AAIP Homecoming 2015 - Association of American Indian Physicians

Transcription

44
th
Annual Meeting
& National Health Conference
July 27 - August 2, 2015
Tulalip Resort Casino, Tulalip, Washington
AAIP Homecoming 2015:
“Coming Back to the Heart of Medicine,
A Legacy of Wisdom, A Future of Excellence”
Painting: “Flying Eagle with Indian Pipe”
The “Pipe of Peace” is well known among First Nation People; two or more sit and discuss things; the Pipe
is smoked; the wishes, desires and Prayers are carried Heaven-ward to the Great Creator by way of the Spirit
Eagle as he carries the smoke upward. The colors red, white and black are brought forth; as in the Eagle’s
feathers; turquoise is an additional prized stone feature.
Artist: Colleen A. Barker DBA Sno-Art Design
Born of a European descent father and a First Nations Mother; I am one of two middle children of eight
siblings. A registered Snoqualmie Indian Tribal Member, 62 years old. Stick figures were my beginning; the end
result has been creative endeavors in mediums from wood burning, pencil, pastels, charcoal, acrylics, with pen
and ink drawings thrown in. Subjects range from animals, fish, insects, plants, landscapes and portraits. God
has richly blessed me in my artwork and I thank Him for it.
1
2
Table of Contents
Welcome Letter ........................... 5
Conference Agenda .................... 9
Faculty Biographies................... 18
Speaker Objectives .................... 33
Faculty Disclosures ................... 45
Poster Session ............................ 46
Exhibitor List ............................. 62
AAIP Executive Board ............. 63
Physician of the Year................. 68
Activities..................................... 69
3
4
Presidential
Welcome Message
Andrew J. Haputa, M.D., F.A.C.S.
On behalf of the Board of Directors, myself, and your hardworking, remarkable and dedicated staff-Welcome to the Association
of American Indian Physicians 44th Annual Meeting and National Healthcare Conference. Our theme this year is “Homecoming
2015: Coming Back to the Heart of Medicine. A legacy of Wisdom, a Future of Excellence.”
Many exciting things have been going on this year. Here are a few highlights and some information I hope will be beneficial
during your attendance. Of course we have endeavored to present material for your professional development and I trust that
you will find many of our prominent speakers informative and insightful. The scope of topics is broad reflecting the diversity
of our practice environments. As you learn new things and contemplate new ideas I know that you will be quite comfortable in
the outstanding facilities which are the Tulalip Resort.
To our members I hope you share my excitement in seeing old friends and making new ones. I have always felt our organization
transcends or extends from not only a professional association but to family. We know our history, have struggled and succeeded
together and are working hard to keep the next generations recognized, protected and supported in the way each of us was. Your
ongoing support and attendance here speaks strongly to your commitment to this ideal.
We also have some very important work to do. The first is a chance to honor Margaret Knight for 27 years of service. Her work
and commitment has sustained this organization in so many countless ways and she has in no small part been the face of AAIP.
We also will utilize the occasion of the meeting to introduce Polly Olsen the new Executive Director starting in September. She
will be available throughout most activities, including tea time with the new ED at some identified breaks. I hope that each of
you will find the opportunity to welcome her and share your thoughts for the future of our organization.
We have a cultural responsibility as an organization to continue the Gourd Dance and the Men’s Retreat will be a chance to
make bandoliers together and better understand our commitment to honoring this tradition. Please come and participate even
if you don’t know the first thing about this and to all our gourd dancers I ask each of you to be present to help continue this
tradition. We are in need of more gourds so please bring any you might loan or give to encourage the new dancers. Remember
this happens on Thursday morning before the opening luncheon. The women’s retreat is also in full swing and great effort has
been put into making this a fun and uplifting event.
We love when our families can be with us. Friday night will be Family Night at the Hibulb Cultural Center. Our member, Will
James, along with local Native Fisherman went out in their boats to the waters of Deception Pass where the Creator blessed them
with Salmon enough for all of us to feast on. EVERYONE is welcome and there is no cost. There will be live music, a chance to
tour the cultural exhibits and traditional storytelling in the longhouse. There will be an award for the largest family present.
Come one come all!
Again Welcome and Thanks for your support of AAIP and its mission.
Respectfully,
Andrew J. Haputa, M.D., F.A.C.S
President
AAIP Board of Directors
5
Greetings from the AAIP
Executive Director
Greetings!!!
Welcome to the 44th AAIP Annual Meeting and National Health Conference. It is wonderful to be here in Tulalip,
Washington to experience its beauty and hospitality for our conference.
This year’s theme AAIP Homecoming 2015 “Coming Back to the Heart of Medicine A Legacy of Wisdom, A Future
of Excellence” brings presentations that align well with the theme. The conference presents many opportunities for
attendees to network, share experiences and programs to improve the health of American Indian/Alaska Native
communities. We are always happy to see the many Native students who come to the conference and what a
unique experience for them.
Dr. Andrew Haputa, AAIP President, and AAIP Executive Board members under took the critical task of selecting
a new Executive Director their efforts to hire a new executive director to carry out the important work of AAIP was
successful. I congratulate Ms. Polly Olsen on her selection and wish her well. I know the members will welcome
her and will work with her to carry on the mission of AAIP. Ms. Olsen is expected to join AAIP in September.
Congratulations to Dr. Eva Marie Smith, 2015 AAIP Indian Physician of the Year. Dr. Smith is dedicated to
providing high quality of care to people living on the Hoopa Valley Reservation in California and so deserving of
this award from her AAIP colleagues. We are truly proud of Dr. Smith for all the work she does for her community.
Thank you conference sponsors and exhibitors for your generous support of the conference, it is very much
appreciated. Our conference would not be a success without your support
Finally, although I said farewell last annual meeting, circumstances brought me back this year. So again I want
to say a very heartfelt thank you to each and every one of you as I retire to explore new adventures and enjoy my
family and grandsons.
I want to thank all board members and presidents that I have worked with over the years, and a special thanks to
my hard working staff. My family and friends have always given me support in times of need through the many
years. I wish continued blessings and success in the important work of the association. I will always be a phone
call away.
Dah wah eh!!!
Margaret Knight
AAIP Executive Director
6
Association of American Indian Physicians
44
th
Annual Meeting
& National Health Conference
July 27 - August 2, 2015
Tulalip Resort Casino, Tulalip, Washington
AAIP Homecoming 2015:
“Coming Back to the Heart of Medicine,
A Legacy of Wisdom, A Future of Excellence”
Presented By: The Association of American Indian Physicians (AAIP) and
the Indian Health Service Clinical Support Center (Accredited Provider)
Conference Objective:
The overall conference goal is to provide an innovative conference setting that will stimulate discussion,
sharing, and learning of scientific knowledge, research on minority health and health disparities, American
Indian and Alaska Native (AI/AN) cultural wisdom, and Native-driven models of health and wellness that will
inform health policy, chronic disease treatment and prevention, and health programs designed to promote
exercise, health, and wellness of AI/AN people. Additionally, the conference promotes and supports AI/AN
people entering medical and health research fields and practicing in AI/AN communities.
ACCREDITATION STATEMENT:
The Indian Health Services (IHS) Clinical Support Center is the accredited provider.
This activity has been planned and implemented in accordance with the accreditation requirements and policies
of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of
the Indian Health Service (IHS) Clinical Support Center and the Association of American Indian Physicians.
The IHS Clinical Support Center is accredited by the ACCME to provide continuing medical education for
physicians.
The IHS Clinical Support Center designates this live activity for a maximum of 19.75 AMA PRA Category 1
Credits. Physicians should claim only the credit commensurate with the extent of their participation in the
activity.
Accommodation Statement:
For accommodations on the basis of disability, call: (405) 946-7072
7
8
AGENDA
9
Welcome to the
Annual Meeting & National Health Conference
Monday, July 27, 2015
6:00 PM
Location
Pre-Admission Workshop Student Orientation ..........................................................Evergreen Room
Tuesday, July 28, 2015
Location
7:30 AM-8:00 AM
Continental Breakfast ...................................................................................................Evergreen Room
8:00 AM–5:00 PM
Pre-Admission Workshop for Undergraduate .............................................................Evergreen Room
Students
8:00 AM–5:00 P.M.
Data Into Action/Grant Writing Training (Day One) ...........................................................Chinook 2
Janis Campbell, PhD, MPH
Associate Professor of Research
Biostatics and Epidemiology, College of Public Health
University of Oklahoma Health Sciences Center
Oklahoma City, OK
Amanda Janitz, BSN, MPH, PhD
Department of Biostatistics and Epidemiology
Oklahoma Public Health Training Center
Oklahoma City, OK
Wednesday, July 29, 2015
Location
7:30 AM-8:00 AM
Continental Breakfast ...................................................................................................Evergreen Room
8:00 AM–5:00 PM
Conference Registration .................................................................................................................Foyer
8:00 AM–5:00 PM
Pre-Admission Workshop Continued ..........................................................................Evergreen Room
8:00 AM–5:00 PM
Pre-Conference Training: ............................................................................................................. Orca 1
Clinical Challenges in Opioid Prescribing: Balancing Safety and Efficacy
Sponsored by Substance Abuse and Mental Health Services Administration (SAMSHA)
John A. Hooper, MD, FAAP, FACP, FASAM
Vice Chair for Education and Residency Program Director
Internal Medicine, St. Joseph Mercy Hospital
Clinical Associate Professor
Internal Medicine, Pediatrics, & Psychiatry and Behavioral Neuroscience
Wayne State University School of Medicine
Ypsilanti, MI
Ted Parran, MD, FACP
Isabel and Carter Wayne Professor and Chair in Medical Education
CWRU School of Medicine
Cleveland, OH
8:00 AM–5:00 P.M.
Data Into Action/Grant Writing Training (Day Two) ...........................................................Chinook 2
8:00 AM–5:00 PM
8:00 AM–5:00 PM
Native American Public Health Into Medicine Course .............................................................. Orca 2
(By invitation Only)
Teshia G. Arambula Solomon, Ph.D.
Native American Research and Training Center
Tucson, AZ
Association of State and Territorial Health Officials .......................................................... Birch Room
5:00 PM–6:00 PM
Student/Physician Mixer ........................................................................................................Oasis Pool
10
Thursday, July 30, 2015:
5:50 AM
Board buses for Women’s Retreat at Camano Island
6:00 AM
Bus Leaves for Women’s Retreat (Off Site)
6:30 AM–10:30 AM
Women's Retreat Facilitator: Janice Nachie
8:00 AM–5:00 PM
Conference Registration .................................................................................................................Foyer
8:00 AM–11:30 AM
Exhibitor and Poster set-up .......................................................................................................... Orca 3
8:00 AM–10:00 AM
Men’s Retreat ...........................................................................................................................Chinook 2
10:30 AM–11:00 AM
Travel back to hotel (Women’s Retreat)
11:30 AM–1:00 PM
NIDDK Session (NIDDK students only) .....................................................................Alder Boardroom
11:30 AM–1:00 PM
Opening Luncheon ....................................................................................................................... Orca 2
Opening Remarks:
Andrew Haputa, MD, AAIP President
Luncheon Speaker:
We Are Healers: Developing an Online Digital Mentorship Program to Increase
Numbers of Native American Health Professionals
Erik Brodt, MD, Director
Native American Center for Health Professions
University of Wisconsin School of Medicine and Public Health
Madison, WI
1:00 PM
Opening Ceremony ....................................................................................................................... Orca 1
Moderator: Andrew Haputa, MD, AAIP President
Color Guard: Intertribal Warriors Society Color Guard
Opening Blessing: Charlie Soup
Flag Song: Al Santos
Charlie Soap
1:30 PM–2:00 PM
Keynote presentation
Charlie Soap
Director/Producer
2:00 PM–3:30 PM
Cherokee Word for Water Video
3:30 PM–3:45 PM
BREAK (visit Exhibits).................................................................................................................. Orca 3
3:45 PM – 4:45 PM
Concurrent Sessions
Project ECHO (Extension for Community.................................................................................... Orca 1
Health Outcomes)
Amy Armistad, MA
Program Specialist, Project ECHO
University of New Mexico Health Science Center
Albuquerque, NM
Tracy Tessmann Jungiwrth, MA
Program Manager, New Mexico AIDS Education & Training Center
University of New Mexico
Albuquerque, NM
Chronic Pain Management Using Indigenous and ................................................................Chinook 2
Complementary Medicine: Evidence-Based Pearls for Clinicians
Theresa Maresca, MD
Clinical Associate Professor, Department of Family Medicine
University of Washington School of Medicine
Seattle, WA
11
Improving Colorectal Cancer Screening: Why It’s ................................................................Chinook 3
Important and How To Do It
Durado D. Brooks, MD, MPH
American Cancer Society
Director, Cancer Control Interventions
Atlanta, GA
5:00 PM–6:00 PM
AAIP Business Meeting .........................................................................................................Chinook 1
(Members only)
ANAMS Business Meeting ......................................................................................................Chinook 2
6:30 PM–8:30 PM
Presidential Reception .................................................................................................................. Orca 2
Entertainment: Star Nayea
Silent Auction
Physician of the Year Award
John T. Wolf Scholarship Award
Awards – Community Partners
In Memoriam
8:30 PM–10:00 PM
Physician/Resident/Medical Student Only Mixer ................................................................Draft Patio
Friday July 31, 2015:
6:00 AM–7:30 AM
Fun Run/Walk Sponsored by Seattle Children’s Hospital
7:30 AM–8:15 AM
Fun Run/Walk Breakfast .............................................................................................................. Orca 2
(For participants only)
7:00 AM–8:00 AM
Continental Breakfast for non runners ........................................................................................ Orca 2
8:00 AM–8:15 AM
Opening Blessing .......................................................................................................................... Orca 1
Announcements
Moderator: Andrew Haputa, MD, AAIP President
Leo Morales, MD, PhD
Chief Diversity Officer
Center for Health Equity, Diversity and Inclusion
Seattle, WA
Dr. Paul G. Ramsey,
CEO of UW Medicine
Executive Vice President for Medical Affairs
Dean of the University of Washington School of Medicine
Seattle, WA
8:15 AM–9:15 AM
Indian Health Service Update
Susan Karol, MD
Chief Medical Officer, Indian Health Service
Rockville, MD
9:15 AM–10:15 AM
Detecting and Modifying the Preventable Risk of Coronary Heart Disease:
Evaluating Challenging Patients
Douglas S. Harrington, MD
Clinical Professor
Keck School of Medicine, University of Southern California (USC)
Irvine, CA
10:15 AM–10:45 AM
BREAK (view Posters/visit Exhibits) ........................................................................................... Orca 3
12
10:45 AM-11:45 AM Concurrent Sessions
Collaborating to Improve Gestational Diabetes ...................................................................Chinook 1
Care for American Indian/Alaska Native Women
Adeline Meimer Yerkes, BSN, MPH, RN
Women’s Health Consultant, National Association of Chronic Disease Directors
and Owner of AMY Consultant LLC
Edmond, OK
Tammie Cannady, MHA
Director of Preventative Health
Program Manager Diabetes Wellness Center
Talihina, OK
Yikanee Sampson, BSN, RN, CDE
Diabetes Educator
Utah Navajo Health System Diabetes Program
Montezuma Creek, UT
Tara Stiller, BS, MPH
Program Associate
Alaska Native Tribal Health Consortium
Division of Community Health Services
Anchorage, AK
Electronic Cigarettes Among American Indian Youth ..........................................................Chinook 2
Dorothy Rhoades, MD, MPH
Clinical Associate Professor, Director American Indian Cancer Research Initiatives,
Oklahoma City, OK
Genetic Epidemiology of Pre-Eclampsia and Asthma ..........................................................Chinook 3
in American Indian Communities
Lyle G. Best, MD
Principal Investigator, Genetics and Pre-eclampsia Study
Eagle Butte, SD
11:45 AM–1:00 PM
Luncheon – ................................................................................................................................... Orca 2
Sponsored by the American Psychiatric Association
Towards An Understanding of Historical Trauma and Its Impact on
Native Children: Broadening the Base of Treatment
Speaker: Dale Walker, MD
Emeritus Professor, Oregon Health and Science University
Director, One Sky Center
Portland, OR
1:00 PM–2:00 PM
HPV Vaccination: Overview, Environmental Scan of Barriers
and Facilitators in Texas, and Review of HPV related to
the American Indian/Alaska Native Population
Lois Ramondetta, MD
Professor, Gynecologic Oncology
The University of Texas
MD Anderson Cancer Center
Amanda Bruegl, MD
Gynecologic Oncology
13
2:00 PM–3:00 PM
Spirit of Eagles Cancer Prevention Initiatives
Judith Kaur, MD
Professor of Oncology
Mayo Clinic
Rochester, MN
3:00 PM–3:30 PM
BREAK (Poster/Visit exhibits) ..................................................................................................... Orca 3
3:30 PM–4:30 PM
Concurrent Sessions:
Lessons Learned in Building Healthy Active .........................................................................Chinook 1
Native Communities
Noelle Kleszynski, MPH
Consultant
Oklahoma City, OK
Michelle Dennison, MS, RD/LS, BC-ADM, CDE
Health Promotion Disease Prevention Director
Oklahoma City Indian Clinic
Oklahoma City, OK
Alicia Miller
Project Manager- Strategic Communications Manager
Absentee Shawnee Tribal Health System
Shawnee, Oklahoma
Karena Thundercloud
Health and Wellness Coordinator
Ho-Chunk Nation
Black River Falls, WI
Vanessa Cuevas, MSW
Sacramento Native American Health Center
Director Wellness Programming
Sacramento, CA
Jiles Pourier, Native Village of Igiugig
Igiugig, AK
Improving the Health of American Indian and .....................................................................Chinook 2
Alaska Native Populations through Federal Employees
Health Benefits Program Enrollment
Christine S. Hunter, MD
Chief Medical Officer
United States Office of Personnel Management
Washington, DC
Tips and Tricks for Writing an NIH Grant Proposal: ..........................................................Chinook 3
What are NIH reviewers really looking for in a grant application?
Kathy Etz, Ph.D.
Senior Advisor for Tribal Affairs to the Principal Deputy Director, NIH
Bethesda, MD
Shobha Srinivasan, Ph.D.,
Health Disparities Research Coordinator
Office of the Director, NIH
Bethesda, MD
Sheila A. Caldwell, Ph.D.
Program Director NIH
Bethesda, MD
14
3:30 PM–4:30 PM
Suturing Workshop ................................................................................................................Chinook 4
(medical students and health care providers only)
Bjjibaa Garrison, MD
Jack Fralinger, MD
4:45 PM–5:30 PM
AAIP Business Meeting ..........................................................................................................Chinook 1
6:00 PM–8:30 PM
MD Anderson Family Cultural Night In Support of HPV Prevention –
Hibulb Cultural Center & National History Preserve
Entertainment: Randall Kimball- Singer/Songwriter
5:30 PM–6:00 PM
Board Bus – Travel to Terry Maresca’s Home.................................................................. Meet in Lobby
6:00 PM
Bus Leaves
8:00 PM–10:30 PM
AAIP Initiation & Sweat Ceremony (Off Site)
Saturday, August 1, 2015:
7:00 AM–8:00 AM
Continental Breakfast ................................................................................................................... Orca 2
8:00 AM–8:15 AM
Announcements
8:15 AM–9:15 AM
Perspectives On Time With the Indian Health Service
Yvette Roubideaux, MD, MPH
Former Director of the Indian Health Service
9:15 AM–10:15 AM
Exploring New Opportunities for Recruitment and Engagement of
American Indians and Alaska Natives in the Health Professions
Nicole Stern, MD, FACP, Moderator
Samsum Clinic
Santa Barbara, CA
Beatrice Gandara, DDS
Director of the Office of Educational Partnerships and Diversity
University of Washington School of Dentistry
Seattle, WA
Felecita Abeyta-Hendrix, MSW
Interim Director SMDEP
Seattle, WA
Bridgette Hudson, MPA
Communications and Alumni Relations Specialist
Summer Medical & Dental Education Program (SMDEP)
Association of American Medical Colleges
Washington, DC
10:15 AM–10:45 AM
Break (Poster Judging/Exhibits) ................................................................................................... Orca 3
10:45 AM-11:45 AM Concurrent Sessions
Promoting Indigenous Knowledge and Inspiring .................................................................Chinook 1
Indigenous Health Scholarship and Leadership
Tucson, AZ
Self Care for Health Professionals From an ...........................................................................Chinook 2
Indigenous Perspective
Janice Nachie
Elder, Gila River Indian Community
Sacaton, AZ
15
The Importance of the Tribal Institutional Review ...............................................................Chinook 3
Board and the Collection of Substance Abuse Data in Chickasaw Nation
Michael Peercy, MPH
Epidemiologist
Chickasaw Nation Department of Health
Ada, OK
Miranda Willis
Strategic Prevention Tribal Data Analyst
Ada, OK
12:00 PM–1:30 PM
Lunch on Your Own ...................................................................................................................... Orca 2
12:00 PM–1:30 PM
Physician/Student Networking Lunch ......................................................................................... Orca 2
(Physicians/Students only – Pediatric Lunch)
Finding the Science Through the Weeds
Speaker: Shaquita Bell, MD
Clinical Assistant Professor
Seattle, WA
1:00 PM–3:00 PM
ANAMS Talking Circle ...........................................................................................................Chinook 4
1:30 PM–2:30 PM
Integrated Care with Indigenous Populations ............................................................................. Orca 1
Melissa Lewis, PhD, LMFT
Assistant Professor
Dept of Biobehavioral Health & Population Sciences
University of Minnesota Medical School - Duluth
Fellow, Research for Indigenous Community Health (RICH) Center
Duluth, MN
2:30 PM–2:45 PM
Exhibit/Poster take-down and Break ........................................................................................... Orca 3
2:45 PM- 3:45 PM
Is Restructuring Loan Forgiveness Programs the ..................................................................Chinook 1
Answer to Physician Shortages in Underserved Areas?
Implications for the Indian Health Service
Andrea N. Garcia, MD, MS
General and Preventive Medicine Resident
Los Angeles, CA
NB3F Native Strong: Healthy Kids, Healthy .........................................................................Chinook 2
Futures – Addressing Childhood Obesity in Indian Country
Dakotah M. Jim, M.S.
Research Program Officer
Santa Ana Pueblo, NM
Diagnosing and Treating Tourette Syndrome ........................................................................Chinook 3
Cathy Budman, MD
Professor Psychiatry, Hofstra University School of Medicine –
North Shore Long Island Jewish Health System
Hempstead, NY
4:00 PM- 5:00 PM
Assessment of Body Mass Index, Sugar Sweetened ...............................................................Chinook 1
Beverage Intake, and Time Spent in Physical Activity
of American Indian Children in Oklahoma
Oklahoma City, OK
16
Community Level Substance Abuse Prevention in ................................................................Chinook 2
Indian Country: Using the Strategic Prevention
Framework in a Tribal Community
Christie Byers,
Strategic Prevention Tribal Liaison
Chickasaw Nation Research and Population Health Department
Tishomingo, OK
J. Caleb Shahbandah, MPH
Strategic Prevention Health Educator
Chickasaw Nation
Purcell, OK
5:00 PM–6:00 PM
Empowering Women to Improve Care for .............................................................................Chinook 3
Native Women Equal Start Community Coalition
Leah Tanner
Health Equity Liaison
Seattle Children’s Hospital
Seattle, WA
AAIP Business Meeting ..........................................................................................................Chinook 1
6:00 PM
Gourd Dance (Open to the public) .....................................................................................Orca 1, 2, & 3
7:00 PM
Grand Entry (Open to the public)
8:00 PM–11:00 PM
Contest Powwow (Open to the public)
Sunday, August 2, 2015:
7:00 AM–8:00 AM
Continental Breakfast ................................................................................................................... Orca 2
7:55 AM-8:00 AM
Announcements
8:00 AM–9:00 AM
Health Disparities in Systemic Lupus Erythematosus
Elizabeth Ferucci, MD, FACP, MPH
Rheumatologist, Alaska Native Tribal Health Consortium
Anchorage, AK
9:00 AM–10:00 AM
When Lightning Strikes and RPMS Works: Responding to Forest Fire Smoke
Eva Marie Smith, MD
Medical Director, K’ima:w Medical Center
Hoopa, CA
10:00 AM–10:15 AM
Break ............................................................................................................................................. Orca 2
10:15 AM–11:15 PM
Hearing the Heart of Your Story, A Path to Healing Burnout
Linda Covert, RN, CCM
Care Coordinator
Seattle, WA
11:15 AM–12:15 PM
Closing Luncheon ........................................................................................................................ Orca 2
12:15 PM–12:30 PM
Closing Remarks and Ceremony .................................................................................................. Orca 2
Andrew Haputa, MD, AAIP President
Retire Colors
12:30 PM–1:30 PM
AAIP Executive Board Meeting .................................................................................Alder Boardroom
(Board Members Only)
Travel Home Safely
17
FACULTY
BIOGRAPHIES
18
Faculty Biographies
Amy Armistad, MA
Program Specialist
Project ECHO
Amy Armistad, an enrolled member of the Fort Peck Sioux Tribe, has dedicated the last 10 years of her career to improving public
health in rural and marginalized communities both globally and domestically. In her current position as Program Specialist with
Project ECHO, she supports the CDC Good Health and Wellness in Indian Country, a program to improve health status in 11 Indian
Health Service (IHS) areas by addressing chronic disease and increasing physical activity and access to healthier food. She also
coordinates the IHS TeleECHO HCV Clinic that increases access for rural communities to high quality specialty care.
Charlie Soap
Producer/Director
Cherokee Word for Water
Charlie Soap, Producer/Director, was Wilma Mankiller’s husband and community development partner for more than thirty years,
and a leader in the Bell Waterline Project that inspired the film. Charlie is a full-blood bilingual Cherokee, has a Bachelor’s Degree
in Education from Northeastern State University. He served in the United States Navy from l965-l969, and received an honorable
discharge. Mr. Soap has dedicated virtually his entire career working to strengthen the many Cherokee communities. Since early
2002, Charlie has worked with the construction of 8 community buildings and numerous other critical self-help initiatives. Due to
his accomplishments and innovative approaches to community development in rural communities, Mr. Soap has received numerous
awards, including the Common Cause Public Service Achievement Award, and two National Certificates of Merit from the Department
of Housing and Development. Mr. Soap has lectured on community development at Cornell University, Arizona State University
Law School, the University of Maryland, Tufts University, Indiana State University, Mayo Clinic, and numerous other places. Mr.
Soap also worked with business, education and political leaders to establish the Boys and Girls Club of Tahlequah and served as its
founding Director. Under Mr. Soap’s leadership, the Club operated a comprehensive summer enrichment program and working with
Tahlequah Public Schools developed the first after-school programs in the school system. The collaboration between the Boys and
Girls Club and the Tahlequah Public Schools has served as a national model. Mr. Soap served as Director of the Cherokee Nation
Community Development Department and 7 years as the Oklahoma Area Director of the Christian Children’s Fund. He is also a
skilled photographer who is working on a book of photographs of indigenous people in the South American Amazon.
Lyle Best, MD
Principal Investigator
Genetics and Pre-Eclampsia Study
Lyle Best’s IHS career included 16 years as clinical director and 4 years as the Maternal Child Health Consultant. He has conducted
genetic research in the American Indian communities of the northern plains, on a part-time basis from 1990 and since 2000 as
Principal Investigator in the Strong Heart Study, Dakota Center. He initiated the Genetics and Pre-Eclampsia Study at Turtle
Mountain Community College in 20014 and supervises a case/control study of asthma in the Cheyenne River Sioux community. He
has been first author on 12 publications involving genetic epidemiology and coauthor on an additional 97 papers.
Tracy Tessman Jungiwrth, MA
Program Manager
New Mexico AIDS Education & Training Center
As the program manager for the New Mexico AIDS Education and Training Center I have been coordinating and providing
continuing medical education for providers for 9 years and working with the Native community and Indian Health Service (IHS) for
the last 4 of those. My graduate work focused on applied medical anthropology and I have been working in the field of HIV my entire
career. I also provide cultural competency training for medical students and providers. I have managed a weekly HIV teleECHO
clinic to train providers for 4 ½ years and an IHS monthly HIV teleECHO clinic for 2.
19
Erik Brodt, MD
Assistant Professor
UW-SMPH
Director
UW-NACHP
Erik Brodt grew up near Chippewa Falls, WI and spent summers in the rural areas near Bemidji, MN. Dr. Brodt earned his MD
from the University of Minnesota School of Medicine and completed residency in Family Medicine at the Seattle Indian Health
Board – Swedish Cherry Hill Family Medicine Residency in Seattle, WA. He is a Clinical Assistant Professor in the Department of
Family Medicine at the University of Wisconsin Madison practicing hospital medicine and the Director of the UW-Madison Native
American Center for Health Professions. Erik works to improve Native American health outcomes and Native American health
professions programming in Wisconsin and the Great Lakes region.
Director
Cancer Control Interventions
Dr. Brooks has worked in the American Cancer Society’s Cancer Control Department since 2000, creating and implementing
strategies to improve the prevention and early detection of prostate and colorectal cancers. He leads or participates in a number of
ACS disparities reduction efforts. He is widely published and a highly sought-after speaker on these and related topics. Dr. Brooks
completed his internal medicine residency and chief residency at Wright State’s Affiliated Hospitals in Dayton, OH and holds a
Master’s Degree in Public Health from the Harvard School of Public Health. Prior to joining the ACS, Dr. Brooks was a primary care
clinician in FQHCs and safety net institutions.
Michelle Dennison, MS, RD/LD, BC-ADM, CDE
Michelle Dennison graduated with her Bachelor’s Degree in Dietetics from Oklahoma State University in 1996 and with her Master’s
in Nutrition Management from the University of Central Oklahoma in 2001. In her professional career over the last decade, Ms
Dennison, a member of the KAW Nation and descendant of the Osage Nation, has had the pleasure of working with both American
Indian and university organizations. Ms Dennison has done this in the clinical setting as a diabetes clinician and in the community
setting as an educator. In pursuit of her PhD, she was able to perform an assessment of obesogenic behaviors in the American
Indian child that helped the partnering tribes to provide a more targeted education intervention as they relate to the causes and
consequences of obesity. Ms Dennison was awarded the Young Dietitian of the Year by the Oklahoma Dietetic/American Dietetic
Association in 2002, Humanitarian Award by the Kickapoo Tribe of Oklahoma in 2004, and the Service Award from the Indian
Health Service in 2005.
Kathy Etz, PhD
Senior Advisor
Tribal Affairs to the Principal Deputy Director
National Institutes of Health
Kathy Etz, PhD is a Senior Advisor for Tribal Affairs to the Deputy Director of the National Institutes of Health and is also a Health
Science Administrator in the Epidemiology Research Branch and Chair of the American Indian and Alaska Native Coordinating
Committee at the National Institute on Drug Abuse. In her role at the NIH she is standing up the inaugural Tribal Consultation
Advisory Committee. At NIDA, her program area includes studies of population and clinical epidemiology in adolescents and
early adults; psychological, familial and environmental risk and protective factors and processes and how these interact in the
development of drug abuse; and the sequencing and temporal potency of risk factors that affect the development of substance abuse.
Dr. Etz’s academic background includes a BA in Psychology from Kenyon College and a MS and PhD in Human Development from
the University of North Carolina, Greensboro. Prior to joining NIDA, she completed a postdoctoral fellowship at the Prevention
Research Center, University of Kentucky. Dr. Etz has served on the Board of Directors for the Society for Prevention Research as
well as the SPR Training Committee.
20
Shobha Srinivasan, PhD
Office of the Director
Division of Cancer Control and Population Sciences
National Cancer Institute
Shobha Srinivasan, PhD, is currently the NCI Project Director for the National Institutes of Health Centers for Population Health
and Health Disparities and coordinating trans-NIH activities to promote intervention programs in Native American and other
underserved communities and subpopulations. Previously she has taught and conducted research at various universities and also
has worked as a research director in a community-based health advocacy organization. Her research focuses for the most part on
social determinants of health, place and inequities, including challenges in the utilization and access to health services. In all these
projects the goal is largely to inform health policy at the local, state and national levels regarding care for the underserved and
underrepresented populations.
Sheila A. Caldwell, PhD
Program Director
Division of Training, Workforce Development and Diversity
NIGMS
Sheila Caldwell, is a Program Director for the Division of Training, Workforce Development and Diversity, NIGMS, where she
manages IDeA Networks of Biomedical Research (INBRE) and Centers of Biomedical Research Excellence (COBRE) grants. IN
addition, she directs the Native American Research Centers for Health (NARCH) program. Dr. Caldwell was previously a Program
Officer in the Division of Research Infrastructure at the former National Center for Research Resources. Dr. Caldwell earned a PhD
in Molecular and Cellular Oncology from George Washington University. Dr. Caldwell conducted postdoctoral research at the
National Cancer Institute.
Elizabeth D. Ferucci, MD, MPH
Rheumatologist
Elizabeth Ferucci is a rheumatologist at the Alaska Native Tribal Health Consortium in Anchorage, AK. Dr. Ferucci is a clinician
and researcher. Her primary research interest is the epidemiology of autoimmune diseases in Alaska Native and American Indian
people, especially rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), which are present at high rates in AI/AN
people. She has published a review article on the high prevalence of RA in AI/AN populations and recently published original data
on the high prevalence and incidence of SLE in the AI/AN population from the Indian Health Service lupus registry.
Dr. Garcia’s research in health disparities began prior to medical school through her participation with the National Institutes of
Health Academy program. Through this 2 year experience she was able to author her first publication on American Indians and
Alaska Native (AIAN) seatbelt use and the unique intersection with law. Her unique medical school experience through the UC
Berkeley-UCSF Joint Medical Program allowed her to further explore AI/AN health disparities through her thesis, while in her spare
time she was also able to coauthor a statewide report on AI/AN elder health in California. Most recently, during her residency, she
has been participating in a physician workforce diversity initiative.
21
Clinical Professor
Keck School of Medicine
University of Southern California
Douglas Harrington has over 25 years of experience in the research, development, commercialization and expansion of innovative
healthcare technology and services. Dr. Harrington was a member of Dr. Jack Copeland’s first heart transplant team in Arizona in
1979 and co-founded one of the first clinical molecular biology laboratories in the US with the Nebraska Lymphoma Study Group
headed by Dr. Jim Armitage. As former President and Lab Director of Nichols Institute, Dr. Harrington expanded their molecular
genetics, infectious disease, immunology, cytogenetic and anatomic pathology offerings. Dr. Harrington has developed patents for
an automated method for image analysis of residual cancer protein, a patent covering catalytic heavy metal extraction and a patent
pending on biomarker assay for diagnosis and classification of cardiac disease. He has been involved as director or founder of
multiple startup companies from devices to molecular genetics focusing on immunology, cancer and cardiology where he has taken
a number of new molecular technologies through state and federal regulatory approval. Dr. Harrington received his BA in molecular
biology and MD from the University of Colorado Boulder and is board certified in hematology, anatomic and clinical pathology.
Christine Hunter, MD
US Office of Personnel Management
Christine Hunter is the Chief Medical Officer at the US Office of Personnel Management and has over 30 years of experience in
federal health care. As a Navy Rear Admiral and Deputy Director of TRICARE Management Activity, she coordinated health care
for 9.6 million military beneficiaries. At OPM she oversees health care quality for the Federal Employees Health Benefits Program.
Dr. Hunter is a Distinguished Alumnus of Boston University where she earned both her BA and medical degree.
Dakotah M. Jim, MS
Notah Begay 3 Foundation
Dakotah Jim is a member of the Navajo Nation. She is a Research Program Officer at the NB3F Native Strong; Healthy Kids, Healthy
Futures initiative. Throughout her career, Dakota has worked as an advocate for Native American health and wellness in various
work settings from Indian Health Service, university institutions, urban/rural tribal areas and non-profit organizations. Prior
to joining NB3F, Dakotah worked for the Healthy Native Communities Partnership. Dakotah obtained her Bachelor’s degree in
Exercise Science from Northern Arizona University and obtained her Master’s degree in Health Education-Community Health from
the University of New Mexico.
Judith Salmon Kaur, MD
Mayo Clinic
Judith Salmon Kaur (Choctaw/Cherokee) is one of only two American Indian medical oncologists. She is the Director of Native
American Programs for the Mayo Clinic Comprehensive Cancer Center in Rochester, MN. Dr. Kaur is the Principal Investigator for
the Native Circle, an educational outreach program and the Spirit of Eagles Community Networks Program for Outreach, Training
and Research into Health Disparities in American Indian and Alaska Native populations. Dr. Kaur is a specialist in mentoring AI/
AN students in the health sciences. The Spirit of Eagles is a supporter of the annual AAIP conference.
22
Consultant
Noelle graduated with a B.A. degree in Psychology from the University of Colorado Boulder, where she graduated Magna Cum
Laude. She received her Masters in Public Health, specializing in health promotion, from San Diego State University. Noelle gained
experience implementing obesity prevention environment and policy changes under the RWJF funded Healthy Eating Active
Communities initiative in Chula Vista, CA, as a graduate student worker with San Diego County Health Department, and with Walk
San Diego, a built environment advocacy group. She worked as the Diabetes Coalition Coordinator for the Community Health
Improvement Partners (CHIP), a regional non-profit addressing health issues in San Diego, CA. She has worked for and with the
Association of American Indian Physicians (AAIP) for over 8 years leading and implementing various national and federal grant
projects and initiatives in American Indian and Alaska Native (AI/AN) communities. Initially she started with the association as the
Diabetes Program Director, where she implemented the CDC National Diabetes Education Program grant to reduce health disparities
associated with diabetes in AI/AN communities. She then accepted a position within the organization as the ARRA Communities
Putting Prevention to Work (CPPW) Healthy, Active Native Communities (HANC) Program Director. The main objective for this
program was to foster policy, systems, and environmental change obesity prevention strategies in AI/AN communities nationally.
Currently she is a consultant with AAIP. She has worked in many different capacities including coordinating and conducting
training and orientations, writing federal grants, preparing and delivering technical assistance webinars, writing work plans, reports,
evaluation plans and logic models, and most recently continuing the work with the HANC project including creating content for the
HANC website and providing technical assistance to Tribal Health Department partners and AAIP staff.
Karena Thundercloud
Ho-Chunk Nation
Karena Thundercloud is a graduate from the Western Wisconsin Technical College with an Associates Degree in Supervisory
Management. She has worked as the Health and Wellness Coordinator for the Ho-Chunk Nation for 11 years. Karena is the
coordinator for the Special Diabetes Program for Indians and runs various other programs for the Ho-Chunk Nation. She has
been instrumental in developing the Diabetes Basics Management classes, Weight Loss classes, Lifestyle Balance and Let’s Move
Campaign. She facilitates the Health and Wellness team and the Youth Wellness team and is a member of Healthy is a Ho-Chunk
Tradition Committee, Public Health Accreditation Committee and Ho-Chunk Housing and Community Development Agency.
Vanessa Cuevas, MSW
Director of Wellness Programming
Vanessa Cuevas is currently the Director of Wellness Programming at the Sacramento Native American Health Center, Inc. She
previously held the position of Development Director but has transitioned to oversee the new department responsible for coordinating
the health centers programs regarding health education, disease prevention, home visitation and chronic care case management.
Before coming to SNAHC, Vanessa held three student affairs roles at several private and state colleges providing services to first
generation college students, was a former staffer at the state capitol and Behavioral Health Case Manager at American Indian
Health & Family Services in Detroit, MI. Vanessa has a Master of Social Work with a concentration in Community Organization &
Community and Social Systems from the University of Michigan, Ann Arbor and a Bachelor of Arts in Social Welfare with a minor
in Ethnic Studies from UC Berkeley.
Assistant Professor
University of Minnesota Duluth
Melissa Lewis has experience working in several primary care locations as a Behavioral Health therapist within collaborative care
teams. Additionally, she has completed research evaluating the effectiveness of integrated care for indigenous populations. Currently,
as a health researcher, she investigates health disparities of indigenous communities, including the system of health care in which
they are situated. As an indigenous person, it is important to Dr. Lewis that our health care system can reflect the services and the
cultural needs of communities to reduce health disparities.
23
Isabel and Carter Wang Professor and Chair in Medical Education
Case Western Reserve University School of Medicine
Dr. Ted Parran is a 1978 graduate with honors in History from Kenyon College and a 1982 graduate from Case Western Reserve
University School of Medicine. He completed a residency in Internal Medicine at the Baltimore City Hospital of Johns Hopkins
University School of Medicine. Following his residency, Dr. Parran was selected to be the Medical Chief Resident. In 1987, he received
the Outstanding Faculty Teacher Award from the Department of Medicine. Dr. Parran pursues several areas of special interest
in medical education including doctor-patient communication, faculty development, continuing medical education and addiction
medicine. In addition, Dr. Parran is certified by the American Board of Addiction Medicine and his group practice provides medical
directorship services to several substance abuse treatment programs in northeast Ohio. He established the Addiction Fellowship
Program at CWRU School of Medicine in 1994, teaches on the Addiction Psychiatry Fellowship faculty and co-directs the current
Addiction Medicine Fellowship Program at St. Vincent Charity Hospital. Dr. Parran is the co-director of the Foundations of Clinical
Medicine Course, a course with topics which touch on the doctor patient relationship, health disparities, professionalism, cultural
competence and health policy. He is the Medical Director of the Program in Continuing Medical Education and in 2007, was named
as the Isabel and Carter Wang Professor and Chair in Medical Education, all at the CWRU School of Medicine.
John A. Hopper, MD, FAAP, FACP, FASAM
Internal Medicine
St. Joseph Mercy Hospital
Internal Medicine, Pediatrics and Psychiatry and Behavioral Neurosciences
Dr. Hopper attended Medical School at Wayne State University and trained in Combined Internal Medicine and Pediatrics at the
University of North Carolina. He joined the faculty at Wayne State in 1994 where he served as Associate Program Director for the
Med-Peds Residency and Medical Director of the Research Division on Substance Abuse. From 2005 to 2008, he was the Chief
Medical Officer at Brighton Hospital. Since 2008, Dr. Hopper has directed the Internal Medicine Residency Program at St. Joseph
Mercy Hospital in Ann Arbor. In 2013, Dr. Hopper started Michigan’s first American Board of Addiction Medicine approved
addiction fellowship.
Michael Peercy, MPH
Epidemiologist
Michael Peercy is an epidemiologist in the Chickasaw Nation Department of Research and Population Health. He has served in this
capacity for six years following his completion of an MPH from the University of Oklahoma Health Sciences Center. He is currently
a graduate student in the University of Oklahoma’s Anthropology PhD program. He has served as the administrative director of
the tribe’s Institutional Review Board for the past six years and devotes much time to reviewing protocols and communicating
with researchers. He is interested in the ethics of research with tribal populations and the implementation of community-based
participatory research practices.
Dorothy A. Rhoades, MD, MPH
Director of American Indian Cancer Research Initiatives
Dorothy Rhoades has 18 years of experience studying and reporting the epidemiology of chronic disease risk factors among American
Indians and more than 10 years experience in mentoring and teaching junior faculty embarking on research careers. She has also
served as teaching Attending Physician for medical students or house staff for Internal Medicine for more than 15 years. Dr. Rhoades
received her BA in biology from Harvard University, her MD from the University of California San Francisco School of Medicine and
her MPH from the University of Washington.
24
Leah Tanner
Leah Tanner (Nez Perce) is an Executive Committee member of the Equal Start Community Coalition and a member of the Coalition’s
CityMatCH Equity Institute Team. Leah is also a co-coordinator of the Native American Women’s Dialog on Infant Mortality
(NAWDIM) collective and the Portland Area Coordinator of the Healthy Native Babies Project. Leah has worked for nearly fifteen
years in addressing AI/AN MCH disparities.
Adeline Meismer Yerkes, BSN, MPH, RN
Women’s Health Consultant
National Association of Chronic Disease Directors
Owner
AMY Consultant, LLC
Adeline Meismer Yerkes has been with the National Association of Chronic Disease Directors as a Women’s Health Consultant
working on projects related to Maternal Child Health Program Directors and Chronic Disease Directors Collaboration and
Gestational Diabetes Quality Improvement Project since 2009. She has been a member of NACDD since 1988 and served as
Organization President from 1995-1996, Executive Committee member from 1988 – 2006, Organization Treasurer from 1988 –
1992 and then again from 1996 – 2000. She has been a member of the Women’s Health Council since 1995. She was appointed as a
Commissioner in the Oklahoma Commission on the Status of Women from 2009 – 2014 and will serve from 2014 – 2019. She served
as a Commission Chairperson from 2010 – 2013, Committee chairs in Women’s Health from 2009 – 2011 and Summits Chair in the
Wise Choices: Solutions for Obesity and Diabetes in Women in 2012. She has numerous publications in various areas of health, such
as aging and community mobilization, public health perspective of urinary incontinence and women, diabetes, GDM and type 2 in
women, mortality of chronic disease, monographs on various chronic diseases and e-briefs on Gestational Diabetes.
Program Associate
Alaska Native Tribal Health Consortium, Division of Community Health Services
Tara Stiller has been employed at the Alaska Native Tribal Health Consortium in the Department of Wellness and Prevention as a
Program Associate for 2 years working closely with Dr. Gary Ferguson, Desiree Bergeron and Margaret David in three programs:
Store Outside Your Door, We Are Getting Healthier and Digital Storytelling. Store Outside Your Door is a program that addresses
food security and its connection to chronic diseases. It helps link traditional Alaska Native foods with reinforcing the wisdom of
varied cultures and languages. She provides assistance in the coordination, administration, travel, meetings, publications, editing of
websites, grant writing, budget management, evaluation and website development. She co-authors a health promotion publication,
We Are Getting Healthier, which addresses the health disparities that most affect the Alaska Native population. As the Project
Manager of the Gestational Diabetes Collaborative for the Consortium, she authored “New Life” which is a pregnancy and early
childhood health magazine. New Life is a common health education book that has been modernized to reach the target audience of
young Alaska Native families.
Tammie Cannady, MHA
Program Manager
Diabetes Wellness Center
Tammie Cannady has served in tribal healthcare since 2001 in the capacity of Facility Director, Northern Administrator and currently
she is the Director of Preventative Health and Program Manager for the Diabetes Wellness Center. Quality health is the goal of the
center and she currently scans various initiatives to help improve the quality of care provided in the department.
25
Teshia G. Arambula Solomon, PhD
Director
Associate Professor
University of Arizona Department of Family and Community Medicine
Teshia G. Arambula Solomon is the Director of the Native American Research and Training Center and has over 17 years experience
in health-related research and training involving minority populations. She is Associate Professor in the Department of Family and
Community Medicine in the College of Medicine at the University of Arizona and a Senior Research Advisor in the Center to Reduce
Cancer Health Disparities in the Office of the Director at the National Cancer Institute. She is Principal Investigator of the Indians to
Medicine grant to recruit Native Americans into the health sciences and Principal Investigator and Director of the Student Research
Development program of the American Indian Research Centers for Health and Career Development Director of the Arizona PRIDE
Program, a Junior Faculty development program. She is also the University of Arizona Principal Investigator of the Partnership for
Native American Cancer Prevention Outreach Core with the Arizona Cancer Center. Previously she served as the Director of the
Southern Plains Inter-Tribal Epidemiology Center at the Oklahoma City Area Inter-Tribal Health Board and held positions within
the Department of Social and Behavioral Science as Assistant Professor at the University of Texas, School of Public Health and the
University of Oklahoma College of Public Health. She was a Fellow at the Northwest Portland Area Indian Health Board, NARCH,
and a National Center for Minority Health and Health Disparities Scholar. She has mentored students for over 17 years.
Janis Campbell, PhD
University of Oklahoma College of Public Health, Biostatistics and Epidemiology
Janis Campbell is an Associate Professor of Research at the University of Oklahoma, College of Public Health, Biostatistics and
Epidemiology Department for almost 8 years. Dr. Campbell previously served as Chronic Disease Surveillance Coordinator for 9
years and for 5 years as a program analyst for Maternal and Child Health Services at the Oklahoma State Department of Health.
Dr. Campbell has almost 20 years of experience working with American Indian Populations and public health. Dr. Campbell is
the Principal Investigator of the NCI-funded OU Community Networks Program. Additionally, she has published and presented
nationally and internationally on health disparities, health prevention programs and multi-level interventions. As an anthropologist
by training, her work focuses on the social and cultural aspects of health disparities, combining both qualitative and quantitative
methods. Dr. Campbell was the Principal Investigator for CDC-funded Oklahoma REACH 2010, the American Indian Centers of
Excellence in the Elimination of Disparities and the Oklahoma Central Cancer Registry.
Amanda Janitz, PhD
Graduate Research Assistant
University of Oklahoma College of Public Health, Biostatistics and Epidemiology
Amanda Janitz recently completed her PhD in Epidemiology with a focus on childhood cancers. Her dissertation focused on
the association between congenital anomalies and any childhood cancer and the association between air pollution and childhood
acute leukemia. She completed her Bachelor of Science in Nursing in 2006 and a Master of Public Health in 2009. Since 2010, she
has worked on several projects in the Department of Biostatistics and Epidemiology, primarily with the Oklahoma Public Health
Training Center. Dr. Janitz currently consults with the Association of American Indian Physicians to provide Data Into Action
training for tribes.
26
Roger Dale Walker, MD
Emeritus Professor
Director
One Sky Center
Roger Dale Walker, MD, is Emeritus Professor at the Oregon Health & Science University. He is Director of the One Sky Center,
a National Resource Center for American Indian Health, Education and Research. Dr. Walker was named 40th President of the
Association of American Indian Physicians. Dr. Walker joined AAIP in 1978 and has received their Physician of the Year Award for
outstanding service to American Indians. He is a 1972 graduate of the University of Oklahoma College of Medicine, with residency
training in psychiatry at the University of California School of Medicine in San Diego where he was Chief Resident. His career
includes over 50 funded research grants, over 100 publications and scores of presentations related to substance abuse and mental
health issues in Indian Country. His research has focused on health services, treatment effectiveness, best practices, culture’s role in
treatment and social determinants. He has held numerous national leadership roles, including Speaker of the American Psychiatric
Association’s Assembly, director and founder of the National Center of Excellence for Substance Abuse Treatment for the Seattle
Veteran’s Affairs Medical Center program at the University of Washington, Founding President of the First Nations Behavioral
Health Association, Director of the One Sky Center and Director of a National Institute of Drug Abuse and National Institute of
Alcohol and Alcohol Abuse funded National Mentorship program for American Indian students interested in addiction research.
Theresa M. Maresca, MD
Faculty
Seattle Indian Health Board
Puyallup Tribal Health Authority
Dr. Maresca has been an associate professor at the University of Washington in the Department of Family Medicine since 1997. She
is trained in indigenous plant medicine and is recognized as a resource nationally in this subject area, including numerous Indian
Health Service and AAIP national conferences, as well as regional tribal gatherings and 2 book chapters on traditional medicine
general concepts. She has 31 years of clinical experience in American Indian primary care settings, and has done quality assurance
projects for small tribes on improving chronic pain management and previous talks on this subject. Her workshop feedback has
historically been highly rated by various audiences, including AAIP, for its practicality to clinicians.
Alicia Miller, MSM, MBA
Project Manager
Strategic Communications Coordinator
Alicia Miller is a Project Manager-Strategic Communications Coordinator for the Absentee Shawnee Tribal health System in Norman
and Shawnee, Oklahoma. She is an enrolled tribal member of the Absentee Shawnee Tribe of Indians of Oklahoma, as well as being
one-half Cherokee. Mrs. Miller has 15 years of administrative experience in tribal health and gaming. She holds a certificate of
grants management and has previously facilitated a tribal teen pregnancy prevention grant program. Alicia holds an undergraduate
degree from the University of Oklahoma, Master’s degree in Management and a second Master’s degree in Business Administration,
both from Saint Gregory’s University.
Diabetes Educator
Montezuma Creek, UT
Yikanee has been with Utah Navajo Health System’s (UHNHS) Diabetes Program for three years. During her tenure with UNHS, she
has earned her CDE and is a certified instructor of Living Well with Chronic Disease and Living Well with Diabetes as authorized
by Stanford University. Yikanee has been instrumental in implementing and improving the data tracking and reporting processes of
the UNHJS GDM program and has become an incredible asset the Utah Navajo Health System.
27
Susan Karol, MD
Indian Health Service
Susan V. Karol, MD, was selected in September 2008 as the Chief Medical Officer of the Indian Health Service. Dr. Karol is a
member of the Tuscarora Indian Nation. Dr. Karol previously served in the IHS from 1988 to 1990 as a Lieutenant Commander
in the US Public Health Service while holding the position of Chief of Surgery and Anesthesia at the Shiprock Indian Hospital in
New Mexico. AS the CMO, Dr. Karol provides medical advice and guidance to the Office of the Director and staff on American
Indian and Alaska Native health care policies and issues. Dr. Karol graduated from Dartmouth College with an AB in biology
and received her MD from the Medical College of Wisconsin. Her post-doctoral training included work as a Clinical Fellow in
Surgery at the Massachusetts General Hospital; Chief Resident and General Surgery Residency, University of Massachusetts Medical
Center Coordinated Surgical Program; General Surgery Resident, St. Mary’s Hospital and Medical Center; and Categorical Surgical
Resident, University of Massachusetts Medical Center Coordinated Surgical Program.
Lois Ramondetta, MD
Professor
Department of Gynecologic Oncology and Reproductive Medicine
University of Texas MD Anderson Cancer Center
Chief
Division of Gynecologic Oncology
Lyndon B. Johnson General Hospital
Dr. Lois M. Ramondetta joined the M.D. Anderson Gynecologic Oncology Department after completing her fellowship in 2000. She
holds a full time Professor faculty position at M.D. Anderson Cancer Center and she is currently the Chief of Gynecologic Oncology
at Lyndon Baines Johnson General Hospital, Harris County Hospital District. She is a key member of the M.D. Anderson Outreach
Program, which provides quality cancer care at regional medical centers, and trains fellows, residents, and medical students in the
field of gynecologic oncology. Aside from direct patient care and resident training, she has chaired or co-chaired the HCHD Cancer
Committee since 2004 which is responsible for all cancer related activities in the District and assuring accreditation of-the district
by the American College of Surgeons. She has served on the Memorial Hermann and University of Texas M.D. Anderson Clinical
Bioethics Committee. She has completed three-year terms on the American College of Obstetrician and Gynecologist’s (ACOG)
Ethics Committee and the American Society of Clinical Oncologist’s (ASCO) Ethics Committee. In 2010, she became Board Certified
in Palliative Care. She has a BA in Religion and a BS in Biology from Emory University, has completed a Lay Chaplaincy program,
and has a strong interest in improving physician-patient communication. In 2008, she co-wrote a book with a patient and friend
entitled, "The Light Within" published by William Morrow a division of HarperCollins that further explores the sanctity of the doctor
patient relationship.
Felicita Abeyta-Hendrix, MSW
“The end of all knowledge should surely be service to others”. Cesar Chavez wrote this quote and it reminds me daily the importance
working with community. Every day you need to live passionately loving yourself, family, community and your education. My name
is Felicita “Felicity” Abeyta-Hendrix. I grew up in the Northwest, when I go home to see family I travel to Arizona and New Mexico.
My Mexican heritage comes from San Luis Potosi, Mexico and my indigenous heritage is Maya and Aztec. I’m passionate working for
Center for Health Equity Diversity and Inclusion (CEDI). CEDI is here to increase and enhance underserved and underrepresented
minorities into Medicine. I’m charged and honored with UW School of Medicine Interim Director for the Summer Medical Education
Program. I focus on facilitating medical student organizations (e.g. Medicine Wheel Society), recruitment, admission and the retention
of underrepresented students. I am expert in the area of student skills development, mentoring, educating students in career and
leadership development. CEDI supports the Indian Health Pathway for the Medical School and other Health Professionals schools.
Felicity has a parent of a 14 year old daughter, and holds a Master’s degree in Social Work from the University of Washington.
28
Cathy Budman, MD
Professor of Psychiatry
Hofstra University School of Medicine – North Shore Long Island Jewish Health System
Director
Tourette Association Center of Excellence at North Shore – LIJHS
Director
Movement Disorders Program in Psychiatry at North Shore – LIJHS
Investigator
Feinstein Institute for Medical Research
Dr. Budman is a Professor of Psychiatry at Hofstra North Shore – LIJ School of Medicine and Director of the Movement Disorders
Program in Psychiatry and Tourette Association of America for 15 years and remains on the Medical Advisory Boards for Long
Island TAA and CHADD. She is a member of the Tourette Association’s International consortium for Genetics and Clinical Trials
Consortium. Dr. Budman has been actively involved in clinical treatment trials of investigational agents for tics in children and adults,
is an active site investigator for genetics and neuroimaging research studies and has focused her research on the phenomenology and
treatment of explosive outbursts in TS. Dr. Budman has a particular interest in public education about TS for under-represented
communities. Dr. Budman has devoted her clinical practice to the diagnosis and treatment of children, adults and families with
Tourette Syndrome and associated disorders.
Amanda S. Bruegl, MD
Gynecologic Oncologist
University of Texas MD Anderson Cancer Center
Amanda Bruegl completed her undergraduate degree in biochemistry at the University of Wisconsin-Madison and her Doctor of
Medicine at the University of Washington- Seattle. Following a residency in gynecology at UW Hospital and Clinics, Dr Bruegl
received a fellowship in gynecological oncology from MD Anderson Cancer Center at the University of Texas. She is actively involved
in the internal committees for MD Anderson including Fellowship Planning Committee, Education Committee and Admissions
Committee. She is a member of the Oneida Nation of Wisconsin and is a member of AAIP’s 2015 Annual Conference Planning
Committee and the 2015 AAIP Board of Directors.
Christie Byars,
Chickasaw Nation of Oklahoma
Christie Byars is a member of the Chickasaw Nation of Oklahoma and works as a Strategic Prevention Tribal Liaison for the tribe.
Christie has worked for the Chickasaw Nation for 17 years in numerous capacities. She began her career working with the Wellness
Department before focusing on tobacco cessation and suicide prevention for many years. Most recently, she has taken a substance
abuse prevention position within the tribe’s Research and Population Health Department working on the Strategic Prevention
Framework – Tribal Incentive Grant.
J. Caleb Shahbandeh, MPH
Chickasaw Nation of Oklahoma
J. Caleb Shahbandeh is a member of the Chickasaw Nation of Oklahoma and works as a Strategic Prevention Health Educator for
the tribe. Caleb attended the University of Oklahoma in Norman, Oklahoma where he received a BS in Chemistry/Biochemistry
and a BS in Biomedical Sciences. He recently completed a MPH degree at the University of Oklahoma Health Sciences Center in
Oklahoma City and plans to attend medical school in the near future.
29
Linda J. Covert, RN
Care Coordinator
Linda Covert has been a pediatric nurse for 46 years. In addition to many roles in the hospital and community, her interests in staff
support (especially moral distress and burnout), integrative medicine, end of life care as well as grief and loss have been part of her
practice in the many different arenas she has worked. She has recently started a Certified Integrative Nurse Coach program, which
will focus on supporting individuals and groups in health and wellness goals. Linda earned her RN at Emanuel Hospital School
of Nursing in Portland, Oregon, her certificate in Spirituality in Health and Medicine at Bastyr University and her certificate in
Pediatric End of Life Education at the American College of Nursing.
Shaquita L. Bell, MD
In addition to her role as a Clinical Assistant Professor at the University of Washington School of Medicine, Shaquita Bell also serves
as the Resident Coordinator and Foster and Kinship Care Coordinator at the Odessa Brown Children’s Clinic. Dr. Bell is also a full
time pediatrician at Odessa Brown Children’s Clinic. Dr. Bell earned her BS in Biological Sciences at Drake University and her MD
at the University of Minnesota Medical School Minneapolis, Minnesota.
Bijiibaa’ Garrison, MD
General Surgery Resident
University of Washington Medical Center
Bijiibaa’ Garrison earned her BS degree in Nutritional Sciences with a Minor in Chemistry from the University of Arizona in 20015
and then went on to earn her MD at Harvard Medical School in Boston, MA in 2012. Currently, Dr. Garrison is a General Surgery
Resident at the University of Washington Medical Center and is a member of the American College of Surgeons and the Association
of American Indian Physicians. Dr. Garrison has previously been a counselor for AAIP’s National Native American Youth Initiative
program, a Program Coordinator for the Four Directions Summer Research Program, Research Assistant in American Indian Health
Research at Harvard Medical School and a Health Technician and Research Assistant for the SEARCH for Diabetes in Youth Study
at Northern Navajo Medical Center in Shiprock, NM.
Nicole Stern, MD, FACP
Internal Medicine
Sansum Clinic
Dr. Nicole Stern, M.D. is a member of the Mescalero Apache Tribe of New Mexico. She received her B.A. from Stanford University
and her M.D. from the University of Arizona. She completed her residency in Internal Medicine at the University of Arizona College
of Medicine and her fellowship in Primary Care Sports Medicine at the University of Oklahoma Health Sciences Center in Oklahoma
City. During her fellowship she completed a research project focused on identifying the age of onset of childhood obesity in an
urban American Indian health clinic and her findings were published in the Journal of the Oklahoma State Medical Association in
2007. While living in Oklahoma City, she also co-produced a documentary film with AAIP about a young man living with AIDS.
This documentary was distributed to American Indian health clinics around the country. Currently, Dr. Stern works as an internal
medicine physician at the Sansum Clinic in Santa Barbara, CA. Dr. Stern’s research interests include disease prevention through
exercise, childhood obesity, and the prevention of other health disparities affecting American Indian communities. In the future, Dr.
Stern would like to coordinate regional and national exercise and sports programs for American Indian youth in an effort to prevent
obesity and chronic diseases such as diabetes in American Indian and Alaska Native children.
30
SMDEP Specialist for Communications and Alumni Initiatives
Diversity Policy and Programs Portfolio
Bridgette A. Hudson is the Specialist for Communications and Alumni Initiatives for the Summer Medical and Dental Education
Program at the Association of American Medical Colleges. Bridgette is responsible for the communications, social media and
alumni engagement activities of the SMDEP as well as recruitment and development of partner relationships. Mrs. Hudson holds
both a BA in Political Science and a Master’s in Public Affairs from the University of Connecticut.
Jack Fralinger, MD
General Surgery
Gallup Indian Medical Center
Dr. Fralinger is a General Surgeon at the Gallup Indian Medical Center in Gallup, NM. He received his MD at the University of
Minnesota Medical School in 1996 and served his residency in General Surgery at Swedish Medical Center and Waterbury Hospital
Health Center.
Eva Marie Smith, MD, MPH
Medical Director
K’ima:w Medical Center
Eva Marie Smith is a graduate of the Georgetown University School of Medicine in Washington, DC. She did her residency in
family practice at Brookhaven Memorial Hospital Medical Center in Patchogue, NY and her preventative medicine residency at the
University of California, Los Angeles in 1990. Dr. Smith is currently the Medical Director at K’ima:w Medical Center in Hoopa,
California, located in a remote section of Humboldt County. In October 2013, Dr. Smith received the California Medical Association’s
2013 Frederick K.M. Plessner Memorial Award during the association’s annual House of Delegates. Dr. Smith is a diplomat of the
American Board of Family Physicians.
Special Advisor on Indian Affairs
Department of Health and Human Services
Yvette Roubideaux most recently served as Senior Advisor to the Secretary for American Indians and Alaska Natives at the US
Department of Health and Human Services. She previously was confirmed by the US Senate on May 6, 2009 for a four year term to
serve as the Director of the Indian Health Service and from May 2013 to February 2015, served as the Acting IHS Director. As the IHS
Director, Dr. Roubideaux administered a $4.6 billion nationwide health care delivery system responsible for providing preventive,
curative and community health care to approximately 2.2 million American Indians and Alaska Natives in hospitals, clinics and
other settings throughout the United States. Dr. Roubideaux previously worked for the IHS as a medical officer and clinical director
in Arizona. Dr. Roubideaux also served as faculty at the University of Arizona College of Medicine and has conducted extensive
research on American Indian health issues, with a focus on diabetes in American Indians and Alaska Natives and American Indian
health policy. She is a past president of the Association of American Indian Physicians and has directed programs to recruit American
Indian and Alaska Native students into health and research professions.
Polly Olsen, BA
Director of Community Relations
Incoming Executive Director of AAIP
Olsen has over 14 years experience in academia and healthcare. She is currently the Director of Community Relations at the
University of Washington where she liaisons between tribal communities, organizations, and academic institutions. Previously,
Olsen was the Director of the Native American Center of Excellence in Seattle. She also serves as the President of the Board of
Directors for the Seattle Indian Health Board. Olsen is an enrolled member of the Yakama Tribe.
31
Janice Nachie
Central Sterilization Department Manager
Gila River Health Care – Hu Hu Kam Memorial Hospital
Janice is Pima of the Gila River Indian Community in southwest Arizona. All her life she’s lived with, nurtured and honed the
current abilities borne into her generations and that she is to use for the benefit of the people. Janice was raised by her maternal and
paternal grandparents, born in the early 1900s, who taught and conditioned her that abilities demonstrated in early life were normal
among their people, and so it was natural to accept and follow the understanding and teachings of her grandparents as they did from
those who came before. She’s had to adapt the use of the abilities to another structured, disciplined form and integrate ceremonial
life, which was authorized by a Northern Cheyenne Spiritual Elder, a friend and mentor. Janice has worked in the health care field
for approximately 45 years starting in her early teens in the community in the local Indian Health Service hospital. She currently
serves as a Sterilization Technician Manager for the Gila River Health Care system within our Native Community and who she’s had
the honor to with for the past 26 years. This understanding for the need to balance the medical disciplines of the western with the
Traditional (medicines) is strong and has become a part of her life to continue to support and learn.
Beatrice Gandara, DDS, MSD
Clinical Associate Professor, Department of Oral Medicine
University of Washington
Dr. Beatrice Gandara is the Director of the Office of Educational Partnerships and Diversity at the University of Washington School
of Dentistry. She has been active in research, teaching, patient care, and community activities at the UW since moving to Seattle
in 1982 to complete a Master’s degree and specialty program in Oral Medicine. She was also the Dental Director of the Robert
Wood Johnson Foundation-funded Summer Medical and Dental Education Program (SMDEP) at the UW from 2009 to 2014. Dr.
Gandara continues to conduct pipeline programs to educate and encourage youth from communities underrepresented in the health
professions.
David R. Wilson, PhD
Director of American Indian Affairs and Science Policy for the
Society for the Advancement of Chicanos and Native Americans in Science
David R. Wilson, PhD., Director of American Indian Affairs and Science Policy for the Society for the Advancement of Chicanos
and Native Americans in Science and Associate Professor at the Johns Hopkins Bloomberg School of Public Health. Dr. Wilson is a
member of the Navajo Nation and a former senior research scientist at the National Institutes of Health where he developed outreach
programs to bring in American Indian students to conduct cutting edge molecular research in Maryland. Dr. Wilson continues to
design and creates retention and completion programs for undergraduates, graduates and post-docs to help them attain positions
of leadership in STEM related fields..
Miranda Willis, BS
Strategic Prevention Data Analyst
Miranda Willis graduated from East Central University with a Bachelor of Science degree in Environmental Health Science in 2014.
She is currently pursuing her Masters of Public Health degree in Epidemiology at the University of Oklahoma Health Sciences
Center College of Public Health. Miranda began working for the Chickasaw Nation Department of Health in 2012 as an intern with
the Department of Research and Population Health. In January 2015, Miranda joined the Strategic Prevention Framework Tribal
Incentive Grant (SPF-TIG), which focuses on underage drinking and prescription drug abuse/misuse prevention in the Chickasaw
Nation, as a Strategic Prevention Data Analyst.
Jiles Pourier
Tribal Clerk
Igiugig Village Council
32
SPEAKER
OBJECTIVES
33
Speaker Objectives
Tuesday, July 28, 2015
Data Into Action/Grant Writing Training (Day One) (No CE credit)
Amanda Janitz, MPH, PhD
Wednesday, July 29, 2015
Pre-Conference Training
Clinical Challenges in Opioid Prescribing: Balancing Safety and Efficacy
Sponsored by Substance Abuse and Mental Health Services Administration (SAMSHA)
Cleveland, OH
Internal Medicine, Pediatrics, and Psychiatry and Behavioral Neuroscience
Ypsilanti, MI
Learning Objectives: On completing this course, participants will be able to:
1. Describe the nature of chronic pain and options for its treatment.
2. Select patients who are appropriate candidates for opioid management of chronic pain.
3. Define risk factors for potential misuse, abuse, and diversion of prescribed opioid medications.
4. Recognize the importance of consistent screening for risk prior to prescribing.
5. Outline a time-efficient method of conducting risk screening.
6. Follow an evidence-based protocol for starting patients on opioid analgesic therapy, including safely initiating and
titrating opioids.
7. Monitor patients’ response to opioids and address problems such as inadequate response to treatment.
8. Recognize problematic or aberrant drug-taking behaviors and be able to distinguish unintentional misuse, pseudoaddiction,
or chemical coping from deliberate misuse, abuse, and diversion.
9. Outline a time-efficient approach to dealing appropriately with aberrant drug-taking behaviors, including referral to
specialized addiction treatment programs when indicated.
Data Into Action/Grant Writing Training (Day Two) (No CE credit)
Amanda Janitz, MPH, PhD
Learning Objectives:
1. Utilize appropriate tools for translating meaningful Tribal public health data.
2. Conduct a Tribal Community Needs Assessment.
3. Recognize Tribal Epidemiology Centers as Public Health Authorities.
Native American Public Health Into Medicine Course (No CE credit)
Teshia G. Arambula Solomon, PhD
Tucson, AZ
34
Thursday, July 30, 2015
We Are Healers: Developing an Online Digital Mentorship Program to Increase Numbers of Native
American Health Professionals
Madison, WI
1. Explain the rationale for and early results of WAH to support growth of Native health care professionals to address
health disparities.
2. Explore the online WAH resource using multiple platforms to highlight digital role models as a recruiting tool to
increase Native health care professionals.
3. Preview the facilitator resource to guide, which will be used in tribal communities to inspire Native youth to
health care careers and increase access to the health professions pipeline.
Cherokee Word for Water Video
Charlie Soap
Tahlequah, Oklahoma
1. Illustrate community mobilization to address a tribal community problem utilizing both internal and external resources.
2. Describe how a group of people overcame differences and began a dialogue to address this public health issue.
3. Demonstrate how community mobilization can bring about sustainable change in regard to a basic problem that affects
health and hygiene.
Project ECHO (Extension for Community Health Outcomes)
Tracy Tessman Jungiwrth, MA
Program Manager
New Mexico AIDS Education & Training Center
Amy Armistad, MA
Program Specialist
1. Describe the ECHO model™ as a modality to increase access to specialty care in rural and underserved communities.
2. Recognize the importance of making hepatitis C treatment available in Native American communities.
3. Identify the process for engaging in the ECHO model as a tribal community provider and treat individuals with
hepatitis C and HIV.
Chronic Pain Management Using Indigenous and Complementary Medicine:
Evidence-Based Pearls for Clinicians
Terry Maresca, MD
Clinical Associate Professor, Department of Family Medicine
Seattle, WA
1. Discuss the advantages and side effects of 2 complementary approaches to chronic pain management.
2. Name 3 resources to assist you in developing chronic pain management plans.
3. Consider 1 change you can adopt now in your current practice setting.
35
Improving Colorectal Cancer Screening: Why It’s Important and How To Do It
Atlanta, GA
1. Describe the evidence and rationale supporting clinical recommendations for CRC screening.
2. Identify key elements of high-quality CRC screening programs and how to avoid ineffective colorectal cancer screening
practices.
3. Appropriately screen for CRC through the incorporation of evidence-based tools and interventions.
Friday July 30, 2015
Indian Health Service Update
Susan Karol, MD
Chief Medical Officer, Indian Health Service
Rockville, MD
1. Discuss IHS progress towards better heath care for American Indians and Alaska Natives.
2. Review updates regarding major IHS initiatives and outcomes.
3. Describe the health care professionals’ role and responsibility in outreach, patient education, ACA enrollment assistance,
and contracting/third party collection improvements.
Detecting and Modifying the Preventable Risk of Coronary Heart Disease: Evaluating Challenging Patients
Clinical Professor
Keck School of Medicine, University of Southern California
Irvine, CA
1. Differentiate between the strengths and limitations of lipids.
2. Describe the pathophysiology of unstable cardiac lesions.
3. Discuss the validation of a multi-protein algorithm for detection of the Vulnerable Patient.
4. Review case studies illustrating the use of the algorithm.
5. Examine the role of biomarkers in clinical care.
Collaborating to Improve Gestational Diabetes Care for American Indian/Alaska Native Women
Tammie Cannady, MHA
Women’s Health Consultant, National Association of Chronic Disease Directors and Owner of AMY Consultant LLC
Edmond, OK
1. Discuss the challenge of increasing Gestational Diabetes.
2. Articulate the lessons learned by the four tribal organizations.
3. Replicate one to two key tribal activities to be utilized in their setting.
36
Electronic Cigarettes Among American Indian Youth
Clinical Associate Professor, Director American Indian Cancer Research
Initiatives, University of Oklahoma Health Sciences Center
Oklahoma City, OK
1. Recognize the differences in first, second, and third generation of electronic cigarettes.
2. Discuss the emerging patterns of electronic cigarettes use among youth in the general U.S. population and their potential
gateway to nicotine addiction.
3. Describe the high prevalence of and factors associated with electronic cigarette use among American Indian youth.
Genetic Epidemiology of Pre-Eclampsia and Asthma in American Indian Communities
Lyle G. Best, MD
Eagle Butte, SD
1. Describe the genetic variants among American Indians that increase risk for pre-eclampsia and asthma and that have
potential preventive or therapeutic value.
2. Describe the methods and progress of engaging tribal college students in biomedical research with relevance to tribal
community needs.
3. Appreciate the impact of the NIH "data sharing" policy on the conduct of research in American Indian communities.
Luncheon Speaker - Sponsored by the American Psychiatric Association
Towards An Understanding of Historical Trauma and Its Impact on Native Children: Broadening
the Base of Treatment
R. Dale Walker, MD
Emeritus Professor and Director One Sky Center
Portland, OR
1. Recognize that historical trauma is a dynamic process that changes and evolves over time.
2. Describe the implications of historical trauma on the treatment of broad, chronic medical problems and how integration of
multiple systems throughout a community effects care.
3. Evaluate the effectiveness of a public health model for improving the health and wellness of native children.
HPV Vaccination: Overview, Environmental Scan of Barriers and Facilitators in Texas, and Review of
HPV related to the American Indian/Alaska Native Population
Lois Ramondetta, MD
Amanda Bruegl, MD
1. Analyze the current national recommendations for HPV vaccination.
2. Identify prevention strategies for increasing HPV prevention uptake.
3. Interpret the findings of the preliminary data from the environmental scan of barriers and facilitators to HPV vaccination
in Texas pediatric care settings.
4. Summarize current available data specific to HPV and the American Indian/Alaska Native population.
37
Spirit of Eagles Cancer Prevention Initiatives
Judith Kaur, MD
Mayo Clinic
Rochester, MN
1. Discuss ways in which AAIP and SoE is partnering with National Research Mentoring Network to create diversity in
biomedical research.
2. Access culturally responsive mentors for guidance on sharing evidence-based, best practices on improving the health
of AI/AN people.
3. Identify the importance of networking and mentoring on strengthening the health profession workforce.
Lessons Learned in Building Healthy Active Native Communities
Noelle Kleszynski
Michelle Dennison, Oklahoma City Indian Clinic
Aly Miller, Absentee Shawnee
Karena Thundercloud, Ho-Chunk Nation
Vanessa Cuevas, Sacramento Native American Health Center
Jiles Pouier, Native Village of Igiugig
1. Recognize the CDC Winnable Battles recommended strategies for preventing obesity.
2. List challenges, successes, and promising practices in adapting evidence-based strategies for American Indian and Alaska Native
communities.
3. Implement culturally specific, evidence-based obesity prevention strategies.
Improving the Health of American Indian and Alaska Native Populations through Federal Employees
Health Benefits Program Enrollment
Washington, DC
1. Determine how FEHB aligns with Indian Health Service priorities.
2. Identify potential areas for interagency collaboration that may improve health care services.
3. Discuss the impact of FEHB Program on improving population health.
4. Describe who is eligible to participate in FEHB and how they can maximize heath status.
Tips and Tricks for Writing an NIH Grant Proposal: What are NIH reviewers really
looking for in a grant application?
Kathy Etz, PhD
Senior Advisor for Tribal Affairs to the Principal Deputy Director, NIH
Shobha Srinivasan, PhD, Health Disparities Research Coordinator, Office of the Director
Sheila A. Caldwell, PhD, Program Director NIH
Bethesda, MD
1. Describe the expectations of Peer Review at NIH.
2. Appreciate some of the pitfalls of writing an application.
3. Apply helpful tips and strategies to avoid these common pitfalls in grant applications.
Suturing Workshop (medical students and health care providers only)
Jack Fralinger, MD
Bijiibaa’ Garrison, MD
1. Review the anatomy of the skin and the physiology of wound healing.
2. Discuss local anesthesia and techniques to minimize patient discomfort.
3. Describe the benefits of using various suture types.
4. Demonstrate a variety of suturing and knot tying techniques.
38
Saturday, August 1, 2015
Perspectives On Time With the Indian Health Service
Former Director of the Indian Health Service
1. Examine the roles and responsibilities of an executive leader within the Indian Health Service that relate to improving patient outcomes.
2. Recognize recent improvements and challenges of navigating through the Indian healthcare system.
3. Identify strategies used by senior leadership to influence healthcare policies for increased services and resources for Native communities.
Exploring New Opportunities for Recruitment and Engagement of American Indians
and Alaska Natives in the Health Professions
Nicole Stern, MD
Beatrice Gandara, DDS
Felicita Abeyta-Hendrix, MSW
Polly Olsen, BA
Bridgette Hudson, Communications Specialist, SMDEP
1. Review the health professions data about American Indians and Alaska Natives in Medicine and other health professions.
2. Share resources available to increase diversity.
3. Explore strategies that successfully increase the recruitment of American Indians and Alaska
4. Natives through relationships with community based and national organizations.
Promoting Indigenous Knowledge and Inspiring Indigenous Health Scholarship and Leadership
Tucson, AZ
1. Describe the disparities in the AIAN health and science workforce.
2. Discuss model programs aimed at recruitment and retention of AIAN into health professions and fields of study.
3. Eliminate barriers and practice facilitators to success in AIAN student training in STEM fields.
4. Discuss the need for developing Indigenous ways of knowing and practicing health and health care.
Self Care for Health Professionals from an Indigenous Perspective
Janice Nachie
Elder, Gila River Indian Community
Sacaton, AZ
1. Discuss at least 3 strategies to maintain physical, emotional or spiritual wellness.
2. Reflect on what approach might need priority attention given their current life situation.
3. Consider at least one change that could be made this summer to reduce burnout risk.
39
The Importance of the Tribal Institutional Review Board and the Collection of Substance Abuse
Data in Chickasaw Nation
Michael Peercy, MPH
Epidemiologist
Ada, OK
Miranda Willis, BS
Strategic Prevention Data Analyst
1. Describe key principles of the Strategic Prevention Framework utilized by Tribal communities in substance abuse
prevention activities.
2. Assess the role of the Chickasaw Nation IRB in protecting tribal epidemiological data.
3. Incorporate effective strategies implemented by the Chickasaw Nation that protect research participants and
sensitive substance abuse data.
Finding the Science Through the Weeds
Linda J. Covert, RN
Care Coordinator, Seattle Children’s Hospital
Seattle, WA
Shaquita Bell, MD
Clinical Assistant Professor, Department of Pediatrics
Pediatrician, Seattle Children’s Hospital
Seattle, WA
1. Describe the effects of marijuana on the developing brain.
2. Define the different types of marijuana and synthetic-THC products that are available.
3. Advocate for the safety of youth in a changing climate of marijuana access.
Integrated Care with Indigenous Populations
Assistant Professor
University of Minnesota Medical School, Duluth
Duluth, MN
1. Identify barriers to effective primary care for Indigenous populations.
2. List successful integrated care techniques and interventions with Indigenous populations.
3. Discuss the importance of collaborative, interdisciplinary training to achieve successful integrated care for
Indigenous populations.
Is Restructuring Loan Forgiveness Programs the Answer to Physician Shortages in Underserved Areas?
Implications for the Indian Health Service
Los Angeles, CA
1. Identify key factors that influence physicians’ decisions to practice in underserved areas.
2. Describe and cite key statistics about the underrepresented physician workforce (particularly American Indian
and Alaska Native [AIAN] physicians).
3. Identify general funding mechanisms within the Indian Health Service that can address physician shortages in underserved areas.
40
NB3F Native Strong: Healthy Kids, Healthy Futures – Addressing Childhood Obesity in Indian Country
Dakotah M. Jim, MS
1. Analyze NB3 Foundation’s Native Strong’s approach to improving childhood obesity in Native communities.
2. Determine the impact of NB3F activities on addressing health disparities and socioeconomic challenges tribal communities face.
3. Describe promising practices and lessons learned through collaboration with Native communities to ensure healthy futures
for native youth.
Diagnosing and Treating Tourette Syndrome
Cathy Budman, MD
Professor Psychiatry, Hofstra University School of Medicine
Hempstead, NY
1. Cite the criteria used to recognize and diagnose Tourette Syndrome.
2. Describe conditions co-occurring with TS and state theories about etiology.
3. Describe the range of treatment and management strategies available for TS
Assessment of Body Mass Index, Sugar Sweetened Beverage Intake, and Time Spent in Physical
Activity of American Indian Children in Oklahoma
Oklahoma City, OK
1. Describe the prevalence of overweight and obesity in American Indian children residing in Oklahoma.
2. Examine scientifically valid and age- appropriate tools for obesogenic behavior assessment in children.
3. Identify strategies for reducing sugar sweetened beverage consumption and increasing physical activity in
American Indian children.
Community Level Substance Abuse Prevention in Indian Country: Using the Strategic
Prevention Framework in a Tribal Community
Christie Byers, MD
Caleb Shahbandah, MPH
1. Reduce alcohol and prescription drug abuse through Tribal partnerships and capacity building strategies.
2. Apply quantitative and qualitative data to tell the story of different communities.
3. Develop an evidence base for culture as prevention.
Empowering Women to Improve Care for Native Women Equal Start Community Coalition
Leah Tanner
Seattle, WA
Abigail Echo-Hawk
1. Summarize the ways women of color can advocate for themselves in health care.
2. Outline three ways communities can support women to advocate for themselves in seeking health care.
3. Identify three actions health care providers can take that helps them serve women with cultural humility.
41
Sunday, August 2, 2015
Health Disparities in Systemic Lupus Erythematosus
Rheumatologist, Alaska Native Tribal Health Consortium
Anchorage, AK
1. Recognize the clinical features of SLE and the initial steps in diagnosis and management.
2. Describe the prevalence and incidence of SLE in AI/AN populations in the context of other North American populations
and other autoimmune diseases.
3. Describe the disease burden of SLE in minority populations and the ongoing and potential strategies to reduce health disparities.
When Lightening Strikes and RPMS Works: Responding to Forest Fire Smoke
Eva Marie Smith, MD
Medical Director, K’ima:w Medical Center
Hoopa, CA
1. Recognize the impact of emergencies and disasters on tribal communities and its health facilities.
2. Prepare health care employees for their roles and responsibilities during a disaster.
3. Discuss steps for personal and family preparedness.
Hearing the Heart of Your Story, A Path to Healing Burnout
Care Coordinator
Seattle, WA
1. Define burnout and its relationship to health care job stress and dissatisfaction.
2. Identify work environment and risk factors associated with burn out and stress for health care professionals and students.
3. Describe tools and methods to build resiliency and manage work stress and dissatisfaction.
42
Faculty List
Felecita Abeyta-Hendrix, MSW
Vanessa Cuevas, MSW
Amy Armistad, MA
Shaquita Bell, MD
Abigail Echo-Hawk
Seattle, WA
Program Specialist, Project ECHO
University of New Mexico Health Sciences Center
Albuquerque, NM
Department of Pediatrics
Seattle, WA
Lyle G. Best, MD
Director of Wellness Programming
Sacramento, CA
Oklahoma City, OK
Tribal Liaison, University of Washington Partnerships for Health
Member, Seattle Women’s Commission
Seattle, WA
Kathy Etz, PhD
Eagle Butte, SD
Senior Advisor for Tribal Affairs to the Principal Deputy Director
National Institutes of Health
Bethesda, MD
Jack Fralinger, MD
Amanda Bruegl, MD
Beatrice Gadara, DDS
Madison, WI
Atlanta, GA
Houston, TX
Cathy Budman, MD
Professor Psychiatry
Hofstra University School of Medicine –
Hempstead, NY
Christie Byers, MD
Chickasaw Nation Research and Population Health Department
Tishomingo, OK
Sheila A. Caldwell, PhD
Program Director NIH
Bethesda, MD
Biostatics and Epidemiology
College of Public Health
Oklahoma City, OK
Tammie Cannady, MHA
Program Manager Diabetes Wellness Center
Talihina, OK
Care Coordinator
Seattle, WA
Rheumatologist
Anchorage, AK
Surgery
Gallup Indian Medical Center
Gallup, NM
Director of the Office of Educational Partnerships and Diversity
Seattle, WA
Los Angeles, CA
Bijiibaa Garrison, MD
General Surgery
University of Washington, Department of Surgery
Seattle, WA
Clinical Professor
Keck School of Medicine
University of Southern California
Irvine, CA
Internal Medicine, Pediatrics, and Psychiatry and Behavioral Neuroscience
Ypsilanti, MI
Communications and Alumni Relations Specialist
Summer Medical & Dental Education Program
Washington, DC
Washington, DC
43
Amanda Janitz, BSN, MPH, PhD
Lois Ramondetta, MD
Department of Biostatistics and Epidemiology
Oklahoma Public Health Training Center
Oklahoma City, OK
Houston, TX
Dakotah M. Jim, MS
NB3F Initiative
Tisheena Redhouse, LPN
Tracy Tessmann Jungiwrth, MA
Associate Clinical Nursing Director
Montezuma Creek, UT
Program Manager, New Mexico AIDS Education & Training Center
Director American Indian Cancer Research Initiatives
Oklahoma City, OK
Susan Karol, MD
Rockville, MD
Yvette, Roubideaux, MD, MPH
Former Director, Indian Health Service and
Senior Advisor to Secretary of HHS Burwell
Rockville, MD
Judith Kaur, MD
Mayo Clinic
Rochester, MN
J. Caleb Shahbandeh, MPH
Chickasaw Nation
Purcell, OK
Consultant
Oklahoma City, OK
Yikanee Sampson, RN
Diabetes Educator
Utah Navajo Health System Diabetes Program
Montezuma Creek, UT
Assistant Professor
Dept of Biobehavioral Health & Population Sciences
University of Minnesota Medical School - Duluth
Fellow, Research for Indigenous Community Health (RICH) Center
Duluth, MN
Medical Director
Kimaw Medical Center
Hoopa, CA
Terry Maresca, MD
Department of Family Medicine
Seattle, WA
Charlie Soap
Alicia Miller
Producer/Director
“Cherokee Word for Water” video
Tahlequah, OK
Project Manager- Strategic Communications Manager
Shawnee, Oklahoma
Tucson, AZ
Shobha Srinivasan, PhD
Janice Nachie
Office of the Director, NIH
Bethesda, MD
Elder
Gila River Indian Community
Sacaton, AZ
Nicole Stern, MD, FACP
Polly Olsen, BS
Urgent Care
Sansum Clinic
Santa Barbara, CA
Director of Community Relations
University of Washington
Incoming Executive Director AAIP
Cleveland, OH
Program Associate
Division of Community Health Services
Anchorage, AK
Michael Peercy, MPH
Leah Tanner
Jiles Pouier
Karena Thundercloud
Epidemiologist
Ada, OK
Seattle, WA
Tribal Clerk
Igiugig Village Council Staff
Igiugig, AK
Ho-Chunk Nation
Black River Falls, WI
44
Miranda Willis, BS
Women’s Health Consultant
National Association of Chronic Disease Directors and Owner of AMY
Consultant LLC
Edmond, OK
Strategic Prevention Tribal Data Analyst
Ada, OK
R. Dale Walker, MD
Director of American Indian Affairs and Science Policy
Society for Advancement of Chicanos/Hispanics and Native Americans in
Science (SACNAS)
Washington, DC
Emeritus Professor, Oregon Health and Sciences University
Director, One Sky Center
Portland, OR
Faculty Disclosure Statement:
As a provider accredited by ACCME, ANCC, and ACPE, the IHS Clinical Support Center must ensure balance,
independence, objectivity, and scientific rigor in its educational activities. Course directors/coordinators, planning
committee members, faculty, reviewers and all others who are in a position to control the content of this educational
activity are required to disclose all relevant financial relationships with any commercial interest related to the subject
matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose
any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. All those in a
position to control the content of this educational activity have completed the disclosure process and have indicated that
they do not have any significant financial relationships or affiliations with any manufacturers or commercial products
to disclose, with the exception of:
Cathy Budman, MD is a researcher with grant support from Psyadon Pharmaceuticals Inc., Synchroneuron
Pharmaceuticals Inc., Neurocrine Pharmaceuticals Inc., and Auspex Pharmaceuticals Inc. Her presentation has
been reviewed and no bias or conflict of interest was found.
There is no commercial interest support for this educational activity.
45
POSTER
SESSION
46
Poster Session
Traditional Healing and Behavioral Health:
Incorporating culturally-informed practice into behavioral health treatment of American Indian and Alaska Native patients.
Bear, S.A. 1st, Skinstad, A.H., Thrams, K. & Thompson, L (2015)
Background:
In the current climate of increasing mandates on the use of Evidenced Based Practices (EPB), it is increasingly evident that in order to be effective with
American Indian and Alaska Native communities, these mandates need to be tempered with sensitivity for Native indigenous culture, knowledge, and
healing practices. Experienced-based and culturally informed practices based on indigenous knowledge are necessary for treatment to be effective and
acceptable to tribal members.
Objectives/Aims:
To share knowledge through a round table discussion with Spiritual Leaders on spiritual healing in the behavioral health treatment setting and improve
collaborations between Western-educated behavioral health professionals and traditional healers and spiritual leaders.
Methods:
In this qualitative study, 12 Spiritual leaders and healers from all regions of the United States and Canada gathered in Mystic Lake, Minnesota to participate
in a round table discussion on the importance of culturally specific healing strategies. Research team members recorded notes, which were later examined
for themes and key findings.
Results:
Spiritual leaders shared their extensive knowledge in combining Native healing strategies with Western practices. Some Western-educated behavioral health
providers do not understand the importance of collaborating and supporting spiritual leaders and healers’ contributions to holistic treatment of behavioral
health disorders. Lack of understanding of cultural differences may have serious consequences.
Conclusion:
This forum raised awareness by providing education and dialogue between Native American spiritual leaders and Western-educated providers. Enhancing
knowledge and cultural understanding will give Non-Native and assimilated Native providers a better understanding of Native clients’ needs for culturallyinformed behavioral health treatment.
Presenter Information:
Sean Bear 1st
319-384-4164
1207 Westlawn, Iowa City IA
[email protected]
Emergent use of social media: a new perspective on support among parents of children treated for cancer
Monique Tulley-Bahe, B.A., Bridget Grahmann, B.S., Ryan Mooney, B.S., Yelena Wu, Ph.D.
Background:
Social media comprises an ever-increasing number of networks that individuals use to seek and share information with others. Social media is often used
by individuals coping with a health condition, such as cancer. While some research has documented the use of social media among patients with cancer to
connect with others, little is known about parents’ use of social media when their child has cancer.
Objectives/Aims:
To investigate (a) the types of social media used by parents who have a child with cancer and (b) how parents use social media in relation to the child’s cancer.
Methods:
We conducted an observational, cross-sectional study. Questionnaires were completed by 212 parents of children treated for cancer at a children’s hospital
in the Intermountain West. Data was collected via mail and in clinic. Analyses were conducted in Microsoft Excel and SPSS.
Results:
Parents, on average were 39 years old (SD=7.3) and most were female (86%). Parents self ’-identified as White (92%), Hispanic (6%), and other ethnicities
(2%). The vast majority of parents (92%) reported using social media. The most frequently used social media sites were Facebook (80%), a cancer or illness
specific online network (33%), and Google+ (17%). The most common reasons that parents reported using social media in relation to their child’s cancer
were to connect with other families (68%), give support to others (68%), and obtain support from others (64.4%).
Conclusion:
Parents of children with cancer use social media to provide and obtain support related to their child’s cancer.
Monique Tulley-Bahe
505-879-4996.
P.O. Box 1508 Window Rock AZ 86515
[email protected]
47
Effects of Zinc and Folic Acid Supplementation on Sperm Quality and Fertility
Audrey Maguire
Nine out of 10 American adults say that they have children, want children, or plan to have children. Despite the desire for kids, healthy and “fertile”
heterosexual couples face a success rate of only 15-20% per month. This may be due to problems with human sperm. The Folic Acid and Zinc Supplementation
Trail (FAZST) is a double blind, placebo-controlled clinical trial that is currently testing the effects of Folic Acid and Zinc supplementation on the sperm
quality of couples struggling with conception. The male patient will visit our reproductive clinic on four separate occasions and take a pill containing 25 mg
of Folic Acid and 5 mg of Zinc or a placebo. During these visits, sperm quality is tested for changes in morphology, concentration, motility, and amount of
DNA fragmentation during a baseline visit, 2-month, 4-month, and 6-month visit. Additional data will be obtained through urine and blood collections
during each visit, toenail clippings on 4-month visit, body measurements of male participants, and a daily journal used to capture any environmental
influences on sperm quality. This data will not be analyzed until the FAZST study has reached its halfway point of 1,200 patients. From this data, we hope to
find recurring factors, which should help illuminate what exactly contributes to infertility.
Objectives/Aims:
To share knowledge through a round table discussion with Spiritual Leaders on spiritual healing in the behavioral health treatment setting and improve
collaborations between Western-educated behavioral health professionals and traditional healers and spiritual leaders.
Audrey Maguire
707-239-2384
[email protected]
I’m a rising junior at Yale University who is planning on majoring in Psychology. I am interested in becoming a Physician’s Assistant.
Determining the Linkage of Genetic and Autoimmune Factors in Interstitial Lung Disease
Erica Poe
Background:
Interstitial Lung Disease (ILD) describes a type of pulmonary illness that affects the tissue in the lower part of the lungs and can lead to scarring. There are
several causes of this disease but they can be condensed into four main categories: environmental, autoimmune, genetic and unknown or idiopathic.
Objectives/Aims:
This project specifically focuses on the autoimmune and genetic aspects and how these may be associated with one another. The overall goal is to simply
obtain more information on ILD as there is little knowledge on this topic
Methods:
Our researchers believe that there is a link between patients with the disease caused by autoimmune disorders and heredity. To determine this, a clinical
study is taking place. A patient must be diagnosed with ILD and have blood samples taken. Autoimmune serology is conducted from the sample to test
for a disorder that may contribute to the illness. This, along with patient demographics and family history, is entered into RedCAP database where it will
eventually be queried and cross-referenced with pedigrees for each patient.
Results:
Results are still pending, but it is expected to find linkages of affected patients to relatives that have ILD as well as a trend with those diagnosed with an
autoimmune disease.
Conclusion:
These results, whether positive or negative, will help to learn more about ILD and highlight a new direction for further research to benefit the patients.
Erica Poe
106 Norma Gene, Fate, TX 75189
214-708-5261
Hello AAIP! As mentioned above, my name is Erica Poe and I am a research assistant for the Native American Research Internship program at the University of Utah
this summer. This summer I have been working with Dr. Mary Beth Scholand in the pulmonology department through NARI and will be presenting a project based
on interstitial lung disease. Utah is a new place for me, since I currently reside and attend school in Texas, but I have enjoyed my time with this organization. It is
hard, however, being away from my family which includes my wonderful parents as well as two younger sisters. Although this time separated from them is difficult,
it is quite beneficial in the process of reaching my short-term goal to enter medical school in fall of 2016. First and foremost, I must graduate from the University
of Texas of the Permian Basin where I am an entering senior for fall 2015, majoring in Chemistry on the pre-med track. I say medical school is short-term because
although it is over a year away, there are many other things to achieve before accomplishing my greatest aspiration of becoming a pediatrician, specifically in an area
of high Cherokee population as this is my heritage. The AAIP meeting is one more step to take in reaching my career objectives and I am looking forward to it greatly
48
Patient Derived Endometrial Cancer Xenografts
Corinne Maguire
Background:
Currently, endometrial cancer is diagnosed based on a histological classification of the tumor. However, this approach to treating endometrial cancer may
not be fully effective, and chances of cancer remission can be high. Recent studies have demonstrated that a genomic classification of endometrial cancer
may be more effective in diagnosis and treatment.
Objectives/Aims:
Overall, our aim is to test if a genomic classification is a more effective way to interpret endometrial cancer. Specifically, for this portion of the study, we aim
to see if patient-derived endometrial cancer xenografts can be served as a tool for developing this genomic-guided treatment.
Methods:
By using patient-derived endometrial cancer tissue, the xenografts are developed by implanting the tumor specimens into the uteruses of mice. From the
first generation of mice with implants, we will propagate multiple mice generations with the human-derived tumors. We will then genomically classify the
tumors the mice have, and evaluate drug response based on the genomic classification.
Results:
The results so far are promising. A limitation of xenografts in supporting genomic reclassification is the potential of the human tumors not being maintained
genetically in the mice. However, our results show that the patient-derived xenografts are successfully maintained across all generations of mice. Next steps
are to genomically classify mice based on their tumors, and treat them with the corresponding drugs.
Conclusion:
The successful establishment and characterization of the patient-derived xenografts will provide more accurate and predictive tools for the investigation of
endometrial cancer. Findings may support the use of genomic-guided treatment for endometrial cancer.
Corinne Maguire
707-322-8641
[email protected]
In May 2015, I graduated with honors from Harvard College with a degree in Human Evolutionary Biology. I have been accepted to Harvard Law School,
class of 2020, and I will enter in the fall of 2017.
I am interested in health policy, especially as it relates to Native Americans and maternal and child health. During these next two years before law school, I
hope to be involved in public health and health policy. I have a job starting this fall in the Philadelphia Public Health Department.
I am enrolled in the Chickasaw Nation. I have participated in the Native American Research Internship (NARI) for the past two years.
Community consultation for the upcoming Established Status Epilepticus Treatment Trial
Davian Thompson1, Michael Dela Cruz2 , Kammy Jacobsen2, Maija Holsti, 2 M.D., M.P.H.
1 Department of Pediatrics, University of Utah, Salt Lake City, UT
2 Department of Pediatric Emergency Medicine, University of Utah, Salt Lake City, UT
Background:
The Established Status Epilepticus Treatment Trial (ESETT) will try and determine what is the best treatment for benzodiazepine resistant status epilepticus.
However, because status epilepticus is a medical emergency, participants qualify for Exception From Informed Consent (EFIC), and patient consent is not
required before enrollment. However, before conducting this type of research, investigators need to conduct community consultation and public disclosure
activities.
Objectives/Aims:
Consult the community by administering a electronic presentation and compare opinions of non-American Indian versus American Indian people about
the ESETT study.
Methods:
Primary Children’s Hospital/ Emergency Department, along with thirty-nine other children’s hospitals, are conducting community consultation activities.
The Salt Lake Community will conduct surveys after having parents view a 15-20 minute presentation on an iPad. The survey consists of twelve questions
and a comment box for an opportunity to express the parent’s opinion and opt out of the study.
Results:
With a total of 327 surveys, 23 were self-identified AI. 72% females completed surveys. 56% of AI vs. 40% of non-AI strong agreed that the ESETT study
is important. AI and non-AI strongly support the hypothetical enrollment in ESETT (74% vs. 84%). 39% of AI and 37% non-AI strongly support the
hypothetic enrollment of their child into the ESETT.
Conclusion:
Both AI and Non-AI people agreed that the study was seen as important and support hypothetic enrollment of themselves or their child.
Davian Thompson
505-717-9180
[email protected]
I am from Choctaw, MS. I am Junior and attend the University of New with a major in Psychology and a minor in Native American Studies. I am the first in
my family to pursue a bachelor’s degree. I come from a family of eleven siblings. I plan on becoming a Substance Abuse Counselor in the future.
49
Cultural Perceptions and Linguistic Challenges for American Indians and Alaskan Natives Participating in Clinical Research
Recruitment
Delilah Robb, B.S., Adam de Havenon M.D., Kinga Aitken, M.D., MPH, Alicia Bennett, D.O.,
Jennifer Majersik, M.D., M.S.
Background:
American Indian and Alaskan Natives (AI/AN) participation in clinical research is low. Increased participation may improve health outcomes of AI/AN.
Objectives/Aims:
Develop and administer a survey to identify cultural and linguistic challenges of the Carotid Revascularization and Medical Management for Asymptomatic
Carotid Stenosis Trial (Crest-2), which has the specific aim of increasing minority recruitment.
Methods:
The survey was developed with stroke neurologists and the Crest-2 investigators. Modifications were made after piloting that survey at a community event.
We subsequently administered the survey in neurology and community clinics.
Results:
In the pilot phase 34 respondents completed the survey, 14 of which identified as AI/AN. Median age was 38 and 67% were female. There were two questions
with a statistical difference between the AI/AN respondents and the remainder of the cohort: “my cultural beliefs affect some or all of my health care
decisions” and “if making a decision to join a clinical research study, my cultural beliefs would affect my decision” – specifically, the AI/AN respondents
were more likely to agree with those statements (p = 0.012, 0.001).
Conclusion:
Our data suggests that cultural beliefs particularly effect medical decision making in the AI/AN community, but that conclusion is preliminary with this
small sample size. Future work will be conducted with the survey in a larger population to provide a more detailed understanding of how cultural beliefs
can affect people’s understanding of and willingness to participate in clinical research, with the overall aim of improving recruitment methods in minority
populations.
Delilah Robb,
522 32nd Ave S., Moorhead, MN 56560
[email protected]
Delilah Robb is an enrolled member of the Turtle Mountain Band of Chippewa Indians in North Dakota. She recently graduated from North Dakota State
University with a Bachelor of Science in health communications and psychology. Her academic and career interests include public health and community
based participatory research. Currently, Delilah works with at-risk Native American youth at the Fargo Public Schools Indian Education Program. She
volunteers with a Native American 4H group, Native American community events, and the High Plains Woodland Powwow. She also served as secretary for
the American Indian Science and Engineering Society NDSU chapter for 2 years.
Maternal tobacco smoke exposure effects elastin isoform expression in rat lung
B Locklear, Yueqin Yang, L Joss-Moore
Background:
Maternal smoking while pregnant is a significant problem. Fetal exposure to maternal tobacco smoke (MTS) alters lung function in human and animal
models. We showed that MTS increases lung compliance in female, but not male, rat pups. Lung compliance depends on expression of elastin isoforms
during lung development.
Objectives/Aims:
We hypothesize that MTS exposure, sex, and lung development effect elastin isoform expression in offspring rat lung.
Methods:
Pregnant rats were exposed to room air (Control) or tobacco smoke (MTS) from gestational day 11 to term. Offspring was studied at term birth (d0immature lung), and day 21 (d21-mature lung). Female and male pups were studied as separate groups (n=6/group). Western blot was used to identify and
quantify elastin isoforms.
Results:
We identified full-length elastin (elastin) and a second isoform (elastinALT). Protein levels of elastin and elastinALT decreased with increasing lung
development in male control rat lungs. In contrast, protein levels of elastin and elastinALT increased with increasing lung development in female control
lungs. MTS decreased elastin and elastinALT levels at d0 in male rat lung compared to d0 male control. MTS increased elastinALT at d21 with no effect on
elastin in female rat lungs relative to d21 female controls.
Conclusion:
MTS exposure, sex, and lung development effect elastin isoform expression in the rat lung. We speculate that increased elastinALT in d21 females contributes
to the increase in compliance in the previous model.
Brent A. Locklear - Student, Native American Research Internship
910-736–2817
970 Mcmillan Rd., Pembroke, NC 28372
Email: [email protected]
50
Polypharmacy in pediatric transplant patients receiving tacrolimus
Jennifer Murillo, Jonathan E. Constance, Michael G. Spigarelli, Catherine M.T. Sherwin
Background:
Polypharmacy describes the concurrent use of multiple drugs and is associated with an increased risk of adverse drug events. Pediatric transplant patients
may have increased risk for potential drug-drug interactions.
Objectives/Aims:
To identify patterns of polypharmacy in pediatric patients who had received a heart, liver, kidney, or bone marrow transplant.
Methods:
Multicenter retrospective study of pediatric patients (28 days-18 years) administered ≥2 doses of tacrolimus between 01/2006-12/2012. Transplant
information was identified via hospital registry. Prism 6 (GraphPad) and R were used for statistical analyses.
Results:
There were 376 hospitalizations for 184 (52% male) pediatric transplant patients within the first year of transplant, comprising Bone marrow (BMT; n=19),
Heart (n=42), Liver (n=59), and Kidney (n=64) patients. Distinct drugs administered during the period of transplantation was highest for Heart (median 44
[IQR 38-53]), Liver (37 [33-54]), and BMT (45 [33-54]) as compared to kidney (19 [17-22]) recipients, p<0.0001. Similarly, hospital lengths of stay (LOS)
were less for Kidney as compared to BMT, Heart, or Liver recipients in the transplant period. In contrast, the number of distinct drugs administered per
hospital episode post-transplant was highest for BMT (19 [15-24]) compared to solid organs: Heart (13 [10-17], p<0.05), Liver (13 [9-17], p<0.001) and
Kidney (9 [7-12], p<0.0001). No differences showed in LOS, or in severity of illness/risk of mortality (SOI/ROM) scores among transplant type during
post-transplant.
Conclusion:
Although similar in age, LOS, SOI, and ROM, BMT patients re-admitted to hospital received twice as many distinct drugs per hospital episode than kidney
transplant recipients.
Jennifer Murillo
C2444 Heritage Center, Salt Lake City, UT 84112
[email protected]
I am a junior at Idaho State University. I am majoring in biology with an emphasis on biomedical sciences. I am also a member of the varsity softball team
at my university. Being a student athlete is challenging, but it has helped shape me into the hardworking person that I am. The time management skills I
have developed and the various responsibilities I take on will only help me in my academic journey. I aspire to become a physician and be involved in Native
American communities.
This summer I have had the privilege to be a part of the NARI (Native American Research Internship) program at the University of Utah. I have been
working on my research project in the department of Pediatrics, division of Clinical Pharmacology. I am excited about my project and I hope to be able to
share my findings at the AAIP meeting.
Physical Activity Among Youth in a Summer Camp Setting
Evan Bekes
Background:
Youth that are less physically active suffer from many health problems such as being overweight, obese, or developing chronic health conditions due to
excess weight.
Objectives/Aims:
Children often gain the most weight during non-school related days, such as summer. During summer months the majority of children participate in
summer camps, which is where our study takes place. Little is known about the summer settings and the level of physical activity that takes place, which is
what we intend to find out at the University of Utah’s Youth Summer Camp.
Methods:
Our study involves about 130 children who are of elementary school age. We measure the children’s enjoyment and goals through surveys, while we measure
their steps via Yamax pedometers. These measurements are made daily Monday through Friday for 4 weeks, at the end of each camp, which ends at 3:00 pm
and begins recording at 8:00 am. Children are paired with camp counselors for the 4-week period in several groups of 7-10 children.
Results:
We are anticipating our results to show that youth physical activity levels will be at or lower than the recommended physical activity for children in
elementary grades.
Conclusion:
These findings are important because children have a lot of free time when they are away from school and seeing these PA levels will indicate whether
children lack or meet recommended levels. This in turn can help identify how the summer setting has an effect on children’s PA and its relationship to health
conditions such as obesity, and other chronic health problems.
Evan Bekes
12 Rd 5270 Farmington, NM 87401
505-608-1642
[email protected]
51
Randomized trial of sodium bicarbonate in renal transplant recipients
Kalani L. Raphael, Jennifer Murray
Background:
Chronic Kidney Disease (CKD) is a significant health problem in the United States, affecting over 25 million people. Sodium bicarbonate is prescribed to
patients with CKD and consequently low serum bicarbonate levels to slow CKD progression by reducing renal ammonia and hence fibrosis. Whether this
therapy is effective in people with a kidney transplant has not been investigated. Administering sodium bicarbonate to transplant patients with CKD and
normal serum bicarbonate levels, before falling overtly low, may preserve renal function early on. It is crucial to preserve renal transplants because they only
last an average of 10 years until patients are placed on dialysis.
Objectives/Aims:
The study aims to reduce renal ammonia production and a marker of kidney fibrosis, urinary TGF-beta1, by administering sodium bicarbonate to renal
transplant recipients with low serum bicarbonate.
Methods:
The study involved 29 participants who were at least 6-months post renal transplant. 13 participants were randomly given sodium bicarbonate and 16 given
placebo for six months. Participants came in for 3 periodic visits in which blood and urine were collected. Ammonia concentration was recorded by titration
and TGF-beta1 by lisa assay.
Results:
Patient visits have been completed and the research team is working on data analysis.
Conclusion:
The results of this study will affect how acid-base is regulated in renal transplant patients. If successful, sodium bicarbonate will provide a low risk, cost
effective and accessible method of treatment that will improve transplant life expectancy.
Jennifer Murray
702-232-8980
6513 Summer Bluff Ct. N. Las Vegas, Nevada 89084
[email protected]
Jennifer attends Colorado College as an undergraduate student. She is majoring in Molecular Biology and minoring in Africana Studies with hopes to attend
medical school and earn a Master of Public Health. At Colorado College, she is the co-chair of the Native American Student Union.
Last summer, she completed bench research at Harvard Medical School with the Four Directions Summer Research Program. She is a current participant
in the Native American Research Internship at the University of Utah Medical School working on clinical research in nephrology with Dr. Kalani Raphael.
The Civil Commitment of Native Americans Living on Minnesota Indian Reservations
John Kelsey, JD, and Mary Owen, MD
Background:
In the Eighth Circuit, Native Americans living in Indian Country are generally exempt from state civil commitment jurisdiction. However, Congress in 1953
passed PL-280 granting Minnesota civil jurisdiction over Indian Country except for the Red Lake Nation.
Objectives/Aims:
Describe civil commitment process for Native Americans in the state of Minnesota and Minnesota’s efforts to recognize tribal court judgments.
Methods:
Reviewed Minnesota Statutes Ch.253B and PL-280. Analyzed Minnesota and federal case law and 2014 Minnesota House of Representative research.
Results:
Minnesota has civil commitment jurisdiction over all but one Minnesota reservation. Under Minn. Stat. 253B.212, Minnesota facilities may treat Native
Americans committed by Red Lake Nation and White Earth Band tribal court orders. One case mentioning Minn. Stat. 253B.212 was found.
Conclusion:
Civil commitments in Indian Country are complicated by jurisdictional issues. Due to PL-280, Minnesota civil commitment laws govern most reservations.
When an individual is committed pursuant to a Red Lake Nation or White Earth Band tribal court order, Minnesota statutes recognize the tribal court order
and allow transfer to a regional treatment center. Patients committed by tribal court order have the same rights under Minnesota law as those committed
by state order. This framework respects tribal sovereignty, allows for off-reservation treatment, and protects patient civil rights.
John Kelsey
216-246-7624
215 Oak Grove Street, #1909, Minneapolis, MN 55403
[email protected]
I am a fourth-year medical student at the University of Minnesota Medical School currently applying to Psychiatry residency programs. I hope to later complete a
Forensic Psychiatry fellowship. Prior to medical school, I attended the University of Wisconsin Law School graduating in 2008 and was admitted to the State Bar of
Wisconsin in 2008. I am Grand River Ottawa and Huron Potawatomi.
Dr. Mary Owen supervised my work by evaluating and critiquing both methodology and results. Dr. Owen received her medical degree at the University of Minnesota
Medical School and graduated from the University of Minnesota North Memorial Family Medicine Residency Program. After residency she practiced full scope
family medicine at her tribal clinic in Juneau, Alaska before taking a position in 2014 as Director of the Center of American Indian and Minority Health at the
University of Minnesota School of Medicine.
52
Predictors of Adequate Prenatal Care in American Indian Patients
Kaylene Fiala
Background:
Compared to general populations, we see poorer birth outcomes in American Indian populations. In order to have the best possible outcome for mother and
child, early and regular prenatal care is necessary. Therefore, it is important to understand what factors influence whether American Indian mothers receive
adequate prenatal care and are associated with better birth outcomes.
Objectives/Aims:
This research project was intended to illuminate maternal factors that predict adequate prenatal care in the American Indian population served by a South
Central Wisconsin tribal clinic.
Methods:
A chart review was performed using data from 38 American Indian patients who received prenatal care at the clinic during 2012–2013. Data was collected
on maternal characteristics including the following demographic variables: number of previous pregnancies, tobacco use, pre-pregnancy BMI, weight gain,
blood pressure, and status of father involvement. Adequacy of prenatal care and birth outcomes were assessed. Descriptive statistics were performed, and
Chi-square tests were conducted to examine the association between maternal characteristics and both adequacy of prenatal care and birth outcomes.
Results:
Approximately two thirds of American Indian women received adequate prenatal care. The majority of patients had normal blood pressure, fullterm births and paternal involvement. Forty two percent of mothers smoked during pregnancy, and 71% were identified as overweight/obese. No
significant relationships were found via Chi-square analyses of the variables examined except for those of mother’s pre-pregnancy BMI and baby’s
birth size (p-value = 0.03).
Conclusion:
The results indicate the further need for enhancement of smoking cessation advice prior to and during pregnancy and the counseling of overweight/obesity
rates in American Indian mothers.
Kaylene Fiala
608-772-5293
2355 University Ave. Apt. 210
Madison WI 535726
I am a third year medical student at the University of Wisconsin School of Medicine and Public Health. I have a strong interest in working with families in
underserved communities. Prior to medical school, I was a bilingual Special Education teacher for two years through Teach For America in a Milwaukee
Public School. During my time as a teacher, I earned a Master of Arts in Urban Special Education. As a medical student, I have been the co-president of UW
SMPH’s Medical Students for Minority Concerns, I have served on the medical school’s Equity and Diversity Committee, and I have been an active member
of the Association of Native American Medical Students. Last summer I completed a prenatal care research project at a South Central Wisconsin tribal clinic
under the guidance of Dr. Amy DeLong. Through this experience, I experienced the joy of working with other Native American healthcare providers and
patients to complete a productive, meaningful project at the clinic.
Studying Vanishing White Matter Disease using a Zebrafish model
Michael L. Sam, Lauren Strachan, PhD, Josh L. Bonkowsky, MD, PhD
Background:
Inherited leukodystrophies are a group of genetic diseases affecting myelin development (white matter) leading to death and disability. Vanishing White
Matter (VMW) disease generally occurs in children and causes neurological deterioration, cerebellar ataxia, ovarian dysgenesis, seizures, coma, and death.
VWM is caused by mutations in the eif2B complex, in which sub-unit eif2B5 is the most commonly affected gene. Currently no cures exist.
Objectives/Aims:
Objectives are to develop an adequate zebrafish model of VWM and test FDA approved drugs for clinical trials. Zebrafish are small vertebrates that are
useful for observing axons due to transparency.
Methods:
Methods include using CRIPR/cas9 for injecting fish embryos with the eif2B5 mutation and screening them using polymerase chain reaction (PCR) and
high resolution melting analysis (HRMA). Afterwards, heat shocks will be administered and responses will be recorded for further testing. A 96 well-plate
containing mutated zebrafish DNA will used to test 2500 FDA approved drugs. Clinical trials will follow if a drug is found effective.
Results:
Anticipated results are to find a definitive drug or treatment that will alleviate VWM. Currently, 3 mutated zebrafish have been screened with the eif2B5
mutation and more screening will follow until a larger population of screened mutated fish is found. Heat shock testing will follow.
Conclusion:
This research will allow physicians to better understand VWM disease and develop a cure or more effective treatments.
Michael Sam
P.O. Box 3700, Shiprock, NM 87420
[email protected]
My name is Michael Lyle Sam. I am a Native American student at the University of New Mexico (UNM). I come from the Navajo Nation Reservation nearby
Farmington, NM where my parents and my two little brothers currently reside. My clans are Todichi’ii’nii (Bitter Water Clan) and Bit’ahnii (Leaf People Clan).
53
Infant Driven Feeding NICU Program: Attention to Quality for Healthy Diet Outcomes
LCDR Molly C. Rutledge, M.A. CCC-SLP
Background:
Immaturity has been documented to alter the typical path to learning feeding skills and may predispose the infant to later feeding problems.
Objectives/Aims:
t Infant driven advancement of oral feeding
t Recognize and validate observational skills of bedside nurses and family
t Empower nurses and family to use their observation of the infant’s behavior to support feeding development/advancement
Methods:
Education and hands on demonstration as to how the preterm infant experiences feeding early on and the conditions and strategies that may serve to
be protective from developing a feeding problem that endures. Nursing self-reporting of satisfaction was collected for 9 month period. Available feeding
methods that are infant driven were calculated pre and post guideline release.
Results:
Increased number of specialty feeding products available to nursing staff in NICU from 2 to 5. Guideline revised to identify and outline infant driven feeding
purpose and methods. 64% of NICU nursing staff have spontaneously self-reported satisfaction with implementation of program within the first 9 months.
Conclusion:
The Special Care Nursery’s goal for feeding preterm infants is to make it an enjoyable experience for the infant, while maintaining stable vital signs and no
distress, and all in order to avoid future feeding issues in early childhood.
LCDR Molly Rutledge, M.A., CCC-SLP
Speech-Language Pathologist
Alaska Native Medical Center
4315 Diplomacy Drive, Anchorage, AK 99508
[email protected]
Direct: (907) 729-1063, Fax: (907) 729-1060
I am a certified and licensed pediatric Speech-Language Pathologist serving as a lieutenant commander in the United States Public Health Service (USPHS).
I am currently providing services in the Level II Neonatal Intensive Care Unit at Alaska Native Medical Center. I previously served at Tsehootsoi Medical
Center located on the Navajo. I worked there for four years. I am a graduate of the University of Kansas and have been an active field researcher for the
promotion and identification of communication science in the Native American population throughout my academic and professional career. In 2014 I was
selected as KU Woman of Distinction for contributions to the campus and community.
Autophagy Inhibition Causes Cardiac Cell Death in Insulin Resistant Hearts
Saydie Sago, Karla Maria Pires, Marcio Augusto Bufollo, Sihem Boudina
Background:
Diabetes is a worldwide disease affecting many people. A concerning issue for diabetics is the risk of developing cardiovascular disease. The hearts of
diabetic individuals’ are more susceptibility to injury, which increases their chance of heart failure. The mechanisms underlying this high incidence remain
unknown. There have been several mechanisms proposed to mediate diabetic cardiac injury such as altered autophagy. Autophagy is the process of recycling
and degradation of proteins and membranes in response to stress or starvation in cells. It has been associated with insulin resistance in key metabolic organs.
However, few are known regarding autophagy in the heart.
Objectives/Aims:
Autophagy is a dynamic process and inhibiting this using lysosomal acidity blockers, Chloroquine (Chl), provides an idea regarding the flux of degradation
inside the cell. Surprisingly, TIRKO mice mortality rate was 30% higher than Control-Saline mice following Chl treatment. Therefore, our aim was to
investigate whether cardiac cell death was influencing this outcome.
Methods:
Twelve week-old male TIRKO mice were matched to their respective controls and treated with saline or Chl (50mg/kg) for four hours. Following euthanasia,
mouse hearts were collected, fixed in 4% paraformaldehyde and embedded in paraffin. Cell death was measured by TUNEL assay in five micron-thick
sections and the index was measured by the ratio between positive stained nuclei and total nuclei stained with 4’,6-diamidino-2-phenylindole (DAPI).
Results:
Cardiac cell death index was 3.5 fold higher in TIRKO-Chl group compared to saline-treated controls.
Conclusion:
Autophagy flux is required for the maintenance of cardiac integrity in insulin resistance.
Saydie Sago
303-859-0762
295 Chipeta Way, Salt Lake City, Utah 84112.
[email protected]
Keshi (Hello), my name is Saydie Sago and I am Zuni Pueblo and Mescalero Apache. I am going to be a fifth year senior at the University of Colorado at Boulder and double
majoring in MCD-Biological Sciences and Integrative Physiology as well as minoring in Multicultural Leadership. I grew up my whole life in Boulder, but I maintain strong
ties back home on the reservation. I plan on going into the Public Health field and study epidemiology of Native American health disparities specifically diabetes. I became
very interested in this field because my family has a long history of diabetes, mostly type II diabetes. Many of them travel up to two hours back and forth to the city hospitals
for check-ups and medication. The clinics and hospitals on the reservations sometimes have limited funding resources and cannot give proper treatments and medications
for diabetic patients. By being well versed in my field, I will be able to give back to my Native community by figuring out better and affordable treatments for my people.
54
Metabolites of blueberry polyphenols improve nitric oxide production and suppress reactive oxygen species in lipotoxicity
induced human aortic endothelial cells
Nathan Begaye, Anandh Babu Pon Velayutham
Background:
Human studies support the vascular benefits of blueberry (BB) anthocyanins and suggest that this might be mediated by their circulating phenolic
metabolites. However this mechanism has not been identified because many of these metabolites are not commercially available. We synthesized the
blueberry (BB) metabolites such as vanillic acid-4-sulfate (V4S), isovanillic acid-3-sulfate (IV3S) and benzoic acid-4-sulfate (B4S) and characterized them
by NMR and Mass spectrametry. Recently we have reported that blueberry metabolites (BB-metabolites) at physiologically relevant concentrations suppress
high fat induced endothelial inflammation in human aortic endothelial cells (HAEC).
Objectives/Aims:
To understand the underlying mechanism, in our current study, we investigated whether BB-metabolites improve nitric oxide production (NO) and suppress
reactive oxygen species (ROS) in high fat induced HAEC.
Methods:
HAEC were treated with ± BB-metabolites cocktail for 6 h and ± 500 μ palmitate for the last 5 h. The BB-metabolites cocktail contained V4S, IV3S, B4S,
hydroxyhippuric acid, and hippuric acid at concentrations reported to peak in the blood plasma 4-6 h after consuming 240 g of blueberries in humans.
To determine insulin stimulated NO production, HAEC were treated with 100 nM insulin for the last 30 min. ROS and NO were assessed by H2DCFDA
and DAF-FM, respectively.
Results:
Palmitate treatment significantly increased ROS and reduced insulin stimulated NO in HAEC. However, BB-metabolites significantly suppressed
ROS (p<0.05) and improved NO production (p<0.05) in HAEC. These data suggest that supplementation of blueberries may prevent vascular
complications in metabolic syndrome.
Conclusion:
?
Nathan Begaye
435-459-4531
[email protected]
Yá’át’ééh selection committee, Shí eí Nathan Begaye yinishé shí eí Nohokáá’ Diné é Diyinii (Holy Earth Surface People) also known as Navajo. I am
Tó’áhaní (near the water people clan), born for the Ta’neeszahnii (tangled people clan), my maternal grandfather is Lók’aa’dine’é (reed people clan), and
my paternal grandfather was Tł’ááshchí’í (red bottom people clan).
I am a recent graduate in the health promotion & education in the college of health from the University of Utah. I am working towards my short-term
goal of commencing obtaining my Health Education Specialist certification. There after I would like to work towards my long-term goal of attending
medical school through the college and work as a doctor of osteopathics. In the future my dream is to combat the health status of my people. I wish to
eliminate majority of chronic illness and preventable deaths, to ensure the longevity of my people.
55
: Investigating the Etiology of Parapneumonic Empyema (PPE) in Children within Utah
Sean Paul Begay, Anne Blaschke, Jarrett Killpack, and Krow Ampofo
Background:
Parapneumonic Empyema (PPE) is a complication of pneumonia in children. From 2004 to 2014, researchers at a Utah Healthcare Facility monitored the
trend of PPE in children. With the introduction of 7-valent pneumococcal conjugate vaccine (PCV7) in 2000, PPE rates have increased in the United States.
In 2010, PCV13 replaced PCV7, significantly decreasing the number of children with culture negative PPE. This suggests that culture-negative infection
prior to 2011 was primarily caused by S. pneumonia.
Objectives/Aims:
By analyzing pleural effusion from children with culture negative infections, the lab is investigating what pathogens are causing culture-negative infection
in the years since the introduction of PCV13.
Methods:
Analyze 142 PPE samples from children during the PCV13 period utilizing Real Time Multiplex PCR (FilmArray). By compiling data, researchers can
determine which microbe is the most abundant.
Results:
Currently, 60 pleural effusions have been analyzed and the following data results is as follows: 1 S. aureus, 9 S. pyogenes, 25 S. pneumonia and 24
negative (no presence of bacteria). Research is still ongoing and 82 samples remain which will be analyzed.
Conclusion:
As expected, S. pneumonia is the most prevalent bacteria within the tested fluid effusion samples. Understanding these culture negative infections will lead
to better PPE management and prevention for children in the state of Utah.
Sean Paul Begay
626-319-9388
611 Milo Terrace, Los Angeles, CA 90042
[email protected]
My name is Sean Paul Begay and I am a Northern Arizona University student in the American Indian Nursing program. I am pursuing my third
Bachelor’s degree. Originally from Los Angeles, I never had the opportunity to learn about my Navajo tribe’s culture, language or traditions. Being
half Navajo and half Filipino, I grew up with my mother who is full Filipino. In June 2012, I graduated with two Bachelors of Arts degrees in Ethnic
Studies and Sociology from the University of California - San Diego (UCSD). During my fourth year at UCSD, I gained acceptance into the Robert
McNair Research Scholar program and conducted a research project that focused on Navajo uranium mining. I presented my findings at the University
of California - Berkeley’s 2011 Robert McNair Research Symposium. Ever since my experience, I have acquired an interest in serving my Navajo people
from a direct standpoint while being able to learn about my tribe culturally.
Since November 2013, I have been a Center for American Indian Resilience (CAIR) student research assistant. Currently, I research how diabetes affects
individuals from a physiological, social, personal and economic standpoint, but what intrigues me the most is how diabetes amongst Native Americans
is increasing each year. Additionally, this past summer I participated in the Four Directions Summer Research Program at Harvard Medical School. I
engaged in a pilot study that involved the DNA analysis of two forms of Astyanax mexicanus: a river-residing and cave-dwelling form. My mentor and
I analyzed genes that could withhold mutations, determining the overarching physical characteristics of each cavefish form. We would identify if these
mutations exist in other species.
I plan to pursue a Doctor of Philosophy in Nursing, expanding my knowledge about Native American health disparities while being able to give back
to my people on the Navajo reservation. Places like Tuba City, Chinle and Fort Defiance are communities I want to work with. Institutions such as
Johns Hopkins University, the University of California – San Francisco and Yale University are graduate schools I want to attend for my PhD in Nursing.
56
Facial Cutaneous Hemodynamic Oscillations
Shaleah Dreadfulwater
Background:
Trigeminal and autonomic mediated blood flow changes in the face (e.g. flushing, pallor) can be discerned with the naked eye and can reflect emotional,
sensory and other environmental stimuli modulated by the autonomic nervous system.
Objectives/Aims:
The purpose of this research project is to determine if there is a clear change in facial cutaneous hemodynamic oscillations in normal subjects after an
auditory stimuli is introduced. These changes are influenced by the autonomic nervous system.
Methods:
We measure this by using CCD imaging of skin reflectance under a green light in a room with a standardized temperature. Three separate recordings
are taken; a 3 minute baseline, 3 minutes following a 6 second long low arousal auditory stimulus, and 3 minutes following a 6 second long high arousal
auditory stimulus. We then use offline analysis of the reflective changes through the program Image J. Six anatomically consistent regions of interest
are used for this analysis. Frequency and amplitude are calculated on these six points through the program MATLAB. Currently we have found one
significant difference within these parameters.
Results:
Further analysis is needed. These findings provide preliminary data to support the feasibility of detecting facial blood flow changes in response to
standardized auditory stimuli, and show promise for future application to the study of migraine headache, a disorder where sensory hypersensitivity
is well recognized, though physiological biomarkers are lacking.
Conclusion:
Ultimately, we aim to refine the methods presented here to be useful as a clinical tool to guide diagnosis, therapeutic selection and track disease evolution.
Shaleah Dreadfulwater
208-791-3401
624 Washington Ave, Grangeville, ID 83530
[email protected]
Shaleah Dreadfulwater is an undergraduate Cherokee student attending Lewis Clark State College in Lewiston, Idaho. She is pursuing a baccalaureates
degree within the field of nursing with interest of continuing on to nurse practitioner. She is currently interning this summer with the Native American
Research Internship (NARI) in Salt Lake City, Utah at the University Of Utah School Of Medicine. This internship allows experience in the area of
research as well as community outreach. The lab Shaleah is currently working in primarily focuses on studying migraines. She is looking forward to this
conference and the opportunity to present her current findings.
57
The Involvement of TRPV4 in LL-37 Induced Rhino Sinusitis Mouse Model
Jeremiah Alt, Tanner Wiest, Xuan Qin
Background:
TRPV4 is found in the upper and lower airway, specifically in the OE in mice and zebra fish. The up-regulation of TRPV4 is associated with severe edema
and hypoxia. Cathelicidin (LL-37) is an antimicrobial peptide that has also been implicated in chronic inflammation within the airway. LL-37 (320 uM) has
been shown to dramatically increase edema and inflammation in the OE after a single dose in mice.
Objectives/Aims:
The purpose of this research project is to determine if there is a clear change in facial cutaneous hemodynamic oscillations in normal subjects after an
auditory stimuli is introduced. These changes are influenced by the autonomic nervous system.
Methods:
C57BL/6 mice (8-12 weeks old) were challenged intra-nasally with 320 uM of LL-37. Control mice received saline inoculations. Olfactory epithelium was
collected after 24 hours. Paraffin embedded tissue was sectioned for histology analysis. Hematoxylin and Eosin (H&E) staining and immunohistochemistry
(IHC) was used to examine OE inflammation and expression of TRPV4 in the OE.
Results:
LL-37 treated sinus tissues developed increased inflammatory cell infiltration and edematous lesions. The expression level of TRPV4 is up regulated
in LL-37 treated mice sinus tissue. Specifically, TRPV4 is strongly co-localized with the mucosal glands in the lamina propria.
Conclusion:
LL-37 causes increased inflammation in the OE with associated up regulation of TRPV4. It is plausible that LL-37-induced inflammation and edema seen
in the OE after LL-37 treatment signals through TRPV4. TRPV4 inhibitors should be considered as potential therapeutic agents in reducing LL-37-induced
inflammation and edema.
Tanner Wiest
385-205-9404
9937S Campaign Drive, South Jordan, UT 84095
[email protected]
My name is Tanner Wiest and I am currently a senior at Tufts University studying biopsychology. This past spring I applied for a position in the
NARI program in order to provide myself with an opportunity to conduct research in a basic science lab. I hoped that this experience would allow
me to gain a greater insight into research and its applications in the real world. I am an aspiring doctor whose passion for the sciences and the health
field blossomed at a young age.
This summer I have the pleasure of working with Dr. Jeremiah Alt in the Prestwich Medicinal Chemistry Lab performing translational research
regarding chronic rhino sinusitis (CRS). This research involved the use of mouse models in order to obtain olfactory epithelium for analysis in order
to look at the effects of LL-37 on TRPV4 expression. Mice were challenged intra-nasally with LL-37, and their olfactory epithelium was collected.
Hematoxylin and Eosin (H&E) and immunohistochemistry (IHC) were performed on the tissues.
58
Variation Of Hospital And Surgeon Cost For Adult Septoplasty And Turbinate Reduction
Trevor Champagne; Andrew Thomas, MD; Reema Padia, MD; Jeremiah Alt, MD, PhD;
Sathya Vijayakumar, MS; Jeremy Meier, MD
Objectives/Aims:
Review differences in hospital and surgeon costs associated with septoplasty and turbinate reduction in adult.
Methods:
An observational cohort study was performed in a multi-hospital network using a standardized activity-based accounting system to determine costs
associated with septoplasty and bilateral inferior turbinate reduction from 1/2012 to 5/2015. Adults (> 18) were included in this study. Hospital cost
categorizes analyzed included: Anesthesia, Operating Room (OR), Pharmacy, Post-anesthesia Care Unit (PACU), Same-Day-Surgery (SDS). There were
88 surgeons included in the study.
Results:
The study cohort initially included 3,874 patients. There were 1,342 patients with no OR Cost (the greatest cost component) which were excluded
from total cost calculation. The mean total cost for the remaining 2,532 patients was $3011.84 (S.D. $1575.1, Range $545.6 to $21,201.12). OR was
the greatest average cost per case ($1465.8), followed by SDS ($459.12), and pharmacy ($139.7). There was wide variation of average cost per case
per surgeon ranging from $171.71 to $8524.97.
Conclusion:
This study demonstrates a wide variation in cost associated with the common general Otolaryngology procedure of septoplasty and inferior turbinate
reduction. OR, SDS, and pharmacy costs represent the largest contribution to overall cost and potential areas for further investigation on cost reduction
associated with these procedures. There also is wide variation among the average cost per case for surgeons performing these procedures. Further research
is needed to identify factors contributing to large variation in operative cost for these procedures.
Trevor Champagne
785-393-0740
[email protected]
I am a member of The Turtle Mountain Band of Chippewa Indians. I am also an undergraduate student at the University of North Dakota majoring
in Biology with an emphasis in Health Sciences, in hopes of applying and matriculating to medical school in the next two years. This summer I have
been fortunate enough to be apart of the Native American Research Internship at the University of Utah in Salt Lake City, Utah. The research project
that I have been working on is looking at the variation in costs among surgeons and hospitals in sinus surgeries in adults. My role in the research is
to verify the database and look at patient medical charts in order to confirm that our data is legitimate.
Prolonged QRS duration predicts coronary heart disease events in women: the Strong Heart Study
Jason Deen, MD, Dorothy Rhoades, MD, Carolyn Noonan, MS, Jason Umans, MD, PhD
Background:
Previous reports indicate that prolonged QRS duration (QRSd) on resting electrocardiogram is associated with all-cause mortality and death from coronary
heart disease (CHD) events. However, the relation of QRSd to CHD events has not been well documented in American Indians.
Objectives/Aims:
To relate prolonged QRSd on resting electrocardiogram to CHD in American Indians.
Methods:
The relation of QRS prolongation to CHD was assessed in participants of the Strong Heart Study. QRS duration was collected as an automatic
computerized measurement and grouped in pentiles. Participants with CHD at baseline were excluded from analyses. Cox regression with robust
standard error estimates was used to determine the association between QRS duration and CHD. Covariates included age, antihypertensive medication
use, body mass index, smoking status, diabetes, total cholesterol, high-density lipoprotein and albuminuria.
Results:
Of the 2,029 participants identified, 60% were women (n=1,209). Mean age for men and women was 55 (± 8) and 57 (± 8) years while prevalence of
type 2 diabetes mellitus was 41% and 47% respectively. Mean length of follow up was 12.8 (± 5.8) years. While not associated in men, women with
QRSd in the highest pentile (≥ 105 ms) had significantly higher risk of CHD than women with QRSd in the lowest pentile (64-84 ms) (HR 2.0, 95%
CI 1.2-3.1). After adjustment for other risk factors QRSd remained a significant predictor of CHD in women (HR 2.0, 95% CI 1.2-3.2).
Conclusion:
Automated QRSd is an independent predictor of CHD in American Indian women from the Strong Heart Study and may have value in estimating CHD risk
in other populations with a high prevalence of type 2 diabetes mellitus.
Jason Deen, MD
4800 Sand Point Way, RC.2.820, Seattle WA 98105
Cell: 206-769-3012, Work: 206-987-2266
[email protected]
Dr. Jason Deen (Blackfeet) is an Assistant Professor of Pediatrics and an adjunct Assistant Professor of Medicine at the University of Washington in
the Divisions of Cardiology. He completed the Indian Health Pathway through the Center of American Indian and Minority Health at the University
of Minnesota Medical School. Involved with the Strong Heart Study (SHS) since residency, he is a current volunteer with the SHS Morbidity Review
Committee and is involved in several SHS projects. He is a current Native Investigator through the Native Investigator Development Program at the
University of Colorado Denver and receives project support through the National Institute of Aging. His main research interest is cardiovascular
risk stratification in American Indian children and adolescents.
59
American Heart Association (AHA) Implementing Check.Change.Control in American Indian Communities
Rachel Crawford, American Heart Association – SouthWest Affiliate
Background:
Approximately 78 million people in the United States have high blood pressure. Known also as the silent killer or hypertension, high blood pressure
typically has no symptoms but can lead to deadly health consequences such as heart attack, stroke and kidney failure. Some populations are more at risk
of developing hypertension than others. Research suggests that 1 out of 3 American Indians have high blood pressure. In effort to address the gaps in the
treatment of hypertension, the American Heart Association (AHA) has developed a national blood pressure management program that empowers people
to control of their blood pressure through remote monitoring and health mentoring.
Objectives/Aims:
: To collaborate with American Indian communities in the implementation of the AHA Check.Change.Control. program to learn about, monitor and
manage their blood pressure through a combination of resources to reduce the risk for cardiovascular disease and stroke.
Methods:
The AHA Check.Change.Control. program was implemented in American Indian communities across the state of Oklahoma. AHA staff partnered with
American Indian community organizations/businesses and trained volunteer health mentors (VHM) to develop and implement a program centered on
the use of Heart360™ health information technology, health education and events, and support to participants to monitor and reduce blood pressure. We
evaluated programs based upon their performance on three outcomes of interest: participant enrollment, participant engagement (8 BPs uploaded over 4
months), and blood pressure (BP) change.
Results:
The AHA Check.Change.Control. program was implemented as both a work-site wellness program and through community-based efforts. Approximately
600 American Indian participants were enrolled into the program with a retention rate greater than 20%. Programs with the highest enrollment and
retention were more likely to have regular access to online connectivity, hold regular hypertension management education sessions, and had the support of
the local leadership.
Conclusion:
Check.Change.Control is a community-based initiative that demonstrated successful reduction in blood pressure among American Indian communities
across Oklahoma. We have identified several programmatic factors associated with improved program implementation and success that may guide future
implementation in other communities.
Rachel Crawford
405-593-6931
5700 N. Portland, Ste. 203, Oklahoma City, OK, 73112
[email protected]
Rachel Crawford, is the American Heart Association (AHA) Director of Health Equity for Native American/Alaska Natives Initiatives to both of you.
Rachel has worked for the Association of American Indian Physicians (AAIP) on a variety of American Indian/Alaskan Native Health Disparities
Initiatives for the past eight years. She previously directed the Administration for Native Americans (ANA) Family Preservation Program, which
focused on creating healthy families by strengthening relationship skills of Native families in Oklahoma. Her professional experience also includes
serving as the Project Assistant for the Oklahoma REACH HIV/AIDS American Indian Capacity Building Program, and also the AAIP Projects
Manager for the Indian Country Anti-Methamphetamine Initiative and the Healthy Indian Country Initiative. Rachel’s professional experience has
afforded her opportunities to build partnerships with tribes, tribal organizations, and native communities at local, state, and national level.
Rachel is an enrolled member of the Wichita and Affiliated Tribes of Oklahoma. She received her Bachelor’s degree in Political Science and a
Master’s Degree in Administrative Leadership from the University of Oklahoma. Rachel serves as an executive board member for the National Indian
Women’s Health Resource Center (NIWHRC) and is Vice-Chair of the Wichita Tribal Industrial Development Commission.
60
Multi-gene panel testing in breast, ovarian, and pancreatic cancer cases: prevalence and unintended
screening recommendations.
Antontrey I. Begaye1,4, Erin L. Young1,4, Deborah W. Neklason1, 2, Angela K. Snow1, Bryony A. Thompson1,4,
Matthew A. Firpo7, Sean J. Mulvihill7, Theresa Werner1,8, Russell Bell1, Ken R. Smith5, Alison Fraser1,
Wendy K. Kohlmann1, Leigh A. Neumayer6, Lisa A. Cannon-Albright2,3, and Sean V. Tavtigian1,4
1Huntsman Cancer Institute, University of Utah; 2Division of Genetic Epidemiology, Department of Medicine, University of Utah; 3Research and Development Service, George E. Wahlen
Department of Veterans Affairs Medical Center; 4Department of Oncological Sciences, University of Utah School of Medicine, Salt Lake City, UT 84112, USA; 5Population Sciences, Huntsman
Cancer Institute, University of Utah, 6Department of Surgery and Arizona Cancer Center, University of Arizona, Tucson, AZ 85724 7Department of Surgery, University of Utah School of Medicine
8Division of Oncology, Department of Medicine, University of Utah
Background:
Multi-gene panels are currently used to test individuals with a strong family history of cancer for pathogenic variants in cancer susceptibility gene.
Identification of pathogenic variants affects of the medical management of the carrier, and at-risk relatives can then be tested in order to qualify for earlier
or more intensive preventive measures. Our study focuses on the population of hereditary breast and ovarian cancer (HBOC) and pancreatic cancer cases.
The current eligibility criteria for testing – which control whether or not insurance companies will pay for the testing – are based predominantly on family
history; this limits the availability of testing for the population of women with limited or unknown family histories. The goal of our study is to expand the
criteria for genetic testing for incident cancer cases.
Methods:
We tested breast (n=55), ovarian (n=25), and pancreatic (n=66) cancer cases, unselected for family history, with a custom 34-gene panel test.
Results:
Our results show 14% of the breast, 32% of the ovarian, and 18% of the pancreatic cancer cases carried either a known pathogenic variant or a variant of
uncertain significance (VUS) with a relatively high probability to be pathogenic. 72% of these variants were located in genes within established medical
management recommendations. The next step of this analysis is to utilize the Utah Population Database to explore cancer incidence in first, second and third
degree relatives of our variant-carrying incident cases.
Conclusion:
The results will inform our understanding of variant carriers’ lifetime cancer risk, which may impact eligibility criteria for the testing.
Antontrey Begaye
928-660-9579
701 West Grove Parkway #241, Tempe, AZ 85283
[email protected]
My tribal affiliation is with the Navajo Nation, where I reside in Rough Rock, AZ. I graduated from Arizona State University recently with Bachelor
of Science degree studying health sciences. My ultimate career goal is to become a physician and practice rural medicine on the Navajo Reservation,
specifically in family practice. I am currently interning with the Native American Research Internship, which is preparing me for my medical school
application and gaining further knowledge in research academia.
61
2015 Exhibitors List
Alexion Pharmaceuticals
Mayo Clinic
Native American Programs
352 Knotter Drive
Cheshire, CT 06410
200 First Street SW
Charlton 6
Rochester, MN 55905
American College of Rheumatology
The Lupus Initiative
2200 Lake Blvd NE
Atlanta, GA 30319
National Library of Medicine
P.O. Box 357155
Seattle, WA 98195
American Heart Association
National Center
Puyallup Tribal Health Authority
Osteopathic Family Medicine Residency
7272 Greenville Ave
Dallas, TX 75231
2209 East 32nd St
Tacoma, WA 98404
American Medical Association
Seattle Indian Health Board
330 N Wabash, Suite 39300
Chicago, IL 60605
611 12th Ave S.
Seattle, WA 98144
American Psychiatric Association
Southcentral Foundation
1000 Wilson Blvd, Suite 1825
Arlington, VA 22209
4501 Diplomacy Dr.
Anchorage, AK 99508
Association of Native American
Medical Students (ANAMS)
Summer Medical & Dental Education Program
1225 Sovereign Row, Suite 103
Oklahoma City, OK 73108
www.smdep.org
Tanana Chiefs Conference
A.T. Still University, National Center for American
Indian Health Professions
122 1st Ave
Fairbanks, AK 99701
5850 E. Still Circle
Mesa, AZ 85206
Tourette Association of America
Bayer Healthcare
42-40 Bell Boulevard, Suite 205
Bayside, NY 11361
Boehringer Ingelheim Pharmaceuticals Inc.
University of Arizona
College of Medicine
AZ Indians into Medicine Program
100 Bayer Blvd
Whippany, NJ 07981
43531 W 14th Street
New River, AZ 85087
1501 N Campbell Ave
Tucson, AZ 85724
Gila River Health Care
GuardaHeart Foundation
University of Minnesota
Medical School
Center of American Indian and
Minority Health (CAIMH)
Kenaitze Indian Tribe
University of Wisconsin
534 W. Gullki St
Sacaton, AZ 85147
1035 University Drive, 182 SMed
Duluth, MN 55812
301 Forest Ave
Laguna Beach, CA 92651
750 Highland Avenue
Madison, WI 53705
P.O. Box 988
Kenai, AK 99611
62
EXECUTIVE
BOARD
63
2014-2015
AAIP Executive Board
President
Andrew Haputa, M.D., Cherokee
Dr. Haputa is an enrolled member of the Cherokee Nation. He completed his undergraduate work at
Lenior-Rhyne College in 1996 where he graduated Magna Cum Laude with Honors in Biology. Prior to
completing his undergraduate work, Dr. Haputa served as a Petty Officer in the United States Navy. He
graduated from the University of North Carolina, Chapel Hill School of Medicine in 2000. In 2005, he
completed his residency at the University of Washington School of Medicine. During medical school, Dr.
Haputa received many distinguished awards such as the Edwards Hobgood Distinguished Scholarship, a
four-year academic merits scholarship; The Michiko Kuno Outstanding Research Award, and the Merck
Award for Outstanding Student Contributions to the medical school. He was published in The Journal of
the North Carolina Academy of Sciences in 1997 and in The Medical Journal of the University of North Carolina in 1998. Dr. Haputa
received his license in 2004 and now practices in Burien, Washington as a general surgeon in the field of Allopathic and Osteopathic
Physicians. He currently works for Proliance Surgeons as a board certified surgeon. He is a member of the American College of
Surgeons and the Harkins Surgical Society of the University of Washington. Dr. Haputa is committed to helping others enter the
health professions and serves as an advisor and mentor at the University of Washington’s Medicine Wheel Society.
Immediate Past President
Adriann Begay, M.D., Navajo
Raised on the Navajo reservation, Dr. Begay is passionate about elevating healthcare for American
Indians. She completed her undergraduate studies at the University of Arizona with a Bachelor of
Science in Biology. Through the Indians into Medicine program she received her medical degree
from the University of North Dakota School of Medicine & Health Sciences. She returned to the
University of Arizona to complete her medical training in Family Medicine.
Dr. Begay currently holds the position of Acting Chief for the Gallup Indian Medical Center’s Urgent
Care Clinic. She is a Diplomat of the American Board of Family Practice. She has served on the American Medical Association
(AMA) Foundation Minority Affairs Consortium Governing Council and on the AMA Foundation for Minority Scholars Award
Selection Committee. In addition, she is truly honored to serve as a member of the Gallup Indian Medical Center Traditional
Medicine Committee, which was successful in creating the Office of Native Medicine program. In 2005 Dr. Begay received the
National Institutes of Health Plain Language Award from the U.S. Department of Health and Human Services and received the
Outstanding Service Award from the Promotion of Endocrine Health of an Underserved Population from the American Academy of
Clinical Endocrinologists.
Dr. Begay lives in Gallup, New Mexico with her husband, Robert Albert, and credits her mother, Anna Mew Begay, for providing the
support and strength to overcome obstacles. Most importantly, it is her three children Herberta, Audrey, and Evander who have and
will continue to be her driving force to dream and complete her goals.
64
2014-2015
Treasurer
LeeAnna Muzquiz, M.D., Salish Kootenai
Dr. Muzquiz is a native Montanan and a graduate of Montana State University where she
earned a BS in Microbiology with a minor in Native American Studies. She graduated from
the University of Washington School of Medicine in 2000 and completed her Family Medicine
training at Swedish Family Medicine Residency, Providence Campus in 2003. She is an enrolled
member of the Confederated Salish and Kootenai Tribes (CSKT) and since finishing residency
she has worked for the CSKT in the Tribal Health Department where she is now a Medical
Director and full-time physician. Her interests in medicine include adolescent medicine, women’s health and diabetes as well as
teaching and mentoring. She is active in the areas of health policy and advocacy and enjoys spending time with her family and
enjoying beautiful Flathead Lake. She is the proud mother of 2 boys, Alex age 10 and Zak age 7, and the wife of Tony Muzquiz.
Secretary
Joycelyn Dorscher, M.D., Turtle Mountain Chippewa
Dorscher earned her Doctor of Medicine from the University of Minnesota School of Medicine. She is a
board-certified family practice doctor who also holds a Bachelor of Arts degree in medical technology
from the College of St. Scholastica in Duluth. Dorscher notably maintains an active clinical practice to
keep her close to patient care, most recently with the Mille Lacs Band of Objiwe Outpatient Clinic in East
Lake, Minn.
As a leader in a broad array of public health organizations and foundations in the Duluth area, Dorscher
has provided her medical expertise to help prevent cancer, heart disease, and tobacco abuse, as well as to improve childcare and
American Indian health. She is active in medical research, with a focus on American Indian communities.
Director At Large
Shanda Lohse, M.D., Standing Rock Lakota
Shanda Lohse is a member of the Standing Rock Lakota tribe. She attended the University of Minnesota-Twin
Cities for medical school and completed a family medicine residency program at Hennepin County Medical
Center in Minneapolis, Minnesota. Dr. Lohse is currently the Medical Director for the Valley Native Primary
Care Center in Wasilla, Alaska, which is part of the Southcentral Foundation. Dr. Lohse has worked at the
Southcentral Foundation for nine years.
65
2014-2015
Director At Large
Emmett Chase, M.D., Hupa
A native of Hoopa and a Hupa Tribal member, Dr. Chase attended Hoopa High before going to UC
Davis, Stanford Medical School, and UCLA School of Public Health. Preventive medicine and public
health are Dr. Chase’s special interests. His primary interest off the job is his family, followed by
reading and golf.
Director At Large
Amanda Bruegl, M.D., Onieda
Amanda Bruegl completed her undergraduate degree in biochemistry at the University of WisconsinMadison and her Doctor of Medicine at the University of Washington- Seattle. Following a residency
in gynecology at UW Hospital and Clinics, Dr Bruegl received a fellowship in gynecological oncology
from MD Anderson Cancer Center at the University of Texas. She is a member of the Oneida Nation of
Wisconsin.
66
Association of American Indian Physicians Staff
Margaret Knight
Echo Duerksen
Executive Director
Program Assistant, Capacity Building
Assistance Program, CDC/OSTLTS
Gary Lankford
Laurisa Soap
Student Programs Director
Project Manager, School Health Index
Project
Jamie McDaniel
Acting Program Director,
Diabetes Program
Jacque Muncy
Accounting Technician
John Stafford
Alex Springer
Capacity Building Assistance Program
Director, CDC/OSTLTS
Communication Manager
J O H N T. W O L F E
AWARD
Paul Blackcloud is currently entering his fourth year as a medical
student at Columbia University, College of Physicians & Surgeons
in New York. He is Hunkpapa Lakota and a member of the Standing Rock Sioux Tribe. Paul grew up
in Rochester, NY and attended Dartmouth College, graduating with a BA in environmental studies in
2002. He worked in an unrelated field until 2009, when he left to pursue his dream of becoming a doctor.
During this time, he also worked with AmeriCorps VISTA on his reservation, helping the elderly nutrition program improve its reach and capacity. Since starting medical school in 2012, Paul has been active
with ANAMS (Association of Native American Medical Students), serving as the East Coast Regional
Representative from 2012-2014, and most recently as the President-Elect from 2014-2015. In his role, he
increased ANAMS membership by partnering with diversity programs at medical schools in his region,
and helped form a local NYC Chapter of ANAMS, serving all medical schools in the NY metro area. He is
particularly interested in helping to grow the number of native medical students and physicians through
mentorship. Paul will be applying into dermatology residency programs this year and plans to maintain an
active role in native health and mentorship of students.
67
Physician
of the
Year
I would like to nominate Eva Marie Smith, M.D., M.P.H. for this year’s Physician of the Year award. I met her in 1986 when she- then
a stranger- stepped up to be my sponsor as I joined AAIP at the annual meeting in Albuquerque. Little did I know how important
that offer of support would be- I most wanted a Native physician with ties to the East Coast, and better yet a fellow female family
doctor role model. My wish certainly came true. Eva is a member of Shinnecock Tribe of New York, and grew up in a small town
there 60 miles from where I also lived.
Dr. Smith is a graduate of the Georgetown University School of Medicine in Washington, D.C. She did her residency in family practice at Brookhaven Memorial Hospital Medical Center, Patchogue, NY, and her preventative medicine residency at the University of
California, Los Angeles in 1990. She is a diplomat of the American Board of Family Physicians.
As a family physician, Eva has always had a strong focus on community service and high quality care. She is certified in addiction
medicine through the American Society of Addiction Medicine. Dr. Smith finds treating substance abuse particularly satisfying
because it allows her to bring in spirituality to the treatment. This led her to work for Indian Health Services in the late 1980s and
became a leader at IHS headquarters spearheading policy and clinician training issues surrounding substance abuse prevention and
treatment, along with her colleague, the late Johanna Clevenger, M.D. I have seen her in action at various trainings. She is knowledgeable, outspoken and honest, with a clinician’s heart and similar strong ties to the community’s needs. My family is personally
indebted to her for her expertise during a serious time of need related to these issues.
In 1997, Dr. Smith moved to the Hoopa reservation in California, the home of her husband Dr. Emmett Chase (who she met at an
AAIP meeting in the 1980s ). She has been there ever since, and has two beautiful daughters raised in the culture there.
Dr. Smith is currently the medical director at K’ima:w Medical Center at Hoopa, located in a remote section of Humboldt County.
Serious health issues are common there, and resources few- the largest town Eureka is over 60 miles away on challenging roads. Her
practice is full spectrum, from trauma care to pediatrics to chronic disease management. She was the sole driving force to bring
University of California, Davis telemedicine services to the medical center to give her patients access.
She is the kind of doctor who continues to make house calls, and understands the complex web of social and medical needs of
those she serves. Dr. Smith has also been front lines for Hoopa Nation when public health emergencies have occurred, such as the
summer of 1999 major Megram fire that lasted 3 months. She was able to declare a tribal and county state of emergency based on
human health threat to those on reservation. Her ability to not only care for patients with cardiac and respiratory illness, but to work
harmoniously with diverse and complex agencies and teams that ultimately prevented any casualties came naturally to her as a leader
and healer.
In October 2013, Eva received the California Medical Association’s (CMA) 2013 Frederick K.M. Plessner Memorial Award during
the association’s annual House of Delegates. The award honors a CMA member who best exemplifies the practice and ethics of a rural
practitioner. She was quoted there as saying: “I love people.” How lucky we are that she does, and to count her as one of our own.
In friendship,
Terry Maresca
68
Annual Meeting &
National Health Conference
Women’s Retreat
Promoting
wellness and self - care for women throughout the life cycle .
Thursday, July 30, 2015
6:00 a.m. – 11:30 a.m.
This retreat is for conference attendee’s, family members, and vendors only.
Shuttle Service from the Tulalip Resort Casino will be provided.
Please meet in the hotel lobby, departure from the hotel
is 6:00 a.m.
WHERE:
Shaquita Bell and Marc Boyer’s Family Cabin
1272 Juniper Beach Road
Camano Island, WA
DRESS:
Casual and comfortable, depending upon the weather,
a jacket might be good to bring.
PLEASE SEE REGISTRATION DESK FOR MORE INFORMATION
Breakfast will be provided for participants
Thank you to Shaquita Bell, Terry Maresca, Kimmee K, Lise Alexander, Amanda
Bruegl, Polly Olsen coordinators for this activity, and Janice Nachie, Facilitator of the
Women’s Retreat.
For additional questions, contact Margaret Knight
69
Poster Session
Seattle Children’s is
proud to support the
Association of
American Indian Physicians’
44th Annual Meeting
Friday, July 31st, 2015
10:15 a.m.
Saturday, August 1st, 2015
2:45 p.m.
Poster judging Q&A
Saturday, August 1st, 2015
10: a.m. – 10:45 a.m.
All conference attendees are encouraged to view
the posters and discuss the research with the poster
presenters.
Prizes will be awarded for 1st, 2nd, and 3rd place.
Any questions regarding the poster session contact
Gary Lankford or John Stafford
Location: Orca #3
PRESIDENT’S RECEPTION
ćVSTEBZ+VMZUItQNUPQN
Orca Rooms 2
(Ticket Required)
Entertainment ~ Star Nayea
Physician of the Year Award ~Eva Marie Smith, MD
John T. Wolf Award ~Paul Blackcloud
AAIP Diabetes Communities Awards
Memorial for ~ Patricia Silk Walker, PhD., Frank Clarke, MD.
Linwood “Little Bear” Custlow
Silent Auction
70
71
Fun Run
& Wa l k
Friday, July 31, 2015 – 6:00 a.m.
This event is sponsored by Seattle Children’s
Location:
Tulalip Resort Casino
Registration:
There is not cost to participate for registered
conference attendees. Please sign-up at the
AAIP conference registration desk prior to
race day.
Schedule:
tBN3FHJTUSBUJPO
tBN,'VO3VOTUBSUT
Awards:
All runners and walkers will receive a finisher
medal after crossing the finish line. After
the run, participants are invited to celebrate
their accomplishments at the Post Run/
Walk Breakfast in Chinook 1. Your run/walk
number will serve as your ticket into the meal.
tBNNJMFXBMLTUBSUT
tBN#SFBLGBTUGPSQBSUJDJQBOUTPOMZ
Family Night
All conference registrants and their families are welcome to attend this event at no additional charge
There will be a salmon cookout, live music, and good company
When: Friday, July 31st
Where: Hibulb Cultural Center, Tulalip, WA
Time: 6:00 p.m.
Entertainment: Randell Kimbell
72
73
74
75
76
Acknowledgements
The AAIP Board of Directors would like to acknowledge and thank the following
companies, tribes, organizations and individuals for their contribution and continued support in helping us bring this program and its speakers to you.
American Psychiatric Association
American Academy of Pediatrics
American Academy of Family Physicians
Centers for Disease Control and Prevention
Office of State, Tribal, Local and Territorial Support
Children’s Tylenol
Mayo Clinic - Spirit of Eagles
MD Anderson
National Institute of Diabetes & Digestive & Kidney Disease (NIDDK)
Office of Minority Health
University of Minnesota - Center of American Indian and Minority Health
University of Oklahoma Public Health Training Center
Substance Abuse and Mental Health Services Administration (SAMHSA)
77
Notes
78

AAIP Homecoming 2015 - Association of American Indian Physicians

Transcription

Similar documents

Gary L. Brandt, Faculty Northwest Indian College, [email protected]

Name of Nominee: Gerald E. Gipp, Phi). Currently Dr. Gipp is the

Park Plaza.cdr

- International Undergraduate Research

the membership brochure - the Cultural Council of Indian

Indian Hills 9th Annual Car Show

The Appalachian Indian Voice November, 2014

The Child Begg The Child Begging Mafia in India

1 Week 3 The American World at Contact •Great Plains Droughts

Padmabhushan, Padmashree Dr. K. J. Yesudas the best