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Page 1: DMS Viewbook 2010

Here, you will learn from renownedteachers, clinicians, and researcherswho are transforming medicine

in practice and in policy. Here, you will startinteracting with patients week one,Year One. Here, you will gain hands-on clinicalexperience in a program uniquely designedto expose you to a broad array of patientpopulations and training sites, fromDartmouth’s affiliated state-of-the-art medical center, to urban hospitals to healthclinics in Africa.

Here, you will be a valued member of a medical community where collaboration is the norm with students, with faculty,with patients, and across disciplines. Here,you will share a beautiful Ivy League campuswith Dartmouth College and its professionalschools in business and engineering—the ideal environment for interdisciplinaryinnovation. Here, you will work hard but be encouraged to have a healthy personal lifeoutside medical school, to stay connected tofamily and friends, to serve your community,and to care for your own well-being.

Here, you have the flexibility to explore your calling, whether you are headed for acareer in medical research and teaching,subspecialty practice, primary care, or health-care policy. Here, you will learn with your head and your heart and set a course for lifelong learning.And from here—havingstudied both the science and the art of medicine at a school with a two-hundredyear history of innovation—you can go anywhere. Because at Dartmouth MedicalSchool, the nation’s fourth oldest, there are no barriers to becoming the physician,the scientist, and the person you want to be.There are only opportunities.

Dartmouth Medical SchoolOffice of Admissions3 Rope Ferry RoadHanover, NH 03755-3833(603) 650-1505

www.dms.dartmouth.edu

2010–2011

From Here…

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Dartmouth-Hitchcock Medical Center; Lebanon, NH

California Pacific Medical Center; San Francisco, CA

Veterans Affairs Medical Center;White River Junction,VT

Children's Hospital of Orange County; Orange County, CA

Concord Hospital; Concord, NH

Hartford Hospital; Hartford, CT

Page 2: DMS Viewbook 2010

Here, you will learn from renownedteachers, clinicians, and researcherswho are transforming medicine

in practice and in policy. Here, you will startinteracting with patients week one,Year One. Here, you will gain hands-on clinicalexperience in a program uniquely designedto expose you to a broad array of patientpopulations and training sites, fromDartmouth’s affiliated state-of-the-art medical center, to urban hospitals to healthclinics in Africa.

Here, you will be a valued member of a medical community where collaboration is the norm with students, with faculty,with patients, and across disciplines. Here,you will share a beautiful Ivy League campuswith Dartmouth College and its professionalschools in business and engineering—the ideal environment for interdisciplinaryinnovation. Here, you will work hard but be encouraged to have a healthy personal lifeoutside medical school, to stay connected tofamily and friends, to serve your community,and to care for your own well-being.

Here, you have the flexibility to explore your calling, whether you are headed for acareer in medical research and teaching,subspecialty practice, primary care, or health-care policy. Here, you will learn with your head and your heart and set a course for lifelong learning.And from here—havingstudied both the science and the art of medicine at a school with a two-hundredyear history of innovation—you can go anywhere. Because at Dartmouth MedicalSchool, the nation’s fourth oldest, there are no barriers to becoming the physician,the scientist, and the person you want to be.There are only opportunities.

Dartmouth Medical SchoolOffice of Admissions3 Rope Ferry RoadHanover, NH 03755-3833(603) 650-1505

www.dms.dartmouth.edu

2010–2011

From Here…O

verv

iew

Dartmouth-Hitchcock Medical Center; Lebanon, NH

California Pacific Medical Center; San Francisco, CA

Veterans Affairs Medical Center;White River Junction,VT

Children's Hospital of Orange County; Orange County, CA

Concord Hospital; Concord, NH

Hartford Hospital; Hartford, CT

Page 3: DMS Viewbook 2010

“The talent of our medical school faculty, students, and staff energizes our mission to educate outstanding leaders committed to discovery and innovation and to healthcare that meets the needs and wants ofpatients and society.”—Dr. William Green,

Dean of Dartmouth Medical School

Notice to Applicants

This publication has been prepared for the benefit of

applicants for admission to Dartmouth Medical School and other

persons desiring to know more about the School, its programs,

and its activities.The officers of the School believe that the

information contained in it is accurate as of the date of its publi-

cation (May 2010). However, Dartmouth College reserves

the right to make, from time to time, such changes in its opera-

tions, programs, and activities as its Trustees, faculty members,

and officers consider appropriate and in the best interests of the

Dartmouth community.

Notice of Nondiscrimination

Dartmouth College is committed to the principle of equal oppor-

tunity for all its students, faculty, employees, and applicants for

admission and employment. For that reason Dartmouth does not

discriminate on the basis of race, color, religion, sex, age, sexual

orientation, gender identity or expression, national origin, disabili-

ty, military or veteran status in access to its programs and activities,

and in conditions of admission and employment (hiring, promo-

tion, discharge, pay, fringe benefits). (Dartmouth College refers to

the entire institution, including the professional schools, graduate

programs, and auxiliary activities.)

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Dartmouth MedicalSchool Milestones• 1797 Nathan Smith founds Dartmouth

Medical School, the nation’s 4th oldest

• 1838 Stethoscope introduced to US medical curriculum by poet-physician Oliver Wendell Holmes, a member of the DMS faculty

• 1896 First clinical x-ray in America taken at Dartmouth

• 1955 Special-care unit established at Dartmouth, considered the nation’s first multispecialty ICU

• 1981 The first continuous infusion pump for pain management developed and implanted at DHMC

• 1983 Nation’s first autologous bone marrow transplant on a patient with acute myeloid leukemia performed at DHMC

• 1996 The first Dartmouth Atlas of Health Care published

• 2001 Micro RNAs discovered at Dartmouth

• 2005 Release of HPV vaccine proven effective by clinical trials at Dartmouth

Page 4: DMS Viewbook 2010

“The talent of our medical school faculty, students, and staff energizes our mission to educate outstanding leaders committed to discovery and innovation and to healthcare that meets the needs and wants ofpatients and society.”—Dr. William Green,

Dean of Dartmouth Medical School

Notice to Applicants

This publication has been prepared for the benefit of

applicants for admission to Dartmouth Medical School and other

persons desiring to know more about the School, its programs,

and its activities.The officers of the School believe that the

information contained in it is accurate as of the date of its publi-

cation (May 2010). However, Dartmouth College reserves

the right to make, from time to time, such changes in its opera-

tions, programs, and activities as its Trustees, faculty members,

and officers consider appropriate and in the best interests of the

Dartmouth community.

Notice of Nondiscrimination

Dartmouth College is committed to the principle of equal oppor-

tunity for all its students, faculty, employees, and applicants for

admission and employment. For that reason Dartmouth does not

discriminate on the basis of race, color, religion, sex, age, sexual

orientation, gender identity or expression, national origin, disabili-

ty, military or veteran status in access to its programs and activities,

and in conditions of admission and employment (hiring, promo-

tion, discharge, pay, fringe benefits). (Dartmouth College refers to

the entire institution, including the professional schools, graduate

programs, and auxiliary activities.)

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Dartmouth MedicalSchool Milestones• 1797 Nathan Smith founds Dartmouth

Medical School, the nation’s 4th oldest

• 1838 Stethoscope introduced to US medical curriculum by poet-physician Oliver Wendell Holmes, a member of the DMS faculty

• 1896 First clinical x-ray in America taken at Dartmouth

• 1955 Special-care unit established at Dartmouth, considered the nation’s first multispecialty ICU

• 1981 The first continuous infusion pump for pain management developed and implanted at DHMC

• 1983 Nation’s first autologous bone marrow transplant on a patient with acute myeloid leukemia performed at DHMC

• 1996 The first Dartmouth Atlas of Health Care published

• 2001 Micro RNAs discovered at Dartmouth

• 2005 Release of HPV vaccine proven effective by clinical trials at Dartmouth

Page 6: DMS Viewbook 2010

DMS’s curriculum is as dynamic as the world of medicine itself.Each year, Dartmouth reviews

all four years of the curriculum to keep pace with medicine’s rapid advances andcomplexities, and to assure that you developcompetencies in six broad areas: medicalknowledge; clinical skills; interpersonal andcommunications skills; professionalism;personal assessment and improvement in thepractice environment; and managing patientcare in a complex health care system.Whenyou leave Dartmouth, you will have thetools, the skills, and the attitudes necessaryfor a lifetime of learning—one of the realities and rewards of practicing medicinein the 21st century.

Year One introduces you to the basic andfundamental biomedical sciences and to thenormal structure and function of the humanorganism. Starting week one, you also workwith clinicians at our affiliated academicmedical centers or in the communitythrough the “On Doctoring” course todevelop clinical skills while exploring firsthand the many issues that relate to thedoctor-patient relationship.The faculty hasalso developed (and continues to develop)short electives based on student input,allowing you to explore subjects of interestoutside the core curriculum.

Dartmouth Medical School was founded in 1797 • Located in Hanover, New Hampshire • With a broad science

“We try to figure out what medical students need to become better physicians, and then we do it.”

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DMS’s “On Doctoring” course pairs first and second-year students with an experienced clinicianwho works in a local community.As one studentremarks,“It’s wonderful in the midst of first yearwhen we’re learning biochemistry and microbiologyand physiology and all those things to have achance to see patients; to talk to them. It makes all the basic sciences much more relevant.”

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Sample electives Years One and Two: • Special Topics in Women’s Health• Advanced Cardiac Physiology• Culture, Emotions, and Medicine• Death and Dying• Medical Ethics• Health Care Reform• Introduction to International Health• Complementary Medicine • Medical/Legal Issues of Reproduction • Wilderness Medicine • Medical Spanish • Over a dozen research electives

Year Two. Along with continued clinicaltraining through the “On Doctoring” course,the major component of Year Two is aninterdisciplinary pathophysiology program—the Scientific Basis of Medicine—consistingof 14 separate but coordinated courses.System by system, you learn about diseasesand their consequences, as well as the available drug treatments. For example, thepharmacology of antiseizure drugs is taughtsimultaneously with the SBM course aboutthe nervous system. Practicing cliniciansteach about 90 percent of the subject matter.

“I came to Dartmouth because from Dartmouth I can change the world.

There is a vision here and a commitment that makes it possible to do here

what I could do nowhere else.”

—Ira Byock, M.D., Director of Palliative Medicine at Dartmouth-Hitchcock

Medical Center; author of The Four Things That Matter Most;

Past President of the American Academy of Hospice and Palliative Medicine

foundation and excellent clinical teaching, DMS prepares students for the full spectrum of choices in medicine

In the first semester of medical school,Ann Davis, M.D., Chief of Medical Student Services presents a studentwith the traditional white coat, symbolizing their commitment to professionalism and empathy in the practice of medicine.

Flying Squirrel Graphics

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Year Three includes required clerkships in the six major clinical disciplines:Internal Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Psychiatry,and Family Medicine.These seven-weekclerkships are completed at our two affiliated academic medical centers (theDartmouth-Hitchcock Medical Center and the Veterans Affairs Medical Center inWhite River Junction,Vermont), regionalteaching hospitals, regional office practices,and more distant medical centers and

hospitals to provide our students with anexceptionally broad array of clinical clerkshipexperiences. DMS-affiliated clerkship sitesinclude Indian Health Service medical centers in Alaska and Arizona, HartfordHospital in Connecticut, and CaliforniaPacific Medical Center in San Francisco.(For a complete listing of offsite clerkships,see page 19).The Year Three schedule wasrecently revised to allow students to take 4-6 weeks of clinical electives as well as the six required clerkships.

“On Doctoring” class begins students’ clinical instruction at the start of Year One • The C. Everett Koop Institute

“Dartmouth prepares you for the tests, but the curriculum

goes far beyond teaching the basics of medicine.”

—Brett Chevalier, DMS Year Four

M.D.-Ph.D. student Aimee Boegle participatesin a practice patient interview.

Tuba City, AZ

Orange County, CA

Bethel, AK

DMS clinical clerkship training sites

Lebanon, NH

Portland, ME

Augusta, ME

Pawtucket, RI

Exeter,NHConcord, NHManchester, NHLondonderry, NHMerrimack, NHNashua, NH

Hartford, CT

White RiverJunction, VT

Bedford, NHPeterborough, NH

Brattleboro, VT

Springfield, VT

Windsor, VT

Keene, NH

Newport, NHLaconia, NH

Meredith, NH

Claremont, NH Wolfeboro, NH

South Royalton, VT

Randolph, VT

WellsRiver, VT

Woodsville, NH

Berlin, NH

Plymouth, NH

Bradford, VT

San Francisco, CA

Fort Defiance, AZ

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Year Four. In addition to two required four-week clerkships (Neurology, as well asGeriatrics and Ambulatory Medicine), you arerequired to take an advanced four-week sub-internship in the field of your choice. DuringYear Four, you also complete 12 to 24 weeksof electives, choosing from a wealth of oppor-tunities on campus, across the US, and aroundthe world.You can also design your own elective with the support of a DMS facultymember.All students must also complete fourshort courses on advanced clinical subjects:Health, Society, and the Physician,”Clinical Pharmacology and Therapeutics,”Advanced Cardiac Life Support,” and Advanced Medical Sciences.”These capstonecourses prepare students to excel during their residency programs and enhance theirlifelong learning skills.

“One of the hallmarks of training here for our third-year students is that they are really seen as our junior colleagues rather than students in training.” —Dr. Leslie Fall,Associate Professor of Pediatrics

at Dartmouth focuses on preventive health, communication, and building students’ humanitarian ethic

Dartmouth’s Interactive Media Laboratory specializes in combining emerging technology withinnovative instructional programs for both patientsand health-care providers.

““

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“Dartmouth’s whole educational process our ability to take discoveries from the

“Dr. Murray Korc,” says third-year medical student Jamie Bessich,“is as much at home discussing college sports as he is differential diagnoses of chest pain. He moves from one to the other so seamlessly that he is able to engage everyone, from year-three students to attending physicians simultaneously—no easy feat.”

DMS’s innovative curriculum combines small-group discussions, problem-based learning, independent

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Physician-Scientist

When Dr. Murray Korc arrived at Dartmouth in 2003, he wasalready considered a pioneer in early research on growth factorreceptors in pancreatic cancer, one of the most deadly and aggressive forms of cancer.

Today, as the Chair of the Department of Medicine, Associate Deanfor Clinical and Translational Research, and Professor of Medicineand Toxicology at DMS, Korc is also seen as a gifted clinician andvalued faculty member. One of Korc’s responsibilities is to train third-year students on their medicine rotations. As Dr. Harold Friedman,long-time member of the Admissions Committee states, “You onlyhave to listen to the penetrating questions Dr. Korc poses at the endof medical grand rounds to see the kind of intellectual excitement hegenerates. His breadth of knowledge infuses the entire departmentand inspires our students.”

Dr. Korc’s breadth of knowledge clearly inspires his fellow Dartmouth researchers as well. Together, they have made excitingprogress in determining what factors enable pancreatic cancer cells to grow so rapidly, as well as potential methods to slow thatrate down and actually suppress tumor growth. Korc’s research team found that VEGF actions can be blocked in pre-clinical modelswith a soluble receptor protein. This investigation has led to aphase-one study in humans, with Dartmouth being just one of twosites nationally where this therapy is being tested.

As a notable translational researcher and clinician, Korc emph-asizes that his efforts are but one of many examples at Dartmouthwhere physicians, scientists, faculty, and students work togethertoward a two-fold goal: to find better ways to advance biomedicalknowledge and care for human beings. Given Dr. Korc’s area ofexpertise, that model is paramount. “The mortality rate of pancreaticcancer virtually equals its incidence, and too many patients die with-in six months of diagnosis,” Korc explains. “That’s why we’re so excited about this research; that it might lead to more advances in the treatment of pancreatic cancer. It’s an ongoing struggle andthe work is challenging,” he adds, “but progress is being made allover the world, and our students are helping lead it.”

is geared toward improving laboratory to patients.”

study, and in-class lectures to supply focus and support while fostering individual learning and creativity

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artmouth faculty members are renowned not only for their leadership in diverse facets

of medicine, but also for their personalapproach to teaching.They serve as yourinstructors, role models, mentors, and team-members in the clinic and in the lab.They are vested in your success at school and beyond and demonstrate their commitment in many ways, whether it’sorganizing a weekend review session orinviting you to their home for Thanksgivingdinner.As one student says,“The professorsdon’t just have office hours from one to three on a Friday afternoon.Their doors are open all the time.”

“It’s a phenomenal learning environment.”Fa

culty

“DMS and DHMC represent a seamless blend of collegiality and

individual expertise that begins at the medical student level and extends

to the highest level of faculty. There are free exchanges of ideas across

broad topics, from ski racing and kayaking to cancer immunotherapy.”

—Leslie DeMars, M.D., Assistant Professor of Obstetrics and Gynecology

The fulltime on-site faculty-to-student ratio is about 2 to 1 • Students who are interested in a particular field of

Second-year students in the “On Doctoring”course work with Dr. Joseph O’Donnell, Professorof Medicine, practicing their clinical skills.

In 2009, Jay Dunlap, Ph.D., Professor and Chairof Genetics at DMS, was elected to the NationalAcademy of Sciences. He cloned the first microbialclock gene in 1986 and over the subsequent twodecades has pieced together the intricate web ofclockwork genes, proteins, and feedback loops that drive circadian rhythms, often working with colleague Dr. Jennifer Loros, a professor of biochemistry.

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“The first- and second-year profs go out of their way to make sure

we’re learning what we need to learn. And then when you get to the

hospitals and see them on the wards interacting with patients and

doing consults, it’s even more inspiring.”

—Rachel Kornik, DMS Year Three

medicine are mentored by faculty members from that department who can provide residency and career advice

Developed by DMS’s Drs. Leslie Fall and Norm Berman,the Computer-Assisted Learning in Pediatrics Project (CLIPP) is currently in use in more than 100 medical schools in the United States,with an average of 4,000–5,000 CLIPP cases completed each week. In 2008, CLIPP received the

“Outstanding Teaching Award” from the Academic Pediatrics Association.

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More than 220 research projects are underway at Norris Cotton Cancer Center • DHMC is New Hampshire's

Student

“The highlight of my career.”

“Suddenly cells are changing shape, extending processes, looking completely different,” says Vivianne Tawfik,an M.D.-Ph.D. student who works with Dartmouth researcher Joyce DeLeo on her work in drug development to treat chronic pain.“Science is usually shades of gray, but this was a real ‘wow.’”

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largest private employer • 2009 CNNMoney.com named Hanover one of the top 100 of America's best small towns

Collaborators

As a professor of anesthesiology and pharmacology, a researcheron chronic pain for 20 years, and the principal investigator for numerous grants from the National Institutes of Health that total $7 million, Joyce DeLeo, Ph.D., has known her share of professionalsuccess. Still, DeLeo considers mentoring students and fellows “thehighlight of my career” and “the best part of being the director of a lab.”

DeLeo and her student collaborators work in drug development to treat chronic pain, and literally go from basic science to humans.We are trying to come up with agents we can use as adjuvantstogether with opioids, so we don’t have to use as high a dose,” sheexplains. “We can bring things to translational research—bench to bedside—very easily.” She cites one patent for a glial modulatingagent that represents an entirely new class of drug. “We havelicensed the patent to go forward with clinical trials.”

DeLeo is “passionate” about exposing students to neuroscience inthe classroom and in the lab, and loves to see them in the thick of itas she and clinical colleagues collectively ask the tough questionsand seek answers: How do we assess pain? What are the bestdrugs? “It’s a unique experience for students to be a part of thesekinds of exchanges as they are training,” she says.

According to M.D.- Ph.D. student Vivianne Tawfik, DeLeo is not only a great researcher and role model, but also one of the mainreasons she chose Dartmouth. Tawfik was intrigued with the idea oflooking at problems seen in the clinic with a new perspective, by studying them in animal or molecular models. “Joyce encouragedme to be independent as soon as I came into the lab,” Tawfik says. “She wanted me to write a grant and come up with my ownideas. We meet regularly to go over progress,” adds Tawfik. Joyce really has allowed me, as well as others in the lab, to gowhere we want to go with our projects.”“

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esearch at DMS is diverse and well funded. In fact, DMS managed 589 active sponsored projects in the

2009 fiscal year. Dartmouth is a nationalleader in collaborative, interdisciplinaryresearch projects, as evidenced by programssuch as its Immunotherapy Center, Centerfor Shared Decision Making, and the Spine Center.The result is an intellectuallystimulating environment where scientists,clinicians, researchers, and students joinforces on nationally recognized projects that are changing lives.

DMS is Making National Headlines

Health reform's next testThe Washington PostMay 17, 2010

Risks for Youths Who Eat What TheyWatchThe New York TimesApril 19, 2010

Health Advances May Not Mean Good HealthCBS Evening NewsFebruary 17, 2010

Gene Targeting Discovery At DartmouthMedical School Turns Model ParasiteInto Genetic Workhorse, Opens Door For Vaccines And DrugsMedical News TodayApr 16, 2009

The Cost of DyingCBS News – 60 MinutesNov 22, 2010

The Dark Side Of Prostate CancerScreeningForbesAug 31, 2009

“In other labs I’ve worked in, I’ve never felt so comfortable asking questions and having other people ask me questions.”

Rese

arch

“For a long time, I think, both nationally and internationally, we have been at the forefront of translational research around back pain and spine surgery.And now we’re doing the largest trial in the country—eleven states—looking at operative versus nonoperative treatment.We’ve received over $30 million in federal funding. I think the impact here is huge.” —Dr. James Weinstein, Director of The Dartmouth Institute for Health Policy and Clinical Practice and President, Dartmouth-Hitchcock Clinic; Director, Dartmouth Institute for Health Policy and Clinical Practice; and Professor of Orthopaedic Surgery

From anatomy to zygotic selection, DMS offers a broad diversity of research opportunities • Dartmouth’s ties

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“What we have at Dartmouth is high specific gravity. It’s a relatively

small institution, but within each department each person has a lot to offer.

They carry as much weight as a faculty three times this size.”

—Surachai Supattapone, M.D., Ph.D., D.Phil.,

Associate Professor of Biochemistry and Medicine

Dr. Surachai Supattapone and his team investigate the underlying molecular mechanisms that give rise to the perplexing group of neurodegenerative disorders known as prion diseases.

between basic and clinical scientists foster research that targets the causes of disease in addition to the symptoms

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“In a country that spends 16 percent of its product on health care, nothing could be

Dr. John Wennberg, Founder and Director Emeritus of The Dartmouth Institute, received the 2008 Gustav O. Lienhard Award from the Institute of Medicine for "reshaping the US health care system" to focus on objective evidence and outcomes rather than physician preference as the basis for treatment decisions, and for his efforts to empower patients with greater input on decisions about their own care.

Founded in 1988, TDI is home to the nation’s first graduate program of its kind • The Dartmouth Atlas of

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gross domestic more important.”

Health Care is the first comprehensive documentation of patterns and differences of medical care around the US

The Dartmouth Institute for Health Policy and Clinical Practice

How well do medical and surgical procedures actually work?How are healthcare resources distributed and used? How dopatients value medical interventions and their consequences?

Those are the fundamental questions the physicians, economists,researchers, and social scientists at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) have been addressing since 1988. Today, The Institute is nationally and internationally recognized for its research on health outcomes, informed choices for patients, and innovative policy solutions. Says Dr. Albert Mulley,Chief of General Internal Medicine at Massachusetts GeneralHospital and a longtime collaborator with many TDI faculty, “Thework of The Dartmouth Institute and the professionals it trains offerour best chance of seeing to it that people get the care they needand no less—and the care they want and no more.”

For DMS students, having TDI and its joint-degree programs here allows them to participate in cutting-edge research that ranges fromthe widely-quoted Dartmouth Atlas of Health Care, which documentshow medical resources are distributed and used in the United States,to numerous studies showing that more health care often leads, paradoxically, to poorer health outcomes. TDI research and policyrecommendations were at the foundation of a number of provisionsincluded in the health reform law.

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s as a student at DMS, you will be part of northern New England's mostextensive clinical teaching network—

a network that, along with the off-campusclerkship opportunities, exposes you to abreadth of patients, delivery systems, andmanagement models that is unusual inAmerican health education.The primaryteaching sites for DMS students areDartmouth-Hitchcock Medical Center(DHMC) in adjacent Lebanon, NH and the Veteran’s Affairs Medical Center (VAMC)in nearby White River Junction,Vermont.Both of these academic medical centers offersuperb clinical care; train medical students,residents, and fellows; and have strongresearch enterprises.

A Level 1 Trauma Center, DHMC serves a patient population of 1.6 million, drawnfrom across northern New England. It ishome to more than 350 residents and fellowsand is a core teaching hospital for ourrequired clinical clerkships. DHMC includesthe Norris Cotton Cancer Center, one ofonly 40 National Cancer Institute-designatedcomprehensive cancer care centers in thecountry. DHMC is also among a selectgroup of 100 US hospitals that are producingthe best clinical outcomes for cardiovascularcare, treating heart patients in less time andat a lower cost, according to a 2007 study byThompson Healthcare. If all cardiovascularhospitals received the same results as theaward winning hospitals, more than 7,000lives would be saved annually. DHMC is certified as an ALS Center of Excellence bythe national ALS Association. Headed by Dr.Jeffrey Cohen,Associate Chief of Neurology

at DHMC and Professor of Neurology atDMS, the center was the 24th to be certifiedby the ALSA, the organization that sets thenational standard for clinical care for peopleand families living with ALS.

Other important centers at DHMC includethe Spine Center, the Children’s Hospital at Dartmouth (CHaD), and the Center forShared Decision Making. Supporting thesecenters are two additional major research sites,the Borwell and Rubin Research Buildings.DMS receives more than $115 million annu-ally in sponsored research.The future will see the opening of three added centers, aComprehensive Cardiovascular Center, theTranslational Research Building, and a newhome for The Dartmouth Institute forHealth Policy and Clinical Practice.

The Veterans Affairs Medical Center, located15 minutes from DMS, is consistently ratedas one of the best VA hospitals in the country.Every year since 2005, it has received “Circleof Excellence” designation in the VA’sRobert W. Carey Performance ExcellenceAward program recognizing “managementapproaches that result in sustained high levelsof performance and service to the veteranswe serve.” Its outstanding clinical servicessupport many DHMC residency programsand DMS clinical clerkships.The VAMCincludes the National Center for Post-Traumatic Stress Disorder, the VA OutcomesGroup (a division of The DartmouthInstitute for Health Policy and ClinicalPractice), and the Yasinski Research Building,which houses labs that receive over $5 millionin annual research support.

“As modern as a hospital can be.”Le

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Norris Cotton Cancer Center, where patients are part-ners with their care team, allows opportunities for integration of research and clinical care at DHMC.

A $220-million expansion project to Dartmouth-Hitchcock Medical Center, completed in 2006, added

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“Instead of linoleum floors, white walls, and fluorescent lights, there

are cheerful murals, skylights, and abundant plants and flowers. When

you’re working hard and spending lots of time in a hospital, it makes

a huge difference to be immersed in such a warm, healing environment.”

—Julianne Anderson Mann, DMS Year Four

DHMC Honors

In 2009, Dartmouth's Norris Cotton Cancer Centerreceived approval from the National Cancer Institute(NCI) for an additional five years as a comprehensivecancer center, a distinction the Cancer Center has heldcontinuously since 1990. It is one of only 40 NCI-designated comprehensive cancer centers in the nation.

Dartmouth-Hitchcock Medical Center was reverified in2009 as an Adult and Pediatric Level I Trauma Center,the highest designation given by the American Collegeof Surgeons' Committee on Trauma.

Dartmouth-Hitchcock Medical Center received redesignation in 2009 as a Magnet hospital from theAmerican Nurses Credentialing Center, a subsidiary of the American Nurses Association.

Dartmouth-Hitchcock Medical Center was recognizedin 2009 by Thomson Reuters as one of the top 100U.S. hospitals for cardiovascular care.

In 2005, the Veterans Affairs Medical Center in White River Junction,Vermont, was the first recipient of the Department ofVeterans Affairs Circle of Excellence Award, a new national honor for performance achievement.Third-year student BjornEngstrom says of his clerkship experience at the VA Medical Center,“The patients here are so willing to help the students.”

467,000 square feet to DHMC’s outpatient, emergency, diagnostic testing, research, and treatment facilities

Page 22: DMS Viewbook 2010

While some students prefer to do their required Year Three clerkships and Year Four electives

close to home, many others spend part oftheir time working in a great variety ofDartmouth programs, rural and urban, closeto campus or half a world away.This breadthof clerkship and elective opportunities makesDMS a particularly compelling choice forstudents interested in travel.

A partnership between the DartmouthInternational Health Group (DIHG) and theJohn Sloan Dickey Center for InternationalUnderstanding at Dartmouth College

supports students in their efforts to gaininternational health-care experience. Fromsmoking cessation programs in Russia to studies that assess the health needs of communities in Nepal, DMS students haveremarkable opportunities to touch livesaround the world.

For a partial list of the countries where student recipients of DIHG-DickeyFellowships have worked, see the bar at the bottom of the page.

“The opportunity is there if you want it.”C

lerk

ship

s an

d El

ectiv

es

Second-year student Zoë Unger traveled to Siuna, Nicaragua, to conduct a water-testing projectthat established levels of bacterial contamination in local water sources. She is pictured here with herlandperson, Doña Marina Siles, whom Zoëdescribes as “like a mother to me.”

Cameroon • Cuba • Ecuador • Egypt • Gambia • Ghana • Greece • Guatemala • India • Iran •

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19

Established DMS Clerkship Sites

Family PracticeMany practice opportunities at a variety of sites in New England and the rest of thecountry, including Pawtucket, Rhode Island;Bethel, Alaska;Tuba City, Arizona; andAugusta, Maine.

Internal Medicine: InpatientDHMC; California Pacific Medical Center,San Francisco, California; and the VeteransAffairs Medical Center,White RiverJunction,Vermont.

Geriatric and Ambulatory MedicineDHMC; the Veterans Affairs Medical Center,White River Junction,Vermont; the VeteransAffairs Medical Center, Manchester, NewHampshire; and multiple community practices in Maine, New Hampshire,and Vermont.

NeurologyDHMC; California Pacific Medical Center,San Francisco, California; local practices;and the Veterans Affairs Medical Center,White River Junction,Vermont.

PediatricsDHMC; California Pacific Medical Center,San Francisco, California; Maine MedicalCenter, Portland, Maine; Children’s Hospitalof Orange County, Orange, California; Fort

Defiance Indian Hospital, Fort Defiance,Arizona and multiple private and grouppractice sites in the Upper ConnecticutRiver Valley and elsewhere in New England.

Obstetrics and Gynecology DHMC; California Pacific Medical Center,San Francisco, California; Concord Hospital,Concord, New Hampshire; HartfordHospital, Hartford, Connecticut; MaineMedical Center, Portland, Maine; SouthernNew Hampshire Regional Medical Center,Nashua, New Hampshire; and multiple private and group practice sites in the Upper Connecticut River Valley and elsewhere in New England.

PsychiatryDHMC; California Pacific Medical Center,San Francisco, California; the Veterans AffairsMedical Center,White River Junction,Vermont; and New Hampshire Hospital,Concord, New Hampshire.

SurgeryDHMC; Concord Hospital, Concord, NewHampshire; and the Veterans Affairs MedicalCenter,White River Junction,Vermont.

“We have a diversity expectation at Dartmouth—students are encouraged

and given every opportunity to experience different patient populations,

socioeconomic settings, cultures, and styles of medicine.”

—Eric Shirley, M.D., Assistant Dean for Medical Education

Kenya • Kosovo • England • New Zealand • Nicaragua • Spain • Swaziland • Thailand • Zambia

Page 24: DMS Viewbook 2010

“At DHMC and now at the DMS program in Orange County, California, I like that both places take patients regardless of their financial situation. That creates a real diversity right there that people often over-look. At Dartmouth, I saw one patient, a farmer who earned his income selling vegetables on the side of the road. He was 50 and hadn’t been to a doctor since he was 10 because he couldn’t afford it. He’d been living with diabetes for a long time, so educating him about his disease, giving him the help he needed, that felt particularly good.”

—Nick Telischak, DMS Year Three

“I’m very interested in working with underserved populations. My ‘On Doctoring’ course facilitator is Dr. Kenneth Borie, who works in family medicine at Gifford Medical Center. It’s very inspiring to see him interact with patients and show concern not only about their medical health, but also about their overall well-being. I see him treat everyone with integrity and render good care, even in the face of limited resources. What I’ve been able to learn from him is humanism in medicine.”

—Natacha Zamor, DMS Year Two

“When I started my ob-gyn rotation, the clerkship director told me it can be frustrating because everyone is so busy and sometimes you’ll feel useless, but you’ll have more time to hold a patient’s hand. I thought, ‘Yeah, yeah, whatever.’ But then I literally had that experience. A young woman came in with a placental abruption. She had nobody with her and was terrified. She grabbed my hand and didn’t let go for two hours, right up to the decision to go to C-section. I scrubbed in, but as soon as the baby was out I broke scrubs and handed the baby to the mom. To be the one person who could be with her through the whole experience, that was one of my ‘wows.’”

—Cara Haberman, DMS Year Three

Memorable Moments

A popular student organization called the Public Health Advocacy Committee works to engage students in

Page 25: DMS Viewbook 2010

“I’m working on a project in neovascularization, a term generally referring to blood vessel growth. The goal of the project was to elucidate any potential interaction between two important growth factors. But I’m a curious guy, so instead of just looking at these two, I decided to see if one growth factor would also influ-ence other growth factors, and it appears that potentially it does! The initial result I got was too weird, too crazy, and goes against our current understanding of growth factors, so I repeated the experiment at least twenty times to prove it to myself first. If what I saw was really true, the implications are significant.”

—Loc Nguyen, DMS Year Three

“I rotated at places across the country, spanning from Maine to California, and the DMS name was always well respected. Especially once I went to these other institutions and clinical arenas, I saw how great life was at Dartmouth and how much I had learned. Plus, the collegial atmo-sphere of Dartmouth is unmatched in my experience, both in the basic science years and the clinical years.”

—Thomas Kesman, DMS Year Four(M.D.-M.B.A. program)

“I remember one man who was being admitted to the psychiatry unit for the first time. He was scared and didn’t know what to expect. One of the things that bothered him most was his teeth. He told me he kept getting infections but couldn’t afford a dentist. So I called up the free clinic and arranged for him to be seen. Later, during rounds, I heard he mentioned me especially and how he realized that people do care about him, they do want to help him. As a student, I often feel like the patients are doing me a favor. You don’t realize as a medical student that you really can have an impact, too.”

—Rachel Kornik, DMS Year Three

political action and open discussion of public policy issues to introduce an activist ethic to medical students.

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22

“How can we effect change half a world

DMS student Daniel Kaser shares a laugh with a young boy waiting for his mother to receive treatment at a Tanzanian health clinic.

In 2005, Dartmouth and Muhimbili University College of Health Sciences in Tanzania officially launched a multi

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23

Global Initiatives

Nothing can prepare you for your first trip to Africa,” says Stephen Spielberg, Professor of Pediatrics and Toxicology andPharmacology, after going on rounds at Muhimbili Hospital in Dares Salaam, Tanzania. While Dr. Spielberg has traveled to medicalschools all over the world, and had prepped for his trip by readingTanzania’s health reports and talking extensively with colleagues inthat country, the reality of experiencing firsthand the hospital’s hugewards, few nurses, scanty equipment, and overwhelming diseaseleft him profoundly moved.

A deeply poor country, Tanzania has only about 800 doctors for a population of over 35 million, and life expectancy hasdecreased from about 55 in the mid-1990s to 43, mostly due toHIV. “Despite the poverty and overwhelming toll of disease, the dedication and resilience of colleagues—physicians, nurses, phar-macists, and medical students—is remarkable,” says Spielberg. In2005, Dartmouth launched a partnership with Muhimbili UniversityCollege of Health Sciences through the Dartmouth Global HealthInitiative, which brings together DMS, the Thayer School ofEngineering, Tuck Business School, and the Dickey Center forInternational Understanding. “Dartmouth and Muhimbili Universityare developing a long-term, sustainable collaboration in healthcare,” Spielberg adds. “Two schools far apart, but true partners in international collaboration.”

Like Dr. Spielberg, the students who do electives in Tanzania aredeeply affected and inspired by the experience. DMS studentDaniel Kaser went to Tanzania at the end of his first year. Heworked in an ongoing study testing the effectiveness of a new vac-cine designed to reduce the risk of HIV-positive patients developingdisseminated tuberculosis (TB is the leading cause of death amongpeople with HIV). Combining his interests in visual arts and interna-tional health, Kaser created a documentary about the study. “Attimes it was really tough, hearing some of the stories and seeinginfections and illnesses that are really preventable,” says Kaser. “Mywork in Tanzania really opened up my eyes to the type of medicinethat is practiced and needs to be practiced around the world.”

away?”

faceted Global Health Initiative to create an extended program in Tanzania and to address global health issues

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D

24

MS students arrive with degrees in everything from neuroscience to English literature to music perform-

ance. Some are single, some have partners,and some are parents.About half comedirectly from college or graduate programs,the rest have worked as professional athletes,journalists, business entrepreneurs, you nameit.Their interests in medicine are as diverseas their personal backgrounds. But for all of their individuality, Dartmouth studentsshare certain characteristics.

They want to go places. Perhaps that’s whyDMS’s unique clerkship program, whichencourages students to do rotations at offsitelocations around the country and in differentparts of the world, is particularly appealing.Dartmouth students also want to make a difference. Now. Not later. In fact, many

Dartmouth students arrive with strong backgrounds in community service andactivism.At DMS, they find an environmentthat fully supports their efforts to participatein or launch health initiatives from the local to the international level or to volunteer inother fulfilling ways.At Dartmouth, students care deeply about their causes, their work,their patients, and each other.

By all accounts, the Dartmouth student body is a particularly close-knit group. Onereason is the smaller class size, of about 90students. Here, no one is anonymous.Everyone is part of the peer group.As youare going through medical school,Dartmouth students are the kind of class-mates you can count on for inspiration andsupport.After medical school, they are the kind of people you can count on as lifelong friends and colleagues.

“I’m amazed by what the students are able to accomplish here and the friendship and support we provide each other.”

Who

Com

es to

Dar

tmou

th?

Minority and international students represent about 30% of the 2009 entering class • Women represent about half

Dartmouth’s unusually collegial culture fosters a sense of collaboration rather than competition.

Page 29: DMS Viewbook 2010

25

“People noticed if I wasn’t around or if I wasn’t as upbeat as usual.

‘Are you okay?’ ‘Anything I can do to help?’ Once when I was

having a tough time in class, someone passed me a note urging me

to persevere. That’s just how DMS students are.”

—Roy Wade, Ph.D., DMS Year Four

the student population • A typical entering class represents more than 25 states and 55 undergraduate colleges

Team-building efforts are emphasized at the Year One orientation, through the use of an outdoor ropescourse and small-group cross-cultural awareness training.

Page 30: DMS Viewbook 2010

E

26

ighty-one percent of first and second-year DMS students who responded to a recent survey said they had joined in

at least one community-service project.Here, it’s easy to get involved, thanks in part to the student-run Community ServiceCommittee, which sponsors about 19 com-munity education and service programs.Whether you are interested in volunteeringat a clinic for underserved populations,becoming buddies with a child with specialneeds, or singing at hospitals and nursinghomes, you will find an opportunity to con-tribute to your community your way.

“Volunteering in the community allows you to maintain your perspective.”

Com

mun

ity S

ervi

ce

Above, DMS Schweitzer Fellows and other student volunteers recently teamed up with faculty and administrators as part of Common Good Day, a program toconnect Dartmouth with the surrounding Upper Valley communities.The volun-teers branched out in seven locations to clear nature trails and bike paths, preparemeals and clean outreach houses. Pictured at right, a medical student enjoys timewith a friend from the Buddies Program.

Volunteer opportunities include: Good Neighbor Health Clinic • DMS Dermatones • International Medical Supp

Page 31: DMS Viewbook 2010

“At Dartmouth, students want to do good works even while they’re in

medical school because, at the end of the day, that’s what medicine is all

about—going beyond the scope of academics and working in a community,

improving the health of a population.”

—Rahim Nazerali, DMS Year Two

lies Project • Live Free Smoke Free • Patient Partnership Program • Upper Valley Wilderness Response Team

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28

Head of Dartmouth’s PainFree Center, Dr. Joseph Cravero finds balance by cycling to work, coaching his kids’ baseball teams, and serving as a community volunteer. Says Cravero,“Dartmouth is an institutionthat understands that well-rounded individuals can actually make better physicians.”

“It’s better for the kids. It’s better for their the Children’s Hospital work better.”

CHaD’s PainFree Program received international recognition through the Ronald McDonald House Charity award

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29

PainFree Program

Joseph Cravero, M.D., was a pediatrician for four years before he became an anesthesiologist. As a pediatrician he was regularlyasked to perform medical procedures on children, but he did not have the training to make those procedures painless. Today, as director of the PainFree Program at the Children’s Hospital at Dartmouth, (CHaD), he and a multidisciplinary team of certifiednurse anesthetists, registered nurses, medical technicians, physicians,and child-life specialists see to it that no child has to suffer pain,even during minor procedures.

Cravero tells the story of a 16-year-old developmentally disabledboy who needed a spinal tap. His mother had taken him to anotherhospital, where the terrified boy thrashed for over an hour until theprocedure had to be abandoned. Thanks to Dartmouth’s PainFreeProgram—where young patients are cared for by people who givethis kind of treatment every day—the spinal tap was completed in ten minutes under sedation. At first, when Cravero saw the boy’smother in tears after the procedure, he was confused. “You don’tunderstand,” she told him. “This was such a big thing in our lives—now we know it does not have to be so bad.”

Cravero talks frequently at medical conferences around the countryabout his unusual program, which has received a $250,000 grantfrom Ronald McDonald Charities of Eastern New England and anational Volunteers Hospital Association leadership award. It wasrecognized as the best new program in an individual hospitalemphasizing safety and patient care. He explains that the PainFreeProgram does not just provide better care for patients, it allowsphysicians to do their jobs better and is more efficient and cost-effective for the institution as a whole. He describes the program not as a magical breakthrough but as a question of priorities.

How hard do we want to work at it so kids don’t have to suffer in the hospital?” Cravero asks. For this pediatric anesthesiologistand father of three, the answer is obvious. “Parents will come to accept their child’s illness or condition and deal with it,” he says.But what they can never get used to is seeing their kids suffer.”

families. And it makes

• CHaD’s annual Half Marathon & Relay raised over $226,000 for clinical care, prevention and family programs

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30

hile Hanover may appear small on a map, this is a vibrant community with a remarkable

array of things to see and do. Hanover and the surrounding Upper Valley are quin-tessential New England. People not onlyenjoy the picture-book scenery right outtheir window, they live it.After work or dur-ing a study break, it’s easy to escape for acouple of hours to hike a nearby trail, take afew runs down the College’s ski area, orkayak on the Connecticut River.Whetheryour idea of outdoor recreation is heart-pumping or simply breathtaking—you’ll find it all right here.

Hanover is also home to a wealth of cultural and artistic attractions. Dartmouth’sHopkins Center for the Arts presents about500 film, dance, music, and theater eventseach year, from Bela Fleck and Chick Coreato Yo Yo Ma to presentations by the NewYork Theatre Workshop.The College’s HoodMuseum includes works by Monet, Rodin,and Rembrandt. Recent speakers on campusinclude Paul Farmer, Sidney Lumet, OliverSacks, and Terry Tempest Williams.Newcomers to Hanover are continually surprised by the diverse richness of this area’scultural experience—without the hassles orexpense of city traffic or parking.

“There’s the perception…and then there’s the reality.”

Her

e in

Han

over

“Driving north on I-89, you reach a hilltop on the road about

20 or 30 miles out from Hanover. With the rest of the world behind

you and the descent into the Upper Valley before you, the sense

that you are privy to one of the world’s great secrets is undeniable.”

—Christopher Jordan, DMS Year Two

World-class cultural events held at Dartmouth’s Hopkins Center • Dartmouth Film Series • Community music

Page 35: DMS Viewbook 2010

and theater groups • Year-round recreational activities • Weekend road trips to Boston and Montreal

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32

es, becoming a doctor requires long hours of hard work. But at Dartmouth that doesn’t require you to

sacrifice outside interests, a healthy lifestyle,or opportunities for social, personal, andemotional growth.The culture at Dartmouthfosters a balanced lifestyle. In fact most of the people here—students, doctors,researchers, nurses, residents—make sure theyfind the time for other interests.

Dartmouth's Student Affairs Office and theSociety program along with a variety of thestudent-initiated programs/groups are keyresources that can assist you in meeting thechallenges of medical school while enjoyinga balanced, fulfilling life.Assistance comes inmany ways: through individual advising,mentoring, or peer relationships; throughgroups focused on professional or personalinterests; through religious or spiritual connections; through service and advocacy;or through recreation or artistic pursuits.

We foster the development of caring physicians: promoting wellness and providingvariety of opportunities to learn, serve, andgrow" says Ann Davis MD; Chief of Student Services.

Support and DiversityThe Office of Multicultural Affairs (OMA) isresponsible for developing, implementing andoverseeing Dartmouth Medical School'sdiversity programs and executing its missionof promoting a climate of unity and respect.

The OMA serves as advisors to minoritystudents and student organizations and worksto ensure the success and retention of allminority students, faculty and staff.

To support the unique needs of studentsfrom diverse communities, the OMA provides a combination of individual support, resources, training and programs.The OMA supports the Student NationalMedical Association, a national student-runorganization focused on meeting the needsand concerns of medical students of color,the American Medical Women’s Association,and qMD, an interest group for those con-cerned about health issues facing gay, lesbian,bisexual, and transgendered people.TheUrban Health Scholars Program helps trainmedical students interested in serving med-ically underserved populations in urban set-tings.We offer a Minority Alumni SpeakerSeries, a Cultural Competency Series and aDartmouth Medical School Martin LutherKing Jr. Celebration. For more informationon the OMA please visit http://dms.dartmouth.edu/students/programs/diversity/

“I don’t think there’s a med school in the country that takes such good care of its students.”

Supp

ortin

g a

Bala

nced

Life

Personal and academic counseling • Orientation programs during Years One and Two • Peer tutoring •

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33

The “easiness aspect”

of the campus, town, and

surrounding areas. A walk

downtown to local shops

or cultural events.

Being invited to a faculty

member’s home for meals

How easy it is to relax here

Excellent ski slopes all over

New Hampshire and Vermont

The concert series

brought by Dartmouth’s

Hopkins Center

Rehearsing and

performing with the

student ballet company

Spending time on

the Connecticut River

Sharing my knowledge of

hockey with local youngsters

You see everyone running,

cross-country skiing, snow-

shoeing or just walking for fun

The incredibly strong

sense of community within

our class

Visiting the small towns

in the area to take in

the historical perspective

of New England

A great place to raise

my children

The community feel

and team-oriented

approach to medicine

Pickup basketball games

the night before exams, the

Hop, THE WOODSHOP!

Our house is surrounded

by beautiful trails

Playing guitar with

bandmates and friends

Coming home from class

and stepping outside for a trail

run or a mountain bike ride

with my dog

Plenty of activities

for family fun

Faculty and alumni mentoring • Strong community connections and outreach • Lasting friendships

Why DMS students are happy in Hanover…

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A

34

cademic excellence. Scientific acumen. Diversity. Leadership.Compassion. Communication skills.

A commitment to lifelong learning.The goal of Dartmouth’s Admissions Committeeis to enroll students who reflect all of thosequalities and who will contribute to theuniquely close-knit and stimulating learningenvironment that defines DartmouthMedical School. Dartmouth receives approx-imately 5,200 applications a year for about90 places in the entering class.Although thevast majority of DMS students—96% in recent years—come from out of state,Dartmouth also has a commitment to

provide selected residents of New Hampshire with the opportunity to study medicine.

Admissions Requirements

• One year (eight semester hours) each of general chemistry, organic chemistry,biology, and physics.

• A half-year of calculus.• Facility in written and spoken English.• The equivalent of at least three years’

college work at an American or Canadian post-secondary institution.

• A semester of biochemistry is encouraged,but not required.

• Students are encouraged to major in a field of particular interest and, if possible, to pursue independent investigations in that field.

• All candidates are expected to present scores from the Medical College Admissions Test (MCAT). Students who choose not to submit MCAT scores will be at a disadvantage.Although the Admissions Committee does not employ rigid cutoffs, applicants should be aware that the average combined entering MCAT score is approximately 34, and the average undergraduate GPA is 3.8.

• For 2011 entry, the MCAT exam must have been taken between January 2008 and September 2010.

“Now that I’m in my last year, a lot of us don’t want to leave because we realize it’s such a special place.”

Adm

issi

on

Students are admitted on a need-blind basis • Students have a mean undergraduate GPA of 3.8 and an

Match Day is the day all senior medical studentsthroughout the country find out at exactly the sametime where they will do their residency.

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35

Equal Opportunity Dartmouth College is committed to theprinciple of equal opportunity for all its stu-dents, faculty, employees, and applicants foradmission and employment. For that reasonDartmouth does not discriminate on thebasis of race, color, religion, sex, age, sexualorientation, gender identity or expression,national origin, disability, military or veteranstatus in access to its programs and activities,and in conditions of admission and employ-ment (hiring, promotion, discharge, pay,fringe benefits). (Dartmouth College refersto the entire institution, including theprofessional schools, graduate programs, andauxiliary activities.) For more information,please visit http://www.dartmouth.edu/~ide/policies/nondiscrim.html. For more informa-tion about the DMS Office of Learning andDisability Services and the Essential Standardsfor Matriculation, Promotion, and Graduation,including the Standards for Capacity, visithttp://www.dms.dartmouth.edu/admin/oladsor call (603) 650-6535.

Medical Education Programs at Dartmouth

In addition to the M.D. degree, Dartmouthmedical students participate in the followingdegree programs:

M.D.- Ph.D. program is committed to training physician-scientists for the 21st century who will provide excellent patient care, lead discovery in biomedical disease-oriented research, advocate for basicand translational biomedical research, andtake leadership roles in biomedical researchand the delivery of health care. For moreinformation, visit www.dms.dartmouth.edu/admissions/md_phd_mba_pgms.shtml or call (603) 650-1505.

M.D.- M.B.A. program with Dartmouth’sAmos Tuck School of Business Admin-istration is designed to create leaders inhealth care and medical administration andin entrepreneurial ventures in the pharma-ceutical, biotech, and medical-product indus-tries. For more information, visit www.tuck.dartmouth.edu or call (603) 646-3162.

M.D.- M.P.H. program with The DartmouthInstitute for Health Policy and ClinicalPractice, where students apply after enrollingin the M.D. program.This unique publichealth degree program provides studentswith the academic knowledge and skill setsto make an impact in evidence-based publichealth practice and research. For more information, visit http://dms.dartmouth.edu/cfm/education/joint or call (603) 650-6522.

M.D./M.S. program, with Dartmouth's ThayerSchool of Engineering is designed for peoplewho intend to pursue clinical practice andwant to develop research skills in a relatedengineering area. It is also well suited to students who want to study technologies they will employ as practicing physicians.The program provides a funded researchexperience in engineering that is expected tolead to a research publication and providespractice in engineering design and analysis.For more information, visit http://engineering.dartmouth.edu/graduate/mdms/index.htmlor call (603) 646-2230.

Dartmouth Ph.D. programs in a breadth of dis-ciplines, including Chemistry; ComputationalBiology; Earth Sciences; EngineeringSciences; Experimental and MolecularMedicine (Biomedical Physiology; CancerBiology and Molecular Therapeutics;Cardiovascular Diseases; MolecularPharmacology,Toxicology and ExperimentalTherapeutics; Neuroscience); Health Policyand Clinical Practice; Mathematics; Molecularand Cellular Biology (Biochemistry, BiologicalSciences, Genetics, Microbiology/Immunology); Physics and Astronomy; andPsychological and Brain Sciences. For moreinformation, visit www.dartmouth.edu/~gradstdy/programs/ or call (603) 646-2106.

“Students tell me their dreams. I listen and

try to connect them with the people here who will

help make their dreams become a reality.”

—Joseph O’Donnell, M.D., Senior Advising Dean

average MCAT total of 34 • Approximately 18 percent of DMS applicants are invited to interview on campus

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36

Family Practice • Obstetrics-Gynecology • Dermatology • Anesthesiology • Radiology-Diagnostic •

Dr. Lisa Adams, DMS’90, is

part of a team of international

researchers from DMS and

DHMC providing HIV and

tuberculosis and patient care

research training to health-care

workers in Tanzania. In

2002, Dr.Adams was given

the Doctors of the World

USA Volunteer Award and

she remains on the group’s

advisory council.

Dartmouth Medical School (45) Dartmouth-Hitchcock Medical Center – Lebanon, NH (42) Anesthesiology (1)Dermatology (2)General Surgery (3)Int Med/Research (1)Internal Medicine (7)Medicine-Preliminary (6)Medicine-Primary (1)Medicine-Psychiatry (1)Neurological Surgery (1)Obstetrics-Gynecology (2)Orthopaedic Surgery (3)Otolaryngology (2)Pediatrics (3)Psychiatry (1)Radiology-Diagnostic (2)Surgery-Preliminary (6)

Maine-Dartmouth Family Practice – Augusta, ME (1) Family Practice (1)Concord Hospital – Concord, NH (2) Family Practice (2)

Harvard Medical School (39) Harvard Longwood Psychiatric Residency – Boston, MA (2) Psychiatry (2)B I Deaconess Medical Center – Boston, MA (11) Anesthesiology (2)

Emergency Medicine (1)Internal Medicine (1)Medicine-Preliminary (3)Neurology (2)Obstetrics-Gynecology (2)

Brigham & Women’s Hospital – Boston, MA (11) Anesthesiology (2)Internal Medicine (1)Medicine-Primary (1)Obstetrics-Gynecology (3)Pathology (1)Pediatrics (1)Radiation Oncology (1)Surgery-Preliminary (1)

Cambridge Health Alliance – Cambridge, MA (1) Psychiatry (1)Children’s Hospital – Boston, MA (1) Pediatrics (1)Massachusetts General Hospital – Boston, MA (11) Child Neurology (1)

Internal Medicine (3)Medicine-Pediatrics (1)Medicine-Preliminary (1)Pathology (1)Pediatrics (1)Radiation Oncology (1)Surgery-Preliminary (2)

Mt Auburn Hospital – Cambridge, MA (2) Medicine-Preliminary (1)Radiology-Diagnostic (1)

Tufts University School of Medicine (19) Maine Medical Center – Portland, ME (8) Emergency Medicine (1)Family Medicine (2)Family Practice (1)Internal Medicine (1)Pediatrics (2)Radiology-Diagnostic (1)

Tufts Medical Center – Boston, MA (1) Obstetrics-Gynecology (1)Baystate Medical Center – Springfield, MA (1) Anesthesiology (1)Caritas Carney Hospital – Dorchester, MA (1) Medicine-Preliminary (1)Greater Lawrence Family Health Center – Lawrence, MA (4) Emergency Medicine (1)

Family Medicine (1)Family Practice (2)

Lahey Clinic – Burlington, MA (2) Diagnostic Radiology (1)General Surgery (1)

New England Medical Center – Boston, MA (2) Internal Medicine (1)Pediatrics (1)

UC San Francisco College of Medicine (17) UC San Francisco – San Francisco, CA (7) Internal Medicine (1)Medicine-Preliminary (2)Ophthalmology (1)Pediatrics (2)Surgery-Preliminary (1)

Alameda County Medical Center – Oakland, CA (2) Emergency Medicine (1)Medicine-Preliminary (1)

CA Pacific Medical Center – San Francisco, CA (6) Dermatology (1)General Surgery (1)Medicine-Preliminary (3)Ophthalmology (1)

St. Mary’s Medical Center – San Francisco, CA (1) Medicine-Preliminary (1)Sutter Medical Center of Santa Rosa – Santa Rosa, CA (1) Family Medicine (1)

University of Washington Madigan Army Medical Center – Tacoma,WA (2) General Surgery (1)School of Medicine (13) Otolaryngology (1)

Swedish Medical Center – Seattle,WA (1) Anesthesiology (1)University of Washington Affiliated Hospitals – Seattle,WA (9) Anesthesiology (1)

Family Medicine (1)General Surgery (1)Internal Medicine (2)Medicine-Preliminary (1)Pathology (1)Radiology-Diagnostic (1)Surgery-Preliminary (1)

Virginia Mason Medical Center – Seattle,WA (1) Medicine-Primary (1)

Oregon Health & Science University (11) Oregon Health & Science University – Portland, OR (11) Dermatology (1)Family Practice (1)General Surgery (1)Internal Medicine (3)Neurological Surgery (1)Ophthalmology (1)Orthopaedic Surgery (1)Otolaryngology (1)Surgery-Prelim/Neuro (1)

Medical School Affiliation Institution Residency Program

Dartmouth Medical School Residency Match Results 2006–2010

Dr. Joyce Sackey-Acheampong,

DMS’89, is cofounder of the

Foundation for African Relief, a

nonprofit organization that

provides education, health care,

and relief assistance to commu-

nities in Africa. Now a

Harvard internist and teacher,

Sackey-Acheampong also

recently designed a clinical

fellowship for doctors wishing to

develop skills in caring for

people with HIV/AIDS in

resource-poor settings.

The institutions at which DMS graduates most commonly match are listed below.

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37

Orthopaedic Surgery • Plastic Surgery • Ophthalmology • Pediatrics • Internal Medicine • Psychiatry

New York University (9) Lenox Hill Hospital – New York, NY (2) Medicine-Preliminary (1)Orthopaedic Surgery (1)

NYU School Of Medicine (7) Internal Medicine (1)Medicine-Preliminary (2)Ophthalmology (1)Orthopaedic Surgery (2)Pediatric-Preliminary (1)

Stanford Medical School (9) Stanford University – Stanford, CA (8) Anesthesiology (1)Clinical Pathology (1)Diagnostic Radiology (2)Obstetrics-Gynecology (1)Otolaryngology (1)Pathology (1)Radiology-Diagnostic (1)

Santa Clara Valley Medical Center – San Jose, CA (1) Internal Medicine (1)

University of Massachusetts Medical School (9) University of Massachusetts Medical School – Worcester, MA (7) Dermatology (1)Emergency Medicine (1)Internal Medicine (2)Obstetrics-Gynecology (1)Orthopaedic Surgery (1)Pediatrics (1)

Saint Vincent Hospital – Worcester, MA (2) Internal Medicine (1)Medicine-Preliminary (1)

University of Michigan Medical School (9) St. Joseph Mercy Hospital – Ann Arbor, MI (2) Anesthesiology (1)Medicine-Preliminary (1)

University of Michigan Hospitals – Ann Arbor, MI (7) Anesthesiology (1)Emergency Medicine (2)Medicine-Preliminary (1)Ophthalmology (1)Pediatrics (1)Psychiatry (1)

University of Pennsylvania Medical School (8) Hospital of the University of PA – Philadelphia, PA (2) Anesthesiology (1)Pediatrics (1)

Children’s Hospital of Philadelphia – Philadelphia, PA (5) Orthopaedic Surgery (1)Pediatrics (4)

Pennsylvania Hospital – Philadelphia, PA (1) Obstetrics-Gynecology (1)

University of Utah School of Medicine (8) University of Utah – Salt Lake City, UT (7) Anesthesiology (2)General Surgery (1)Medicine-Preliminary (1)Ophthalmology (1)Pediatrics (1)Radiology-Diagnostic (1)

Veterans Administration Medical Center – Boise, ID (1) Medicine-Preliminary (1)

University of Connecticut Medical School (7) University of Connecticut Health Center – Farmington, CT (4) Internal Medicine (1)Obstetrics-Gynecology (3)

Hartford Hospital – Hartford, CT (1) Radiology-Diagnostic (1)St.Vincent’s Medical Center – Bridgeport, CT (2) Transitional (2)

University of Virginia Medical School (7) University of Virginia Medical Center (7) Anesthesiology (1)Emergency Medicine (1)Medicine-Preliminary (1)Obstetrics-Gynecology (1)Pediatrics (2)Radiology-Diagnostic (1)

Cornell University (6) New York Presbyterian Hospital – Cornell – New York, NY (5) Diagnostic Radiology (1)General Surgery (2)Radiology-Diagnostic (1)Surgery-Preliminary (1)

NY Hospital Medical Center – Queens – Flushing, NY (1) Medicine-Preliminary (1)

NAVMED (6) National Naval Medical Center – Bethesda, MD (1) Internal Medicine (1)Naval Medical Center – Portsmouth,VA (3) Pediatrics (3)Naval Medical Center – San Diego, CA (2) Obstetrics-Gynecology (1)

Transitional (1)

Yale Medical School (6) Yale-New Haven Hospital – New Haven, CT (5) Emergency Medicine (1)Internal Medicine (2)Medicine-Preliminary (1)Medicine-Primary (1)

Hospital of St Raphael – New Haven, CT (1) General Surgery (1)

BU School of Medicine (5) Boston University Medical Center (4) Emergency Medicine (2)Internal Medicine (1)Medicine-Primary (1)

Roger Williams Hospital – Providence, RI (1) Medicine-Preliminary (1)

Mayo Medical School (5) Mayo Clinic Scottsdale – Scottsdale,AZ (1) Surgery-Preliminary (1)Mayo Graduate School of Medicine – Rochester, MN (2) Internal Medicine (1)

Orthopaedic Surgery (1)Mayo School of Graduate Medical Education – Phoenix,AZ (2) Surgery-Preliminary (1)

Urology (1)

University of Pittsburgh School of Medicine (5) University Health Center of Pittsburgh (5) Orthopaedics/Research (1)Psychiatry (1)Transitional (1)Vascular Surgery (2)

University of Rochester (5) University of Rochester/Strong Memorial – Rochester, NY (5) General Surgery (2)Medicine-Preliminary (1)Surgery-Preliminary (1)Urology (1)

Medical School Affiliation Institution Residency Program

Dr.Thomas Clark, DMS’01

founded GrassrootSoccer in

2002 during his medical resi-

dency at the University of New

Mexico.A former professional

player, Clark saw the potential

of using soccer to educate adoles-

cents by using their heroes, soccer

players, as an integral part of

a comprehensive community

education project.The program,

which received funding from

the Gates Foundation, currently

does work across southern Africa.

Dr. Pam Kunz, DMS’01, did

a residency in Internal Medicine

at Stanford where she went

on to become chief resident.As

she anticipates a career in aca-

demic medical oncology, Kunz

recalls,“Dartmouth instilled in

me an appreciation for the

patient-doctor relationship, and

the importance of a balanced

lifestyle. I also gained an excel-

lent work ethic and leadership

skills,” she adds,“both of which

have continued to serve me well.”

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D

38

In an average year, 84 percent of Dartmouth Medical School students receive some type of financial aid •

MS makes it a priority to keep tuition as low as possible and financial aid high, a trend that has existed

here for years.

For the 2010–2011 academic year, tuition is $45,075. Room and board are budgetedfor $10,250. DMS provides institutionalneed-based financial aid in the form of loansand scholarships for those students with documented financial need. In an averageyear, more than 84 percent of DMS studentsreceive some type of financial aid, andapproximately 50 percent receive scholarshipaid. Financial aid awards may include a “baseloan” and, if financial need exists beyond the base loan, institutional scholarship funds.During 2010–2011, the base loan is $23,300.

Once you accept an offer of admission,the staff of Dartmouth’s financial aid officewill work with you to develop a soundapproach to financing your medical schooleducation, developing budgets, and managing

living and educational expenses.The staff can also help you identify outside loan andscholarship programs that may be able toprovide support.At Dartmouth, the goal is to reduce the amount of money you have to borrow, ensuring broader career choicesafter medical school.

A complete set of financial aid applicationsand a detailed description of our financial aidpolicies and procedures will be providedduring the admissions interview. It is impor-tant to apply as soon as possible after January 1, since awards are made beginningMarch 15 and cannot be processed until allapplications and supporting materials havebeen submitted. For more information onthe financial aid application requirements,policies, and funding options, please visithttp://dms.dartmouth.edu/admin/fin_aid or call (603) 650-1919.

“We don’t want students making career choices just based on being able to pay back their loans. We want them to be able to do what they want to do.”

Cos

ts an

d Fi

nanc

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id

“Hopefully, these days, when you ask people why they

chose to go to Dartmouth, they’ll say it’s because Dartmouth

people are making a contribution all over the world.”

—Thomas Parrot, M.D., Assistant Professor

of Community and Family Medicine

Page 43: DMS Viewbook 2010

T

39

his information has been designed to assist you in the preparation of your application. Please use it as a guide

and to record your steps.

1. AMCAS Dartmouth Medical School participates in the American Medical College ApplicationService (AMCAS), the AMCAS Letter ofRecommendation Service and the AMCASCriminal Background Check Program.Thefirst step in applying to Dartmouth is filingan application with AMCAS.An electronicversion of the AMCAS application can becompleted on the Web at www.aamc.org/.For questions email [email protected] call (202) 828-0600.The earliest date bywhich applications may be filed withAMCAS for consideration for medicalschool entrance is June 1 of the year prior toyour planned matriculation. Our institutionaldeadline for filing with AMCAS isNovember 1, though we recommend thatyou file the AMCAS application as early aspossible to guarantee that you have sufficienttime to complete subsequent steps in theprocess. If you will not be taking the MCATuntil September, you are likewise urged tofile the AMCAS application as early as possi-ble (before you receive your scores report).AMCAS will automatically forward yourMCAT results.We will accept results fromMCAT exams taken between January 2008and September 2010.Transcripts for all academic work should be sent to AMCAS as directed in the AMCAS instructions.

2. Secondary Application Once AMCAS notifies our office of yourapplication, we will provide access to thesecondary application form, requesting infor-mation supplementary to that recorded by

AMCAS. For those who plan to enter DMSin 2011, the secondary application’s deadlineis January 3, 2011.All application materialsmust be received by January 3, 2011.To ensure fairness to all applicants, we arestrict about deadlines.A completed application consists of:

A. The AMCAS application.

B. The secondary application.A nonrefundable fee of $130.Applicants who have received an AMCAS fee waiver will also receive a fee waiver from Dartmouth.

C. A composite recommendation from your school’s premedical committee or a packet of at least two individual letters from your school. If your school has no premedical committee, at least two individual letters are required. If you are in graduate school, a letter from your thesis advisor is expected as one of the two required letters.To expedite the process, candidates are urged to have letters prepared as early in the process as possible and to include their social security numbers and/or AMCAS ID numbers on the letters.All letters must bereceived through AMCAS using one of their acceptable forms of receipt.

D. Additional application materials are required of all candidates for the M.D.-Ph.D. and M.D.-M.B.A.joint-degree programs (see page 35).Detailed information about the application procedures for the joint-degree programs is available with the secondary application.

DMS is committed to supporting each student’s choice of career in clinical practice, education, and/or research

Instructions to Applicants

Page 44: DMS Viewbook 2010

40

If you believe Dartmouth Medical School is a good match for you, we encourage you to submit an application

3. Interview Notification Applications are reviewed from Septemberthrough April.You will be notified by emailwhen a decision is reached regarding aninterview. Invitations to interview are issuedthroughout the September-to-April inter-view season at the discretion of theCommittee.Approximately 800 individualsare invited for interviews in Hanover.The Committee considers it beneficial bothfor the student and for the School to conduct all interviews in Hanover.

4. Final Notification Review of files by the AdmissionsCommittee continues after the interview.Notification of acceptance or denial is issued as soon as the decision is known, butusually no earlier than January 1. Interviewed applicants placed on the waiting list are notified of this status.The waiting list isreviewed periodically. Historically, a numberof applicants initially placed on the waitinglist are offered places.

5. Withdrawals Should you wish to withdraw your application, written notification is required.

6. Transfer AdmissionsWe are seldom able to accommodate transferstudents.Transfer applications will only beconsidered for entry into the second- orthird-year classes, and the availability oftransfer spots is predicated upon the with-drawal or leave-taking of currently enrolledstudents. Preference for these places is givento candidates from US medical schools who have a compelling need to transfer toDartmouth. Students from foreign medicalschools can be considered for places only in Year Two.To apply for transfer application,students must be in good academic and conduct standing at their former institutionand eligible for promotion.We are unable to entertain transfer applications from stu-dents of dentistry or osteopathic, chiroprac-tic, or veterinary medicine. By late February,a decision is made as to whether transferplaces will be available.The deadline fortransfer applications is usually in mid-April.Decisions are made during the late spring.

7. Office CommunicationAddress all correspondence to Dartmouth Medical School, Office ofAdmissions, 3 Rope Ferry Road, Hanover,NH 03755-1404.The phone number is(603) 650-1505.The fax number is (603)650-1560.The email address is:[email protected].

Page 45: DMS Viewbook 2010

“The talent of our medical school faculty, students, and staff energizes our mission to educate outstanding leaders committed to discovery and innovation and to healthcare that meets the needs and wants ofpatients and society.”—Dr. William Green,

Dean of Dartmouth Medical School

Notice to Applicants

This publication has been prepared for the benefit of

applicants for admission to Dartmouth Medical School and other

persons desiring to know more about the School, its programs,

and its activities.The officers of the School believe that the

information contained in it is accurate as of the date of its publi-

cation (May 2010). However, Dartmouth College reserves

the right to make, from time to time, such changes in its opera-

tions, programs, and activities as its Trustees, faculty members,

and officers consider appropriate and in the best interests of the

Dartmouth community.

Notice of Nondiscrimination

Dartmouth College is committed to the principle of equal oppor-

tunity for all its students, faculty, employees, and applicants for

admission and employment. For that reason Dartmouth does not

discriminate on the basis of race, color, religion, sex, age, sexual

orientation, gender identity or expression, national origin, disabili-

ty, military or veteran status in access to its programs and activities,

and in conditions of admission and employment (hiring, promo-

tion, discharge, pay, fringe benefits). (Dartmouth College refers to

the entire institution, including the professional schools, graduate

programs, and auxiliary activities.)

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Dartmouth MedicalSchool Milestones• 1797 Nathan Smith founds Dartmouth

Medical School, the nation’s 4th oldest

• 1838 Stethoscope introduced to US medical curriculum by poet-physician Oliver Wendell Holmes, a member of the DMS faculty

• 1896 First clinical x-ray in America taken at Dartmouth

• 1955 Special-care unit established at Dartmouth, considered the nation’s first multispecialty ICU

• 1981 The first continuous infusion pump for pain management developed and implanted at DHMC

• 1983 Nation’s first autologous bone marrow transplant on a patient with acute myeloid leukemia performed at DHMC

• 1996 The first Dartmouth Atlas of Health Care published

• 2001 Micro RNAs discovered at Dartmouth

• 2005 Release of HPV vaccine proven effective by clinical trials at Dartmouth

Page 46: DMS Viewbook 2010

Here, you will learn from renownedteachers, clinicians, and researcherswho are transforming medicine

in practice and in policy. Here, you will startinteracting with patients week one,Year One. Here, you will gain hands-on clinicalexperience in a program uniquely designedto expose you to a broad array of patientpopulations and training sites, fromDartmouth’s affiliated state-of-the-art medical center, to urban hospitals to healthclinics in Africa.

Here, you will be a valued member of a medical community where collaboration is the norm with students, with faculty,with patients, and across disciplines. Here,you will share a beautiful Ivy League campuswith Dartmouth College and its professionalschools in business and engineering—the ideal environment for interdisciplinaryinnovation. Here, you will work hard but be encouraged to have a healthy personal lifeoutside medical school, to stay connected tofamily and friends, to serve your community,and to care for your own well-being.

Here, you have the flexibility to explore your calling, whether you are headed for acareer in medical research and teaching,subspecialty practice, primary care, or health-care policy. Here, you will learn with your head and your heart and set a course for lifelong learning.And from here—havingstudied both the science and the art of medicine at a school with a two-hundredyear history of innovation—you can go anywhere. Because at Dartmouth MedicalSchool, the nation’s fourth oldest, there are no barriers to becoming the physician,the scientist, and the person you want to be.There are only opportunities.

Dartmouth Medical SchoolOffice of Admissions3 Rope Ferry RoadHanover, NH 03755-3833(603) 650-1505

www.dms.dartmouth.edu

2010–2011

From Here…

Ove

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Dartmouth-Hitchcock Medical Center; Lebanon, NH

California Pacific Medical Center; San Francisco, CA

Veterans Affairs Medical Center;White River Junction,VT

Children's Hospital of Orange County; Orange County, CA

Concord Hospital; Concord, NH

Hartford Hospital; Hartford, CT


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