Noah Schwartz began experiencing a heavy cough in April 2021. Within days, physicians diagnosed the 24-year-old from Jupiter, Fla., with non-Hodgkin’s lymphoma, a cancer that invades the body’s lymph nodes, which are part of the immune system. White blood cells called lymphocytes grow abnormally in the nodes and can form tumors throughout the body.

In Noah’s case, the lymph nodes in his upper body were creating a large mass that pressed against his windpipe, heart and lungs.

Noah sought treatment from USF Health pulmonologist Gaetane Michaud, MD, who is director of the Division of Pulmonary, Critical Care and Sleep Medicine and a professor in the Morsani College of Medicine. Dr. Michaud operated on Noah at Tampa General Hospital and placed stents in his airways so he could breathe.

Gaetane Michaud, MD, USF Health director of the Division of Pulmonary, Critical Care and Sleep Medicine.

Noah was in a medically induced coma for seven weeks as chemotherapy treatments reduced the size of the mass.

“It was just so strange waking up seven weeks later and not knowing what was going on,” Noah said.

During that time Noah’s mother, Lesli Schwartz, got to know and appreciate Dr. Michaud’s efforts to treat Noah.

“We love her; we think she’s awesome,” Lesli said.

Dr. Michaud, in turn, had high praise for Lesli’s work as an “incredible” advocate for her son.

“She was his mom, and she was watching her child go through something that is unimaginable to any parent,” Dr. Michaud said.

Noah no longer has lymphoma and is moving to California to start a career in the music industry, plans that were derailed when he became ill.

“If it wasn’t for her (Dr. Michaud), things could have been a lot worse,” Noah said.

After years of nagging headaches, Tampa resident Joel Lopez in 2008 was diagnosed with a benign meningioma brain tumor. The 59-year-old artist, with clients like the comic book giant Marvel, came under the care of USF Health Neurosurgeon Dr. Siviero Agazzi. Magnetic resonance imaging scans showed the tumor at the base of Mr. Lopez’s skull to be about the size of a baseball. Dr. Agazzi successfully treated the tumor, allowing Mr. Lopez to continue his love of art. In fact, in appreciation of Dr. Siviero’s efforts, Mr. Lopez tapped into his comic drawing talent and presented Dr. Siviero with several pieces of art comparing the neurosurgeon to famous Marvel neurosurgeon-turned-superhero Doctor Strange. He continues to see Dr. Agazzi as a larger-than-life force in his life.

“My family, we love Agazzi,” Mr. Lopez said. “I kept telling myself, when I do a character for The Avengers I trust the hero I’m creating. To me, anything Agazzi tells me, I go for it.”

The artwork created by Joel Lopez to thank USF Health neurosurgeon Dr. Siviero Agazzi for being his doctor.

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“How do you thank someone for every step you take for the rest of your life?” Catherine Kloess, USF Health patient, asked. When Cathy is not teaching middle school math, she is flying planes, skydiving or running marathons. In late 2020, it was not her thrill-seeking lifestyle that sent her to an emergency room. Cathy was a passenger in a car that was involved in a hit-and-run accident. The driver suffered a traumatic brain injury while Cathy was diagnosed with a complex T7-8 fracture, spinal cord compression and kyphotic deformity.

Cathy’s spinal x-rays before and after surgery.

With any surgery, there is the risk of complications, so Cathy had to face the possibility of waking up paralyzed. Performing the surgery was Puya Alikhani, MD, neurosurgeon and assistant professor, USF Health Morsani College of Medicine. Along with his neurosurgery team, Dr. Alikhani replaced two vertebrae (a corpectomy) with an adjustable strut graft, added screws and rods along five surrounding vertebrae (posterior instrumentation) and then fused and stabilized Cathy’s spine.

Puya Alikhani, MD, neurosurgeon and assistant professor, USF Health Morsani College of Medicine.

Cathy couldn’t wait to get back to her active lifestyle and was up and walking almost immediately after surgery. Five months later, she ran 30.4 miles in the Publix Gasparilla Distance Classic. “Dr. Alikhani is amazing,” Cathy said. “My story would not be what it is without Dr. Alikhani and his team.”

Catherine Kloess (second from right) running with family in the 2021 Publix Gasparilla Distance Classic.

In the video above, USF Health leaders and frontline workers look back on the successes, challenges and emotions they experienced while dealing with an incredibly challenging year amid the COVID-19 pandemic. Their stories include developing testing supplies now used around the world, creating programs aimed at treating vulnerable populations and helping rapidly develop and roll out vaccines against the disease, which Dr. Charles Lockwood, MD, Dean of the USF Health Morsani College of Medicine said “rivals the moon landing.”

USF Health College of Nursing vice dean Denise Maguire, PhD, administers a vaccine shot.

A decade ago, the USF Health Taneja College of Pharmacy (TCOP) admitted its charter class of PharmD students. With its innovative curriculum, research and educational advances, dynamic leadership, and commitment to excellence and growth, the college climbed the U.S. News & World Report rankings to become #68 Best Pharmacy School in 2020. “It doesn’t feel like ten years,” Kevin B. Sneed, PharmD, senior associate vice president of USF Health and founding dean of the USF Health Taneja College of Pharmacy, said. “When you see all of the hard work that has gone into building something from scratch and the enormous amount that we’ve accomplished in a 10 year period, it just means so much and is so rewarding.”

Take a look back at some of the college’s notable achievements and what it has in store for the next 10 years.

The USF Health Taneja College of Pharmacy (TCOP) was established in 2007. From the start, founding Dean Kevin B. Sneed, PharmD, set out to build an innovative program that would be a pacesetter in both pharmacy curriculum and clinical experience. With a focus on the future of healthcare and the interprofessional prowess of USF Health, TCOP was established by the Florida Board of Governors in 2009 and became Florida’s first public, comprehensive college of pharmacy in a metropolitan area.

TCOP’s first pharmacy student, Mark LaBossiere, PharmD, now a mental health clinical pharmacist at Mountain Home VA, was one of 38 students who applied during the early action application phase. As the interviews were scored and candidates were ranked, five more students were chosen as the first to be accepted: Semyon Aminov, Phuong Le, Aakash Patel, Bradley Tillander, and Minal Shah. “We are charting new territory in pharmacy education,” Dr. Sneed said. “Our student pharmacists will be trained to participate as effective and integral members of an inter-professional healthcare team. Students are being handpicked for qualities that go beyond test scores and grades.”

Inducted in 2011, the charter class included 53 PharmD students (68% female, 32% male, and 53% Caucasian, 46% minority and 1 undisclosed ethnicity). “Our student body has a diverse variety of talents and backgrounds that will allow us to grow in ways never imagined,” said LaBossiere during the white coat ceremony’s closing remarks. “As the Class of 2015, we’ll travel uncharted territory, set the bar for those who follow and continue to make history – go Bulls!”

Dr. Sneed presented four people with the Dean’s Awards, the College’s highest honor, for being instrumental in helping create TCOP – Judy Genshaft, PhD, USF System President (2000-2019); Stephen Klasko, MD, MBA, CEO of USF Health and dean of the Morsani College of Medicine (2004-2013); Patricia Haynie, former associate vice president from strategic planning and policy; and Ralph Wilcox, PhD, USF Provost.

Today, the Taneja College of Pharmacy welcomes 100 new students each year for its PharmD program.

Graduate Programs was founded in 2013 with the mission to create graduate level education programs in pharmacy while producing global pharmacy leaders, one scholar at a time. Eight years later, Graduate Programs has grown to offer the Master of Science in Pharmaceutical Nanotechnology degree, 5 different graduate certificate programs, PharmD/M.S. concurrent degree program, and a wide range of elective course options. The vision is to develop cutting-edge research training while preparing students with the foundational knowledge and expertise in the area of pharmaceutical nanotechnology.

TCOP earned its first full accreditation in 2015 from the Accreditation Council for Pharmacy Education (ACPE), marking a huge milestone for the young school and validating the innovative education experience offered to USF Health pharmacy students. In addition, the ACPE recognized the college’s interprofessional endeavors and sent a commendation to the American Association of Colleges of Pharmacy as an example of noteworthy practice. As part of the accreditation process, the college was measured across 30 standards for providing a strong program, including planning and evaluation, administration and governance, curriculum, student support, faculty and staff, and facilities and resources. “This is the best news and our entire team of faculty, staff and students is thrilled,” said Dr. Sneed. “Such resounding approval confirms what we’ve all known about the program we are building and is the culmination of a lot of hard work.”

In 2015, Pharmacy Plus opened for business on the first floor of the USF Health Morsani Center for Advanced Healthcare. USF Health’s “Pharmacy of the Future” is blazing a trail, making the traditional behind-the-counter role of the pharmacist obsolete in the new era of the digital health revolution. At Pharmacy Plus, the pharmacists do more than provide pills, they are a valued health partner for improving a patient’s life. It’s a personalized experience, bringing patients, their pharmacist and their healthcare team, together to collaborate and communicate. Physicians seeing patients inside the Morsani Center can electronically send prescriptions to Pharmacy Plus so that, in most cases, the medication can be ready for pickup before the patient leaves the building. In addition, medication can be delivered anywhere on the USF Tampa campus. USF Health Pharmacy Plus earned Community Pharmacy accreditation through the Center for Pharmacy Practice Accreditation (CPPA®)  in 2018.

TCOP was officially accepted as a chapter of the international Rho Chi Honor Society in 2016, and 43 of the college’s students and faculty were inducted as the charter members. The Epsilon Kappa Chapter is the 119^th chapter for the national honor society. Since its inception in 1922, the Rho Chi Society has inducted more than 100,000 members into its fellowship. The society’s name is from the Greek letters Rho and Chi that, when juxtaposed a certain way, they form the prescription sign (Rx). Bradley Boucher, PharmD, FCCP, FCCM, Rho Chi Society National President (2016-2018), officiated the event and shared the Society’s mission and vision and what is expected of its chapters and members, saying, “the Rho Chi Honor Society encourages and recognizes excellence in intellectual achievement and fosters scholarship among its members, encourages high standards of conduct and character and advocates critical inquiry in all aspects of pharmacy, seeks to achieve universal recognition of its members as lifelong intellectual leaders in pharmacy.”

In 2019, the University of South Florida received a $10 million gift from Taneja Family Foundation to name the USF Health Taneja College of Pharmacy. The donation, made through the USF Foundation, is the largest philanthropic gift to a pharmacy school in the state of Florida. As result of the gift, TCOP will move to Water Street Tampa, inside the new USF Health Morsani College of Medicine and Heart Institute facility in downtown Tampa. “From the very beginning, we set out to build a college built for the future of healthcare, and not simply exist in the past,” said Dr. Sneed. “With the generosity of Mr. Taneja, we will now have the opportunity to build a new home that allows us to truly build the pharmacist clinician of the future.”

“Jugal and Manju Taneja share a passion for education, for giving back to their community, and for transforming the health care system for future generations,” said USF President Steve Currall, PhD. “This gift will do so much for the trajectory of USF’s success — advancing innovation at our College of Pharmacy and elevating the academic stature of the entire university.”

TCOP is already full speed ahead into its next ten years, building the foundation for continued success. The college is expanding its pharmacogenomics efforts by launching a new partnership with Tampa General Hospital and its pharmacy team that will allow clinicians to tailor medications based on a patient’s genetic makeup. Plans include developing clinical decision support tools in the electronic health record (EHR) to support clinicians in interpreting results and guide treatment options in the presence of pharmacogenetic data. The Botanical Medical Research and Education Consortium (BMREC) is a new research effort that will explore potential therapeutic benefits in medicinal botanicals. This initiative aims to contribute to the body of science already known about medicinal plants and to impact patient care with treatments and potential cures. TCOP is also developing a unique certificate program in pharmaceutical compounding and will soon have a brand-new, non-sterile compounding lab inside USF Health Downtown. In collaboration with the USF Muma College of Business, the TCOP Entrepreneurial Academy, is a new program that aims to help its pharmacy students succeed in the health care industry and pharmacy sector. The intra- and inter-collegiate interdisciplinary program aims to provide pharmacy students with innovative, intrapreneurial and entrepreneurial knowledge, tools, and skills necessary for advanced practice training and health care careers. A new resource within the college, the Industry Advisory Council (TCOP-IAC), will provide students networking and interprofessional opportunities with professionals in the pharmaceutical industry, experience that could help shape the careers of these future pharmacists. This new grass-roots type effort, called the Pharmacy Industry Network (PIN), allows students to spend time with industry experts to gain valuable insight into that lane of the pharmacy profession.

“We never walked in looking in the rearview mirror. We’ve always been looking forward and we continue to do that today,” Dr. Sneed said. “Our vision for the next ten years is to continue to promulgate the transformation of health care.”

Grateful patient Michelle Turman MA ’00 CFRE has made a $25,000 challenge gift to encourage other patients and donors to advance research and comprehensive care at the USF Health Inflammatory Bowel Diseases Center.

Turman was diagnosed with Crohn’s Disease 10 years ago and was on a medication that worked for about six years before she became immune to it. Crohn’s disease is a chronic condition, and when she saw signs that her health was deteriorating, she waited for the call back from her previous gastroenterologist. Weeks passed without a response.

Then she met USF Health’s Chief Medical Officer Mark Moseley, who lived with the same condition. He connected her with Dr. Reneé Marchioni Beery, who ran some tests and found that Michelle’s medications had quit working. They developed a new treatment plan, and shortly after Michelle started a new medication and found herself in remission.

“With Crohn’s, you don’t realize how much pain you’re in because you learn to tolerate it, and you don’t have to be in that pain. I never knew that kind of care before I came to USF Health.”

Now, Turman has transferred all of her health care to USF Health so that her doctors can coordinate their care without the burden of her continually having to restate her symptoms and concerns with all of her medical providers.

The USF Health IBD Center is a community of specialized healthcare providers trained in the field of IBD ulcerative colitis and Crohn’s disease. As the only academic medical center on the west coast of Florida, the center provides cutting-edge treatment, technology, and research. The team of dedicated experts provides comprehensive care using state-of of-the the-art treatment and disease management approaches focused on IBD.

“What was being created here at USF Health with this new center was a continued center of care — one that could shepherd you and connect all of your doctors together on one platform,” said Turman. “It saved me the time and stress of having to coordinate all of my doctors, communicate the story numerous times, and making sure all the tests and results were in one place.”

This is the largest gift to date for the new IBD Center, which needs additional philanthropy as it upgrades its clinical space to improve patient care and facilitate coordination between its providers.

Turman’s USF roots run deep, as both of her parents were members of the university’s first graduating class. Turman received her master’s degree from the College of Arts and Sciences and currently serves on the Dean’s Advisory Council. In addition to her gift to USF Health, Turman also created the Turman Study Abroad Scholarship in Ancient Studies in 2018 to provide undergraduates and graduates with the opportunity to study in Greece.

Turman is the Founder and CEO of Catalyst Consulting Services and has nearly 30 years of nonprofit experience in the areas of executive search, organizational management, and fundraising. She has raised over $75 million for the Tampa Bay community and currently serves on the national board of Donate Life America and the Hillsborough County Cultural Assets Commission. She has been recognized by Tampa Bay Metro magazine as one of Tampa Bay’s Distinguished Women in Business and the Face of Nonprofit Change and was recently nominated by the Greater Tampa Chamber of Commerce as The Outstanding Small Business Leader of the Year.

To support the new Michelle Turman IBD Research fund at USF Health, visit usf.to/Turman.

Video by Torie Doll, USF Health Communications & Marketing

Story reposted from USF Health Office of Development and Alumni Relations

(Left) Rishi Rane, MD, at his FIU Herbert Wertheim College of Medicine White Coat Ceremony. (Right) Dr. Rane performing in Il Mondo Della Luna in Cincinnati. Pre-Covid photos courtesy of Dr. Rane.

On March 14, 2021, the 63^rd Annual GRAMMY Awards aired on CBS and one University of South Florida (USF) emergency medicine resident was particularly interested in who would win Best Opera Recording.

Music and medicine share the ability to heal and transform, and Rishi Rane, MD, emergency medicine resident, and trained professional tenor, practices both. Dr. Rane studied at the University of Miami (UM) Frost School of Music, and after graduation in 2009, moved to New York to pursue a career as an opera singer. The first year was rough, but eventually he landed several roles at the Bronx Opera and Opera America, at local places of worship, and even at the world-renown Metropolitan Opera, where he joined the company’s production of Aida, his favorite opera, as a non-singing supernumerary. “That was a really big deal because it was a dream of mine to sing at the Met,” Dr. Rane told Ileana Varela, associate director of marketing and PR at Florida International University (FIU).

Rishi Rane, MD, trained professional tenor, singing “Maria” from West Side Story. Pre-Covid Video.

After five years in music, Dr. Rane was starting to feel the burnout and decided to pursue a steadier and more reliable career in medicine. Medicine has always been part of Dr. Rane’s life since his mother is a Registered Nurse (RN) and his sister is a Physician Assistant (PA). Dr. Rane even worked in music therapy at the University of Florida (UF) Health Cancer Center in Orlando and found it to be an amazing experience where he could really connect with patients and help relieve their stress and anxiety. His path to a career in medicine began with a move back to his home state of Florida and enrollment into the FIU Herbert Wertheim College of Medicine. “As an opera singer, you memorize tons of lines and music,” Dr. Rane said. “I guess you could say that practice got me ready for med school.”

During his fourth year of medical school, Dr. Rane’s music career came knocking in the form of an “out of the blue” email from the director of the Met. An old castmate recommended Dr. Rane and he was being asked to audition for George Gerwin’s classic American opera, Porgy and Bess. With the support and encouragement of his medical school advisor, Dr. Rane auditioned and was chosen to be in the show’s ensemble. “This was obviously a great opportunity and one that I couldn’t pass up, but that being said, medicine is what I saw myself doing,” Dr. Rane said. “After all, I’d come a long way and felt like I’d found a new passion in life.”

With special permission from his advisor, Dr. Rane finished up his last year of medical school remotely while preforming at the Lincoln Center, completing an emergency medicine rotation at New York Presbyterian Hospital, and applying for his first residency program. “I’ve managed to find a way to keep music in my life through what may very well have been the most stressful time in medical school,” Dr. Rane said.

After three weeks of music and staging rehearsals in rehearsal rooms around the Met opera house, the cast of Porgy & Bess gets ready to move their final rehearsals to the stage. Pre-Covid photo courtesy of the Met opera chorus’ Facebook Page.

A scene from the final dress rehearsal of the Met’s production of The Gershwin’s Porgy and Bess. Pre-Covid Video.

According to Amazon’s editorial review for the 3-CD set audio recording of The Gershwins’ Porgy and Bess, the show was returning to the Met stage for the first time in nearly 30 years and ended up breaking company box-office records. The show was extended for an unprecedented three additional performances in February 2020. The production was also seen in cinemas around the world as part of the Met’s Live in HD series and seen by more than 325,000 people, making it one of the most successful transmissions in the series’ history.

The 3-CD set audio recording of The Gershwins’ Porgy and Bess as sold on Amazon.

Dr. Rane’s unique life experiences wouldn’t end there. He came back to Florida to start his prestigious three-year residency at Tampa General Hospital (TGH) as a part of the USF Health Morsani College of Medicine (MCOM) Emergency Medicine Residency Training Program. Only a few months into the coronavirus pandemic, Dr. Rane was stationed in TGH’s emergency department, among “the sickest of the sick, people on ventilators,” Dr. Rane told Joel Rozen, staff writer for the Met. “There are a lot of challenges the virus presents, but it also offers the opportunity to be creative. You’re multitasking and thinking on your feet, and the need to communicate with a lot of people at once reminds me of what I loved about performing.”

Now, almost a year into Dr. Rane’s residency, one of his notable memories is, “getting the opportunity to run a successful code in the ICU and intubating and managing the care of a critical patient in the trauma bay for the first time,” Dr. Rane shared. “Some of my favorite memories outside of work have been simply having a meal and good conversation with faculty members, spending time with my amazing co-residents, going out on boat rides in Tampa Bay and exploring all that Tampa has to offer.”

While continuing to endure the anxiety of the COVID-19 crisis, Dr. Rane’s music career came back around for more exciting news – the 2019 Metropolitan Opera recording of Porgy and Bess won the 2020 Grammy Award for Best Opera Recording. The recording was conducted by David Robertson and starred Angel Blue and Eric Owens. The cast also included Latonia Moore, Ryan Speedo Green, Alfred Walker, Golda Schultz, Denyce Graves, and the Metropolitan Opera Orchestra and Chorus. Dr. Rane and the rest of the members of the chorus and orchestra will receive a Grammy certificate while the 6 leading cast members and conductor will receive the iconic trophies. “I was overjoyed,” Dr. Rane said about the win. “We had all poured our heart and soul into that production, so this was just a testament to all of the hard work. Over the course of rehearsals and performances, I feel like my cast at the Metropolitan Opera became more like a family. Being part of that production as a fourth-year medical student was truly an incredible gift, and I feel so lucky to be given the opportunity to do it.”

The Metropolitan Opera closed during the height of the pandemic in New York City and has remained closed to this day with plans of reopening in the Fall with the same production of Porgy and Bess. Dr. Rane and the original cast have all been invited back to perform in it, but unfortunately, Dr. Rane doesn’t think he is going to join. “I unfortunately don’t see my participation in it a possibility right now as residency is my priority,” Dr. Rane said. “That being the case, I have developed a good relationship with directors at the Met, so hopefully the door will remain open and I will be invited back to perform there again in the future.”

At the end of a busy day at the hospital, Dr. Rane often sits down at his piano and sings to help de-stress. “I do see continuing to perform as a real possibility in the future and plan to continue singing and performing in some capacity after residency,” Dr. Rane said. “Whether that be putting on concerts or performing in a local theater company, I feel it’s important to find balance in life, and music certainly does that for me.”

Allen Parent sees something beautiful in faded muscle cars. A 1965 Pontiac GTO is his current rehab project.

All that had to be put on hold when the retired machinist discovered a lump on the left side of his neck in late 2018.

Mr. Parent, of Brookville, Fla., was diagnosed with squamous cell mouth cancer, a head and neck cancer, and referred for treatment to Tapan Padhya, MD, USF Health department chair of Otolaryngology, and Matthew Mifsud, MD, a USF Health head and neck surgeon and otolaryngologist.

Allen Parent near his current rehab project, a 1965 GTO.   Photo by Allison Long | USF Health

About four percent of all cancer cases diagnosed in the United States each year involve the head and neck, according to the American Society of Clinical Oncology. This year, head and neck cancer will affect an estimated 66,630 people.

To treat Mr. Parent’s cancer, Dr. Mifsud had to remove parts of his left mouth and jaw. He reconstructed the jaw with muscle, bone and tissues taken from Mr. Parent’s right leg. The result left him with noticeable cosmetic deformities.

“There was a big lump (of tissue) hanging,” said Mr. Parent, adding, “you catch it in zippers.”

Allen Parent before his surgery with Julia Toman, MD. Photos courtesy of Dr. Toman

Mr. Parent after his surgery Dr. Toman. Photos courtesy of Dr. Toman

Dr. Mifsud said that while many cancers and their scars can be covered up with clothing, “You can’t hide cancers of the head and neck.”

To deal with the visible loose tissue, Dr. Mifsud recommended that Mr. Parent see Julia Toman, MD, a USF Health facial plastic surgeon, in 2020 after Mr. Parent had finished his cancer treatments. She was able to repair the loose tissue and make his face appear more symmetrical.

“To be able to do procedures that allow people to be seen on the outside the way they feel on the inside really affirms people’s quality of life,” Dr. Toman said.

“They both (Drs. Mifsud and Toman) did a great job and I am appreciative for everybody that was involved,” Mr. Parent said.

Allen Parent is grateful for his treatment by Drs. Mifsud and Toman. Photo by: Allison Long | USF Health

Now that his more than two-year-journey with cancer is completed, Mr. Parent is planning trips on his beloved Harley Davidson.

“If you have cancer, it’s not the end of the world,” said Mr. Parent, 69. “The best thing to do is just look at the positive side of things cause, there’s always a brighter day ahead.”

Watch the video above to learn more about Mr. Parent’s journey.

Dr. Matthew Mifsud

Dr. Julia Toman

In the pursuit and attainment of excellence, the USF Health Taneja College of Pharmacy (TCOP) is guided by the mission to revolutionize health as it becomes the pacesetter for pharmacy education in an ever-changing healthcare field. Personalized medicine is a key part of the future of healthcare, and that’s where pharmaceutical compounding plays a role.

USF TCOP has a non-sterile compounding lab that provides the setting for the education and training to current and future pharmacists and pharmacy technicians through an in-depth, hands-on continuing education (CE) program. “We are the only college in Florida and one of the few across the Nation that provides a CE program in compounding,” Vijaykumar Sutariya, MPharm, PhD, RPh, associate professor in the Department of Pharmaceutical Sciences at USF TCOP, said. “The open lab has all the equipment required, from the laminar flow hood for sterile preparations, mortars and pestles, balances, mixers, ultraviolet (UV) spectroscopy, dissolution testers, disintegration testers and density testers.”

Trainees also benefit from regular collaboration with the USF Clinical Investigational Research Pharmacy (CIRP) and their sterile clean room located on the sixth floor of the Morsani Center for Advanced Healthcare. The primary function of CIRP is to conduct double blinded studies and appropriate procurement, storage, documentation, control, sterile preparation, distribution and disposal of investigational products for clinical trial patients.

Currently, the non-sterile lab is located on the University of South Florida’s Tampa Campus, but it will soon be moving downtown to Water Street Tampa and into the new USF Health Morsani College of Medicine, Taneja College of Pharmacy and Heart Institute. The new space will provide room for a modern, state-of-the-art pharmaceutical compounding lab with mobile workstations.

The U.S. Pharmacopeia Convention (USP) formally defines compounding as, “the preparation, mixing, assembling, altering, packaging, and labeling of a drug, drug-delivery device, or device in accordance with a licensed practitioner’s prescription, medication order, or initiative based on the practitioner/patient/pharmacist/compounder relationship in the course of professional practice.”

Traditionally, patients are prescribed manufactured or mass-produced drug products approved by the Food and Drug Administration (FDA) in order to treat their illnesses. According to the American Pharmacists Association (APhA), pharmaceutical compounding comes in when patients have special needs that prevents them from being able to take medications already on the commercial market. A few examples of customized medications include changing the strength or dosage; adding flavor to make the drug more appealing to a child or pet; reformulating the drug to exclude an unwanted, nonessential ingredient, such as lactose, gluten, or a dye to which a patient is allergic; changing the form of the drug, such as from oral to suppository for a patient who has difficulty swallowing; and providing access to a drug that was discontinued from the commercial market. The practice of compounding is regulated by state boards of pharmacy and does not include making copies of commercially available drug products, as this is not allowed by law. There are currently 7,500 pharmacies in the United States that specialize in compounding services. USF Health Pharmacy Plus on the first floor of the Morsani Center offers compounding services for medications that can be customized in a non-sterile environment such as topical pain creams for a USF athlete or an Orthopedic and Sports Medicine patient.

In addition to a brand-new lab, USF TCOP is developing a unique certificate program in pharmaceutical compounding. “The certificate program will be great for undergraduate students who are interested in going into pharmacy, so they can see what compounding is before they make the decision to come to the pharmacy program,” Dr. Sutariya said. USF TCOP PharmD students can also pursue the certificate for more exposure into the practice of compounding beyond the three courses already built into the PharmD program. “If a student would like to open their own compounding pharmacy or work for one, the USF Health Taneja College of Pharmacy is the best place to start their career.”

USF Health students, staff and faculty during a White Coats 4 Black Lives demonstration outside of the USF Health Morsani Center, in June 2020.

In December 2020, Susan Moore, MD, an Indiana physician, died of COVID-19 after alleging she experienced racial discrimination while undergoing treatment at a hospital operated by Indiana University Health System. “Moore’s story of her pain being dismissed reinforces what studies have repeatedly shown: Even taking wealth, education and insurance status into account, Black patients receive worse medical care and face worse outcomes,” a Washington Post article on Dr. Moore’s death said.

Just one month before Dr. Moore’s death, the Association of American Medical Colleges (AAMC) shared an article that touched on a 2016 study published in the Proceedings of the National Academies of Science which included a survey that revealed that 40% of first- and second-year medical students endorsed the belief that “Black people’s skin is thicker than white people’s.” The study also showed that the trainees who believed this myth were less likely to treat Black people’s pain appropriately.

This article brought to light the continued need for institutions to address racial bias in healthcare starting with health education. USF Health is doing its part by building curriculums that teach the next generation of health care providers about social determinants of health and how to provide value-based and patient-centered care, and recruiting and retaining the diverse educators to teach it.

“Your goal as the practitioner is to truly understand who the patient is and all of the different aspects of the patient which may have some impact on their medical care,” Deborah DeWaay, MD, FACP, associate dean of undergraduate medical education for USF Health Morsani College of Medicine (MCOM), said. “It helps the provider battle unconscious bias because when they individuate patients in their mind, they’re less likely to give biased care.”

In 2016, MCOM started focusing on incorporating course objectives that examine prejudice, assumptions and privilege, such as Safe Zone training and poverty simulation activities. In 2019, Shirley Smith, MA, director of student diversity and enrichment for MCOM, became the College’s integration director for cultural competency. Using the AAMC’s objectives for cultural competency, Smith spent hundreds of hours reviewing the entire MCOM curriculum, and will continue to do so on an annual basis, highlighting places where the objectives were not being met to the highest level. These findings were then presented to the curriculum committee who make the final decision about changes to curriculum and if approved, provide recommendations for moving forward. In addition, Smith provided feedback to faculty about where there may be bias within the didactics. “It’s been really refreshing to have faculty embrace this and leadership like Dr. Lockwood, support this,” Smith said. Students also have the ability to provide real-time feedback to Smith and her team via an anonymous survey. “What we’re really trying to do is not have any judgement attached to the feedback,” Dr. DeWaay said. “We’re trying to create a method for our faculty who are teaching, to deal with their unconscious bias in a safe environment.”

USF College of Public Health Dean Donna Petersen, participating in the 2019 poverty simulation along with other USF Health deans, faculty, staff and students. Pre-Covid Photo.

MCOM is also in the process of partnering with Wake Forest University in North Carolina to create curriculum that can be used at both universities in order to maximize resources and reach more people. This material will become a curricular thread integrated across all four years of medical school which USF MCOM calls Humanism in Action. Smith quoted Bryan Bognar, MD, MPH, vice dean of MCOM educational affairs, when she explained that the important part of this effort is to make sure that they’re “baking things in” and that the curriculum is “not an à la cart menu.” The curriculum teaches students the communication skills necessary to elicit the values of their patients and then integrate those values into the patient’s medical plan. “It’s physically impossible in four years to teach students every single nuance about all the ways a human being or population can be different,” Dr. DeWaay said. “It’s far more important to teach the attitude that they need, the skills to illicit the information from the patient and the skills to keep up on the literature, so that they have the tools that they need moving forward, to take care of any patient that’s in front of them.” According to Smith, the objective is to teach students not to assume anything about their patient, not to project their own values onto the patient and not to deviate from what is fact or what is in the evidence. Janet Roman, DNP, APRN, ACNP-BC, director of the Doctor of Nursing Practice (DNP) program in the USF Health College of Nursing (CON), added that it’s not just about what question is asked, but about how it is asked. The way a question is worded can be loaded with an assumption and be offensive to the patient. “If you ask me, “Do I have access to healthy food?” now you’re assuming that I don’t,” Dr. Roman said. “If you ask me, “Where do I get my groceries?” then that gives you the answer.”

A taskforce is also being formed to include faculty and students who will help build and implement this new Humanism in Action curriculum and be a resource to faculty for recommendations or feedback on revamping lectures, small groups and activities. One component of change cultivated by the COVID-19 pandemic is the acceptance of virtual guest speakers and virtual learning by students and educators. This will allow for a more diverse representation of speakers to be a part of the courses as well as private, small group activities that can foster more vulnerable discussions. “These beliefs have to be socially unwoven through intentional, meaningful conversations and interactions with depth and the goal is to give students that opportunity,” Smith said. “I’m just planting seeds. I may never see the tree, but I must believe that the possibility is there.”

In January 2020, MCOM earned recognition from the Alpha Omega Alpha (AOA) Honor Medical Society for their dedication to diversity and understanding in various patient populations. The medical school was one of two medical schools in Florida to receive an Award for Excellence in Inclusion, Diversity and Equity in Medical Education and Patient Care. The award recognizes medical schools, and their associated AOA chapters, that demonstrate exemplary leadership, innovation, and engagement in fostering an inclusive culture that transforms the ideas of inclusion, diversity and equity into successful programs that support student, staff and faculty diversity in service to the community.

After the murder of George Floyd in May 2020, students pleaded for a call to action for faster implementation of changes to the curriculum. “The morbidity and mortality that social determinants of health, systemic racism, and health care disparities have cost people living in this country, far surpasses the toll COVID will take, and yet we’re not tackling it with the same resources,” Dr. DeWaay said. “With COVID hitting, it shows us on a local, regional and national level, what we’re capable of doing when we’re really worried about something.” Fueled by the same passion as the students who have championed these efforts from the very beginning, Smith and Dr. DeWaay returned to the curriculum committee and presented a 15-point, call to action. The committee mandated the plan in June 2020.

Dr. Deborah DeWaay (center), associate dean of undergraduate medical education for USF Health Morsani College of Medicine, with medical students. Pre-Covid Photo.

According to the Center for Disease Control and Prevention (CDC), there is increasing evidence that Black, Indigenous and Latinx communities are suffering disproportionately from COVID-19. This is the kind of information that can spark a myth about minorities if the root of the cause is misunderstood. Black Americans are infected with COVID-19 at nearly three times the rate of white Americans and are twice as likely to die from the virus, according to a report from the National Urban League based on data from Johns Hopkins University. This is not because of any biological differences between the two groups, but instead, social determinants of health and systemic racism. This is evident in the report which shows that Blacks are more likely to have preexisting conditions that predispose them to COVID-19 infection, less likely to have health insurance, and more likely to work in jobs that do not accommodate remote work. “Your zip code may be the biggest determinate of your health outcome more than anything else,” Kevin Sneed, PharmD, dean of the USF Health Taneja College of Pharmacy (TCOP), said.

Understanding these social determinants of health is instrumental in dispelling myths and providing patient-centered care and is another key component of USF Health education. Social determinants of health are conditions in the places where people live, learn, work and play that affects a wide range of health and quality-of life-risks and outcomes. Factors can include a person’s education, financial literacy, discrimination, and access to healthy food and safe places to exercise. Students in the USF Health College of Nursing learn about disease processes such as heart failure, hypertension and diabetes, and at the same time, “we want to point out to students which populations are disproportionately affected and then give them that background on why, so that we can help close that health disparity gap,” Dr. Roman said.

According to Dr. Sneed, one of the most meaningful courses offered at the Taneja College of Pharmacy, one that has been a requirement for first-years ever since the inaugural class of 2011, is the introduction to public health course. The course was developed by the USF Health College of Public Health (COPH), continues to have input from their faculty, and mainly focuses on social determinants of health. “You spotlight that in a course and then when you give the demographics of what that means for these various communities, it really does help broaden the expanse of how people view communities of color and why we do things like Bridge Clinic and Tampa Bay Street Medicine,” Dr. Sneed said. “We’re going to have to push to a different level of comfort, maybe even discomfort for many people in order for it to really take hold.”

A pharmacist has a unique place in the community. “Not everybody has a physician or has health insurance, but anybody can go to CVS and say, “my child has a fever,” Tricia Penniecook, MD, MPH, vice dean for education and faculty affairs for COPH, said. The patient benefits if the pharmacist has a public health world view and can help make decisions that are best for the patient’s situation.

USF College of Pharmacy Dean Kevin Sneed, PharmD, and Tricia Penniecook, MD, MPH, vice dean for education, participating in a Voices in Leadership panel discussion during USF Health Multicultural Week in 2019. Pre-Covid photo.

While colleges of medicine, nursing and pharmacy focus on helping patients where they are downstream, sick that day, public health looks upstream and tries to address what has happened to bring them to that point. Instead of individual-based care, public health professionals look at the care of groups of people in the population and find and fill gaps in their access to health care or the conditions for people to be healthy. That’s why interprofessional education is a critical part of USF Health because both kinds of roles are important. “As part of the discipline of public health, you’re supposed to take care of those who are at a disadvantage,” Dr. Penniecook, said. “The structures and systems in this country have put certain populations immediately at a disadvantage just because of that’s who they are when they are born.”

An integral part of every accredited college of public health in the United States is making sure that students learn about health inequities that are based on disparities. At USF Health’s COPH, students not only have courses specifically on health inequities, but the topic is addressed in every public health course from the undergraduate to the graduate level. Having this thread at every level means that students learn what the basis of those health inequities are, what they look like and how to address them no matter where their career takes them. According to Dr. Penniecook, this means that if the student is going to be working in the community, they’ve learned about community education and teaching people about self-advocacy in the healthcare system; if the student is going to be working within the system, they’ve learned about how to measure and address health inequities; or if the student is going to have a leadership role, they’ve learned about being proactive in looking for ways to solve the health inequities such as policy development.

Prior to COVID-19, COPH started working on an academic master plan. Dr. Penniecook, described an academic master plan as a road map within the strategic initiatives of the institution, that tells you what you need to do academically to get to your goals. In response to the murder of George Floyd, Dr. Penniecook asked Donna Petersen, ScD, MHS, CPH, dean of the USF Health COPH, if they could integrate structural racism into the academic master plan. Just like MCOM’s Dr. Bognar was previously quoted as saying that these changes have to be “baked in” the curriculum, Dr. Penniecook wanted these efforts to combat structural racism to be more strategic and woven into everything they do and who they are, so that it’s more likely to stick. A variety of work groups will be formed to include faculty, staff and students to look at admissions, curriculum, teaching methods, educational spaces and recruitment, and then make recommendations to the college structure. While this master plan is a work in progress and was paused when COVID-19 first hit, Dr. Petersen has already impacted and set the tone for the two freshman courses she teaches as a part of the Master of Public Health program. She has always had a required summer reading list, but this past summer, the entire list was equipped with books on structural racism. In addition, different aspects of structural racism have been the topic of several of the College’s townhall meetings, some lead by students, as well as episodes of the Activist Lab’s Activist Lab on the Road podcast.

An interprofessional student team across the Colleges of Medicine, Nursing and Public Health, and the School of Physical Therapy, at the 2018 USF Health Research Day. Pre-Covid Photo.

The curriculum used to educate our future health care professionals is only one piece of the puzzle. The faculty who teach it are the other. “Student exposure to those from impoverished backgrounds may occur for the first time when they are in medical school,” Haywood Brown, MD, professor of obstetrics and gynecology, associate dean of diversity for USF MCOM, and vice president for institutional equity for the University of South Florida System, said. “They don’t get that in the classroom because there is so few, diverse faculty teaching the curriculum.” According to a board diversity statement from the American Council on Education (ACE), diversity in university student bodies, faculties and staff, enriches the educational experience, promotes personal growth and a health society, strengthens communities and the workplace, and enhances America’s economic competitiveness. “If you do not have a diverse workforce, the patients don’t benefit as much because you’re learning from each other,” Dr. Brown said.

In November 2020, the USF Health College of Nursing appointed Usha Menon, PhD, RN, FAAN, as the new dean after serving as interim dean of the College since February of that year. According to Dr. Roman, under this new leadership, one of the College’s initiatives is to increase the diversity, equity and inclusion not only in the curriculum, but also in the student, faculty and staff populations. As a part of this initiative, Dr. Menon realigned her senior administrators which included creating a director of diversity role, now filled by Ivonne Hernandez, PhD, RN, IBCLC, assistant professor at the USF CON. “What we are developing now, before we even start recruiting, is a way to retain,” Dr. Roman said. “We are nurse scientists, and we treat our patients and our students by the evidence. We are doing the same thing with diversity, equity and inclusion, and what our data shows is that when we have persons of color, they don’t stay.” CON’s strategic goals include increasing the diversity of research faculty by 35% and of clinical faculty by 10%, by 2023. One retention method coming soon is a mentoring program.

According to Dr. Roman, CON is not making these changes just to check off a box for diversity on a list of requirements. “The College of Nursing is doing a 360,” Dr. Roman said. “We’re changing everything. We are doing the right thing for all people and it’ll be a complete culture change.” A healthy and safe culture and work environment will also help retain high quality, diverse faculty. “We have to reiterate that incivility is not tolerated, and micro and macro aggressions are not tolerated,” Dr. Roman said. “We also have to bring to the forefront what already exists in the University processes for what to do if you feel violated and not to suffer in silence.”

Even outside of the university classrooms, USF Health students are coming together to fight racial disparities in the healthcare system. In August 2020, MCOM became an official chapter of the national White Coats 4 Black Lives. Open to all USF Health students, the goal of the organization is to safeguard the lives and well-being of patients through the elimination of racism. To accomplish this goal, WC4BL and the USF Health chapter look to foster dialogue on racism as a public health concern, end racial discrimination in medical care, and prepare future physicians to be advocates for racial justice. “It’s everyone’s responsibility, but it’s only a priority to some,” Smith said. “For those who make it their priority, we want to give them tools to learn how to engage in these spaces that make it safe for them and make it safe for the other person to have these kinds of courageous conversations. Equipping the next generation of thought leaders so they can change the thoughts out there.”