Violence: What to know, ideas for response

The impact of violence and how to improve outreach and response was the topic of the 23rd annual Rural Health Conference April 17-18 hosted by the Institute for Rural Health Research, which is part of the College of Community Health Sciences.

Conference speakers from across Alabama and the country gave keynote and breakout presentations with a focus on individual, domestic and community violence, providing information about these types of violence and offering ideas for preparedness, prevention and recovery.

Organizers of the conference, “Turning the Tide…On Individual, Domestic, and Community Violence,” said they hope attendees take ideas from the conference back to their communities and implement programs and initiatives that can make a difference.

“We have had a lot of different topics over the years at the Rural Health Conference, but none more important than this,” Dr. John C. Higginbotham, director of the Institute for Rural Health Research, said in conference opening remarks. “In less than a week, we had three people die in Tuscaloosa due to gun violence. It happens far too much.”

“Firearms are the No. 1 cause of death in our children, and Alabama has a very high firearm injury rate, including homicide and suicide,” added Dr. Louanne Friend, associate professor of community medicine and population health with CCHS, who also provided remarks to open the conference.

The first of the two-day conference focused on gender-based violence and sex trafficking, managing mass fatality events, the effects of violence within communities, forensic DNA testing, emerging trends in child deaths in Alabama and mental health crises. The second day focused on gun violence, self-injury, the psychology of incarceration and making prevention a reality.

The conference also included student and professional poster displays about current research on different types of violence.

Highlights from some of the presentations:

“Addressing Gender Based Violence and Sex Trafficking in Alabama: A collaboration between Community Partners and Researchers”

Brenda Maddox, director of the Tuscaloosa SAFE Center, spoke about rape culture, which she defined as an environment in which rape is prevalent and sexual violence normalized and excused. Rape is an illegal sexual activity carried out forcefully or under threat of injury, including to those who are underage, those who cannot consent because of a mental illness or deficiency, and those who are intoxicated or unconscious. “Rape culture is a society excusing or tolerating sexual violence. It’s very sad and scary that even in this day and age we’re still there.” Statistics from the Rape, Abuse and Incest National Network show that four in five sexual assaults are committed by someone who knows the victim, and 44% of victims of sexual assaults are under the age of 18.

Brandy Martinez, from Turning Point Domestic Violence and Sexual Assault Services in Tuscaloosa, said domestic violence is a pattern of abusive behavior in a relationship used by one person to gain or maintain power and control over another. “It doesn’t have to be something physical. Domestic violence can include emotional abuse, financial abuse and control in social situations. Just because a physical component may be missing from an abusive situation, doesn’t make it any less dangerous.” Martinez said abusers might assert their control over an individual through intimidation tactics and isolation from their children, family and friends. Turning Point is a domestic violence shelter in Tuscaloosa, Ala., that provides services for people who have experienced interpersonal violence. The organization also offers outreach services to nine West Alabama counties – Lamar, Fayette, Marengo, Pickens, Bibb, Greene, Hale, Sumter and Tuscaloosa.

“The Effects of Violence Within Communities”

Eddie Compass, retired Superintendent of the New Orleans Police Department, said communities must band together to try and reduce violence. “It has to be a strategy that involves every aspect of the community. Enforcement can’t do it alone, the medical community can’t do it alone, the political community can’t do it alone, and actual people who are on the streets can’t do it alone.” Compass said several ways he worked to help lower the crime rate while at NOPD was by creating after-school programs for juveniles and job opportunities for former gang members. “We worked to change the whole mindset of an entire system.” Compass said he was also part of a team that turned around “the most corrupt police department (NOPD) in the United States” and brought back the community’s trust.

“Forensic DNA Testing in Alabama—Recent Advances in Sexual Assault, Homicide, and Cold Case Efforts”

The Alabama Department of Forensic Sciences is a state laboratory system responsible for analyzing biological evidence, including fluids and tissues, collected by local and state law enforcement agencies at crime scenes. Four labs in Alabama perform forensic biology analyses and are located in Huntsville, Birmingham, Montgomery and Mobile. Dr. Jason Kokoszka, chief of forensic biology for the Alabama Department of Forensic Sciences, said the Birmingham lab alone receives an average of 250 rape and sexual assault submissions every year. All four labs test the biological evidence they receive via submissions. Kokoszka said the analyses are performed through DNA testing to identify the source of biological evidence. For cases where there is no identified suspect, DNA profiles of possible perpetrators are searched within the Combined DNA Index System, which allows law enforcement agencies to match a DNA profile from an unsolved crime to someone who has been convicted.

“Child Deaths in Alabama—Emerging Trends from 12 months of Forensic Science Cases”

“If you combine all of the firearm deaths together to include suicides, homicides and accidental deaths, that is more than one case per week (annually) among our youth in Alabama,” said Rebekah Boswell, forensic pathology manager of the Alabama Department of Forensic Sciences. She said juvenile deaths in the state are mostly the result of gun violence, suicides, and blunt and sharp force injuries. Gun violence can occur during shootings and robberies. Blunt force injuries can result from blows with a blunt object, including a weapon and even a fist. Sharp force injuries are caused by sharp objects, such as a knife or scissors. Boswell said a new trend in youth suicides involves the use of sodium nitrate. “Sodium nitrate is typically utilized as a food preservative and can be mixed with water or juice. It can decrease your body’s ability to retain oxygen.” Much of the information Boswell provided is gathered through child death investigations and shared statewide. “My hope is that those who can create change will use my information to educate others.”

“The Psychology of Incarceration”

Ameer Baraka, Emmy nominated actor and activist, was in prison when he was diagnosed with dyslexia, a learning disorder that involves difficulty reading. Had he not had the learning disorder, Baraka believes he wouldn’t have ended up in prison. He said studies show that 50% of the nation’s prison inmates have dyslexia. Baraka said it’s important for children to be screened for dyslexia, but that there is little access to screening in low-income communities, “If children are not identified, they will never receive the evidence-based intervention that will change their lives.” Baraka said children with learning disorders have a greater chance of dropping out of school and experiencing higher rates of unemployment, anxiety and depression.

CCHS welcomes new third-year medical students

University of Alabama at Birmingham Marinex E. Heersink School of Medicine students, who will complete their clinical education at the College of Community Health Sciences, attended an orientation at CCHS on April 24.

CCHS serves as a regional campus of the UAB Heersink School of Medicine, providing the third and fourth years of medical school to a cohort of the school’s students.

The 33 students who attended the orientation will start their clinical education at CCHS in June. They include both Primary Care Track students and Rural Medical Scholars. The Primary Care Track is a medical education track that provides a strong foundation in clinical medicine through a longitudinal integrated model. The Rural Medical Scholars Program is exclusively for rural Alabama students who are interested in practicing medicine in rural communities.

Dr. Richard Friend, dean of CCHS, welcomed the students. “You all are here because you have an interest in primary care,” he said. “You do not necessarily have to go into primary care, but we want to help nurture your skills so that, hopefully, you will go into primary care.”

Primary care physicians are essential because they help patients stay well and prevent chronic health conditions from getting worse. Primary care includes the specialties of family medicine, internal medicine, pediatrics, obstetrics and gynecology and surgery.

During the orientation, the medical students received Basic Life Support training, participated in a suturing workshop and toured DCH Regional Medical Center.

Dr. Grier Stewart, CCHS assistant dean for undergraduate medical education, said he was excited about this year’s class and looks “forward to seeing how they are going to develop during these next two years.”

Dr. Dale Dickinson, CCHS director of the Office of Medical Student Affairs, added: “We have an exciting and engaging group of learners who are ready to start participating in our curriculum. I’m very excited to see how they are going to grow during these next two years of medical school.”

Friend said the students will receive valuable experience at CCHS that will prepare them for residency programs. After graduating medical school, students are required to complete a residency in a medical specialty.

“Residency programs look for people who have done a longitudinal curriculum, which you will get to do. This has proven to be a better way of learning where you’ll be ahead of your peers,” Friend said.

The CCHS Longitudinal Integrated Clerkship moves beyond the traditional block structure of a third-year clinical clerkship, allowing students to follow a panel of patients over time and through different specialties and health-care settings. For example, students can care for a pregnant patient, deliver her baby, and care for the newborn. This differs from the traditional third-year model, where every four to eight weeks students rotate through a different specialty, often in a hospital setting.

CCHS operates The University of Alabama Tuscaloosa Family Medicine Residency, one of the oldest and largest such residencies in the country. The College also offers post-residency fellowships for additional training in behavioral health, emergency medicine, geriatrics, hospital medicine, neurology, obstetrics, pediatrics, rural public psychiatry and sports medicine

Learn more about CCHS medical student education.

Students pursuing rural medicine, dentistry honored at convocation

Twelve students studying to become physicians, dentists and other health care providers and who want to practice in rural Alabama communities were recognized April 27 during a College of Community Health Sciences convocation.

The students are part of the College’s Rural Medical Scholars, Rural Community Health Scholars and Rural Dental Scholars programs, which are part of CCHS Rural Programs. The three programs are operated jointly by CCHS and the University of Alabama at Birmingham Marnix E. Heersink School of Medicine.

“We are gathered together to celebrate an incredible group of students who are a very important part of our College,” Dr. Caroline Boxmeyer, CCHS associate dean for Academic Affairs, said in welcoming remarks to the students and their families and guests. “They are truly an embodiment of the mission of our College: to improve and promote the health of individuals and communities in rural Alabama and the Southeast.”

Dr. Steven Furr, a family medicine physician and president of the American Academy of Family Physicians, provided the convocation keynote address. He encouraged students to be adaptable and to trust their instincts in their future health-care practices and in life. “I encourage you all to make the best of the opportunities you are presented with and … it will be the small things in life that will make the difference.”

The Rural Medical Scholars Program is exclusively for rural Alabama students and includes a year of study, after students receive their undergraduate degree, that leads to a master’s degree in Rural Community Health and early admission to the UAB Heersink School of Medicine.

Rural Medical Scholars spend the first two years of medical school at the main Heersink School of Medicine campus in Birmingham and then return to CCHS for their final two years of clinical education. The seven Rural Medical Scholars recognized at the convocation begin medical school this summer.

“This program was started because there was a shortage of physicians going into (practice in) rural Alabama communities,” said Dr. Holly McCaleb, assistant director of CCHS Rural Programs, as she presented an overview of the Rural Medical Scholars Program.

McCaleb said the program encourages students to consider primary care health professions. “So far, the Rural Medical Scholars Program has produced 85 physicians for practice in the state of Alabama,” she said.

Also recognized at the convocation were four Rural Dental Scholars, a new program within the College. The Rural Dental Scholars program is exclusively for students from rural Alabama and provides a separate admissions pathway to the UAB School of Dentistry. The program includes a year of study and a master’s degree in Rural Community Health, after students receive their undergraduate degree, and early admission to the UAB School of Dentistry.

The Rural Community Health Scholars Program is for rural Alabama college graduates interested in health professions. Scholars complete a year of studies alongside the Rural Medical Scholars and receive a master’s degree in Rural Community Health. Many enter nursing, physician assistant and other allied health programs and professions.

“We are proud of our students and all they have accomplished,” said Dr. Antonio Gardner, associate professor of community medicine and population health with CCHS and director of Education and Evaluation for CCHS Rural Programs.

Dr. Drake Lavender, director of CCHS Rural Programs and a graduate of the first Rural Medical Scholars Program class, presented the Distinguished Service Award to Dr. David Bramm, director of the Rural Medicine Program at Heersink School of Medicine, and thanked him for sharing knowledge that helped CCHS Rural Programs develop and expand new existing programs for rural Alabama students.

“Dr. Bramm has been a wonderful friend, mentor and has really helped us to expand our programs beyond where they were when I took over.”

In closing remarks, Lavender thanked the students for their hard work and positive attitudes. “It has been a pleasure to have this group this year and I look forward to seeing where everyone goes from here into the future.”

2023-24 Rural Medical Scholars:

  • Morgan Bowman of Cullman
  • Macie Edmondson of Slocomb
  • Kayla Edward-Harris of Rockford
  • Griffin Howard of Jackson
  • John Ellis Kuykendall of Samantha
  • Raneisha Lee of Brookwood
  • Ariana Oliver of Enterprise

2023-24 Rural Dental Scholars:

  • Catherine Hill of Grant
  • Landon McCardle of Dothan
  • Joshua Perry of Guntersville
  • Aubrey Stewart of Dothan

2023-24 Rural Community Health Scholar:

  • Ikeyreiah Harris of Gordo
Group Picture

New Faculty

Dr. Robbin Young joined CCHS as assistant professor in the Department of Family, Internal, and Rural Medicine and as a chief nursing officer at University Medical Center, which is operated by the College. As chief nursing officer, Young is responsible for overseeing the education and training of the nursing workforce at UMC’s six clinics in West Alabama (Tuscaloosa, Northport, Demopolis, Carrollton, Livingston and Fayette) and the UA Student Health Center and Pharmacy, which CCHS also operates. Prior to joining CCHS and UMC, Young held clinical positions as a director of Acute Care Education at Tampa General Hospital in Florida; senior director of Critical Care Services at Inova Alexandria Hospital in Alexandria, VA.; interim chief nursing officer at Adventist Fort Washington in Fort Washington, MD.; and as a clinical operations and educations leader for American Mobile Nurses Healthcare. She also was an assistant professor at Chamberlain University in Virginia. Young received her bachelor’s degree in nursing and her master’s degree in health care education from the University of Maryland in Baltimore, Md. She completed her Doctor of Nursing Practice degree from Grand Canyon University in Phoenix, Ariz.

Accolades April 2024

Dr. Alan Blum, director of The University of Alabama Center for the Study of Tobacco and Society, which is housed within CCHS, was a guest on a WBUR Boston “On Point” radio program about whether the United States should ban menthol cigarettes. Menthol enhances the effects of nicotine on the brain and can make tobacco products even more addictive, according to the U.S. Centers for Disease Control and Prevention.

Blum, the Gerald Leon Wallace, MD, Endowed Chair in Family Medicine with CCHS, released two new online exhibitions that can be found on the UA Center for the Study of Tobacco and Society website. The exhibit “Health Care Hypocrites: Sick Bedfellows of the Tobacco Industry” focuses on SIEMENS, a global engineering company that creates advanced health care equipment, but is also a leading manufacturer of machines that makes cigarettes. The exhibit “Health Care Hypocrites: Other Sick Bedfellows of the Tobacco Industry, Past and Present” highlights health-care companies that are connected to the tobacco industry.


Dr. John Higginbotham, director of the Institute for Rural Health Research, which is part of CCHS, was selected to serve as editor for a special journal issue of in the International Journal of Environmental Research and Public Health. The special issue will focus on rural health. Rural communities face many health care challenges because of a lack of resources, transportation, and health education. Higginbotham said his goal for the special issue is to “strive to pave the way for healthier, more resilient populations across rural landscapes.”


Dr. Jane Weida, professor of family, internal, and rural medicine with CCHS, was elected vice-chair of the Board of Censors of the Medical Association of the State of Alabama. The Board of Censors is comprised of 12 members and manages the property and financial affairs of the association.

Weida and other association members participated in a video about the importance of a trusting relationship between patient and physician.

Upcoming Event Rural Health Conference

The Institute for Rural Health Research at CCHS will host “Turning the Tide…On Individual, Domestic and Community Violence,” April 17-18, 2024. The annual conference, to be held at the Bryant Conference Center on the UA campus, brings together health care professionals, community leaders, researchers, government officials and policymakers who hear from speakers in the field and share information and knowledge about rural health issues, as well as solutions to address those issues. To register, click here. For more information, email Susan Page at spage@ua.edu.

Student Health Center re-accredited

The University of Alabama Student Health Center and Pharmacy, which is operated by UA’s College of Community Health Sciences, was re-accredited by the Accreditation Association for Ambulatory Health Care through March 31, 2027.

Accreditation is granted upon completion of an on-site survey conducted by AAHC representatives, who visited the SHCP Feb. 12-13, 2024. During their visit, SHCP health policies and procedures were observed and monitored.

“The accreditation reflects a commitment to providing high quality health care and patient safety and how we do business with the community we serve,” said Dr. Amelia de los Reyes, director of Quality Improvement and Clinic Health Informatics for the SHCP. “Accreditation also provides a continuous review and improvement of our services and speaks to the quality of these services. It states that we meet a set of nationally, endorsed standards in the health care profession, and that we hold ourselves accountable for achieving them.”

The SHCP provides medical services for UA students, including primary health care, women’s health care, mental health care, and nutrition, allergy and immunization services.

The SHCP has been accredited since 1995.

New chief residents named

Four residents of The University of Alabama Tuscaloosa Family Medicine Residency Program were named chief residents for the 2024-25 academic year. The residency is operated by UA’s College of Community Health Sciences.

The new chief residents and their leadership roles:

  • Dr. Austin Brooks – Hospital Services, Committees and Patient Safety
  • Dr. Rachel Butler-Sarvaunt – Curriculum, Research and QI
  • Dr. Andy Tomas – Scheduling
  • Dr. Will Wallace – Recruitment

“Congratulations to our new chiefs,” said Dr. Tamer Elsayed, residency director. “We are looking forward to working with you as you advance your leadership roles and elevate CCHS and the residency mission of excellent service to patients, and to train residents for a full-spectrum family medicine practice.”

The new chief residents start in these roles July 1. They replace chief residents Drs. Mitch Currie, Nicholas Goodwin, Jillian Kelly, Nicole Lally and Josh Washington.

Medical students match with residencies

The University of Alabama at Birmingham Marnix E. Heersink School of Medicine students who completed their clinical education at UA’s College of Community Health Sciences were selected for residency programs across the country.

CCHS serves as a regional campus of the UAB Heersink School of Medicine in the education of medical students, and clinical education consists of the third and fourth years of medical school.

The students learned of their residency placements during a commemorative event in March with the release of the National Resident Matching Program results.

Residencies provide in-depth training within a specific discipline of medicine.

The 32 medical students matched into residences in 11 different states.

“I am very proud of this incredible cohort of learners and their success in the NRMP Match,” said Dr. Dale Dickinson, director of Medical Student Affairs at CCHS. “These students began medical school during the initial height of COVID-19 and had to adapt to a new learning method while largely being separated from one another. This resilient group persevered, learned preclinical coursework and mastered clinical skills. These Match results are a testament to their hard work.”

The 32 students and the types of residencies they matched into: five into family medicine, five into obstetrics and gynecology, five into pediatrics, four into surgery, three into internal medicine, two into emergency medicine, two into neurology and two into anesthesiology. In addition, one student each matched into diagnostic radiology, orthopaedic surgery, psychiatry and physical medicine and rehabilitation.

Medical students 2024 match results:

Last Name First Name Specialty Program
Abshire Jacob Neurology UAB Medical Center in Birmingham, Ala.
Bruce Channing Obstetrics-Gynecology Carolinas Medical Center in Charlotte, N.C.
Bryan Willow Internal Medicine University of North Carolina Hospitals in Chapel Hill, N.C.
Butler Thompson Anesthesiology University of Tennessee Graduate School of Medicine in Knoxville, Tenn.
Byramji Cyrus Phys Medicine & Rehab UAB Medical Center in Birmingham, Ala.
Cao Emma Psychiatry/Research UAB Medical Center in Birmingham, Ala.
Darwish Collin Internal Medicine Duke University Medical Center in Durham, N.C.
Davis William Surgery WellStar Health System in Marietta, Ga.
Dykes Elissa Surgery University of Louisville School of Medicine in Louisville, Ky.
Fagan William Family Medicine University of Alabama College of Community Health Sciences in Tuscaloosa, Ala.
Ferguson Sara Obstetrics-Gynecology Vanderbilt University Medical Center in Nashville, Tenn.
Girardi Abdias Orthopaedic Surgery Naval Medical Center in San Diego, Calif.
Goldman Camille Pediatrics Vanderbilt University Medical Center in Nashville, Tenn.
Gorman Claire Pediatrics Vanderbilt University Medical Center in Nashville, Tenn.
Graham Joshua Emergency Medicine Baylor Scott and White Medical Center in Plano, Texas
Hooker Emily Pediatrics UAB Medical Center in Birmingham, Ala.
Jones Anna Obstetrics-Gynecology Barnes-Jewish Hospital in St. Louis, Mo.
Kidd Austin Family Medicine/Urban Cahaba Medical Care in Woodstock, Ala.
Kiszla Benjamin Neurology Mount Sinai Morningside/West in New York, N.Y.
Kurtts Eva Pediatrics Vanderbilt University Medical Center in Nashville, Tenn.
Lalor Fallon Internal Medicine UAB Medical Center in Birmingham, Ala.
Means Kalissa Diagnostic Radiology Wake Forest Baptist Medical Center in Winston-Salem, N.C.
Price Griffin Anesthesiology University of Louisville School of Medicine in Louisville, Ky.
Shiver Rye Family Medicine UAB-Huntsville Family Medicine Residency Program in Huntsville, Ala.
Simmons Jernell Surgery New Hanover Regional Medical Center in Wilmington, N.C.
Spears Ashley Family Medicine AnMed Health in Anderson, S.C.
Stidham Gregory Family Medicine North Mississippi Medical Center in Tupelo, Miss.
Tinglin Jillian Obstetrics-Gynecology New York-Presbyterian Hospital-Columbia University Medical Center in New York, N.Y.
Ward Emily Emergency Medicine Prisma Health-Greenville/University of South Carolina School of Medicine in Greenville, S.C.
Watt Mykaela Surgey University of Texas Health Sciences Center in Houston, Texas
Wolford June Pediatrics University of Tennessee Health Science Center in Memphis, Tenn.
Wright Cooper Obstetrics-Gynecology UAB Medical Center in Birmingham, Ala.

CCHS residency welcomes medical school graduates

Sixteen new medical school graduates begin their graduate education in July 2024 at the College of Community Health Sciences.

They will receive specialty raining in family medicine as part of The University of Alabama Tuscaloosa Family Medicine Residency Program Class of 2027.

The three-year residency was established in 1975 and is one of the oldest and largest family medicine residencies in the United States.

The residency has a long tradition of working to improve the health of individuals and communities in Alabama and the Southeast. In Alabama, one of every seven practicing family medicine physicians is a graduate of the residency, and 90% of graduates practice in the Southeast.

During their time in the program, residents are educated and trained in academic and community environments by physicians in family medicine and other specialties and learn to provide high-quality and patient-centered care. Residents have opportunities to practice in hospitals and continuity and community clinics and connect with patients in the context of their families and communities.

CCHS also offers post-residency fellowships for additional training in behavioral health, emergency medicine, geriatrics, hospital medicine, neurology, obstetrics, pediatrics and sports medicine.

The residency Class of 2027 and where they completed medical school:

Brandon Chiedo, MD: Morehouse School of Medicine, Atlanta, Ga.

Haley Cook, DO: Edward Via University (Virginia College of Osteopathic Medicine- Carolinas), Spartanburg, S.C.

Carleson Dozier, MD: the University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Ala.

Will Fagan, MD: the University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Ala.

Luis Gonzalez Anguiar, MD: University of Miami-Leonard M. Miller School of Medicine, Miami, Fla.

Kevin Harris, DO: Burrell College of Osteopathic Medicine at New Mexico State, University Park, N.M.

Noor Khalil, MD: George Washington University School of Medicine and Health Sciences, Washington D.C.

Thaksin Kongchum, MD: Louisiana State University School of Medicine, Shreveport, La.

Akanksha Kumar, MD: Saba University School of Medicine, The Bottom, Caribbean Netherlands

Elizabeth Clark Lanier, DO: Alabama College of Osteopathic Medicine, Dothan, Ala.

Andrew Longanecker, MD: Louisiana State University School of Medicine, New Orleans, La.

Asha Meilstrup, MD: University of Mississippi School of Medicine, Jackson, Miss.

Kingsley Nwaobasi, MD: American University of Antigua College of Medicine, Osbourn, Antigua and Barbuda

Faith Pittard, DO: Edward Via University (Virginia College of Osteopathic Medicine-Carolinas), Spartanburg, S.C.

Japneet Sachdeva, MD: St. George’s University School of Medicine, West Indies, Grenada

Vishal Sharma, MD: Saba University School of Medicine, The Bottom, Caribbean Netherlands