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Michigan State University Fall 2015 College of Osteopathic Medicine Volume 43 No. 3 A BLOSSOMING PARTNERSHIP MSUCOM Peckham and Origami COMMUNIQU COMMUNIQU Volume 43 Issue 3 Copyright 2015 Michigan State University College of Osteopathic Medicine Published three times per year by the Office of Public Relations East Fee Hall 965 Fee Road Room A306 East Lansing MI 48824 To contact Public Relations 517-353-0616 MANAGING EDITOR Laura Probyn EDITOR Pat Grauer DESIGN Ann Y. Cook PHOTOGRAPHY Ann Y. Cook Katie Stiefel CONTRIBUTING WRITERS Sarina Gleason Sarah Mancuso Kristopher Thomas Nicholoff Stephen M. Swetech D.O. EDITORIAL ASSISTANCE Beth Courey Katie Donnelly Sandy Kilbourn Excellence through partnerships A couple of months ago our admissions team asked me to record an introduction on camera that would be used to welcome prospective students who are coming to Fee Hall totakepartinournewmultipleminiinterviewprocessyou can read about that process on page 3. They gave me some written comments and then asked me to respond to a few questions about the college the profession and the university. None of it was anything I hadntbeenaskedbeforebutitgavemepausetothinkabout what a unique collaboration of a land-grant institution an AAU-afliated university and a leading college of osteopathic medicine we have. Its a partnership thats the core of our very existence. Were a leader in our profession and I want to remind you that we arent resting on our laurels. We arent sitting back and remembering the good times of the past. We are busy forging ahead with new ideas new opportunities and new ways to advance osteopathic medical education with partners who share our aspirations. These partnerships address important needs. Within our college faculty and staff from different departments collaborate to produce programming designed to attract the best and brightest students. Read this issue to nd out how our high school OsteoCHAMPS program was a key contributor in changing a young Lansing mans decision to attend MSU and MSUCOM instead of another Michigan university and its medical school. Werealsoexceedinglyproudofa26-yearpartnershipamongtheStatewideCampus Systemandnearly80healthcaresitesinMichiganwheremostofouralumnicomplete their postgraduate education. Its a strong thriving relationship that is proving benecial for the partner hospitals for our graduates and for the state of Michigan. Finally were featuring our unique partnership with Peckham Industries at the Origami Brain Injury Rehabilitation Center near the MSU campus. I hope youll take time to read about the important work done by the staff at Origami including the medical director Rebecca Wyatt whos also a faculty member in our Department of Physical Medicine and Rehabilitation. Origamis efforts go above and beyond standard therapies and treatments to offer patients a continuum of care that enables them to live to their fullest potential. Patients their families and the Origami team are all partners in care. Its nothing new. Working with partners is part of the osteopathic approach a key Michigan State University strength and an important ingredient in the MSU College of Osteopathic Medicines continuing success. If you arent already a partner in MSUCOMs success we welcome you to join us as a volunteer clinical faculty member as a donor or as a collaborator in one of our many initiatives. We need your uniqueness to enhance ours. Thank you. William D. Strampel D.O. FACOI Dean ON THE COVER Origamis medical director Rebecca Wyatt shares the beauty of the garden with resident Audrey Bishop. See page 1. FALL 2015 COMMUNIQU 1FALL 2015 COMMMMUMUUNUMUNMUNUNNMUNMUUNMMU IQQUIQQUIQUIQIQUUQ 1 by Laura Probyn Origami Brain Injury Rehabilitation Center sits just off Hagadorn Road on the south side of Michigan State Universitys campus. Its 35 green tree-lined acres belie the important work that goes on there. Thanks to no-fault auto insurance Michigan has many brain injury rehabilitation locations. Origami stands out for many reasons. It was establishedas apartnershipbetweenMSUCOM and Lansing-based Peckham Industries a non-prot organization that provides disabled individuals with vocational training. Rebecca Wyatt D.O. associate professor in the MSU Department of Physical Medicine and Rehabilitation is its medical director. Ive come to appreciate what our partnership with Peckham means to Origami says Mark Notman MSUCOM executive director of administrative services and vice president of the Origami board of directors. Peckham is so embedded in the community and it brings a wealth of resources that benets Origamis operations. They bring a lot to the table that helps round out the Origami organization. Origami opened 18 years ago to provide residential care for individuals who had suffered from traumatic brain injury or TBI. As the population of those with brain injury grew so did the number of people who did not require residential care but needed outpatient services like physical speech and occupational therapies. The decision was made to expand and provide additional offerings. Origamisrstfull-timeoccupationaltherapist joinedthestaffin2000aftercompletingacollege internship at the site. During the second week of my clinical internship at Origami the executive director asked me Are you a PT student or an OT student said Tammy Hannah. I said Im an OT student. She said We are going to be hiring our rst full-time therapist here when do you graduate I completed a three-month internship and was hired as an employee. Hannah is now Origamis executive director leading a staff of nearly 80 people. In addition to traditional therapies Origami provides specialty services like recreational therapy and driving services. The organization serves nearly 200 individuals annually and this continues to increase each year. The people they have from the leadership on down are really a remarkable team doing a lot of cool stuff Notman said. They have a vision they are operationally and clinically strong and attentive. Thecombinationofstaffandresourcessetsthe facility apart. A BLOSSOMING PARTNERSHIP MSUCOM Peckham and Origami A key reason that Origami is unique and successful is the comprehensive nature of our service offerings with things like return-to- driving services vision therapy and all the other things we do that arent widely available said Brent Taylor Origamis business development manager. Origami is part of a new pilot program with the Department of Veterans Affairs that will give veterans who have experienced TBI whether in active service or not new avenues for rehabilitation. The rst patient who is part of thispilotprogramarrivedonValentinesDay.His wife had looked at two other potential facilities before visiting Origami. It was like the three bears said Glyni Fenn ofKalamazoowhosehusbandBillwasinjuredin a home accident years after he left active service. The rst two were okay but not just right. This one was just right. As I was driving in and setting up a tour with Tammy and talking with admissions I was convinced this was where Bill needed to be. It was quiet it was small and there was a lot of one-on-one attention which Bill needs. Origami patients range from those who are just out of the hospital to those who can live independentlywithsupportfromsocialworkers to long-term residents. The medical team works to ensure personalized attention. Typically a medical director is involved in overseeing administrative and clinical practices theyarenotnecessarilyhands-ontreatingclients and contributing to care plans Hannah notes. Dr. Wyatt as our medical director is involved in all of our quality improvement initiatives but also provides PMR consults and participates in family conferences shes really the physician on all of the cases we serve so theres a continuity that I believe is rare for rehabilitation facilities like Origami. Not only does Origami benefit from the partnership MSUCOM also sees positive returns. We get to partner with a community organization that provides a full continuum of caresoitexpandsourclinicalofferingsNotman points out. Our residents work there and we have three doctors afliated with the facility so theres an outlet for services for our PMR folks. Its a fantastic outreach opportunity with Peckham to expand MSUs reach in mid- Michigan. Its not something that goes unnoticed by the patients or their families. Ive felt Ive gotten their attention and they listen to me Fenn said. Ive always appreciated the fact that I can knock on someones door if theres an issue and we can jabber away and get it xed. Thats a wonderful thing. In the ve and a half years since Bill got injured Ive had so many peoplebothmedicalandotherwiseblowmeoff. The people at Origami listen and respect what I have to say. They have embraced me as much as they have embraced Bill. Because theres an ever-expanding need for a broader range of services Origami has undertaken a 3.5 million clinical and residential expansion. We anticipate our residential building and the expansion to the clinic being completed between January and February of 2016 Hannah says. Once those are in operation our existing clinic will undergo its renovation which will be completed May 2016. We will plan a ribbon- cutting ceremony mid-to late summer. The center is also adding additional services. With the onset of the fall high school sports season it is expanding its concussion care servicestofocusonthegrowingemphasisinarea high schools.. Itsnotnecessarilygearedjusttowardathletic concussion but thats certainly a big part of it so were developing a plan to let primary care physiciansurgentcarefacilitiesandothersinthe medical community know about this resource Hannah said. Well also let parents and high school personnel know that it exists because there are a lot of misdiagnosed undiagnosed or untreatedconcussionsthatarerelativelymildon the spectrum but can turn into nagging issues longer term. It would seem like the Origami team would have more than enough to occupy their time. But they continue to plan and think about the possibilities for the future including enhanced fundraising and marketing efforts. We are setting our sights higher and starting to strategize in terms of different things we can do Taylor notes. Corporate sponsorships fundraising events naming rights for common rooms those are all things that are hot topics things we are working on as we speak. We are passionate about broadening our reach into the community. THE PEOPLE AT ORIGAMI LISTEN AND RESPECT WHAT I HAVE TO SAY. THEY HAVE EMBRACED ME AS MUCH AS THEY HAVE EMBRACED BILL. - Glyni Fenn PARTNERSHIP 2 COMMUNIQU FALL 2015 NEW PARTNERSHIP INTRODUCES MIDDLE SCHOOL STUDENTS TO OSTEOPATHIC MEDICINE Alex Schneider member of the Class of 2017 demonstrates basic OMM techniques to participants in the Future DOcs GATE program. by Laura Probyn Its not uncommon to hear a doctor say that he or she set a career path when still a child. A new partnership between MSUCOM and the MSU Gifted and Talented Education GATE program gave middle school and early high school students the chance to begin exploring a career in medicine on the MSU campus this summer. The rst Future DOcs GATE program took place June 22-27. The 20 young campers from grades six through nine had the option to stay in a dorm or to commute to campus for daily activities that included CPR training building clinical skills exploring forensics learning about osteopathic manipulative medicine working in teams and developing interpersonal skills. The program came about after GATE Director Susan Sheth saw a link to the MSUCOM Future DOcs webpage. She began looking into the program and saw the potential for an offering that would be a strong addition to the GATE lineup of summer sessions focused on math technology and forensic science. Sheth then approached MSUCOM Manager of Outreach and Inclusion Floyd Hardin III at a meeting of MSUs pre-college program organizers to discuss the idea. I went over and introduced myself and I said I think we should meet so we did. Floyd really liked the idea of a feeder program which we do primarily with middle school students at this point. As its name implies GATE is targeted toward academically accelerated students. Most of its activities are aimed at middle schoolers because Sheth and her team see more opportunities available in multiple arenas for high school students. Hardin instantly saw a t for a new version of the Future DOcs program which MSUCOM offers for high school students in southeast Michigan and the Lansing area. When Susan approached me about collaborating I was over the moon excited about it he says. We had done some preliminary efforts in trying to expand the programs into the middle schools and elementary schools so we were looking for intentional efforts to collaborate and expand what we were doing. I think it was a really perfect t. Participants came from communities across Michigan and other states. Those who chose to stay on campus lived in Shaw Hall. They ate in the residence hall attended classes and got a taste of life on a major university campus. The young students had the chance to learn from MSUCOM faculty members work with current osteopathic medical students and get mentoring from Osteopathic Medical ScholarsMSU undergraduates who are also interested in careers as physicians. Its been a great marriage between the two programs Hardin notes. We have so many of our high school students who have younger brothers and sisters or parents in our networks in southeast Michigan and here in Lansing who are looking for programs for younger students. With the birth of the GATE collaboration we have somewhere that those students who are not yet in high school can begin to get that exposure to osteopathic medicine. The rst group of Future DOcs GATE program students stop for a photo with their tutorcounselors and MSUCOM admissions staffers. Armed and ready the Future DOcs GATE students learn the basics of drawing blood from manikin arms in the Learning and Assessment Center. STUDENTS FALL 2015 COMMUNIQU 3 STAFF Staff Matters Jessica Bilodeau by Sarah Mancuso Jessica Bilodeau has served as the educational program coordinator for MSUCOM admissions for almost two years and since joining the team she has provided support and handled a wide variety of tasks. Bilodeau was drawn to the event planning opportunities in outreach and inclusion for MSUCOM admissions however her duties have grown to be much more. As a key player in developing programs Bilodeau coordinates outreach events plans internal meetings trains faculty and staff for the new MSUCOM interview process and works with medical students on multiple projects and events. I get the pleasure of working with elementary-aged students middle school students high school students undergraduate students and MSUCOM medical students said Bilodeau. I really enjoy seeing the transformation they have from the programs that we develop. When the admissions team was searching for the right candidate for the position Bilodeaus positive orientation toward customer service and her attention to detail were both attractive and necessary traits. She always takes initiative regarding new projects and never shies away from the opportunity to enhance an existing skill or learn a new one said Floyd Hardin III outreach and inclusion manager. She has provided invaluable support and leadership to pre-college programs and events within the Ofce of Admissions. She truly exemplies what MSU describes as The Spartan Experience said Katherine Ruger director of admissions. Her willingness to participate in vital college projects has provided not only the college with support but students as well. What I enjoy most about my job is seeing how the students benet from the programs that we offer them. Seeing how thankful and appreciative the students are to participate in MSUCOM outreach programs is amazing Bilodeau said. She is currently working toward her Master of Science in Administration Human Resources at Central Michigan University. During her spare time Bilodeau enjoys traveling and spending time with family and friends. Jessica Bilodeau welcomes OsteoCHAMPS participants as they begin their week exploring medical careers and experiencing MSU. by Laura Probyn The MSUCOM Ofce of Admissions found itself facing a very modern challenge. By implementing an electronic application system the number of people hoping to enter the college escalated and now numbers more than 6000. While an online system helps avoid an avalanche of paper it can make it difcult to assess an individuals personal characteristics including level of empathy decision making patterns and teamwork abilities. Admissions Director Katherine Ruger began exploring the possibility of putting a new twist on an old staplethe college interview. She began researching and discovered the multiple mini interview process or MMI. We wanted to ensure applicants were reviewed as whole persons she said. Characteristics and skills deemed essential for an osteopathic physician such as empathy cultural intelligence ethical decision-making and communication are not easily vetted in an application. We chose this interview method to gauge the applicants skill sets in those areas. The process takes applicants through a series of six-minute interviews during which they complete exercises and react to scenarios. The process is hosted in the Learning and Assessment Center and is conducted by faculty staff alumni and current students. MSUCOM REINTRODUCES APPLICANT INTERVIEW PROCESS in a new form Ruger estimates that roughly 15-20 percent of the applicants are being invited to East Lansing for the half-day interview. While they are here they will attend a presentation offering an overview of MSUCOM and participate in a student-led tour she noted. The college had moved away from standard in-person interviews several years ago when the number of applications climbed following several class expansions. Ruger and her team began exploring the possibility of bringing them back for a number of reasons. Applicants faculty and alumni have indicated their desire to engage in an interview process she said. In fact studies have shown that a few of the top reasons applicants select the medical college they attend is based on their experience with the interview. The MMI option was chosen over other interview constructions for several reasons. Chief among them was the fact that researchers at McMaster University the institution where MMI was developed have found that it is the most effective interview method with regard to eliminating bias. They have identied positive correlations with success in the MMI and licensure examination and OSCE objective structured clinical examination results. We are thrilled to get to know our applicants in a different way from a new perspective Ruger notes. Additionally we have had the opportunity to meet and train more than 200 faculty alumni and students to participate in the process and are thrilled to collaborate across our MSUCOM community. Interviews are taking place from August through January. The MSUCOM Office of Admissions has trained 215 individuals to conduct interviews as part of the MMI. Interviews have not been part of the MSUCOM admissions process since 2005. If you would like to learn about interviewer training and scheduling contact Jessica Bilodeau at 4 COMMUNIQU FALL 2015 in fact a MSUCOM alumnus organized the golf outing. After my speech several people congratulated me and shook my hand but there were two people in particular I remember meeting that day Kim Camp and Dr. John Sauchak. Kim was an employee of the college who closely worked with an outreach program called OsteoCHAMPS and Dr. Sauchak was the alumnus who ran the golf outing and also served as a clinical faculty member for MSUCOM. After hearing my speech and meeting me in person Kim and Dr. Sauchak both strongly insisted that I attend the OsteoCHAMPS program that summer. Despite the fact that the program was only a few weeks away the two of them worked very hard to make sure I had a spot in the program and assured me that I would be taken care of. OsteoCHAMPS exposed me to so many great things that I otherwise might not have had the opportunity to experience. At OsteoCHAMPS I learned the difference between a medical doctor and a doctor of osteopathic medicine what OMM was how to organize and present research and even how to network. OsteoCHAMPS also exposed me to a lot of information I might not have received regarding the college experience due to the fact that I am a rst-generation college student. I was fairly ignorant to the application process and college in general and since no one in my family had attended college themselves there were not too many people who I could go to for help in these matters. OsteoCHAMPS provided presentations from admissions and specic colleges like Lyman Briggs which gave me all of the information and resources I had been craving regarding the college experience. OsteoCHAMPS is the single reason why I became a Spartan and why I am now currently attending MSUCOM. Even more important than the things I learned at OsteoCHAMPS were the people I met. The rst person I met was Dr. Margaret Aguwa. Dr. Aguwa is an amazing and inspirational woman who told the story of growing up in Nigeria and her journey to becoming a physician and eventually working for MSUCOM and founding the OsteoCHAMPS program. Dr. Aguwa and I quickly formed a special bond. She has become a very active and necessary part of not only my success in the academic world but also in my growing as a young man. Aside from Dr. Aguwa I also met some fantastic students who shared a common interest in health care and science. In fact some of the people I met at OsteoCHAMPS are some of my best friends even today My roommate from OsteoCHAMPS was my roommate for three years in undergrad and just this past summer I started medical school with one of my best friends I made during OsteoCHAMPS. Being around students who had the same goals and passions that I did gave me the support and inspiration I needed to start and continue on the path of becoming a physician. I still think back to the day I came under the wing of MSUCOM and sometimes I wonder where would I be if they hadnt comforted me under their wings Would I have achieved all that I have today Its scary to think about where I might have ended up if not for MSU. At the same time it is wonderful to think about how far I have come and even more how much further I will go. I may not have been born a Spartan I may have been cheering for the wrong team for a few years but all that matters now is thanks to the special Spartans at MSUCOM I bleed green and white by Robert Ray My Spartan journey began a little differently than most. You see despite the fact that I grew up in Lansing and was surrounded by green and white the Red Cedar and Rah team ght I somehow managed to become a fan of the other school. I grew up wearing blue and gold while screaming Hail to the victors. My entire life I had been set on going to the University of Michigan and for roughly a decade that plan was set in stone. Luckily for me Spartans from the MSU College of Osteopathic Medicine rescued me and in one summer my life was completely redirected. It was a sunny June day and I was on my way to the Boys and Girls Club of Lansings annual golf outing and fundraiser. I grew up in the Boys and Girls Club and I was honored to be speaking at the fundraiser and telling everyone how much the Boys and Girls Club meant to me personally and how they had always been there for me through thick and thin. In my speech I discussed some of the challenges I had overcome and some that I was still rising above and how the Boys and Girls Club supported me on a daily basis not only in my everyday life but also in my dreams and aspirations of becoming a physician. Little did I know the room not only had several physicians in it but STUDENT VIEW ROBERT RAY Redirecting My Life Robert Ray MSUCOM Class of 2019 and Sparty STUDENTS FALL 2015 COMMUNIQU 5FALL 2015 COMMUNIQU 5 CONVOCATION 2015 Class of 2019 ofcially begins MEDICAL SCHOOL by Laura Probyn More than 300 future doctors donned white coats for the rst time during MSUCOMs 45th annual Convocation June 12 at the MSU Wharton Center for Performing Arts. The incoming class was welcomed by Dean William Strampel and addressed by Robert Piccinini D.O. president of the Michigan Osteopathic Association and an MSUCOM alumnus. They also heard from Duncan McGuire president of the MSU Student Government Association and a member of the Class of 2018. As they marched across the stage during the White Coat Presentation William Falls associate dean of student services and professor of radiology announced their names. One member of the cadre of MSUCOM faculty marshals ceremoniously placed the jacket on each incoming student. Falls stood at the lectern to introduce the individuals in attendance from the Osteopathic Medical Scholars Program. This introductory program for MSU undergraduate students gives participants a look at the college and the osteopathic profession while encouraging academic excellence leadership and community service. Strampel led the class in the recitation of the Convocation Oath before offering closing remarks noting that everyone in the crowd which nearly lled the Wharton Centers Great Hall to capacity is rooting for their success but that once they begin classes each students success rests squarely on his or her shoulders. He reminded them of the oft-quoted phrase that if they love what they do theyll never work a day in their lives which he said has been the case for him personally and that osteopathic medicine offers exceptional opportunities for rewarding careers. Robert Piccinini MSUCOM alumnus and president of the Michigan Osteopathic Association CLASS OF 2019 CLASS PROFILE Number of applications 6031 Number enrolled 333 Femalemale ratio 148185 Age distribution 20-43 average 24 MCAT average 27.53 GPA average 3.62 Michigannon-Michigan residency 28350 STUDENTS 6 COMMUNIQU FALL 2015 CLASS of 2019 Student SPOTLIGHT Every MSUCOM student has a remarkable story about his or her journey to medical school. Here are three examples from the Class of 2019. Jason Unold donned Spartys costume and attitude as he led the MSU football team onto the eld prior to kickoff. by Laura Probyn and Pat Grauer STUDENTS East Lansing FINDING HIS WAY FROM SPARTY to medical school Detroit FINDING THE BEST MEDICINE through the risk of empathy Jason Unold As an MSU undergraduate Jason Unold was one of the most popular guys on campus. He was mobbed by admirers in public appearances and asked to pose for dozens of photos before any basketball game he attended at the Breslin Center yet no one knew his name or his face. He was Sparty. Unold who earned a bachelors degree in physiology is a rst-year MSUCOM student and was one of the volunteers who donned the green skirt to do everything from energize crowds at sporting events to bring smiles to alumni at tailgate parties and golf outings. Having been Sparty was a life-changing experience for me he said. I learned how to interact with people in just about any situation. Having the opportunity to run out to a stadium of 75000 screaming fans and stab a ag at center eld is an experience like nothing else. Unold says that the majority of his appearances were much lower key and they were the most meaningful. Of all the events I did the ones like the hospital visits were the most rewarding he noted After these events parents often told me how they hadnt seen their child smile like that in a long time. It was experiences like this that taught me to see this program as something bigger than myself and to continually strive to make a positive impact on whatever it is I may be a part of in the future. Unold was born in Michigan but grew up in Maple Grove Minnesota. His interest in medicine began in high school when a visit to the doctor after a sports injury became a career-dening event. I can still vividly remember my doctor explaining my injury to me. I was compelled to ask questions which prompted the doctor to move from a basic explanation of my injury to a 30-minute talk complete with anatomy models about the physiology and anatomy of the knee and my individual injury. For me being a D.O. means not only improving a patients life state but also striving to improve the patients lifestyle. Kristine Beard Social work is a discipline that has dened Kristine Beards entire adult life and her aspirations as a physician informing the kind of doctor she wants to be. Social work is very similar to osteopathic medicine because it requires a holistic understanding of each individuals personal experience and the psychosocial inuences that impact their health she said. Its important not only to understand the medical diagnosis but how different facets of a patients life are interrelated to their health family job transportation support system personal psychology health literacy insurance and so forth. Kristines journey began with a psychology major at Eastern Michigan University and work as an undergraduate supervising a staff of more than 30 people at a 15-bed residential unit for people with closed head injuries. She completed her M.S.W. at the University of Michigan and an internship at its psychological clinic worked for a year at Livonia Counseling eight years as a psychiatric social worker at Allegiance Health System in Jackson and seven years as a psychiatry-social work consultation liaison at the University of Michigan Health System. In 2011 she received the Beverly Jean Howard Award for Excellence in Social Work at UM. Kristine was often called upon to advocate for and translate among patients their families and their health professionals. For example she said some patients on mechanical ventilation struggle with extreme anxiety. Occasionally staff would change ventilator settings without informing the patients or their families. For most this wasnt an issue but for some patients it would cause extreme stress because their efforts to breathe had changed without apparent reason. Part of my job was to understand the patients experience explain the medical process to patients and families and describe the patients perceptions to the team. The best doctors she said are those who are not only competent FALL 2015 COMMUNIQU 7 STUDENTS Macomb FINDING PURPOSE through international service in their practice but hold onto their empathy despite their personal and professional tragedies. These doctors suffer because their empathy makes them vulnerable but in addition to understanding their patients medical conditions they are more likely to demonstrate warmth compassion and appreciation for their patients experience. Kristine understands suffering. As a young boy she knew that she was different. She was gentle sensitive and idolized Wonder Woman. Every night before bed she prayed that she would wake up as a girl. Her adolescence was alternately lled with rage and despair. During college she began to give voice to her transgender identity. However it wasnt until she was 22 with the help of the University of Michigan Comprehensive Gender Services Program that she actually began the transition to her preferred gender. It was the most difcult time in my life she said. Her support system dwindled. She endured physical and emotional abuse was forced out of her job by an employer and lost faith in religious organizations who preached love but demonstrated the exact opposite. For those who had known me my transition was a death she noted a death with a complicated bereavement. My family and friends had to grieve the person I was get to know me again and realize that I was still the same person they loved. Now condent in her identity and married for eight years to a husband whom she describes as a wonderful human being Kristine is using her personal and professional experiences to help others. I want people to understand that most transgender people live normal lives. We have jobs friends and families. Most of us just want to blend into society she said I recognize that outing myself is a personal risk to my relationships and to my professional future but if my experience can help others better understand or treat patients who are gender variant then I am happy to tell my story. She adds Sometimes you have to be the change you want to see. Pradeep Johns Pradeep Johns is not alone in entering MSUCOM with a strong devotion to service and caring but several experiences along his path to medical school changed how hes looking at the future. Natives of Bangalore India Johns family moved to Troy Michigan where he attended high school before completing a bachelors degree in physiology at MSUs Lyman Briggs College. It was during his undergraduate years that he took advantage of an opportunity for an international experience that changed his life. During a 2010 trip to India with students from a number of Big Ten schools Johns had the opportunity to volunteer with an organization called Aruna that works with women and children trapped in the large sex-trafcking industry. I primarily worked with the children of women in the red light district he said. These children didnt have a home or any hope of escaping this terrible system that they were born into. While he was initially frustrated and disheartened after seeing the deplorable conditions that existed and the lack of resources to make major long-term changes in a drastic way Johns refocused his thinking on helping those individuals with whom he was working. Even though a language barrier existed we were able to encourage and play with the children who would come into the small building that was owned by Aruna he said. I tutored these children and since I was a pre-med student the staff at the organization asked me to put on a mini medical education camp for the children. His experience was so meaningful that he went back earlier this year to work with the women who are trapped in the sex trafcking industry. The great need for social justice in this area was matched by their spiritual medical and emotional needs he said. I began to catch a vision for what it could look like to use medicine as a platform to serve and to be a part of the positive work that is already being done. While Johns knew from an early age that he wanted a career in medicine it wasnt until he traveled to India that he began envisioning what his future as a physician might look like. When I was in middle school I attended a talk by physicians who were doing medical missions in Nepal. I didnt fully understand what kind of commitment and sacrice this required until I went on a few medical mission trips myself. I know that becoming a physician will require sacrices of many kinds but ultimately I know its worth the cost because it will allow me to positively affect and care for whatever communities I nd myself in the future. He found a natural t for interest in caring for the underserved in osteopathic medicine. What attracted me most to osteopathic medicine was the whole- person care approach he said. With my long-term goal being international medicine in underserved areas I love the idea of using my hands to treat patients especially with the realization that many areas I could see myself working in have limited resources. I feel passionate about making the most of the opportunity of becoming an osteopathic physician in hopes that I could be able to make an impact in the red light district in some capacity. I am uncertain of what that role would look like or the avenue through which I can serve but I am faithfully trusting that as I progress further into my medical training I will come across opportunities to serve and be involved in the ght against sex-trafcking. Her profession as a social worker has dened Kristine Beards aspirations as a physician. Pradeep Johns third from left poses with other college students in Mumbai during a mission trip to help victims of sex trafficking. 8 COMMUNIQU FALL 2015 Volunteering to support Detroits youth Two second-year MSUCOM students Raef Fadel and Israa Kenaan joined Anne Snyder admissions counselor to participate in Metro Detroits 35th annual Youth Day. MSU Admissions and the colleges of Veterinary Medicine and Engineering also represented the university at the event. This Metro Detroit Youth Day was created to show the youth of Detroit that businesses the community and civic organizations care about them. More than 34000 people attended the event. The three MSUCOM representatives hosted a booth where youngsters could meet the future doctors and receive an MSU temporary face tattoo. More than 1000 children visited the booth. It was a perfect thing to do said Fadel. While they are waiting for the tattoo to stick we had a chance to talk to them and nd out more about them. This is exactly what we train our doctors to do spend a few minutes trying to get to know the patient said Snyder. Both Raef and Israa are applying what they are learning in class in day-to-day life. Stepping up to support CHASS The third annual CHASS Community Health and Social Services Center Mexicantown 5k RunWalk and Childrens Race took place Aug. 8 in Detroit. CHASS is a community based non-prot organization that provides comprehensive affordable health care and support to community members with special emphasis on underserved African-American and Latino populations. MSUCOM alumnus Richard Bryce D.O. is a staff physician at the CHASS Southwest Center. One of the reasons for the 5Ks success was the amazing MSUCOM volunteers. More than 15 MSUCOM volunteers helped setclean up and cheer on participants. They posed for a photo at the event with another great Spartan who traveled to Detroit to cheer on the racers. Gaining insight into mental health Thirty second-year MSUCOM students participated in a Community Integrated Medicine Mental Health First Aid training on July 11. MHFA training is a nationally recognized certication program. Participants were taught how to assist someone experiencing a mental health related-crisis. During the workshop participating students learned about risk factors how to identify warning signs for mental health and addiction concerns strategies to help people in crisis and non-crisis situations and where to turn for help. Trainees received information about the epidemiology of substance abuse disorders major depressions anxiety and panic disorders and psychoses. Almost 20 percent of American adults have some form of diagnosed mental health condition. Students left the training with a greater sensitivity to the stigma associated with mental illness and the silent suffering that people experience in the community day-to-day said Sean Morris one of the participating students. STUDENTS MSUCOM STUDENTS in action Experiencing health care in Peru The 2015 Peru elective gave participants another unique experience in health care research culture and understanding. The seventh annual trip took 85 participants including students residents faculty alumni and other doctors to Peru. The travelers spent time touring a medical school and teaching hospital in Lima offering basic medical care to underserved patients in Iquitos and then taking to the waters of the Amazon River to provide care in indigenous villages. During the trip the students also took part in research projects. Since the electives rst year the groups have treated more than 9000 patients and delivered medications and supplies valued at more than 1 million. Participants have submitted 37 research abstracts and received nearly 17000 in research grants. See photos from this years trip and read the participants blog by visiting FALL 2015 COMMUNIQU 9 SCS by Pat Grauer The MSU College of Osteopathic Medicine has a 1937-pound gorilla in the room the largest consortium dedicated to graduate medical education in the nation bar none. In an era of rampant change in GME with pressures to alter its sources of funding and the folding of osteopathic residencies into the ACGME system the Statewide Campus System has 1937 residents in 223 programs held in 47 hospitals and 31 Federally Qualied Health Centers. The prestigious Institute of Medicine created a furor with the release of its July 2014 report on GME and one of the key issues was To what extent is the current GME system producing an appropriately balanced physician workforce ready to provide high-quality patient-centered and affordable health care Recommendations focused on programs to create new residency slots with a focus on community-based ambulatory care. Thats the vision said Jon Rohrer associate dean of MSUCOMs Statewide Campus System. But we are and have always been community-based since we started as a consortium in 1989. With the challenge of the ACGME standards were right at the center of the Institute of Medicines recommendations. Decades of graduate medical education in the communities has borne fruit. SCS graduates stay in service where they are trained 83 percent of SCS graduates remain in Michigan to practice and one of every two practice in primary care. From 2003 to 2013 fully three-quarters of MSUCOM graduates entered a residency program within the Statewide Campus System. The results are garnering attention nationally. The Statewide Campus System is the rst Osteopathic Postgraduate Training Institution to receive pre-accreditation status from the ACGME as a sponsoring institution. The rapport with our community hospitals goes back 25 years noted Kari Hortos senior associate dean of SCS. The community emphasis and value of collaboration creates savings and economies of scale. Our hospitals are wanting to continue their SCS memberships they value the service alignment and enhancement. In addition Rohrer noted we are doing research that matters. In our Teaching for Quality Te4Q program an initiative of the Association of American Medical Colleges we have emphasized research to enhance quality of care patient safety community- based care and cost savings. This was our pilot year he noted and we have an outstanding class. It helps us to meet the ACGME requirements and AAMC has said it is one of the best programs ever in terms of trainee commitment program organization and quality of faculty projects. STATEWIDE CAMPUS SYSTEM Were where we need to be doing what needs to be done 1937 Residents 47 Hospitals 31 FQHCs 83 of SCS grads remain in Michigan 1ST OPTI to earn ACGME pre-acreditation status 34 of MSUCOM grads enter an SCS residency 10 COMMUNIQU FALL 2015 STUDENTS GROW PERSONALLY learning leadership and compassionate care STUDENTS by Pat Grauer During the last days of August when most of their classmates were resting up for the start of fall semester a group of MSUCOM students were in retreat for the weekend in Fee Hall. The agenda was eclectic medical empathy as expressed in 19th-century art self-care what a physician learned from his patients mindful movement and physical therapy lessons from Yukon the therapy dog the student as presenter transformational health and stress and self-care. It was the annual welcome back meeting for students in MSUCOMs Leadership Academy for Compassionate Care an initiative which is rapidly growing in depth and scope. Established in 2012 by faculty John Meulendyk Celia Guro and Jason Beckrow the Academy addresses the lack of compassionate care in our medical system and the need for leadership development among medical students. The LACC has been a wonderful experience for me as a medical student said Arpon Shahed Class of 2017. It helps us learn about different perspectives on the healing processes of the body and gives us new tools to further develop our training beyond textbook medicine. Their approach rests on four pillars 1 arts in medicine as a vehicle to learn and express compassion 2 the importance of self-care for medical students and physicians 3 enhancing the patient-doctor relationship and 4 addressing the economic and ethical issues of compassionate care. The spectrum of LACCs 10 core values extends from the components of suffering to the importance of a physicians involvement in public policy. In addition the LACC is building a community of physicians who share its values and support one another and the Academy. To me the Academy teaches the essence of being an excellent physician said Guro. We work with the students to enable them to be comfortable in examining various aspects of themselves. It is through this compassion and knowing themselves that our students will really listen to their patients with their hearts. Also we experiment with many new kinds of activities and subjects that are not always in the curriculum. The Academy has expanded both in scope from seven to nearly 40 students and widened its array of programming. Each student enrolled in LACC is required to take Transforming the Doctor-Patient Relationship a weekend-long workshop open to all students faculty and staff. Sponsored by the MSU Federal Credit Union Institute for Arts Creativity at the Wharton Center nationally recognized consultants Stuart Pimsler and Suzanne Costello from Minneapolis use the full spectrum of artistic experience to teach ways to enhance communication and to help participants be more aware of themselves. During 2014-2015 members of the Academy heard presentations from MSUCOM alumnus David Grimshaw on empathy in practice from former Lansing mayor and State Rep. David Hollister on the politics of compassion and from alumna Pat Schmidt and two courageous patients on best practices for end-of-life care. Meulendyk presented a full elective in nutrition based on the principles of functional medicine. Students practiced hand massage learned meditation skills made masks showing their inner and outer faces and nished the year giving presentations using the Pecha Kucha 20 20-second slides method. The LACC program leads the way in reclaiming the compassionate roots of osteopathic medicine as founded by Andrew Taylor Still noted Meulendyk. It also accentuates the heart and philosophy promoted by truly creative thinkers at Michigan State University. The LACC emphasizes knowing oneself before knowing the patient he said. Todays students attempt to nd out about themselves by mining data on cellphones and laptops. Personal eye contact touch and bodily awareness are often missing. These are the basic tools for showing compassion. Based on both the positive responses from students and the importance of the LACCs mission the Planning Committee comprising Meulendyk Guro Arlene Sierra Terry McNamara Pat Grauer Perry Parkhurst and Marcy Schlinger is seeking grant funding to enhance and enlarge the effort. The ultimate long-range vision includes working with faculty and staff to integrate the principles of the LACC at all levels of education in the college including preadmission programs predoctoral education graduate medical education and continuing medical education developing an advanced degree program in compassionate care and creating community programs to assist patients and caregivers. For more information on LACC see httpcom.msu.edulacc. FALL 2015 COMMUNIQU 11FALL 2015 COMMUNIQUU 1111 Like father like son PROVIDING MEDICAL CARE TO THE UNDERSERVED by Sarah Mancuso MSUCOM alumnus Ken Stringer Class of 1974 and his son Ryan Stringer Class of 2013 spent one week in April on a medical mission trip in Haiti with the organization Mission of Hope Haiti. Ken Stringer is a pediatrician in the MSUCOM pediatrics department faculty. Ryan Stringer is currently in an ER residency at Lakeland Health St. Joseph Michigan. Alongside the father-son pair was Ryan Stringers wife Sara a labor and delivery nurse. The Stringer family is drawn to medical mission trips because they provide opportunity to aid the underserved. Particularly in Haiti there is a lack of access to both health care and education and the Stringers were able to use their medical training as an avenue to provide care and make an impact. The April mission organized by Mission of Hope Haiti included four physicians and about 10 other health care professionals. The team saw about 425 patients at two remote villages. We ran mobile clinics that were primarily supported by generous donations Ryan said. We lled trucks with medicine and medical supplies and drove to the villages to provide services free of charge. All three have participated in medical mission trips before. This particular trip provided a new experience though and memories that wont be forgotten. It was very special to team up and share this experience with my son said Ken. We have different specialties since hes in emergency medicine and Im in pediatrics but it was a dream come true to work alongside and consult with him. Ryan has always considered his father a major inspiration in pursuing a medical career and found it meaningful to work alongside his dad. Having the opportunity to practice with my dad and my wife was such a cool experience he said. It provided for me a renewed perspective and passion for the type of doctor I want to be. The Stringer family plans to pursue more medical mission opportunities in the future and found the time spent and care delivered in Haiti to be rewarding. They are all grateful for the chance to give to people who have such great needs. Its all in the family for left to right Ken Stringer D.O. Ryan Stringer D.O. and Sara Stringer R.N. Ryan examines a young Haitian with an assist from Sara. The medical team pauses for a photo. STUDENTS 12 COMMUNIQU FALL 201512 COMMUNIQU FALL 2015 by Pat Grauer If John LHote hadnt stepped up to the plate 50 years ago the Michigan State University College of Osteopathic Medicine might have been something entirely different than it is today. In 1965 he only knew about osteopathic medicine from a D.O. neighbor. By 1970 he was leading the Michigan profession in negotiating with legislators and university presidents with the same steadfast condence he has approached everything in a remarkable life. LHote trim pleasant and articulate is now 98 living with his wife of 76 years Harriet in Bloomeld Hills. They met for ve minutes at the Highland Park High School commencement and the rest was history. They went to junior college together and he worked nights at a trucking company. She went to Michigan State he went to work at Great Lakes Steel she graduated they got married and just before he was sent overseas for World War II the rst of three children was born. A pattern was emerging in LHotes life one in which as he puts it People have always assumed that I would be able to cope with leading something that needed doing. At 17 he was a porter on a cruise ship. At Great Lakes he was hired on the labor gang and promoted twice in a few months. During the war sent as an electrician to the combat rest center the major in charge asked him if hed like to run the facility. How can I do that Im only a private rst class. Dont worry the major said. We wont tell anybody. For the rest of the war LHote led the staff and signicant resources at the center providing muddy soldiers coming in from the front clean uniforms showers and medical and dental care. The end of the war found them both at Michigan State College Harriett as a graduate assistant and he as a student under the GI Bill working as a custodian at the Spartan Nursery School where their son attended. I nd it interesting that I was cleaning toilets at the nursery school and six years later I was working as the supervising engineer for the Detroit Public School System. I had I d it i t ti th t I PEOPLE HAVE ALWAYS ASSUMED THAT I WOULD BE ABLE TO COPE WITH LEADING SOMETHING THAT NEEDED DOING. - John LHote over 2000 people cleaning toilets for me. That job which included a 30 million annual budget lasted for 30 years. SERVICE TO MSUCOM By this time LHote was a nationally recognized authority on educational facilities their planning construction operation and maintenance. Following a party at the home of his D.O. neighbor he was asked to assist in the construction of the Michigan College of Osteopathic Medicine in Pontiac MSUCOMs private forebear. He agreed and attended the rst meeting. No one else showed he said. For the whole design period I was the only person who represented the osteopathic profession in the design of an osteopathic college. He worked with the architects assisted the development of a 40 million campus plan and directed the work of John LHote stepped up to the plate 50 years ago to hit several homers for MSUCOMs future. JOHN LHOTE A LIFETIME OF ANSWERING THE CALL made MSUCOM possible HIGHLIGHTS FALL 2015 COMMUNIQU 13FALL 2015 COMMUNIQU 13 the contractor often as a volunteer. The development building went up in 1966 staff moved in and the rst dean Myron S. Magen and faculty were hired. Groundbreaking occurred on the larger staging building in late 1968 a major teaching facility which was completed in 1971 just in time for enrollment of the rst MCOM class. LHote was elected to the MCOM corporate board and by 1968 he was chairing it a position to which he was re-elected repeatedly. Once again he found himself asked to fulll a role with no precedent in his life and he jumped in to make it work. Before the full campus plan could be completed a move was afoot to make MCOM a public college and LHote found himself testifying before many committees of the Michigan legislature. He was successful. The act creating a public college of osteopathic medicine was passed in 1969 but required that it be located Above The Michigan College of Osteopathic Medicine in Pontiac in 1970 Inset Henry F. Olen president Michigan Association of Osteopathic Physicians and Surgeons Roy S. Young president American Osteopathic Association Myron S. Magen MCOM dean and John LHote chairman Board of Trustees MCOM on the campus with an existing medical school within 90 days LHote led the team who met with the leadership at Wayne State University the University of Michigan and Michigan State and found welcome among the Spartans. The school moved to campus in 1971 and the property in Pontiac was transferred to the Michigan Osteopathic College Foundation. MSUCOM was the rst osteopathic college to be located at a major university and the rst to be publicly assisted. LHote received signicant recognition for his work in starting MCOM. He was one of the rst class in 1971 to receive the Walter F. Patenge Medal of Public Service the highest honor awarded from MSUCOM. He was awarded an Honorary Lay Membership and a Presidential Citation both from the Michigan Association of Osteopathic Physicians and Surgeons a Distinguished Service Certicate from the American Osteopathic Association a diploma from Pontiac Osteopathic Hospital a citation from the Michigan Osteopathic College Foundation and a resolution from the Michigan legislature. If John LHote hadnt stepped up to the plate 50 years ago the Michigan State University College of Osteopathic Medicine might have been something entirely different than it is today providing leadership in osteopathic education and primary care substantive research advocacy for osteopathic principles and practice unparalleled graduate medical education opportunities and a strong international presence.a strong international presenccee. HIGHLIGHTS 14 COMMUNIQU FALL 2015 RESEARCH Pictured above is a normal dilated blood vessel. Pictured below is an abnormal constricted blood vessel. Hormonal signals or talk between belly fat and blood vessels may be what causes arteries and veins in the abdomen to constrict resulting in high blood pressure. Belly fat chatter may be whats RAISING YOUR BLOOD PRESSURE by Sarina Gleason Belly fat chatter may be whats raising your blood pressure Michigan State University researchers who were the rst to suggest that high blood pressure could be caused by belly fat hormones talking with blood vessels in the abdomen have received a nearly 7 million National Institutes of Health grant to further their work. For years belly fat has been linked to high blood pressure or hypertension which increases a persons risk for cardiovascular disease. But scientists havent known exactly why. Greg Fink a professor in pharmacology and toxicology in MSUs College of Osteopathic Medicine is determined to nd out. Our basic thought is that these hormonal signals or talk between fat and blood vessels are very different in those people who have hypertension and those who dont Fink said. In order for us to gure out why this fat raises blood pressure we need to understand the messages being sent. Fink explains that there are two layers of belly fat. The top layer also known as subcutaneous fat lies just under the skin can easily be removed and isnt necessarily considered unhealthy. But the layer under that called visceral fat isnt as easy to get rid of and can be harmful because its wrapped around blood vessels and other organs in the abdomen. Too much of this bad fat is whats linked to high blood pressure heart disease and stroke Fink said. While the majority of research has focused on the long-distance conversations between fat and the brain or heart Finks research team will be focusing on the local chatter taking place between this unhealthy fat and the arteries and veins of the stomach intestines and other surrounding organs. We think this chatter makes the arteries and veins in the abdomen contract restricting blood ow and thereby raising a persons blood pressure he said. Fink plans to work with local surgeons who will help his team study the fat found in tissue samples from consenting patients and try to determine what hormones are being produced and what theyre saying. Theoretically if we can identify the local conversations taking place then we can gure out a way to change these discussions so we can lower blood pressure Fink said. Ultimately this might mean a potential new drug therapy down the road for those suffering from high blood pressure. About 70 percent of hypertension cases are linked to obesity Fink said. This research could positively affect many of these individuals if not all and reduce their risk of high blood pressure and possibly other health problems even if they cant lose weight. It has the chance of making a signicant impact on a large part of the population. Co-investigators on the ve-year research project include Stephanie Watts and James Galligan both professors in the Department of Pharmacology and Toxicology. Greg Fink is a pharmacology and toxicology professor at MSU whose research team is the rst to suggest that high blood pressure might be caused by belly fat hormones talking with blood vessels in the abdomen. Photo Credit Katie Stiefel FALL 2015 COMMUNIQU 15 DEVEOLOPMENT Michael and Susan Henderson REMEMBERING STRUGGLES OF THE PAST TO EASE STRUGGLES OF THE FUTURE by Pat Grauer It was January 16 1981. There were six inches of snow in East Lansing and Michael Henderson had driven from Mississippi to interview for admission at the osteopathic college in Michigan. He talked with Admissions Director Frank Bernier and it led to an opportunity of a lifetime. The fact that Henderson so clearly remembers that day is indicative of how important it was to him. He remembers at age 12 shopping with his mom when an inuential schoolteacher Eleanor Redd asked what he wanted to do with his life. He responded that he was considering being an engineer an attorney or a physician. Be a doctor she said rmly and he never looked back. I had a lot of verbal support from home and my family did everything they could he said. But I needed more. He began mowing grass at 13 and worked at the Winn-Dixie from age 14 through college graduation rst at Copiah-Lincoln Community College in Wesson Mississippi and then Millsaps College in Jackson. He taught high school Latin for a year and worked as a phlebotomist for two years at his hometown hospital. Although there were only seven osteopathic physicians in Mississippi in 1980 he found one who would mentor him which led to a very rm belief in the concept and practice of osteopathic medicine. He wrote recommendations for him. From that early struggle he and his wife Susan now living in Holt have grown a legacy. A 1986 MSUCOM alumnus he is a successful radiologist Susan is a nurse and their son David Rastall is a sixth-year D.O.-Ph.D. student in the Cell and Molecular Biology Program at MSUCOM studying with Osteopathic Heritage Foundation Professor Andrea Amaltano. I know what it is to struggle Henderson said and we believe in giving back and in raising our son to have the same awareness. Their contributions started two decades ago with a series of annual gifts supporting the MSU College of Osteopathic Medicine and continued with a generous gift through a charitable bequest to fund a future endowed scholarship for disadvantaged osteopathic students. Now the Hendersons have committed to establishing The Michael A. Henderson D.O. and Susan Henderson R.N. Scholarship Fund in 2015 through the immediate gift of property. There is a lot of talent in disadvantaged people noted Henderson and they need to have the opportunity to express it. Susan Henderson emphasized that People born with advantage dont always realize it but others might be born with an albatross around their necks. If mom and dad have money theyve probably got your back. If they dont you need a safety net. The Hendersons gift to the college has made them eligible for the Robert S. Shaw Society which recognizes the generosity of donors who make a commitment of between 500000 or 999999 to MSU or a documented planned gift of at least 1000000. Susan and Michael Hendersons substantial gift will make possible scholarships to help MSUCOM students from disadvantaged backgrounds. 16 COMMUNIQU FALL 2015 Office of Continuing Medical Education Jaw-dropping approaches to temporomandibular joint disorders by Pat Grauer When Gary DiStefano and Lisa DeStefano planned their rst day-long course on temporomandibular joint disorders in January 2015 they expected 10 to 12 orthodontists. Instead they had to cut enrollment off at 141 120 of whom were dentists and 20 of whom were physicians. The topic is hot. Gary DiStefano a community dentist and clinical assistant professor of osteopathic manipulative medicine was among the very rst to recognize the importance of the joint nearly three decades ago when face head and neck pain of unknown origin was often dismissed as psychogenic. Today the biomechanics are much better understood and TMJ disorders wide- reaching effects are recognized ear jaw neck and thoracic pain Eustachian tube problems and headaches. Seventy percent of Western civilization has the jaw relationship a Class II deep bite which can lead to a hyperextension injury of the TMJ he said. Its a facial skeletal growth and development issue allowing the jaw to go back. There are broad implications of overextension of the mandible when one closes the mouth said Lisa DeStefano an osteopathic physician and chairperson of the Department of Osteopathic Manipulative Medicine. Biting creates 500 to 1000 pounds per square inch of force into the joint and the only thing that stops the mandible from going into the temporal bone is the teeth. It can even destabilize the cervical spine relative to the thoracic spine causing postural instability. Both agree that collaboration between a dentist and an osteopathic physician with expertise in manipulation provides the best diagnoses and treatments for TMJ disorder patients. The initial session focused on principles dening the issue clinical assessment and using OMM as a diagnostic tool to communicate to the dentist recommendations for prescribing an orthopedic device. Basic Principles of TMJ Diagnosis and Treatment Modalities will carry these principles into practice including the history of TMJ disorders basic orthopedics of joint function and dysfunction principles of treatment and surgery on the rare occasion it is required. The course will be held in two parts Part I on Feb. 26 2016 at MSUs Breslin Center and Part II on Feb. 27 at Fee Hall. Each part is approved for eight Category 1-A credits. Upcoming CME Programs CRANIOSACRAL TECHNIQUES PART II October 9 - 13 2015 MSUCOM East Fee Hall East Lansing Michigan 35 credits of Category 1-A DIRECT ACTION THRUST MOBILIZATION WITH IMPULSE October 23 - 26 2015 MSUCOM East Fee Hall East Lansing Michigan 27 credits of Category 1-A OMM FOR THE PREGNANT NEWBORN PATIENT November 6 2015 MSUCOM East Fee Hall East Lansing Michigan 7 credits of Category 1-A MANUAL MEDICINE RELATED TO SPORTS OCCUPATIONAL INJURIES TO THE EXTREMITIES November 7 - 8 2015 MSUCOM East Fee Hall East Lansing Michigan 15 credits of Category 1-A BOTSFORD SYMPOSIUM FOR PRIMARY CARE November 20 - 21 2015 Suburban Collection Showplace Novi Michigan 17 credits of Category 1-A Ph 248 471-8350 PRINCIPLES OF MANUAL MEDICINE December 4 - 7 2015 MSUCOM East Fee Hall East Lansing Michigan 28 credits of Category 1-A ALSO AVAILABLE CME ONLINE Up to 56 1-B Credits For details and additional programs COM.MSU.EDUCME Dentist Gary DiStefano was among the rst to recognize the clinical signicance of TMJ. CME FALL 2015 COMMUNIQU 17 ALUMNI Michael Brennan DOING WHAT IT TAKES FOR HIS PATIENTS by Pat Grauer Its a long way from his initial career choice as a packaging engineer but endocrinologist Michael Brennan has a passion to provide every good treatment possible to his wide variety of patients. A 2006 MSUCOM alumnus Brennan led the development of the William Beaumont Endocrine Center in St. Clair Shores and provides care to patients with conditions including disorders in calcium and bone metabolism thyroid sex hormones gender identity pancreas pituitary adrenal glands and metabolism and obesity. Living with Type I diabetes since the age of 12 Brennan knows all the subtleties and unrecognized hardships of this disease especially for teenagers. There are a multitude of personal and social implications to these diseases he said. Struggling to handle those myself at a young age has made me more sensitive to what my patients experience. Endocrine disorders are generally chronic and we are heavily involved with lifestyle management Brennan notes. Patients have to be their own doctors most of the time and my job is to prepare them to do that well. I can suggest medical treatment but they have to implement the suggestions. I love practicing endocrinology. There are so many good medicines available for treatment that I can have a long-lasting relationship with my patients and make a real difference in their lives. Noting that some endocrinologists select and prescribe limited options for equipment and treatment it is important to Brennan that his patients have opportunities and choices for all therapies. My patients see a display case in my ofce with all the latest technology and medications he said. There are many different kinds of pharmacologic options insulin pumps pens patches and pods. There are continuous glucose monitors and exciting new developments recently approved by the FDA. Since Ive graduated from medical school there have been several new classes of medication for just the treatment of diabetes let alone the rest of endocrinology. I know them all and I want my patients to be aware of their choices. I make it a point to offer my patients every option available to them in order to determine what best ts their needs he said. I love working for a non-prot health system. I can take more time with patients and I try to stay fair and balanced so I dont limit options for my patients he said. I also am blessed with an amazing staff including nurse practitioners and medical assistants who deserve full credit for the care they provide and others who keep everything running smoothly. He empowers patients in other ways through education and reason. A lot of things we say as clinicians are not always logical Brennan said. I want them to eat right exercise be healthy and well-balanced. I am not going to tell them they cant have a bit of cake on their birthdays. In addition to his clinical work Brennan is a strong advocate for supporting patients with endocrine diseases including lobbying the legislature in Washington D.C. about Medicare and Medicaid reimbursement. Hes also the principal investigator on a study of genetic markers in follicular lesions of undetermined signicance in the thyroid and others on nursing education and diabetes. He has a lovely family including wife Kate son Luke age 5 and daughter Jane age 3. After his graduation from MSUCOM Brennan took an internal medicine pediatrics residency at Beaumont Hospital Royal Oak and then a two year adult endocrinology fellowship at Henry Ford Hospital. He also holds a masters degree in epidemiology from MSU. Its my job to keep people out of the hospital Brennan said. My practice is people based not procedure based. Its empowering the patient. Heres our mission To remedy all endocrine disorders with excellence. To empower patients health care professionals and the community to maintain good health in those with endocrine diseases. This service will be done with understanding hope and care for each individual patient of the Beaumont Endocrine Center. Always advocating for stellar endocrinology care Brennan was a featured CME speaker for MSUCOMs Fall Kaleidoscope. 18 COMMUNIQU FALL 2015 18 COMMUNIQU FALL 2015 M S U C O M A L U M N I N E T W O R K M S U C O M A L U M N I Upcoming Events Please keep us informed of recent moves or changes in your practice. It is important for college reports grant writing etc. that we have up-to-date information on our alumni. Changes to your information can be made on the MSUCOM website under the alumni section or by calling 877 853-3448. MSUCOM Alumni Ofce 965 Fee Road Room A310 East Lansing MI 48824 517 432-4979 or toll free 877 853-3448 email WHERE ARE YOU ALUMNI HOOKED ON REEL RECONNECTING AT MOA RECEPTION More than 150 MSUCOM alumni and family members faculty students staff and friends gathered at the Big Fish restaurant on May 14 following the annual Michigan Osteopathic Associations House of Delegates meeting in Dearborn Michigan to relax and reminisce. Those who attended noshed on appetizers and Spartan cookies while they chatted. They included current students residents members of the MSUCOM alumni board and college administrators. ROBERT PICCININI NAMED MOA 2015-16 PRESIDENT Robert G. Piccinini D.O. dFACN the fourth MSUCOM alumnus in a row to serve as the president of the Michigan Osteopathic Association was sworn in at the House of Delegates meeting at The 116th Annual Spring Scientic Convention in May in Dearborn. The rst psychiatrist ever to serve in this role Piccinini was president of the MOA Service Corporation Board of Directors a member of the Michigan Osteopathic Political Action Committee and past president of the Macomb County Osteopathic Medical Association. In 2013-14 he served as the president of the American College of Osteopathic Neurologists and Psychiatrists. In July Piccinini was named as second vice president and MOA Past-president Michael D. Weiss as third vice president of the American Osteopathic Association Board of Trustees. 2015 Oct. 17-21 OMED 2015 Orlando MSUU of M game watch The Pub Orlando 1017 time TBA Alumni Reception Tommy Bahama Restaurant and Bar 1019 at 630 p.m. 2016 Jan. 21-24 MAOFP Winter Update Bellaire Mich. Feb. 6 MOCF Ball Dearborn Mich. Mar. 5-12 Healthy Lifestyles and Preventive Care Palm Beach Aruba FALL 2015 COMMUNIQU 19 ALMUNI MSU President Lou Anna K. Simon sixth from right spoke to those attending MSUCOMs reception in Traverse City. TRAVERSING THE SPECTRUM OF CLINICAL CARE Many MSUCOM alumni were among the more than hundred people who attended a reception held in conjunction with the colleges newest continuing medical education program Clinical Symposium 2015 held at the Park Place Hotel in Traverse City. MSU President Lou Anna Simon and Dean William Strampel made short presentations to the crowd. SILVERFEST 2015 BIGGER AND BETTER EVERY YEAR The 17th annual Osteopathic Open attracted 34 foursomes to the Eagle Eye Golf Course in Bath on Sept. 11. Sponsored by the MSU Federal Credit Union the Open proceeds support students scholarships and awards and also the MSUCOM Alumni Association. One hundred eleven people enrolled for the Silverfest Fall Kaleidoscope CME Clinical Update on Sept. 11 with topics ranging from fevers in returning travelers to newborn screening and autism. Six of the eight speakers were MSUCOM alumni. On Sept. 12 it was one of the biggest games on MSUs calendar and the longest and the largest tailgate MSUCOM ever hosted. More than 850 people stopped by the tent on Demonstration Hall Field in the ve hours before the 8 p.m. MSU vs. Oregon game. It was a joyous gathering with green-and-white clad alumni faculty staff students families and friends of the college enjoying each other good food and drink and an early fall afternoon on campus. Sponsors who made it possible were Kheder Davis Associates Inc. McLaren Greater Lansing and the Michigan Osteopathic Association. 20 COMMUNIQU FALL 2015 MOAMICHIGAN OSTEOPATHIC ASSOCIATION The osteopathic profession a positive family by Kristopher Thomas Nicholoff CEO and executive director Michigan Osteopathic Association The many years I have worked in the health care sector have offered me the opportunity to work with so many wonderful people. My good fortune has given me an inside look at the camaraderie within various companies associations and other organizations. The osteopathic profession stands out for a specic reason. Family. As with many professions osteopathic physicians gather for many events. Whether the event be social legislative or the pursuit of continuing education the common thread I have seen is the sense of family. The connections I see come in many forms stories and laughs shared between colleagues mentorship to a medical student from a practicing physician and the common interest of the patients well-being. Within the osteopathic profession there is a genuine sense of fellowship. We also see the sense of family in the numerous examples of legacies. A D.O. with a successful practice may likely have a son or a daughter who has gone to school to study osteopathic medicine. And in many cases MOA NEARLY 30 YEARS OUT HERES WHAT IVE LEARNED . . . Stephen Swetech Thirty years ago I was just beginning my nal year as an MSUCOM student looking forward to a lifetime of practice as an osteopathic physician. Now as an alumnus its my privilege to look back over what Ive gained in applying my skills and to sift out whats been most valuable to me. Heres what Ive learned. 1 The holistic approach to patient care colors everything else. Its not just a nice principle to attract and inspire medical students. It should be the core of everything we do our attention should be patient-centered. Who is this person Whats important to him What values does she have What are his challenges What are her strengths What are the contexts family work community in which they live 2 Choosing to be positive to patients their families staff and colleagues makes everything easier. It costs nothing to smile to have some fun to celebrate. 3 I know I can say for all of us that MSUCOM has built the foundation for our success and given us a multitude of opportunities. It has opened many doors for us and made us rich in many ways socially politically and yes nancially. Its important to give back to our alma mater where we got an excellent start as physicians and where creative and cutting-edge good is still being done. Donate volunteer teach research take a CME course and stay connected. It will nurture your practice and your skills. 4 There is an extraordinary sense of camaraderie in the osteopathic profession evident the rst day we toured MSUCOM. Value it enhance it contribute to it and ensure it for future generations of D.O.s. It makes us much more powerful in our positive impact. The practice of medicine continues to face increasingly difcult challenges. Its easy to feel overwhelmed and discouraged. But Id maintain if we practice the principles above using the holistic approach to patients choosing to be positive giving back and nurturing camaraderie in the profession well nd that its easier to succeed together. Go green Stephen M. Swetech D.O. Class of 1986 MSUCOM Alumni Association President the generations of D.O.s may stretch from grandparent to grandchild. My vantage point is special. While I am able to see the profession transform and advance as technology grows and methods evolve I am also able to witness the bond between D.Os of all ages. The retired physicians trade stories and share history while practicing physicians talk of serving their communities. Residents and interns enthusiastically establish themselves by joining committees and other groups to network and gain opportunities while students are eager to learn and pursue their passion. The profession carries on in this connected cycle just like a family. My advice to the young students who are weighing their career options with regard to medical education is to seek out osteopathic physicians and ask them What made you decide to be a D.O. There are a number of reasons they may cite but within their answer you nd their desire to become part of the osteopathic family. FALL 2015 COMMUNIQU 21FALL 2015 COMMUNIQU 21 9-13 CME Craniosacral Techniques Part II MSUCOM Fee Hall East Lansing 35 Category 1-A credits. Chairperson Barb Briner D.O. com.msu.educme 517-353-9714 or 17-21 OMED 2015 the AOA convention Orlando. MSUU of M football game watch The Pub Orlando 1017 time TBA Alumni Reception Tommy Bahama Restaurant and Bar 1019 at 630 p.m. 24 See the Sites 9 a.m.-12 p.m. Detroit Medical Center and 1-4 p.m. Macomb University Center. 23-26 CME Direct Action Thrust Mobilization with Impulse MSUCOM Fee Hall East Lansing 27 Category 1-A credits. Chairperson Carl Steele D.O. M.S. P.T. com.msu.educme 517-353-9714 or 6 CME OMM for the Pregnant and Newborn Patient MSUCOM Fee Hall East Lansing 7 Category 1-A credits. Chairperson Laura Tinning D.O. com.msu.educme 517-353-9714 or 7-8 CME Manual Medicine Related to Sports Occupational Injuries to the Extremities MSUCOM Fee Hall East Lansing 15 Category 1-A credits. Chairpersons Mark Gugel D.O. and Jake Rowan D.O. com.msu.educme 517-353-9714 or 20-21 CME Botsford Symposium for Primary Care Suburban Collection Showplace Novi 17 Category 1-A AOA and 17 Category 1 AMA PRA credits 248-471-8350 4-7 CME Principles of Manual Medicine MSUCOM Fee Hall East Lansing 28 Category 1-A credits. Chairperson Lisa DeStefano D.O. com.msu.educme 517-353-9714 or 21-24 MAOFP Mid-Winter Family Medicine Update Shanty Creek Resort Bellaire. 20-22 Category 1-A credits pending. httpwww.maofp.orgpagewinter 22-26 Craniosacral Techniques Part I MSUCOM East Lansing 35 Category 1-A credits. Chairperson Barbara Briner D.O. com.msu.educme 517-353-9714 or 6 Michigan Osteopathic College Foundation Ball The Henry Autograph Collection Dearborn. com.msu.eduMOCF 20 CME Pediatric Update MSUCOM Fee Hall East Lansing 8 Category 1-A credits com.msu.educme 517-353-9714 or 26-27 CME Basic Principles of TMJ Diagnosis and Treatment Modalities Level 1 at MSUs Breslin Center on Friday and Level 2 at Fee Hall on Saturday 8 Category 1-A credits for each. Chairpersons Lisa DeStefano D.O. and Gary DiStefano D.D.S. com.msu.educme 517-353-9714 or 4-6 CME Advanced Clinical Pearls East Lansing Marriott 22.5 Category 1-A credits. Chairperson Edward Stiles D.O. com.msu.educme 517-353-9714 or 5-12 Healthy Lifestyles and Preventive Care Occidental Grand Aruba Resort classictravelusa.comGroupMSUSeminar2016.html OCTOBER NOVEMBER DECEMBER FEBRUARY MARCH 2015 CALENDAR OF EVENTS JANUARY Non-Prot Organization U.S. Postage Paid East Lansing MI Permit No. 21 COLLEGE OF OSTEOPATHIC MEDICINE Office of Public Relations East Fee Hall 965 Fee Road Room A306 East Lansing MI 48824 ADDRESS SERVICE REQUESTED Change my name andor address as indicated. I received a duplicate copy. Remove my name from your mailing list. Stop my paper subscription and send an electronic version to email______________________. Please check the appropriate box and return this page to the address above or email Convocation 2015 PAGE 5 Gifted and Talented Future DOcs PAGE 2 WWW.FACEBOOK.COMMSUCOM Belly Fat Chatter PAGE 14 2016 MOCF BALL Saturday February 6 2016