Investing in the - Winter 2018 "Investing in the Mission"
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a publication of the West Virginia School of Osteopathic Medicine WINTER 2018 MISSION investing in the
Inside this issue Features Departments 4 44 Investing in the mission Research Welcome to the patient lab Conferences, competitions and awards 48 Faculty & Staff News New Faculty Next WVSOM president announced Other faculty and staff news 51 Alumni Letter from the board president Alumni profile: Jessica Smith-Kelly, D.O. Summer seminar 24 28 Class notes Convocation News Message from alumnus: Why I love what I do Alumni Tower Campaign 62 Gifts to WVSOM 65 Capital Campaign Clinical Evaluation Center Student Center Japanese students visit 66 Beckett receives pediatrics award Foundation National Rural Health Day Letter from the director Students gain clinical experience Dr. Dailey's continuing support Advertising in South Africa Aid to flu clinic Blood pressure booth at fair 78 40 Pharmacology camp G.M.S. Campus Store Employees celebrate Halloween 79 Heart of the Holidays We’d like you to meet... 50 First-ever simulation week Cheryl Baker Career opportunities WVSOM Day of Service Drug awareness toolkit launch 70 Grand Affair Back cover Grand Affair sponsors Abracadabra Emmy Nomination Upcoming events Recognition at rural health conference Battle of the Gorge competition WV Gear UP 2 | WVSOM.edu • WINTER 2018 RHI students learn about opioid epidemic
Our mission today is built upon the vision a publication of the West Virginia School of Osteopathic Medicine A message from the President Editor-in-chief Wow, it is so difficult to believe that Marilea Butcher 16 years have passed since I arrived at WVSOM to serve as vice president for academic affairs and dean. Now as Designer president, looking back I am incredibly Jennifer Spencer humbled to have been involved in the growth that has occurred on campus during this time. The progression has Photographers been inspired by the foundation of our Karen Ayers mission and everyone at WVSOM has Pat Bauserman contributed to the school’s success! Druann Dalton As you read the stories on the following history and that of our founders during pages, you will find how people are the white coat ceremony. fulfilling every aspect of our mission Students have been very active as Writer and how the benefits reach across evidenced by the many stories of their Tiffany Wright our nation. From our students, to our contributions to our community. It is so preceptors, to faculty and alumni, the rewarding to talk with them and witness dedication and enthusiasm they share their concern for others’ well-being — Contributors is undeniable! what great doctors in the making! Bob Brown, Photographer We get a glimpse of a student, Dimitri I’m excited to witness the leadership Adam Goodcoff, Photographer Tito, and his journey thus far and that Jim Nemitz will bring as the next Valerie Pritt, Writer the impact growing up in a medically president. He has been a faithful and Steve Shires, Photographer underserved area has made on his staunch supporter of our school for 30- future goals. We learn how programs plus years, and I know his devotion will at our Clinical Evaluation Center, the help guide WVSOM to the next level. Statewide Campus system, research opportunities and graduate medical I am honored to have been asked to education help mold our students to be continue my contribution to WVSOM’s successful osteopathic physicians and mission as president emeritus for the lifelong learners. next year. Cheryl and I look forward to sharing many more milestones Our mission statement We feel compassion as one our alumni and memories with you, our WVSOM The mission of the West Virginia School of shares her family’s grief over children family! It is these relationships and the Osteopathic Medicine (WVSOM) is to educate who succumbed to opioid addiction memories made while fulfilling WVSOM’s students from diverse backgrounds as and how our Center for Rural and mission that we will treasure most. lifelong learners in osteopathic medicine and Community Health has taken action complementary health related programs; to locally and statewide to help address support and develop graduate medical education this crisis. Best wishes, training; to advance scientific knowledge through academic, clinical and basic science research; Our mission today is built upon the and to promote patient-centered, evidence based vision of WVSOM’s founding physicians. medicine. WVSOM is dedicated to serve, first This past August, alumnus John and foremost, the state of West Virginia and the Manchin II, D.O., encouraged incoming health care needs of its residents, emphasizing students to learn about WVSOM’s Michael Adelman, D.O., D.P.M., J.D. primary care in rural areas. WVSOM.edu • WINTER 2018 | 3
Feature story MISSION investing in the The mission of the West Virginia School of Osteopathic Medicine (WVSOM) is to educate students from diverse backgrounds as lifelong learners in osteopathic medicine and complementary health related programs; to support and develop graduate medical education training; to advance scientific knowledge through academic, clinical and basic science research; and to promote patient-centered, evidence based medicine. WVSOM is dedicated to serve, first and foremost, the state of West Virginia and the health care needs of its residents, emphasizing primary care in rural areas. S T PAT I E N E NTS D ST U 4 | WVSOM.edu • WINTER 2018
AT E S N U A D MORE THAN JUST WORDS, R a mission represents the underlying values of an institution. It is often a test for strength of purpose — the foundation on which a plan is developed — building constantly toward excellence and implemented G in day-to-day operations. While the mission of WVSOM may play an overarching role, each piece of it works synergistically to obtain the best outcome. So whether it’s faculty or preceptors educating students, research opportunities, the president’s vision, or even outreach programs dedicated to benefit S West Virginians, it all leads back to one vision, for one medical school, EN in one small town in one of the smallest states in the country striving to create a meaningful impact in health care for our residents. I Z C IT RS E A R C H ER S LEADE S RE WVSOM.edu • WINTER 2018 | 5
EDUCATE STUDENTS AS LIFELONG LEARNERS IN OSTEOPATHIC MEDICINE Statewide The very first component of WVSOM’s mission is to educate students from learners in osteopathic medicine, and essentially Campus regions diverse backgrounds as lifelong learners support their transition from in osteopathic medicine. While it’s clear students to physicians. that the basis of a student’s education Northern Robert Snuffer, D.O., WVSOM Class is gained on campus through a patient of 2001, has been a preceptor about Central West presentation curriculum, it is only 15 years. Central East the beginning of a student’s medical education. Building upon knowledge “I just like teaching,” Snuffer said of his Eastern gained in the classroom through a team- decision to become a preceptor. “A large South West based learning philosophy, students are part of it is you can’t learn to be a doctor South Central able to apply that knowledge through if you don’t do things doctors do.” South East hands-on learning experiences at He admits that having student doctors in hospitals and clinics during their third- his town clinic can take longer during the and fourth-year rotations in WVSOM’s day, but medical students aren’t going to Statewide Campus (SWC) system. learn how to be good physicians by just The system consists of seven regions watching doctors. across the state where third- and fourth- “It does slow you down a bit, but in order year medical students fulfill their clinical to fulfill the commitment you made it is rotations in participating West Virginia important to allow students to work with hospitals and some in neighboring states. your patients. You have to be the one to This unique approach to teaching is create that environment. I don’t think geared toward an enhanced curriculum students can simply stand on the side that encourages students to practice and watch over and over again to learn in West Virginia when they graduate. how to be a doctor. You have to place a Each regional campus site provides patient in their care, have them treat the structured programs for students through patient and suggest a protocol and then small group interactions, lectures and review their work to make sure they are clinical cases. doing everything right,” he said. “We The program has garnered must give students the opportunity to hold instruments and set up 899 clinical faculty and 2,335 procedures — put your hands preceptors (physician teachers) on their hands.” — about 1,000 of which are in West Virginia — who "You have to place a patient in their care, have them provide a stronger infrastructure treat the patient and for clinical and postgraduate suggest a protocol and training throughout the state. then review their work Physicians, taking on the role of to make sure they are preceptors, hold the responsibility of doing everything right." educating WVSOM students as lifelong - ROBERT SNUFFER, D.O. WVSOM.edu • WINTER 2018 | 7
Feature story Herbert Oye, D.O., believes in student and David finished his first to the U.S. when he was about 16 WVSOM’s mission enough to invest semester as a WVSOM student. years old. He said that he understands his time as a preceptor. Although that the Appalachian region is a largely Oye jokes that he “should get a he isn’t a WVSOM graduate, he has underserved population, much like his discount,” but in all seriousness, said been mentoring medical students at native country. his family has been fortunate to live in the West Virginia Vascular Institute West Virginia. “I grew up in a small city where in Beckley since he moved to West there wasn’t much access to medical Virginia more than 20 years ago. He “I started my work in West Virginia not resources,” Tito said. “I think there are received his medical degree at the knowing anybody here. My interest in a lot of similarities between where I University of North Texas Health training students in rural medicine and grew up and this area. WVSOM is No. 1 Science Center in 1991 and specializes rural surgery kept me here and now in rural medicine and is one of the top in endovascular and vascular surgery. my children can get a great education schools in primary care and that’s what at this institution. We feel privileged “It’s been my passion since I moved I want to go into.” they want to stay close to home and to West Virginia to further the hopefully that means they will stay in During Tito's third year, the Class educational experiences of medical West Virginia or Appalachia,” Oye said. of 2020 president will rotate in students and over the years I found Petersburg, W.Va., which is in the that the West Virginia School of Encouraging graduates to practice in Eastern Region of the Statewide Osteopathic Medicine is a good ally in West Virginia is one of the main goals Campus system. He chose this more that process,” the physician said. of the Statewide Campus program. rural site because of his involvement Not only does Oye think so highly of Dimitri Tito, a second-year student with the Rural Health Initiative WVSOM to be a preceptor for two who will be graduating in 2020, program, which is designed to help decades, but he currently has four understands the importance of enhance the rural and underserved children who are students in each becoming a physician in rural or primary care curriculum at WVSOM class year at the school. His daughter underserved areas. in order to produce graduates Monique is a fourth-year, Michelle is qualified to practice medicine in Tito is a native of Cameroon, a a third-year, Melissa is a second-year those communities. province in Central Africa, and moved "My interest in training students in rural medicine and rural surgery kept me here and now my children can get a great education at this institution. We feel privileged they want to stay close to home and hopefully that means they will stay in West Virginia or Appalachia.” - HERBERT OYE, D.O. 8 | WVSOM.edu • WINTER 2018
SUPPORT AND DEVELOP GRADUATE MEDICAL EDUCATION TRAINING In order to produce qualified graduates and practicing physicians, WVSOM is committed to supporting and developing graduate medical education training for its students who will become highly skilled residents vying for competitive and selective residency spots in the future. WVSOM’s Graduate Medical Education (GME) department is responsible for the academic and accreditation oversight and support of postdoctoral training programs through the Mountain State Osteopathic Postdoctoral Training Institutions, Inc. (MSOPTI). GRADUATES investing in Photo courtesy of Gabriel Gomez WVSOM.edu • WINTER 2018 | 9
Feature story MSOPTI sponsors both American “We want to make sure that Osteopathic Association (AOA) and no student or resident in the Accreditation Council for Graduate Medical Education (ACGME) osteopathic world is accredited postdoctoral training caught in this transition programs. These programs are to their detriment..." based in hospitals throughout West -VICKI SHUMAN, D.O., ASSOCIATE Virginia and the surrounding region DEAN FOR GRADUATE MEDICAL and also include two Teaching EDUCATION Health Centers, which emphasize primary care residency training in an ambulatory setting. MSOPTI, which is a nonprofit education programs. Third- and fourth-year executive director and ACGME corporation, is afforded educational students often make the most of designated institutional official (DIO). and operational support through GME’s services, through scheduled It includes providing “resources for WVSOM and its partner training education days that detail the process training future physicians to better sites. The GME department is also of how to obtain a match and secure a serve the nation’s health care needs, responsible for the development residency after graduation. with a focus on primary care and of new residency and fellowship osteopathic recognition for the state Shuman said that the student services programs and assists medical of West Virginia and surrounding provided by GME and resident services students as they pursue postdoctoral region.” provided by MSOPTI overlap to arrive opportunities. at a seamless transition from student “The postdoctoral landscape has The Graduate Medical Education to resident. MSOPTI, along with its changed significantly in a short period department benefits students by partner training institutions, ensures of time,” Shires said. providing: that training occurs in a positive, In February 2014, the AOA and responsive learning environment ►► Student consultation on American Association of Colleges that is designed to encourage postdoctoral opportunities and of Osteopathic Medicine (AACOM) lifelong learning and the honing of procedures agreed to a memorandum of professional skills. understanding with the ACGME that ►► Electronic Residency Application The WVSOM mission directly outlined a single graduate medical Service (ERAS) coordination correlates with the MSOPTI mission, education accreditation system. The ►► Match participation — for according to Bill Shires, MSOPTI new system allows osteopathic and osteopathic medical allopathic medical school students pursuing D.O. and mountain state graduates to complete their dual-accredited postdoctoral programs and the National opti residencies and fellowships in ACGME-accredited programs. Residency Matching Program Beginning in 2015, AOA- (NRMP) for medical students accredited training programs pursuing ACGME, or have five years to transition allopathic programs to ACGME accreditation. The Vicki Shuman, D.O., is the AOA will no longer accredit associate dean for Graduate postdoctoral training programs Medical Education. One of her after 2020. roles is that of an academic Shires said that the GME counselor — assisting students department has been busy with the application process assisting its AOA programs for residencies and ensuring through the ACGME students’ curriculum vitaes and application and site review personal statements are up process. All but two of its to par with what is expected residency programs have when applying to residency achieved ACGME initial 10 | WVSOM.edu • WINTER 2018
accreditation and those two are expected to It also means reiterating the importance of the achieve it this year. MSOPTI’s dual accredited residency application process for students, like programs are already ACGME accredited Dimitri Tito, who will be graduating in 2020 — and do not need to go through this process. the first year residencies will be impacted. According to Shuman, “In addition to maintaining consistency of training, eliminating duplication Even after the transition period and promoting efficiencies, the new system has ended, the Graduate Medical should afford our graduates increased training Education department will continue opportunities.” to provide services that encourage While there may be more training opportunities, residents to “think osteopathically,” the competition for postdoctoral training positions will be greater, according to Shuman. Shuman said. There will be more qualified candidates entering “Our programs are most often primary care, residencies in clinics and hospitals. which supports the school’s mission and will “We want to make sure that no student or allow us to continue to be attractive to students.” resident in the osteopathic world is caught in this According to Shires, “All MSOPTI sponsored transition to their detriment, so our message to training programs are in the process of obtaining our students is you have to cross all your T's and ACGME osteopathic recognition, a designation dot all your I's,” she said. that ensures osteopathic resources and training will continue into the future.” WVSOM.edu • WINTER 2018 | 11
Feature story RESEARCHERS investing in 12 | WVSOM.edu • WINTER 2018
ADVANCE SCIENTIFIC KNOWLEDGE THROUGH MSOPTI hosts an annual RESEARCH Research Day in January for residents who work closely with faculty on a variety of health care topics. But WVSOM continues to look for long before they become residents, additional opportunities to students — under the guidance grow in this area. of WVSOM faculty— have the opportunity to expand their scientific WVSOM continues knowledge through academic, clinical its commitment to and basic science research. advancing scientific Interest in research among WVSOM knowledge through students has increased in recent years, likely due to residencies research by designating becoming more competitive. a building on campus as “One of the reasons we encourage a new facility mostly used medical students to do research for clinical and translational is because we’re relying on these research. students to advance health care in The facility is referred to as the the future and we want them to Clinical and Translational Science always look for ways of doing things Center (CTSC). One of the labs in the Professor Predrag Krajacic, M.D., differently to improve patient care,” CTSC was recently moved there from who heads the research committee. said Kristie Bridges, Ph.D., who has the Fredric W. Smith Science building. “It allows greater flexibility for our been the director of student research In this newly located research researchers to access lab space.” since July. space, the Principle Investigator, One of the recent upgrades was Research falls under WVSOM’s Office Jandy Hanna, Ph.D., studies human designating a shared equipment room of Affiliated and Sponsored Programs movement through the use of motion on the first floor of the Fredric W. (OASP), which supports faculty, analysis. The location of her lab Smith Science Building. Several new students and staff with preparation in the CTSC freed up space in the pieces of equipment were purchased and management of research and science building. Upgrading labs in to support research projects, grant projects. the science building is a current and including two new -80˚C freezers ongoing commitment in order to Bridges said the goal is to match as equipped with emergency backup accommodate the needs of WVSOM’s many students with research projects biomedical scientists. In addition to as possible, whether that means permitting for more bench research participating in research on campus space in the Smith Science Building, or at external sites, possibly with the CTSC has four newly renovated preceptors. clinical exam and research rooms “WVSOM is committed to developing for use in clinical and translational new opportunities for research and projects. WVSOM is seeing more other scholarly activity,” she said. clinical faculty getting involved in “Recent initiatives have included these projects. For example, Carolyn expanding our clinical translational Komar, Ph.D., Laurie Bauer, D.O., and research and increasing the number Andrea Nazar, D.O., are completing a of quality improvement projects. clinical project that assesses factors These initiatives are driven by strong that may influence bone density partnerships between clinicians and and therefore the risk of developing biomedical scientists.” osteoporosis. Although overall research output is at “This really helps with our space its highest in the history of the school, needs,” said WVSOM Associate WVSOM.edu • WINTER 2018 | 13
Feature story PROMOTE CO2 tanks and a new ultrapure water PATIENT-CENTERED purification system. On the second floor, an old darkroom was remodeled and equipped MEDICINE with a new scanning fluorescent microscope that is used for both academic and research purposes. Another area of campus where WVSOM’s leadership “By buying the new APERIO microscope team invested in upgrades and expansions in the we covered two aspects of the mission,” past few years is the Clinical Evaluation Center (CEC). Krajacic said. “It provides academic support More than just a building, the CEC provides an for students through its histology module environment for students to learn how to interact used heavily in the curriculum. At the same with future patients in order to promote patient- time, it provides our researchers with a brand centered, evidence-based medicine. new piece of equipment that, in addition to automated fluorescent imaging, has an Standardized patients, or individuals from the integrated deconvolution module required for community who have been trained to accurately visualizing discrete cellular components.” portray the role of a patient with a specific medical condition, and human-patient simulators, which Investing in the tools and facilities needed for are computer-driven mannequins that talk and research projects is an ongoing effort, Krajacic breathe, have pulses and pupils that constrict and said, but he finds it encouraging that WVSOM dilate, help provide students with clinical exposure in is continuing to show a strong commitment to a safe and controlled teaching environment. providing research faculty with the necessary equipment for their success. “We are providing students the opportunity to learn the skills, practice the skills and be able to assess skills that are important to patient-centered care,” said Gail Swarm, D.O., the CEC’s director. Those skills include interviewing, history taking and performing physical exams. Additionally, working with simulation gives students the chance to work in teams, which is also important to patient-centered care, she said. “The opportunity to practice, make mistakes in a safe environment and debrief, which is a big part of learning, helps make the learning process easier and more natural for the student and ultimately better for the patient,” Swarm said. “For instance, giving bad news is an uncomfortable thing for physicians to do. Practicing before you have to do it in real life is a valuable experience for students. They can observe the things that could be better and hopefully 14 | WVSOM.edu • WINTER 2018
PATIENTS investing in WVSOM.edu • WINTER 2018 | 15
Feature story Characteristics of internalize that and become involved in the systems to make health care better for patients. And that’s what the patient-centered patient-centered medical care is.” medical home The concept of patient-centered medicine may be shifting to a more all-inclusive type of health care, 1 Personal relationship considered the “medical home.” More than a decade Each patient has an ongoing relationship ago, the American Academy of Family Physicians, with a personal physician trained to American Academy of Pediatrics, American College of provide first contact, continuous and Physicians and the American Osteopathic Association comprehensive care. released the Joint Principles of the Patient-Centered Medical Home. 2 Team approach The personal physician leads a team The “medical home” does not represent a of individuals at the practice level who building, house or hospital, but rather a team collectively take responsibility for the approach to providing health care. ongoing patient care. The primary care physician organizations state that 3 Comprehensive a medical home originates in a primary health care The personal physician is responsible setting that is family-centered and where a partnership for providing for all the patient’s health develops between the family and the primary health care needs at all stages of life or taking care practitioner in order to access all medical and responsibility for appropriately arranging non-medical services needed to achieve maximum care with other qualified professionals. potential. The medical home maintains a centralized, 4 Coordination comprehensive record of all health-related services Care is coordinated and integrated to promote continuity of care. [See the six aspects of across all domains of the health a Patient-Centered Medical Home in the breakout care system, facilitated by registries, box.] In 2018, the Robert C. Byrd Clinic received information technology, health National Committee for Quality Assurance (NCQA) information exchange and other means to assure that patients get the indicated care when and where they want it. 5 Quality and safety Quality and safety are hallmarks of the medical home. This includes using electronic medical records and technology to provide decision-support for evidence-based treatments and patient and physician involvement in continuous quality improvement. 6 Expanded access Enhanced access to care is available through systems such as open scheduling, expanded hours and new options for communication between patients, physicians and practice staff. Information released in 2007 by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians and the American Osteopathic Association regarding the Joint Principles of the Patient-Centered Medical Home. 16 | WVSOM.edu • WINTER 2018
Patient-Centered Medical Home recognition for using evidence-based, patient-centered processes that focus on highly coordinated care and long- term, participative relationships. The recognition is valid for three years. Moving forward, Swarm said, patient- centered care will involve better understanding of a physician’s patient population. The Electronic Health Records (EHR) will be a useful tool in obtaining data on a population. “When we brought in the EHRs, we were trying to teach students that it’s not just about a doctor or nurse using the computer. Physicians can query how many of their diabetics have HbA1c over 8 who already tries to consider a patient’s percent. Where do these patients live social, economic and cultural factors to by zip code? If they all live in one area, determine how that affects their health. what opportunities exist to assist these patients with self management? This “Learning about people is important potentially teaches students to get more because in the future, when I see data from the use of EHRs,” Swarm patients, drawing from all of my learning “The opportunity to practice, make explained. experiences, I can look at the things that could impact patients and bring them mistakes in a safe environment The patient-centered teaching methods to my clinic. And learning that is very and debrief, which is a big part of will be valuable to students like Tito, valuable,” Tito said. learning, helps make the learning process easier and more natural for the student and ultimately better for the patient.” - GAIL SWARM, D.O., CLINICAL EVALUATION CENTER DIRECTOR WVSOM.edu • WINTER 2018 | 17
Feature story CITIZENS investing in SERVE THE STATE OF WEST VIRGINIA AND THE HEALTH CARE NEEDS OF ITS RESIDENTS Expanding beyond WVSOM’s classrooms and the campus, the medical school strives to serve, first and foremost, the state of West Virginia and the health care needs of its residents, emphasizing primary care in rural areas. WVSOM programs such as the Center for Rural and Community Health (CRCH) help serve the needs of West Virginians in conjunction with assisting and working with community- based organizations. The CRCH is a resource center designed to help improve the health and well being of West Virginians 18 | WVSOM.edu • WINTER 2018
Collaborates with the Community Addressing Prescription Drug Epidemic (CARxE) Coalition Garners community Sponsors the participatory research Greenbrier County for students and Health Alliance faculty Offers statewide Provides health training through the index score cards and Community Health health enhancement Education Resource response (HIS & HER) Persons (CHERP) health literacy program campaign and recognizes the importance of that benefits the overall health of worker training program. WVSOM has professionals and community members our community,” she said. the license for providing evidence- working together to improve the based Stanford University programs The role of the CRCH is a varied one. state’s health profile through research, to educate people about chronic The program has garnered community education and outreach opportunities. disease self management, chronic pain participatory research for students and self management and diabetes. The Drema Mace, Ph.D., the executive faculty; sponsors the Greenbrier County center also works with the Substance director of the CRCH, said having strong Health Alliance and works closely Abuse and Mental Health Services community partnerships ties into with the alliance in order to provide Administration (SAMHSA), a federal WVSOM’s mission of serving the health farmers markets, work to create a child funding agency for substance abuse. care needs of its residents. development center in Rupert and a project where senior centers can have “One of the goals of the center is to “Having successful community access to fresh fruits and vegetables; expand our services statewide in the partnerships is important because and offers statewide training through coming years and part of that process there is more strength in numbers the Community Health Education is reaching out to local nonprofits and and by collaborating we can build Resource Persons (CHERP) program, providing assistance to build a better an infrastructure in the community designed as a community health infrastructure in our state,” she added. “Developing programs within our local nonprofits will impact the health of West Virginians through the programs “Having successful community that are being built.” partnerships is important because Another educational effort by the there is more strength in numbers CRCH was the creation of an opioid and by collaborating we can build toolkit, designed to bring awareness an infrastructure in the community to the rising epidemic in the state and that benefits the overall health of offer resources for those trying to our community.” recover. The original idea for a drug - DREMA MACE, PH.D., EXECUTIVE awareness toolkit in our area came DIRECTOR OF THE CRCH from a recommendation from the local United Way in February 2016. WVSOM.edu • WINTER 2018 | 19
Feature story Pat Browning, D.O., addresses attendees at the opioid toolkit kick-off event The template, which was given by started expressing an interest in the service announcements, all come Washington County, Wis., was further toolkit. During that time, the Substance together as one synergistic effort for developed with feedback from different Abuse and Mental Health Services people to see there are others dealing relevant organizations in the area, Administration also started using it as with the same situation, Heinsberg said. according to Haylee Heinsberg, a CRCH a model for other areas of the state — health education coordinator who helped hoping to replicate the toolkit in all 55 oversee the creation of the toolkit. counties. WVSOM’s mission to serve the needs of West Virginians After months of discussion to create a “If our toolkit can be a guide to open useful resource, the “Prescription Opioid conversation of coming together as a isn’t just one sided — there and Heroin Awareness Toolkit” came to community in order to make a positive are also meaningful benefits be, in collaboration with the Community change — and provide support to a for students and alumni who Addressing Prescription Drug Epidemic caregiver, loved one and family members, serve the health care needs of (CARxE) Coalition. Last June, a kick-off to reinforce that people are trying to event took place on WVSOM’s campus get clean and sober — then we can start residents in rural areas. to introduce the prevention guide to the to make a dent in the problem,” she community and begin distribution. said. “Ninety-one people a day die from Dimitri Tito may only be just over halfway [See story on page 35.] opioids. If there was an easy solution it through his second year of medical would’ve been fixed a long time ago.” school, but he has already committed so “We are trying to make people more much of his time and efforts to helping aware of this disease, community The toolkit will be gaining national his community through volunteer efforts. resources and the places to get help and exposure as well. Mace and Heinsberg to at least start a conversation about how will present “An Opioid Toolkit: A Rural “My background, coming from an to impact this epidemic,” Heinsberg said Community Education Project” at the underserved area, I kind of know what of the resource tool. National Rural Health Association’s it’s like to be in a community and being in annual conference on May 11 in New need. That’s why when I came to medical The toolkit was presented at the West school I wasn’t just thinking about Orleans, La. The toolkit, along with a Virginia Rural Health Conference in studying all the time. I was thinking about provider packet and a series of public October. As a result, neighboring counties what I can do for others,” he shared. 20 | WVSOM.edu • WINTER 2018
Even before Tito officially as a learning opportunity for students. started medical school he Tito, who is heavily involved in the community as a student, hopes to jumped in to volunteer for a eventually enter a family medicine or community in need. Tito arrived internal medicine residency. to Lewisburg in Summer Tito may be headed down a similar 2016, the same time much of path as another former student who Photo courtesy of Dino Beckett, D.O. southern West Virginia was was heavily involved — Christopher Donovan “Dino” Beckett, D.O. In the focuses on access to healthy eating, impacted by heavy flooding. last WVSOM magazine, the Class physical activity and active living, as well A group of second-year students of 2000 graduate was featured for as enhancing access to care through the organized a Facebook group seeking being awarded the 2017 Rural Health use of community health workers. He volunteers to work to cleanup houses Practitioner of the Year during the has also helped establish a community in nearby towns. Tito didn’t hesitate to National Rural Health Association garden and a local farmers market. help — even going as far as to crawl in conference. spaces underneath houses to ensure a There are many alumni, like Beckett Beckett returned to his home of and Snuffer, who attended WVSOM clean foundation. Williamson, W.Va., in 2003 and and decided to practice in West Virginia “It was an opportunity to start helping since then has made great strides in after they graduated to serve the needs and I just got to West Virginia,” he improving the community and the of their community and state. It all goes recalled. “We organized many different health needs of its residents. He created back to continuous, quality training by trips to houses. Right away, I felt the the Williamson Health and Wellness people who are completely invested in involvement that WVSOM had in the Center, a free clinic designated as a WVSOM’s mission. community, and for me, it was very Federally Qualified Health Center in the important.” Fall 2013. The clinic serves residents of “It’s all about training people to become Mingo County in West Virginia and Pike doctors and training them the right In addition to flood recovery efforts, way. I’m actually still learning, because County in Kentucky. Since its opening, Tito has volunteered for WVSOM Cares, I learn a lot of things from students I the wellness center went from seeing has taken blood pressure readings at precept. They just went through all this nearly 7,500 patients a year to more the state fair and is a member of the training and it’s refreshing for me as than 20,000. Cultural Integrity Committee, which is well. It keeps me going and up-to-date in the process of organizing culturally Beckett is an active member of the on what’s happening,” Snuffer said, diverse standardized patient encounters Mingo County Diabetes Coalition, which proving that learning is lifelong. “When I came to medical school I wasn’t just thinking about studying all the time. I was thinking about what I can do for others.” - DIMITRI TITO, OMS II WVSOM.edu • WINTER 2018 | 21
Feature story SUPPORT FROM A PRESIDENT Even with all of WVSOM’s employees working over the years, Adelman said, proof that if an together to support the school’s mission, there institution delivers on its mission then more is one person who oversees the entire vision and more people will continue to support it. and who ensures that the mission is being “We’ve received more money for the school fulfilled. For WVSOM, that person is Michael than in previous years for student scholarships. Adelman, D.O., D.P.M., J.D., the school’s Additionally, we were in a financial situation president. where we could build a Student Center, which “We’ve gone from being a very good institution was really needed for our students. Our that wasn’t well recognized in the state or relationship with the community has never nation, to an institution that is highly respected been better and it hasn’t always been that in the state and nation. That was done in a way. We have a strong working relationship variety of ways, but it’s about building on with the legislature, and we have a national the foundation of what was here and just reputation, which is evidenced by the fact that increasing the caliber,” Adelman said. we’ve gone from about 800 applicants in 2002 when I started as the dean to almost 5,000 He emphasized the applicants now.” importance of allowing an As Adelman nears the final months as the president of WVSOM, he is reminded of the institution to grow and its years of tireless work and commitment he employees to constantly find has given to the school and can’t help but to think of its constant growth — evolving from opportunities to make it better a medical school in the 1970s on the brink than it was before. of being closed down to more than 40 years later as a standard of excellence in Looking back on his eight years as president, the osteopathic community for graduating it’s easy to identify the programs and initiatives students who are committed to practicing that were created or enhanced under primary care in rural areas. Adelman’s presidency — all of “It’s very inspiring,” Adelman said. “I which closely support a component of remember what it was like and what it took WVSOM’s mission. to get the school here. I’m incredibly proud of Adelman recalls when he first conceptualized the legacy that I hope I’m leaving. I’m leaving the creation and construction of the Clinical this institution better than I found it, but with a Evaluation Center (CEC), which years later caveat that it was in pretty good shape when I underwent an expansion. The facility better found it and we just improved upon that.” accommodates the newest curriculum after Even after Adelman retires, WVSOM it changed from a basic course system to a employees and all those who are associated more clinical presentation curriculum. Or with the school that care about its success will the Statewide Campus system, which was work to constantly incorporate its mission and developed by Adelman as dean but has achieve the school’s purpose. Investing in the since expanded its regions and emphasis on mission is more than just words. It means that providing in-state rotations for students in their WVSOM is always making strides in order to clinical years. achieve a greater, more positive health care Fundraising, community relations and impact in the state for all who are living and legislative relationships have all been built working in West Virginia. 22 | WVSOM.edu • WINTER 2018
LEADERS “I remember what it was like and what it took to get the school here. investing in I’m incredibly proud of the legacy that I hope I’m leaving.” - MICHAEL ADELMAN, D.O., D.P.M., J.D., WVSOM PRESIDENT WVSOM.edu • WINTER 2018 | 23
Student milestones: White Coat Ceremony WVSOM alumnus revisited school history during WHITE COAT Ceremony speech 24 | WVSOM.edu • WINTER 2018
Mark Waddell, D.O., Robert Holstein, D.O., Clark Milton, D.O., John Manchin II, D.O., President Michael Adelman, D.O., Craig Boisvert, D.O., O.J. Bailes, D.O., and James Nemitz, Ph.D. J ohn Manchin II, D.O., reminisced about WVSOM’s history during his keynote speech at the school’s annual Convocation and White Coat Ceremony. On Aug. 26, Manchin, who was part of the first WVSOM graduating class in 1978, spoke to 207 first-year medical students about the importance of knowing their medical school’s history, including the founders’ fortitude and determination in creating a successful osteopathic medical school that would serve rural areas of West Virginia. “Before I go any further I have to pay tribute to our founders, and I’m reminded of a famous quote from Winston Churchill. ‘Never was so much owed by so many to so few.’ Please take the time to learn about these early founders of WVSOM — Dr. Apgar, Dr. Bailes, Dr. Wallington and Dr. Newell,” Manchin said to the students. Manchin recognized O.J. Bailes, D.O., the last living founder of WVSOM, who is now 93 years old and part of the day’s ceremony. He also acknowledged the family members in attendance of the four founders. “You all must be so proud and your family heritage will live on in all the students who have been given the opportunity to become osteopathic physicians,” he said. The White Coat Ceremony is the first step in the medical school journey as the white coat symbolizes each student’s commitment to the osteopathic medical profession and his or her pledge to serving communities and residents. Manchin offered the new students some advice he received from the school’s first president Dr. Roland P. Sharp. “Listen to the patient — listen to the patient. It may not be the word you’re used to but they will tell you what’s wrong,” he said. While Manchin spent time revisiting the school’s more than 40-year history, he also looked to the future. He spoke of how the incoming class was unique in that they have grown up in the electronic age surrounded by information technology. WVSOM.edu • WINTER 2018 | 25
Student milestones: White Coat Ceremony Class “Medicine is evolving quickly. We might speculate coat to fit. But we expect you to grow intellectually and what might come from Amazon’s rumored AI, or emotionally.” artificial intelligence,” he said. “You should expect The ceremony also included brief greetings from Board WVSOM will be evolving with changes and you will of Governors Vice Chair Robert Holstein, D.O., Alumni Association President Mark Waddell, D.O., and West get to live and work through these changes … just Virginia Osteopathic Medical Association President Clark know that we physicians support our school and Milton, D.O. its evolving medical training for future students.” Manchin is a partner, chief executive officer and Before wrapping up his speech, Manchin recognized that president of the Manchin Clinic in Farmington, the this was WVSOM President Michael Adelman’s, D.O., Manchin Clinic of Bridgeport and Manchin Clinic South D.P.M., J.D., last White Coat Ceremony before retiring in in Fairmont, W.Va. He has served as a member of the the summer. Earlier in the ceremony, Adelman officially WVSOM Board of Governors since 2009 and has been recognized the new student doctors. a WVSOM adjunct assistant professor of family practice since 1990. “Class of 2021, our White Coat Ceremony not only welcomes you to our family, but welcomes you to the The White Coat Ceremony takes place in addition to community of osteopathic physicians,” Adelman shared. WVSOM’s Alumni Weekend hosted by the Alumni “This symbolizes the beginning of a four-year journey in Association. Graduates return to campus for continuing osteopathic medicine. Putting on that white coat won’t medical education and other events including a barbecue transform you into an osteopathic physician — there is and reunion dinner. Some alumni assist in the ceremony a lot of work ahead for you and our faculty to get your by presenting white coats to students. 26 | WVSOM.edu • WINTER 2018
of 2021 Family travels around the world “My mom and dad lived in a refugee camp for more than 30 years,” he said. “They’re very proud to attend White Coat Ceremony that I’m the first one to get accepted to medical The Convocation and White Coat Ceremony was the first school and hopefully become a doctor.” time first-year medical student Tenzing Lama saw his The Lamas live in Nepal near the Tibetan Refugee Camp family in about two years. where they used to live for three decades. Tenzing’s His parents, who are Tibetan but currently live in Nepal, family traveled by plane and Amtrak train to spend a made the long journey from their home, a country in quick, 24 hours together — a brief moment in time that Southeast Asia nestled between China and India. Lama’s they will all cherish for years to come. mother, father and sister knew this was a milestone in Tenzing’s life that was not to be missed. “We heard that this was important for our son, the beginning of the white coat, so we decided this was a life achievement and for him to go to such a good school — we had to come,” Lama’s father said after the ceremony. A huge smile stretched across his mother’s face, who simply stated, “We are very proud of him.” The Lama family had never attended a White Coat Ceremony before, and Tenzing is hoping to be the first in his family to become a doctor. 27
WVSOM news and events NEWS ► Japanese osteopathic students visit WVSOM For the fifth consecutive year, WVSOM hosted seven students and one faculty member from the Japan College of Osteopathy who were on campus for an intensive anatomy lab experience June 23-28. The visit provides opportunities for the ► Japanese students to learn from the human body. Beckett received outstanding resident award in pediatrics “This is something they are unable to do in Japan. It is so Jordan Beckett, D.O., Class of 2015, was recognized as helpful for D.O.s to see the the Osteopathic Resident of the Year in pediatrics from interior of the human body and the American Osteopathic Foundation and the American to be able to use OMT to heal College of Osteopathic Pediatricians during an honors gala the human body,” said Peter at OMED 2017 in Philadelphia. Ward, Ph.D., the students’ Beckett is a third-year resident at the dually accredited faculty advisor and teacher. pediatric residency program at Nationwide Children’s Hospital in Columbus, Ohio. She will complete her residency in June. Beckett is committed to rural health and completed several rural training rotations. She was involved in the Rural Health Initiative while at WVSOM. She is working with WVSOM to help expand rural access to pediatric inpatient and outpatient care, including drug 28 | WVSOM.edu • WINTER 2018 education and rehabilitation.
NEWS Students, staff and faculty showed their support for National Rural Health Day ► Everyone on campus was encouraged to get out and move with a walking contest in support of rural health. Winners were Angie Hill, Karen Ayers and Patti Crawford. WVSOM is No. 1 in the nation graduating physicians who practice in rural ► areas of America. Afrede aids in flu clinic ► Momina Afrede, OMS III assisted with a flu clinic in October at the Mary C. Snow Westside Elementary School, as well as directly administered flu shots to preschool-fifth grade students. Students gained clinical experience ► in South Africa Fourteen Class of 2020 students traveled to South Africa in illness. In the clinical setting, students took medical June and July as part of WVSOM’s Center for International histories, discussed patient presentations, learned about Medicine and Cultural Concerns (CIMCC) program. The admitting both adults and children to the hospital and students participated in the Student Health And Welfare provided OMT demonstrations to South African medical Community Organization (SHAWCO) at the University of students and physicians. Cape Town’s student run mobile medical units. Between 2011-2016, a few WVSOM students participated in Students learned about HIV/AIDS and tuberculosis; public health in infectious disease rotations, and a number attended lectures on cross-cultural medicine; and of students have traveled to South Africa for summer participated in interactive roundtable discussions with programs focused on epidemiology. Summer 2017 marked persons affected by HIV (caregivers, physicians and support the first clinical experience, and will hopefully continue in persons) and persons who have survived an AIDS related summer 2018. WVSOM.edu • WINTER 2018 | 29
WVSOM students, staff provided blood pressure readings at state fair NEWS A total of 2,512 people benefited from having their blood pressure checked during the West Virginia State Fair that took place in August in Fairlea. Second-year medical students administered most of the free readings — offering 1,465 checks to visitors. WVSOM physicians and Clinical Evaluation Center staff members were also available to perform screenings. A Teddy Bear Clinic was also part of WVSOM’s blood pressure booth under the grandstand. The clinic provided 647 children the opportunity to “play doctor” as well as educate them about basic hospital visits. They learned about 2,512 people had their heartbeats, took temperatures, bandaged the bears and examined the stuffed animals’ eyes, ears and nose. WVSOM also collaborated with Greenbrier Valley Medical Center at a state fair booth to provide blood pressure information about osteopathic medicine. Residents checked provided OMT demonstrations. Osteoporosis and scoliosis screenings were also available, as well as information about cardiovascular risks 647 children experienced and how to modify those risks. Bridgett Morrison, D.O., and other WVSOM faculty and graduates volunteered to provide the Teddy Bear Clinic the demos. High school WVSOM employees students celebrated Halloween learn about Halloween festivities swept across campus pharmacology on Oct. 31. The fun began with the High school students from Classified Staff hosting the annual costume across West Virginia visited contest. The winners were members of the WVSOM for the fifth annual anatomy department as board game pieces “Just Say Know to Drugs,” in first place, Karen Ayers as Van Gogh in from June 26-30. Raeann second place and Tiffany Wright as Little Carrier, Ph.D., and WVSOM Miss Muffet in third place. The anatomy students provided the high group gave their first place winnings of school students with an $50 to members of the alumni association introduction into the world and foundation for their group costume, of pharmacology. redneck safari. Throughout the week, students The competition continued with a table- up for the camp because of the word decorating contest in the main building learned about antibiotics and disease pharmacology. She plans to attend hallway. Winners included Dezi Davis in transmission, conducted hand-washing pharmacy school and thought the camp first place, RHI in second place and the experiments and looked at preventative/ would be a good introduction. foundation and alumni association in third alternative medicines. A student favorite activity from the week was the daphnia “I want to be a pharmacist. This helps place. The day ended with trick-or-treating experiment. Students were tasked with with what you need to know before you for children around the main building. measuring the heart rate of the daphnia, go to pharmacy school,” she said. a tiny water flea, under control and The camp culminated with students’ unknown drug conditions. presentations that showcased what Johnna Ball, a senior at Herbert Hoover they had learned. High School, explained that she signed 30 | WVSOM.edu • WINTER 2018
Students spread generosity to local NEWS families during holiday season WVSOM instills in its students the SSP President Aaron Hess value of being actively involved said one of the benefits in their communities. Every day, of attending medical students make an effort to be school in a smaller town engaged with future patients in is the opportunity to play the local area, and the same a more crucial role in was especially true the beginning the community. of December. “When students come WVSOM students spread generosity here for two short years and holiday cheer by helping nearly 50 children from 20 foster families have a better holiday season during the annual Heart of the Holidays event. Sigma Sigma Phi (SSP), a they can still have a vital impact in the community and peoples’ lives. As far as this event, I think that giving back — especially 50 children from 20 foster families were able to participate community service organization, around the holiday season are overcome with emotions organized the event, which helps when you see these kids’ faces when they see an infant that is families provide a memorable when they get to sit on Santa’s lap a lot smaller than it should be Christmas for their children through and open a gift — is what we strive or when they see a child with donations of clothes and toys. for as physicians and our patient- a developmental problem. The centered care comes straight from “SSP, in partnership with the students read about this and that and is part of why people go [Greenbrier County] Children’s are tested on this but to see it in into medicine,” he said. Home Society, reached out to person they realize that all they families that are taking care During the event, which was in are required to give these children of foster children to provide its 18th year, children partook in is time.” Christmas to these children and to activities like getting their faces WVSOM’s Pediatrics Club hosted help relieve any burden the family painted, decorating cookies and a diaper drive in conjunction with may be experiencing,” said Belinda coloring. In addition to the gift each the holiday event and offered Evans, WVSOM’s director of child opened with Santa, they were face painting. Family Medicine student affairs. “I believe this is given a gift to be taken home. Club members hosted the cookie- a huge impact on the families. “Students are humbled when decorating table, and SSP members When they attend the event here the wish lists have items such as had the coloring book table. on campus, they are surrounded personal items and not just toys,” by loving, caring individuals who Evans said. “Some of the students want to make the holiday a little less stressful.” “When students come here for two short years they can still have a vital impact in the community and peoples’ lives.” - SSP President Aaron Hess WVSOM.edu • WINTER 2018 | 31
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