Vol. XVIII, No. 4 Spring 2015 May 10th, 2015 or Oh God I Forgot to Call Her Gordon Chien Columnist, M3 “Son, how come you’ve never dated an Asian girl?” “Two reasons. One, because you brought me to a country where we’re a minority. And two, none of the women in Uncle’s hidden stash of magazines were Asian. You do the math.” “I will do the math, because Heaven knows you sure don’t know how to. I could’ve bought a car with all the money I spent sending you to math tutors.” Mama Chien firmly lives by the motto “do no harm, but take no s***.” When I give her lip, she retorts that, were it not for her insistence on taking progestins when I was a threatened miscarriage, I’d be an autopsy report and she would still have all the extra money that has gone into raising me. These days, Tiger Mom may be a little blinder and a little slower, but those guilt-tripping skills aren’t going away anytime soon. Those skills of domination and survival have gotten her where she is today. Wellness Chronicle CreightonSOM Mother, Sister, and I moved to the United States on June 28th, 1992. Decked out in a purple fanny pack and my sister’s handme-downs while listening to Chinese Christmas songs on the Walkman rented from China Airlines, I wondered when Dad would be joining us. He just has to go back to Taiwan to finish up some things, Mom promised. I figured he’d be gone a few days, two weeks at the most. No big deal. And he’ll be back with presents, so it’ll totally be worth it. Twenty-three years later, he’s still not back stateside. Sure, he pops in about one week per year, but he spends half the time jetlagged, up at three in the morning watching Golden Girls re- runs to bone up on his English. (“Recycled wife” is a term he learned from that show. I tell him not to say it around his wife so much, but I guess my opinion doesn’t matter). In our short periods together, we have bonded over Bond, debated delicious delicacies, and fought about futures. But that’s about it. He and I aren’t particularly close. A few meals, some laughs, and off he zips again to “that hot, stinking mess of an island where I work like a dog and get paid like one too” – his words – for another 355 days. When I was still living at home, the look in Mom’s eyes every time she started the car to take him to the airport was always the same. Battle-hardened despair, loneliness, perhaps some regret of this barely-a-marriage living – each wrinkle on her face today tells a different story. It’s no wonder she grew such a thick skin. Twenty-three years of living 6,458 Mrs. Chien and a young Gordon miles away from her husband forces one to do that. Twenty-three Christmases and children’s birthdays, all spent without her partner at her side. Hell, twenty-three years of putting up with my obnoxious crap would have driven any other mom away. She could have easily purchased a one-way ticket back to Taiwan and let the streets raise me. But she stuck around and did her very best. In the end, her kids are testaments to her efforts and sacrifices – one dutiful and successful, the other barely functional and miraculously has never been arrested. I’ll let you guess who’s who. Happy Mother’s Day, Mama. Your husband will finally be home for good on June 28th this year, and I’ll be there with you to celebrate. Despite our complete failure to see eye-to-eye on anything besides food, I will always love you. And I know that somewhere deep below that iron hide of yours, you love me too. To our unending quest for beef noodle soup perfection, Your unworthy parasite In This Issue May 10th, 2015 My Months Among the Surgeons Sleep Reclaiming the Keys 1 2 3 4 You Mind is Here, There And Everywhere Shrink Rap An Update from the AMA A Summer Recipe Match List 5 6 7 8 9 My Months Among the Surgeons: Please Excise Me Out of Here WELLNESS Chronicle Faculty Advisor Dr. Michael Kavan, Ph.D. Editors in Chief Roy Norris Alyssa Hickert Sanjali Kumar Columnists Gordon Chien Rose Park Contributors Dr. Michael Kavan Michele Millard Linda Pappas Alyssa Hickert Kelly Koehn Leonardo Rozal The Wellness Chronicle will be accepting submissions over the summer! Alyssa Hickert M3 Let's just say surgery made me a better psychiatrist. Or, put less bluntly, let's say it gave me a greater appreciation for my future desired specialty (i.e... not surgery). I went into the rotation knowing it would likely not be my preferred area of focus, and although I believe every aspect of medicine has something interesting and enriching to offer, my two months with the specialty certainly proved my initial suspicions correct. There was never a morning I woke up excited for my clinical day, nor was there an evening I didn’t feel extremely ready to go home by the time I was released. Lest there be any doubt, my entire rotation group was made acutely aware of my sentiments on the matter during those two months. To be fair, surgery was not nearly as bad as I am making it out to be; acrid memories have a way of becoming sharp- Christian Church Swahili Choir, Sioux Falls, SD “The Scream,” Edvard Munch so while I may over-exaggerate the emotional angst of my surgical rotation, I still comfortably attest the rotation lies outside my professional calling. In defense of surgery, it possesses many of the aspects that make medicine so entrancing, engaging, and satisfying: I can understand the appeal of resolving a patient’s complaints physically and imminently with the skill of one’s hand. Unfortunately, I tended to gravitate towards the grosser surgeries—in both senses of the word. In the world of surgical literature, I was reading the tawdry, grocery-store paperbacks and failing to appreciate the deeper, more Dickens-esque procedures. A four-hour operation in which one delicate vessel is precisely extricated and used to carefully replace another equally delicate vessel? Pass. A thirty-minute toe amputation involving something uncannily simiPhoto Credit: Penn State News lar to my gardening shears? Yes please. Now, don't get me wrong—I fully aper, and gentle ones duller, with time. Even preciate the work, patience, grueling hours I will admit that for every "this is just ok" and physical finesse required of a surgeon. moment, there was an equal and balancing It's just that my appreciation starts to wane "this is really interesting" moment. Of course about two hours post-scrub. In fact, I mostCreighton Admissions 2013 (for me), there were still the "this is the ly appreciate that someone else wants to worst. thing. ever." moments, but those ocperform these operations. But ah well—if curred mostly before 6 am. Regardless, one we were all surgeons, the world would be should never go into a field that only hits a very bizarre place indeed. Continued next page "50/50" on the scale of personal fulfillment, 2 My Surgery Rotation Continued from page 2 up the wall. Is this likely? No. Will it be unbearable? Not at all—trust me. In the end, what makes medicine such a comSo, it is with great relief that I assume my balancing role on prehensive profession is its focus on people; much like the the other side of the medical spectrum. Yet, having patients to whom it tends, medicine in its broadest sense is emerged from the two months of my subjectively tedious multifaceted, astounding, beautiful, fulfilling… and somerotation, it’s still impossible to look back and claim the ex- times very, very frustrating. perience—however arduous those 5 am alarms may have So the next time you find yourself staring down the been—was not worth undergoing. barrel of a long day, a demanding patient, or an attending Frankly, medicine is incredible. In such a large, dias pleasant as a cactus bath, remember what brought you verse profession it’s no wonder everyone finds something into medicine. Think of the patients you hope to help, and they love—and don’t worry, everyone does find something seize the opportunity to learn, for them—regardless of they love. Unfortunately, this also means everyone finds whether or not you envision yourself trimming off toes evsomething about which they are somewhat less than er again. Frankly, you never know when you’ll need that thrilled. If you are lucky, you will complete your four years information. Dig deep and value even the most uncomfortof medical school without encountering a specialty, enviable aspects of your medical training, because this may be ronment, colleague, physician, or schedule that drives you the only time to do it. Linda Pappas Academic Success Specialist Sleep It is Spring and the M1s are almost done with their first systems class. The M2s are beginning that “one of a kind” experience called studying (actually reviewing) for Step 1. There are some personal management choices that can positively or negatively impact the medical student’s experience this time of the year. One of those important choices that students must make is how they will deal with sleep. Researchers at the University of Chicago say a good night’s sleep can help you to relearn complicated tasks—even if you forgot them the day before. Sleep seems to consolidate and stabilize your memory, restoring what your mind may have lost over the course of the previous day. It also protects the data—think of it as backing up your hard drive— so that you won’t lose the information again. be enough to disrupt the sleep cycle even if you do not fully waken. The light turns off a “neural switch” in the brain, causing levels of a key sleep chemical to decline within minutes. So turn that clock away from you; that way you will also stop staring at it if you are having trouble going to sleep. The same definitely goes for cell phones, iPads, and computers. Tidbit #3-- Anything less than five minutes to fall asleep at night means you are sleep deprived. The ideal is between 10 and 15 minutes, meaning you are still tired enough to sleep deeply, but not so exhausted you feel sleepy by day. Tidbit #4-- As a group, 18 to 24 year-olds deprived of sleep suffer more impaired performance than older adults. So next time your parents say to you “I don’t know how you get by on that small amount of sleep”-- they would actually be better at it! Tidbit #5 -- Some studies suggest that women need up to an hour’s extra sleep a night compared to men, and not getting it Sleep researchers at the National Sleep Research Project have determined helpful tidbits that may be important to the any may be the reason women are much more susceptible to depression than men. hard working medical student, here are a few: The National Sleep Foundation maintains that seven to nine hours of sleep is necessary for adults. That means continuous to a decrease in performance equivalent to a blood alcohol-level hours of sleep, not the 5 hours at night followed by the 3 hour of 0.05%. Hence, the ineffectiveness of studying from morning to mid afternoon “power nap”. Naps are great; just don’t make midnight. them so long that they impact your healthy sleep cycle. Tidbit #2-- Tiny luminous rays from a digital alarm clock can So-- keep backing up those “hard drives”! Tidbit #1-- seventeen hours of sustained wakefulness leads 3 Kelly Koehn M3 Reclaiming the Keys This may be an article about “balance.” And it’s not from Dr. Kavan. SO DON”T JUST SKIP OVER THIS. “It used to be the thing that But seriously. No matter how much we joke about baleveryone knew about you.” ance, it’s a big thing. And I’m not talking about just study breaks or the occasional weekend off to enjoy a movie, dinner with a friend, or hitting up happy hours. To me, real balance is actually about making time for the activities that make you who you are. keyboard at home on which to practice. Then, in my second And yeah. That sounds pretty pretentious. I mean, we’re year, when I did get a tiny keyboard, I was still busy, of course, all spending plenty of time on stuff that makes us who we are, because STEP 1 IS COMING UP AND OMG! But the larger part right? Patient care. Intensive study. Time volunteering. These was that I simply didn’t realize how important playing piano are all the things that makes med students… well, med students was to me. And to my state of mind. (that, and our ability to go straight from the anatomy lab to the I found out, though. I got extremely lucky, and was giftdinner table). But I’m not talking about these things, these char- ed a second-hand acoustic piano this past March. And I started acteristics, that we all share. I’m referring to all the things we playing again. At first, it was terribly frustrating. My technical used to do. skill had gone to seed and I couldn’t play much of the music that I’m sure some, if not all of us, have experienced this. It had previously come easily to me. But I continued to play, just may have been some of the activities for a little bit every day (helped along Pianist Ivan Illic, credit: Wikimedia.com in which you were able to participate by the knowledge that I was expected during college, or heck, even high to play in my sister-in-law’s wedding a school or before. But really it’s all mere six weeks away). And gradually, about that moment when a colleague, note by note, I became a piano player a friend, or even a stranger in a bar again. Not a used to be pianist. But an asks what you enjoy doing and your ivory tinkling, sight-reading, Canon-inresponse is, “… Well, I used to play D-playing machine. Did I mention this rugby,” or “I used to be first chair time period was during my Surgery saxophone…” or even, “I was the rotation, when I was working a minipresident of the debate club in colmum of 60 hours a week? But I felt lege… and by the way, that pick-up better, better than I had in a long time. line won’t work on me.” Suddenly, you realize you’ve used past I was reclaiming a piece of my identity, a piece that I didn’t realtense about something that you used to feel passionately about. ize was integral to my self-worth until I lost it—and then found And that you miss it. You miss killing the other team in that it again. sport, or soaking your reed in spit before belting a jazz scale, or So maybe you’ve been lucky or smart, and have kept at out-arguing the other side on an issue. It used to be your thing. those things that make you who you are, outside of all the day-to It’s the thing you forget your med school friends don’t know -day rigmarole of med school life. If so, I congratulate you… beabout you, because it used to be the thing that everyone knew cause it will make you a better doctor in the long run. If not, about you. You feel slightly surprised every time you have to think about it. We are lucky to have all kinds of resources availaremind someone about it while at the same time realizing how ble to us—intramural sports, clubs, and the diversity of activities long it’s been since you did that thing which makes you, you. that Omaha has to offer. And it’s not easy to take up the reigns The issue of balance hit me hard this past year. I’ve again, certainly. But it’s much less easy to be a used to be, espeplayed piano for fifteen years. I played in college, taking les cially about something you love. And really, that’s what balance sons and accompanying vocalists during recitals. And then, is all about. Staying you, doing the things that make you a unique once I started medical school….nothing. I completely individual, and ultimately producing a doctor who is multistopped playing. Part of it was how busy first year was, faceted and better able to give energy to the one passion we, as especially the first semester. I barely felt like I had time medical professionals, share—providing care, in to breathe. And part of it was that I didn’t even have a whatever way we are best suited, to patients. 4 Your Mind is Here, There … and Everywhere Michele Millard. Academic Success Specialist So you sit down to study with the intention of plowing through those four lectures and understanding them thoroughly by the end of the day. .. . but that just doesn’t happen. Instead, perhaps this is what really goes down (example from the M2s—the rest of you can extrapolate): Okay. . . . exam on Monday. . . need to get those causes of hypothyroidism down. . . .oh, wait. . . let me check Facebook first. . . .hahahaha. . . I can’t believe she posted that. . . . . ok---Hashimoto thyroiditis. Subacute thyroiditis. . . . oops, my phone just buzzed--must have a text message. . . . someone else freaked out about their rotation schedule for next year. . . . Iodine deficiency, Riedel thyroiditis, Llithiummmmmmm. . . . mad. . . I’m so mad at him. . . .how could he have said that to me. . . . . back to Photo credit: salary.com the exam . . . I’m never going to remember this stuff for the boards. . . . . What could have potentially been a productive study session turned into a huge waste of time because of all the distractions, both from our environment and in our heads. Daniel Coleman, in his book “Focus: The Hidden Driver of Excellence” identified one of the most important predictors of success and excellence is the ability to have a healthy focus on specific tasks in the middle of distractions. He categorized distractions into two areas; the first being sensory, which is all the incoming stimuli of your environment—what you touch, taste, hear, see, feel. The second and the most powerful are those emotional distractors—the sound of your name, the buzz of a text message coming in, the intrusion of those memories of that break-up. How do distractions impact performance? Dramatically, the research says. The more our focus gets disrupted, the worse we do. A test of how prone college athletes were to distractions correlated significantly with their performance in the upcoming season. Our brains are wired to either get pulled in different directions by distractions, or by the ability to focus. The neural wiring for selective attention and the ability to stay on one target is found in the prefrontal regions where specialized circuitry boosts the strength of incoming signals we want to concentrate on and dampens down those we choose to ignore. That ability to focus is essentially “cognitive control” or the ability the keep focus on the one thing that’s important while ignoring distractions. Psychologist Angela Duckworth uses the term “grit” as the ability to keep focus on longterm goals and strive for them despite setbacks. Grit and cognitive control are essentially types of selfregulation which is a major part of “Becoming emotional intelligence and essential for success. more mindful It’s easy to find ourselves in is like a state of “mindlessness” where we flit from thing to thing in our heads strengthening and meander through our tasks rather a muscle” than getting on a direct train to get things done. The opposite state of “mindfulness” is the act of becoming intentional about what we are doing and how we are doing it. Both of these mental states are actually habits—we become used to a way of doing something and that becomes our default mode. Becoming more mindful is like strengthening a muscle—with a little practice and exercise, it can become the default state. A few tips on how to build those “mindfulness” muscles: Manage those temptations. Turn your phone/facebook/twitter/ In stagram/e-mail accounts off, only allowing yourself to check them at certain points during the day. Truthfully, is it really that important to see the Facebook post of what your friend had for lunch? Use technology to manage your technology There are apps that can help you stay focused; Nanny for Google, Stay Focused, Self-control, Freedom, Time Out, Tasker, Do Not Disturb are just a few of the apps or programs that limit the amount of time you can spend online. Minimize distractions within your physical environment, such as noise and people. Create the environment that will maximize your focus. Check in to what’s going on in your head. Notice where your mind has gone and choose to bring it back to where it should be. That act reinforces those neural circuits that help maintain focus. Avoid the myth of effective multi-tasking. We think we’re good at it, but the reality is, our productivity is probably 20-40% lower. We may believe we are accomplishing multiple things at one time, but the reality is, we’re switching focus quickly from task to task, reducing our effectiveness at actually getting something done. Take care of yourself. At this point in the academic year, you might be feeling a tad burned out or run down. Be productive for a while, and then take a break. Make sure you get enough sleep, exercise and appropriate nutrition---all of which helps maintain focus. 5 Shrink Rap: What I Did Will Do on My Summer Vacation Michael G. Kavan, Ph.D. Associate Dean for Student Affairs As the spring semester rolls to an end, we all seem to be in different spots. M1s are finishing up Neurosciences and after giving it some thought are thinking that the first year of medical school actually went quite fast – in addition to thanking God that it’s over and “I passed!” M2s are beginning to study for Step 1 – okay, who am I kidding. For some this probably began upon exiting the womb. M3s are thinking about externships and taking Step 2 M2s: Study hard for Step 1 – it will be worth it, but make sure you maximize your potential by taking intermittent breaks to relax and to exercise (remember, exercise results in neurogenesis) as you study. Also, make sure you are getting adequate sleep since that is where much of the consolidation of memory takes place. Establish good sleep habits early. Go into Step 1 calmly and confidently. And once you are finished, enjoy life to the fullest! Not in the trouble-making or illegal way since I want you all to be safe, but enjoy life knowing that starting in late July with M3 orientation you begin your clerkships and will no longer be in a lecture hall (okay, your apartment) listening to lectures all day. Pinch me – is it really true! M3s: Just remind yourself how great it is not to be an M2 Photo Credit: Anna Reed Photos Memorial Park America Concert and so envious of the M4s who are matched and done and the M1s who actually have a summer break. For some reason, M3s don’t want to be M2s right now. And, finally the M4s. Yes, life is good – no, great! Hooding and commencement are nearing and all that hard work over the years has finally paid off. As we all proceed through the next few months, I thought I would revisit the common theme paper of “What I did on My Summer Vacation.” But, since it is yet to occur, I thought it may be nice to reflect on the power to control your destiny and make this one of the best summers ever! So, here it goes: right now – I thought that would make you smile. But also, do your best at preparing to do well as you apply for externships and residency. Focus on doing well, getting strong letters of recommendation and being successful in the Match. Whatever you do this summer, I hope you can get some time to relax as well and to reflect on your clinical experiences and how you see yourself best serving those in society. I will bet that you made a difference in a lot of lives this past year – keep that passion and that humanism! M1s: You have basically completed your first year of medical school and now have a better feel for what it is like to drink from a fire hose, and although difficult at times the water is actually refreshing. This summer, take time to reflect on all you have learned over the past year and how you will use this knowledge as you enter the M2 year and begin to see patients in longitudinal clinic and as a more advanced student at the Magis Clinic and elsewhere. Pretty cool! Many of you are helping others through Project CURA or locally, or engaging in research that will eventually do the same. As you progress through your summer, take the opportunity to recharge your batteries. The M2 year moves fast and you want to make sure you have the energy and the perseverance to do well and to have some fun at the same time. Photo Credit: snaap.indiana.edu M4s: Congrats! You did it. I am so proud of you and your accomplishments. Revel in the glory and then take some time to be with family and friends before entering this next stage in life. Although a little scary, it is also exciting as you move to new cities, work in new facilities, and care for patients at a new level. Yes, scary, but so rewarding. As you reflect on the past four years I hope you are able to write the best theme paper ever on what you did over summer – I graduated from medical school, I became a doctor, and I have all of my professional and personal life ahead. As the author of your life, how 6 will your first paragraph begin? An Update from the AMA... Leonardo Rozal M1 What is this SGR that you speak of? community and in an attempt to pacify physicians, lawmakers simply delayed the change in pay rate every year. But they did not just go away and Congress had to balance the budget somehow, and on April 15th this year a 21% Medicare payment decrease was about to be enacted. Excellent question, intrepid read- …Is there time for me to back out of medicine? er. SGR Photo credit: “The Hangover” Photo credit: minnpost.com stands for Leo, trying to figure out what the SGR is... Sustainable Growth Rate and is a formula used by the U.S. government to control spending by Medicare on physician services. The SGR was enacted by the Balanced Budget Act of 1997. Ideally, the SGR was to prevent the expenses from Medicare surpassing the growth in GDP. So why is there so much commotion over something that sounds like a good thing? Fret not, my fellow doctor-in-training. Thanks to the efforts of organizations like the American Medical Association, physicians across the nation, and medical students such as yourself, an alternate bill was passed on April 14th called The Medicare Access and CHIP Reauthorization Act. You’re on a roll here, you should be in the AMA! While in theory the SGR might sound like a good idea, it has caused a big mess with regard to how physicians, who treat Medicare patients, get paid. Before the SGR, physicians experienced moderate pay raises, but when the SGR was enacted physicians experienced a -4.8% That sounds very official, what is it? pay decrease. Well, it’s quite a complicated bill, so for the sake of our Hold on; is that really margaritas I will try to highlight a few of the main a negative sign in points. First of all, it completely eliminates the SGR front of that percentfrom the equation (hehe, get it?). So now, instead of age? doctors experiencing a pay cut, physicians can expect 0.5% increase in payments starting July 1 through That’s correct, but 2019. The new law will also encourage physicians to wait—there’s really strive for quality care over ordering as many more. Obvioustests as possible. ly, this caused quite a stir in Continued next page the physician 7 More AMA Updates Continued from page 7 Hold your horses there, amigo! Just because one law got passed doesn’t mean everything is fixed. Certainly this new law is doing some of the right things, but we can’t stop there. All the law does is encourage physicians to put quality care before quantity of care. Change to APMs are entirely voluntary, so physician groups can just accept the pay increase and carry-on with their practice. Wait, if physicians are getting paid more what encourWell that was an oddly sobering chat for Happy Hour… ages them to give better care than they’re already giving? I apologize my friend, but not all is gloom and doom! The A very astute observation. Traditionally, Medicare payAMA continues to promote practices that put quality ments are based on a fee-for-service model; that care at the forefront of physicians’ practices. Also, means physicians get paid for everything that they do remember that you are a member of the future generfor a patient. Obviously, this model doesn’t exactly ation of doctors and can help make the changes we encourage doctors to raise the bar in terms of quality need in healthcare a reality. If you’d like more inforof care, so the new law places incentives for doctors mation on how to do so, or would like to stay up to to adopt Alternative Payment Models (APM). For date on issues in healthcare here are a few sources: example, physicians who adopt APMs would receive a Ama-assn.org 5% bonus to offset financial risk. Kaiserhealthnews.org So everything is perfect and I can focus on drinking my margarita, right? 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Adiletta, Christopher St Josephs-Syracuse, NY Family Medicine Afrasiabi, Mohammad FAU-Schmidt COM, Boca Raton, FL Internal Medicine Amosson, Nick Creighton University Affil Hosp, Omaha, NE Internal Medicine Anderson, Daniel University of Washington Affil Hosp, Seattle, WA Pathology Anderson, Eric University of Louisville SOM, Louisville, KY General Surgery Asquith, Kerstin Stanford University Programs, Stanford, CA Psychiatry Avondet, Erin University of Utah Affil Hosp, Salt Lake City, UT Pediatrics Backs, Amanda University of Colorado SOM, Denver, CO Pediatrics Bahng, Jihae Rhode Island Hosp/Brown University, Providence, RI Internal Medicine Baker, Craig University of Texas Med School, Houston, TX Pediatrics - Med Genetics Baker, Lauren University of Minnesota Med School, Minneapolis, MN Pediatrics Barrett, Aaron St. Josephs Hospital, Phoenix, AZ Family Medicine Barusch, Nathaniel UC Davis Medical Center, Sacramento, CA Psychiatry Bassett, Matthew Beaumont Health System, Royal Oak, MI Radiology Baumgart, Patrick VA Greater LA Health System, Los Angeles, CA Psychiatry Bell, Allison New Hanover Regional Med Center, Wilmington, NC Obstetrics & Gynecology Bell, Brooke San Antonio Military Med Center, San Antonio, TX Radiology Birmingham, Erin Medical College Wisconsin Affil Hosp, Milwaukee, WI Pediatrics Bracciano, Nicholas Medical College Wisconsin Affil Hosp, Milwaukee, WI Psychiatry Brannan, Stephen University of Nebraska Med Center, Omaha, NE Anesthesiology Breining, Sally University of Minnesota Med School, Minneapolis, MN Obstetrics & Gynecology Cabral, Jennifer University of Missouri-KC Programs, Kansas City, MO Family Medicine Carroll, Gretta Scott Medical Center, Scott Air Force Base, Illinois Family Medicine Carroll, James St. Louis Univ SOM, St. Louis, MO Pediatrics Castaneda, Elianne Miami Childrens Hospital, Miami, FL Pediatrics Chan, Jessica North Shore-LIJ Health System, New York, NY Internal Medicine Chan, Justine St. Josephs Hospital, Phoenix, AZ Neurology Chemelewski, Kelsey University of Utah Affil Hospitals, Salt Lake City, UT Pediatrics Chen, Joseph Banner Good Samaritan Medical Center, Phoenix, AZ Obstetrics & Gynecology Chen, Shirley UCLA Medical Center, Los Angeles, CA Pediatrics Cherney, David University of Texas Med Branch, Galveston, TX Anesthesiology Ching, Kelsey Western Michigan University Stryker, Kalamazoo, MI Emergency Medicine Cohenour, Justin University of Minnesota Med School, Minneapolis, MN Internal Medicine Como, Natalie University of Utah Affil Hospitals, Salt Lake City, UT Medicine - Pediatrics Cook, Erin University of Wisconsin Hosp and Clinics, Madison, WI Psychiatry Craig, Andrew Dartmouth-Hitchcock Med Center, Lebanon, NH Emergency Medicine Cushing, Claire Travis Air Force Base, Fairfield, CA Family Medicine 9 Dameworth, Jonathan St. Josephs Hospital, Phoenix, AZ General Surgery Datar, Jonathan Loyola University Medical Center, Chicago, IL Neurology Dean, Diana Advocate Christ Medical Center, Oak Lawn, IL Emergency Medicine Dedania, Reema Vanderbilt University Medical Center, Nashville, TN Psychiatry Deever, Douglas Wright Patterson Med Center, Dayton, OH Internal Medicine Dellaria, Benjamin Medical College Wisconsin Affil Hosp, Milwaukee, WI Family Medicine Dewitt, Sarah Carilion Clinic-Virginia Tech Carilion SOM, Roanoke, VA Emergency Medicine diVittorio, Sarah University of Arizona Affil Hospitals, Tucson, AZ Obstetrics & Gynecology Dosland, Britta University of Nebraska Med Center, Omaha, NE Anesthesiology Doyel, Ryan Northwestern McGaw/RIC, Chicago, IL Physical Medicine & Rehab Duyanen, Jennifer Stanford University Programs, Stanford, CA Psychiatry Englert, Kate Dartmouth-Hitchcock Med Center, Lebanon, NH Surgery - Prelim Erickson, Grant Walter Reed National Military Medical Center, Bethesda, MD Pediatrics Estes, Avram Resurrection Medical Center, Chicago, IL Emergency Medicine Evans, Timothy Henry Ford HSC, Detroit, MI Orthopaedic Surgery Fetten, Katharina Creighton University Affil Hosp, Omaha, NE General Surgery Forrest, Sarah UC Davis Medical Center, Sacramento, CA Obstetrics & Gynecology Gallegos, Gabrie Creighton University Affil Hosp, Omaha, NE University of Alabama Medical Center, Birmingham, AL Medicine - Prelim Anesthesiology Gandhi, Sonali Cook County-Stroger Hospital, Chicago, IL Emergency Medicine Gary, Anna Phoenix Childrens Hospital, Phoenix, AZ Pediatrics Gibbons, Laura University of Iowa Hospitals & Clinics, Iowa City, IA Psychiatry Gilbert, Michael University of Kansas SOM, Kansas City, KS Prelim - Medicine Ophthalmology Gillette, Kelley Loma Linda University, Loma Linda, CA Pediatrics Goins, Krista Creighton University Affil Hosp, Omaha, NE Family Medicine Goldstein, Amy UNMC/Creighton Univ Medical Center, Omaha, NE Pediatrics Hallman, Timothy Creighton University Affil Hosp, Omaha, NE Surgery - Prelim Radiology Ham, Paul Baylor College of Medicine, Houston, TX Emergency Medicine Hangge, Patrick Mayo School of Graduate Medical Education, Scottsdale, AZ General Surgery Harwood, Danie University of New Mexico, Albuquerque, NM Radiology Henn, Sarah Emory University School of Medicine, Atlanta, GA Internal Medicine Heyrman, Alex Legacy Emanuel/Good Samaritan, Portland, OR Internal Medicine Hickle-Koclanes, Katrina University of Wisconsin Hosp and Clinics, Madison, WI Psychiatry Hieb, Nathan Akron General Med Center, Akron, OH General Surgery Hoffmann, Jessica UC Irvine Medical Center, Orange, CA Emergency Medicine Holly, Ashley Michigan State University-East Lansing, Lansing, MI General Surgery Hong, Jessica University of Southern California, Los Angeles, CA Internal Medicine Hvidsten, Kelsey Maricopa Medical Center, Phoenix, AZ Obstetrics & Gynecology Hyde, Nicola University of Washington Affil Hospitals, Seattle, WA Family Medicine Ippoliti, Shannon UC Irvine Medical Center, Orange, CA Pediatrics Irwin, Jaclyn University of Oklahoma COM, Oklahoma City, OK Anesthesiology Jafilan, Saleem University of Nebraska Med Center, Omaha, NE Emergency Medicine 10 James, Matthew Yale-New Haven Hospital, New Haven, CT Emergency Medicine Jeffers, Kristine San Antonio Military Med Center, San Antonio, TX Emergency Medicine Jeffress, Jason Creighton University Affiliated Hospital, Omaha, NE Prelim - Medicine Radiology - Diagnostic Jordi, Pamela University of Nebraska Med Center, Omaha, NE Obstetrics & Gynecology Joslin, Laura University of Kansas SOM, Kansas City, KS Anesthesiology Judge, Sean UC Davis Medical Center, Sacramento, CA General Surgery Kieffer, John San Antonio Military Med Center, San Antonio, TX Internal Medicine Kim, Daniel UC Irvine Medical Center, Orange, CA Internal Medicine Kincaid, Adam Kern Medical Center, Bakersfield, CA Emergency Medicine Koenck, Carleigh Creighton University Affil Hosp, Omaha, NE Medicine - Prelim Kult, James Creighton University Affil Hosp, Omaha, NE Carolinas Medical Center, Charlotte, NC Medicine - Prelim Phys Medicine & Rehab Kyllo, Stuart Naval Medical Center, Portsmouth, VA Family Medicine Lang, Adam Barnes-Jewish Hospital, St Louis, MO Pathology Lavin, Kimberly MacNeal Hospital, Berwyn, IL Loyola University/Hines VA Hospital, Chicago, IL Transitional Year Ophthalmology Le, Tri Kaiser Permanente-Fontana, Fontana, CA Internal Medicine Levy, Justin Huntington Memorial Hospital, Pasadena, CA Internal Medicine Livergood, Christine Mercy Hospital St Louis, St Louis, MO Obstetrics & Gynecology Losey-Flores, Kaitlyn University of Arizona COM South Campus, Tucson, AZ Family Medicine Lundberg, Andrea Northwestern McGaw/NMH/VA, Chicago, IL Psychiatry Makar, Ann University of South Dakota SSOM, Sioux Falls, SD Psychiatry Mannix, Jaimee Steward Carney Hospital, Boston, MA Boston University Med Center, Boston, MA Transitional Year Radiology Markham, Claire University of Kansas SOM, Wichita, KS Obstetrics & Gynecology Marshall, Mayme Oregon Health & Science University, Portland, OR Pediatrics Matthews, Abby Banner Good Samaritan Medical Center, Phoenix, AZ University of Arizona Affil Hospitals, Tucson, AZ Medicine - Prelim Anesthesiology Menapace, Deanna Mayo School of Graduate Medical Education, Rochester, MN Otolaryngology Mittet, Robert Hennepin County Med Center, Minneapolis, MN Internal Medicine Miyashiro, Dayna University of Nebraska Med Center, Omaha, NE Internal Medicine Montoure, Andrew Medical College Wisconsin Affil Hosp, Milwaukee, WI Neurological Surgery Moreland, Kathryn Creighton University Affil Hospitals, Omaha, NE Obstetrics & Gynecology Mulroy, Elisabeth Univ of Connecticut Health Center, Farmington, CT Surgery - Prelim Urology Murante, Anthony Mayo School of Graduate Medical Education, Scottsdale, AZ General Surgery Najarian, Jessica UNMC/Creighton Univ Medical Center, Omaha, NE Pediatrics Nakano, Camille Kaiser Permanente-Oakland, Oakland, CA Pediatrics Nguyen, Catherine UC Irvine Medical Center, Orange, CA Family Medicine Nguyen, Huong Kaiser Permanente-Los Angeles, Los Angeles, CA Internal Medicine Nguyen, Min Yen Creighton University Affil Hospitals, Omaha, NE Pathology Norris, Roy Creighton University Affil Hospitals, Omaha, NE Internal Medicine Norton, Brian St Marys Medical Center, San Francisco, CA University of Arizona Affil Hospitals, Tucson, AZ Medicine - Prelim Anesthesiology 11 Olinger, Catherine University of Tennessee COM, Memphis, TN Orthopaedic Surgery O'Mara, Sean Naval Medical Center, Portsmouth, VA Transitional Year Pequet, Michelle Medical College Wisconsin Affil Hosp, Milwaukee, WI Anesthesiology Perez, Yalile Kaweah Delta Health Care District, Visalia, CA Transitional Year Phillips, Kimberly Medical College Wisconsin Affil Hosp, Milwaukee, WI Anesthesiology Quast, Michaela University of Nebraska Med Center, Omaha, NE Mayo School of Graduate Medical Education, Rochester, MN Medicine - Prelim Anesthesiology Ramelb, Erin Loyola University Medical Center, Chicago, IL Internal Medicine Ramirez, Danielle Baylor College of Medicine, Houston, TX Pediatrics Reddy, Amith St. Louis Univ SOM, St. Louis, MO Surgery - Prelim Reichert, William Wa lke Banner Good Samaritan Medical Center, Phoenix, AZ r Evans , “Su Riddle, Katherine St Joseph Mercy-Ann Arbor, Ann Arbor, MI Robinson, Brenton St Joseph Hospital, Chicago, IL General Surgery Roe, Matthew Mtn Area Health Ed Center, Ashville, NC Family Medicine Schaefer, Julie University of Minnesota Med School, Minneapolis, MN Internal Medicine Schmidt, Emily Loyola University Medical Center, Chicago, IL Anesthesiology Sen, Rouhin Creighton University Affil Hospitals, Omaha, NE Internal Medicine Slubowski, Daniel Indiana University SOM, Indianapolis, IN Emergency Medicine Smoots, Brent Carolinas Medical Center, Charlotte, NC Internal Medicine Soltys, Frank Indiana University SOM, Indianapolis, IN Pediatrics Stapleton, Matthew WSU/Detroit Medical Center, Detroit, MI Emergency Medicine Statler, Brittney Virginia Mason Medical Center, Seattle, WA Brown University, Providence, RI Transitional Year Ophthalmology Stombaugh, Keegan University of Chicago Medical Center, Chicago, IL Anesthesiology Stombaugh, Sarah University of Chicago Medical Center, Chicago, IL Family Medicine Symon, Melissa Oregon Health & Science University, Portland, OR Plastic Surgery Taghavi, Arash UC Irvine Medical Center, Orange, CA Internal Medicine Taylor, Christopher Vanderbilt University Medical Center, Nashville, TN Surgery-Prelim Radiology Tennant, Rachael Arrowhead Regional Med Center, Colton, CA Family Medicine Vafaei, Paniz Kaiser Permanente-Oakland, Oakland, CA Internal Medicine Vo, Elise Maricopa Medical Center, Phoenix, AZ Obstetrics & Gynecology Whetzel, Jacob University of Utah Affil Hospitals, Salt Lake City, UT Family Medicine Whitenack, Nicholas Creighton University Affil Hospitals, Omaha, NE General Surgery Wight, Elizabeth Mayo School of Graduate Medical Education, Rochester, MN Internal Medicine Wurster, Harrison University of Nebraska Medical Center, Omaha, NE University of Texas Medical School, Houston, TX Medicine-Prelim Anesthesiology Yee, Jared Loma Linda University, Loma Linda, CA Neurology Zach, Claire University of Minnesota Med School, Minneapolis, MN Pediatrics Zanotto, Alexander University of Minnesota Med School, Minneapolis, MN Internal Medicine Internal Medicine bwa y”Obstetrics & Gynecology y” Trolle ank, “ r F t r Robe Special thanks to Roy Norris for his years as Editor-in-Chief of the Wellness Chronicle! 12
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