Thankful

Michael J. Wolohan, MD

Editor’s Note: The following remarks were made by SCMS member, Michael J. Wolohan MD, as he received the “Physician of the Year” award from the Covenant Medical Staff at their annual Christmas party. It is an inspiring speech we should remember as we continue our vital work.

Good Evening Everyone,

As we gather for this festive Holiday Banquet, we have much to be thankful for.

Marcia and I are very appreciative and humbled to have had the opportunity to be part of this amazing medical community. It has been an honor and a privilege for us to participate in the care of our patients in our hometown.

To our partners, colleagues, coworkers, Covenant Medical Staff Team members, Administration, Covenant Board and Foundation members, we are grateful for each and every one of you.

These past three years have been challenging beyond imagination... a once-in-one-hundred-year pandemic, staff shortages, supply chain issues, and many other challenges. Thank you for showing up, stepping up, and being present in the midst of profound suffering.

With your help, leadership, skill and compassion, every day at Covenant,

• a newborn lets out his or her first cry and takes a first breath,

• a child sleeps comfortably,

• an adolescent’s fears are overcome,

• an airway is cleared,

• a heart beats regularly,

• a surgery happens painlessly,

• wounds heal, tumors shrink, pain resolves, crippled people walk again,

• infections lose their grip, seizures cease,

• bleeding stops, vital signs stabilize, blood sugars normalize,

• addictions are treated and the mourning are comforted. Thanks to your allowing God's Healing Grace to shine through YOU.

Fear subsides, joy returns, love prevails, wellness resumes, and hope springs eternal!

We appreciate you beyond measure, take care of yourselves and each other! Merry Christmas, Happy Holidays, thank you and God Bless you All!

Legislative Committee Members

A brief explanation of the function of the SCMS Legislative Committee

The SCMS Legislative Committee provides its members with direct access to lawmakers. Its members are the face of the SCMS and Michigan State Medical Society (MSMS). One of the functions of the SCMS Legislative Committee is to support the advocacy efforts of MSMS. Therefore, we work closely with MSMS and to the extent possible, try to present a unified front when discussing pending legislation with lawmakers. The topics being discussed have already been reviewed and discussed at other committees through MSMS. This does not mean that members of the SCMS Legislative Committee are not allowed to have their own opinions. However, to be effective in promoting legislation for physicians, we want to be unified as a society when we are in a discussion with local lawmakers.

The MSMS Committee on State Legislation and Regulations (comprised of physicians) along with the MSMS Board of Directors (comprised of physicians) determines what legislation MSMS supports or opposes. The SCMS Legislative Committee attempts to support MSMS’ position and when possible, lend physicians voices to the effort in advocating for physicians to local legislators.

If you would like to have more input on which issues MSMS supports or opposes, consider joining the SCMS Legislative Committee. We are planning to start quarterly meetings this summer/early fall, so please contact Joan Cramer at the SCMS at jmcramer@sbcglobal.net no later than June 1, 2023, to be added to the Committee or if you have any questions.

Other avenues to voice opinions on MSMS actions or inactions would be the MSMS House of Delegates or MSMS Quarterly Membership Update Zoom Meetings.

Dedication of CMU Behavioral Medicine and Therapy Lobby

In late January, CMU Health had a successful dedication of the CMU Health Behavioral Medicine and Therapy Lobby in honor of Dr. M. Jafferany whose generosity helped to establish this important community asset and resource.

This location has expert psychiatrist faculty physicians and behavioral health therapists (MSW's and licensed counselors) who are available to see patients. In addition, this location is an important training site that will train physicians to become psychiatrists (CMU residents), psychiatrists to become specialists in child and adolescent psychiatry (CMU fellows), and will serve as a part of the required medical school curriculum in addition to their experiences at HealthSource. The CMU Behavioral Medicine office is located at 3201 Hallmark Court, Saginaw, MI 48603, phone 989.790.5990. Courtesy of Dr. Sam Shaheen

Congratulations to Excellence in Teaching in Medical Sciences Award recipient Dr. Wendy Biggs, CMU professor of family medicine and CMU Health physician. Dr. Biggs demonstrates immense leadership capacity and an innate desire for teaching medical students in the Year 3 CCC as the CCC Clerkship director. Students gravitate toward her and she has been a truly effective and admirable leader at CMU.

Congratulations Are In Order!

Congratulations to Excellence in Teaching as a Community Educator Award recipient Dr. Angel Bermudez, clinical assistant professor and Ascension St. Mary’s orthopedic sports medicine physician. Dr. Bermudez goes above and beyond to foster mentorship, community involvement and scholarly development in sports medicine at the CMU College of Medicine. He was integral in establishing the Saginaw campus National Branch of the American Medical Society for Sports Medicine Student Interest Group. From high school football coverage to training room clinic exposure, to sports physicals for local athletes and coverage of mass events, Dr. Bermudez is always there to support students continued on page 15 continued from page 14

Congratulations to Excellence in Teaching as a Community Educator Award recipient Dr. Michael Fiore, clinical assistant professor of pediatrics and Covenant HealthCare medical director of pediatric intensive care. Dr. Fiore provides students the opportunity to interact with pediatric intensivists in the management of complex cases and the experience of working on interprofessional teams. Students value his patience and dedication in seeking out learning opportunities.

Congratulations to Excellence in Teaching in Surgical Sciences Award recipient Dr. Derek Schaller, CMU associate professor of emergency medicine and Covenant HealthCare emergency medicine physician. Dr. Schaller’s dedication to excellence is evidenced by his strong commitment to teaching medical students, improving the clerkship curriculum and the delivery of medical education. His emergency medicine clerkship is consistently ranked among the best in the nation and a highlight for CMU medical students.

Tele-Mental Health Symposium Series 2023

Pulse3 Endowment for Community Cardiovascular Health

In 2007, the physicians at Michigan CardioVascular Institute reorganized its foundation - the MCVI Foundation - from one that solely performed medical research to one focused on providing public education, prevention and treatment programs to improve cardiac health in the communities served by the practice.

In June 2013, the MCVI Foundation announced a new name and an important change to its status as a charitable organization. Pulse3 Foundation (pronounced “pulse three”) was born, and the foundation changed from a private foundation to a public charity, as defined by the Internal Revenue Service.

This new name focused on the “power of three.” The average human heart beats about three billion times in a lifetime. There are three areas that Pulse3 built its efforts around: Living, learning and lifesaving. There are three communities – Bay, Midland and Saginaw, as well as, the entire Great Lakes Bay Region – that are coming together in unity to address a health issue that affects us all.

In 2022, Pulse3 once again recognized the need for change. Facing difficult financial headwinds fostered by the pandemic, a change in structure was needed to ensure sustainability and long-term mission success. The organization gifted its remaining assets to the Central Michigan University College of Medicine and, in so doing, created the Pulse3 Endowment for Cardiovascular Health at CMU.

The Pulse3 funding event, the 15th Annual Shocks & Saves Charity Hockey Event was held on Saturday, January 28, 2023, at the Dow Event Center prior to the Saginaw Spirit game.

Click HERE to see photos from the event

Click HERE to read more about the Shocks & Saves Charity Game

Click HERE to make a donation

Gun Violence Prevention Legislative Update

The follow is courtesy of Angie Kemppainen, CAE, Executive Director of Ingham and Washtenaw County Medical Societies

The following gun violence prevention bills were introduced on Thursday, February 16, 2023:

SB 76 by Kevin Hertel (D-St. Clair/Macomb/Wayne)

• Require license or background check for purchase of firearms

SB 77 by Jeremy Moss (D-Oakland/Wayne)

• Update references to pistol in penal code

SB 78 by Mary Cavanagh (D-Oakland/Wayne)

• Update references in sentencing guidelines

SB 79 by Rosemary Bayer (D-Oakland/Wayne)

• Provide for penalties for storing or leaving a firearm where it may be accessed by a minor

SB 80 by Kristen McDonald Rivet (D-Bay/Midland/ Saginaw)

• Update sentencing guidelines reference

SB 81 by Jeff Irwin (D-Washtenaw/Lenawee)

• Exempt firearm safety devices from sales tax

SB 82 by Stephanie Chang (D-Oakland/Macomb/ Wayne)

• Exempt firearm safety devices from use tax

SB 83 by Mallory McMorrow (D-Oakland/Wayne)

• Enact extreme risk protection order act

SB 84 by Dayna Polehanki (D-Wayne)

• Prohibit purchase of firearms if individual has an extreme risk protection order

SB 85 by Sarah Anthony (D-Ingham/Eaton)

• Enact sentencing guidelines for making a false statement in support of an extreme risk protection order

SB 86 by Sam Singh (D-Ingham/Clinton/Shiawassee)

1

As one of the main causes of intentional and unintentional injuries and deaths, the Michigan State Medical Society recognizes that firearms are a serious public health problem in our state and country. On February 13th, this crisis hit close to home as the campus of Michigan State University and the greater East Lansing community was devastated by a mass shooting. This horror played out just a few miles from our MSMS East Lansing offices, leaving three young college students dead and five more critically injured. This tragedy is on the heels of another school shooting at Oxford High School in Oakland County on November 30, 2021, which saw four high school students killed and seven others injured.

Bills have been introduced in the House and in the Senate, with committee hearings expected in both in the coming weeks. Michigan has the chance to make positive change and physicians can help the push to get there.

MSMS hosted a press conference in Lansing on Thursday, March 9, 2023. MSMS physicians, including President, Dr. Tom Veverka, spoke in support of the legislative package addressing gun violence prevention. Click HERE for coverage from WLNS.com

Now is the time to act. SCAN THE QR CODE or CLICK HERE to contact your legislator and urge them to support common sense gun safety reforms.

• Provide for and waive court fees for service of process for extreme risk protection order actions

MSMS Firearm Safety Policies

By Tom George, MD MSMS Interim CEO

Following the tragic incident at Michigan State University, I have been asked by several members, “Does MSMS have a position on firearm safety?” and “Will we be involved with the crafting of firearm safety legislation in Lansing?” The answer to both questions is “Yes!” continued on page 17 continued from page 16

As most members know, the policies and positions of MSMS are debated and adopted at our annual House of Delegates (HOD). The MSMS HOD is comprised of representatives from our county medical societies, specialty societies and membership sections. The HOD has been meeting and crafting MSMS policies for 157 years. Firearm safety has been a recurring topic at the HOD with multiple resolutions being adopted by the delegation over the last three decades. As a result, MSMS has extensive and thoughtful policy on the subject.

The resolutions range from supporting a ban on look-alike toy guns (adopted prior to 1990), to supporting evidencebased research on gun related injuries and death (2018), to a resolution reaffirming support for gun safety education at last year’s HOD. Here, you can find a summary list of MSMS firearm safety policies.

The fact that MSMS's member physicians had the foresight to discuss, debate, and develop these policies is a working example of the value this decision-making process serves and how it has positioned MSMS.

In fact, because of the hard work and passion of countless physicians who have served in the HOD over the years, MSMS has an extensive library of policies covering a wide array of issues that have been vetted and adopted. This makes my job and that of our government affairs staff clear. When confronted with an issue or question, we consult our policy manual for guidance.

Moreover, because the HOD meets annually, it has the ability to reaffirm, modify, or adopt new positions as warranted by the changing conditions in society and in our practices. So, when we were contacted by Michigan's legislative leadership asking for our assistance in crafting firearm safety legislation, we were confidently able to share our positions and answer in the affirmative that we stand ready to work with them in the process.

We cannot know what the issues of tomorrow will be. Current events, public sentiment, elections and other factors combine to bring issues to the forefront of the public’s consciousness. You can help MSMS prepare for the future by participating in the HOD as an elected representative and bringing your views and experience forward. You're able to help illuminate our policies so when the time comes, we can best represent the physicians of Michigan.

If you are interested in taking action and urge your legislator to support sensible gun safety legislation, please do so.

Legislative Leadership Contact Information

Joe Tate (Speaker of the House) Email: joetate@house.mi.gov

Phone: (517) 373-0857

Winnie Brinks (Senate Majority Leader) Email: SenWBrinks@senate.michigan.gov

Phone: (517) 373-1801

Angela Witwer (Chair, House Appropriations) Email: angelawitwer@house.mi.gov

Phone: (517) 373-0822

Sarah Anthony (Chair, Senate Appropriations) Email: SenSAnthony@senate.michigan.gov

Phone: (517) 373-6960

Julie Rogers (Chair, House Health Policy) Email: JulieRogers@house.mi.gov

Phone: (517) 373-1783

Kevin Hertel (Chair, Senate Health Policy) Email: SenKHertel@senate.michigan.gov

Phone: (517) 373-7315

Christen Morse (Chair, House DHHS Subcommittee) Email: ChristineMorse@house.mi.gov

Phone: (517) 373-8670

Sylvia Santana (Chair, Senate DHHS Subcommittee) Email: SenSSantana@senate.michigan.gov

Phone: (517) 373-0990

How to contact your legislator: The simplest way to identify your area legislators is by using the “find your legislator” function on the Michigan House and Senate websites. You can also visit the MSMS Engage page to find your legislator.

The Michigan Doctors’ Political Action Committee (MDPAC) is a bipartisan political action committee made up of physicians, their families, residents, medical students and others interested in making a positive contribution to the medical profession through the political process. Established by the Michigan State Medical Society, MDPAC supports pro-medicine candidates running for the State legislature, Michigan Supreme Court and other statewide positions. Click HERE to join now!

Update! Firearm Reform Bills Clear House and Senate Committees

The House Judiciary Committee successfully passed House Bills 4138-4148 on Wednesday, March 8 and the Senate Civil Rights, Judiciary and Public Safety Committee successfully passed Senate Bills 76-86 on Thursday, March 9. Leadership from both chambers say they plan to move as quickly as possible on the legislation and a vote in the Senate could come as early as next week.

Gun Safety Action Alert

State of MSMS Address

On January 11, 2023, Thomas M. George, MD, Interim CEO delivered the “State of MSMS Address” to members via Zoom. Click HERE to view the presentation

MSMS Survey on Staffing Shortages

A new legislative session is underway in Lansing and, with that, a new opportunity to shape the future of medicine in Michigan. MSMS is seeking your input about the current state of independent practices and its workforce. Our goal is to better understand the challenges you’re facing as you work to provide the highest level of care to your patients.

Please take a few minutes to answer some questions regarding workforce issues, so we can advocate for policies that will truly help to fill in the gaps.

TAKE SURVEY>>

Updated Medical Records Policy Legal Alert

The Michigan Public Health Code (“Code”) requires a physician or other health professional who is either applying for an initial Michigan health professional license, or applying to renew a license, to provide the Michigan Department of Licensing and Regulatory Affairs (“Department”) with an

Barb Smith Suicide Resource & Response Network continued from page 8

WALK FOR HOPE – SAVE THE DATE!

Mark your calendar now to join us for our 21st Annual Walk for Hope…Depression and Suicide Awareness Event on Sunday, August 6th at Saginaw Valley State University. There will be over 25 resource/activity booths, raffles, live music and guest speakers. The 5K walk/run or one mile walk will be untimed on paved walks throughout the SVSU campus. Support this event by:

• Starting or joining a team in memory of someone who has died by suicide or in honor of someone who struggles with their mental health

• Walking individually

• Financial support

• Volunteering

• Sharing your message along with photos on social media to help bring awareness to this event affidavit (provided on the license application or renewal form) stating that he or she has a written policy for:

For more information, to start a team or donate, click HERE.

1) Protecting, maintaining, and providing access to his or her medical records in accordance with Section 16213 of the Code; and

2) Complying with Section 16213 of the Code in the event that the applicant or licensee sells or closes his or her practice, retires from practice, or otherwise ceases practice in Michigan. Section 16177(4) of the Code requires an applicant or licensee to make the written policy available to the Department upon request.

Scope of Practice Update

The MSMS Government Relations team continues to hear that legislation to expand scope of practice of nurse practitioners will be introduced in the Senate soon by Senator Jeff Irwin of Ann Arbor. MSMS and the MiACCT coalition will continue opposing this legislation in addition to seeking support of legislation that would require NPs to practice as part of a physician-led care team. To support this effort, MSMS is also seeking a third round of funding support from the AMA’s Scope of Practice Partnership (SOPP) grant program which provides assistance to state medical societies engaged in scope-related advocacy.

Applications For Membership

SECOND READING:

Applications for membership for second reading at the March 21, 2023, Board Meeting:

Vasil Mamaladze, MD (Saginaw Anesthesiology Services, LLC at Covenant)

Specialty: Anesthesiology – Board Certified 2011

National Board of Advanced Perioperative TEE, Board Certified 2013

Medical School: Tbilisi State Medical University, Tbilisi, Georgia, 1992

Internship: Albert Einstein College of Medicine/Montefiore

Medical Center, NY, Surgery, 2005-06

Residency: Western Pennsylvania Hospital/Temple University, Pittsburgh, PA, Anesthesiology, 2006-09

Fellowship: Cleveland Clinic Foundation, Cardiothoracic

Anesthesiology, 2009-10

Sponsors: Doctors Danielle C. Duncan and Anthony M. Zacharek

Houman Nourkeyhani, MD (Covenant Cancer Care Center)

Specialty:

Internal Medicine – Board Certified 2014

Medical Oncology – Board Certified 2017

Hematology – Board Certified 2018

Medical School: Ross University School of Medicine, Dominica, West Indies, 2010

Internship: Albany Medical College, Albany, NY, Anatomic and Clinical Pathology, 2010-11

Residency: Albany Medical College, Internal Medicine, 2011-14

Fellowship: Roswell Park Cancer Institute/University of Buffalo, Buffalo, NY, Hematology and Medical Oncology, 2014-17

Sponsors: Doctors Syed Hassan and Binu Malhotra

Caduceus Meeting for Recovering Health Care Professionals

Third Thursday of each month at 7 p.m. Zion Lutheran Church 545 7th Street, Freeland, Michigan

(Behind Pat’s Grocery Store on Midland Road in Freeland) Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs.

Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists.

We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.

Michael J. Opperman, MD (CMU Health – Psychiatry)

Specialty: Psychiatry – Board Eligible

Medical School: Michigan State University – College of Human Medicine, 2018

Residency: Indiana University School of Medicine, Indianapolis, IN, 2018-22

Sponsors: Doctors Kai Anderson and Furhut Janssen

Nishtha Sareen, MD (Ascension St. Mary’s Riverfront Cardiology/ MCVI)

Specialty:

Cardiology – Board Certified 2015

Interventional Cardiology – Board Certified 2016

Medical School: Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India, 2007

Residency: North Shore LI Health System, Hofstra University, Hempstead, NY, Internal Medicine, 2012-15

Fellowship: St. Joseph Mercy Oakland Hospital, Pontiac, MI, General Cardiology, 2015

Fellowship: Mount Sinai Medical College, Icahn School of Medicine, New York, NY, Interventional Cardiology, 2016

Master’s in Public Health: University of Nevada-Reno, Reno, NV, 2020

Sponsors: Doctors Sarosh Anwar and Vipin Khetarpal

Covenant Regional Thumb Network (CRTN) Announces a New Name and Cuts Ribbon on the New Covenant Cancer Care Center in the Thumb

The Covenant Cancer Care Center team providing care at the new facility includes medical oncologist Houman Nourkeyhani, MD, radiation oncologists James A. Fugazzi, MD and Mark A. Zaki, MD, and nurse practitioner Jessica Belill.

All six independent hospitals, Deckerville Community Hospital, Harbor Beach Community Hospital, Hills & Dales Healthcare, Marlette Regional Hospital, and Scheurer Health, assisted Covenant HealthCare's efforts to bring this extraordinary service to the Thumb.

A community-wide open house is being scheduled for the spring.

About CRTN Health

The Covenant Regional Thumb Network (CRTN), a collaborative of five independent Thumb hospitals and Covenant HealthCare in Saginaw, have announced a new name for the network, CRTN Health, and the expansion of Covenant Medical Center's Radiation Oncology Service through the opening of a new Covenant HealthCare cancer center on the campus of Marlette Regional Hospital to be called the CRTN Cancer Care Center.

A ribbon-cutting for the new center took place on Friday, February 17, 2023, in Marlette.

With Covenant extending cancer care through the opening of the CRTN Cancer Care Center, much needed oncology services will be immediately available to patients living in Michigan's "Thumb.”

“Covenant’s CRTN Cancer Care Center is another great step toward making sure patients never have to leave the Thumb for exceptional care. We are honored to be working with the five other independent CRTN hospitals to continuously improve the quality of health in the communities we serve,” states Angie McConnachie, Chief Executive Officer, United Healthcare Partners. The 16,260 square foot facility will provide a full range of cancer care for patients including medical oncology, chemotherapy infusion and radiation oncology.

The Center is seeing medical oncology patients, and opened seven infusion chairs in the newly renovated Center. A stateof-the-art Elekta Versa HD linear accelerator will come online in the first quarter of 2023 to provide radiation oncology service for patients from throughout the Thumb.

“We are so honored to be working together to help patients challenged by cancer, and excited to be able to open such a beautiful facility in the Thumb that makes it so convenient for patients to receive the care they need,” stated Sandy Johnson, Director of the Covenant Cancer Care Center.

Formerly known as the Covenant Regional Thumb Network, CRTN Health is a network of six independent hospitals, five critical access hospitals located throughout Michigan's Thumb area including Deckerville Community Hospital, Harbor Beach Community Hospital, Hills & Dales Healthcare, Marlette Regional Hospital and Scheurer Health, and Covenant HealthCare, located in Saginaw.

While the network was officially formed in 2018, the hospitals have been working together to ensure high quality medical care is available to people they serve in the Thumb for two decades. The affiliation relationship of CRTN Health ensures that Thumb communities have an independent hospital close to home that they can continue to depend on for high quality care, and the assurance that should the need arise for more advanced procedures, extraordinary care is delivered through the highly coordinated relationship the Thumb hospitals have with Covenant.

Covenant Medical Group Welcomes

Dr. Khalid Al-Efraij and Dr. Shahzad Manawar Join Covenant Pulmonology

Covenant HealthCare welcomes Khalid Al-Efraij, MD and Shahzad Manawar, MD as members of the Covenant Medical Group. They join the Covenant Pulmonology team. The office is located at 125 Colony Drive North, Saginaw, MI 48638, and the team can be reached at 989.583.7380.

Medical Staff Leaders Announced

The Covenant Medical Executive Committee ratified the slate of Medical Staff officers and leaders for 2023-2024. Congratulations to the following elected Medical Staff leaders. Many thanks to those who served 2021-2022 for their leadership, participation, and direction for the Covenant Medical Staff.

continued on page 20

Medical Staff Officers

Chief of Staff - Sanjay J. Talati, MD

Vice Chief of Staff - Mayar Jundi, MD

Secretary/Treasurer - Nicole Sinclair, MD

Past Chief of Staff - Kathleen M. Cowling, DO

Members-At-Large

Christa Persyn, MD and Rania Esteitie, MD

DEPARTMENTS/SECTIONS

Maternal/Family Care Department

Department Chairman - Franchesca Garcia-Robles, MD

Family Medicine Section Chief - Olivia L. Bolen, MD

Pediatrics Section Chief - Franchesca Garcia-Robles, MD

OB/GYN Section Chief - Mary E. Oatey, DO

Medicine Department

Department Chairman - Rakesh S. Chokshi, MD

Cardiology Section Chief - Bashar B. Al Jayyousi, MD

General Medicine Section Chief - Muhammad U. Khan, MD

Surgery Department

Department Chairman - Todd G. Richardson, MD

Orthopedics Section Chief - Jeffrey D. Osborne, MD

General Surgery Section Chief - Ryan J. Kim, MD

Clinical Services Department

Department Chairman - Peter Morden, MD

Anesthesia Section Chief - Cole Lati, MD (added 11/22)

Emergency Medicine Section Chief - Matthew D. Deibel, MD

Pathology Section Chief - Shane Starr, MD

Radiology Section Chief - Peter C. Morden, MD

Hospital Medicine Section Chief - Abdo A. Alward, MD

Committee Chairs

Medical Staff Quality Improvement - Matthew D. Deibel, MD

Cancer - Sussan M. Bays, MD

Pharmacy & Therapeutics - Andrew M. Bazakis, MD

Investigational Review Board - Andrew S. Wagner, MD

2023 Pediatric Symposium | May 19

This program offers up-to-date research and care guidelines for chronic constipation, bed wetting, dermatologic conditions, infant and child nutrition, childhood obesity and bariatric surgery, palliative care, and social media and children’s mental health. We welcome physicians, nurses and allied health professionals involved in the care of pediatric patients.

Register online at: www.covenanthealthcare.com/pediatricsymposium. Cost for physicians is $100 and non-physicians $75. The event will take place at Saginaw Valley State University with registration and breakfast from 7:30-8 a.m., and presentations from 8 a.m. to 3:15 p.m. For more information, contact 989.583.4426 or childbirtheducation@chs-mi.com.