Nicholas was enthusiastic about being a group facilitator and encouraged us to further investigate our cases with questions. He had a positive attitude and we enjoyed him as a team leader. He had an obvious interest in our learning and was very helpful in providing advice regarding boards, life and studying in general. Overall, he did an outstanding job.

Nick was GREAT! He was probably the best M4 tutor I have ever had. He was prepared for each session and asked thought provoking questions while respecting the time and autonomy of the group. He went above and beyond to provide excellent feedback. He is a nice guy who seemed genuinely interested in helping us, which was wonderful

Nicholas did an excellent job as a tutor for our PBL group. He was a very encouraging tutor which definitely bolstered our confidence as a group as well as our overall effectiveness as students.

Nick really did a great job during his months on family medicine. Well prepared, professional. Quickly established rapport with even challenging patients. Not flustered easily—could juggle multiple issues efficiently. He obviously had read about patients prior to clinic. Seemed to enjoy teaching patients/primary care role. Really skilled at (and seemed to enjoy) patient education.

While on Internal Medicine service, Nick provides a detailed approach to oral and written presentations, both which demonstrate evidence of reading and focus on evidence based care. Hardworking and professional attitude. Interacts easily with others on the team and contributes repeatedly to the care of his patients. Superior knowledge base.

I worked with Nick for 4 weeks on MU internal medicine wards. He did an excellent job. His patient H+Ps, workups, writeups and presentations were very good. He seems to have a strong knowledge base which he is able to apply to patient care and he seemed to be reading on his patients problems and applying this info to patient care. He followed his patients well, he was always up to date on their problems and showed thought and understanding of their problems on rounds and in his daily progress notes. He seemed to be interested in learning and enjoys the patient work - overall strong work and a very good mid-year M3 student.

Mr. Ruthmann did a very good job as a Sub-I on the MU wards. He was a hard worker, accepted responsibilities for his patients and managed them well with supervision from the residents. He performed as well as the interns. Mr. Ruthmann’s H&Ps, workups, write ups, assessments and plans were quite good for an M4. He was enthusiastic and interested. Mr. Ruthmann related well to his patients, colleagues and staff.

It has truly been a pleasure having Nick as a medical student. He is intelligent with a positive personal presence. His classmates consistently recognize him as an asset to the group and as an exceptional leader and teacher. He exhibits wonderful interpersonal qualities and a genuine concern for the educational development of his peers. Nick has a bright future in academic medicine should he choose to pursue it and is well on his way to receiving honors for this block.

Nicholas set the standard for MPH interns in my division. He immersed himself not only in the evidence based methods used to develop clinical practice guidelines and quality measures, but also in the national processes of clinical quality measurement. He led research projects for my team that resulted in new quality tool development processes currently in use by preventable harm teams throughout the BJC HealthCare system. Nicholas is an intent listener who can quickly incorporate new knowledge into his existing deep knowledge base, and then just as quickly use this new knowledge to lead improvement. He combines this technical excellence with compassion for improving the health of all.

I know of Nicholas from two perspectives, as a Teaching Assistant during his epidemiology coursework at Saint Louis University School of Public Health and as a colleague at the Prevention Research Center. Both as a student and colleague, Nicholas was exceptional and a joy to be around. I remember working on a particularly difficult multisite evaluation project with Nicholas. I was impressed with his even approach to thorny issues and his quick, pointed resolutions. His contributions were particularly impressive given that he joined the project midway through the evaluation. Just as valuable, Nicholas exhibits exceptional humility and integrity. He is a model professional and a natural leader.

Nicholas was an excellent student in the Epidemiology of Infectious Diseases class that I taught. He is a memorable student in that his work was top notch and he enhanced the class through his participation. I’m delighted to learn that he continued his studies in medicine. He will be a fine doctor and I hope that he works in public health at some point in his career. It needs energetic and intelligent leaders like Nicholas.

Nicholas was a great student while studying for his MPH degree at Saint Louis University School of Public Health. He is a perfect example of one of the principles in our Covenant: Balance. A hard-working and impressive student, Nick also was a student leader and an all around positive presence around the school. He took on a challenging internship and excelled at it. I know that he will balance his knowledge of public health and his medical practice for years to come.