Summer 2015 - Creighton University School of Medicine

Transcription

Summer 2015 - Creighton University School of Medicine
Vol. XVIII, No. 4 Spring 2015
May 10th, 2015 or Oh God I Forgot to Call Her
Gordon Chien
Columnist, M3
“Son, how come you’ve never dated an Asian girl?”
“Two reasons. One, because you brought me to a country where
we’re a minority. And two, none of the women in Uncle’s hidden
stash of magazines were Asian. You do the math.”
“I will do the math, because
Heaven knows you sure don’t
know how to. I could’ve bought
a car with all the money I spent
sending you to math tutors.”
Mama Chien firmly lives by the
motto “do no harm, but take no
s***.” When I give her lip, she
retorts that, were it not for her
insistence on taking progestins
when I was a threatened miscarriage, I’d be an autopsy
report and she would still have
all the extra money that has
gone into raising me. These days, Tiger Mom may be a little
blinder and a little slower, but those guilt-tripping skills aren’t
going away anytime soon. Those skills of domination and survival
have gotten her where she is today.
Wellness
Chronicle
CreightonSOM
Mother, Sister, and I moved to the United States on June 28th,
1992. Decked out in a purple fanny pack and my sister’s handme-downs while listening to Chinese Christmas songs on the
Walkman rented from China Airlines, I wondered when Dad
would be joining us. He just has to go back to Taiwan to finish up
some things, Mom promised. I figured he’d be gone a few days,
two weeks at the most. No big deal. And he’ll be back with presents, so it’ll totally be worth it.
Twenty-three years later, he’s still not back stateside. Sure, he
pops in about one week per year, but he spends half the time
jetlagged, up at three in the morning watching Golden Girls re-
runs to bone up on his English. (“Recycled wife” is a term he
learned from that show. I tell him not to say it around his wife so
much, but I guess my opinion doesn’t matter). In our short periods together, we have bonded over Bond, debated delicious
delicacies, and fought about futures. But that’s about it. He and I
aren’t particularly close. A few meals, some laughs, and off he
zips again to “that hot, stinking mess of an island where I work
like a dog and get paid like one too” – his words – for another 355
days.
When I was still living at home, the look
in Mom’s eyes every time she started
the car to take him to the airport was
always the same. Battle-hardened despair, loneliness, perhaps some regret of
this barely-a-marriage living – each
wrinkle on her face today tells a different story.
It’s no wonder she grew such a thick
skin. Twenty-three years of living 6,458
Mrs. Chien
and a young Gordon miles away from her husband forces
one to do that. Twenty-three Christmases and children’s birthdays, all spent without her partner at
her side. Hell, twenty-three years of putting up with my obnoxious
crap would have driven any other mom away. She could have
easily purchased a one-way ticket back to Taiwan and let the
streets raise me. But she stuck around and did her very best. In
the end, her kids are testaments to her efforts and sacrifices –
one dutiful and successful, the other barely functional and miraculously has never been arrested. I’ll let you guess who’s who.
Happy Mother’s Day, Mama. Your husband will finally be home
for good on June 28th this year, and I’ll be there with you to celebrate. Despite our complete failure to see eye-to-eye on anything
besides food, I will always love you. And I know that somewhere
deep below that iron hide of yours, you love me too.
To our unending quest for beef noodle soup perfection,
Your unworthy parasite
In This Issue
May 10th, 2015
My Months Among
the Surgeons
Sleep
Reclaiming the Keys
1
2
3
4
You Mind is Here, There
And Everywhere
Shrink Rap
An Update from the AMA
A Summer Recipe
Match List
5
6
7
8
9
My Months Among the Surgeons:
Please Excise Me Out of Here
WELLNESS
Chronicle
Faculty Advisor
Dr. Michael Kavan,
Ph.D.
Editors in Chief
Roy Norris
Alyssa Hickert
Sanjali Kumar
Columnists
Gordon Chien
Rose Park
Contributors
Dr. Michael Kavan
Michele Millard
Linda Pappas
Alyssa Hickert
Kelly Koehn
Leonardo Rozal
The Wellness
Chronicle will be
accepting
submissions over
the summer!
Alyssa Hickert
M3
Let's just say surgery made me a better
psychiatrist.
Or, put less bluntly, let's say it gave me
a greater appreciation for my future desired specialty (i.e... not surgery). I went
into the rotation knowing it would likely
not be my preferred area of focus, and although I believe every aspect of medicine
has something interesting and enriching to
offer, my two months with the specialty
certainly proved my initial suspicions correct. There was never a morning I woke up
excited for my clinical day, nor was there
an evening I didn’t feel extremely ready to
go home by the time I was released. Lest
there be any doubt, my entire rotation
group was made acutely aware of my sentiments on the matter during those two
months.
To be fair, surgery was not nearly as
bad as I am making it out to be; acrid
memories have a way of becoming sharp-
Christian Church Swahili Choir, Sioux Falls, SD
“The Scream,” Edvard Munch
so while I may over-exaggerate the emotional angst of my surgical rotation, I still
comfortably attest the rotation lies outside
my professional calling.
In defense of surgery, it possesses
many of the aspects that make medicine so
entrancing, engaging, and satisfying: I can
understand the appeal of resolving a patient’s complaints physically and imminently with the skill of one’s hand. Unfortunately, I tended to gravitate towards the
grosser surgeries—in both senses of the
word. In the world of surgical literature, I
was reading the tawdry, grocery-store paperbacks and failing to appreciate the
deeper, more Dickens-esque procedures. A
four-hour operation in which one delicate
vessel is precisely extricated and used to
carefully replace another equally delicate
vessel? Pass. A thirty-minute toe amputation involving something uncannily simiPhoto Credit: Penn State News
lar to my gardening shears? Yes please.
Now, don't get me wrong—I fully aper, and gentle ones duller, with time. Even preciate the work, patience, grueling hours
I will admit that for every "this is just ok"
and physical finesse required of a surgeon.
moment, there was an equal and balancing It's just that my appreciation starts to wane
"this is really interesting" moment. Of course about two hours post-scrub. In fact, I mostCreighton Admissions 2013
(for me), there were still the "this is the
ly appreciate that someone else wants to
worst. thing. ever." moments, but those ocperform these operations. But ah well—if
curred mostly before 6 am. Regardless, one we were all surgeons, the world would be
should never go into a field that only hits
a very bizarre place indeed.
Continued next page
"50/50" on the scale of personal fulfillment,
2
My Surgery Rotation
Continued from page 2
up the wall. Is this likely? No. Will it be unbearable? Not at
all—trust me. In the end, what makes medicine such a comSo, it is with great relief that I assume my balancing role on prehensive profession is its focus on people; much like the
the other side of the medical spectrum. Yet, having
patients to whom it tends, medicine in its broadest sense is
emerged from the two months of my subjectively tedious
multifaceted, astounding, beautiful, fulfilling… and somerotation, it’s still impossible to look back and claim the ex- times very, very frustrating.
perience—however arduous those 5 am alarms may have
So the next time you find yourself staring down the
been—was not worth undergoing.
barrel of a long day, a demanding patient, or an attending
Frankly, medicine is incredible. In such a large, dias pleasant as a cactus bath, remember what brought you
verse profession it’s no wonder everyone finds something
into medicine. Think of the patients you hope to help, and
they love—and don’t worry, everyone does find something seize the opportunity to learn, for them—regardless of
they love. Unfortunately, this also means everyone finds
whether or not you envision yourself trimming off toes evsomething about which they are somewhat less than
er again. Frankly, you never know when you’ll need that
thrilled. If you are lucky, you will complete your four years information. Dig deep and value even the most uncomfortof medical school without encountering a specialty, enviable aspects of your medical training, because this may be
ronment, colleague, physician, or schedule that drives you the only time to do it.
Linda Pappas
Academic Success Specialist
Sleep
It is Spring and the M1s are almost done with their first systems class. The M2s are beginning that “one of a kind” experience called studying (actually reviewing) for Step 1. There are
some personal management choices that can positively or negatively impact the medical student’s experience this time of the
year.
One of those important choices that students must make is
how they will deal with sleep. Researchers at the University of
Chicago say a good night’s sleep can help you to relearn complicated tasks—even if you forgot them the day before. Sleep
seems to consolidate and stabilize your memory, restoring what
your mind may have lost over the course of the previous day. It
also protects the data—think of it as backing up your hard drive—
so that you won’t lose the information again.
be enough to disrupt the sleep cycle even if you do not fully waken. The light turns off a “neural switch” in the brain, causing levels of a key sleep chemical to decline within minutes. So turn
that clock away from you; that way you will also stop staring at it
if you are having trouble going to sleep. The same definitely goes
for cell phones, iPads, and computers.
Tidbit #3-- Anything less than five minutes to fall asleep at
night means you are sleep deprived. The ideal is between 10 and
15 minutes, meaning you are still tired enough to sleep deeply,
but not so exhausted you feel sleepy by day.
Tidbit #4-- As a group, 18 to 24 year-olds deprived of sleep
suffer more impaired performance than older adults. So next
time your parents say to you “I don’t know how you get by on
that small amount of sleep”-- they would actually be better at it!
Tidbit #5 -- Some studies suggest that women need up to
an hour’s extra sleep a night compared to men, and not getting it
Sleep researchers at the National Sleep Research Project
have determined helpful tidbits that may be important to the any may be the reason women are much more susceptible to depression than men.
hard working medical student, here are a few:
The National Sleep Foundation maintains that seven to nine
hours of sleep is necessary for adults. That means continuous
to a decrease in performance equivalent to a blood alcohol-level
hours of sleep, not the 5 hours at night followed by the 3 hour
of 0.05%. Hence, the ineffectiveness of studying from morning to
mid afternoon “power nap”. Naps are great; just don’t make
midnight.
them so long that they impact your healthy sleep cycle.
Tidbit #2-- Tiny luminous rays from a digital alarm clock can
So-- keep backing up those “hard drives”!
Tidbit #1-- seventeen hours of sustained wakefulness leads
3
Kelly Koehn
M3
Reclaiming the Keys
This may be an article about “balance.” And it’s not from Dr. Kavan. SO DON”T JUST SKIP OVER THIS.
“It
used to be the thing that
But seriously. No matter how much we joke about baleveryone knew about you.”
ance, it’s a big thing. And I’m not talking about just study breaks
or the occasional weekend off to enjoy a movie, dinner with a
friend, or hitting up happy hours. To me, real balance is actually
about making time for the activities that make you who you are. keyboard at home on which to practice. Then, in my second
And yeah. That sounds pretty pretentious. I mean, we’re year, when I did get a tiny keyboard, I was still busy, of course,
all spending plenty of time on stuff that makes us who we are,
because STEP 1 IS COMING UP AND OMG! But the larger part
right? Patient care. Intensive study. Time volunteering. These
was that I simply didn’t realize how important playing piano
are all the things that makes med students… well, med students was to me. And to my state of mind.
(that, and our ability to go straight from the anatomy lab to the
I found out, though. I got extremely lucky, and was giftdinner table). But I’m not talking about these things, these char- ed a second-hand acoustic piano this past March. And I started
acteristics, that we all share. I’m referring to all the things we
playing again. At first, it was terribly frustrating. My technical
used to do.
skill had gone to seed and I couldn’t play much of the music that
I’m sure some, if not all of us, have experienced this. It
had previously come easily to me. But I continued to play, just
may have been some of the activities
for a little bit every day (helped along
Pianist Ivan Illic, credit: Wikimedia.com
in which you were able to participate
by the knowledge that I was expected
during college, or heck, even high
to play in my sister-in-law’s wedding a
school or before. But really it’s all
mere six weeks away). And gradually,
about that moment when a colleague,
note by note, I became a piano player
a friend, or even a stranger in a bar
again. Not a used to be pianist. But an
asks what you enjoy doing and your
ivory tinkling, sight-reading, Canon-inresponse is, “… Well, I used to play
D-playing machine. Did I mention this
rugby,” or “I used to be first chair
time period was during my Surgery
saxophone…” or even, “I was the
rotation, when I was working a minipresident of the debate club in colmum of 60 hours a week? But I felt
lege… and by the way, that pick-up
better, better than I had in a long time.
line won’t work on me.” Suddenly, you realize you’ve used past
I was reclaiming a piece of my identity, a piece that I didn’t realtense about something that you used to feel passionately about. ize was integral to my self-worth until I lost it—and then found
And that you miss it. You miss killing the other team in that
it again.
sport, or soaking your reed in spit before belting a jazz scale, or
So maybe you’ve been lucky or smart, and have kept at
out-arguing the other side on an issue. It used to be your thing.
those things that make you who you are, outside of all the day-to
It’s the thing you forget your med school friends don’t know
-day rigmarole of med school life. If so, I congratulate you… beabout you, because it used to be the thing that everyone knew
cause it will make you a better doctor in the long run. If not,
about you. You feel slightly surprised every time you have to
think about it. We are lucky to have all kinds of resources availaremind someone about it while at the same time realizing how
ble to us—intramural sports, clubs, and the diversity of activities
long it’s been since you did that thing which makes you, you.
that Omaha has to offer. And it’s not easy to take up the reigns
The issue of balance hit me hard this past year. I’ve
again, certainly. But it’s much less easy to be a used to be, espeplayed piano for fifteen years. I played in college, taking les
cially about something you love. And really, that’s what balance
sons and accompanying vocalists during recitals. And then,
is all about. Staying you, doing the things that make you a unique
once I started medical school….nothing. I completely
individual, and ultimately producing a doctor who is multistopped playing. Part of it was how busy first year was,
faceted and better able to give energy to the one passion we, as
especially the first semester. I barely felt like I had time medical professionals, share—providing care, in
to breathe. And part of it was that I didn’t even have a
whatever way we are best suited, to patients.
4
Your Mind is Here, There
… and Everywhere
Michele Millard.
Academic Success Specialist
So you sit down to study with the intention of plowing
through those four lectures and understanding them thoroughly by
the end of the day. .. . but that just doesn’t happen. Instead, perhaps
this is what really goes down (example from the M2s—the rest of
you can extrapolate):
Okay. . . . exam on Monday. . . need to get those causes of
hypothyroidism down. . . .oh, wait. . . let me check Facebook first. . .
.hahahaha. . . I can’t believe she posted that. . . . . ok---Hashimoto
thyroiditis. Subacute thyroiditis. . . . oops, my phone just buzzed--must have a text message. . . . someone else
freaked out about their
rotation schedule for
next
year. . . . Iodine
deficiency, Riedel thyroiditis, Llithiummmmmmm. . . . mad.
. . I’m so mad at him. . .
.how could he have said
that to me. . . . . back to
Photo credit: salary.com
the exam . . . I’m never
going to remember this stuff for the boards. . . . .
What could have potentially been a productive study session
turned into a huge waste of time because of all the distractions, both
from our environment and in our heads. Daniel Coleman, in his
book “Focus: The Hidden Driver of Excellence” identified one of
the most important predictors of success and excellence is the ability to have a healthy focus on specific tasks in the middle of distractions. He categorized distractions into two areas; the first being sensory, which is all the incoming stimuli of your environment—what
you touch, taste, hear, see, feel. The second and the most powerful
are those emotional distractors—the sound of your name, the buzz
of a text message coming in, the intrusion of those memories of that
break-up.
How do distractions impact performance? Dramatically,
the research says. The more our focus gets disrupted, the worse we
do. A test of how prone college athletes were to distractions correlated significantly with their performance in the upcoming season.
Our brains are wired to either get pulled in different directions by
distractions, or by the ability to focus. The neural wiring for selective attention and the ability to stay on one target is found in the
prefrontal regions where specialized circuitry boosts the strength of
incoming signals we want to concentrate on and dampens down
those we choose to ignore. That ability to focus is essentially
“cognitive control” or the ability the keep focus on the one thing
that’s important while ignoring distractions. Psychologist Angela
Duckworth uses the term “grit” as the ability to keep focus on longterm goals and strive for them despite setbacks. Grit and cognitive
control are essentially types of selfregulation which is a major part of
“Becoming
emotional intelligence and essential
for success.
more mindful
It’s easy to find ourselves in
is like
a state of “mindlessness” where we
flit from thing to thing in our heads
strengthening
and meander through our tasks rather
a muscle”
than getting on a direct train to get
things done. The opposite state of
“mindfulness” is the act of becoming
intentional about what we are doing and how we are doing it. Both
of these mental states are actually habits—we become used to a way
of doing something and that becomes our default mode. Becoming
more mindful is like strengthening a muscle—with a little practice
and exercise, it can become the default state.
A few tips on how to build those “mindfulness” muscles:
Manage those temptations. Turn your phone/facebook/twitter/ In
stagram/e-mail accounts off, only allowing yourself to check
them at certain points during the day. Truthfully, is it really that
important to see the Facebook post of what your friend had for
lunch?
Use technology to manage your technology There are apps that
can help you stay focused; Nanny for Google, Stay Focused,
Self-control, Freedom, Time Out, Tasker, Do Not Disturb are
just a few of the apps or programs that limit the amount of time
you can spend online.
Minimize distractions within your physical environment, such as
noise and people. Create the environment that will maximize
your focus.
Check in to what’s going on in your head. Notice where your mind
has gone and choose to bring it back to where it should be. That
act reinforces those neural circuits that help maintain focus.
Avoid the myth of effective multi-tasking. We think we’re good at
it, but the reality is, our productivity is probably 20-40% lower.
We may believe we are accomplishing multiple things at one
time, but the reality is, we’re switching focus quickly from task
to task, reducing our effectiveness at actually getting something
done.
Take care of yourself. At this point in the
academic year, you might be feeling a
tad burned out or run down. Be productive for a while, and then take a break.
Make sure you get enough sleep, exercise and appropriate nutrition---all of
which helps maintain focus.
5
Shrink Rap: What I Did Will Do on My Summer Vacation
Michael G. Kavan, Ph.D.
Associate Dean for Student Affairs
As the spring semester rolls to an end, we all seem to be
in different spots. M1s are finishing up Neurosciences
and after giving it some thought are thinking that the first
year of medical school actually went quite fast – in addition to thanking God that it’s over and “I passed!” M2s are
beginning to study for Step 1 – okay, who am I kidding.
For some this probably began upon exiting the womb.
M3s are thinking about externships and taking Step 2
M2s: Study hard for Step 1 – it will be worth it, but make
sure you maximize your potential by taking intermittent
breaks to relax and to exercise (remember, exercise results in neurogenesis) as you study. Also, make sure you
are getting adequate sleep since that is where much of
the consolidation of memory takes place. Establish good
sleep habits early. Go into Step 1 calmly and confidently.
And once you are finished, enjoy life to the fullest! Not in
the trouble-making or illegal way since I want you all to
be safe, but enjoy life knowing that starting in late July
with M3 orientation you begin your clerkships and will no
longer be in a lecture hall (okay, your apartment) listening
to lectures all day. Pinch me – is it really true!
M3s: Just remind yourself how great it is not to be an M2
Photo Credit: Anna Reed Photos
Memorial Park America Concert
and so envious of the M4s who are matched and done
and the M1s who actually have a summer break. For
some reason, M3s don’t want to be M2s right now. And,
finally the M4s. Yes, life is good – no, great! Hooding and
commencement are nearing and all that hard work over
the years has finally paid off. As we all proceed through
the next few months, I thought I would revisit the common theme paper of “What I did on My Summer Vacation.” But, since it is yet to occur, I thought it may be nice
to reflect on the power to control your destiny and make
this one of the best summers ever! So, here it goes:
right now – I thought that would make you smile. But also, do your best at preparing to do well as you apply for
externships and residency. Focus on doing well, getting
strong letters of recommendation and being successful in
the Match. Whatever you do this summer, I hope you can
get some time to relax as well and to reflect on your clinical experiences and how you see yourself best serving
those in society. I will bet that you made a difference in a
lot of lives this past year – keep that passion and that humanism!
M1s: You have basically completed your first year of
medical school and now have a better feel for what it is
like to drink from a fire hose, and although difficult at
times the water is actually refreshing. This summer, take
time to reflect on all you have learned over the past year
and how you will use this knowledge as you enter the M2
year and begin to see patients in longitudinal clinic and
as a more advanced student at the Magis Clinic and elsewhere. Pretty cool! Many of you are helping others
through Project CURA or locally, or engaging in research
that will eventually do the same. As you progress through
your summer, take the opportunity to recharge your batteries. The M2 year moves fast and you want to make
sure you have the energy and the perseverance to do
well and to have some fun at the same time.
Photo Credit: snaap.indiana.edu
M4s: Congrats! You did it. I am so proud of you and your
accomplishments. Revel in the glory and then take some
time to be with family and friends before entering this
next stage in life. Although a little scary, it is also exciting
as you move to new cities, work in new facilities, and
care for patients at a new level. Yes, scary, but so rewarding. As you reflect on the past four years I hope you
are able to write the best theme paper ever on what you
did over summer – I graduated from medical school, I
became a doctor, and I have all of my professional and
personal life ahead. As the author of your life, how
6
will your first paragraph begin?
An Update from the AMA...
Leonardo Rozal
M1
What is this
SGR that
you speak
of?
community and in an attempt to pacify physicians,
lawmakers simply delayed the change in pay rate every year. But they did not just go away and Congress
had to balance the budget somehow, and on April
15th this year a 21% Medicare payment decrease was
about to be enacted.
Excellent
question,
intrepid read- …Is there time for me to back out of medicine?
er. SGR
Photo credit: “The Hangover”
Photo credit: minnpost.com
stands for
Leo, trying to figure out what the SGR is...
Sustainable
Growth Rate and is a formula used by the U.S. government to control spending by Medicare on physician services. The SGR was enacted by the Balanced
Budget Act of 1997. Ideally, the SGR was to prevent
the expenses from Medicare surpassing the growth in
GDP.
So why is there so much commotion over something that
sounds like a good thing?
Fret not, my fellow doctor-in-training. Thanks to the efforts of organizations like the American Medical Association, physicians across the nation, and medical
students such as yourself, an alternate bill was passed
on April 14th called The Medicare Access and CHIP
Reauthorization Act.
You’re on a roll here, you should be in the AMA! While
in theory the SGR might sound like a good idea, it
has caused a big mess with regard to how physicians,
who treat Medicare patients, get paid. Before the
SGR, physicians experienced moderate pay raises,
but when the SGR was enacted physicians experienced a -4.8%
That sounds very official, what is it?
pay decrease.
Well, it’s quite a complicated bill, so for the sake of our
Hold on; is that really
margaritas I will try to highlight a few of the main
a negative sign in
points. First of all, it completely eliminates the SGR
front of that percentfrom the equation (hehe, get it?). So now, instead of
age?
doctors experiencing a pay cut, physicians can expect
0.5% increase in payments starting July 1 through
That’s correct, but
2019. The new law will also encourage physicians to
wait—there’s
really strive for quality care over ordering as many
more. Obvioustests as possible.
ly, this caused
quite a stir in
Continued next page
the physician
7
More AMA Updates
Continued from page 7
Hold your horses there, amigo! Just because one law got
passed doesn’t mean everything is fixed. Certainly this
new law is doing some of the right things, but we
can’t stop there. All the law does is encourage physicians to put quality care before quantity of care.
Change to APMs are entirely voluntary, so physician
groups can just accept the pay increase and carry-on
with their practice.
Wait, if physicians are getting paid more what encourWell that was an oddly sobering chat for Happy Hour…
ages them to give better care than they’re already giving?
I apologize my friend, but not all is gloom and doom! The
A very astute observation. Traditionally, Medicare payAMA continues to promote practices that put quality
ments are based on a fee-for-service model; that
care at the forefront of physicians’ practices. Also,
means physicians get paid for everything that they do
remember that you are a member of the future generfor a patient. Obviously, this model doesn’t exactly
ation of doctors and can help make the changes we
encourage doctors to raise the bar in terms of quality
need in healthcare a reality. If you’d like more inforof care, so the new law places incentives for doctors
mation on how to do so, or would like to stay up to
to adopt Alternative Payment Models (APM). For
date on issues in healthcare here are a few sources:
example, physicians who adopt APMs would receive a
Ama-assn.org
5% bonus to offset financial risk.
Kaiserhealthnews.org
So everything is perfect and I can focus on drinking my
margarita, right?
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8
Congratulations, CUSOM Class of 2015!
Adiletta, Christopher
St Josephs-Syracuse, NY
Family Medicine
Afrasiabi, Mohammad
FAU-Schmidt COM, Boca Raton, FL
Internal Medicine
Amosson, Nick
Creighton University Affil Hosp, Omaha, NE
Internal Medicine
Anderson, Daniel
University of Washington Affil Hosp, Seattle, WA
Pathology
Anderson, Eric
University of Louisville SOM, Louisville, KY
General Surgery
Asquith, Kerstin
Stanford University Programs, Stanford, CA
Psychiatry
Avondet, Erin
University of Utah Affil Hosp, Salt Lake City, UT
Pediatrics
Backs, Amanda
University of Colorado SOM, Denver, CO
Pediatrics
Bahng, Jihae
Rhode Island Hosp/Brown University, Providence, RI
Internal Medicine
Baker, Craig
University of Texas Med School, Houston, TX
Pediatrics - Med Genetics
Baker, Lauren
University of Minnesota Med School, Minneapolis, MN
Pediatrics
Barrett, Aaron
St. Josephs Hospital, Phoenix, AZ
Family Medicine
Barusch, Nathaniel
UC Davis Medical Center, Sacramento, CA
Psychiatry
Bassett, Matthew
Beaumont Health System, Royal Oak, MI
Radiology
Baumgart, Patrick
VA Greater LA Health System, Los Angeles, CA
Psychiatry
Bell, Allison
New Hanover Regional Med Center, Wilmington, NC
Obstetrics & Gynecology
Bell, Brooke
San Antonio Military Med Center, San Antonio, TX
Radiology
Birmingham, Erin
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Pediatrics
Bracciano, Nicholas
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Psychiatry
Brannan, Stephen
University of Nebraska Med Center, Omaha, NE
Anesthesiology
Breining, Sally
University of Minnesota Med School, Minneapolis, MN
Obstetrics & Gynecology
Cabral, Jennifer
University of Missouri-KC Programs, Kansas City, MO
Family Medicine
Carroll, Gretta
Scott Medical Center, Scott Air Force Base, Illinois
Family Medicine
Carroll, James
St. Louis Univ SOM, St. Louis, MO
Pediatrics
Castaneda, Elianne
Miami Childrens Hospital, Miami, FL
Pediatrics
Chan, Jessica
North Shore-LIJ Health System, New York, NY
Internal Medicine
Chan, Justine
St. Josephs Hospital, Phoenix, AZ
Neurology
Chemelewski, Kelsey
University of Utah Affil Hospitals, Salt Lake City, UT
Pediatrics
Chen, Joseph
Banner Good Samaritan Medical Center, Phoenix, AZ
Obstetrics & Gynecology
Chen, Shirley
UCLA Medical Center, Los Angeles, CA
Pediatrics
Cherney, David
University of Texas Med Branch, Galveston, TX
Anesthesiology
Ching, Kelsey
Western Michigan University Stryker, Kalamazoo, MI
Emergency Medicine
Cohenour, Justin
University of Minnesota Med School, Minneapolis, MN
Internal Medicine
Como, Natalie
University of Utah Affil Hospitals, Salt Lake City, UT
Medicine - Pediatrics
Cook, Erin
University of Wisconsin Hosp and Clinics, Madison, WI
Psychiatry
Craig, Andrew
Dartmouth-Hitchcock Med Center, Lebanon, NH
Emergency Medicine
Cushing, Claire
Travis Air Force Base, Fairfield, CA
Family Medicine
9
Dameworth, Jonathan
St. Josephs Hospital, Phoenix, AZ
General Surgery
Datar, Jonathan
Loyola University Medical Center, Chicago, IL
Neurology
Dean, Diana
Advocate Christ Medical Center, Oak Lawn, IL
Emergency Medicine
Dedania, Reema
Vanderbilt University Medical Center, Nashville, TN
Psychiatry
Deever, Douglas
Wright Patterson Med Center, Dayton, OH
Internal Medicine
Dellaria, Benjamin
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Family Medicine
Dewitt, Sarah
Carilion Clinic-Virginia Tech Carilion SOM, Roanoke, VA
Emergency Medicine
diVittorio, Sarah
University of Arizona Affil Hospitals, Tucson, AZ
Obstetrics & Gynecology
Dosland, Britta
University of Nebraska Med Center, Omaha, NE
Anesthesiology
Doyel, Ryan
Northwestern McGaw/RIC, Chicago, IL
Physical Medicine & Rehab
Duyanen, Jennifer
Stanford University Programs, Stanford, CA
Psychiatry
Englert, Kate
Dartmouth-Hitchcock Med Center, Lebanon, NH
Surgery - Prelim
Erickson, Grant
Walter Reed National Military Medical Center, Bethesda, MD
Pediatrics
Estes, Avram
Resurrection Medical Center, Chicago, IL
Emergency Medicine
Evans, Timothy
Henry Ford HSC, Detroit, MI
Orthopaedic Surgery
Fetten, Katharina
Creighton University Affil Hosp, Omaha, NE
General Surgery
Forrest, Sarah
UC Davis Medical Center, Sacramento, CA
Obstetrics & Gynecology
Gallegos, Gabrie
Creighton University Affil Hosp, Omaha, NE University of Alabama
Medical Center, Birmingham, AL
Medicine - Prelim Anesthesiology
Gandhi, Sonali
Cook County-Stroger Hospital, Chicago, IL
Emergency Medicine
Gary, Anna
Phoenix Childrens Hospital, Phoenix, AZ
Pediatrics
Gibbons, Laura
University of Iowa Hospitals & Clinics, Iowa City, IA
Psychiatry
Gilbert, Michael
University of Kansas SOM, Kansas City, KS
Prelim - Medicine Ophthalmology
Gillette, Kelley
Loma Linda University, Loma Linda, CA
Pediatrics
Goins, Krista
Creighton University Affil Hosp, Omaha, NE
Family Medicine
Goldstein, Amy
UNMC/Creighton Univ Medical Center, Omaha, NE
Pediatrics
Hallman, Timothy
Creighton University Affil Hosp, Omaha, NE
Surgery - Prelim Radiology
Ham, Paul
Baylor College of Medicine, Houston, TX
Emergency Medicine
Hangge, Patrick
Mayo School of Graduate Medical Education, Scottsdale, AZ
General Surgery
Harwood, Danie
University of New Mexico, Albuquerque, NM
Radiology
Henn, Sarah
Emory University School of Medicine, Atlanta, GA
Internal Medicine
Heyrman, Alex
Legacy Emanuel/Good Samaritan, Portland, OR
Internal Medicine
Hickle-Koclanes, Katrina
University of Wisconsin Hosp and Clinics, Madison, WI
Psychiatry
Hieb, Nathan
Akron General Med Center, Akron, OH
General Surgery
Hoffmann, Jessica
UC Irvine Medical Center, Orange, CA
Emergency Medicine
Holly, Ashley
Michigan State University-East Lansing, Lansing, MI
General Surgery
Hong, Jessica
University of Southern California, Los Angeles, CA
Internal Medicine
Hvidsten, Kelsey
Maricopa Medical Center, Phoenix, AZ
Obstetrics & Gynecology
Hyde, Nicola
University of Washington Affil Hospitals, Seattle, WA
Family Medicine
Ippoliti, Shannon
UC Irvine Medical Center, Orange, CA
Pediatrics
Irwin, Jaclyn
University of Oklahoma COM, Oklahoma City, OK
Anesthesiology
Jafilan, Saleem
University of Nebraska Med Center, Omaha, NE
Emergency Medicine
10
James, Matthew
Yale-New Haven Hospital, New Haven, CT
Emergency Medicine
Jeffers, Kristine
San Antonio Military Med Center, San Antonio, TX
Emergency Medicine
Jeffress, Jason
Creighton University Affiliated Hospital, Omaha, NE
Prelim - Medicine Radiology - Diagnostic
Jordi, Pamela
University of Nebraska Med Center, Omaha, NE
Obstetrics & Gynecology
Joslin, Laura
University of Kansas SOM, Kansas City, KS
Anesthesiology
Judge, Sean
UC Davis Medical Center, Sacramento, CA
General Surgery
Kieffer, John
San Antonio Military Med Center, San Antonio, TX
Internal Medicine
Kim, Daniel
UC Irvine Medical Center, Orange, CA
Internal Medicine
Kincaid, Adam
Kern Medical Center, Bakersfield, CA
Emergency Medicine
Koenck, Carleigh
Creighton University Affil Hosp, Omaha, NE
Medicine - Prelim
Kult, James
Creighton University Affil Hosp, Omaha, NE Carolinas Medical Center,
Charlotte, NC
Medicine - Prelim Phys Medicine & Rehab
Kyllo, Stuart
Naval Medical Center, Portsmouth, VA
Family Medicine
Lang, Adam
Barnes-Jewish Hospital, St Louis, MO
Pathology
Lavin, Kimberly
MacNeal Hospital, Berwyn, IL Loyola University/Hines VA Hospital,
Chicago, IL
Transitional Year Ophthalmology
Le, Tri
Kaiser Permanente-Fontana, Fontana, CA
Internal Medicine
Levy, Justin
Huntington Memorial Hospital, Pasadena, CA
Internal Medicine
Livergood, Christine
Mercy Hospital St Louis, St Louis, MO
Obstetrics & Gynecology
Losey-Flores, Kaitlyn
University of Arizona COM South Campus, Tucson, AZ
Family Medicine
Lundberg, Andrea
Northwestern McGaw/NMH/VA, Chicago, IL
Psychiatry
Makar, Ann
University of South Dakota SSOM, Sioux Falls, SD
Psychiatry
Mannix, Jaimee
Steward Carney Hospital, Boston, MA Boston University Med Center,
Boston, MA
Transitional Year Radiology
Markham, Claire
University of Kansas SOM, Wichita, KS
Obstetrics & Gynecology
Marshall, Mayme
Oregon Health & Science University, Portland, OR
Pediatrics
Matthews, Abby
Banner Good Samaritan Medical Center, Phoenix, AZ University of
Arizona Affil Hospitals, Tucson, AZ
Medicine - Prelim Anesthesiology
Menapace, Deanna
Mayo School of Graduate Medical Education, Rochester, MN
Otolaryngology
Mittet, Robert
Hennepin County Med Center, Minneapolis, MN
Internal Medicine
Miyashiro, Dayna
University of Nebraska Med Center, Omaha, NE
Internal Medicine
Montoure, Andrew
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Neurological Surgery
Moreland, Kathryn
Creighton University Affil Hospitals, Omaha, NE
Obstetrics & Gynecology
Mulroy, Elisabeth
Univ of Connecticut Health Center, Farmington, CT
Surgery - Prelim Urology
Murante, Anthony
Mayo School of Graduate Medical Education, Scottsdale, AZ
General Surgery
Najarian, Jessica
UNMC/Creighton Univ Medical Center, Omaha, NE
Pediatrics
Nakano, Camille
Kaiser Permanente-Oakland, Oakland, CA
Pediatrics
Nguyen, Catherine
UC Irvine Medical Center, Orange, CA
Family Medicine
Nguyen, Huong
Kaiser Permanente-Los Angeles, Los Angeles, CA
Internal Medicine
Nguyen, Min Yen
Creighton University Affil Hospitals, Omaha, NE
Pathology
Norris, Roy
Creighton University Affil Hospitals, Omaha, NE
Internal Medicine
Norton, Brian
St Marys Medical Center, San Francisco, CA University of Arizona Affil
Hospitals, Tucson, AZ
Medicine - Prelim Anesthesiology
11
Olinger, Catherine
University of Tennessee COM, Memphis, TN
Orthopaedic Surgery
O'Mara, Sean
Naval Medical Center, Portsmouth, VA
Transitional Year
Pequet, Michelle
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Anesthesiology
Perez, Yalile
Kaweah Delta Health Care District, Visalia, CA
Transitional Year
Phillips, Kimberly
Medical College Wisconsin Affil Hosp, Milwaukee, WI
Anesthesiology
Quast, Michaela
University of Nebraska Med Center, Omaha, NE Mayo School of
Graduate Medical Education, Rochester, MN
Medicine - Prelim Anesthesiology
Ramelb, Erin
Loyola University Medical Center, Chicago, IL
Internal Medicine
Ramirez, Danielle
Baylor College of Medicine, Houston, TX
Pediatrics
Reddy, Amith
St. Louis Univ SOM, St. Louis, MO
Surgery - Prelim
Reichert, William
Wa
lke
Banner Good Samaritan Medical Center, Phoenix, AZ r Evans
, “Su
Riddle, Katherine
St Joseph Mercy-Ann Arbor, Ann Arbor, MI
Robinson, Brenton
St Joseph Hospital, Chicago, IL
General Surgery
Roe, Matthew
Mtn Area Health Ed Center, Ashville, NC
Family Medicine
Schaefer, Julie
University of Minnesota Med School, Minneapolis, MN
Internal Medicine
Schmidt, Emily
Loyola University Medical Center, Chicago, IL
Anesthesiology
Sen, Rouhin
Creighton University Affil Hospitals, Omaha, NE
Internal Medicine
Slubowski, Daniel
Indiana University SOM, Indianapolis, IN
Emergency Medicine
Smoots, Brent
Carolinas Medical Center, Charlotte, NC
Internal Medicine
Soltys, Frank
Indiana University SOM, Indianapolis, IN
Pediatrics
Stapleton, Matthew
WSU/Detroit Medical Center, Detroit, MI
Emergency Medicine
Statler, Brittney
Virginia Mason Medical Center, Seattle, WA Brown University,
Providence, RI
Transitional Year Ophthalmology
Stombaugh, Keegan
University of Chicago Medical Center, Chicago, IL
Anesthesiology
Stombaugh, Sarah
University of Chicago Medical Center, Chicago, IL
Family Medicine
Symon, Melissa
Oregon Health & Science University, Portland, OR
Plastic Surgery
Taghavi, Arash
UC Irvine Medical Center, Orange, CA
Internal Medicine
Taylor, Christopher
Vanderbilt University Medical Center, Nashville, TN
Surgery-Prelim Radiology
Tennant, Rachael
Arrowhead Regional Med Center, Colton, CA
Family Medicine
Vafaei, Paniz
Kaiser Permanente-Oakland, Oakland, CA
Internal Medicine
Vo, Elise
Maricopa Medical Center, Phoenix, AZ
Obstetrics & Gynecology
Whetzel, Jacob
University of Utah Affil Hospitals, Salt Lake City, UT
Family Medicine
Whitenack, Nicholas
Creighton University Affil Hospitals, Omaha, NE
General Surgery
Wight, Elizabeth
Mayo School of Graduate Medical Education, Rochester, MN
Internal Medicine
Wurster, Harrison
University of Nebraska Medical Center, Omaha, NE University of
Texas Medical School, Houston, TX
Medicine-Prelim Anesthesiology
Yee, Jared
Loma Linda University, Loma Linda, CA
Neurology
Zach, Claire
University of Minnesota Med School, Minneapolis, MN
Pediatrics
Zanotto, Alexander
University of Minnesota Med School, Minneapolis, MN
Internal Medicine
Internal Medicine
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Special thanks to Roy Norris for his years as Editor-in-Chief of the Wellness Chronicle!
12