The Journal of the Oklahoma OsteopathicAssociation
OKLAHOMA D.O. May/June 2013 October 2015
Volume 80, No. 4
“The family of DOs in Oklahoma will be family.”
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OKLAHOMA OSTEOPATHIC ASSOCIATION
OFFICERS
TRUSTEES
STAFF
C. Michael Ogle, DO, President (Northwest District) Gabriel M. Pitman, DO, President-Elect (South Central District) Kayse M. Shrum, DO, FACOP, Vice President (Tulsa District) Michael K. Cooper, DO, FACOFP, Past President (Northeastern District)
Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO, FACOFP (Southeastern District) Timothy J. Moser, DO, FACOFP (South Central District) Clayton H. Royder, DO (South Central District) Richard W. Schafer, DO, FACOFP (Tulsa District) Christopher A. Shearer, DO, FACOI (Northwest District) Ronald S. Stevens, DO (Eastern District) Ana C. Oliveira Crew, DO, MPH (Resident Trustee)
Lynette C. McLain, Executive Director Matt Harney, MBA, Associate Executive Director, Director of Advocacy and Legislation Marie Kadavy, Director of Communications and Membership Audrey Hendricks, Education Coordinator and Foundation Administrator Lisa Creson, Administrative Assistant
The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335.
Oklahoma D.O. | October 2015
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For more information: 405-528-4848 or 800-522-8379 Fax: 405-528-6102 Email: ooa@okosteo.org www.okosteo.org
Oklahoma D.O.
Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication.
OKLAHOMA
do
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THE ELEPHANT IN THE ROOM
At countless state meetings with health care stakeholders, one overriding theme constantly emerges: our state is hamstrung by a seemingly endless budget shortfall. From Oklahoma Health Improvement Plan (OHIP) workforce meetings to State Chamber committee meetings to Oklahoma Health Care Authority (OHCA) board meetings and everywhere in between, we hear about the negative effects of this recurring budget disaster.
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THE TIME HAS COME FOR ME TO SAY THANK YOU
After an extraordinary 42 years of dedicated service to the Oklahoma Osteopathic Association, Executive Director Lynette C. McLain says farewell.
Oklahoma D.O. PAGE 4
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OSU-CHS OFFERS UNIQUE EXPERIENCES IN MEDICINE AND SCIENCE FOR OKLAHOMA’S NATIVE CITIZENS
The Office for the Advancement of American Indians in Medicine and Science (OAAIMS) continues to address the paucity of American Indians in the fields of medicine and science.
Oklahoma D.O. | October 2015
OCTOBER 2015
TABLE of CONTENTS Marie Kadavy Editor-in-Chief
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INAUGURAL ADDRESS OF THE 119th PRESIDENT OF THE AMERICAN OSTEOPATHIC ASSOCIATION John W. Becher, DO, shares his hopes and plans for the AOA in his inaugural address delivered at the 2015 House of Delegates in Chicago, Illinois.
DEPARTMENTS
President’s Message
10
2016 Winter CME Seminar Registration
28
What DOs Need to Know
30
OOA Members in the News
32
OOA Bureau News
33
Awards Nomination Form
34
7th Annual Poster Symposium Details
35
Doctor of the Day Form
36
October Birthdays
38
Classifieds
Oklahoma D.O. | October 2015
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39 Calendar of Events
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C. MICHAEL OGLE, DO President 2015 – 2016 oklahoma osteopathic association
THE PMP MANDATE HAS ARRIVED... HERE IS WHAT YOU NEED TO KNOW!
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This spring, House Bill 1948 was signed into law by the governor. This bill mandates Prescription Monitoring Program (PMP) checks before writing certain prescriptions. The bill attempts to crack down on doctor shopping and prescription drug abuse and was the first bill signed by Gov. Mary Fallin during the 2015 legislative session. The bill requires physicians or their staff to check the PMP on initial patient visits and every 180 days thereafter before writing a prescription for opioids, benzodiazepines and carisoprodol. The bill transitions enforcement of the PMP to the respective licensure boards and allows providers to include a copy of the PMP report in the patient’s file. Also, HB 1948 creates a 1-800 number that can be used to record PMP checks if the online system is inaccessible. These requirements do not apply to practitioners providing prescriptions for hospice and nursing home patients. The law is effective Nov. 1, 2015, but is subject to a sunset clause after five years. Have no doubt, this is the largest prescriptive mandate on physicians and their practices in state history. Government intervention in medicine is alive and well—even here in ruby red Oklahoma. This legislation was championed by Gov. Mary Fallin, State Commissioner of Mental Health Terri White, MSW, and State Health Department Commissioner Terry Cline, PhD. There were many claims made by mandate proponents, many of which never were followed up with data, source or details. In fact, in the midst of the PMP debate one agency chief stated, “It’s unsettling that the medical associations have opposed a bill that would put a tool in the hands of physicians to make informed clinical decisions for their patients. What we’re hearing from those medical associations is they don’t want to do it even though they’re being told it could save lives.” Statements like these show a blatant disregard for independent medical judgment and show the hostile political environment under which we currently operate. Despite implementing unprecedented PMP mandates, the version of HB 1948 that ultimately passed was far less draconian
than initially proposed. Your Oklahoma Osteopathic Association team (lobbyists, staff, and of course you, our membership) as well as many other like-minded partners were able to scale back many of the radical regulation requirements sought by the governor. A closer look at the drugs most abused in Oklahoma shows providers are already prescribing at a decreasing rate. The following data was obtained via the Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBNDDC): • PMP searches have increased 342% from the first quarter of 2011 to the last quarter of 2014. • There were over 668,000 unique searches on the PMP system in the 4th quarter of 2014. • PMP searches are on track to surpass 3 million in 2015 (even pre-mandate). • Carisoprodol is down 33.4% since 2012. • Methadone is down 9.3% since 2010. • Hydrocodone is down 7.8% since 2013. • Alprazolam is down 5.3% since 2012. • Diazepam is down 1.2% since 2012.
Again, these massive reductions in the number of prescriptions written are without any new mandate. It’s all the more impressive when you consider these dosage decreases coincide with a state population that has increased by more than 60,000 over just the last couple years. The bill expands PMP database access to the Board of Examiners in Optometry, Board of Nursing, Office of the Chief Medical Examiner, medical practitioners employed by the U.S. Veterans Affairs Administration, U.S. military, and other federal agencies treating patients in Oklahoma. The bill also allows the OBNDDC director to grant access to medical practitioners and their staff, including those employed by the federal government in Oklahoma. Oklahoma D.O. | October 2015
Additionally, the bill allows Department of Mental Health and Substance Abuse Services and the State Department of Health to utilize information in the PMP database for data, research, substance abuse prevention, and educational purposes, provided that consumer confidentiality is maintained. The OBNDDC must provide licensure boards with a list of the top 20 prescribers. Upon discovering a registrant is prescribing outside the limitation of his or her licensure, outside of drug registration rules or outside of applicable state laws, the bureau shall notify the respective licensure board in writing. The Oklahoma State Board of Osteopathic Examiners (OSBOE) has created a basic structure outlining penalties for those found in violation of the new law. Penalties may include the following: a private letter of reprimand, mandatory education, an administrative fine, and, ultimately, a formal board complaint and hearing. This may include a report to the National Practitioner Data Bank. The OSBOE is in the final process of ensuring all parties affected by this rule are in agreement before the
final rule is released. The OOA will inform our membership as soon as the policy is finalized. Again, this bill is effective Nov. 1, 2015. The Oklahoma Osteopathic Association fought hard on your behalf to minimize this mandate and will continue to do so. We recognize any mandate on physicians takes crucial time from our busy day, increases the costs associated with providing care and restricts access. The OOA lobbyists, staff, Bureau on Legislation and Board of Trustees will remain ever vigilant in defending against any further mandates, be it PMP or otherwise. The passage of this bill underscores the need for the physician community to be heard. Your advocacy is more important than ever before. Please be attentive to requests for legislative action to ensure our patients are truly represented at the state capitol. Watch this space (and your emails)!
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PMP MANDATE OVERVIEW Issue
HB 1948 (Effective Nov. 1, 2015)
Initial Proposal
Drugs
Opiates, benzodiazepenes, and carisoprodol
All scheduled drugs
Frequency
Before initial prescription and every 180 days thereafter
Before every prescription and refill
Staff
Medical and office staff is allowed to check the PMP
Only the registrant (provider) could check the PMP
Documentation
May include copy of PMP summary in patient’s chart
Barred from including a copy of PMP summary in patient’s chart, large automatic monetary penalty
Enforcement
Licensure boards of respective prescriber
Oklahoma Bureau of Narcotics and Dangerous Drugs Control
Penalty
Penalty for failed check determined by licensure boards
$2,000 fine for each failed check
Internet failure
OBNDD shall maintain 1-800 number to accommodate checks
Not addressed
Duration
Sunsets Oct. 1, 2020 Requires legislative reauthorization
No sunset
Exceptions
Practitioners providing for hospice or end-of-life care, prescriptions for patients in nursing homes
None
Oklahoma D.O. | October 2015
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Oklahoma D.O. PAGE 10
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Oklahoma D.O. | October 2015
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Oklahoma D.O. | October 2015
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Oklahoma D.O.
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Oklahoma D.O. PAGE 12
At countless state meetings with health care stakeholders, one overriding theme constantly emerges: our state is hamstrung by a seemingly endless budget shortfall. From Oklahoma Health Improvement Plan (OHIP) workforce meetings to State Chamber committee meetings to Oklahoma Health Care Authority (OHCA) board meetings and everywhere in between, we hear about the negative effects of this recurring budget disaster. Declining oil and gas revenues, dwindling corporate tax receipts and a state income tax cut dealt a $611 million blow to a $7.1 billion budget this past year. Revenue projections peg an equal or greater shortfall for the upcoming year. Can you imagine having an 8.6% decrease in your household budget? That’s exactly what the entire state of Oklahoma is currently facing, but with no relief in sight. The impact of a shrinking budget impacts our state in many ways. Studies show the vital role of education as an indicator for future success. According to research compiled by the Oklahoma Policy Institute, an individual with only a high school degree is more than three times as likely to live in poverty than a person with a college degree. Yet, Oklahoma consistently ranks nearly last in the nation in per-pupil common education spending—and it’s not likely to change given the state’s current financial condition. Poverty affects us all. We shouldn’t kid ourselves into thinking this is someone else’s problem. We can’t shrink from this funding crisis by claiming it doesn’t directly impact the house of medicine; as we know, that’s simply not true. In 2014, the state legislature passed, and the governor signed, a personal state income tax cut that provides nearly immeasurable financial gain for those most likely to spend it. Oklahoma D.O. | October 2015
An analysis by the Oklahoma Tax Commission showed families with a household taxable income of $30,000 would yield a savings of less than a bill with President Andrew Jackson’s face on it. Meanwhile, families making $1 million would save more than $1,300. The Oklahoma Tax Commission shows the following personal tax savings of the 0.25% state income tax cut for the top bracket. These averages are based on adjusted gross income: $0-$15,999: No money back $16,000-$33,999: $1-$19 back $34,000-$59,999: $22-$59 back $60,000-$99,999: $70-$108 back $100,000-$999,999: $160-$718 back $1 million+: $1,377 back As a state, why would we steal from the general fund when we need so much to improve the state’s infrastructure (be it education, transportation, or otherwise)? Another issue is federal funding. Regardless of whether or not one is supportive of the Affordable Care Act or the Obama Administration, an undeniable truth is the use of federal funds would aid state coffers. Uncompensated care costs are passed along to employers and consumers. We must understand federal funds do not need to strictly funnel to the state in the form of Medicaid expansion. Earlier this year, the Oklahoma Hospital Association unveiled a plan allowing Oklahoma to accept federal funds through the current Insure Oklahoma program. This public-private partnership allows “skin in the game” for essentially all involved parties. Until then, the OHCA, who manages the state’s burgeoning Medicaid population, is forced to shoulder the growing financial burden on its own. The problem is compounded as Oklahoma’s federal match continues to decrease as a result of its increasing per capita income. As the OHCA is constitutionally required to maintain a balanced budget, painful program cuts have been doled out to the nearly 850,000 poor Oklahomans (more than half a million of whom are children) it serves. Further, this impacts the bottom line for physicians as they received nearly an 8% reimbursement rate cut in 2014. While rate cuts were barely avoided in 2015, the next year is an entirely different story as the agency is required to maintain certain program offerings as required by CMS. This further erodes opportunities for savings. An acceptance of federal funds, in any form, would provide sustained budget relief for state leaders and would benefit the wellbeing of Oklahomans most in need. Here’s the thing: our tax dollars will continue to flow to the IRS regardless of our political leanings. Why not allow those dollars to flow back to the state? Further, as we well know, rate cuts also restrict access to care. Access is an invaluable component of the second part of the Oklahoma Osteopathic Association’s mission to promote the health and well-being of all Oklahomans.
Beyond accepting federal funds, the state must also analyze subsidies and programs to ensure their effectiveness. All too often, longestablished subsidies become the norm, not necessarily because of their proven benefit to the state and its citizenry, but rather because it’s a protected gift to a well-heeled industry (or even a corporation).
Oklahoma D.O. | October 2015
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Oklahoma is at a crossroads. What we need now is just a little political courage. State leaders and legislators continue to talk about the difficulties of funding state priorities as if they’re a powerless cog in a runaway system. This is a fallacy, of course. The state budget is not an unsolvable problem, but it will get much worse if nothing is done. The state budget is not just a problem for state legislative and executive leadership. This is a problem for all of us. The time has come to consider real solutions to our state’s problems, even if it means addressing the elephant in the room.
Oklahoma D.O.
According to the non-partisan think tank, The Tax Foundation, individual Oklahoma citizens have an incredibly high tax burden— ranking fifth highest for state and local taxation. Conversely, Oklahoma has one of the lowest corporate income tax rates in the nation. As nearly every quality of life factor housed in the public domain continues to suffer, we at some point must admit we have a revenue problem and not an expenditure problem.
1973-2015
The time has come for me to say thank you to the members of the Oklahoma Osteopathic Association for making this organization the highest ranking in the nation for member retention and percentage of members. Oklahoma has consistently maintained this posture throughout the 1970s, 1980s, 1990s, 2000s and into 2015. Oklahoma gains more members than it loses year after year. I would say you and your leadership are doing something right. The family culture that is the ongoing strength of the Oklahoma Osteopathic Association is our testimony for others whether we are looked at from within our state or whether we are being examined by our peers from other osteopathic state and specialty societies. As most of you know, the annual convention was moved 11 years ago from the safety and comforts of the Shangri-La Resort, which provided Oklahoma’s family of osteopathic physicians the opportunity for an annual family reunion, to Oklahoma City, and now, it is held in Norman, Oklahoma. This Shangri-La meeting ran for 26 consecutive years and was the basis for more than a generation of DO families to become very good colleagues and friends. Oklahoma roots are deep and solid. Oklahoma osteopathic physicians and their families and their associates care about each other, and that is what has made this association unique.
Oklahoma D.O. PAGE 14
All of you—and I certainly include osteopathic medical students, interns, residents, fellows, and all physicians whether retired and life members or those just beginning—are responsible for the successes of the OOA. Each one of you and all of you collectively are important to the OOA and have created this family culture the OOA is known to have. I have been privileged to be a part of this association since December 1973 and have become friends with many. As you can imagine there have been a number of past presidents and past and current members who have taken extra time to see that I was successful and, in doing so, helped the association also be the best it could be. I thank each of you for caring about the association and me and helping mentor me along my path. The former colleagues of mine who deserve my thanks and appreciation for always being supportive and keeping their sights set on putting the OOA first, Mona Spivey, Helen Alexander and Jodie Felmlee. We all worked together under our beloved executive director Bob E. Jones, CAE. In 1999-2000, at the “Oklahoma osteopathic time I was named executive director, and for the next 11 years prior to their retirements and relocaphysicians and their families tion, Mona Spivey, Gina Klein, Julie Gaines, and Dorothy Prophet were excellent staff.
and their associates
I want to express special acknowledgment to Devonne Davis and Kathy Greeson who I had the privilege of working with for 10 and 16 years respectively under Mr. Jones. This was during the
, and that is what has made this association unique.”
1980s and 1990s. All of these valuable people, along with the staff we have today, helped the OOA grow from the 300 members it was in 1973 to the more than 2,000 members—students, interns, residents, fellows, retired physicians, life members and nearly 1,200 dues-paying practicing physicians—the OOA has today in 2015. As a testament to the association’s family culture, I have two achievements worth recognizing to share. I am extremely proud to report that the OOA’s 1992 office baby Jordan Tyler Davis, Devonne’s third son, graduated with honors from Oklahoma Baptist University in 2015, married soon thereafter and is enrolled in Baylor University George W. Truett Theological Seminary in Waco, Texas. Many of you will recall Jordan came to the office with Devonne for the first year of his life, never missing one day and graduated on his first birthday to daycare. David F. Hitzeman, DO, was president at the time, and we had the cooperation of our staff and Board of Trustees throughout that year. These efforts made it possible for the OOA to retain Devonne on staff while giving her the opportunity to spend necessary quality time with her new baby.
around Oklahoma City. Needless to say, there were complications with this surgery. Dr. Nickels was initially, and for several months following the initial and subsequent surgeries, never expected to be up and around ever again. But Dr. Nickels did not see that outcome, and being the determined person he is and with the undeniable dedication from his spouse Connie, he has recovered from this diagnosis. Dr. Nickels has returned to his office and is seeing patients one day per week and looking forward to expanding that in the near future. I am thankful to be leaving on this note. Many of our members prayed for the Nickelses and cared for Dr. Nickels in his early days, and we thank them all. The family of DOs in Oklahoma will always be family.
“The family of DOs in Oklahoma will be family.”
One more very exciting reward I want to share with the members is the wonderful privilege of seeing the miracle of Terry L. Nickels, DO. There are a few who know his story and many more who do not. The 1986-1987 president of the OOA and past president of the American College of Osteopathic Family Physicians suffered a tragic outcome to surgery in December 2010, became paralyzed, and spent the next 4.5 years hospitalized and in rehabilitation units
I am proud to leave you in the great hands of the 2015-2016 Board of Trustees under the leadership of C. Michael Ogle, DO, president, and Gabriel M. Pitman, DO, president-elect.
I am grateful to my current staff: Matt Harney, associate executive director, director of advocacy and legislation; Marie Kadavy, director of communications and membership, editor-in-chief; Audrey Hendricks, education coordinator and foundation administrator; and Lisa Creson, administrative assistant. Best wishes to each one and all of you, and thank you for the past 42 wonderful years of your dedication and friendships.
Oklahoma D.O. PAGE 15
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President 2015-2016
Oklahoma D.O.
has been a significant part of the Oklahoma Osteopathic Association since joining the staff in 1973. She was actively involved in the creation of the Oklahoma Osteopathic Educational Center in Oklahoma City, the home of the OOA since 1986. For the past 42 years, she served in various roles before being named executive director in August 1999. As executive director of the OOA, she is a registered lobbyist for the association; secretary/treasurer for the Oklahoma Educational Foundation for Osteopathic Medicine; and a treasurer of the Oklahoma Osteopathic Political Action Committee. Lynette has also represented the OOA on various committees of the State of Oklahoma, including the Governor’s Task Force on Tobacco & Youth and the Oklahoma Physician Manpower Training Commission. She is a member and past president of the Association of Osteopathic State Executive Directors and has served on a number of American Osteopathic Association committees. Lynette has received numerous awards and recognition for her leadership and service to the osteopathic profession, including the coveted Bob E. Jones, CAE Leadership Award from the American Osteopathic Association in 2007 and the Association Professional of the Year from the Oklahoma Society “She has not only been an of Association Exextremely professional asset to our ecutives in 2000. association, but she has also touched Effective Nov. 1, the lives of the majority of us on a Lynette will serve personal level—knowing us not only as as executive diphysicians, but also as friends, and for rector emeritus many of us, .” through the lead-C. Michael Ogle, DO ership transition.
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Oklahoma State University Center for Health Sciences Offers Unique Experiences in for Oklahoma’s Native Citizens by Kent Smith, PhD, Associate Dean, Office for the Advancement of American Indians in Medicine and Science, and Professor Department of Anatomy and Cell Biology, Oklahoma State University Center for Health Sciences
Oklahoma D.O. PAGE 20
The Office for the Advancement of American Indians in Medicine and Science (OAAIMS) continues to address the paucity of American Indians in the fields of medicine and science. The number of Native Americans who pursue an undergraduate degree in science, technology, engineering and mathematics (STEM) fields is less than 2.5%.1 In 2004, 0.3% of students entering medical school were Native American.2 Of those Native medical students, nearly 25% were greater than 32 years old when they began medical school: whereas, 5% of other entrants were older than 32 years of age.2 This year, the OAAIMS achieved four milestones for Oklahoma’s Native and rural citizens: 1) increased STEM program opportunities; 2) applied for funding to support STEM programs; 3) strengthened partnerships with Oklahoma’s tribal Nations to recruit and train physicians; and 4) created a program to address drug and alcohol addiction among Native people (NATIVE FATE). Oklahoma’s Native citizens participated in summer STEM programs offered through the OAAIMS. These programs included Native Explorers, Native OKStars, Chickasaw Nation’s summer cultural camp, Cherokee Nation’s summer STEM camp, and Choctaw Nation’s STEM camp. With the help of American Indian medical students, two additional STEM/ mini medical camps were presented in the rural towns of Hartshorne (Figure 1) and Welling (Figure 2). These innovative programs were hosted by the Choctaw and Cherokee Nations, respectively. As part the Choctaw Nation’s Partnership of Summer School Education (POSSE) program, the OAAIMS presented a STEM and mini medi-
cal camp for students at Emerson Elementary in McAlester (Figure 3). Two Native high school students from Tulsa and one from Durant were selected from a very competitive pool of applicants to participate in the 2015 Native OKStars summer research internship (Figure 4). This program was co-founded by Nedra Wilson, PhD, associate professor of anatomy and cell biology, in 2014. Another OSU-CHS program targeting rural Oklahoma high school students is Operation Orange, which was created by President Kayse M. Shrum, DO, in 2013. Ashley Milton, special projects manager, reported about 14% of the 2015 participants were American Indian. The OAAIMS was invited by the Osage County Interlocal Cooperative (OCIC) in consortium with nine rural local education agencies and the department of education for the Osage and Otoe-Missouria Nations to participate in applying for funding from the U.S. Department of Education Program in Indian Education—Demonstration Grants for Indian Children. The partnership developed Project AAIMS (Advancing American Indians in Medical and STEM careers). The OAAIMS is excited about this opportunity to work with the OCIC and the Osage and Otoe-Missouria Nations. The OAAIMS anticipates similar opportunities with other Oklahoma Sovereign Nations. Recruiting and retention efforts are currently being developed with the help of key administrators at OSU-CHS, including Vivian Stevens, PhD, associate dean for enrollment management and Bruce Oklahoma D.O. | October 2015
Benjamin, PhD, vice provost for graduate programs and associate dean for biomedical sciences. The OAAIMS is working with Bria Taylor, director of outreach and special events, and Lindsey Yoder, MS, outreach program specialist, to enhance existing STEM and medicine programs, as well as creating additional programs. In order to identify and track Native alumni, the OAAIMS is working with Ryan Miller, director of alumni affairs. The efforts of these administrators and staff are helping pave the way to increase the number of American Indians applying to programs in the College of Osteopathic Medicine and graduate programs in health care administration and biomedical sciences at OSU-CHS. Their efforts will also provide valuable information on retention and tracking of OSU-CHS Native graduates.
The percentage of adults that participate in binge alcohol use and illicit drug use is about 30.6% for Native Americans (American Indian or Alaska Native) and 24.5% for non-Native American adults.3 The need to create programs aimed at addressing the issues of substance abuse and addiction in Oklahoma was obvious to Reggie Whitten, co-founder of the Native Explorers Foundation and FATE (Fighting Addiction Through Education). Therefore, he collaborated with the OAAIMS to create a new program called NATIVE FATE. At the invitation of the Chickasaw Nation’s leadership, an inaugural program for NATIVE FATE was presented as part of their summer youth orientation in June 2015.
Figure 1. Oklahoma State University Center for Health Sciences second year medical student Michael Caniglia of McAlester, Oklahoma, is presenting a STEM and mini medical workshop to Native students (912th grade) at the Jones Academy near Hartshorne, Oklahoma. This program was sponsored by U.S. Department of Education, EPSCor Oklahoma and the Choctaw Nation.
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Oklahoma D.O. | October 2015
Oklahoma D.O.
Figure 2. Oklahoma State University Center for Health Sciences second year medical student Sara Kruczek (far right), Cherokee citizen from Wagoner, Oklahoma, is presenting STEM and mini medical workshop to the Cherokee Nation’s youth STEM camp at the Salvation Army Heart of the Hills near the town of Welling, Oklahoma. This program was sponsored by the Cherokee Nation’s Department of Education and the Johnson O’Malley Association.
Figure 3. Oklahoma State University Center for Health Sciences third year medical student Colby Degiacomo, Choctaw citizen from McAlester, Oklahoma, is presenting a STEM and mini medical workshop for students at students at Emerson Elementary School in McAlester, Oklahoma. This program was sponsored by the Choctaw Nation’s Partnership of Summer School Education (POSSE) program.
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Figure 4. The 2015 Native OKStar participants were (from left to right) Vanessa Moore (Cherokee), Rex Le Clair (Ponca), and Madilyn Scott (Choctaw). These Native high school students were selected from a very competitive pool of applicants. To learn more about Native OKStars visit http:// www.healthsciences.okstate. edu/com/highschool/nativeokstars.php. The Office for the Advancement of American Indians in Medicine and Science continues to reach out to the leadership of Oklahoma’s 39 federally recognized tribes to encourage STEM and health careers for their citizens and address their health and wellness needs. With the support of the OSU-CHS administration(Dr. Shrum and Provost William J. Pettit, DO), tribal leaders (Chickasaw Nation’s Gov. Bill Anoatubby, Cherokee Nation’s Principal Chief Bill John Baker, and Choctaw Chief Gary Batton), and philanthropists like Reggie Whitten, opportunities to provide programs in STEM, medicine, and health and wellness to Oklahoma’s rural and tribal citizens will aid in the propagation of the next of generation of Native physicians and scientists.
References 1. http://www.nsf.gov/statistics/seind14/index.cfm/chapter-2/c2h. htm 2. Sequist, T. D. 2005. Paving the way—providing opportunities for Native American students. Perspective, New England Journal of Medicine 353: 18. 3. http://www.iaia.edu/student-life/student-services/counseling/ alcohol-drug-abuse-prevention/
Oklahoma D.O. | October 2015
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Inaugural address of the 119th President of the American Osteopathic Association John W. Becher, DO
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July 2015 Chicago, Illinois
I am extremely honored and proud to become the 119th President of your American Osteopathic Association and pledge to you all of my best efforts during this next year.
Dean’s office. We were married the week after graduation, and she has been my partner since then. I can truly say that I would not be here today without Paula.
I want to thank Congressman Joe Heck, DO, for his great work as master of ceremonies, and Monsignor Cribben for sharing this day with us. I also want to thank my good friend, Dr. Neil Tytler for his poetic tribute. Today for me is the culmination of a career-long journey that was supported by many people, some of whom are here today. I have been very fortunate to have the love and support of my family who have been introduced to you. I want to especially acknowledge my two grandsons Will and Jack Prout.
As I look back at my career, there are a few individuals who have had a significant impact making me the physician I am today. The first is Herman Eberhardt, DO, my family’s physician. I did not realize he was an osteopathic physician until I was applying to medical school. He encouraged me to apply to osteopathic schools, and for this advice I am eternally grateful. Second was Dr. Thomas M. Rowland, Jr., the president of the Philadelphia College of Osteopathic Medicine from 1974 to 1984, he sponsored the recognition of emergency medicine as an academic department and the development of the emergency medicine residency.
Now I ask that my wife of 45 years, Paula, to join me on stage for a few minutes. In addition to the debt I owe the osteopathic profession for my career in emergency medicine, the most special gift the profession has given me is my lovely wife, Paula. I met Paula when I was a student at the Philadelphia College of Osteopathic Medicine as she was Dean Paul Thomas’ secretary. We met at a fraternity party, and during my last two years at PCOM, I spent a lot of time in the
Next is Bruce D. Horton, DO, FACOEP, and Dr. Horton is here today and I would ask him to stand. Please stand Dr. Horton. Dr. Horton had the vision in 1975, to organize and develop the American College of Osteopathic Emergency Physicians to become an affiliate of the AOA, and in 1980 to petition the AOA to recognize the American Osteopathic Board of Emergency Medicine. Bruce, on behalf of the profession, thank you for all that you have done. Oklahoma D.O. | October 2015
There were two administrative people who greatly contributed to my success. For most of my career at PCOM, I worked with my capable administrative assistant, John Mariano. Prior to working at PCOM, John was the director of the Philadelphia EMS (Emergency Medical Services) system. At PCOM, he administrated the academic department and student curriculum, and helped with the residency program for over twenty years. He tried to retire at 72, then at 75, and finally, when he turned 80, I let him retire. Rose Lent started as my secretary, then became the residency coordinator, first at PCOM, then briefly at Einstein, before Drs. Kuchinski and Spevack stole her for St. Barnabas in the Bronx, but when I went to Atlantic City, I stole her back as my executive assistant. Rose always kept me on track. Now I would like to acknowledge the vision and accomplishments, both nationally and internationally, of Bob Juhasz during his year as President. Bob, thank you for cleaning your plate, and providing a template for me to guide our profession to additional heights over this next year. Thanks to you we all know “Who we are, How we teach, What we do, and What difference it makes to the patients we are privileged to serve.” I have learned much from you during this past year, and I personally enjoyed carrying your bag. All of us in the osteopathic profession owe a sincere debt of gratitude to those physicians in all disciplines whom have contributed their time and talents to make the practice of osteopathic medicine what it is today. I now ask all of the AOA past presidents here today to stand and be recognized. Also I want to acknowledge and express my gratitude to each and every member of the osteopathic family here today for your continued time and dedication to promote your osteopathic profession.
Oklahoma D.O. | October 2015
When you look at where medicine is moving in this country, it is clear that our training model is distinctive. Our training aligns with patient and public demands and our physicians are trained to deliver high-quality, cost effective care. Taking into account all of the above and looking at the healthcare system in the U.S. today, we are well aligned to advance the osteopathic approach to care. With more than 40 years in emergency medicine I have seen it all. From resuscitations of critically ill and injured patients, some of whom did not survive, to a precipitous birth of a healthy newborn, and everything in between. Every situation demands your full attention and leadership from the very moment you walk in the door. This has taught me how to build and empower a care team, motivate, engage, educate and yes, even kick some tail when needed, to get the best results for our patients. Although the American Osteopathic Association is not the emergency department, my longtime involvement confirms the profession has its own “care team.” We have a well-qualified and experienced Board of Trustees, experienced bureau, council and committee members, a dedicated and experienced CEO and her staff, a dedicated physician membership, and an energized student membership.
Robert S. Juhasz, DO, swears in John W. Becher, DO.
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Market forces in this country are aligning in ways that drive the value of osteopathic medicine, and this places our profession right in the sweet spot to lead. The U.S. continues to face a significant shortage of primary care physicians at a time when demand for primary care is exploding. The U.S. Department of Veterans Affairs has experienced a 50 percent increase in primary care visits in just the last
Consumer attitudes are changing in our favor also. There is a confluence of what osteopathic medicine offers and what patients are seeking today. The AOA just completed market research indicating patients appreciate our high-touch, high-empathy approach to care. And…they value the opportunity for a strong physician-patient relationship that helps them to live healthier lives.
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Over the last 40 years, our profession has grown from 5 schools to 34 colleges of osteopathic medicine in 43 locations throughout the United States. The demand for our approach to care has enabled us to gain practice rights now in 66 countries around the globe. With this tremendous growth is the opportunity for our profession to assume a leadership role in the house of medicine. Now is the time for us to help our patients and the public understand our training, our philosophy and our influence on healthcare.
three years, and they do not have enough primary care physicians to meet the demand. VA secretary Robert McDonald recently testified to a congressional committee his belief that osteopathic postdoctoral training programs are uniquely structured to produce the right kind of physicians to help meet our nation’s critical health care needs. Approximately 60 percent of DOs practice in primary care fields, and many train in community-based programs – the kind of care that helps improve quality and reduce costs. So it is not surprising the VA has turned to our profession to help solve this problem.
photo provided by the AOA
Additionally, I want to acknowledge two former colleagues who are no longer with us. Robert Hambrick, DO and Robert Aranosian, DO. Both were mentors and fellow emergency physicians, who worked to develop recognition and training in emergency medicine in Illinois and Michigan while I was doing the same in Pennsylvania. They were both influential in my career.
Every member of our “care team” works together to get the best results, in this case for the longevity, health and vitality of the osteopathic profession. Our team is not only poised for success, we’re demonstrating each day we know how to work together to achieve what we have thought to be impossible or daunting. We are getting more agile as we look around us and ahead of us. And I am energized to begin my presidency at this exciting time because my training and experience stresses the importance of preparing for the unexpected. On Friday, Dr. Juhasz reminded us about the incredible results we have achieved this year on the implementation of our strategic plan and told us there is more work to do, while earlier today Dr. Ajluni implored us to be visionaries in honor of AT Still. And I could not agree more. Now is the time for us to lead. During this next year…as your president, it will be my great honor to advance our strategic plan and ensure we remain focused on this unprecedented demand for our expertise and training. First – We must continue to raise awareness
the AOA
During the past year, as I traveled around the country, osteopathic physicians and medical students continued to express concerns that the public does not understand osteopathic medicine. Our launch of our multiyear brand awareness campaign at OMED this year will help us raise visibility among the public. However, we will all need to be accountable as individuals for supporting and amplifying this campaign. We all must be leaders in this effort.
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While each of us may use different words to explain our profession, ultimately, we can sum it up in a few simple sentences. DOs matter because we focus on patients, not just illness or injury. We partner with our patients to help them Get and Stay well. When they are ill, we deploy the best medicine, surgery and osteopathic treatment to help our patients heal. We are trained to consider the health of the whole person. This has been our heritage since the days of Andrew Taylor Still. In my current clinical practice in urgent care, daily we post the names of all of our staff on duty. This has prompted some patients to ask me, “What is a DO?” This provides me the opportunity to educate an average of 10 patients every day I work. This is just one example of how easy it can be to “engage and promote osteopathic medicine.” Throughout this next year, I will champion full engagement with our state and specialty affiliates, AOSED and SOSE to help implement this effort in cooperation with the AOA communications department. In addition, I look forward to working with SOMA and COSGP to help our students to promote the osteopathic profession in conjunction with their activities during this next year. By working together as one osteopathic profession, we are growing as a powerful and influential force in the House of Medicine, and this is truly exciting.
Second – We must continue to expand our research capacity to demonstrate the impact of osteopathic medicine As you know, we are expanding our research capacity to understand the impact of osteopathic medicine in 6 areas: Chronic diseases and conditions, musculoskeletal injuries and prevention, osteopathic philosophy, the impact of OMM and OMT, pain management and research on the profession. Under my leadership, I will direct funding and investment to stimulate this work and support the Council on Research’s collaboration with our colleges and researchers in the profession to develop four pilot projects in these focus areas. In addition, the restructuring of the JAOA, under the guidance of Editorin-chief Robert Orenstein, DO, will help us further to disseminate the scientific basis of osteopathic medicine, both here in the U.S. and internationally. Third – Expand our high-quality capacity to deliver Graduate Medical Education I could not be more pleased with our achievements this past year to strengthen and expand osteopathic graduate medical education. Our work continues as we implement the transition to the Single Accreditation System for graduate medical education in the ACGME. The AOA remains committed to developing new residency programs in all disciplines with an osteopathic focus throughout the U.S. I am proud and excited at the opportunity to share the tenants of osteopathic medicine with allopathic physicians through the ACGME training programs. Fourth - Our commitment to increase advocacy Our work to increase advocacy for the profession through public policy will move us toward greater capacity. On my watch, the AOA will continue to educate our legislators at the federal and state levels about the positive impact osteopathic medicine has on the health of our citizens. It will be an honor to advocate for the appointment of DOs to public and private organizations to ensure the osteopathic voice is well represented in all areas affecting our patients and our physicians. And, of course, I am committed to ensuring fiscal responsibility. Maintaining fiscal responsibility remains essential to ensure we have funds available to invest in these priorities because it is critical to our long-term sustainability. The results from a recent survey of DOs and students will help us understand what they want and need from the AOA. A new task force will be created to examine member value and our existing dues structure. The task force will ensure the AOA is delivering relevant offerings to meet the current and future needs of our profession. And last but certainly not least, now that we have addressed Graduate Medical Education, the natural evolution of this effort is to consider market expansion for board certification. I am intrigued with the idea that our certifying boards could have a tremendous opportunity Oklahoma D.O. | October 2015
to certify allopathic physicians who successfully complete osteopathic focus training. To this end, my year will include leading the effort to initiate the design of strategies that will address market expansion. Wow – now that is a lot of work! But, I am so thrilled to have the opportunity to work alongside - YOU and the AOA “care team” to get all of this accomplished in the next 364 days. We must work together if we are going to be successful. So, as your president, in paraphrasing President Kennedy, I say to you members of the osteopathic family: “Ask not what the osteopathic profession can do for you, but rather what can you do for the osteopathic profession?”
Lead and contribute to appropriate discussions with healthcare industry leaders. Whether you are talking with current patients, working with fellow health care providers or volunteering in your community, I hope you will take a few moments to tell the story about what the letters behind your name stand for and why our training matters. If only 50,000 of the more than 110,000 current osteopathic physicians and students takes 3-5 minutes once a week for the next year to engage someone who does not know about osteopathic medicine, and inform them, at the end of this year, we will have engaged more than 2.5 million people in our work to raise awareness of the profession. And, just as you are sharing your pride with those outside the osteopathic family, make time to share your pride with me so I can share it with the profession.
photo provided by the AOA
I also ask all of you to get involved outside of the profession, let your voice be heard.
Send me your tweets, Instagrams, emails, letters, voicemails, even snail mails, about why you are proud, and I will make sure to share your voice throughout my travels and in our AOA communications. We all must get involved in raising awareness for the osteopathic philosophy and approach to care. Margaret Mead has said, “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” So I ask you to join me in demonstrating our pride in the osteopathic profession, and engage and promote once a week, get engaged outside the profession and together we can change the world of medicine.
Serve on community, non-profit boards where the public can see osteopathic training and expertise in action.
Thank you!
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Learn about and get involved in public policy matters at federal and state levels.
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What we can do for the osteopathic profession is to stand up and tell the world why we are proud to be osteopathic physicians. I am proud to be an osteopathic physician because “I am energized every day through my interaction with practicing osteopathic physicians and students listening to their accomplishments and their vision of the future for our profession.”
OKLAHOMA OSTEOPATHIC ASSOCIATION
WHAT DOs NEED TO KNOW Behavioral Health Increasing screening of depression and alcohol use disorders in primary care settings, and reducing readmissions from inpatient psychiatric facilities According to the National Council for Behavioral Health and the Institute of Medicine, nearly 1 in 5 Medicare beneficiaries live with one or more mental health or substance use conditions. However, less than 40 percent of these older adults receive treatment.1 In the Medicare population, depression has a higher inpatient readmission rate than all other conditions except for heart failure.2 A concern in the medical community is the un-detection and misdiagnosis of alcohol use disorders (AUD) and depression in the U.S. Alcohol is the most common substance abused and can cause serious complications.3 This is magnified among older adults where AUDs and depression often go undetected due to other physical ailments and the absence of typical symptoms.4
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The National Council on Alcoholism and Drug Dependence, Inc. reports that 4 out of every 5 seniors seeking treatment for substance abuse have alcohol-related issues. In addition, older adults may be less likely to seek mental health care if they perceive mental health issues as a stigma. Identification of these conditions is the first step to improving the lives of these Medicare beneficiaries.
A Community-Based Approach
To address these issues, TMF Health Quality Institute has partnered with the Arkansas Foundation for Medical Care, Primaris in Missouri and the Ponce Medical School Foundation in Puerto Rico to form the TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO), under contract with the Centers for Medicare & Medicaid Services. As a collaborative effort, the TMF QIN-QIO is organizing a community coalition of primary care physicians, inpatient psychiatric facilities (IPFs), hospitals, additional medical providers, partners and other stakeholders throughout Arkansas, Missouri, Oklahoma, 1. Mental Illness Facts and Numbers, National Alliance on Mental Illness. http://www2.nami.org/factsheets/mentalillness_factsheet.pdf 2. Stephen F. Jencks, MD, MPH; Mark V. Williams, MD; Eric A. Coleman, MD, MPH. Rehospitalizations among Patients in the Medicare Fee-for-Service Program. The New England Journal of Medicine 2009. April 2; 360: 141828. http://www.nejm.org/doi/full/10.1056/NEJMsa0803563 3. National Council on Alcoholism and Drug Dependence, Inc. https://ncadd.org/for-the-media/alcohol-a-drug-information 4. Henry O’Connell; Ai-Vyrn Chin; Conal Cunningham; and Brian Lawlor. Alcohol use disorders in elderly people—redefining an age old problem in old age. British Medical Journal. Volume 327(7416); 2003 Sep 20. http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC196397/
Oklahoma D.O. | October 2015
Increasing screening of depression and alcohol use disorders in primary care settings, and reducing readmissions from inpatient psychiatric facilities Puerto Rico and Texas to increase the screening for depression and AUDs in primaAccording to the National Council for Behavioral Health and the Institute of ry care settings, reduce the 30-day readmission rate and increase follow-up care Goals Medicine, nearly 1 in 5 Medicare beneficiaries live with one or more mental for patients discharged from IPFs. or substance use conditions. Health carehealth providers and partners who participate in our initiative will work to achieve the following goals over a four-year period However, less than 40 percent of these older adults receive treatment.1 In ending in August 2019: Goals the Medicare population, depression hasreceiving a higher inpatient readmission rateto Health care75 providers partnersbeneficiaries who participate in our willcare work • Screen percent and of Medicare careinitiative at primary practices annually for depression and AUD. 2 than all other conditions except for heart failure. achieve the following goals overrates a four-year periodbeneficiaries ending in August 2019:from the IPFs. • Reduce 30-day readmission for Medicare discharged •Screen A75follow-up percent of medical Medicare beneficiaries receiving care primary care concern in care the community is the un-detection andat misdiagnosis • Increase after hospitalization in an IPF by increasing the number of Medicare beneficiaries receiving an practices annually depression of alcohol usefor disorders (AUD)and andAUD. depression in the U.S. Alcohol is the outpatient visit with a behavioral health provider. common substance abused and can cause serious complications. •Reducemost 30-day readmission rates for Medicare beneficiaries discharged3 from % This is magnified among older adults where AUDs and depression often IPFs. 60% of U.S. adults with a Keythe Strategies and Interventions undetected dueafter to other physical ailments of typical •Increasegofollow-up care hospitalization in anand IPFthe byabsence increasing the nummental illness do not receive 4 Primary Care Physicians Benefits to Participating symptoms.beneficiaries ber of Medicare receiving an outpatient visit with a behavioral mental health services. • health Assistance in the selection of evidence-based depression and AUD screening instruments provider. The National Council on Alcoholism and Drug Dependence, Inc. reports that • Technical assistance incorporating evidence-based depression screening instruments into work flow processes 4 out of every 5inseniors seeking treatment for substance abuse and haveAUD alcoholand electronic documentation systems so that all patients are screened annually Key Strategies Interventions relatedand issues. In addition, older adults may be less likely to seek mental health care iftothey perceive mental health as a instruments stigma. Identification Benefits to Participating Primary Care Physicians • Technical training screen patients using theissues selected for depression and AUD of these conditions is the first step to improving the livesand of these Medicare •Assistance in the selection of evidence-based depression AUD screening • Tools and resources to educate patients, families and providers on self-identification of depression and AUD symptoms beneficiaries. instruments • Access to quarterly behavioral health educational webinars •Technical assistance in incorporating evidence-based depression and AUD Approach • screening Access A toCommunity-Based virtual community-based affinity groups to promote improvement strategies, stimulate networking and instruments into work flow processes and electronic documenta4 out of 5 cases of seniors who seek sustainability tion systems so that allissues, patients screened To address these TMFare Health Qualityannually Institute has partnered with ••Technical Access the to training an onlineto discussion forum tousing share best practices and solutions Arkansas Foundation for Medical Care,the Primaris in Missouri and theforwith screen patients selected instruments de-peers substance abuse treatment are for alcohol-related conditions. Ponce School Foundation in Puerto Rico to form the TMF Quality pression and AUD Benefits to IPFs andMedical Other Providers Innovation Network Qualitypatients, Improvement Organization (QIN-QIO), under •Tools and resources to educate families and providers on self-identi• Technical assistance and education on evidence-based care transitions best practices and the benefits to patients of reducing 75+: Age of adults with contract with theand Centers Medicare & Medicaid Services. fication of depression AUDforsymptoms readmissions Adults highest male •Access to quarterly behavioral health educational webinars As a collaborative effort, thereadmissions TMF QIN-QIOdata is organizing • Facility-specific and benchmark reports a community suicide rate. •Access to virtualofcommunity-based affinity groups to promote improvement coalition primary care physicians, inpatient psychiatric facilities (IPFs), • strategies, Access hospitals, to an online dashboard to and report andpartners monitorand progress toward goals, and state and regional data that includes stimulate networking sustainability additional medical providers, other stakeholders national benchmarks Arkansas, Missouri, Oklahoma, Puerto and Texas to solutions increase •Access throughout to an online discussion forum to share bestRico practices and 1 in 9: Medicare • with Ability to in depression readmissions workgroup meetings theparticipate screening for andcommunity AUDs in primary care settings, reduce the peers beneficiaries who 30-day readmission rate and increase follow-up care for patients discharged Benefits to IPFs and Otherbehavioral Providers health educational webinars • Access to quarterly consume 30+ from IPFs. and educationaffinity on evidence-based care improvement transitions best ••Technical Access to assistance virtual community-based groups to promote strategies, stimulate networking and alcoholic drinks practices and the benefits to patients of reducing readmissions sustainability per month and •Facility-specific and benchmark readmissions data reports • Access to an online discussion forum to share best practices and solutions with peers 4+ drinks per •Access to an online dashboard to report and monitor progress toward goals, occasion. Continued and state and regional data that includes national benchmarks Join the Behavioral Health Network •Ability to participate in readmissions community workgroup meetings Join theunder Behavioral Health Visit the TMF QIN-QIO website, to locate the Behavioral Health Network, the Networks tab,Network to learn •Access to quarterly behavioral webinars 1. Mental Illness Facts and Numbers,http://www.tmfqin.org, Nationalhealth Alliance on educational Mental Illness. http://www2.nami.org/factsheets/mentalillness_ Work with industry experts and peers to factsheet.pdf more about this initiative and join this network. •Access to virtual community-based affinity groups to promote improvement increase the screening rates for depression and 2. Stephen F. Jencks, MD, MPH; Mark V. Williams, MD; Eric sustainability A. Coleman, MD, MPH. Rehospitalizations among Patients in the strategies, stimulate networking and alcohol-use disorders of Medicare beneficiaries Medicare Fee-for-Service Program. The New England Journal of Medicine 2009. April 2; 360: 1418-28. http://www.nejm.org/doi/ Contact •AccessUs to an online discussion forum to share best practices and solutions full/10.1056/NEJMsa0803563 receiving care at primary care practices. with peers Vanessa Andow, CPHQ 3. National Council on Alcoholism and Drug Dependence, Inc. https://ncadd.org/for-the-media/alcohol-a-drug-information Texas • A rkansas • M issouri • O k lahoma • Puer to R ico Project Director Sources: National Council on Alcoholism and Drug Dependence, Inc. 4. Henry O’Connell; Ai-Vyrn Chin; Conal Cunningham; and Brian Lawlor. Alcohol use disorders in elderly people—redefining an Join the Behavioral Health Network National Alliance on Mental Illness TMF QualityageInnovation Network old problem in old age. British Medical Journal. Volume 327(7416); 2003 Sep 20. http://www.ncbi.nlm.nih.gov/pmc/articles/ The Centers for Disease Control and Prevention Visit the TMF QIN-QIO website, http://www.tmfqin.org, to locate the Behavioral PMC196397/ vanessa.andow@area-b.hcqis.org Health Network, under the Networks tab, to learn more about this initiative and 1-866-439-6863 join this network.
Mental health illnesses are often overlooked in older populations
60
75+
Oklahoma D.O.
Contact
Vanessa Andow, CPHQ Project Director TMF Quality Innovation Network vanessa.andow@area-b.hcqis.org 1-866-439-6863
Texas
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Arkansas
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Missouri
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Oklahoma
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Puerto Rico
This material was prepared by TMF Health Quality Institute, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 11SOW-QINQIO-G1-15-01
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www.TMFQIN.org • 1-866-439-6863 • Fax 512-334-1775 • BehavioralHealth@tmf.org
OOA
Members in the News Tartaglione inaugurated as ACOS president
Smith elected national SOMA president
Oklahoma City neurosurgeon and Oklahoma Osteopathic Association member Dawn R. Tartaglione, DO, FACOS, was inducted as the 2015-2016 president of the American College of Osteopathic Surgeons (ACOS) Oct. 5 at the CerDawn R. Tartaglione, DO, FACOS emonial Conclave during the 2015 Annual Clinical Assembly of Osteopathic Surgeons in Chicago. Dr. Tartaglione is the first neurosurgeon to serve ACOS as president.
The Student Osteopathic Medical Association (SOMA) elected Oklahoma State University College of Osteopathic Medicine’s Alex Smith, OMS-III, as its 2016-2017 national president during the SOMA Fall Convention in Orlando, Florida. Currently the Region III trustee of the SOMA Board of Trustees, Student Doctor Smith will begin his term as president in April 2016. His duties will include leading the SOMA Board of Trustees, helping guide the activities of individual chapters on osteopathic camAlex Smith, OMS-III puses, maintaining partnerships with other osteopathic organziations and organizing SOMA conventions.
“I am both honored and humbled to serve as president of the American College of Osteopathic Surgeons,” Dr. Tartaglione said in her inaugural address. “As I see my trainers, our past presidents, and all the new fellows and new members in the audience, I feel a heightened sense of responsibility to serve the college.”
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Dr. Tartaglione closed saying, “We serve the American College of Osteopathic Surgeons so that we can find ways to secure the future of osteopathic surgery, to make sure that we seize opportunities to demonstrate what osteopathic surgery really means to us, and to show that we provide an exemplary service to our patients throughout the world.”
photos provided by the ACOS
ACOS Past President Valerie L. Sheridan, DO, FACOS, and Dr. Tartaglione
“I’m very excited for the opportunity to serve the Student Osteopathic Medical Association as their national president for the 2016-2017 year,” Smith said. “As a membership organization that is the direct student affiliate of the American Osteopathic Association, SOMA has a unique voice in our profession. A period of strategic planning over the previous two years has given us a finalized set of strategic priorities that will guide our organization from 2015-2018: voice, development, accountability, mentorship and visibility. While each of these priorities will guide my tenure as president, I have a personal interest in expanding the way we develop our members, the way we are held accountable to our members and the way we mentor the next generation of osteopathic leaders. “As a leader in SOMA, I have gained immense amounts of development, I have felt that the organization has been held accountable to my interests, and I have met many an inspiring mentor along the way. I want my experience in SOMA to be the experience of as many of our members as possible, and I think leading the SOMA Board of Trustees as president will give me a fantastic opportunity to improve the experiences of our members. Oklahoma D.O. | October 2015
“I would like to extend special gratitude to the Oklahoma Osteopathic Association for all of their support of the SOMA chapter at OSU-COM,” Smith said. “Your partnership with SOMA to host the annual OOA mentor/mentee dinner provides OSU-COM’s SOMA chapter a fantastic opportunity to recruit members from the incoming class. “This consistently strong recruitment effort ensures the chapter the financial stability and participation levels to provide high quality programming to OSU-COM SOMA members. Undoubtedly, the work of all OSU-COM SOMA leaders past and present has been influenced by the work of the OOA. I look forward to a great year of enhancing the growth of the future leaders of our osteopathic profession, and I encourage all of you to participate in the development of the next generation of DOs.”
Subera elected OBNDDC chair Layne E. Subera, DO, FACOFP, was elected as FY 2016 chair of the Oklahoma Bureau of Narcotics and Dangerous Drugs Control Commission at its Oct. 13 meeting. He is a commissioner representing District 5 as a lay member and is actively involved with the Overdose Prevention Workgroup. Dr. Subera is currently in private practice in Skiatook and is a past president of the Oklahoma OsteoOBNDDC Director Darrell Weaver pathic Association. and Layne E. Subera, DO, FACOFP
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OOA
Bureau News Welcome new members! The OOA Board of Trustees welcomes the following new members to the OOA family! Kevin C. Hoos, DO Emergency Medicine Lawton Michael P. McLaughlin, DO Anesthesiology Oklahoma City
Poster symposium now accepting student and resident research Residents and students, showcase your research and win up to $1,500 at the Seventh Annual Poster Symposium during the Oklahoma Osteopathic Association’s 116th Annual Convention. Read more on page 34.
Trey D. Thomason, DO Internal Medicine-Pediatrics Hinton
Save the date for Osteopathic Medicine Day
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Don’t miss Osteopathic Medicine Day at the Capitol March 30, 2016, in Oklahoma City! Join us for a legislative briefing at the OOA office before departing for the Oklahoma State Capitol for introductions in the House and Senate and meetings with legislators. For more information or to RSVP, please call Matt Harney, director of advocacy and legislation, at 405528-4848 or 800-522-8379 or email matt@okosteo. org.
Submit your nominations The Oklahoma Osteopathic Association is now accepting nominations for the Doctor of the Year Award, A.T. Still Award of Excellence, Rookie Physician of the Year, Outstanding & Distinguished Service Award, and Award of Appreciation. These awards will be presented at the OOA’s 116th Annual Convention April 28-May 1, 2016, and represent the highest honor the OOA can bestow in recognition of outstanding service and contributions to the osteopathic profession in Oklahoma. Be sure to return the nomination form found on page 33 to the OOA office by Nov. 26 for consideration by the OOA’s Bureau on Awards.
n OEFOM Memorials n
Contributing Flo and Thomas H. Conklin, DO
In Memory of Geneva Getchell
Oklahoma D.O. | October 2015
OOA Awards Nomination Form The Oklahoma Osteopathic Association’s Bureau on Awards will meet Thursday, Dec. 3, 2015, to determine award recipients to be honored during the OOA’s 116th Annual Convention. These awards represent the highest honor the OOA can bestow in recognition of outstanding service and contribution to the osteopathic profession in Oklahoma. Only OOA members can submit an OOA Awards Nomination Form and all forms must be received in the OOA Central Office by Nov. 26, 2015. Please complete this form by printing clearly or typing the name along with supporting information on why you are nominating this individual. Be sure to return the completed form to the OOA office by Nov. 26, 2015, for consideration by the OOA’s Bureau on Awards. DOCTOR OF THE YEAR AWARD
A.T. STILL AWARD OF EXCELLENCE
The OOA Doctor of the Year Award is the most prestigious honor within the OOA. Nominees must: • Has been in practice for at least ten years • Provides his/her community with compassionate, comprehensive and caring medical service on a continuing basis • Directly and effectively involved in community affairs • Supports his/her state and professional associations and humanitarian programs Nominee Name: Supporting Information:
ROOKIE PHYSICIAN OF THE YEAR AWARD
Honors a physician who has contributed significantly to the advancement of osteopathic medical education in Oklahoma Nominee Name: Supporting Information:
Honors a physician in his/her second year of practice who has exemplified significant contributions and service to his/her school, community and Association Nominee Name: Supporting Information:
OUTSTANDING & DISTINGUISHED SERVICE AWARD Honors a physician who has significantly contributed to improving the community and promoting osteopathic medicine Nominee Name: Supporting Information:
AWARD OF APPRECIATION
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OOA Member Name:___________________________________________________ Date:_________ Please return this form to the OOA Office by Nov. 26, 2015, by mail to 4848 North Lincoln Boulevard, Oklahoma City, OK 73105, by email to marie@okosteo.org or by fax to 405-528-6102.
Oklahoma D.O.
Honors an OOA Member or friend of the osteopathic profession in Oklahoma who has donated his/her time and efforts to improve mankind Nominee Name:________________________________________________ Supporting Information:
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Oklahoma D.O. | October 2015
Doctor of the Day
Advancing osteopathic medicine through service at the State Capitol The Oklahoma Osteopathic Association (OOA) is sponsoring the Doctor of the Day Program during the month of March 2016 at the Oklahoma State Capitol. The Doctor of the Day program provides a great opportunity to serve others and learn about the legislative process at the same time. Physicians are needed to serve in March on Mondays, Tuesdays and Wednesdays from 8:30 a.m.-4:30 p.m. and Thursdays from 8:30 a.m.-noon. Each doctor can expect to see a handful of patients. To volunteer, please contact Matt Harney at the OOA (405-528-4848 or matt@okosteo.org) or complete and email or fax the form below to 405-528-6102. We'll ensure you're introduced in both the House and Senate chambers.
Yes! I want to participate in the Oklahoma Osteopathic Association Doctor of the Day Program! Name:________________________________________________________________________________ Cell phone:____________________________________ Email:__________________________________ Home Address:_________________________________________________________________________ City, State, Zip:_________________________________________________________________________ q Tuesday
q Wednesday
q Thursday
q Does not matter
internal use House Member:______________________________________________District #:___________________
Oklahoma D.O. | October 2015
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State Senator:_______________________________________________ District #:___________________
Oklahoma D.O.
I prefer to serve on: q Monday
1st
October
Jenny J. Alexopulos, DO Jonathan A. Bryan, DO Myra A. Gregory, DO Gerald R. Hale, DO Gregory D. Pickett, DO
2nd
birthdays
Oliver A. Cerqueira, DO Jessica K. Cunningham, DO Amanda G. Foster, DO Kim S. Young, DO
3rd
Lois S. Beard, DO Shannon N. Boughner, DO
4th
Tracey Way Childers, DO Ryan P. Conley, DO Billy Edwards, DO Renee M. Frenier, DO
5th
James H. Anderson, DO Christopher R. Blevins, DO Dawn A. Mayberry, DO Paul A. Reel, DO Sheila J. Stanek, DO David L. Thompson, DO
6th
H. Keith Boren, DO Lisa L. Crawford, DO Amy L. Gregory, DO Lisa M. Hayes, DO Zoobia Mirza, DO
Oklahoma D.O. PAGE 36
7th
Klaus P. Appel, DO Lee A. Kirsch, DO
8th
Lauren Cathleen Hopkins, DO Thomas W. McCulloh, DO Glenn L. Smith, DO
Oklahoma D.O. | October 2015
9th
16th
10th
17th
Tiffany Rae Ferguson, DO Marshall L. Rea, DO Christopher A. Shearer, DO Dale W. Bratzler, DO, MPH Jarrod J. Mueggenborg, DO Mark W. Newey, DO Binh T. Phung, DO Kelly L. Shuler, DO Layne E. Subera, DO
11th
Ryan C. Johnson, DO Wendell L. Richards, DO
12th
Debbie A. Gladd, DO Grace R. Kennedy, DO Ronald S. LaButti, DO K. Eric Markert, DO Timothy T. McCay, DO Louise E. Price, DO John F. Rice, DO Jess T. Roy, DO Monica M. Woodall, DO
13th
Lee Peter Bee, DO Jeffrey M. Calava, DO Robert B. Lawson, DO Derek M. Matheson, DO M. Todd Reilly, DO Michael F. Stratton, DO Courtney L. Swartz, DO Kyle C. Wooderson, DO
14th
15th
Oklahoma D.O. | October 2015
18th
Steven E. Cox, DO John T. Galdamez, DO Scott A. Mitchell, DO Danny L. Resser, DO Mark L. Wellington, DO Keely W. Wheeler, DO
19th
Clint J. Basener, DO Stephen G. Bovasso, DO Jefferey L. Davis, DO Gregory P. DiSalvatore, DO William Herron, DO Steven D. Hinshaw, DO Stephen G. Jaskowiak, DO Shon D. Kendall, DO Chris B. Slater, DO Daniel K. Wooster, DO Hooby P. Yoon, DO
20th
Paul E. Battles, DO Julie H. Dudley, DO Jawaun M. Lewis, DO
21st
John D. Conley, DO Fred J. Crapse Jr., DO Jillian R. Riggs, DO Gregory B. Vanzant, DO
Sheldon C. Berger, DO W. Edward Clymer, DO Christopher J. DeLong, DO Christopher M. Lee, DO Dale D. Reinschmiedt, DO
23rd
Thomas W. Britt, DO Scott A. Ghere, DO John J. Harrison, DO Wesley M. Ingram, DO
24th
Thomas M. Auxter, DO Johnny D. Duncan, DO Garrett R. Zelkind, DO
30th
J. Douglas Duke II, DO Scott M. Koch, DO Felino A. Pascual, DO Jack Michael Shearer, DO Larry T. Shepherd, DO David R. White, DO
31st
Nicholas J. Bentley, DO G. Kirk Gastineau, DO Jayson D. Henry, DO R. David Hill, DO Tracy A. Hoos II, DO Leslie J. Rebtoy, DO
25th
V. Ray Cordry Jr., DO Ryan A. Pitts, DO Gregory A. Rogers, DO
26th
Angela I. Carrick, DO Rheydene Suzanne Ferguson, DO Sharon K. Little, DO
27th
Christopher L. Cole, DO Cheryl B. Kroeker, DO Kayse M. Shrum, DO Keri D. Smith, DO Jason M. Taylor, DO
28th
David E. Eisenhauer, DO Anastasia C. Fisher, DO James E. Magnusson, DO Ruth A. Miller, DO Brandon M. Rhinehart, DO Steven S. Sands, DO
29th
Misti K. Crawley, DO James E. Forrestal, DO R. Griffith, DO Timothy F. Rathbun, DO Kenneth R. Watson Jr., DO
PAGE 37
Evan D. Cole, DO Rick A. Gigante, DO Jimmie Sue Hill, DO Curtis A. Phillips, DO Edward H. Yob, DO
Ian D. Bushyhead, DO D. Paul Campbell, DO Christopher A. Edge, DO Donald R. Klinger, DO Colm P. McCauley, DO
22nd
Oklahoma D.O.
Linzi L. Stewart, DO Bradley C. Taylor, DO Christine Calabrese Wilson, DO
Ruth M. Bennett, DO John L. Cherry, DO Bruce A. Stafford, DO
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State Department of Health is actively recruiting a licensed DO or
and hours. Quality Medical Clinic-OKC, in business for 16 years.
MD. This position is ideal for a physician who is looking for a very
Call Jim or JoAnne at 405-632-5151.
interesting mix of clinical, preventive, and academic medicine with full state benefits, competitive salary, and regular hours. Contact Mary Porter at 405-271-4060 or MaryPo@health.ok.gov for more
CLINIC FOR SALE Lake Texoma. Excellent retirement practice.
specific information or to submit your CV.
Please call (580) 564-2143 or email d.adams0956@sbcglobal.net for further information or inquiries.
STAFF PHYSICIAN NEEDED: The Oklahoma Department of Corrections is seeking applicants for Staff Physician at our correctional facilities statewide. The state of Oklahoma offers a competitive salary and benefits package which includes health, dental, life and disability insurance, vision care, retirement plan, paid vacation, sick days, holidays and malpractice insurance coverage. For more information and a complete application packet contact: Becky Raines 2901 N. Classen Blvd., Suite 200 Oklahoma City, OK 73106-5438 (405) 962-6185 FAX (405) 962-6170
Oklahoma D.O. PAGE 38
e-mail: braines@doc.state.ok.us
Oklahoma D.O. | October 2015
Calendar of Events Nov. 5, 2015 OOA Bureaus & Board of Trustees Meetings Oklahoma City, OK Nov. 19, 2015 North Central District Meeting MoJo’s Grill Stillwater, OK Dec. 3, 2015 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting OEFOM Board of Trustees Meeting Tulsa, OK Jan. 7, 2016 OOA Bureaus & Board of Trustees Meetings Oklahoma City, OK Jan. 22-24, 2016 2016 Winter CME Seminar Hard Rock Hotel & Casino Catoosa, OK
Jan. 23, 2016 Bureau on Continuing Medical Education Hard Rock Hotel & Casino Catoosa, OK
Feb. 4, 2016 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK March 3, 2016 American Osteopathic Association DO Day on Capitol Hill Washington, D.C. March 3, 2016 OOA Bureaus & Board of Trustees Meetings OEFOM Board of Trustees Meeting Oklahoma City, OK March 30, 2016 Osteopathic Medicine Day at the Capitol Oklahoma City, OK April 7, 2016 OOA Bureaus & Board of Trustees Meetings OSU-COM Advisory Council Meeting Oklahoma City, OK April 28-May 1, 2016 116th Annual Convention Embassy Suites Norman Hotel & Conference Center Norman, OK
Oklahoma D.O. | October 2015
PAGE 39
Oklahoma D.O.
Jan. 22, 2016 Past Presidents’ Council & District Presidents’ Council Hard Rock Hotel & Casino Catoosa, OK
Jan. 23, 2016 Mentor/Mentee Reception Hard Rock Hotel & Casino Catoosa, OK
Prsrt Std US Postage Paid Okla City OK Permit #209
OKLAHOMA OSTEOPATHIC ASSOCIATION 4848 N. Lincoln Blvd. Oklahoma City, Oklahoma 73105-3335
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