Using the American College of Lifestyle Medicine’s culinary medicine curriculum as its foundation, the classes blend nutrition science, nutrition counseling, hands-on culinary skills and exposure to world flavors into a practical, case-based course for future physicians. Fourth-year medical students learn to translate dietary guidelines into realistic meal ideas, practice counseling language they can use in a clinical setting and prepare dishes that support common medical nutrition needs, such as cardiometabolic health and diabetes.

The course is led by Kristen Neises, director of lifestyle medicine at the UofL Trager Institute, along with Chef Nikkia Rhodes and is held at the institute’s Culinary Medicine Kitchen, which .

UofL News checked in with Charmi Shah, a fourth-year medical student who participated in the fall semester course, about her experience.

UofL News: What interested you about the culinary medicine course at the Trager Institute’s Culinary Medicine Kitchen?

Charmi Shah: I have always loved cooking and consider myself a true foodie. I grew up helping my mom in the kitchen whenever I could and have always enjoyed trying restaurants and cuisines from all over the world. So, when this culinary medicine course was offered, I immediately jumped at the opportunity. The idea of earning school credit while cooking delicious meals (and getting to eat them afterward) sounded like the perfect combination of passion and learning.

As a vegetarian, I also was especially excited knowing the meals would be plant-based. I am constantly looking for ways to increase protein intake and make healthier substitutions in my own meals, so I knew this class would offer lessons I could apply both personally and professionally. It felt like the perfect opportunity to blend something I genuinely enjoy with my medical education.

UofL News: Could you describe your experience working hands-on in the kitchen and what you learned?

Shah: Each week focused on a different cuisine or meal type, from Asian-inspired dishes to breakfast foods, bowls and even desserts. Before class, we watched instructional videos on cooking techniques and read articles or publications on relevant nutrition topics so we could come prepared for meaningful discussion at the start of the class.

During class, we split into pairs and divided up the recipes, preparing the dishes ourselves. The hands-on experience made the learning incredibly engaging. After cooking, we cleaned the kitchen together as a group and then sat down to enjoy the meal we had created. One of my favorite parts was role-playing patient scenarios, where we practiced applying what we had learned in realistic clinical conversations. It reinforced how to translate nutrition science into practical, culturally sensitive advice. And of course, taking home leftovers was an added bonus.

Beyond learning new cooking skills, I gained a deeper understanding of macronutrient balance, plant-based protein sources, portion control, and how small ingredient substitutions can significantly improve nutritional value without sacrificing flavor.

UofL News: Why do you think it is important for future health care providers to learn nutrition science?

Shah: Nutrition science is foundational to preventive medicine. Many of the leading causes of death in the U.S., including diabetes and cardiovascular disease, are strongly associated with lifestyle factors. While medications are essential in many cases, addressing diet and daily habits is often just as critical.

Exercise is important, but as many physicians emphasize, meaningful weight loss and long-term health begin with the exercise of eating first. Future health care providers must be equipped not only to diagnose and prescribe but also to provide more holistic care by guiding patients toward sustainable lifestyle improvements. Without adequate training in nutrition, physicians may feel unprepared to provide specific, actionable advice.

UofL News: How do you hope to apply these lessons in your approach to health care?

Shah: As someone planning to go into family medicine, I have a strong interest in lifestyle medicine. This course reinforced my belief that physicians should look beyond simply prescribing medications and instead consider how to empower patients to modify their daily habits.

It is one thing to tell a Hispanic patient with diabetes to “avoid sugar,” but it is much more impactful to provide culturally tailored, realistic alternatives. For example, suggesting corn tortillas instead of white flour tortillas, encouraging more beans and less processed meat, discussing portion sizes of rice or chips that may be dietary staples or offering fruit-based dessert swaps instead of traditional fried sweets like churros. These kinds of practical, culturally sensitive recommendations are far more meaningful than generic advice.

Being part of the pilot culinary medicine course felt incredibly special, and I truly believe every medical student would benefit from this experience. I hope to continue expanding my knowledge in culinary and lifestyle medicine and incorporate these lessons into my future primary care practice, helping patients see that healthy living can be both achievable and enjoyable.

Q&A by Samantha Adams

Black patients have been shown to receive coronary artery calcium scoring (CAC) tests eight times less frequently than white patients. The test reveals whether people at moderate risk for developing heart disease have calcium deposits in their heart arteries and physicians should recommend preventative medications for them, such as statins.

This summer, second-year medical students Brown and Ballenger created a video and questionnaire to help physicians understand and overcome potential barriers Black patients have experienced in obtaining the CAC test. With the help of Dinesh Kalra, chief of cardiology, and other physicians in the , the video and survey were sent to physicians in the UofL Department of Medicine and other UofL providers.

“It reminds physicians about when this preventive test should be ordered, much like screening for blood glucose, cholesterol or cancers. Hopefully after that, we will be able to show that the gap we were seeing in African Americans getting tested less often will be eliminated,” Kalra said.

The survey revealed that the study increased physicians’ confidence in CAC testing and understanding of its role in predicting the risk of future heart attacks. After providers watched the educational video and reviewed guidelines for the test, they reported a greater willingness to order the test and understanding of implicit bias in medicine, which may drive such disparities in health care between Blacks and whites. Kalra’s team hopes to apply these findings in other diseases affected by such disparities, such as heart failure or blood pressure control.

Brown and Ballinger worked on the study as part of the UofL cohort of the national . Winn CIPP offers a six-week summer service-learning experience for medical students who are underrepresented in medicine and committed to a career path that addresses diversity, equity, and inclusion in clinical trial studies.

Brown and Ballinger both have a personal or family history of heart disease, so they understand the need for preventative care delivered through the calcium scoring test. They see this summer’s project as a chance to improve their research skills to benefit their future patients.

“As medical students, we don’t get a lot of instruction on research in our classes,” Brown said. “This program has provided a great opportunity for me to learn as much as I can about research and how to ask questions and how to think and how to analyze data.”

Ballinger believes her experience in Winn CIPP will help her increase trust in research among Black and other underrepresented patients.

“The community aspect of reaching back and providing education and offering education to the community and creating trust in clinical research in general is really important to us moving forward in our career,” Ballinger said.

Seven medical students participated in four mentored projects with , five of whom are UofL students. UofL first hosted the Winn CIPP program in 2023 and is one of nine sites for 2024.

The study surveyed 92 children and 64 caregivers who were participating in the program at the time—52% responded to the questionnaire, leading to the results published in .

Students in the (SNMA) worked closely with UofL Health trauma surgeons and to create the Future Healers Program in 2020. The program helps Louisville youth who have been affected by violence to navigate the trauma, and inspires them to build a better future for themselves and their communities by introducing them to opportunities in the medical field. The partnership has brought more than 100 kids to the program, and its success has inspired Vanderbilt University Medical Center to replicate the initiative in 2023.

The study found that children and their caregivers with significant exposure to gun violence had a positive overall perception of the health care community, a compliment to the longtime goal of the Future Healers founders.

Louisville has seen a significant increase in gun violence within the last decade. The health care response from the , paired with the Future Healer Program, aims to create hope for the kids in this community.

The ceremony marked the official start of the students’ medical education. Each of the 159 students was welcomed individually by faculty, staff and other respected school leaders and a white coat was placed on their shoulders. As part of the ceremony, the students recited the Declaration of Geneva, a commitment to the humanitarian standards of medicine.

Joseph Holland, a second-year medical student, offered seven points of advice to the incoming class.

“Do not listen to everyone all at once; find a dedicated study space; practice questions make perfect; do not panic, channel your anxiety; always ask for help; failure sets you up for success; and, to build endurance, you must endure. Remember, you’re in this for the long haul. This was never a sprint; it’s a marathon,” Holland said.

For the School of Medicine, the event represents another opportunity to cultivate the next generation of health care professionals.

“We are thrilled to welcome our new class of medical students,” said Toni Ganzel, dean of the School of Medicine. “The White Coat Ceremony is a momentous occasion that signifies the hard work these students have put into their studies already and the opportunities they have to look forward to with a life in medicine.”

Christopher M. Jones, endowed professor in transplant surgery and the event’s keynote speaker, advised the students, “to innovate, collaborate and deliver care with the highest integrity.” He implored them to, “strive for mastery, humbly learn from our shortcomings, seek self-improvement and build mutual trust with all of our patients, especially those in marginalized communities.”

The White Coat Ceremony was the culmination of a week-long orientation for the students, which included basic life-support training, student wellness sessions, the introduction of the curriculum and course directors, lunch with the Advisory Colleges and a session led by Ganzel on the joy of medicine.

The class of 2026 represents 21 states, 62 colleges and universities and 30 undergraduate majors. It is one of the most diverse cohorts in the school’s history, with 61% of the class identifying as female, 22% from groups underrepresented in medicine, 16% from rural counties in Kentucky and 14% age 27 and older.

“The variety of backgrounds shared in the classroom will offer an unparalleled educational experience for all of our medical students, better preparing them for a lifelong career in medicine,” said Ann Shaw, vice dean for undergraduate medical education.

See more photos from the 2022 White Coat Ceremony on .

Written by Elizabeth Wolfe. 

“I thought, ‘He must be so sad! Both of his parents have died. What could I do to make him feel better?  If I cured spinal cord injuries, that would make him feel better, I bet,’” she recalled.

Thus was born her interest in spinal cord injury rehabilitation. After graduating from the University of Louisville School of Medicine this spring, Wilkins will follow that passion as a physical medicine and rehabilitation resident with Case Western Reserve University in Cleveland.

Before embarking on a path to becoming a physician, however, Wilkins earned an undergraduate degree in her other passion, theater and music, and she spent three years working as an actor and a singer in New York City.

“I’m a really people-oriented person, a love-oriented person. In theater you are trying to get people to feel things. You are bringing people into space that they might not feel comfortable or that they had forgotten about or just helping them understand their own experiences about life,” she said. “But when the curtain closes, I don’t actually get to see how they experienced it and ask them, ‘Do you feel better? Is there anything I can do to make you feel better?’ A way to do that would be in medicine.”

So, as she was navigating the bustling world of auditions and theater productions, she also was completing science requirements and applying to medical school.

“I had always loved science. I said, I’ll give it one shot and if I get in, that’s the path I’ll take. If I don’t, I’ll just continue to be an actress and it’ll be fine,” she said.

“I ended up getting in and I chose Louisville because of the work with spinal cord injury.”

Just a week after the wrap of her third New York production, in which she played one of the stepsisters in a production of “Into the Woods,” she moved to Louisville to start classes. But the dramatic life transition caused her to wonder if she was making the right choice.

“I had a big identity crisis,” she said. “Am I abandoning theater because I’m giving up? Am I truly excited and feel like I’m called to go do this other thing?”

The crisis resolved a few months into her first year of medical school when, with encouragement from her instructor, Jennifer Brueckner Collins, she joined a community theater group. The weekly classes with the Commonwealth Theater Company allowed her to stay connected with music and acting.

“I loved doing it! It was a great addition to my life here in Louisville.,” Wilkins said. “It just helped me kind of merge my two personalities. I was able to say, ‘OK, I can be both things. I can still consider myself an actress, too.’”

It also helped that she was able to connect with UofL’s spinal cord injury researchers, starting with Susan Harkema, who leads UofL’s groundbreaking research in epidural stimulation with the Kentucky Spinal Cord Injury Research Center.

“She met with me, she got me plugged in to a research position with Dr. Max Boakye’s lab and I met a bunch of people that way,” Wilkins said.

“I could not have gone to a more supportive place, a better place for what I’m interested in. I cannot say enough great things about the UofL School of Medicine and Frazier Rehab. They’re very inclusive and excited to get students involved.”

In her third year at UofL, however, Wilkins faced another personal challenge. She already was frustrated as the pandemic limited students’ clinical activities when her father was diagnosed with cancer. COVID restrictions meant she was unable to visit him in the hospital and he died just a few months later.

“It was very, very difficult. I was wondering if I should take a leave of absence, if I should go home to Atlanta,” she said.

But she persevered.

“My dad and my mom and all of the faculty and professors here were really integral to me deciding that I could stay, I could finish on time and match on time.”

On Match Day this year, with a photo of her dad in hand, she learned she would be spending her four-year residency at Case Western Reserve University and MetroHealth Medical Center in Cleveland, pursuing specialty training in physical medicine and rehabilitation.

“I’m so excited! I’m in PM&R for life now. I’m over the moon,” she said.

Wilkins plans to continue participating in music and theater, but as she pursues her goal to cure spinal cord injury, she appreciates the ability to have the more personal connections with the people she will treat as a physician.

“I’m still there with people in dark moments, but I actually get to hold their hand and be with them throughout the whole process.”

There’s stiff competition among UofL medical students to be selected for Kasdan’s “Suture Sunday” classes, which feature a breakfast, a discussion about the medical field and hands-on training in suturing and stitches.

“It really speaks to his generosity and dedication to teaching to do it for groups of students month after month every year, just out of his own desire to share” said UofL medical school student Jordan Jones. “That’s pretty incredible.”

Kasdan calls his “Suture Sunday” time with students a blessing.

“I just really enjoy it and I wouldn’t do it if I didn’t like it” he said.

Check out the video below from a recent Suture Sunday.