Ha'ilono (to tell the news)
December 1999
Newsletter of the Native Hawaiian Center of Excellence
John A. Burns School of Medicine
Volume 2, December 1999
University of Hawai'i at Mänoa
Senior Editor: 'Iwalani Else
- Ha'ilono is Hawaiian for "to
tell the news" and is a publication of the Native Hawaiian
Center of Excellence (NHCOE).
-
- The NHCOE at the John A. Burns
School of Medicine (JABSOM) began in 1991 funded by a grant from
the U.S. Department of Health and Human Services. The creation
of the NHCOE allowed the consolidation of over 25 years of program
efforts for minorities in medicine into a coordinated, comprehensive
effort to increase the number of Native Hawaiians in medicine.
-
- The Ha'ilono is made possilbe
by Grant No. 1-996000354-A1 from the Division of Disadvantaged
Assistance, Bureau of Health Professions, Health Resources and
Services Administration. Its contents are solely the responsibility
of the Native Hawaiian Center of Excellence at the John A. Burns
School of Medicine, University of Hawai'i and do not necessarily
represent the official views of the Health Resources and Services
Administration.
A
Message from the Director, Benjamin Young, M.D.
At this time of year, it is a pleasure to take time away from
our routine and busy schedules and wish all our friends, near
and far, Aloha me Maluhia i nä kau ä kau, Aloha and
peace from season to season.
Christmas in Hawai'i
It is a little known fact that the
first Christmas celebrations in Hawai'i were on ships. On December
24, 1786, the crew of the Queen Charlotte anchored off the coast
of Waimea, Kaua'i, enjoyed roasted pig and grog with coconut
juice. On December 24, 1817, Prime Minister Kalanimoku boarded
the Columbia, a British ship anchored in Honolulu Harbor, with
a contingent of chiefs.
Celebrations on shore gained in popularity. In 1827 Governor
Boki, a native Hawaiian, hosted a Christmas dinner at his wooden
house in Honolulu. In 1858, Mrs. John Dominis Sr. (future mother-in-law
to Queen Lili'uokalani), hosted a large Christmas party in her
home, Washington Place (the current governor's residence) including
a tree, gifts and a Santa Claus.
In 1862, Christmas in Hawai'i was offically celebrated with a
proclamation from King Kamehameha IV. The King and his consort,
Queen Emma, were devout Anglicans. Despite his ill health, after
midnight service was held at St. Andrew's Episcopal Cathedral
the King led a torch lit procession to 'Iolani Palace. At 1:00
a.m. on Christmas morning, the guns on Punchbowl crater fired
a salute and barrels of flaming tar were rolled down the crater
to usher in Christmas Day. Since his proclamation, Christmas
is a tradition in Hawai'i and is celebrated by sharing love and
aloha with friends and family.
Highlights from the Native
Hawaiian Center of Excellence Conference
"Issues Affecting The Health of Hawaiians"
September 10-12, 1999
King Kamehameha Hotel, Kona, Hawai'i
The NHCOE's first conference, "Issues
Affecting the Health of Hawaiians," from September 10-12,
1999 at the King Kamehameha Hotel in Kona, Hawai'i, was a rousing
success.
The conference provided School of Medicine department chairs,
selected staff and Native Hawaiian first year medical students,
insight into the unique health issues Native Hawaiians face today
and introduced the NHCOE, its mission, staff and services.
A special thank you goes out to
JoAnn Sakuma from Castle Medical Center's Education and Training
Division. Through JoAnn's hard work, the NHCOE was able to offer
continuing medical education (CME) credits (and a very stylish
certificate!) to physicians who attended.
MARTINA KAMAKA,
M.D.
Dr. Kamaka started on November 1st as the Coordinator of the
Curriculum and Faculty Development component of the NHCOE Grant.
She will be supervising the fellows, organizing faculty development
workshops (promoting cultural awareness and competence), teaching,
and incorporating Native Hawaiian health issues into the curriculum
at the School of Medicine.
While in high school, Dr. Kamaka volunteered at St. Francis Hospital
where she became interested in the role of a physician (she initially
volunteered to gain insight into nursing).
A graduate of the Kamehameha Schools, Dr. Kamaka attended the
University of Notre Dame where she double majored in pre-medicine
and psychology.
After finishing her undergraduate work, the Käne'ohe native
returned home to attend medical school here at the John A. Burns
School of Medicine. She completed her residency program in Family
Practice at Lancaster General in Lancaster Pennsylvania - in
the heart of Amish country! After completing her residency, she
again returned home with the goal of working more with Native
Hawaiians. Though she has been at Straub Kailua since 1993, she
tries to stay active in the Hawaiian community through community
service. She has been the Vice President for 'Ahahui o nä
Kauka (the Association for Native Hawaiian Physicians) for one
and a half years, a member of Ho'omana 'Oiwi, a community service
organization of Kamehameha alumni (class of 1978), and a councillor
at the Hawai'i Medical Association from 1998-99.
If you are wondering why her name sounds so familiar, yes, she
is a Kamaka of the Kamaka Ukulele family. Her grandfather founded
the company in 1916 and her father, uncle, brother and cousins
help run the company today.
She has a variety of interests including hula, skiing and diving.
She enjoys traveling and has been around the world and back,
her destinations included over 12 countries.
Dr. Kamaka is looking forward to working with the Native Hawaiian
community through her role at NHCOE. It is another way for her
to be involved in the community and effect positive change.
TRISHA MIDDLETON
A recent graduate of the University of Hawai'i at Mänoa's
Communication Department, Trisha Middleton is the Abstract Coordinator
for the NHCOE's Research component. She has been with the Center
since September '99 and is currently working towards a Master's
in Library and Information Science. She became interested in
Library and Information Science through her senior thesis when
she found that she enjoyed doing research.
As Abstract Coordinator, Trisha is collecting materials on Native
Hawaiian health, entering them into a database, contacting publishers
for permission to use the abstracts in our database and writing
abstracts for materials that do not already have one. So far
she has put together about 700 citations, only 340 of which have
abstracts. She is making the first of its kind searchable Native
Hawaiian materials database a reality!
KORYN-MICHELE
KINOSHITA
Koryn-Michele Kinoshita, a Student Assistant, is an undergraduate
student at the University of Hawaii at Mänoa. She is majoring
in American Studies and is currently an applicant for the John
A. Burns School of Medicine's 2000 entering class. In addition
to school and working at NHCOE, Koryn finds the time to volunteer
at the Straub Emergency Room, Hospice Hawai'i and the Hawai'i
Institute of Marine Biology (she volunteers here because she
loves fish!)
EVALANI PANDARAOAN
Hired this month, Evalani Pandaraoan the newest member of the
NHCOE staff and is also a Student Assistant. An undergraduate
majoring in Chemistry (it's her first semester at UH as a Freshman),
Evalani is planning on a career in medical or cosmetic research.
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Nä
iwi o ke kino kanaka (bones of the human body)
by R. Kekuni Blaisdell, M.D.
In kahiko loa (ancient times), knowledge
of nä iwi kanaka (human bones) was the kuleana (responsibility)
of at least two orders of kähuna (specialists): nä
kähuna lapa'au (medical practitioners) who treated patients
in the living and nä kähuna moe kau ho'oilo (morticians)
who disposed of the dead. (1,2)
Since nä iwi endured after
death and removal or decay of the soft flesh, nä iwi were
considered by ka po'e kahiko (the people of old) to contain the
essence of the enduring spirit of the person, or metaphorically,
to be the immortal essence of the individual. (3,4)
Pëlä (thus), "ikaika
nä iwi" (strong bones) was a common expression of robustness
for the living. For the departed, as Kumu Kawena Puku'i said
in 1972, "the bones of the dead were guarded, respected,
treasured, venerated, loved or even deified by relatives; coveted
and despoiled by enemies." (3)
As with the naming of all things
around them, early Kanaka Maoli (indigenous Hawaiian) observers
often attached inoa (names) to nä iwi with metaphorical
significance. (3,5) This theme is the basis for a series of articles
in Ha'ilono on nä iwi o ke kino kanaka (the bones of the
human body). (6)
In kahiko loa, nä inoa iwi
(bone names) may have varied from place to place. But with permanent
settlement in Ka Pae'äina (the Hawaiian Archipelago) of
Ka Moananuiwaena (the Mid-Pacific), and improved inter-island
communication some degree of uniform usage probably occurred
with time. (3,5,10)
Akä (however), some hunä
(secrecy) may also have prevailed, for in 1838, when mikanele
(missionary) Kauka (doctor) Gerrit Parmele Judd set about to
record nä inoa iwi (bone names) ma ka 'ölelo makuahine
(in the mother tongue), he used some 'ölelo haole (English).
(6) 'Oia ho'i (for example): kubita, cubic, for ulna, in the
forearm, presumably because the bone has a cubic configuration
in cross-section; and hamare (hammer) for the malleus in the
pepeiao waena (middle ear).
Kauka Judd's book Anatomia, on human
anatomy, printed in 1838, was the first medical puke (book) printed
in our homeland. (6) Judd did not record the kumu (source) of
his hua 'ölelo (terms) for nä 'iwi in his puke. His
descendant biographer, Gerrit P. Judd IV, wrote that the kauka
"contributed almost all of the anatomical words in the Hawaiian
language" and that the copperplate engravings came from
Jerome V.C. Smith's Class Book of Anatomy of 1834. (7,8)
It is reasonable to assume that
the kauka had 'öiwi (native) assistance for his Anatomia
in 'ölelo makuahine of 1838. One year earlier, in 1837,
he acknowledged three contributors to another book on lapa'au
(Kanaka Maoli medicine) which he authored. (9) However, this
puke was not published until 1858-1859 in the Hawaiian language
newspaper Ka Hae Hawaii. The cited 'öiwi assistants were
the informant Kekaha, and two writers, Kaho'ohana and Kalama.
For a time, Kauka Judd also had a fourth aide, Kalili.
How much, if any, these four känaka
'öiwi or others contributed to Anatomia must remain speculative.
From the available limited information, Judd's Anatomia also
does not provide reliable evidence on the extent of pre-Western
natives' knowledge of anatomy, physiology, surgery and the other
medical sciences (1).
From nä inoa iwi, however,
we can begin to learn.
This first article on nä iwi considers kuamo'o, the spine
(11). Analysis of the term tells us that it is a composite of
kua, back and mo'o, lizard or reptile, in Proto-Central Polynesian
(PCP) (5, 10). PCP is a classification term used by linguists
in considering the genealogy of the Polynesian family of languages,
which includes Tongan, Samoan, Marquesan, Tahitian and Maori.
Kua alone is a word with numerous
meanings stemming from back, rear, burden and windward direction
(11). As a verb, it also means to hew, chop, chip, hack, dub
and strike (11). Kua may also refer to a beam or rafter, the
back of a garment or ox yoke, or poles in quilt-making and mid-rib
of the pandanus leaf (11). Kua is also a shortened variant of
akua, or god. So it is a term with much intrinsic mana.
Mo'o by itself can mean any kind
of reptile, lizard, dragon or serpent (11). Because of the segmented
body of these animals, mo'o also refers to succession, series
or lineage, ridge, young one, such as a grandchild, and streaked.
Mo'o is the name of sideplanks in the middle section of a canoe
hull. Mo'o can be a short name for mo'olelo, a story (11).
Accordingly, kuamo'o means backbone.
It may also mean road, trail, path or custom, as used by the
mikanele in their first Bible translation into 'ölelo makuahine.
(11) For the wa'a (canoe), kuamo'o refers to the keel, the underwater
spine of the sailing vessel.
Iwikuamo'o (spine bone), an extended
name for the spine, also refers to a near and trusted 'ohana
of a chief who attends to the chief's personal needs. (11) Kuamo'o
kaua (battle spine) is a military term for the main formation
of an army. (11) Kuamo'o 'ölelo (spoken spine) is a continuous
record, a history, a succession of events. (11)
Kuamo'o is immortalized in a South
Kona land section on the island of Hawai'i. It is the name of
a historic battle fought there in December 1819 (12, 13). Kamehameha
I had died on May 8 of that year. By November 1, the late king's
favorite wife Ka'ahumanu and Kamehameha's son and heir, Liholiho,
Kamehameha II, had eaten in public together ending the 'ai kapu
(restrictions against mixed gender eating). The two rulers then
ordered the destruction of heiau, temples for official state
ceremonies. Kekuaokalani, chosen by Kamehameha I before his death
to care for the king's god Küka'ilimoku, led a rebellion
to restore the state religion honored by the late king, but abandoned
by Ka'ahumanu and Liholiho. Kekuaokalani with his wife Manono
at his side, challenged the ruling establishment's large army
commanded by Prime Minister Kalanimoku and were slain in battle
at Kuamo'o. Kekuaokalani's name fittingly means the heavenly
back or the heavenly one's support.
Kua also lives on in Kuakini. He
was brother to Ka'ahumanu and appointed him to be governor of
the island of Hawai'i in 1820. He held this position until his
death in 1844 building roads, churches, schools and cotton farms.
He was one of the first chiefs to read and write English and
'ölelo makuahine beginning in 1816, before the arrival of
the mikanele in 1820. He lived up to his name, Kuakini, the back
which carries the multitude (of people). (13)
REFERENCES
1. Kamakau SM: Ka Po'e Kahiko. The
People of Old. BP Bishop Museum
Special Publication 51, 1964.
2. Han TL, Collins SL, Clark SD, Garland A: Moe Kau a Ho'oilo.
Hawaiian
Mortuary Practices at Keöpü, Kona, Hawai'i. Dept. of
Anthropology, BP
Bishop Museum, 1964.
3. Pukui MK, Haertig EW, Lee CA: Nänä I Ke Kumu, Vol.
I, 1972, Vol. II, 1979,
Hui Hänai.
4. Te Rangi Hiroa (Buck PH): Arts and Crafts of Hawai'i. BP Bishop
Museum
Special Publication 45, 1957.
5. Schutz AJ: The Voices of Eden. A History of Hawaiian Language
Studies.
U Hawai'i Press, 1994.
6. Judd GP: Anatomia. He Palapala Ia E Hoike Ai I Ke Ano O Ko
Ke Kanaka
Kino. Missionary Publication, 1838.
7. Judd GP, IV: Dr. Judd. Hawaii's Friend. U Hawai'i Press, 1960.
8. Smith JVC: Class Book of Anatomy, Designed for Schools, 1834
9. Chun MN: Hawaiian Medicine Book. He Buke Laau Lapaau. (Authored
by Dr. GP Judd; translated by MN Chun), Bess Press, 1986.
10. Elbert SH, Davenport WH, Dykes JW, Ogan E: Internal Relationships
of
Polynesian Languages and Dialects, Southwestern Journal of Anthropology
9:147-173, 1953.
11. Pukui MK, Elbert SH: Hawaiian Dictionary, Revised and Enlarged
Edition. U Hawai'i Press, 1986.
12. Kaläkaua D, Daggett RM: The Legends and Myths of Hawai'i.
CL Webster,
New York; CE Tuttle, 1972.
13. Kamakau SM: Ruling Chiefs of Hawai'i. Revised Ed. Kamehameha
Schools, 1992.
GLOSSARY OF TERMS
'ai kapu - restrictions against mixed gender eating
akä - however
akua - god
heiau - temple
hua 'ölelo - term, word
hunä - secret, hidden
ikaika nä
iwi - strong bones, robust
inoa - name
iwikuamo'o - spine bone, chief's aide
kahiko loa - ancient times
ka Moananuiwaena - the Mid Pacific
ka Pae'äina - The Hawaiian Archipelago
ka po'e kahiko - the people of old
kahiko loa - ancient times
kanaka Maoli
- indigenous Hawaiian
kähuna - specialists
kauka - Western trained physician
kua - back, rear, burden, wind ward direction
kuleana - responsibility, authority
kuamo'o - spine
kuamo'o kaua - battle spine, main army formation
kuamo'o 'ölelo - spoken spine, a history or continuous
record
kumu - source, teacher
lapa'au - Kanaka Maoli medicine
ma ka 'ölelo
makuahine - in the mother tongue
mana - spiritual power
mikanele - missionary
mo'o - lizard or reptile
mo'olelo - story
nä inoa
iwi - bone names
nä iwi
kanaka - human bones
nä iwi
o ke kino kanaka - bones of
the human body
nä kähuna
lapa'au - medical practitioners
nä kähuna
moe kau ho'oilo - morticians
'ohana - family
'oia ho'i - for example
'ölelo
haole - English
'ölelo
makuahine - Kanaka Maoli language
'öiwi - native
pëlä
- thus
pepeiao waena - middle ear
wa'a - canoe
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The
Kahanamoku Scholars Program
THE PROGRAM
Background
Duke Kahanamoku was Hawaii's "Ambassador to the World."
He was an Olympic swimming champion winning gold medals in 1912
and 1920 and a silver in 1924. He popularized surfing worldwide,
became a movie star and also served as Sheriff of Honolulu for
26 years. Before his death in 1968, he and his wife Nadine, decided
that their estate would be used to serve the community in Hawaii.
While in the hospital, Nadine Kahanamoku became so impressed
by the compassion and quality of both students and graduates
of the John A. Burns School of Medicine that cared for her, she
donated her estate to the medical school with specific instructions
to start Kahanamoku Scholars program.
Program Components
This program provides tuition assistance to medical students
(preferably those of Native Hawaiian ancestry), professional
mentoring, and exposure to community healthcare and research
.
Community Service
The Kahanamoku Scholars, as part of their scholarship requirement,
will be starting a community service project. The students are
taking the project back to the ocean where Duke Kahanamoku spent
much of his life. The scholars will be educating and informing
the public at surf and canoe meets about 1) sun injury and it's
detection and prevention; 2) skin cancer prevention and detection;
and 3) water and marine related injuries and infections. With
Hawai'i's year round good weather and enviable ocean environment,
these topics are of particular importance and those who spend
time outdoors are at risk. These potential problems, however,
are preventable. The American Cancer Society states that skin
cancer is the most common type of cancer. Each year over 44,000
new cases of skin cancer are diagnosed in the United States and,
of these, 7,300 will die. Using sunscreen, protective clothing
and UVA/UVB blocking sunglasses would significantly decrease
the incidence of skin cancer. A public health grant was submitted
by the NHCOE to fund start-up costs for this project.
If you would like more information
on the Kahanamoku Scholars Program, please contact Dr. Martina
Kamaka martinak@hawaii.edu
at the Native Hawaiian Center of Excellence at (808) 956-7364
or Dr. Gwen Naguwa, Associate Dean, Office of Student Affairs
at the School of Medicine at (808) 956-8300.
THE SCHOLARS
MS I
Kristen Fernandez
Alin Ledford
MS II
Tiffany Coelho
Paul Ka'iwi
Joseph Kamai
MS III
Celeste Freitas
Kealanalani Richards
MS IV
Ann Terai
Lori Tungpalan
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Welcome
the new Dean of the John A. Burns School of Medicine
Edwin Cadman, M.D.
Dr. Cadman, who grew up in a small
Oregon town, returned to Oregon to attend the University of Oregon
Medical School in Portland after graduating with honors from
Stanford University. He was distinguished as a medical student,
graduating magna cum laude and received its highest honor, the
Gold Headed Crane.
He did his internal medicine residency at Stanford University
Hospitals, and then traveled east to Yale where he trained in
medical oncology and pharmacology. Dr. Cadman is certified both
in internal medicine and medical oncology.
He began his academic career in 1976 as an Assistant Professor
at Yale University School of Medicine and Pharmacology in 1979.
Dr. Cadman was recruited to the University of California at San
Francisco, UCSF, in 1983 to be the Professor and Director of
the Cancer Research Institute. He also served as Chief of Medical
Oncology and Hematology, and was vice-chairman of the department
of medicine.
He returned to Yale in 1987 to become Chairman of Medicine, and
in 1994 was promoted to Chief of Staff and Senior Vice President
of Medical Affairs of the Yale New Haven Hospital.
Dr. Cadman has over 130 peer reviewed publications, and has served
on many national committees, including being President of the
American Federation for Clinical Research. His accomplishments
have been recognized by his being elected into prestigious honorary
societies. He is a Fellow of the American Association for the
Advancement of Science, a Fellow of the American College of Physicians,
and a member of the Association of American Physicians and the
American Society for Clinical Investigation. He was one of select
few physicians in the country who have been recognized as an
American Cancer Society Professor, a distinction he relinquished
when he assumed the Chair of Medicine at Yale.
Dr. Cadman is committed to medical student education and has
been recognized by his students as their outstanding teacher
in 1976 and 1982. He has served as a thesis advisor to over 40
medical students. We at the Native Hawaiian Center of Excellence
extend a warm welcome to Dr. Cadman and look forward to working
with him.
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Imi
Ho'ola (those who seek to heal)
ALUMNI
Since 1973, over 300 students have participated in the Imi Ho'ola
Post-Baccalaureate Program. To date, 129 have graduated from
JABSOM and 26 are currently enrolled.
1999-2000 IMI HO'OLA CLASS
The Program welcomes Randy Alejo, Charles Arakaki, Rosalyn Enos,
Brian Garcia, Meituck Hu, Jeanelle Kam, Kayla Nguyen, Liana Peiler,
and Keahi Renaud. The 1999-2000 Imi Ho'ola Class of nine students
is ethnically diverse with 4 Hawaiians, 2 Filipinos, 1 Samoan/Okinawan,
1 Vietnamese, and 1 Chinese. There are 5 females and 4 males
who hail from Aiea, Honolulu, Käne'ohe, and Waimanalo. Two-thirds
of the participants are graduates of the University of Hawai'i
at Mänoa. One-third received their baccalaureate degrees
from other institutions on the continental U.S.-- University
of Michigan at Ann Arbor, Ripon College, and California Polytechnic
State University at San Luis Obispo. One student also received
a master's degree in Education with emphasis on physics.
HIGHLIGHTS OF RECRUITMENT ACTIVITIES
In late September to early October, Dr. Nanette Judd, Dr. Satoru
Izutsu, and Agnes Malate traveled to Guam, Commonwealth of the
Northern Mariana Islands (Saipan and Tinian), Republic of Palau,
and the Federated States of Micronesia (Yap). They met with JABSOM
graduates, Pacific Basin Medical Officers Training Program graduates,
and government officials in health and education. The team presented
information on the University of Hawai'i at Mänoa and Hilo
to 577 high school and college students of 10 high schools, Palau
Community College, College of Micronesia (YAP), and University
of Guam.
On November 10-14, 1999, Dr. Nanette
Judd and Agnes Malate met with members of the 50 Hawaiian Civic
Clubs throughout Hawaii and the continental U.S. at their annual
convention in Maui. Dr. Debra Williams and Dr. Jed Alaimalo,
former JABSOM graduates and Imi Ho'ola participants, gave personal
accounts of their experiences and the sacrifices they made on
the road to becoming physicians. Their message--perseverance
and hard work pays off!
APPLICATION DEADLINE
The application deadline for the 2000-2001 Imi Ho'ola class is
December 30, 1999. For more information, call (808) 956-3466.
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RECRUITMENT
O'ahu
by 'Iwalani Else
The Fall semester of each year is
filled with those applying to the John A. Burns School of Medicine
(JABSOM) and the Imi Ho'ola Program. This year is no different
with the application deadline of December 1st for JABSOM and
December 30th for Imi Ho'ola . Along with lengthy applications,
letters of recommendation and transcripts is the daunting and,
most times, intimidating interview process. The NHCOE works with
applicants to provide mock interviews that decreases applicant
anxiety and gives applicants well deserved confidence.
The Fall semester is also the busiest time for recruitment. On
O'ahu the NHCOE made 15 visits to high schools and colleges.
The highlight of the recruitment trips was the visit to Waianae
High School's Center for Hawaiian Studies on November 30, 1999.
Six second year medical students, Joseph Kamai, Lu'ukia Padilla,
Jeffery Tam Sing, Vanessa Eaglin, Corey Blum and Tiffany Coelho
taught students about hypertension (causes, risk factors, and
prevention) and then taught the students how to take blood pressure
readings themselves.
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RECRUITMENT
Neighbor Islands
by Kaloa Robinson
The Native Hawaiian Center of Excellence
at Hilo (NHCOE@Hilo) has been working on several activities.
Regarding high school students, outreach activities have already
taken place at Hilo and Waiakea high schools. Outreach is also
planned for schools on West Hawai'i, Maui, Kaua'i, and Moloka'i.
During these activities students are educated about the Native
Hawaiian Kahuna that existed and participate in a Problem-Based
Learning (PBL) Demonstration.
NHCOE@Hilo has also been working
with the University of Hawai'i at Hilo's "Health Professional
Students Association" or Hui Keala Lapa'au. Recently, this
group has assisted with the annual Blood Drive where over 100
pints were collected in a day and will be involved in another
Blood Drive in February 2000. The group was also fortunate to
attend a special presentation given by visiting Imi Ho'ola staff:
Dr. Nanette Judd and Agnes Malate. This presentation was also
special because fourth year medical student Louie Pau and first
year medical student Jason Nomura also attended. Both are from
the Big Island and they were able to give a student's perspective
on medical school, what to expect, and what their future plans
were.
NHCOE@Hilo is happy to announce
that the Kaplan Test Centers have made arrangements with UH Hilo
(UHH) to provide its students the opportunity to enroll in their
MCAT prep course for the April 2000 exam. Until now, students
preparing for the MCAT had to rely on resource materials in local
book stores and instructional seminars sometimes provided by
UHH faculty. We're hoping that this course will enable UHH students
to improve their scores and offer insight into this rigorous
exam.
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RETENTION
by Doric Little, Ed.D.
Initial planning for a Native Hawaiian Medical Students Association
affiliated with 'Ahahui O Nä Kauka, the Native Hawaiians
Physicians Association was begun on October 20, 1999. With representation
of each JABSOM class, four staff members of the NHCOE (including
newly hired Dr. Martina Kamaka) and Kim Birnie from the Physicians
Association in attendance, plans for the first meeting were made.
All Native Hawaiian Medical Students
were encouraged to attend the initial meeting at the Frederick
Kamaka residence in Käne'ohe on Sunday afternoon, 11-21-99.
The meeting was a big success with lots of food, camaraderie
and, of special note, great advice from several Native Hawaiian
physicians.
Fall quarter saw Student Development
Chair, Dr. Little, assisting Native Hawaiian Students with:
MSI's - Interviewing Patients
MSII's - Getting Organized for Boards Part I
MSIII's - Presenting Patients
MSIV's - Preparing personal statements and interviewing skills
for Residency Positions.
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RESEARCH
Shannon Hirose-Wong, Ph.D.
Research Seminars
The second in a three part series of Research Seminars designed
primarily for MS-1s started up on November 30. Unit 1 ran from
September 7, 1999 to December 16, 1999 and had an average attendance
of approximately 10 students. The Unit 1 series of seminars focused
on selecting a topic, introduction, and reviewing literature
for a research project. This unit also provided students with
an introduction to Native Hawaiian health issues. On Tuesday,
September 21, 1999, the students had the honor of listening to
Mele Look, M.B.A. talk about her landmark study: A Mortality
Study of the Hawaiian People 1910-1990. She also spoke with students
about how she got involved with research. On Tuesday, October
5, 1999 students also benefited from the expertise of School
of Public Health librarian, Virginia Tanji. Ms. Tanji provided
students with a tutorial on how to conduct a MedLine search.
Students were also treated to a presentation by Dr. Marjorie
Mau on November 5, 1999 on her knowledge of research in the medical
field and her work on diabetes and the Native Hawaiian community.
If you would like to offer your
services by doing a presentation on an aspect of Native Hawaiian
health for this seminar series, please contact Shannon Hirose-Wong
at (808) 956-9904.
NHCOE Clearinghouse
Janet Hesson has been diligently working away on designing the
database for the NHCOE Native Hawaiian health database that will
aid researchers in
conducting literature reviews on Native Hawaiian health issues.
After careful research of database software, Janet has chosen
a database and web-publishing program (Inmagic DB/Textworks and
Webpublisher) that Ke Anuenue AHEC has generously purchased for
the NHCOE. Currently, Janet is working on designing a preliminary
database.
We also have a new hire, Trisha
Middleton, who is a graduate student in the Library and Information
Science program at UH. She is replacing our
summer help Ani Au and helping Janet with the NHCOE database.
Currently, Trisha is collecting material for the database and
beginning to abstract some of the documents.
If you have a published piece of
work, a conference presentation, or link to a datasource on Native
Hawaiian health that you would like included in the NHCOE database,
please contact Trisha Middleton at (808) 956-4653 or Janet Hesson
at (808) 956-4690.
(back to
top)
From
the Files of Hawaiian History
by Benjamin Young, M.D.
July of 1824 was especially cold
in London. King Kamehameha II (Liholiho) and his wife Kamamalu
headed a delegation to visit King George IV in England. In early
June, one of the chiefs fell ill with measles. Soon, the entire
party was stricken. All eventually recovered except Queen Kamamalu
who succumbed and died on July 4. Liholiho also recovered but
when given the news of the death of Kamamalu, started to lose
the will to live. It was in this setting that the King and Queen
passed away. King George ordered the bodies be returned to Hawai'i
under the British man-o-war, the H.M.S. Blonde. Commanding the
ship was Lord Byron (cousin to the famous poet who had died earlier).
Thus the short reign of King Kamehameha II and his consort, Kamamalu
came to an end. The Queen died from the complications of measles.
The king died of grief from the loss of his wife.
There are two oil paintings at Washington Place of the H.M.S.
Blonde and should you ever have an opportunity to visit the Hawai'i
governor's home, be sure to view these magnificent pieces of
art...
(back to top)
Correction
to September Ha'ilono
In the September issue, we neglected to list a contact person
for 'Ahahui o nä Kauka (the Native Hawaiian Physicians Association).
Please contact Dr. Martina Kamaka at (808) 956-7364 for more
information. Our apologies.
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