Who We Are
Richard I. Rothstein, MD
Chair, Department of Medicine
Richard I. Rothstein, MD is Chair of Medicine and Professor of Medicine and of Surgery at The Geisel School of Medicine at Dartmouth in Hanover, New Hampshire. He is also the Senior Associate Dean for Clinical Affairs at the Geisel School of Medicine.
Dr. Rothstein is a graduate of the Boston University School of Medicine (1980), and did his residency training in Internal Medicine at the University of Massachusetts Medical Center in Worcester, MA (1980-1983). He pursued his fellowship training in Gastroenterology at the Dartmouth-Hitchcock, Hanover, NH (1983-1985) joining the Geisel School of Medicine faculty in 1985.
Dr. Rothstein has a special interest in esophageal function and disease. For over 14 years, he has participated in the research and development of endoscopic therapies for the management of gastroesophageal reflux disease. Dr. Rothstein's other interests include the endoscopic management of Barrett's esophagus , the evaluation and treatment of dysphagia, chemo-interventional trials for prevention of gastrointestinal neoplasia, the endoscopic treatment of obesity, the evolving field of NOTES (natural orifice translumenal endoscopic surgery), and the potential role of robotics in endoscopy.
With his wife Lia, a photographer and art educator, and two children, he has raised cows and sheep and enjoys using his 1948 Farmall C tractor.
Hilary F. Ryder, MD
Hilary F. Ryder, MD, MS, FACP, FHM is Associate Professor of Medicine, Medical Education and The Dartmouth Institute at The Geisel School of Medicine at Dartmouth in Hanover, New Hampshire. She is also Associate Program Director for the Internal Medicine Residency Program, Clerkship Director of the Internal Medicine third-year clerkship at Geisel, and Director of the Clinical Ethics Consultation Committee for Dartmouth-Hitchcock.
Dr. Ryder earned her undergraduate degree in Sociology from the University of Chicago (BS, 1999). After a brief stint as a geneticist, she received her MD in 2004 from Yale University School of Medicine. She completed her residency training at Dartmouth-Hitchcock (2004-2007) joining the Geisel School of Medicine faculty as a hospitalist in 2007. She earned a Masters in Science through The Dartmouth Institute in 2012.
Dr. Ryder has a special interest in medical education research. Her current work focuses on the meaning and role of assessments in undergraduate and graduate medical education, and understanding moral distress medical students face when encountering ethical dilemmas. Dr. Ryder also mentors students and residents with interest in medical education research and is most proud of the papers she co-authors with learners.
She spends her free time with her husband, Matthew, and their four children. She enjoys hiking with her children, shopping without them, and making peanut butter and jam sandwiches from scratch (baking bread, and picking and canning berries). She is an avid traveler, having visited more than 30 countries while living in Europe, the UK, Central America, and West, East, Central and South Africa.
Kenton E. Powell, MD
Program Director, Primary Care Track
Associate Program Director
Dr. Powell became the PCT Program Director in June, 2012 after serving two years as a faculty member. He became Associate Program Director of the Internal Medicine Residency Program at the same time.
He earned his undergraduate degree in biology at Eureka College in Illinois and received his MD from Dartmouth Medical School.
Dr. Powell completed his internship and residency at Dartmouth-Hitchcock, served as Chief Medical Resident, and stayed on as staff physician in the Section of General Internal Medicine at Lyme where he teaches medical students and residents during community health blocks and longitudinal clinics. He serves on the Internship Selection Committee and was physician lead for NCQA Medical Home Accreditation.
Dr. Powell spends the most of his free time skiing, going to his youngest daughter’s gymnastic events or oldest daughter’s softball games, and going to the gym. He also enjoys motorcycles and is a huge Chicago Blackhawks and Chicago Bears fan.
Graham Atkins, MD
Associate Program Director
Dr Atkins graduated from the University of Edinburgh, UK in 2005 and completed residency training in Scotland and Albany, NY. He worked briefly as a primary care practitioner in the Adirondack mountains and then pursued fellowship training in pulmonary and critical care medicine at DHMC, joining the Geisel School of Medicine faculty in 2016. He began work with the internal medicine core faculty group in 2019 with a focus on resident research.
Dr Atkins has ongoing clinical research to define the quality gaps in rural COPD care and explore population-based approaches to close these gaps. His work in medical education includes participation in the new coaching program at Geisel, coordinating didactic teaching in the MICU and an assistant program director role for the pulmonary and critical care fellowship.
He spends his free time watching premier league soccer and gardening with his wife and two young sons.
James "Darrell" Laudate, MD
Core Faculty, VA Site Director
Dr. Laudate is a Tarheel through and true having grown up in NC and then going to undergraduate school, medical school (2004-2007), and internal medicine residency (2007-2010) all at UNC at Chapel Hill. Following residency he was briefly a hospitalist at Alamance Regional Hospital, a community hospital in NC. Seeking greater career fulfillment as an academic hospitalist he spent the next 3 years in the Greater Boston area at Newton Wellesley Hospital where he had the fortune of supervising the rotating Mass General Hospital residents and Tufts medical students.
After his wife accepted a position as one of DHMC’s staff neurologists in 2014, he continued his role as a clinician-educator as one of the DHMC faculty hospitalists. In 2018 he joined the White River Junction VA Medical Center as a hospitalist, the VA internal medicine residency site director, and ultimately the VA Associate Program Director for even greater involvement with our fantastic residents. At home he enjoys cooking and spending time with his wife, Allie, and his three girls, Samantha, Abbie, and Emilia. He also enjoys several outdoor activities, including hiking and cross country skiing (after acclimating this Tarheel to the snowy winters).
Kelly Kieffer, MD
Vice Chair for Education, Department of Medicine
Resident Clinic Director, Dartmouth-Hitchcock
Dr. Kieffer is a graduate of the Johns Hopkins University School of Arts and Sciences (B.A., 1990) the University of California, San Francisco School of Medicine (MD, 1995), and The Dartmouth Institute for Health Policy and Clinical Practice (MS, 2011). She completed her residency at Dartmouth-Hitchcock, served as Chief Medical Resident, and then joined the faculty in General Internal Medicine.
She has been the director of the resident clinic at Dartmouth-Hitchcock since 2004. She enjoys teaching medical students and residents in clinical and didactic settings, and supervising learners conducting quality improvement projects. She became the Vice Chair for Education and Director of the Department of Medicine Morbidity, Mortality, and Improvement Conference in 2015.
Dr. Kieffer spent a year in Rwanda from 2013-2014 with the Human Resources for Health program, teaching students and residents, developing educational curricula, and serving as Associate to the Head of the Department of Medicine. She continues to passionately support a bi-directional exchange of learners and teachers between the Departments of Medicine at Dartmouth-Hitchcock and the University of Rwanda.
In her personal time, Dr. Kieffer enjoys distance running, downhill skiing, gardening, reading fiction, and world travel.
Nayla Ahmed, MD
Core Faculty, Dartmouth Hitchcock
Dr. Ahmed earned her medical degree in Pakistan from the Aga Khan University Medical College in 2012, which is where she first developed an interest in medical education and quality improvement. After graduation, she spent a year involved in a Comprehensive Unit-based Safety Project (CUSP) quality improvement initiative jointly led by her alma mater and Johns Hopkins University which focused on improving outcomes of healthcare associated infections in the ICU setting in Pakistan.
She completed her Internal Medicine residency at the University of Connecticut Health Center, where she honed her interest in improving resident educational experiences as well as quality improvement initiatives such as improving resident handoffs via EHR. She joined Dartmouth-Hitchcock Medical Center as an academic hospitalist in 2017, and since then has continued to focus on her interests of improving the undergraduate and graduate medical education experience. Over the past few years, she designed the triage curriculum for the Internal Medicine residents as well as the Hospital Medicine track curriculum. She is also the recipient of numerous excellence in teaching awards.
Dr. Ahmed spends her free time exploring new cities with her friends and family. At home, she enjoys cooking various cuisines, and has (along with most people) started learning the basics of baking these past few months. She is also an avid reader of both fiction and non-fiction books, and these days is enjoying re-reading the Harry Potter series.
David Haughey, MD
Core Faculty, Dartmouth Hitchcock
Dr. Haughey earned his undergraduate degree in biochemistry from Hobart College (2009) and spent the next year in Lewiston, ME, where he worked as an Americorps volunteer at a family medicine practice and also tutored refugee children through Bates College. He received his medical degree from SUNY Upstate Medical School in Syracuse, NY (2014) and completed his residency training (2017) and a Chief Medical Resident year (2018) at Dartmouth-Hitchcock. Concurrent with his chief year, he completed a fellowship in Point-of-Care-Ultrasound (POCUS) through the Emergency Medicine department at Dartmouth-Hitchcock. He accepted a faculty position with the Section of Hospital Medicine in 2018 and was appointed as a core faculty member and Director of Internal Medicine Resident POCUS Training and Education in 2019. His clinical and research interests include development of novel methods of education and training in POCUS for medical students, residents and faculty. In his free time, he enjoys recreating in the Upper Valley and surrounding environs with his wife, daughter and dog. In particular, he is an avid runner, biker (mountain and road), skier (primarily cross-country but also alpine) and hiker. He also enjoys cooking, reading, listening to podcasts, and adding to his embarrassingly large bow-tie collection.
Sarah Kokko, MD
Resident Clinic Director, White River Junction VA
Dr Kokko grew up in the suburbs of Boston but eventually found herself called to the mountains of New Hampshire where she attended Dartmouth College followed by Dartmouth Medical School. She completed her residency at Dartmouth-Hitchcock, served as a Chief Medical Resident, and then joined the faculty at the WRJ VA Hospital in WRJ, VT where she currently practices Primary Care and serves as the Site Director for the Residency’s Continuity Clinic. She lives in Lyme, NH with her husband, two young children and their dog. Outside of the hospital, she enjoys spending time with her family, especially outdoors. Most weekends they can be found hiking, skiing, biking or playing in the sand at their town pond.
Ellen Eisenberg, MD
Core Faculty, Dartmouth-Hitchcock
Dr. Eisenberg is a graduate from SUNY Downstate in 1987, following a career in community mental health nursing. Her residency was in Internal Medicine/Primary Care at then Boston City Hospital. After completing her residency, she went on to do an Infectious Disease specialty at Tufts/New England Medical Center, which she completed in 1992. Following fellowship, she practiced as an ID consultant and primary care clinician for several years during the peak of the aids epidemic. She joined the faculty at Dartmouth-Hitchcock in 2001, has a primary care practice, and is core faculty for the residency program. She directs the Business of Medicine rotation for 3rd year medical residents and co-directs FIRE, the teaching rotation for junior residents.
In her free time she rides and drives her ponies and manages a small horse farm with her husband.
Harley Friedman, MD
Core Faculty, Dartmouth-Hitchcock
Dr. Friedman earned his undergraduate degree in biology from McGill University and received his MD in 1994 from the University of Massachusetts.
Dr. Friedman completed his residency training at Beth Israel Hospital in Boston, joining the General Internal Medicine faculty at Dartmouth-Hitchcock in 1997. He was the prior Program Director for 18 years along with patient care duties in Hospital Medicine. He is active in the Association of Program Directors in Internal Medicine (APDIM), a national organization dedicated to the improvement of residency education.
Dr. Friedman spends his free time in his woodshop, visiting his children in college, and addressing endless home repair projects. He is fascinated by chaos theory and non-linear dynamics, and he is hopelessly addicted to Duplicate Bridge. He is a huge science fiction / fantasy fan, thinks that the Game of Thrones books are much better than the HBO series, is a big fan of The Expanse, and is always looking for suggestions to read.
I live on top of a mountain in beautiful Vermont with my husband and three children. We designed and built our house four years ago, and continue to work on it today! Except for leaving for college, I have been in Vermont/New Hampshire for my whole life. Outside of work I enjoy camping, trips to the beach, photography, interior decorating, reading a good book, and seasonal favorites such as apple picking.
I have lived in New England all of my life and love every minute spent here. I live with my wife and two boys (ages 7 and 3) in the Upper Valley of New Hampshire. In my spare time when I am not assisting the wonderful Residents of the Internal Medicine program, I am spending time with my family, hiking on the many trails in the area, canoeing/kayaking on the many lakes in the area, camping, and going on as many adventures as possible. I am always amazed at the new things we find to do even after being here for so long. I also enjoy both World Cup and Euro Cup soccer events and reading graphic novels.
I grew up in Southern Oregon and moved to far Eastern Oregon to pursue a bachelor’s degree in Agricultural Science. You can, in fact, note that this is not my first rodeo.
After graduating I worked in agricultural and industrial supply and found that I had a knack for problem solving and logistics. No one was as surprised as I to then find myself amidst health professions education working in a coordinating role and ultimately as a simulation specialist focusing on undergraduate and continuing nursing education. I found a passion for working to create novel and efficient educational experiences for healthcare professionals and am extremely excited to be working to bring that passion to bear for the benefit of our Internal Medicine Residents.
Moving to New England recently, I’m excited to stretch my legs as a cyclist and find out what this “Ski The East” business is all about. I’ve also recently begun spending time playing Fortnite, largely at the direction of my six year old son, who assures me that “it’s okay, you’re just a beginner…” Meanwhile, my two oversized Bassett Hounds just look on with lackluster enthusiasm wondering when the next amble down the block will take place and reminding me that it is exactly the time every day that they need to eat…
I look forward to working with the teams at Dartmouth Hitchcock and Internal Medicine Residency Team to continue to build on this remarkable program.