The Journal of the Oklahoma OsteopathicAssociation
OKLAHOMA D.O. May/June 2013 December 2014
Volume 79, No. 6
OKLAHOMA
do
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TELEMEDICINE, TELEHEALTH AND MHEALTH
What does it all mean and are these technologies viable additions to providing health care in Oklahoma?
16
LEGISLATIVE REPORT
27
WHAT DO'S NEED TO KNOW
Oklahoma D.O. PAGE 2
FEATURED ARTICLES
Despite having little if any substantive public policy dialogue, Republican statewide officials prevailed on Election Day. Gov. Mary Fallin was re-elected with 55.8% of the vote over Democratic challenger Joe Dorman.
The issue of limitations on the amount of specialty credit that AOA board-certified members can submit from certain CME providers over a three year CME cycle has been under consideration for some weeks now.
Oklahoma D.O. | December 2014
DECEMBER 2014
TABLE of CONTENTS Lynette C. McLain Editor
34
Marie Kadavy Associate Editor
34
HOW TO PREPARE FOR YOUR NEXT TRIP ABROAD Getting ready to travel abroad? International trips require more than just a passport. Whether you’re traveling for work or vacation, it always helps to have a checklist that includes resources to safeguard your health.
DEPARTMENTS
9
2014-2015 OEFOM Officers & Trustees
10
2015 Winter CME Seminar Program
12
2015 Winter CME Seminar Registration Form
25
Doctor of the Day Form
26
Student Scoop
28
OOA Bureau News
29
OOA Awards Nomination Form
30
Sixth Annual ROGME Poster Symposium
31
OOA Members in the News
32
OEFOM Scholarship Criteria & Application
36
December Birthdays
38
Classifieds
39
Calendar of Events
Oklahoma D.O. | December 2014
PAGE 3
President’s Message
Oklahoma D.O.
6
OKLAHOMA OSTEOPATHIC ASSOCIATION
OFFICERS
TRUSTEES
STAFF
Michael K. Cooper, DO, FACOFP, President (Northeastern District) C. Michael Ogle, DO, President-Elect (Northwest District) Gabriel M. Pitman, DO, Vice President (South Central District) Bret S. Langerman, DO, Past President (South Central District)
Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO, FACOFP (Southeastern District) Timothy J. Moser, DO, FACOFP (South Central District) Richard W. Schafer, DO, FACOFP (Tulsa District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District)
Lynette C. McLain, Executive Director Matt Harney, MBA, Director of Advocacy and Legislation Marie Kadavy, Director of Communications and Membership Jessica Hansen, Special Projects Coordinator Lisa Creson, Administrative Assistant
The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335.
Oklahoma D.O. PAGE 4
Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication. For more information: 405-528-4848 or 800-522-8379 Fax: 405-528-6102 Email: ooa@okosteo.org www.okosteo.org
Oklahoma D.O. | December 2014
WE KNOW OKLAHOMA HEALTHCARE AT PLICO, WE ARE HONORED TO
“THROUGH THE PLICO BIOMEDICAL ETHICS FUND,
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YOU THROUGHOUT YOUR CAREER
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APPOINTMENT OF AN ADJUNCT PROFESSOR TO
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DIRECT INSTRUCTIONAL ACTIVITIES RELATED TO
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— KIRK JEWELL, PRESIDENT, OKLAHOMA STATE
AND TRUSTED EXPERTISE.
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405.815.4800 | PLICO.COM FINANCIAL STABILIT Y RATING ® OF A, EXCEPTIONAL
michael k. cooper, DO, FACOFP President 2014 – 2015 oklahoma osteopathic association
If you missed OMED 2014 in Seattle, you missed many ex-
teopathic board certification on equal footing with allopathic
citing things concerning osteopathic medicine in Oklahoma.
board certification. If this recommendation is adopted as pol-
Kayse M. Shrum, DO, president of the OSU Center for
icy (it is currently under a 45-day period of public comment),
Health Sciences College of Osteopathic Medicine and OOA
it will go a long way in helping to stabilize our residency pro-
trustee, was recognized at the opening session by AOA Presi-
grams in Oklahoma.
dent Robert S. Juhasz, DO, for her innovative Blue Coat to White Coat program which recruits future osteopathic physi-
I will never doubt the toughness of our executive director, Ly-
cians from rural areas.
nette McLain. During the OOA Post Trip at Tanque Verde Ranch, Lynette rode a horse for 8 1/2 miles up and down steep
Both Dr. Shrum and the college were previously given a STAR
mountains covered with slippery rocks and cactus. It was one
award at the AOA House of Delegates meeting this last July
of the hardest rides that I have ever ridden. Not only did she
for the development of new osteopathic primary care residen-
manage to stay on the horse, she rode extremely well. She is
cies. It is good to see that the hard work of Dr. Shrum and her
truly multi-talented.
staff is being recognized on a national level. A new program called the White Coat Society has been started to help Dr.
We had a small but hardy group on the Post Trip. If you have
Shrum continue to develop and support innovative programs
never been on the Post Trip with the OOA, I would encourage
to further advance the mission of the college, providing care
you to attend next year’s trip. It is a great way to get CME
for all Oklahomans. I would like to encourage you to donate
while having fun with your family, friends and colleagues.
Oklahoma D.O. PAGE 6
to this worthy cause. I hope that everyone is having a great holiday season. Don’t Also during OMED, David F. Hitzeman, DO, worked to
forget that the Oklahoma legislature will start the next session
make it possible for Oklahoma to join the large state caucus.
soon. Please continue to support the Oklahoma Osteopathic
This will allow Oklahoma to remain relevant in AOA policy
Association and PAC so that we can continue to serve our
making.We also received the news that the family practice
patients in the manner in which we were trained—with osteo-
residency review committee for ACGME has recommended
pathic medicine.
removing the allopathic board certification requirement from a qualification for residency director. This would place osOklahoma D.O. | December 2014
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3/28/11 11:05 AM
2014-2015 OEFOM Officers & Trustees
Gore Gaines, JD President Lay Member Term Expiring 2016 Edmond, Okla.
Gary McClanahan President-Elect Lay Member Term Expiring 2018 Edmond, Okla.
Dennis J. Carter, DO, FACOFP Vice President Board Certified Family Physician/Geriatrics Term Expiring 2018 Poteau, Okla.
Lynette C. McLain Secretary/Treasurer OOA Executive Director Oklahoma City, Okla.
Larry Derryberry, JD Lay Member Term Expiring 2015 Oklahoma City, Okla.
Robin R. Dyer, DO Board Certified Family Physician & Neuromusculoskeletal Medicine Term Expiring 2015 Tulsa, Okla.
Kristopher K. Hart, DO Board Certified Emergency Medicine Term Expiring 2016 Oklahoma City, Okla.
Jeffrey L. Shipman, DO Board Certified Emergency Medicine Term Expiring 2017 Oklahoma City, Okla.
Stephen W. Woodson, DO Board Certified Family Physician Term Expiring 2015 Stigler, Okla.
Michael K. Cooper, DO, FACOFP OOA President Board Certified Family Physician Claremore, Okla.
C. Michael Ogle, DO OOA Vice President Board Certified Internal Medicine/ Emergency Medicine Enid, Okla.
Gabriel M. Pitman, DO OOA Vice President Board Certified Neurology Oklahoma City, Okla.
In Memory of William G. Geb, DO Vergil D. Smith, DO Timothy A. Soult, DO Timothy A. Soult, DO Timothy A. Soult, DO
PAGE 9
Oklahoma D.O. | December 2014
Contributing Tom E. Denton, DO Tom E. Denton, DO Dr. Barney and Mary Blue Thomas J. Carlile, DO Debra L. Montgomery, DO
Oklahoma D.O.
n OEFOM Memorials n
Friday – January 30, 2015 Noon – 6:00 pm Registration 2:00 – 6:00 pm
Exhibits Open
*2:00 – 3:00 pm “Venomous Snakebites in Oklahoma & Their Management” Boyd D. Burns, DO, FACEP, FAAEM (certified emergency medicine, Tulsa, OK) http://integrisok.com/pediatrics-snake-bites
HARD ROCK
Hotel & Casino Jan. 30-Feb. 1, 2015
*3:00 – 4:00 pm “Inhalational Insults” Daniel A. Nader, DO, FACCP (certified internal medi- cine, pulmonary medicine & critical care medicine, Tulsa, OK) www.cdc.gov/tb/ *4:00 – 5:00 pm “Sepsis Update” Billy R. Bryan, DO, FACOEP, FACEP (certified emer- gency medicine, Oklahoma City, OK) www.mayoclinic.org/diseases-conditions/sepsis/ba- sics/definition/con-20031900 *5:00 – 6:00 pm “Vaccine Voodoo…. Just Get it Done” Stanley E. Grogg, DO, FACOP (certified pediatrician, Tulsa, OK) www.cdc.gov/vaccines/
program chair
6:00 – 6:45 pm Combined Past Presidents’ Council, District Presidents’ Council and Oklahoma Delegation Meeting 6:00 – 7:00 pm OOA New Physicians Meeting 6:45 pm
Oklahoma D.O. PAGE 10
Program approvED for 17 1A AOA Credits Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Bureau on Legislation Meeting
Saturday – January 31, 2015 :00 am Registration & Continental Breakfast 7
8:00 – 9:30 am
Bureau on CME Meeting
8:00 am – Noon
Exhibits Open
*8:00 – 9:00 am “Update on Sexually Transmitted Infections” Bryan C. Roehl, DO, FACOOG (certified obstetrics & gynecology, Ada, OK) www.cdc.gov/std/ *9:00 – 10:00 am “Regional Response to a Bioterrorism Event in Oklahoma” Justin W. Fairless, DO, NRP, FACEP, FAAEM (certi- fied emergency medicine, Tulsa, OK) www.occhd.org/community/emergency-response- program/bioterrorism
Oklahoma D.O. | December 2014
*10:00 – 11:00 am “Got FEVER? Woes of International Travel” Arthur G. Wallace Jr., DO (certified emergency medicine, Tulsa, OK) http://wwwnc.cdc.gov/travel *11:00 am – Noon “Radiation Events - What You Need to Know” David E. Hogan, DO (certified emergency medicine, Oklahoma City, OK) http://www.bt.cdc.gov/radiation/ *Noon – 2:00 pm “Legislative Update” Matt W. Harney, MBA, Director of Advocacy & Legis- lation (Oklahoma City, OK) www.okosteo.org *2:00 – 3:00 pm “Proper Prescribing: When Thugs Want Drugs” Proper Prescribing Lecture - Sign-In Required for Credit Deborah J. Bruce, JD (OSBOE, Oklahoma City, OK) *3:00 – 5:00 pm “Risk Management Emergencies” Risk Management Course Brenda Wehrle, BS, LHRM, CPHRM (Senior Risk Management Consultant, Brentwood, TN) http://www.medpro.com/ 5:00 – 6:30 pm
Mentor Mentee Reception
For Room Reservations:
• Individuals may call toll free number: 1-800-760-6700 Don’t forget to mention: OOA to receive the special group rate • Visit www.HardRockCasinoTulsa.com - Click Online Reservations located on the left side of the page
Sunday – February 1, 2015 7:00 am Registration & Continental Breakfast *8:00 – 9:00 am “The Hypertensive Thugs of Pregnancy” Joseph R. Johnson, DO, FACOOG (certified obstet- ric & gynecological surgery, Tulsa, OK) http://emedicine.medscape.com/article/261435- overview *9:00 – 10:00 am “Stuck on You...Tick Born Disease” Shelly R. Zimmerman, DO (certified emergency medicine, Oklahoma City, OK) www.cdc.gov/ticks/diseases/
*Websites indicate needs assessment for each lecture. Oklahoma D.O. | December 2014
https://reservations.ihotelier.com/crs/g_login. cfm?hotelID=13572
Type in the Attendee Code: OOAJAN2015
Hard Rock Hotel & Casino Features:: Hard Rock Store Variety of dining options including Toby Keith’s “I Love This Bar & Grill” Vegas-style buffet Bistro-style grills 24-hour casino with 2,300 slot machines
All Hard Rock Hotel Rooms Include: iPod docking stations Refrigerators Complimentary wired & wireless high-speed Internet Complimentary airport transportation Complimentary covered & uncovered self-parking Complimentary fitness center Complimentary USA Today
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PAGE 11
*11:00 am – Noon “Orthopedic Evaluation of Bone and Joint Infections and Treatment” M. Sean O’Brien, DO (certified orthopedic surgery, Oklahoma City, OK) www.nlm.nih.gov/medlineplus/ency/article/000437.htm
• Group attendees may use the URL below:
Oklahoma D.O.
*10:00 – 11:00 am “Bioterrorism in the 21st Century: A Brief History and Lessons Learned From Armed Forces Around the World” Guy W. Sneed, DO, FACOOG, Colonel, Medical Corps, Oklahoma Army National Guard (certified obstetric & gynecological surgery, Tulsa, OK) www.mayoclinicproceedings.org/article/S0025- 6196(11)61694-7/fulltext
- Then click Group Reservation at the top of the page and enter the Attendee Code: OOAJAN2015
OOA 2015 WINTER SEMINAR Bioterrorism: Bugs, Drugs & Thugs
On or Before 1/23/15 After 1/23/15 q DO Member Registration* $340 $365 q DO Member Saturday Proper Prescribing & Risk Management Registration $180 $205 q Retired DO Member Registration* $80 $105 q DO Nonmember Registration* $840 $865 q Nonmember Saturday Only Registration $680 $705 q MD/Non-Physician Clinician Registration* $340 $365 q Student, Intern, Resident, Spouse, Guest Registration free free *Includes: Proper Prescribing Course, 2 Continental Breakfasts & Saturday Luncheon
REGISTRATION INFORMATION Registrant Name (please print): ____________________________________________________________________________ please indicate: qPhysician qIntern qResident qOMS-I q OMS-II q OMS-III q OMS-IV Preferred First Name for Name Badge: _______________________________________________________________________ Other Professional/Guest: _________________________________________________________________________________
PAYMENT INFORMATION
q Check Enclosed
q VISA/MASTERCARD
q DISCOVER
q AMERICAN EXPRESS
Credit Card No.: _____________________________________ Card Exp. Date: ________ 3 Digit CID Number: ___________ Billing Address: __________________________________________________________________________________________
City: _______________________________________________ State: _____________ Zip: ___________________________
Oklahoma D.O. PAGE 12
Preferred Telephone: (_______)_____________________________ Email address: ____________________________________ Signature: _______________________________________________________________________________________________ Name (as it appears on card - please print): ____________________________________________________________________
ONLY an electronic syllabus is available for this meeting. Please bring appropriate viewing device.
Requests for refunds must be received before Jan. 23, 2015, and a $25 service fee will be charged. Mail Registration Form & Payment to: OOA at 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or Fax to: 405-528-6102 Oklahoma D.O. | December 2014
Oklahoma D.O. PAGE 31 13
Oklahoma D.O. | October December 2014 2014
Telemedicine, telehealth & mHealth
What does it all mean and are these technologies viable additions to providing health care in Oklahoma? by a variety of medical providers and specialties. Through the use of telemedicine, patients can avoid the need to travel long distances to
provided by Steve Casady Director of TeleHealth OSU Center for Rural Health
visit a specialist, and they can schedule time with a provider without ever having to leave their hometown. In emergency situations, such as stroke where time is of the essence, patients can be connected with specialists immediately without the delays caused by travel. This translates to earlier treatment and improved outcomes. Participation in telemedicine activities involving patients in Okla-
Given the acute physician shortage in Oklahoma, many health sys-
homa by an osteopathic physician requires a full, unrestricted license.
tems and physicians are embracing new technologies to help provide
No additional telemedicine specific certifications are required. Rules
care to an increasing number of patients. Some of these technologies
and regulations exist that guide where telemedicine can be provided
include telemedicine, telehealth and mHealth. Many questions arise
and which medical specialties can be addressed using the technology.
about all three of these buzz words. What do they actually mean?
Such regulations ensure that telemedicine is used properly and effec-
How can they help expand patient care throughout the state? Below,
tively throughout the state.
we will look at each of these technologies and provide an explanation of how they can be used in Oklahoma today.
Telehealth refers to a broader scope of remote health care services
Telemedicine Oklahoma D.O. PAGE 14
Telehealth than telemedicine. While telemedicine refers specifically to remote
Telemedicine is the use of medical information exchanged from one
clinical services, telehealth can refer to remote non-clinical services,
site to another via electronic communications to address a patient’s
such as provider training, administrative meetings and continuing
clinical health status. Telemedicine includes a growing variety of ap-
medical education (CME), in addition to clinical services.2 Tele-
plications and services using two-way video, email, smart phones,
health is often used as a reference to providing health care and clinical
wireless tools and other forms of telecommunications technology.
training for health care workers, physicians, students and residents
1
Telemedicine is not a separate medical specialty, and it can be used
located in rural areas.
American Telemedicine Association - http://www.americantelemed.org/about-telemedicine/what-is-telemedicine#.VGDxNPnF98E Health Resources Services Administration - http://www.healthit.gov/providers-professionals/faqs/what-telehealth-how-telehealth-different-telemedicine
1 2
Oklahoma D.O. | December 2014
Many health care workers and physicians today use telehealth services
eters and pill boxes gather and report data to a physician or monitor-
to obtain CME credit and graduate medical education (GME) in-
ing center. If the data appear abnormal, the patient can be contacted
struction. All that is needed to participate in many telehealth learning
immediately to determine the cause and address any issues that may
events or meetings is a computer with an Internet connection. Oc-
exist. Through the use of these devices, a patient’s health can be
casionally special software must be installed, but increasingly only a
monitored and improved on a daily basis, potentially extending the
web browser is needed. In some cases, such as a group of individuals
length of time between physician office visits.
participating in a meeting with groups at other sites, it may be beneficial to use a larger screen and a videoconferencing system so everyone
Advanced technologies like telemedicine, telehealth and mHealth
at the location may participate together in a single meeting room.
can help patients manage their health care expenses by avoiding un-
mHealth mHealth refers to the use of wireless technologies, such as cell phones,
necessary travel and health care provider office visits. The same technologies allow physicians to provide care to a larger patient panel irrespective of geography.
personal digital assistants (aka PDAs), and netbooks, for improving health.3 mHealth wearable devices and software such as the Fitbit4 and Jawbone5 activity and sleep wristbands provide patients and physicians with real-time information about patient activities, sleep patterns and other information. These types of wearable devices provide feedback to the person wearing the device regarding a number of activity related items and encourage the wearer to meet certain daily goals. The rapid growth of smart phones has allowed patients to utimonitor their personal health. mHealth coupled with wireless home health monitoring devices such as blood-glucose meters, blood pressure monitors, scales, thermom-
4
Oklahoma D.O. | December 2014
PAGE 15
Health Resources and Services Administration - (HRSA)http://www.hrsa.gov/healthit/txt4tots/environmentalscan.pdf Fitbit - http://www.fitbit.com 5 Jawbone - https://jawbone.com 3
Oklahoma D.O.
lize numerous mHealth apps that are designed to help improve and
LEGISLATIVE
REPORT Provided by: Matt W. Harney, MBA Director of Advocacy and Legislation
REPUBLICANS RE-ELECTED TO STATEWIDE OFFICES
Despite having little if any substantive public policy dialogue, Republican statewide officials prevailed on Election Day. Gov. Mary Fallin was re-elected with 55.8% of the vote over Democratic challenger Joe Dorman. Dorman, a term-
Oklahoma D.O. PAGE 16
limited state representative from Rush Springs, had been able to nearly match the incumbent governor’s fundraising pace since June. Gov. Fallin’s unwillingness to expand Medicaid, refusal to dedicate franchise tax dollars for storm shelters in schools and an erratic position on Common Core standards had caused the governor’s approval ratings to fall dramatically over the past year. However, Democrats were unable to capitalize on these perceived weaknesses by turning out voters. Fewer than 41% of the registered voters in Oklahoma cast a ballot in these midterm elections, a drop of about 9% from the 2010 midterms. Taking into account the number of votes cast as a proportion of the voting eligible population, turnout in Oklahoma drops to below 30%—fourth lowest in the nation according to fivethirtyeight.com.
Oklahoma D.O. | December 2014
In her campaign travels throughout the state, Gov. Fallin offered very little in the way of specific policies she intended to pursue if elected to a second term. Dorman, on the other hand, vowed to expand Medicaid in Oklahoma as his first executive action, providing health care coverage to approximately 145,000 of the working poor in Oklahoma.1 Specifically regarding the physician community, Dorman sought a minimal Prescription Monitoring Program (PMP) mandate on only the most-prescribed narcotics once a year—a sharp contrast to Gov. Fallin’s push last legislative session for mandatory checks before writing prescriptions for all Schedule II drugs, as well as drugs with hydrocodone or codeine. Gov. Fallin’s second term will begin Jan. 12, 2015. In a hard-fought race to replace Janet Barresi as state superintendent, Republican Joy Hofmeister defeated Democrat John Cox, EdD, by securing 55.8% of the vote. The two candidates engaged in 20 debates over the last year. Hofmeister is a former teacher and Cox has served as superintendent of Peggs Public Schools for 20 years. Statewide Republican incumbents Todd Lamb, lieutenant governor, and Mark Costello, labor commissioner, coasted to victory. All five U.S. House seats and both U.S. Senate seats (one fills the unexpired term for Sen. Tom Coburn) also fell in the Republican column.
STATE HOUSE HOLDS STEADY, MEDICAL DOCTOR ELECTED TO STATE SENATE While there are 22 new state representatives, the partisan makeup of the state house remained exactly the same following the general election, with 72 Republicans and 29 Democrats. In fact, all districts were held by the incumbent political party in all but 2 races: House District 65 in southwestern Oklahoma (Republican Scooter Park was elected to replace the term-limited Rep. Joe Dorman) and House District 45 in eastern Norman (Democrat Claudia Griffith defeated Republican incumbent Rep. Aaron Stiles). Ervin Yen, MD, won the open race for Senate District 40 by securing more than 54% of the vote against Democratic candidate John Handy Edwards. Yen will be the third physician in the legislature, joining Rep. Doug Cox, MD, R-Grove, and Rep. Mike Ritze, DO, R-Broken Arrow. Dr. Yen is believed to be the first Asian-American ever elected to the Oklahoma legislature and the first physician in the senate in 40 years. Dr. Yen’s parents moved from Taiwan when he was 4 years old. He recently told Oklahoma City’s News 9 his “number one reason for doing this is because I want to be there to help the other senators understand the ramifications of any health care legislation.” Dr. Yen replaces the term-limited Cliff Branan, R-Oklahoma City.
tors are being welcomed to the chamber, including four who transitioned from the State House. There are now a total of eight Democratic members of the Senate. Find a complete list of the state representatives and state senators on pages 18 and 19, with the names of newly elected legislators notated with an asterisk.
Oklahoma D.O. | December 2014
PAGE 17
http://kff.org/health-reform/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/
1
Oklahoma D.O.
The Republicans extended their majority by four seats in the Senate and now claim 40 of the 48 districts. Ten new sena-
OKLAHOMA HOUSE
Oklahoma D.O. PAGE 18
District Name 1 *Johnny Tadlock 2 John Bennett 3 James Lockhart 4 Mike Brown 5 Doug Cox, MD 6 Chuck Hoskin 7 *Ben Loring 8 Ben Sherrer 9 *Mark Lepak 10 *Travis Dunlap 11 Earl Sears 12 Wade Rousselot 13 Jerry McPeak 14 **George Faught 15 Ed Cannaday 16 Jerry Shoemake 17 Brian Renegar 18 Donnie Condit 19 R.C. Pruett 20 Bobby Cleveland 21 Dustin Roberts 22 Charles McCall 23 Terry O’Donnell 24 Steve Kouplen 25 Todd Thomsen 26 Justin Wood 27 Josh Cockroft 28 Tom Newell 29 *James Leewright 30 Mark McCullough 31 Jason Murphey 32 *Kevin Wallace 33 Lee Denney 34 Cory Williams 35 Dennis Casey 36 Sean Roberts 37 Steve Vaughan 38 *John Pfeiffer 39 Marian Cooksey 40 Chad Caldwell 41 John Enns 42 Lisa Billy 43 *John Paul Jordan 44 Emily Virgin 45 *Claudia Griffith 46 Scott Martin 47 Leslie Osborn 48 Pat Ownbey 49 Tommy Hardin 50 Dennis Johnson 51 Scott Biggs 52 Charles Ortega
Party D R D D R D D D R R R D D R D D D D D R R R R D R R R R R R R R R D R R R R R R R R R D D R R R R R R R
City Idabel Sallisaw Heavener Tahlequah Grove Vinita Miami Chouteau Claremore Bartlesville Bartlesville Wagoner Warner Muskogee Porum Morris McAlester McAlester Antlers Slaughterville Durant Atoka Catoosa Beggs Ada Shawnee McLoud Seminole Bristow Sapulpa Guthrie Wellston Cushing Stillwater Morrison Hominy Ponca City Mulhall Edmond Enid Enid Purcell Yukon Norman Norman Norman Mustang Ardmore Madill Duncan Chickasha Altus
District Name Party 53 Mark McBride R 54 Paul Wesselhoft R 55 Todd Russ R 56 David Perryman D 57 Harold Wright R 58 Jeff Hickman R 59 Mike Sanders R 60 Dan Fisher R 61 *Casey Murdock R 62 *John Montgomery R 63 *Jeff Coody R 64 Ann Coody R 65 *Scooter Park R 66 Jadine Nollan R 67 Pam Peterson R 68 Glen Mulready R 69 *Chuck Strohm R 70 Ken Walker R 71 Katie Henke R 72 Seneca Scott D 73 Kevin Matthews D 74 David Derby R 75 Dan Kirby R 76 David Brumbuagh R 77 Eric Proctor D 78 Jeannie McDaniel D 79 Weldon Watson R 80 Mike Ritze, DO R 81 Randy Grau R 82 **Kevin Calvey R 83 Randy McDaniel R 84 Sally Kern R 85 David Dank R 86 Will Fourkiller D 87 Jason Nelson R 88 *Jason Dunnington D 89 *Shane Stone D 90 Jon Echols R 91 *Chris Kannady R 92 Richard Morrissette D 93 Mike Christian R 94 Scott Inman D 95 Charlie Joyner R 96 Lewis Moore R 97 Mike Shelton D 98 *Michael Rogers R 99 *George Young D 100 Elise Hall R 101 Gary Banz R
City Moore Moore Cordell Pocasset Weatherford Fairview Kingfisher El Reno Felt Lawton Grandfield Lawton Devol Sand Springs Tulsa Tulsa Jenks Tulsa Tulsa Tulsa Tulsa Owasso Tulsa Broken Arrow Tulsa Tulsa Tulsa Broken Arrow Edmond Oklahoma City Edmond Oklahoma City Oklahoma City Stilwell Oklahoma City Oklahoma City Oklahoma City Oklahoma City Oklahoma City Oklahoma City Oklahoma City Oklahoma City Midwest City Arcadia Oklahoma City Broken Arrow Oklahoma City Oklahoma City Midwest City
**Previous nonconsecutive service in the House
Oklahoma D.O. | December 2014
OKLAHOMA SENATE
City Fairfield Claremore Grove Spiro Broken Bow Coalgate Wilberton Okemah Muskogee Wynona Tulsa Sapulpa Ada Ardmore Norman Norman Shawnee Porter Enid Guthrie Stillwater Edmond Chickasha Moore Tulsa Kingfisher Woodward Stroud Bartlesville Oklahoma City Lawton Lawton Broken Arrow Owasso Tulsa Broken Arrow Tulsa Altus Tulsa Oklahoma City Edmond Midwest City Washington Oklahoma City Oklahoma City Oklahoma City Oklahoma City Oklahoma City
REPUBLICANS TO TAKE CONTROL OF U.S. SENATE Republicans seized control of the U.S. Senate in a federal election impacted by record-breaking spending from outside groups in a year in which nearly two-thirds of the U.S. Senate seats up for grabs were held by Democrats. The president’s party lost multiple seats, as has been the trend for midterm elections for an incumbent president’s second term. Many of the U.S. Senate seats that flipped from Democratic to Republican were states President Barack Obama lost in 2012 (Montana, South Dakota, Arkansas, West Virginia, North Carolina and Alaska). Only two states President Obama won in 2012—Iowa and Colorado—flipped to the Republicans. While money has always played a role in politics, the amount of money spent in federal campaigns in this country continues to skyrocket. In 2014, the candidate who raised the most money in U.S. House races won just over 94% of the time, while the candidate who raised the most in U.S. Senate races won about 82% of the time. Every election since 1998 has witnessed more money spent than the previous election. However, according to the Center for Responsive Politics (opensecrets.org), the same had also been true for the number of donors since 1990—until this year. As of mid-October, the number of congressional donors was 18% less than the number who had contributed during the 2010 midterms. While the number of donors will rise once final reports are submitted, it appears extremely unlikely the 2014 election yields more individual donors than in 2010. Total spending is significantly action committees (PACs).
**Transitioning from the House to Senate
Oklahoma D.O. | December 2014
PAGE 19
affected by mega-donors and special interest political
Oklahoma D.O.
District Name Party 1 Charlie Wyrick D 2 **Marty Quinn R 3 Wayne Shaw R 4 Mark Allen R 5 *Joseph Silk R 6 Josh Brecheen R 7 Larry Boggs R 8 *Roger Thompson R 9 Earl Garrison D 10 Eddie Fields R 11 Jabar Shumate D 12 Brian Bingman R 13 Susan Paddack D 14 Frank Simpson R 15 Rob Standridge R 16 John Sparks D 17 Ron Sharp R 18 Kim David R 19 Patrick Anderson R 20 A.J. Griffin R 21 Jim Halligan R 22 *Stephanie Bice R 23 Ron Justice R 24 Anthony Sykes R 25 Mike Mazzei R 26 *Darcy Jech R 27 Bryce Marlatt R 28 **Jason Smalley R 29 John Ford R 30 David Holt R 31 Don Barrington R 32 Randy Bass D 33 Nathan Dahm R 34 Rick Brinkley R 35 Gary Stanislawski R 36 Bill Brown R 37 Dan Newberry R 38 Mike Schulz R 39 Brian Crain R 40 *Ervin Yen, MD R 41 Clark Jolley R 42 *Jack Fry R 43 Corey Brooks R 44 Ralph Shortey R 45 Kyle Loveless R 46 **Kay Floyd D 47 Greg Treat R 48 **Anastasia Pittman D
Since the Citizens United ruling in 2010 allowing corporations to spend unlimited amounts (indirectly) on campaigns, super PACs continue to play an increasingly impactful role in election outcomes. The most expensive race in the battle for control of the U.S. Senate was in North Carolina. The Democratic incumbent Sen. Kay Hagan faced off against Republican Speaker of the North Carolina House Thom Tillis. The two campaigns raised a total of about $32 million. However, outside groups spent a total of $81 million in North Carolina. Therefore, more than 70% of all advertisements and spending were not attributable to any candidate campaign but to PACs with virtually zero electioneering restrictions, as the definition of the “issue ads” they often create remains broad. These dark money groups typically organize as 501(c)(4) organizations that are not required to disclose donors as candidate campaigns are required. The Republicans now have a 54-46 majority in the U.S. Senate. Given their newfound majority, obstruction alone is a far more difficult option for the Republicans as they’ll now be tasked with promoting an agenda and governing. In the U.S. House, Republicans grew their share of the legislative chamber. Before the elections, Republicans held a 234201 majority over Democrats. Following the election, the Republicans have a 244-186 majority with several races still awaiting a final determination. This solid gain is all the more surprising given the shocking lack of activity from the previous legislature. The 113th Congress was the least active in modern history. In 1948, President Harry S. Truman dubbed the 80th Congress (1947-1948) the “do nothing” Congress as they passed 906 bills, considered pretty anemic at the time. That level of activity is quite prolific compared to the feeble 185 bills passed by this 113th Congress—many of which were appropriation bills. The 114th Congress will commence Jan. 3, 2015.
DEMOCRATIC CONGRESSIONAL CANDIDATE PASSES AWAY, SPECIAL ELECTION DENIED Only a day before the general election, it was confirmed the Democratic candidate running to serve Oklahoma in the 2nd Congressional District, Earl Everett, had passed away in an auto accident. Everett passed away on Sunday, Nov. 2 at the age of 81. Everett had defeated recent college graduate Joshua Harris-Till in the primary election in June. Everett was a Korean War veteran and lived in Fort Gibson. First-term Republican incumbent Markwayne Mullin ultimately cruised to victory with 70% of the vote on Nov. 4. While Everett was an underdog in the race, the Oklahoma Democratic Party stated their interpretation of state law would
Oklahoma D.O. PAGE 20
allow a replacement candidate to be named by their central committee and require the governor to call a special election, as the candidate’s death occurred more than five days following the runoff election date. The Oklahoma Democratic Party Central Committee met the weekend following the election and nominated outgoing State Sen. Jerry Ellis from Valliant to be their candidate for the as yet to be called special election. Ellis is a rancher and newspaper publisher who had served in both the State House and Senate. However, the Oklahoma Election Board met with attorneys from the office of Oklahoma Attorney General Scott Pruitt on Nov. 12 to discuss the matter. They convened in a closed-door executive session then announced their plan to certify the election results, claiming federal law requires an election for U.S. Congress on the Tuesday after the first Monday of November. They argue this pre-empts state law.
Oklahoma D.O. | December 2014
Oklahoma’s 2nd Congressional District had been held by the Democrats for nearly all of the past century. Since 1923, outgoing U.S. Sen. Tom Coburn, MD, R-Muskogee (1995-2001) and Markwayne Mullin, R-Westville (2013-present) are the only Republicans to serve in the district. In the days following the election, Oklahoma Democratic Party Chairman Wallace Collins stated party leaders were consulting with attorneys to determine whether or not to file a lawsuit seeking a special election. A bill that would’ve rectified this issue was passed just this last legislative session, calling for a special election only if the deceased candidate won. That law does not take effect until Jan. 1, 2015. On Dec. 1, Collins stated a possible legal challenge had been dropped, citing a lack of resources.
OAPA SEEKING MODIFICATION OF PHYSICIAN ASSISTANT ACT IN 2015
The Oklahoma Academy of Physician Assistants (OAPA) attended the Patients First Coalition meeting at the OOA office on Nov. 17 to discuss their plans to modify the Physician Assistant Act during the upcoming legislative session. Dan McNeill, PA, and OAPA lobbyist Jan Loftis presented a modified version of the act to the coalition, stating legislation is now necessary. The degree of modifications at the federal level on PA practice of medicine has made a simple reinterpretation of rules by the state’s medical licensure board untenable. Rep. Doug Cox, MD, R-Grove, will be authoring the legislation. There are nine objectives to the 2015 proposed revisions. None of the nine deal with seeking prescriptive authority for Schedule II drugs. According to the summary provided by the OAPA, the first revision strikes a substantial amount of language serving little purpose as to how PAs practice medicine with physician supervision. Another change eliminates the requirement that a supervising physician be physically present on site 4 hours a week. This requirement has already been removed from federal regulation of FQHCs (Federally Qualified Health Centers) and other federally supported entities. Another revision does away with the requirement that hospital orders be countersigned within 24 hours, but rather allows hospital bylaws to direct this requirement. The change impacting prescription drugs would allow PAs to dispense only on a limited basis under the direction of a supervising physician. That amendment reads, “a supervising physician with the authority to dispense may delegate to the physician assistant the ability to dispense drugs in the event that pharmacy services are not immediately available, when it is in the best interest of the patient or when it is an emergency.” The currently proposed revisions to the Physician Assistant Act, as well as the objectives, can be found here:
BUREA ON LEGISLATION MEETING UPDATE
The Bureau on Legislation met Nov. 5 at the OOA Central Office to discuss policy updates as well as potential legislation State Board of Osteopathic Examiners, to outline the Interstate Medical Licensure Compact which will be considered by many state legislatures. In order to join the compact, uniform language must be approved by the legislature. Under the Oklahoma D.O. | December 2014
PAGE 21
this next legislative session. The bureau began with an update from Deborah Bruce, JD, executive director of the Oklahoma
Oklahoma D.O.
http://c.ymcdn.com/sites/www.okosteo.org/resource/resmgr/Docs/physician-assistant-act.pdf
compact rules, the physician’s initial application is made to the compact. The revenue for each of the licenses will be dispersed among the participating states. The location of the patient is where the medicine is being practiced, but the compact would ensure the home state maintains authority of principle licensure. All states that are a part of the compact must share investigative files and must assist compact states with full disclosure of any possible disciplinary issues. Bruce reported this compact just affects initial licensure. This is not to be confused with license renewal. She also stated no
physicians get grandfathered in and all must initially apply. The principal state will be the entity required to send information to the other states for which the physician is seeking licensure. This legislation will be an up-or-down vote for all legislatures and cannot be amended. Lyle Kelsey, executive director of the Oklahoma Board of Medical Licensure and Supervision, has passed along the legislation to Rep. Doug Cox, MD, R-Grove, for authorship. Bruce also stated this could be a nice alternative to national licensure. Moving on to PMP mandates for the next session, Bureau on Legislation Chair LeRoy E. Young, DO, reported the formation of a PMP task force led by Gov. Fallin. Dr. Young attended the task force meeting stating discussions with Gov. Fallin’s staff included considering the possibility of only the top five or six overdose drugs requiring checks before writing the prescription. This requirement would be for initial patient visits and once a year. The governor’s staff is willing to require checks before only the top 10 prescriptions associated with overdose deaths. Currently, PMP checks would be required on the first time that drug is written for a patient (as opposed to the initial visit). The medical examiner’s office creates the list of the top drugs associated with overdose deaths. Dr. Young reminded the bureau of an approved interim study focused on the PMP. Gary Bastin, OOA lobbyist, reported Rep. David Derby, R-Owasso, believes the PMP negotiation could be finalized before session, therefore making the interim study unnecessary. Regarding possible Medicaid reform, Bastin reported legislative leadership appears to be seeking realistic solutions for the Medicaid budget issues and are keeping the Oklahoma Health Care Authority (OHCA) involved in the process. The legislative push for managed care seems to have decreased. Also, C. Michael Ogle, DO, reported a conversation he’d had with Speaker Jeff Hickman, R-Fairview, regarding the possibility of modifying payment structures in rural areas for the purposes
Oklahoma D.O. PAGE 22
of sustainability. The bureau also discussed pursuing a Department of Mental Health & Substance Abuse Services (DMHSAS) board position. Matt Harney reminded the bureau of the outspoken nature of the DMHSAS commissioner regarding physician issues and the positive impact an osteopathic physician would have on the DMHSAS board. Therefore, he brought forth the idea of including an OOA nomination to the DMHSAS board in state statute. A motion passed unanimously recommending this DMHSAS board consideration to the OOA Board of Trustees. The OOA Board of Trustees discussed this issue the following day at its monthly meeting and approved the measure. Dr. Young reported nurse practitioners want to gain independent practice and that we should expect this bill. He stated
Oklahoma D.O. | December 2014
nurse practitioners and physician assistants may be seeking prescriptive authority for Schedule II drugs. Dr. Ogle reported that he met with Dr. Cox and representatives of the nurse practitioners (NPs). Dr. Ogle and Dr. Cox informed them it was the wrong year to pursue this. Dr. Ogle reported NP supervisory and prescriptive authority varies widely by state. The bureau unanimously approved a motion to oppose any legislation from physician assistants and nurse practitioners that would change the supervisory rules. The OOA Board of Trustees also approved this measure the following day. The legislative deadline to reserve a bill is Dec. 12, 2014. Jan. 22, 2015, is the deadline for bill introductions. The next Bureau on Legislation meeting will occur at the OOA’s Winter CME Seminar Friday, Jan. 30, 2015 at 6:00pm at the Hard Rock Hotel & Casino in Catoosa, Okla.
STATE CHAMBER HEALTH CARE COMMITEE UPDATE
The Health Care Committee for the State Chamber of Oklahoma met Oct. 21 to discuss and consider recommendation of several initiatives for the upcoming legislative session. Committee members in attendance included representatives and lobbyists for the OOA, Oklahoma State Medical Association, Blue Cross Blue Shield of Oklahoma, INTEGRIS Health, American Cancer Society and Oklahoma Primary Care Association, among many others. Initiatives approved are as follows: • Improve the Insure Oklahoma premium assistance program designed to make health insurance more affordable for small businesses while assuring the program’s long-term stability and the funding source remains dedicated to Insure Oklahoma. • Support effective incentives and initiatives designed to enhance medical research, improve service delivery and increase access to health care. • Continue to support a long-term solution to address full reimbursement funding for Medicaid services. • While maintaining opposition to state mandated health insurance benefits, support legislation requiring a cost/benefit analysis to accompany any proposed health insurance benefit mandate. • Oppose government-mandated health insurance benefit coverage while supporting legislation expanding “mandate-free” health care plan option. • In order to help contain health care costs, oppose legislation that would limit access to legal, over-the-counter products. • Support the development of a healthy and productive workforce by eliminating barriers to the efforts of employers and communities in their promotion of positive health habits. • Support efforts by Oklahoma’s leaders to develop an Oklahoma plan to extend health insurance coverage to Oklahoma’s uninsured residents and cover the costs of uncompensated care that is currently shifted to employers and health care provid• Support efforts to improve transparency in coverage determinations by the Oklahoma Health Care Authority. It was announced at the conclusion of the meeting the full State Chamber Board of Directors would be voting to approve these items in early December. The State Chamber will then host another Health Care Committee meeting in January to review these Board decisions and prepare for the legislative session.
Oklahoma D.O.
ers. Acceptance of federal funds should be considered.
PAGE 23
Oklahoma D.O. | December 2014
HOUSE AND SENATE TAKE OATH OF OFFICE, SELECT LEADERSHIP On Nov. 18, the 101 members of the Oklahoma House of Representatives convened to take the oath of office. There are 22 new members of the chamber (including two representatives who previously served in the House). On Nov. 7, the House Republican caucus selected leaders for the 55th Oklahoma Legislature. Jeff Hickman, R-Fairview, was selected as SpeakerElect, a position he claimed in February 2014. Speaker Hickman stated, “The confidence of my fellow Republican House members is truly humbling, and I look forward to continuing our work to make Oklahoma a more prosperous state. House Republicans have led the way to create greater economic opportunity for our citizens and authored legislation to ensure an even better state for future generations of Oklahomans. As the chamber closest to the people, we will continue to work hard on behalf of all Oklahomans.” Rep. Lee Denney, R-Cushing, was chosen as Speaker Pro Tempore-Elect. “I am honored and deeply humbled by the support of my colleagues. I look forward to working with Speaker Hickman and the newly elected members of our caucus,” said Rep. Denney. Rep. Denney is a veterinarian and served as chair of the Appropriations and Budget Education Subcommittee. The House Republican Caucus also selected Rep. David Brumbaugh, R-Broken Arrow, as caucus chairman, Rep. Elise Hall, R-Bethany, as caucus vice chairman and Rep. Katie Henke, R-Tulsa, as caucus secretary. On Jan. 6, the full House will convene for Organization Day to formally elect House leadership. The legislative session will begin Monday, Feb. 2, 2015, for both the House and Senate. The Oklahoma Senate also took their oath of office on Nov. 18. Ten senators were sworn in for the first time, four of whom served previously in the House. Afterward, the Senate Republican Caucus met to elect their leadership team for the 55th Oklahoma Legislature. Sen. Brian Bingman, R-Sapulpa, did not face opposition and was re-elected as President Pro Tempore-Nominee of the Senate. It was also announced that Sen. Mike Schulz, R-Altus, will continue to serve as Majority Floor Leader. Majority Caucus Chair Bryce Marlatt, R-Woodward, and Majority Caucus Vice Chair A.J. Griffin, R-Guthrie, were also elected without opposition.
Oklahoma D.O. PAGE 24
In a statement, Sen. Bingman said, “I’m grateful to our caucus for once again entrusting me with this responsibility, and I look forward to working together as we advance the state of Oklahoma. The eight new members of our caucus bring a diverse array of experience and a dedication to serve the people of their districts. We will continue working to ensure Oklahoma remains a leader in economic development and job growth for years to come.” An organizational day is slated for Jan. 6, 2015. The Senate Republican Caucus also elected the following members to leadership positions:
Assistant Majority Floor LEADERS Sen. Rick Brinkley, R-Owasso Sen. Eddie Fields, R-Wynona Sen. Greg Treat, R-Oklahoma City
Majority WHIPS Sen. Nathan Dahm, R-Tulsa Sen. Kim David, R-Porter Sen. Frank Simpson, R-Springer Sen. Rob Standridge, R-Norman Oklahoma D.O. | December 2014
Doctor of the Day at the State Capitol
The Oklahoma Osteopathic Association (OOA) will sponsor the Doctor of the Day Program during the month of March 2015 at the Oklahoma State Capitol. This is the 41st year osteopathic physicians have provided this service at the State Capitol’s First Aid Station during the legislative session. The Doctor of the Day program provides a great opportunity to serve others and learn about the legislative process at the same time. Physicians are needed to serve in March on Mondays, Tuesdays, and Wednesdays from 8:30 a.m.-4:30 p.m. and on Thursdays from 8:30 a.m.-noon. Each doctor can expect to see a handful of patients. If you are interested in volunteering, please contact Matt Harney at the OOA (405-528-4848 or matt@ okosteo.org) or complete and fax the form below to 405-528-6102 no later than Jan. 15, 2015. We'll ensure you're introduced in both the House and Senate chambers. Your service as Doctor of the Day is crucial to advancing osteopathic medicine in Oklahoma!
Yes! I want to participate in the Oklahoma Osteopathic Association Doctor of the Day Program! Name:________________________________________________________________________________ Cell phone:____________________________________ Email:_____________________________ Home Address:_________________________________________________________________________ City, State, Zip:_________________________________________________________________________ House Member:______________________________________________District #:___________________ State Senator:_______________________________________________ District #:___________________
Monday
Tuesday
Wednesday
Thursday
does not matter
Please fax this form to the Oklahoma Osteopathic Association Central OfďŹ ce at 405-528-6102 no later than Jan. 15, 2015. Oklahoma D.O. | December 2014
PAGE 25
I prefer to serve on
Oklahoma D.O.
internal use
STUDENT
SCOOP
provided by: Brittany Cross, OMS II, Student Government Association President
It’s that time of year again where OSU-COM students are
On Nov. 5, the Student National Medical Association
starting to look forward to the holidays and a much needed
(SNMA) held their annual Multicultural Festival on campus.
break from studying. The month of midterms, or “Blackto-
The purpose of the festival was to bring different ethnicities
ber” as the OMS II’s call it, is finally over and the only thing
together and educate future physicians about cultural compe-
standing between us and Christmas break is a few other exams
tencies. Students were able to bring a home-cooked dish to the
and of course, finals. Despite all the exams and studying, stu-
event and several restaurants in Tulsa donated ethnic cuisines
dents still make plenty of time to help out in the community
as well. The admission to the Multicultural Festival was $5,
and participate in club activities.
but free admission was given to those who brought a dish to donate to the event.
Oklahoma D.O. PAGE 26
On Halloween, the OSU-COM Pediatrics Club had 20 students go to the Children’s Hospital at St. Francis in Tulsa for
The Student Advocate Association (SAA) hosted a Thanks-
a festival. Because many children there were unable to leave
giving dinner on Nov. 20 in Founders Hall on campus. The
the hospital to go out for trick-or-treating, this festival was
dinner was free for students, faculty, staff and their families
an opportunity to bring Halloween to them. The children got
to enjoy. SAA is made up of friends, spouses, significant oth-
to wear costumes and trick-or-treat at stations set up by the
ers and family members of the OSU-COM students. The or-
hospital. The Pediatric Club members dressed up in costumes
ganization seeks to support the students and to help provide
and helped pass out candy to the trick-or-treaters throughout
activities like the Thanksgiving dinner for students and their
the hospital. Another event during Halloween called “Spoo-
families to spend time together.
koween” was held on campus by the Student Advocate Association for OSU-COM families to attend with candy and games for kids.
Oklahoma D.O. | December 2014
OKLAHOMA OSTEOPATHIC ASSOCIATION
WHAT DO'S NEED TO KNOW AOA specialty credit resolution approved
The issue of limitations on the amount of specialty credit that AOA board-certified members can submit from certain CME providers over a three year CME cycle has been under consideration for some weeks now. The Bureau of Osteopathic Specialists (BOS) met on Nov. 8 to review the implications and concerns voiced by state and specialty affiliated organizations. This resulted in the BOS putting a resolution forward to the Executive Committee of the AOA Board of Trustees for action. ECS Resolution No. 1 was approved on Nov. 21, 2014. The resolved clauses read: RESOLVED, that the current 25-credit maximum per CME cycle for specialty credit for AOA state society
seminars, acute care hospital programs, COM seminars and osteopathic foundation seminars be rescinded; and
be it further
RESOLVED, that this policy revision be retroactive to Jan. 1, 2013, the beginning of the current AOA CME
cycle.
more information regarding the projected timeline will be provided to you. Questions may be directed to Cheryl Gross, AOA associate vice president of education at cgross@osteopathic.org.
Oklahoma D.O. | December 2014
PAGE 27
The implementation of the policy requires changes in the current AOA IT programming for CME reports. Once available,
Oklahoma D.O.
OOA
Bureau News Bureau on Membership The OOA Board of Trustees welcomes the following new members to the OOA family!
students to pursue their educational goals and have created a brighter, healthier future for our state.”
Whitney L. Cline, DO Neonatology Tulsa Tess N. Hanner, DO Pediatrics Tulsa Tara B. Hasenpflug, DO Family Practice Tulsa
OSU honors the late Bob E. Jones, CAE
Oklahoma D.O. PAGE 28
The late Bob E. Jones, former executive director of the Oklahoma Osteopathic Association, will be honored among the 2015 Icons for OSU. Oklahoma State University-Tulsa and OSU Center for Health Sciences will honor four outstanding individuals who have had a major impact through service to others. The 2015 Icons for OSU in Tulsa will be honored at “A Stately Affair in Tulsa” on Monday, May 18. Proceeds from the black-tie event at Southern Hills Country Club will fund scholarships for students who plan to attend the OSU Center for Health Sciences or OSU-Tulsa. The legacy of Jones continues to impact students at OSU College of Osteopathic Medicine and Oklahoma physicians nearly 15 years after his passing. As OOA executive director, he was a stabilizing influence, counselor and friend to all osteopathic physicians. Jones played a significant role in the establishment of the Oklahoma College of Osteopathic Medicine and Surgery, the nation’s first freestanding state-supported college of osteopathic medicine, and was instrumental in the college becoming part of OSU in 1988. “The Icons also have made significant contributions to OSU and our students,” said Kayse M. Shrum, DO, president of OSU Center for Health Sciences. “Their accomplishments have made it possible for our
Nominate a deserving DO The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Feb. 5, 2015, to determine award recipients to be honored during the OOA’s 115th Annual Convention. These awards represent the highest honor the OOA can bestow in recognition of outstanding service and contribution to the osteopathic profession in Oklahoma. Only OOA members can submit an OOA Awards Nomination Form and all forms must be received in the OOA Central Office by Dec. 29, 2014. Please complete the form on page 29 by printing clearly or typing the name along with supporting information on why you are nominating this individual. Be sure to return the completed form to the OOA office by Dec. 29, 2014, for consideration by the OOA’s Bureau on Awards.
Showcase your research and win Residents, showcase your research at the Sixth Annual Research in Osteopathic Graduate Medical Education Poster Symposium sponsored by the Bureau on Postgraduate Education! All entrants must be an osteopathic physician currently in a postgraduate training program. The judging panel will select first, second and third place winners. Awards will be given with first place receiving $1,500, second place $1,000 and third place $500. Posters will be displayed during the 115th Annual Convention at the Norman Embassy Suites, and winners will present their research Friday, May 1 at 8 a.m. Physicians in postgraduate training programs receive free registration to the Annual Convention and are encouraged to attend. See page 30 for submission details. Oklahoma D.O. | December 2014
OOA Awards Nomination Form The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Feb. 5, 2015, to determine award recipients to be presented during the OOA’s 115th Annual Convention. These awards represent the highest honor the OOA can bestow in recognition of outstanding service and contribution to the osteopathic profession in Oklahoma. Only OOA members can submit an OOA Awards Nomination Form and all forms must be received in the OOA Central Office by Dec. 29, 2014. Please complete this form by printing clearly or typing the name along with supporting information on why you are nominating this individual. Be sure to return the completed form to the OOA office by Dec. 29, 2014, for consideration by the OOA’s Bureau on Awards.
DOCTOR OF THE YEAR AWARD The OOA Doctor of the Year Award is the most prestigious honor within the OOA. A nominee must: • Have been in practice for at least 10 years • Provide his/her community with compassionate, comprehensive and caring medical service on a continuing basis • Be directly and effectively involved in community affairs • Support his/her state and professional associations and humanitarian programs Nominee Name: Supporting Information:
OUTSTANDING & DISTINGUISHED SERVICE AWARD
Honors a physician who has contributed significantly to the advancement of osteopathic medical education in Oklahoma Nominee Name: Supporting Information:
ROOKIE PHYSICIAN OF THE YEAR AWARD Honors a physician in his/her second year of practice who has exemplified significant contributions and service to his/her school, community and Association Nominee Name: Supporting Information:
AWARD OF APPRECIATION Honors an OOA Member or friend of the osteopathic profession in Oklahoma who has donated his/her time and efforts to improve mankind Nominee Name:________________________________________________ Supporting Information:
Oklahoma D.O. | December 2014
PAGE 29
OOA Member Name:___________________________________________________ Date:_________ Please return this form to the OOA Office by Dec. 29, 2014, by mail: 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335 or by fax: 405-528-6102
Oklahoma D.O.
Honors a physician who has significantly contributed to improving the community and promoting osteopathic medicine Nominee Name: Supporting Information:
A.T. STILL AWARD OF EXCELLENCE
Oklahoma D.O. PAGE 30
Sponsored by Oklahoma Osteopathic Association Bureau on Postgraduate Education Kristopher K. Hart, DO, Bureau & Symposium Chair Timothy J. Moser, DO, Bureau Vice Chair Cash Prizes! $1,500 – First Place $1,000 – Second Place $500 – Third Place
Submission Guidelines www.okosteo.org
Abstracts due – Jan. 23, 2015 Posters due – Feb. 6, 2015 Symposium held during the OOA 115th Annual Convention April 30 – May 3, 2015 in Norman, Okla. Oklahoma D.O. | December 2014
OOA
Members in the News AOCA recognizes M. Adele King, DO M. Adele King, DO, FAOCA, was honored with the Arnold P. Gold Foundation Humanism in Medicine Award at the American Osteopathic College of Anesthesiologists annual convention. The prestigious award recognized her dedication to compassionate patient care. Each year, the Gold Foundation honors physicians with awards that seek to elevate those humanistic qualities considered essential to good doctoring: integrity, excellence, compassion, altruisim, respect, empathy and service. In 1997, Dr. King was installed as the first female president of the college. She is currently serving as director of anesthesia services at Northeastern Health System-Tahlequah.
ACOI honors Kenneth C. Calabrese, DO Kenneth E. Calabrese, DO, FACOI, was welcomed into the Gillum Society of Master Fellows during the American College of Osteopathic Internists Annual Convention in October. According to ACOI, the Gillum Society of Master Fellows, established in 1994 honors active members who have demonstrated outstanding past and present contributions to the college or to osteopathic internal medicine on a local, regional, or national level. Dr. Calabrese serves on the Board of Trustees for the Oklahoma Osteopathic Association.
When you need it. ProAssurance.com
Oklahoma D.O.
Medical professional liability insurance specialists providing a single-source solution
PAGE 31
Oklahoma D.O. | December 2014
OEFOM Endowed Scholarship Criteria & Application
"Assisting Students in Achieving Their Dream of Becoming Osteopathic Physicians"
Application Requirements:
1. Candidates must submit a completed application form and a typed letter detailing qualifications for the scholarship award. 2. Typed letter indicating any specific financial criteria or factors that you believe will impede your commitment to Osteopathic education without scholarship support, along with your anticipated postgraduate practice plans. 3. Letters of support from one Osteopathic medical college faculty member, one Doctor of Osteopathic Medicine and one community leader must accompany the application. These letters will assist the selection committee in affirming standing with the college, professional demeanor, character, and ability and willingness to participate in community activities.
$7,000
was awarded to last year’s recipients
Eligibility Criteria:
Scholarship applicants must be lawful residents of the United States and meet one of the following requirements:
1. Non-independent students must have at least one parent, stepparent or court-appointed guardian who is an Oklahoma resident and who has claimed the applicant as a dependent on his/her federal income tax return for the previous year. 2. Independent students must have lived in Oklahoma in some capacity other than as a full-time student at a post-secondary institution for a period of at least 12 consecutive months prior to matriculation to medical school. Candidates must be able to demonstrate good standing at their college regarding academics, finances and conduct.
Other Considerations:
1. Preference will be shown to applicants who have completed two years of Osteopathic medical education and who indicate a desire to practice in Oklahoma. 2. Class standing and cumulative grade point averages will be a major determining factor in granting scholarship awards.
Other Information:
Oklahoma D.O. PAGE 32
Finalists may be interviewed by a designated Scholarship Committee Member comprised of members of the OEFOM and/or their designees. Scholarship awards will be deposited with the Office of the Bursar of the College and credited for tuition, books, fees and other applicable educational expenses. Funds will not be payable directly to the student. Scholarship awards may be “stacked” with other scholarship awards or financial aid. However, the total of these awards, excluding loans, may not exceed the educational costs for the scholarship year. OEFOM will make available the minimum amount of scholarship funds allocated by September 1, annually. Applications are due by February 6, and awards will be announced at the OOA’s 115th Annual Convention. Certain “named” scholarship funds may place additional restrictions on awards.
Oklahoma D.O. | December 2014 Candidates will be formally informed of amount and source of awarded scholarships.
OEFOM Endowed Scholarship Application
Please Complete the Following: Name: ________________________________________________________________________________ Permanent Address: ____________________________________________________________________ City: ______________________________________
ST: __________
Zip: ____________
Present Address: ____________________________________________________________________ City: ______________________________________ Phone Number: ______________________________
ST: __________
Zip: ____________
Email: _____________________________
Date of Birth: ________________________________ Hometown: _____________________________ (month/day/year) Marital Status (circle one): Married
Single
Divorced
Widowed
Parent's Name: ________________________________________________________________________ Parent’s Address: ____________________________________________________________________ City: ______________________________________
ST: __________
Zip: ____________
How long have you lived in Oklahoma?: __________________________________________________ High School, Community, Year of Graduation: _____________________________________________ Pre-Med College(s): ____________________________________________________________________ Dates of attendance Degree Name of Osteopathic Medical College: ___________________________________________________ (Attach transcript indicating cumulative GPA and class rank)
Classification: __________OMS-I
__________ OMS-II
__________OMS-III
Letters of Support
Each application must be accompanied by 3-letters of support, please indicate that information below:
_________________________________________________________________ Name (faculty member)
_________________________________________________________________ Name (Osteopathic physician)
_________________________________________________________________
check list
p 1 Application
p 1 Typed Letter of Qualifications p 1 Send to the OEFOM Oklahoma D.O. | December 2014 due
February 6, 2015
OEFOM 4848 North Lincoln Boulevard Oklahoma City, OK 73105-3335 or email: jessica@okosteo.org For more information: (800) 522-8379 (405) 528-4848 fax: (405) 528-6102 email: jessica@okosteo.org
PAGE 33
p 1 3 Letters of Support
Please send applications to:
Oklahoma D.O.
Name (community leader)
American Osteopathic Association Health For the Whole Family
How to prepare for your next trip abroad Getting ready to travel abroad? International trips require
Pre-Trip Vaccinations
more than just a passport. Whether you’re traveling for work
Before embarking on your international trip, consult your
or vacation, it always helps to have a checklist that includes
physician or schedule a visit with a local travel medicine clin-
resources to safeguard your health. While there is no way to
ic. “You want to make sure you’re aware of the vaccination
completely guarantee an ailment-free trip, Shari Glynn, DO,
guidelines for your destination and are up to date on routine
MPH, MBA, a board-certified occupational and environ-
vaccinations like influenza, polio, tetanus, diphtheria, etc.,”
mental medicine specialist from Chicago, Ill., provides tips
says Dr. Glynn. Since many travel vaccines require multiple
that can lessen your risk and keep your next trip on a course
shots and adequate time to become fully effective, Dr. Glynn
to good health.
recommends visiting a physician at least 4-6 weeks before traveling abroad. “Moreover, some vaccines provide partial protection after a single dose, your physician can counsel you on other ways to reduce your risk of illness,” she adds. While reactions are typically minor and require only a pain reliever for low grade fevers or cold compress to relieve soreness at the injection spot, sometimes serious adverse reactions, such as shortness of breath, tightness in the throat, body swelling or rash, can occur. In this situation, Dr. Glynn recommends seeking medical attention immediately. She also advises travelers to take the time to educate themselves by visiting the following websites: • Center for Disease Control and Prevention ( www. cdc. gov/travel )
Oklahoma D.O. PAGE 34
• World Health Organization ( www.who.org) • U.S. State Department ( www. state.gov/travel) “These sites will provide current and detailed information as well as highlight any alerts in place for your travel destination.”
Oklahoma D.O. | December 2014
Preventive medicine is just one aspect of care osteopathic physicians (DOs) provide. DOs are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. DOs are trained to consider the health of the whole person and use their hands to help diagnose and treat their patients.
What You Should Pack
• Antiseptic towelettes or hand sanitizer (at least 60% alco-
“While you can’t predict what will happen on your next
hol)
trip, you can prepare for minor health issues that may arise,”
• Sunscreen, preferably with sun protection (SPF) of 15 or
says Dr. Glynn. She recommends packing the following key
higher, which protects from UVA and UVB exposure
items:
• Aloe gel (in case you get sunburned)
• Prescription medication in the original bottles and in your
• Oral rehydration packets
carry-on luggage. Some countries do not let visitors bring in certain medications. Check with the American Embassy or
“Don’t let lack of preparation derail your travel plans,” ad-
Consulate to make sure that your medicines will be allowed
vises Dr. Glynn. “Having the right resources at your disposal
into the country you are visiting.
for common ailments can keep a minor health issue from
• Copies of your passport and travel documents. Place a copy
spiraling out of control.”
in each piece of luggage in case you lose the originals and leave a copy at home with a friend or relative.
The Road to a Healthy Trip
• Photocopy of most pertinent medical information, includ-
“Staying informed and following proper health guidelines
ing a copy of vaccinations record since some countries re-
are essential to keeping your next trip on course,” says Dr.
quire it for entry.
Glynn. Travelers with a chronic medical illness should seek
• Health insurance card (regular plan or supplemental travel)
travelers insurance with assistance and evacuation coverage.
• Three-inch Ace-type bandage and regular bandages
For this type of insurance, she recommends the following
• Disposable or digital thermometer
resources:
• Insect repellent (with at least 30% DEET for tick and
• Department of State (www.travel.state.gov)
mosquito protection) or picaridin (up to 15% for mosquito
• International SOS (www.internationalsos.com )
protection only)
• MEDEX (www.medexassist.com )
• Pain/fever reliever (aspirin, ibuprofen, Tylenol) Dr. Glynn also advises travelers experiencing unusual symp-
• Antidiarrheal medication (i.e. Pepto-Bismol, Immodium)
toms following a trip to visit their physician as soon as pos-
• Antihistamine and/or decongestant
sible. “Preparation and immediate action are key points of
• Water purification tablets
defense against common travel ailments.”
Oklahoma D.O.
• Topical antibiotic cream and hydrocortisone cream
PAGE 35
Oklahoma D.O. | December 2014
1st
December birthdays
James D. Ford, DO Roger Hobgood, DO Holly J. Patton, DO Richard R. Polk, DO Brad W. Stahlheber, DO
2nd
Ray E. Bishop, DO Steven C. Buck, DO Janet E. Cheek, DO Benjamin O. Cornwell, DO Franklin J. Evans, DO Afsaneh Foroozan, DO Derek L. West, DO Jim M. Wiley, DO D. Matt Wilkett, DO
3rd
Nolen Dale Anderson, DO Joanna J. Crawford, DO Anne Williams, DO
4th
Max Robert Cieminski, DO Chad E. Crawley, DO Stephanie D. Runyan, DO W. Todd Swearingen, DO
5th
Oklahoma D.O. PAGE 36
G. Scott Jones, DO Terry M. Lee, DO Charles H. Mitchell, DO Brian A. Plaxico, DO Justin B. Plaxico, DO Robert L. Skelton, DO Andrew J. Sperling, DO Nathaniel D. Stetson, DO William Sturdevant, DO Jeremy D. Thomas, DO John D. Walton, DO
6th
Shannon P. Calhoun, DO George E. Freeman, DO Ronald L. Heim, DO Laura L. Miller, DO J. T. O’Connor Jr., DO Gregory L. Wilson, DO
Oklahoma D.O. | December 2014
7th
Amy C. Brownell, DO Amanda R. Cain, DO Kenneth E. Calabrese, DO Carla J. Jones, DO
8th
Joseph J. Back, DO M. Michelle Barlow, DO Shawnaree L. Beeson, DO Joe D. Sagely, DO R. Jeff Wright, DO
9th
Steven G. Danley, DO Teresa J. Lynn, DO Mark A. Troxler, DO
10th
Corey R. Babb, DO John J. Chiaffitelli, DO David N. Chorley, DO Barbara Jane Ganchingco, DO Robin M. Mikel, DO Paul D. Morrison, DO Daniel Gregory Reiter, DO
11th
Deborah D. Archer, DO Mark S. Carlson, DO Sheryl E. Ghan, DO William B. Parsons, DO Dawn R. Tartaglione, DO
12th
Jerry C. Crain, DO David C. Crosswhite, DO Michelle L. Fugitt, DO Wm. Joseph Harrison, DO Scott T. Shepherd, DO
Mitsi A. Faubion, DO Clint F. Kirk, DO Leon J. Yoder, DO
Charles D. Black, DO Rebecca E. Burton, DO Bobby N. Daniel, DO David J. King, DO Blake Middleton, DO C. Patrick Sullivan, DO
15th
Nancy A. Brown, DO Jay K. Johnson, DO Brian G. Ogg, DO Nghia T. Phan, DO Paul B. Rock, DO Ray E. Stowers, DO
16th
Frances F. Haas, DO Stacey W. Hedlund, DO Rod F. Linzman, DO Mona J. Motz, DO Sean E. Neely, DO JoAnn G. Ryan, DO Julie M. White, DO
17th
Melinda R. Allen, DO James David Campbell, DO Brian C. Diener, DO Tom W. Ewing, DO Tamara J. Holloway, DO Vernon L. Jenkins, DO Daniel W. Langley, DO Terrance P. McDermott, DO
18th
Shannan Bond, DO R. Brian Hightower, DO Mary K. Mercer, DO Caroline E. Merritt-Schiermeyer, DO Heidi Metheny, DO Thomas H. Osborn Jr., DO Shannon L. Reed, DO Jana L. Wilkins, DO Robert C. Williams, DO
19th
Oklahoma D.O. | December 2014
Earl U. Bachenberg, DO Ashley K. Burdex, DO Semira Charboneau, DO Dawn Rachelle Davis, DO Donna L. Schneider, DO Carol M. Sherman, DO
27th
Troy A. Glaser, DO Laurel M. Jordan, DO Jack R. Lamberson, DO Chriss B. Roberts, DO
28th
Robert J. Breckenridge, DO D. Kirk Depriest, DO Gary W. Hillman, DO Marilyn L. Hines, DO Eric S. Lee, DO Theodore A. Mickle, DO, MPH Neal W. Siex, DO
Steven D. Baker, DO Kimberly J. Bennett, DO Colony S. Fugate, DO E. Kim King, DO J. Damon Smith, DO Tim B. Truong, DO Connie M. Wilson, DO H. Stan Wood, DO Linda K. Youngberg, DO
Sheila S. Newcomb, DO Kyra J. Vineyard, DO
Kristopher R. Avant, DO Eric T. Lee, DO M. Chad Owens, DO
21st
22nd
23rd
29th
Sean D. Boone, DO Homer N. Flora Jr., DO Benjamin K. Getter, DO Brent W. Henderson, DO Joseph C. Nemcok, DO Erik E. Paulson, DO W. W. Stoever, DO
30th
24th
31st
Ellen R. Basile, DO Traci L. Carney, DO Martin J. Davis, DO Wilmer D. Fast, DO Victor R. Palomino, DO Julie A. Riddle, DO
Mark E. Blubaugh, DO E. Michael Callery, DO Gerry P. Holland, DO Sarah J. Passmore, DO Theron A. Risinger, DO Gregory M. Schmidt, DO Ronald Fried, DO Robert W. Nebergall, DO Victoria E. Pardue, DO Joseph E. Wolf, DO
25th
Peter C. Chambers, DO Holly B. Costner, DO Jeremy S. Fullingim, DO Valerie N. Ritter, DO Alyson B. Willis, DO
26th
Kevin M. Pargeter, DO Michael J. Simulescu, DO
PAGE 37
Patricia A. Costner, DO J. Aaron Henley, DO
20th
Oklahoma D.O.
13th
14th
Classified Advertising IMMEDIATE OKLAHOMA OPPORTUNITY with largest family
STAFF PHYSICIAN NEEDED: The Oklahoma Department of
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tion with respect and loyalty of small town patients. Contact Evan
Oklahoma City, OK 73106-5438
Cole, DO, 918-869-2456, ecoledo@yahoo.com, Brad McIntosh,
(405) 962-6185
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FAX (405) 962-6170
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e-mail: braines@doc.state.ok.us
Becky Raines
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Care, and Emergency Practi-
DOCTORS WANTED: to perform physical exams for Social Security
tioners – Immediate Opportunities for FT/PT and
Disability. DO’s, MD’s, residents and retired. Set your own days and
temp positions. Oklahoma physician owned placement company is
hours. Quality Medical Clinic-OKC, in business for 16 years. Call
hiring now. Offering top wage, flexible schedules, paid malpractice
Jim or JoAnne at 405-632-5151.
and travel expenses. Call Rachelle at 877-377-3627 or send CV to
Oklahoma D.O. PAGE 38
rwindholz@oklahomaoncall.com
Oklahoma D.O. | December 2014
SAVE THE DATE
Calendar of Events Dec. 11, 2014 Southwestern District Meeting 6:30 p.m. Mike’s Sports Grille 517 E Gore Blvd Lawton, OK 73501 Jan. 8, 2015 OOA Bureaus & Board of Trustees Meetings Oklahoma City, OK
Oklahoma D.O. | December 2014
April 2, 2015 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK April 30-May 3, 2015 115th Annual Convention “Celebrating Our Shangri-La in Norman” Embassy Suites Norman Hotel & Conference Center 2501 Conference Dr Norman, OK 73069
PAGE 39
Feb. 5, 2015 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK
April 1, 2015 Osteopathic Medicine Day at the State Capitol Oklahoma City, OK
Oklahoma D.O.
Jan. 30-Feb. 1, 2015 Winter CME Seminar “Bioterrorism: Bugs, Drugs & Thugs” Hard Rock Hotel & Casino 777 W Cherokee St Catoosa, OK 74015
March 5, 2015 OOA Bureaus & Board of Trustees Meetings OEFOM Board of Trustees Meeting Oklahoma City, OK
Prsrt Std US Postage Paid Okla City OK Permit #209
OKLAHOMA OSTEOPATHIC ASSOCIATION 4848 N. Lincoln Blvd. Oklahoma City, Oklahoma 73105-3335
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