A DISSECTION OF NEWS FROM THE DEPARTMENT OF SURGERY
The Scalpel Thoughts From the Chairman Another academic year has ended and begun! The new group of residents and fellows officially started on July 1st. Congratulations to a fantastic group of residents and fellows who graduated in June. As my first full year as the Chair of Surgery at UTMC/UTGSM has ended, I’m filled with gratitude for the opportunity to be a part of a wonderful culture at a time where learning to better care for each other in healthcare will be essential if we want to be a part of a sustainable healthcare system. I don’t know of another academic medical center that has the spirit of collegiality across divisions, departments and Dr. Bruce Ramshaw even with the hospital administrators and managers. We will need to work together to learn how to measure and improve the value of care we provide in the context of whole, definable patient care pathways. To do this, we need to identify the group of people who care for patients in a definable patient care pathway (i.e., the process) for the entire cycle of care and define what outcome measures (e.g., costs, quality and patient perspective) define value in the context of that specific pathway. From the science of data and systems, we know that a definable context is necessary for meaningful measurement and analysis. Until now, we have tried to apply a measurement of value for all patients, combining many different patient care pathways as if the uniform measurements will have the same value for different patient care pathways and different patient subpopulations. For example, the measurement of value for a patient who has an inguinal hernia and chooses to undergo an outpatient inguinal hernia repair will have very different measures of value than a patient with terminal breast cancer who is receiving end of life hospice care. To understand the best measurements of value for these very different patient care pathways requires the contribution of knowledge from the group of people actually providing the care, with the patients and family members providing their perspectives as well. This systems approach to measuring and improving value will allow us to decrease costs and improve outcomes for all patient care pathways to which these principles are applied. We have begun the process of pulling data from all of our systems in the clinic and hospital so we can have the data in one place for the clinical teams to use for measuring and improving the value of care they provide. Although this is not a simple, short-term solution, it is a real solution for a complex problem, based on the science of systems and data. It will likely take several months to achieve this data management but when we have the data available for the clinical teams to learn from, the patient, hospital and clinical teams should all derive benefit and the costs of care can decrease while outcomes are improved.
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Inside this Issue
● Chief Resident’s Dinner ● Resident Research Day ● New Residents and Fellows ● Faculty News ● Academics
The Department of Surgery’s mission at the University of Tennessee Graduate School of Medicine is to provide surgical education by delivering the highest quality patient care, teaching and research.
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EVENTS 2017 Chief Residents Dinner The Department of Surgery gathered at the Cherokee Country Club on Saturday, June 17, to commemorate the achievements of five surgery residents graduating from and two fellows completing fellowships. Dr. Junior Univers, Dr. Stephen Tonks, Dr. Eric Owings, Dr. Kyle Kleppe, and Dr. Matthew Abraham have competed five years of general surgery residency. Dr. Univers and Dr. Tonks will be completing a vascular fellowship at the University of Tennessee Medical Center; Dr. Owings is starting his private practice in Stewart, Florida; Dr. Kleppe will be completing a MIS Fellowship at the University of Wisconsin. Dr. Abraham is the newest critical care fellow at UTGSM.
Dr. Katherine Warner completed her fellowship in vascular surgery and will continue her career in private practice in Yakima, Washington. Dr. Marc Campbell, Critical Care Fellow, will become a faculty member within the Department of Surgery at UT. Heath Many, Critical Care Fellow, is going to Tenwek Hospital in Kenya. He will act as a clinical assistant professor for our residents to train there. Sherard Chiu, MIS Fellow, is Joining a private bariatric practice New York Bariatric Group.
Dr. Blaine Enderson and Dr. Bruce Ramshaw
Drs. Univers, Tonks, Owings, Kleppe, and Abraham
American College of Surgeons Alumni Reception October 23, 6-8PM Manchester Grand Hyatt Room Balboa C * San Diego, California *please note room has changed since invitations were mailed
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EVENTS Resident Research Day Resident Research day was held June 16, 2017 in Morrison’s Conference Room at UT Medical Center. Awards were presented to the residents and faculty at the Chief Residents Dinner that evening. Dr. Blaine Enderson, Professor of Trauma and Critical Care, Department of Surgery, UT Medical Center, was this year’s Kimball I. Maul Visiting Professor. Dr. Miles Landry received the Resident Teaching Award; Dr. Andrew Russ received the Faculty Teaching Award.; the Faculty Service Award was given to the Intensive Care Unit and Trauma Nurses; the Trauma Scholarship was awarded to Dr. Alex Cavalea; first place for the Resident Performance award was Dr. Kyle Kleppe second place was Dr. Stephen Tonks and third was Dr. Sneha Bhat. Dr. Kyle Kleppe also received the Society of Laparoendoscopic Surgery award. First place for the Kimball I. Maull Research Award was Dr. Benjamin Ford, second place was Dr. Shannon Beierle, and third was Dr. Lynellen Gregory. Dr. Christopher Winter received the research award for Urology. This years Golden Apple Award went to Dr. Junior Univers. The award is given to the resident with excellence in teaching medical students.
Dr. Miles Landry presenting to Surgery Faculty and Residents
Interested in Giving? The UT Graduate School of Medicine and the Department of Surgery are thankful for generous support from people like you. If you are interested in giving please contact development@utmck.edu or 865-305-6611.
Dr. Daley (left) and Dr. Enderson with the Kimball I. Maull Lecturer award
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NEW RESIDENTS AND FELLOWS 2017-2018
Daniel Albarran
Andrew Antill
Aaron Arroyave
PGY1 Prelim.
PGY1
PGY1
University of Tennessee
Louisiana State University—Shreveport
Florida International University
Mario Figuereoa
Alan Good
PGY1 Prelim.
PGY1 Prelim.
Rutgers New Jersey Medical School
Saint Louis University
Oliver Benton PGY1 Prelim. Urology University of Tennessee
Serena Jen
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PGY1
Robert Jones
Prelim.
Prelim.
Medical College of Georgia
Texas A & M
Sujata “Jay” Datta PGY1 Boston University
Thomas Kennedy PGY1 University of Arkansas
Eric Riedinger
George Lodeiro
C. Schilling Nechtman
PGY1
PGY1
Prelim. Urology
Ross University
University of South Alabama
University of Louisville
Matthew Abraham MD Critical Care Fellow Residency University of Tennessee Graduate School of Medicine
PGY1
Jonathan Cudnik, MD
Dennis Van Dorp, MD
Jessica Taylor, MD
Instructor, Advanced GI MIS Fellow
Critical Care Fellow
Residency at Wayne State University School of Medicine
Stephen Tonks, MD
Junior Univers, MD
Vascular Fellow
Vascular Fellow
Residency at University of Tennessee Graduate School of Medicine
Residency at University of Tennessee Graduate School of Medicine
Vascular Fellow Residency at Medical College of Georgia
Residency at Brody School of Medicine at East Carolina University
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DEPARTMENT NEWS
New Department of Urology to be Chaired by Dr. Waters After over two years in the making, the Division of Urology is expanded into its own department. As of July 1, the new Department of Urology is chaired by Dr. W. Bedford Waters. Dr. Waters has received the endorsement of Dr. Bruce Ramshaw, Chair, Department of Surgery, and Dean James Neutens, Dean of the Graduate School of Medicine. The Division of Urology was formed in 1983 within the Department of General Surgery. It had boasted one of the top urology residency programs in the south east and is highly regarded as a top program within the American Urology Association. It is Dr. Water’s vision to see the new department grow with a nationally recognized W. Bedford Waters, MD urology residency program. “We have ten faculty who are all top in their fields and every sub specialty of urology covered. The surgical volume and academic vision for our department reflects the University of Tennessee Medical Center’s mission. It is my goal to strive in excellence with patient care, robust clinical initiative, and become a top urology residency program in the country.” Currently the department fields around 180 applications for two coveted urology residency program positions. Since it’s inception in 2004, the urology residency program has remained a competitive and highly sought after program in the urology field. About Dr. Waters • Dr. Waters began teaching at the UT Graduate School of Medicine in 2001. He is a Professor and has
been serving as Division Chief and Residency Program Director since 2014. Dr. Waters is a trustee emeritus of the American Board of Urology, Inc., serving as its President from 2008 to 2009, secretary-treasurer, chairman of the executive committee, chairman of the finance committee, and chairman of the recertification committee during his tenure on the ABU from 2003 to 2012. In addition to the American Board of Urology, Dr. Waters has served as the president of many regional and national organizations, including the Chicago Urological Society (1995), the Illinois State Urological Society (2000) and the urology section of the National Medical Association (1996-1998), while also serving on the executive committees of the Society of Urologic Oncology and the Society of University Urologists. From 1995 to 1999, he participated as a member of the examination committee of the American Board of Urology, Inc.
Dr. Waters was elected as an Active Member of the prestigious American Association of Genitourinary Surgeons in 2008 and was elected as a Fellow at the April 2013 meeting. More recently, Dr. Waters was elected as a physician member to the University Health Systems, Inc. Board of Directors in July 2015. He was also recently elected as President-Elect to the Vanderbilt Medical Alumni Association Board of Directors. Dr. Waters has been featured in the U.S. News and World Report of top USA physicians as one of four top physicians in the state of Tennessee, and in 2012, he was recognized by Worldwide Who’s Who for his dedication , leadership and
excellence in medical education.
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Dr. Mitchell Goldman received the Rudolph Matas Award. The award is the highest award bestowed by the Southern Association for Vascular Surgery. This award is given to members for recognition of a lifetime of excellence, achievement and contributions to the field of vascular surgery, and service to the Southern Association for Vascular Surgery. In the forty-one year history of the Association, only 13 members have been honored with the Matas Award. Dr. Goldman has served the Southern Association for Vascular Surgery in many capacities with distinction, most notably as its 28th President. His basic research, clinical investigations, mentorship, and leadership in the field of vascular surgery is widely known and respected.
Dr. Goldman
Dr. Scott Stevens, Professor of Surgery, Director of Endovascular Therapy and CoDirector of the UT Aortic Center, presented on creative disruption in vascular surgery at the annual meeting for the Southern California Vascular Surgical Society (SCVSS). SCVSS president, Vince Rowe, invited Dr Stevens to give the address. Dr Rowe received training as a vascular resident at UT Medical Center. At the SCVSS annual meeting, vascular surgeons discuss best practices for diagnosing and treating vascular disease. It was refreshing and educational, Dr Stevens said, to share perspectives and philosophies with clinicians from different parts of the country and to appreciate the high quality of vascular care here at UT Medical Center.
Dr. Stevens and Dr. Rowe
Dr. Keith Gray was recently featured in the Knoxville News Sentinel as a Knoxville member in the Tennessee Leadership 2017-2018 class. The program, which “aims to create a network of business, nonprofit and education and government leaders across the state,� highlighted prominent figures in the Knoxville community. Dr. Gray is noted for his medical achievements at the University of Tennessee Medical Center as well as his completion in the Physician Executive Masters of Business Administration program at UT in December 2014. He was nominated as class president and for the Outstanding Physician Leader Award.
Dr. Gray
A link to the original article can be found here: http://www.knoxnews.com/story/news/ local/2017/06/14/meet-knoxville-members-leadership-tennessees-2017-18class/394587001/
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New Faculty
Marc Campbell, MD
Dr. Campbell is a graduate of Lake Erie College of Osteopathic Medicine. He completed his residency in General Surgery at the University of Pittsburg Medical Center—Horizon and his fellowship in Critical Care Surgery at the University of Graduate School of Medicine. His clinical focus is Trauma and Critical Care Surgery. He was previously Instructor of Surgery at South College Physician Assistant program.
Assistant Professor Division of Trauma and Critical Care
Faculty Promotions
Andrew Russ, MD
Dana Taylor, MD
Michael McNally, MD
Associate Professor
Associate Professor
Assistant Professor
James McLoughlin, MD Professor
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Mark Casillas, MD Associate Professor
R. Eric Heidel, PhD Associate Professor
ACADEMICS PRESENTATIONS Warner K, Buckley R, Mountain D, Kirkpatrick S, Whelan J, Terry P, Goldman M, Freeman M, Grandas O. Zyfamend+Wholemega fatty acid combinatorial therapy inhibits intimal hyperplasia via the attenuation of M2 macrophage differentiation in a rodent model of vascular injury. Presented at Southern Association for Vascular Surgery; 2017 Jan 1821; Naples, FL. Univers J, Long C, Tonks SA, Freeman MB. Systemic hyper-sensitivity reaction to endovascular stainless steel stent. Presented at Southern Association for Vascular Surgery; 2017 Jan 18-21; Naples, FL. Ramshaw B, Forman BR, Moore K, Heidel E, Fabian M, Mancini G, Joshi GP. Real-world clinical quality improvement for complex abdominal wall reconstruction. Surgical Technology International. 2017 Jan 13;30. [Epub ahead of print] Jennings MO, Owen RC, Keefe D, Kim ED. Management and counseling of the male with advanced paternal age. Fertility and Sterility. 2017 Jan 6. [Epub ahead of print] Kleppe K, Gaines TE, Taylor DA. Use of left ventricular assist device and intra-aortic balloon pump in blunt cardiac injury. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. Bollig R, McLain J, Giesler D, Sams VG, Lawson CM, Daley BJ, Nickloes TA. Tracheal stenosis based on surgical technique. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. Beierle SP, McLoughlin J, Heidel RE, Casillas M, Russ AJ. Colorectal cancer outcome disparities increase with distance from treating facility. Presented at Academic Surgical Congress; 2017 Feb 7-9; Las Vegas, NV. Lew M, Snyder W, Daley BJ. Repeat computed tomography after intracranial bleeding is not needed in patients taking aspirin. Presented at Academic Surgical Congress; 2017 Feb 7-9; Las Vegas, NV. Landry M, Lewis J. Comparison of outcomes between open vs videoscopic superficial inguinal lymph node dissection. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. Johnson M, Gray KD, Hubbard E, Grindstaff AD, Nodit L. Pancreatic lymphangioma: A diagnostic and treatment dilemma. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. Cavalea A, Benton D, Heidel E, Daley B, Lawson C, McLoughlin J. Pneumatosis intestinalis in patients receiving tube feeds. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. Pospiech E, Blue CT, Lewis JM, Nodit L.. Soft tissue malignancy due to long standing foreign bodies after shotgun blast. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN.
Tonks S, Lee S, Freeman MB, Grandas OH, Stevens SL, Goldman MH, McNally MM, Arnold JD. Threatened AV access with central venous obstruction: Thoracic outlet decompression versus hero graft. Presented at Southeastern Surgical Congress; 2017 Feb 25-28; Nashville, TN. McNally MM, Buckley MR. Hybrid approach to maintaining vertebral artery patency following transcervical gunshot wound. Presented at 45th Annual Symposium Society for Clinical Vascular Surgery; 2017 Mar 18-22; Orlando, FL. Owings E, Ramshaw B, Forman B. The use of a novel resorbable synthetic mesh (TIGR Matrix) for abdominal wall reconstruction (AWR) in contaminated and non-contaminated surgical fields. Presented at American Hernia Society; 2017 Mar 8-11; Cancun, Mexico.
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ACADEMICS
Bhat SG, Simpson H, Heidel RE, Lewis JM. Utilization of human regenerative tissue matrix: a promising alternative to full thickness skin grafts in select patients undergoing wide local excision. Presented at HemOnc Today Melanoma and Cutaneous Malignancies; 2017 Mar 24-25; New York, NY. Sorensen M, Owen R, Lacy J. Trends in the pursuit of urologic fellowship training. Presented at Southeastern Section of the American Urological Association; 2017 Mar 23-26; Austin, TX. Dr. Megan Johnson presenting at Southeastern Surgical
Winter C. Treatment of ureteral steinstrasse using shock pulse lithotripsy. Congress Presented at Southeastern Section of the American Urological Association; 2017 Mar 23-26; Austin, TX.
Basham KB, Jennings MO, Angelle JW, White WM. Is closed suction drain following robotic radical prostatectomy necessary? Presented at Southeastern Section of the American Urological Association; 2017 Mar 22-26; Austin, TX. Cudnik J, West P, Fisher R, Mattern-Schain S, Best M, Kirkpatrick S, Freeman M, Grandas O, Mountain D. Sub-Endothelial matrix targeted liposomal nanoparticles for vascular therapeutics. Presented at Arteriosclerosis, Thrombosis, and Vascular Biology/Peripheral Vascular Disease; 2017 May 4-6; Minneapolis, MN. Winter CA, White WM, Pickens RB. Bulb suction drainage is not necessary after routine robotic-assisted partial nephrectomy: A large case-control analysis. Presented at American Urological Association; 2017 May 12-16; Boston, MA. Owen RC, Dresner S, Bienvenu JM, Jennings MO, Waters WB. Centralization of care promotes training disparities with regard to the teaching of retroperitoneal lymphadenectomy. Presented at American Urological Association; 2017 May 12-16; Boston, MA. Basham KB, Pickens RB. Tubeless mini percutaneous nephrolithotomy: A single institution experience with outpatient management of renal calculi. Presented at American Urological Association; 2017 May 12-16; Boston, MA. Cudnik J, West P, Fisher R, Mattern-Schain S, Best M, Kirkpatrick S, Freeman M, Grandas O, Mountain D. Sub-endothelial matrix targeted liposomal nanoparticles for vascular terapeutics. Presented at Society for Vascular Surgery Annual Meeting; 2017 May 31 - Jun 3; San Diego, CA. Bhat S, Cavalea A, Alexander M, Casillas MA, Russ AJ. Combined endoscopic and laparoscopic surgery (CELS) offers improved patient outcomes versus Laparoscopic Colectomy (LC) for endoscopically unresectable Colorectal Neoplasms. Presented at American Society of Colon & Rectal Surgeons Tripartite Meeting; 2017 Jun 10-14; Seattle, WA. Ramshaw B, Vetrano V, Jagadish M, Forman B, Heidel E, Mancini M. Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia. Surgical Endoscopy. 2017 Jun 7. [Epub ahead of print]
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Graduate School of Medicine Resident and Fellow Research Day 2017 The Dean and the Academy of Scholars Recognized Excellence (The Best) in Resident and Fellow Research on Thursday, May 11, 2017 in Wood Auditorium. Abstracts for original research projects and case reports underwent a two-stage review process during the month of April. Four case reports and four original research projects were selected for presentation at the Graduate School of Medicine Research Day. Below are Surgery Resident winners from this year. Awards were presented at the GMDEC Meeting on June 8, 2017 Junior Univers, MD: Systemic hyper-sensitivity reaction to endovascular stainless steel stent (1st Place Case Report) Michael A. Lew, MD: Routine repeat head computed tomography after trauma is not needed in patients taking aspirin (1st Place Original Research)
Katherine I. Warner, DO: Zyfamend+Wholemega fatty acid combinatorial therapy inhibits intimal hyperplasia via the attenuation of M2 macrophage differentiation in a rodent model of vascular injury (2nd Place Original Research) Sneha G. Bhat, MD (Whittington E., presenting): Utilization of human regenerative tissue matrix: A promising alternative to full thickness skin grafts (3rd Place Original Research) John M. McLain, MD: Tracheal stenosis based on surgical technique (4th Place Original Research)
Dr. Heath Many and Residents to Join Tenwek Mission Hospital in Kenya
Heath Many, MD will assume a new role as Clinical Assistant Professor in the Department of Surgery and assist in resident training. He is well known to the UTMCK program as first an attending in Morristown, then a local surgeon at Parkwest in Knoxville and lastly and most recently as a Critical Care Fellow. Dr. Many brings a unique perspective as before his fellowship: he left the US to move his practice and family to Tenwek Hospital in western Kenya. He returns to Tenwek as the Program Director in Surgery and will bring his Critical Care experience to the region. Tenwek Mission Hospital, staffed by American and African board certified general surgeons and a site for Pan-African general surgery residents, performs over 5,000 general surgery procedures annually. Dr. Many will now include UTMCK residents as his trainees. Eric Whittington, MD and Sung Lee, MD both PGY3s have been approved by the ACGME and the ABS to go to Africa and get credit for cases done at Tenwek. This experience offers further training in “rural� surgery and the opportunities to treat and diagnose diseases found only in that setting. While the costs are nominal, any support for the travel and domiciling of the residents Members of Tenwek Mission Hospital would be appreciated, and allow the program to expand. Scalpel 11
FALL 2017
The University of Tennessee Medical Center Department of Surgery - 827 1924 Alcoa Highway Knoxville, TN 37920-6999 Phone: 865-305-9294 RETURN SERVICE REQUESTED
The University of Tennessee Medical Center comprises the University Memorial Hospital and the Graduate School of Medicine. Together, these entities embody the medical center’s philosophy and mission through the spirit of exploration, the passion for teaching, and the compassion to restore. The University of Tennessee is an EEO/AA/Title IV/Section 504/ADA/ADEA employer. E20-6358-00-0002-08
Department of Surgery Faculty Division of Cardiothoracic Surgery Raymond A. Dieter, III, M.D.* Thomas E. Gaines, M.D. John Mack, M.D.
Division of Physical Medicine and Rehabilitation Jeffery S. Hecht, M.D.* Miriam Weinstein, MD
Division of General Surgery Matthew L. Mancini, M.D.* Mariah Beasley, M.D. Terry Bingham, M.D. Mark Casillas, M.D. Sherard Chiu, M.D. Paul Crawford, M.D. Daniel Drinnen, M.D. Nicole Kissane-Lee, M.D. Melissa LaPinska, M.D. Gregory J. Mancini, M.D. Henry S. Nelson, Jr., M.D. Jeffrey Nix, M.D. Bruce Ramshaw, M.D. Andrew Russ, M.D. Tom Thompson, M.D.
Division of Ophthalmology David J. Harris, Jr., M.D.* Nicholas G. Anderson, M.D. Charles G. Ange, M.D. Paul D. Froula, M.D. David G. Girkin, M.D. Gary N. Gitschlag, M.D. Herbert J. Glatt, M.D. Joseph M. Googe, Jr., M.D. John c. Hoskins, M.D. D. Lee McDaniel, M.D. T. McMillan, M.D. James H. Miller, M.D. Bradley L. Pearman, M.D. Stephen Perkins, M.D. James Rouse, M.D. Keith Shuler, M.D. Jonathan W. Sowell, M.D.
Division of Neurosurgery Todd Abel, M.D. Richard Boxer, M.D. Lewis W. Harris, Jr., M.D. Frederick Killeffer, M.D. James A. Killeffer, M.D.+ Joshua A. Miller, M.D. William E. Snyder, Jr., M.D. William A. Tyler, Jr., M.D. Division of Surgical Oncology Keith D. Gray, M.D.* John L. Bell, M.D. James Lewis, M.D. Jillian Lloyd, M.D. James McLoughlin, M.D. Division of Pediatric Surgery Glaze Vaughan, M.D.* Carlos Angel, M.D. Eric R. Jensen, M.D. *Division Chief + Academic Chief
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Division of Orthopedic Surgery Scott T. Smith, M.D.* George R. Baddour, M.D. Michael S. Eilerman, M.D. Edwin M. Holt, M.D. Glenn Ed Jeffries, M.D. G. Mathien, M.D. William Oros, M.D. Richard S. Smith, M.D. Kostas Triantafillou, M.D. Division of Plastic and Reconstructive Surgery Joseph T. Chun, M.D.* Kathleen S. Herbig, M.D. David B Reath, M.D. Stacy Stephenson, M.D. Division of Surgical Research Michael Karlstad, Ph.D. Eric Heidel, Ph.D. Oscar H. Grandas, M.D. Deidra Mountain, Ph.D. Christopher Stephens, Ph.D. Paul Terry, Ph.D.
Division of Vascular Surgery Michael B. Freeman, M.D.* Joshua Arnold, M.D. Ryan Buckley, M.D. Oscar Grandas, M.D. Michael McNally, M.D. Scott L. Stevens, M.D. Division of Transplant Surgery Oscar H. Grandas, M.D.* Alex Cantafio, M.D. Mitchell H. Goldman, M.D. Division of Otolaryngology Richard J. DePersio, M.D.* Leslie L. Baker, M.D. Michael J. Belmont, M.D. Robert A. Crawley, M.D. William D. Horton, M.D. John Little, M.D. Allen M. Rosenbaum, M.D. Ronald K. Sandberg, M.D. S. Soss, M.D. Division of Trauma/Critical Care Brian J. Daley, M.D.* Reagan Bollig, M.D. Marc Campbell, M.D. Blaine L. Enderson, M.D. James Goodin, M.D. Christy M. Lawson, M.D. Lindsay McKnight, M.D. Todd A. Nickloes, D.O. Frank Roberts, M.D. Lou M. Smith, M.D. Dana A. Taylor, M.D.