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Winter 2009<br />

college <strong>of</strong> osteopathic medicine<br />

Ahead <strong>of</strong> the<br />

aging boom<br />

OU-COM prepares students<br />

to serve the 65+ population,<br />

which will double by 2030.<br />

Plus<br />

Combating<br />

childhood obesity<br />

Real-life ethics<br />

lessons from the<br />

State Medical Board


ohio university<br />

Winter 2009<br />

A publication <strong>of</strong> the <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine<br />

02<br />

From the Dean<br />

Medical education for a new generation<br />

03<br />

05<br />

06<br />

<strong>College</strong> Check-up<br />

Noteworthy<br />

Research News<br />

Q&A: Rathindra Bose, Ph.D.<br />

<strong>Ohio</strong> <strong>University</strong> Vice President for<br />

Research and Creative Activity<br />

08<br />

Features<br />

Michael Kleinfeld<br />

Features<br />

17<br />

18<br />

20<br />

24<br />

Follow-up<br />

Gumption and goodwill<br />

Georgenna Riley, D.O.<br />

Class Notes<br />

Going to extremes<br />

Stephen Augustine, D.O.<br />

More than 40 students and clinical faculty from OU-COM and about 800 others from<br />

across the U.S. attended the 2008 D.O. Day on the Hill this April. This national lobbying<br />

event, coordinated by the American <strong>Osteopathic</strong> Association, brings together D.O.s and<br />

medical students to advocate for health care policy reform.<br />

OUM<br />

For more photos from D.O. Day on the Hill 2008, go to<br />

www.oucom.ohiou.edu/oum.<br />

Getting a grip on<br />

the aging boom<br />

In thirty years, the senior population<br />

will nearly double, while the number<br />

<strong>of</strong> geriatricians continues to dwindle.<br />

OU-COM trains students to help<br />

meet the demand.<br />

08 12 14<br />

First: Do no harm<br />

Soon after receiving their short white<br />

coats, the class <strong>of</strong> 2012 will do something<br />

they had hoped to avoid throughout their<br />

careers: appear before the State Medical<br />

Board <strong>of</strong> <strong>Ohio</strong>.<br />

Fit kids,<br />

fit communities<br />

Through education and perspiration,<br />

OU-COM tackles the intricacies <strong>of</strong><br />

childhood obesity.<br />

Michael Kleinfeld<br />

OUM<br />

Visit <strong>Ohio</strong> <strong>University</strong> Medicine online for additional content. www.oucom.ohiou.edu/oum


<strong>College</strong> Check-up<br />

From the Dean<br />

<strong>College</strong> News<br />

ohio university<br />

<strong>Ohio</strong> <strong>University</strong> Medicine is published twice a year by the<br />

<strong>Ohio</strong> <strong>University</strong> <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine Office <strong>of</strong> Communication.<br />

Editorial Advisory Board<br />

John A. Brose, D.O.<br />

Dean, <strong>College</strong> <strong>of</strong><br />

<strong>Osteopathic</strong> Medicine<br />

Pat Burnett, Ph.D.<br />

Director, Student Affairs<br />

George Dunigan II<br />

Director, Governmental Affairs<br />

Judith Edinger, M.Ed.<br />

Director, Predoctoral Education<br />

Andrea Gibson<br />

Director, Research Communications<br />

<strong>Ohio</strong> <strong>University</strong><br />

Jill Harman, M.Ed.<br />

Director <strong>of</strong> Alumni Affairs<br />

Christine Knisely, M.A.<br />

Executive Director <strong>of</strong> Research<br />

and Grants<br />

Editor<br />

Karoline Lane, M.L.S.<br />

Managing Editor<br />

Anita Martin<br />

Copy Editor<br />

Shelby Mullins<br />

Design<br />

Jeff Brown<br />

Photography<br />

John Sattler<br />

Contributing Photographers<br />

Leonardo Carrizo<br />

Michael Kleinfeld<br />

Kevin Riddell<br />

Writers<br />

Natalie Cammarata<br />

Anita Martin<br />

Mary Reed<br />

Dwayne Stewart<br />

Richard Heck<br />

Stephen McKean<br />

Susie Shutts<br />

Administration<br />

Roderick McDavis, Ph.D.<br />

President, <strong>Ohio</strong> <strong>University</strong><br />

John A. Brose, D.O.<br />

Dean, <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine<br />

Karoline Lane, M.L.S.<br />

Director, Office <strong>of</strong> Communication<br />

Marie Graham<br />

Associate Director, Communication Design Services<br />

Daniel Silbiger<br />

Student Government Past President<br />

Edwin Rowland, Ph.D.<br />

Chair, Department <strong>of</strong><br />

Biomedical Sciences<br />

John Schriner, Ph.D.<br />

Director <strong>of</strong> Admissions<br />

Kathy Trace, M.H.A.<br />

Director <strong>of</strong> the Area Health Education<br />

Center, Community Health Programs<br />

Patricia Westfall, M.S.<br />

Pr<strong>of</strong>essor <strong>of</strong> Magazine Journalism<br />

E.W. Scripps School <strong>of</strong> Journalism<br />

Sharon Zimmerman, M.P.A.<br />

Director <strong>of</strong> Medical Development,<br />

Executive Director <strong>of</strong> Alumni Affairs<br />

Opinions expressed in <strong>Ohio</strong> <strong>University</strong> Medicine are those <strong>of</strong> the authors and do<br />

not necessarily reflect viewpoints <strong>of</strong> the <strong>Ohio</strong> <strong>University</strong> <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong><br />

Medicine. © ’08 <strong>Ohio</strong> <strong>University</strong> <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine.<br />

Editorial <strong>of</strong>fices: Room 330, Grosvenor Hall, <strong>Ohio</strong> <strong>University</strong>, Athens, <strong>Ohio</strong>, 45701.<br />

Address updates for <strong>Ohio</strong> <strong>University</strong> Medicine should be referred to:<br />

Sheila Byc<strong>of</strong>ski<br />

OU-COM, 332 Grosvenor Hall<br />

Athens, OH 45701<br />

phone: (740) 593-2346<br />

e-mail: byc<strong>of</strong>ski@ohio.edu<br />

Medical education for a new generation<br />

We are publishing our college <strong>magazine</strong> with a new name, a new look and a renewed commitment to<br />

storytelling. It seems fitting that as we publish this revitalized <strong>magazine</strong>, change envelops us as never before.<br />

We are surrounded by changes on Wall Street, in Washington and in the environment, many <strong>of</strong> which<br />

require us to challenge long-held beliefs and design new methods to improve quality, despite diminishing<br />

resources. For our communication efforts, this means better quality publications that place a high value<br />

on your time and interests. For the <strong>magazine</strong> specifically, it means a well-defined editorial purpose, more<br />

economical in-house development, a polished look and stories that quickly and effectively express the<br />

values and activities <strong>of</strong> OU-COM. Even though <strong>Ohio</strong> <strong>University</strong> Medicine is smaller than Today’s D.O.,<br />

our newfound vibrancy and the accompanying Web site help extend our reach.<br />

Medical education is another area fertile for innovation. A new generation <strong>of</strong> student physicians<br />

now enters medical school with knowledge and abilities far different from those who preceded them.<br />

Our incoming students grew up with portable computers, video games, cell phones and PDAs as major<br />

components <strong>of</strong> their lives. Many can’t imagine a world without them. They pride themselves on their<br />

abilities to multitask, switching from one activity to another and back at dizzying speeds. Indeed, for many<br />

students, concentrating on a single task for a prolonged period is difficult and dull. Medical educators must<br />

take advantage <strong>of</strong> these skills and adapt curricula to better engage this new generation <strong>of</strong> learners.<br />

Perhaps lectures as we once gave them are no longer the best way for most students to learn. At OU-COM,<br />

we have created curricula that emphasize active and small-group learning. While these efforts have proven<br />

very successful, it is now time to take a next step.<br />

To supplement small-group learning and traditional lectures, faculty members now have opportunities<br />

to develop computerized instruction tailored to today’s medical student. Computerized instruction allows<br />

students to move through material at their own pace. Learners can repeat sections, speed up or slow down<br />

presentations and take breaks. Instructors can embed movies (such as surgical procedures), animate<br />

diagrams and demonstrate medical technology such as echocardiograms and MRIs. These demonstrations<br />

can utilize voice-over explanations, highlighting and interactive quizzes to keep the learners engaged.<br />

In an era emphasizing energy conservation, modern classroom technology and videoconferencing <strong>of</strong>fer<br />

greener and more economical possibilities for medical training. Problem sets, grand rounds and clinical<br />

demonstrations could be conducted from hundreds <strong>of</strong> miles away. Students could participate both on the<br />

college campus and from their homes.<br />

Developing these new methodologies won’t be easy. They will require some time and faculty<br />

development. However, creating learning experiences tailored to a new generation <strong>of</strong> students has the<br />

potential to free faculty time, include new instructors from distant sites and create a richer learning<br />

environment that will make it well worth the effort.<br />

And as with our <strong>magazine</strong>, we’d better get started quickly, or the world will change again before<br />

we get there.<br />

Jack Brose, D.O.<br />

Dean, <strong>Ohio</strong> <strong>University</strong> <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine<br />

04<br />

05<br />

06<br />

07<br />

Surgery rotation in Honduras<br />

OU-COM’s first international<br />

surgery rotation<br />

Keith Watson, D.O.,<br />

named Educator <strong>of</strong> the Year<br />

American <strong>Osteopathic</strong> Foundation<br />

honors Dr. Watson<br />

Noteworthy<br />

Honors, accolades & retirements<br />

Research<br />

•OU-COM discovery pays <strong>of</strong>f<br />

•Artificial intelligence in insulin pumps<br />

•Dinosaur discoveries<br />

Q&A: Rathindra Bose, Ph.D.<br />

New OU-COM pr<strong>of</strong>essor and cancer<br />

researcher also oversees research, creative<br />

activity and graduate studies at<br />

<strong>Ohio</strong> <strong>University</strong><br />

Serving the State<br />

OU-COM fills primary<br />

care gap in <strong>Ohio</strong><br />

While recent studies show a steep national<br />

decline in young physicians choosing primary<br />

care, OU-COM graduates continue to do so<br />

in large numbers.<br />

Of the 106 members <strong>of</strong> the Class <strong>of</strong> 2008,<br />

52 graduates—49 percent—started primary<br />

care graduate medical programs this summer.<br />

Of those programs, 26 were family medicine<br />

residencies; six, pediatric; and 20, internal<br />

medicine (though many internal medicine<br />

residents may go on to sub-specialize).<br />

The number <strong>of</strong> U.S. medical graduates<br />

entering family practice dropped 50 percent<br />

in the past decade, as reported in the Sept. 10,<br />

Journal <strong>of</strong> the American Medical Association<br />

( JAMA), while the American Academy <strong>of</strong><br />

Family Physicians projects that the need for<br />

primary care specialists will skyrocket by<br />

2020, when the nation will need more than<br />

139,000 family physicians.<br />

The JAMA studies reveal a strong<br />

correlation between salary and popularity <strong>of</strong><br />

a specialty—and that primary care specialties<br />

rank among lowest average salaries. Despite<br />

these trends, OU-COM has long trained<br />

physicians committed to primary care, many<br />

<strong>of</strong> whom choose to practice in underserved<br />

regions <strong>of</strong> <strong>Ohio</strong>.<br />

Of total OU-COM graduates, 54 percent<br />

are primary care providers, 62 percent<br />

practice medicine in <strong>Ohio</strong>, and 46 percent<br />

serve communities with populations less than<br />

50,000, with 11 percent in Appalachia <strong>Ohio</strong>.<br />

Those figures reflect the college mission,<br />

mandated by the <strong>Ohio</strong> General Assembly,<br />

<strong>of</strong> serving <strong>Ohio</strong> populations in need and<br />

emphasizing family medicine. The OU-COM<br />

Office <strong>of</strong> Admissions highly considers these<br />

factors during interviews, recruiting mainly<br />

within the state and seeking applicants who<br />

value primary care training.<br />

“We require out-<strong>of</strong>-state students to<br />

practice at least five years in <strong>Ohio</strong> following<br />

medical school and residency, which can<br />

be waived if students choose an American<br />

<strong>Osteopathic</strong> Association accredited three-year<br />

primary care residency within the Centers for<br />

<strong>Osteopathic</strong> Research and Education,” said<br />

John Schriner, Ph.D., director <strong>of</strong> admissions.<br />

“Many <strong>of</strong> these physicians choose to stay in<br />

the state indefinitely, making OU-COM a<br />

state importer <strong>of</strong> medical talent.”<br />

From early clinical contact hours through<br />

third- and fourth-year rotations, OU-COM<br />

prioritizes primary care medicine. With<br />

few exceptions, students’ early Clinical and<br />

Community Experience requirements take<br />

place in primary care settings, and in both<br />

curricular tracks at OU-COM, the vast<br />

majority <strong>of</strong> first-year case studies involve<br />

patients who initially present to their primary<br />

care physicians, emphasizing family medicine<br />

as the first clinical contact point.<br />

OU-COM students begin their third<br />

year with a four-week primary care rotation.<br />

Before they finish their fourth year, they will<br />

have spent an additional six weeks in family<br />

medicine and other primary care rotations.<br />

“We are one <strong>of</strong> a dwindling number <strong>of</strong><br />

medical schools who maintain primary care as<br />

a high priority,” said Dean Jack Brose, D.O.<br />

“We draw a lot <strong>of</strong> outstanding students here<br />

because <strong>of</strong> our reputation for providing an<br />

excellent foundation in primary care.”<br />

Winter 2009<br />

3


<strong>College</strong> Check-up<br />

<strong>College</strong> Check-up<br />

Transitions<br />

Noteworthy<br />

Commencement 2008<br />

<strong>Ohio</strong> Secretary <strong>of</strong> State Jennifer Brunner gave the keynote<br />

address at the 29th annual Commencement ceremony<br />

on June 7. Brunner, <strong>Ohio</strong>’s first female secretary <strong>of</strong> state,<br />

received the 2008 John F. Kennedy Pr<strong>of</strong>ile in Courage Award,<br />

the nation’s most prestigious honor for elected <strong>of</strong>ficials.<br />

Convocation 2008<br />

With 117 students, the class <strong>of</strong> 2012 marks OU-COM’s largestever—and<br />

its top-performing. “I am extremely proud <strong>of</strong> this<br />

year’s class, which has both the highest grade point average<br />

and the best medical college admission test scores in our<br />

college’s history,” says Dean Jack Brose, D.O.<br />

Anne Pope, federal co-chair <strong>of</strong> the Appalachian Regional<br />

Commission, delivered the keynote address at the 33rd<br />

Convocation ceremony August 18.<br />

2012 class pr<strong>of</strong>ile<br />

56% female, 44% male<br />

85% <strong>Ohio</strong> residents<br />

10% from Southeastern <strong>Ohio</strong><br />

or Appalachian <strong>Ohio</strong> counties<br />

27% minority students<br />

Cultural Competency<br />

First international<br />

surgery rotation<br />

A group <strong>of</strong> OU-COM students headed to La<br />

Ceiba, Honduras, in November for the college’s<br />

new clinical immersion in Hospital Suizo.<br />

“The hospital-based experience gives a<br />

perspective on a foreign medical system. This is<br />

unlike our other international rotations that set<br />

up temporary clinics,” says Assistant Pr<strong>of</strong>essor<br />

<strong>of</strong> Surgery David Drozek, D.O. (’83), who led<br />

the two-week program for third- and fourthyear<br />

students.<br />

In the first week, the group performed<br />

surgeries at Hospital Suizo for patients waitlisted<br />

at the local government-sponsored<br />

hospital. Drozek says that Hondurans unable<br />

to afford private hospital fees <strong>of</strong>ten wait months<br />

for federally funded care.<br />

Next, students followed up with surgery<br />

patients and visited local health care facilities<br />

Student Life<br />

Tapped out<br />

Chad Keller, OMS II, (right) Student<br />

Government Association president,<br />

welcomed the Class <strong>of</strong> 2012 with collegebranded,<br />

reusable water bottles. Keller<br />

says the bottles will replace about 12,000<br />

disposable water bottles previously served<br />

at SGA-sponsored lunch lectures this year,<br />

reducing waste and saving the SGA $2,500.<br />

and a medical school in San Pedro Sula, where<br />

they shadowed local medical students.<br />

Hospital Suizo is part <strong>of</strong> a non-pr<strong>of</strong>it<br />

foundation that provides medical care at about<br />

half the cost <strong>of</strong> private hospitals, without the<br />

wait <strong>of</strong> government-sponsored hospitals.<br />

Drozek lived in Honduras for seven years,<br />

where he worked with Hospital Suizo’s<br />

General Director Doris Eggenberger. In March,<br />

Eggenberger visited OU-COM, where she<br />

recounted leaving her home in Switzerland to<br />

found Hospital Suizo in 2000 after witnessing<br />

Honduras’ poverty-stricken health care system.<br />

“A lot <strong>of</strong> people don’t have dreams or goals,”<br />

Eggenberger said. “You just have to have one<br />

and do it.”<br />

By Natalie Cammarata<br />

OUM<br />

For photos and reports from our students who<br />

went to Honduras, go to<br />

www.oucom.ohiou.edu/oum.<br />

Accolades<br />

Keith Watson, D.O., named<br />

AOF Educator <strong>of</strong> the Year<br />

“Few osteopathic physicians have had more<br />

influence on postdoctoral medicine than<br />

Dr. Keith Watson,” (above) says American<br />

<strong>Osteopathic</strong> Foundation President Gilbert S.<br />

Bucholz, D.O., who presented Watson’s award at<br />

the July 2008 American <strong>Osteopathic</strong> Association<br />

House <strong>of</strong> Delegates meeting in Chicago.<br />

Watson, associate dean for graduate medical<br />

education and associate pr<strong>of</strong>essor <strong>of</strong> surgery,<br />

is also chair <strong>of</strong> the Centers for <strong>Osteopathic</strong><br />

Research and Education board. Bucholz says<br />

that Watson has brought the CORE, OU-<br />

COM’s statewide consortium <strong>of</strong> teaching<br />

hospitals, to a national prominence that is the<br />

envy <strong>of</strong> medical educators, both osteopathic<br />

and allopathic.<br />

Regional Innovations<br />

Health information network<br />

connects Southeastern <strong>Ohio</strong><br />

Twenty health care organizations have<br />

formed the Appalachian Health Information<br />

Exchange (AHIE) to help coordinate use<br />

<strong>of</strong> health information technologies such as<br />

electronic record keeping and the electronic<br />

exchange <strong>of</strong> health information in <strong>Ohio</strong>’s<br />

Appalachian communities.<br />

AHIE, which elected its first board in April,<br />

was born out <strong>of</strong> a National Library <strong>of</strong> Medicine<br />

grant OU-COM won through the National<br />

Institutes <strong>of</strong> Health. The association is assessing<br />

needs and developing strategies to incorporate<br />

information technologies into the region.<br />

Before coming to <strong>Ohio</strong>, Watson taught first<br />

at the Oklahoma State <strong>University</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Osteopathic</strong> Medicine, where he chaired the<br />

Department <strong>of</strong> Surgery, and then at the Des<br />

Moines <strong>University</strong> <strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong><br />

Medicine, where he was a pr<strong>of</strong>essor <strong>of</strong> surgery,<br />

associate dean for clinical affairs and project<br />

director <strong>of</strong> the Standardized Performance<br />

Assessment Laboratory.<br />

“Dr. Watson has gone to extraordinary<br />

lengths to improve and promote osteopathic<br />

postgraduate education by developing new<br />

programs, conducting mock accreditations<br />

and increasing the visibility <strong>of</strong> osteopathic<br />

residency programs,” Bucholz says.<br />

“I am very honored,” Watson says. “I see this<br />

award as reflecting all the individuals at the<br />

CORE and OU-COM. We do this together.<br />

It’s important for all <strong>of</strong> us to share this honor.”<br />

By Richard Heck<br />

Ross<br />

Franklin<br />

Fairfield<br />

Pickaway<br />

Pike<br />

Scioto<br />

Licking<br />

Hocking<br />

Vinton<br />

Jackson<br />

Lawrence<br />

Guernsey<br />

Muskingum<br />

Perry<br />

Gallia<br />

Visit the AHIE Web site at<br />

www.oucom.ohiou.edu/AHIE/<br />

Coshocton<br />

Morgan<br />

Athens<br />

Meigs<br />

Noble<br />

Washington<br />

Belmont<br />

Monroe<br />

HONORS & APPOINTMENTS<br />

Mario Grijalva, Ph.D.<br />

Director <strong>of</strong> the Tropical Disease Institute<br />

Coordinator <strong>of</strong> the Surveillance and Information Systems Work Group<br />

World Health Organization’s Global Network for Chagas Elimination<br />

John Kopchick, Ph.D.<br />

Goll-<strong>Ohio</strong> Pr<strong>of</strong>essor <strong>of</strong> Molecular and Cellular Biology<br />

• AMVETS Silver Helmet Award<br />

54 th Silver Helmet Awards Banquet (March 29; Alexandria, Va.)<br />

• Honorary Doctor <strong>of</strong> Science degree<br />

Indiana <strong>University</strong> <strong>of</strong> Pennsylvania Commencement (May 10)<br />

Brian Phillips<br />

Chief Information Officer<br />

<strong>Ohio</strong> Broadband Council (appointed by Gov. Ted Strickland)<br />

Barbara Ross-Lee, D.O.<br />

Former Dean<br />

Ruth Purdy, D.O., FACOI<br />

<strong>College</strong> Advocate<br />

Both named “Pioneers in <strong>Osteopathic</strong> Medicine”<br />

American <strong>Osteopathic</strong> Association House <strong>of</strong> Delegates Annual<br />

Meeting (July 18; Chicago, Ill.)<br />

Martha Simpson, D.O.<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> Family Medicine<br />

<strong>Ohio</strong> Department <strong>of</strong> Insurance Advisory Committee on Eligibility<br />

and Real Time Claim Adjudication<br />

GRANTS<br />

Mark Berryman, Ph.D.<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences<br />

“Role <strong>of</strong> CLIC in epithelial morphogenesis”<br />

$154,875, NIH (4/1/2008 – 3/31/2010)<br />

Karen Coschigano, Ph.D.<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences<br />

“Cross-talk between growth hormone and inflammation pathways<br />

in kidney damage”<br />

$221,250, NIH (3/10/2008 – 3/9/2010)<br />

Mario Grijalva, Ph.D.<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences<br />

“Characterization <strong>of</strong> Trypanosoma cruzi in Southern Ecuador”<br />

$201,839, NIH (5/1/2008 – 3/31/2010)<br />

Jane Hamel-Lambert, Ph.D.<br />

Director <strong>of</strong> Interdisciplinary Mental Health, and<br />

Kathy Trace, M.H.A., R.N.<br />

Director <strong>of</strong> Community Health Programs<br />

“Rural health outreach special initiative”<br />

$189,677, HRSA (8/1/2008 – 7/31/2009)<br />

Frank Horodyski, Ph.D.<br />

Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences<br />

“Molecular and functional characterization <strong>of</strong><br />

the allatotropin receptor”<br />

$420,000, NSF (11/1/2008 – 10/31/2011)<br />

Susan Williams, Ph.D.<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Biomedical Sciences<br />

“Collaborative research: Ecological and functional morphology<br />

<strong>of</strong> feeding in free-ranging mantled howling monkeys”<br />

$6,200, NIH (5/1/2008 – 12/31/2008)<br />

RETIREMENTS<br />

Gerald Rubin, D.O.<br />

Associate Pr<strong>of</strong>essor, Family Medicine<br />

Suzanna Theodoras<br />

Diabetes Nurse Educator<br />

4<br />

Winter 2009<br />

Robert Woodworth, D.O., M.P.H.<br />

Associate Pr<strong>of</strong>essor <strong>of</strong> Social Medicine<br />

5


<strong>College</strong> Check-up<br />

Research Revenues<br />

<strong>Ohio</strong> <strong>University</strong> ranks fourth<br />

in nation for research returns<br />

on investment<br />

Forbes <strong>magazine</strong> has ranked <strong>Ohio</strong> <strong>University</strong><br />

first in the state and fourth in the nation for<br />

returns on research investment, largely due<br />

to OU-COM research. The university earned<br />

$9.3 million in licensing royalties in the past<br />

two years for the acromegaly drug Somavert ® ,<br />

which developed out <strong>of</strong> a 1988 research<br />

discovery by John Kopchick, Ph.D., Goll-<strong>Ohio</strong><br />

Eminent Scholar and pr<strong>of</strong>essor <strong>of</strong> molecular<br />

biology.<br />

The Forbes study was based on 2006 data<br />

from the Association <strong>of</strong> <strong>University</strong> Technology<br />

Managers. Income generated by Somavert ®<br />

is reinvested in research at all levels <strong>of</strong> the<br />

<strong>University</strong>.<br />

6<br />

Treatment Technologies<br />

Intelligent Therapy<br />

Efforts to bring artificial intelligence to insulin<br />

pump therapy could make life easier for patients<br />

with type 1 diabetes—and their doctors.<br />

Frank Schwartz, M.D. (above), associate<br />

pr<strong>of</strong>essor <strong>of</strong> endocrinology and director <strong>of</strong> the<br />

Appalachian Rural Health Institute (ARHI)<br />

Diabetes/Endocrine Center, is working with<br />

diabetologist Jay Shubrook, D.O. (’96),<br />

assistant pr<strong>of</strong>essor <strong>of</strong> family medicine, and<br />

Cindy Marling, Ph.D., a computer scientist<br />

at the Russ <strong>College</strong> <strong>of</strong> Engineering and<br />

Technology, to design the smarter pump<br />

therapy.<br />

Today’s insulin pumps measure glucose<br />

levels, which project a dizzying array <strong>of</strong><br />

data difficult even for an endocrinologist to<br />

interpret. They do not adjust insulin levels<br />

automatically or make treatment suggestions,<br />

but the s<strong>of</strong>tware Schwartz, Shubrook and<br />

Marling are developing will do just that.<br />

“The technology will remember patterns<br />

and interpret daily lifestyle information to<br />

make suggestions about how patients can<br />

better manage their glucose,” Schwartz says.<br />

In last year’s initial study, 20 patients<br />

documented their treatments and lifestyles—<br />

diet, stress, sleep and exercise habits—in an<br />

online database for six weeks. Schwartz and<br />

Shubrook reviewed the data to propose action<br />

plans for each patient. Based on the outcomes<br />

<strong>of</strong> these plans, the researchers began teaching<br />

the insulin pump therapy program to recognize<br />

problematic patterns and possible solutions.<br />

ohio university medicine<br />

“If someone’s glucose levels are high at night,<br />

Dr. Schwartz may tell them to increase their<br />

pump basal rates <strong>of</strong> insulin infusion,” Marling<br />

says. If the recommendation works, they plug<br />

it into the computer program as a solution to<br />

this problem.<br />

The team has identified 50 problems and<br />

solutions so far. This year, they will follow up<br />

with two studies. The first, which involves 60<br />

patients, will test and validate the s<strong>of</strong>tware.<br />

The second will expand the s<strong>of</strong>tware with the<br />

help <strong>of</strong> 28 new patients.<br />

The project receives support from OU-<br />

COM, the Russ <strong>College</strong> and the ARHI<br />

Diabetes Research Initiative, and equipment<br />

from Medtronic MiniMed, an insulin pump<br />

manufacturer.<br />

Initial findings will appear in the Journal <strong>of</strong><br />

Diabetes Science and Technology, Computational<br />

Intelligence, and the Proceedings <strong>of</strong> the European<br />

Conference on Case-based Reasoning.<br />

“We’ve registered a patent application, and<br />

we’re meeting with insulin pump companies in<br />

hopes <strong>of</strong> forming a collaborative partnership,”<br />

Schwartz says. “Putting the technology in the<br />

hands <strong>of</strong> a national manufacturer would help<br />

it reach more patients.”<br />

By Dwayne Stewart<br />

A version <strong>of</strong> this story originally appeared in the Autumn/<br />

Winter 2007 issue <strong>of</strong> Perspectives <strong>magazine</strong>.<br />

Biomedical Sciences<br />

Dinosaur discoveries<br />

When they’re not teaching human anatomy, a few<br />

<strong>of</strong> our biomedical sciences pr<strong>of</strong>essors stay busy with<br />

high-pr<strong>of</strong>ile paleontology research.<br />

Duck-billed hadrosaurs outgrew<br />

T-rex to survive<br />

With its s<strong>of</strong>t body and long limbs, the duck-billed hadrosaur<br />

had few defenses, but research by OU-COM postdoctoral<br />

fellow Drew Lee, Ph.D., suggests at least one; it grew<br />

much faster than its predators, giving it superiority in size.<br />

Lee and collaborators compared growth rate data from the<br />

bones <strong>of</strong> the hadrosaur to that <strong>of</strong> three predators: two kinds<br />

<strong>of</strong> tyrannosaurs and the small Velociraptor-like Troodon.<br />

They found that the hadrosaur reached adulthood in half<br />

the time as these predators.<br />

Q & A<br />

Rathindra Bose, Ph.D.<br />

Cancer researcher,<br />

university administrator<br />

Our new biomedical sciences pr<strong>of</strong>essor is also<br />

<strong>Ohio</strong> <strong>University</strong>’s vice president for research<br />

and creative activity, and dean <strong>of</strong> the graduate<br />

college—a new unit designed to enhance<br />

graduate education. He assumed all roles July 1.<br />

Meanwhile, he conducts preclinical trials on<br />

compounds with the potential to treat ovarian,<br />

testicular, and head and neck cancers.<br />

OUM: How will your role as VP for<br />

research complement your role as dean <strong>of</strong><br />

the new graduate college?<br />

RB: It’s all integrated. Graduate students<br />

are in the forefront <strong>of</strong> research, under the<br />

supervision <strong>of</strong> their advisors. Faculty shape<br />

graduate students: their overall perspectives,<br />

their projects—and they use graduate<br />

students to drive their own research to the<br />

next levels.<br />

Describe the biochemical research<br />

you do at OU-COM.<br />

I’ve spent 25 years working to find out why<br />

cancer in some patients develops resistance to<br />

drugs while other patients do fine. If you can<br />

figure that out, you can create better drugs.<br />

Dinosaur tracks discovered<br />

on Arabian Peninsula<br />

Nancy Stevens, Ph.D., assistant pr<strong>of</strong>essor <strong>of</strong> biomedical<br />

sciences, was part <strong>of</strong> a team that discovered the first<br />

dinosaur tracks on the Arabian Peninsula. The tracks,<br />

preserved in the Republic <strong>of</strong> Yemen, date back some 150<br />

million years to the Late Jurassic period.<br />

Paleontological findings have been rare in the Arabian<br />

Peninsula, but Stevens and her Dutch and Yemeni<br />

colleagues suspect the area to be rich in discovery. This<br />

finding provides insights into the geological and<br />

chronological overlap <strong>of</strong> dinosaur species, as well as<br />

their herding behaviors.<br />

<strong>College</strong> Check-up<br />

The compounds that we found kill cancer<br />

cells at the same rate in both sensitive and<br />

resistant models. We’re doing trials with<br />

mouse models <strong>of</strong> both (resistant and sensitive)<br />

cell lines for ovarian, testicular, and head and<br />

neck cancers.<br />

How did you get into this line <strong>of</strong> research?<br />

As a chemistry student, I understood<br />

that most diseases are caused and treated by<br />

chemical compounds. Chemists can redesign,<br />

synthesize and reshape molecules based on<br />

what properties we want. I’ve always wanted<br />

to find out how the properties <strong>of</strong> compounds<br />

can best benefit society, so I decided to focus on<br />

cancer biochemistry.<br />

If you had free time, what would you do with it?<br />

Soccer. I used to play in two teams, until<br />

about five years ago. One day, I saw the ball<br />

coming at the optimal height for a bicycle kick,<br />

(for which) you turn your body between 180<br />

and 360 degrees. I hit the ball, but I landed<br />

right on my shoulder and injured it. My wife<br />

said, “Okay, Biomedical that’s enough.” Sciences<br />

By Anita Martin<br />

Prime time dinos<br />

Lawrence Witmer, Ph.D., Chang Ying-Chien endowed<br />

pr<strong>of</strong>essor <strong>of</strong> paleontology and pr<strong>of</strong>essor <strong>of</strong> anatomy,<br />

attracted film crews from the National Geographic<br />

Channel, the History Channel, the Discovery Channel and<br />

the Japanese public broadcast network NHK this year.<br />

The National Geographic Channel interviewed Witmer<br />

for their series, “Prehistoric Predators,” and chronicled his<br />

paleontological research, which uses CT scans performed<br />

at O’Bleness Memorial Hospital, for a documentary,<br />

“Bizarre Dinosaurs.”<br />

Meanwhile, the History Channel has featured Witmer in<br />

two new programs: “Prehistoric Monsters Revealed,” a<br />

documentary, and “Jurassic Fight Club,” a new series; and<br />

the Discovery Channel interviewed Witmer for a show<br />

about terror birds and saber-toothed cats.<br />

Witmer (second from right)<br />

and National Geographic crew.


Faculty monitor from a control room as students<br />

interview community members with Parkinson’s Disease<br />

in the Clinical Skills Assessment Lab.<br />

By 2030, one in five Americans will be 65 or<br />

older. The senior population will double to 71<br />

million in that year. But there will be only<br />

about 8,000 geriatricians.<br />

Feature<br />

Getting a<br />

grip on the<br />

aging boom<br />

In thirty years, the senior population will nearly<br />

double, while the number <strong>of</strong> geriatricians<br />

continues to dwindle. OU-COM trains<br />

students to help meet the demand.<br />

By Anita Martin<br />

Photos by John Sattler<br />

“Ok, Stevens, you’re blind. Schilb, you’re deaf. Martin, you’re visually<br />

impaired. Lykens, you have arthritis.”<br />

Sarah McGrew, B.S.N., manager <strong>of</strong> clinical and community<br />

experiences, passes out assignments to OU-COM students for the<br />

Sensory Changes Lab. The lab is part <strong>of</strong> their required three-week<br />

block <strong>of</strong> coursework in geriatrics, the medical specialty focused on<br />

elderly care, before they begin third-year rotations.<br />

Depending on the students’ “conditions”—all reflecting common<br />

afflictions <strong>of</strong> aging—some wear blindfolds or earphones transmitting loud<br />

static. Others put on goggles covered with semi-opaque plastic wrap or<br />

tape Popsicle sticks to their fingers above the knuckles to hinder dexterity.<br />

For two hours, the students wear their prosthetic impairments through<br />

a series <strong>of</strong> exercises: from buttoning coats to walking with a cane, while<br />

carrying two bags <strong>of</strong> groceries and attempting to unlock a door.<br />

“By simulating experiences related to aging, we’re hoping students<br />

gain a sense <strong>of</strong> empathy for their older patients,” says Deborah Meyer,<br />

Ph.D., R.N., administer and assistant pr<strong>of</strong>essor for OU-COM’s<br />

Department <strong>of</strong> Geriatric Medicine and Gerontology.<br />

These future physicians will have more elderly patients than they may<br />

realize, according to an Institute <strong>of</strong> Medicine study released in April. By<br />

2030, the IOM reports, roughly one in five Americans will be 65 or older<br />

(now it’s about one in ten). The senior population will reach 71 million in<br />

that year, making them the fastest growing national age demographic.<br />

Despite the impending demand, there will be only about 8,000<br />

geriatricians (up slightly from the 7,100 in practice today) in 2030. The<br />

Alliance for Aging Research estimates that the nation will need 36,000.<br />

There are a number <strong>of</strong> reasons for the discrepancy. According to<br />

a 2006 study by the Association <strong>of</strong> Directors <strong>of</strong> Geriatric Academic<br />

Programs (ADGAP), geriatricians are the lowest paid physicians in<br />

the United States—and the only medical specialists who are actually<br />

paid less after completing additional training.<br />

“Geriatric medicine is largely exempt from the usual supply-demand<br />

economics, since Medicare reimbursement is set by the federal<br />

government,” says Wayne Carlsen, D.O., chair <strong>of</strong> geriatric medicine and<br />

gerontology. “When all other expenses in the practice go up and Medicare<br />

reimbursements either stay the same or get cut, physician salaries go down.”<br />

Meanwhile, medical students typically incur between $120,000<br />

and $160,000 in educational debt, as reported by the Association <strong>of</strong><br />

American <strong>College</strong>s <strong>of</strong> Medicine reported in 2007.<br />

“With the rising costs <strong>of</strong> medical school, students are worried about<br />

repaying loans, which can deter even very interested students from<br />

becoming geriatricians,” says Katie Wehri, OMS III, who served as<br />

president <strong>of</strong> the OU-COM Geriatric Medicine Club last year.<br />

Wehri adds that because elderly patients <strong>of</strong>ten have multiple chronic<br />

conditions and can present symptoms differently, medical students<br />

may find it overwhelming to care for this population.<br />

It doesn’t help that few American medical schools actually require<br />

geriatric coursework. In 2006, the New York Times reported that <strong>of</strong> the<br />

145 U.S. medical schools at the time, only nine percent had a distinct<br />

department <strong>of</strong> geriatric medicine.<br />

“We’re pretty far ahead <strong>of</strong> the game at OU-COM in terms <strong>of</strong> what<br />

we <strong>of</strong>fer,” says Meyer, pointing out that the college’s former Geriatric<br />

Medicine/Gerontology Section (then in the Department <strong>of</strong> Family<br />

Medicine) gained departmental status in 1998. The three-week<br />

intensive geriatrics block <strong>of</strong> coursework began one year later.<br />

OU-COM students received distinctive geriatric medical training<br />

long before that. The Sensory Changes Lab dates back almost as far<br />

as the college itself, as does the required two- to four-week geriatrics<br />

rotation, which can be completed through any site in the Centers for<br />

<strong>Osteopathic</strong> Research and Education (CORE) system. And for 23<br />

years, OU-COM medical students have chosen to study international<br />

policy issues related to geriatric medicine in Edinburgh, Scotland,<br />

through the Charles J. Cannon Edinburgh Geriatric Tutorial.<br />

Meyer adds that OU-COM students begin thinking about geriatric<br />

medicine from the start. In 2007, geriatric medicine faculty facilitated 350<br />

hours in small-group, case-based studies; 80 hours in classroom and lab<br />

time and another 432 hours supervising students’ early clinical contact, all<br />

<strong>of</strong> which takes place within the first two years <strong>of</strong> medical school.<br />

“This is so important, because (physicians) will encounter more and more<br />

elderly patients in every area <strong>of</strong> medicine,” Meyer says. Especially in primary<br />

care, she adds, the field <strong>of</strong> choice for 54 percent <strong>of</strong> OU-COM graduates.<br />

An unexpected calling<br />

Sarah Snyder, D.O. (’06), wasn’t exactly looking forward to her<br />

required geriatric medicine rotation three years ago. “(The rotation<br />

is) perceived as somewhat sad—not exciting like sports medicine or<br />

cardiology,” she says. “I thought I wasn’t going to like it.”<br />

Snyder originally planned to go into pediatrics. But that changed<br />

when she began her geriatrics rotation.<br />

“There was one patient I interviewed, a female in her 90s, very frail,”<br />

Snyder says, “She talked to me for about an hour about how her life is,<br />

how it used to be.”<br />

When Snyder stood to go, she says the patient began crying. “She<br />

just thanked me for listening to her. She said a lot <strong>of</strong> docs are in and<br />

out, and that I really made her feel listened to. Right there I thought,<br />

wow. This is it. This is my calling.”<br />

Snyder is currently a family medicine resident at Firelands Hospital<br />

in Sandusky, <strong>Ohio</strong>. She has completed three additional geriatric medicine<br />

out-rotations as a resident: at Akron City Hospital, the Mountain Area<br />

Health Education Center in Asheville, N.C., and Christ Hospital in<br />

Cincinnati, <strong>Ohio</strong>.<br />

Snyder also received eight weeks <strong>of</strong> hospice training this year.<br />

Next she plans to pursue a fellowship in geriatric medicine, followed<br />

by another in palliative care (non-curative medicine aimed at relieving<br />

pain and suffering) before becoming a full-time geriatrician.<br />

“That (initial required geriatrics) rotation is the whole reason I’m<br />

choosing geriatrics. It gave me a new respect for the field,” Snyder<br />

says. “I really thought the experience was much more in line with the<br />

osteopathic philosophy than a lot <strong>of</strong> my other rotations in terms <strong>of</strong><br />

treating the whole patient, physically, mentally and emotionally.”<br />

To illustrate the holistic approach to treating older adults, Snyder<br />

describes how, upon starting her residency in Akron, she was given<br />

a five-page questionnaire to go over with each new patient. It covers<br />

everything from medications, sleep patterns and diet to social habits,<br />

mood trends and living space.<br />

“I found that I really love home visits, seeing people in their own<br />

environment,” Snyder says. “Now I can’t imagine practicing medicine<br />

without understanding how patients function in their everyday lives.”<br />

8 ohio university medicine Winter 2009<br />

9


Embracing end-<strong>of</strong>-life care<br />

In addition to holistic care and human contact, Snyder’s passion for<br />

geriatric medicine is fueled by concerns about how the U.S. manages<br />

chronic illnesses and palliative care.<br />

“I think that particularly end-<strong>of</strong>-life issues are where we, as a medical<br />

pr<strong>of</strong>ession, fail,” Snyder says. “We’re taught to do everything possible at<br />

all times—that people aren’t supposed to die, which is ridiculous.”<br />

Snyder recalls a patient from her internal medicine rotation—for a<br />

month and a half he couldn’t breathe without a respirator, and he showed<br />

no signs <strong>of</strong> improvement. Snyder asked her attending physician at what<br />

point he planned to suggest hospice, an organization that helps patients<br />

with terminal conditions—and their families—to cope with the process.<br />

“He looked at me like he was insulted. He just said, ‘I’m not giving<br />

up,’” Snyder says. “No one would talk to this dying patient about<br />

hospice. I think a lot <strong>of</strong> docs feel like a failure when a patient dies—<br />

even with older patients. They’re just not willing to face it. As a result,<br />

patients suffer—and so do physicians.”<br />

Snyder believes that the inability <strong>of</strong> physicians to accept and cope<br />

with death contributes to the low popularity <strong>of</strong> geriatric medicine,<br />

where death rates are relatively high. She suggests that all medical<br />

schools provide training in death and dying.<br />

“There’s surprisingly little medical school preparation in this area,”<br />

says Tracy (Thompson) Marx, D.O. (’92), assistant pr<strong>of</strong>essor <strong>of</strong><br />

family medicine. “But (at OU-COM) we <strong>of</strong>fer a range <strong>of</strong> classroom<br />

and clinical training on death and dying, hospice and palliative care.”<br />

The curriculum integrates interactive and multimedia approaches,<br />

including a simulated patient lab on breaking bad news and the reading<br />

<strong>of</strong> Confessions <strong>of</strong> a Reluctant Caregiver, written by playwright Merri<br />

Biechler, M.F.A., evaluation assistant in the Office <strong>of</strong> Academic Affairs.<br />

Marx has noticed that patients increasingly expect better end-<strong>of</strong>life<br />

care, and she expects that trend to continue. “As baby boomers get<br />

older, they’ll demand better palliative care… We’re trying to dispel<br />

fears and myths about death and dying among our students.”<br />

Kyle Allen, D.O. (‘86), speaks with<br />

patient Gene Phillips at Cuyahoga<br />

Falls General Hospital.<br />

Advocating for change<br />

Kyle Allen, D.O. (’86), believes that the nation’s delayed reaction<br />

to the impending geriatric medicine workforce crisis reflects a “collective<br />

denial <strong>of</strong> aging and mortality.”<br />

“There’s still this fountain <strong>of</strong> youth concept, a kind <strong>of</strong> belief that<br />

death may actually be optional,” says Allen, medical director <strong>of</strong> post<br />

acute and senior services for the Summa Health System Division <strong>of</strong><br />

Geriatric Medicine.<br />

“Every airplane has its own flight plan—each one must descend<br />

at a different slope,” he says. “We all have our own way to land, so to<br />

speak, but we don’t do a good enough job <strong>of</strong> managing these natural<br />

trajectories <strong>of</strong> older patients or patients with chronic illnesses.”<br />

At any given time, one or two OU-COM students work with Allen<br />

in Cuyahoga Falls General Hospital, an affiliate hospital <strong>of</strong> Summa<br />

Health and a CORE teaching hospital, where Allen serves as clinical<br />

associate pr<strong>of</strong>essor <strong>of</strong> geriatric medicine. Summa has increased the<br />

geriatrics rotation from two to four weeks because <strong>of</strong> its robust<br />

teaching programs for aging and geriatric medicine, reflecting how<br />

much value Allen and his colleagues place on the field.<br />

“Training in the care <strong>of</strong> older adults must be more emphasized<br />

in medical and other allied health pr<strong>of</strong>essions,” Allen says, adding,<br />

“I believe OU-COM is ahead <strong>of</strong> most medical schools in that area.”<br />

Allen teaches students that the role <strong>of</strong> the geriatrician, and any<br />

doctor dealing with chronic conditions, is to optimize the “glide path.”<br />

This can be tricky business with elderly patients, as they frequently<br />

suffer from multiple, ongoing conditions.<br />

A 2000 survey found that nearly 70 percent <strong>of</strong> adults over the age<br />

<strong>of</strong> 65 report at least one chronic condition, with the highest numbers<br />

coming from Medicare beneficiaries. This creates a major problem<br />

when it comes to physician payment, Allen says, considering how<br />

Medicare reimbursements work.<br />

Medicare, like most third-party providers, pays physicians to<br />

perform procedures, such as colonoscopies, bypass operations or hip<br />

replacements. It won’t pay for preventive or ongoing managed care,<br />

that is: the time physicians spend assessing patients’ needs or talking<br />

to them about improving lifestyle trends.<br />

Summa<br />

“We need to realize that aging is a process, not an event, and we<br />

need to reform how we train—and how we compensate—physicians<br />

and other health pr<strong>of</strong>essionals so that they can manage that process<br />

proactively, not respond to events,” Allen says. “At Summa, we’re<br />

finding innovative ways to do that.”<br />

Summa Health System, a not-for-pr<strong>of</strong>it that includes six hospitals<br />

and eight medical centers in Northeastern <strong>Ohio</strong>, <strong>of</strong>fers its own<br />

insurance plan, SummaCare, to patients. This cuts out the thirdparty<br />

provider system, so instead <strong>of</strong> paying an insurance company’s<br />

administrative costs and additional fees—which factor in a 20 percent<br />

pr<strong>of</strong>it margin for stakeholders—extra money can be reinvested directly<br />

into the health system to improve medical service.<br />

As a result <strong>of</strong> this innovative provider model, Summa was one <strong>of</strong><br />

just four hospitals out <strong>of</strong> 3,700 nationwide picked by MedPAC, the<br />

Congressional advisory panel for Medicare, for further study on cost<br />

and quality.<br />

Allen, who also serves as chief medical <strong>of</strong>ficer for the Area Agency on<br />

Aging board <strong>of</strong> directors, devotes a great deal <strong>of</strong> pr<strong>of</strong>essional energy toward<br />

reforming health care policy, particularly for older adults. He directs the<br />

new geriatric medicine fellowship at Summa Health, and he recently<br />

began a fellowship <strong>of</strong> his own. He was accepted into the Practice Change<br />

Fellow Program, designed to expand and improve leadership in promoting<br />

quality care to older adults. These efforts help to inform his research; he is<br />

currently the principal investigator for two National Institutes <strong>of</strong> Health<br />

grants studying innovative care models for older adults.<br />

“I’m motivated by being an agent <strong>of</strong> change,” Allen says. “I think<br />

that my training at OU-COM reinforced that. It’s what osteopathic<br />

medicine is all about. Dr. (Andrew Taylor) Still was an advocate for<br />

change because he saw that the current system didn’t work. When<br />

geriatricians are paid less for more training; when insurance creates<br />

disincentives for higher quality care—we need to recognize what<br />

doesn’t work about the current system and work toward change.”<br />

AIDS and aging<br />

People with HIV or AIDS are living longer,<br />

and now with higher rates <strong>of</strong> diagnosis among<br />

those over 50, Timothy Heckman, Ph.D.,<br />

realized that “we need to assess the psychological<br />

needs <strong>of</strong> older adults (with HIV/AIDS).”<br />

To do so, the pr<strong>of</strong>essor <strong>of</strong> geriatric medicine/<br />

gerontology secured a four-year NIH grant in<br />

2006. Heckman recently published the results<br />

<strong>of</strong> a study on the benefits <strong>of</strong> telephone support<br />

groups for older adults with HIV or AIDS who<br />

suffer depression.<br />

About 35 percent <strong>of</strong> older adults with HIV live<br />

alone. Many “don’t feel connected to the older<br />

community because <strong>of</strong> their HIV-positive status,”<br />

Heckman says. Telephone support groups<br />

provide community with anonymity.<br />

“By 2015 half <strong>of</strong> all new (U.S.) HIV cases will<br />

be in people over 50.” Heckman says, citing<br />

higher divorce rates, erectile dysfunction<br />

drugs, increased vaginal tearing in older<br />

women, and <strong>of</strong>ten misinformed attitudes<br />

toward safe sex.<br />

Heckman’s next study will involve 200<br />

participants nationwide. His goal: “identify<br />

intervention programs that work, and help<br />

communities implement them.”<br />

OUM<br />

Read the full story at<br />

www.oucom.ohiou.edu/oum.<br />

10 ohio university medicine<br />

Students interview Parkinson’s<br />

simulation patient caretaker<br />

Rosemary Huntsman.<br />

11


Feature<br />

“Whenever possible we want<br />

to keep someone in practice or<br />

restore them to practice, while<br />

ensuring public safety first and<br />

foremost… It’s in everyone’s<br />

interest to rehabilitate and retain<br />

qualified medical pr<strong>of</strong>essionals<br />

when we can—as long as we’re<br />

sure the public will be protected.”<br />

–Rick Whitehouse, Esq., executive director<br />

<strong>of</strong> the State Medical Board <strong>of</strong> <strong>Ohio</strong><br />

First: Do no harm<br />

OU-COM teams up with State Medical Board to train ethical physicians<br />

By Anita Martin<br />

Photos by John Sattler<br />

“This is an example <strong>of</strong> how<br />

proactive OU-COM is in its<br />

instruction. They really want us<br />

to be aware <strong>of</strong> all the aspects <strong>of</strong><br />

the medical pr<strong>of</strong>ession.”<br />

Soon after receiving their short white coats, the class <strong>of</strong> 2012 will<br />

do something they had hoped to avoid throughout their careers: appear<br />

before the State Medical Board <strong>of</strong> <strong>Ohio</strong> (SMB).<br />

Each month, as part <strong>of</strong> OU-COM’s Partners in Pr<strong>of</strong>essionalism<br />

Series, a small group <strong>of</strong> first-year students attends a Columbus board<br />

meeting, where they observe errant physicians defending their licenses.<br />

The partnership—the first <strong>of</strong> its kind in <strong>Ohio</strong> and among few<br />

nationwide—was launched in fall 2007.<br />

“It’s all about pr<strong>of</strong>essionalism,” says Dean Jack Brose, D.O.<br />

“Students should know policies and requirements so they can avoid<br />

violations. But we also want them to understand that the board is there<br />

to help physicians and improve public health care.”<br />

This exercise in real-life ethics <strong>of</strong>fers moments <strong>of</strong> poignant,<br />

unscripted education. At one recent meeting, a probationer stood<br />

before the board. To fuel his workaholic lifestyle, the physician—<br />

who managed emergency medicine full time at one hospital and<br />

moonlighted at three others—began abusing the prescription drug<br />

Ritalin. During his statement, he turned to speak directly to the whiteclad<br />

OU-COM students at the back <strong>of</strong> the room.<br />

“This has been an essential education for me,” he said, referring to<br />

his probation and rehabilitation. “I still love the ER, but life is not only<br />

about being a doctor. That job is to be taken seriously, but you have to<br />

live a balanced lifestyle.”<br />

The State Medical Board hopes to expand educational partnerships<br />

in <strong>Ohio</strong>. With limited seating at meetings, the SMB is looking into<br />

electronic resources, such as videotaping sessions, for distribution<br />

among state medical schools.<br />

Medical students may be years from licensure, but board member<br />

Anita Steinbergh, D.O., insists it’s never too early to think about<br />

pr<strong>of</strong>essionalism and ethics. “We’re very focused on the needs <strong>of</strong> young<br />

people in medicine and preventing them from getting into trouble. This<br />

(partnership) is a great opportunity to make a difference in their lives.”<br />

Top right: (From left) Rick Whitehouse, executive board director;<br />

Joan Wehrle, executive board staff coordinator; Anthony Posevitz,<br />

OMS II; Diana Haninger, OMS II; and Steven Baird, OMS II.<br />

Left: Board member Anita M. Steinbergh, D.O., and<br />

Board President Nandlal Varyani, M.D.<br />

Bottom right: Joan Wehrle, SMB staff coordinator, speaks to<br />

first-year OU-COM students about the State Medical Board.<br />

–Anthony Posevitz, OMS II<br />

12 ohio university medicine


Amesville Elementary students<br />

Feature<br />

Fit kids, fit<br />

communities<br />

Through education and perspiration, OU-COM<br />

tackles the intricacies <strong>of</strong> childhood obesity<br />

By Mary Reed<br />

Photos by Kevin Riddell<br />

Several kids, aged 12 to 17, stand in the dairy aisle <strong>of</strong> the Athens<br />

Kroger grocery store. Four kids grab a different half-gallon <strong>of</strong> milk:<br />

whole, two percent, one percent and skim. They read aloud nutrition<br />

labels to compare similarities (vitamins, mostly) and contrast fat<br />

content. Skim is pronounced the winner.<br />

Andrew Wapner, D.O., assistant pr<strong>of</strong>essor <strong>of</strong> pediatrics, points out<br />

that whole milk is packaged under the name “fortified milk”. “Every time<br />

you get smarter, [food corporations] try to get smarter than you,” he<br />

says, encouraging them to keep reading labels.<br />

It’s week four <strong>of</strong> the eight-week Take Action program, OU-COM’s<br />

supervised intervention study to teach healthy diet and exercise habits<br />

to Athens County children diagnosed as overweight or obese—and<br />

their parents, who are in a separate group on the other side <strong>of</strong> the store.<br />

Participants meet twice a week for two-hour sessions, the first hour<br />

focusing on nutrition—food choices, nutrients, serving sizes—and the<br />

second on aerobic and anaerobic exercise at the Athens Community Center.<br />

“As a doctor, I <strong>of</strong>ten see people with complaints that are a result <strong>of</strong> an<br />

overall unhealthy lifestyle,” Wapner says. In his Athens and Belpre, <strong>Ohio</strong>,<br />

practices, Wapner gets frequent referrals <strong>of</strong> overweight and obese children<br />

at risk for diabetes. As someone passionate about nutrition and exercise,<br />

Wapner jumped at the opportunity to more actively engage families. “ We<br />

know that just hearing a doctor say, ‘eat right and exercise,’ doesn’t work.”<br />

According to the Centers for Disease Control and Prevention, obesity<br />

rates for children 12-19 rose from five percent between 1976 and 1980 to<br />

17.4 percent by 2003-2004. For children 6-11, that figure went from 6.5<br />

percent to 18.8 percent in the same time. Although recent figures show<br />

rates leveling <strong>of</strong>f, childhood obesity is still an epidemic. And according to<br />

Thomson Medstat research, national childhood obesity costs about $11<br />

billion for insured children and $3 billion for those with Medicaid.<br />

To assess the local situation, Karen Montgomery-Reagan, D.O.,<br />

F.A.C.O.P., visited 11 Athens County elementary schools between May<br />

2005 and May 2006 to measure the body mass index (weight divided<br />

by height) <strong>of</strong> 1,600 children 6-12. Her study, funded by the Centers for<br />

<strong>Osteopathic</strong> Research and Education (CORE), provides a baseline for<br />

local childhood weight studies.<br />

Children at or above the 95 th percentile <strong>of</strong> weight for their age and<br />

height are considered obese. Those at or above the 85 th percentile are<br />

considered overweight. Only three <strong>of</strong> the 11 schools had obesity rates<br />

lower than the national average; not one had lower overweight rates. To<br />

take an extreme example, at Federal Hocking Elementary School, 30.7<br />

percent <strong>of</strong> students are obese. The national average is 19.4 percent.<br />

With obesity comes higher risk for type 2 diabetes. According to the<br />

Appalachian Rural Health Institute, 11.3 percent <strong>of</strong> adults and children<br />

in ARHI’s Southeastern <strong>Ohio</strong> coverage area have diabetes. Compare that<br />

to the <strong>Ohio</strong> rate, 7.8 percent, and the national rate, 7.2 percent.<br />

What explains the dramatic rise in obesity, especially in Appalachian <strong>Ohio</strong>?<br />

Wapner lists a few causes: lack <strong>of</strong> ballfields, playgrounds and other safe places<br />

for kids to play, car-centered transportation, crop subsidies that encourage<br />

high-fructose corn syrup, sedentary lifestyles, fast food … the list goes on.<br />

Wapner says his research and his practice inform his pediatrics<br />

lectures to OU-COM students. “I teach a lot more about screening for<br />

weight-related issues and nutritional concerns, mostly based on what I<br />

have seen,” he says.<br />

Finding what works – and what doesn’t<br />

Results from last year’s inaugural Take Action program were<br />

promising: fitness levels (measured by exercise tests) increased in<br />

all participants, waist circumference decreased in adolescents, and<br />

triglycerides (a type <strong>of</strong> fat in the blood) decreased in adults.<br />

But challenges remain. For parent Vivian Taylor, who talks about<br />

Take Action as the group walks from Kroger to the community center,<br />

fast food is the problem. “I love eating out,” she says, counting the Wendy’s<br />

Baconator as her favorite fast food. “(The researchers) said it was probably<br />

the worst thing you can eat.” Now she buys the chicken wrap.<br />

“I wanted to lose weight, but the program is not geared toward<br />

that,” Taylor says, repeating the mantra <strong>of</strong> Take Action physicians,<br />

nutritionists and exercise physiologists. Almost everyone today says it<br />

at some point: Take Action is a healthy lifestyle program, not a weight<br />

loss program. But Taylor has enjoyed many benefits <strong>of</strong> the program,<br />

Trans-Atlantic ties<br />

According to Gabriel Martos-Moreno,<br />

M.D., Ph.D. (above), visiting pr<strong>of</strong>essor and<br />

Take Action co-investigator, childhood<br />

obesity in his native Spain has tripled over<br />

the last 20 years from five to 15 percent.<br />

After meeting John Kopchick, Ph.D., Goll-<br />

<strong>Ohio</strong> Eminent Scholar and pr<strong>of</strong>essor <strong>of</strong><br />

molecular and cellular biology, Martos-<br />

Moreno secured a grant from the Spanish<br />

government to research childhood obesity<br />

and diabetes at OU-COM for ten months.<br />

“I came here with one project proposal: to<br />

identify potential biomarkers for obesity,”<br />

he says, adding with a laugh, “But there is<br />

so much going on here; now I’m involved<br />

with four related projects.”<br />

Martos-Moreno is comparing three sets <strong>of</strong><br />

blood samples: those <strong>of</strong> obese and healthy<br />

Spanish children, those <strong>of</strong> obese children<br />

with and without insulin resistence, and<br />

those <strong>of</strong> children before and after weight<br />

loss. For the last set he uses samples from<br />

his Spanish patients and from Take Action<br />

participants. He also works with Kopchick<br />

to study differences in surface fat tissue<br />

across the human body.<br />

In November, Martos-Moreno returned<br />

to Spain, where he will continue<br />

collaborating with OU-COM.<br />

OUM<br />

Read the full story at<br />

www.oucom.ohiou.edu/oum.<br />

14 ohio university medicine Winter 2009<br />

15<br />

Teresa Stamplis, OMS II


Molly Malone-Prioleau, OMS II,<br />

and Jay Shubrook, D.O. (’96).<br />

Follow-up<br />

including weight loss. “I can fit into my wedding band (again).”<br />

Taylor’s daughter, Riley, is walking with a pedometer. She’s taken<br />

2,190 steps today—or at least since the last time it fell <strong>of</strong>f, she says.<br />

Researchers have tracked the average American at 5,000 steps a day;<br />

10,000 is recommended. Take Action participants get pedometers as<br />

homework, along with a food log and a portion plate. Most participants<br />

were surprised to learn about their own “portion distortion,” including<br />

how much sugar and sodium was in their diet.<br />

Participants take home more than just tips and tasks—they receive<br />

vouchers for gas and for the Athens Farmers Market and passes to the<br />

community center gym. But in the case <strong>of</strong> the Taylor family, a 60-mile<br />

round trip from their rural Athens County home drastically reduces<br />

the value <strong>of</strong> those vouchers.<br />

Take Action researchers attribute 2008’s faltering recruitment<br />

primarily to high gas prices. Another challenge is child care. Today,<br />

some parents have brought children who are not part <strong>of</strong> the study,<br />

which is not allowed, but it’s either that or don’t come.<br />

“There are cracks at every level,” says Wapner, whose goal is as simple<br />

as it is daunting: “Fit a healthy kid into a healthy family into a healthy<br />

community.” Wapner and his colleagues hope this year’s program—<br />

funded by OU-COM’s Research and Scholarly Affairs Committee and<br />

the Department <strong>of</strong> Family Medicine, as well as the Athens Foundation<br />

and the American Association <strong>of</strong> Family Practitioners—will draw<br />

funding for a school-based prevention program modeled on Take Action.<br />

“I think the prevention <strong>of</strong> obesity is much more effective than the<br />

treatment <strong>of</strong> obesity,” says Jay Shubrook, D.O. (’96), co-principal<br />

investigator <strong>of</strong> Take Action and assistant pr<strong>of</strong>essor <strong>of</strong> family medicine.<br />

Shubrook adds that long-term sustainability will be the ultimate test.<br />

The researchers have given this year’s participants yearlong passes to the<br />

Athens Community Center and will monitor whether they continue their<br />

workouts without supervision. “It works as long as you do it,” he notes.<br />

Involving families and schools<br />

Fredrick (Fritz) Hagerman, Ph.D., pr<strong>of</strong>essor <strong>of</strong> physiology, never<br />

sits for long. The 70-something seems to exude more energy than the<br />

seven- and eight-year-olds from his study titled “Exercise and Nutrition<br />

Intervention Study <strong>of</strong> Rural Appalachian Schoolchildren”.<br />

Hagerman and his colleagues—pr<strong>of</strong>essors and students—completed<br />

the 16-week study at two Athens County elementary schools between<br />

January and May 2006. The control school, Coolville Elementary,<br />

received no intervention. The experimental group, Amesville<br />

Elementary, engaged in supervised exercise and nutrition lessons.<br />

(Montgomery-Reagan’s study showed 22 percent <strong>of</strong> students at both<br />

schools were overweight.)<br />

The researchers brought rowing machines, donated by Concept2<br />

Rowing, to the school. Students used their physical education class period<br />

to row, and both they and their parents received nutrition lessons.<br />

The outcomes were dramatic. By the end <strong>of</strong> the study, children in the<br />

experimental group were making better food choices and exercising with<br />

more strength and efficiency, measured by power generation and oxygen<br />

consumption. Most strikingly, over the course <strong>of</strong> 16 weeks, body fat in<br />

the control group increased from 8.8 percent to 10.1 percent. In the<br />

experimental group, body fat decreased from 8.4 percent to 7.8 percent.<br />

It turns out that intervening with younger children might be a key to<br />

success. As Montgomery-Reagan’s figures show, many kids are already<br />

obese by the time they’re 11 or 12. At that point, it’s too late for prevention.<br />

The question remains whether short-term interventions can have<br />

long-term effects. Hagerman’s colleagues plan to annually retest the<br />

students’ body mass index and body fat until they graduate from high<br />

school to find out. But the obstacles are daunting. Hagerman points out<br />

that physical education is <strong>of</strong>ten inadequate; many students no longer<br />

walk to school; and, <strong>of</strong> course, school lunches and vending machines<br />

make it difficult for students to make good food choices.<br />

“Are schools trying to do something about it? Sure,” Hagerman says.<br />

He points to California’s ban on vending machines in its public schools.<br />

But where did much <strong>of</strong> the proceeds from the vending machines go? To<br />

the schools. “You’re sort <strong>of</strong> damned if you do, damned if you don’t.”<br />

But on Hagerman’s <strong>of</strong>fice door hangs a sign <strong>of</strong> hope. It’s a twopaneled<br />

poster hand-drawn by one <strong>of</strong> the children in his study. The first<br />

panel, titled “Old Travis,” shows a boy with a frown standing by a table<br />

with a box <strong>of</strong> donuts. In the second panel, “New Travis” is smiling, and<br />

the table next to him, laden with fruits and vegetables.<br />

18<br />

20<br />

21<br />

22<br />

23<br />

24<br />

Going to extremes<br />

Stephen Augustine, D.O.<br />

Dr. Augustine serves motorized extreme sports<br />

athletes through track-side medical care.<br />

Class notes<br />

Bill Burke, D.O., in China<br />

AOA Mentor Hall <strong>of</strong> Fame<br />

Calendar <strong>of</strong> events<br />

Gumption and goodwill<br />

Georgenna Riley, D.O.<br />

Dr. Riley and others support OU-COM<br />

with endowed medical scholarships.<br />

OU-COM Construction<br />

then and now<br />

Top left: 1982 construction site <strong>of</strong> Irvine<br />

lecture halls<br />

Below: Members <strong>of</strong> the OU-COM Society<br />

<strong>of</strong> Alumni and Friends Board tour the<br />

Academic & Research Center (ARC) during<br />

their October meeting. The ARC will bring<br />

together researchers from OU-COM, Russ<br />

<strong>College</strong> <strong>of</strong> Engineering and Technology, and<br />

other colleges and institutions on campus<br />

for the development <strong>of</strong> new diagnostics and<br />

treatments.<br />

Development & Alumni News and Features<br />

16 ohio university medicine Winter 2009<br />

17


Georgenna Riley, D.O., with<br />

LaQuita Jones, OMS I<br />

Follow-up<br />

Follow-up<br />

Development Highlight<br />

Gumption<br />

and goodwill<br />

Dr. Georgenna Riley blazed her own trail. Now<br />

she helps others do the same through an<br />

endowed minority scholarship.<br />

By Susie Shutts<br />

Photos by John Sattler<br />

Growing up in the Appalachian foothills <strong>of</strong> a small Kentucky town,<br />

Georgenna Riley, D.O. (’95), had an uncommon dream.<br />

“I always wanted to be a scientist,” says Riley—though most female<br />

pr<strong>of</strong>essionals she knew at the time were either secretaries or teachers.<br />

Riley, now head <strong>of</strong> the radiology department at Kaiser Permenante<br />

in Cleveland, came to OU-COM encouraged by her mother, who<br />

in her late thirties earned her high school diploma and took postsecondary<br />

classes, and her stepfather, a tailor, to whom “education was<br />

very important,” Riley says.<br />

Her path, however, took a few more turns than the typical medical<br />

student. She first earned a degree in dentistry at the <strong>University</strong> <strong>of</strong><br />

Kentucky. Then, after practicing as a dentist for ten years in the<br />

Washington, D.C., area, Riley had a change <strong>of</strong> heart.<br />

“I’d always had an interest in medicine,” Riley says. “I wanted more<br />

opportunities to help people.”<br />

Riley wasn’t initially drawn to analytical field <strong>of</strong> radiology, but after<br />

exploring the specialty in her residency at Ruby Memorial Hospital<br />

in West Virginia, she was hooked. The field’s variety and constant<br />

innovations resonated with her personality.<br />

Riley’s ability to adapt to change and overcome adversity helped her a<br />

few years ago, when her mother died <strong>of</strong> ovarian cancer. Riley channeled<br />

her grief into purpose. “It made me more proactive with encouraging<br />

preventive measures,” Riley said. Her loss prompted an interest in the<br />

relationship among diet, exercise and disease. She constantly tracks<br />

research on the subject, sharing information with patients along the way.<br />

The experience also deepened her commitment to her family. Riley<br />

grew up one <strong>of</strong> ten children, including three—yes, three—sets <strong>of</strong><br />

twins. Riley shares the values driving her twin sister, Georgetta, who<br />

retired last year after working 28 years as a warden at the Federal<br />

Medical Center, a Lexington, Ky., a federal prison specializing in<br />

psychiatric care. “We both work with people to help them better their<br />

lives,” Riley says.<br />

To this end, Riley recently endowed the Georgenna Riley, D.O.<br />

(’95), <strong>Osteopathic</strong> Minority Medical Scholarship, a new OU-COM<br />

scholarship for underrepresented minority students who reflect<br />

leadership skills and/or research activities. Riley hopes the scholarship<br />

will inspire others to pay forward to future generations. She describes<br />

recipients as students “who got into medicine because they really want<br />

to help people.”<br />

To fund her own medical education, Riley “took out loans and<br />

earned scholarships,” says Pat Burnett, Ph.D., director <strong>of</strong> student<br />

affairs. “She didn’t have rich parents or a lot <strong>of</strong> savings.”<br />

Burnett describes Riley as a caring individual, who <strong>of</strong>ten calls<br />

“to check up on us” in the Office <strong>of</strong> Student Affairs. “She’s just very<br />

generous,” Burnett says. “She lives by a notion <strong>of</strong> reciprocity. She’s told<br />

me, ‘I’m making money now, and I want to give back.’”<br />

Riley joined the OU-COM Alumni Board three years ago, where<br />

she has put these words into action through both her endowed<br />

scholarship and generous contributions to the upcoming Academic &<br />

Research Center (ARC), a joint project <strong>of</strong> OU-COM and the Russ<br />

<strong>College</strong> <strong>of</strong> Engineering and Technology.<br />

Early last month, OU-COM awarded the inaugural Riley<br />

Scholarship to LaQuita Jones, OMS I, a Warrensville Heights native<br />

who participated in OU-COM’s Post-Baccalaureate Program, a yearlong<br />

training program focused on increasing medical school access for<br />

both economically disadvantaged students from Appalachian <strong>Ohio</strong><br />

and underrepresented minority students.<br />

“Being a first-generation college student, I do not have family<br />

members who can relate to my pursuing a career in medicine,” Jones<br />

says. “It’s great to know someone like Dr. Riley, who has been through<br />

this journey and has been successful.”<br />

Sharon Zimmerman, M.P.A.<br />

Director <strong>of</strong> Medical Development<br />

Executive Director <strong>of</strong> Alumni Affairs<br />

Medical scholarships:<br />

Attracting the best and brightest<br />

An investment in scholarships is an investment in the college’s most precious<br />

resource: its students. OU-COM depends largely on private support to attract the<br />

brightest, most promising young people who will be tomorrow’s physicians—our<br />

future alumni—and also to ensure that their dream <strong>of</strong> becoming a physician is<br />

within financial reach.<br />

Each year, approximately 400 students compete for OU-COM’s 40 scholarships.<br />

Scholarships help narrow the gap between awards requested and those granted.<br />

When we cannot <strong>of</strong>fer enough financial aid, we sometimes lose talented applicants<br />

because they simply cannot afford the expenses associated with medical education<br />

and training.<br />

Our Student Affairs staff members work diligently with our students, advising them<br />

on how to incur the least-possible medical school debt. Still, tuition and fees have<br />

risen more than 100 percent in the past decade, due in large part to steady cuts<br />

in government funding, and living expenses continually increase. As a result, the<br />

average debt <strong>of</strong> our most recent graduates has increased from $89,182 in 1999 to<br />

$150,868 for the class <strong>of</strong> 2008, even though our college tuition ranks among the<br />

lowest <strong>of</strong> all seven medical schools in <strong>Ohio</strong>.<br />

Scholarships change lives by making medical school financially possible. If you<br />

would like to help, I am always happy to talk about how you can contribute to an<br />

existing scholarship or even start your own osteopathic scholarship in your name or<br />

the name <strong>of</strong> a mentor or loved one.<br />

Your generosity means a lot to our students. We are pleased to announce the<br />

establishment <strong>of</strong> these new 2007-2008 OU-COM Scholarships:<br />

Austin-Bailey Health and Wellness<br />

Foundation Gerald L. Meck <strong>Osteopathic</strong><br />

Student Scholarship<br />

*Auxiliary to the 9 th District Academy, <strong>Ohio</strong><br />

<strong>Osteopathic</strong> Association Scholarship<br />

*Barbara A. Bennett, D.O. (’84), <strong>Osteopathic</strong><br />

Medical Scholarship<br />

*Michael E. (’83) and Ruth Campolo<br />

<strong>Osteopathic</strong> Medical Scholarship<br />

*Chang Ying-Chien <strong>Osteopathic</strong> Medical<br />

Scholarship<br />

*Alison A. Clarey, D.O., FACOS <strong>Osteopathic</strong><br />

Medical Scholarship<br />

The Cleveland Foundation <strong>Osteopathic</strong><br />

Medical Scholarship<br />

*Mae F. and A.R. Harmon Memorial<br />

Scholarship in <strong>Osteopathic</strong> Medicine<br />

*Robert S. Harris, D.O. (’82), <strong>Osteopathic</strong><br />

Memorial Scholarship<br />

*The Holzer Clinic Scholarships<br />

Northeastern <strong>Ohio</strong> Healthcare Foundation,<br />

Cpl. Joshua Harmon Memorial <strong>Osteopathic</strong><br />

Scholarship<br />

*Georgenna Riley, D.O. (’95), <strong>Osteopathic</strong><br />

Minority Scholarship<br />

*Geraldine N. Urse, D.O. (‘93), FACOFP<br />

and John S. Urse, Jr., D.O. (‘92), FACOS,<br />

<strong>Osteopathic</strong> Medical Scholarship<br />

*Endowed scholarships<br />

18 ohio university medicine Winter 2009<br />

19


Follow-up<br />

We want to hear from you!<br />

Follow-up<br />

Class Notes<br />

Please send your career and<br />

personal updates for our next issue.<br />

Fax: 740.593.0761<br />

E-mail: harmanj@ohio.edu<br />

Online form: www.oucom.ohiou.edu/Alumni/<br />

StayingConnected.htm<br />

Alumni Affairs, 203 Grosvenor Hall, Athens, <strong>Ohio</strong>, 45701<br />

1980<br />

MacGregor E. Poll, D.O., medical director at<br />

Northridge Surgery Center in Madison, Tenn.,<br />

and his wife, Nancy, welcomed their first grandchild<br />

in November 2007.<br />

1982<br />

John J. Koncelik, D.O., is pursuing his<br />

master’s degree in medical management from the<br />

<strong>University</strong> <strong>of</strong> Southern California’s Marshall School<br />

<strong>of</strong> Business. In 2006, Dr. Koncelik became CEO/<br />

president <strong>of</strong> Western Pennsylvania Anesthesia<br />

Associates in Pittsburgh, Penn.; medical director <strong>of</strong><br />

Sheridan Clinical Research, Inc., in Sunrise, Fla.,<br />

and a certified physician investigator (CPI). He<br />

continues his clinical research at Sewickley Valley<br />

Hospital in Pennsylvania.<br />

1983<br />

Michael J. Dobrovich, D.O., was elected chief<br />

medical <strong>of</strong>ficer and senior vice president <strong>of</strong> clinical<br />

affairs <strong>of</strong> St. John West Shore Hospital in Westlake,<br />

<strong>Ohio</strong>, in March 2007.<br />

1984<br />

Barbara Bennett, D.O., was appointed president<br />

<strong>of</strong> the <strong>Ohio</strong> <strong>Osteopathic</strong> Association at the 110th<br />

OOA annual convention in June.<br />

1986<br />

Kyle R. Allen, D.O., became a Practice Change<br />

Fellow in 2007. The fellowship works to improve<br />

medical care for older adults.<br />

Gregory Hill, D.O., received a Meritorious Service<br />

Medal in December 2005, during Operation Iraqi<br />

Freedom. He also presented a paper, “Volar fixation<br />

<strong>of</strong> distal radius function: Comparison <strong>of</strong> systems,” in<br />

May 2007 at the American <strong>Osteopathic</strong> Academy<br />

<strong>of</strong> Orthopedics Postgraduate Seminar.<br />

1987<br />

Doris T. Tan, D.O., coauthored the Handbook<br />

<strong>of</strong> Emergency Psychiatry in 2007. She is a clinical<br />

pr<strong>of</strong>essor <strong>of</strong> psychiatry at the <strong>University</strong> <strong>of</strong><br />

California, San Francisco—Fresno.<br />

1988<br />

Katherine (Toni) Clark, D.O., clinical pr<strong>of</strong>essor<br />

at Grandview Medical Center, received the 2008<br />

<strong>Ohio</strong> State Society <strong>of</strong> American <strong>Osteopathic</strong> Family<br />

Physicians Distinguished Service Award. She also<br />

helped establish a scholarship for OU-COM family<br />

medicine primary care fellows who choose to enter a<br />

family medicine residency program.<br />

Christopher Loyke, D.O., clinical associate pr<strong>of</strong>essor<br />

at South Pointe Hospital, is now president-elect <strong>of</strong><br />

the <strong>Ohio</strong> <strong>Osteopathic</strong> Association.<br />

1989<br />

Sandy Paul Naples, D.O., was re-elected as<br />

department chair <strong>of</strong> family medicine at St. Elizabeth<br />

Health Center in Youngstown, <strong>Ohio</strong>, for the<br />

2008-2010 term.<br />

1990<br />

Nicholas Espinoza, D.O., CORE assistant dean<br />

at St. Vincent Mercy Medical Center received the<br />

2008 Outstanding Preceptor <strong>of</strong> the Year Award.<br />

1991<br />

B. J. (Morill) Sidari, D.O., has joined Euclid<br />

Pediatrics in Euclid, <strong>Ohio</strong>.<br />

1992<br />

Joette E. Greenstein, D.O., joined Geriatric<br />

Physician Associates <strong>of</strong> Mount Carmel Health<br />

Providers in Columbus, <strong>Ohio</strong>, as director <strong>of</strong> house<br />

call services in August 2007.<br />

1993<br />

Todd R. Fredricks, D.O., completed his 2nd tour<br />

<strong>of</strong> duty in Tikrit, Iraq, in May 2008, and is now an<br />

assistant pr<strong>of</strong>essor <strong>of</strong> family medicine at OU-COM.<br />

1994<br />

Michele (Brown) Keller, D.O., accepted a position<br />

in April 2007, with Visiting Physicians, Inc., in<br />

Youngstown, <strong>Ohio</strong>.<br />

1995<br />

Joseph Looby, D.O., and his wife, Megan Elizabeth,<br />

welcomed their third child, Katherine, in May 2006,<br />

and their fourth child, Joseph, in July 2007. Dr.<br />

Looby is pursuing a fellowship in crani<strong>of</strong>acial plastic<br />

surgery at Stanford <strong>University</strong>.<br />

Chau Pham, D.O., and her husband, Frank<br />

Nguyen, welcomed their daughter, Angelina Quynh<br />

Chau Nguyen, in April 2007. She also recently<br />

opened a private practice.<br />

Tuesdae (Rogers) Stainbrook, D.O., was given<br />

the 2007 Award <strong>of</strong> Excellence at the Pennsylvania<br />

Annual Viral Hepatitis Conference in Monroeville,<br />

Penn., in October 2007.<br />

1996<br />

David A. Burke, D.O., and his wife, Jennifer, welcomed<br />

baby Aidan Thomas in November 2006.<br />

Daniel Culver, D.O., and wife, JoAnna, welcomed<br />

their third child, Josie, in February 2006.<br />

Deborah (Nicklas) Snyder, D.O., published Keto<br />

Kid: Helping Your Child Succeed on the Ketogenic Diet<br />

in 2006. She and her husband, Jeff, welcomed their<br />

third child, Abbey, in 2006.<br />

1997<br />

Sanjiv Amin, D.O., and wife, Seema, welcomed<br />

Reyna Amin to the family. She was born in June 2006.<br />

Larry Witmer, D.O., and his wife, Maria,<br />

welcomed daughter Lana in January 2007.<br />

1998<br />

Anthony Degenhard, D.O., was elected treasurer<br />

<strong>of</strong> the Aultman Medical Staff in December 2007,<br />

and has been certified by the American Society <strong>of</strong><br />

Diagnostic and Interventional Nephrology. He and<br />

his wife, Elizabeth, welcomed daughter Ella in<br />

April 2007.<br />

Deborah (Daniel) Harris, D.O., has been named<br />

chief <strong>of</strong> surgery at Selby General Hospital in<br />

Marietta, <strong>Ohio</strong>.<br />

Elizabeth North, D.O., and her husband, Robert<br />

Channler, welcomed baby Graham Channler in<br />

September 2006. She also completed a stroke<br />

fellowship at Oregon Health and Science<br />

<strong>University</strong> in Portland, where she opened a private<br />

neurology practice.<br />

1999<br />

Jeanne (Friedman) Crump, D.O., and her<br />

husband, Donald, adopted an infant son from<br />

Guatemala in September 2006. The baby, Gabriel,<br />

was born in March 2006.<br />

Andrew K. Culver, D.O., accepted a position as<br />

CORE assistant dean at Affinity Hospital in Akron,<br />

<strong>Ohio</strong>, in 2006.<br />

Joseph A. Rodrigo, D.O., director <strong>of</strong> regional<br />

anesthesia at Roper Medical Office, became boardcertified<br />

in anesthesiology in 2006.<br />

Provided by Dr. William Burke<br />

Burkes lend a hand in China<br />

Last spring, William Burke, D.O. (’88), associate<br />

pr<strong>of</strong>essor <strong>of</strong> family medicine, and his wife, Debbie,<br />

were planning a humanitarian trip to China with Heart<br />

to Heart International. He would continue his recent<br />

work training primary care physicians and she would<br />

assist a school for the deaf and a senior center.<br />

Then, ten days before their departure, the May 12<br />

earthquake struck the Sichuan province, killing or<br />

injuring hundreds <strong>of</strong> thousands and leaving millions<br />

homeless. The Burkes instead set up tents for displaced<br />

families and distributed food and medical supplies. It<br />

was Dr. Burke’s third trip to China and Ms. Burke’s first.<br />

“It’s more devastated than I imagined,” Ms. Burke<br />

told NPR’s Andrea Hsu during an on-site report.<br />

“But I’ve also seen that the spirit <strong>of</strong> the people<br />

is incredible.”<br />

Dr. Burke has since returned to China, twice, to<br />

counsel physicians and health ministries on primary<br />

care practices, equipment and training standards.<br />

In July, he presented on family practice residency<br />

training at a Chinese Medical Doctor’s Association<br />

conference in Nanjing. “I’m working to assist the<br />

The Burkes with a local mother and baby,<br />

whom Bill had just treated for mosquito bites.<br />

country’s transformation from a specialty-driven<br />

medical system to one more focused on primary<br />

care,” he says.<br />

Dr. Burke’s efforts are supported by the American<br />

<strong>Osteopathic</strong> Foundation and the American<br />

<strong>Osteopathic</strong> Association. Dr. Burke plans to bring a<br />

group <strong>of</strong> Chinese physicians to <strong>Ohio</strong> to demonstrate<br />

primary care training at OU-COM and the CORE.<br />

Dr. Burke also notes that his and Ms. Burke’s<br />

experience in May sparked an interest in continuing<br />

relief work. “The people were so welcoming and<br />

grateful. Because <strong>of</strong> that, we both feel that we got<br />

more out <strong>of</strong> the experience than we gave.”<br />

Dr. Burke is a family physician with Doctors Hospital, where<br />

he directs the Family Practice Residency Program. He<br />

previously served as president <strong>of</strong> the OU-COM Society <strong>of</strong><br />

Alumni and Friends, an <strong>Ohio</strong> <strong>University</strong> Foundation trustee<br />

and an AOA delegate. Ms. Burke graduated in 1985 from the<br />

Russ <strong>College</strong> <strong>of</strong> Engineering and Technology. She serves on<br />

the <strong>Ohio</strong> <strong>University</strong> Alumni Association Executive Committee<br />

and chairs the Russ <strong>College</strong> Board <strong>of</strong> Visitors.<br />

By Anita Martin<br />

20 ohio university medicine<br />

Winter 2009<br />

21


Follow-up<br />

Follow-up<br />

2009 Alumni Calendar <strong>of</strong> Events<br />

OU-COM alumni make the<br />

AOA Mentor Hall <strong>of</strong> Fame<br />

The American <strong>Osteopathic</strong> Association<br />

Mentor Hall <strong>of</strong> Fame inducts new osteopathic<br />

physicians annually, to recognize their<br />

excellence in training and supporting<br />

osteopathic medical students, interns,<br />

residents and other young physicians.<br />

The Hall <strong>of</strong> Fame is a part <strong>of</strong> the AOA’s Mentor<br />

Program, initially conceived in 2003 by then<br />

AOA President, Darryl Beehler, D.O. Last year,<br />

six new OU-COM alumni were nominated for<br />

AOA Mentor <strong>of</strong> the Year and subsequently<br />

inducted into the Mentor Hall <strong>of</strong> Fame.<br />

2007 AOA Mentor Hall <strong>of</strong> Fame<br />

alumni inductees<br />

Shawn R. Kerger, D.O. (’96)<br />

Stephanie V. Oberhelman, D.O. (’96)<br />

Keith U. Smith, D.O. (’86)<br />

Jeffrey A. Stanley, D.O. (’82), FACOS<br />

David N. Stroh, D.O. (’83)<br />

Celeste N. Wallace, D.O. (’02), FACOP<br />

Previous AOA Mentor Hall <strong>of</strong> Fame<br />

alumni inductees<br />

Timothy J. Barreiro, D.O. (’97), FCCP, FACOI<br />

Imber (Corcoran) Coppinger, D.O. (’97)<br />

Barbara M. Doerr, D.O. (’91), Ph.D.<br />

Paul Entler, D.O. (’00)<br />

Todd M. Friend, D.O. (’91)<br />

Anita L. Showalter, D.O. (’93)<br />

Jay H. Shubrook, D.O. (’96), FACOFP<br />

Gail M. Swarm, D.O. (’89)<br />

Steven M. Takacs, D.O. (’86)<br />

Joan E. Tamburro, D.O. (’94), FAOCD<br />

2000<br />

William J. Dobak, D.O., and Melissa Johnson were<br />

married Nov. 17, 2007, in Atlanta, Ga. Dr. Dobak is<br />

an assistant pr<strong>of</strong>essor <strong>of</strong> obstetrics and gynecology<br />

at Florida State <strong>University</strong>.<br />

Trinetta D. Masternick, D.O., and husband,<br />

William Gerhing, welcomed their third son, Will,<br />

to the family in February 2007. Dr. Masternick<br />

accepted a new position as pain management<br />

specialist. Her sister, Janeen, is a second-year student<br />

at OU-COM.<br />

2001<br />

CORRECTION: Steve Chandler, D.O., completed<br />

his orthopedic trauma fellowship at Grant<br />

Medical Center in Columbus, <strong>Ohio</strong>. He moved to<br />

Chicago, Ill., and works in two hospitals: one in Oak<br />

Lawn, Ill., and the other in Evergreen, Ill.<br />

Michael Gerardo, D.O., M.P.H., was appointed to<br />

a three-year term on the Ethnogeriatrics Committee<br />

<strong>of</strong> the American Geriatric Society. Dr. Gerardo also<br />

published seven chapters in The Practical Guide to<br />

the Care <strong>of</strong> the Geriatric Patient, published by Mosby,<br />

Inc., in 2008. He presented “Quality, language,<br />

and culture: Hispanic nursing home and care,” to<br />

the medical faculty at <strong>University</strong> Health Sciences<br />

Center in San Antonio, Texas, and again at the<br />

Center for Health Care and Policy Research, Case<br />

Western Reserve <strong>University</strong> in Cleveland, <strong>Ohio</strong>,<br />

both in July.<br />

Rachel Zevallos, D.O., and husband Carlos<br />

Zevallos, D.O., have two children: Lillie, born in<br />

2005, and Charlie, born in 2006.<br />

2002<br />

Gregory K. Applegate, D.O., completed a sixmonth<br />

Army deployment in Baghdad, Iraq, in 2007,<br />

where he served as a combat anesthesiologist.<br />

Dawn Dillinger, D.O., accepted a position at Child<br />

Care Consultants in Columbus, <strong>Ohio</strong>.<br />

Brooke Lampl, D.O., is pursuing a fellowship<br />

in pediatric radiology at New York Presbyterian<br />

Hospital-Columbia.<br />

Thomas Smith, D.O., is pursuing a fellowship<br />

in adult reconstruction at the Mayo Clinic in<br />

Rochester, Minn.<br />

Kamini Trivedi, D.O., published three abstracts<br />

in 2007: two in the Journal <strong>of</strong> Cardiac Failure and<br />

one in Circulation. She presented the abstracts at<br />

the 2007 annual meetings <strong>of</strong> the American Heart<br />

Association and the Heart Failure Society <strong>of</strong><br />

America.<br />

2003<br />

Joel W. Anders, D.O., and Kathryn Anders<br />

were married in 2006. He accepted a new position<br />

at Licking Memorial Health Systems in Newark,<br />

<strong>Ohio</strong>. The couple has two children, Declan<br />

and Camille.<br />

Christopher J. Dennis, D.O., has completed a<br />

fellowship in pulmonary/critical care medicine at<br />

the Lackland U.S. Air Force Base in San Antonio,<br />

Texas, and is practicing at the Wright Patterson Air<br />

Force Base Medical Center in Dayton, <strong>Ohio</strong>.<br />

Jennifer L. Gwilym, D.O., is now medical director<br />

<strong>of</strong> the sexual health division <strong>of</strong> the Columbus Public<br />

Health Department in <strong>Ohio</strong>.<br />

Stephen Scheper, D.O., and wife, Gina H. Y.<br />

Scheper, have relocated to Hawaii, where Dr.<br />

Scheper is completing a physical medicine and<br />

rehabilitation fellowship. He plans to remain in<br />

Hawaii after completing the fellowship.<br />

2004<br />

Derrick Blackwell, D.O., joined Piedmont Family<br />

Practice at Tega Cay in Fort Mill, S.C., as an<br />

attending physician. He also received a Michigan<br />

State <strong>University</strong> Resident Teaching Award.<br />

Joshua LeClaire, D.O., married Shoshone<br />

Richardson in 2006. He is currently pursuing<br />

a fellowship in cytopathology at MetroHealth<br />

Hospital in Cleveland, <strong>Ohio</strong>.<br />

Jean (Sheppard) Rettos, D.O., received the<br />

2005 Merck Resident <strong>of</strong> the Year award from<br />

O’Bleness Memorial Hospital, where she completed<br />

a neuromusculoskeletal medicine residency. In<br />

August 2008, She opened a private practice, Athens<br />

Health Solutions, which <strong>of</strong>fers family medicine and<br />

osteopathic manipulative medicine.<br />

Chad A. Weber, D.O., gave a presentation at the<br />

American Society for Surgery <strong>of</strong> the Hand in<br />

September 2007. He will begin a fellowship in<br />

orthopedic trauma in Indianapolis in 2009.<br />

2005<br />

Kelly Becker, D.O., accepted a new position with<br />

Strongsville Family Physicians in Strongsville, <strong>Ohio</strong>.<br />

She and her husband, Brian Jungeberg, were married<br />

in July 2006.<br />

Ron Mallick, D.O., and Bridgette Sims Mallick,<br />

were married May 24, 2008, with classmate<br />

Abelash Reddy, D.O., and his wife, Roopa Patel,<br />

D.O. (’06), in attendance.<br />

2006<br />

Christina Bagby, D.O., is pursuing a pathology<br />

residency at <strong>University</strong> Hospitals Case Medical<br />

Center in Cleveland, <strong>Ohio</strong>.<br />

Shannon (Claprood) McAfee, D.O., cowrote<br />

“Occipital compression and its potential uses in<br />

obstetrics” with Anthony Chila, D.O., pr<strong>of</strong>essor <strong>of</strong><br />

family medicine. The article was published in the<br />

AAO Journal, September 2007. Dr. McAfee and her<br />

husband, C. Curtis, also welcomed baby Caleb in<br />

November 2007.<br />

Katrina (Jones) Sabur, D.O., and Ibrahim Sabur<br />

were married in September 2006.<br />

2007<br />

Rachel Liptak, D.O., and Ryan Mast, D.O. were<br />

married in October 2008. Dr. Liptak in an internal<br />

medicine residency program at Grandview Hospital,<br />

and Dr. Mast is doing a psychiatry residency program<br />

at Wright State <strong>University</strong> in Dayton, <strong>Ohio</strong>.<br />

Kedy Jao, D.O. (’83), and John Koncelik, D.O. (’82),<br />

deliver the toast at the 25 year reunion for the<br />

classes <strong>of</strong> 1982 and 1983, held in October at the<br />

Baker <strong>University</strong> Center in Athens.<br />

January 16-17<br />

Cleveland Academy <strong>of</strong><br />

<strong>Osteopathic</strong> Medicine<br />

44th Annual Postgraduate Seminar<br />

Hilton Cleveland East<br />

Beachwood, <strong>Ohio</strong><br />

Alumni Reception, January 16<br />

February 21<br />

Society <strong>of</strong> Alumni & Friends<br />

Board <strong>of</strong> Directors Winter Meeting<br />

Columbus Hilton at Easton<br />

March 4-8<br />

ACOFP 46th Annual Convention<br />

Gaylord National Resort &<br />

Convention Center<br />

Washington, D.C.<br />

March 25-29<br />

American Academy <strong>of</strong> Osteopathy<br />

Annual Convocation<br />

Peabody Hotel<br />

Little Rock, Ark.<br />

April 15-18, 2009<br />

AACOM Annual Meeting<br />

Bethesda, Md.<br />

22 ohio university medicine


Follow-up<br />

Follow-up<br />

Alumni Pr<strong>of</strong>ile<br />

Above: (Left to right) Lauren Schlacht<br />

(physical therapist), Steve Augustine, D.O. (‘94),<br />

and Eddie Casillas (athletic trainer) at the 2005<br />

American Motorcyclists Association National<br />

Motocross Series<br />

Left: Dr. Augustine taking x-ray <strong>of</strong> injured BMX<br />

racer at the 2007 Southeast BMX Championship<br />

Lower left & facing page: ASMF Mobile<br />

Sports Medical Unit at the 2007 Florida Winter<br />

AMA Motocross Series<br />

X<br />

Passion drives Dr. Stephen Augustine to<br />

the track—as a national leader in medical<br />

care for motorized extreme sports<br />

By Stephen McKean<br />

Photos provided by Dr. Stephen Augustine<br />

Stephen Augustine, D.O. (’94), like many orthopedic surgeons, is<br />

Going to<br />

eXtremes<br />

a sports enthusiast. He was a four-year football letterman at Denison<br />

<strong>University</strong> and a club lacrosse player at OU-COM. But his passion for<br />

the new wave <strong>of</strong> motorized extreme sports—motocross racing, BMX<br />

biking, and the whole range <strong>of</strong> high-speed, high flying feats epitomized<br />

by the X Games—sets him apart from his colleagues.<br />

Augustine, who grew up racing motocross dirt bikes, says he began to<br />

notice an unsettling difference between how physicians treat action sports<br />

athletes compared to those in “stick and ball sports,” as he calls them.<br />

“If a high school kid is out riding his motocross bike—training<br />

really hard and racing—and he blows out his ACL, he’s [considered]<br />

an idiot,” says Augustine. “But a high school football player who<br />

blows out his ACL—he’s considered some kind <strong>of</strong> a hero. I think that<br />

dichotomy is ridiculous.”<br />

Augustine co-founded the non-pr<strong>of</strong>it Action Sports Medicine<br />

Foundation (ASMF) in 2004 to raise awareness about the unique<br />

medical needs <strong>of</strong> these non-traditional athletes. While “stick and ball<br />

sports” usually employ both an athletic trainer and a physician at games,<br />

Augustine says that action sports events typically provide little more<br />

than paramedics, who may or may not be familiar with the participants’<br />

particular needs.<br />

“The number one goal [<strong>of</strong> the foundation] is to improve on-site<br />

medical care for action sports athletes at their events—all levels,<br />

pr<strong>of</strong>essional and amateur,” he says.<br />

Augustine has a wealth <strong>of</strong> firsthand experience in this area, having<br />

served as an event physician for American Motorcycle Association (AMA)<br />

supercross and motocross events since 2001—as well as countless other<br />

action sports events around the country. He also serves as chief <strong>of</strong> the sports<br />

medicine division for the Asterisk Mobile Medical Unit and as the medical<br />

director <strong>of</strong> the Road 2 Recovery Foundation, a non-pr<strong>of</strong>it organization that<br />

assists AMA-licensed pr<strong>of</strong>essional motocross and supercross riders who<br />

sustain career-ending injuries.<br />

So far, Augustine is pleased with the ASMF’s progress. “We have a team<br />

<strong>of</strong> volunteers—athletic trainers, physicians’ assistants, physical therapists,<br />

doctors—who cover the events on-site. We were able to raise money to<br />

buy uniforms, and we now have our own mobile medical center.”<br />

All told, Augustine devotes more than 40 weekends a year to on-site<br />

medical service for “extreme” sports athletes, including pr<strong>of</strong>essional and<br />

amateur motocross and supercross, as well as non-motorized sports<br />

such as skateboarding. Although he mostly serves east <strong>of</strong> the Mississippi,<br />

Augustine frequently travels west to help out at major pr<strong>of</strong>essional events.<br />

In the long term, Augustine would like to extend the reach <strong>of</strong> his<br />

foundation beyond the Southeastern U.S., where it has had so much<br />

early success. He would also like to see more general research on action<br />

sports athletes, in the same way that traditional athletes have been<br />

studied for decades.<br />

Perhaps most importantly, Augustine hopes to break down negative<br />

stereotypes in the medical community surrounding action sports<br />

athletes. “Doctors in general just blow them <strong>of</strong>f because they don’t<br />

understand them,” he says.<br />

But Augustine, who still occasionally races in enduro, motocross and<br />

harescramble events, most certainly does. “When you race motocross,”<br />

he says, “it’s like hitting a home run ten times in one game.”<br />

Jill L. Harman, M.Ed.<br />

Director <strong>of</strong> Alumni Affairs<br />

Helping our students find their path<br />

The number <strong>of</strong> physicians choosing to specialize in sports medicine<br />

is rising nationwide. According to Lori A. Boyajian-O’Neill, D.O., 2007<br />

president <strong>of</strong> the American <strong>Osteopathic</strong> Academy <strong>of</strong> Sports Medicine,<br />

“We are witnessing the development <strong>of</strong> a field about to explode.”<br />

The practice trends <strong>of</strong> OU-COM graduates reflect that statement. The<br />

number <strong>of</strong> our alumni practicing sports medicine has more than doubled<br />

in the last five years. Although that figure remains relatively small,<br />

graduates like Steven Augustine, D.O. (’94) are definitely making a<br />

big impact within the specialty. And given the popularity <strong>of</strong> the OU-COM<br />

Surgery and Sports Medicine club, this trend shows no sign <strong>of</strong> slowing.<br />

To expose our students to this and other specialties, the Office <strong>of</strong> Alumni<br />

Affairs works with student organizations to coordinate our annual Career<br />

Medical Specialties Series. This September, John Walter, D.O. (’00)<br />

kicked <strong>of</strong>f the year-long series by speaking to first- and second-year<br />

students on the related specialty <strong>of</strong> physical medicine and rehabilitation.<br />

Participating in our Career Medical Specialties Series is a terrific way<br />

to reengage with OU-COM and meet your future D.O. colleagues. Please<br />

contact your Office <strong>of</strong> Alumni Affairs to learn how you can return to<br />

campus and speak about your specialty or mentor students interested<br />

in your field. I look forward to hearing from you!<br />

Practicing sports medicine alumni physicians<br />

367% increase<br />

1998 2008<br />

24 ohio university medicine Winter 2009<br />

25


Across the divide<br />

Final stages <strong>of</strong> cell division, taken<br />

with a flourescence microscope<br />

Mark Berryman, Ph.D., associate pr<strong>of</strong>essor, received a twoyear<br />

$221,250 NIH award in June for his grant proposal, “Role<br />

<strong>of</strong> CLIC in epithelial morphogenesis.” To better understand<br />

how CLIC (chloride intracellular channel) proteins affect<br />

cell development, Berryman is studying how they interact<br />

with other proteins in fruit flies. In this image, cell parts are<br />

stained: DNA is blue, microtubules are red and CLIC4 proteins<br />

are green.<br />

<strong>College</strong> <strong>of</strong> <strong>Osteopathic</strong> Medicine<br />

332 Grosvenor Hall<br />

Athens, OH 45701<br />

Non Pr<strong>of</strong>it Org.<br />

US Postage<br />

PAID<br />

Permit No. 100<br />

Athens, OH<br />

ADDRESS SERVICE REQUESTED

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