The magazine for students, faculty, employees, alumni and friends of University of Western States.
HEALING FROM THE INSIDE integrative approaches to pain management
PUBLICATION CREDITS Graphic Design: Dana Baylor Contributors: Alisa Fairweather, Elena Howells, Erin Kunesh, Chelsea Nordby, Megan Nugent, Jennifer Rosenberger, Kelli Rule, Julie Stutzman
UNIVERSITY OF WESTERN STATES 2900 NE 132nd Avenue Portland, Oregon 97230 503-256-3180 . www.uws.edu
Notice of Non-Discriminatory Policy University of Western States admits students of any race, color, nationality, ethnic origin, sex or age to all the rights, privileges, programs and activities generally accorded or made available to students at the university. University of Western States does not discriminate on the basis of race, color, national origin, sex, disability or age in its administration of programs, activities or employment practices. The following have been designated to handle inquiries regarding the non-discrimination policies:
Associate Dean of Students and Title IX Coordinator 2900 NE 132nd Avenue Portland, OR 97230 firstname.lastname@example.org 503-251-5790
Director of Human Resources 2900 NE 132nd Avenue Portland, OR 97230 email@example.com 503-847-2557
For further information on notice of non-discrimination, visit www.uws.edu.
In This Issue 05
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Dr. Joseph Brimhall introduces the UWS rebrand and the Alumni and Friends Listening Tour
Get a peek at what’s new at UWS, including facilities updates and recent achievements
Celebrating recent scholarship recipients and student reflections on their experiences at professional conferences
Catch up with UWS alumna Lenore DiFiore, recent recipient of the Excellence in Teaching award
PRESENTATIONS Discover recent presentations by UWS students, alumni and faculty
#UWSLife Get a glance at the thriving UWS community from these photos taken on campus and at events
DIVERSITY AT UWS Learn about diversity and inclusion initiatives, and the launch of the first SABCA chapter in the Pacific NW
Get the latest on the UWS Homecoming and NW Symposium and Summer in December events
Honoring alumni and friends who have recently passed
A calendar of UWS events to look forward to
GIVING AT UWS Learn about SACA’s recent donation to the UWS health centers and introducing the Dr. Jan Neal Scholarship match challenge
FEATURE STORY: Healing from the Inside
Learn how UWS faculty, alumni and staff are utilizing chiropractic care, nutrition and play therapy as alternatives to opioids
Presidentâ€™s Message Dear Colleagues, I am excited to share with you that University of Western States has updated our institutional logos, fonts and colors, which are the result of our recently completed rebranding project. The goal of this endeavor is to incorporate the universityâ€™s mission and strategic plans into a contemporary and unified whole-university identification and brand. The highest purpose of University of Western States is the education of professionals in evidence-informed, wholeperson health and wellness. Todayâ€™s learners deserve dedicated, student-focused experiences that integrate teaching and technology with the most effective educational approaches. Our brand should consistently confirm and support this mission. The transformed university-wide designs rely on the strength of our distinctive culture, honor our roots in chiropractic health care, and enable the development and inclusion of additional health sciences programs to prepare graduates for the future. All of these efforts are for the good of the student and ultimately, for the good of the patient. Please enjoy our new brand elements throughout this edition of the inTouch and in future university publications. I invite you to mark your calendars and plan to participate in an upcoming Alumni and Friends Listening Tour activity. As UWS plans for its 115th year, we are kicking off a year-long listening tour, engaging all of our alumni and friends to help shape the future of the university. This tour will include events, in-person listening sessions, and an online feedback form for alumni and friends. Go to www.uws.edu/listening-tour for more information and a list of upcoming activities and events. I look forward to connecting with you, and I wish you continued success. From the entire university community, thank you for your continued dedication to University of Western States. Sincerely,
Joseph Brimhall, DC, FICC President
Joseph Brimhall, DC, FICC President, University of Western States
Current UWS campus in Portland, Oregon.
Facilities Updates FACILITIES PLANNING As we first shared in April, the UWS Board of Trustees recognizes the need for sustainable campus facilities and space for the university to continue offering quality education for future generations. Flexible classroom spaces that facilitate hands-on learning for on-campus students, along with updated meeting and office space for employees are part of this endeavor. The university conducted an audit to review campus facility needs and space options. Results from this audit, as well as feedback from our students and staff, made clear our need to address our current and future space needs. For more information about the need for additional space, visit www.uws.edu/facilities-planning and read the General FAQs section.
Developing Information Since placing the campus on the market in April to determine value and interest, UWS has been approached by multiple parties. The Board of Trustees reviewed these offers and selected to pursue one of the offers. Due to 6
non-disclosure agreements, the identity of the party is not disclosed until a final agreement is reached. The next steps include entering a purchase and sale agreement with the potential buyer and a due diligence period where the potential buyer inspects the property, investigates zoning requirements and assesses the suitability of the property. At any point through the due diligence period, the potential buyer can walk away from the sale. After the successful conclusion of the due diligence period, UWS and the buyer enter a sale period where the necessary legal documentation is drawn up to complete the sale. All in all, the sale process from beginning to end takes at least four months. After the sale closes, UWS will have the option to lease back the campus from the buyer for 18 months to allow time to transition to a new campus space. The entire sale and transition process together may take up to 24 months or more.
Next Steps The transition to any new space will be done thoughtfully and gradually. The Board of Trustees has specified that any new campus locations will be in the Portland metro area within roughly a 10-mile radius of the current campus. Campus constituents will receive updated information as it is available. The university held feedback sessions on July 31-August 1 with their facilities planning consultants to obtain student and employee perspectives on what is important in a new space. Following the in-person conversations, the facilities planning committee sent a survey to all employees and students and to those alumni and friends who signed up to receive updates about facilities planning. The feedback gathered will be used to help design and plan a new campus space. The Board of Trustees will also use this feedback to inform the selection of new campus location. This significant endeavor is necessary for the future sustainability of the university to continue to provide quality education and a meaningful experience for students and employees. The Board of Trustees is prioritizing the creation of the best learning environment for our students, as well as a space that provides a meaningful experience for the entire campus community. The board and university leadership are committed to providing high-quality education and will continue to share developing information in a timely manner.
How can I be involved? Go to www.uws.edu/facilities-planning to opt-in for facilities planning updates, developing news and to learn more about our planning process.
Questions? Email firstname.lastname@example.org with questions or input.
ANNOUNCING STUDENTS FIRST: THE UWS EMPLOYEE GIVING RECOGNITION PROGRAM
Thanks to these employees (pictured below) and the many others â€“ 70 total from this last fiscal year to date - who make do to UWS! When UWS employees support what they love most about UWS with tax-deductible gifts, they are going that ext helping UWS devote more resources to putting students first in ways that are most meaningful to them.
We are excited to announce our new employee giving recognition program, Students First. Visit the Students First webpage fo information or to be recognized in this program with a donation to any UWS fund.
onations tra mile,
UWS OPENS STANDARD PROCESS STUDENT COMMONS University of Western States opened a new student commons area on campus thanks to a generous $500,000 capital donation from Standard Process, Inc., a manufacturer of whole food nutrient solutions. The new student commons has a variety of furniture to allow for individual or group study, as well as a large TV monitor where students can cast presentations or notes for group study, large mobile white boards, charging stations for electronic devices and microwaves.
Standard Process President Charlie DuBois, UWS Special Assistant to the President Pat Browne, UWS President Joseph Brimhall, UWS Board of Trustees Member Michael Pettet, UWS Vice President for Operations and Campus Planning Sara Mathov (top left). UWS Development Officer Kelli Rule, Standard Process UWS Student Rep Timothy Brinkman, UWS Director of Administrative Services Elena Howells, Standard Process Assistant to the President Angela Villela, UWS Chief Business Officer Lisa Lopez (below).
A Focus on Technology UWS ADDS CENTER FOR TEACHING AND LEARNING In spring, UWS officially launched the Center for Teaching and Learning (CTL). The mission of the UWS Center for Teaching and Learning is to collaborate with faculty and provide evidence-informed resources, training and support to promote teaching and scholarly excellence. The purpose of the department is to meet the needs of faculty and provide resources for program, course and professional development. Emphasis in the CTL will be placed on evidence-informed teaching, andragogical learning theory, faculty peer evaluation and mentoring, faculty scholarship related to teaching and learning, and other new approaches.
Meet Denise Dallmann, ND, MS Dr. Denise Dallmann, UWS dean, center for teaching and learning, holds a doctorate of naturopathic medicine (ND) from the National University of Natural Medicine (NUNM) and a Master of Science in Educational Leadership and Policy from Portland State University (PSU). Prior to her current position with University of Western States, Dr. Dallmann served as the academic dean and chief academic officer for the American College of Healthcare Sciences. She also served as director of curriculum and faculty development for NUNM, where she facilitated the institutionâ€™s transition from college to university by developing and launching two undergraduate degree programs. Dr. Dallmann also founded the NUNM Center for Teaching and Learning where she supported more than 200 full-time and adjunct faculty with their teaching and professional development. During her free time, Dr. Dallmann enjoys spending time with her daughter and husband, and being outdoors hiking, swimming or playing tennis.
Dean, Center for Teaching and Learning 12
Recent Achievements UWS PROGRAMS RANKED SOME OF THE BEST IN THE NATION The University of Western States online master’s in human nutrition and functional medicine (HNFM) program and master’s in sports medicine program have been recognized as two of the best programs in the country in their respective areas of study in 2018 by BestColleges.com and CollegeChoice.net.
“ The success of these programs is driven by our mission to advance the science and art of integrated health care through excellence in education and patient care. It is wonderful to be recognized for the excellent curriculum, affordability and flexibility provided by outstanding, skilled professionals in the field.
- Dana Sims Barbarick, PhD, UWS dean of graduate studies
Click the buttons above to view each program’s ranking details. 13
Sponsorships UWS RETURNS AS SPONSOR OF PORTLAND PARKS AND RECREATION SUMMER EVENTS University of Western States (UWS) is returning as a sponsor of the Portland Parks and Recreation Movies and Concerts in the Park Series. This year UWS will be sponsoring two East Portland parks, Ventura and Berrydale. View the UWS concert and movie schedule below, and join us for a summer of fun!
BAND or MOVIE
Ashleigh Flynn & The Riveters
Inside Out (movie)
14 Photos courtesy of Portland Parks and Rec.
Faculty and Staff Announcements
Kathleen Galligan, DC Dean, College of Chiropractic New Hire
Michelle Cox, PhD Director, Clinical Mental Health Counseling New Hire
Denise Dallmann, ND, MS Dean, Center for Teaching and Learning New Hire
GET TO KNOW DEAN DANA SIMS-BARBARICK
Dana Sims-Barbarick, PhD
Dean, Graduate Studies New Hire
Janet Tapper, MLS Dean, Library Services New Role
Five Questions in Four Minutes
with UWS Dean Dana Sims-Barbarick, PhD
Faculty, Staff and Student Presentations JULY 2017 - PRESENT
NATIONAL AND INTERNATIONAL CONFERENCE PRESENTATIONS HERRIN, S. AND BALE, L. Personal Dissection versus Platoon-Style Dissection: Which do students prefer? Proceedings of the International Association of Medical Science Educators (IAMSE) 21st Annual Conference. Burlington, VT, June 10-13, 2017. BALE, L. AND HERRIN, S. Development of an online catalogue of muscle variants dissected at an institution of chiropractic education. Proceedings of the International Association of Medical Science Educators (IAMSE) 21st Annual Conference. Burlington, VT, June 10-13, 2017. OWENS, R. Toward professional competencies for wellness promotion. Proceedings of the National Wellness Conference 43rd Annual Meeting. St. Paul, MN, June 18-20, 2017. WOOLSEY, C., EVANS, M., NDETAN, H., WILLIAMS, R., OLIVER, B, PERKO, M., STEFFEN, W. Adult use of complementary and integrative healthcare approaches to improve athletic performance. Proceedings of the Association for Applied Sport Psychology (AASP) 32nd Annual Conference. Orlando, FL, October 18-21, 2017. LAFONT, V. Cross the line like a rock star: amazing performance adaptations and practical take home applications. Nutritional Therapy Associationâ€™s Fuel Adventure Summit. Denver, CO, Oct 21, 2017. FEEHERY, N. Vitamin D status and jump height in figure skaters. Proceedings of the American College of Nutrition 58th Annual Conference. Alexandria, VA, November 8-10, 2017. FEEHERY, N. Do Paleo diets lead to iodine deficiency? Proceedings of the American College of Nutrition 58th Annual Conference. Alexandria, VA, November 8-10, 2017.
EWALD, S. Chiropractic care in Syrian refugee camps in the Middle East. Proceedings American Public Health Association (APHA) Annual Meeting & Expo. San Diego, CA, Nov 10-14, 2017. LADY, S. AND TAKAKI, L. Development of a clinical skills remediation program for chiropractic students at a university. Proceedings of the Association of Chiropractic Colleges Research Agenda Conference (ACCRAC) 25th annual meeting. Dallas, TX, Mar 8-10, 2018. BURNHAM, K. AND MASCENIK, J. Comparing a traditional lecture course to an inverted classroom format for clinical microbiology: student performance and perception. Proceedings of the Association of Chiropractic Colleges Research Agenda Conference (ACC-RAC) 25th annual meeting. Dallas, TX, Mar 8-10, 2018. RIP, N. AND FUNATAKE, P. Automating current student email distribution lists. Proceedings of the Ellucian LIVE conference. San Diego, CA, April 8-11, 2018. The PowerCampus Western Regional Conference. Portland, OR, May 24-25, 2018. HOLDT, C. AND RIP, N. Constraining allowable program values through a master data repository. Proceedings of the Ellucian LIVE conference. San Diego, CA, April 8-11, 2018. The PowerCampus Western Regional Conference. Portland, OR, May 24-25, 2018. ANDERSON, R. AND RIP, N. How to do institutional research without data. Proceedings of the Ellucian LIVE conference. San Diego, CA, April 8-11, 2018. PowerCampus Western Regional Conference. Portland, OR, May 24-25, 2018. The Association for Institutional Research (AIR) Forum. Orlando, FL, May 29-June 1, 2018. COY, J. Trauma-informed approach: transforming your organization one step at a time. Proceedings of the Child Welfare League of America National Conference. Washington, DC, April 26-29, 2018. WILLIAMS, C. AND LEFEBVRE, R. Assessing metacognitive regulation skills in students in a professional program. Proceedings of the International Association of Medical Science Educators (IAMSE) 22nd Annual Conference. Las Vegas, NV, June 9-12, 2018.
UWS AND LOCAL PRESENTATIONS BURNHAM, K., NORDEEN, J., AND WILLIAMS, C. Notes from designing and testing hybrid courses. UWS Faculty Symposium, 2017. BALE, L. AND HERRIN, S. How to publish a case study online. UWS Faculty Symposium, 2017. BURNHAM, K. The invisible world of microbes… inside you! The Microbiome Project, implications for human health. Presented as part of the UWS Faculty Presents Series. University of Western States. Portland, OR, Feb 1, 2018. LADY, S. The future of chronic pain, opiate addiction and virtual reality… welcome to the matrix. Presented as part of the UWS Faculty Presents Series. University of Western States. Portland, OR, May 3, 2018. STRANGE, J. Benefits of exercise, eating healthier, and building lean muscle mass. Presented as a quarterly series at The Harbor, Portland Rescue Mission. ARMINGTON, A. Nutrition for women. Presented as a quarterly series at Shepherd’s Door, Portland Rescue Mission.
Faculty Award DR. CORTNY WILLIAMS SELECTED AS 2018 IAMSE TRAVEL AWARD RECIPIENT Cortny Williams, PhD, assistant professor in the basic sciences department at University of Western States was selected as the recipient of the 2018 International Association of Medical Science Educators (IAMSE) Travel Award. The IAMSE Conference Travel Award, in the amount of $1,500, is awarded to applicants to offset expenses such as registration, lodging and airfare to attend the annual meeting. Dr. Williams was presented the travel award and a certificate for Essential Skills in Medical Education (ESME) at the annual meeting in Las Vegas on June 9, 2018. Along with the great recognition, Dr. Williams delivered a platform presentation on her research about student study strategies.
When I chose to make teaching the primary focus of my career 10 years ago, I struggled with leaving bench research behind. I love reading, developing hypotheses, analyzing data and writing. I made a choice just one short year ago to pursue education research. Transitioning from basic sciences animal research to education research after a 10-year gap took bravery! Receiving this award was humbling. This is incredibly motivational to keep up the research, develop my ideas and work toward becoming an expert in the field. Cortny Williams, PhD
Congratu 2018-19 (ASB) offi is greatly will do a
Left to ri Rausch Peters - V Huang Secretary
Students, faculty a Chiropractic Sport
Congratulations to UWS alums Dr. Natasha Smith (â€˜17) and Dr. Ben Aleynik (â€˜17) on their engagement! The two met in 2014 when they began the chiropractic program. Dr. Aleynik is also a UWS HNFM program graduate. He proposed right in front of the anatomy building on campus, where they first met. (above).
Brazilian Jiu Jitsu Club meeting in the university gym (right).
UWS admissions team at DC spring preview day: Eliana Enriquez, Colman Joyce, Natasha French, Mary Stafford, Sarah Schoettler, Laura Min, Jenna Bobbins (left).
018 doctor of chiropractic class (left).
ulations to the newly-elected 9 UWS Associated Student Body fficers. Your leadership and service y appreciated and we know you all a great job.
ight: Jason Orey - Treasurer, Emily - Event Co-Chair, Kaylee Shaye VP, Byron Agapay - President, Grace Event Co-Chair, Kristy Arneson y (below).
and staff joined in on the fun on Pie Day (3/14) to help raise funds for the Student ts Council. Dr. Amanda Armington smiles after getting pied (left).
Veteranâ€™s Day Celebration (above). Spring on campus (below).
Winter 2018 doctor of chiropractic class (left).
UWS retirement reception honoring Drs. Dennis Hoyer, Jim Gerber, Mitch Haas and Lisa Hoffman (below).
University student ambassador team (above).
Dr. Bradley Chmelar, Dr. Evan Halbert, Dr. Catherine Maddox and Dr. Stefanie Lowe shared their experiences with future students on the UWS alumni panel at the spring chiropractic preview day (above).
Dr. Amy Reyno at the Coalitio the Communi
Winter quarter basketball club tournament champs (below).
Great news for the state of Oregon! The American Chiropractic Association shared the news that passage of S.B. 1547, a bill that allows chiropractic physicians to determine if student athletes who have suffered concussions can return to play. Weâ€™re proud of the involvement of UWS alumni and faculty including Dr. Tim Ray, Dr. Ted Forcum, Dr. Vern Saboe (all pictured) and many other UWS affiliates that were involved in this victory. (above).
The newly-elected SACA executive board from left to right: Travis Fontaine; Treasurer: Ryen Castro; PR: Kenzie Mercier; Vice President: Maya Shamsuddin; Legislative Representativ: Christeen Perkins; President, Lily Baldazo; Secretary: Colleen Toth; PR (left).
Erin DeRamus, MAcOM, LAc led a group of UWS students in an afternoon of Qigong in Hampton Hall (below).
olds, Dr. Kristine Dearborn, Alice Grenier and Dr. Owen Lynch on of Community Health Clinics dinner where Alice received ity Superstar Award (below).
In February, UWS students and faculty from the sports medicine program were part of the medical team for the 2018 U.S. Synchronized Skating Championships in Portland, Oregon (above).
UWS staff, faculty and students helped pack 10,230 pounds of pinto beans at the Oregon Food Bank (above). Students dressing up for Halloween (below).
Commencements, Pinning and Completion Ceremonies
Diversity at UWS
FOR THE GOOD OF THE PATIENT: UWS DIVERSITY INITIATIVES TO EXPAND CULTURAL COMPETENCIES IN HEALTH CARE The world of integrated health care is diverse and ever-growing. People from different backgrounds and all walks of life are learning of its benefits and are seeking access to it. In order to provide excellent, people-centered care and fulfill the University of Western States (UWS) motto – “for the good of the patient” - it is important that health care providers build cultural competency skills to deliver effective care to patients from communities that have traditionally been underserved. The opportunity to share a wide variety of worldviews, perspectives and experiences allows for creativity and innovation university-wide, which ultimately allows UWS to provide better care for patients, their families and the community at large. UWS has made significant commitments to encouraging the development of cultural competency skills for its students, faculty and staff. Recent diversity-driven initiatives at UWS include the formation of a university-wide
UNIVERSITY INCLUSIVITY MISSION University of Western States strives to create a culture of inclusivity that embraces and celebrates the diversity of its faculty, staff and students. Through this, UWS is committed to building a community that reflects the diversity our students will encounter in their professional lives. UWS values a learning environment in which students and employees are empowered through multicultural perspectives that lead to a culturally competent health care workforce, and where employees feel valued and enriched through their differences. UWS is committed to recruiting and retaining employees and students from demographics that are underrepresented in both higher education and health care settings by creating and promoting a welcoming environment that fosters inclusiveness and equal opportunity for all.
At University of Western States, the promise of our motto— “for the good of the patient” —is available to everyone. Good health, quality of life and overall well-being are accessible to all individuals, regardless of race, ethnicity, national origin, sexual orientation, religion or belief, gender identity or expression, disability, age, veteran status or financial background. As health care providers, educators and students, we share a duty to promote cultural competence in health care education, to expand access for integrated health care services, and to increase educational and professional development opportunities for students from diverse and underserved communities. The university mission, to advance the science and art of integrated health care, honors the contributions of all people. The UWS community welcomes a full spectrum of experiences and worldviews, invites open and respectful exchanges of beliefs and ideas, and cultivates unrestricted opportunities for innovation, creativity and synthesis. It is this spirit of exploration, curiosity and inquiry that stimulates new discoveries and novel insights, generates fresh understandings, and energizes the quest for wisdom—all for the good of the patient. - Dr. Brimhall, UWS President
diversity committee, the ENGAGE (Ending Negative Generalizations and Growing Equality) Club, the formation of the Pacific Northwest’s first-ever chapter of the Student American Black Chiropractic Association (SABCA), and the Allies Club, which exists to provide a safe and supportive environment for underrepresented sexual identity and gender communities. “These groups are integral to the student experience at UWS, because they provide a voice for our students from traditionally-underrepresented communities and an opportunity for them to have an impact on the university,” said Zack Frey, UWS student services retention coordinator. “Their activities advance the university’s commitment to inclusivity and also let current and future students know that they are welcome here. These groups empower our students to take on leadership roles and gain skills and experience that will serve them both as students and as health care professionals.” Student involvement in these new campus clubs and committees are already beginning to build bridges within the community. When students are culturally competent, they will be better positioned as graduates to serve all patients who come to them seeking care, and, patient by patient, help correct systemic issues surrounding lack of health care access for minority communities. 31
UWS DIVERSITY COMMITTEE In early 2018, UWS students, staff and faculty representatives formed the university diversity committee. The committee is tasked with promoting an inclusive environment that makes all individuals feel welcomed and acknowledges that differences are something to be celebrated. “The development of the diversity committee has been a long-time need as our campus and our larger community becomes more diverse,” said Alisa Fairweather, chair of the diversity committee and UWS director of community relations and continuing education. “The impetus for the committee was student-driven with broad support from faculty and university leadership. Our student population is diversifying and we felt a real responsibility to prepare all of our students for the diversity of patients they will encounter when they enter into practice. UWS has long been an open and accepting campus, but the formation of a formal university committee makes the intention actionable and more visible.” In addition to the goal of fostering a culturally competent health care workforce, UWS aims to recruit and retain employees and students from different cultures and backgrounds as well as with different experiences. Having an active diversity committee on campus will help ensure that the university reflects its values of inclusivity and openness to all.
UWS Diversity Committee 32
ENGAGE (ENDING NEGATIVE GENERALIZATIONS AND GROWING EQUALITY) CLUB Historically, women and people of color have been underrepresented in the field of chiropractic. The ENGAGE Club at UWS was formed to be an example to the entire UWS community that the field of chiropractic and integrated health care is open and accessible to people of all genders, races and socioeconomic status. “Moving to Portland and starting school at UWS was a huge cultural shift for me as it was for many other students of color,” said Christina Violante, UWS chiropractic student, president of ENGAGE. “As of 2016, the demographic makeup of chiropractic physicians via the American Census Bureau is more than 90 percent white and more than 70 percent male, which is an uncomfortable demographic for anyone that doesn’t fit the majority description. I founded the ENGAGE club to give voice to underrepresented and marginalized populations. I wanted to create a space where we could facilitate actionable steps to make both the school and the field of chiropractic more inclusive and equitable.” The club’s long-term goals include expanding the patient, student, faculty and staff population at UWS to be more inclusive and reflective of our national demographics; providing diversity and inclusivity training to students, faculty and staff; providing a supportive atmosphere; and facilitating networking and mentorship opportunities for students from underrepresented groups. In its inaugural year, ENGAGE members have hosted speakers, facilitated viewings of documentaries revolving around the subject of health care inequality and organized Spanish anatomical terminology lessons. Members are currently planning a back-to-school school supply drive for underserved children. “My hope is that one day ENGAGE or something similar will just be an integrated, interdepartmental part of our curriculum and administration,” said Violante. “The university has been incredibly supportive of this mission and sees diversity and inclusivity as urgent issues and necessary for our success as future health care practitioners.” In addition to creating ENGAGE, Violante is a student representative on the diversity committee, an associated student body (ASB) representative, ASB equity and inclusion liaison, vice president of the UWS Women’s Alliance and parliamentarian for the UWS Student American Black Chiropractic Association (SABCA).
STUDENT AMERICAN BLACK CHIROPRACTIC ASSOCIATION In Spring 2018, six UWS students made history by founding the first-ever Pacific Northwest chapter of the Student American Black Chiropractic Association (SABCA).
The driving force behind the creation of this chapter at UWS was wanting to find more mentors for the minorities on campus, because in reality, there are only a handful of us. Being able to have someone you can look to directly that also identifies as part of a marginalized group is great for the learning process and will help students that much more. - Shenee’ Lawson, UWS chiropractic student, UWS SABCA president
” The establishment of their chapter was dependent on club members being present at the June 30 – July 1 ABCA national conference in St. Louis, MO, which would have been prohibitively expensive if not for the success of a recent SABCA fundraiser. After reaching out to alumni, friends and employees, in 24 hours their goal was not only met, but vastly exceeded. UWS is thankful and humbled for the overwhelming response by our community. Excess funds will go toward SABCA’s trip to next year’s conference. We will keep you updated on their progress and activities. Thank you for helping UWS SABCA make history. As an official ABCA chapter, UWS students are now eligible to apply for and receive ABCA scholarships and can recommend that future ABCA conferences be held in the Portland area. The existence of a UWS SABCA chapter will also assist UWS when applying for grants supporting diversity initiatives or relating to health care outreach in underserved populations.
From left to right: First row: Shoshanna Rahming Second row: Josh Konu, Tim W
“Due to our demographics in the Pacific Northwest, having groups such as SABCA on campus helps everyone gain more knowledge and understanding as to the different life challenges minority groups experience,” said Lawson. “From a clinical education standpoint, it’s also important for future caregivers to be able to know what to do should someone from a different ethnic background comes into their office. It’s all about professionalism at the end of the day; we should be able to put ourselves professionally into a situation, even if we feel discomfort, and commit to providing the best care.” According to the ABCA, many African Americans who would benefit from chiropractic care are unfamiliar with its benefits. Chiropractic colleges struggle to attract minority students into their programs, resulting in a significantly low number of African American chiropractic physicians out in the field. Ultimately, communities of color remain under-served by the benefit of chiropractic care. In accordance with the UWS motto, “for the good of the patient,” this must change and UWS SABCA is leading the way.
g , Sheneé Lawson, Christina Violante Williams
ALLIES CLUB The Allies Club, previously known as LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer and/or Questioning) and the Alliance Club, was founded to provide a safe, welcoming environment for students and employees to be who they are without fear of discrimination or judgement. The club has grown from just a few members to between 12-18 weekly participating members in a few short years.
Being able to have a safe space where we can educate ourselves and others on LGBTQ issues allows us to become more proficient, empathetic and understanding providers within the communities we’ll serve. - Carina Staab, UWS chiropractic student, Allies Club president
” In addition to hosting social events on campus, the Allies Club has organized community events to relay that UWS and the UWS Health Centers are safe spaces for LGBTQ individuals to receive health care. “My hope is, after finishing up my time as president of this great club, that I will enhance my skills of empathizing with patients and be able to relate on a deeper level than most health care providers will be able to with the LGBTQ population,” said Staab. “There are so many individuals of this population that do not receive adequate health care or some that don’t attempt to receive it for fear of discrimination or persecution. I want my future patients to know that my office will be a safe place for everyone and that I will provide the best health care we all deserve as human beings.” Future club events include regular talks and trainings for the UWS community regarding basic LGBTQ terminology, information about transgender health care and becoming a LGBTQ-aware health care provider, as well as panels for open discussions relating to LGBTQ health.
To learn more about the continued university diversity efforts, check out the diversity and inclusion webpage. There, you can find university resources, local and national events, links to scholarships and more. 36
THROUGHOUT THE W.A. BUDDEN LIBRARY ON THE UWS CAMPUS, YOU’LL SEE SIGNS THAT READ, “LIBRARIES ARE FOR EVERYONE.”
“We’ve been including a lot more information about diversity in our collection in many areas such as gender, race, LGBTQ health and more. We’re proud to be able to provide such resources to our students so that they can apply what they learn to become the health care providers the community and country needs.” - Janet Tapper, UWS dean of library services
Giving at UWS
As a nonprofit health sciences university, UWS ha
resources to advance integrative, whole-person he
chosen to give to UWS, and visit www.uws.edu/d
In early March, fresh off the heels of the National Chiropractic Legislative Conference (NCLC), the Student American Chir
at University of Western States (UWS) hosted a networking event to provide students an opportunity to connect with and lea
With the aim of introducing students to potential mentors for preceptorship opportunities and even employment, the club varying specialties such as functional neurology and pediatric care. Story continues on the next page.
From left to right: Stanley Ewald, DC, MPH, associate dean, clinical internship; Christeen Perkins, SACA president, DC student; Taylor Kerschner, natio
38 Darcy Ogloza, SACA public relations chair, DC student ; Joseph Pfeifer, DC, vice president of clinic affairs; Urvija Khare, SACA specialty council vice ch
as thrived since 1904 due, in part, to generous donations from alumni and friends. Donations to UWS provide additional
ealth care for the betterment of your profession and your patients. Read about a couple of the people who have recently
donate to learn how you too can make a difference.
ropractic Association (SACA) chapter
arn from local chiropractic physicians.
b invited chiropractic physicians with
onal vice legislative SACA chair, DC student; hair, DC and HNFM student.
UWS SACA CHAPTER PAYS IT FORWARD The UWS Student American Chiropractic Association (SACA) chapter generously decided to donate all ticketing proceeds from the networking event back to UWS to support pro-bono care that the UWS Health Centers provide to veterans, both independently and through programs like the Returning Veteran’s Project (RVP).
“ This fiscal year to date, we’ve been able to provide
more than 300 health care visits for about 60 veterans through the RVP program. It’s wonderful to see this demonstration of SACA’s support of our ability to provide care to our veterans. We’re very thankful for our students’ commitment to quality patient care and their appreciation of our work with the RVP.
- Joseph Pfeifer, DC, UWS vice president of clinic affairs
” “UWS has an attitude of service and our students exemplify that attitude,” said Stanley Ewald, DC, associate dean, UWS clinical internships. “I see this donation as a gift to our veterans more than a gift to the university itself. In reality, it is a gift to both. Our motto is, ‘For the good of the patient.’ This is an example of our students leading the way. We would like to express our sincere gratitude to SACA.” Fighting for the rights of veterans to access affordable and effective chiropractic health care has been a longstanding passion of the American Chiropractic Association (ACA) and by extension, UWS SACA.
“ SACA has been a huge part of pushing for more access to chiropractic care nationwide for veterans. Working to promote our patients’ right to receive opioid-free care, especially in today’s day and age, is extremely important and I’m proud to be involved in organizations that value that fight.
- Taylor Kerschner, UWS chiropractic student and SACA national vice legislative chair
” Not only do current patient populations benefit from the work that SACA is doing, but so will future patients as UWS students continue to grow and collaborate through involvement in groups that value advocating for the profession. “Being able to work as a team to put together the networking event was really special,” said Urvi Khare, UWS chiropractic student, past UWS SACA vice president. “The event turned out great and set the tone for the inclusive environment we hope to incorporate in our future practices. I began my involvement in SACA from my beginning of the DC program and through that, it’s helped inform what kind of physician I hope to be one day and what I value as a caregiver.” As the landscape of health care continues to evolve, it’s imperative that students continue their involvement in local and national organizations to connect with those who are actively involved in legislative work. By making these connections, they can in turn learn how to continue advocating for the field of chiropractic all throughout their careers. “Being a part of SACA or even the ACA is important to being a chiropractic physician, because we need to continue the precedent of protecting our rights and scope of practice,” said Darcy Ogloza, UWS chiropractic student, past UWS SACA public relations chair. “Without speaking up and working with legislation as we do through these organizations, we could lose a lot of our practice abilities.”
Giving at UWS Continued THE DR. JAN NEAL SCHOLARSHIP AND MATCHING GIFT CHALLENGE Alumna Dr. Jan Neal (class of ‘86) and her husband, Britt Kennedy, have established a brand-new scholarship at UWS. The Dr. Jan Neal Scholarship for Learning Resources and Technology will provide doctor of chiropractic students with a $500 campus store credit to buy textbooks, devices to access electronic learning materials (i.e. tablets) and other resources they need to excel in their studies.
“ During my student days, I remember the hunt for money to buy books, supplies, equipment and lastminute classroom materials as a struggle; the added expense was never the same amount (but always large!) and usually an unwelcome budget-buster for that month. Britt and I hope this scholarship will help reduce this stress for the recipients.
- Jan Neal, DC
” To kick off the first round of awards, Dr. Neal and Mr. Kennedy are matching, dollar-for-dollar, the first $5,000 in donations made to this new scholarship. If an additional $5,000 from other donors can be raised by August 28 (before the start of the fall term), as many as 20 students will receive the $500 award, which would pay for just about every book, device or learning material that a student needs per quarter and could stretch even further if the student already owns a tablet. We have already received $1,193 in donations, all of which have been doubled for a total of $2,386 toward the $10,000 goal. Please help us help more students by making a donation of any amount by August 28. Visit uws.edu/donate and select the Dr. Jan Neal Fund when you make your donation. 42
LEARN MORE ABOUT OUR FINANCIALS Employee giving Dr. Jan Neal and Mr. Britton Kennedy
We are pleased to recognize those who contributed financially to the university from May 2017 to date, as well as those who have referred students who are now enrolled in a UWS program, from the spring 2017 term to date.
UWS Donor Roll Call Read the 2017/2018 Annual Report
View donor roll call 43
Student Ex Thank you to NCLC, CCA and SABCA donors UWS alumni, friends, faculty and staff answered the call to help students attend these three national conferences by making donations to offset out-of-pocket expenses such as travel, registration and lodging. Among all three conferences, 110 donors gave a total of $13,529 which helped 31 students expand their knowledge and build their professional network at these events. We are humbled and deeply thankful for this unprecedented outpouring of support.
Photos from 2018 National Chiropractic Leadership Conference (NCLC). Read more about the value of attending the conference, written by attendee Christine Perkins here.
46 Students attending the 2018 National Chiropractic Leadership Conference (NCLC).
Because of the generosity of donors, eight UWS students were able to attend the Canadian Chiropractic Association (CCA) National Convention. We are so proud to have UWS students learning how to advocate for the profession in Canada and overwhelmed by the support from our Canadian alumni and friends!
UWS student Rebekah Wilks (left) and National University of Natural Medicine student Marisa Soski (right) at the 2018 International Congress on Integrative Medicine and Health in Baltimore, MD, presenting their poster on how to create a new chapter of Student Alliance for Integrative Medicine (SAIM).
Rebekah Wilks and Juston Jaco Named Community Service Scholarship Recipients An important element of the University of Western States (UWS) mission statement is encouraging students to participate in activities that provide meaningful service to the campus, the integrated health care profession and our community. The annual UWS Community Service Scholarship was established to support student engagement in such activities. In order to be eligible for the scholarship, applicants needed to meet the following criteria: enrollment in a UWS degree or certificate program during spring 2018; good academic standing with a minimum 2.5 cumulative GPA; and demonstration of a record of meaningful campus, professional and community involvement. UWS is proud of this year’s Community Service Scholarship recipients, Rebekah Wilks, doctor of chiropractic student and Juston Jaco, human nutrition and functional medicine student. Wilks, who is heavily involved in campus-life at UWS, serves as vice president and campus representative for the Student Alliance for Integrated Medicine (SAIM). SAIM is comprised of five medical schools in Portland including UWS, Pacific University (PU), Oregon Health and Science University (OHSU), Oregon College of Oriental Medicine (OCOM), and the National University of Natural Medicine (NUNM). The organization is the student affiliate organization of the Oregon Collaborative for Integrative Medicine (OCIM). Wilks’ work with SAIM was the focus of her scholarship application. SAIM promotes inter- and intra-professional collaboration and communication at the student level to prepare the future health care providers for integrative communication and teamwork. Wilks’ work within the organization has brought various speakers to campus and has helped promote awareness of integrative medicine to UWS and fellow SAIM students.
“The concept of inter-professional collaboration opens a new world that could theoretically provide additional jobs to the market,” said Wilks. “The more individuals who understand that people are unique and need personalized healing, the more medicine will be successful at conclusive healing and true patient-centered care.”
Jaco served AmeriCorps for three years and focused his work in northern California on creating unity between education, environment and community. He worked with teachers in developing and implementing hands-on, activity-based lessons in class and action-oriented programs outside of class such as garden maintenance, tree and crop planting and more. Seeing the need to educate elementary school children in Mendocino and Lake Counties, regions with a high percentage of overweight and obese children, Jaco taught interactive lessons educating children about hidden sugars and the basic chemical processes that occur throughout the body when we consume too much of it. “As a future nutrition specialist, I wanted to create more green spaces to empower others to grow their own food and understand how the environment (air, water, food, lifestyle and stress) interacts with the individual to promote health or cause disease,” said Jaco. “For me, my passion is about getting back to the root of service work, which is why this experience will benefit my community throughout the rest of my life.” 50
American College of Nutrition Conference UWS is extremely proud of scholarship winners from the American College of Nutrition Conference. Nicole Feehery, Lesley Amica and Angela Griffiths were among those of the UWS HNFM cohort to take home scholarships.
Back row left to right: Tara Meyerink: MUIH, Linda Mench: UB, Kathryn Conery: Bastyr, Angela Griffiths: UWS, Samantha Tucker: NYCC, Angela Taylor: MUIH Front row left to right: Kim Ross: ACN student engagement coordinator, Lesley Amica: UWS, Nicole Feehery : UWS, Lucinda Rost: Saybrook, Gretchen Kaiser: MUIH
Left to right: Lind Mench: University of Bridgeport, Nicole Feehery: UWS, Lesley Amica: UWS, Dr. Roger Newton, ACN President, Kathryn Conery: Bastyr, Samantha Tucker: NYCC, Angela Griffiths: UWS, Gretchen Kaiser: MUIH, Tara Meyerink: NUIH, Lucinda Rost: Saybrook
Graduate Connections UWS Alumna, Lenore DiFiore Recipient of Excellence in Teaching Award
Lenore DiFiore UWS Alumna
In spring, UWS alumna, Lenore DiFiore (‘91), was awarded the Excellence in Teaching Award from Saint Joseph’s College in Portland, Maine.
Lenore DiFiore, assistant professor of biology, joined Saint Joseph’s College in 2015, teaching courses such as anatomy and physiology, pathophysiology and medical microbiology. She brings more than 25 years of experience working in health care as an educator, chiropractic physician and as a clinical director. “My love of teaching was inspired by professors I had during my time at UWS (then Western States Chiropractic College) Jim Carollo (anatomy and physiology) and Fred Colley (microbiology),” said Dr. DiFiore. “Fred would read to us from “Of Microbes and Men” and of course Jim would use fantastic visual stories to help us really understand the material. Mostly their love and passion for the subject came across and you could not help but want to learn. “I had the pleasure of practicing as a chiropractic physician in Wales, UK for eight years but upon returning to the states, an injury made it impossible for me to continue practicing. This was pretty devastating but that spark and interest in the human body and my fine role models allowed me to pursue teaching as an alternate career. I try to emulate Jim and share my stories and case studies from practice in the UK in a relatable way. I now refer friends, peers and students to chiropractors and have had a couple of my own students pursue chiropractic as a profession, which makes me quite proud.” Each year students are polled and asked who among their faculty deserves the Excellence in Teaching Award. Students said about DiFiore, “She is a phenomenal educator and extremely good at organizing information into an easily learned format. She is by far the best professor I have ever had. She genuinely cares about her students and wants us to enjoy what we are learning and what we are working for.”
UWS Switchboard is a digital space to connect with the UWS community by asking for what you need and offering what you want to share. Why Switchboard? We like to think of Switchboard as a marketplace of generosity. Wherever you are in your life and career, there is a place for you on UWS Switchboard. The platform promotes actionable, high-value real-life connections. No distractions, no advertisements, just asks and offers within a trusted community.
Pro-tips for posting: Introduce yourself using a warm and friendly tone, as if you are writing a letter to a friend. Asks and offers should have a clear call-to-action and be specific about how you prefer to be contacted. Questions? Contact Julie Stutzman or Chelsea Nordby at email@example.com or 503-251-5713 .
The opioid crisis in America has enlight pain management.
The opioid crisis in America has made clear the need to find alternatives for pain management. Learn how UWS faculty and alumni are implementing their expertise to help combat the over-prescription of pharmaceuticals and empowering patients to seek non-pharmaceutical pain management methods.
tened the public to find alternatives for
Healing from the Inside: Pain Panel - Play Therapy
Julie Lerwick, PhD UWS Sport and Performance Psychology Professor
Dr. Julie Lerwick holds a PhD in counseling from Oregon State University and is a Nationally Certified (NCC) Licensed Professional Counselor (LPC) and Registered Play Therapist (RPT). Her doctoral research, conducted at Oregon Health and Science University department of neurological surgery, was in pre-operative anxiety reduction using a play therapy intervention. Dr. Lerwick has enjoyed academic and clinical work, both nationally and internationally, and is deeply invested in preparing and mentoring new counselors to fulfill their life’s calling. Aligning with her research interest, Dr. Lerwick is a published author in medical journals on the subject of psychosocial aspects of pediatric health care. Believing strongly in social justice for children, she volunteers her time providing services to children undergoing medical treatment, creates pediatric psychosocial interventions for health care systems, trains health care professionals and first responders to address the psychosocial needs of children, and serves as president of the Oregon Association for Play Therapy. Dr. Lerwick maintains a clinical practice at a local hospital serving pediatric patients.
WHEN YOU WERE STILL IN SCHOOL, HOW DID YOU ENVISION YOUR FUTURE WORK IN THERAPY? When I was in graduate school, I had a dream to work in a hospital doing play therapy with pediatric patients. I never knew exactly how that would work, but I trusted that doors would open to me. In the past ten years, there have been a lot of doors that have closed, but I persisted and believed firmly in the value of offering play therapy in a medical setting for children suffering from all types of health issues. Hospitalization and medical care itself can actually be trauma-inducing to children and I sought to minimize the potential anxiety and trauma caused to children in these settings. Through my doctoral research, I was able to prove that play therapy actually does reduce anxiety levels in pediatric patients preparing for surgery.
HOW DOES INCLUSION OF PLAY THERAPY AID IN REDUCING A PATIENT’S PAIN? Play therapy invites children to express their thoughts and feelings in their most natural mode of communication: toys. The toys are their words. Developmentally, children do not yet have the cognitive skills to fully describe their emotional experiences with words, but are very capable of expressing emotions with toys. When a child is provided with the opportunity to engage in a play session with a Registered Play Therapist, they are invited to express their emotions in a non-directive, safe way which allows them to externalize their inner experiences. When these inner experiences of trials and trauma are externalized in childhood, there is a high probability that opioid use will not be utilized in adulthood to cover over the emotional pain of trauma. What this means for physical pain is that if anxiety or prior trauma is causing psychosomatic pain in children, they are provided with a way to safely externalize that from their bodies. Further, if a child is told openly and honestly that a procedure is in fact going to cause pain, that can often reduce the overall pain sensation as well. For example, “Some kids think this feels like a 56
pinch. Have you ever been pinched before? It hurts for a few seconds and then goes away.â€? Also, if a child is experiencing pain, sometimes the play session can be a gift of distraction from the actual physical ailment that they are experiencing. In my current setting of being an inpatient child therapist in a psychiatric unit, I am reducing psychological pain by being fully present and offering hope and healing by sincerely caring for the child.
WHAT IS THE MOST REWARDING PART OF YOUR JOB? In my clinical work, the most rewarding part of my job is seeing how children respond to the care of an adult. For many of the children that I work with, adults have not been safe for them. It is profoundly inspiring to be able to model acceptance, kindness and care to children in need. As a professor, the most rewarding part of my work is partnering with students to make their dreams come true. I enjoy the mentoring piece of teaching, in which I am able to see transformation over time and the development of nervous first year students into polished professionals.
HOW DO YOU THINK YOUR WORK ALIGNS WITH THE UWS PHILOSOPHY ON INTEGRATING DISCIPLINES? Patient care means to meet the needs of the patient no matter the concern. I find it inspiring that the word HEAL is found in the word HEALTH. To me, this means that as I seek to restore health to patients and clients, I am a partner in their healing process. I believe that healing comes through hope.
CONTACT DR. LERWICK Have questions, comments or are interested in learning more about what Dr. Lerwick does in her practice?
Healing from the Inside: Pain Panel - Human Nutrition and Functional Medicine
Chris Browne, DC, MS UWS Human Nutrition and Functional Medicine Associate Director
Dr. Chris Browne earned his Bachelor of Arts in Psychology from Truman State University. He then attended Logan University, where he earned his Bachelor of Science in Human Biology, continuing on to complete his doctor of chiropractic degree at University of Western States (UWS). Dr. Browne returned to UWS to earn his Master of Science in Human Nutrition and Functional Medicine (HNFM), graduating with the first cohort in the program while maintaining a full-time clinical practice focusing on neuromusculoskeletal care and nutritional management of chronic disease. After co-developing and teaching post-graduate courses in manual therapy and chiropractic adjustive technique, Dr. Browne became a professor at National University of Natural Medicine (NUNM) where he taught physical medicine, orthopedics and clinical nutrition to senior naturopathic doctorate students and supervised interns delivering patient care. During this time, he began teaching in the UWS human nutrition and functional medicine program, eventually assuming the role of associate director of human nutrition and functional medicine program, while continuing to teach.
WHEN YOU WERE STILL IN SCHOOL, HOW DID YOU ENVISION YOUR FUTURE PRACTICE? DID IT INCLUDE WHAT YOU’RE CURRENTLY DOING NOW? As a chiropractic student, I envisioned my practice being very focused on neuromusculoskeletal treatment. While I did spend most of my first few years doing that, I found that many of my patients had other health needs that weren’t necessarily being met by the care they were receiving from any of their practitioners. Many of these issues related to inflammation, immune system imbalances, the integrity of their gastrointestinal tract and other common clinical dysfunctions. For most of these patients, their pain and other problems were a complex, multifactorial phenomenon that required a more comprehensive approach to their care. I wanted to add to my clinical toolkit, which led to completing the master’s in human nutrition and functional medicine at UWS and expanding my practice focus. I did suspect that I’d be teaching at some point, which I’m pleased to be doing now.
WHAT IS THE MOST REWARDING PART OF YOUR JOB? Helping to provide, through my work with the HNFM program, a similar expansion of perspective and greater understanding of therapeutic options that benefitted my practice and patients so greatly. It’s deeply fulfilling to help current and future practitioners do more for their patients and clients, ensuring that fewer people with preventable or treatable illnesses fall through the cracks of our health care systems.
HOW DOES THE INCORPORATION OF NUTRITION AID IN REDUCING A PATIENTS’ PAIN? The dietary and nutritional strategies we provide have the power to dramatically impact immune function and gut health, for starters. These can ultimately shift our patient’s physiology in ways that favor decreased pain. We can reduce the intake of foods that result in pro-inflammatory and pain-promoting molecules to prevent feeding the cycle of pain. By ensuring that our diet feeds the “good” microbes in our gut and prevents the “bad” ones from getting out of control, we can reduce immune responses that favor pain. As part of a comprehensive care plan, nutrition is an essential pain-management tool.
HOW DO YOU THINK YOUR WORK ALIGNS WITH THE UWS PHILOSOPHY ON INTEGRATING DISCIPLINES? Functional medicine is an inherently collaborative approach to health care. In a functional medicine practice setting, we depend on practitioners of multiple disciplines to gather the information they’re best prepared to identify or test for, prescribe or perform therapies that may be outside another practitioner’s scope or training and share their ideas with one another to ensure that patients receive the best care possible. In functional medicine education, we draw from the strengths of specialized practitioners or researchers in various disciplines and use their contributions to form a cohesive whole-person approach to helping the patients or clients who need us.
CONTACT DR. BROWNE Have questions, comments or are interested in learning more about what Dr. Browne teaches in the HNFM program?
Healing from the Inside: Pain Panel - Chiropractic Care
Stephanie Halloran, DC UWS Doctor of Chiropractic Alumna
Stephanie Halloran, DC, earned her bachelor’s in kinesiology from University of Illinois ChampaignUrbana and worked a personal trainer before moving to Portland, Oregon to attend UWS. While at UWS, she completed a clinical rotation at the Richard Roudebush Veteran’s Affairs (VA) Medical Center in Indianapolis under Christopher Sherman, DC. Following graduation, she went on to complete a one-year chiropractic residency program with the VA Connecticut health care system under site director, Anthony Lisi, DC. This fall, she will begin a two-year research fellowship under the mentorship of Dr. Lisi and Christine Goertz, DC, PhD, while concurrently working toward her master’s in human nutrition and functional medicine through UWS, as well as her Diplomate in Diagnosis and Internal Disorders through the American Chiropractic Association (ACA).
WHEN YOU WERE STILL IN SCHOOL, HOW DID YOU ENVISION YOUR FUTURE PRACTICE? DID IT INCLUDE WHAT YOU’RE CURRENTLY DOING NOW? When I first started school at UWS, I saw myself being an associate or owning a chiropractic clinic specializing in internal disorders. I had been exposed to the American Chiropractic Association (ACA) Specialty Councils in my second quarter while attending the National Chiropractic and Leadership Conference (NCLC) in Washington, D.C., and intended to pursue my diplomate in Diagnosis and Internal Disorders as soon as it was offered in Chicago, Ill. I attended the Student American Chiropractic Association (SACA) Leadership Conference in Roanoke, VA, where Anthony Lisi, DC, residency site director for VA Connecticut Health Care System, was presenting the VA Chiropractic Residency program. I was intrigued by the integration of chiropractic physicians into a hospital system and the opportunity to receive advanced training following graduation, and I valued the opportunity to serve our veteran population. Following the conference, knowing the residency program was competitive, I chose to pursue both the Diplomate of the American Board of Chiropractic Internists (DABCI) and residency concurrently throughout the remainder of my time at UWS. This past June, I completed my residency with Dr. Lisi at VA Connecticut, and I will be remaining for 1-2 more years working as a research fellow on an NIH grant with Dr. Lisi and Christine Goertz, DC. During my time as a fellow, I will concurrently take courses for my master’s in human nutrition and functional medicine with UWS as well as with the ACA Council on Diagnosis and Internal Disorders. My goal is to continue to work within the VA or private hospital setting as a clinician-researcher and, following a long career in integrated hospital care, open a non-profit focused on providing chiropractic care in inner cities and teaching families how to live a healthy lifestyle despite their lower income.
WHAT IS THE MOST REWARDING PART OF YOUR JOB? The ability to provide enough relief to allow a Vietnam War veteran to play with his grandchildren again, improve a WWII veteran’s ability to stand and cook his wife dinner, or reduce pain enough for an Operation Enduring 60
Freedom (OEF)/Operation Iraqi Freedom (OIF) veteran to gain meaningful employment is the best part of my job. These seemingly small outcomes can have a huge impact on the patient’s mood, life purpose and overall perception of their pain and functional outcomes long-term. Additionally, I have had the opportunity to rotate through many different departments and with many different physicians with varying exposure to chiropractic. Being able to interact with other specialties, explaining what we can do for patients, and witnessing as physicians refer their patients to chiropractic care while I am sitting in the room, shows the progress we have made as a profession.
HOW DOES THE INCORPORATION OF CHIROPRACTIC CARE AID IN REDUCING A PATIENT’S PAIN? We provide a non-pharmacological, non-invasive treatment option through manipulation and mobilization, flexiondistraction and lifestyle changes for musculoskeletal complaints. Chiropractic is still fairly new within the VA system, so patients may come to us as a first-line treatment option, or after the patient has trialed many other therapies. The care can be done in isolation, but many times is provided as an adjunctive therapy alongside interventional procedure or psychological interventions.
HOW DOES YOUR WORK ALIGN WITH THE UWS PHILOSOPHY ON INTEGRATING DISCIPLINES? Every time I interact with a patient, I try my best to keep their best interest in mind. What is best for them may be the care I am able to provide. However, it also may mean referring them for a surgical intervention, a more in-depth rehabilitation program or further work-up from a different department. My training at VA Connecticut has allowed me to rotate through different departments, interact with residents, fellows and attending physicians, and understand how we all function together as a health care team to provide the best benefit to the veterans we serve. UWS provided me the foundation for which this lens was built; every management plan is developed with the good of the patient in mind.
CONTACT DR. HALLORAN Learn more about Dr. Halloran’s VA experience on the next page. Have questions or comments for Dr. Halloran?
Healing from the Inside: Alumni Blog
My Rotation Through a VA Pain Medicine Clinic By Stephanie Halloran, DC This story has been reprinted with permission from ACA Blogs, the official blog of the American Chiropractic Association.
Some of the most valuable knowledge you gain in the Veterans Affairs (VA) chiropractic residency program comes from rotating in other specialties. Within the VA Connecticut Healthcare System, I rotate at both the West Haven and Newington locations. Thus far, I have spent time in rheumatology, physiatry, womenâ€™s clinic (primary care), neurology, pain medicine and the interventional pain clinic. Although each rotation has contributed greatly to my clinical acumen, this post will primarily focus on pain medicine. Pain medicine is a medical subspecialty generally comprised of anesthesiologists, physiatrists or neurologists who have completed an additional one-year postresidency fellowship. As the name implies, these specialists manage overall pain with a goal of improving quality of life for patients. In the private sector, this is done through a combination of medication and interventional procedures, while in the VA the focus is primarily on the latter. This is due to the VA system allocating the majority of medication management to primary care physicians. Thatâ€™s not to say a VA pain physician will not provide suggestions for medication management when indicated, but they will not prescribe or manage this medication.
Drs. Stephanie Halloran and Chris Affairs (VA) Medical Center in India
Within the VA system, pain management generally manages spinal conditions such as stenosis, non-surgical disc herniation, musculoskeletal trigger points, symptomatic spondylosis and unspecified radicular pain with absence of progressive neurological deficits. Sound familiar? Essentially, this department treats very similar conditions as chiropractors treat but with interventional procedures. If you are like me at the beginning of my residency, you are currently asking, or have already Googled, what interventional procedures are. Interventional procedures include medial branch block, radiofrequency ablation, epidural steroid injection, sacroiliac (SI) joint corticosteroid injection and musculoskeletal trigger point corticosteroid injection. Intervention selection is determined by identifying the most likely pain generator and presence or absence of radicular symptoms. Below I have broken down each procedure into axial and radicular categories and provided a brief explanation of the goal. 62
Axial pain: symptomatic spondylosis, SI joint arthritis/dysfunction Medial Branch Block (MBB) Each facet is innervated by two medial branches of the posterior rami of spinal nerves. In this fluoroscopy-guided procedure, local anesthetic and steroid are placed just outside the facet joint near the location of these nerves. The typical outcome following this procedure falls into three categories: No benefit or reduction in pain; the facet joints were potentially the incorrect target; the pain is alleviated for a few hours and then returns; the facet joints are contributing to the pain; and pain alleviated for days to months, which is an indication the pain generator is most likely facetogenic in nature. If the benefits are long-lasting, this procedure may be repeated every three to six months for management. If it only lasts a few hours to days, a physician will consider a radiofrequency ablation. Radiofrequency Ablation (RFA) This fluoroscopy-guided treatment uses electrical current to interrupt, and essentially burn, the medial branches of the posterior rami of spinal nerves. As stated above, the indication to perform RFA is a positive response to the medial branch block. It is generally performed bilaterally at multiple levels and patients can experience relief lasting three to 12 months following RFA. In the private sector, this procedure cannot be performed every six to 12 months depending on insurance stipulations.
s Sherman at the Richard Roudebush Veteranâ€™s anapolis.
In the VA, depending on the physician, they may be performed as frequently as every three months.
SIJ Corticosteroid Injection (SI CSI) If the MBB/RFA should be unsuccessful, or if the physician has a strong predilection toward the SIJ being the pain generator, a CSI may be performed to one or both SIJ. The medication is placed directly into the posterior-inferior SIJ, with some physicians targeting the ipsilateral piriformis in conjunction. Relief should last anywhere from two to six months. Musculoskeletal Trigger Point Injection Simply put, this procedure involved injecting corticosteroid into an identified musculoskeletal trigger point. This may be performed alongside any of the procedures listed above or in isolation. If the MBB and/or RFA do not produce beneficial outcomes, it may be indicative of muscular tissue being the culprit versus facet joint. 63
Radicular: Disc herniation, Symptomatic spinal stenosis Epidural Steroid Injection (ESI) This procedure is generally the most recognizable due to its high utilization in childbirth, the major difference being the use of fluoroscopy guidance. Just as the name suggests, it involves injecting corticosteroid into the epidural space. There are three different ways to approach the epidural space: interlaminar, transforaminal and caudal. Interlaminar injections follow a midline approach through the ligamentum flavum, transforaminal injections approach obliquely under the pedicle in the neuroforamen, and the caudal approach is performed by entering through the sacral hiatus. Each procedure is very much based on practitioner preference and training similar to chiropractic manipulation set-ups. It is important to keep in mind these procedures are not meant to be curative, and the physicians delivering them should make this clear to the patient. They are a method for temporary relief in an effort to increase quality of life and functionality of the patient, while avoiding more invasive procedures. Also, remember it is near impossible to definitively identify a pain generator in the spine. These procedures are selected based on history and physical exam procedures similar to those of chiropractors. Many of the procedures above are as much diagnostic as they are therapeutic in nature. It is not uncommon for a pain physician to trial multiple interventions before one works. Unfortunately, we as chiropractors will also not be able to provide durable benefit to every person we see. There is a multitude of reasons this may happen, including lack of compliance to an active rehab program, sedentary lifestyle, co-morbidities and many others. Knowing when and where to refer an unresponsive patient is important. If a patient undergoes a reasonable trial of chiropractic care without having a decrease in pain, decrease in pain medication and/or increase in functional abilities, it is appropriate to seek other options. The next step may be physical therapy or acupuncture, but if the patient has already failed other conservative options, a next reasonable step is pain medicine. There may be some patients unwilling to consider injections, but it is your responsibility as a health provider to know the various options for care and when each is appropriate. When choosing whom to refer to, it is important to research the physician to ensure you have the same ideals and goals. Explore options in the area by doing a quick search online or ask another health practitioner for referral options. Once two to five potential physicians have been identified, extend an invitation to coffee or lunch. Focus on learning more about the provider as a person, their practice approach and how working together can be mutually beneficial to improve patient outcomes. When in doubt, refer back to my alma mater’s (University of Western States) motto: “for the good of the patient.” As practitioners, we are responsible to deliver care that aligns as such. This may not always be chiropractic care, and it’s important to be cognizant of the other options that are available in the extensive health care system. This story is part of a series on the chiropractic residency program in the VA health care system.
Through Dr. Halloranâ€™s generous post on Switchboard, the new digital space to connect with the UWS community by asking for what you need and offering what you want to share, Ashley Agcaoili, June 2018 graduate of the chiropractic program, was able to get connected to the VA in Tacoma for her preceptorship.
Healing from the Inside: Student Blog
The Connection Between Nutrition and Inflammation By Jenn Evon UWS HNFM student and member of the student blogger team
While acute inflammation is a normal physiological response designed to keep the body healthy in the face of injury or illness, research shows that systemic, low-grade inflammation is implicated in many chronic conditions such as metabolic syndrome, type 2 diabetes, obesity and heart disease. A powerful way to prevent or ameliorate chronic inflammation is to refrain from eating processed foods and inflammatory oils and instead adopt an antiinflammatory diet full of vegetables and fruits. Researchers have found that as many as one-third of plants contain some kind of anti-inflammatory properties, which have a powerful impact on overall health and well-being when consumed consistently through a wellbalanced diet.1 A diet high in vegetables and fruits has been shown to have a positive effect on diseases such as type 2 diabetes and cardiovascular disease, with a correlation between lowered biomarkers of inflammation and increased vegetable and fruit intake.2 The Mediterranean diet has been studied extensively for its anti-inflammatory effects on diseases such as cancer and heart disease. The Mediterranean diet is full of vegetables, legumes, healthy dietary fats such as olive oil and cold-water fish, whole grains and nuts, while limiting meat, saturated fat and processed foods.3 Studies have shown that the Mediterranean diet is an effective way to help prevent against coronary heart disease (CHD) and dietary components such as extra virgin olive oil and cold-water fish decrease inflammatory cytokines in those with CHD.4 A study of adolescents and adults in the Balearic Islands, found in the Mediterranean, showed that adults who adhered to the Mediterranean diet had lower levels of leptin, a hormone that regulates appetite, and higher levels of adiponectin, a hormone that regulates glucose levels. Poor adherence to the diet resulted in higher levels of inflammatory biomarkers, especially in adult males.4 66
The Mediterranean diet, or a similarly structured anti-inflammatory diet, is a wonderful way to quench inflammation in the body. To take things a step further, incorporate the following anti-inflammatory foods into your diet.
Curcumin Curcumin, the anti-inflammatory compound found in turmeric, exerts potent anti-inflammatory effects on the body. Curcumin is capable of stimulating protective antioxidant pathways while inhibiting inflammatory cytokines and reactive oxygen species, which cause cellular damage.5,6 It exerts a positive effect on glucose and lipid metabolism, as well as insulin sensitivity. In overweight type 2 diabetics, curcumin is capable of reducing inflammatory cytokines and fasting blood glucose levels. It inhibits cancer tumor growth by affecting apoptosis, or cell death, in cancer cells.5 Curcumin has a long history of use and has been employed in the management of countless imbalances including cardiovascular disease, autoimmunity, chronic kidney disease and chronic inflammatory disorders such as rheumatoid arthritis.6,7 Curcumin is not well absorbed in the body, so many supplements are designed to enhance delivery of the compound.5,7 Choosing curcumin supplements that include piperine or consuming turmeric with a small amount of black pepper will help to improve bioavailability of this anti-inflammatory powerhouse. Curcumin can be incorporated into the diet by sprinkling turmeric into a variety of main dishes, blending the root into smoothies, or by making â€œgolden milk,â€? a beverage with milk (dairy, almond or coconut) and other spices such as cinnamon and ginger.
Blueberries Blueberries are one of the best sources of anthocyanins, antioxidant compounds that scavenge free radicals in the body, thereby limiting oxidative stress. Anthocyanins are present in red, blue or purple foods, such as berries.1 Blueberries contain considerably more anthocyanins than strawberries and raspberries1 and are protective against cancer and diabetes while promoting cardiovascular health. They help to inhibit inflammatory cytokines as well as modulate the expression of inflammatory genes.8 Blueberries can be incorporated into the diet through smoothies, fruit bowls or as a tasty dessert with a sprinkle of cinnamon on top.
Omega-3 fatty acids Omega-3 polyunsaturated fatty acids are found in cold-water fish such as salmon or herring, or in fish oil supplements. Omega-3 fatty acids exert anti-inflammatory properties by helping to regulate chronic inflammatory cascades, inhibiting inflammatory cytokines and activating gene receptors that turn off pro-inflammatory gene transcription.9 In older adults, omega-3 fatty acids have been found to aid in muscle protein synthesis, as well as inhibit oxidative stress related to insulin resistance and sarcopenia, or muscle degradation. They can help to regulate HbA1c in type 2 diabetics, as well as reduce triglycerides in those with obesity.10 Omega-3 fatty acids may also be useful in decreasing the symptoms of rheumatoid arthritis, risk of stroke and risk of coronary heart disease.9 It is highly inefficient for the body to create adequate levels of omega-3 fatty acids on its own; therefore, it is important to source omega-3 fatty acids from the diet. Consuming cold-water fish several times a week or supplementing with a high-quality fish oil supplement are both effective ways of ensuring that the body is receiving enough omega-3 fatty acids.
References 1. Wang, L., Gao, S., Jiang, W., Luo, C., Xu, M., Bohlin, L., Rosendahl, M., & Huang, W. (2014). Antioxidant dietary compounds modulate gene expression associated with apoptosis, DNA repair, inhibition of cell proliferation and migration. International Journal of Molecular Sciences, 15, 16226-16245. doi: 10.3390/ijms150916226 2. Jahns, L., Conrad, Z., Johnson, L.K., Whigham, L.D., Wu, D., & Claycombe-Larson, K.J. (2018). A diet high in carotenoid-rich vegetables and fruits favorably impacts inflammation status by increasing plasma concentrations of IFN-a2 and decreasing MIP-1B and TNF-a in healthy individuals during a controlled feeding trial. Nutrition Research, 52, 98-104. doi:10.1016/j. nutres.2018.02.005 3. Sureda, A., del Mar Bibiloni, M., Julibert, A., Bouzas, C., Argelich, E., Llompart, I., Pons, A., & Tur, J.A. (2018). Adherence to the Mediterranean diet and inflammatory markers. Nutrients, 10(62). doi: 10.3390/nu10010062 4. Mayr, H.L, Tierney, A.C., Thomas, C.J., Ruiz-Canela, M., Radcliffe, J., & Itsiopoulos, C. (2018). Mediterranean-type diets and inflammatory markers in patients with coronary heart disease: a systematic review and meta-analysis. Nutrition Research, 50, 10-24. doi: 10.1016/j. nutres.2017.10.014 5. Wojcik, M., Krawczyk, M., Wojcik, P., Cypryk, K., & Wozniak, L.A. (2018). Molecular mechanisms underlying curcumin-mediated therapeutic effects in type 2 diabetes and cancer. Oxidative Medicine and Cellular Longevity. doi: 10.1155/2018/9698258 6. Ma, P., Tumin, D., Cismowski, M., Tobias, J.D., Gomez, D., McConnell, P., â€Ś & Winch, P. (2018). Effects of preoperative curcumin on the inflammatory response during mechanical circulatory support: a porcine model. Cardiol Res, 9(1), 7-10. doi: 10.14740/cr677w 7. Kumar, S.S.D., Houreld, N.N., & Abrahamse, H. (2018). Therapeutic potential and recent advances of curcumin in the treatment of aging-associated diseases. Molecules, 23, 835. doi: 10.3390/molecules23040835 8. Huang, W.Y., Liu, Y.M., Wang, J., Wang, X.N., & Li, C.Y. (2014). Anti-inflammatory effect of the blueberry anthocyanins malvidin-3-glucoside and malvidin-3-galactoside in endothelial cells. Molecules, 19, 12827-12841. doi: 10.3390/molecules190812827 9. Yates, C.M., Calder, P.C., & Rainger, G.E. (2014). Pharmacology and therapeutics of omega-3 polyunsaturated fatty acids in chronic inflammatory disease. Pharmacology & Therapeutics, 141, 272-282. doi: 10.1016/j.pharmthera.2013.10.010 10. Stella A.B., Cappellari, G.G., Barazzoni, R., & Zanetti, M. (2018). Update on the impact of omega 3 fatty acids on inflammation, insulin resistance and sarcopenia: a review. International Journal of Molecular Sciences, 19(218). doi: 10.3390/ijms19010218
Alumni & Friends News Upcoming CE Events 2018 UWS HOMECOMING AND NW SYMPOSIUM The Annual UWS Homecoming and NW Symposium will be held October 12 - 13, 2018 in Hampton Hall on the UWS campus. The theme is “Healthy Mind, Healthy Body” and we have an exciting line-up of speakers and topics. This event also features an alumni and friends homecoming reception, a great opportunity to network with students, staff and other industry professionals. The 2018 UWS Alumni Recognition Award will be presented at the reception. Nominate an alum by August 31 here. Starting on Friday, Dr. Dana Dharmakaya Colgan from Oregon Health and Sciences University (OHSU) will kick it off with a practical discussion about resilience and the neurobiological and behavioral effects of mindfulness, compassion and connection. Health care practitioners and students in the health field face high levels of stress in both their training programs and in practice. Come and learn some strategies that will help prevent burnout. Dr. Michelle Cox of the UWS clinical mental health counseling program will follow with a presentation on early detection of dementia and holistic and integrative interventions that may delay onset and decline. Saturday will include a presentation by Dr. Dan Murphy entitled, “Healthy Aging Through Brain Optimization.” Thank you to Dr. Murphy’s sponsors, NutriWest Pacific and Erchonia. There will also be a vendor fair to learn about the latest developments in integrated health care. Early bird pricing ends September 1. Learn more about the event and buy tickets here.
SUMMER IN DECEMBER RECAP Last year’s annual continuing education event, Summer in December, was held December 15 - 17, 2017 in Maui, Hawaii. It was the second largest attendance since the seminar’s inception in 2013. Drs. Bill Moreau and Beverly Harger gave a great presentation on Friday and Saturday on integrative cervical spine and upper extremity evaluation and care strategies. Dr. Georgia Nab capped it off with a presentation on applying functional medicine in clinical practice. Attendees also enjoyed an alumni and friends reception on Saturday evening where they enjoyed good food and conversation with their families, the presenters and UWS representatives including President Brimhall. This year’s Summer in December will be held in Kauai from December 14-16, 2018. Find all the information here.
In Memoriam Honoring Alumni Who Have Passed
Dr. Ross Coblens (1965 - 5/15/2016) DC class of 1991 – Read obituary
Dr. Thomas Ellis (1951- 5/19/2017) DC class of 1980 – Read obituary
Dr. Ralph Gingerich (1924 – 12/5/2016) DC class of 1956 – Read obituary
Dr. Ann Goldeen (1952 – 1/24/2016) DC class of 1980 – Read obituary
Dr. Laverne Saboe, Sr. (1928 - 1/1/2018) DC class of 1954 – Read obituary
Dr. Robert Sowers, Jr. (1970 - 6/15/2016) DC class of 1993 – Read obituary
Dr. Ralph Svehaug (1922 – 6/15/2018) DC class of 1950, ND class of 1950 – Read obituary
Remembering Alice Jacobson
“ Alice brought brilliance and joy to the lives of everyone she touched. I will always remember her for her sparkling humor, her unpretentious wisdom and her steadfast integrity. The world is a better place because Alice was here.
- UWS President Joseph Brimhall, DC
” A “Celebration of Alice” will be held August 26 from 2-5 p.m. at PCC’s Sylvania Campus Performing Arts Center. In memory of Alice, please consider a donation to the Alice Jacobson Scholarship Fund through the PCC Foundation, PO Box 19000, Portland Ore. 97280 or by visiting www. pcc.edu/give and writing her name in the tribute section.
Former trustees Leo Romero, DC, and Alice Jacobson, EdD, at the construction site of the Anatomical Sciences Building.
Former trustee Alice Jacobson, EdD, MA, passed away on Sunday, June 24, 2018. Dr. Jacobson served on the UWS Board of Trustees from 2008-2017, during which time UWS transitioned from a single-purpose college of chiropractic to a health sciences university, launched multiple new degree programs and constructed the Anatomical Sciences Building. Dr. Jacobson brought considerable leadership experience to the UWS Board of Trustees. She dedicated her 36-year career to teaching and higher education administration, including serving for thirteen years as president of the Sylvania Campus of Portland Community College in Portland, Ore. Dr. Jacobson also served on the Northwest Commission for Colleges and Universities, the regional higher education accrediting body, and on the boards of multiple Portland-area organizations with missions to advance social services. Current Board Chair Robert Jones, DC, APC, remembers Dr. Jacobson as a consistent leader on the UWS Board of Trustees, “Alice was the ultimate elder statesman. She mentored us through the actions of serving and doing. She taught all of us on the board that advocating for the interest of students, professors, administration and alumni together built a congruent community that achieved success for all.” 73
Upcoming Alumni Events September
Alumni and Friends Dinner
Alumni and Friends Dinner
Alumni and Friends Breakfast
Summer in December Alumni and Friends Reception
September 21, Olympia, Wash.
October 5, Anchorage, Alaska
November 3, Burnaby, BC
December 15, Lihue, Hawaii
UWS Homecoming and NW Symposium October 12-13, UWS campus
Alumni and Friends Dinner October 27, Ogden, Utah
September 21, Olympia, Wash.
October 5, Anchorage, Alaska
October 27, Ogden, Utah
November 3, Burnaby, BC
Click here for more dates and locations
6/20/18 3:08 PM
inTouch Summer/Fall 2018
Inside this healing-focused edition of inTouch you will… -Find out ways our students, alumni and faculty are specializing in “healing from t...
Published on Aug 10, 2018
Inside this healing-focused edition of inTouch you will… -Find out ways our students, alumni and faculty are specializing in “healing from t...