August 12, 2011
MEDICAL UNIVERSITY of SOUTH CAROLINA
Vol. 29, No. 50
InsIde EndowEd Chair namEd
Family Medicine melds old-fashioned values with high-tech service for comprehensive care
Dr. Richard Drake has been named SmartStart Endowed Chair in Proteomics.
PEdiaTriC Chair Family Medicine director Dr. Bill Hueston, left, reviews a patient’s chart with third-year medical student Guillermo Rivell at the MUSC Family Medicine Center in downtown Charleston. Apothecary show globes, right, grace the counter at MUSC Family Medicine Center’s pharmacy, a symbol of a return to old-fashioned values. By CIndy ABole
Public Relations n an effort to provide better health outcomes and lower health care costs, MUSC’s Department of Family Medicine joined an elite rank by becoming a Patient Centered Medical Home (PCMH). Bill Hueston, M.D., professor and chairman, Department of Family Medicine, said the model’s multidisciplinary approach offers better, more interactive health care. This past spring, MUSC Family Medicine achieved a level 3 (the highest designation) PCMH rating by the National Committee for Quality Assurance (NCQA) utilizing the Physician Practice Connections program. The PCMH program evaluates practices,
tools and systems to certify that they meet the NCQA standards for ensuring that children, youth and adults receive comprehensive primary care services. “With the complexity of health care today, it is just as important to coordinate care as it is to deliver care,” Hueston said. “What many patients need is for a practice to develop systems that are responsible for collecting, interpreting and sharing patient information that can help coordinate care among all the patient’s providers. Having a system and team who can do this frees up physicians’ time to focus on patients with chronic disease, their management and care. This is the concept behind the patient-centered medical home model.” This model embraces a multidisciplinary
team approach by relying on physician assistants, nurse practitioners, medical assistants and others. It also challenges programs to invest in information technology, electronic medical records systems, e-prescription management and same-day scheduling to transform and modernize family practice medicine, according to Hueston. Medical information and results (medications, vitals, lab work and specific etc.) are organized in a patient’s electronic medical record for health care specialists to access and review at any time. The system not only manages information, but has proven to improve work flow efficiency, reduce staff workloads and provide more quality time with See Family Med on page 8
Dr. Rita Ryan shares her vision as chair of Department of Pediatrics.
2 Applause 5
T h E C aTa ly s T onlinE http://www. musc.edu/ catalyst
2 The CATAlysT, August 12, 2011
ApplAuse progrAm The following employees received recognition through the Applause Program for going the extra mile: Medical Center
Jennie Curry, ART 6W; Ava Jones, 8E; Wes Smith, 8E; Joan Madriaga, 8E; Vicki Fields, 2 JRU; Natasha Sheppard, 2 JRU; Kimberly Rieck, Ambulatory Care; Nathalie Scott, PAS; Amenah McDougal, Main OR; Shirley Bluford, Radiology; Janice Petrilla, Radiology; Pamela McGrew, Children’s Services; Susan Alexander, Women & Infant Services; Tina Dansaert-Ackerman, Women & Infant Services; Diane Bessinger, Ambulatory Surgery; Matthew Nesmith, Med/Surg ICU; Kathryn Lanter, Med/Surg ICU; Kelly Rhoades, Med/Surg ICU; Jessica Hardy, Women’s Services; Cherrelle Meggett, Radiology; Shinika Phillips, Volunteer & Guest Services; Jessica Edwards, Peri-AnesthesiaUnit; Tim Jones, Hospital Services; Patricia Christie, PACU; Janet Stone, ART CCU; Melvena Nelson, Environmental Services; Wendy Williams, 10W; Eugene Gotbaum, HVC; Marina Pulini-Franks, Division of Rheumatology & Immunology; Frances Washington, Radiology; Kendall Simmons, Meduflex Team; Shnek Gaillard, ART Laboratory Services; Jessica Grant, ART CCU; Ryan Speidel, ART CCU; Patricia Nickerson, ART CCU; Jennifer Fabricant, HVC CCU; Heidi Krahn, HVC CCU; Michael Moore, Residents Otorhinolaryngology; Cloe Peeples, ART 6E; Elice Graham, Medical Records; Kate
Humphries, Otolaryngology; Mark Lawless, Pathology & Laboratory Medicine; Rebecca Sammarro, Pharmacy; Robincena Edwards, Hollings; Rose Reeves, Radiology; Debra Oree, Children’s Services Registration; Doris Thomas, Medical Records; Robin Middleton, HVC; Tammy Moyniham, HVC; Susan Jeffcoat, HVC; Lynn Williams, HVC; Traci Davis, Storm Eye Institute; Martin Maddox, Meducare; Kevin Satterfield, Clinical Neurophysiology Services; Jordan Shealy, Main Anesthesia; Tara Dais, Family Medicine; Julia Marrow, Family Medicine; Diane Annand, Family Medicine; Brian Parks, Family Medicine; Victor Jackson, Dietetic Services; Francis Jansen, Main OR; Brenda Chepenik, 7W; Alisa Whittington, Emergency Department; Mike Norris, Emergency Department; Shannon Gray, 9E; Katrina Sanchez, 8E; Melinda Anderson, 8E; Wesley Smith, 8E; Kellyn Schroeder, 8E; Karen Fry, 8W; and Stanisha Vick, 8W. University
Drew Farmer, College of Dental Medicine; Jacquetta Gethers, Controller’s Office/Student Accounting; Vanessa Hosey*, Transportation; Linda Kinlock, Enrollment Management; Allen McCreary*, Engineering & Facilities; Michelle Muir, Enrollment Management; Angela Stevens, College of Dental Medicine; Clay Taylor, OCIO-Information Services; Ty Taylor, Endocrinology; and Debbie Wood, College of Dental Medicine. *Received more than one nomination
Dr. K. Drew Baker explains how the new pediatric After Hours Care clinic compliments other pediatric medical services to a crowd gathered for the grand opening Friday, July 22. The clinic is located off Highway 78 (behind Zaxby’s) in North Charleston.
After-hours pediatric clinic opens in North Charleston MUSC’s Children’s Hospital opened the After Hours Care clinic at 2750 Dantzler Drive in North Charleston July 22. K. Drew Baker, M.D., After Hours Care clinic’s medical director, said children have special medical needs and are best treated by professionals trained to work with children. According to Baker, the clinic fills the unmet need of medical services specifically geared to children available in the evening and on weekends and holidays. The clinic will be open from 4 to 10 p.m. weekdays, and from noon to 7 p.m. on weekends and holidays.
Clinic staff members are available to deal with childhood ailments, such as sore throats, ear infections, injuries and asthma. The clinic also has an onsite X-ray capability to diagnose broken bones and fractures. MUSC Children's Hospital administrator John Sanders said this is a chance for the families of North Charleston, and Berkeley and Dorchester counties to have access to the Children’s Hospital. “This program also supports the pediatricians and primary care physicians of the area.” For information, call 876-2220 or visit http://www.musckids.com/ Afterhours.
MUSC Women’s Club accepting scholarship nominations Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn email@example.com Catalyst staff: Cindy Abole, firstname.lastname@example.org Dawn Brazell, email@example.com
The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: firstname.lastname@example.org.
The Women’s Club is accepting scholarship nominations from full-time students in their second or subsequent years from any of the six colleges at MUSC. Last year the club awarded $15,000 to 13 students. This year it will award a similar amount. The scholarship committee will review the applications and select recipients based on financial need, academic achievement and community and university service. An applicant’s transcript, personal statement
and letter of recommendation from an MUSC faculty member are required. Scholarship recipients will be notified by Sept. 9 and be recognized on Sept. 14 at the MUSC Women’s Club annual membership coffee. Applications are available through the Volunteer Services Office (main lobby of North Tower) or online at http:// tinyurl.com/63czrjk. The deadline for application submission is 4 p.m. Aug. 29. For information, email Deborah Lambert at email@example.com.
The CATAlysT, August 12, 2011 3
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Leading cancer expert named new endowed chair
Richard R. Drake, Ph.D., one of the nation’s leading experts on the complex role of proteins in the development of cancer, has joined MUSC as the SmartState Endowed Chair in Proteomics. Drake, a professor in the Department of Cell and Molecular Pharmacology and Experimental Therapeutics, was named director of MUSC's Proteomics Center. Drake will be working with scientists at MUSC’s Hollings Cancer Center, and colleagues in the Department of Cell & Molecular Pharmacology and across the region to develop new diagnostic tests and define how well cancer treatments are working. Proteomics is the study of all the proteins present in a cell, tissue or organism at any moment. The human body contains millions of proteins, all of them with distinct functions that drive activity in and between cells. Whereas the specific components of any individual genome may be somewhat fixed, protein expression and behavior is remarkably dynamic reflecting the biology of cells and tissue. By defining these protein changes in combination with clinical information, protein “biomarker” tests can be developed that lead to more personalized protocols and treatments for patients. Proteomics is the study of all the proteins present in a cell, tissue or organism at any moment. The human body contains millions of proteins, all of them with distinct functions that drive activity in and between cells. Unlike genes, protein behavior is constantly changing to reflect the life of a cell. By defining these protein
Dr. Richard Drake will be working with scientists to develop diagnostic tests and define how well cancer treatments are working.
changes in combination with clinical information, protein “biomarker” tests can be developed that lead to more personalized protocols and treatments for patients. Drake is the 40th appointed SmartState Endowed Chair. The SmartState Program, formerly the CoEE Program, was created by the South Carolina General Assembly in 2003 to stimulate knowledge-based economic development through academic research and industrial partnerships. The Proteomics Center of Economic Excellence hopes to translate the research of Drake and his team into commercialized biomarker tests for a variety of medical fields. Regan Voit, interim chair for the SmartState Review Board, said that Drake’s appointment confirms that despite the difficult current economic environment, the unprecedented success of the South Carolina SmartState Program creates an attractive environment for the world’s leading innovators to start new
businesses, create well-paying jobs and contribute to the state's prosperity in the global economy. Drake’s goal at MUSC is to identify specific protein biomarkers associated with different types and stages of cancers, as well as protein biomarker tests that could monitor the effectiveness of treatment. “We believe that protein activity inside cancer cells provides a map of sorts to what causes or allows healthy cells to become cancerous and proliferate,” Drake said. “The more we know about the unique traits, or biomarkers, of different types of cancer, the better we'll be diagnosing and treating cancer.” Drake, recruited from Eastern Virginia Medical School, has significant funding from the National Institutes of Health and Department of Defense for prostate and kidney cancer research. He said MUSC has the scientists, facilities and equipment to be a leader in the relatively new field of proteomics. Ken Tew, Ph.D., chair of MUSC’s Department of Cell & Molecular Pharmacology & Experimental Therapeutics and a John C. West SmartState Endowed Chair in the Translational Cancer Therapeutics Center, said Drake has extensive credentials in the study of biomarkers in disease, particularly with respect to cancer. “The advent of pharmacogenetics and individualized therapy will place great emphasis on determining accurate predictive biomarkers for diagnosis and treatment of diseases such as cancer. Dr. Drake will help put what we learn in the labs into new protocols for patients.”
Fellowship establishes research support, mentoring opportunities By CIndy ABole Public Relations Finding effective biomarkers to better detect and diagnose human papillomavirus (HPV) among college-age and other female groups is the research interest of gynecologist Jennifer L. Young, M.D. An assistant professor in the Division of Gynecologic Oncology in the Department of Obstetrics and Gynecology, Young will have a chance to conduct this research as the first recipient of the John R. Raymond Mentoring Fellowship. The award was established by members of MUSC's Women Scholars Initiative (WSI) and university leadership to create financial support for a qualified fulltime female faculty members to initiate
Dr. Jennifer Young, left, Dr. John Raymond and Lucia A. Pirisi-Creek celebrate at the June 30 fellowship reception. a collaborative mentor relationship with colleagues outside of the institution.
This dedicated research time also will allow Young to collaborate with research
mentor Lucia A. Pirisi-Creek, M.D., a professor at the University of South Carolina’s Department of Pathology, Microbiology and Immunology. The fellowship also honors John R. Raymond, M.D., former MUSC Provost and vice president of academic affairs from 2003 to 2010. Raymond is the current president and CEO of the Medical College of Wisconsin in Milwaukee. Throughout his tenure at MUSC, Raymond was a tireless advocate who was committed to faculty development and was instrumental in establishing the Women Scholars Initiative. Young said she was overwhelmed when she was notified that she was selected among dozens of applicants for this
See Fellowship on page 10
The CATAlysT, August 12, 2011 5
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How long at MUSC 6 months Favorite flavor of ice cream Chocolate Favorite radio station NPR Dream vacation Anywhere I can be active with my family, especially my grandchildren
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6 The CATAlysT, August 12, 2011
New pediatric department chair shares her vision
ita Ryan, M.D., became MUSC’s new chair of the Department of Pediatrics July 1, coming from the Women & Children’s Hospital of Buffalo, State University of New York (SUNY) where she served as chief of the Division of Neonatology, director of the Neonatal-Perinatal Medicine Fellowship Program and director of the center for Developmental Biology of the Lung. Born in Tennessee and raised in the Bronx in New York City, Ryan received her bachelor’s degree in mathematical science from The Johns Hopkins University. She completed her medical degree and pediatrics residency from SUNY – Upstate Medical Center in Syracuse and a fellowship in neonatalperinatal medicine at the University of CincinnatiCincinnati Children’s Hospital Medical Center. She has an extensive research background and is principal investigator of the National Heart, Lung and Blood Institute (NHLBI)-funded Prematurity and Respiratory Outcomes Program and site principal investigator of the NHLBI-funded Trial of Late Surfactant.
What attracted you to MUSC? Strong pediatric academic program and quality of faculty all on one campus, and the very strong relationship between the hospital and the academic departments. As chair of the Department of Pediatrics, where do you see MUSC heading? We have several areas in which we have just recruited faculty, including pediatric hematology-oncology and pediatric endocrinology, and we are planning to recruit in pediatric pulmonology, genetics and child abuse. We will be recruiting for academic faculty whenever possible. I hope that our department will continue to grow in doing research and continue to have a strong pediatric residency program and fellowship programs in neonatology, pediatric cardiology, general academic pediatrics, rheumatology, developmental-behavioral pediatrics, pediatric emergency medicine and pediatric hematology-oncology. What research are you excited about? I am a lung researcher—I am particularly interested in the effects of high oxygen levels and how this can hurt the lung and lead to a disease called bronchopulmonary dysplasia, a chronic lung disease of premature babies. I am also interested in some of the research done in our department that involves how to protect the neonatal brain from injury, and what are the effects of a low
15, will be a high school sophomore. My oldest, Liam, 19, is coming to visit so I am very much looking forward to that. What are your proudest accomplishments? Well what self-respecting pediatrician wouldn’t answer this way: my three children, of course. But if you mean professionally, I would have to say developing a strong neonatal resuscitation research group in Buffalo, very much a collaborative effort, but something that is really making a contribution to how we think about neonatal resuscitation. Any time any one of my former fellows or faculty has a success, that is something about which I feel very good.
Dr. Rita Ryan enjoys an artistic moment with Kaylee Edwards, 3. Below is Ryan with her family: Brenna, Liam, husband Gary and Conor Sleggs.
vitamin D level in pregnant mothers. There are some really terrific MUSC research projects about which I am learning, both within and outside of the Department of Pediatrics, and I look forward to hearing about every one. As the mother of three, how do you balance your professional and personal life? I have a wonderful spouse and that really helps. This year is especially hard for me because my family has remained in the Buffalo area due to my middle child, Conor, 17, being a rising senior. My daughter Brenna,
Do you have a favorite anecdote that captures a moment for you - where you felt you really were making a difference? There is nothing more fun for a neonatologist than going to the “DR” (the delivery room), seeing a baby who is not breathing, or having some kind of problem, and intervening to help them breathe better. My biggest clinical successes have probably been later on in my career, playing more of an overseer role as the attending physician-neonatologist and seeing a more long-term treatment work for a baby. I remember a baby from many years ago whose lungs had been hurt from our ventilators, and oxygen, and from just being so premature, and because this baby had had so many periods of hypoxia, or low oxygen, the previous team was thinking of just letting go and not really aggressively trying to continue intensive care. So I looked at the baby and she seemed normal from a neurologic, or brain, standpoint. I got an EEG, a brain wave test, which was normal, and she had not had any bleeding in the brain problems so common in premature infants, so I did not think we should not be aggressive just because of bad lungs. The lung has an amazing ability to repair itself, if given enough time. She ultimately had a tracheostomy for home ventilation, and I lost track of her until my pediatric pulmonary colleague showed me a series of Christmas cards from her family – all grown up and doing OK (getting a little extra help in school). There was a similar situation in which another little baby girl, ex-premie with bad lungs, was thought to be beyond saving who I started to care for and who also made it and walked back into the unit at 18 months of age, quite short but otherwise doing pretty well. Patients like these two reinforce that hope is an important part of being a clinician. What are your hobbies? I play the guitar, read. What’s your favorite quote or mantra in life? “Once I was sad because I had no shoes, then I met a man who had no feet.”
The Catalyst, August 12, 2011 7
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2011 Faculty Convocation The 2011 Faculty Convocation will begin at 4:30 p.m. Aug. 23 at the Basic Science Building Auditorium. This year’s theme is titled, Global Health and its importance to MUSC. The guest speaker is William Plater, Ph.D., Chancellor’s Professor of Public Affairs, Philanthropic Studies, English and Informatics at Indiana University-Purdue University. Plater’s interest is in enhancing student and faculty experiences that extend beyond to worldwide institutions. A reception will follow at Colcock Hall.
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Immunization nurse Stella Seels prepares a vaccination. MUSC Family Medicine Center provides a full scope of family care services including vaccinations.
Third-year family medicine resident Dr. Emily Bush listens to the heart of patient Michael Beirne during a recent visit to the University Family Medicine office in North Charleston.
Continued from Page One
patients. Patients and physicians rely on phone calls and e-mail to communicate using a secure, private web portal. “Patients like having an open access to communicate with their physicians. It’s quick, effective and fits into both the patient and physician’s daily schedules,” Hueston said. This systems-view approach to health care is of particular interest to Hueston, Peter Carek, M.D., professor, Department of Family Medicine Residency Program director, and Allison McCutcheon, quality coordinator in the Department of Family Medicine. Both physicians are familiar with early PCMH concepts as was proposed in the 1980s by pediatricians to help manage vulnerable and disabled children’s medical care, and again in 2000 when industry giant IBM teamed up with the American Academy of Family Physicians and American College of Physicians to evaluate the efficacy of the PCMH model to address rising health care costs. Hueston, Carek and McCutcheon feel their department is already ahead of most other primary care practices in valuing PCMH models through the use of processes and tools such as ongoing registries, a health maintenance reminder system and various community-oriented
Pharmacy tech Laverne Smith, right, reviews medication details with patient Marlene Cromwell at the downtown location. The MUSC Family Medicine Center downtown features a number of services including a full-service pharmacy. primary care projects. The department’s focus on quality and service has always been a part of Family Medicine’s philosophy of practice. “Our physicians are already proactive with patients under their care. They’re already aware of what’s going on with their patients long before they arrive for
an appointment,” said Carek. The department’s focus on high quality care extends even to residents who train in the department. The residency program supports several resident quality improvement projects where resident-physicians, working in small groups under the guidance of a
University Family Medicine is one of four practice locations that support child, adolescent and adult health care services to patients throughout the Tri-county. faculty mentor, develop a systemwide intervention project (i.e. diabetes blood sugar management, hypertension, etc.) to improve upon a clinical problem. “What’s key is that our residents are given dedicated time to focus on a quality improvement project that’s important to their training,” Carek said. “We’ve giving our residents the tools and experiences and they’re using them.” What’s new in family medicine resident training is integrating PCMH concepts into the curriculum. By doing this, the program is able to prepare the next generation of practitioners giving MUSC’s family medicine physicians an edge among other professionals. Family Medicine’s road to success with PCMH is part of a multi-year coordinated effort. According to Hueston, the department has done everything needed to prepare for these transitions. “The future of health care is not just about how much you can do, but how well you do it. When health care focuses on coordination and collaboration in care, we can improve quality and outcomes for patients. I’m hopeful for good change. We all need to work together to get there.” For information, visit http://www. musc.edu/dfm/.
The CATAlysT, August 12, 2011 9
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weigh and measure foods, read food labels and taste new foods. They also review their new anatomy and discuss tips for grocery shopping, cooking and eating out. Bariatric Bootcamp is for post-op patients who have had a gastric bypass or sleeve gastrectomy, regardless of where patients had their bariatric surgery. The next class is Aug. 30. The registration is due Aug. 19, and the program costs $40. For more pictures and information, visit http://www. muschealth.com/weightlosssurgery/ classes/bariatricbootcamp.htm.
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Bariatric Bootcamp is an intensive, hands-on nutrition class for postoperative patients who have had a gastric bypass or sleeve gastrectomy. This program was developed specifically by the dietitians from MUSC’s Bariatric Surgery Program and recently won a national award from the American Dietetic Association Foundation for contributing an original and innovative effort in food and culinary education. In this half-day course, patients review the post-op meal plan and food groups, visit several ‘food group stations’ to
10 The CATAlysT, August 12, 2011
FellowshIp Continued from Page Four inaugural fellowship. “It's affirmation from my colleagues and others in the research community that people believe in me and my research efforts.” The award provides Young with a twoyear GYN fellowship funding. She said she'll look forward to working with PirisiCreek who has previously trained and mentored 23 post-doctoral researchers, sits on the board of directors for the International HIV Papillomavirius Society and has written more than 60 published papers on this topic. “I'm excited about this collaboration and my role as a mentor. I’m hoping our work will help expand the research outlook for the future,” said Pirisi-Creek. Fellowship namesake, John R. Raymond, M.D., said that he has been pleased to see the progress of MUSC’s
Women Scholar's Initiative since helping to establish it in 2003. The group represents a visible sign of achievement and highlights conducted by the group. “I'm honored to be associated with this group and the many efforts and commitments gained.” Mary Mauldin, Ed.D., director for the Center for Academic Research and Computing, chaired a JRR mentoring fellowship advisory committee tasked from July 2010 to March to select the first fellowship recipient. Applicants were reviewed based on a number of criteria and said that Young's application rose above others sharing a clear and concise goal. For information on the JRR Mentoring Fellowship and WSI, visit http://www.musc.edu under Women's Scholar Initiative.
COM students need to remove items from lockers by Aug. 16 The College of Medicine’s annual locker cut and clean-out is scheduled for Aug. 16, beginning at 9:30 a.m. Students are asked to remove all possessions from the lockers on
the first floor of the Basic Science Building. Any remaining items will be discarded. For information, contact Artice Smith at 792-2063.
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CLASSIFIED P AGE • Household Personal Items for MUSC employees are free.
All other classifieds are charged at rate below. Ads considered venture-making ads (puppy breeder, coffee business, home for sale, etc.) will be charged as PAID ADS •• PROOF OF ELIGIBILITY REQUIRED * NO MORE THAN 3 LINES * FREE ADS RUN 2 WEEKS ONLY!
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Attention Military Personnel and Current USAA members Ask about USAA Member Exclusive Incentives Photo for illustration purposes only.
TOWARD A 2011 E-CLASS OR M-CLASS! Getting behind the wheel of a Mercedes-Benz certainly has itâ€™s reward. 2011 Mercedes-Benz E350
If you currently own a BMW, Audi, Lexus, Jaguar, Porsche, Range Rover, Infiniti, Acura, Cadillac, Lincoln and Volvo you can get $4,000 toward a 2011 M-Class or E-Class of your choice. *Driving a Mercedes-Benz has never been more rewarding.
2011 Mercedes-Benz ML350
*Qualified customers only. Offer excludes 2010 or 2011 Sprinter and SLS models. Photo for illustration purposes only.
www.BakerMotorCompany.com 1511 Savannah Hwy, Charleston, SC 29407