OklahomaD.O. - OSU Center for Health Sciences - Oklahoma State ...

The Journal

of the

Oklahoma Osteopathic Association

Oklahoma D.O. November 2010

Volume 75, No. 5

2010 Statistical Report of the Oklahoma Osteopathic Association

Also In This Issue: n n n n

Register for the 2011 OOA Winter CME Seminar Oklahoma D.O. Going Green Inaugural Speech by AAOA President Janell Cyrus Report from OSU Medical Center

Oklahoma D.O. | November 2010

1

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THE JOURNAL

OF THE

OKLAHOMA OSTEOPATHIC ASSOCIATION

Oklahoma D.O. November 2010

Volume 75, No. 5

Lynette C. McLain, Editor Julie Gaines, Associate Editor

OOA Officers: Scott S. Cyrus, DO, FACOP, President LeRoy E. Young, DO, FAOCOPM, President-Elect Layne E. Subera, DO, FACOFP, Vice President Duane G. Koehler, DO, FACOFP, Immediate Past President OOA Trustees: Kenneth E. Calabrese, DO, FACOI Michael K. Cooper, DO, FACOFP Bret S. Langerman, DO C. Michael Ogle, DO Gabriel M. Pitman, DO Richard W. Schafer, DO, FACOFP Christopher A. Shearer, DO, FACOI Kayse M. Shrum, DO, FACOP OOA Central Office Staff: Lynette C. McLain, Executive Director Mona Cohlmia Spivey, Director of Education Lany Jurrens, Associate Executive Director Pam Mokhtari, Director of Member Services Allison Wallace, Executive Assistant Julie Gaines, Associate Editor

The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication. For more information: 405.528.4848 or 800.522.8379 Fax: 405.528.6102 E-mail: [email protected] The OOA Website is located at www.okosteo.org


4

The President’s Report: Oklahoma Celebrates the Future

by Scott S. Cyrus, DO, FACOP, 2010-2011 OOA President

5

Important Notice: The Oklahoma D.O. is Going Green

6

2010 Statistical Report of the Oklahoma Osteopathic Association

10

OSU Medical Center Update

14

Advocates to the OOA Update - Celebrating Others!

by Trish Cable, 2010-2011 AOOA President

15

Inaugural Speech by AAOA President Janell Cyrus

17

OSU News

18

OEFOM Update

19

OOA Bureau News:

n Bureau on Membership - Welcome New OOA Members!

n Bureau on Postgraduate Education

20

What DOs Need to Know

22

OOA Winter CME Seminar Program Schedule

24

OOA Winter CME Seminar REGISTRATION

25

Health for the Whole Family:

“A-SALT-ed”: How to Stop Salt from Dominating Your Diet

Provided by the American Osteopathic Association

26

Student Scoop

by Mark Keuchel, OMS II, OSU-COM Student Senate President

28

Rural Health Update ...

Perspectives in Rural Health and Rural Medical Care:

A Rural Health Elective Update

by William J. Pettit, DO, Associate Dean for Rural Health,

OSU Center for Health Sciences

31

Classified Ads & Calendar of Events

3

Oklahoma Celebrates the Future by Scott S. Cyrus, DO, FACOP, 2010 - 2011 OOA President

The American Osteopathic Association’s (AOA) 115th an-

nual national conference in San Francisco, CA recently concluded and provided an exciting platform for the Oklahoma osteopathic family. My wife, Janell has assumed the Presidency of the Advocates for the American Osteopathic Association (AAOA). The nation joined Oklahoma as we celebrated the first Oklahoma AAOA President in over twenty years! We are extremely grateful to all of those who attended the inauguration and luncheon supporting and wishing her the best during her presidency. We are both very excited to represent the osteopathic profession as we travel around the nation bringing greetings from our great state and sharing with other osteopathic friends and families. There are numerous physicians and advocates from Oklahoma who are national leaders and experts. They all continue to provide so much pride for our state. We are honored to join the ranks of such a prestigious group. Regional meetings continue with the focus on improving training opportunities for the students and residents at Oklahoma State University Medical Center (OSUMC). Some may think meeting with regional physicians to encourage their assistance with patients to OSUMC may create a bias in the community with so many other hospitals. As the president of the Oklahoma Osteopathic Association (OOA), I support the sentiment of the OOA Board in recognizing and addressing the importance of the osteopathic training. Oklahoma should be proud to know we have the largest osteopathic training institution in the nation. OSU-CHS College of Osteopathic Medicine provides excellent candidates for post graduate training for OSUMC and other programs throughout the nation and together they strive for better patient outcomes. It starts with the College of Osteopathic Medicine and continues with osteopathic training through OSUMC. The regional meetings bring together imperative and significant players including osteopathic physicians; Jan Slater, OSUMC CEO; Eric Blackwell, DO, OSUMC Chief of Staff; Ebb W. Reeves, DO, member of the OSUMC Trust Authority; Candy N. Ting, DO President of the OSU-COM Alumni Association; Ryan Miller, OSU-COM Alumni executive director; Stanley E. Grogg, DO, Interim Dean of OSU-CHS; Kayse M. Shrum, DO, Vice President for Academic Affairs; OOA board members: Kenneth E. Calabrese, DO; Layne E. Subura, DO; and OOA past president Trudy J. Milner, DO. The OOA staff is committed with all the available resources to the success of these meetings and the outcomes that creates and maintains superb training. The support from the office of the President of OSU-Tulsa also provides the knowledge that osteopathic education is vital to the progress of

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a healthier Oklahoma. OSUMC has committed their efforts to provide a smoother transition for your patients and feedback to physicians in the community as patients return to the local areas. I ask that “Everyone, REMEMBER your training” and provide to the future osteopathic physicians an unmatched supreme educational experience as they care for the patients and strive for excellent patient outcomes. “Going Green” for the OOA seems only natural as we continue to work toward improving the communication with our members. The Oklahoma D.O. journal is always available online on the OOA website and will soon be available by electronic PDF format via e-mail to all recipients of the journal (should you choose this format). See page 5 for this option. This positive and ecologically responsible change will also provide substantial savings to the Association. It is greener and the right thing to do. We encourage the entire membership to continue their devotion to reading the Oklahoma DO. As an added benefit of choosing the “go green” format, you receive the journal in the electronic format more quickly than by regular mail. We know time is precious. The redesign and new and improved OOA website will create a more “user-friendly” experience for our members which gives our physicians more time for their practices. Members will soon be able to obtain their accumulated CME hours report for ease of re-licensure, get updates on conferences and seminars, register for OOA meetings online, and obtain legislative information on members of state and national elected officials. Remember to join the OOA on Facebook and Twitter as this is also a great way to stay in touch and be a part of the family. Any suitable information for the page can be sent to Allison Wallace, executive assistant at [email protected]. Join the OOA family and together let’s remain strong and healthy. Embrace and celebrate the positive changes of the future. OKDO


IMPORTANT NOTICE: The Oklahoma D.O. is going green! Support the OOA in its efforts to save our natural resources. The recipients of the Oklahoma D.O. now have an option (beginning December 2010) to receive the Oklahoma D.O. journal in an electronic format (PDF) via e-mail. In fact, the Oklahoma D.O. is already available each month online at the OOA website www.okosteo.org. If you choose to receive the electronic copy, you will be notified via e-mail that your copy is ready to view! These exciting changes in technology will be provided by the OOA staff along with the new and very user-friendly membership website company, Affiniscape, Inc. OOA members will soon be able to access even more helpful information online in the coming months. The OOA strives to please all of its members, so if you choose to stay with your printed copy of the Oklahoma D.O. that is also an option. Please email Pam Mokhtari at [email protected] and provide your name and preference of format ... either go green or printed copy. Or you may complete the form, and return it to the OOA office by fax: 405-528-6102 or by mail: OOA, 4848 N. Lincoln Blvd, Oklahoma City, OK 73105-3335.

#

Please note: If the OOA does not receive a reply concerning your preference on journal format by Dec. 31, 2010, we will assume that you prefer the electronic (PDF) version and not the printed version of the journal.

Name: ______________________________________________________________ Address: ____________________________________________________________ E-mail: ______________________________ Phone: (_____)_________________

Check one only:

q I want to GO GREEN and receive my Oklahoma D.O. publications electronically. q I prefer to receive my Oklahoma D.O. publications in print. Oklahoma D.O. | November 2010

5

2010 Statistical Report of the OOA

Osteopathic Medicine

The philosophy and science of osteopathic medicine was first described in 1874 by Dr. Andrew Taylor Still (1828-1917), a licensed physician. In 1892, he founded the American School of Osteopathy at Kirksville, Missouri. Members of the profession are designated as physicians and surgeons. They are qualified to render complete health services. Osteopathic medicine encompasses all phases of medicine in its distinctive recognition of the function of the musculoskeletal system in health and disease. Diagnostic and therapeutic methods applied to this system make osteopathic medicine today the most comprehensive and complete approach to human health. Osteopathic medicine cooperates with all other branches of medical science. It maintains its independence in order to develop and perpetuate, for mankind, this unique and inclusive system of medical care.

Osteopathic Education

Listed below are the 29 colleges of osteopathic medicine in the United States:

Pikeville College School of Osteopathic Medicine (Pikeville, KY) Rocky Vista University College of Osteopathic Medicine (Aurora, CO) Touro College of Osteopathic Medicine (New York, NY) Touro University College of Osteopathic Medicine (Vallejo, CA) Touro University College of Osteopathic Medicine (Henderson, NV) University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine (Stratford, NJ) University of New England College of Osteopathic Medicine (Biddeford, ME) University of North Texas Health Science Center at Fort Worth Texas College of Osteopathic Medicine (Fort Worth, TX) West Virginia School of Osteopathic Medicine (Lewisburg, WV)

Arizona College of Osteopathic Medicine of Midwestern University (Glendale, AZ)

Western University of Health Sciences College of Osteopathic Medicine of the Pacific (Pomona, CA)

A.T. Still University College of Osteopathic Medicine (Mesa, AZ)

William Carey University College of Osteopathic medicine (Hattiesburg, MS)

Chicago College of Osteopathic Medicine of Midwestern University (Downers Grove, IL)

Professional Requirements

Des Moines University-College of Osteopathic Medicine (Des Moines, IA) Edward Via Virginia College of Osteopathic Medicine (Blacksburg, VA) Kansas City University of Medicine and Biosciences College of Osteopathic Medicine (Kansas City, MO) Kirksville College of Osteopathic Medicine of A.T. Still University of Health Sciences (Kirksville, MO) Lake Erie College of Osteopathic Medicine (Erie, PA) Lake Erie College of Osteopathic Medicine - Bradenton (Bradenton, FL) Lincoln Memorial University DeBusk College of Osteopathic Medicine (Harrogate, TN) Michigan State University College of Osteopathic Medicine (East Lansing, MI) New York College of Osteopathic Medicine of New York Institute of Technology (Old Westbury, Long Island, NY) Nova Southeastern University College of Osteopathic Medicine (Ft. Lauderdale, FL) Ohio University College of Osteopathic Medicine (Athens, OH) Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (Tulsa, OK) Pacific Northwest University of Health Sciences College of Osteopathic Medicine (Yakima, WA) Philadelphia College of Osteopathic Medicine (Philadelphia, PA) Philadelphia College of Osteopathic Medicine - Georgia Campus (Suwanee, GA) 6

The degree, doctor of osteopathic medicine, requires four academic years of study beyond the bachelor degree level; two years devoted to anatomy, physiology, chemistry, pathology and bacteriology; and two years to clinical interrelationship of structure and function as a reciprocal factor in health and disease. Structural factors in disease processes are stress and students are trained in osteopathic manipulative therapy and in medical, therapeutic and surgical procedures. Internships, residencies and other postgraduate training are offered by the colleges, hospitals and specialty groups and are part of the educational program leading to certification in the various medical specialties. These programs are approved and/or certified by the American Osteopathic Association. There were 18,143 medical students in the colleges of osteopathic medicine in the 2009-2010 school year. There were an estimated 3,845 graduates from the colleges of osteopathic medicine in 2010. 1.

Oklahoma osteopathic physicians practice in 70 of the 77 counties in Oklahoma and in 149 Oklahoma communities.

2. Oklahoma has one licensed osteopathic hospital which is accredited by the American Osteopathic Association. There are 249 DO residents and 43 DO interns in Oklahoma teaching hospitals. 3. Oklahoma has 47 DOs serving on state-appointed boards related to the field of health care. 4. Oklahoma has 15 DOs serving in the military and 56 DOs serving in public health service. 5. Oklahoma has 778 DOs who are members of one or more osteopathic practice affiliates and 175 of these have been honored as Fellows. Oklahoma D.O. | November 2010

6. Oklahoma has 1,095 DOs (including residents and retireds) who specialize, of which 610 are certified in one or more specialties. 7. Oklahoma has 619 family practice osteopathic physicians (including residents and retireds) and 506 are certified in this area of practice. 8.

Of the 1,872 DOs in Oklahoma, 1,380 of these doctors are members of the American Osteopathic Association and 84 have been honored with Life Member- ship in the AOA. Included in these totals are 90 retired physicians, 43 interns and 249 residents.

9.

Of the 1,872 DOs in Oklahoma, 1,640 of these doctors are members of the Oklahoma Osteopathic Association and 95 have been honored with Life Membership in the OOA. Included in these totals are 90 retired Oklahoma physicians, 43 interns and 249 residents.

10. Of the 1,872 DOs in Oklahoma, 1,270 are graduates of Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU- CHS COM). This number includes 249 residents, 43 interns and 90 retired physicians.

Age Classification Age OK DOs Percent 25-35 208 14% 36-45 430 29% 46-55 404 27% 56-65 356 24% 66-75 79 5% 76-older 13 1% TOTAL 1,490 100% The average age of the 1,490 active DOs in Oklahoma is 48. This excludes 90 retired physicians, 43 interns and 249 residents.

Nature of Practice Administration 5 College Faculty 65 Correctional Medicine 4 Fellowship 3 Hospital Position 238 Military Service 15 Public Health Service 56 Private/Group Practice 1,059 Retired (semi) 28 Veterans Administration 17 Total 1,490 Retired Interns Residents Total

90 43 249 1,872

Primary Practice Categories OK DOs Percent Family Practice 619 43% Addictive Diseases 1 Anesthesiology 75 Aviation/Aerospace Medicine 3 Bariatrics 2 Cardiology 13 Dermatology 6 Diagnostic Radiology 26 Emergency Medicine 171 Endocrinology 1 Forensic Pathology 3 Gastroenterology 7 General Vascular Surgery 1 Geriatrics 2 Hematology & Oncology 2 Infectious Diseases 1 Internal Medicine 121 Medical Genetics 1 Neonatology 1 Nephrology 4 Neurological Surgery 9 Neurology 10 Neuromusculoskeletal Medicine 4 Nuclear Medicine 1 Obstetrics & Gynecologic Surgery 18 Obstetrics & Gynecology 48 Occupational & Preventive Medicine 12 Oncology 4 Ophthalmology 18 Orthopedic Surgery 53 Osteopathic Manipulative Medicine 6 Otolaryngology 7 Otorhinolaryngology 6 Pain Management 7 Pathology 6 Pediatrics 83 Peripheral Vascular Surgery 1 Phlebology 2 Physical Medicine & Rehabiliation 6 Plastic & Reconstructive Surgery 4 Preventive Medicine 1 Psychiatry 39 Pulmonary Medicine 6 Radiation Oncology 1 Radiology 19 Rheumatology 3 Sports Medicine 1 Surgery (General) 47 Surgical Oncology 1 Thoracic/Cardiovascular Surgery 4 Urological Surgery 2 Urology 2 Total 1,490 100% Retired Interns Residents Total


90 43 249 1,872

100% 7

2010 Statistical Report of the OOA DOs in Oklahoma Counties County DOs** Adair 2 Alfalfa 2 Atoka 1 Beaver 0 Beckham 5 Blaine 2 Bryan 20 Caddo 5 Canadian 12 Carter 22 Cherokee 32 Choctaw 4 Cimarron 0 Cleveland 120 Coal 1 Comanche 36 Cotton 1 Craig 4

Creek Custer Delaware Dewey Ellis Garfield Garvin Grady Grant Greer Harmon Harper Haskell Hughes Jackson Jefferson Johnston Kay Kingfisher Kiowa Latimer LeFlore

19 4 6 0 1 21 9 11 0 0 0 1 3 4 7 2 2 6 1 0 10 12

Lincoln 4 Logan 0 Love 2 Major 2 Marshall 8 Mayes 9 McClain 4 McCurtain 8 McIntosh 3 Murray 1 Muskogee 32 Noble 1 Nowata 1 Okfuskee 2 Oklahoma 213 Okmulgee 13 Osage 12 Ottawa 14 Pawnee 7 Payne 20 Pittsburg 14 Pontotoc 13

Pottawatomie 5 Pushmataha 4 Roger Mills 1 Rogers 41 Seminole 7 Sequoyah 11 Stephens 2 Texas 3 Tillman 1 Tulsa 585 Wagoner 18 Washington 23 Washita 1 Woods 2 Woodward 3 ** Excludes 90 retired physicians, 43 interns, and 249 residents.

Osteopathic Physicians in Oklahoma Counties

Texas 3

I

Beaver 0

Harper 1

Ellis 1

II

Woods 2

Woodward 3

Major 2

Dewey 0 Rogers Mills 1

8

Beckham 5 Greer 0 Harmon

0

Blaine 2

Custer 4

Kiowa 0

Garfield 21

IX

Caddo 5

Comanche 36

Jackson 7 Tillman 1

Cotton 1

Noble 1

III

Kingfisher 1

Logan 0

VI

Oklahoma 213

VII Grady 11

Lincoln 4

Cleveland 120

McClain 4 Garvin 9

Stephens 2 Jefferson 2

Osage 12

Pawnee 7

Payne 20

Canadian 12

Washita 1

IV

Kay 6

Grant 0

Pottawatomie 5

DISTRICT SOCIETIES OF THE OOA I. Panhandle II. Western III. Northwest IV. North Central V. Northeastern VI. Tulsa VII. South Central VIII. Eastern IX. Southwestern X. Southern XI. Southeastern

Alfalfa 2

Washington 23

Cimarron 0

Okmulgee 13

Okfuskee 2

Hughes 4

X

Atoka 1

Marshall 8

Bryan 20

Ottawa 14

Delaware 6

Cherokee Adair 32 2

Muskogee 32

VIII

Pittsburg 14

Coal 1

22

Love 2

V

Mayes 9

McIntosh 3

Seminole 7

Murray 1 Johnston 2 Carter

Rogers 41

Craig 4

Tulsa 585 Wagoner 18

Creek 19

Pontotoc 13

Nowata 1

Sequoyah 11

Haskell 3 Latimer 10

LeFlore 12

Pushmataha 4

XI

Choctaw 4

McCurtain 8

Map provided by Oklahoma State University Center for Rural Health


Distribution of DOs in Oklahoma by Size of Community Comparison between 1976 - 2010 (includes retired physicians, but not interns and residents.)

50,000+ 25,000 - 5,000 - 2,500 - 2,499 and Total 49,999 24,999 4,999 under

1976

186

26

84

57

90

443

1977

204

29

81

52

83

449

1978

194

28

85

69

83

469

1979

204

38

97

67

92

498

1980

208

34

107

68

95

512

1981

243

36

1130

72

81

562

1982

257

38

150

74

89

608

1983

265

49

158

89

86

647

1984

313

42

47

90

97

689

1985

332

41

153

79

88

693

1986

331

52

161

76

87

707

1987

346

56

158

95

90

735

1988

403

23

174

82

75

757

1989

387

25

174

81

103

770

1990

389

27

182

74

105

761

1991

419

24

205

78

75

801

1992

427

36

202

69

70

804

1993

410

52

214

70

71

817

1994

440

56

222

69

71

858

1995

452

57

225

68

89

871

1996

488

58

231

69

68

914

1997

495

64

237

72

70

938

1998

517

66

241

82

76

982

1999

547

71

252

84

75

1,029

2000

568

69

260

89

78

1,064

2001

589

62

260

95

82

1,088

2002

600

73

266

101

71

1,111

2003

623

80

296

76

70

1,145

2004

659

86

322

73

68

1,208

2005

716

90

328

83

69

1,286

2006

749

90

333

79

72

1,323

2007

796

104

356

81

74

1,411

2008

829

112

355

81

79

1,456

2009

849

106

367

79

75

1,476

2010

932

103

371

79

75

1,560


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OSU Medical Center Update

by Charlotte Guest, Manager, Marketing and Public Relations, OSU Medical Center

OSU Medical Center’s Vision for 2011 George Washington Carver said, “Where there is no vision, This past year, the OSUMC Emergency Department won a there is no hope.” Thankfully, Oklahoma State University Medical Center (OSUMC) has been fortunate enough, lately, to have both. It is an exciting time to look to 2011 and see the bright future for the medical center. Much is happening both inside and outside the walls of our facility and we, at OSUMC, take pride in sharing our good news. One year after a City Trust transferred ownership of Oklahoma State University Medical Center from Ardent Health Services, OSU Medical Center continues to focus on the future and is well on its way to completing a two year strategic plan. Major renovations and equipment upgrades have begun for the departments of Surgery, Cardiology, Interventional Radiology, and Wound Care. Significant upgrades to infrastructure and plant, electrical and mechanical systems have been completed, with more under way. Physicians have been recruited in Cardiology, Interventional Cardiology, Otolaryngology, Internal Medicine and Family Medicine. Additional physicians are being recruited, including internal medicine and family medicine physicians, urology and orthopedic specialists.

national award for patient satisfaction for exceeding industry standards. Also, high scores on the medical center’s employee satisfaction surveys continue to reflect the positive environment of OSUMC. Committed to the same caring philosophy and leadership the original hospital founders set forth 65 years ago, OSU Medical Center continues its proud tradition of teaching and training physicians to serve in our local and rural communities - providing exceptional health care for every patient, every time. Warren Buffett shared once that “Someone is sitting in the shade today, because someone planted a tree long ago.” We are thankful for the vision our founders had 65 years ago. As we enjoy the shade and strong roots provided by their plantings, we look to the future with much excitement and confidence. Please visit www.osu-medcenter.com for OSU Medical Center news and updates. OKDO

Plans for 2011 include renovations in the departments of Emergency Medicine, Respiratory Therapy, Laboratory, Dialysis, and Maternal Child Health as well as significant improvements to the exterior grounds of the OSUMC campus. The many capital improvements and new recruits have boosted both business and morale and enable OSUMC to focus on long term growth.

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11

The OOA Supports the Oklahoma Health Improvement Plan ...

Oklahoma Health Improvement Plan

SFY 2011 Oklahoma Health Improvement Plan (OHIP) Legislative Agenda ENACT KEY POLICY MEASURES:

Assure health education is taught in all state public schools during grade six, seven, or eight, in accordance with the Priority Academic Student Skills for Health and Safety Strengthen the graduated driver’s license law to prohibit the use of a hand held electronic device while driving except for life threatening emergency purposes for all drivers under eighteen years of age

POLICY PRIORITIES

Restore local control by repealing all preemptive clauses in the Prevention of Youth Access to Tobacco Act and Smoking in Public Places and Indoor Workplaces Act

**NOTE: To download the Oklahoma Health Improvement Plan, please visit www.health.ok.gov and click on the Oklahoma Health Improvement Plan icon. 12


Plan to Take the OOPAC Challenge in 2011!

A P

Political Ac t i o n

O

Osteopathic

O

C

Oklahoma

Committee

Give Back to OOPAC... v

Pledge annually and pay monthly with the OOPAC automatic credit card plan!

!

Take the OOPAC Challenge in 2011 and you will be helping with legislative efforts to preserve the osteopathic profession in Oklahoma! _____ OOPAC AUTOMATIC CREDIT CARD PLAN: I choose to pledge annually & pay monthly with my credit card. Please charge my contribution monthly to my: o Visa or o $504 ($42 per month) o $1,008 ($84 per month) _____ My personal check made payable to “OOPAC” is enclosed. o $100 o $250-$500 (PAC Partner) o $1,001-$2,499 (Executive PAC Partner)

o MasterCard o $1,200 ($100 per month)

o $501-$1,000 (Premier PAC Partner) o $2,500 + (Platinum PAC Partner)

______ Please charge my contribution of $________ to my: o Visa or o MasterCard Account Number __________________________________ Exp. Date __________________ Name as it appears on Card ___________________________________ CID# ____________ Address_____________________________________________________________________ City, State, Zip _______________________________________________________________ Signature ___________________________________________________________________

Please mail to: OOPAC, 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. This personal contribution is not deductible as a donation or business expense.


13

Fall Greetings and More Reasons to Celebrate! by Trish Cable, 2010-2011 AOOA President

Happy Fall! The Advocates to the Oklahoma Osteopathic

Association (AOOA) recently held our annual Student Advocate Association (SAA) luncheon at the Bass Pro restaurant Uncle Buck’s. This luncheon was a SAA membership drive and informative get together to learn more about the mission and goals of the SAA for the upcoming year. This Fall we are also celebrating several other exciting events. The installation of Janell Cyrus as Advocates for the American Osteopathic Association (AAOA) President in San Francisco was a huge success! Congratulations to Janell! Thank you to the many Oklahoma Advocates and osteopathic families who were present for this special event. The upcoming Thanksgiving dinner for OSU-COM in Tulsa is in its planning stages. This is always such a wonderful way for the advocates to show support to the students and their families during the Thanksgiving holiday. The AOOA is pleased to have recently awarded two scholarships to OSU-COM students. These recipients are John Knox and Lindsay Johnson. These students received these scholarships for their dedicated extracurricular scientific research this past summer.

AOOA Shopping & Social Gathering Vendor / Table space still available! The Advocates will be having a Shopping & Social Gathering on Saturday, January 29, 2011 from noon - 2:00 pm at the Hard Rock Casino and Hotel in Catoosa, OK to coincide with the OOA Winter CME Seminar. We will have small tables available for those who want to be a vendor that day! Currently we have 4 tables already planned and we can add more tables! Contact Trish Cable at [email protected] if you are interested in vendor space. 14

AOOA membership dues and involvement with the AOOA is what allows us to have these celebrations and to give generously every year. Our state membership dues are $50 and national membership dues are also $50. The SAA membership dues are $5-$10. For this small amount, collectively we can do so much. It is a great time to get involved with the advocates on the local, state, and national level. The AOOA is also preparing for the upcoming AOOA and SAA Christmas Tea in December. There will be more about this fun tradition in the next issue. The OOA winter CME Seminar at the Hard Rock Hotel & Casino, Catoosa, Okla., will be held January 28-30, 2011. During this meeting, the AOOA will be hosting a Shopping & Social gathering on January 29th from noon - 2:00 pm at the hotel. Finger foods and tea will be provided. This event gives the advocates a chance to visit with one another and if you want to shop, we will have several vendors ... some of our own and some who are friends of advocates. At this time, we do know there will be jewelry, purses, and books available to purchase. I hope each of you will come by and enjoy an afternoon of celebrating with your fellow advocates! OKDO Thank You to the Many Sponsors of the AAOA Installation in San Francisco, Calif.! n Advocates to the Northwest District Osteopathic Society n Advocates to the Oklahoma Osteopathic Association

n Auxiliary to the South Central District Osteopathic Society n Auxiliary to the Tulsa Osteopathic Medical Society n Lynette and Don McLain n Terry L. Nickels, DO

n Northwest Oklahoma Osteopathic Foundation

n Oklahoma Educational Foundation for Osteopathic Medicine n Oklahoma Osteopathic Association

n OSU College of Osteopathic Medicine Alumni Association n Oklahoma State University Medical Center n Osteopathic Founders Foundation n Rich & Cartmill Agency

n South Central District Osteopathic Society n The Children’s Hospital at Saint Francis n Tulsa Osteopathic Medical Society


Inaugural Speech by AAOA President Janell Cyrus From the AAOA Inauguration and Meeting in San Francisco, Calif. “Good afternoon. First, I would like to thank several individuals who have been so supportive to me and my family. There are many here who have joined us to celebrate this exciting time in my life. Glenda Carlile, past president of the AAOA and a personal friend, you are someone whom I have always admired and respected. Thank you for your years of support and guidance. When I began my journey on this board I was assigned a mentor, Dianna Silvagni, also an AAOA past president, you have been my sounding board and you have always steered me in the proper direction. You both continue to positively affect so many lives with your service to the osteopathic profession. Thank you both so much. Lynette McLain, Executive Director of the Oklahoma Osteopathic Association, you have been such an example to us all. You have given so much to the Advocates to the Oklahoma Osteopathic Association and to the Oklahoma Osteopathic Association board. Your countless hours of service are inmeasureable. Your effective leadership has created and prepared countless individuals to excel as they lead our great state. Your team cannot go unnoticed, though. The staff of the OOA perform unlimited assignments day in and day out. The staff has supported me by their gracious assistance in planning this wonderful day. The Advocates to the OKLAHOMA Osteopathic Association - thank you for your endearing support and assistance in making this a momentous occasion. You have supported our efforts in Oklahoma to build a strong Osteopathic Advocacy. You have rallied behind me to make this day a reality. Kudos to all of you. To the board members of the AAOA, thank you so much for agreeing to serve. The journey that we begin today will ask of your time and talents focusing on the mission and vision of the AAOA. To all of these people, I say thank you. Thank you also to my children who are traveling to meet me for a little R&R after this trip. They have been so understanding and supportive. They supported each other and helped out when I could not be there. I love you all dearly. Last by no means least my husband Scott, who I can truly say I would not be standing before you today without his love, support and encouragement. He is the wind beneath my wings. As I look into this room, I see the faces of 70 years of service advocating for the osteopathic profession. I can’t help but realize all of the progress that has been made over these 70 years. We have gone from spreading the word of “what is an osteopathic physician” to more current challenges such as trying to keep our new osteopathic physicians IN the osteopathic family.

L-R: Janell Cyrus, AAOA President (Tulsa, Okla.); Hope Harjo, Tulsa Pow Wow Club Princess; and Janell’s husband Scott S. Cyrus, DO, OOA President enjoying the AAOA Inauguration in San Francisco, Calif. This past year, under the leadership of Heidi Couch, the AAOA appointed the first Intern Resident Liaison. This created a position on our Board for a current intern and resident spouse. Physicians and their families must remain in touch with the osteopathic family. This promotes and keeps the relationship of our excellent new doctors with the entire osteopathic family. Heidi, thank you for your dedication to this organization and for your visionary leadership. It is an honor to work with you. It is our duty as advocates to reach out to the entire osteopathic family at every age and stage of their careers, leaving no one behind. Last year everyone joined the conversation and by finding and supporting new physicians and their families we are making it a priority and mission this year to keep the connection clear. Now by retaining a strong and necessary CONNECTION to all students, interns, residents, and their families, we are laying a foundation directing them to their local associations and advocate societies which will maintain a mutually supportive relationship. I would like to share a personal story with you. In 1994, following my husband Scott’s pediatric residency, we, along with our four very young children, moved to Hot Springs, Arkansas for Inaugural Speech continued on page 16 ...


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Inaugural Speech continued ... his first experience as a practicing pediatrician. We had moved out of our home area, out of our home state, away from our families to a city where we were not known. Shortly after we made that move and were still trying to sort through mountains of boxes, a very sweet lady knocked on our door. Although I had never met her before, she knew who I was, who my husband was, his occupation, and that we were new to the town. She is the spouse of a physician in Hot Springs. As an advocate of their local organization and through impeccable communication in their advocacy program, she knew we would be there soon and in need of support. Mrs. Fine reached out to me personally. Not only did she provide a very warm welcome to us, but she gave us some wonderful information – about the school system, where the grocery store was, where the post office was, where to get haircuts … you get the idea … all of the kinds of things you usually learn through trial and error in a new town. She provided all of that, a friendly welcome, and an invitation to their meetings which created instant friends for me and my family. To this day, I remember her sweet gesture and I believe her generous actions epitomize the type of relationships we as advocates can and should make in order to help and support our entire osteopathic family. THIS is the kind of support and advocacy that is needed from the time these physicians and their families enter medical school, through postgraduate training, and in every phase of their career. She made an everlasting CONNECTION with our family. Another wonderful example of keeping the connection clear can also be made of the successful physician/student mentoring programs we have throughout our nation. In Oklahoma, we have a strong and meaningful physician/student mentoring program through our college, the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine and through the members of the Oklahoma Osteopathic Association and their spouses. I speak from personal experience … those relationships last a lifetime. It is an unfortunate reality that often when our osteopathic students graduate and begin the next learning phase of their educational journey, we lose some or all contact with them and their families. They begin the very busy task of getting settled in a new area while beginning their hectic training. As advocates, you may know that it is easier to stay in touch with a new physician who goes into an osteopathic postgraduate training program rather than an allopathic program. It is however, our responsibility to nurture and give equal attention to both.

(L) Janell Cyrus, AAOA President (Tulsa, Okla.) and Lynette C. McLain, OOA Executive Director and Mistress of Ceremonies at the Inaugural Luncheon.

DOs. A strong association is beneficial to all concerned and the AOA is committed to actively adjusting its strategies to combat the ever changing demands on DOs. So, how does this happen? It is through the development of a network that connects the traveling intern and resident with an osteopathic physician and advocate in their area. In many situations it becomes several areas. This network would keep the hands of friendship and lines of communication open. Additionally, by creating a link at our osteopathic medical schools, information would be shared with the intention of helping advocates locate new physicians. Upon graduation, the school would inform the advocates of the destination for their new osteopathic physicians. From there, WE can pave the way for an easier transition by providing an immediate osteopathic family environment to welcome and help these new physicians join their respective associations. Through this type of communication and sincere effort, the growth is limitless. As Advocates for the American Osteopathic Association, we should take note of our successful past experiences and make them applicable to our present challenges. Please join me this year in the mission for which I passionately believe. Our local, state, and national osteopathic communities need us. Please be ready to work and make this happen. And just as such welcoming and generous courtesies have been shown to my family, join me in helping to keep the connection clear for many others and for years to come. Thank you.” OKDO

Dr. Karen Nichols, President of the American Osteopathic Association, has made it clear that a vibrant family is a necessary element that will make the AOA a “GREAT” Association. She believes that all DOs should want to be a part of the family and that the AOA will provide the support and advocacy for all 16


OSU News ... OSU in Tulsa raises more than $50,000 for United Way Oklahoma State University’s two Tulsa campuses have raised a combined total of more than $51,600 for the Tulsa Area United Way, President Howard G. Barnett Jr. recently announced after a month-long campaign. Mr. Barnett said OSU-Tulsa and OSU Center for Health Sciences chose an aggressive joint goal of $50,000. “Because of the importance of United Way to our communities we opted for a target that was a stretch given what each campus traditionally had raised independently,” Mr. Barnett said. “I couldn’t be more excited that we’ve exceeded our goal in our first combined campaign.” This year’s campaign featured several activities intended to raise awareness and encourage donations from students, faculty, and staff. OKDO

OSU Resident Physician Receives National Resident of the Year Award Jeffery J. Bergman, DO, chief pediatric resident physician in the Oklahoma State University College of Osteopathic Medicine’s pediatric residency program at OSU Medical Center, is among four recipients of this year’s “Merck Outstanding Resident of the Year Award.” Dr. Bergman is the first pediatric resident physician to receive the award, which recognizes resident physicians who embody a spirit of altruism, show clinical promise, skills in health care and commitment to the osteopathic profession. They are promising future leaders, advocates for their patients and work to bring a sense of pride to the osteopathic profession. Recipients are osteopathic physicians currently in their second through last year of an American Osteopathic Association approved residency program. Each receives $5,000. Awards were recently presented at the annual American Osteopathic Foundation honors ceremony during the Osteopathic Medical Conference and Exposition Oct. 24, in San Francisco. Dr. Bergman, a third-year resident, was nominated for the award by Stanley E. Grogg, DO, interim Provost and Dean, and a professor of pediatrics at OSU-COM. OKDO

Vote for Oklahoma Area Health Education Center (OKAHEC) funding! The Lance Armstrong Foundation brings its support to families fighting cancer through its Cancer Transitions program at OSU-CHS Oklahoma Area Health Education Center. You can cast your vote for the opportunity to receive funding from the Lance Armstrong Foundation (LAF) to continue Cancer Survivorship Education. OKAHEC looks forward to continuing partnership with LIVESTRONG, the Cherokee Nation, and INTEGRIS Health by facilitating “Moving Beyond Treatment” in Oklahoma. Over 1,200 people, from 72 communities, have participated in OKAHEC cancer survivorship workshops funded by LAF. Cast your vote for OKAHEC at: http://vote.livestrong.org/regions/3/52-oklahoma-area-health-education-center


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Foundation Update ... Friend of the Osteopathic Profession Will Be Missed In Memory of Crother M. “Dan” Daniel Crother M. “Dan” Daniel, M/Sgt USAF Ret., passed away September 27, 2010. He was born August 6, 1929 in Olathe, CO to William and Betsy (Boyer) Daniel. Survivors include his wife, Shirlie Wehba Daniel; daughters Ann Daniel, Jamie Diamond, Chandler (Mick) Lewis, and Blake Daniel; 6 grandchildren; and 5 great-grandchildren. He was a wonderful husband, father and grandfather and is survived by countless friends. Dan was a long-time supporter of the osteopathic profession. He was a trusted friend and advisor to many Association members in the 1970s as he was key in many insurance sales. He was also a volunteer for R.S.V.P. In his earlier professional years, he was an exhibitor at the OOA annual conventions. He also served as a Trustee for the Oklahoma Educational Foundation for Osteopathic Medicine for several years. For 30 years, Dan worked as OOA convention staff and was the very reliable and valued driver and delivery person of all of the convention supplies that had to make their way to Shangri-La Resort. Dan will be missed by his family, many friends, and colleagues in the osteopathic profession.

n OEFOM Memorials n

Contributing James P. Riemer, DO OOA Dr. Thomas and Glenda Carlile Julie & Gore Gaines Dr. and Mrs. John McCuistion Lynette and Don McLain Dr. and Mrs. Terry Nickels Mike and Mona Spivey Dr. Thomas and Glenda Carlile

In Memory of Betty Elizabeth Rogers Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Crothier M. “Dan” Daniel Robert “Bob” Klinglesmith

A Great holiday gift idea for a student, intern, resident, and friend of the osteopathic profession! The 2nd printing of The Difference a D.O. Makes, The Millennium Edition, by Bob E. Jones, CAE To order, visit the Foundation page at www.okosteo.org for a printable order form. Or contact the OEFOM at 405.528.4848 or 800.522.8379 and ask for Lany.

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OOA Bureau News ... Bureau on Postgraduate Education Third Annual ROGME Poster Symposium

(Research in Osteopathic Graduate Medical Education) Sponsored by: Oklahoma Osteopathic Association Bureau on Postgraduate Education

Bureau on Membership

The OOA Board of Trustees welcomes the following new members to the OOA family! Reza J. Azadi, DO (Nephrology) 8813 E 95th St. Tulsa, Okla. 74133 Chad D. Willis, DO (Otolaryngology) 5402 SW Lee Blvd. Lawton, Okla. 73505

Gabriel M. Pitman, DO, Bureau Chair C. Michael Ogle, DO, Bureau Vice Chair Lisa E. Hart, DO, FACOP, Symposium Chair Cash Prizes! $1,500 - First Place $1,000 - Second Place $500 - Third Place

Abstracts Due - January 31, 2011 Posters Due - March 7, 2011 Symposium held during the 111th Annual Convention April 28-May 1, 2011 in Norman, Oklahoma

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What DOs Need to Know ... Electronic Health Record Incentives - Get the Facts from CMS. www.cms.gov/EHRincentiveprograms

Want to earn Medicare Electronic Health Record (EHR) incentive payments? Act now! Eligible professionals must have an enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) in order to receive a Medicare EHR incentive payment. Did you know? Billing and receiving payments from Medicare does not necessarily mean that an eligible professional has an enrollment record in PECOS. Don’t wait! 1. Act now to verify that you have an enrollment record in PECOS. 2. If you do not have an enrollment record in PECOS, establish your enrollment record now. If you have submitted a Medicare enrollment application within the last 90 days, and your enrollment application has been accepted for processing by the carrier or A/B MAC, you need not take any additional actions. You will be contacted by your carrier or A/B MAC if additional information is needed. How can I find out if I have an enrollment record in PECOS? Choose one of the following: 1. Use Internet-based PECOS to look for your PECOS enrollment record. (You will need to first set up your access to Internet-based PECOS.) Go to Verify PECOS Record for more information. If no record is displayed, you do not have an enrollment record in PECOS. 2. Check the Ordering Referring Report on the CMS website. If you are of a specialty permitted to order and refer and you are on that report, you have a current enrollment record in PECOS. Go to Ordering and Referring Report. 3. Contact your designated Medicare enrollment contractor and ask if you have an enrollment record in PECOS. Go to Contractor List for contact information. I don’t have an enrollment record. What should I do? Internet-based PECOS is the fastest and most efficient way to submit your enrollment application. For instructions, see Basics of Internet-based PECOS for Physicians and NonPhysician Practitioners. If you encounter problems or have questions as you navigate the system, there is help available. 20

To participate in the EHR incentive program, all Medicare providers and Medicaid eligible hospitals must be enrolled in PECOS. Below is the link to the PECOS tip sheets for EPs and Hospitals. Link to EPs PECOS Tip Sheet: http://www.cms.gov/EHRIncentivePrograms/Downloads/Medicare_EP_PECOS_Notification_61110.pdf Link to Hospital PECOS Tip Sheet: http://www.cms.gov/ EHRIncentivePrograms/Downloads/Hospital_PECOS_Notification_61110.pdf

From the Medicare Learning Network: “Inpatient Rehabilitation Facility Prospective Payment System” The revised publication titled “Inpatient Rehabilitation Facility Prospective Payment System” (August 2010) is now available in downloadable format from the Medicare Learning Network® at http://www.cms.gov/MLNProducts/downloads/InpatRehabPaymtfctsht09-508.pdf. This fact sheet provides information about Inpatient Rehabilitation Facility Prospective Payment System rates, classification criterion, and reasonable and necessary criteria.

From the Medicare Learning Network: “Hospice Payment System” The revised Medicare Learning Network® publication titled “Hospice Payment System” (September 2010) is now available in downloadable format at http://www.cms.gov/MLNProducts/downloads/hospice_pay_sys_fs.pdf. This publication provides information about the coverage of hospice services, certification requirements, election periods, how payment rates are set, patient coinsurance payments, caps on hospice payments, and the hospice option for Medicare Advantage enrollees.


MLN Matters Article #MM7133 Counseling to Prevent Tobacco Use The Medicare Learning Network® (MLN) has released MLN Matters Article #MM7133 to inform providers that the Centers for Medicare & Medicaid Services (CMS) will cover counseling services to prevent tobacco use for outpatient and hospitalized beneficiaries. Effective for claims with dates of service on and after August 25, 2010, CMS will cover tobacco cessation counseling for outpatient and hospitalized Medicare beneficiaries 1) who use tobacco, regardless of whether they have signs or symptoms of tobacco-related disease; 2) who are competent and alert at the time that counseling is provided; and 3) whose counseling is furnished by a qualified physician or other Medicare-recognized practitioner. This article is based on Change Request (CR) 7133 and is available at http://www.cms.gov/MLNMattersArticles/downloads/MM7133.pdf on the CMS website. Additional MLN Articles: MM7137 - Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome (MDS) http://www.cms.gov/MLNMattersArticles/downloads/ MM7137.pdf MM7133 - Counseling to Prevent Tobacco Use http://www.cms.gov/MLNMattersArticles/downloads/ MM7133.pdf MM7100 - Revenue Codes Update http://www.cms.gov/MLNMattersArticles/downloads/ MM7100.pdf MM7188 - January 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files http://www.cms.gov/MLNMattersArticles/downloads/ MM7188.pdf

Clinician Outreach and Communication Activities from the Centers for Disease Control Courses and On-Demand Trainings: CDC Public Health Grand Rounds: Malaria The Public Health Grand Rounds is a monthly series created to further strengthen CDC’s common scientific Oklahoma D.O. | November 2010

culture and foster discussion and debate on major public health issues. This session of the Public Health Grand Rounds will focus on key issues related to Malaria. Watch live and archived broadcasts at www.cdc.gov/about/ grand-rounds. Date and Time: Thurs., Nov. 18, 2010. 1:00 - 2:00 pm EST

Upcoming Conference: Modeling for Public Health Action: From Epidemiology to Operations This conference promotes the exchange of information and ideas about modeling uses to shape public health action. The conference will address effective and practical modeling applications to public health and provide highquality sessions, training and networking opportunities. It is intended for public health practitioners and policy makers in state and local health departments; scientists and modelers working at CDC and its federal partners in public health; academic researchers, non-government organizations, and international practitioners, modelers and policy makers. For more information, visit http:// www.phmodeling2010conference.com/index.html. Date: Thurs., Dec. 9, 2010 - Fri., Dec. 10, 2010 Location: Atlanta, GA

Flu Shot Reminder Vaccination is the Best Protection Against the Flu. This year, the Centers for Disease Control and Prevention (CDC) is encouraging everyone 6 months of age and older to get vaccinated against the seasonal flu. The risks for complications, hospitalizations and deaths from the flu are higher among individuals aged 65 years and older. Medicare pays for the seasonal flu vaccine and its administration for seniors and others with Medicare with no co-pay or deductible. And remember, vaccination is particularly important for health care workers, who may spread the flu to high risk patients. Don’t forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu. Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare’s coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit http://www.cms.gov/AdultImmunizations.

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“Advances in Technology: Practicing 21st Century Medicine” The mission of the Oklahoma Osteopathic Association is to advocate for the osteopathic profession and promote the health and well being of all Oklahomans. Needs Assessment: With major challenges and opportunities arising in the healthcare sector with sophisticated medical technology, health care providers will obtain knowledge about these new advances, as well as learn about the more rapid diagnostic techniques and new medical treatments available to promote better health for their patients. Program Objectives: The overall objective of this weekend program is to provide attendees with practical and clinically relevant information demonstrating how technology is changing the way medicine is practiced today, and help them understand the options available in bringing their offices up-to-date. Program Schedule: Friday, January 28, 2011 12:00 - 6:00 pm

Registration

2:00 - 6:00 pm

Exhibits Open

2:00 - 3:00 pm

Personalized Medicine Present & Future Michael A. Kayser, DO, FACMG (certified medical genetics, Tulsa, OK) www.slideshare.net/MedicineAndHealth

3:00 - 4:00 pm

Advances in Sinusitis Treatment - Sinus Ablation R. Jeff Goodell, DO (certified otolaryngology, Midwest City, OK) www.news-medical.net/news

4:00 - 5:00 pm

AIDS: Current Trends & Advances in Treatment Damon L. Baker, DO, FACOI (certified internal medicine, Tulsa, OK) www.health.msn.com

5:00 - 6:00 pm

Advances in Ocular Dx/ Treatment Richard E. Castillo, DO (ophthalmology, Tahlequah, OK) www.medscape.com

6:00 - 7:00 pm

OOA Past Presidents & District Presidents Meeting Presiding: Gilbert M. Rogers, DO

6:00 - 7:00 pm

OOA New Physicians Meeting Presiding: Richard W. Schafer, DO, FACOFP

Saturday, January 29, 2011 7:00 am

Registration & Continental Breakfast

8:00 - 9:30 am

Bureau on CME Meeting Presiding: C. Michael Ogle, DO

8:00 am - Noon

Exhibits Open

8:00 - 9:00 am

Surgical Oncology: The Latest Technological Advances Kevin T. Fisher, DO, FACOS (certified general surgery, Tulsa, OK) www.surgonc.org

9:00 - 10:00 am

Advances in Health Records Paul L. Preslar, DO, MBA (certified family practice, Midwest City, OK) www.himss.org

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10:00 - 11:00 am

New Cardiac Imaging Trends D. Matt Wilkett, DO (cardiology, Tulsa, OK) [email protected]

11:00 am - Noon

What’s New? Immunization Update Stanley E. Grogg, DO, FACOP (certified pediatrics, Tulsa, OK) www.cdc.gov/vaccines

Noon - 2:00 pm

OOA Luncheon Presiding: Scott S. Cyrus, DO, FACOP, OOA President Special Guest: Representative J. Michael Ritze, DO (Broken Arrow, OK)

2:00 - 3:00 pm

Opioid Prescribing 2011: Current Issues & Concerns C. Scott Anthony, DO, FACA (certified pain management, Tulsa, OK) Proper Prescribing Lecture - Sign-In Required for Credit www.addictionmedicine.com

3:00 - 5:00 pm

Social Media & Electronic Communication: Surviving the Rollercoaster of Risks Rachel Rosen, RN, MSN (Westfield, IN) Risk Management Lecture - Sign-In Required for Credit www.medpro.inc

5:00 - 6:30 pm

Mentor/Mentee Reception Hosted by President Scott S. Cyrus, DO and Janell Cyrus

Sunday, January 30, 2011 7:30 am Registration & Continental Breakfast 8:00 - 9:00 am

What’s New in Treating Hypertension? Kenneth E. Calabrese, DO, FACOI (certified internal medicine and nephrology, Tulsa, OK) www.wedmd.com/hypertension

9:00 - 10:00 am

Advances in Preventing Primary & Secondary Stroke Ryan K. Hakimi, DO (certified neurology, Oklahoma City, OK) www.americanheart.org

10:00 - 11:00 am

Clinical Management of Diabetes A. Nicole Farrar, DO (internal medicine, Owasso, OK) www.ndci.org

11:00 am - Noon

Neurosurgery: Spinal Disc Replacement & Other New Technologies Scott C. Robertson, MD (certified neurosurgery, Midwest City, OK) www.spineuniverse.com

Reg See is For tratio pag m on n e 24 ...

For room reservations, please go online to www.hardrockcasinotulsa.com Attendee login OOA2011 or call 1.800.760.6700. Hard Rock Hotel & Casino features: Hard Rock Store; Variety of dining options including Toby Keith’s “I Love This Bar & Grill”; Vegas style buffet; bistro-style grilles; & 24-hour casino with 2,300 slot machines. All Hard Rock Hotel Rooms include: iPod docking stations; refrigerators; complimentary wired & wireless high-speed internet; complimentary airport transportation; complimentary covered & uncovered self-parking; complimentary fitness center; and complimentary USA Today. Oklahoma D.O. | November 2010

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OOA Winter CME Seminar Registration “Advances in Technology: Practicing 21st Century Medicine” _____ *DO Member Registration _____ DO Registration for Saturday afternoon “Proper Prescribing” & “Risk Management” Courses only (3 Credit Hours) _____ *Retired DO Member Registration _____ *DO Nonmember Registration _____ Nonmember Saturday Only Registration _____ *MD/Non-Physician Clinician Registration _____ Student, Intern, Resident, **Spouse, Guest Registration

On / Before 1/21/11 $340 $180 $80 $840 $680 $340 $0

After 1/21/11 $365 $205 $105 $865 $705 $365 $0

Mail Registration Form & Payment to: OOA, 4848 North Lincoln Boulevard, Oklahoma City, OK 73105-3335 or Fax: 405.528.6102 Payment: q Check Enclosed q VISA/MASTERCARD q AMERICAN EXPRESS q DISCOVER Credit Card No.: _________________________________________ Card Exp. Date: __________ 3 Digit CID Number: ________ Signature: __________________________________________________________________________________________________ Name (as it appears on card - please print): ________________________________________________________________________ DO Name (please print): ______________________________________________________________________________________ Other Professional/Guest: ______________________________________________________________________________________ Resident/Intern: ______________________________________________________________________________________________ Student: _________________________________________________ q OMS-I q OMS-II q OMS-III q OMS-IV Spouse: __________________________________________________ Office Address: ____________________________________________City: ___________________ State: ____ Zip: __________ Office Telephone: (_______)__________________________ E-Mail address: ___________________________________________ *Includes: Proper Prescribing Course, 2 Continental Breakfasts, Saturday Luncheon, & Evening Reception. Requests for Refunds Must Be Received Before January 21, 2011 and a $25 Service Fee Will Be Charged.

From the American Osteopathic Association Communications Department ...

HEALTH FOR THE WHOLE FAMILY DOs and other members of the profession consider the American Osteopathic Association’s “Health for the Whole Family” series a great way to promote the profession and educate patients about a variety of health topics. To use this month’s article, you have permisson and are encouraged to simply make copies of the article (see page 25) for use in your office waiting room to help educate your patients about current health care issues. Please copy and use this information to keep your patients informed. 24

a Oklahoma D.O. | November 2010

“A-SALT-ed”: How to Stop Salt from Dominating Your Diet We hear a lot about low carb, low sugar, low fat, and organic foods, but what about low salt? Unfortunately, the salt shaker has avoided the popular press, but it has not escaped the emergency rooms of America. Salt intake is extremely important when it comes to your health. Composed of sodium and chloride, your body needs salt to function properly. However, when you ingest too much sodium, your kidneys become unable to eliminate it and the sodium then accumulates in the blood. When this happens, the heart must work harder to pump blood throughout the body, which increases the risk of high blood pressure, heart attacks, and strokes. The dangers associated with high salt intake are real for many people and the vast majority of Americans are getting far too much salt in their diets. So, how much salt is too much? The American Heart Association recommends a daily sodium intake of no more than 2,300 milligrams. The average American takes in 4,000 to 6,000 milligrams of sodium per day, more than double, sometimes triple, these recommendations. To put this into perspective, that is like adding two to three teaspoons of salt to your plate every day and eating it all. How can I avoid foods high in salt when cooking at home? The first step is to know the foods in your home. These ingredients are often found in processed and prepared meals. If you minimize your consumption of these types of foods, you will eliminate a lot of excess sodium. Consumers should read food labels in search for salt ingredients, such as: monosodium glutamate (MSG) baking soda (sodium bicarbonate) baking powder disodium phosphate (found in some quick-cooking cereals) sodium alginate (often used in ice cream) sodium nitrate (used in cured meats) sodium benzoate (used as a preservative in many sauces and salad dressings) sodium propionate Other tips for minimizing sodium intake at home include: Selecting fresh, frozen or canned food items without added salt. Cooking with herbs and spices to enhance flavor instead of salt. Limiting salty snacks, like chips and pretzels. Adding fresh lemon in place of salt to fish and vegetables. Selecting low-sodium, unsalted broths or soups and low-fat or non-fat dairy products. How can I avoid consuming too much salt when eating out? For starters, you can choose to eat at places that prepare meals in a healthier but still tasty way. Continuously ask for no-salt-added food preparation wherever you eat. Minimizing the number of meals you eat from fast food restaurants, where most food is fried or where they use prepared ingredients high in salt. Sometimes, a single meal from these types of restaurants can pack an unneeded salty wallop of 2,000 milligrams or more. If you do go to these places, state “no added salt” when you place your order. If they cannot accommodate, drive to another establishment. To help you in your food selections, almost all major fast food chains post nutritional information on their websites or will provide it upon request. It is ultimately up to you to know which salty foods to avoid, so take advantage of the available resources and get the facts before you order. For further information on avoiding salt and eating healthy, speak with your primary care physician or a registered dietitian. Preventive medicine is just one aspect of care osteopathic physicians (DOs) provide. DOs are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. DOs are trained to consider the health of the whole person and use their hands to help diagnose and treat their patients.


25

Student Scoop

by Mark Keuchel, OMS II, OSU-COM Student Senate President

I

am always fascinated to look up at the calendar and see how much of the semester has already disappeared. The first year students have become acclimated to the rigors of school while the second year students are doing more of the same while trying to figure out where they are going to fit in studying for boards. Much has been accomplished in such a short time. On September 18, 2010, the Student Osteopathic Medical Association (SOMA) Rural Health Fair was held in conjunction with the Buggy Festival in Chouteau, Okla. This event was a learning opportunity for everyone. The students had the opportunity to enjoy some of the finest home-cooked meals and desserts in the state! Even more exciting was the opportunity of both our first and second year class to teach the citizens of Chouteau about nutrition, wellness, and of course OMT. Participating in health fairs such as this allows our students an early opportunity to interact with patients and practice their interviewing and OMT skills outside of the classroom. Special recognition should go to Alanna Barfoot, Micah Derby, and Sarah Kauble for their efforts in organizing this event.

Evan Schwenk, OMS-II and Amanda Alsup, OMS-II participating in a buggy ride at the SOMA Rural Health Fair in Chouteau, Okla.

OSU-COM was blessed to be recently visited by a very accomplished alumnus. Bob Adams, DO visited the campus a few weeks ago on his way to Stillwater to be recognized during the home football game as one of OSU’s 2010 Distinguished Alumni! Dr. Adams currently resides in Kirkland, WA and practices sports medicine. He has served as a team physician for the US Track and Field team since 1983. Congratulations to Dr. Adams! Finally, OSU-COM sent a few students to the AOA Convention in San Francisco, Calif. Our students love helping to advance the osteopathic profession and it gives our students a chance to interact with physicians from around the country. Furthermore, it provides us an opportunity to learn about the ever changing aspects of medicine. We will enjoy hearing their report soon and being able to give you the student perspective of this important meeting. OKDO

Ranelle Bracy, OMS I performs OMT on OSU-COM Interim Dean Stanley E. Grogg, DO at the SOMA Rural Health Fair in Chouteau, Okla.

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CLINICAL ASSISTANT/ASSOCIATE PROFESSOR DEPARTMENT OF OBSTETRICS & GYNECOLOGY Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine is seeking to fill a full-time, non-tenure track (clinical) faculty position in the Department of OB/GYN. Primary duties include development of clinical services for OB/GYN line at the OSU Medical Center with supervision of residents and medical students in the clinic and hospital settings, participation in didactic exercises, and diagnosis and care of patients as directed by the Department Chair. Requires a D.O. or M.D. degree, eligibility for licensure in the state of Oklahoma, Board eligibility with AOBOG or ABOG. Must be proficient in diagnostic tests such as ultrasound, colposcopy, office based procedures, labor and delivery and surgical/laparoscopy. Prefer experience and/or interest in medical resident education or student shadowing. Competitive salary with excellent fringe benefits. Applications will be reviewed as received; open until filled. Must apply online at: https://jobs. okstate.edu, search Health Sciences campus, job #06189. OSU is an AA/EEO/E-Verify employer committed to diversity.

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CLINICAL ASSISTANT / ASSOCIATE PROFESSOR OF EMERGENCY MEDICINE DEPARTMENT OF FAMILY MEDICINE Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine is seeking to fill a full-time, non-tenure track (clinical) faculty position. The Emergency Medicine Residency Program is a hospital-based program at the OSU Medical Center. This position is actively involved in patient care and teaching medical students and residents at the OSU Medical Center Emergency Department. Appropriate effort and activity in clinical research and service will also be necessary. An earned Doctor of Osteopathy (D.O.) or Medical Doctor (M.D.) degree, Board eligibility or Board certified in Emergency Medicine, and eligibility for licensure in the state of Oklahoma. Apply on-line at https://jobs.okstate.edu, search Health Sciences campus, job #06507. OSU is an AA/EOE/E-Verify employer committed to diversity.

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Rural Health Update

Provided by the OSU Center for Rural Health William J. Pettit, DO, Associate Dean for Rural Health, OSU Center for Health Sciences

Perspectives in Rural Health and Rural Medical Care: A Rural Health Elective Update by William J. Pettit, DO, Associate Dean for Rural Health, OSU Center for Health Sciences In January 2009, Oklahoma State University’s (OSU) Center for Rural Health, through our Rural Medical Education Department, embarked on a great venture; attempting to not only rekindle an interest in primary care residencies, but, to also promote the selection of a rural practice. This was no small task I might add! The OSU Rural Health Elective curriculum teaches our students the importance of being proficient in the procedures they may be called on to perform in their rural clinic and hospital settings: trauma, childbirth, and radiology techniques, to name but a few. Not to mention the push for evidence based medicine, quality and safety measures, electronic health records, and a focus on preventative medicine and the numerous procedures associated with it.

His point is that the way we contemplate “revenue” generation will need to change as we look at health care reform and its requirements. While I do not dispute this model, I am still convinced that in rural, we will still need the extra skill sets for “procedures,” again, for both what may occur in the rural hospital emergency room, as well as, those required for evidenced based screening and prevention. During our fall semester elective course, Rural Medical Care, we use small group discussions, live models and simulation mannequins. OSU Center for Health Sciences (OSU-CHS) is in the process of developing as part of its curriculum an extensive program of simulation. We have a novice program in the rural health elective but the students enjoy it, and it meets the main reasons to have this class, to increase interest in primary care and rural. What do we have? • Trauma Man (photographed below and to the right). The Center for Rural Health purchased this Simulab product in 2009

Gerald Clancy, MD, President of the University of Oklahoma Tulsa campus recently presented the following slide during his presentation at the Oklahoma Rural Health Association meeting in September 2010 (Figure 1).

Figure 1:

Delivering Health Care Today Curve: Revenue

• Quality • Efficiency • Performance • Bundling • Reduce expenses

• Volume • Procedures • Specialty Care • Hospital Care • Cost based payment

2010

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Tomorrow Curve:

2012

2014

2016


and used it for the first time last October. J. Michael Fitzgerald, DO and his emergency medicine residents from Oklahoma City; Michelle M. Fowler, DO, OSUMC emergency medicine; and Ben J. Martin, DO (Woodward, Okla.) discussed rural emergency medicine and also provided the students a great experience inserting chest tubes, doing cut downs, inserting central lines, performing cricothyroidotomy and peritoneal lavage. • Prompt Birthing Simulator with Pressure Monitoring. The Center also purchased the Laerdal birthing simulator with pressure monitoring. We have only used it once before and on a limited basis. Joseph R. Johnson, DO, Chairman of the department of OSU-CHS obstetrics and gynecology and Tammie J. Koehler, DO (Miami, Okla.), are working together this semester to create a more comprehensive experience with the birthing simulator. • Laerdal Pediatric Sim Baby. In 2010, the OSU-CHS Department of Pediatrics and the Center combined our resources and purchased this simulator. We will use it for the first time this November. Christine D. Clary, DO, OSU-CHS faculty and Jamie A. Akin, DO (Durant, Okla.) will be working with Emily Lim, OSU-CHS Department of Clinical Education, to develop and present two case scenarios to our elective class. This simulator can be used to demonstrate respiratory distress, cardiac rhythm abnormalities, cardiac murmurs, fontanel changes, demonstrate vital sign changes and more.

Vicky Pace, MEd has worked very hard to help develop this two semester elective curriculum. However, we could not have done it without the teaching and support of the osteopathic physicians who work with our students. I have named some of them in the paragraphs above but there are so many more: Jennifer Scoufos, DO; Doug Brandt, DO; Darryl Jackson, DO; Terry Grewe, DO; Ron Distefano, DO; Karin Johnson, DO; Carl Smith, DO; Duane G. Koehler, DO; Leroy Young, DO; Monty Grugan, DO; Terry Lee, DO; Mike Ogle, DO; Doug Nolan, DO; and Steve Woodson, DO are all physicians who have directly presented to our class over the last year and a half. If I have forgotten someone please forgive me. This doesn’t include non-physician participants like Oklahoma AgrAbility, Indian Health Services, Oklahoma Department of Mental Health and Substance Abuse Services, private and not for profit hospitals and their leadership, our OSU-CHS staff and faculty including the Oklahoma Area Health Education Center and State Office of Rural Health, and representation from the National Rural Health Association. THANK YOU ALL! On April 30, 2011 we will end our three year grant from the Health Resources Services Administration primary care “PreDoctoral Grant” and Oklahoma State University Center for Health Sciences, which has annually assumed more of the program expenses (year 1: 25%, year 2: 50%, and year 3: 75%) will be at the 100% level and we here at the Center are appreciative of their excellent support; past, present and into the future, where this elective will continue to be offered in the curriculum of our college of osteopathic medicine. Over the next decade with this elective program, the establishment of new rural residencies, and the increasing student organization involvement (Student Osteopathic Rural Medical (StORM) Club, we will report the data to see if the “nurturing” of students interested in rural really helped meet our objectives; increased application for primary care residencies (rural program preferable), and the big issue, practice location in rural Oklahoma! Stay tuned! OKDO

• Laerdal Sim Man and Woman. OSU-CHS Department of Clinical Education purchased these simulators, but our rural medical care class has not used them. We may in the future, but not in 2010. Rather, this year we used live models, an elderly husband and wife team. Dennis J. Carter, DO, who is our immediate past OSU Alumni Rural Health Professor, facilitated four scenarios of geriatric care including an Alzheimer’s evaluation, fractured hip care status post operation, nursing home placement, and end of life. Watching the students’ interaction with the models and Dr. Carter’s ability to keep the students in the scenarios, cautioning them when they were going astray, was a great pleasure to watch. The exercise received grand reviews by the students. Oklahoma D.O. | November 2010

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Plan now to attend the OOA’s 111th Annual Convention!

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April 28 May 1, 2011 Embassy Suites Norman Hotel & Conference Center Norman, Oklahoma u LeRoy E. Young, DO, FAOCOPM, OOA President-Elect & General Convention Chair Layne E. Subera, DO, FACOFP, OOA Vice President & Convention Program Chair

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January 6, 2011 OOA Bureaus and Board of Trustees Meetings January 28-30, 2011 OOA 2011 Winter Seminar Hard Rock Hotel, Catoosa, Oklahoma April 28 - May 1, 2011 OOA’s 111th Annual Convention Embassy Suites Norman Hotel & Conference Center Norman, Oklahoma

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Have a safe and very happy Thanksgiving! From the OOA Board of Trustees & OOA Staff f

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