Send your stories and photos to the editor at Puhde1@hurleymc.com
FOLLOW HURLEY
• Facebook: @hurleymedicalcenter
• Instagram: @hurleymedicalcenter
• YouTube: @HurleyMedicalCenter1
• X/Twitter: @HurleyMedical
WELCOME NEW HIRES
Abigail Daenzer, Nurse Extern
Alexander Hank, Respiratory Therapy Extern
Alexandra Taylor, General Duty Nurse
Alexis Carter, Nurse Extern
Alisea Jackson, Nurse Extern
Allyson Childers, Nurse Extern
Amber Preuss, Graduate Nurse
Anna Ebert, Graduate Nurse
Austin Wolford, Nurse Extern
Autumn Smith, Nurse Extern
Ava Watson, Nurse Extern
Baylee Merkel, Nurse Extern
Bella Wetter, Nurse Extern
Breanna Frank, Surgical Technologist I
Brooke Ladd, Environmental Aide
Cassidy Henry, Graduate Nurse
Cassidy Penoyer, General Duty Nurse – BSN
Cheyenne Smith, Nursing Assistant Trainee
Cierra Shannon, Nurse Extern
Cionna Marve, Nurse Extern
Claire Ouellette, Nurse Extern
Corey Boots, Nurse Extern
Cori Godinez, Nurse Extern
Danica Davis, Mental Health Technician
Denice Lustig, General Duty Nurse-BSN
Dezshanae Hadley, Host/Hostess
Dezyah Faulkner, Nursing Assistant
Dmetrius Howard-Johnson, Senior Cook
Elizabeth Crandall, Nurse Extern
Erica Thomas, Nurse Extern
Evon Barno, Utilization Review Assistant
Gabrielle Duncan, Nurse Extern
Hailey Durish, Nurse Extern
Haley Cain, Nurse Extern
Halime Meryem Soylu, Resident Physician Ob-Gyn
Hannah James, Nurse Extern
Hannah Munck, Graduate Nurse
Hannah Simms, General Duty NurseJ
Heaven Smith, Nursing Assistant Trainee
Holly Cary, General Duty Nurse-BSN
Holly Noffsinger, Nurse Extern
Jennifer Jackson, Mat Fetal Med Ultrasonographer
John Armstrong, General Duty Nurse – BSN
Jonathan Crandall, Nurse Extern
Jrica Judd, Nurse Extern
Kassandra Shalla, Nurse Extern
Katrina Covell, Clinical Coordinator
Kylie Loffredi, Nurse Extern
LaNajah Williams, Environmental Aide
Lauren Martin, Nurse Extern
Leroya Parks, Nursing Assistant
Lesley Gray, Host/Hostess
Lili O'Connor, Medical Assistant
Lily Hulliberger, Nurse Extern
Lindsie Streichert, Nurse Extern
Loren Pryor, Nurse Extern
LyTyra Richardson, Nursing Assistant
Marah Nayfeh, Resident Physician Pediatrics
Marion Morrison, Porter-Pharmacy
Marissa Mangino, Nurse Extern
Marisa Meissner, Nurse Extern
Marshan Wiggins, Porter
Mary Sparks, Graduate Nurse
Mashiya Brown, Host/Hostess
Mekhia Adams, Environmental Aide
Melvin Frazier, Nurse Extern
Miola Shook-Dunn, Nurse Extern
Mohamed Mohamed, Resident Physician Pediatrics
Molly Ward, Graduate Nurse
Monica LeBlanc, Nurse Extern
Nichole Micheau, Graduate Nurse
Nena Woodall, Nurse Extern
Olga Cassels, General Duty Nurse - BSN
Olivia Curtis, Nurse Extern
Oszeion Dye, Public Safety Officer
Rebecca Hickmott, Public Safety Officer
Rebecca Mitchell, Nurse Extern
Samantha Olejniczak, Nurse Extern
Sarah Fantin, Graduate Nurse
Sarah McNew, Nurse Extern
Shaelynn Lavrack, Nurse Extern
Shalinda Campbell, Host/Hostess
Shamonica Simon, Social Work Case Manager
Sherry Horning, Nurse Extern
Skyhe Mouele, Health Unit Coord Trainee
Sommer Wrathell, General Duty Nurse
Sophia Witnauer, Graduate Nurse
Taylor Mickens, Nurse Extern
Tea Jonascu, Graduate Nurse
Teonna Jackson, Nurse Extern
Tia Knox, Nurse Extern
Tiffany Daly, Nurse Extern
Tonyetta Aikins, Ambulatory Clinic Clerical Asst
Victoria Hendricks, Nurse Extern
IN THE NEWS
GRAND BLANC VIEW RIB COOKOFF TO RAISE $ FOR CHILDREN’S MIRACLE NETWORK
Grill masters from the Grand Blanc City Police and Grand Blanc Township Fire departments will serve up ribs for a cause: the Children’s Miracle Network.
THE DAVISON INDEX LANES FILLED WITH SMILES, STRIKES, SPARES DURING 34TH ANNUAL HURLEY FOUNDATION BOWLATHON
The annual fundraiser supports the Endowment Fund for Child and Family Life at Hurley Children’s Hospital, a vital resource providing comfort, joy and emotional support to hospitalized children and their families.
MID-MICHIGAN NOW NBC25 NEW MENTAL HEALTH FACILITY OPENS IN FLINT, OFFERING 24/7 CRISIS SUPPORT
Dr. Michael Jaggi, Hurley’s Chief Medical Officer, speaks about the opening of the Genesee Health System’s behavioral health facility in Flint.
Reduce
Schedule your Urgent Care appointment in MyChart with On My Way.
DON’T HAVE A MYCHART ACCOUNT?
Click here to sign up for MyChart on the web.
Scan here to download the app for iPhone
Scan here to download the app for Android
• Appointments available for the same day only
• Scheduling is only available to patients through the MyChart portal
• Scheduling an appointment does not guarantee there will be no associated wait times
• Patients that miss a scheduled appointment and present to the Urgent Care will be checked in as a walk in
• If there are no appointments available in MyChart, patients can still walk in to an Urgent Care to be seen
Stay Connected with Text Alerts!
Text START to 79328 today!
• Confirm/cancel appointments
• Get MyChart updates
• Stay informed on care management
• Receive billing notifications
Text messages from Hurley Medical Center and its associated clinics may include non-solicitation information, updates on upcoming visits, billing notifications, one-time passcodes, or MyChart alerts related to your account. Text STOP to 79328 to opt out of messaging at any time.
The opening of the East Tower in 1979 marked a major step forward for Hurley, greatly enhancing our ability to grow key subspecialties such as neonatal intensive care and expanded coronary care. It also allowed us to increase adult intensive care capacity, with designated space on the fourth floor for the ICU, CCU and step-down units. Additional floors supported specialized care, including the sixth-floor gynecologic surgical unit, the seventh-floor medical-surgical unit, and the ninth-floor recovery beds reserved for cancer patients receiving advanced therapies. As part of this expansion, a 750-car parking structure and a $2 million, 110,000-square-foot physician office building—housing up to 30 medical practices—rounded out the vision of a fully integrated medical campus. This development not only improved patient care but also helped lay the foundation for the multidisciplinary collaboration we continue to build on today.
Medical-Surgical Unit, 7th Floor
HURLEY FACTS: 1970s CONTINUED
Emergency Room or Urgent Care
Where Should You Go?
Knowing the difference can save you time — and even save a life.
This video from ABC12’s Medical Monday may be a couple of years old, but its message is still incredibly relevant today. It offers helpful guidance on when to seek care at an Emergency Room versus an urgent care center.
Understanding where to go based on your symptoms can make a big difference in how quickly you receive treatment — and how effectively your condition is managed.
▶️ Watch the video here: Medical Monday – ER vs. Urgent Care
Tip:
• Go to the ER for life-threatening or severe conditions: chest pain, stroke symptoms, difficulty breathing, or serious injuries.
• Use urgent care for non-life-threatening issues: minor cuts, sprains, mild infections, or flu-like symptoms.
Share this with friends and family — it’s a quick watch that could make a big impact.
World-Class Neurological Care–Trusted at 200 MPH.
Each year, the Detroit Grand Prix entrusts Dr. Marc Moisi, Director of Neurosurgery at Hurley to be trackside — ready to respond in seconds if a high-speed crash occurs. Why him? Because when trauma strikes and every second counts, only the best will do. Dr. Moisi is certified by the International Council of Motorsports Science Track Safety Program — the gold standard for medical readiness in high-risk, high-speed environments.
You don’t have to be a racecar driver to receive expert neurological care. At the Hurley Neurological Center (with locations in Flint and Fenton), we understand how deeply chronic back pain can affect your life. Our team is here to answer your questions, provide exceptional care and guide you through your treatment options. Whether you're facing neck or back pain, sciatica, deformities, trauma or tumors, we offer comprehensive evaluations and personalized treatment plans. Surgery is always a last resort, but when needed, we provide the most advanced, minimally-invasive options available.
Expert care is closer than you think. Call 810-262-7030 to schedule an appointment today.
Why Choose the Hurley Hernia Center of Excellence?
• Minimally invasive and robotic-assisted procedures designed to reduce pain and speed up recovery
• Board-certified trauma surgeons with extensive expertise and hundreds of successful hernia repairs performed annually
• The lowest recurrence risk thanks to cuttingedge techniques and high-quality, proven materials.
• Compassionate, patient-centered care from consultation through recovery
Whether you're dealing with a routine inguinal or umbilical hernia, or facing a complex, recurrent hernia, our team is here to help you get back to your life — safely, confidently and pain free.
▶️View Hernia Videos
▶️Hernia Videos Link
Go to Page to Make an Appointment Link to request an Appointment
Call 810-262-6555 to schedule an appointment today.
Hurley Comprehensive Surgical GroupLinden Road 1125 South Linden Road Suite 100 Flint, MI 48532
Hurley Proudly Sponsors the Flint Diaper Drive
Since 2012, the Flint Diaper Bank has been a lifeline for families in need, helping ensure that no child has to go without clean, dry diapers. By purchasing diapers at below-cost prices and distributing them through the Food Bank of Eastern Michigan and 28 nonprofit partners across Genesee County, the program reaches thousands of families every year.
The goal? To provide 1 million diapers annually — and thanks to the incredible support from sponsors like Hurley, generous donors and community grants, that goal has remained within reach.
Laura Jasso and Angie Hendershot from ABC12
Paul Romine, RN
This month’s DAISY Award Honoree is Paul Romine, RN. The DAISY Award celebrates the extraordinary compassion a nurse shows to their patients and families.
“Just WOW!” That’s how one grateful patient began their heartfelt tribute to Paul, and it’s easy to see why. Paul exemplifies everything it means to be an exceptional nurse—skillful, compassionate, steady and kind. His calming presence and clinical expertise create an environment where patients feel safe, cared for and truly seen. As this patient wrote, “Paul
made me feel safe when I didn’t, calm when I was anxious, and hopeful when I had none left.” Paul’s impact extends far beyond clinical care. He provides peace in uncertain moments and reassurance in the face of fear. It’s clear that he has touched many lives throughout the years and that Paul doesn’t just do his job—he lives his calling. While his humility means he doesn’t seek recognition, those around him know he is more than deserving of it. And as his patient put it best, “Even if he never gets recognized, it wouldn’t change him. He will continue being excellent, because he is excellent.”
Paul is a graduate of Baker College–Flint, and he completed the majority of his clinical training at Hurley. His nursing career began at Suncrest in Lapeer, a long-term care facility where he spent nine impactful years providing compassionate care to patients with Alzheimer’s and dementia. Although Hurley reached out just three weeks into that role, Paul had already formed strong bonds with his residents and chose to stay, committed to the people he was caring for. Years later, he joined Hurley, drawn by the opportunity to work within a healthcare system that reflected his professional values and long-term goals. Thanks to the shared MERS system between Lapeer Medical Care Facility and Hurley, Paul found a seamless path to continue his meaningful work while planning for a fulfilling future and eventual retirement.
Paul is currently part of the 9E Oncology/ Hematology team—a department he speaks about with pride and gratitude. “The teamwork here is above and beyond,” he shares. He’s thankful to work in an environment where management listens and collaboration thrives. “We get a little bit of everything up here. It’s always familiar, always challenging and always worth it.” Of course, not every day is easy. “It’s always tough when we lose someone. If that ever stops being hard, it’s probably time to leave,” Paul reflects. His empathy, even in the most emotionally difficult moments, is part of what makes him such a vital presence on the unit.
When asked about the DAISY nomination, Paul noted that he wasn’t quite sure what was happening at first. But once he read the letter, he instantly knew which patient had written it. “She was a good one,” he said quietly, his words filled with a deep, mutual respect.
When he’s not at work, Paul enjoys life with his husband, Craig, and their two cats.
He’s also known for his love of cruising— typically taking two boat cruises a year, as a well-earned break from his demanding schedule. If he’s not working, you’ll probably find him relaxing somewhere at sea.
Paul shared his deep appreciation for his husband, Craig, whose unwavering support has meant everything throughout the years. He also expressed gratitude for his best friend and coworker, Laura, who remains one of his strongest advocates and a constant source of encouragement.
Paul’s calming presence is deeply appreciated by both patients and colleagues alike.
Congratulations, Paul, on receiving the DAISY Award—an honor well deserved!
Nominate an exceptional RN for the DAISY Award. Nomination forms are available in the Cafeteria, 8W Nursing Office and on the Hurley intranet.
HURLEY YOU
A monthly series that takes you behind the scenes of Hurley, showcasing the essential work of each department that keeps us thriving.
Each month we will introduce you to a new team sharing their unique roles, responsibilities and the dedicated efforts they put into Hurley running smoothly and efficiently.
Hurley YOU is a celebration of the people who make it all possible one department at a time.
“Stroke care used to be a rather frustrating disease for neurologists and emergency physicians, as treatment options were limited. Today, that has changed dramatically. When a stroke patient arrives at the ED, a coordinated team — including emergency physicians, the on-call neurologist, radiologist and sometimes the neurosurgical team — works swiftly and collaboratively to determine the best course of action. Every case is unique, and decisions are made on an individual basis. We now fully understand: Time is neuron. Time is BRAIN.” Mohammed Al-Qasmi, MD
STROKE CENTER
STROKES ARE SERIOUS
Strokes are serious and life-changing, affecting both body and mind. They happen when blood flow to the brain is blocked or interrupted, causing brain cells to die quickly. This can lead to loss of functions like movement, speech, memory and emotional health. Strokes can cause lasting disabilities or even be fatal. They also increase the risk of future strokes, which can lead to greater damage or death. Stroke is a medical emergency—every minute counts. Call 911 immediately. Early treatment can minimize brain damage.
PRIMARY STROKE CENTER
Hurley is a designated Primary Stroke Center by The Joint Commission, committed to top-tier stroke care backed by the latest research. This designation reflects our dedication to excellence in treatment and community education.
We’ve also earned the Get with the Guidelines®–Stroke Gold Plus Quality Achievement Award, as well as the target stroke honor roll elite and the target Type 2 diabetes honor roll designation from the American Heart Association, demonstrating our consistent delivery of evidence-based care.
SIGNS OF STROKE
• Sudden vision problems in one or both eyes
• Numbness/weakness on one side of the body
• Slurred speech or difficulty understanding speech
• Facial drooping or muscle weakness
• Sudden trouble walking, dizziness, or loss of balance
• Severe headache with no known cause
MEET OUR STROKE PROGRAM MANAGER
SARA CLEMENTS, RN, BSN
With less than a year in her current position, Sara has extensive experience in critical care and case management. Sara worked as an RN, BSN in the ICU at Hurley for ten years before completing her MSN. After a decade in critical care nursing and nearly seven years in case management, she decided to pursue her MSN. During clinicals, Sara began preparing for her Family Medical Practice Boards. After sustaining an injury while horseback riding, Sara found herself back in the ICU. Shortly after an opportunity arose, and she assumed the role of Stroke Program Manager.
Sara is currently preparing for recertification and has been instrumental in bringing the team up to date with stroke audits. The role has allowed her to focus on patient care improvements, and she views her injury as a "blessing in disguise" for pushing her into this new role, where she finds immense satisfaction in improving patient outcomes.
FAMILY:
Sara is married and a proud mother of three children, ages 17, 13 and 9. Her oldest son recently graduated from high school and is currently preparing to attend Kettering University, where he plans to pursue a degree in engineering. Their 9-year-old daughter is a talented and dedicated competitive dancer who also shares a love for horseback riding. Their 13-year-old son is an avid hockey player, competing on a travel team with the Flint Junior Firebirds. Sara plays an active role in his hockey life as the team manager. Her husband coaches the team and works full-time as a firefighter in Flint Township, demonstrating their family’s deep involvement in both the community and their children’s activities. Together, they balance busy schedules while nurturing each other’s interests and commitments.
“I want everyone to know how to spot a stroke—whether in the hospital or the community. It’s vital to recognize the signs of a stroke because time is brain. The longer it takes to treat a stroke, the greater the potential for irreversible damage.” – Sara Clements
"Since joining our team, Sara has quickly become the heart of our stroke care program. From day one, she has worked tirelessly to ensure that every patient receives the highest standard of care. Her diligence, thoroughness, and exceptional communication skills allow her to seamlessly coordinate across all aspects of a patient's stroke journey. It’s truly a pleasure to work alongside her."
-Mohammed Al-Qasmi, MD
In the days following your stroke, our team will help you find your new normal.
• Occupational therapy rebuilds the skills necessary for performing everyday activities such as bathing and getting dressed.
• Physical therapy improves coordination and balance, builds stamina and helps you improve or regain control of affected extremities.
• Speech/Language Therapy increases your ability to communicate and swallow.
Together we can set recovery milestones and work hard to achieve them. We’ll find a way to get you back to doing the things you love.
Know the signs of a stroke.
Then, follow the signs to Hurley.
CENTER
Since November, Sara has achieved several significant milestones and taken on key responsibilities:
KEY ACCOMPLISHMENTS:
• Earned her Master of Science in Nursing (MSN).
• Successfully led The Joint Commission recertification process for the Stroke Center.
• Played a vital role in securing the American Heart Association’s Get With The Guidelines® – Stroke Gold Plus Award, recognizing excellence in stroke care and a commitment to quality improvement.
ONGOING RESPONSIBILITIES:
• Lead the development, implementation and continuous improvement of the Hurley Stroke Program.
• Collaborate closely with the interdisciplinary team to drive better patient outcomes.
• Oversee program certification and maintain rigorous quality assurance standards.
• Spearhead quality improvement initiatives, including data collection and analysis to support evidence-based care.
• Stay current with evolving stroke care guidelines and ensure their integration into clinical practice.
• Provide education and training for healthcare staff to promote consistent, high-quality stroke care.
• Work with the team to revise the stroke triage process.
THANK YOU FOR MAKING THE 34TH ANNUAL HURLEY FOUNDATION BOWLATHON A
STRIKING SUCCESS!
What a night at Colonial Lanes in Flushing—filled with fun, laughter and incredible community spirit! Families, staff, local businesses and leaders came together to bowl for a powerful cause: supporting hospitalized children at Hurley Children’s Hospital through our Child and Family Life programs.
With two high-energy squads, every frame helped make hospital stays less scary and more hopeful for kids across 15 Mid-Michigan counties. A heartfelt thank-you to our sponsors, teams and everyone who showed up to roll for a reason!
Check out more memories in our Facebook album: Bowlathon 2025.
Tee off for a day of golf, food, and fun, while helping support a fantastic cause!
Proceeds support Hurley’s 24/7 trauma and burn care for critically injured adults and children.
SPONSORSHIP OPPORTUNITIES:
Clubhouse Sponsor - $10,000
2 Teams of 4, meals, signage on all print and promotional materials, logo on scorecards, special banner in the clubhouse, and signage on course.
*Exclusive
Halfway House Sponsor - $6,000 Team of 4, meals, and signage at halfway house.
Golf Carts Sponsor - $6,000 Team of 4, meals, and signage on carts.
Contest Sponsor - $5,000 Team of 4, meals, and signage by contest hole.
Eagle Sponsor - $4,000 Team of 4, meals, and prominent signage on course.
Birdie Sponsor - $3,500 Team of 4, meals, and signage on course.
Bloody Mary Sponsor - $2,500 2 golfers, meals, and signage on course.
Breakfast Sponsor - $2,500 2 golfers, meals, and signage on course.
Lunch Sponsor - $2,500 2 golfers, meals, and signage on course.
Dinner Sponsor - $2,500 2 golfers, meals, and signage on course.
Registration Sponsor - $2,500 2 golfers, meals, and signage on course.
Beverage Sponsor - $1,000
Signage on beverage cart & 2 course bars.
Green Sponsor - $500 Signage on green.
Tee Sponsor - $500
Signage at tee.
Sand Trap Sponsor - $500
Signage at sand trap.
Individual Golfer - $500 Team of 4 Golfers - $2,000
THIS EVENT SUPPORTS HURLEY MEDICAL CENTER’S:
Trauma Service Funds of Hurley Foundation: Supports new technologies in trauma and emergency services.
Level I Trauma & Burn Center: The only one in the region & only 1 of 11 in Michigan.
Level II Pediatric Trauma Center: The only one in the Genesee/Lapeer/ Shiawassee Tri-County Area.
Warwick Hills Golf & Country Club – Grand Blanc, MI
TITLE SPONSOR
FACTS ABOUT
Preventing Slips, Trips, and Falls
Slips, trips, and falls are among the most common causes of workplace injuries. These incidents often occur on stairs, loose rugs or wet floors. To reduce the risk:
• Wear proper anti-slip footwear
• Use handrails when going up or down stairs
• Wipe up spills immediately
• Place wet floor warning signs in affected areas
• Use non-slip rugs or mats
• Keep walkways clear of obstacles
• Ensure proper lighting in dim areas
Tip: Always be aware of your surroundings—awareness is your first line of defense against falls.
Staying Safe Around Electricity
Electrical safety is critical—both at work and at home. Recognizing and addressing potential hazards can prevent serious injuries. Be sure to report:
• Damaged electrical equipment
• Exposed wires
• Overloaded circuits
Never:
• Touch exposed wires
• Use electrical devices near water
Always:
• Use appropriate personal protective equipment (PPE), such as gloves, safety glasses and proper clothing
SAFETY
Did you know that June is National Safety Month?
It's a great time to raise awareness about safety risks in the workplace and learn how to prevent injuries.
Protecting Your Body with Proper Mechanics
Good body mechanics help reduce injury during lifting, moving, or repetitive tasks. When lifting:
• Bend at the knees
• Keep your feet shoulder-width apart
• Maintain a straight back
• Lift with your legs, not your back
• Hold objects close to your body
• Engage your core, move slowly and ask for help if needed
• Posture Matters—Whether Sitting or Standing
• Maintaining good posture supports long-term health
About the Author:
When standing:
• Keep your back straight and shoulders relaxed
• Stand with feet shoulder-width apart
• Distribute weight evenly
• Align your ears, shoulders, and hips
When sitting:
• Sit with your back at a 90-degree angle to your hips
• Keep your feet flat on the floor
• Maintain alignment and balance throughout your body
Remember: Safety isn't just a monthly focus—it’s an everyday commitment to protecting yourself and those around you.
Katie Paquette will be graduating from the University of Michigan–Flint with a degree in health care administration. She’s currently interning at Hurley, gaining hands-on experience in healthcare operations and patient care. Katie also works at Team Rehab Physical Therapy as a patient administrative coordinator. In her free time, she enjoys hiking, fishing and tennis.
PHYSICIAN CONNECTION
NEW DATE!
REGISTER NOW ~
“Serious Situations in an Adult Outpatient Office Practice”
OCTOBER 29, 2025 – Wednesday
Hyatt Place Flint/Grand Blanc
5481 Hill-23 Drive, Flint, MI 48507
5:30pm – 7:00pm
Approved for AMA PRA Category 1 Credit ™
SAVE
THE DATE ~
“Acute Pain Management”
(This activity fulfills the CE requirements for pain and symptom management.)
OCTOBER 7, 2025 – Tuesday
The Captain’s Club Event Center 10200 Woodfield Drive, Grand Blanc, MI 48439
5:30pm – 7:00pm
Approved for AMA PRA Category 1 Credit ™
Visit: education.hurleymc.com/cme/calendar
Continuing Education Requirements for Michigan Medical
Doctors
Authority: Public Act 368 of 1978, as amended
REQUIREMENTS FOR RENEWAL
The continuing education requirements apply to every physician renewing a Michigan medical license, who has been licensed in the 3-year period immediately preceding the application for renewal. The requirements apply whether or not the physician is actively engaged in the practice of medicine. No one, including medical school faculty and resident physicians, is exempt from this requirement.
Each medical doctor is required to complete 150 hours of continuing education in courses or programs approved by the Board of Medicine, of which a minimum 75 hours of the required 150 hours must be earned in courses or programs designated as Category 1 programs.
• A minimum of 1 hour of continuing education must be earned in the area of Medical Ethics.
• A minimum of 3 hours of continuing education must be earned in the area of Pain and Symptom Management, and at least 1 of the 3 hours must include controlled substance prescribing.
Michigan Department of Licensing and Regulatory Affairs (LARA)
MANDATORY TRAINING STANDARDS
• LARA requires a one-time mandatory training in Opioids and Other Controlled Substances Awareness for prescribers and dispensers of controlled substances.
• LARA requires a one-time mandatory training in Identifying Victims of Human Trafficking.
• LARA requires a minimum of three hours, every 3-year renewal cycle, in Implicit Bias Training.
For more information or questions, please visit: michigan.gov/lara
DEA Training Requirement via the MATE Act
The Medication Access and Training Expansion (MATE) Act, part of the federal Consolidated Appropriations Act of 2023, requires ALL new or renewing DEA-registered practitioners who prescribe schedule II, III, IV or V drugs to undergo a one-time, eight-hour training requirement incorporating education on the treatment and management of patients with opioid and other substance use disorders.
See Michigan State Medical Society (MSMS) for further FAQs at: msms.org > NEWS
Hurley Online CME Courses
The following are free Hurley CME on Demand courses that have been approved for AMA PRA Category 1 Credit™:
• Advances in OB Pain Management
(This activity fulfills the CE requirements for pain and symptom management.)
• Diagnosis & Treatment of Depression in Youth
(This activity fulfills the CE requirements for medical ethics.)
• Ethical Challenges
(This activity fulfills the CE requirements for medical ethics.)
• Hypertension Management in the Hospitalized Child
• Human Trafficking and the Role of the Healthcare Provider
(This activity fulfills the LARA mandatory training standards for identifying victims of human trafficking.)
(This activity fulfills the LARA opioids & other controlled substances awareness training standards.)
Fundamentals of Documentation, Coding & Billing
Physician Support Line
Physician Support Line is a national, free and confidential support line service made up of 600+ volunteer psychiatrists, joined together in the determined hope to provide peer support for our physician colleagues and medical students. Physician Support Line was created with the mission of physicians supporting physicians as we navigate the many professional and personal intersections of our lives. Physician Support Line promises to provide emotional support and a safe holding space for physicians and medical students.
For more information or questions, please visit: www.physiciansupportline.com or Facebook: Physician Support Line @PhysicianLine
Hurley Regularly Scheduled Series (RSS)
22 recent publications from Hurley researchers
After treating a 9-month-old patient with unusual, delayed symptoms, Hurley ER physician Ryan Reece MD partnered with resident physician Morsi Rayyan MD to publish a case report on the late presentation of Congenital Diaphragmatic Hernia (CDH). Their research highlights that while CDH typically presents in neonatals, it can also appear later in pediatric patients, particularly those with recurring respiratory issues who don't respond to standard treatments. Although it has been uncommon for CDH to affect older patients, the authors argue that it is important to consider CDH as a possibility.
Overall, Hurley staff authored 22 new publications in the second quarter of 2025, including a deep dive into the cost of academic engagement in neurosurgery.
Bharaj IS, Ajit Singh Brar, Kahlon J, Singh A, Hotwani P, Kumar V, Sohal A, Batta A. Metabolic-dysfunction associated steatotic liver disease and atrial fibrillation: A review of pathogenesis. World J Cardiol. 2025 Jun 26;17(6):106147. PMID: 40575425
Christian Bowers, Robles MC, Levy E, Covell MM, Kogan M. In Reply: Arms Race Control Score Standardizes Residency Applicant Publication Assessment. Neurosurgery. 2025 Jun 13. PMID: 40511944
Ajit Brar, Garg A, Kohli I, Ravi S, Singh C, Sohal A, M Luay Alkotob. The Prevalence and Characteristics of Infective Endocarditis in Liver Transplant Recipients: Insights From National Inpatient Sample Database. Clin Cardiol. 2025 Apr;48(4):e70130. PMID: 40223671
Ajit Brar, Garg A, Yashitha Chirumamila, Goraya GS, Kaur P, Sangha G, Ravi S, Mohammed Omer, Nikky Maharjan, M Luay Alkotob. Outcomes and resource utilization in patients with opioid use disorder and infective endocarditis based on disposition: skilled nursing facility vs home with healthcare. Journal of the American College of Cardiology. 2025-04-01 2025;85(12):2296-2296.
Ajit Singh Brar, Vemula SL, Yanamaladoddi V, Sodhi S, Hatwal J, Sohal A, Batta A. Impact of gut microbiome on atrial fibrillation: Mechanistic insights and future directions in individualized medicine.World J Cardiol. 2025 Jun 26;17(6):107386. PMID: 40575430
Bharaj IS, Ajit Singh Brar, Kahlon J, Singh A, Hotwani P, Kumar V, Sohal A, Batta A. Metabolic-dysfunction associated steatotic liver disease and atrial fibrillation: A review of pathogenesis. World J Cardiol. 2025 Jun 26;17(6):106147. PMID: 40575425
Covell MM, Prvulovic ST, Christie I, Roy JM, Iqbal J, Gajjar A, Pahwa B, Bowers C, Sabet CJ, Marc Moisi, Delashaw J, Schmidt M, Christian Bowers. Costs of Academic Engagement in Organized Neurosurgery in the United States. Neurosurgery. 2025 Apr 21. PMID: 40257271
Covell MM, Kogan M, Levy EI, Christian Bowers In Reply: Arms Race Control Score Standardizes Residency Applicant Publication Assessment. Covell MM, Kogan M, Levy EI, Bowers CA. Neurosurgery. 2025 May 5. PMID: 40323067
Lee DB, Hans Z, Aprill SL, Stallworth P, Zimmerman MA, Walton MA, Patrick M. Carter. Racialized economic segregation and youth firearm carriage: community violence as a mediator. J Behav Med. 2025 Jun;48(3):513-522. PMID: 40064764
Covell MM, Bhalla S, Christian Bowers. Letter: Surgical Fixation of Thoracolumbar Fractures in Patients Older Than 80 Years. Neurosurgery. 2025 May 20. PMID: 40392004
Delfino A, Manuel Merida, Ardiles A, Eskenazi F, Fumero L, Sotelo R. Robotic-Assisted Repair of a Vesicovaginal Fistula: Key Considerations and Best Practices. Obstetrics and Gynecology. 2025-05-01 2025;145(5S) doi:10.1097/AOG.0000000000005851.213
J Dicpinigaitis A, Kocharian G, Covell M, Al-Mufti F, Knopman J, Christian Bowers. Prognostic significance of frailty in chronic subdural hematoma: implications for treatment selection in the era of middle meningeal artery embolization. Neuroradiology. 2025 May;67(5):1289-1292. PMID: 40116945
Gupta NK, Chmait HR, Gill V, Turnow M, Manes T, Taylor BC, Weick JW, Christian Bowers. Risk Analysis Index for Estimation of 30-Day Postoperative Mortality in Hip Fractures. JAMA Netw Open. 2025 May 1;8(5):e2512689. PMID: 40440016
Mahmoodkhani M, Sahraei A, Shafiei M, Christian Bowers, Sourani A, Foroughi M, Mahdavi SB, Sharafi M, Tehrani DS, Khah RN, Veisi S.The efficacy and safety of enalapril and propranolol on neurological recovery of isolated severe traumatic brain injury, a randomized clinical trial. World Neurosurg. 2025 May 20:124078. PMID: 40404011. HMC authorized users only:
Perez Rodriguez Garcia G, Maroufi SF, Ruchika F, Kumar D, Christian Bowers, Menacho ST. Risk analysis index-measured frailty as a critical predictor of outcomes in patients with non-normal pressure hydrocephalus undergoing first-time shunt surgery: A nationwide study. Clin Neurol Neurosurg. 2025 Jun 11;256:109012. PMID: 40513145. HMC-access only: ▶️https://www.clinicalkey.com/#!/content/journal/1s2.0-S0303846725002951
Rayyan, M., & Reece, R. (2025). Delayed Presentation of Congenital Diaphragmatic Hernia in the Emergency Department: Case Report. Clinical Practice and Cases in Emergency Medicine. http://dx.doi.org/10.5811/ cpcem.41565 Retrieved from ▶️https://escholarship.org/uc/item/6t01r3kh
Roy JM, Prvulovic ST, Warrier A, Mousavi AK, Bhalla S, Sanchez D, Jagtiani P, Verma V, Varghese JR, Sanmuganthan P, Delashaw J, Christian Bowers Failure to Rescue After Brain Tumor Resection: A National Surgical Quality Improvement Program Analysis (2012-2020). Neurosurgery. 2025 Apr 23. PMID: 40265928
Saini V, Shivani Saini. Central Disorders of Hypersomnolence in Major Depressive Disorder. Sleep. 2025-05-01 2025;48:A350-A350. doi:10.1093/sleep/ zsaf090.0807
Samjhana Belbase, Bibek Karki, Meron Worku, Nikky Maharjan, Dhakal N, Poudel S, Basim Towfiq, Ali Zreik, Philip McDonald, Binu Malhorta. Healthcare disparities in hepatocellular carcinoma mortality across different racial groups in the United States: A SEERbased analysis (2000-2020). J Clin Oncol. 2025-06-01 2025;43(16_SUPPL):e13792-e13792.
Siddiqui M, Kutom F, Kuhn J, Arul Chandran. Winner Winner Chicken Dinner: Pneumomediastinum Following Chicken Bone Aspiration. American Journal of Respiratory and Critical Care Medicine. 2025-05-01 2025;211A1997.
Soni C, Koltenyuk V, Gupta N, Arif HA, Areti A, Manes T, Lopas LA, Szatkowski JP, Christian Bowers, Taylor BC, Weick JW. Utility of Revised Risk Analysis Index as a Predictor of Mortality and Morbidity in Orthopaedic Trauma. J Am Acad Orthop Surg Glob Res Rev. 2025 Jun 3;9(6):e25.00086. PMID: 40493046. https://journals. lww.com/jaaosglobal/fulltext/2025/06000/utility_of_ revised_risk_analysis_index_as_a.4.aspx
Yousif A, Ngo J, Abdel-Gadir D, Rocconi RP, Timmins P, Lachance J, Straughn JM Jr, Dewdney S, Jenny Lachance, Mize B, Chefetz I. Conversion from Minimally Invasive Surgical Approaches to Open Surgery Among Patients with Endometrial Cancer in the SGO Clinical Outcomes Registry. Ann Surg Oncol. 2025 May;32(5):3458-3464. PMID: 39982547.
Zoghi S, Prvulovic ST, Sabet CJ, Warrier A, Maroufi SF, Roy JM, Schmidt MH, Christian Bowers, Marc Moisi. Predictive Factors and Impact of Delayed Spine Surgery: A Nationwide Retrospective Cohort. Global Spine J. 2025 Jun 26:21925682251356219. PMID: 40567149.