College of Medicine Alumni

Robert R. Kuske, Jr., MD '80

For nearly 130 years, the paradigm in breast cancer treatment, established by Sir William Halsted in 1896, mandated that every breast cancer required full breast treatment. Radical or modified radical mastectomy, or whole breast radiation therapy, was the standard, regardless of how early the cancer was detected or its biological profile.

Dr. Kuske challenged this long-held dogma, hypothesizing that select breast cancers could be treated with a more localized and less invasive approach. He pioneered the use of brachytherapy—a technique involving tiny radioactive Iridium-192 seeds—to deliver targeted radiotherapy. Unlike traditional methods, brachytherapy focuses on the affected part of the breast, significantly reducing treatment time from six weeks to just 4–5 days through Accelerated Partial Breast Irradiation (APBI). This approach not only minimizes side effects but also gives women more time with their families and careers.

Dr. Kuske's vision began during his residency at the University of Cincinnati (1980–1984). With mentorship from Dr. Bernard Aron and encouragement from Dr. Pearl Compaan, Dr. Kuske explored brachytherapy as an adjunct (boost) treatment following external beam whole-breast irradiation.

After seven years as Chief of the Breast Cancer Service at Washington University, Dr. Kuske became the youngest department chairman in the U.S., leading Radiation Oncology at the renowned Ochsner Clinic in New Orleans in 1990. Recognized as a breast cancer expert, he lectured internationally and conducted courses for major organizations like the Radiologic Society of North America and the American Society for Therapeutic Radiology and Oncology.

The treatment was a success, leading Dr. Kuske and his colleagues to initiate a Phase II clinical trial for 124 carefully selected patients. When they presented their initial results at an international conference in 1994, the potential paradigm shift was clear.

Imamu O. Tomlinson, MD '00

Dr. Imamu Tomlinson, MD, MBA, is a visionary healthcare leader and the Chief Executive Officer of Vituity, a physician-owned and physician-led multi-specialty partnership. Under his leadership, Vituity has advanced its mission to transform healthcare delivery through innovation, integrated care models, and a commitment to patient-centered outcomes. Dr.Tomlinson’s influence extends across emergency medicine, acute care, telemedicine, and consumer medicine, shaping the future of healthcare for providers and patients alike.

As the founder and President of the Vituity Cares Foundation, Dr. Tomlinson is dedicated to advancing healthcare equity and empowering underserved communities. The foundation focuses on initiatives such as scholarships, mentorship programs, and community outreach to improve access to care and inspire future leaders in medicine.

In 2025, Dr. Tomlinson will launch his podcast, Less Than One Percent, where he explores topics related to leadership, innovation, and achieving success against societal limitations. He is also the author of the forthcoming book Less Than One Percent, which shares his insights on breaking barriers, embracing adversity, and reaching new heights. Through these platforms, Dr. Tomlinson seeks to inspire and mentor the next generation of leaders, encouraging them to challenge boundaries and redefine success.