Oklahoma DO November 2013 by Oklahoma Osteopathic Association

The Journal of the Oklahoma Osteopathic Association

OKLAHOMA D.O. November May/June 2013 2013

Volume 78, No. 5

Oklahoma D.O. PAGE 1

Oklahoma D.O. | November 2013

JOIN THE REGION’S BEST PHYSICIANS CALL PLICO TODAY AT 405.815.4800 OR VISIT OUR WEBSITE

Oklahoma D.O. PAGE 2

AT PLICO - OK.COM

Oklahoma D.O. | November 2013

The Journal of the Oklahoma Osteopathic Association

OKLAHOMA

May/June2013 2012 May/June November 2013

D.O.

Volume 78, No. 5

January 2012

OOA Officers: Bret S. Langerman, DO, President (South Central District) Michael K. Cooper, DO, FACOFP, President-Elect (Northeastern District) C. Michael Ogle, DO, Vice President (Northwest District) Layne E. Subera, DO, FACOFP, Past President (Tulsa District) OOA Trustees: Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO (Southeastern District) Timothy J. Moser, DO, FACOFP (South Central District) Gabriel M. Pitman, DO (South Central District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District) OOA Central Office Staff: Lynette C. McLain, Executive Director Lany Milner, Director of Operations and Education Matt Harney, MBA, Advocacy and Legislative Director Marie Kadavy, Director of Communications and Membership

The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. Lany Milner, Graphic Designer and Associate Editor

For more information: 405.528.4848 or 800.522.8379 Fax: 405.528.6102 E-mail: ooa@okosteo.org

Oklahoma D.O. | November 2013

“Back to Business” provided by Bret S. Langerman, DO, 2013-2014 President

2014 Winter CME Seminar Program

Winter CME Seminar Registration Form

“OSU Medical Center Continues to Sail Towards Brighter Future” provided by Jamie Calkins, Marketing/Media Coordinator

Legislative Report provided by Matt Harney, MBA

Temporary Resident License & Resident Training License Application

November Birthdays

Center for Rural Health provided by Rod Hargrave

What DO’s Need To Know

“Reducing Your Risk of Pancreatic Cancer” provided by the American Osteopathic Association

2013-2014 OOA Directory Order Form

OEFOM Update provided by Robin R. Dyer, DO, 2013-2014 OEFOM President

Doctor of the Day Form

OOA Awards Nomination Form

38-39

Classifieds & Calendar of Events

PAGE 3

The OOA Website is located at www.okosteo.org

Oklahoma D.O.

Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication.

Lynette C. McLain, Editor Lany Milner, Associate Editor

BRET S. LANGERMAN, DO President 2013 – 2014 oklahoma osteopathic association back to business

O Oklahoma D.O. PAGE 4

OMED and the OOA post trip to Arizona have come and gone. I trust those of you who attended made it home safely. The post trip to Tanque Verde Ranch was a huge success. There were about 30 of us who made the trip and I believe good times, good eats and good camaraderie were had by all. I think it is safe to say that while there were some sore “saddles,” no one fell off their horse in spite of how hard we may have tried. I enjoyed the opportunity to spend time and build relationships with all those who attended and appreciate everyone for making the trip so enjoyable. (Sorry but this does not include the rattlesnakes, skunks and wild javelinas we encountered while at the ranch.) I would also like to give a special thank you to Steve and Angie Hendricks with Bentley Hedges Travel for making the arrangements and accompanying us guaranteeing that all went smoothly. Unfortunately, now that we are all back home, it’s back to business for us, our practices and the work at the OOA state office. If you have not already, you should be receiving your dues statements in the mail. I cannot express to you enough how important it is to maintain your membership in the association. As the number of osteopathic physicians in the state increases, we see that we have become more spread out geographically with less bonding to hold us together. We are all working harder, putting in more hours for less money than ever before. At the end of the day we are tired and may feel we don’t have the energy or support that we need to stay involved and make a difference. The OOA can provide that support and is one force that keeps us strong and holds us together as a profession. This is done by offering services to you as members such as continuing medical education, proper prescribing, advocacy, camaraderie, member benefits through recognized companies and, in this day and age, a legislative voice. It is only through a robust

membership that we can have the resources to be strong with you and for you in these endeavors. On the calendar, the start of the legislative session is just around the corner and the legislative bureau will begin meeting in preparation for the 2014 legislative session. I invite you to get involved in this process both through and with the OOA or OOPAC and through grassroots efforts at home by making contacts and building relationships with your legislators. The OOA also participates in the Doctor of the Day program at the State Capital where you as D.O.’s can provide medical care and education to the legislators on a personal level. We will be asking for volunteers for the program in the very near future. If you have not participated I would invite you to do so as this is one more way that you/we can make a difference. The complete form can be found on page 42. Don’t forget to plan ahead for the upcoming annual winter CME offered by the OOA. It will be held at the Hard Rock Hotel in Tulsa, Oklahoma, starting on Friday, January 31, 2014. The program is titled “The ABC’s of the Labs: What’s New, What’s Hot and What’s Not.” The OOA is also taking nominations for awards to be given at the general convention in April. If you know of a deserving D.O. please pass this information on to us at the state office as the Bureau on Awards will be meeting during our Board of Trustees meetings in December. My family and I wish you a rewarding Thanksgiving and please stay safe! DO OK

Oklahoma D.O. | November 2013

Oklahoma D.O. PAGE 5

Oklahoma D.O. | November 2013

Winter CME Seminar Program

Se 2

OA Winter CM O 4 E 01

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1-February 2

’s

ry 3

The

a nu Ja

Friday – January 31, 2014

LAB’s

’s t a h W NEW What’s HOT &NOTWhat’s

Noon – 6:00 pm

Registration-Sequoyah Foyer

2:00 – 6:00 pm

Exhibits Open

*Noon – 3:00 pm “AOA CO*RE REMS Program” www.osteopathic.org/inside-aoa/development/ continuing-medical-education/Pages/core- rems-programs.aspx *3:00 – 4:00 pm “Who Needs a Pap Smear? Age Appropriate Screening for Women” Derek R. Holmes, DO (obstetrics & gynecology, Ponca City, OK) http://womenshealth.gov/publications/our-publica tions/fact-sheet/pap-test.cfm *4:00 – 5:00 pm “Update on PSA and Testosterone” Paul G. Hagood, MD (certified urologist, Tulsa, OK) www.cancer.gov/cancertopics/factsheet/detection/ PSA *5:00 – 6:00 pm “When Platelets Fall” Kevin P. Hubbard, DO, FACOI (certified internist & hematologist/oncologist & palliative medicine, Kansas City, MO) www.mayoclinic.com/health/thrombocytopenia/ DS00691 6:00 – 7:00 pm

OOA New Physicians Meeting

6:00 – 7:00 pm Bureau on Managed Care & Physician Reimbursement- open meeting

Saturday – February 1, 2014

Oklahoma D.O. PAGE 6

Hard Rock Hotel & Casino Catoosa, OK Melinda R. Allen, DO, FACOI, program chair

Approval Requested for 19 Category 1A Credits from the AOA. Approval Requested for 19 Prescribed Credits from the AAFP.

7:00 am

Registration-Sequoyah Foyer

7:00 am

Continental Breakfast

8:00 – 9:30 am

Bureau on CME Meeting

8:00 am – Noon

Exhibits Open

*8:00 – 9:00 am “Endocrinology Lab Data: Practical Advice for the Busy Clinician" Curtis E. Harris, MD, MS, JD, FCLM (certified endocrinology, Ada, OK) www.ncbi.nlm.nih.gov/pmc/articles/PMC2605414/ *9:00 – 10:00 am

“Hypercoagulability” Kevin P. Hubbard, DO, FACOI (certified internist & hematologist/oncologist & palliative medicine, Kansas City, MO) Oklahoma D.O. | November 2013

www.clevelandclinicmeded.com/medicalpubs/dis *10:00 – 11:00 am “Atrial Fibrillation” easemanagement/hematology-oncology/ Sandeep Chopra, MD, FACC, FASE (certified hypercoagulable-states/ internal medicine Oklahoma City, OK) www.nhlbi.nih.gov/health/health-topics/topics/af/ *10:00 – 11:00 am “Platelets, What To Ask Before You Transfuse” Walter E. Kelley, DO (certified pathology, *11:00 am – Noon “Labs: The Unique, The Unusual, and The Relatively Oklahoma City, OK) Unknown” www.cpmc.org/learning/documents/bloodtrans-ws. Melinda R. Allen, DO, FACOI (certified internal html medicine, Blackwell, OK) www.healthsystem.virginia.edu/pub/medlabs/lmup *11:00 am – Noon “How Do You Like My Genes? New Biomarkers in date Oncology” Kevin P. Hubbard, DO, FACOI (certified internist & *Websites indicate Needs Assessment for each lecture. hematologist/oncologist & palliative medicine, Kansas City, MO) http://www.medscape.com/viewarticle/808930 *Noon – 2:00 pm OOA Luncheon: “Lung Nodules” Daniel A. Nader, DO, FCCP, FACP (certified internal medicine & pulmonary disease, Tulsa, OK) http://my.clevelandclinic.org/disorders/pulmonary_ nodules/hic_pulmonary_nodules.aspx *2:00 – 3:00 pm “Creating a Winning Team using the PMP” Proper Prescribing Lecture – bing a Sign-In Required for Credit Prescri Properre - Sign - dInit! Angela Wall (PMP Educator, Oklahoma City, OK) Lectu ed for cre Requir www.ok.gov/obndd/Prescription_Monitoring_ Program/ *3:00 – 5:00 pm “Risk Management and the LAB: Friend or Foe?” Risk Management Course – ment a Sign-In Required for Credit anage Risk Mre - Sign - Init! MaryAnn Digman, RN, MSHA (Senior Clinical Risk Lectu ed for cred Requir Consultant, Mesilla Park, NM) www.medpro.com 5:00 – 6:30 pm

Mentor Mentee Reception Hosted by Bret S. Langerman, DO, OOA President & First Lady DeLaine Langerman

Sunday – February 2, 2014

Registration & Continental Breakfast

8:00 – 8:30 am

OOA Past Presidents’ & District Presidents’ Meeting

8:30 – 9:30 am

AOA House of Delegates Meeting

*9:00 – 10:00 am “Discovering Disease through Urine” Kenneth E. Calabrese, DO, FACOI (certified internal medicine & nephrology, Tulsa, OK) www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010405/ Oklahoma D.O. | November 2013

• Visit www.HardRockCasinoTulsa.com Click Online Reservations located on the left side of the page then click Group Reservation at the top of the page then enter the Attendee Code: OOAJANUARY1014 • Group attendees may use the URL below: https://reservations.ihotelier.com/crs/g_login. cfm?hotelID=13572. Type in the Attendee Code: OOAJANUARY1014

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; and complimentary USA Today.

Room Rate: $134 a night Cut-off date: January 10, 2014

PAGE 7

*8:00 – 9:00 am “New & Old Markers on Rheumatology” Debbie A. Gladd, DO (certified internal medicine, Tulsa, OK) www.rheumatologynews.com/single-view/new-mark ers-criteria-promote-earlier-intervention-in-juvenile-l upus/cb4ceb477ccfca8f30053272dd373606.html

For Room Reservations:

• Individuals may call toll free number: 1-800- 760-6700 Don’t forget to mention: OOA 2014 to receive the special group rate

Oklahoma D.O.

7:00 am

Room Reservations Information:

The OOA Winter CME Seminar “The ABC’s of the LAB’s: What’s New, What’s Hot & What’s Not” On or Before 1/24/14 After 1/24/14 q *DO Member Registration $340 $365 q DO Registration for Saturday afternoon “Proper Prescribing” & “Risk Management” Courses only (3 Credit Hours) $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 $0 $0 Mail Registration Form & Payment to: OOA, 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or Fax to 405.528.6102. DO Name (please print): ________________________________________________________________________________ Guest/Professional/Guest: _______________________________________________________________________________ Resident/Intern: _______________________________________________________________________________________ Student: _____________________________________________________________________________________________ q OMS-I q OMS-II q OMS-III q OMS-IV

Payment:

q Check Enclosed

q VISA/MASTERCARD

q DISCOVER

q AMERICAN EXPRESS

Credit Card No.: _________________________________________________________________ Card Exp. Date: ________ Signature: ____________________________________________________________________________________________ Name (as it appears on card - please print): _________________________________________________________________

Oklahoma D.O. PAGE 8

Billing Address: ________________________________________________________________________________________ City: ________________________________________________ State: _____________ Zip: ________________________ Office Telephone: (_______)_____________________________ E-Mail address: ___________________________________ Please indicate: q Printed syllabus OR q DVD syllabus PLEASE NOTE: requested print syllabus cannot be guaranteed after January 6, 2014 *Includes: Proper Prescribing Course, 2 Continental Breakfasts, Saturday Luncheon, & Evening Reception. Requests for Refunds Must Be Received Before January 24, 2014 and a $25 Service Fee Will Be Charged. Oklahoma D.O. | November 2013

Oklahoma D.O. PAGE 9

Oklahoma D.O. | November 2013

OSU Medical Center Continues To Sail Towards

Brighter Future Provided by: Jamie Calkins, Marketing/Media Coordinator

Oklahoma D.O. PAGE 10

Great things continue to happen at Oklahoma State University Medical Center in Tulsa, OK.

Oklahoma D.O. | November 2013

pictured above Gov. Mary Fallin stands proudly with OSU Medical Students. recently OSU has added Riverside Primary Care where Loring Barwick, DO, opened his new practice in south Tulsa at 96th & Riverside. In Collinsville, Fred M. Ingram, DO, joined our team and has a new partner Patrick J. Allen, DO, beginning his practice in November 2013. Also, internal medicine doctor, John C. Hervert, DO, has been added to our team in the physicians center right next to the hospital.

“The transfer to OSUMA will position us to move forward with securing a private partner,” Thank you again for everyone’s support of OSU Medical Center, where we train said Diane Rafferty, CEO of Oklahoma’s physicians today! OSU Medical Center. OK

OSU Medical Center will continue our mission of training physicians to serve the rural areas of Oklahoma. The OSU Medical Center and OSU Center for Health Sciences are working hand in hand to make this happen. More

PAGE 11

In order to receive the state appropriation, OSUMC is being transferred to a state trust governed by the Oklahoma

State University Medical Authority (OSUMA), an agency of the State of Oklahoma. The anticipated date for OSUMC to become a direct funding responsibility and a healthcare agent for the state of Oklahoma is October 10, 2013. Other facets associated with the transfer to OSUMA are expected to be completed by the end of calendar year 2013. State funding has been instrumental in anchoring OSUMC, so we can move forward in securing a private partner and advancing its important twofold mission.

Oklahoma D.O.

A major thank you is in order to all the organizations and individuals for supporting OSU Medical Center and helping us receive an appropriation of $13 million this year from the State of Oklahoma. With federal matching funds we can leverage, that increases our total amount to $18.25 million for this fiscal year. We truly appreciate the work of the OOA and all the physicians who contacted their local legislators. Also, Gov. Mary Fallin, Secretary of Finance and Revenue Preston Doerflinger, President Pro Tempore of the Senate Brian Bingman, Speaker of the House T.W. Shannon, members of the Oklahoma State Senate and Oklahoma House of Representatives. In addition we would like to recognize and thank our leadership OSU President Burns Hargis, Kayse M. Shrum, DO, President OSU-CHS and Provost and Dean of OSU COM, our CEO Diane Rafferty and all who advocated on behalf of our excellent training institution.

Get back to life faster. Sara Faccio Breast Cancer Patient

At Cancer Treatment Centers of America®, we can combine surgery and radiation into one procedure— so treatment time could be a lot shorter. When fighting cancer, every minute counts. That’s why we offer the Novac™7 Intraoperative Radiation Therapy (IORT) for breast cancer. With IORT, one precise, powerful dose of radiation is delivered to the tumor during surgery. Now one procedure could replace weeks of radiation treatments for some patients.

Oklahoma D.O. PAGE 12

One procedure. One time. And you’ll only find it at one place: Cancer Treatment Centers of America. If you or a loved one is fighting breast cancer, you owe it to yourself to find out more.

To discuss referring your patients, please call

Oklahoma D.O. | November 2013

LEGISLATIVE

REPORT

It might seem hard to believe, but the 2014 General Election is only a year away and the Primary Election is only seven months away. Your active participation in the political process is crucial. As you know, many issues arise every year that directly impact the osteopathic profession, including appropriations for our teaching hospital, regulatory mandates, and countless scope of practice issues. Your DO title carries significant influence with legislators and other public officials. Your advocacy efforts and responsiveness to action alerts during the legislative session benefit the profession and provide a unique personal perspective for sometimes large and complex issues. Elected officials appreciate your input. This input and influence is also dependent upon your status as a registered voter. While legislators value your voice, they most certainly also value your vote. Please make sure your registration is current. To initiate or update your voter registration, you can do so by visiting: http://www.ok.gov/elections/documents/vrform.pdf You must register to vote at your address of residence. If you have a street address or 911 address, this is your address of residence. The Oklahoma Legislature Needs You! There are 11 open seats in the Oklahoma legislature in 2014. The state legislature convenes February through May every year. State representatives are elected to serve 2-year terms and state senators are elected to serve 4-year terms. Given the 12-year term limit, there are no longer career politicians in the state legislature. Candidates have emerged at all stages of one’s professional life—from twentysomethings to retirees. Therefore, the need for quality candidates has never been greater and the legislature would benefit from having another DO! It is likely that your best chance at being elected to the state legislature is to run when a seat is open. Therefore, I have provided a list of open seats for 2014. If you’re interested in running for office or have any questions, please contact the OOA at ooa@okosteo.org or (405) 528-4848.

Texas

Beaver

Harper

HOUSE DISTRICT 61

Woods

Alfalfa

Woodward

HOUSE DISTRICT 38

Major

Blaine Kingfisher

Roger Mills

SENATE DISTRICT 40

Osage Pawnee

southwestern

Oklahoma

Washita

portions of

Kiowa

Caddo

HOUSE DISTRICT 65 Grady McClain

HOUSE Comanche Stephens DISTRICT 63

Jackson

northern

Cleveland

Carter

SENATE DISTRICT 28 Hughes

Jefferson Love

Sequoyah

McIntosh Haskell

Seminole Pittsburg

Latimer

SENATE LeFlore DISTRICT 5

Coal

Johnston

Adair Muskogee Okfuskee

Murray

Cotton

Delaware

HOUSE

Okmulgee

Pontotoc

Garvin

Mayes

portions of

Atoka

Pushmataha McCurtain

Choctaw

Marshall Bryan

House District 61 Beaver, Cimarron, Texas, Harper, and Ellis County & portions of Woodward County http://www.okhouse.gov/Documents/Districts/2012/HD61%20Reduced.pdf House District 91 northern Cleveland County http://www.okhouse.gov/Documents/Districts/2012/HD91%20Reduced.pdf

Senate District 28 Lincoln County & portions of Pottawatomie and Seminole County http://www.oksenate.gov/Senators/2011_maps/districts/District_28.pdf

House District 65 Cotton County & portions of Caddo, Comanche, Grady, and Stephens County http://www.okhouse.gov/Documents/Districts/2012/HD65%20Reduced.pdf

House District 98 portions of Tulsa & Wagoner County http://www.okhouse.gov/Documents/Districts/2012/HD98%20Reduced.pdf

Senate District 40 northwestern Oklahoma County http://www.oksenate.gov/Senators/2011_maps/districts/District_40.pdf

House District 89 southwestern Oklahoma County http://www.okhouse.gov/Documents/Districts/2012/HD89%20Reduced.pdf

Senate District 5 Choctaw, LeFlore, McCurtain, and Pushmataha County & portions of Atoka County http://www.oksenate.gov/Senators/2011_maps/districts/District_5.pdf

Senate District 42 eastern Oklahoma County http://www.oksenate.gov/Senators/2011_maps/districts/District_42.pdf

Oklahoma D.O. | November 2013

PAGE 13

House District 63 Tillman County & portions of Comanche County http://www.okhouse.gov/Documents/Districts/2012/HD63%20Reduced.pdf

Oklahoma D.O.

Tillman

HOUSE DISTRICT 91

Rogers

Ottawa

Creek

Oklahoma Lincoln Pottawatomie

Beckham

Craig

Tulsa DISTRICT 98 Wagoner Cherokee

eastern

HOUSE DISTRICT 89

Nowata

portions of

Payne

SENATE DISTRICT 42

Oklahoma

Custer Canadian

Harmon

Noble

northwestern

Greer

House District 38 Grant County & portions of Garfield, Kay, Logan, and Noble County http://www.okhouse.gov/Documents/Districts/2012/HD38%20Reduced.pdf

Garfield

Logan Dewey

List of Open Legislative Districts (no incumbent):

Kay

Grant

portions of

Ellis

Washington

Cimarron

Candidate Filing & Election Dates: Declaration of candidacy filing: April 9-11, 2014 Primary Election: June 24, 2014 Runoff Primary Election: August 26, 2014 General Election: November 4, 2014 Legislative dates: December 13, 2013: Final date for requesting the drafting of bills and joint resolutions in the House of Representatives and Senate for introduction for consideration during the Second Regular Session. January 16, 2014: (no later than 4:00 pm) Deadline for introduction of bills and joint resolutions in the Senate and House of Representatives for consideration on the floor of the House of Representatives or Senate during the Second Regular Session. February 3, 2014: The Second Regular Session of the 54th Oklahoma Legislature shall convene at noon.

For small businesses with 1 to 49 employees, there is a special small business marketplace. This information and marketplace is also found at www.healthcare.gov. All individuals below 138% FPL should be eligible for Medicaid expansion. Unfortunately, Gov. Fallin and the state legislature has not expanded Medicaid (as individual states choose to accept or deny this component of the Affordable Care Act).* Therefore, in Oklahoma, only the following groups are covered by our limited version of Medicaid: adults with children under 19, children under 19, pregnant women, individuals 65 and older, individuals who are blind or who have disabilities, and women under 65 in need of breast or cervical cancer treatment. *Medicaid expansion, as provided by the Affordable Care Act would extend coverage to all able-bodied adults at or below 138% FPL.

March 13, 2014: Final legislative day for Third Reading and Final Passage of a bill or joint resolution in the chamber of origin.

Federal poverty level calculations can be found here: http://aspe. hhs.gov/poverty/13poverty.cfm.

April 24, 2014: Final legislative day for Third Reading and Final Passage of a bill or joint resolution in the chamber opposite the chamber of origin.

OOA Represented at the Talk With Your Doctor Campaign at the Capitol The Tobacco Settlement Endowment Trust (TSET) organized a press conference at the Capitol on Sept. 24 encouraging patients to talk with their doctor about smoking cessation. Gov. Mary Fallin, TSET Executive Director Tracey Strader, Oklahoma Health Commissioner Terry Cline, Ph.D., and others spoke at the press conference.

May 30, 2014: The Second Regular Session of the 54th Oklahoma Legislature shall adjourn sine die not later than 5:00 pm. Health Insurance Marketplace Completes First Month of Open Enrollment As of October 1, individuals above 138% and below 400% of the Federal Poverty Level (FPL) are eligible for premium assistance (subsidies) through the Health Insurance Marketplace.

Oklahoma D.O. PAGE 14

The phone number for the Health Insurance Marketplace Call Center is 1-800-318-2596. Calls will be answered 24/7.

The website is www.healthcare.gov. Individuals enter basic information about yourself and your family (age, address, SSN, income, etc.) and will be able to choose from among several private insurers. Oklahomans can choose any one of dozens of health care plans among five different insurance companies. Enrollment began October 1 and runs through March 31, 2014. Coverage begins as soon as January 1, 2014. As of the beginning of 2014, individuals cannot be denied coverage due to pre-existing conditions. Also, there will no longer be annual or lifetime caps on coverage. Factors that can affect premiums include: age, where you live, number and age of people in your family, and whether you smoke. Individuals can elect to receive premium assistance (subsidies) at the time they purchase insurance or they can be reimbursed when filing their annual tax return.

The “Talk With Your Doctor” initiative is part of the Center for Disease Control’s (CDC) national tobacco education campaign, Tips From Former Smokers. The campaign features a variety of ads with real people who are living with smoking-related diseases and disabilities. These emotional advertisements are graphic accounts showing how smoking or exposure to secondhand smoke has changed lives forever. “These stories motivate smokers to try to quit, and the ‘Talk With Your Doctor’ campaign encourages smokers to get help from their doctor to quit,” Strader said. “Over 1,000 Oklahomans contacted the Oklahoma Tobacco Helpline for help with quitting while the Tips ads aired last spring. We’re happy to extend the length of the campaign in Oklahoma and partner with physician groups and other health care professionals to encourage more Oklahomans to quit.” Nearly one-quarter of adults in Oklahoma smoke. In 2012, Oklahoma ranked 39th among states for the percent of adults who smoke, up from 47th worst in 2011. According to the CDC, more than 70% of smokers want to quit, and about half of all smokers try to quit each year.

Oklahoma D.O. | November 2013

The Oklahoma Osteopathic Association is a vocal supporter of the “Talk With Your Doctor” initiative and were also represented at the TSET press conference. Beyond talking with their doctors, smokers who want to quit can call the Oklahoma Tobacco Helpline toll-free at 1-800-QUITNOW (1-800-784-8669) or visit www.okhelpline.com. For more information visit: http://www.ok.gov/helpline/Talk_ With_Your_Doctor/Talk_With_Your_Doctor_Media_Release. html Gov. Fallin Kicks Off Re-Election Campaign On Thursday, Oct. 17, Gov. Mary Fallin officially kicked off her reelection campaign for 2014. The Governor made stops in Tulsa, Oklahoma City, and Lawton. Gov. Fallin touted a robust Rainy Day Fund totaling over a half billion dollars that had only $2.03 when she took office. She also pushed through reforms like tax cuts, lawsuit reform, and a complete overhaul of the state’s workers’ compensation system. In an attempt to reduce government waste and help close the budget shortfall, she worked to consolidate or eliminate dozens of agencies, commissions, and boards. Gov. Fallin also refused federal money returning to Oklahoma by denying Medicaid expansion in our state. Gov. Fallin has more than $1.2 million in her 2014 campaign fund. Currently, Gov. Fallin’s only opponent in the race is R.J. Harris. Harris ran for Congress in Oklahoma’s 4th congressional district in 2010 as a Republican. Harris ran for Congress again in 2012 as an Independent and is running for governor as a Democrat.

1. TEMPORARY RESIDENT LICENSE - Available for Residents who want to do one or two month rotations in Oklahoma. The temporary license is good for six (6) months and is renewable once upon payment of fee. Application requires the OSBOE Application and a letter from the current training program stating the applicant meets all the requirements for licensure. Fee is $100. (full application available on pages 16-22) 2. RESIDENT TRAINING LICENSE - Available for medical school graduates during PGY 1. The license is good for twelve (12) months. Full license and full application is required prior to the start of PGY 2. Application requires the OSBOE Application and a letter from the current training program stating the applicant meets all the requirements for licensure. Fee is $120. (full application available on pages 16-22) 3. TELEMEDICINE LICENSE- Available for physicians licensed in another state to treat Oklahoma patients electronically. Application requires submission of UA, Pre-Licensing-Packet & verification of other state license(s). Fee is $500. 4. MILITARY SPOUSE LICENSE - Available to spouses of active duty military persons. Application requires submission of UA, PLP and verification of spouse’s military assignment. Fee is $250. Approved by the Board on June 30, 2013

PAGE 15

Oklahoma D.O. | November 2013

OKLAHOMA OSTEOPATHIC BOARD OF EXAMINERS SPECIALTY LICENSES - REQUIREMENTS & FEES

Oklahoma D.O.

Resident Training License Now Available For First-Year Residents Starting Nov. 1, residents in their first year are now eligible to apply for licensure. This opportunity was made possible with the passage of HB 1235 from the 2013 regular session and brings osteopathic physicians in parity with the Oklahoma Medical Licensure Board regarding special licenses. To apply, a resident must submit a letter from their current training program stating the applicant meets all requirements. Residents must also submit an Oklahoma State Board of Osteopathic Examiners (OSBOE) application. This allows our first-year osteopathic residents to have the same opportunity provided to first-year allopathic residents who can already obtain a license and prescribe medication. This resident training license for first-year graduates is optional and requires a $120 fee. There is also a temporary resident license available for $100 and covers a span of 6 months. Telemedicine licenses and military spouse licenses are now available as well. To obtain an application for a special license or for more information, please contact OSBOE at 405528-8625.

Here’s the link to the resident training license/temporary resident license form on the OSBOE website: http://www.ok.gov/osboe/ documents/PLP%20Specialty%20Final%202.pdf

OKLAHOMA STATE BOARD OF OSTEOPATHIC EXAMINERS 4848 North Lincoln Boulevard, Suite 100 Oklahoma City, OK 73105 Telephone: 405.528.8625 D. When req

OSBOE Application (PLP)

(For Temporary Resident License and Resident Training License)

FULL NAME OF APPLICANT:___________________________________________________ ______________________________________________________________________________ *Name as you want it to appear on your license:_______________________________________ ______________________________________________________________________________ Osteopathic Specialty:___________________________________________________________ Board Certified: __ Yes __No If Yes, by which board?________________________________ CURRENT practice activity: __PGY 1 __Resident __Fellowship __Private __Other (explain): ______________________________________________________________________________ Proposed location address and type of Oklahoma-based practice if license is granted: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Contact Telephone Numbers: Cell: __________________ Home: __________________ Other: __________________ Name of Undergraduate School (Not Medical School):__________________________________

Oklahoma D.O. PAGE 16

City/State: ______________________________________ Graduation Year: ________________ TYPE OF LICENSE: - Temporary Resident License ___ - Resident Training License ___ ITEMS TO MAIL TO THE BOARD FOR: 1. PLP Packet – all 6 pages of this packet 2. Letter from the current training program stating the applicant meets all the requirements for licensure. 3. Cashier’s Check  Temporary Resident License $100  Resident Training License $120

Oklahoma D.O. | November 2013

Applicant Name ______________________________________________________________________________ 1. Have you ever been rejected for membership by, or requested to appear, before any medical or osteopathic society?

Yes

If Yes, provide the name and address of the society, dates and reasons on a separate page. Also, please furnish a separate letter addressed to each applicable society, which authorizes them to release whatever information this Board may require.

2. Have you ever been denied the privilege of taking an examination administered by any licensing agency? If Yes, please provide the name of the examination and the name of the agency on a separate sheet of paper.

3. Have you ever been denied a license to practice osteopathic medicine? If Yes, please provide full details on a separate page. This must include the state(s), date(s), and reason(s).

4. Have you ever been denied staff membership or employment with any licensed hospital, nursing home, clinic, health maintenance organization, or other hospital care facility with an organized medical staff? If Yes, provide full details, including addresses, on a separate page. Also, please furnish a separate letter addressed to each applicable institution or organization authorizing them to release whatever information this Board may require.

5. Have you ever been warned, censured, disciplined, had admissions monitored, had privileges limited, had privileges suspended, been put on probation, or ever been requested to withdraw from any medical practice, hospital, nursing home, clinic, health maintenance organization, or other hospital care facility with an organized medical staff, in which you have trained, been a staff member, been an employee, been a partner, or held hospital privileges? If Yes, provide full details, including addresses, on a separate page. Also, please furnish a separate letter addressed to each applicable institution or organization authorizing them to release whatever information this Board may require.

6. Have you ever been requested to resign, withdraw, or otherwise terminate your position with a medical practice, medical partnership, professional association, corporation, health maintenance organization, or other medical practice organization, either public or private? If Yes, provide full details, including addresses, on a separate page. Also, please furnish a separate letter addressed to each applicable entity authorizing them to release whatever information this Board may require.

7. Have you ever, for any reason, lost Board Certification in any specialty? If Yes, provide full details on a separate page. Also, please furnish a separate letter addressed to the specialty board authorizing them to release whatever information this Board may require.

8. Has any licensing authority or disciplinary agency limited, probated, restricted, suspended, or revoked a license or permit you have held? If Yes, give full details on a separate page. This should include the state(s), date(s), and reason(s).

If Yes, give full details on a separate page. This should include the state(s), date(s), and reason(s).

10. Have you ever been requested to appear before any licensing or disciplinary agency? If Yes, give full details on a separate page. This should include the state(s), date(s), and reason(s).

11. Have you ever been notified of any charges or complaints filed against you with any licensing or disciplinary agency?

Oklahoma State Board of Osteopathic Examiners Revised September 2013

Oklahoma D.O. | November 2013

OSBOE Pre-Licensing Packet Page 2 of 6

PAGE 17

If Yes, give full details on a separate page. This should include the state(s), date(s), and reason(s).

Oklahoma D.O.

9. Have you ever voluntarily surrendered a license or permit issued to you by any licensing agency?

Applicant Name ______________________________________________________________________________ 12. Have you ever been diagnosed or treated for any mental or physical illness that would hinder your ability to practice osteopathic medicine?

Yes

If Yes, give full details on a separate page. Also, please provide a separate letter addressed to each physician, therapist, and/or institution authorizing them to release whatever information this Board may require. This letter will be used to verify the information you have given and to obtain records concerning your care and treatment.

13. Have you ever been chemically dependent? If Yes, give full details on a separate page. In addition, please provide a separate letter addressed to each physician, therapist, institution, and support group that provides care and treatment and after care, authorizing them to release whatever information this Board may require. This letter will be used to verify the information you have given and to obtain records concerning your care, treatment, and participation.

14. Have you ever interrupted your training because of illness or impairment (physical or chemical)? If Yes, provide full details including dates and the names and addresses of each training institution on a separate notarized statement. Furnish a separate letter addressed to each institution authorizing them to release whatever information this Board may require.

15. Have you ever been unable to practice osteopathic medicine because of illness or impairment? If Yes, provide full details including information concerning your diagnosis and treatment and date of occurrence, treating physician(s), etc. in a separate notarized statement. Furnish a separate letter addressed to each, authorizing them to release whatever information this Board may require, including your medical records.

16. Have you ever been denied a Drug Enforcement Administration (DEA) certificate or a state bureau of narcotics controlled substances registration certificate, or been called before, or warned by any such agency or other lawful authority concerned with controlled substances? If Yes, provide full details in a separate notarized statement.

17. Has the Drug Enforcement Administration (DEA) or any state bureau of narcotics ever limited, probated, restricted, suspended, or revoked a license or permit you have held? If Yes, provide full details, including dates, in a separate notarized statement.

18. Have you ever surrendered your federal or state controlled substances registration? If Yes, provide full details, including dates, in a separate notarized statement.

19. Have you ever been arrested, fined, charged with, or convicted of a crime, indicted, imprisoned, or placed on probation?

Oklahoma D.O. PAGE 18

If Yes, give full details of the arrest, dates, places, and disposition of the case in a separate notarized statement. You must also furnish a certified court copy (with seal affixed) of the charge, the judgment, the sentence, and/or dismissal order or other such documents attesting to the disposition. You need not include minor traffic and parking violations except those related to DUI, DWI, or a similar charge.

20. Have you ever forfeited collateral for breach or violation of any law, police regulation or ordinance, been summoned into court as a defendant, or has any lawsuit (other than malpractice) been filed against you? If Yes, give full details in a separate notarized statement. You need not include traffic violations such as a speeding ticket where a bond was forfeited except those related to DUI, DWI, or some similar charge. If you have ever been the defendant in any legal action, furnish a certified court copy (with seal affixed) of the original complaint, answer, judgment, settlement, and/or disposition of the case. If it is pending, so state and have your attorney provide a letter regarding the case and its current status.

21. Have you ever been denied provider participation in any state Medicaid or federal Medicare program? If Yes, give full details including dates and the names and addresses of the Medicaid or Medicare program in a separate notarized statement. Furnish a separate letter, addressed to each, authorizing them to release whatever information this Board may require. Oklahoma State Board of Osteopathic Examiners Revised September 2013

OSBOE Pre-Licensing Packet Page 3 of 6

Oklahoma D.O. | November 2013

Applicant Name ______________________________________________________________________________ 21. Have you ever been denied provider participation in any state Medicaid or federal Medicare program?

Yes

If Yes, give full details including dates and the names and addresses of the Medicaid or Medicare program in a separate notarized statement. Furnish a separate letter, addressed to each, authorizing them to release whatever information this Board may require.

22. Have you ever been terminated, sanctioned, penalized, or had to repay monies to any state Medicaid or federal Medicare program? If Yes, give full details including dates and the names and addresses of the Medicaid or Medicare program in a separate notarized statement. Furnish a separate letter, addressed to each, authorizing them to release whatever information this Board may require.

23. Have you ever been a defendant in a legal action involving professional liability (malpractice) or had a professional liability claim paid in your behalf or paid such a claim yourself? If Yes, provide all information required within the Malpractice Liability Claims section of the Uniform Application.

24. Are you now taking prescription medication of any kind? If Yes, provide the pertinent information regarding the illness, giving rise to the need for the medication, the name of the drug(s), dosage, etc., in a separate notarized statement. This statement should also discuss who prescribes your medication, where you obtain it, etc. Provide a letter addressed to each prescribing physician, pharmacy, and/or other entity, authorizing them to release any information this Board may require.

I hereby state, under oath, that I authorize an investigation to be made as to my moral character, professional reputation, and fitness for the practice of osteopathic medicine, when, in the opinion of the Oklahoma State Board of Osteopathic Examiners, such an investigation is deemed necessary. I further certify that all statements I have made herein are true and I understand that the fee I submitted is not refundable. ___________________________________________ (Applicantâ&#x20AC;&#x2122;s Signature)

Subscribed and sworn to before me this _________ day of ________________________, 20___. My commission expires: ____________________ My commission number: ____________________ ___________________________________________ (Notary Public Signature & Seal)

Oklahoma D.O. PAGE 19

Oklahoma State Board of Osteopathic Examiners Revised September 2013

Oklahoma D.O. | November 2013

OSBOE Pre-Licensing Packet Page 4 of 6

FINGERPRINTS NAME OF APPLICANT: _______________________________________________________________________ TO BE COMPLETED BY A FEDERAL, STATE, OR LOCAL LAW ENFORCEMENT OFFICER. Make impressions of applicantâ&#x20AC;&#x2122;s fingers and thumb of right hand below:

R. THUMB

R. INDEX

R. MIDDLE

R. RING

R. LITTLE

_____________________________________________________ Printed Name of Officer

____________________________________ Signature of Officer

_____________________________________________________ Agency Name

____________________________________ Date

_____________________________________________________ Business Address _____________________________________________________ City/State/Zip

Oklahoma D.O. PAGE 20

Note: An official FBI fingerprint card may be substituted for this form.

Oklahoma State Board of Osteopathic Examiners Revised September 2013

OSBOE Pre-Licensing Packet Page 5 of 6

Oklahoma D.O. | November 2013

AFFIDAVIT VERIFYING LAWFUL PRESENCE IN THE UNITED STATES Affidavit of ____________________________________ [Applicant’s Name] – Please Print

STATE OF ___________________________ ) ) ss: COUNTY OF _________________________ ) I, _______________________________, of lawful age, being first duly sworn, upon oath state, under penalty of perjury, as follows:

Option 1 – Verification of Citizenship I am a United States Citizen.

(or)

____________________________________ [Signature of Applicant]

Option 2 – Affidavit Verifying Qualified Alien Status I am a qualified alien under the federal Immigration and Naturalization Act, and I am lawfully present in the United States. ____________________________________ [Signature of Applicant]

Subscribed and sworn to, or affirmed, before me this ______ day of _______________, 20____, by ______________________________________. [Applicant]

____________________________________ [Notary Public]

My Commission Number: _______________ expires:________________________

Instructions for Required Affidavit:

Oklahoma State Board of Osteopathic Examiners Revised September 2013

Oklahoma D.O. | November 2013

OSBOE Pre-Licensing Packet Page 6 of 6

PAGE 21

All natural persons fourteen (14) years of age or older and present in the United States, applying for a license, or renewal of an existing license, with the Oklahoma State Board of Osteopathic Examiners are required, by the provisions of 56 O.S. Supp. 2007 § 71, to provide the Board with verification of lawful presence in the United States by executing this Affidavit before a notary public or other officer authorized to notarize affidavits under State law.

Oklahoma D.O.

(Seal)

Nov. 1 Terry L. Nickels, DO-Past President Mallory C. Spoor-Baker, DO Tye W. Ward, DO Susan B. Young, DO Nov. 3 Brian S. McDowell, DO Timothy L. Moore, DO Harriett C. Sherrill, DO Nov. 4 Bradley G. Christianson, DO Frank L. Hubbard, DO Rodney O. McCrory, DO E. Robin Western, DO Rachel L. Whitehouse, DO

Oklahoma D.O. PAGE 22

Nov. 5 Alexander Cunningham, DO Matthew C. Headrick, DO G. Douglas Menz, DO Trung H. Pham, DO Carl A. Thompson, DO Nov. 7 Travis D. Campbell, DO Robin D. Hill, DO Roman H. Keller, DO Melinda L. Steelmon, DO

Nov. 8 Jason K. Benn, DO Ryan K. Hakimi, DO Donna M. Lukasek, DO Beverly J. Mathis, DO Steven L. Nussbaum, DO Jennifer W. Snow, DO Nov 9 Carol A. Hanson, DO Robert E. Kotch, DO Mark L. Mathers, DO Debra L. Montgomery, DO James Pham, DO Steven E. Watson, DO Melissa Ann Buessing, DO Jonelle Dutton-Gaddis, DO Pamela L. Wilson, DO Nov. 10 Jay D. Cunningham, DO Erica D. Dearman, DO Richard A. Felmlee, DO Charles E. Henley, DO Edward A. Huber, DO Susan V. Mathew, DO Frank B. Parks, DO David W. Seitsinger, DO Nov. 11 Gina M. Caravaglia, DO Matthew D. Davis, DO Frank L. Frederick, DO

Nov. 13 Kelley J. Joy, DO Tom F. Russell, DO Rita B. Sanders, DO Garrick L. Shreck, DO Adam B. Smith, DO David L. Smith, DO Stanley J. Smith, DO Brian M. Zimmer, DO Nov. 14 Dee Duane Baughman, DO Kenny D. Bowlware, DO George M. Jennings, DO Sang H. Lee, DO Kristy J. Wingerter, DO Nov. 15 Brian K. Berryman, DO Stephani P. Christner, DO Kenneth W. Gibson, DO Rany J. Grellner, DO J. Matthew Roberts, DO Elsa S. Vadakekut, DO Nov. 16 Michele L. Neil, DO Karen L. Schafer, DO

No.v 12 Adam J. Henson, DO Derek G. Howard, DO C. Shane Hume, DO Jeanie L. Klabzuba, DO Nathaniel D. Rapp, DO Walter F. Kempe, DO Michael T. Ray, DO Judy H. Trent, DO

Oklahoma D.O. | November 2013

Nov. 17 Janet L. Garvin, DO Raji M. Gill, DO Mary Sue Kendrick, DO Duane G. Koehler, DO-Past President Michael H. Mowdy, DO Nelson C. Onaro, DO Thomas W. Salyer, DO Nov. 18 Michele M. Fowler, DO Dean R. Fullingim, DO Wyatt A. Pickering, DO Jeff S. Reid, DO Nov. 19 Whitney L. Cline, DO William A, Cooper, DO Jeffrey M. Hunt, DO Margie D. Ott, DO C. Clinton Smith Jr., DO Gerald D. Wootan, DO William P. Wylie, DO Nov. 20 Boyd D. Burns, DO Darryl W. Jackson, DO

Nov. 21 Reza J. Azadi, DO Joy I. Ekpo, DO Joshua A. Gentges, DO Trenton F. Horst, DO Cynthia L. Nydick, DO Keith S. Patterson, DO Willian B. VanBurkleo, DO Nov. 22 Patrick F. Kelly, DO Larry T. Lovelace, DO Rachael L. McCracken, DO Randall S. Reust, DO James P. Sisk II, DO Nov. 23 Jon R. Bradley, DO Sharolyn D. Cook, DO Brian T. Crotty, DO Matthew S. Dowell, DO Robert D. Holsey, DO Sarah B. Vander Pol, DO Fred Wallace, DO Nov. 24 Kevin W. Anderson, DO Bruce D. Cornett, DO Gregory W. Fairlie, DO John V. Kirk, DO Thomas H. Nulf, DO

Nov. 27 H. Zane DeLaughter, DO Leslie D. Holinsworth, DO Elliot R. Schwartz, DO Nov. 28 Russell W. Anderson, DO Catherine G. Cudnoski, DO Diana L. DeFelice, DO Noel W. Emerson, DO Pamela R. Garner-Knickerbocker, DO Paul A. Mobley, DO H. Diana O'Connor, DO William A. Cooper, DO Nov. 29 William P. Becker, DO Henry S. Hewes, DO David M. Lovelace, DO Nov. 30 Stephanie J. Forbes, DO Jeannie Owens, DO Bart A. Rider, DO Susan K. Steele, DO Oklahoma D.O.

Nov. 25 Brian A. Coder, DO Scott J. Fowler, DO Zachary A. Fowler, DO Kala J. Omstead, DO Clayton H. Royder, DO

Nov. 26 Douglas R. Banning, DO Wayland R. Billings, DO Patrick P. Lo, DO G. Barry Robbins Jr., DO Brenda R. Stutzman, DO

PAGE 23

Oklahoma D.O. | November 2013

The Oklahoma State University

Rural Health & office of

CALS Program

Oklahoma D.O. PAGE 24

by: Rod Hargrave, Oklahoma Flex Coordinator, OSU Center for Rural Health, Oklahoma Office of Rural Health

Pictured: Pediatric Resuscitation Skills in Lawton Oklahoma D.O. | November 2013

I first want to express my appreciation to the staff of the Oklahoma Osteopathic Association for the opportunity to present this article on behalf of the Oklahoma Office of Rural Health and in particular, the Comprehensive Advanced Life Support Program. A SHORT HISTORY The Office of Rural Health was the predecessor of Center for Rural Health. The office established by the executive order of Gov. David Walters in 1991. The Office was housed in the Oklahoma State Department of Health for the next 11 years. The Office of Rural Health came to prominence with the inception of the Balanced Budget Act of 1997. This act enabled states to establish a grantee for the new Rural Hospital Flexibility Grant. (To be known as the Flex Grant and Flex Program) The history of the down-trend in rural health stems from the reimbursement policies which encouraged the development of full service rural hospitals. These hospitals found themselves in increasingly difficult situations as congress attempted to cut rising healthcare costs. These problems became more apparent with the implementation of the DRG (Diagnostic Related Group) reimbursement method set in place in 1993.

The Critical Access Hospital (CAH) System is based upon the principle that some small rural facilities are so vital to the Oklahoma D.O. | November 2013

The Office of Rural Health steadily increased the number of Critical Access Hospitals to 19 by 2002. It was in 2002 that a fundamental paradigm shift in the direction of the Office of Rural Health occurred. The location of the Office within the Oklahoma State Department of Health (OSDH) had always been an uneasy fit. The leadership of the OSDH had tremendous turnover during the period of the tenure of the Office of Rural Health within its structure. The mission of the Office was often not fully understood as a support effort and not a regulatory arm of the government. The small hospitals which the Office interacted with were at times apprehensive in dealing with what they felt was just another function of the agency which licensed their function and being. It was proposed by the leadership of the Office of Rural Health that if ties were cut with OSDH it might improve the vitality, and acceptance of the Office in Rural Oklahoma. With the blessing of the OSDH the Office of Rural Health was moved to Oklahoma State University. As of August of 2002 the Office of Rural Health is situated within the Oklahoma State University Center for Health Sciences and maintains an office in Oklahoma City. Critical Access Hospital designation has leveled off at 34 in

PAGE 25

To help alleviate the problem the Balanced Budget Refinement Act became law in 1997. Within this act was language creating the Rural Hospital Flexibility Program. This program enabled States to designate Necessary Providers, and established the Critical Access Hospital System.

A small rural hospital which could meet certain criteria would be reimbursed on a 101 percent of reasonable cost basis. This did not mean a free ride for the small hospital. Medicare coverage is much higher in rural areas as the population is older than their urban counterparts. It was found that to be advantageous for the Critical Access Hospital designation that the facilities have at least a 50% Medicare blend with private or insurance payers. Still many facilities did not opt for the designation and conversions remained slow until 2000.

Oklahoma D.O.

The final blow to the small rural hospitals came in 1995 with the passage of the Balanced Budget Act. Within the period, from 1983 to 1997, the United States lost hundreds of small rural hospitals. This unintended consequence created a health care crisis in rural America.

health and welfare of an area that special funding procedures must be employed to ensure their survivability. This was not a guarantee, and some Critical Access Hospitals have closed.

Oklahoma with one facility still considering the program as of 2013. Today in the United States, 1,327 hospitals are designated Critical Access. Quality of health care delivery at "CAH" facility is a fundamental goal of the FLEX Program. It was during a national conference in 2008 I first heard about an innovative program which could have a direct and lasting impact on the lives of rural Oklahomans. It was called the Comprehensive Advanced Life Support Program. What is CALS? The CALS Program began in 1996 as a grassroots Minnesota organization of volunteer health care providers whose goal was to improve the quality of rural emergency care by creating a course designed particularly for medical systems lacking in the latest technology, equipment, and specialist availability. This program was led by Dr. Darrell Carter, a family physician from Granite Falls, Minnesota, and Dr. Ernest Ruiz, then chief of emergency medicine at Hennepin County Medical Center in Minneapolis. The CALS course presents a unique single curriculum that covers information contained in many other advanced life support courses with additional training in advanced airway management, universal approach, rapid stabilization and transfer with an emphasis on team approach. Conducted in a collaborative environment, the CALS curriculum consists of the following components: home review of the Course Manual, a two-day interactive classroom session (Provider Course), a three-hour Trauma Module, and a one-day, hands-on laboratory (Benchmark Skills Lab).

Oklahoma D.O. PAGE 26

Given the enormous need for rural emergency care education, it's no surprise that over the past 17 years, the CALS Program has evolved into a nucleus national organization that has spun off a program in Wisconsin. The CALS Program has also hosted comprehensive advanced life support courses in Oklahoma, Missouri, Iowa, Michigan, Texas and Canada. Global outreach extends through the U.S. Department of State, for which the Program has presented 26 courses for 720 US embassy medical personnel over the past 7 years. Additional states, emergency medicine organizations, as well as developing countries have shown wide interest in the concept of CALS, and both interest and need are increasing rapidly. The CALS Program is committed to (1) teaching a system of care using the CALS Universal Approach to handle undifferentiated emergencies, (2) emphasizing the importance of all members of the team and the teaching of teamwork for rural teams, (3) helping to standardize rural emergency care, (4) teaching the skills and knowledge needed for the stabilization of most critically ill/injured patients as well as proper use of equipment available in rural areas, and (5) using a system of care that emphasizes the needs of the patient. CALS training offers an approach to the care of rural emergency patients and emphasizes teamwork. Team members learn

a universal systematic approach to the critically ill and injured patients using basic, affordable, easy-to-use equipment. In the process, CALS also helps a rural hospital understand its limitations. According to one physician, "The philosophy of CALS is not that we, as a rural hospital, are going to be able to take care of all clinical situations on our own. Instead, the goal is to increase our ability to rapidly stabilize patients, rapidly determine their conditions, and rapidly transfer to appropriate care." The success of CALS is hard to measure and to date no formal CALS outcome study has been conducted. In Minnesota, however, we have many anecdotal examples that suggest positive results. Helicopter-critical transport teams have noticed an improvement in patient airway management by hospitals that have participated in CALS training. The use of RSI (Rapid Sequence Intubation) in rural Minnesota hospitals has increased significantly. The success rate of performing rescue airway procedures has been very high among those trained with CALS. The time needed to stabilize trauma victims for transport has been reduced. Rural providers who have participated in a CALS course report having greater comfort levels when they encounter critical patients. Tertiary centers have noted an improvement in the condition of patients initially managed in rural hospitals. Why Improve Rural EDs? This question was answered concisely by Dr. Alex Beuning shortly after taking his first CALS course in 2004. When asked how rural EDs will compare to their urban counterparts in the future, Dr. Beuning concluded, "Rural EDs will probably never have the extensive staffing and equipment resources of urban EDs. However, getting the resources to rural EDs and allowing them to effectively stabilize and transfer patients with skill and efficiency is a moral imperative if we feel rural U.S. residents deserve adequate medical services. If we don't advocate for this locally, how can we expect people to want to live and raise their families in our rural communities?" Dr. Beuning continues to be actively involved in the CALS program as an instructor and was instrumental in developing a training program for nurse practitioners and physician assistants working in rural emergency departments. The CALS course was used as a foundation for the training. CALS program in Oklahoma The Comprehensive Advanced Life Support Initiative began with a telephone conversation in October of 2009. The Oklahoma Rural Hospital Flexibility Coordinator, Rod Hargrave, had been informed by counterparts that the CALS program was beneficial in teaching emergency life saving techniques. Rod Hargrave contacted Kari Lappe, then program manager of CALS in Minnesota, and planning for the training began. The greatest hurdle of paramount importance was to find a Critical Access Hospital with leadership and vision which would be able to facilitate a training opportunity of this caliber. The facility was found after careful consideration in Mercy Marietta of Love County. The Chief Operating Officer of Oklahoma D.O. | November 2013

Mercy Marietta, Richard Barker, saw the value of this program and expressed an enthusiastic eagerness to involve his staff and community in providing logistical support to the success of the project. Three Critical Access Hospitals in the Southwest Region expressed an interest in participation as well as four Emergency Response Systems. The first CALS class in Oklahoma took place at the Winstar World Hotel Complex in Thackerville, OK with 22 participants including a mix of physicians, physician assistants, nurse practitioners, nurses and paramedics. Since this initial class 4 additional CALS classes have been held in Oklahoma. One additional class was held in Thackerville, and the other locations included: Enid, Lawton and Tulsa. The last class in Oklahoma was held in August of 2013. The total number of Oklahoma participants now has reached 88.

designation. The U.S. State Department has designated CALS as its advanced life-support training program to prepare its medical personnel. Afri-CALS is being developed in Nairobi, Kenya, a version designed for the developing world with a different set of needs and resources. In Summary: Within the small space of this article it would not be possible to discuss the complete scope of this training. What I do believe is that we are at a critical juncture for rural healthcare in Oklahoma and the entire United States. How we address the needs of our most “at risk” citizens will define us as a state and nation. I hope that this great program will continue to be an integral part of that response. DO OK

Comments from the various class evaluations regarding what was the best part of the course include: CALS is a great course for the novice or experienced critical access team member. It emphasizes the importance of a team approach to quickly assess, treat and transfer the critically ill or injured patient. Bill Holland, APRN-CNP CALS provides excellent information on current techniques in lifesaving procedures for the small hospital environment, as well as an infusion of new ideas and technologies for improved patient care. Scott J. Fowler, DO, Prague Mike Wilcox, MD, one of the initial developers of the CALS course as well as a current board member has been an instructor in all but one of the courses in Oklahoma and has stated: "It has been my pleasure to be a CALS instructor to four groups of rural Oklahoma emergency care providers over the last two years. They have attended the classes as teams. They were well prepared to work together to improve emergency care within their communities. I have found that the focus and attitude of Oklahoma health care professionals in our training sessions to be both refreshing and stimulating. I look forward to the future in working Oklahoma's rural emergency medical departments and want to express my appreciation to the OSU Center for Rural Health, and the Oklahoma Office of Rural Health spearheaded by the Oklahoma flex coordinator, Rod Hargrave.”

Oklahoma D.O. | November 2013

PAGE 27

The Minnesota State Trauma Advisory Council accepted CALS as one of the educational training programs to prepare level III and IV trauma center personnel for its institution's trauma

Oklahoma D.O.

Other states with large rural populations are interested in developing the CALS Program. In response, the national CALS Program current goals include disseminating and sharing CALS as widely as need and interest demand, collaborating with other groups to help develop CALS training centers, expanding and modernizing the way emergency medical knowledge is taught (including development of electronic platforms), and creating a course for developing countries.

What DO’s Need To

KNOW

Reporting Period for EPs Ends December 31, 2013; Prepare for Attestation December 31, 2013, is an important deadline for eligible professionals (EPs) participating in the EHR Incentive Programs. It marks the end of the calendar year and the last day of the 2013 meaningful use program year. Attestation Deadline If you are an EP participating in the Medicare EHR Incentive Program, you have until February 28, 2014, to attest to demonstrating meaningful use of the data collected during the reporting period for the 2013 calendar year. You must attest by 12:00 am (midnight) Eastern Standard Time on February 28 to demonstrate meaningful use. If you are participating in the Medicaid EHR Incentive Program, please refer to your state’s deadlines for attestation information. You must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment. Payment Adjustments Payment adjustments will be applied beginning January 1, 2015, if you have not successfully demonstrated meaningful use. The adjustment is determined by the reporting period in a prior year. For more information, visit the payment adjustment tipsheet. If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid. If you are only eligible to participate in the Medicaid EHR Incentive Program, you are not subject to these payment adjustments.

Oklahoma D.O. PAGE 28

EPs in 2014 January 1, 2014 marks many important milestones for EPs participating in the EHR Incentive Programs, including: • The start of Stage 2 for EPs who have already completed at least two years of Stage 1. • The last year that Medicare EPs can begin participation and earn an incentive. • A 3-month reporting period in 2014, regardless of the stage of meaningful use, to allow time to upgrade to 2014 certified EHR technology. o Medicare EPs beyond their first year of meaningful use must select a three-month reporting period fixed to the quarter of the calendar year. o Medicare EPs in their first year of meaningful use may select any 90-day reporting period that falls within the 2014 calendar year. o Medicaid EPs can select any 90-day reporting period that falls within the 2014 calendar year. Resources • Meaningful Use Attestation Calculator • Attestation Worksheet for EPs • Attestation Guide for Medicare EPs • Stage 2 Payment Adjustment Tipsheet for EPs Plan Ahead Review all of the important dates for the EHR Incentive Programs on the HIT Timeline. Want more information about the EHR Incentive Programs? Make sure to visit the Medicare and Medicaid EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs. Oklahoma D.O. | November 2013

Payment Rules Notice Although CMS is still assessing the impact of the partial government shutdown on completion of the CY 2014 Medicare Fee-ForService payment regulations, CMS intends to issue the final rules on or before November 27, 2013, generally to be effective on January 1, 2014. The impacted regulations include: • Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (CMS-1526-F) • CY 2014 Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (CMS-1601-FC) • CY 2014 Home Health Prospective Payment System Final Rule (CMS-1450-F) • Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2014 Final Rule with Comment Period (CMS-1600-FC)

CMS announces major savings for Medicare beneficiaries Part B premiums will see zero growth; billions of dollars saved in donut hole The Centers for Medicare & Medicaid Services (CMS) today said that health care reform efforts are eliciting significant out-of-pocket savings for Medicare beneficiaries, pointing to zero growth in 2014 Medicare Part B premiums and deductibles, and more than $8 billion in cumulative savings in the prescription drug coverage gap known as the “donut hole.” According to CMS, since the Affordable Care Act provision to close the prescription drug donut hole took effect, more than 7.1 million seniors and people with disabilities who reached the donut hole have saved $8.3 billion on their prescription drugs. In the first nine months of 2013 nearly 2.8 million people nationwide who reached the donut hole this year have saved $2.3 billion, an average of $834 per beneficiary. These figures are higher than at this point last year (2.3 million beneficiaries had saved $1.5 billion for an average of $657 per beneficiary). The health care law gave those who reached the donut hole in 2010 a one-time $250 check, then began phasing in discounts and coverage for brand-name and generic prescription drugs beginning in 2011. The Affordable Care Act will provide additional savings each year until the coverage gap is closed in 2020. CMS said the standard Medicare Part B monthly premium will be $104.90 in 2014, the same as it was in 2013. The premium has either been less than projected or remained the same, for the past three years. The Medicare Part B deductible will also remain unchanged at $147. The last five years have been among the slowest periods of average Part B premium growth in the program’s history. “We continue to work hard to keep Medicare beneficiaries’ costs low by rewarding providers for producing better value for their patients and fighting fraud and abuse. As a result, the Medicare Part B premium will not increase for 2014, which is good news for Medicare beneficiaries and for American taxpayers,” said CMS Administrator Marilyn Tavenner. People with Medicare don’t need to sign up for the new Health Insurance Marketplace, as they are already covered by Medicare. The Marketplace won’t affect Medicare choices, and no matter how an individual gets Medicare, whether through Original Medicare or a Medicare Advantage Plan, they still have the same benefits and security they have now.

The ICD-10 MS-DRGs v31 Definitions Manual, Medicare Code Editor, and ICD-10 MS-DRGs v30 and v31 Comparison File are now available on the ICD-10 MS-DRG Conversion Project web page. • An HTML version of the Definitions Manual will be posted soon in the “Related Links” section. • PC and mainframe versions will also be available soon from the National Technical Information Service (NTIS)

Oklahoma D.O.

ICD-10 MS-DRGs v31 Now Available The ICD-10 Medicare Severity Diagnosis Related Groupers (MS-DRGs) v31 is now available on the ICD-10 MS-DRG Conversion Project web page. This is the ICD-10 version of the currently used FY 2014 MS-DRGs v31, which are based on ICD-9-CM codes. ICD-10 will be implemented on October 1, 2014, and the final ICD-10 MS-DRGs v32 will be subject to formal rulemaking.

PAGE 29

Oklahoma D.O. | November 2013

Create an ICD-10 Project Plan With less than a year to go, you should be getting ready now for the October 1, 2014 transition to ICD-10. You can help guide your practice through a smooth transition with a project plan that maps out your practice’s ICD-10 prep from start to finish. Your project plan should identify each task to be completed, when tasks should begin and end, and who should be responsible for each task. At a minimum, your organization should consider the following activities: • Ensure senior leadership understands the breadth and significance of the ICD-10 change. Download free ICD-10 fact sheets and background information from the CMS website and share trade publication articles on the transition. • Assign overall responsibility and decision-making authority for managing the transition. This can be one person or a com mittee depending on the size of the organization. • Plan a comprehensive and realistic budget. This should include costs such as software upgrades and training needs. • Ensure involvement and commitment of all internal and external stakeholders. Contact vendors, physicians, affiliated hospitals, clearinghouses, and others to determine their plans for ICD-10 transition. • Take advantage of free webinars and implementation materials. • Share best practices with peers. • Schedule software/hardware testing. • Review internal policies to support the transition. • Adhere to a well-defined timeline. Here are some tasks that should be included in the project plan. • Identify commonly used ICD-9 codes and begin to explore related ICD-10 codes. • Identify and update paper and electronic forms to accommodate the ICD-10 code structure. • Schedule ICD-10 training for clinicians, office managers, billers, coders, and other key staff. For more information, check out the resources on implementation planning on the Provider Resources web page of the ICD-10 website.

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Oklahoma D.O. PAGE 30

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Oklahoma D.O.

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OK_OsteoSoc_full_1c_7'375x9'75.indd 1

PAGE 31

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Reducing Your Risk of Pancreatic Cancer Pancreatic cancer, one of the deadliest forms of cancer today, is on the rise. In just a few years, pancreatic cancer will most likely surpass breast, prostate and colorectal cancers as the most prevalent cancer in the U.S., behind only lung cancer. At five years after diagnosis, the survival rate for pancreatic cancer is just 6%. But while these numbers look grim, a concerted effort by patients and doctors to detect pancreatic cancer at its earliest stages can have an impact on the power of this disease. Kevin P. Hubbard, DO, an osteopathic internist, hematologist/ oncologist, and hospice/palliative medicine physician from Kansas City, Mo., discusses symptoms to watch for and lifestyle habits that could reduce your chances of developing pancreatic cancer. What are the symptoms of pancreatic cancer? Pancreatic cancer is often called a "silent killer" because it routinely goes undiagnosed until it reaches an advanced stage. According to Dr. Hubbard, this is because symptoms are easily applied to other ailments, such as acid reflux and middle back pain, and also because the pancreas is deep inside the body and not routinely screened. “Because of the location of the pancreas, tumors are often missed until they have grown significantly,” says Dr. Hubbard. Even with all of these challenges, early detection is vital to surviving pancreatic cancer. Dr. Hubbard advises contacting your health care provider if you notice any of the following signs: • Jaundice, a yellowish pigmentation of the skin and the whites of the eyes • Dark urine • Chalky, light-colored stool • Pain in the abdomen above the navel or back, since the pancreas is near the spine • Unexplained weight loss • Loss of appetite

Oklahoma D.O. PAGE 32

What are the treatment options? According to Dr. Hubbard, pancreatic cancer, like many cancers, can be treated with one or more treatment options, including surgery, radiation therapy or chemotherapy; often, two or more treatment options are utilized in combination to offer patients the best treatment available to them. “The treatments can be modified or adjusted to best suit the needs of the individual,” he says. Protecting yourself Dr. Hubbard says there is no one lifestyle change that will prevent pancreatic cancer. “Many people who get pancreatic cancer have no risk factors. However, by exercising moderately and eating a healthy diet, you may be able to reduce your risk,” he says. Another way to reduce your risk is to quit smoking. “Smoking has the greatest impact on developing pancreatic cancer.” Though pancreatic cancer is a difficult disease to prevent and detect, living a healthy lifestyle and visiting with your doctor regularly are steps you can take now to protect yourself. “It is never too soon to practice a healthier lifestyle that will not only prevent disease, but also improve your everyday quality of life. Making positive lifestyle changes such as not smoking, eating healthier

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. Oklahoma D.O. | November 2013

The Journal of the Oklahoma Osteopathic Association

OKLAHOMA

May/June 2012 May/June 2013

D.O.

2013-2014 Directory Order Form I would liked to order______ copies of the 2014 directory @ $55 per directory. Shipping and Handling is not included in the price, please call for pricing (405) 528-4848 or (800) 522-8379 PAYMENT INFORMATION: 1 I have enclosed a check in amount of $__________. 1 Please bill my credit card

Check card type: ______VISA ______MC ______AMX ______ DSC_____

Card Number:_____________________________________________

Name on Credit Card: _______________ _______________________ Signature: ___________________________Exp. Date____________

BILLING INFORMATION:

Company: __________________________________________________________ Contact Person: _____________________________________________________

Address: ___________________________________________________________

City: _____________________________________ State: _______ Zip: _________

Phone: ________________________________ Email: _______________________

PLEASE RETURN FORM BY MAIL OR FAX

Oklahoma D.O. | November 2013

FAX TO: (405) 528-6102

PAGE 33

MAIL: 4848 N. Lincoln Blvd. Oklahoma City, OK 73105-3335

Oklahoma D.O.

robin r. dyer, do President 2013 – 2014

oklahoma educational foundation for osteopathic medicine

I am honored this year to serve as the OEFOM’s President. So from the entire Board thanks to so many of you for your continued support. I would like to remind everyone of the mission of OEFOM: Better health care for all Oklahomans is the primary purpose of the foundation. Designated funds are used to support student scholarships annually, to enrich the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine, located in Tulsa, Oklahoma, and to maintain the Oklahoma Osteopathic Educational Center. One way we continue to support our mission is through your generous voluntary quarterly contributions. You will be receiving your December contribution letter, and I encourage my osteopathic family to give back to your foundation. I am proud to say, that in today’s economy, the foundation owns a debt-free building that houses the OEFOM, OOA and the Oklahoma State Board of Osteopathic Examiners. Without the support of those quarterly contributions, the OEFOM would not be able to finance the day-to-day activities and advocate for the profession.

Oklahoma D.O. PAGE 34

Last year we were able to award six osteopathic medical students with scholarships: • Matthew L. Sullivan, OMS III-$4,000

• Larry L. Johnston, OMS II-$3,000 • Balli B. Barnes, OMS II-$3,000 • Jennifer L. Duroy, OMS III-$2,000 • Stephanie E. Letney, OMS II-$2,000 • Brock D. Wilson, OMS III-$2,000

Well, it is that time of year again. Very soon we will be sending out applications for the OEFOM Scholarships to the various osteopathic colleges. To qualify, an osteopathic medical student must be an Oklahoma resident or have one parent who currently resides in Oklahoma. After completing the application (including 3 letters of recommendations) the

OEFOM Education Committee reviews the applications and determines how much to award and to whom. In the past, we have had quite a variance in the number of applicants from one to ten! If you are an OOA Mentor, please encourage your Mentee(s) to apply! As we all know, every little bit of financial assistance definitely helps! Thanks again for your support. The Board meets quarterly throughout the year. If you have any issues you would like for us to address, please feel free to contact me or Lany Milner. Happy Holidays!

Now recruiting Physicians, PA's, and NP's interested in working a flexible schedule. Convenient, Quality Healthcare in Your Home is Available Today with Physician HouseCalls. Please contact Kathrine Kopec at 405-896-8058 for more information.

Oklahoma D.O. | November 2013

memorium in

Mark E. Sizemore, DO

Mark E. Sizemore, DO, 61 of Tahlequah, OK, passed away Monday, October 21, 2013. He was born July 18, 1952, in Tulsa, OK, to Marvin and Charlotte Sizemore. He was a practicing doctor at The Tahlequah City Hospital. He enjoyed solitaire, boating, golf, cars and cigars. He is survived by his mother, Charlotte Sizemore, of Tulsa, OK, sons Jack Sizemore and his wife, Nicole, of Johnson, AR, Benjamin Sizemore of Tulsa, OK, sister Shelly Jordan and her husband, Bill, of Lilburn, GA, and his brother Stephen Sizemore and his wife, Huapei Chen, of Austin, TX. Preceded in death by his father, Marvin Sizemore.

John D. McCuistion, DO

John Dale McCuistion, 79, passed from this life Friday, October 11, 2013. He was born on September 23, 1934, the son of John T. and Elizabeth Ann (Latch) McCuistion. John was a member of the Southern Hills United Methodist Church. He loved playing golf and OSU football. As a doctor, he had no greater joy than caring for his patients. He was preceded in death by his parents. John leaves precious memories with his wife, Jane; son, John D. McCuistion III and wife, Kathy; daughters, Carolyn Jo McCuistion and Shelley Lynn Wallace and husband, Tony; sister, Louise Thompson; seven grandchildren; three great-grandchildren; and numerous nieces, nephews, friends, and other loved ones. Dr. McCuistion was a past president of the Oklahoma Osteopathic Association from 1985 â&#x20AC;&#x201C; 1986 and remained very active in the Association for the 25 years following his presidency. He and Jane attended all CME and conventions sponsored by the OOA, supporting and playing in the golf tournaments of the OOA, AOOA, and OEFOM for over 30 years. He was a true supporter of the Osteopathic Political Action Committee, raising funds through the Phone-A-Thon by calling his fellow members of the Association. He faithfully supported the OEFOM with memorial contributions. Dr. McCuistion was fun to be around and had many friends throughout the profession state and nationally. His health had declined in recent months, and although was always positive, many of us were unaware of the seriousness of his illness.

Contributing

John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO John D. McCuistion, DO Terry Grady

Contributing

In Honor of

Stephen A. Back, DO

PAGE 35

Dr. Thomas and Glenda Carlile Dr. Dennis and Sheri Carter Dr. Ralph and Midge Coffman Dr. Thomas and Flo Conklin Dr. Stanley and Barbara Grogg Lynette and Don McLain Dr. Geron and Sheila Meeks Dr. Terry and Connie Nickels Dr. Joseph and Judy Schlecht Dr. B. Frank and Mary Shaw Dr. Thomas Carlile

Dr. David and Carol James Oklahoma D.O. | November 2013

In Memory of

Oklahoma D.O.

n OEFOM Memorials n

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 2014 at the Oklahoma State Capitol. This is the 40th year osteopathic physicians have provided this service at the State Capitolâ&#x20AC;&#x2122;s First Aid Station during the legislative session. The Doctor of the Day program allows DOs to bring osteopathic medicine directly to policymakers. Physicians are needed to serve in March on Mondays, Tuesdays & Wednesdays from 8:30am-4:00pm and on Thursdays from 8:30 am-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 January 15, 2014. We'll ensure you're introduced in both the House and Senate chambers. Thanks in advance for helping make this program a success!

Yes! I want to participate in the Oklahoma Osteopathic Association Doctor of the Day Program! Name:________________________________________________________________________________ Office Telephone:____________________________________ Email:_____________________________

Oklahoma D.O. PAGE 36

Home Address:_________________________________________________________________________ City, State, Zip:_________________________________________________________________________ internal use

State Senator:_______________________________________________ District #:___________________ House Member:______________________________________________District #:___________________ I prefer to serve on

Monday

Tuesday

Wednesday

Thursday

does not matter

Please fax this form to the Oklahoma Osteopathic Association Central Office at: 405.528.6102 no later than January 15, 2014. Oklahoma D.O. | November 2013

OOA Awards Nomination Form The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, December 5, 2013 to determine award recipients to be presented during the OOA’s 114th 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 November 28, 2013. 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 November 28, 2013 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. Nominees must: • Has been in practice for at least ten years • Provides his/her community with compassionate, comprehensive and caring medical service on a continuing basis • Directly and effectively involved in community affairs • Supports 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. | November 2013

PAGE 37

OOA Member Name:___________________________________________________ Date:_________ Please return this form to the OOA Office by November 28, 2013 by mail: 4848 North Lincoln Boulevard, 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

Classified Advertising OFFICE FOR RENT: 1,500 square feet in an excellent area with high traffic count. Established location. Completely remodeled, very nice. Easy access from all areas of town, 7300 S Western, OKC. Rent is $1250 per month with all utilities paid. Please call Dr. Buddy Shadid 405.833.4684 or 405.843.1709. OFFICE BUILDING FOR SALE: 6501 S. Western, OKC, OK 73139. Over 1 1/2 acres total size, 10,000 sq ft building divided into 3 doctors offices. 1200 sq foot private office upstairs with private bathroom and shower. 2 double sided fireplaces, over a dozen chandeliers, rough wood cathedral ceilings. Alarm and phone system in place, double glass doors in entrance, back patio with separate storage building. Larger office is fully equipped with exam tables, Pap table, chairs, medical instruments, QBC (CBC) machine, autoclave, medical supplies, and much more. For information contact: Captain David Simpson at (405) 820-5360.

Oklahoma D.O. PAGE 38

CLINIC FOR SALE: By owner. Fully equipped: LAB, XRAY, EKG. Well established clinic, near Integris Southwest Medical Center is available for sale. Clinic is well equipped and is ideal for one or more physician practice as well as a variety of specialties. Clinic has: waiting room with refrigerated water cooler, wheelchair accessible restroom, reception and staff work stations, Nurses station, 5 - 7 exam rooms with sinks and running water, large multipurpose procedure room, 3 private offices with built-in bookcases, (One Office with 3/4 Bath), additional staff and patient restrooms, large upstairs (currently used for storage) and variety of other medical equipment. Misys Medical Software. Large Parking Lot. “Must See Inside” the all steel building located at 2716 S.W. 44th St. in OKC to appreciate the effort placed upon providing convenient and up to date medical care. PRICE IS NEGOTIABLE. Doctor prefers to sell, but would consider leasing. If interested, please call: Evelyn Francis at (405) 249-6945. IMMEDIATE OKLAHOMA OPPORTUNITY with largest family medicine clinic in Muskogee, Ok. Excellent opportunity to assume a practice that is up and running. Senior physician of four physician group leaving to pursue new career opportunities. 2,000 active patients need a physician. Two physicians currently practice OB. Surgical OB experience a plus. On site x-ray and CLIA certified lab. Nursing and support staff in place. Income guarantee. Be your own boss, work hard and practice family medicine in its historical tradition with respect and loyalty of small town patients. Contact Evan Cole, DO, 918-869-2456, ecoledo@yahoo.com, Brad McIntosh, MD, 918-869-7356, drbamc@yahoo.com Jason Dansby, MD, 918-869-7387, jasonddansby@yahoo.com or Judy Oliver, RN, practice administrator, 918-869-7357. (leave a message if temporarily unavailable) Find us on the web at www.mfpclinic.com.

JOB AVAILABILITY: A growing convenient care provider has part-time openings for licensed physicians (Family, internal, general, physical medicine & rehab, sports medicine, occupational, etc.) in our Tulsa and Oklahoma City area location. We provide primary care/immediate care medicine. Patients can drop in (no appointment necessary) to our locations and see a doctor for a wide range of primary care and family health needs, including diagnosis and treatment of common illnesses and injuries, in-house, diagnostic testing, occupational therapy, and physicals. We provide quality health care for patients who have been injured on the job or may have some illness. Providing flexibility in scheduling to meet your lifestyle and income needs. Benefits: We are offering very competitive salaries. If interested please contact Arnita (405) 6815800 or email her at:2149okc@gmail.com CLINIC FOR SALE IN THE LAKE TEXOMA AREA. Please call (580) 564-2143 ext. 4043 for further information or inquiries. STAFF PHYSICIAN NEEDED: The Oklahoma Department of Corrections is seeking applicants for Staff Physician at our correctional facilities statewide. The state of Oklahoma offers a competitive salary and benefits package which includes health, dental, life and disability insurance, vision care, retirement plan, paid vacation, sick days, holidays and malpractice insurance coverage. For more information and a complete application packet contact: Becky Raines 2901 N. Classen Blvd., Suite 200 Oklahoma City, OK 73106-5438 (405) 962-6185 FAX (405) 962-6170 e-mail: braines@doc.state.ok.us DOCTORS WANTED: to perform physical exams for Social Security Disability. DO’s, MD’s, residents and retired. Set your own days and hours. Quality Medical Clinic-OKC, in business for 16 years. Call Jim or JoAnne at 405-632-5151. PHYSICIAN NEEDED: The practice of Terry L. Nickels, DO is currently seeking a part-time Family Physician with OMT Skills to help cover the office. If interested please contact Dr. Terry Nickels at (405) 301-6813. IMMEDIATE NEED: FP/ER/OB Physicians, FT,PT and Temp. Bimonthly pay. Paid malpractice and expenses including mileage. To join our fast growing team call Krystal @ 877-377-3627 or send CV to kernce@oklahomaoncall.com. Oklahoma D.O. | November 2013

E T A HE D

T E AV April 24-27, 2014

earn up to 30 1-A AOA Credits & 12-hours of specialty hours in the 8-specialty tracks

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Calendar of Events November 28, 2013 OOA Central Office Closed December 5, 2013 OOA Bureaus & Board of Trustees Meetings & OEFOM Board of Trustees Meeting Oklahoma City, Oklahoma December 12, 2013 Southeastern District Meeting/CME December 19, 2013 Southwestern District Meeting/CME January 2, 2014 OOA Bureaus & Board of Trustees Meetings Oklahoma City, Oklahoma

January 16, 2014 North Central Meeting/CME

Oklahoma D.O. | November 2013

PAGE 39

January 31-February 2, 2014 Winter CME Seminar: "ABC’s of LABS: What’s New, What’s Hot and What’s Not" Hard Rock Hotel & Casino, Catoosa, Oklahoma

Oklahoma D.O.

January 9, 2014 Southern District Meeting/CME

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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Oklahoma D.O. PAGE 40

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SPRINGFIELD, MO Oklahoma D.O. | November 2013