became interested in how broad this diagnosis is and how autism can be associated with different genetic influences,” she recalls. “I decided to explore those influences and how they manifest as different neuropsychiatric disorders.”

That interest led Ms. Murphy to the Master of Science in Biomedical Science Program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai. “Mount Sinai appealed to me because of the strong focus on biology as it relates to human diseases and medicine,” she says. In particular, Ms. Murphy was intrigued by the fact that the graduate school is part of a medical institution that facilitates research on human induced pluripotent stem cell modeling, which she wanted to explore.

Ms. Murphy was drawn to the lab of Kristen Brennand, PhD, which is using stem cell modeling to identify novel insights into the molecular and cellular phenotypes of mental illness. An Adjunct Professor of Neuroscience, and Genetics and Genomic Sciences, Dr. Brennand is also a Professor of Psychiatry at Yale University.

“Mount Sinai appealed to me because of the strong focus on biology as it relates to human diseases and medicine.”

For her thesis project, Ms. Murphy explored the impacts of deletions in neurexin 1, a gene associated with neuropsychiatric disorders. Using stem cells donated by a control group and two patient groups with different deletions in neurexin 1, she grew two different brain organoid types modeled after the dorsal and ventral forebrain.

She found that the organoids grown from the control group were initially larger than those of the patient groups, but the patient group organoids became larger than those of the control group within 40 to 80 days. This, she says, was suggestive of differences in the rate of cell proliferation and maturation in early brain development between the patient groups and the control group.

Separately, Ms. Murphy found differences in the expression of the Ki-67 protein in neural rosettes of the organoids—areas that model the ventricular and subventricular zones of the brain, which contain progenitor cells. Ki-67 is a marker for cell proliferation. One patient group had significantly higher Ki-67 expression in the dorsal forebrain organoids, but both patient groups had significantly less Ki-67 expression in the ventral forebrain organoids than the control group. Again, the results implicate differences in rates of neurogenesis.

“Taken together, these findings suggest that distinct cell types might be affected differently by the gene deletion,” she explains. “That means that the type of cells or the region of the brain you target for treatment would differ from patient to patient.”

Her findings, which could eventually lead to therapeutic targets for neuropsychiatric disorders, earned Ms. Murphy a Master of Science in Biomedical Science Award for Scientific Excellence from the graduate school. “That was amazing because I had some self-doubt at the beginning of the program,” she says. “Winning this award, I felt like all my hard work was validated.”

Ms. Murphy graduated from the program in 2021 and is continuing this line of research at Mount Sinai in the neuroscience PhD program. While she has always been interested in basic research, Ms. Murphy will also explore a career in academia or science policy related to autism education and treatment.

“Having the intersectional knowledge of being a scientist and having a family member with autism, I want to synthesize my experiences to help guide future decisions about how state services are structured to provide care for people with autism, especially in times of a pandemic like COVID-19,” she says.

Why a Master’s Degree? Mount Sinai’s Outstanding Graduate Students Share Their Experiences and Aspirations

Here, we share the educational journeys of seven current and former students at Mount Sinai’s Graduate School of Biomedical Sciences. Learn what they are studying and how they will use their degree as they explore new paths and careers.

Medical Student Takes Detour to Understand the Potential of Artificial Intelligence

“I envision myself becoming an ambassador between the clinical side and the engineers and technicians who are on the development side, or even developing tools myself. Either way, my goal is to be on the forefront of harnessing AI for the benefit of dementia patients.”

Read his story

Aleta Murphy, MSBS: How a Brother With Autism Started a Mount Sinai Graduate Student on a Scientific Journey 

“Mount Sinai appealed to me because of the strong focus on biology as it relates to human diseases and medicine.”

Read her story

Briana Bell, MPH, Came to Mount Sinai for a Master of Public Health and Discovered a World of Research Opportunities

“I was also drawn [to Mount Sinai] by the extensive research experience of the program’s directors…their expertise and mentorship have been very beneficial for me.”

Read her story

Jeannys Nnemnbeng, MD, RRT, MSCR: On the Road to Becoming a Physician-Scientist With a Master of Science in Clinical Research

“I was looking for a program with a very specific focus on clinical research, and I knew Mount Sinai was top-notch, which meant I would have a very strong foundation for achieving my goal of becoming a physician-scientist in internal medicine.”

Read her story

 

 

 

Rosemary Espinal, BSN, RN: An ICU Nurse Enrolls in the Master of Science in Health Care Delivery Leadership Program To Bring New Perspectives to Patient Quality and Safety

“I want to use what I have learned to provide excellent care from a new perspective, address the disparities my mother faced as a non-English-speaking immigrant, and guide the next generation of nurses to high standards of quality and safety for our patients.”

Read her story

 

 

 

A Robust Immunotherapy Program and a Highly Collaborative Environment for Research Draws Matthew Brown to the Master of Science in Clinical Research Program

The potential to have a significant impact in improving patient outcomes and expanding the range of therapeutic options available to patients is what excites me.”

Read his story

 

 

 

Tina Aswani Omprakash: A Journey From Inflammatory Bowel Disease Patient, to Patient Advocate, to Master of Public Health Student

“I gained a knowledge base that expanded my understanding of the disease and gave me insights to approach public health not just from my own personal experience but from a broader health care perspective.”   

Read her story

 

 

 

When Omicron Struck, Mount Sinai’s Students Signed Up to Help

Arman Azad and Aliza Gross

Several days after Christmas, second-year medical student Arman Azad met with top administrators at the Icahn School of Medicine at Mount Sinai to plan how he and fellow students could help the Mount Sinai Health System handle the crush of COVID-19 patients falling sick from the Omicron variant.

As co-leader of the Student WorkForce at Icahn Mount Sinai, Mr. Azad says his job involved “helping the Health System deal with the most severe bottlenecks, as cases rose and staff were in isolation, and then organizing students to address those needs.” He and his co-leaders worked closely with their deans to mobilize students for appropriate roles, ensuring they had the training and protective equipment needed to stay safe.

During this latest COVID-19 surge, 198 medical, PhD, and master’s students at Icahn Mount Sinai have logged roughly 5,000 hours performing various tasks. They have worked in the Emergency Departments at six of the Health System’s eight hospitals and have also helped run asymptomatic testing programs for staff in those locations. Students have assisted in the pop-up testing sites in the student resident hall. And at The Mount Sinai Hospital, which shares a campus with the school, they have delivered meals to inpatients and assisted in the urgent care center.

Their efforts represent the fourth wave of student involvement since Mount Sinai’s Student WorkForce was created in March 2020, at the start of the pandemic. Since then, the WorkForce has ebbed and flowed to meet the needs of Mount Sinai’s hospitals. Unlike in earlier waves, the students recently received an hourly wage for their work. Along the way, they have also honed their WorkForce model, sharing it with other schools and health systems throughout the country. Students published a paper about their contributions in June 2021 in Academic Medicine.

In addition to assisting staff, WorkForce members say the most gratifying aspect of their jobs is helping the patients who need Mount Sinai most. Many of Mount Sinai’s hospitals serve communities in New York City that have been disproportionately affected by the pandemic.

On New Year’s Eve, Mr. Azad worked in The Mount Sinai Hospital’s Emergency Department into the early morning hours, taking patients’ blood pressure and other vitals.

Calista Dominy and Brett Weingart

“It was a busy night and an opportunity to learn from experienced providers and offer relief to staff where I could,” he says. “The pandemic has brought to light many of the inequities in medicine, and Omicron only amplified that. For people who can’t access consistent primary care, the emergency room serves a critical role, one that was threatened by staffing shortages as COVID cases surged. I’m proud of my fellow students who did their small part to ensure the Hospital could continue providing care to those who needed it most.”

Shortly after recovering from COVID-19 herself, Calista Dominy—also in her second year of medical school—assisted in The Mount Sinai Hospital’s Emergency Department on New Year’s Eve, as well. Ms. Dominy says one of the things she loves most about Icahn Mount Sinai is its strong commitment to social justice and student advocacy.

“Working New Year’s in the emergency room is an experience I will never forget,” she says. “The Omicron surge brought many more patients through the doors on a night that is typically notoriously busy.”

Workforce member Jesse F. Mangold, who is a dual MD-PhD student with a specialty in microbiology, chose to deliver meals to The Mount Sinai Hospital’s COVID-19-positive inpatients.

Jesse F. Mangold

“Meal delivery may not be the first role that comes to mind when you think of a first responder, but it means a lot to patients who have reduced contact and need nutrition for recovery,” Mr. Mangold says. “There was this tremendous bottleneck because you couldn’t just enter their rooms with a tray. All of the safety precautions needed to be implemented. My task served two needs—to feed our patients and relieve our already taxed nursing staff.” Before he was able to enter a patient’s room, Mr. Mangold had to properly don his personal protective equipment and then properly doff it immediately after leaving.

In the Hospital’s kitchen, located in the building’s basement and through a labyrinth of hallways, Mr. Mangold worked alongside a staff member who was seven months pregnant. “She was putting the Hospital and its patients first and taking personal risks to bring meals to patients,” he says. “Every team member is essential. She is a health care hero.”

Second-year medical student Claire Ufongene helped Mount Sinai conduct asymptomatic testing of employees. “The asymptomatic testing program allows employees to regularly monitor their health and return to the hospital safely,” she says. “It’s been wonderful to work with members of the Mount Sinai community, including students and employees. I’ve been happy to contribute in a small way to facilitate a testing process that’s easy and accessible.”

Claire Ufongene

Early last year, medical student Aliza Gross became involved in addressing vaccine hesitancy and helping patients obtain COVID-19 vaccine appointments through the internet and their Mount Sinai MyChart apps. At Mount Sinai Morningside, on the Upper West Side of Manhattan, she recently helped counsel patients entering the Emergency Department about the benefits of receiving a vaccine.

“It was very meaningful to have patient contact after spending so much of our medical school career remote,” she says. During the most recent spike, Ms. Gross took on the role of Student WorkForce co-leader and started taking shifts in the Mount Sinai Health System’s Express Care center—an urgent care facility—helping administer COVID-19 testing to sick patients. “It was gratifying to help our staff where they were experiencing the biggest backlogs,” she says.

Now that the worst of the Omicron wave seems to be receding, Mr. Azad says students remain ready to respond to future COVID-19 surges. “One lesson from the pandemic is that all of us, no matter our training or background, can in some way help protect our Health System and those we care for,” he says.

Medical Student Michelle Tran, Whose Non-Profit Combats Anti-Asian Hate, Is Featured on NBC Special

Michelle Tran and her friend Howard Chen donate a personal safety alarm to a senior in Manhattan’s Chinatown in April 2021.

When Michelle Tran is not pursing her MD/PhD degree with a specialization in cancer immunology at the Icahn School of Medicine at Mount Sinai, she is busy helping Asian Americans protect themselves against hate crimes through Soar Over Hate, the non-profit she created last March.

Soar Over Hate has since raised more than $100,000 and distributed more than 24,000 protective noise-making devices primarily to elderly and vulnerable Asian Americans in New York City and San Francisco—as well as to the Mount Sinai Health System’s essential health care workers who commute to work. Her organization has established a need-based college scholarship fund for local high school students, arranged community health fairs in Manhattan’s Chinatown, and offers free, culturally competent mental-health therapy—either remote or in-person—in several languages, including Mandarin, Cantonese, and Korean, to victims of anti-Asian hate crimes.

Mount Sinai medical students volunteered with Soar Over Hate to distribute 1,000 personal safety devices, whistles, and booklets about reporting hate incidents to elderly in Manhattan’s Chinatown in April 2021. In addition to Michelle Tran, student volunteers included: Alyce Kuo, Serena Zheng, Axel Epié, Fred Kwon, Rachel Levantovsky, and Matthew Lin.

Recently, Ms. Tran was among 10 “fearless change makers” who were named 2021 L’Oréal Paris Women of Worth by the popular beauty brand. L’Oréal Paris USA donated $20,000 to Soar Over Hate and, in November, flew Ms. Tran and the nine other Women of Worth award recipients to Paris for a special ceremony. On Thursday, December 16, at 8 pm, the women and their non-profit work will be featured on an NBC special hosted by L’Oréal Paris and including guest appearances by Helen Mirren, Camila Cabello, Gemma Chan, and Eva Longoria. One of this year’s awardees will receive an additional $25,000 for their philanthropy.

“Asian hate, unfortunately, does exist,” says Ms. Tran. “I felt very disheartened by what was going on in my backyard and with the people around me who were being harassed, and attacked, and physically hurt, and I wanted to do something. A colleague of mine was attacked on his way to work and he still avoids the subway. The long-term impact of these incidents leaves a mental scar. So we’re helping to address the healing of the community, and we’re empowering youth with scholarships.”

In the fall, Soar Over Hate provided six low-income high-school seniors in New York City with scholarships of between $500 and $1,000, based on their essays about addressing anti-Asian hate.

Initially, Ms. Tran started her charity as a GoFundMe page with the help of teenager Tiffany Yuen. Ms. Tran is Ms. Yuen’s mentor through the organization, Apex for Youth, which partners Asian American professionals with low-income youth. The money they raised was used to purchase personal safety alarms and whistles for the elderly and supported several community events that featured self-defense classes and health screenings.

Michelle Tran in Chinatown

But Ms. Tran soon realized she could continue to pursue her two “passions” of growing her charity and focusing on her MD/PhD studies by combining efforts with her friend Kenji Jones, who ran a similar Asian American grassroots effort. That is when they developed the current line-up of services for Soar Over Hate. This fall, she was thrilled to learn that she had received a L’Oréal Paris Women of Worth award.

Ms. Tran also credits her mentors at Mount Sinai with providing support for her advocacy work. She works in the lab of Nina Bhardwaj, MD, PhD, Director of Immunotherapy and Co-Director of Cancer Immunology, who serves as her Principal Investigator. Ms. Tran is a co-President of the Asian Pacific American Medical Student Association at Mount Sinai, supervised by Nolan Kagetsu, MD, Clinical Professor of Radiology, and Ann-Gel Palermo, DrPH, MPH, Senior Associate Dean for Diversity, Equity, and Inclusion. She is also a student representative on Mount Sinai’s Committee on Anti-Asian Bias and Racism, which is led by Amanda J. Rhee, MD, Associate Professor of Anesthesiology, Perioperative and Pain Medicine, and James C. Tsai, MD, MBA, President of the New York Eye and Ear Infirmary of Mount Sinai, and Chair of Ophthalmology at the Mount Sinai Health System.

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