Hurley News You Can Use - June 2025

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EDITORIAL

EDITOR & WRITER

Patricia Uhde

ART & DESIGN

GRAPHIC

Jeremy Eads

PHOTOGRAPHER

Doug Pike

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

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.)

• Pediatric Intellectual/Developmental Disabilities

• Urinary Tract Infections

Online Courses Coming Soon ~

Treatment of Alcohol & Opioid Use Disorders

(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

▶️https://www.wjgnet.com/1949-8462/full/v17/i6/106147. htm

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

▶️https://onlinelibrary.wiley.com/doi/10.1002/clc.70130

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.

▶️https://www.clinicalkey.com/#!/content/journal/1s2.0-S0735109725027809

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

▶️https://www.wjgnet.com/1949-8462/full/v17/i6/107386. htm

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

▶️https://www.wjgnet.com/1949-8462/full/v17/i6/106147. htm

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

▶️https://jamanetwork.com/journals/jamanetworkopen/ fullarticle/2834554

Gupta NK, Prvulovic ST, Zoghi S, Chmait HR, Covell MM, Sabet CJ, DeGenova DT, Marc Moisi, Schmidt MH, Christian Bowers. Complementary effects of postoperative delirium and frailty on 30-day outcomes in spine surgery. Spine J. 2025 May;25(5):966-973. PMID: 39674405 HMC authorized users only:

▶️https://www.clinicalkey.com/#!/content/journal/1s2.0-S1529943024012026

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:

▶️https://www.clinicalkey.com/#!/content/journal/1s2.0-S1878875025004346

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.

▶️https://link.springer.com/article/10.1245/s10434-02516949-y

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.

▶️https://journals.sagepub.com/doi/full/10.1177/21925682 251356219?rfr_dat=cr_pub++0pubmed&url_ver=Z39.882003&rfr_id=ori%3Arid%3Acrossref.org

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