Interview Handout 2015

CARDIOVASCULAR FELLOWSHIP
TRAINING PROGRAM
UNIVERSITY OF OKLAHOMA
2015-2016
Training Sites
OU Medical Center – Presbyterian Tower
Oklahoma City VA Medical Center
The VA Medical Center in Oklahoma City serves a
veteran population of more than 225,000.
Fellows rotate through two training site hospitals:
1. OU Medical Center (www.oumedicine.com)
2. Oklahoma City VA Medical Center (www.oklahoma.va.gov)
Both hospitals are geographically adjacent and connected by a skywalk. On average fellows spend 50% of their time
rotating through each site. Both OU Medical Center and DVA Medical Center offer a comprehensive spectrum of
cardiovascular services including:
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Acute coronary care
In-house primary PCI for ST Elevation MI
Cardiac catheterization laboratories
Coronary and peripheral interventions
Echocardiography laboratories (including TEE and stress echocardiography)
Nuclear Cardiology services
Cardiac Implantable Electronic Devices (CIEDs- pacemakers, ICD, CRT)
Cardiothoracic surgery
Arrhythmia Ablation (only at OUMC)
Located next to OU Children's Physicians, the Oklahoma City VA Medical Center provides medical care to eligible
veterans and also serves as a teaching hospital for the University of Oklahoma College of Medicine.
Over 300 University residents, interns, and students are trained at the Oklahoma City VA Medical Center each year.
In addition to training future medical doctors, there are also affiliations the College of Nursing, Dentistry, Pharmacy
and others programs at the OU Health Sciences Center.
OUHSC Cardiovascular Faculty 2015-16
Section Chief:
Dwight Reynolds
Fellowship Program Director & Vice Chief for Education and Training:
C.A. Sivaram
Associate Program Director:
Faisal Latif
Electrophysiology:
Ralph Lazzara
Sunny Po
Karen Beckman
Deborah Lockwood
Stavros Stavrakis
Sunil Mathew
Benjamin Scherlag
Hiroshi Nakagawa
Warren (Sonny) Jackman
Paul Garabelli
Interventional Cardiology:
Mazen Abu-Fadel
Beau Hawkins
Emilio Exaire
Faisal Latif
Talla Rousan
Echocardiography:
C.A. Sivaram
Pedro Lozano
Christina Murray
Tarun Dasari
Nicole Tran
Sabrina Phillips
Nuclear Cardiology:
Christina Murray
Tarun Dasari
Nicole Tran
Heart Failure:
Christina Murray
Tarun Dasari
Candice Sech
Vascular Medicine:
Suman Rathbun
Angelia Kirkpatrick
Ana Casanegra
Pacing & Devices:
Dwight Reynolds
Karen Beckman
Sunil Mathew
Clinical Cardiology:
Udho Thadani
Aneesh Pakala
Adult Congenital Heart Disease:
Sabrina Phillips
Vascular Medicine
Suman Rathbun
Thomas Whitsett
Ana Casanegra
Interventional Cardiology
Mazen Abu-Fadel
Emilio Exaire
Faisal Latif
Beau Hawkins
Talla Rousan
Clinical Electrophysiology
Sunny Po
Ralph Lazzara
Karen Beckman Deborah Lockwood
Sunil Mathew
Paul Garabelli
Stavros Stavrakis
Clinical Electrophysiology
Benjamin Scherlag Hiroshi Nakagawa
Sonny Jackman
Pacing and Devices
Dwight Reynolds
Echocardiography
Chittur Sivaram
Pedro Lozano
Clinical Cardiology
Aneesh Pakala
Tarun Dasari
Nicole Tran
Sabrina Phillips
Special OU Faculty Achievements
Past Presidents of the North American Society of Pacing and Electrophysiology (NASPE), now
known as the Heart Rhythm Society:
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Dr. Ralph Lazzara
Dr. Dwight Reynolds
2015 Gifted Educator Award from American College of Cardiology:
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Dr. C.A. Sivaram
Emerging Faculty- American College of Cardiology:
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Dr. Mazen Abu-Fadel
Dr. Faisal Latif
Select Comments from Recently Graduated Fellows
“OU cardiology program provided a solid foundation for my growth as a cardiologist. This
program allowed and encouraged me to grow in a manner that suited my career goals
and aspirations. I found the faculty to be very friendly and they were always available
whenever I needed any type of professional or personal guidance. If I were to do this all
over again, OU would still be my choice for fellowship training.”
– Siddharth Wayangankar MD, Interventional Fellow, Cleveland Clinic
“OU provided me with a world class education that prepared me to go into practice
confident in my knowledge and skills. I could not have asked for a better place to train.”
– Weston Hickey MD, Interventional Cardiologist in private practice, Houston TX
“The OU Cardiology Fellowship training is well rounded and prepared me extremely well
for private practice. As a Cardiology Fellow at OU, I performed a high volume of
procedures, worked very closely with world renowned physicians in Electrophysiology,
Echocardiography, and General Cardiology, and was given plenty of autonomy to grow
as a Fellow. This well-rounded program allows you to practice in almost any setting, and
I would strongly recommend it to any applicant considering Cardiology as a career.”
– George Madden, General Cardiologist in private practice, OKC, OK
“A clear strength of the cardiology fellowship at OU is the progressive autonomy of both
the invasive and non-invasive imaging rotations seen from year one to year three, the
rotations that are tailored to each career path, and the cutting-edge research
opportunities. For me, the early electrophysiology rotations helped me solidify my career
choice.”
– Paul Garabelli, Electrophysiologist, OU Physicians, OKC, OK
Current Fellows 2015-2016
Year of Training
Fellow Name
Third year
Third year
Third year
Third year
Matthew Cozart
Michael Koehler
Bhavin Patel
Purvi Parwani
Second year
Christel Cuevas
Second year
Second year
Second year
First year
Fahmi Farah
Steve Hamilton
Daniel Sohinki
Elizabeth Mora Garzon
First year
First year
First year
Blake Morris
Ethan Munzinger
Ali Yousif
Medical School
University of Arkansas
University of Oklahoma
Medical College, Baroda, India
B.J. Medical College,
Ahmedabad, India
University of Texas Medical
Branch Galveston
Texas Tech University
UT Southwestern
University of Iowa
Universidad de Caldas Facultad
de Ciencias para la Salud Colombia
University of Oklahoma
University of Missouri
University of Texas Medical
Branch Galveston
Residency
University of Arkansas
University of Oklahoma
University of Oklahoma
University of Connecticut
University of Texas
Medical Branch Galveston
Scott and White
University of Oklahoma
UT Southwestern
University of Miami
University of Oklahoma
University of Oklahoma
Baylor College of Medicine
The University of Oklahoma Department of Medicine
Cardiovascular Fellows 2015-2016
First Year Fellows
Elizabeth Mora Garzon
Blake Morris
Ethan Munzinger
Ali Yousif
Second Year Fellows
Christel Cuevas
Fahmi Farah
Steven Hamilton
Daniel Sohinki
Third Year Fellows
Michael Koehler
Bhavin Patel
Interventional Fellows
Zeeshan Khan
Ajay Pachika
Purvi Parwani
Vascular Fellow
Federico Silva Palacios
Matthew Cozart
EP Fellow
Edward Koomson
University of Oklahoma
Cardiovascular Diseases Fellowship Training Programs
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Cardiovascular Diseases Fellowship
a.
Duration 36 months
b.
12 total fellows
c.
4 per year
Interventional Cardiology Fellowship
a.
Duration 12 months
b.
2 fellows
Clinical Electrophysiology Fellowship
a.
Duration 12 months
b.
1 fellow (2 positions)
Vascular Medicine (non-accredited)
a.
Duration 24 months
b.
1 fellow
Quality Metrics
1. Accreditation status:
Full accreditation for 6 years
Last RRC visit 2007
2. Board Pass Rates
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2014: 4/4 (100%)
2013: 4/4 (100%)
2012: 4/4 (100%)
2011: 4/4 (100%)
2010: 4/4 (100%)
2009: 4/4 (100%)
2008: 3/4 (75%)
2007: 4/4 (100%)
2006: 3/3 (100%)
2005: 2/2 (100%)
2004: 2/4 (50%)
2003: 2/2 (100%)
2002: 4/4 (100%)
2001: 2/2 (100%)
2000: 3/4 (75%)
ABIM Definitions: First time takers only & exam taken at graduation or next year
3. Placement after Fellowship Training:
Graduating class of 2015:
Zeeshan Khan: Interventional Fellowship- OU
Edward Koomson: Clinical Electrophysiology Fellowship- OU
George Madden: Private Practice, OK
Aneesh Pakala: Academic- OU
Graduating class of 2014:
Weston Hickey: Interventional Fellowship- OU→ Private Practice, TX
Talla Rousan: Interventional Fellowship- University of Texas, Houston→ Academic OU
Marcus Smith: Interventional Fellowship- OU→ Private Practice, OK
Siddharth Wayangankar- Interventional Fellowship- Cleveland Clinic
Graduating class of 2013:
Paul Garabelli: Clinical Electrophysiology Fellowship-OU→ Academic OU
Jigar Patel: Interventional Fellowship, University of North Carolina, Chapel Hill→ Private Practice FL
Charles Te: Clinical Electrophysiology Fellowship-OU→ Private Practice OK
Cherian Varghese: Interventional Fellowship, University of Wisconsin, Madison→ Private Practice WI
Graduating class of 2012:
Chadi Dib: Interventional Fellowship, University of Texas, Houston→ Private Practice, OK
Tarun Dasari: Academic- OU
Raghav Gupta: Interventional Fellowship, OU→ Private Practice, OK
Reji Pappy: Interventional Fellowship- Mount Sinai, New York→ Private Practice, OK
Graduating class of 2011:
Bryan Cogar: Interventional Fellowship, Texas Heart Institute → Private Practice, OK
Beau Hawkins: Interventional Fellowship, Mass General Hosp, Harvard University→ Academic, OU
Stavros Stavrakis: EP Fellowship, OU→ Academic, OU
Soni Zacharias: Interventional Fellowship, OU→ Private Practice, OK
Graduating class of 2010:
Chris Bauer: EP Fellowship, University of Oklahoma → Private Practice, MO
Radwane Kesserwane: Interventional Fellowship, University of Oklahoma→ Private Practice, OK
Dipesh Pokharel: Private Practice: Vancouver, Washington→ Private Practice, WA
Candice Sech: Interventional Fellowship, Tufts University→ Private Practice, WA
Graduating class of 2009:
Katherine Hays: Private Practice, Norman, OK
Christina Murray: Academic, University of Oklahoma, OK
Sunil Mathew: EP Fellowship, University of Oklahoma → (Private Practice) → Academic, OU
Jeff Sparling: Interventional Fellowship, Brigham & Women’s, Harvard → Private Practice, OK
Graduating Class of 2008:
Tim Daly: Interventional Fellowship, University of Oklahoma → Private Practice, OK
Faisal Latif: Interventional Fellowship, William Beaumont Hosp, Royal Oaks, MI → Academic, OU
Shoaib Saya: Interventional Fellowship, UT Southwestern → Private Practice, TX
Chandra Vasamreddy: EP Fellowship, University of Oklahoma → Private Practice, MO
Graduating Class of 2007:
Archana Gautam: Academic Cardiology, University of Oklahoma→ Interventional Fellowship →
Private Practice, OK
Derek Norman: Interventional Fellowship, University of Oklahoma → Private Practice, OK
Michael Partin: Interventional Fellowship, University of Oklahoma → Private Practice, OK
Graduating Class of 2006:
Mazen Abu-Fadel: Interventional Fellowship, University of Oklahoma → Academic, OU
Faisal Nabi: Imaging Fellowship, Weil Cornell University & Methodist, Houston→ Academic, TX
Shujahat Shah: Interventional Cardiology, University of Oklahoma → Private Practice, OK
Educational Innovations at OU:
The ABIM Competency Based Pilot in IM-Cardiology
Our training program is one of 4 programs participating in the innovative Competency Based
Pilot in IM-Cardiology, sponsored by the American Board of Internal Medicine (ABIM). This Pilot
involves the administration of a competency based curriculum focused on cardiology to a
selected group of IM residents accepted already to CV fellowship training during their third year
of IM residency. In effect several ‘hybrid’ rotations during third of IM residency will offer credits
for both IM and cardiology fellowship as part of the Pilot.
Institutions participating in the IM-Cardiology Pilot are University of Oklahoma, Vanderbilt
University, Indiana University and Mount Sinai New York-Icahn School of Medicine. Each site
has one Pilot resident per year, beginning July 2014. The national Chair for this ABIM Pilot is
Dr. C.A. Sivaram, fellowship program director at OU.
Our Pilot residents/fellows at OU are:
1. Ethan Munzinger MD- Pilot Resident 2014/2015, CV Fellow 2015-2018
2. Cole Tunnell MD- Pilot Resident 2015/2016, CV Fellow 2016-2019
University of Oklahoma
Cardiology Fellow Research and Publications 2013-2015
1. Recurrent primary cardiac lymphoma on aortic valve allograft: implications for therapy. Farah FJ,
Chiles CD. Tex Heart Inst J. 2014 Oct;1;41(5):543-6. PMID: 25425992.
2. Newer algorithms in bradycardia management. Sohinki D, Obel OA. Cardiol Clin. 2014
May;32(2):283-92. PMID: 24793803.
3. Outcomes after atrioventricular node ablation and biventricular pacing in patients with refractory
atrial fibrillation and heart failure: a comparison between non-ischaemic and ischaemic
cardiomyopathy. Sohinki D, Ho J, Srinivasan N, Collins LJ, Obel OA. Europace. 2014
Jun;16(6):880-6. PMID: 24525552.
4. Clinical characteristics and determinants of non-eligibility for reperfusion in patients with ST
segment elevation myocardial infarction: insights from the NCDR®. Dasari TW, Hamilton S,
Chen AY, Wang TY, de Lemos JA, Peterson E, and Saucedo JF. Circulation. 2014;130:A12762.
5. Transesophageal echocardiography for the diagnosis of pulmonary vein stenosis after catheter
ablation of atrial fibrillation: a systematic review. Stavrakis S, Madden GW, Stoner JA, Sivaram
CA. Echocardiography. 2010 Oct;27(9):1141-6. PMID: 20678129.
6. Acute aortic dissection in a patient receiving gemcitabine and cisplatin. Madden GW, Ishaq MK,
Gupta R. Am J Ther. 2014;Jan-Feb;21(1). PMID: 23344098.
7. Obesity, brain natriuretic peptide levels and mortality in patients hospitalized with heart failure and
preserved left ventricular systolic function. Stavrakis S, Pakala A, Thomas J, Chaudhry MA,
Thadani U. Am J Med Sci. 2013 Mar;345(3):211-7. PMID: 23422653.
8. Brugada pattern mimicking acute coronary syndrome in a febrile state. Pakala A, Dasari TW,
Beckman KJ. J Okla State Med Assoc. 2012 Jul;105(7):275-8. PMID: 22973684.
9. Primary pericardial sarcoma: a case report and a brief review. Pakala A, Gupta R, Lazzara R.
Cardiol Res Pract. 2011 Apr 26; 2011:853078. PMID: 21559228.
10. Endovascular treatment of mesenteric ischemia. Hawkins BM, Khan Z, Abu-Fadel MS, Exaire
JE, Saucedo JF, Hennebry TA. Catheter Cardiovasc Interv. 2011;Nov 15;78(6):948-52. PMID:
21523886.
11. Systematic review of effectiveness of oral sirolimus after bare-metal stenting of coronary arteries
for prevention of in-stent restenosis. Dasari TW, Patel B, Saucedo JF. Am J Cardiol. 2013 Aug
6. PMID:23932188.
12. Indices of central aortic blood pressure and their impact on cardiovascular outcomes.
Patel BC, Gupta R, Latif F. J Cardiovasc Med (Hagerstown). 2012 Jan;13(1):38-45. Review.
PMID: 22130043.
13. Heart failure patients with low blood pressure: how should we manage neurohormonal blocking
drugs? Parwani P, Ryan J. Circ Heart Fail. 2012 Nov;5(6):819. PMID: 23170021.
14. Electrocardiographic changes during vasodilator SPECT myocardial perfusion imaging: does it
affect diagnosis or prognosis? Azemi T, Rai M, Parwani P, Baghdasarian S, Kazi F, Ahlberg
AW, Cyr G, Katten D, O'Sullivan D, Fram D, Heller GV. J Nucl Cardiol. 2012 Feb;19(1):84-91.
PMID: 21947978.
University of Oklahoma
Selected Cardiology Faculty Research and Publications
1. Low-level transcutaneous electrical vagus nerve stimulation suppresses atrial fibrillation.
Stavrakis S, Humphrey MB, Scherlag BJ, Hu Y, Jackman WM, Nakagawa H, Lockwood D,
Lazzara R, Po SS. J Am Coll Cardiol. 2015 Mar 10;65(9):867-75. PMID: 25744003.
2. Clinical and echocardiographic variables associated with LA septal pouch. Wayangankar SA,
Patel JH, Patel B, Stavrakis S, Sivaram CA. JACC Cardiovasc Imaging. 2013 Jul;6(7):833-5.
PMID:23664719
3. Comparison of radiation dose between different fluoroscopy systems in the modern
catheterization laboratory: Results from bench testing using an anthropomorphic phantom.
Christopoulos G, Christakopoulos GE, Rangan BV, Layne R, Grabarkewitz R, Haagen D, Latif F,
Abu-Fadel M, Banerjee S, Brilakis ES. Catheter Cardiovasc Interv. 2015 May 23.[Epub ahead of
print] PMID: 26010374.
4. Real-time ultrasound guidance facilitates transradial access: RAUST (Radial Artery access with
Ultrasound Trial). Seto AH, Roberts JS, Abu-Fadel MS, Czak SJ, Latif F, et al. JACC
Cardiovasc Interv. 2015 Feb;8(2):283-91. PMID:25596790.
5. A young patient with concurrent splanchnic dynamic vascular compression syndromes. Salem G,
Casanegra A, Gierman JL, Hawkins BM, Tafur AJ. Vasc Med. 2015 Apr 15. [Epub ahead of
print]. PMID:25878214.
6. Endothelial Cell Inflammation and Antioxidant Capacity are Associated With Exercise
Performance and Microcirculation in Patients With Symptomatic Peripheral Artery Disease.
Gardner AW, Parker DE, Montgomery PS, Sosnowska D, Casanegra A, Ungvari Z, Csiszar A,
Sonntag WE. Angiology. 2015 Oct;66(9):867-74. Epub 2015 Jan 20. PMID: 25603804.
7. Internal mammary artery graft dissection: a case-based retrospective study and brief review.
Khan Z, Latif F, Dasari TW. Tex Heart Inst J. 2014 Dec 1;41(6):653-6. eCollection 2014 Dec.
PMID:25593535.
8. Images in clinical medicine. Cervical aortic arch. Dasari TW, Paliotta M. N Engl J Med. 2014 Dec
25;371(26):e38. PMID:25539125.
9. The use of low-level electromagnetic fields to suppress atrial fibrillation. Yu L, Dyer JW, Scherlag
BJ, Stavrakis S, Sha Y, Sheng X, Garabelli P, Jacobson J, Po SS. Heart Rhythm. 2015
Apr;12(4):809-17. PMID:25533588.
10. Hospital variation in carotid stenting outcomes. Hawkins BM, Kennedy KF, Aronow HD, et al.
JACC Cardiovasc Interv. 2015 May;8(6):858-63. PMID: 25999111.
11. Proximal versus distal embolic protection for carotid artery stenting: a national cardiovascular
data registry analysis. Giri J, Parikh SA, Kennedy KF, Weinberg I, Donaldson C, Hawkins BM, et
al. JACC Cardiovasc Interv. 2015 Apr 20;8(4):609-15. PMID: 25907088.
12. Racial/ethnic variation in carotid artery revascularization utilization and outcomes: analysis from
the National Cardiovascular Data Registry. Wayangankar SA, Kennedy KF, Aronow HD,
Rundback J, Tafur A, Drachman D, Patel B, Sivaram CA, Latif F. Stroke. 2015 Jun;46(6):152532. PMID:25953368.
13. The role of the autonomic ganglia in atrial fibrillation. Stavrakis S, Nakagawa H, Po SS,
Scherlag BJ, Lazzara R, Jackman WM. JACC Clin Electrophysiol. 2015 Mar-Apr;1(1-2):1-13.
PMID:26301262.
14. Supraventricular extrasystolic activity and the elusive goal of identifying the imminent triggers of
atrial fibrillation. Lazzara R. Heart Rhythm. 2015 Sep;12(9):1905-6. PMID: 26001504.
15. Vascular medicine and phlebology: where do we intersect? Rathbun SW. Vasc Med. 2015
Apr;20(2):99-101. PMID: 25832596
16. Inflammation markers and their trajectories after deep vein thrombosis in relation to risk of postthrombotic syndrome. Rabinovich A, Cohen JM, Cushman M, Wells PS, Rodger MA, Kovacs MJ,
Anderson DR, Tagalakis V, Lazo-Langner A, Solymoss S, Miron MJ, Yeo E, Smith R, Schulman
S, Kassis J, Kearon C, Chagnon I, Wong T, Demers C, Hanmiah R, Kaatz S, Selby R, Rathbun
S, et al. J Thromb Haemost. 2015 Mar;13(3):398-408. PMID: 25495610.
17. Early performance of a miniaturized leadless cardiac pacemaker: the Micra Transcatheter Pacing
Study. Ritter P, Duray GZ, Steinwender C, Soejima K, Omar R, Mont L, Boersma LV, Knops
RE, Chinitz L, Zhang S, Narasimhan C, Hummel J, Lloyd M, Simmers TA, Voigt A, Laager
V, Stromberg K, Bonner MD, Sheldon TJ, Reynolds D; Micra Transcatheter Pacing Study Group.
Eur Heart J. 2015 Jun 4. pii: ehv214. [Epub ahead of print]. PMID:26045305.
18. The rationale and design of the Micra Transcatheter Pacing Study: safety and efficacy of a novel
miniaturized pacemaker. Ritter P, Duray GZ, Zhang S, Narasimhan C, Soejima K, Omar
R, Laager V, Stromberg K, Williams E, Reynolds D; Micra Transcatheter Pacing Study Group.
Europace. 2015 May;17(5):807-13. PMID:25855677.
19. COCATS 4 Task Force 15: Training in Cardiovascular Research and Scholarly Activity.
Harrington RA, Barac A, Brush JE Jr, Hill JA, Krumholz HM, Lauer MS, Sivaram CA, et al. J Am
Coll Cardiol. 2015 May 5;65(17):1899-906. PMID:25777645.
20. A serendipitous identification of a lead extraction complication. Madden G, Farrukh O, Stavrakis
S, Sivaram CA. Echocardiography. 2014 Sep;31(8):E247-9. PMID:24919764.
21. Percutaneous coronary interventions in the elderly improve quality of life: evidence far from
certain. Thadani U, Latif F. Cardiology. 2014;129(1):44-5. PMID: 25096401.
22. Challenges with nitrate therapy and nitrate tolerance: prevalence, prevention, and clinical
relevance. Thadani U. Am J Cardiovasc Drugs. 2014 Aug;14(4):287-301. PMID: 24664980.
23. Safety and economic considerations of argatroban use in critically ill patients: a retrospective
analysis. Kim SC, Tran N, Schewe JC, et al. J Cardiothorac Surg. 2015 Feb 7;10:19. PMID:
25879883.
Cath lab scene: Edward Koomson, Michael Koehler, Ajay Pachika, Daniel Sohinki & Beau Hawkins
Cardiovascular Fellows 2015-2016
Elizabeth Mora Garzon, Christel Cuevas, Fahmi Farah, Purvi Parwani
CV fellows at the ACC Oklahoma Chapter Annual Scientific Meeting, April 2015
First year CV Fellows, Orientation Day 2015
Ali Yousif, Blake Morris, Elizabeth Mora Garzon, Ethan Munzinger
CV Fellows with faculty at ACC 2015, San Diego
What a difference a year makes!
Second year CV fellows on Orientation Day June 2014 and beginning of second year June 2015
Fahmi Farah, Steven Hamilton, Christel Cuevas, Daniel Sohinki
CV Fellows with ACC President, Dr. Kim Williams at ACC 2015, San Diego
At the fellows graduation May 2015 with Dr. Faisal Latif and Dr. Dwight Reynolds
Graduating fellows 2015 at the Graduation Ceremony
Zeeshan Khan, Aneesh Pakala, George Madden, Edward Koomson
Matthew Cozart and Zeeshan Khan at Capitol Hill as part of the
Oklahoma ACC Chapter delegation during the ACC Legislative Conference 2014
Steve Hamilton with his poster presentation at AHA 2014
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