Yale Medicine, Autumn 2001.
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Medical school shows
a changing face

As the Congress Avenue Building nears completion, a flurry of smaller projects alters the campus scene.
Before suburbs lured people from cities and Route 34 drove a wedge through downtown New Haven, the neighborhood surrounding the medical school bustled with businesses, shops and restaurants. In recent years, however, campus buildings have offered a stern face to the outside world, uninviting to those not practicing or studying medicine or seeking medical attention.

Now, as a number of construction projects near completion, the medical school campus is undergoing a major facelift. At the corner of Cedar Street and Congress Avenue, buildings which for years were open only to those bearing a Yale or hospital ID now include two stores catering to the public—the Yale Medical Bookstore and Cappuccino’s & More, a gourmet coffee shop.

“With the opening of the Congress Avenue Building [CAB], the school’s center of gravity will start to shift down Cedar Street,” said Irwin M. Birnbaum, J.D., the medical school’s chief operating officer. The corner of Cedar and Congress, he added, “is a place that is convenient to all. By adding a bookstore and coffee shop we are recognizing the importance of having facilities near the cab that will be more convenient for our staff there.”

Cappuccino’s & More, which opened in January, has seating for 32 with counter and takeout service. The Yale Medical Bookstore, affiliated with the Barnes & Noble bookstore on Broadway in New Haven, opened in October to replace the Yale Co-op’s medical branch on York Street, which closed last year. The bookstore caters largely to medical students and professionals, but manager Don Levy said many patients come straight from doctor’s visits to look for books describing their ailments. Also available are stethoscopes, tuning forks, scrubs and study guides.

Among the major projects under way:

At the site of the 457,000-square-foot Congress Avenue Building, scheduled to open in March 2003, workers have enclosed the building and begun to install plumbing, electrical wiring, HVAC, partitions, shelves, benches and other laboratory casework.

At the end of the B wing in the Sterling Hall of Medicine (SHM), construction began in March 2001 on the Center for Drug Discovery, a three-story addition that will provide 25,000 gross square feet of wet-bench laboratory, laboratory support and office space. Renovations to the B wing will provide an additional 24,000 square feet of upgraded office, laboratory and support space for the Department of Pharmacology.

A full renovation of the second floor of the C wing, home to cell biology in SHM, began in October and is scheduled for completion in August. About 15,000 square feet will be reorganized into four laboratory modules, along with faculty offices and laboratory support spaces.

Construction is under way at the corner of Amistad and Cedar streets on a 110,000-square-foot building and garage, with six floors devoted to disease-based clinical services and 950 parking spaces.

 

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With director’s passing, Child Study Center finds itself at a crossroads

In 1972, Albert J. Solnit, M.D., HS ’52, Seymour L. Lustman, Ph.D., M.D., HS ’57, FW ’58, and Edward F. Zigler, Ph.D., sat down with a recent graduate of the School of Medicine and made a pitch for him to return to Yale to join the faculty. Solnit was then director of the Yale Child Study Center, Lustman was a professor, and Zigler, a founder of the Head Start Program, was returning to Yale after two years as head of the federal Office of Child Development and U.S. Children’s Bureau.

The new recruit was Donald J. Cohen, M.D. ’66, who accepted the offer and moved his young family to New Haven from Washington, where he had been Zigler’s special assistant. Cohen was the kind of scholar that Solnit, Zigler and Lustman thought would thrive in the rich intellectual setting of the Child Study Center. “Donald had a brilliant understanding of the biochemistry and genetics of child development, and at the same time he was becoming a psychoanalyst and a talented child psychiatrist,” recalled Solnit. Cohen, who succeeded Solnit to become the center’s fourth director in 1983, went on to build it into an academic and clinical powerhouse with special strengths in the research and treatment of autism, obsessive-compulsive disorder and Tourette’s syndrome, the psychological problems of children exposed to violence, and the developmental disorders of early childhood.

Cohen died October 2 at the age of 61, less than two years after being diagnosed with ocular melanoma. “His death was tragic and it was horribly premature. As a healer, as a scientist and as a leader, he is not a person who can be replaced,” said Dean David A. Kessler, M.D. Yet during the months and years before his death, Cohen did much to pave the way for his own successor through recruitment and fund-raising, according to James F. Leckman, M.D., the center’s director of research and Neison Harris Professor. “Donald left us in really superb condition.”

Kessler said it is likely that a new director will be named early this year.

The Child Study Center traces its roots to 1911, when Arnold Gesell, Ph.D., M.D. ’15, established what would become the Yale Child Development Clinic. It was renamed the Child Study Center in 1948 with the arrival of the second director, Milton J.E. Senn, M.D., who recruited Solnit and others interested in child psychoanalysis and the role emotions play in healthy development. When Solnit became director in 1966, he began applying knowledge of child development to aspects of childhood that had been considered beyond the sphere of medicine. The center created a network of nursery schools and, through the work of Zigler and James P. Comer, M.D., HS ’66, began exploring ways to work with school systems to enrich the lives of children beyond academics. Solnit also established programs to help children in the juvenile justice system.

During his years as director, Cohen not only created vigorous research and clinical programs but also became skilled at building the center’s resources. At the suggestion of Irving Harris, a Yale alumnus and benefactor, he formed the Associates of the Child Study Center, a national group of highly motivated volunteers that numbers 160 today. Harris and his brother Neison endowed five professorships and the center’s recent 21,000-square-foot addition between Sterling Hall of Medicine and Harkness Dormitory. “Donald engaged the associates as our consultants and colleagues,” said Linda C. Mayes, M.D., the center’s Arnold Gesell Professor. “Some of our finest work has come from those collaborations.”

Maintaining the center’s preeminence will be one of the challenges facing the next director, said Mayes. Another will be preserving the collegial environment of the center as it continues to grow. But perhaps most important for the next leader, said Solnit, will be making his or her own distinct imprint. “The blueprint that Donald set out will continue to maintain its momentum,” he said, “but the new director will have to resist the temptation to try to be like Donald. The new director, as Donald himself was, will have to be his own person.”

 

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Instrument shop endures as a place for repairs, a catalyst for creativity

Tucked into the basement of the Hope Building at the corner of Congress Avenue and Cedar Street is a warren of well-lit rooms filled with milling machines, table saws, welders and lathes—a place where a scientist in need can go for a centrifuge repair or a part for a pH meter. The Instrument Repair and Design Shop has catered to medical school researchers for more than three decades, building prototype devices for use in experiments and performing emergency repairs on equipment that fails.

It’s a distinguished history that almost came to an end. According to faculty member Vinzenz M. Unger, Ph.D., the staff provides researchers with essential technology not commercially available elsewhere. Yet years of running in the red threatened the shop’s existence, and in 2000 it appeared to be on its last legs.

That was before a hue and cry arose from faculty members who had come to appreciate the instrument shop not only as a provider of engineering services but also as a catalyst for intellectual creativity and innovation—something difficult to measure in terms of profitability.

Faculty advisors Robert H. LaMotte, Ph.D., and Kenneth R. Williams, Ph.D., worked with administrators and the shop staff to find a solution. Shop engineers James F. Hogan and Eugene J. Modzelewski streamlined existing services, reconfigured the fee schedule and developed a marketing plan to increase the instrument shop’s customer base.

Now, said Carol S. Marshall, the school’s director of training and quality improvement, the shop is in the black for the first time in seven years. The key to balancing the books, she said, was increasing the shop’s visibility and encouraging an entrepreneurial approach to the shop’s business.

Hogan and Modzelewski perform many services, from such mundane tasks as ordering specialized plastics and repairing Geiger counters to talking through experiments with researchers and planning the design and fabrication of delicate laboratory instruments. Hogan has been tinkering with designs for Yale researchers for 40 years, initially working with the Department of Surgery in the design of pacemakers before joining the instrument shop staff in 1985. Trained as an electrical engineer, he said that his real education has come on the job while listening to the needs of researchers.

One of their recent projects was a “heart phantom” developed for researchers in the Department of Internal Medicine, with six progressively smaller chambers of Plexiglas sitting one within the other. The distance between chambers simulates the thickness of the myocardium during a contraction, allowing researchers to take measurements critical to their work.

Hogan and Modzelewski took the project from a series of discussions and paper sketches to a model on the computer screen to the eight-inch Plexiglas prototype sitting on the table when a visitor toured the shop recently. Hogan lifted the heart phantom, demonstrated the way the top seals two outer chambers in a vacuum and pointed out how the four remaining inner chambers would fit inside each other. “It’s like being an artist,” Modzelewski agreed. “We see how the pieces of the problem connect the way an artist sees color, and it all comes together.”

 

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Overcoming jitters of 9/11, Yale celebrates 300 years and a global future

On September 11, when terror struck the nation and America’s mood suddenly turned somber, less than a month remained in Yale’s Tercentennial year. The final weekend in the University’s 12-month observance of its 300th anniversary had been planned for October 5 and 6, two days of festive celebration and academic ceremony. But in the days that followed the attacks on the World Trade Center and Pentagon, University leaders debated the wisdom of staging the Tercentennial finale in the Yale Bowl. Was it safe? Was it appropriate? Would people come?

“Carry on,” was the message President Richard C. Levin said he received from the Yale community, Levin told 30,000 people gathered in the Yale Bowl on October 5. The crowd had come for a multimedia spectacular featuring famous Yale alumni celebrating Yale’s contribution to the nation and the world. With that, a 150-member orchestra played and a 200-member chorus, along with the audience, sang “America the Beautiful,” and the celebration continued.

Security was dramatically tightened for events that included a pomp-filled Tercentennial Convocation on Cross Campus and a two-day symposium, “Democratic Vistas, Global Perspectives,” with talks by Yale faculty members, law school graduate and former President Bill Clinton and former President of Mexico Ernesto Zedillo, who holds a doctorate in economics from Yale and serves as a University trustee.

With Yale emphasizing its role as a world university in its fourth century, the School of Medicine figured prominently throughout the Tercentennial year because of the growing awareness of the global nature of public health concerns and the enormous impact of medical research advances on individuals and societies. In President Levin’s Tercentennial address at the convocation on October 5, he said, “Through the subjects and students we teach and the educational and research collaborations we undertake abroad, we can advance greater understanding among the world’s peoples. We can also contribute to the solution of problems that cannot be contained within national borders—such as the spread of disease.”

In his talk before 8,000 people gathered on Cross Campus the following day, Clinton noted the phenomenal improvements in health care and life expectancy made possible by biomedical advances. He contrasted that progress in the developed world with the abysmal health care and short life expectancy seen in underdeveloped nations, which result in the rapid spread of disease and political instability. That is why, he said, “Yale’s mission to build a truly global university is so very important” in this new century that will be marked by increasing interdependence among nations.

In his speech, President Levin noted Yale’s commitment to invest nearly $1 billion in the coming decade in medicine, science and engineering facilities. “No investment,” he said, “... holds greater promise for the health and prosperity of the nation and the planet.” And as a result of world events, Yale’s course for its next century has never been more clearly tied to a global future.

 

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Funding the hunt for proteins

Yale scientists have received a $15 million, five-year grant that will fund a search for key regulatory proteins in the human genome. The grant from the National Human Genome Research Institute will create the Center of Excellence in Genomic Science, to be headed by Michael Snyder, Ph.D., professor and chair of molecular, cellular and developmental biology. “Much of the human genome is comprised of DNA whose function is not known,” Snyder said. “Our team’s methods will elucidate the functions of many of these regions for the first time, and as a result of these studies, we will emerge with a much more detailed understanding of the human genome and its regulation.” Other investigators at the center are Mark B. Gerstein, Ph.D.; Richard P. Lifton, M.D., Ph.D.; Perry L. Miller, M.D., Ph.D.; and Sherman M. Weissman, M.D. 

 

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Endowment defies slump

While most other university endowments posted double-digit declines as the economy soured in 2000-2001, Yale’s endowment ended the fiscal year with a 9.2 percent return on its investments. Fund managers attributed the endowment’s performance to diversified asset allocation, strong active management and a value orientation. Last year’s increase boosted the total to $10.7 billion. For the 10 years ending June 30, 2001, the endowment returned an annualized 18.3 percent. As the endowment has grown over the past decade, from $2.6 billion, its contribution to the University’s revenues has doubled, now accounting for 28 percent of the total. Spending from the endowment in the current fiscal year is expected to reach $405 million, a 20 percent increase over the prior fiscal year.

 

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Discovery channel taps YSM

When the breakthrough cancer drug Gleevec made headlines, Yale Cancer Center Director Vincent T. DeVita Jr., M.D., HS ’66, was on hand (and online) to share his perspective with Web surfers at discoveryhealth.com. When the threat of bioterrorism put the nation on edge, infectious disease expert Andre N. Sofair, M.D., M.P.H. ’97, HS ’90, weighed in with “10 Things You Need to Know About Anthrax.” Both pieces grew from a new partnership between Yale and the Discovery Health Channel, which will draw on expertise from throughout the medical school. Faculty will also contribute to four, hour-long television programs and to three online columns: “Family Matters,” “Cutting Edge Medicine” and “Views on Health News.” The first cable special, about ADHD, will air later this year.


Also in Chronicle:

Medical school's changing face  |  Child Study Center at a crossroads  |  Instrument shop endures  Yale celebrates 300 years  |  Funding the hunt for proteins  |  Endowment defies slump  Discovery channel taps YSM

Rounds  |  Findings     

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Originally published in Yale Medicine, Winter 2002.
Copyright © 2002 Yale University School of Medicine. All rights reserved.