Michigan State University College of Osteopathic Medicine FUTURE DOcs explore future POSSIBILITIES Fall 2014 Volume 42, No. 3 COMM U N I Q U É COMMUNIQUÉ Volume 42, Issue 3 Copyright 2014 Michigan State University College of Osteopathic Medicine Published three times per year by the Office of Public Relations East Fee Hall 965 Fee Road, Room A306 East Lansing, MI 48824 To contact Public Relations: 517-353-0616 www.com.msu.edu MANAGING EDITOR Laura Probyn EDITOR Pat Grauer DESIGN Annmarie Y. Cook PHOTOGRAPHY Annmarie Y. Cook Jennifer Miller Laura Probyn CONTRIBUTING WRITERS Stephen M. Swetech, D.O. Kristopher Thomas Nicholoff EDITORIAL ASSISTANCE Beth Courey Katie Donnelly Brittany Harrison House of Delegates: The times they are a-changin’ During the American Osteopathic Association House of Delegates gathering this past July in Chicago, two historic events took place. In one, the delegates voted to consider unification of the graduate medical education process with ACGME. In the second, they approved a resolution to support same-sex marriage. On the surface, these items might appear to be two very disparate resolutions. In my view, they are connected and represent an exciting time in our profession’s history. I believe that they demonstrate a leadership thought change from ideals held by baby boomers to those espoused by members of Generation X and the millennials—children of the 1970s, 1980s and 1990s. Leaders are emerging from among the crop of young physicians who grew up with technology, globalization and fast-paced social and economic changes that affected all aspects of our lives and work. They represent the future of the profession. I saw this House of Delegates session as a sentinel moment in osteopathic medicine. The thought process of the profession as a whole is moving ahead with the next generation. It doesn’t mean that the previous generation (of which I’m a member) is bad or needs to be replaced; it just means that like any healthy entity, osteopathic medicine is evolving and changing to meet modern needs. While the new leaders have a vision for the future, the old guard sees the end of the world that they once knew and view through a nostalgic lens. The coming generations don’t share a rosy view of the past and are eager to put their mark on the world. This is healthy and positive. The discussion of unification of the graduate medical education process will be a sea change for M.D.s and D.O.s. alike. It will mean a lot of things to a lot of people – both positive and negative – and one of the biggest positives that I see is that the unification discussion will help improve public awareness of the profession. It will be more powerful than any advertising campaign. Our students are excited about the chance to vie for a greater number of fellowships. While it is true that more opportunities will be open to them, they’ll also face stiff competition from their M.D. counterparts for these slots, as well as the residency slots that have previously been open to only D.O. candidates. Program directors will gravitate toward selecting the best candidates that are available from a much larger pool. I believe that competition is healthy, and I encourage our students to look at it in the same way – even though this advice is coming from a member of the old guard. It’s time for these young, energetic leaders to look toward what kind of future they envision for our profession and work in a positive and proactive way with our M.D. counterparts so that we’ll all benefit. William D. Strampel, D.O., Dean STUDENTS Joyce deJong (MSUCOM Class of 1988) helps the Lansing Future DOcs learn about the anatomy of the human body during the summer program. FUTURE DOcs explore future POSSIBILITIES by Laura Probyn Everyone has to start somewhere. There’s no profession where that statement is not true, and for osteopathic physicians, one possible starting point is the MSU College of Osteopathic Medicine’s Future DOcs program. This program has been in place for three years in southeast Michigan, where administrators at high schools in Macomb and Wayne counties have worked with MSUCOM faculty, staff and students at the Macomb University Center and Detroit Medical Center sites to introduce participants to people and careers in medicine. Future DOcs has now expanded to midMichigan in a summer pilot program for ninth through 11th graders at Sexton, Eastern and Everett high schools. Though the Lansing program takes a similar format as the Macomb and Detroit programs, it is tailored to make use of local resources, people and facilities. “Each of the Future DOcs programs is unique to meet participants’ individual needs—just like the osteopathic philosophy,” says Katherine Ruger, admissions director for MSUCOM. The Lansing Future DOcs initiative is being offered in partnership with Sparrow Health System. High school students who are interested in health-related careers can learn about what it takes to get to medical school, what the life of a medical school student is like and what kinds of careers are open to doctors of osteopathic medicine. The seven-week program was held on expanded to include 15 students from each of the three high schools. Ruger and her team are incorporating Future DOcs into a broader plan to develop a graduated set of activities to introduce high schoolers to the osteopathic profession. “We’re excited about the support and growth we are seeing,” said Floyd Hardin III, MSUCOM manager of outreach and inclusion. “We’re being very intentional about our objectives and our work to build and establish an outcome-based program.” Future DOcs is the starting point. Students who begin there can move into the OsteoCHAMPS program, a two-week precollege experience that gives participants the chance to eat, sleep and study in dormitories, attend classes on the MSU campus and complete projects related to their studies in anatomy, physiology, chemistry and medical research. Later, as MSU undergraduates, they can apply to the Osteopathic Medical Scholars Program that provides further insights into the profession and more exposure to students, the curriculum and medical careers. “The idea is to pull from our three communities where the college is represented and create pipeline programs to make students feel a sense of belonging, to experience the realities of pursuing medical school and to be mentored by someone who can help them along the way,” Ruger said. “Future DOcs is the initial stage of that because we generally start them as freshmen in high school. From there, we’re just helping to provide additional resources.” Hodge sees the importance of Future DOcs beyond the classroom and even beyond the medical profession. “We had 16 great students and I look forward to them being at the MSU College of Osteopathic Medicine someday, but this program isn’t just about helping kids learn about what it takes to be a physician,” Hodge, an MSUCOM alumnus, notes. “It’s about growing leaders. Our schools need help growing leaders. I expect to see leaders for the respective high schools and leaders for this community.” Saturday mornings and alternated between MSU and Sparrow. About five students from each of the three high schools were selected. These participants were mentored by MSUCOM students; they met and worked with faculty members and doctors in the Sparrow system. The students also took part in classroom activities and learned to build study skills and exam strategies. They took part in an osteopathic manipulative medicine demonstration and learned basic CPR skills. “I know MSU can cover test-taking and didactic experiences. I want to deliver an integrated experience in the emergency department, but I don’t want to give them just emergency medicine — we want to give them an experience where they can interact with pathologists. If they could watch an autopsy or see one on video I think it would be exciting,” says Timothy Hodge, Sparrow executive medical director of emergency services and a member of the Sparrow Health System Board of Directors. “I also asked my radiology and cardiology colleagues to spend time with the students so they could learn things like what a stress test is and what happens during a cardiac catheterization.” After this summer’s experience the Lansing An MSUCOM student works with one of the potential Future DOcs Future DOcs program will be participants during an introductory session in Fee Hall. FALL 2014 COMMUNIQUÉ 1 STUDENTS Falls has worked with 36 entering classes . . . the latest includes Katie Artz, Michael Bain, Tucker Billups, (Falls), Evan Bartone and Tamara Aqui. TAKING THE LONG VIEW: MSUCOM students across the DECADES by Pat Grauer The MSU College of Osteopathic Medicine was only ten years old when Bill Falls joined its faculty to teach gross anatomy and conduct research. Now, after working closely with osteopathic students for 35 years, he has a unique perspective on how they have changed and how their challenges have changed. He began as assistant professor of anatomy in 1979, teaching and coordinating, by himself, the gross anatomy course. Due to his ability to integrate basic science and clinical knowledge, he was asked to take on additional teaching assignments through coordination and design of the new three-semester neuromusculoskeletal systems biology course, and instruction in the gastrointestinal and reproductive systems biology courses. In 1990, he stepped down from coordinating gross anatomy and took over the coordination of neuroanatomy, while maintaining his duties in the above systems biology courses. In 1997, Falls assumed leadership responsibilities for the Office of Student Services after Assistant Dean Kay White retired. With this move to administration, he never stopped teaching, and still instructs the head and neck section of the current gross anatomy course and participates in the neuromusculoskeletal systems biology course. He came to the college with a Ph.D. in anatomy, with a specialty in neuroanatomy, but rapidly realized that he had to learn 2 COMMUNIQUÉ FALL 2014 what was particularly important to teach to osteopathic students. Working with faculty members and other D.O.s with expertise in osteopathic principles and practice and in osteopathic manipulative medicine, he worked to tailor gross anatomy and neuroanatomy to integrate, reinforce and complement what was being taught in OMM and clinical skills courses. What has Falls learned about teaching and interacting with MSUCOM students in the last 35 years? Students need to be held to a higher standard academically, personally and professionally. What they do inside and outside the classroom/clinic reflects not only on them, but on the college and the profession. The world they are entering is competitive and they must be prepared Students should trust and respect the faculty and we, the faculty, must show them trust and respect. The students are our “colleagues in training.” Students value personal interactions with faculty and we must provide them the opportunities for such interactions and serve as professional role models. How we communicate with students is key to their learning and professional development We must provide the students the medical knowledge, skills and opportunities to be successful. As teachers we must never forget the level of training that the students have achieved and we must be sure that they are grounded in the basics before asking them to understand information at a higher level. Providing students feedback as to where they made mistakes is key to successful learning One constant is that our students care for each other and want to see their peers succeed academically, personally and professionally. They teach each other, whether it is in the laboratory or in study groups. Students should take it upon themselves to function as a team now, as they also will in their clinical training and professional lives Many students do not know how to react to failure. Medical school and the practice of medicine are hard and we must prepare them for setbacks. Not all students can be successful in medical school, and we must let them know early on that they are not failures, but that there are other rewarding job opportunities The biggest change among a number of current students is maturity. Though they are as bright as ever, they would rather rely on technology and their people skills need work. Our challenge is to integrate technology and the ability to interact with patients/people to produce the most knowledgeable, caring and empathetic STUDENTS osteopathic physicians As in society in general, the number of students who seek counseling service is increasing. This is a trend that must be addressed The debt burden on today’s students – about $200,000 at graduation – is astronomical. It’s a stressor on the students and has implications for their specialty selections. What changes have been made in the Office of Student Services to address some of these issues? Falls said, “ Our outstanding staff encourages personal interactions with students and the use of academic, career guidance and personal counseling resources to help them. Our staff must be realistic with the students as to whether or not they can be successful in medical school and professional life.” These resources are limited, he says, “but much better than at many other medical schools. Students live a protected life during their first two years of medical school; they must understand that in their clinical training they are going to have to be proactive and nothing is going to be given to them.” What’s his wish list for Student Services? He names personal counseling for third- and fourth-year students; cultivating students as knowledgeable, caring and empathetic professionals; teaching them to become selfactualized persons, with their own thinking; continuing to develop them as team players who can help each other make decisions. “I’ve enjoyed all 35 years,” Falls says. “Great physicians have come out of this college. I enjoy all my relationships with alumni. The most rewarding thing of all is to see the transformation.” FROM MEXICO TO MICHIGAN: Learning to appreciate CULTURES by Jose Zamora-Sifuentes “On the banks of the Red Cedar, there’s a school that’s known to all . . .” even to high school seniors in Mexico City. How I ended up at MSU is another story, but I have to admit that I was skeptical at first. While getting ready to head to the United States, I kept hearing that college would be an experience that would change my life. I kept hearing that college allows you to grow up and figure out who you are as a person. What I did not hear about was this ‘Spartan pride’ I was about to become affiliated with. I eventually found my Spartan pride, but more important was the pride I found in myself. I grew up in Mexico City, one of the largest cities in the world, a place where the streets are crowded with people. In the weeks leading up to my departure for MSU, I started getting nervous. What if my English wasn’t good enough? What if I didn’t make friends? I did not know a single thing about the state of Michigan, let alone this East Lansing place. All I knew were some random facts I had gotten on Google. Michigan’s state bird: robin. Michigan’s largest lake: Lake Superior. Michigan’s largest university: MSU. While I’m sure other students were intimidated by the large enrollment at MSU, I was comforted by it. Going to MSU would be just like Mexico City – big and crowded. This college transition thing was going to be a piece of cake. Plus, I figured I could handle the snow. Needless to say, the winter of 2009 will forever be the coldest winter of my life. Imagine my surprise as we passed farmland on my ride from the airport to campus. “We’re getting close to East Lansing,” I thought, “where are the skyscrapers? Isn’t this supposed to be the largest university in Michigan?” I knew MSU was originally an agricultural college, but I also knew it was huge. I did not expect to see farmland right outside of it, much less grass and open spaces within it. When I arrived in front of Holmes Hall, the home of Lyman Briggs College, my nervousness started creeping back. I was about to meet my roommate and surely embarrass myself with my accent. But everyone I met was unbelievably kind. This place was going to be all right. Having survived my first day as a Spartan, I felt accomplished. I had already learned a lot; for instance, it is not a U.S. custom to kiss a girl on the cheek upon first meeting her. I also learned the famous “Go Green, Jose Zamora-Sifuentes is president of the Class of 2017. Go White!” cheer. I was slowly becoming a Spartan. perfectly. I had just gotten out of my physical I came to MSU as a pre-medical student, chemistry class when I received my acceptance ready to learn about biology, biochemistry letter by email. I was ecstatic. I didn’t know and physiology. I loved the things I was what to do. I was accepted into medical school learning about, but the topics were difficult as an international student! Part of me wanted at times, especially when there were still to call my family and share this moment with English words I had never encountered being them. Another part of me just wanted to used regularly. I now look back and wonder celebrate with some Dairy Store ice cream. I how words like “iron” or “avocado” gave me had done it. I had accomplished my dream of so much trouble. It was at these times that I going to medical school. felt lucky to be part of Lyman Briggs, a college Coming to MSU was a slow transition. I that encouraged a sense of community within bought green and white apparel. I watched its walls and inspired students to give back football games. I took classes. I embraced the to that community. I had never been driven to crazy Michigan weather. I volunteered. I took give back before, but now I could not think of exams — too many of them. I explored the anything better to do. I started volunteering city and started to call East Lansing home. at the Refugee Development Center, teaching I completely abolished my nervousness and English of all things. To this day, extending started believing in myself. I became a Spartan. a helping hand to people who needed it is Now at MSUCOM and still in East Lansing, one of my most cherished experiences. In my I am happy to be able to walk the roads that I mind, volunteering pushed me further into my pursuit of a medical career than any class could once was scared to walk my freshman year. I may not always live in East Lansing, but I look have. forward to new roads to walk and many more During my senior year of undergrad, I was years in “the mitten.” accepted into MSUCOM. I remember the day FALL 2014 COMMUNIQUÉ 3 STUDENTS CLASS OF 2018 Student SPOTLIGHT Because mere numbers don’t give us the full picture, we’re telling the story of the new Class of 2018 through the lives of students representing each of our three sites. by Pat Grauer Detroit: Do what you love most MOSTAFA ASSI Assi’s daughter Leila was the impetus to follow his passion. EAST LANSING: Mostafa Assi marks his sixteenth year as the time he became a man. Born in Dearborn, Michigan, his family had moved to Lebanon when he was in fifth grade. “We lived there a few years, which gave me the opportunity to learn a different culture, society, language, country, and systems,” he said. “I learned to appreciate things many don’t have — like electricity and water – and got to know a lot of relatives there as well.” When they returned to the U.S., Assi’s family was in the throes of many challenges – both medical and financial. As the only one who was fully healthy, he, at 16, had “to pick up the pieces,” a task that lasted eight years. In helping to get medical treatment for family members he noted “I took my brother to a doctor, and when he emerged, his face was full of hope. That was hope for me too. This doctor had done something no one else could do, and I’ll always be extremely grateful. “However, I had to put my passions aside,” he said, “and find something for which I could train quickly and make a decent amount of money doing it.” He completed a bachelor’s degree in finance at the University of Michigan – Dearborn, and worked as a financial adviser for a major investment bank. After a year he realized, “the focus of most of the employees there was something that didn’t align with my motives: profit maximization for the company and the client. From my end, money had become secondary. With the birth of my daughter, I began to focus on her and on myself. I wanted to do something I was passionate about.” Remembering the example of the doctors he’d encountered, Assi said, “I wanted to be just like them, giving back. That’s when my mission began.” He did post-baccalaureate work at Wayne State University for two years, and MSUCOM was the only medical school to which he applied. “It was osteopathic medicine’s consideration of body, mind and spirit,” he said. “A lot of people around me were OK in body and extremely intelligent, but spirit and hope and faith were broken and deficient. “Though a lot of students in my community are low-income, they still have opportunities to get a world-class education with the help of the federal government,” he said. “My advice? Do what you love the most. Don’t take ‘no’ for an answer. Try to be the best human you can be, and do it at any cost.” No man is an island TYMON HORN Tymon Horn’s heritage is remarkable: his family members have been denizens of Mackinac Island for at least a century and a half. His history includes forebears who were members of the Sault Tribe of Chippewa Indians; Ordinance Sergeant William Marshall, who in the late 1870s served as an unofficial executive officer for a string of commanders at Fort Mackinac; and Edward Horn, who came to the Straits in 1915 as lighthouse keeper for the old federal Life Saving Service. More recently, his family has operated two of the most popular gathering places on the Island, Ty’s Restaurant and Horn’s Gaslight Bar and Restaurant. Horn grew up from the first day of kindergarten to high school graduation with the same four kids in his class; two more were added along the way. School sports teams – soccer, basketball and golf – were coed and included a variety of ages to gain a critical mass. “In the winter we had to snowmobile to school,” he said. “For away games, we would snowmobile to the airport, fly across the Straits, play the game, sleep on our opponents’ gym floor, fly back the next morning and snowmobile home.” Horn knows the value of sweat equity. He began working for his family at age 12, and at 14 started at a bicycle repair shop for about 50 hours a week. “I loved it,” Horn said, “I think working is a great extracurricular activity. It teaches us a lot of life’s lessons.” When the tourists go home, the population on the Island shrinks to less than 500 people, and the isolation readily teaches the importance of good human relationships. “There’s always a greeting from everyone,” he said, “even on the busiest day. The pace is slower, people go with the flow, and there’s always 4 COMMUNIQUÉ FALL 2014 STUDENTS time to be cordial and helpful.” When he left the Island, it was an adjustment for him when strangers were surprised when he offered to help, and people he knew wouldn’t acknowledge him in passing. Horn became aware of his interest in medicine while doing his undergraduate work at Albion College in kinesiology. “With my upbringing, Albion was the perfect size for me,” he said. “Professors would call us, invite us to dinner, help us do research. It was very personable.” He was attracted to orthopedics or sports medicine, but also interested in sports psychology, nutrition, biomechanics and exercise. In osteopathic medicine, he found the opportunity to meld these interests in a holistic approach. He feels comfortable at MSUCOM, and is interested in emergency medicine, sports medicine, community integrated medicine and wilderness medicine. The son of one of the Island’s few nurses, Horn recently was visited by his past. “I didn’t think I knew what I wanted in high school, but at the end of our senior year we wrote a letter to our future selves. I just got mine back. It noted then my interest in medical school, orthopedics or sports medicine.” He loves biking, hunting, fishing, “being a social kind of guy,” and “food diversity.” What’s that? “I was raised on venison, potatoes and beans. I now have access to a world of taste – Thai, Indian and so forth – and I’m trying every kind of food I can.” Macomb: Horn’s family members have been denizens of Mackinac Island for at least 150 years. Shaping the future by conquering the present STEPHANIE JERGER Overcoming the most significant challenge of her life has shaped Stephanie Jerger’s body, attitudes, interests, commitment to others and professional choices. The year before she was to enter high school, she endured a traumatic head injury sufficient to require open-head surgery. She fractured her occipital bone and suffered a hyponatremia-induced coma. A young woman who was active in sports and loved being with her friends, Jerger was suddenly out of commission. Once she returned to school, she could only do half-days for a year. She had severe restrictions on her activities and couldn’t try anything athletic, either on teams or for recreation. Her reaction to the catastrophe has developed her more than As an undergraduate, Jerger presented her research at state and national meetings of the Society for Neuroscience. athletics ever could. “This was a huge life lesson,” Jerger says, “and it made me more motivated than anything to become the person I was before. It was discouraging; everything changed in a negative way. But I don’t give up, and it would not prevent me from doing what I wanted to before it happened. “It took a couple of years for me to get back where I had started,” she said. “The frustrating part was that as I was trying to get back to normal, others were very protective.” With her inability to take part in many of her interests during her healing, she looked for something to keep herself occupied. It turned out to be her injury itself. “My interest in medicine in general grew as I saw specialists and neurosurgeons as an outpatient,” she says. “I was fascinated researching my accident and the science behind it. I was captivated by my body’s ability to withstand what happened. I found my physicians’ values aligned with mine, and it became a segue into my passion for medicine.” By the time Jerger was ready to graduate from Lee Honors College at Western Michigan University with a degree in biomedical sciences and chemistry, she had already made a mark in the neurosciences. Working in a research lab, she was able to present at two Society for Neuroscience conferences – the Michigan chapter in Detroit, and the national meeting in San Diego. Her topic was glial cell linederived neurotrophic factor and how it changes with aging in skeletal muscle. She also was named the 2013 Distinguished Preprofessional in Biological Sciences, received an annual award for the highest academic performance in General Physics II, and garnered two awards from the university to fund her research. She also learned the power of service and of listening, volunteering as a tutor for both young children and biology students, in the ER, in community schools, and in the streets of Kalamazoo. In the year before she began medical school, she worked as a scribe for a pulmonologist in the ICU at Beaumont Health System. “I’m very happy here,” Jerger said of her admission to MSUCOM. “I’ve already seen some of the benefits of clinical correlations with anatomy. It has paid dividends and will continue to pay dividends.” FALL 2014 COMMUNIQUÉ 5 STUDENTS DISCOVERING THEIR CALLING REINVENTING their future Every MSUCOM student follows his or her own path to becoming a physician, but these individuals chose unique routes. by Laura Probyn An eclectic career path leads to medical school MELISSA DUIMSTRA Growing up in Grand Rapids, Melissa Duimstra had a long list of aspirations. She wanted to be a doctor and a veterinarian and an artist and a horse trainer. Through the years she’s done many of those things – and more – and after taking a circuitous route to medical school, she’s now on the path to becoming a doctor as a member of the MSUCOM Class of 2018. Melissa Duimstra is shown in front of one of her abstract paintings. Duimstra’s love for animals led her to working with a veterinarian during high school. It was an experience that helped her realize that a veterinary career might not be for her. At the same time, her maternal grandfather, a furniture designer and painter, was also fostering her interest in science and art. “He had a studio in his house and he was always encouraging us to paint and explore. I also credit him with encouraging my curiosity about how things work in the world and science because he was good at that too. He had an inquisitive and curious mind.” Winning a national art award and a scholarship to art school as a high school senior bolstered her confidence in her creative ability. “It encouraged me to think that I could be an artist,” she says. Duimstra put her artistic aspirations on hold while completing a bachelor’s degree in psychology at Western Michigan University and spending some time working in a residential facility. She then plunged head first into the career of an artist, and though not starving, she did take on many jobs to make ends meet. She was a vocalist in a band for 20 years, worked as a certified horseshoer, taught art to students of all ages and even did consulting work for educational systems. 6 COMMUNIQUÉ FALL 2014 “Even when I was young and naïve, the thought was in the back of my mind – what would I do if something happened to me?” she says. When her first child was born with the assistance of a midwife, the experience made such a big impact on her that Duimstra became a doula. “I loved listening to people and finding out what they wanted from their experience, processing that with them. My philosophy was to support what the mother wanted,” she notes. “It was a wonderful way to empower women.” As she spent her time working in many jobs – including a stint as a zebra trainer and a simulated patient at the MSU College of Human Medicine – Duimstra and her family did not carry health insurance and accessing health care was challenging. Many times friends would come to her and ask for her assistance in finding ways to get the care they needed. “Through the years I would encounter people having medical issues,” she says. “I saw them struggle with how do you take care of yourself? How do you balance a career you love with the practical side of getting access to health care?” About six years ago Duimstra’s life came to a crossroads. The economic downturn hit her family very hard and she knew she’d need to make some very difficult choices regarding her future, her career and her family. “The older I got, the more important it was to me to do what I felt passionate about,” she says. “I wanted to do something hands-on and I loved being a doula, but I wanted more.” She explored the possibility of pursuing training to become a physician’s assistant or a nurse practitioner, but neither option seemed like the perfect fit. She’d been volunteering as a medical assistant at Catherine’s Health Center, a free health clinic in Grand Rapids, and fell in love with the atmosphere and the family element of a family practice clinic. Duimstra went to Grand Valley State University to complete her upper-level science prerequisites. She also began considering medical school options. “I’d always gone to osteopathic doctors,” she noted. “One day my doctor looked at me and said, ‘You’re totally an osteopath at heart.’ I also have D.O. friends who said the same thing. ‘Why aren’t you applying to MSUCOM?’ They were right!” Duimstra is planning a career as a primary care physician. “I volunteered at Catherine’s for a couple of years, and then worked there for a year. I loved it — the doctors, the patients, everything. I enjoyed how you really got to build relationships with people. That was an important experience — it confirmed that I’m in the right place.” She’s also ready to share advice with other nontraditional students who may be a few years — and a few careers — removed from their undergraduate degrees. “You can do it. It’s not easy, but you can do it. Life is a circle – you never know exactly where it will take you, but often what you loved as a child will come back around,“ she said. STUDENTS He saw a sign that changed his life KEVIN SONG Many people hope to see signs that will point them in new directions. One sign on a Manhattan street changed Kevin Song’s life with two words: “Free Lunch.” Song, who holds a Ph.D. in industrial engineering, had been in engineering for 18 years and was working for AT&T Bell Labs in New Jersey when his wife saw an advertisement for a free meal for anyone who would listen to a presentation on the benefits of earning an acupuncture license. They took advantage of the opportunity and Song and his wife, Jasmine, signed up for the evening/weekend program leading to a master’s degree in acupuncture. “We kept our jobs and went to the acupuncture school at night,” he says. “It opened our eyes to the health care industry and how that skill can change a patient’s life. It was all about seeing the patient as a whole person.” The Songs opened a small acupuncture clinic that expanded and later came to include the New Jersey branch of Jaseng Motion Style Acupuncture Treatment—a nontraditional acupuncture method that was developed by Dr. Joon-shik Shin, chairman and founder of Jaseng Hospital of Oriental Medicine in Seoul. MSUCOM collaborates with Jaseng Hospital and hosts its students on the East Lansing campus each year. Song was looking for a way to expand his work and service to others and set himself on a course to attend medical school. He returned to college to take prerequisite science classes and prepare for the MCAT and application to a medical school. “MSUCOM was my school of choice,” he says. “I’ve been preparing to apply for almost five years.” Science courses and the MCAT were not his only obstacles. His wife was not happy with the idea that he would leave his New Jersey home for four years to attend medical school and spend more years in residency. Convincing her took several years and one small ally. “When my oldest daughter, Priscilla, was 10 years old, she had to do a school paper about her role model,” he explains. “I was expecting her to pick Justin Bieber or Selena Gomez. All of a sudden, she said her role model was me. I found out she saw me studying through the night and working all day at the clinic. She saw me as capable and determined and that inspired her.” This revelation humbled Song and helped change his wife’s thinking. She’s not only taken on the responsibility of running the family and Jaseng center, she also uses his exam schedule to time conversations about problems that she’s experiencing in both places. “Running a clinic is difficult and she’s taking care of things. She knows my exam schedule and doesn’t tell me about problems until after my exams are finished,” he says. Song believes his age and life stage are a benefit to him as a medical student. “In every instance, being older puts me into a better position to be a medical student. Needing less sleep as I get older means there’s more time to study. I don’t have to impress a girlfriend or wonder whom I’m going to marry.” The distance from his family – he and his wife have two daughters and a son – is a challenge, but he believes that he can be a good father, even from a distance. “You can’t be physically there with your children, but that doesn’t mean you are not doing fatherly duties,” he points out. “You have to be influential and show them how to live a good life. I want to be a role model to them and when they grow up for them to be like me. I can’t be there all the time, but I can show them I love them and talk to them and help them with their problems. Even though they’re young, they Kevin Song (right) poses with his family. understand I can be there whenever they need me.” Song plans to use his knowledge of both Eastern and Western medicine – and culture – to bring people together and improve understanding among practitioners of both schools of thought. “This is not like trying something totally new,” he explains. I’m expanding my career. MSUCOM bridges Eastern and Western medicine. I’m going to be an ambassador representing both worlds because I can speak the language of both branches of medicine.” While Song’s career path is not out of the ordinary in the U.S. — many members of the baby boom generation are exploring second careers – he’s considered much more of a novelty in his home country. “In Korea, when you turn 55 you become a senior citizen,” he says. “People at that age are thinking about retiring and taking care of grandchildren. I don’t understand why you’d retire. If you have strength to stand up, why would you retire?” His story was featured in the Korean media and on the Facebook pages that garnered numerous comments, questions and fans. He heard from people of all ages who were inspired by his story. “Lots emailed me and said it changed their lives — they had given up on their dreams and then changed their minds to go ahead with their original plans,” he notes. “People are easily discouraged and don’t have the courage to pursue their plans – they too easily give up.” Song has many ideas for his life after medical school. He’d love to do the elective rotations in Korea, take medical mission trips and operate a whole-body medical clinic combining both Eastern and Western philosophies. His highest priority is to put his new education to use in service to others. At Stanford University, where he completed his master’s degree, the motto was “To Learn, To Serve.” This motto also fits Kevin Song’s plans for the future. “If you learn without serving, that’s useless. Being a doctor is not just for your own benefit, it’s to help others. I want to go on mission trips, attend Christian gatherings and use my knowledge and skills to serve others physically, mentally, and spiritually. Being a medical student is essentially a challenge, and life without a challenge is meaningless.” FALL 2014 COMMUNIQUÉ 7 STUDENTS SERVING TO LIVE Living to SERVE These students do more than spend a little time volunteering – they have made giving back the hallmark of who they are. by Laura Probyn Hey, Detroit: She’s got your back VICTORIA COHEN-BRADFORD Victoria Cohen-Bradford’s philosophy about community service boils down to one simple sentence: “How can I help?” The third-year MSUCOM student is just setting out on clinical rotations at McLaren Macomb, but she sees a future in medicine and service that’s as clear as her past in inner-city Detroit. Motor City born and raised, Cohen-Bradford attended Detroit Public Schools from elementary through high school. She earned a Wade McCree Incentive Scholarship that she used to complete a bachelor’s degree at the University of Michigan. Through it all, community service was part of her life. “I was very active in high school,” she says. “I was also active mentoring elementary and high school students, helping them prepare for ACT all throughout my undergrad years.” After graduating from college she added the American Cancer Society to the list of organizations she supported with her time. “After I got my undergrad degree I was active in Relay for Life,” she says. “That was important to me. I have a family history of cancer and therefore I wanted to be involved with an organization that’s dedicated to people living with cancer as well as survivors and caregivers.” It was also after earning her bachelor’s degree that Cohen-Bradford began thinking about pursuing a master’s degree in public health. Though her future plans were not yet solidified, she did know that they included Detroit. “I was taking some pre-med classes and a professor talked to us about osteopathic medicine,” she said. “I learned about treating the person as a whole and the systems approach to health. It all made sense. I’d been Victoria Cohen-Bradford (left) attended the SNMA’s 50th annual medical education conference in Washington DC in April. She’s shown above with third-year MSUCOM student Erica Betts (center) and second-year student Zakiya Polk. 8 COMMUNIQUÉ FALL 2014 thinking about getting my M.P.H. and I thought that would be a plus to practice in the inner city, which is something that I definitely want to do.” She also met Rafael Marinez, MSUCOM assistant to the dean for multicultural advancement, who introduced her to the Bridge Program, which enables participants to pursue the M.P.H. prior to starting their first year of medical school. That brought everything together for Cohen-Bradford. “I definitely wanted my M.P.H. and the osteopathic philosophy is something I believe in and want to bring to all the patients I care for.” MSUCOM’s emphasis on community service was also important to Cohen-Bradford, who served as the vice president of the Student National Medical Association while she was at the MSUCOM Detroit Medical Center site. “I try and stay in contact with the person who took my role as SNMA’s VP at the DMC, Zakiya Polk,” she says. “I also look at how I can be involved as I go on. Staying in contact with the first- and second-year students will give me a way to stay active. I’m also reaching out to those who have stayed involved with Relay for Life.” Cohen-Bradford has advice for new or future medical students who want to remain contributors through community service: prioritize, plan and be patient. “Make sure you know what events are going on and what you have time for,” she notes. “You don’t want to fall behind on academics. For some rotations you won’t have a lot of time, for others you’ll have more time. It’s about keeping your passion in mind for community service and being realistic. You’ll have time for community service, but you have to be patient. Planning is a big thing you want to do.” While community service is a definite part of Cohen-Bradford’s future, her professional future is still being formed. She has interests in internal medicine and obstetrics/gynecology, but a rotation in surgery has fostered an interest there, too. “I like being in the OR and seeing the procedures and how they are implemented — even though I’ve only had one rotation there — I see myself doing some form of inner city medicine,” she says. “I definitely understand that going through rotations I may see other needs that I’d like to fill. I know I want to do something patient-related and very hands-on.” There’s no question that the inner city she’s chosen to share her skills is her hometown. “My whole family is from Detroit. You see what’s going on there and you think, ‘I want to play a role in helping eradicate some of those problems and making life better for the people living in Detroit.’ It’s always been my goal — how do I get my education and use it to support our city? I was reassured of how important it is to take care of the people in your hometown after hearing Dr. William Anderson speak about returning to his hometown in Georgia after completing his residency. He made a promise to himself and followed through. That definitely stuck with me.” Cohen-Bradford doesn’t believe that Detroit’s rebirth is a distant dream that is years away. “It’s already in motion. I don’t know what my role will be, but I want to play a part someday.” STUDENTS As a youngster, Sawdon started walking a path of compasssion thats already taken her to the neediest people of Egypt and Zambia (shown here). by Pat Grauer Following a thread of compassion CHRISTY SAWDON Christy Sawdon’s grandmother sewed more than 3,000 quilts for the needy, and that example changed the course of her life at a young age. It was her earliest memory of growing up and participating in a culture of voluntarism that she’s committed to continue, and which has led her to Egypt and Zambia. “It’s how I was raised,” she said. “It’s an intrinsic motivation, a spiritual motivation. Knowing that I was fortunate enough to be born into what I have, once I’ve seen a need, I have to go to help.” She grew up close to MSU, in Williamston, and attended Olivet Nazarene University south of Chicago, graduating in 2013 with a degree in biology. By the summer after her freshman year, she was traveling to Cairo to help a physician whose practice was moving among the more than 200,000 people living in “trash cities.” It was her first time out of the USA. “A lot of these people were homeless because of persecution,” she said. “My role was to work with the (14-year-old) translator and to take histories and blood pressures before the doctor saw the patients – nearly 50 each day. At night we did social outreach. I also lived and worked with the Bedouins in the Sahara Desert to build wells and homes.” “It really worked out,” she said. “I’m comfortable in new situations, I’d done my research, and I love working with people different than myself.” In 2011, she spent the entire summer in Zambia, doing HIV and AIDS education among the people and training local health care workers under the auspices of Nazarene Compassionate Ministries. Working from home bases in Lusaka and Choma, they traveled to schools and churches, spending a day or two at each. They provided basic medical home care, taught school lessons and spoke in churches. “The Zambians were highly receptive of HIV education,” Sawdon noted. “We always got extensive participation in Q and A. There are a lot of misconceptions and myths.” After Zambia, she knew that medicine was her future. She contacted Keith Nelson, a 1988 MSUCOM alumnus and her middle school soccer coach, shadowed his practice and learned about the osteopathic philosophy. It was a fit. “Ideally, I’d like to work part- to full-time internationally,” she said. “My heart is set on Africa – any country where I could help. My specialty? Maybe internal medicine or infectious disease or immunology.” The thread of Sawdon’s culture of voluntarism has run through all of her life. In high school, she tutored math, worked blood drives, conducted a Sunday School drama ministry, stuffed backpacks for the Lansing City Rescue Mission and was an instructor at soccer camp. During summers she was a lifeguard and counselor at Camp Barakel and Cran-Hill Ranch, Christian camps. At college, she committed herself to building a relationship with a person with developmental disabilities in the Best Buddies program, ran the Chicago Marathon for Team World Vision, was a peer mentor to freshman women, educated students and faculty about bone marrow donation and served as part of a team to package dehydrated meals for families in need globally. After college, she took a year off and worked with elderly persons in an assisted living home in Williamston. She also began work at McLaren Greater Lansing as an endoscopy volunteer, which she continues to the present. For fun, Sawdon enjoys reading, the outdoors and backpacking and considers herself “a bit of a runner.” She’s traveled to 47 states, hiked the Grand Canyon, and studied tropical ecology in Ecuador and the Galapagos Islands. From her grandmother’s knee to far-flung points on the planet, she’s continuing the thread of voluntarism. FALL 2014 COMMUNIQUÉ 9 STUDENTS CONVOCATION 2014 New class begins its JOURNEY by Laura Probyn Dean Strampel: “This is a time to celebrate.” CLASS OF 2018 CLASS PROFILE Number of applications: 5,046 Number enrolled: 313 Female/male ratio: 131/182 Age distribution: 19-52; average 23 MCAT: average 28 GPA: average 3.59 Michigan/non-Michigan residency: 261/52 The members of the MSU College of Osteopathic Medicine’s Class of 2018 marched across the Wharton Center stage and into their medical school careers on June 20 during the college’s 44th convocation ceremony. Dean Strampel welcomed the class, their families, friends and the guest speakers. Judith Morris, president and CEO of Lambton College in Sarnia, Ontario, and Spencer Dickson, dean of the Lambton College School of Health Sciences, also provided their welcomes — especially to those class members from Canada. Also on the podium were Michigan Osteopathic Association President-Elect Robert Piccinini and the MSUCOM Student Government Association President Nathan Hamilton (Class of 2017). Hamilton encouraged the class to remember the dean’s presentation to them on the first day of orientation and told them, “You get what you give, and this could not be truer than in medical school.” Associate Dean and Director of Student Services William Falls introduced the New osteopathic physicians: Drs. Raechel Percy, Meagan Smith, Kristie Haberichter, Heather Payter and Amy O’Neill 10 COMMUNIQUÉ FALL 2014 new medical students as they crossed the Wharton stage and donned their new white coats with assistance from administrative marshals. Falls also introduced the members of the Osteopathic Medical Scholars Program who were in attendance. The OMSP is for MSU undergraduate students who are interested in exploring careers in osteopathic medicine. Strampel wrapped up the ceremony by noting the change that is visible in the class members after they slip on their white coats and told them that he would probably not shake hands with many of them for about 1,350 days — at which time they will also accept their diplomas as medical school graduates. He concluded the event by inviting the new students to turn and applaud those who were behind them — literally and figuratively — as they thanked the parents, significant others, siblings and friends who had helped them along their journey. “All of you are at the top of the class right now. This is a time to celebrate.” STUDENTS MSUCOM STUDENTS in action Students leap for lupus Detroit riverboat hosts fall cruise MSUCOM students, alumni, faculty and staff from all three sites came together on Sept. 13 for the Student Government Association’s Fall Mixer on the Detroit Princess riverboat. More than 200 people dressed to the nines for an elegant Detroit River cruise that gave them a chance to relax and enjoy a beautiful late summer evening. The cruise was organized by the Student Government Association executive board with the help of events directors Salomi Rami (Macomb), Monica Barnes (East Lansing) and Tabitha Wydryck (DMC). Peru elective takes students into service in South America The MSUCOM Peru elective included 32 students (24 second-years and six fourth-years) among the 68 participants who provided care to underserved rural and urban audiences. Specialties represented included family medicine, pediatrics, OB/GYN, ENT, ER, IM, OMT, podiatry and dermatology. The three-week trip was guided by Gary Willyerd, D.O., associate dean for the MSUCOM Detroit Medical Center site and Joe Gorz, D.O., an MSUCOM alumnus and family medicine resident at McLaren Oakland in Pontiac. Plunging from an airplane is generally not an activity associated with medical school, but a group of students from the MSU colleges of osteopathic medicine and human medicine did just that recently to raise funds for the Leap for Lupus Foundation. Members of the Student Osteopathic Medical Association and the American Medical Student Association participated in the fourth annual “leap” at Skydive Tecumseh. Nearly 1.5 million Americans suffer from systemic lupus erythematosus (commonly called lupus), a chronic autoimmune disorder that can affect any of the body’s organs. Its symptoms can come and go and may mimic other diseases. There’s no single test to definitively diagnose lupus and many people may suffer from it for years before they are diagnosed. Fee, fi, fo, Follies! It certainly fit the classical definition of “follies”: a “theatrical revue, typically with glamorous performers.” A rainbow of slinky dresses was set off by a sea of black coats and white shirts. It was, without a doubt, the most elegant Fee Follies ever. On April 11, hundreds of students, faculty and staff made their way to the Kellogg Center for a gourmet meal, great company, and original entertainment, barbs and all. Video programs, sketches, stand-up comedy, songs, and even a Skype greeting from Mexico highlighted the evening. Planning and hosting the event were students from the Class of 2016. FALL 2014 COMMUNIQUÉ 11 EDUCATION Lifestyle medicine programs help future physicians understand the challenges of change by Laura Probyn Change is difficult. Anyone who’s ever tried to lose a few pounds, quit smoking or start exercising can attest to that. But how can a physician who’s never battled a weight problem advise a patient on the steps to take to move that dial on the scale? This is a topic that Kari Hortos, associate dean for the MSUCOM Macomb University Center site, believes is an important aspect of primary care physician education. She took the opportunity to use a GlaxoSmithKline grant to develop a health promotion practicum to help physicians in training better learn about nutrition and healthy lifestyles so that they can provide better advice and better understand the struggles their patients face. After offering and examining two years of data from the practicum, she received support from MSUCOM to offer a pilot pre-clerkship lifestyle medicine fellowship program for four members of the Class of 2017 at Macomb. “One of the constant complaints from physicians is, ‘We don’t get enough nutrition information.’ They do get it, but they don’t know what to do with it,” she said. “The physician competencies required to help people make lifestyle changes are really coaching skills, which are very different from delivering expert advice.” Hortos built the practicum and fellowship in collaboration with Weight Watchers of Michigan. The practicum took place earlier this year with 19 students at the Macomb site and three assistant professors of osteopathic manipulative medicine: Lori Dillard, Adam Feinstein and Teri Hammer. She measured the participants’ subjective awareness levels before and after the practicum and presented the results at the AACOM annual conference in April. Her findings have shown that participating students changed their feelings about the value of nutrition counseling after taking part in the eight-week practicum, that they gained nutrition knowledge and diet-planning skills and improved their selfefficacy around both diet and exercise. Hortos, an internist who completed a Harvard-affiliated clinical fellowship at Brigham and Women’s Hospital in nutrition, is connecting the practicum and fellowship to Prochaska’s research on change. The stages range from precontemplation—when a person does not feel the need to change—to contemplation, preparation, action, and finally, maintenance. Instead of looking at the data from the angle that the vast majority of people who need to institute a healthrelated change in their lives will not do it, Hortos wants the students to look at the opportunity to connect with those who are prepared to take action and adopt a coaching rather than expert mindset. The students are not typical Weight Watchers clients, as some start the program at a healthy body weight. Hortos got special dispensation for them to take part in the session focusing on improving their health behaviors as a result of their participation. She hopes all participants will be able to apply what they learned in their own lives as well as in practice. The pilot fellowship is now underway with support from Sarah McCaskey, a registered dietician and instructor at Macomb. The four participating students are Jared Davis, 12 COMMUNIQUÉ FALL 2014 Betty Johnson, Salomi Rami and Justin Stewart. They are attending a 12-week Weight Watchers program to learn about nutrition. In September they also took part in functional movement sessions and learned about coaching from Dayna Elfont, an MSUCOM alumna, primary practice doctor and a health and wellness coach. Functional movement was developed for members of the armed forces and higherlevel athletes to help them learn how to move to prevent injury. It’s been adapted for use with anyone who wants to perform daily activities and exercises without getting hurt. Hortos hopes the students can incorporate aspects of functional movement into their osteopathic manipulative medicine practice later. In 2015, the fellows will take part in the third practicum, leading a Weight Watchers session and completing a capstone project. She also wants them to understand how, as physicians, they can serve as coaches to their patients. “Coaching requires using a completely different part of your brain,” Hortos says. “You, as the physician, are not the boss, you’re the partner. You are encouraging and fostering possibilities. The patients have to do the hard work to get healthier.” At a little more than a month into the health promotion pre-clerkship fellowship, participant Betty Johnson was already surprised by what she was learning from the Weight Watchers members. “I am impressed at the general air of positivity that comes from the participants,” she said. “I would not have expected so much enthusiasm for healthier eating. There is also a tremendous sense of community and support among the members. The greatest learning opportunity for me, however, has come from observing and interacting with others in the program.” Rami sees the value that the fellowship will bring to her later in her career. “This fellowship is giving me skills in diet, nutrition, exercise and stress management,” she said. “I believe that it will give me the tools to relate on a personal level with my patients in the future, merely because I practice what I preach.” Thanks to his experience, Stewart knows that he’ll be an empathetic physician/ coach who can relate what others are going through. “I intend to use this experience so I can say to my patients, sincerely, ‘Yes, I know change can be hard; I’ve done it, and so now I can help you.’” Because Hortos sees expanded health promotion programs as being very compatible with the osteopathic philosophy of viewing each patient holistically, she believes there’s a logical fit for future activities in the college with an option for students and residents to get certification in lifestyle medicine competencies. “Ultimately, I’d like MSUCOM to be a leader that demonstrates in a consistent, meaningful way, the tenet to find health is the doctor’s objective,” she said. “I’d like us to be able to say, ‘Here’s where we’re consistently doing this.’” Kari Hortos, center, works with (left to right) Sarah McCaskey and students Betty Johnson, Salomi Rami and Justin Stewart. RESEARCH Roger Haut (left) and Todd Fenton discuss new findings related to skull fractures in children. Haut and Fenton: Piecing together the mysteries of skull fractures by Pat Grauer The specter of people falsely imprisoned for child abuse haunts Roger Haut, a University Distinguished Professor in mechanical engineering and radiology at MSUCOM and his colleague Todd Fenton, associate professor of anthropology. For six years, they have been investigating ways to distinguish accidental from intentional skull damage, especially in children under two years of age. They are building a national database of skull fracture patterns – analogous to fingerprint and DNA databases – that can be used by medical examiners, prosecutors and defendants in cases where abuse is suspected. The partnership – which also includes Anil Jain, a University Distinguished Professor in computer science and engineering – was fortuitous. Haut has been studying human biomechanics for decades, and Fenton is one of only three board-certified forensic anthropologists in Michigan. Between them, they had the breadth and connections to take a practical problem, address it scientifically and provide the data to change policies and procedures on the ground. “I work closely with medical examiners and law enforcement,” Fenton said, “and I’m often called to identify human remains and to evaluate skeletal trauma. Roger has the skills to assess how things break biomechanically – to provide the scientific data necessary to create the database.” Under grants from the National Institute of Justice, they have subjected skulls to known forces from known implements and surfaces at known velocities, and then recorded the pattern of the fractures that occurred. They have used piglet skulls (all subjects in the study died naturally prior to the research) because they have been shown to match closely the mechanical properties of the bones in young children’s skulls. Two unexpected results have emerged from their studies. First, they have found that the common assumption that each blow to the head causes one and only one fracture has proven false. Second they have discovered that, counterintuitively, the fractures don’t always travel away from the impact site. Sometimes they travel toward it. “What happens,” Haut says, “is that with a strong enough impact, the entire skull deforms. With this out-bending, you may not even get a fracture at the impact site. If you hit the skull at a parietal bone, the fractures typically occur along the periphery of the skull sutures. It’s a bit like smashing a cookie: the outside edges crack first.” What this means in the world of prosecutors and defendants is significant. If a victim exhibited, say, three skull fractures, the old presumption was that they were caused by three impacts. Three impacts were considered a strong indication of abuse. The research shatters that assumption. Stressing the importance of working closely with medical examiners, Fenton has sent his graduate students to 15 of their offices across the country; the medical examiners have provided case data on 300 infantchild cranial fractures. The team is using machine learning (pattern recognition) software, initially developed on the piglet database, to develop a computerized method of associating specific fracture patterns with the medical-forensic histories in each of these cases. The ultimate goal is creating a science of statistical fracture signatures. As medical examiners increasingly share their information and images in a common database, and the algorithm developed by Haut and Fenton is applied, it’s anticipated that the fracture signatures will become more and more refined. The forensics community needs more basic science, more understanding of basic force applications,” Haut said. “There are initiatives in forensics to team up with engineers and pattern recognition specialists. It’s extremely challenging to figure out what happened to an individual, but these partnerships are proving very fruitful.” FALL 2014 COMMUNIQUÉ 13 ALUMNI Steven Karageanes, physician-artist: Lights, camera, STAT! by Pat Grauer When the twin towers in New York fell in 2001, Steven Karageanes immediately drove from Michigan to join medical volunteers providing care to survivors and rescue workers. That level of passion, impulse and courage characterizes much that the 1995 MSUCOM alumnus does, and has earned him recognition at a national level in two careers: as a sports medicine physician and as a professional screenwriter, director and actor. The intersection of these interests has created a new initiative to care for artists – persons with finely trained bodies who must perform precisely on demand, even if injured – as athletes. The physician Karageanes, now medical director of sports medicine at St. Mary Mercy Hospital in Livonia, completed a term in 2013 as the national president of the American Osteopathic Academy of Sports Medicine. He also serves as clinical assistant professor at MSUCOM and the regional assistant dean for the Kansas City University of Medicine and Biosciences. He boasts numerous publications, including as editor-in-chief of the book Principles of Manual Sports Medicine and producer of the “Osteopathic Clinical Joint Exam” videos. He’s a strong advocate for the health of artists – like dancers, musicians, performers, cheerleaders – and says, “Performing arts medicine is where sports medicine was 25 years ago.” In July, he was named the first special consultant to the board of the International Association of Dance Medicine and Science. Working with the American College of Sports Medicine to develop the coalition Athletes and the Arts, he urges physicians to give artists the level of care they would elite athletes. “For example,” he says, “One study found that 84 percent of musicians in professional companies have missed work because of injuries. They don’t want to see doctors, whose response is usually to tell them to take six weeks off. Who would dismiss an athlete that way? If it were an injured football player, he’d get everything he needed. Football players also have second-string backups who fill in until the player is recovered. Oboists or ballet corps dancers don’t. It’s just a measure of how our society perceives the importance of different activities.” Karageanes is working on setting up a network of providers for dancers so they can see receptive and knowledgeable physicians when they’re on the road. “A dancer has to hit the mark every time or she’d be fired,” he explains. “If you’re injured, you’re done. But it’s difficult for them to take care of themselves, especially when traveling.” Steven Karageanes: The doctor is in. The artist On the set directing Come Together. 14 COMMUNIQUÉ FALL 2014 Karageanes’ IMDb (Internet Movie Database) listing shows that the spectrum of his work covers many roles, primarily as producer, writer and director. But he also has credits for editing, acting, composing, sound, cinematography, visual effects, animation and production management. He’s snagged numerous awards, most notably a $100,000 prize in the Action on Film Award’s “Writer’s 100K Challenge.” Five other awards from Action on Film were for best sports documentary, best documentary short, best actor in a short, best horror feature script, and best title sequence, and an honorable mention for best short film from the Accolade Competition. He has nine films and a children’s TV series to his credit, and three in the works. Needlestick, a hospital-based thriller, will be completed this fall under an incentive ALUMNI/STAFF of nearly $72,000 from the Michigan Film Office. The film’s cast includes Lance Henriksen (Aliens, The Terminator, Millennium) and Harry Lennix (The Matrix sequels, Man of Steel, The Black List). Make it Big (the award-winning script from Action on Film) is in preproduction, and Empath was just announced. “I’ve had flirtations with this all my life,” Karageanes said. “I wrote my first play in third grade. During medical school, I started standup comedy. As a resident in Chicago, I was a featured extra acting with George Clooney in ER. “But in 2004, I had accomplished all my sports medicine goals I had by age 33. I was despondent and sought help. I discovered that I had ADHD, and the clouds parted with treatment. I needed to find out if the performing arts part of me was real, and to go full-bore into it. That opened everything to me. I enrolled at Second City,” he said. “At my first class there, the instructor told me that ‘your focus was Karageanes received the Action on Film exemplary.” He grins at the irony. He trained with them for more than $100,000 Writer’s Challenge Award. three years, weekly at least, and while there, wrote the script for his first film, American Piety, which was shown at festivals at Cannes, Monaco, Los Angeles and New York. Along the way, he learned networking skills. At a film festival honoring novelist and screenwriter Elmore Leonard, Karageanes ran a screenplay competition for which Elmore chose the winner. Karageanes also made the tribute film dedicated to Elmore, who publicly said of the work, “That was amazing!” The tribute was also part of Elmore’s funeral last year. Showing his works at festivals and rubbing elbows with the LA elite have helped Karageanes meet people with whom he can collaborate. Working full-time, Karageanes divides his free time between his wife and two children and his art. All four are creative. His wife, Cynthia, is a fairyhouse crafter and runs her own business; son Miller, 14, works in cinematology and photography, and daughter Bella, 11, is into dance, music, making YouTube videos and is executive administrator for a Minecraft server. “It’s all about stories,” he said. “Part of what attracts me to sports medicine is the narrative. I still love my job as a doctor. I’m going to march forward, take the journey, see what happens. Anything more structured than that is almost impossible.” Staff Matters D’Ann Zona by Pat Grauer D’Ann Zona mixes a real affection for the MSUCOM-Macomb faculty, staff and students with an Iron Woman approach to exercise and good health habits – a combination that makes her a formidable member of the college community. Working as the front desk secretary at the Macomb site for the past 18 months, she provides administrative assistance, handling student/ faculty payroll, answering phones, supporting faculty with travel arrangements and reimbursements, scheduling visiting clinical faculty, and helping student services run smoothly. “I really like all the people who come through the door, and I’m usually the first person they see,” she says. “Everyone has a story. They cope with stress in their personal lives or struggle to balance studies and family life, and we try to help. Macomb is a great site with a vibe that’s supportive and upbeat.” Zona also appreciates the fact that the college recognizes her knowledge and skill as a trainer and her personal interest in health and well-being. “For example, Dr. (Kari) Hortos (associate dean at Macomb) manages the Health Promotion Practicum (HP2) pilot study (see page 12), which includes instruction about Functional Movement Systems (FMS) and because of my interest she includes me,” she says. “Dr. Hortos will also include me in different health topics such as specialty spotlight on nutrition or other programs that she believes will benefit me.” Zona admits that a perk of the job is allowing MSUCOM students to practice osteopathic manipulative medicine on her to alleviate her aches, pains and sore muscles. In addition to her role as secretary, she has been teaching spinning, kickboxing, core, strength and total conditioning at Life Time Fitness for more than 10 years. In her free time, Zona enjoys standup paddleboarding (SUP) with friends, paddleboard yoga and outdoor boot camps. What’s that? Imagine running through the park, racing up and down more than 200 stairs, doing push-ups, tire flips and sprinting back to the stairs for 10 more rounds. Zona and her husband of 20 years have an 18-year-old daughter and a 13-year-old son. “My kids started daycare at Life Time and pretty much grew up in that gym,” she says. “I was there a lot working out, and they approached me to teach group fitness classes. I studied, earned my group fitness certification, auditioned and got the job.” She’s also looking forward to the essential study of yoga certification this fall. “My desk is located right across from the elevator and I gently try to encourage people to take the stairs instead,” she says. “It’s never been about looking good in a swimsuit, but trying to keep the body functioning at a high level with fewer aches and pains.” Getting physical: Iron Woman Zona FALL 2014 COMMUNIQUÉ 15 DEVELOPMENT/MOA Joseph Pysh: Honoring the past by ensuring the future by Pat Grauer Jayne Ward, David Kaufman, and Joe Pysh — all from the Department of Neurology and Ophthalmology — were among those recently celebrating a successful residency recruitment season. Ward’s friend Jimi Young at the end of the evening had a question. “Joe Pysh is committed to education and excited about the residents and clerkships and students. Have you ever done something to honor him?” The query resonated for Ward, a 1996 MSUCOM alumna and an associate professor in the department, because Pysh had not only been a faculty colleague, but one of her instructors. It also was attractive to Kaufman, chairperson, who had seen Pysh’s work and can-do attitude close-up for years. As a result, the two decided to create the Joseph Pysh, D.O./Ph.D. Endowed Scholarship in his honor, and solicited support from faculty, staff, alumni and friends of the department. They presented it to him this spring as a surprise. “Joe was always the first person to step up, the first to help in any endeavor,” said Ward. “He’s a professor emeritus right now, but it’s typical of him that he still works nine months a year teaching OST 571 [Neuromusculoskeletal System] and works with residents.” Pysh, who retired in 2008, is a neurologist and neuroanatomist who maintained active research, teaching and clinical practices as a professor. He joined MSUCOM in 1986 as an associate professor of internal medicine, after 20 years of service on the faculty in the then Department of Cell Biology and Anatomy at Northwestern University’s medical and dental schools in Chicago.. His research interests include environmental influences on brain development, cellular mechanisms in synaptic transmission, stroke, Parkinson’s disease and movement disorders, and epilepsy. He is the author of numerous peer-reviewed publications, educational videos and invited presentations, and held a number of National Institutes of Health research grants. But it was Pysh’s commitment to his trainees that was most memorable; he spent a substantial amount of time educating master’s and doctoral students and providing clinical education for interns, residents and fellows. MOA MICHIGAN OSTEOPATHIC ASSOCIATION Protect your profession with political activism by Kristopher Thomas Nicholoff CEO and executive director, Michigan Osteopathic Association In this year of unprecedented legislative threats and an election just days away, there is nothing more essential to us than your political activism. We must help elect pro-physician candidates who will make educated decisions on issues that may affect the way you practice medicine. This is why the Michigan Osteopathic Association (MOA) exists – to protect, promote and advocate for the osteopathic community. The MOA does this in many ways, but, arguably, the most important is our work at the Michigan State Capitol. 16 COMMUNIQUÉ FALL 2014 “Joseph Pysh represents people who are utterly loyal to their profession and college,” said Kaufman. “He has served MSUCOM and its students, never wavering in his devotion to teaching young doctors. He also provides outstanding neurological care to his patients. Best of all, he inspires the people around him to do things the right way.” The Pysh scholarships will be awarded to third-year MSUCOM students with a demonstrated interest in neurology and who have performed well in their required third-year Joseph Pysh neurology clerkship. “Because we are very lucky to have Joe Pysh among us, we have an interest in honoring him and all that he stands for by developing this scholarship in his name. We believe students now and deep into the future should be very aware of the qualities he represents,” Kaufman said. To donate to the Joseph Pysh, D.O./Ph.D. Endowed Scholarship, please either Contact MSUCOM’s Office of Development at 517-355-8355 and provide a credit card number Send a check made out to “Michigan State University” to Christopher Surian, 965 Fee Road, Room A310, East Lansing, MI 48824 or Go online to make your gift at http://www.givingto.msu.edu/ give.cfm Ask that your gift be credited to account AS2620. Thank you! The Michigan Osteopathic Political Action Committee (MOPAC) fights to elect and re-elect pro-physician candidates through direct contributions, voter education and targeted political activism. MOPAC allows osteopathic medical students and D.O.s in Michigan to combine resources to help elect candidates for state office who demonstrate a positive concern for those issues important to the osteopathic profession. MOPAC is not affiliated with any political party and is organized and operated on a non-partisan, independent basis. MOPAC is the sole political action committee representing osteopathic medical students and physicians in Michigan and is governed by osteopathic medical students and physicians. The political activities are funded by the voluntary contributions of MOA members, which make it possible to have significant impact in elections. We know your time and resources are limited. However, your political activism is essential to help elect candidates that represent you and your osteopathic profession. Please make a difference today by visiting http://mi-osteopathic.org/JoinMOPAC and contribute as much or as often as you can. You can’t afford not to. Remember, we can only protect our profession with your support. CME Office of Continuing Medical Education 2014-2015 CME PROGRAMS EXERCISE PRESCRIPTION AS A COMPLEMENT TO MANUAL MEDICINE October 17 - 20, 2014 MSUCOM, East Fee Hall East Lansing, Michigan • 26.5 credits of Category 1-A SYMPOSIUM FOR PRIMARY CARE MEDICINE Co-Sponsored by MSUCOM and Botsford Hospital November 7 - 8, 2014 Sheraton Detroit Novi Hotel • 17 credits of Category 1-A • Contact Botsford Hospital at 248-417-8222 or www.botsford.org ADVANCED MUSCLE ENERGY WITH CLINICAL CORRELATIONS November 7 - 11, 2014 MSUCOM, East Fee Hall East Lansing, Michigan • 34 credits of Category 1-A PRINCIPLES OF MANUAL MEDICINE December 5 - 8, 2014 MSUCOM, East Fee Hall East Lansing, Michigan • 28 credits of Category 1-A CRANIOSACRAL TECHNIQUES: PART I January 23 - 27, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 35 credits of Category 1-A PEDIATRIC UPDATE February 21, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 8 credits of Category 1-A CARDIOLOGY UPDATE March 21, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 8 credits of Category 1-A EXERCISE PRESCRIPTION AS A COMPLEMENT TO MANUAL MEDICINE March 6 - 9, 2015 Nova Southeastern University Tampa, Florida • 26.5 credits of Category 1-A MUSCLE ENERGY: PART I April 17 - 21, 2015 MSUCOM, East Lansing East Lansing, Michigan • 34 credits of Category 1-A SPORTS MEDICINE May 1, 2015 Kellogg Hotel & Conference Center East Lansing, Michigan • 7 credits of Category 1-A MSUCOM CLINICAL SYMPOSIUM June 26 - 28, 2015 Park Place Hotel Traverse City, Michigan • 15 credits of Category 1-A PRINCIPLES OF MANUAL MEDICINE July 11- 12, 2015 MSUCOM, East Fee Hall • 14 credits of Category 1-A *Must have approval for course. Online course required to take hands-on portion. Please contact office for further details. WWW.COM.MSU.EDU/CME INDIRECT, FUNCTIONAL APPROACH TO MANUAL MEDICINE September 18 - 20, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 22.5 credits of Category 1-A CRANIOSACRAL TECHNIQUES: PART II October 9 - 13, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 35 credits of Category 1-A DIRECT ACTION THRUST: MOBILIZATION WITH IMPULSE October 23 - 26, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 27 credits of Category 1-A MANUAL MEDICINE RELATED TO SPORTS & OCCUPATIONAL INJURIES TO THE EXTREMITIES November 7 - 8, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 15 credits of Category 1-A OMM FOR THE PREGNANT & NEWBORN PATIENT November 13, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 8 credits of Category 1-A PRINCIPLES OF MANUAL MEDICINE December 4 - 7, 2015 MSUCOM, East Fee Hall East Lansing, Michigan • 28 credits of Category 1-A ALSO AVAILABLE: CME ONLINE • Up to 56 1-B Credits 517-353-9714 800-437-0001 CME@COM.MSU.EDU FALL 2014 COMMUNIQUÉ 17 ALUMNI Patricia M. LoRusso, D.O.: MSU Distinguished Alumnus, humble exemplar by Pat Grauer With 5,096 graduates, MSUCOM represents less than one percent of Michigan State University’s 530,000 alumni. Yet the college has produced two of the six MSU Distinguished Alumni Award winners in the last two years – Mark E. Fleming (’99) in 2013 and Patricia M. LoRusso (’81) in September. LoRusso, nominated by the college, was honored at ceremonies at the Kellogg Center for her compassionate patient care, outstanding cancer research and her teaching skill. Her citation (below) from the event clearly demonstrates why she was chosen. Before Dr. LoRusso became an exemplar and internationally respected expert and advocate of translational therapeutics, she studied at the University of Detroit, receiving her B.Sc. in 1977, followed by her D.O. from Michigan State University in 1981. Following graduation, Dr. LoRusso completed her internship and residency in internal medicine at Riverside Osteopathic Hospital in Trenton, Michigan, and a fellowship in hematology and oncology at Wayne State University. Dr. LoRusso, widely regarded as a leading expert on developing new cancer drugs through clinical trials, joined Yale Cancer Center in August as a professor of medicine and associate director of innovative medicine. Prior to her Yale appointment, she served in numerous leadership roles at Wayne State University’s Barbara Karmanos Cancer Institute, most recently as director of the Phase I clinical trials Program and of the Eisenberg Center for Experimental Therapeutics. She is the author of 202 peerreviewed publications, eight books and chapters, 237 published abstracts, and has received 30 major grants, many of them over a million dollars and 11 of them currently active. Patricia LoRusso and Scott Westerman, executive director of the MSU Alumni Association Dr. LoRusso has served as co-chair of the National Cancer Institute (NCI) Cancer Therapy Evaluation Program Investigational Drug Steering Committee and has served on the scientific committee of the American Association for Cancer Research, the education and scientific committees of the American Society of Clinical Oncology, and as a member of several NCI and other peer-reviewed grant committees. She has a long and impressive list of honors in both research and teaching, including the Karmanos Cancer Institute Faculty Award for Clinical Excellence and the Wayne State University teaching Award. Dr. LoRusso’s passion for cancer research provides hope and longevity to patients locally, nationally and internationally. 18 COMMUNIQUÉ FALL 2014 M S U C O M A L U M N I N E T W O R K Osteopathic Open Silverfest Tailgate Silverfest Reception SILVERFEST ALUMNI WEEKEND BIGGEST EVER! As MSUCOM’s cadre of alumni grows, so do our celebrations for them! On Sept. 19-20, more than 1,000 people participated in our annual Silverfest events: 136 golfers at the Osteopathic Open, 150 at the reception, 90 for the “Fall Kaleidoscope” continuing medical education course and more than 700 at the tailgate, most of whom attended the MSU vs. Eastern Michigan football game. Osteopathic Open funds support scholarships, student loans, educational improvements and the MSUCOM Alumni Association. Sponsors for events included McLaren Greater Lansing; Kheder Davis & Associates, Inc.; Michigan Osteopathic Association and the MSU Federal Credit Union. FALL 2014 COMMUNIQUÉ 19 ALUMNI GET CAUGHT IN OUR WEB! COM.MSU.EDU/ALUMNI Hidden under an innocent button labeled “Alumni,” just under the banner at the college website, is a treasure trove of memories, news, upcoming events and photos of interest to MSUCOM alumni. You can See what happened at Silverfest and the Osteopathic Open – across the last 16 years! Discover what your class clown or bookworm is now doing Honor those classmates you’ve lost Learn about the work of your MSUCOM Alumni Association Find CME courses from your alma mater Check out the MSUCOM merchandise Put upcoming events on your calendar, get college news and more! There is also a lot of alumni news on the MSUCOM Facebook: www.facebook.com/ MSUCOM and Twitter: twitter.com/MSU_Osteopathic Join us! Where are you? Please keep us informed of recent moves or changes in your practice. It is important for college reports, grant writing, etc., that we have up-to-date information on our alumni. Changes to your information can be made on the MSUCOM website under the alumni section or by calling 877-853-3448. MSUCOM Alumni Office 965 Fee Road, Room A310 email: kim.camp@hc.msu.edu www.com.msu.edu/alumni Upcoming Events Oct. 15-19 ACOI Annual Convention Baltimore Reception on Oct. 17 Oct. 25-29 OMED: AOA’s Osteopathic Medical Conference and Exposition Seattle Reception on Oct. 27 Jan. 22-25 MAOFP Update Bellaire, MI Reception on Jan. 24 March 7-14 Healthy Lifestyle and Preventive Care Los Cabos, Mexico NEW ADDITION TO MSUCOM ALUMNI BOARD Kelly Kozlowski, Class of 2006, an emergency medicine physician in Dearborn, Michigan. “I graduated from MSUCOM in 2006 with some of the brightest, most caring doctors I have ever met. My class was chock-full of people of integrity and spirit to help others, and I treasure my time spent on campus as a Spartan. We received such compassionate support from the school both personally and academically. It is because of this experience that I am honored to serve on the Alumni Association Board of Directors. I am proud of my osteopathic training and know that I bring tidbits of MSUCOM with me as I serve my patients during each of my emergency medicine shifts.” SERVING THE STUDENTS, SERVING OUR FUTURE We’ve all learned about the patient-centered medical home for our practices, but I’d like to ask you to consider MSUCOM as our student-centered medical home. Osteopathic students are the future of our profession, and we as physicians should get involved and care for these students to keep them in the fold. How? There are many kinds of opportunities. Get involved. Like Uncle Sam, MSUCOM wants you! Ū Volunteer. Teach our preclinical students, located in East Lansing, Detroit, or Clinton Township. Become a preceptor and invite osteopathic students to work in your office. Work 20 COMMUNIQUÉ FALL 2013 20 COMMUNIQUÉ FALL 2014 with third- and fourth-year students in one of our base hospitals or other clinical settings to help them apply their skills Ū Give. MSUCOM students are graduating from medical school with astronomical debt – many of them shouldering more than $200,000 in loans. Last year the college was able to give out 87 scholarships, loans and awards totaling more than $2.5 million. That’s impressive, but it means only about 14 percent of our students are receiving scholarship assistance, and many of those are getting less than $5,000 each. Start an endowment or contribute to an existing fund! Ū Recruit. Osteopathic physicians can understand what makes a great colleague better than anyone else. When you see those attributes in a person, urge them to consider the profession, and to contact the MSUCOM Office of Admissions for individual counsel. It doesn’t seem that long ago that I was in the same boat as today’s students. MSUCOM gave me the tools to be successful professionally, socially and financially. Now that I’m the proud parent of a recent MSUCOM graduate and a current second-year osteopathic student, I can honestly say that it is offering the same benefits to current students. There’s an old saying: “If you’re planning for a year, plant rice. If you’re planning for a decade, plant trees. If you’re planning for a lifetime, educate the people.” We want our profession to live for centuries, and educating physicians at the #1 D.O. school – MSUCOM – will ensure that. My request of you is continue the three-millennium epoch of the Spartan legend of discipline, hard work, and, most important, education. Stephen M. Swetech, D.O., Class of 1986 MSUCOM Alumni Association President 2014 C ALENDAR OCTOBER OF E VENTS 15-19 American College of Osteopathic Internists Annual Convention and Scientific Sessions — Baltimore. acoi.org, susan@acoi.org 17-20 CME: Exercise Prescription as a Complement to Manual Medicine – MSUCOM, Fee Hall, East Lansing. 26.5 Category 1-A credits. Chairperson Mark Bookhout, P.T. com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 25-29 OMED 2014, the AOA convention – Seattle, WA. Alumni reception the 27th at Gordon Biersch Brewery. kim.camp@hc.msu.edu NOVEMBER 1 See the Sites – 9 a.m. to 12 p.m., MSUCOM at Macomb University Center, Clinton Township, and 1 to 4 p.m. Detroit Medical Center. Contact jessica.bilodeau@hc.msu.edu 7-8 CME: Symposium for Primary Care Medicine, cosponsored with Botsford Hospital – Sheraton Detroit Novi Hotel. 17 Category 1-A credits; specialty credit for internal medicine and family practice. 248-417-8222 7-11 CME: Advanced Muscle Energy with Clinical Correlations – East Lansing. 34 Category 1-A credits. Chairperson Carl Steele, D.O. com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 21 MSUCOM Open House – 1-4 p.m., East Fee Hall, MSU, East Lansing. jessica.bilodeau@hc.msu.edu DECEMBER 5-8 CME: Principles of Manual Medicine – MSUCOM, Fee Hall, East Lansing. 28 Category 1-A credits. Chairperson Lisa DeStefano, D.O. www.com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 22-25: MAOFP Winter Update for Family Physicians. Bellaire. Alumni reception Jan. 24, 7-9 p.m. kim.camp@hc.msu.edu JANUARY FEBRUARY MARCH 23-27 CME: Craniosacral Techniques: Part I – East Lansing. 35 Category I-A credits. Chairperson Barbara Briner, D.O. www.com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 31 Michigan Osteopathic College Foundation Ball – 6 p.m., The Henry, Autograph Collection, Dearborn. colleen.kniffen@hc.msu.edu 21 CME: Pediatric Update 2015 – MSUCOM, East Fee Hall, East Lansing. 8 Category 1-A credits. www.com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 6-9 CME: Exercise Prescription as a Complement to Manual Medicine – Tampa, FL. 26.5 Category I-A credits. Chairperson is Mark Bookhout, P.T. www.com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu 7-14 Healthy Lifestyle and Preventive Care: Future Directions CME. Riu Palace, Los Cabos, Mexico. kim.camp@hc.msu.edu 21 Cardiology Update – East Lansing. 8 Category I-A credits. www.com.msu.edu/cme, 517-353-9714 or cme@com.msu.edu FALL 2014 COMMUNIQUÉ 21 Non-Profit Organization U.S. Postage Paid East Lansing, MI Permit No. 21 COLLEGE OF OSTEOPATHIC MEDICINE Office of Public Relations East Fee Hall 965 Fee Road, Room A306 East Lansing, MI 48824 ADDRESS SERVICE REQUESTED Change my name and/or address as indicated. I received a duplicate copy. Remove my name from your mailing list. Stop my paper subscription and send an electronic version to email:______________________. Please check the appropriate box and return this page to the address above or email brittany.harrison@hc.msu.edu Future DOcs changing lives and the D.O. profession MSUCOM students stories worth telling PAGE 1 PAGE 3-9 WWW.FACEBOOK.COM/MSUCOM 2012 Osteopathic Open Lights, camera, STAT! PAGE 14
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