Carver College of Medicine (Graduate & Masters) – UIOWA Commencement, May 17, 2019

good evening my name is Brooks Jackson and I serve as University of Iowa vice president for medical affairs and Dean of the Roy J and Lucille a Carver College of Medicine it is my honor and privilege to welcome you tonight as we celebrate the Carver College of Medicine class of 2019 this evenings graduates will receive degrees from two distinct Carver College of Medicine programs the Master in medical education degree and the Doctor of Medicine degree to all of tonight's graduates and on behalf of the Carver College of Medicine we join your families and friends and celebrating the culmination of your commitment growth and academic achievements this is truly a defining moment on the path to your medical careers at this time I would like to introduce my colleagues who are part of tonight's commencement ceremony beginning at your far right is dr. Christopher Cooper senior associate dean for medical education and professor and vice chairman of the Department of Urology [Applause] dr. Daniel runde clinical associate professor of emergency medicine and we look forward to dr. rundas remarks as tonight's commencement speaker dr. Jane Lindsay Miller director of the University of Iowa Carver College of Medicine office of consultation research and medical education and clinical associate professor in the Department of Family Medicine next beginning at my left I am pleased to introduce mr. Suresh guna sacred associate vice president of University of Iowa healthcare and chief executive officer of University of Iowa Hospitals and Clinics we were very pleased to welcome mr. guna sacred to Iowa last November and our grateful for his contributions to the UI health care senior leadership team [Applause] dr. Mary grace Elson clinical professor of obstetrics and gynecology who was recently installed is the hundred and seventy a–the president of the Iowa Medical Society the statewide professional association for Iowa's physicians MS Sherri Bates of Scranton Iowa who serves on the Board of Regents state of Iowa Regent Bates professional career as a social worker included more than 20 years with the Green County Medical Center in Jefferson in several years with the Iowa Department of Human Services she has been a regent since 2014 serving diligently to help govern Iowa's five public educational institutions and finally I am pleased to introduce dr. Patricia Winokur executive Dean of the Carver College of Medicine and professor in the department of internal medicine dr. Whitaker is a key member of the UI healthcare leadership team and is instrumental in our efforts to fulfill the tripartite mission of education research and patient care a sincere thank you to each of these distinguished colleagues who have joined me on the stage this evening and now it is my honor to turn the podium over to dr. Christopher Cooper good evening I too want to welcome you to commencement for the Carver class College of Medicine class of 2019 Wow Kelly you've been with us for about 15 years right and she's seen she's served diligently and she's seen a lot of graduations she comes to this graduation because it's fun she's actually independently wealthy this is a hobby for her but I got to tell you that was the saddest response that I've ever seen Kelly translate when we welcome you so I've seen some bad ones I've seen some where she just kind of goes like this I've seen somewhere she's like yeah some even like this Cotter one sign and get me out of here but never have I seen her just sit there and wait to translate applause now I have seen her do some great ones where she will do this if it's incredible so just because you're dressed in black doesn't mean you have to act like you're mourning a major dream is coming true for you tonight that you guys have worked very hard for but you're sitting there like somebody glued your hands and butt to the chair and I know that's not a professional medical term I should have said upper extremity digits and butt and I want to apologize to the audience for their lack of enthusiasm it's not their fault I'm afraid and our relatively new curriculum we forgot to teach them how to have fun and celebrate so we need to work that into the Wellness Passport I'm sure that'll take care of things all right so most of you are only going to graduate from medical school once but if you want to make it somber and dull as opposed to fun and exciting and a night to remember for the rest of your lives I'll do that for you it's your night in fact we could just jump to the reading of the oath and email you your diploma you guys can go hang out in the library relatively half-empty coffee shop the Death Star or wherever you know law school graduates go when we turn them loose on society or we could try again so let's do that welcome to commencement for the Carver College of Medicine class of 2019 did you go wild that's awesome you guys really are incredible you've done terrific things and most importantly you are going to do great things and that's why this should be a celebration audience these soon-to-be doctors are an incredible force for good in the world the positive impact they will have on people in society is incalculable I should have gone with a word I could pronounce you can't calculate it this truly is a great class and it's full of very remarkable individuals and they have made remarkable accomplishments if I could spend just one moment summarizing some of the accomplishments for each student it would literally add an additional three hours so I'm going to take just a few minutes to brag about the class as a whole as you'd expect they're very bright in fact this class had the second-highest step1 on their us emily board examination in our college history [Applause] last year's class was just a bit higher curses but you did go on to set a record for your step to seek a store so now would be a good time [Applause] this class has also been very involved in extracurricular activities including service to the school the community and the underserved both near and far in fact almost half of these students are graduating I'm one of the distinction tracks tonight these are completely voluntary tracks that require additional work and effort outside of the required curriculum areas that they participate in include Research Service global activities teaching and healthcare delivery and management I can also tell you that every one of these remarkable people has been involved in some of these extracurricular activities so I think we've established that you're a smart class you're a caring class and a class that has been very involved in multiple activities but before you let all of that go to your head I need to tell you there are many lessons you can still learn that we didn't teach you in medical school going forward you're going to have different teachers and some of the best teachers will be your patients on any given day you will see and you will have the chance to learn from dozens and dozens of people if you start to listen to your patients and ask the right questions you will become much wiser and matters that count every bit as much as the lessons you've learned in medical school I truly believe you can learn something from every patient encounter 25 years ago when I was close to your stage in training there was an elderly patient that I was talking to in the urology clinic he told me something I've never forgotten he said people always talk about growing old but that's not how it happens one day you just wake up and you are old I know it's a haunting statement it's haunting in that way that you can't shake a great truth even at that moment I realized that for better or worse he was probably right and over the years I still believe his prophesy is likely true so I've been thinking a lot about time lately it may have been related to the disturbing and literally life-threatening events about five months ago that you guys know about by the way thank you for your support during that time I appreciate that that meant a lot to me and it's a testament to this class's compassion and willingness to help others at any rate back to time I don't really understand time I took a year of physics in college and I did alright in the class but I knew I wasn't getting it how many of you took a year of physics in college just Jovan's okay almost everybody how many of you understood physics excellent even I want I want you to explain stuff to me a little bit later tonight okay so I got the part in physics where if you had a ball like a pool ball and you rolled it into one ball two balls went off at different angles neither one would go as fast as the initial ball that all made sense to me I could follow that they call that I think Newtonian physics but then we started getting into quantum physics and they talked about how a particle was also a wave and how a particle might be sitting on a desk at one point and suddenly it could be under the desk or it could be on top and under at the same time then there's all that stuff about dark matter and dark energy that is everywhere but we can't detect it I really couldn't tell if the professor was preaching the gospel or practicing witchcraft seriously I wanted to take him down the river and see if he would sink or float so Oh Salem reference there Dan so with all that said time escapes me I get that the calendar tracks the Earth's travel through its orbit and space and that the clock is this mechanical device that we've got it's designed to reflect the spinning rotation of the earth and it should tell me the time but it seems more like an a domitor to me so I'm not really sure what time is but in my personal experience whatever it is it's variable and it's not fixed when I was a kid summer days and summer break seemed to last a lifetime now it's over in just a few months in support of that haunting statement from the elderly gentleman I can tell you that for me with age weeks and months seem to fly by faster and faster each year despite the earth spinning and traveling at its constant rate on the other hand I can tell you when I was dealing with that issue this winter minutes seem like hours if not days the clock was definitely not an accurate reflection of the time I was experiencing it was like that years ago when I'd be up in the middle of the night giving one of my children nebulizer treatments for asthma minutes became hours you're smart people and you know why I'm telling you this it's something we don't almost didn't cover in medical school but you need to recognize that time is variable and relative and it's different for everyone your patients will not be experiencing time the same way that you are experiencing time in fact it's likely that their perspective of time is very different from yours when they are in the hospital or in clinic some of the biggest and longest moments of their day are when you come to see them remember this time is variable but life is made up of moments I'm going to say it again time is variable but life is made up of moments if you don't recognize the truth of that statement you will underestimate the impact you can and should be having on your patience make the moments count for your patients at the same time make the moments count for you you do this by taking time to interact to care to listen to learn and to share if you do this your career will be meaningful and enjoyable and rewarding thank you for taking the time to listen to me tonight and for letting me participate in your moment you have been a truly incredible class and it has been my privilege to serve you I wish for each of you a fulfilling and rewarding career and life as you serve society in your role as medical doctors thank you [Applause] so it's now my pleasure to introduce Robert humble a fourth-year medical student from Esther Ville Iowa rob has excelled as a Carver College of Medicine student earning several prestigious scholarships and awards including the distinguished Student Service Award as a student he was on both the research distinction tract and the teaching distinction drag in addition to excelling in the academic environment Rob has been deeply engaged with his fellow students serving as student body president and president of the LGBT medical student group equal meds he is part of the gold humanism Honor Society whose members serve as role models of the human connection and healthcare we are delighted that rob is matched into pathology at UI hospitals and clinics he has the honor of introducing tonight's commencement speaker please welcome Robert humble [Applause] [Applause] one more pager thank you I'm proud to introduce this year's commencement speaker dr. Daniel runde dr. Randi is a clinical associate professor in the department of emergency medicine at UI hospitals and clinics where he is also an assistant program director for the emergency medicine residency program and director of the emergency medicine Medical Education fellowship for the past four years at the Carver College of Medicine he has been the course director for the second semester of the clinical and professional skills strand and a medical co-director of the student-run mobile clinic project dr. Randy graduated from the University of Notre Dame with a degree in philosophy before returning before receiving his MD from the University of Iowa College of Medicine he completed his residency training in emergency medicine at Columbia University's st. Luke's Roosevelt Hospital in New York and a fellowship in medical education at Harbor UCLA in the David Geffen School of Medicine at UCLA when he returned to Iowa dr. Randy earned a Master degree in medical education from the University of Iowa office of consultation and research in medical education he has received multiple teacher of the Year awards within his department as well as recognition for best lecture and best speaker from the Council of emergency medicine directors academic assembly dr. Randy is also passionate about his work as chair of the board of directors of the Iowa harm reduction coalition where he provides guidance and direction as the organization expands its effort and overdose prevention community outreach legislative advocacy and harm reduction education the work of this organization was recently cited by the Iowa Department of Public Health as being the primary driver of a 27% decrease in new hepatitis C diagnoses in Iowa in patients under 40 reversing an almost two decade upward tenth an achievement I think deserves our applause dr. Grundy would like me to point out that he is a proud cedar rapid and cherishes memories of growing up with crunchberry scented breezes as he gazed upon the world's largest prefabricated tree he says he realizes every day how lucky he is to be married to his partner Katie and his equal parts smitten and befuddled by his two ridiculous children Alice and Jane please join me in welcoming dr. Daniel Randi [Applause] thanks Rob for that introduction before I begin I just wanna make a few observations the first is just to call attention to the smaller group of folks here tonight they're gonna receive their master and Medical Education degree this is a group of people that already have full-time jobs busy lives and they chose to give up nights and a lot of time to become even better teachers and educators for all of you and I just think just quickly we should give them a round of applause to recognize that I also need to note that seated across me on the stage and down in the audience is a staggeringly impressive group of people leaders in the respective fields dedicated academics innovators people who are working everyday not just to improve the state of Medicine but to change the way that we deliver medical education and teaching to our students similarly as you just heard this group of students sitting here is among the most impressive who have ever walked the halls of the Carver College of Medicine all this is to say that the fact that I was selected for the honor of giving this commencement address is just a clear demonstration of how fully the fourth-year students must have checked out after match day I'm genuinely curious if you filled out the speaker survey while you were in the bar regardless Matt Edwards the Registrar you can't see me but he's just offstage with a stun gun ready to go should I wander too far off script here my second observation is kind of following up on what Dean Cooper was talking about I'm old and I acknowledge this fact despite all my very best efforts to hide it I came here tonight to hancher riding on one of those power scooter hoverboards which reminds me caught fire and is actually burning in the parking lot somewhere I probably should have mentioned that fried douve into the talk underneath this gown I'm wearing a men's romper for two reasons one they're comfortable AF and two I read in Teen Vogue that they are the men's fashion trend for summer 2019 in addition although none of you have seen me do it I have updated my Instagram account eight times since starting this speech nonetheless I have to admit it has been 10 years it's a full decade since I sat where you were sitting right now well not exactly where you're sitting right now unfortunately the old hancher auditorium flooded before my final year of medical school and so we had our commencement ceremony in the convention center at the coral dome area so pretty much exactly like this but then you want to sub in the warmth and ambiance of a Walmart parking lot and you can kind of imagine what it felt like but it's been 10 years and and in some ways it feels like I've had five lifetimes of experience in that time but also everything about my graduation night from Carver College of Medicine is so vivid and some of that is probably to do with just what a really momentous life milestone it was and I think some of it is because Dean Cooper who has been senior associate dean for I think 60 years was sitting right where he is now and so that really is a nice touchstone to jog my recollections and it was such a great time I was like you should be today understandably proud of the accomplishment med school was hard and sometimes humbling and it felt really great to be able to sit here with my friends and probably more importantly with my family I remember how excited my wife Katie was partly because we're about to start a new chapter of our life in New York City which had always been a dream of hers but I think mostly because she looked back on all those times when we were out on a Friday night with a group of good medical student friends and engaged in a thoughtful and passionate discussion about things like why the answer the question 42 was obviously oxidative phosphorylation and not glycolysis and what does Peter Rubinstein even know about biochemistry anyway and she was so so excited to never have to be part of a conversation like that ever again so medical school was hard but I knew I received great training here at Iowa you know I made it through step I survived 30 our trauma calls I survived daily humiliation on stroke rounds thanks to the neurology department and dr. Adams for that and I figured okay how much harder could residency really be the answer it turns out as much much harder and I I remember riding the bus up to my Hospital for my my first ever real clinical shift in our emergency department and I was honestly so nervous I thought I was gonna vomit I've gotten to meet all of my classmates during the previous month that was orientation very relaxed and and laid back great time for bonding and we were already becoming friends but it was also immediately apparent to me that I was the dumb-dumb of the bunch and I pondered how I ended up in the program that ended up at and I think that the the obvious explanation is my program director as he was getting ready to submit the match list for that year the building was struck by lightning as 1.21 gigawatts of electricity surged through the power cables struck the computer he was on which became sentient and in its first attempt to bring down mankind move me up the rank list into a matchable range for this program the classic story and so regardless there I am getting ready to enter an under-resourced emergency department in a big city that's 120,000 patients a year and I know I was gonna be surrounded by people who are a lot smarter than me and that all of us were gonna be surrounded by people were very tired and very sick and sometimes very angry for those of you who've never lived in New York bringing Iowa nice into my patient interactions did not always go the way that I envisioned as an example we'll roleplay hello sir it's nice to meet you how are you doing today I'm so glad you're here I'm in the ducting emergency department how the duck do you think I'm doing so that but – the duck it turned out I was right to be nervous I made mistakes I missed things and all of it was hard and some of it got better and some of it didn't but the thing is I was I was never alone every time I got crushed by a shift or by losing a patient there was someone a lot of times one of my co residents almost always Katie and for the really bad times my program director dr. Clarke who were there to to give me a hug and pick me back up and get me ready to go back in and and not just do it the next day but be excited to do it again the next day one of those kill residences guy named Matt Curley and one my whole residence he was filled with some pretty great people Matt and you know always stood out you could walk into a shift where there were ten ambulances lined up outside of our Hospital waiting in line to drop off critically ill patients because it was that busy and then you walk in the door and there's a naked man doing laps around the ER being chased by security and then in the back of that for some reason there's a couple of Gurney's that have been lit on fire and you would find Matt sitting there with his patient team completely under control you know serene and relaxed roasting a hot dog and he'd ask if he wanted one and you know he was like that inside the hospital and also outside though when you were maybe if you were like me and you were a stress eater but you didn't want to go to Wendy's alone at 1:00 in the morning tea chicken nuggets and you're hoping somebody else could go with you to help mitigate the shame Matt's down for that and if you needed a fifth person to fill out your intramural dodgeball team Matt and if you needed somebody to go with you to the library on an off Saturday for you to hunker down prepare for the in training exam so you do a little bit better this year not Matt because he was naturally smart and had no time for that but he would be you'd meet you outside the library with a beer by way of congratulations and you know that's one of the great gifts of residency training is you get placed in this new you know often very high-stress environment but you're surrounded by people who share the passion that you have for what you do and it turns out that that is a perfect recipe for making friends you're gonna carry with you through the rest of your life and that's a good thing because it medicine you got to get back in the game you're gonna realize your first day in residency that something's changed even from when you're a medical student and you are a core part of the way that your your team your clinic your service your department functions now and it doesn't work when you're not there and that's some pressure but it's a good thing and all that made me better I got better every shift every month every year I felt more at home at the IDI and while I'm being honest that impostor syndrome that I felt and and you know still feel to a degree to this day it never really goes away but able to channel that energy into something a little bit more productive so fast-forward a little bit from those quasi terrifying first few months of residency to the final year of training and this is a fun secret there is probably no one in the world who feels more in their element than a senior resident in their last year of training at their Hospital now you might not be as smart as your attending faculty but you know how your hospital works on a on a visceral almost instinctual level that is born of just so many hours doing the job and every hospital has its own institutional eccentricities and aratus isms and quirks and it takes things that should be very straightforward interactions and makes them into these Byzantine rites of passage that require tons of very detailed insider knowledge to navigate successfully and as a senior resident you will have more of that knowledge than anyone in the hospital and so a couple examples of how that would go say you're attending says hey we have this kidney transplant patient from out of town I'm not sure who to admit you'll be like okay it's the second Tuesday in March Mercury's in retrograde so gonna want to pay for the non teaching hospital is service but the call schedule actually wasn't updated and so dr. Jeremy is out of town at his son's hockey game so you're gonna want to call dr. Johnson who's covering for dr. Samuel because he lost a bet to him about the Knicks or you know something maybe a little more universal how do I get an MRI and that's always a challenge and it's very simple you just draw a pentagram on the floor and you make a blood offering of a young ram then and only then will the clerk stamp the requisition form and then you just simply have to run it down to the MRI scanner located in sub-basement B through the steam tunnel and pass the creepy guy in the janitor uniform who is sharpening a site for some reason and I know for the non-medical Oh to the audience you have to be thinking well those are very specific and preposterous examples he must be joking and to that I say god I only wish that I was so back to the residency is it is this amazing feeling you start to get things figured out because because it is hard but psychologists describe this state where when you're fully immersed and focused and involved and enjoying a heart activity it's called it's called being in a state of flow and if you're lucky and I think you will be as you go on you're gonna spend more time in that state of flow as your training progresses and if you're like me the periods of flow in the hospital alternated with periods of New York catatonia eating boxes of chocolate chip cookies on my couch watching reruns of The Bachelor which is what mental health professionals call work-life balance but but what I'm saying is if things do get better because you put in the time and while you're not exactly cocky you definitely will have periods of sustained confidence where you feel like you've maybe got things under control and figured out and you know unfortunately it's probably way too many people in this audience know and and parents I'm looking at you in particular here life is pretty good at disabusing us to the notion that we're the ones really running things and this brings me to a particular shift in my final year in the emergency department right at the tail end of August and it's a Monday and for those of you know emergency departments that's our busiest day but we have a great team of nurses and residents and we're keeping our heads above water and taking good care of the patients and I'm walking between patient rooms and our program director dr. Clark who's not on shift comes and finds me says hey we need to talk now I was a chief resident and even the best run residency has the occasional dumpster fire that starts and needs to be put out so it didn't seem too unusual but as he pulled me out into the ambulance Bay to talk to me I got a good look at his face and I knew something was wrong and and what happened after I don't remember if there was any preamble but I don't recall one I just I remember him looking at me and saying slowly but very clearly Dan Matt's dead and I know as he says this this is impossible for one thing Matt's not even in New York City he's on a family vacation in Hawaii which is the safest thing he has ever done in his life six months before on his vacation block he took a solo trip to Argentina where he met some Russians and then went hiking on a glacier in Patagonia came back totally fine the year before that he managed to be in Thailand staying in a hotel in the middle of the red shirt uprising which was a protest against the military where thousands of people were injured 100 people died Matt's totally fine and he was actually joking before this trip to Hawaii that you know he didn't love his family so much there's no way that he would have agreed to go to a place that says serene and touristy because it just wasn't his style and so with all that I know there's no way what dr. Clark is telling me it could be the truth but of course I'm wrong that that is what happened and if they told us it was a scuba-diving incident and and no one was ever able to find a clear explanation just a vague sense that it was it was a series of unfortunate events in bad luck and I'm not gonna talk in detail about what happened afterwards except to say that it was it was every bit as hard and as bad as you'd think it would be and our program did step up and come together in this amazing way and and there was a lot of kindness and a lot of grace but that's not a real silver lining it doesn't make up for that kind of loss the world lost a fantastic ER doctor the kind of person that you would definitely want to take to your family member on their worst day and all of us lost a friend who felt a lot more like a family member and that is unfortunately the double-edged sword of that closeness that you're going to find in residency and I'm telling you all this not to make you sad even though it is a sad thing but because this particular event has shaped my life in the way that I approach medicine before I tell you how and why I do want to circle back to just talk a little bit more about the current state of our job as physicians so medicine is hard and they're gonna be moments on a lot of days when you might question whether you made the right career choice and besides for the day today we face a huge challenge in our in our profession so depersonalization and burnout in medical students residents and faculty or occurring at alarming rates about half of all faculty nationally report feeling burned out and one in 25 report clinical depression and we place we face a problem of under-representation and homogeneity as well there's too many doctors that look and love and sound like me and not enough like the increasingly diverse America that we serve and it's not just a question of optics this has resulted in unacceptably desperately bad outcomes for too many of the patient populations we serve just as an example the CDC last week released a report that in the United States in 2019 adjusted for education and income that black and Native American women are 300% more likely to die during childbirth than a white woman and we have a harassment problem last summer the National Academy of Sciences engineering and medicine released a report that said 50% of all female medical students will be report sexual harassment at some point during their training and that's obviously horrifying all this is overlaid on to a system that pushes us to be more efficient and more efficient and to spend more time in front of a computer screen and less time in front of our patients plus if you remember what I said earlier about the patients who are fond of telling you about their Ducks and what you can do with set ducks there's also that aspect to it and so now after that couple of minutes talking about a personal loss and some of the myriad professional challenges that face medicine now I am sure that you are really rethinking the decision to have me come up here and Matt is got his finger on the stun gun trigger off to the side I'm gonna ask him to hold off for just another minute because it's about everything I've talked about so far the fear the failure the frustration I need to tell you unequivocally that it is all worth it every single one of you soon-to-be graduates are among the luckiest people in the world and please don't think that when I say that I discount how hard you worked to get here tonight and and to the family and friends and loved ones please don't think that I don't know how much you have worked and sacrificed to get these folks into this chair tonight I know it but you are still so lucky we get to take care of sick people and fix them and we can stay people take care of people in pain and ease it and we take people who are scared and hurt and angry and give them hope and and when we can't give them hope hopefully we can at least give them understanding and acceptance and I get to electrocute people sometimes as part of my job and I also every once in a while get to give a medicine to a 50 year old trucker who then starts singing Beyonce as if I were a boy in front of his horrified teenage daughters and that's amazing and every once in a while I get to save a life and just one time I got to do that thing you've seen the movies where I was able to slam down my fists and and you'll live dammit live although in full disclosure on that occasion I was politely told sir this isn't Arby's and then asked to leave so but I still have bad days and when I get to the point when I start to feel a little crispy and short and start thinking hey maybe these people I'm taking care of are just a little bit more ungrateful than I'd like I think in my friend Matt partly I think about what a good i'm rincey and octree was and how unfair it is that we got robbed of all the lives he was going to touch in a normal career but mostly what I think about is not that but just his smile on shift and his ability to pull kind of a goofy laugh that made everybody feel better no matter how bananas things were going on around us and it's not some magic trick it doesn't make me into a saint or a better person but it usually helps me snap my head back into the right frame of mind and perspective and make me a little bit more like the kind of person that you'd want taking care of somebody in your family when they were sick or hurt or scared medicine is hard and you have some tough days in front of you in residency and then a whole bunch of tough days after that they're gonna be so many more good days and I promise even some great days I've gotten to see how bright and kind and driven this class is and I am convinced that you have what it takes not just to succeed within your respective fields but in that fight to improve medicine for your colleagues and your co-workers and most importantly for your patients and when things start to wear you down and I promise they will just remember how truly privileged you are to get to do what it is you're going to get to do try to find that that person or event or experience in your life that helps you remember that and helps you center that try to find your mat cruelly because medicine is hard but it is so so worth it thank you and congratulations class of 2019 [Applause] as long on behalf of the class of 2019 as a gesture of our thanks we have this a clock to commemorate the experience thank you [Applause] well thank you doctor run ding and dr. Cooper I I think I may be the newest faculty member up here I just started a March 11th actually so thank you so much for reminding me exactly why I chose to come to the University of Iowa I think this is a really extraordinary place with some extraordinary faculty so I feel honored to be here tonight it's my distinct honor to present to everyone this year's graduates of the master and medical education program the Mme students receiving their degrees tonight bring the total number of graduates at the University of Iowa to 49 representing over 15 different departments or programs in the Carver College of Medicine the Mme program is one of the college's marks of distinction dedicated to developing a community of academic medical faculty with formal training in education committed to creating and sustaining a culture of educational excellence this community of exemplary educators serves not only the Carver College of Medicine but also UI health care the University of Iowa and the medical education community at large lifelong learning through reflection is essential for physicians in clinical practice as well as the educators who teach them fostering that lifelong learning is at the heart of our mission our program and our educational goals congratulations to all of tonight's graduates will the candidates for the master in medical education please stand [Applause] Dean Jackson these candidates having completed all the requirements for the degree of Master in medical education are recommended to you by the Faculty of the Carver College of Medicine for the conferring of this degree on the recommendation of the Faculty of the Carver College of Medicine and by the authority vested in me by the Board of Regents state of Iowa I confer on you the Master in medical education degree as qualified and designated will the candidates please come forward to receive their diplomas asthma El Duque [Applause] Aaron Kunz [Applause] [Applause] Brookes over [Applause] Amahl Shibley raha James Van Kyra [Applause] will the candidates for the Doctor of Medicine degree please stand [Applause] Dean Jackson these candidates having completed all the requirements for the degree of Doctor of Medicine are recommended to you by the Faculty of the Carver College of Medicine for the conferring of this degree on the recommendation of the Faculty of the Carver College of Medicine and by the authority vested in me by the Board of Regents state of Iowa I confer on each of you the degree of Doctor of Medicine as qualified and designated where the candidates please be seated [Applause] Dean Jackson on behalf of the faculty and administration of the Carver College of Medicine I present to you these graduates who have just been awarded the degree of Doctor of Medicine they will now be presented with their doctoral hoods and diplomas the shell of the hood matches the black material of the gown and is lined with the old gold color of the University of Iowa the velvet border of the hood is indicative of Medicine which is traditionally represented by the color green dr. Ron Dee will join me in the presentation of the hoods graduates will you please come forward to receive your hoods and diplomas dr. Cyril via akela [Applause] dr. Eric Arneson [Applause] dr. Maria ro Rosa [Applause] Devon Galia awesome a couple us doctor she is also earning an MBA dr. Matthew Becker [Applause] dr. Morgan Burch [Applause] dr. Irfan bottie [Applause] dr. Drake Bozek [Applause] dr. Zoe brown Joel [Applause] dr. Kimberly Burkhardt [Applause] dr. Keeley Burke I think that was for her dr. Luke Byerly [Applause] dr. scarlet ciao [Applause] dr. James Chambliss also earning an mph [Applause] dr. Jonathan show dr. Christine Dan [Applause] dr. Abby esker dr. Nicholas Fleet [Applause] dr. Sarah flowed in [Applause] dr. Cameron Foreman dr. Ethan force Curran dr. Alison Fralick [Applause] dr. Micaela frizzy dr. Ryan frisbee dr. Noah Frieden Lund dr. Ellen Gardner [Applause] dr. Niccole Jin sick dr. Jonathan Gilmore dr. Eleanor Ginn [Applause] dr. Shetty Girgis [Applause] dr. Keller Prado dr. Kripa Durham [Applause] dr. Pedro Han [Applause] dr. James Hall [Applause] dr. Sarah Halloran [Applause] dr. Clare Hannah [Applause] dr. Amy Hansen dr. Jordan Harbaugh Williams dr. Matthew Hartnett dr. Michael Hayes also earning a PhD advised by dr. Dan weeks [Applause] dr. Jonathan Heinz men [Applause] dr. Mackenzie Heinz dr. Tighe Holland [Applause] dr. Andrew hold [Applause] dr. Joseph Hudson [Applause] dr. Robert humble [Applause] dr. charmagne hyung [Applause] dr. Cameron Jones [Applause] dr. emirate Kanwar [Applause] dr. amber khazi [Applause] dr. Catherine Keefer [Applause] dr. Lee boy Kellogg dr. Sean Kennedy dr. Ian Kidder dr. Peter Kim [Applause] dr. Jonathan Kenyon [Applause] dr.mohammed kitab dr. gabriel lancaster [Applause] dr. grace Lao dr. Ryan lectin Berg dr. Angela Lee dr. Aric Lee [Applause] dr. Caitlin Lindemann dr. Clayton long [Applause] dr. christina misen ski [Applause] dr. Morton Makar [Applause] dr. Nyasha Madan [Applause] dr. Arisa maja pond [Applause] dr. Michael Maeda dr. Niccole man Heka dr. Mateen man shorty dr. marisa martin dr. Zachary Mayo dr. Hanna McAtee [Applause] dr. Cory McDonald dr. Chelsea Meyer Lima no brave day heroes dr. Marc Mubarek dr. Emily Nemeth dr. Emily when also earning a PhD advised by dr. Isabella Grumbach dr. Lucas win [Applause] dr. McKinsey Noonan Halsey dr. Jack O'Brien dr. Nicholas Parker [Applause] dr. Aditi Patel dr. Brandon henna Luna also earning an MBA dr. Andrew Peter dr. Cody Peterson dr. Katherine approach also earning a PhD advised by dr. George Richardson [Applause] dr. Evelyn chin also earning an mph dr. Karen Rao dr. Haley reased [Applause] dr. Erin Renfrew dr. Conor Richardson [Applause] dr. David Rice [Applause] dr. Julian Robles dr. Anthony Rosenberg dr. Evelyn Ross Shapiro [Applause] dr. Douglas Russo dr. Jenna Sachs [Applause] dr. Kelsey said Doris dr. Christopher sandy dr. Jeremy Sangren also earning a PhD advised by dr. Justin Grove dr. Rachel Schinkel dr. Ashley Schumacher dr. Ali Simpson dr. Peyton Strasser dr. Ashwin subra money [Applause] dr. chance Sullivan [Applause] dr. Eric song dr. Eric Sweeney [Applause] dr. Brian Tong [Applause] dr. Hannah trim bath dr. Alexandria timki wits dr. Rachel Oh Rick [Applause] dr. Wyatt Vandervoort [Applause] dr. Alexander volkmar dr. Cameron Wagner dr. Clayton Walker [Applause] dr. David Wong [Applause] dr. Robert Wong Zack [Applause] dr. Megan Warnecke dr. Jessica waters [Applause] dr. Lisa Weaver [Applause] dr. Ezekiel way [Applause] dr. Emily why get dr. Sean wheat Jen [Applause] dr. Dorothea wheeler also earning a PhD advised by dr. Stanley Pearlman [Applause] dr. Emily white [Applause] dr. Nicholas Wilson [Applause] dr. Christopher winters [Applause] dr. Connor young [Applause] dr. grant young [Applause] dr. Gregory young dumb [Applause] dr. furrows roofer dr. Genesis Zamora dr. Shing son dr. Vivian Zoo [Applause] I would now like to address the doctors of Medicine as you have come upon a decisive moment in your development as a physician you're about to recite the physicians oath which is based on the oath of Epocrates while you took a very similar oath at the Carver College of Medicine white coat ceremony a few years ago at the start of your medical education and as you as you have honored that promise the next moments will set you apart from your medical school career this oath is a symbol of your commitment to the healing arts and is an acknowledgement of your solemn duty to perform to the very best of your ability I ask you to think very seriously about what the oath means especially the importance that signifies to those who will serve in your role as a health care provider as you commit to each paragraph concentrate on the meaning of your vow and how you must see it through thus acknowledging the magnitude of this ceremony I now ask the doctor of medicine graduates to please rise and to turn to page 9 of your program I'd also like to invite Hannah McEntee our student recipient of the 2019 Leonard tau humanism and medicine award to come forward to lead the graduates in reciting the physicians oath I do solemnly swear to maintain health please be dead [Applause] class of 2019 congratulations our state and nation are fortunate to receive such bright talented and compassionate physicians researchers educators and health care providers I would like to take this moment to acknowledge some other very important people here with us in addition to celebrating your achievements commitments are also a time for us to express gratitude and appreciation to the parents spouses family members and friends of tonight's graduates you have helped them make this journey possible with your love your support and encouragement we recognize this as a celebration for you as well I would also like to recognize and extend my appreciation to our outstanding faculty members many of whom are here tonight to celebrate our new graduates thank you for your dedication and support as you have helped guide nurture and mentor this outstanding class of graduates following this ceremony my colleagues and I will be in the lobby where we look forward to congratulating you personally I wish each of you the very best as you embark on your future endeavors if your career plans take you away from Iowa please know you are always welcome and encouraged to come see us when you are back in town and if you are staying here we are very glad to have you and last to formally conclude I asked the graduates to please stand and I ask the audience to join me in concluding these proceedings by saluting you with a round of applause [Applause] [Applause] [Applause] [Applause] you

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