AOMA 2013 Fall Digest by AOMA

Welcome Craig M. Phelps, D.O. Aoma’s 2013 – 2014 President Volume 28, No. 2 The Journal of the Arizona Osteopathic Medical Association Fall 2013

INSIDE

■ Encouraging Physical Fitness for Your Patients ■ AOMA 91st Convention Review ■ Practice Management Articles

2013-2014 Board of Trustees President Craig M. Phelps, D.O. President Elect Adam S. Nally, D.O. Immediate Past President Thomas E. McWilliams, D.O. Vice President Kristin Nelson, D.O. Secretary/Treasurer Jonathon Kirsch, D.O. Executive Director / Editor Amanda L. Weaver, M.B.A. Trustees Craig R. Cassidy, D.O. Donald J. Curran, D.O. Angela DeRosa, D.O., M.B.A., CPE William H. Devine, D.O. David P. England, D.O. Michelle E. Eyler, D.O. Charles A. Finch, D.O. Patrick Hogan, D.O. Christopher J. Labban, D.O. Julie A. Morrison, D.O. Laurel Mueller, D.O. George Parides, D.O. Wendell B. Phillips, D.O. Bunnie Richie, D.O. Shannon Scott, D.O. Paul M. Steingard, D.O. Resident Trustee Mansoor Jatoi, D.O. Student Trustees Chelsea Conn, AZCOM Leigh Anne Costanzo, SOMA Speaker of the House of Delegates John F. Manfredonia, D.O. Vice Speaker of the House Jeffrey Morgan, D.O., MA

AOMA Staff Listing Associate Executive Director Flannery H. O’Neil, MPH Member Services Manager Sharon Daggett Executive Assistant & Managing Editor Teresa Roland

Contents

Volume 28 No. 2

F a ll 2013 Features

Physical Fitness

10 ACA Update 11 Making Physical Activity Part of Your Life 12 Fiscal Fitness 15 Stress – Are You a Likely Casualty? AOMA Events 26 Convention Highlights 34 Student Clinical Case and Poster Forum 47 Fall Seminar Information Columns 04 President’s Message 08 From the Desk of the Executive Director 09 What We Have Done For You Lately 14 Just D.O. It: Robert Marotz, D.O. 17 Arizona Health-e Connection Article 18 HSAG Article 19 Welcome New AOMA Members 20 AOMA Business Partners Ost eopathic Community News 37 AzACOFP President’s Message 38 Midwestern University / AZCOM 41 A.T. Still University 45 Tucson Osteopathic Medical Foundation 51 Calendar of Events – Advertisers Index Opinions expressed in the AOMA Digest are those of authors and do not necessarily reflect viewpoints of the editors or official policy of the AOMA, or the institutions with which the authors are affiliated unless explicitly specified. AOMA Digest does not hold itself responsible for statements made by any contributor. We reserve the right to edit articles on the basis of content or length. Although all advertising is expected to conform to ethical medical standards, acceptance does not imply endorsement by this magazine. The appearance of advertising in the AOMA Digest is not an AOMA guarantee or endorsement of the product, service or claims made for the product or service by the advertiser. Copyright 2013

AOMA Digest Fall 2013

President’s Report Fall 2013-2014

President’s Message

Today We Stand Together In An Important and Pivotal Moment In Our Country’s History AOMA members and friends,

healthcare home. AOMA

Osteopathic Medical Association. Many great and worthier

community have, and

It is a humbling experience to represent the Arizona

and Arizona’s DO

physicians have served before me, leading the way for AOMA

continue to provide, this

to become one of the preeminent state osteopathic, or allopathic,

type of now considered

medical associations in America. As I travel the country, I often

“revolutionary care.”

hear with respect and envy, “You have one of the country’s best

During the next

associations and executive directors.”

year, I look forward to

played a major role in my life, assuring osteopathic physicians in

advocating on behalf of

Professionally, AOMA—its physicians and leadership—has

working with you and

Arizona are respected, successful, and contributing to a healthy

our organization. First,

and vibrant Arizona.

Personally, the association—once again, its physicians and

leadership—has brought an abundance of friends, gatherings,

colleagues, mentors, opportunities, and so much more to my life. Today, we stand together during an important and pivotal

moment in our country’s history. In addition to an already

continuing to ensure

Craig M. Phelps, D.O., FAOASM

2013 – 2014 AOMA President

and governmental systems in Arizona.

our thoughts and ideas

are heard at all levels of

healthcare, educational,

Next, we must continue to grow our membership and welcome

extended healthcare system, physicians and other healthcare

all DOs in the state. This organization has proven what can be

million more Americans now covered by healthcare reform, plus

our behalf. Membership is an investment in our degree and the

professionals must work together to provide healthcare to 50

an additional 11 million undocumented and likely soon to become U.S. citizens through immigration reform and the Dream Act. Speaking during yesterday’s luncheon, AOA Executive

Director John Crosby spoke of the tremendous opportunity

ahead for physicians who think and act osteopathically with

done by an effective team of dedicated advocates working on

means to be heard as a powerful collective voice. Our two schools, SOMA and AZCOM, help provide vitality to our members and

organization. Supporting graduate medical education in Arizona remains an AOMA priority.

Finally, let’s continue to get the word out to our patients

whole person healthcare as a foundation to their approach.

and future patients that whole person healthcare and thinking

Today’s emphasis on prevention, access, quality, affordability, and

our talents have been fine-tuned; this moment is ours to seize and

Treating patients, families, and communities has come full circle. sustainability are principles well known to the DO community.

Like our patients, if families and communities are not functioning

well, individually and together, health and vitality are unreachable. Dr. A.T. Still understood this and set the course for change

in American healthcare. The “Tenets of Osteopathic Medicine,” when applied to a community-based care approach, provide a

framework for team-based, sustainable, accessible, and affordable preventive, acute, and chronic patient-centered care within a

AOMA Digest Fall 2013

osteopathically is what we do. The time is right, the need is great,

work with all healthcare providers in Arizona to provide solutions to one of the greatest challenges to our state and country. I would like to thank Amanda Weaver, Dr. Thomas

McWilliams, and the Executive Committee members, delegates,

committee members, and all volunteering their time, treasure, and hard work to AOMA.

2013-2014 Board of Trustees

2013-2014 Board of Trustees Officers

Craig M. Phelps, D.O. President

Adam S. Nally, D.O. President Elect

Thomas E. McWilliams, D.O. Immediate Past President

Kristin Nelson, D.O. Vice President

Trustees

Jonathon Kirsch, D.O. Secretary/Treasurer

Amanda L. Weaver, M.B.A. Executive Director

Craig R. Cassidy, D.O. Specialists

Donald J. Curran, D.O. District 7

Photo not available

Angela DeRosa, D.O., M.B.A., CPE Member at Large

AOMA Digest Fall 2013

William H. Devine, D.O. District 1

David P. England, D.O. District 5

Michelle E. Eyler, D.O. Member at Large

2013-2014 Board of Trustees

Charles A. Finch, D.O. District 3

Patrick Hogan, D.O. Member at Large

Christopher J. Labban, D.O. District 4

Julie A. Morrison, D.O. District 6

Photo not available

Laurel Mueller, D.O. Member at Large

George Parides, D.O. Member at Large

Wendell B. Phillips, D.O. Member at Large

Bunnie Richie, D.O. Member at Large

Shannon Scott, D.O. New Physicians Representative

Paul M. Steingard, D.O. District 2

Mansoor Jatoi, D.O. Resident Trustee

Chelsea Conn, AZCOM Student Trustee

Leigh Anne Costanzo, SOMA Student Trustee

John F. Manfredonia, D.O. Speaker of the House of Delegates

Jeffrey Morgan, D.O., MA Vice Speaker of the House

AOMA Digest Fall 2013

From the Desk of the Executive Director

Fit For Life

his issue of the DIGEST is focused on the importance of

dance floor with their

is such a pervasive problem in the United States. According

You will enjoy the photos

physical fitness for good health since adult and child obesity

parents and many others.

to the American Medical News, the highest obesity rate of any

that are in this issue.

state in 1995 was less than the lowest obesity rate in 2010. The

A special touch to the

Centers for Disease Control (CDC) reported on August 6 that

party was having Mitch

Arizona is not one of those states. The obesity rates are still too

family and friends join

18 states had slight drops in obesity for low income preschoolers.

Kasovac, D.O. and his

high. A third of U.S. children and more than two thirds of adults

us to celebrate Mitch’s

are obese or overweight.

recovery after a serious

We asked Craig Phelps, D.O., sports medicine and family

physician, to comment on making physical activity part of his patients’ quest for a healthier lifestyle. He said “encouraging

others to be physically active is one of the best recommendations physicians may offer patients, coworkers, family and friends.”

illness and his receiving

Amanda L. Weaver, M.B.A.

AOMA Executive Director

the AOMA Lifetime

Achievement Award. This was his second outing in months and he looked

Turn to page 11.

dashing in his Hawaiian shirt. Jeff Morgan, D.O. received the

AOMA’s 2013 – 2014 President in April, and is also the

deference to Mitch, as well as the Immediate Past President Tom

Yes, this is the same Dr. Phelps who was inaugurated as

President of A.T. Still University. His commitment to AOMA is unwavering. We appreciate that he has carved time aside

Physician of the Year award. He was sporting a Hawaiian shirt in McWilliams, D.O.

The AOMA was fortunate to have Tom as the 2012 -2013

from his busy work and travel schedule to lead the AOMA. He

President who is an outstanding representative of the profession.

the President’s Message on page 4. The Board of Trustees met

has creative ideas, and endless enthusiasm. Governor Brewer held a

is a strategic and effective leader. His Inauguration speech is in in June to update the strategic plan for the Association. The

strategy map is on page 23, and we welcome your comments. The AOMA Convention in April was a success with 614

registrants and quality continuing medical education (CME) with relevant topics and excellent speakers. Kudos to Lori Kemper, D.O. and the Professional Education Committee assisted by Associate Executive Director Flannery O’Neil.

AOMA Team members Sharon Daggett and Teresa Roland also contributed greatly to the convention’s success.

The crowning glory of the convention was the festive

Osteopathic Family Party in lieu of the more formal Presidents' Gala. Twice as many D.O.s attended and the evening was

enhanced by children dancing and hula-hooping, and sharing the

AOMA Digest Fall 2013

He participated in Graduate Medical Education task forces and

rally for Medicaid Expansion on D.O. Day at the Legislature where he was one of four speakers. He is so articulate and passionate that he was the one speaker who received the most television coverage. He shares his sense of adventure with his wife, DeLoss, who is a

renowned artist. They purchased a ranch in Colorado that has not been inhabited for over 50 years. They moved and are living in a tent structure until their home is built. However, he will remain

as an officer of the AOMA and as an Associate Dean for School of Osteopathic Medicine Arizona with A.T. Still University

charged with growing graduate medical education programs – and he has already had success. The AOMA Board of Trustees and

AOMA Team join me in a heartfelt thanks to Tom for his many contributions to the Association and profession.

What We Have Done For You Lately

“What We Have Done For You Lately”

This regular feature of the AOMA Digest provides members with a recent update of the Association’s activities. AOMA is representing the osteopathic profession as a healthcare stakeholder and is now a voice “at the table.” This covers the period from April 2013 – July 5, 2013

Advocacy/Government Relations

Healthcare Community Leadership

•• Four D.O.s and two AOMA staff attended Republican

•• Executive Director attended Board of Directors Meeting for

••Participated in several healthcare stakeholder meetings.

•• As Vice-Chair of Arizona Health-e Connection (AzHEC),

Legislative Salute Dinner.

•• Met with Arizona Medical Association (ArMA) Executive

Vice President Chic Older and President Tim Rothe, MD to discuss upcoming legislative agenda.

•• Met with Arizona Department of Transportation (ADOT) public affairs director to discuss opportunities to work together.

American Osteopathic Association (AOA) •• Executive Director John Crosby represented AOA at the

Health Services Advisory Group (HSAG)

she attended several Board and Executive Committee Meetings.

Membership/Member Services •• Hosted “Office Managers Lunch and Learn” on Human Resource Issues.

••Added 33 new members during this period.

•• Hosted an Osteopathic Family Party inviting non-members and children.

2013 Annual Convention.

•• Board of Trustees developed Strategic Plan for 2013-2016

Government Affairs and presented an overview of scope of

•• Assisted members in credentialing problems with United

•• AOMA Executive Director serves on the Bureau of State practice issues nationally.

•• Sent 13 D.O. Delegates to the AOA House of Delegates to

represent Arizona and approve national policy for the AOA.

focusing on membership value and promoting the profession. Healthcare and restrictions on staff physicians at hospital chain affecting access to care.

•• Referred several callers to members’ practices.

Community Service

Students – the future of the osteopathic profession

•• Arizona Osteopathic Charities donated $6,000 to Camp Paz/

•• Associate Executive Director working with students at

Stepping Stones of Hope, DOcare International, and Team of Physicians for Students (TOPS) free physicals program.

•• Arizona Osteopathic Charities raised funds via the Birdies

for Charities Campaign for the charitable programs to which they donate.

Continuing Medical Education (CME) •• Provided 34 hours of category 1-A Continuing Medical Education (CME) at the Annual Convention.

Midwestern University’s Arizona College of Osteopathic Medicine (AZCOM) and A.T. Still University’s School

of Osteopathic Medicine in Arizona (SOMA) to develop programs and increase participation.

•• Hosted a Student Clinical Case and Poster Forum for all third and fourth year osteopathic medical students in Arizona.

•• Arizona Osteopathic Charities awarded $1,500 for

scholarships and awards for Arizona’s osteopathic medical students.

••Awarded $300 to AZCOM student for Deans Award.

AOMA Digest Fall 2013

Features

Affordable Care Act (ACA) Updates Treasury Department Announced an Extension to ACA Employer Mandate

that they would be issuing an extension to the January

Governor Brewer’s AHCCCS Restoration Plan, signed into law

1, 2014 deadline for large employers (those employing

on June 17, 2013, restored coverage to thousands of Childless

over 50 people) to provide their workers with health insurance.

Adults and provides coverage for those between 100 – 133% of

This deadline was moved to January 1, 2015 and will allow large

the Federal Poverty Level beginning January 1, 2014. AHCCCS

employers more time to implement the processes needed to meet

Medical Director Marc Leib, M.D. informed the AOMA

the reporting requirements. Proposed rules for these reporting

leadership that he felt the current physician workforce could

requirements are expected to be published late in the summer. The

accommodate this expansion because some of the panels are

Treasury Department does encourage employers to implement or

closed and they could be reopened.

n July 2, 2013, the Treasury Department announced

maintain coverage for their employees and to voluntarily begin reporting this coverage as those systems become available in 2014.

This was a highly contested issue in Arizona. Nonetheless,

The Arizona Health Care Cost and Containment System (AHCCCS) recently sent an update to stakeholders on a

Small businesses of 49 employees or less are not subject to

new webpage that will be a source of information regarding

the regulation of providing coverage for their employees. If you

the implementation of the AHCCCS Restoration Plan. The

are currently offering coverage or are interested in doing so, the

new webpage can be located at: http://www.azahcccs.gov/

Small Business Health Options Program (SHOP) is an option for

publicnotices/MovingForward.aspx.

providing coverage. More information is available at https://www. healthcare.gov/small-businesses.

Some of the updates include:

Important Dates October 1, 2013 Open Enrollment Begins for the Health Insurance Marketplace January 1, 2014 Health Coverage Begins for those using Insurance through the Marketplace March 31, 2014 Open enrollment for 2014 health insurance coverage closes

beginning October 1, 2013. Health-e-Arizona Plus has an online application. KidsCare is Arizona’s Children Health Insurance Program (SCHIP). Enrollment will remain frozen in 2014. Governor Brewer announced on November 18, 2012 that Arizona will participate in a Federal Facilitated Marketplace (FFM). Families with 400% FPL may receive premium subsidies for commercial

Medicaid Expansion

coverage on the Federal Facilitated Marketplace (FFM).

A portion of the ACA included an expansion of Medicaid to provide coverage for those between 100 – 133% of Federal Poverty Level (FPL). The 2013 FPL is $23,550 for a family of four or $11,490 or less for a single person household.

AOMA Digest Fall 2013

Applications for adult coverage will be accepted and processed

There will be a variety of stakeholder efforts to inform and accept feedback from the public regarding Medicaid Moving Forward. Information will be posted as soon as it becomes available.

Features

Making Physical Activity Part of Your Life

OMA’s 2013-2014 President Craig Phelps,

Some of his exercise tips are:

D.O. practiced family

1. Choose activities that are fun and convenient. Use

the opportunity to learn something new; i.e., dancing,

medicine with a sports medicine

rowing, fencing, yoga, etc.

emphasis for 25 years until he

2. Bring family and friends along.

was named President of A.T. Still

3. Try to exercise 30-40 minutes, the majority of days

University in July 2012. We asked

each week. Thirty-40 minutes of activity may be

Dr. Phelps to give some tips on

divided into several daily sessions. Remember any

making physical activity part of physicians and their patients’ quest

Craig Phelps, D.O.

for a healthier lifestyle. “Encouraging others to be physically active is one of the best recommendations physicians may offer patients, coworkers, family and friends. Patients are much more likely to follow healthy suggestions when their physician encourages and models change. The healthy benefits of 30 minutes to 40 minutes of exercise 4-7 days per week are indisputable.” Listed below are the named benefits:

amount of physical activity is helpful including

climbing stairs, and walking to your car. Activities

including gardening, walking and coaching youth sports contribute to an exercise routine.

4. Don’t give up. Remember exercise and being healthy

are life time commitments. It is never too late to include some form of physical activity in your life.

5. If appropriate, check with your physician to make sure you are healthy enough to begin physical activity.

1. Improves cardiovascular health 2. Encourages bone health 3. Improves balance 4. Improves memory 5. Increases flexibility 6. Positively affects behavioral health 7. Improves strength and endurance 8. Stimulates the immune system 9. Prevents and treats obesity 10. Modifies risk of diabetes and associated secondary diseases

“One of my osteopathic physician mentors reminded me one

11. Relieves anxiety and stress

day “All of our patients are athletes; some are in training and some

12. May help autistic and Parkinson’s patients

are out of training. Our role as their physician is to help those

13. Encourages social interactions among all ages

not in training to get back in.” Those are good words and I often

14. Delays many of the signs and symptoms commonly

remind myself to not stray too far from my lifelong passion to

associated with aging.

remain as active an “athlete” as possible.”

AOMA Digest Fall 2013

Features

“If you don’t know where you are going, you’ll end up someplace else.” — Yogi Berra

Conducting A Fiscal Check-Up: Are You In Good Health?

unning a healthy business

Budgeting and financial management

generally means following the

—D on’t guess. Keep a current list of assets and liabilities, account

money:

by account. Create and maintain your own Statement of Net

— Capture and grow charges

Worth

and sales

— create/update budgets

— Collect the revenue

— set savings goals

— Control expenses

— set spending priorities/separate wants and needs

— Financial/cash management

— look for ways to reduce costs, including taxes

But what about your personal

life? Are you giving it the

attention needed? Keeping

— build an emergency fund equal to at least three to six times

George M. Cohen, CPA

“fiscally fit” is more important

than ever before. Gone are the days of making money, in spite of

yourself. Gone are the days of fiscal stability in the world around us.

your monthly income

— plan to replace 80% or more of your final salary in order to maintain your standard of living in Retirement

Credit and lending

No matter where you are in your life or career, chances are you

— reduce credit card spending debt. Pay off balances monthly

— paying off student loans

— switch to no fee credit cards, or ask for fee waivers.

are juggling multiple financial priorities:

if possible

— getting established

— ask for lower interest rates or switch to lower interest rates.

— preparing for retirement

— refinance and/or consolidate consumer debts

— caring for your family and or aging parents

Yes, this is negotiable.

— check credit reports and scores annually

— living in retirement

Every stage of life has inherent fiscal challenges that can

strain the most carefully thought out budgets and life styles. To

help achieve financial success at any age, you need help to better manage your fiscal priorities and realities.

No one wants to run out of money, or lose credit worthiness,

but too many of us are facing savings shortfalls and credit

nightmares. What can we do to help keep our financial outlook clear, healthy and on track? We can actively plan, monitor and

Investing — set/reassess investment goals

— maximize, or at least increase funding of retirement plan

contributions through your employer or individual vehicles.

— reassess investment allocations

Insurance — check life insurance coverage.

react to the changing circumstances we find ourselves.

— consider disability (obtain enough to cover at least 60% of

help identify details, areas needing attention and issues needing

— make sure beneficiaries are up to date on each of your

A good starting point is to work through a fiscal checklist to

third party guidance. Consider five areas of focus:

AOMA Digest Fall 2013

your income) and long term care insurance

Features retirement accounts, especially if you have had

a change in your family or other relationship situations

— keep all policies in a safe place

— shop for the right product providing the coverage you need — actively manage your insurance portfolio

Estate planning — execute and update your wills and trusts

— execute and update medical powers of attorney and living

I hope you will consider the benefits of working with a CPA, a

trusted advisor, for a financial checkup. A financial checkup can be targeted to a specific issue, such as savings for kids’ college, or can be a very broad overview of your financial situation.

In healthcare, it is often said that a doctor treating himself has

a fool for a patient. Always remember, fools and their money often part company. There are many aids and professional advisors to help you keep financially fit. Act now and use them wisely.

wills

— update beneficiaries on all financial accounts — is there a need for asset protection?

— consider tax advantaged wealth transfer techniques

— execute a letter of instruction for the Executor of your

estate providing accounts, passwords, and advisor contact information

George M. Cohen CPA is a Senior Director at McGladrey in Phoenix, Arizona. He has more than 35 years experience providing

accounting, business and tax services to various industries and professions with a specialty in healthcare. He represents McGladrey

as a valued AOMA business partner. He can be reached at 602-760-2779 or george.cohen@mcgladrey.com.

AOMA Digest Fall 2013

Just D.O. It

Robert J. Marotz D.O., FACOOG, FACOG Editor’s note: “Just D.O. It” is a continuing series in the AOMA Digest. Each column highlights an AOMA member and his or her community involvement. We hope the column provides recognition to some of our hard-working D.O.s and at the same time, provides readers with inspiration to get involved in community service.

We conducted an interview with Dr. Marotz to talk to him about his motivations behind leaving his long — standing private practice to work for Gila River Health Care. AOMA: What motivated

patients and families and felt that the GRHC organization

private practice?

the best possible care to our patients. As I learned more about

you to close/depart your

has a clear, sincere, and an entire team commitment to provide

Dr. Marotz: I came to

the position, it became evident to me that it would be a very

Arizona in 1986 to begin

personally satisfying practice opportunity, and a new challenge.

private practice as an OB/

Although my partners and I had fully anticipated that I would be

GYN, which I continued

the last to retire or depart from AZ OB/GYN Affiliates – New

until April 2012. Along

Horizons Women’s Care, I accepted the GRHC position and

the way, I was involved

departed private practice.

in a project that nearly

opened a private women’s

specialty hospital. Private practice of medicine

AOMA: What have you learned from your experience thus far?

Robert J. Marotz, D.O.

Dr. Marotz: In the past, as a contracted OB/GYN I had little

has gone through many

interaction with the GRHC system other than with the Women’s

decades. The increasing government and business requirements,

wider experience throughout the organization and a growing

changes in the past three

Clinic. As a full time member of GRHC, I have had much

as well as patient expectations, have also brought many new

appreciation of a team effort toward patient care.

frustrations to the day to day private practice of medicine.

AOMA: Would you do it again?

Dr. Marotz: I absolutely would, without hesitation.

AOMA: How did you choose Gila River Health Care? Were you

considering other locations?

Dr. Marotz: I had been a contracted OB/GYN physician for

Gila River Health Care (GRHC) for 9 years. This meant that I was seeing patients in a GRHC clinic location on a nearly

monthly basis, as well as, accepting referred OB/GYN patients

for delivery and surgery at Chandler Regional Medical Center.

GRHC decided to hire their first full time OB/GYN physician to further patient needs and meet patient’s expectations. At the time, I had no intention of ever leaving group practice,

yet, I clearly had concerns about the future of medicine. I had

always enjoyed working with the Gila River Indian Community

AOMA Digest Fall 2013

AOMA: Do you have any recommendations for those who may be looking to provide care to underserved populations / rural areas? Dr. Marotz: As with any job consideration, one must first

consider the patient population, co-workers and management, and location to determine if it’s a good fit.

Robert J. Marotz, D.O. is board certified in Obstetrics and Gynecology. He has been a member of AOMA since 1986.

Features

Stress – Are You a Likely Casualty? By Judy Avery, MICA

re You Stressed Out? Headed for Burnout? Unchecked,

the cracks, and display impaired

practice or even malpractice suits.

Burnout is characterized by

stress can lead to impaired health, relationships, medical

patient-physician communication.

Stress is a reality of life for today’s clinicians who are

emotional, physical, and intellectual

continually attempting to adjust to the changing healthcare

exhaustion, often leading to

environment. Effects of stress can be emotional, physical or

withdrawal. The burned out clinician

intellectual. Over time, continued stress can lead to feelings of

may either lose the ability to function

distrust, anger, resentment, apathy or depression. Some clinicians

or function in an impaired manner. In

resort to drugs or alcohol in an attempt to cope. If left unchecked, stress can result in impaired health such as headaches, ulcers, insomnia, hypertension, cardiovascular disease, and stroke.

In addition to affecting health, prolonged stress can impair

addition to the negative consequences

on health and family, this clinician is a

Judy Avery, MICA

malpractice suit waiting to happen.

The first step in combating burnout is learning how to

personal and professional relationships. The fact is clear: a burned

recognize the signs and symptoms of prolonged stress which

result or diagnostic report fall

practice? You’d greet each day with enthusiasm and end with a

out clinician is more likely to make mistakes, have a laboratory through

often result in burnout. Remember when you first began your

sense of accomplishment, telling yourself that all those difficult

years of training and sacrifice have paid off. If that sentiment has

now turned into cynicism and a reluctance to face the day, or you feel as if your role as healer has turned into a daily burden, you

may be headed for burnout. Although we are seldom in tune to

subtle changes in ourselves, family and friends may be the first to recognize that we have become “stressed out.”

One common sign that you or a clinician you work with

may be on the road to burnout is inappropriate outbursts of

anger. Do you frequently blow up or blame your family, staff, hospital administration, managed care organizations or even other physicians for the daily tensions that crop up? While some clinicians respond with inappropriate anger, others

who are usually outgoing become introverted or withdrawn. Some clinicians become chronically late for work or, once

there, are psychologically absent. Some clinicians who are

under prolonged stress withdraw from their practice, while

still others try to cope by becoming obsessive workaholics. Any of these warning signals may be the first indication that you are headed for serious depression or burnout.

Some display the effects of prolonged stress by either

over or under eating. Certain stressed out clinicians

resort to abusing alcohol or other substances such as caffeine, sleep aids, and mood altering substances.

Stress continued on page 16

AOMA Digest Fall 2013

Features

Stress cont. from page 15

appropriate aspects of documentation to your staff.

Prolonged stress may also be manifested by changes affecting

record systems can save time and frustration. Many include built

headaches, upset stomach and indigestion, high blood pressure,

referrals and consultations so that you need not rely on your

your physical health. Some common warning signs are frequent insomnia and the inability to ward off common illness such as

colds or the flu. If you find yourself “self medicating” for any of these symptoms there may be cause for concern.

Recognition of any of these emotional, intellectual or physical

warning signals in yourself or a colleague may indicate a level of stress that may have serious consequences unless some healthful intervention occurs.

The second step to combating burnout is to identify your

stressors. For purposes of this article, the focus is on those things

Utilize technology to your advantage. Electronic medical

in systems to track patient reminders for return visits, diagnostics, “memory alone.” If you cannot implement an electronic system, consider implementing a simple system to track diagnostics, consult results and follow through. Consider use of MICA’s

website for continuing education to make the best use of your

time. MICA’s Risk Management offers a variety of resources on

subjects relating to risk management in the healthcare setting. Our risk management services are offered free of charge as a service to our insured members.

Improve communication. A busy practice can make it

that stem from your professional life. Determine what events

difficult to communicate with patients and staff in an effective

overwhelming responsibilities and the demands associated with

your staff and patients. It may also result in errors and patient

distress you. More than likely, your stress response is triggered by practicing medicine today.

Once you’ve identified what triggers your stress response, it is

important to develop a plan of action and seek help if needed.

Take care of yourself. It is not okay to sacrifice your health,

happiness, family, or relationships for your career. Find something

that is self-rejuvenating to help relieve and give you better control over stress. What is important is to find something that works

manner. Miscommunication often results in frustration for you, noncompliance. Learn to take a moment to really listen before responding. Effective communication is your first-line risk

management tool. Closed-claim studies support the fact that

patients who have good rapport with healthcare clinicians are

less likely to equate a poor result with poor care and thus don’t consider litigation as their first response.

Seek assistance. If you have found it difficult to manage

for you. Eat sensibly, get a sufficient amount of sleep, and exercise

stress on your own, it is important to seek assistance before your

breaks into your day even if only for a few minutes—go for a

in stress management or a qualified behavioral healthcare

routinely. Try to incorporate regular relaxation periods or work

walk, try meditation or muscle relaxation techniques. Spend some

time by yourself—away from the demands of patients, office staff, colleagues or even family members to enable you to put things

into perspective. Resist the temptation to resort to self-medicate

with drugs, alcohol, caffeine or other stimulants to see you through a period of stress. Seek professional help if necessary.

Maintain good social relationships. Nurture your ties to family

and friends. Make time for those who support you. Develop

mutually supportive friendships/relationships. Having satisfying

stress conquers you. Consult with another physician experienced professional. Sharing your feelings with others who can relate to

the changes and pressures in today’s healthcare environment and developing a support system can help prevent the pressures you

feel from escalating out of control. Every clinician has a difficult patient or situation from time to time and can benefit from

another perspective. Call upon your colleagues for their support.

Contact Risk Management Services of your professional liability carrier for assistance and advice in handling difficult situations. There are several organizations across the country offering

relationships outside of the work place will help to bring a balance

seminars and consultations for clinicians coping with stress.

the best ways to avoid burnout.

prone to stress and burnout. Stress is inevitable in today’s healthcare

to your life. Having a rich, fulfilling life outside the office is one of Manage your time effectively. The key to managing your time

is to set realistic goals. Track your productivity so that you don’t overbook. If possible, leave room for emergencies. If you still

continue to run late regularly, go back and readjust the schedule

until you reach equilibrium. Probably the most frustrating element of time management is dealing with documentation. Delegate

AOMA Digest Fall 2013

Physicians going through a malpractice suit may be particularly

environment. The goal is not to eliminate stress entirely but rather to learn how to manage it effectively. A substantial amount of

physicians and healthcare clinicians will experience burnout at some point in his or her professional career. Don’t let it happen to you!

Recognize the warning signals, identify your stressors, take action and seek assistance before you place yourself at risk!

Features

Patient Engagement: Better Physical Fitness Through Consumer Health IT Awareness

e wrote the first best-selling book on jogging and was one of the icons and founders of the fitness and jogging “craze” more than 30 years ago, but in July 1984, he was found dead by the side of the road near Caspian Lake, Vermont, the victim of a sudden heart attack while jogging alone.1 The death of Jim Fixx, author of The Book of Running, became a national cautionary tale for runners and athletes, and it offers a timeless message about what it really means to be physically fit. Follow-up reports on the death of Jim Fixx reported that despite outward appearance, he was a very sick man at the time of his death, with two of his coronary articles blocked, a high cholesterol level and a known family history of heart disease.2 Jim Fixx refused regular check-ups and visits and believed that exercise alone would keep him healthy. Unfortunately, the legacy of high profile cases like Jim Fixx and other top athletes who have suffered sudden death is a mixed message on the benefits of exercise to an American population that needs to be more physically active. Every year, at least 250,000 deaths are attributed to lack of physical activity, and because 84% of Americans consult a physician each year3, visits not only can identify dangerous underlying morbid conditions, but also, can involve brief counseling that can lead to moderate and healthy increases in physical activity. The challenge for physicians or providers is in delivering effective patient counseling regarding physical fitness and activity. Most providers employ some form of the five “A”s of patient counseling: ask, advise, assess, assist and arrange – with varying degrees of success in changing patient behavior. There is recent evidence that patients themselves can be the key catalyst for change. One recent study suggests that patients are the best source for assessing readiness to change, and specific behavior changes can result from increasing patient engagement generally.4 Patient engagement has been called the “blockbuster drug of the 21st century”5 because of the potential through health information technology (health IT) to connect and engage patients with specific information and resources for them. Health IT is changing the landscape of health care. Today, some 78% of Arizona physicians have adopted some form of an electronic health record (EHR) system and many of these providers are engaged in meeting the requirements of Meaningful Use as part of the Medicare and Medicaid EHR Incentive Programs. These programs will soon require connecting with and engaging patients through EHRs, when Meaningful Use Stage 2 requirements take effect in late 2013 and into 2014. In other words, the stage is set for a real paradigm shift in health care, using health IT resources to connect and engage patients in managing their health and their health care. The opportunity today to employ health IT resources to

increase patient engagement is at the core of a Consumer Health IT Education & Awareness Campaign, led by Health Information Network of Arizona (HINAz) and Arizona Health-e Connection (AzHeC), that will include general health IT consumer outreach this fall. While the first phase of the campaign will build awareness of health information exchange (HIE) and HINAz, the fall campaign will be aimed at educating consumers on how to use health IT resources to more effectively manage their own health. The campaign will be guided by a Consumer Connections Task Force, a group comprised of representatives of health care organizations, health plans and health care consumer advocacy organizations statewide. This broad representative group will collect and consolidate health IT resources for consumers, and it will distribute key information and messages through hospitals, providers, health plans and consumer organizations. During July and August, the Campaign will work with a marketing and public relations firm to develop a consumer campaign that will launch in the fall, and key information and resources will be available through an exclusive consumer website for the campaign. The Consumer Health IT Education & Awareness Campaign will offer several key messages to consumers and patients. It will encourage them to learn about the benefits of EHRs and the benefits of their providers securely sharing their health information to better coordinate care. It will also encourage patients to access their health information through the patient portals of their provider’s or their hospital’s EHR system, and it will assist them in finding resources to help them manage their own health and wellness. And it will encourage consumers to adopt and use a personal health record (PHR) to be better informed and more engaged in their health care. As the death of Jim Fixx underscores, good physical fitness is much more than just doing exercise. Consumers and patients today have health IT resources literally at their fingertips to assist and engage them in monitoring their health and physical fitness well beyond the few minutes that they spend with their health care provider. Through consumer health IT tools, direct patient engagement can help shape and motivate behavior for a lifetime of better physical fitness. If you are interested to get more involved in patient engagement and consumer education activities regarding health IT, please contact AzHeC at 602-688-7200 or info@azhec.org. 1. w ww.nytimes.com/1984/07/22/obituaries/james-f-fixx-dies-jogging 2. w ww.nytimes.com/1984/08101/opinion/deadly-refusal 3. “Physical Activity Counseling”, American Family Phy sician, Rebecca A. Meriwether, MD, et.al., April 15, 2008 4. “Evaluation of Physical Activity Counseling in Primary Care Using Direct Observation of the 5As,” Annals of Family Medicine, Sept-Oct 2009, Jennifer K. Carroll, MD et.al. 5. “ The Blockbuster Drug of the Century,” HL7 Standards, August 28, 2012.ri

AOMA Digest Fall 2013

Features

Become a Physician Advisor with Health Services Advisory Group

ealth Services Advisory Group, Inc. (HSAG) is contracted with Centers for Medicare & Medicaid Services (CMS) to serve as the Quality Improvement Organization

(QIO) for Arizona. As the QIO, HSAG works to improve the effectiveness, efficiency, and quality of services delivered to Medicare beneficiaries. Throughout its history, the QIO Program has been instrumental in advancing national efforts to motivate providers to improve quality and to measure and improve outcomes of quality. In addition to the QIO work, HSAG

a health professional with the same clinical education as

provides review activities in a wide variety of health care settings

the provider under review. The Physician Advisor must

for State and Corporate clients.

be qualified to render a clinical opinion about the medical

HSAG utilizes physicians to perform medical case reviews in its work to improve the quality of care provided in Arizona as well as areas served by State and Corporate clients. The primary purpose of these reviews is to improve the quality of care received by patients as well as educate practitioners, hospitals, health care organizations and insurance plans about the best practices and evidence based approach utilized in the quality review process. HSAG provides compensation for these review activities and all determinations remain anonymous and protected under Arizona peer review statutes.

condition, procedures, or treatment under review. d. For Federal Case Review, in addition to the above requirements, a Physician Advisor: 1. Must be licensed in the state in which the care under review was provided, i.e. Arizona, or be a military physician who actively practices in a military or DVA (Veterans Affairs) facility even if the license to practice is from a different State. 2. Must be in active, clinical practice (defined as an average of 20 hours/week or more during the year).

To become a Physician Advisor at HSAG, a practitioner must: a. Complete an HSAG credentialing packet. b. Have a current, active, non-restricted license to practice medicine in Arizona or in another state. c. Licensed doctor of medicine or doctor of osteopathic

3. Must have active staff privileges in one or more facilities in the State. Emergency Department physicians and dentists that do not have admitting privileges can meet the active staff privileges. If you are a licensed physician in Arizona and are interested

medicine and be in the same or similar specialty (i.e.

in becoming a Physician Advisor for HSAG, Contact Marianne

same licensure category) as typically manages the medical

Clinch, RN, CPHQ at mclinch@hsag.com or (602) 801-6922 for

condition, procedure or treatment that is being reviewed,

more information or to request a credentialing packet.

or, in clinical specialties where licensure is not an issue, is

AOMA Digest Fall 2013

Welcome New Members

Welcome New AOMA Members ________ First Year Members ________ Gary C. Gailius, D.O. Neuromuscularskeletal Medicine & OMM Glendale, AZ (623) 537-6280 Edward M. Galiczynski, D.O. Dermatology – Board Certified Phoenix, AZ (602) 277-1449 Peter L. Wong, D.O. Obstetrics & Gynecology Glendale, AZ (623) 537-6000

________ Third Year Members ________ Leslie Erin Easley, D.O. Internal Medicine – Board Certified Phoenix, AZ (602) 839-2000 Sheetal Desai Gosalia, D.O. Family Medicine – Board Certified Phoenix, AZ Andree Jones, D.O. Family Medicine/Sports Medicine – Board Certified Phoenix, AZ (602) 470-5000 Tiffany Nunnelley, D.O. Family Medicine – Board Certified Scottsdale, AZ (480) 348-3200

_________ Associate Member _________ Jonathan C. Aki, D.O. Emergency Medicine – Board Certified Aiea, HI Melissa Martin, D.O. Radiology – Board Certified Fort Worth, TX Gerard A. Myers, D.O. Anesthesiology/Pain Management – Board Certified Monaca, PA

In Memoriam

We are all diminished when one of our number leaves us. We will miss them and strive on for the betterment of our profession in their memory.

_____________________________ Second Year Members _____________________________ Jena Auerbach, D.O. Anatomic/Clinical Pathology – Board Certified Scottsdale, AZ (480) 556-0446

Rhianna M. Meadows, D.O. Family Medicine – Board Certified Mesa, AZ (480) 833-1800

Andy C. Jou, D.O. Emergency Medicine – Board Certified Tucson, AZ

Victor Sein, D.O. Interventional Cardiology – Board Certified; Cardiology – Board Certified; Internal Medicine – Board Certified Phoenix, AZ (602) 952-0002

Rose Lee Munroe, D.O. Pediatrics Phoenix, AZ

________________________________ Full Membership ________________________________ Zackary Carl Bair, D.O. Emergency Medicine Scottsdale, AZ Loretta Belden, D.O. Family Medicine – Board Certified Phoenix, AZ (602) 278-1351

Jill E. Kerr, D.O. Family Medicine/OMM – Board Certified Phoenix, AZ (480) 759-5151 Erik Maskin, D.O. Internal Medicine – Board Certified Phoenix, AZ (602) 445-0751

Rachael Beth Blumenthal, D.O. Pediatrics – Board Certified Scottsdale, AZ

Shawn Michael McCrum, D.O. Family Medicine Phoenix, AZ (480) 728-4000

Joseph A. Casperson, D.O. Emergency Medicine Phoenix, AZ (602) 263-1508

Donald L. Morgan, D.O. Family Medicine – Board Certified Golden Valley, AZ (928) 718-5200

Eugene T. Conte, D.O. Dermatology – Board Certified Prescott, AZ

Vikki L. Owen, D.O. Family Medicine – Board Certified Surprise, AZ

Terez Getz, D.O. Family Medicine – Board Certified Gila Bend, AZ (877) 809-5092

Robert J. Stomel, D.O. Internal Medicine – Board Certified Prescott, AZ (928) 772-8217

Mara L. Hover, D.O. Pediatrics Mesa, AZ (480) 219-6000

Kelly Tracey, D.O. Family Medicine Scottsdale, AZ (480) 513-9500

William M. Jaffe, D.O. Cardiovascular Disease – Board Certified; Internal Medicine – Board Certified Casa Grande, AZ (520) 381-8850

Andrew Mark Weinberg, D.O. Internal Medicine – Board Certified; Gastroenterology – Board Certified Mesa, AZ

__________ Retired Member __________

Terry Wintory, D.O. Orthopedic Surgery – Board Certified Lake Havasu City, AZ (928) 505-5555

Michelle D’Almeida, D.O. OB/GYN – Board Certified Buckeye, AZ

Kent Worthen, D.O. Psychiatry – Board Certified Phoenix, AZ (602) 876-6312

Robert Casey, D.O. Robert J. Ostwinkle, D.O. 19

AOMA Digest Fall 2013

Business Partner Listings

AOMA Business Partners

Provide Services for a Health Practice and your Finance USE YOUR MEMBER DISCOUNT

Accounting

McGladrey

George M. Cohen, C.P.A., Senior Director 501 N. 44th St., Ste. 300 Phoenix, AZ 85008 (602) 760-2779 george.cohen@mcgladrey.com McGladrey is a leading provider of tax planning and compliance (individual and practice), assurance and consulting services to physicians, physician groups and health care companies. AOMA members will receive a 20% discount off regular fees.

Affinipay

Bank Card Processing

Visit the AOMA website, Member Services Business Partner Listings or call (800) 644-9060 Ext. 6974 AOMA members are entitled to a very special processing package from Affinipay. Their on-line reporting lets you quickly see your deposit and payment information. Billing & Collections

Delivery Financial Services, LLC.

Dean Grandlienard – Sales Manager (602) 490-3956 Direct Line www.deliveryfinancial.com dean@deliveryfinancial.com A technologically superior medical collection agency. They provide cutting-edge services like real-time online performance results. Delivery Financial Services maintains an excellent record for ethical and professional standards with its clients with an outstanding A+ rating. All AOMA members will receive a significant discounted fee.

J.R. Brothers Financial, Inc.

Robert Antenucci – President (602) 371-1001 www.jrbfinancial.com jeff@jrbfinancial.com J.R. Brothers Financial, Inc. ( JRB) is a medical collection agency since 1986.AOMA members are offered a lower collection fee with exceptional service and recovery. Clients can access the status of their accounts online through the JRB Client View Program.

AOMA Digest Fall 2013

Avis & Hertz

Car Rental

Discount coupons available through the AOMA Office, call (602) 266-6699 or our toll free number (888) 266-6699. You may also request coupons by emailing sharon@az-osteo.org, or go to the AOMA website www.az-osteo.org and under Member Services, select Business Partner Services. F inancial

Mosaic Financial Associates

Anthony C. Williams, President 4650 E. Cotton Center Blvd., #130 Phoenix, AZ 85040 (480) 776-5920 Fax: (480) 776-5925 anthony@mosaicfa.com Mosaic Financial Associates provides a holistic approach to wealth management. They believe your financial advisor should provide a pathway to the financial goals you dream of and work hard to achieve, while taking into account all aspects of your life and building a long-term relationship based on trust and top-notch service. Health Information Technology

Information Strategy Design (ISD)

Michele Liebau (480) 970-2255 x107 michele@isdesign.com Information Strategy Design (ISD), a leading healthcare technology solutions provider with its central office in Mesa. ISD has been providing network design and implementation to Heathcare Practices in the South West since 1996. ISD’s focus is on medical practices to allow them to provide cost-effective computer networking, telephony, off-site backup and remote monitoring. ISD’s value offering to AOMA members allows for one time and ongoing discounts based on using two or more ISD services.

AFLAC

Insurance

Karen Jones, Independent Agent 16211 N. Scottsdale Rd., Ste. A6A 614 Scottsdale, AZ 85254 (602) 229-1970 x213 No Deductible, No Copay, No Preauthorization. AFLAC supplemental insurance policies are available at special Association Rates for AOMA members and their families.

Business Partner Listings

Mutual Insurance Company of Arizona (MICA) (602) 956-5276 (800) 352-0402 www.mica-insurance.com Each medical practice is unique with individual risk management needs based on specialty and practice characteristics. Their experienced Risk Management Consultants can assist you in assessing and providing service designed to reduce your risk of a malpractice claim or suit. MICA is owned by all of the physicians it covers and provides educational grants to AOMA. Legal – Disability Insurance Claims and Healthcare Litigation

Comitz Beethe

Edward O. Comitz, Esq. Scottsdale Spectrum 6720 N. Scottsdale Rd., Ste. 150 Scottsdale, AZ 85253 (480) 998-7800 Fax (480) 219-5599 ecomitz@cobelaw.com www.disabilitycounsel.net Mr. Comitz has extensive experience in disability insurance and healthcare litigation, representing physicians in reversing the denial or termination of their disability insurance benefits. Mr. Comitz has earned a national reputation for prosecuting claims based on fraud and unfair practices in the insurance industry. A free consultation is provided to AOMA members. Medical Record Scanning & Management

ASDD Document Destruction

Ryan Shinn (480) 730-4233 ryanshinn@tch-az.com www.assuredsecurityaz.com ASDD Company is an offsite and onsite “AAA” certified document shredding, electronic media and x-ray destruction. They are HIPPA and FACTA compliant and offer AOMA members discounts on offsite and onsite services.

Payroll Strategies Group Nick Mawrenko (480) 577-2552

Payroll Strategies Group is a local payroll service that is designed for the small medical practice. If you have one employee and don’t want to do your own payroll, call Nick. Their custom service enables them to reduce overhead and pass the savings on to you. Call Nick to see if their approach will fit your practice. Payroll Strategies Group offers AOMA members a $0 setup fee. Practice Management

Wolfe Consulting Group Patrick Hayden, Consultant (602) 324-0416 patrick.hayden@wolfecon.com

AOMA members will receive a free initial problem definition meeting and also receive a discount on a wide array of business consulting services. Services, from Improving Income to Practice Sale for Retirement, will serve as the basis for the free initial consultation. A listing of these services can be reviewed at www. wolfeconsultinggroup.com. Real Estate services from Office Leasing to Building Purchase are also available through a wholly owned subsidiary of Wolfe Consulting Group, Ltd., Healthcare Realty Advisors, Inc., at no direct cost to AOMA’s members. Real Estate

RE/Max

Kevin Weil, Realtor (602) 793-7492 kevin@kevinweil.com

Kevin Weil of RE/Max is one of the top realtors in the valley and specializes in serving the needs of physicians. AOMA members are entitled to video previewing of homes of interest and other services uniquely designed to save the time of, and maximize the interests of AOMA members. Kevin and RE/Max have selected Arizona Osteopathic Charities as the charity to receive a donation based upon member participation.

Payroll Processing

Human Capital Strategies Nick Mawrenko (480) 577-2552 nick.mawrenko@hcscando.com www.hcscando.com

Human Capital Strategies is a national provider of Professional Employer Organizations (PEO) Services, Administrative Services, Organizations (ASO) Services, and Payroll Services. Managing every aspect of payroll, human resources, taxes, employee benefits, 401(k) plans and workers’ compensation management is what makes Human Capital Strategies “the next best thing to no employees!” Human Capital Strategies offers a 10% discount and $0 setup fees for AOMA Members.

AOMA Digest Fall 2013

Osteopathic Community News

The American Osteopathic Association (AOA) held its Annual Meeting of the House of Delegates in Chicago July 19–21, 2013

he Arizona Osteopathic Medical Association (AOMA) was represented at the AOA House of Delegates by the following D.O. leaders: Drs. Stanley Brysacz, James Cole, James Dearing, Charles Finch, Deborah Heath, Lori Kemper, Jonathon Kirsch, Kit McCalla, Timm McCarty, Jeffrey Morgan, Adam Nally, Karen Nichols, and Craig Phelps. The Student Delegates and Alternates were Jena Bundy and Satei Pradhan from the Arizona College of Osteopathic Medicine (AZCOM), and Timothy LeMaire and Benjamin Meyer from the School of Osteopathic Medicine Arizona (SOMA). Kathleen Naegele, D.O., hematology and Kathleen Naegele, D.O. was elected to AZCOM student Amber Hull was elected oncology specialist from Kingman, was elected the AOA Board of Trustees for the New to represent the students as a Trustee on to the AOA Board of Trustees as the New Physician in Practice position. She requested the AOA Board. She also is accompanied Physicians in Practice Trustee, and Amber Hull that Midwestern University's Deans accom- by Deans Karen Nichols, D.O. and Lori from AZCOM was elected for the Student pany her as she was being announced – Kemper, D.O. Karen Nichols, D.O. from Chicago College Trustee position. Norman Vinn, D.O. from of Osteopathic Medicine (left) and Lori California was installed as the AOA President Kemper, D.O. from Arizona College of and Robert Juhasz, D.O. from Ohio was elected Osteopathic Medicine. President-Elect. Some of the resolutions or policies approved A Special Order of Business was the decision on a new by the HOD include: unified graduate medical education (GME) accreditation • support the protection of the patient- physician system that has been explored over the last 18 months by the relationship and ability to discuss firearm violence with AOA and the Accreditation Council for Graduate Medical patients Education (ACGME). The AOA and the Association of • end the ban on blood donation from gay men Colleges of Osteopathic Medicine (AACOM) had not been • cap the size of the AOA HOD successful in reaching an agreement with the ACGME on • encourage states to seek alternate sources of Graduate a Memorandum of Understanding (MOU) for a unified Medical Education (GME) funding graduate medical education accreditation system. The AOA • develop social media guidelines for D.O.s House of Delegates (HOD) voted not to accept the MOU, and to preserve and protect distinctive osteopathic GME. This was recommended by the boards of the AOA and AACOM since the five non negotiable principles were not agreed to by the ACGME. However, the House encouraged the AOA and AACOM to continue the discussions on a unified accreditation system for GME. AOMA Digest Fall 2013

AOA’s Executive Director John Crosby retiring on July 21st was honored for his many contributions to the osteopathic medical profession over 16 years. Adrienne White-Faines, MPA was introduced on Sunday, July 21 as the incoming Executive Director.

Osteopathic Community News

Arizona Osteopathic Medical Association (AOMA) Strategic Plan July 2013 – June 2016

MISSION: The mission of AOMA is to promote the osteopathic medical profession, serve its members, provide osteopathic continuing medical education, and advocate for access to healthcare.

————————————————— Key Directions ————————————————— #1: Public Awareness

#2: Policy & Advocacy

#3: Continuing Medical Education

Priority: Awareness of the profession, colleges of osteopathic medicine (AzCOM, SOMA, KCOM), and AOMA

Priority: Funding for GME, involvement in ACA and AHCCCS policy development

Priority: Continuing education re: practice management, finances, small practices, technology, EHR, medical homes, medical teams/ interdisciplinary approaches; osteopathic continuing certification and licensure; CMEs for specialists

Outputs: #, type, topic of public

Outputs: # involved in advocacy;

Outputs: #, topic, # participants in CME events

awareness activities; collaborations Outcomes: increases in awareness,

#, type advocacy activities; #, type, audience advocacy training

AOMA

website activity

Outcomes: policy outcomes, new

Outcomes: increased knowledge, increased engagement w/

funding for GME, PAC contributions

————————————————— MAJOR ACTIONS ————————————————— 1.1 Update/implement public awareness plan

2.1 Educate elected officials

3.1 Conduct annual conference

Public Awareness C w/ Membership C

Leg Affairs C

Prof Ed C

1.2 Collaborate w/ AZ-based colleges of osteopathic medicine, other professional education institutions

2.2 Conduct DO Day at the Legislature

3.2 Expand online continuing medical education

Leg Affairs C

Prof Ed C

Public Awareness C 1.3 Collaborate with JC Lincoln Health, Tucson Osteopathic Medical Foundations

2.3 Work with other stakeholders to increase funding for GME

3.3 Conduct member forums Prof Ed C, SE Affairs C, Leg Affairs C

Leg Affairs C 3.4 Provide ACA outreach/education

Public Awareness C 1.4 Identify, support a key health issue

2.4 Provide grassroots advocacy training and support

Task Force w/ Prof Ed C

Leg Affairs C

Prof Ed C, Leg Affairs C, Staff

3.5 Provide dual credit CMEs for specialists Prof Ed C, Staff 3.6 Provide specialty training Prof Ed C, Staff

#4: Membership

Priority: Growth, retention, leadership development, with a focus on students, residents, new physicians, physician employees

#5: Organizational Capacity

Priority: Diversified funding, ED transition

Outputs: membership data; #, type, participation

Outputs: succession plan

in leadership development activities

Outcomes: amount, source of new $

Outcomes: # new members, # retained, new

leaders and their activities 4.1 Gather data from DOs and members; use to develop/implement membership plan, to include a focus on students, residents, new physicians, and physician employees

4.2 Conduct district meetings and networking events, including social and family gatherings

Membership & Credentials C

New Physicians C

5.1 Develop/implement succession plan

5.2 Develop/implement resource development plan

Succession Planning C

Executive C

Membership & Credentials C 4.3 Continue outreach to and engagement of new DOs

AOMA Digest Fall 2013

Ninety-First Annual Convention

Arizona Osteopathic Charities’ Student Scholarship Winners

The Board of the Arizona Osteopathic Charities is honored to present two $500 scholarships to osteopathic medical students enrolled at schools in Arizona. One scholarship was awarded to a student from Arizona College of Osteopathic Medicine (AZCOM) and one from the School of Osteopathic Medicine in Arizona (SOMA).The winners of the scholarship are chosen based upon their essay “Why I Became a D.O.”

“Why I Became a D.O.” Juliet Morgan, SOMA OMS3

knew for years I wanted to become a physician, but the more I dealt with the allopathic side of medicine, the more disenchanted I became with the profession. I struggled as a single parent to find affordable and compassionate medical care for my children and myself. When in desperate need and without insurance, a friend recommended an osteopath that would see me without insurance and charge an affordable office visit fee. The doctor was friendly, relaxed and concerned about my whole well-being, not what insurance I had. I went home from that visit and immediately began researching osteopathy. My research revealed that osteopathy was Juliet Morgan, about the mind, body and soul, it was about SOMA OMS3 treating the cause and not the symptoms and it was focused on primary care. This was the right kind of medicine for me! I spent the next six years finishing my undergraduate degree, studying for the MCATs and working full-time to get by while preparing to apply to osteopathic medical schools. I faced uncertainty about my decision and worried that I would not be able to complete the rigorous training, but at each turning point in my life, an event would happen

“Why I Became a D.O.”

Kristen Young, AZCOM OMS 2

live by a simple motto, do it with passion and excellence, – or do not do it at all. This attitude toward life pushed me to pursue a career in osteopathic medicine. As a child, I dreamed of being a physician, but as I grew up I realized I wanted to affect my patients more than just prescribing them a couple medications or referring them to a specialist. Osteopathy stood out to me for two reasons: I wanted to be a doctor that spent time on preventative health education and I believed in the whole body approach to medicine. Preventative health education is one of my top interests as a medical student. Prior to entering medical school, I taught high school and earned my Master’s in Education. When I left education for medicine, I did not want to leave behind my past as an educator. Choosing Kristen Young, to use my past as a springboard, I am currently AZCOM OMS 2 serving as the Health Education Coordinator for the Health Outreach Through Medicine and Education (H.O.M.E.) program at Midwestern University. Weekly I am privileged to present health education talks to homeless men, women, and teenagers. I am amazed how genuinely interested many of the patients are in learning how to take care of themselves better.

AOMA Digest Fall 2013

that reminded me I was on the right path. At an airport in Portland, OR, I sat and thought that I should give it up, that I couldn’t do it, it was going to be too hard, I wouldn’t be able to spend enough time with my children or my partner. I looked around me as I waited and realized that the person sitting a few chairs to my right was studying for an exam…the MCATs! While standing in line waiting to board that flight, I struck up a conversation with the person in front of me who happened to be a student at an osteopathic medical school. The message couldn’t have been any clearer, I was meant to continue on and become an osteopathic physician. In the fall of 2009, I applied to school and was both nervous and elated to receive only one invitation to interview. That one invitation was all I needed, I got accepted to ATSU-SOMA! Since I began school in 2010 at 39 years old, I wondered how challenging this journey would be. Would I, in the midst of so many younger students be able to succeed, while at the same time, being a supportive partner and parent? It was tough at the beginning, but each year has brought more joy than sorrow. I know this is my purpose. I learn something new from every patient I see and every doctor, MA and nurse that I work with. I also learn every day from my children and partner, that my family is crucial to my success. I have been given the opportunity to serve and learn for the rest of my life, I couldn’t ask for a greater reward.

Further, the vulnerable populations we work with have significant health problems, such as diabetes, high blood pressure and obesity. With little control over their health care or what foods they have available to them, I work with my patients to find ways to manage their health. I love being able to teach patients simple, life changes that can potentially change or save their lives. I have realized through these encounters that compliance rides on the few moments guiding a patient through his or her health. I desire to be a physician who is an example and empowers her patients to be proactive about their health. Being an osteopathic physician calls me to see my patients as people, not a list of diseases and symptoms. I did not realize how important this philosophy was until I began seeing patients at the H.O.M.E. clinics. Using a whole body approach in a setting with little resources is a valuable tool. It does not matter what their chief complaint is, properly taking care of all the patient’s needs is a priority. Further, being able to use my hands to heal patients is a remarkable tool. One of the top chief complaints at H.O.M.E. clinics is low back pain. Each time I hear this as an osteopathic student, I smile a little inside. I feel confident that I can bring a little relief to this patient using nothing more than my hands. As a student, this makes me feel valuable to the field. Each week I am able to look back on my work with H.O.M.E. and am thankful that I chose to pursue osteopathic medicine. Being able to make an immediate impact of my patient’s lives is incredibly rewarding.

Ninety-First Annual Convention

2013 AOMA Convention Exhibitors Providers Choice

Comitz Beethe

Midwestern University

Aegis Insurance Associates, LLC

Delivery Financial Services, LLC

Pharmalink Pharmaceutical

Aegis Sciences Corporation

Fortress Financial Strategies

Phoenix Children’s Hospital

Amarin Pharma, Inc.

Grace Hospice of Arizona

Quick Claim Medical Billing

Arizona Health-e Connection

Health Diagnostic Laboratory, Inc.

Sanofi

Arizona Osteopathic Charities

Hospice of the Valley

Select Specialty Hospitals –

Arizona Society of ACOFP

Humana, Inc.

Astra Zeneca Pharmaceuticals

IASIS Healthcare

Sonora Quest

BlueCross BlueShield of Arizona

Information Strategy Design (ISD)

St. Joseph’s Hospital

Body Technologies

IPC – The Hospitalist Company

Sunovion, Inc.

Body Tune Up Shop, Inc

LipoScience

Tethys Bioscience

Capillus, LLC

March of Dimes

Tucson Osteopathic Medical

Cardio Dx

McGladrey

Catalina Medical Recruiters

Medical Billing Group West, LLC

Clear Swim

MICA

Arizona Market

Foundation Women’s International Pharmacy

Platinum Mutual Insurance Company of Arizona GOLD Centurion Medical Liability Protective

“Thank You” to our 91st Annual AOMA Sponsors

SILVER BlueCross BlueShield Tucson Osteopathic Medical Foundation BRONZE Hospice of the Valley

“Thank You” to these organizations and individuals for their educational support as part of this year’s Convention Arizona Health-e Connection John C. Lincoln Health Network Medicis, a division of Valeant Pharmaceuticals

AOMA Digest Fall 2013

Osteopathic Community News

The Arizona Osteopathic Medical Association hosts Annual Awards Presentation at the Ninety-First Annual Convention in Scottsdale

(right) Mitchell Kasovac, D.O. FACOFP, FAODME receives the Lifetime Achievement Award from Thomas McWilliams, D.O., FACOFP (middle). Jim Dearing, D.O., FACOFP, is pictured holding the award, a print of “The Healing Touch” painting.

OMA Executive Director Amanda Weaver presented A outgoing President Thomas McWilliams, D.O. with a White Bear Kachina. The White Bear Kachina is thought to have such strength that he can cure the sick.

J effrey W. Morgan, D.O. and his wife Chris Morgan have a Kodak moment with Karen J. Nichols, D.O. Jeffrey W. Morgan, D.O. is presented with the “Physician of the Year Award.”

AOMA Digest Fall 2013

eland Fairbanks, M.D. receives the L “Distinguished Service Award” presented by Thomas McWilliams, D.O.

Osteopathic Community News

atherine Worden, D.O. is the recipient of the K “Excellence in Osteopathic Medical Education Award.” She was not able to be present; however, Greg Heller, D.O., accepted the award on her behalf.

ngela DeRosa, D.O. A receives the “Mentor of the Year Award.”

“ Student of the Year Award” winner Shaun Garff from SOMA accepts his award presented by Thomas McWilliams, D.O. Thomas Edwards, D.O. accepts the “Humanitarian of the Year Award” from Thomas McWilliams, D.O. KCOM “Student of the Year Award” winner Kelly Isbell receives her award. AZCOM awardee Issac Theerman was not able to attend.

AOMA Digest Fall 2013

Ninety-First Annual Convention

LIFETIME ACHIEVEMENT AWARDS

OUTSTANDING MENTOR AWARD – Angela DeRosa, D.O.

This is the second year that AOMA will be giving this recognition to long time members who have advanced the osteopathic medical profession in Arizona with unwavering commitment to quality patient care. Previous recipients are 2012 – Leonard Staff, D.O. and Paul Steingard, D.O. Mitch Kasovac is revered by hundreds of osteopathic physicians who were fortunate to be mentored and educated by him. He was the Director of Education at Phoenix General Hospital which was the largest osteopathy residency training site west of the Mississippi. Mitch and his vivacious wife Marti headed to California where he was Dean of the College of Osteopathic Medicine of the Pacific (COMP). Everyone rejoiced when they returned to Arizona. Mitch is with A. T. Still University. He is a Past President of both the AOMA and the AOA and a leader in the small states caucus. Mitch has been ill and tonight is one of his few outings. Our thoughts and prayers have brought him to us tonight with Marti and his family.

This award honors a physician who has volunteered her time to students or physicians as a mentor and is known as “one who makes a difference” in that person’s life. AZCOM student Kendra Gray nominated Dr. Angela DeRosa as Mentor of the Year and said “there are few events in my life where I can look back and identify a “critical” moment, a point where my life’s course was altered and one of those few times was upon meeting Dr. DeRosa. She has been not only one of my strongest supporters, but is also an incredible cheerleader for the osteopathic profession.” Honors a socially responsible AOMA member who has donated his/her time and/or efforts to improve mankind. Nominee Name: Tom Edwards, D.O. was nominated by Richard Dobrusin, D.O. who says “Tom hikes with blind people, has climbed Kilimigaro with the largest blind group ever and has hiked the Grand Canyon with the blind.”

VOLUNTEER OF THE YEAR AWARD – Milissa Cooper, D.O.

PHYSICIAN OF THE YEAR AWARD The Physician of the Year Award is the highest honor for a member who: Provides his/her community with compassionate, comprehensive and caring medical services on a continuing basis; Is directly and effectively involved in community affairs; and supports his/her community, state, professional associations and humanitarian program. Jeff Morgan is an internist who has a loyal following of patients, including AOMA’s lobbyist Joe Abate who says Jeff is an excellent physician who is down-to-earth and extremely knowledgeable. Jeff is Past President of the AOMA and has had many leadership positions with the AOMA. He is an AOA Health Policy Fellow and the newly elected Vice Speaker of the AOMA House of Delegates. He has been a Volunteer with Camp Paz for years and his wife Christine is President of the Arizona Osteopathic Charities.

EXCELLENCE IN OSTEOPATHIC MEDICAL EDUCATION AWARD – Katherine Worden, D.O. • Honors a physician or non-physician who has contributed significantly to the advancement of osteopathic medical education in Arizona. Her nominee Shannon Scott said “Kate continues to be everything to Osteopathic Medicine that a D.O. could ever represent. She was nominated for AOF mentor of the year by students that respect and admire her as a role model. She is driving student/faculty research in OMM at AZCOM, and also directing NMM residency program initiatives at AZCOM. She is humble, often promoting others around her, which deserves the highest recognition.”

AOMA Digest Fall 2013

HUMANITARIAN AWARD – Tom Edwards, D.O.

This award honors those who have volunteered their time and provided significant contributions and services to the community and/or the Association. Milissa Cooper, D.O. was nominated by Craig Cassidy, D.O. for her participation in and support of the Team of Physicians for Students (TOPS) free sports screenings program. She also recruited her husband to volunteer several years ago.

STUDENT DISTINGUISHED SERVICE AWARD Honors a student currently enrolled in an osteopathic medical school who has provided significant contributions and service to the school, community and AOMA. Nominees are recommended by the AOMA and the Deans selects student. • AZCOM – Isaac Theerman • KCOM – Kelly Isbell • SOMA – Shaun Garff

DISTINGUISHED SERVICE AWARD – Dr. Leland Fairbanks Honors healthcare leaders who have significantly contributed to improving the healthcare community and promoting osteopathic medicine. Dr. Leland Fairbanks is the driving force behind Tobacco Free Arizona and has made a significant impact on improved public health. His latest success was achieving smoke-free workplaces for all Arizonans, including Casino Employees. He has been President of Arizonans Concerned About Smoking since 1987 and was a Indian Health Service Family Physician for 30 years. Eunice and he have been married for 60 years.

Ninety-First Annual Convention

Previous Recipients of AOMA Special Recognition Awards

Physician of the Year Award 1995 1996 1997 1998 1999 2000

Karen J. Nichols, D.O. Stanley Brysacz, Jr., D.O. F. Timm McCarty, III, D.O. William Inboden, D.O. Joseph J. Lovett, D.O. Nicholas Pazzi, D.O.

Distinguished Service Award 1995 1996 1997 1998 1999 2000

Jerry Colangelo Ted Podleski Mutual Insurance Company of Arizona Robert Bohm Paul M. Steingard, D.O. U.S. Senator Jon Kyl

President’s Award 1996 1997 1998 1999 2000 2001

John F. Manfredonia, D.O. Harmon L. Myers, D.O. Leonard Staff, Jr., D.O. Craig E. Hoffbauer, D.O. Lori A. Kemper, D.O. Karen J. Nichols, D.O.

2001 2002 2003 2004 2005 2006

John F. Manfredonia, D.O. David Bryman, D.O. Steven Pitt, D.O. Paul M. Steingard, D.O. Craig E. Hoffbauer, D.O. Lori A. Kemper, D.O.

2007 2008 2009 2010 2011 2012

Kelli M. Ward, D.O., M.P.H. Carrol E. Wheat, D.O. James Dearing, D.O. Jan D. Zieren, D.O., M.P.H. Charles A. Finch, D.O. Scott Steingard, D.O.

2001 2002 2003 2004 2005 2006

State Senator Susan Gerard Karen J. Nichols, D.O. Shirley Carpenter Marge Croushore Ross Kosinski, Ph.D. Senator Robert Cannell, M.D.

2007 2008 2009 2010 2011 2012

Lew Riggs, Ed.D. Bradford Croft, D.O., M.B.A. Arizona Medical Association Senator Carolyn S. Allen James Carland, M.D. – MICA Dr. Gary Cloud

2002 2003 2004 2005 2006 2007

Lawrence K. Sands, D.O. Nicholas C. Pazzi, D.O. Deborah M. Heath, D.O. Jeffrey W. Morgan, D.O. Jan Zieren, D.O., M.P.H. Bradford Croft, D.O., M.B.A.

2008 2009 2010 2011 2012

Sanford Moretsky, D.O., FACOO Thomas McWilliams, D.O. Michael Altamura Jr., D.O. Craig Hoffbauer, D.O. Craig Cassidy, D.O.

2002 2003 2004 2005 2006 2007

Dean James Cole, D.O. Kathleen Goeppinger, Ph.D. Thomas McWilliams, D.O. William H. Devine, D.O. Senator Susan Gerard, M.B.A. Ross Kosinski, Ph.D.

2008 2009 2010 2011 2012

Dana Sue Devine, D.O. Harmon Myers, D.O. Lori A. Kemper, D.O., M.S. Fred Schwartz, D.O. Howard Shulman, D.O.

2004 2005 2006 2007 2008

James W. Cole, D.O. L. Markham McHenry, D.O. Robert Tognacci, D.O. Michael Ward, D.O. Kevin M. McCabe, D.O.

2009 2010 2011 2012

Richard Reilly, D.O. Alan Schalscha, D.O. Bradley Downing, D.O. Harry Watters, D.O.

Excellence in Osteopathic Medical Education 1996 1997 1998 1999 2000 2001

Jack Kinsinger, Ph.D. Mitchell Kasovac, D.O. John F. Manfredonia, D.O. Craig M. Phelps, D.O. Wilbur V. Cole, III, D.O. Richard Dobrusin, D.O.

Humanitarian Award

1999 Kenneth E. Root, D.O. 2000 Lawrence R. LeBeau, D.O 2002 Thomas W. Eyler, D.O. and Charles (Chip) Finch, D.O. 2003 Thomas B. Bennett, D.O.

Student Distinguished Service Award 1999 Suzanne Frasca, AZCOM 2000 Helene Labonte-Carroll, AZCOM 2001 Christine Estrada, AZCOM 2002 Melody Rodarte, AZCOM 2003 Jessica Jewart, AZCOM 2004 Kara Beasley, AZCOM 2005 Anne Yost, AZCOM 2006 Rebeccah Rodriguez, KCOM & B. J. Ho, AZCOM

Outstanding Mentor Award 2004 2005 2006

Ben Field, D.O. Scott Steingard, D.O. Karen J. Nichols, D.O.

Volunteer of the Year 2006 2007 2008

Betty Toothman Leonard Staff, Jr., D.O. Deborah Hudak, D.O.

2007 Amy Adams, AZCOM 2008 Tomas Chavez, SOMA; Ben Wilde AZCOM; Stacie Gooch, KCOM 2009 Brian Liem, AZCOM; Eugene Bukham, KCOM; Danielle Barnett, SOMA

2010 Melissa Blessing, SOMA; Cory Maughan, AZCOM; Michael Paddock, KCOM 2011 Brandon Abbott, MPH, SOMA; Joshua Behlmann, KCOM; Maxwell Braverman, AZCOM 2012 Mansoor Ali Jatoi, OMS IV, AZCOM; Amanda Saraf, KCOM; Gillian Wackowski, SOMA

2007 2008 2009

2010 Thomas E. McWilliams, D.O. 2011 David Parrack, D.O. 2012 Dana Sue Devine, D.O.

Jordan Ross, D.O. Tracy O. Middleton, D.O. Mitchell Kasovac, D.O.

2009 Rev. Dick Stafford with Team of Physicians for Students (TOPS) 2010 William J. Rappoport, M.D.

2011 2012

James W. Cole, D.O., FAODME Christine Morgan, Ed.D

Lifetime Achievement Award 2012

Leonard Staff, D.O. & Paul Steingard, D.O.

AOMA Digest Fall 2013

Ninety-First Annual Convention

Arizona Osteopathic Medical Association hosts 91st Annual Convention

2 3

1. R ichard H. Carmona, M.D., M.P.H., FACS, 17th Surgeon General of the United States kicked off the Convention with a keynote lecture on “Prevention, Preparedness, Plagues, and Politics.” 2. C onvention lecturer Gary Gailius, D.O. gives a hands on demonstration during his lecture “Osteopathic Considerations in Pregnancy.”

3. S hannon Scott, D.O. was recognized as the recipient of the 2013 “President’s Award” during the AOMA Board Meeting. 4. C onvention luncheon attendees were treated to a intriguing presentation on “Preventing Violence and Mass Murder by Connecting the Dots” from Steven Pitt, D.O. 5. Convention attendees fill the hall to listen to lectures.

6. L uncheon attendees were also treated to inspirational remarks from AOA Executive Director John Crosby, J.D. Mr. Crosby retired from the AOA in July 2013. Pictured left to right, AOMA President Craig Phelps, D.O., John Crosby, J.D., and DeLoss McWilliams.

AOMA Digest Fall 2013

Ninety-First Annual Convention

Arizona Osteopathic Medical Association hosts 91st Annual Convention

9 7. Th e Poster Forum was held on Thursday during the Convention and featured over 20 excellent research and case study posters. Convention attendees enjoyed lunch and learning during this session. 8. L indsay Ackerman, M.D., delivers one of the closing lectures at the Convention on dermatology. She was one of the top rated speakers of the Convention.

9. Th e 2013 – 2014 AOMA Executive Committee and incoming Vice Speaker of the House take their Oath of Office during the AOMA House of Delegates. New trustee Bunnie Richie, D.O. (fourth from left) was also sworn in.

10. A OMA’s 2013 – 2014 President Craig Phelps, D.O., FAOASM delivers his acceptance speech at the AOMA House of Delegates.

AOMA Digest Fall 2013

Osteopathic Community News

Scenes from the 2013 Osteopathic Family Party

Kids of all ages had fun

AOMA Digest Fall 2013

Osteopathic Community News

Our youngest guest

The Roland Family

The Kasovac Family

Line dancing

A Good Time Was Had By All!

ACOFP President Elect Carol Lockwood, D.O. joined the fun.

Auctioneer George Cohen Face painting Research Poster Forum winner Jimmy Tam Huy Phan.

AOMA Digest Fall 2013

Features

2013 Case and Poster Forum

AOMA was pleased to host its fifth annual Clinical Case and Poster Forum during the AOMA Annual Convention. The submissions for this year’s contest were superb and the judges had some very difficult decisions to make.

Clinical Case Forum

Poster Forum

Students from Arizona Colleges of Osteopathic Medicine

A record number 23 posters were submitted into the Forum this

Committee in February. The Committee reviewed all of the

Study and Research. They were displayed and presented to the

submitted case summaries to the AOMA Professional Education cases and selected the top three cases to be presented during the Convention. The top three cases were:

• “ The Role of Subcutaneous Pellet Testosterone Replacement Therapy in Spinal Cord Injury” – Kendra Gray, AZCOM OMS III

year. The Poster Forum was divided into two categories: Case

Convention audience during the lunch hour on Thursday, April 18.

The posters presented were:

• Greg Allred, AZCOM OMS II – “Thyroid making you sad? Goiters: a hard to swallow tale of lithium therapy”

• “ Right Upper Quandrant Pain with Nausea” – Jentry Lloyd,

• M. Reid Bowes, AZCOM OMS II – “The Treatment of TBI:

• “ Obstetrical Complications of Myotonic Dystrophy” –

• Erica Brueggen, SOMA OMS III – “Medical Mission Trip

AZCOM OMS III

Christie Porter, AZCOM OMS III

The students presented their cases and the Convention

audience voted for the winner of the forum which was

announced during the Osteopathic Family Party – Kendra

Gray’s case of “The Role of Subcutaneous Pellet Testosterone Replacement Therapy in Spinal Cord Injury.” Ms. Gray was presented with a plaque and a $500 award courtesy of the Arizona Osteopathic Charities.

A Review of the Evidence”

Discoveries: A Discussion of Participant Attitudes Regarding Cultural Competency”

• W innie Cheung, AZCOM – “Comparison of the Effects of Halothane and Isoflurane with Ion Channels”

• Ilana Emert, AZCOM OMS II – “When Screening

Mammograms Mislead: Delayed Diagnosis of Triple Negative Breast Cancer in a 39-year-old Female”

• Dana Ferrari, SOMA OMS II – “Prescription medication

regimens for chronic disease in Troy, Alabama: an evaluation of patient comprehension”

• Dana Fiszbein, AZCOM OMS III – “Not Just Constipation: A Case of Wilms’ Tumor in an Eight-Year-Old Girl”

• Andrew Fraser, AZCOM OMS II – “A Case Study: Erosive Pustular Dermatitis, a Diagnosis of Exclusion”

• Ashley Grigsby, AZCOM OMS III – “A rare form

of Guillain Barré Syndrome without lower extremity involvement in a 17 year old male”

• Greg Heller, D.O., AZCOM NMM +1 Resident – “Case Study: Treatment of Hydrocephalus with Osteopathic Manipulative Medicine”

• Puanani Hopson, AZCOM OMS IV – “Case Study: Treatment of Cephalohematoma with Osteopathic

(L to R) Forum runners up Christie Porter, Jentry Lloyd, AOMA Clinical Case Forum Chair Charles Finch, D.O., pose with Forum winner Kendra Gray.

Manipulative Medicine”

• Jonathan Kang, AZCOM – “The Ob/Ob mouse jejunum has distinctly different characteristics than its lean counterparts”

•K ate Kimes, AZCOM OMS II – “Slow and Steady Wins the Race in Taking a Thorough History”

AOMA Digest Fall 2013

Features

• Amanda Kore, AZCOM – “The Dilated Rarity of Complications with Herpes Zoster”

• Jimmy Pham, AZCOM – “Novel Genistein-Loaded Lipidic Nanocarrier Adjuvants Enhance Anticancer Efficacy And Overcome Cancer Resistance To Chemotherapy”

• W hitney Pollard, KCOM OMS IV – “Rapidly Enlarging Nodule On the Scalp”

• Esa Rayyan, AZCOM – “Genistein diet increases intestinal secretion in female R117H cystic fibrosis mice but not in males”

• Nicole Remish, AZCOM – “A Neurologic Nightmare: The Multiple Guises of Ramsay-Hunt Syndrome”

Case Study Poster Forum winner Whitney Pollard with Christine Morgan, Ed.D., Arizona Osteopathic Charities President and AOMA Poster Forum Chair Charles Finch, D.O.

• Daniel Schroder, AZCOM OMS II – “Little Bugs, Big Problems: The Unsuspected Risks of West Nile Virus”

• Ally Spence, AZCOM – “Preparing for the DSM-V: An

Asperger’s case study and examination of changing diagnostic criteria”

• Jesse Tran, AZCOM – “The effects of TNF-a and Ceramide

on Insulin Receptor signaling and its localization to Caveolae in C2C12 Myocytes”

• Richard VanTienderen, AZCOM OMS II – “Piriformis Syndrome: perhaps more than just the Sciatic nerve”

Research Poster Forum Winner Jimmy Tam Huy Pham with Christine Morgan, Ed.D., Arizona Osteopathic Charities President and AOMA Poster Forum Chair Charles Finch, D.O.

• Cody Walker, AZCOM OMS III – “Nocardia pseudobrasliensis pulmonary infiltrates in an immunocompromised 64 year old male”

The students presented their posters to over 150 attendees. Meanwhile, the poster judges circulated the room, listening to the students’

presentations and voting on the best poster in each category. The winning posters were announced at the Osteopathic Family Party: Research:

Jimmy Pham with “Novel Genistein-Loaded Lipidic Nanocarrier Adjuvants Enhance Anticancer Efficacy And Overcome Cancer Resistance To Chemotherapy” and Case Study: Whitney Pollard with “Rapidly Enlarging Nodule On the Scalp”

AOMA Digest Fall 2013

Osteopathic Community News

In the News…

AOMA Member Leon Cattolico, D.O. Honored by Governor

eon Cattolico, D.O., a Cottonwood resident, was honored by

Governor Jan Brewer in April with a 2013 Volunteer Service Award.

Dr. Cattolico has been active with the MATForce program since 2010.

This Yavapai County-based program is committed to reducing substance abuse. He focuses specifically on reducing the incidence of prescription

drug abuse. Dr. Cattolico has provided AOMA with information about

this program and the problem of prescription drug abuse which has been incorporated in both the 2012 Fall Seminar and the 2013 Convention.

William Devine, D.O., Elected To The American Academy Of Osteopathy Board Of Governors

illiam Devine, D.O. was elected to the Board of Governors at the annual business meeting of the American Academy of Osteopathy (AAO) during the annual AAO Convocation in Orlando, Fla., March 21. He will serve a threeyear term. Dr. Devine also serves on the AOMA Board of Trustees.

new executive director. She began her role with the AOA the AOA’s strategic agenda supporting

the organization’s physician and student

members and its commitment to promoting public health; advancing scientific research; and serving as the accrediting agency for

Dr. William Devine, D.O.

he American Osteopathic Association (AOA) announces the release of the Second Edition of the Osteopathic Manipulative Treatment (OMT) Coding Instructional Manual. This must read edition provides the most upto-date information and key changes to assist osteopathic physicians in coding OMT procedure to instruct you and your staff perform on best practices related to OMT coding and documentation. In addition, the OMT Coding Instructional Manual Second Edition contains the history of OMT coding, identification of OMT codes in CPT©2013, appropriate use of the OMT codes, OMT documentation and procedures for handing denied claims. The OMT Coding Instructional Manual is now available to view and download, please visit www.osteopathic.org and search for OMT Coding Instructional Manual.

he AOA announced Adrienne White-Faines, MPA, as its

in July 2013. As executive director, White-Faines will carry out

OMT Coding Instructional Manual Second Edition

AOMA Digest Fall 2013

American Osteopathic Association (AOA) Announces new Executive Director

osteopathic medical schools, hospitals and health care facilities.

Adrienne WhiteFaines, MPA

“I am proud and humbled by the

opportunity to lead an organization with

such a rich history and passion for ensuring all Americans have

access to physicians and medical services,” said White-Faines. “I hope to build upon this strong foundation by infusing the AOA with a fresh perspective for new possibilities and innovation to further its mission to advance the philosophy and practice of osteopathic medicine.”

For the past 10 years, White-Faines served as vice president of

health initiatives and advocacy at the American Cancer Society (ACS), Illinois Division, where she was accountable for cancer

research, education, advocacy, and patient service programs. Prior to employment at ACS, she served as chief operating officer at

Chicago-based Renwal Emergency Medical Services, a health care management consulting firm for hospitals and physicians; and at

Chicago’s Northwestern Memorial Hospital, where she oversaw a $600 million hospital redevelopment project.

Osteopathic Community News

AzACOFP Presidential Perspective Jim Dearing, D.O. President, Arizona Society of ACOFP

wanted to give those

EDUCATION

of you who have not

Goal # 3 – Expand Knowledge

yet heard about the

Take advantage of new technologies to deliver CME

ACOFP’s new strategic

in multimedia formats that foster the distinctiveness of

plan, an outline of their

osteopathic family medicine.

new direction in the spirit

Goal # 4 – Create Future

of inspiration. On March

Establish a postdoctoral training environment that seeks

21, 2013, the ACOFP

quality candidates, provides sufficient training opportunities,

Congress of Delegates

and develops trainers.

approved the new strategic

LEADERSHIP

plan that will take the

organization into 2016. Before embarking on

creating a new strategic

Goal # 5 – Prepare Leaders

Jim Dearing, D.O. President 2011-2013

direction, the ACOFP conducted a member census. This survey

indicated that 60 percent of ACOFP members are employees rather than owners or partners in a medical practice. This is not surprising but it certainly calls leaders to try to keep the organization relevant

to members in new and different ways. Another interesting statistic learned from the member census is that the three most important

services to ACOFP members are CME at conventions, advocacy/

lobbying, and CME offered either live or on-demand. This should

make our local members take notice since the AzACOFP now has a contract lobbyist, Susan Cannata, JD who looks out for Family Physicians at the Arizona Legislature.

Here are the 2013-2016 Strategic Goals of The ACOFP at a glance: ADVOCACY

Goal # 1 – Reform Systems

Be the collective voice for members on key national health policy issues.

Goal # 2 – Transform Practices

Provide members with resources needed to transform their practices into Patient-Centered Medical Homes.

Empower members to assume leadership positions within ACOFP and the osteopathic profession. Goal # 6 – Unite Educators

Bring together the family medicine teaching community to achieve cohesion throughout the educational continuum.

MEMBERSHIP

Goal # 7 – Enhance Communication

Improve member communication via print and electronic media.

Goal # 8 – Deliver Service

Identify and provide value to ACOFP stakeholders. I hope that here in AZ we can look to these goals in order

to construct our own strategic goals for the AzACOFP, with

our Osteopathic Family Physician members at the forefront of our minds. We need to re-energize this organization in order to meet the changing world of medicine. I hope that if you

have been on the fence about getting involved; you will contact me or our office directly to learn more about how you can get involved today!

Jim Dearing, D.O., President AzACOFP

AOMA Digest Fall 2013

Osteopathic Community News

Midwestern University/Arizona College of Osteopathic Medicine Midwestern University College of Veterinary Medicine On Track for Accreditation

n Friday, May 31st, Midwestern University’s new College of Veterinary Medicine (CVM) received a “Letter of

Reasonable Assurance” from the American Veterinary

Medical Association (AVMA) Council on Education. This

important notification allows the College to begin recruiting students. The inaugural class of 100 students is scheduled to matriculate in August 2014.

The “Letter of Reasonable Assurance” signifies that

Midwestern University and the College of Veterinary Medicine

Postsecondary Education issued a certificate of authority

for Midwestern to offer the Doctor of Veterinary Medicine (D.V.M.) degree the following October. On May 21, 2013,

the Higher Learning Commission approved the University’s

request to offer the D.V.M. degree. With all of these required

accreditation approvals, the University can now move forward to recruit and enroll its inaugural class of students.

Midwestern University is committing over $100 million

toward the new College’s physical facilities, including an academic building, a large animal teaching facility, and a small animal clinic. Construction commenced earlier this year.

Midwestern University Named to President’s Community Service Honor Roll With Distinction As a testament to Midwestern University’s commitment to

is well-prepared to meet the 11 standards required by the

community service, the University once again earned a spot on the

provisional accreditation in 2014 and full accreditation in 2018,

This year marks the sixth consecutive year that Midwestern has

AVMA to become accredited. The program will be eligible for

when the facilities, curriculum, faculty, and students, are fulfilling our strategic plans. More information on AVMA accreditation

policies and procedures can be found at: https://www.avma.org/

ProfessionalDevelopment/Education/Accreditation/Colleges/ Pages/coe-pp-accreditation-evaluation.aspx. Midwestern officially announced plans for the new College

on March 7, 2012. The Arizona State Board for Private

President’s Higher Education Community Service Honor Roll.

been named to this national honor roll of colleges and universities committed to bettering their communities through service and service learning. The University received the highest level of recognition: Honor Roll with Distinction.

Out of 690 institutions considered for the honor, only 113

received the recognition of Honor Roll with Distinction. The

distinction is an indication that Midwestern University displays an outstanding institutional commitment to service and has formed compelling partnerships that produce measurable results.

The award, which is the highest federal recognition a college

or university can achieve for its commitment to service and civic engagement, is presented by the Corporation for National and Community Service (CNCS) in collaboration with the U.S. Department of Education.

Honorees for the President’s Higher Education Community

Service Honor Roll are chosen based on a series of factors,

including the scope and innovation of service projects, the extent to which service-learning is embedded in the curriculum, the school’s commitment to long-term campus-community partnerships, and measurable community outcomes as a result of the service.

AOMA Digest Fall 2013

Osteopathic Community News

Midwestern University President Recognized With Healthcare Leadership Award

athleen H. Goeppinger,

recognized for her civic involvement and her

Midwestern University, was one of

healthcare education and the state’s

Ph.D., President and CEO of

contributions to Arizona policy regarding

14 Valley recipients of the 2013 Healthcare

healthcare needs.

Leadership Award presented by Arizona

Under Dr. Goeppinger’s administration,

Business Magazine.

the University has been named as one of the

Leadership Award in the category of

Scientist magazine and was rated as one of

Dr. Goeppinger received the Healthcare

top ten places to work in academia by The

Arizona’s healthiest employers by The Phoenix

Educational Program for her achievements in establishing Midwestern University as a

significant economic engine and community

Kathleen H. Goeppinger, Ph.D.

service and outreach presence in Arizona. She was also

Business Journal. Midwestern also received

this year’s WESTMARC Economic Engine

Award for contributions to the West Valley economy.

AZCOM STUDENT NAMED STUDENT D.O. OF THE YEAR

he American Association of Colleges of Osteopathic Medicine (AACOM)

AzCom Omm Chair Wins Patients’ Choice Award

University’s Arizona College of Osteopathic Medicine (AZCOM), as National

in Baltimore, Maryland.

ern University, and a practicing physician at the

named Amber Hull, an osteopathic medical student at Midwestern

Student D.O. of the Year at the Annual AACOM Awards Banquet in April

The National Student D.O. of the Year Award is presented each year to one

nthony Will, D.O., Chair of Osteopathic Manip-

ulative Medicine in the Arizona College of

Osteopathic Medicine (AZCOM) at MidwestUniversity’s Multispecialty

osteopathic medical student who demonstrates superior leadership capabilities,

Clinic in Glendale, Arizona,

robust research experience, a strong commitment to community service and an

has been recognized as a

embodiment of the osteopathic philosophy. Ms. Hull, who begins her fourth year at AZCOM this fall, has served as an intern for the U.S. Department of State’s Office

Patients’ Choice physician.

diplomacy, public health, and service delivery systems. She currently serves as the

Award recognizes physicians

Presidents (COSGP) and is the AOA student-appointed representative to the

their work. The honor, tabu-

The Patients’ Choice

of International Health and Biodefense, focusing on issues related to global health

Global Health Representative for the Council of Osteopathic Student Government

for the positive influence of

Bureau of International Osteopathic Medical Education and Affairs.

Midwestern University Volunteers Step Up To Provide Free Cuts for Kids

lated from hundreds of thou-

sands of patient reviews, was

awarded to physicians who received consistently

n March 11th, Cuts for Kids, organized by the Midwestern University Pediatrics

near-perfect scores – only five percent of the nation’s

health and social needs in a fun carnival-style atmosphere. 151 ponytails were

resents the third consecutive year that Dr. Will has

Club, offered haircuts from professional stylists to benefit children with special

collected and donated to Locks of Love to make wigs for kids with long-term hair loss, and over $5,000 was raised in support of March of Dimes.

870,000 active physicians in 2012. The award repbeen so honored. 39

AOMA Digest Fall 2013

Osteopathic Community News

Appointments, Awards & Grants Gerald Call, Ph.D. (AZCOM), Professor, Pharmacology, was appointed Division

Midwestern Graduates Inaugural Optometry, Physical Therapy Classes In separate commencement ceremonies held at Midwestern University’s Glendale

Chair, Foundational Basic Sciences –

Campus in May, the inaugural graduating classes for the Arizona College of Optometry

Pharmacology by the National Board of Osteopathic Medical Examiners (NBOME) for its national faculty.

(AZCOPT) and the College of Health Sciences’ Physical Therapy doctoral programs received their diplomas. In addition to receiving their Doctor of Optometry (O.D.)

degrees, the AZCOPT Class of 2013 also completed their second year of supervised patient care at the Midwestern University Eye Institute, one of three community healthcare facilities on campus.

Charles Finch, D.O. (AZCOM), Chair, Integrated Medicine, was appointed Chair, Department of Emergency Medicine by the National Board of Osteopathic Medical

AZCOM Commencement 2013

Commencement for AZCOM took place on May 30th in Midwestern University’s

Auditorium. 249 D.O. graduates received their degrees, led by valedictorian Dr. Michelle Shukhman. Congratulations to the Class of 2013!

Examiners (NBOME) for its national faculty. Tracy Middleton, D.O. (AZCOM), Chair, Family Medicine, was appointed COMAT Chair of Family Medicine by the National Board of Osteopathic Medical Examiners (NBOME) for its national faculty. Howard Shulman, D.O. (AZCOM), Associate Dean, Postdoctoral Education, received the 2013 Leadership Award from the Association of Osteopathic Directors and Medical Educators (AODME) at their Annual Meeting in Baltimore in April.

Bright Lights, Shining Stars Gala

On October 19, 2013, Midwestern University will hold its annual Bright Lights, Shining

Katherine Worden, D.O., M.S.

Stars gala. The black-tie-optional gala is an opportunity for the University and commu-

(AZCOM), Clinical Associate Professor,

nity leaders to come together to recognize and honor individuals for their commitment

was named the 2012-2013 Osteopathic Educator of the Year Award by the Arizona Osteopathic Medical Association (AOMA) at their Spring Conference in Scottsdale, AZ in April.

AOMA Digest Fall 2013

Upcoming MWU Events: Mark Your Calendars

to helping others, with proceeds benefiting Midwestern University student scholarships. The event features a silent auction, dinner and dancing under the stars, and the presentation of the prestigious COMET and Shooting Star awards. For more information and to purchase tickets, visit http://www.midwestern.edu/blss.html.

Osteopathic Community News

ATSU partnership helps establish Washington, D.C.’s, first residency and medical training community campus

epresentatives of A.T. Still University (ATSU) and partners Unity Health Care Inc. of Washington, D.C., and The Wright Center for Graduate Medical Education (WCGME) of Scranton, Pa., celebrated the establishment of the District of Columbia’s first residency and medical training community campus in late April. Approximately 80 guests gathered at Unity’s Upper Cardozo Health Center in the nation’s capital to learn how the partners’ collaborative training effort may help offset the nation’s pressing healthcare challenges as a result of the Affordable Care Act – the shortage of primary care physicians trained to work with underserved populations and the changes in federal funding for medical training. Unity’s President and CEO Vincent Keane welcomed guests and provided remarks alongside ATSU President Craig M. Phelps, D.O., ’84, and ATSU’s School of Osteopathic Medicine in Arizona (ATSU-SOMA) Dean Kay Kalousek, D.O., as well as representatives of WCGME, Unity, the National Association of Community Health Centers, and special guest speaker, D.C. Mayor Vincent Gray. Unity’s community campus will provide medical school and residency training for osteopathic physicians who will work predominantly in primary care settings. Beginning July 2013, Unity will train 10 medical students, who will complete years two through four of their medical education at the community campus, and train six family practice residents within their network of community health centers (CHCs) through a groundbreaking medical training program in partnership with ATSU-SOMA and WCGME. “This is a magnificent place for patients to be treated, and we are looking forward to the partnership,” said Dr. Phelps. “We really believe that is where healthcare has to be headed if we are going to take care of the unprecedented need and demand that is coming.” The innovative family residency program is funded through a federal grant from the Health Resources and Services Administration and will place 87 graduates over three years in CHCs around the country, including Unity. The program signals a focus on addressing the primary care physician shortage trained to work in underserved areas through “homegrown recruitment strategies for medical education and residency programs.” Not only is the program addressing current and future Photographed (L to R) are: Brian Ebersole, The Wright Center for shortages in primary care, Graduate Medical Education; Dr. Kalousek, dean, ATSU-SOMA; but it will also encourage local students to become Vincent Keane, President and CEO of Unity Health Care, Inc.; primary care physicians The Honorable Vincent C. Gray, Mayor of Washington, DC; who practice within their ATSU President Craig Phelps, and Michael Crawford, Chairman of the Board of Directors at Unity Health Care, Inc. home communities.

From Students to Healers Ninety-eight new doctors of osteopathic medicine crossed the stage at the Orpheum Theatre in Phoenix, Ariz., on June 7, marking their completion of four years of study in a unique medical school curriculum model. A.T. Still University’s School of Osteopathic Medicine (ATSU-SOMA) is one of a handful of medical schools across the country utilizing the clinical presentation-based medical education model where students are immersed in clinical care beginning in their second year of medical school. “You have been pioneers in the future of a medical education model in this country,” said Thomas McWilliams, D.O., FACOFP, associate dean for graduate medical education, ATSUSOMA, and keynote speaker at commencement. “This ceremony is a celebration of your journey,” added ATSU-SOMA Dean Kay Kalousek, D.O., MS, FACOFP. One hundred percent of the graduating class will be furthering their education as residents. Sixty-eight percent will be in primary care, and 92.9 percent will be in National Association of Community Health Center-identified needed specialties, which include the primary care residencies and general surgery, psychiatry, and emergency medicine. Dr. McWilliams concluded his keynote speech addressing graduates with these words, “You have truly captured the “heart of SOMA”. My parting request is that you keep this spirit alive during your residency training and beyond. Your healing touch is exactly what the nation needs at this critical place and time.”

AOMA Digest Fall 2013

Osteopathic Community News

The Arizona Osteopathic Medical Association (AOMA) Welcomes Craig M. Phelps, D.O., FAOASM as the 2013–2014 President

r. Phelps has been

selected as President

of A.T. Still University

of Health Sciences since July, 2012. Stacy, Zack

role as the Primary Care Team Physician for the WNBA

Phoenix Mercury. His participation in the Greater Phoenix Leadership since 2009 and Greater Phoenix Economic

Council since 2010 also brought recognition to the profession. He practiced family and sports medicine in Phoenix

and he are residents of

for over 25 years which he maintained when he was

Scottsdale, AZ; with his

beginning in 1998 and then Executive Vice President for

both Kirksville, MO and offices on both campuses. Dr. Phelps, board

certified in sports medicine and family practice, raised

the visibility of the osteopathic medical profession when

Provost of A.T. Still University (ATSU), Arizona Campus Strategic Initiatives for ATSU beginning in 2010. He is

a fellow of the American Osteopathic Academy of Sports Medicine. Dr. Phelps is an alum of ATSU’s Kirksville College of Osteopathic Medicine.

The awards have been many and to mention a few, Dr.

he was appointed Primary Care Team Physician for the

Phelps received the National Basketball Association’s

of his Sports Medicine Fellowship Program Director

Osteopathic Medical Education award, and 2008 Health

NBA Phoenix Suns in 1986. He followed in the footsteps and mentor Paul Steingard, D.O. In 1996, he began his

2011 Team Physician of the Year, AOMA’s Excellence in Care Heroes.

— Mandy Weaver

SOMA student receives Excellence in Public Health Award

in Flagstaff,

is the recipient of the 2013 Excellence

community

atthew Nelson, OMS II, A.T. Still

Ariz., one of

University’s School of Osteopathic

ATSU-SOMA’s

Medicine in Arizona (ATSU-SOMA),

campuses.

in Public Health Award from the

United States Public Health Service

Committee. Nelson was presented with

Mathew Nelson

the award on March 22 by Lieutenant

Nelson is completing his clinical

rotation at North Country Healthcare

AOMA Digest Fall 2013

treat, and educate patients on disease and disease prevention. They are also serving a population of individuals

who may be medically uninsured or underinsured.

“ATSU-SOMA congratulates

time in these

as it demonstrates our institutional

community

learning additional clinical presentations,

USPHS.

campus faculty and are able to diagnose,

Matthew Nelson and celebrates this

campuses in small group settings,

Commander Dr. Andrew Terranella,

Students work alongside community

Second-year

students spend

(USPHS) Physician Professional Advisory

system and community health practices.

observing patient care, and gaining

an understanding of the local health

type of achievement by our students commitment to service on behalf of

patients and communities in need,” said Kay Kalousek, D.O., MS, AAHIVS, FACOFP, Dean, ATSU-SOMA.

Osteopathic Community News

Interdisciplinary team represents ATSU at Clarion Competition

n interdisciplinary team of students represented A.T. Still

with colleagues in other ATSU programs and develop solutions for

University (ATSU) at the 2013 Clarion Competition,

the most pressing concerns in healthcare,” said Usher. “I have made

an annual national event sponsored by the University

lifetime friends and have increased my awareness of the importance

of Minnesota. Clarion is a University of Minnesota student

of interprofessional collaboration needed to advance the quality and

organization dedicated to improving healthcare through

consistency of patient care.”

interprofessional collaboration. The competition requires

“The Clarion Competition was an invaluable experience that

interprofessional teams of four students to conduct a root-cause

allowed me to interact with a diverse interdisciplinary team,”

analysis of a sentinel health event.

said Brueggen. “While learning about important healthcare

Suzie Aparicio, ’14, AT, ATSU’s Arizona School of Health

delivery issues, I had the opportunity to develop friendships

Sciences (ATSU-ASHS); Sarah Usher, D3, ATSU’s Arizona School

with several talented people. Clarion was an amazing

of Dentistry & Oral Health; Kenyon McAferty, OMS I, ATSU’s

opportunity, and I would suggest it to anyone who is working

Kirksville College of Osteopathic Medicine; and Erica Brueggen,

toward a career in the health sciences.”

OMS III, ATSU’s School of Osteopathic Medicine in Arizona (ATSU-SOMA), represented ATSU in Minneapolis on April 20. The team focused on issues surrounding the high level of 30-day hospital readmissions for patients with chronic obstructive pulmonary disease. Elton Bordenave, MEd, CHC, assistant professor, ATSU-ASHS, and William Wightkin, PharmD, MS, assistant professor, ATSU-SOMA, assisted the student interdisciplinary team in their preparations. Although the team did not place, the students believed that it was an incredible learning experience. “The Clarion Competition provided me with an opportunity to collaborate

An interdisciplinary team of students and faculty advisors represented A.T. Still University at the 2013 Clarion Competition.

AOMA Digest Fall 2013

Osteopathic Community News

Senior Vice President – Academic Affairs Announced

orman Gevitz, PhD, was appointed senior vice president – academic affairs for A.T. Still University (ATSU), effective

ATSU-SOMA director of operations selected

raig J. Thomas, MBA, has been selected as director of

operations for A.T. Still University’s School of Osteopathic

Medicine in Arizona (ATSU-SOMA). With more than 15

years of experience working for a range

July 2013. Previously, Dr. Gevitz served

of academic hospital and medical groups, his experience includes serving as the

as professor of history and sociology of

administrator of clinical and financial

medicine and director of the Academic

affairs with the University of Arizona

Medicine Scholars Program at New York Institute of Technology, College of

Norman Gevitz, PhD

Osteopathic Medicine.

College of Medicine’s Emergency Medicine

Craig J. Thomas, MBA

“Dr. Gevitz joined ATSU at a very pivotal time in our history,” ATSU President

Craig Phelps, D.O., ’84, said in his announcement. “He brings us tremendous depth and strength in all the right areas. He has a distinguished career in health sciences teaching and scholarship, a long and proven track record of securing and sustaining funding, and years of outstanding academic leadership. Also, in true ATSU fashion, Dr. Gevitz has a deep and abiding commitment to community service.” Prior to his time in New York, Dr. Gevitz served for 12 years as chair of the Department of Social Medicine at Ohio University College of Osteopathic Medicine. He has also held various academic administrative positions, including co-director of the undergraduate Rehabilitation Counseling program at the Illinois Institute of Technology and director of the Medical Humanities program at the University of Illinois Chicago College of Medicine. Dr. Gevitz is a respected and prolific author and editor, focusing on the history and future of osteopathic medicine, as well as the history of dentistry, pharmacy, and medical ethics. “As the chief academic officer for the University, Dr. Gevitz will continue to strengthen ATSU’s growing academic programs and our unwavering commitment to excellence in all we do,” Dr. Phelps said. “I am abundantly confident that Dr. Gevitz is prepared for this critically important leadership role, and I look forward to working with him in implementing ATSU’s Strategic Plan, including key initiatives of interprofessional education, a center for teaching and learning excellence, and diversity.”

AOMA Digest Fall 2013

Department and Research Center, providing financial operations oversight for academic, clinical, and medical research programs.

Thomas will be responsible for a number of ATSU-SOMA’s

operational aspects ranging from budget and human resources

to project tracking and agreements/contracts. He brings a much needed set of talents and skills to the operations side of the medical school.

A Missouri native, Thomas completed his master’s in business

administration at Keller Graduate School-Kansas City and earned a BS in biomedical science at Missouri State University. Thomas lives in Gilbert, Ariz., with his wife and three young children.

Community Health & Wellness Day reaches out to underserved

early 75 individuals in need received free health screenings and services at A.T. Still University’s (ATSU) sixth annual

Free Community Health & Wellness Day, held at Chandler CARE Center in Chandler, Ariz., on April 20.

Families and individuals from the Chandler community were

offered free health services such as physical exams, hearing and

vision screenings, dental

sealants, and vital health recordings, all of which were performed by

students and supervised

by faculty from ATSU’s Arizona School of Dentistry & Oral

Health, Arizona School of Health Sciences, and School of Osteopathic Medicine in Arizona.

Osteopathic Community News

Americans used to work and play hard

oday we still work. It’s not for nothing that we’re known worldwide as the “no vacation nation.” But as our work became more sedentary, we seem to have lost the urge to play. The Centers for Disease Control and Prevention are telling us to be active 150 minutes a week. On the CDC website we’re told to get 20 minutes of moderate activity daily. To the CDC, “moderate activity” means to break a sweat and the activity must be strenuous enough that when we’re through exercising, we should be able to talk, but maybe not sing the words to our favorite song. Most of us, however, are still singing. We know the plot twists to Breaking Bad and Game of Thrones better than ways to raise our heart rates. Tucson Osteopathic Medical Foundation wants to help change that. TOMF has joined the steering committee of Activate Tucson, a group organized by the “Y” and made up of stakeholders in the fitness and health community. It is a large, diverse group: government (city and county), business (large employers and fitness operators) education (school districts, and the university) and non-profits (United Way, Diabetes Association). TOMF joins the ranks of local health organizations serving on the steering committee -- like the Pima County Medical Society, Carondelet Health Network, University of Arizona Health Network and Pima Heart Associates. The stakes? Preventing a health system disaster in the near and long term future caused by all of us who no longer get out and move. Through lessons learned during a $16 million grant, 2009-2011, Activate Tucson works to publicize physical activity events, change ordinances to allow urban food gardens and animal husbandry; it works with local restaurants to get estimated calorie counts and ingredient lists on menus and suggests a healthy option or two to be added to those menus. It also works to dispel barriers to exercise – such as fear of crime in an era when violent crime has been down for 20 years – and advocates for more sidewalks, pools and parks as well as signs pointing to activity sites. TOMF is proud to work with Activate Tucson, but that is not all we do for fitness and health. TOMF gave a grant in February to the Foundation for Cardiovascular Health to provide funding to the Heart Disease Prevention Study – which will measure outcomes of the HEART Series, a medically-directed, evidence-based, hands-on program designed to prevent, halt or reverse heart disease. Another grant in January went to a teen education network, which offers a series of classes to educate teens on habits to cultivate a healthy life. These grants were part of the TOMF Trustee Awards series. Beginning last January, TOMF has given $1,000 each month to unique and meaningful projects that improve public health in the state of Arizona.

Other projects winning Trustee Awards this year were the Willcox Meth Task Force to expand substance abuse programs to include education about new designer drugs that mimic methamphetamine and to Midwestern University–AZCOM’s Health Outreach Through Medical Education Program for the purchase of audiovisual equipment to be used in its homeless outreach clinics. Nicole Struck We invite you to apply TOMF Program and Meetings Manager for Trustee Awards. Proposals must be submitted and received at the Foundation office no later than 5:00 p.m. on the first Monday of the month before funding is requested. For example, if you would like to receive funding in August, your application must be received no later than the first Monday in July. Projects that are unique and demonstrate potential to make a meaningful impact are preferred. Projects that require quick granting action in order to address a community problem or situation are also preferred. Applicants should carefully consider the following exclusions that result from budgetary considerations, Foundation policy or federal laws. The Foundation does not consider requests from: 1. Individual applicants 2. Political lobbyists, organizations or campaigns 3. Religious activities or organizations 4. Private foundations or private operating foundations 5. Professional associations 6. Specialized health organizations, hospitals or medical centers for operating funds 7. Tax supported government programs or functions 8. Fraternal, veterans, or military organizations 9. Sponsors of conferences, fund-raising campaigns The Foundation does not provide “annual” grants or continuing support. Questions? Please contact Nicole Struck, Program and Meetings Manager at (520)299-4545 or nicole@tomf.org or go to our website, www.tomf.org.

AOMA Digest Fall 2013

Mark your calendar! Plan on attending the

33rd Annual AOMA Fall Seminar November 9 & 10, 2013 AOMA Fall Seminar Hilton Tucson El Conquistador Resort 10000 N. Oracle Rd., Tucson 520-544-5000

The Arizona Osteopathic Medical Association has requested that the AOA Council on Continuing Medical Education approve this program for 12 hours of AOA Category 1-A CME credits. Approval is currently pending. An additional 1 hour of Category 1-A CME may be earned by completing the outcomes assessment after the Seminar. Application also will be filed for AAFP Category 1 credits. Register before October 10, 2013 to receive a generous discount. Visit www.az-osteo.org for more information.

Arizona Osteopathic Medical Association

Have you registered for the Fall Seminar yet?

AOMA Fall Seminar

Hilton Tucson El Conquistador Resort

Call Hilton Tucson El Conquistador Resort Reservations â&#x20AC;&#x201C; 520-544-5000 & ask for the AOMA Block November 9 â&#x20AC;&#x201C; 10, 2013

q Member Registration fee is $295

q Non-member Registration fee is $395

Late Registration (beginning 10/10/13) $370

Late Registration (beginning 10/10/13) $470

q Retired Member Registration $245 Late Registration (10/10/13) $320

Name: ___________________________________________________________________ AOA #: _ _____________________________________ Address: _______________________________________________________________________________________________________________ City: _____________________________________________________________________ St: _______ Zip: ______________________________ Phone: ___________________________________________________ Fax: ________________________________________________________ Email: _________________________________________________________________________________________________________________ Payment: [ ] Visa [ ] MasterCard [ ] American Express Credit Card Number: __________________________________________________________ CVV Code: ___________ Exp. Date: ________________ Signature: ____________________________________________________________________________________

Call (602) 266-6699 or Fax to (602) 266-1393 or Register Online at http://www.az-osteo.org 47

AOMA Digest Fall 2013

AOMA Member to Non-Member Recruitment Program Recruit a new member; get a $100 AOMA credit!

Recruit a New Member and both the New Member and you receive a $100 Credit towards membership dues or Continuing Medical Education (CME) fees! As a member, you understand the value of AOMA’s membership. Share that knowledge firsthand with your colleagues in the medical field. A growing and healthy AOMA means greater recognition for the profession, more resources to support member programs, more representation with healthcare leaders, and a stronger voice when advocating issues with state and national legislative members.

Rules Only AOMA members in good standing are eligible to participate in the recruitment program. AOMA membership qualification rules apply to incoming prospective members. The member recruitment program is designed to recruit “active” members only and does not apply to recruitment of “out-of-state” or “retired” members. The member recruitment program is designed to recruit “new” members only. Someone who has never been a member or has not been an AOMA member for five (5) consecutive years is eligible to be recruited as a “new” member. All required forms; AOMA Membership Application Form (to download form, go to www.az-osteo.org and click on “Join Today”) and annual dues payments must be received from the New Member in order for the current member to be eligible for the credit. The AOMA $100 credit is applied to the Recruiting Member and New Member‘s account only after a prospective new member becomes an approved AOMA member. Members may recruit multiple eligible prospective members.

In the event that more than one membership recruitment form is submitted for the same prospective member, only the first member to submit the form will be eligible to receive the $100 credit. AOMA retains the right to determine which form was received first. Existing members are not eligible to qualify as new members or claim as being recruited by another member. For questions regarding the above rules contact Sharon Daggett, Membership Services Manager, at 602-266-6699 or sharon@az-osteo.org.

Recruitment Tips Here are some helpful tips to keep in mind when recruiting new members to join AOMA: 1. Review your network of colleagues and check the status of their membership: online member directory at www.az-osteo. org; or 2. Call the AOMA office at (602)266-6699; or 3. Ask if they are a member 4. Know the benefits of AOMA membership, including: • Discounted fees on CME • D.O. Career Center • Group Health Insurance and other services and savings from AOMA Business Partners • Networking with your colleagues • And much more 5. E xpress how membership has benefited you. Why did you join and what have you found most beneficial? Hearing your personal opinion will influence prospects’ decision to join. 6. F ollow up. Touch base in a few weeks after initial contact to inquire if they’ve joined or have any questions. If they haven’t, gently remind them to do so. If they have, welcome them to the Arizona osteopathic family.

Get your Credit After talking to prospective members, email sharon@az-osteo.org with your name, contact information and the name and contact information of the prospective member. This must be submitted prior to AOMA recruitment process in order to be eligible to receive a $100 credit. AOMA will confirm receipt and approval/ non-approval. For questions, contact Sharon Daggett, Membership Services Manager, 602-266-6699 or sharon@az-osteo.org

AOMA Digest Fall 2013

Meeting Dates & Locations

2013-2014 Meeting Dates and Locations September 30 – October 4, 2013

January 11, 2014

AOA Medical Conference & Exposition (OMED)

AOMA Winter Board of Trustees – 9am

November 8, 2013

April 9, 2014

Las Vegas, NV

Midwestern University

AOMA Board of Trustees – 7:00pm

November 9, 2013

April 9 – 13, 2014 (Wednesday – Sunday) AOMA 92nd Annual Convention

AOMA House of Delegates – 3:00pm

Scottsdale Hilton Resort & Villas 6333 N. Scottsdale Road

November 9 – 10, 2013

Scottsdale, AZ

AOMA Fall Seminar

Hilton El Conquistador Resort

April 10, 2014

10000 North Oracle Road

AOMA House of Delegates – 3:45 – 6:00pm

Tucson, Arizona, 85704

PAC Reception – 6:00pm

(520) 544-5000

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AOMA Digest Fall 2013

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