2021 Annual Report

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AN N U A L R E PO R T


J. BRADLEY CREED President BRIAN KESSLER, DO Dean and Chief Academic Officer MICHAEL MAHALIK, PHD Vice Dean for Academic Affairs ERIC GISH, DO Associate Dean of Osteopathic Manipulative Medicine Integration TERRI HAMRICK, PHD Associate Dean for Research VICTORIA KAPRIELIAN, MD Associate Dean for Faculty Development and Medical Education ROBIN KING-THIELE, DO Associate Dean for Postgraduate Affairs JAMES POWERS, DO Associate Dean for Clinical Integration ROBERT TERREBERRY, PHD Associate Dean of Biomedical Affairs DAVID TOLENTINO, DO Associate Dean for Clinical Affairs

Editor: Sarah Bowman, JD Graphic Design: Shelley Hobbs 2

2021 ANNUAL REPORT


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The Campbell Leads campaign – the ambitious fundraising effort created to benefit student scholarships, the Fund for Campbell, and the campus-transforming Oscar N. Harris Student Union – far exceeded its original $75 million goal by raising $105.7 million over a five-year period. The campaign hit its original mark in November 2020, and the goal was extended to $100 million in 2021. More than 61,000 gifts were made from Campbell University alumni and friends – 25 gifts exceeded $1 million, and nearly 500 major gifts of $25,000 or more were made.

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CONTENTS 7

DEAN’S MESSAGE

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CLASS OF 2021

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AWARDS AND HONORS

27

COMMUNITY AND GLOBAL HEALTH

35

CLASS OF 2025

37

RESEARCH

47

GRADUATE MEDICAL EDUCATION

49

ALUMNI

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DEAN’S MESSAGE

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Dear Campbell Family: The School of Osteopathic Medicine continues to set a “Positive Path Forward” despite a fluctuating environment. As we reflect on 2021, I want to express my sincere gratitude for everyone’s fortitude and perseverance during this unpredictable time. Over the past two years, the persistence of COVID-19 has led to adjustments in our daily routines, several revisions in federal and state guidelines, and modifications to the educational paradigm - including recommendations related to isolation, quarantine, and vaccination while delivering quality instruction. It has been over six months since my start as the new dean for the Jerry M. Wallace School of Osteopathic Medicine, and I find the 2021 Annual Report to be filled with countless smiles and fellowship. Reflective of a solid academic presence, it is uplifting to see the accomplishments of our students and graduates. Our “Campbell Family” continues to achieve excellence, and our physician colleagues and alumni continue to show resilience on the frontlines of this pandemic and in medical education. We recognize that we succeed, despite the challenges presented, through the efforts of a strong student body, dedicated faculty and staff, accomplished alumni, and dedicated partners. As we move through this ever-evolving pandemic, I am encouraged to stay positive in our profession. We all have been given the responsibility to reflect upon our purpose in this world, remain honest, and work with others to move forward in a positive light. For myself, as a physician, administrator, and educator, I ask for your continued support as we “Lead with Purpose” and champion the ideals of Campbell University. We can excel through trust and transparency while focusing on mindfulness, humility, and the pursuit of quality through a commitment to our students and service to others. We have been allowed to define medical education excellence and outshine others, and your dedication to CUSOM reflects on our outstanding reputation. In 2021, our students shined in a sustained commitment to community service, research, and other special projects. The medical school continues to expand its presence through collaborative partnerships, new program development, and research. Through renewed efforts to provide primary care and health education in rural and underserved

communities, we have touched many who are in need. In 2022, we will continue to champion classic osteopathic tenets with solid educational principles to offer our graduates an opportunity to make a meaningful impact on the lives they touch. The medical school has emphasized foundational primary care training and excellence from the beginning. As a result, our graduates have supported our mission in practice, word, and deed. We are proud of the 165 graduates who have embarked on a new chapter and entered modern medicine. Approximately seventy-five percent of our graduates enter targeted specialties of need, including family medicine, internal medicine, obstetrics & gynecology, pediatrics, psychiatry, and general surgery. As we graduate new Osteopathic physicians who provide meaningful service to others, we will soon graduate another class of students, residents, and fellows who embody excellence in education, scholarship, and service. I am proud of all they represent, physicians who will be servant leaders who will lead with purpose and pursue excellence in osteopathic medicine throughout their careers. Most importantly, I want to offer sincere praise to our graduates and fellow physicians for your accomplishments. Your continued success is our success, for you have been given the ability to flourish, and we know you are achieving excellence. You have accomplished great things and made tremendous differences in many patients’ lives. For that, we are and will always be grateful. I hope you enjoy this publication, find the stories to be uplifting, and the accomplishments of your colleagues to be impactful. We are thankful for your unwavering support and steadfast dedication to the medical profession and education. I look forward to hearing from you, your accomplishments, and how we can help you continue to set a positive path forward and “Lead with Purpose.” With Gratitude and Service,

Brian Kessler, DO, dean Campbell University School of Osteopathic Medicine

PHOTO LEFT: Dr. Kessler arrived just days prior to the Class of 2021 graduation and was able to personally congratulate each graduate as they crossed the stage.

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CLASS OF 2021

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CLASS PROFILE D

147 graduates in the Class of 2021

27 states and Washington DC

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98% residency placement

37 are from North Carolina

53% matched into primary care

56% matched into residencies in the southeastern US

14 graduates entered a Campbell University affiliate residency

20% entering specialties of need in North Carolina

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53% PRIMARY CARE

Family Medicine Internal Medicine

SPECIALTY

NUMBER MATCHED

Family Medicine

25

Internal Medicine

30

Pediatrics

17

IM/Peds

4

OB/GYN

5

Pediatrics IM/Peds OB/GYN

76% TARGET SPECIALTIES TARGET

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OTHER

Family Medicine

25

Transitional Year

13

Internal Medicine

30

Orthopedic Surgery

2

Pediatrics

17

Anesthesiology

6

IM/Peds

4

Neurology

2

OB/GYN

5

Child Neurology

2

Psychiatry

12

Pathology

1

Emergency Medicine

18

PMR

1

General Surgery

4

Radiology

5

Family Medicine

Pediatrics

OB/GYN

Emergency Med.

Internal Medicine

IM/Peds

Psychiatry

Surgery


57% AT A TARGET LOCATION STATE

NUMBER MATCHED

North Carolina

38

Virginia

13

Florida

13

Georgia

3

South Carolina

13

South Carolina

Tennessee

2

Tennessee

Louisiana

0

West Virginia

Kentucky

0

West Virginia

4

TOTAL

86

North Carolina Virginia Florida Georgia

43% OF NORTH CAROLINA MATCHES ARE CAMPBELL UNIVERSITY PROGRAMS Campbell University Programs MAHEC East Carolina University/Vidant

43%

University of North Carolina Hospitals Cone Health Novant Health New Hanover Regional Medical Center Carolinas Medical Center Wake Forest University Duke University MEDICINE.C AMPBELL.EDU

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Campbell Medicine celebrates fifth graduation with 165 graduates

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ne hundred forty-seven Doctor of Osteopathic Medicine and 18 Master of Science in Biomedical Sciences degrees were conferred in the School of Osteopathic Medicine’s fifth Commencement Ceremony on May 6, 2021 at Barker-Lane Stadium. The commencement exercises were the University’s first in the Spring 2021 graduation week celebrations and marked a return to in-person celebrations while still observing health safety precautions with limited attendance and social distancing requirements. All health care providers and educators, graduates, faculty, and staff have had the opportunity to receive the COVID-19 vaccine. Dr. Jim Powers, associate dean for clinical integration, welcomed the graduates. “We are so proud of each of you – the amazing things you have accomplished, your hard work, your persistence, dedication and resilience. Most importantly we are proud of who you are as caring compassionate people with a genuine heart for serving others.” “Not only have you completed incredibly rigorous academic programs, but you have done it in the on-going SARS COV-2 pandemic – the greatest public health emergency in over a century. In the face of

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this adversity, you stepped up. You overcame so many challenges, and you grew in ways you never imagined. Dr. J. Bradley Creed, president of the university, commended the graduates for their embodiment of school motto over the past year – ad astra per aspera – “to the stars through difficulty”. “This year has an added bonus within it – you have had a front row seat. Your attention has been arrested in ways it would not have been otherwise when you studied immunology, epidemiology, infectious disease, comorbidities, and

public health. It has accentuated your learning and as you look back you will remember this as a time when history was made. We will continue to learn from this year, and we are excited about the days ahead for you.” Dr. Kevin O’Connor, physician to the President of the United States, delivered the keynote address reminding the students they share this accomplishment with their loved ones who supported and cheered them on to this day and asked them to be good doctors.


“Unlike many ceremonial walks, this one changes who you are. When you exit stage right, you are a doctor.” “Be a good doctor … to be a good doctor is different than being a skilled doctor. Hopefully, you will be both, but good is more important. The things that make you good are the intangibles – good doctors make eye contact, good doctors are active listeners, good doctors truly empathize … good doctors genuinely love their patients. Love your patients with abandon.” Dr. Brian Kessler, dean of the school of osteopathic medicine, closed the ceremony with words of advice and led the graduates in taking the Osteopathic Oath. “You are now given the responsibility to change the world, always remain honest, and work with others to move medicine forward in a positive light … Learn and improve each day, and rest and refresh each day as well. I wish everyone good luck and Godspeed as you step into your next great adventure.”

Rachel Silver, a member of the Class of 2021 who tragically passed away in 2018, was remembered during the graduation ceremony. Her regalia was presented to her parents at the end of the ceremony.

Class of 2021 Match Day virtual celebration

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he School of Osteopathic Medicine faculty and staff gathered virtually on March 19th to celebrate National Resident Matching Program (NRMP) Match Day with the Class of 2021. The virtual event included the tradition of students sharing their residency Match by writing it on commemorative “I Matched” signs, which they shared live on the Zoom call as well as on social media. “A year ago, Match Day was the first school event that transitioned to a virtual celebration seemingly overnight,” reflected Dr. David Tolentino, associate dean for clinical affairs. “While we hoped to be back together in person this year at Levine Hall, the joy of seeing our students celebrate with their loved ones all across the country and our excitement for their

future is just as deep. Given the hurdles of COVID-19 this class had to overcome to achieve this success, our celebration today is meaningful in a way unique from all other years.” The annual Match Day is the third Friday in March when medical students and residents across the country who applied through the National Resident Matching Program (NRMP) find out where they will continue their medical training. Students pursuing urology, ophthalmology or a military match found out their results over the past few months. “Match Day is incredible,” Dr. Mark Hammond, provost of Campbell University affirmed to the participants during the virtual celebration. “When I welcomed you at your orientation

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and I said to you ‘what a challenging road you have ahead of you’ – who could have ever imagined we would have a global pandemic as part of your medical education and experience! We didn’t plan it that way, but I know you are stronger from experiencing it. The characteristics of a camel come in handy – perseverance, feistiness, durability and resilience – we have the perfect mascot to face such challenges. You did, and we are here to celebrate your success today.” Two-thousand twenty-one’s NRMP Match saw a record high of 42,000 applicants. Campbell’s DO Class of 2021 entered residency in 27 states and Washington D.C. in 18 areas of medicine including child Neurology, pathology, and occupational family medicine. Fifty-three percent will enter a primary care residency, and 76 percent will enter a residency in a target specialty of need. Research shows physicians are much more likely to practice in the state where they complete their residency. 38 of Campbell’s soon to be graduates will stay in North Carolina to practice and 86 will stay in the Southeastern United States. Of those remaining in North Carolina, 20 percent will continue their training in a specialty of need. “I am over the moon – this is an amazing day!” said Caitlin Porter who entered a Mountain AHEC family medicine residency in Boone, NC. “I fell in love with family medicine after my first year of medical school when I participated in the North Carolina Association of Family Physicians summer internship program, and they have been incredibly supportive every step of the way. I’m from the mountains of North Carolina, so being able to come back and serve Appalachian people that I grew up with is great.” Campbell’s medical student match success is shared by eight clinical campuses from Conway, SC to Salisbury, NC and the physician preceptors and hospital staff who work with the students during their third and fourth year rotations. Campbell University Affiliate Residency Programs are in four North Carolina community health systems – UNC Southeastern Health, Cape Fear Valley Health, Harnett Health and Sampson Regional Medical Center — and Conway, SC. Those residency programs will welcome 18 Campbell Medicine graduates and include dermatology, emergency medicine, family medicine, internal medicine, general surgery and psychiatry. Members of the Class of 2021 also matched into residencies at institutions across the country such as Cleveland Clinic in Cleveland, Ohio; Johns Hopkins Hospital in Baltimore, MD; and Duke University Health in Durham, NC. Johnny Dang went to East Carolina University-Vidant Health for a preliminary year and then will go to Johns Hopkins to train in Physical Medicine and Rehabilitation (PM&R). “I’m from Texas, but I really enjoy living in North Carolina, so I’m looking forward to another year here at ECU,” shared Student Doctor Dang. “PM&R is patient centered. It emphasizes the lifestyle of the patient – if they are dealing with pain or severe injury – the focus is what they want out of life and how medicine can help them achieve that. Johns Hopkins really made me feel at home – to be able to show me that through a virtual interview is a really amazing thing, and I believe they will be able to put me in a good position for whatever I pursue after residency.”

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Eleven Class of 2021 members entered military medicine residency The Class of 2021 continued the School of Osteopathic Medicine’s proud tradition of having approximately 10 graduates per year enter military residency programs. Eleven students slated for graduation in May 2021 matched into residency programs where they will serve in the United States Armed Forces while caring for soldiers, veterans and their families from Fort Bragg, North Carolina to Madigan Army Medical Center in Tacoma, Washington.

AIR FORCE 2LT AUGUSTUS E. FLOYD | Psychiatry San Antonio Military Medical Center, San Antonio, TX 2LT HUNTER GALLOGLY | Family Medicine and Operational Medicine Mike O’Callahan Medical Center, Nellis Air Force Base, NV 2LT ASHLEY MURPHY SHAW | Obstetrics and Gynecology Naval Medical Center, Portsmouth, VA

ARMY 2 LT PETER V. CHOI | Family Medicine National Capital Consortium, Fort Belvoir, VA 2LT ADRIENNE COURSEY | Family Medicine Womack Army Medical Center, Fort Bragg, NC 2LT ROSINA DARDEN | Psychiatry Walter Reed Military Medical Center, Bethesda, MD 2LT ANTHONY LUCIDO | Pediatrics Walter Reed Military Medical Center, Bethesda, MD 2 LT R. LOGAN PHILLIPS | Internal Medicine Madigan Army Medical Center, Tacoma, WA

NAVY JON MCGILL, ENS MC USNR | Emergency Medicine Naval Medical Center, Portsmouth, VA JOSEPH MCNAMARA, ENS | Transitional Residency Naval Medical Center, Portsmouth, VA JOHN PETERSEN, ENS | Internal Medicine Naval Medical Center, Portsmouth, VA

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Master of Science in Biomedical Sciences Class of 2021

18 graduates in the Class of 2021

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8 students from North Carolina

3 Campbell graduates

19 colleges/universities represented

9 states represented

14 female 4 male

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MSBS Student Spotlight EMMANUEL AYENI, (‘22) WHY DID YOU CHOOSE THE CAMPBELL MSBS PROGRAM? I chose the Master of Biomedical Sciences program at CUSOM, because I was looking for a master’s program that would help me reach my next goals. I spoke to Ms. Henderson, the director of the program as she reached out to me personally to talk with me about the program and I was just hooked. TELL US ABOUT YOUR EXPERIENCE AT CAMPBELL My experience at Campbell University has been a good one. The people, the med students, the faculty and my own classmates – it’s like a community. We all work to help each other and bolster each other up. Throughout COVID, we were completely online. The faculty and staff were very helpful in maintaining the environment as though it were in person. They offered virtual office hours and provided support that was still geared towards our success. HOW DOES THE CAMPBELL MISSION RESONATE WITH YOU PERSONALLY? One thing that I found important and interesting with CUSOM is that the school is located right in the heart of a rural area. If your goal is to work with individuals in rural areas, then CUSOM is the place to go – at least it was for me. We have different opportunities to serve the underserved, as well as the rural communities through the community care clinic, migrant farm worker clinics, and vaccinations clinics that we’ve offered throughout COVID. These things are important to me as I would like to continue working in rural communities in the future.

SCOTT BUCHANAN, (‘22) HOW DOES CAMPBELL’S MISSION RESONATE WITH YOU PERSONALLY? Campbell’s mission resonates pretty deeply with me. It’s honestly, one of the reasons that I came to the program originally. Before I came to the MSBS program, I worked for two years in South Dakota with AmeriCorps on a reservation and it was about as rural and underserved as you could get. Being part of that community definitely struck me how a proper health care structure and proper health care in general can really change a person’s life. A lot of the people that I knew had many issues that were exacerbated by a lack of access. CUSOM really does a good job of fostering the sort of care and context that would be necessary to train physicians who are able to operate in these circumstances and provide care that really will go forward and change people’s lives, which I think is one of the best callings anyone could follow. TELL US MORE ABOUT YOUR FIRST YEAR AS A MASTER’S STUDENT DURING COVID-19 The first year of a master’s degree program during COVID had its own struggles. One of my biggest takeaways was that the staff of CUSOM and the MSBS program really pulled together, and they really wanted to help us. We felt important to the professors and to the program in general. The professors put a lot of effort into the content they produced, and even though we weren’t able to go into the gross anatomy lab, I think the professors who took care of our lab classes really went above and beyond to make sure that we still had a good anatomical experience, even though we weren’t in-person doing dissections. The MSBS curriculum is very rigorous - the science background and the ground floor basics along with the advanced material they give prepares you for a lot of what you’re going to see once you move on to medical school. WHAT ARE YOUR PLANS AFTER GRADUATION? Moving forward after the MSBS program, I hope to continue my pursuit of osteopathic medicine. I feel like the emphasis that Campbell puts on the tenants of osteopathy have really resonated with me. Continuing on this path is my route to training and providing the highest standard of care that I possibly can when I eventually do become a physician.

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AWARDS & HONORS

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Student Doctor of the Year Anjali Agrawal, (‘21)

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he School of Osteopathic Medicine’s Student DO of the Year Selection Committee named Student Doctor Anjali Agrawal 2021 Student DO of the Year (SDOY); this award also served as the school’s nomination for the American Association of Colleges of Osteopathic Medicine’s National Student DO of the Year Award. “Upon reviewing her nomination and her application, it is evident to the Selection Committee that Ms. Agrawal is an outstanding role model who has not only demonstrated a heartfelt dedication to her school, but also to her local and global community and the osteopathic medical profession,” said Dr. Bonnie Brenseke, chair of the SDOY Selection Committee. “Her dedication to the profession is reflected in her numerous scholarly efforts and engagement in professional organizations.” There are 5 criteria for the national award and the committee as well as her peers state Student Doctor Agrawal has gone above and beyond in all the following areas making her a great candidate for this award: •

Leadership

Commitment to Community Service

Dedication to the Profession

Professionalism

Embodiment of the Osteopathic Philosophy

Anjali’s commitment to service started before her matriculation to medical school. In 2015, she volunteered at Maggie’s Place, a woman’s rehabilitation center, and from 2016-2018, she volunteered in the dialysis clinic of the Phoenix Children’s Hospital. Since entering medical school, SD Agrawal has demonstrated her heart for service by volunteering in many ways and serving as a student leader. She has volunteered at the Maternal Services Ward of Betsy Johnson Hospital, Wings Camp dedicated to helping children cope with the loss of their loved ones, and at the local middle school in Dunn, NC. During her first three years of medical school, SD Agrawal demonstrated her passion for pediatric medicine by serving as Campbell’s first Medical Student Delegate in the American Academy of Pediatrics (AAP). While serving in this role, she responded to AAP’s call for gun safety initiatives to protect children by going to the Johnston, Harnett, Wake and Wayne County sheriff departments collecting 112 gun locks, available free at the sheriff departments, and printing out information on gun safety and agreements for parents to sign with their children about not playing with guns. She took

the locks and handouts to local pediatricians’ practices for distribution to parents and hosted educational opportunities throughout the year regarding children and gun safety. “Student Doctor Anjali Agrawal embodies all of the qualities of an outstanding osteopathic medical student,” affirmed Dr. Andrea Mann, former Chair of Pediatrics and Advisor for the Peds Club at Campbell. “She is a motivating and cheerful leader who is committed to serving her local and global community. Student Doctor Agrawal continually demonstrates professionalism and a dedication to the osteopathic profession and its holistic philosophy of the mind, body, and spirit.” She also served as a Peer Navigator during her MS-II year assisting first year medical students with navigating the many challenges socially, emotionally, and mentally associated with the rigor of transitioning to medical school. “SD Agrawal demonstrated the essential qualities of a Navigator – empathy and a supportive attitude – and was an asset to the program,” shared Samantha Turnipseed, Assistant Director of Clinical Services, Department of Behavioral Health that oversees the Peer Navigator program. “She took the initiative to seek out first-year students in small group study rooms to say hello and to see what was on their mind instead of simply waiting for them to seek her out in the common areas. She realized students may feel intimidated or self-conscious about walking up to someone they do not know well to share their concerns, and by taking

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this initiative, she found students actually had a lot they wanted to talk about- coursework, study strategies, stress management, etc.” Additionally, as a third-year medical student, she currently serves as a Student Site Representative, a peer-elected position, for the Goldsboro Clinical Campus where she is responsible for voicing the concerns of her fellow students and attending the Regional Leadership Committee meeting each month to provide updates. In this role, SD Agrawal demonstrated her leadership skills by working with preceptors and site coordinators to implement virtual attendance for didactics when COVID-19 made safe distancing in the classroom necessary. Beyond campus and local community service, in December 2018, her first year of medical school, Anjali went on a medical mission to Jamaica. She worked in medically underserved rural areas of Jamaica providing OMT, collecting patient histories, and performing physical exams. “Perhaps more than the medical care she provided, Anjali provided care for the mind and spirit of those who came to clinic by offering feet washing,” reflected Dr. Joe Cacioppo, chair of community and global health. “She would sit on the ground to wash and apply lotion to the feet of the patients (mostly it was the women who took her up on her offer of foot pampering).” She has also served as Continuity of Care Coordinator in the Community Care Clinic where her responsibilities included presenting patient labs to the attending physician, reviewing lab work to develop a care plan, and calling patients with follow up on clinic visits/lab draws. “We met each week to review lab results and discuss patient care,” shared Cacioppo. “She was the most organized and thoughtful of all the students who filled the position over the past 5 years, yet what was most outstanding was her compassion for our patients. Not one patient was simply breezed over. Anjali made sure each patient was thoroughly discussed so she had complete understanding of what she was to do and how she was to explain the plan to our patients. In calling patients every weekend for a year, she was able to build a rapport with those she served by taking the time to have meaningful conversations making her community feel valued and cared for.” The Committee selected Student Doctor Agrawal for this award because she is an outstanding leader with the heart, hands, and head to elevate everyone around her – propelling the profession as a whole forward. “There were so many outstanding candidates this year, which I am sure makes selecting one candidate very hard for the Committee,” reflected Dr. David Tolentino, associate dean for clinical affairs. “I have had the wonderful opportunity of knowing Student Dr. Agrawal since she matriculated into medical school, and I have specifically been able to collaborate with her in her role as Regional Site Representative for her class in Region 5/Goldsboro this year. She admirably fits all the criteria for this honor and has demonstrated leadership and stepped up to challenges in the most professional way. Her clinical faculty preceptors have nothing but outstanding comments and feedback about her. I am very excited for Student Dr. Agrawal’s future as an osteopathic physician and a vocal leader for the profession.” In addition to being named Student DO of the Year for Campbell Medicine, her service efforts were recognized by the AACOM TOUCH (Translating Osteopathic Understanding into Community Health) Awards, Gold-level recognitions, in 2018-2019 and 2019-2020 for her community service activities. Faculty, staff and students gathered virtually earlier this month to celebrate SD Agrawal’s accomplishment and wish her well on the national nomination.

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Student organizations endow DO student scholarship

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he School of Osteopathic Medicine’s Student Government Association (SGA) led seven student organizations in pooling their funds together to endow a new scholarship. The Student Osteopathic Medical Association (SOMA), family medicine, global health, internal medicine, pathology, pediatrics and PM&R student organizations answered SGA’s call to reallocate funds normally used for travel to national conferences and other club events not possible due to COVID-19 travel restrictions. Akhil Adla, 2020 SGA Vice President, said many student organizations at the medical school have been very successful with fundraising and were able to join SGA in creating a new scholarship. “As the cost of medical education increases and the need for physicians persists, we felt led to be good stewards of these funds and provide financial relief to students who demonstrate leadership through community service and academic achievement.” “The cost of medical education is a barrier for many in pursuing their dreams, hence, cost of attendance becomes a source of physician shortage. It is was our job as SGA to be the student voice and be prudent with the shared resources,” Student Doctor Adla elaborated. “We felt the scholarship would be a productive way to bring attention to a pressing issue while providing a small solution. We wanted to inspire while bringing attention to the rising costs of medical education to potential donors and other clubs by putting all of our resources to productive use.”

“Over the past year, the pandemic has forced undue financial burdens upon many students,” shared Ying Ku, 2020 SGA President. “Despite the odds, our students have excelled considerably through community services and advocacy efforts. This scholarship is a collective effort of SGA and Club leadership which signifies collaboration and student empowerment. We aim to encourage student-lead initiatives, and we believe acknowledging those who have gone above and beyond is a feat worthy of endorsement.” The SGA leaders emphasized it is their wish for future graduates and donors to continue to build the endowed scholarship and to increase the number of scholarships available to students. “The scholarship was also a memory of what we went through as a student body in the pandemic and what we can achieve when we all come together,” concluded SD Adla. “Special thanks to SGA treasurer Yanal Maher and SOMA President Wes Henderson for their shared dedication to making the endowment a reality.”

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MS-II Kathleen McDermott selected for National Health Service Corps

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tudent Doctor Kathleen McDermott (’23) was awarded HRSA’s National Health Service Corp Scholarship — a full scholarship for medical students committed to providing care in underserved areas. From Cary, North Carolina, SD McDermott is a graduate of the UNC School of Public Health and a Fellow of the State of North Carolina Division of Mental Health and Substance Abuse. McDermott comes from a legacy of public service; her father was a social worker and her mother works for the state in public health. She was familiar with the Health Service Corp growing up thanks to a family friend who was a Health Service Corp scholar in psychiatry. “She loved her experience; she was grateful for the financial support, but also she just really loved her experience in the places she got to work.” McDermott also worked on a HRSA funded project focused on trying to improve cure rates for patients co-infected with HIV and Hepatitis C. The combination of family-friend legacy and experience lead her to pursue the scholarship and gave her a passion for public health. “Through my undergraduate research, I saw both sides: I saw priorities from a top-down approach – what they want to accomplish, but then also what is feasible in a clinic and what can actually get done. I think we need more people to stay in that space to help ensure public health interventions are realistic and actually doable.” “My big passion is community mental health. I am considering Family Medicine or Psychiatry. If I don’t pursue Psychiatry as my specialty, I really want to have some role in normalizing mental health services

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and integrating them into primary care as much as possible.” As a Health Service Corp Scholar, McDermott will have the opportunity to match into any primary care residency she pursues, and after completing residency, she will complete her service by working in clinic or hospital that meets the HRSA score requirement. “The places you get matched with through the Corp for practice are the places where you’re going to have the freedom to do innovative things to advance patient care. Often, you are the only access point for your patients in the entire service.” “As doctors, we really should do our best to understand our patient’s individual situations. They asked in the scholarship essays, ‘what does patient centered care mean to you?’. You have to understand where your patient is at in that moment in time, what they need, and what they need might not be what you want them to or what they can do at that time.” “I was a Health and Wellness coordinator at the Community Care Clinic, and I learned, from one county to the next, resources are very different. Because of that experience, I will make a point of learning what resources are available. I hope to apply my research experience and public health experiences through the Corp to identify opportunities to improve health care delivery not just for my patients, but all patients.” McDermott joins another Campbell Medicine physician who received this scholarship – Dr. Elizabeth Gibbs (’17), from Asheville, NC, is currently fulfilling her Health Service Corp commitment at an FQHC in Los Angeles, CA.


2021 Achievements Faculty and Staff Dr. Bonnie Brenseke received the Jerry M. Wallace School of Osteopathic Medicine’s 2021 Dean’s Award for Teaching Excellence, presented during the Faculty Awards portion of Campbell University’s virtual Faculty and Staff Orientation. Dr. Tiffany Lowe-Payne was installed as the President of the NCS-ACOFP for the 2021-2022 year. North Carolina Osteopathic Medical Association Annual Meeting | June 2021 Installations •

Dr. Robin King-Thiele | President

Dr. Eric Gish | Membership Chairperson

Dr. Tiffany Lowe-Payne | Trustee

Dr. David Tolentino | Trustee

Campbell University Years of Service Awards (announced at the Campbell University Virtual Faculty/Staff Orientation) •

Twenty Years: Terri Hamrick

Five Years: Traci Anter, Dusty Barbour, Joseph Cacioppo, Khalil Eldeeb, Donald Flowers, Amy Hinkelman, Brianne Holmes, Jeffrey Krepps, Wendy Lee, Warren Lushia, Thomas Motyka, James Powers, Lori Strickland, David Tolentino, Maxx C. Toler, Prabhakar Vaidya

AACOM 2021 Excellence in Communication and Marketing Awards Sarah Bowman & Shelley Hobbs (contractor) •

First place in Advertising: COVID-19 Public Service Announcement

First Place in COVID Pivot: Class of 2020 Graduation

Second Place in Annual Report: 2020 Annual Report

Endowed Scholarship Recipients Ed and Sadie Byrd Scholarship John Wesley Henderson Madison Mumpower DP and Helen Russ Scholarship Kayla Distin L. Stuart Surles Scholarship Sarah Elliott Kaiser Rachel Helen Silver Memorial Scholarship Gabrielle Cortese William F Morris Department of Osteopathic Medicine Scholarship Victoria Christian G. Wilson and Stephanie Bass Scholarship Ying Ku Jack Thomas

Student Elected Awards Biomedical Faculty Award: Dr. Bonnie Brenseke Clinical Faculty Award: Dr. Andrea Mann Outstanding Staff Award: Mr. Eddie Holder PRECEPTOR OF THE YEAR (BY REGION) Carteret: Dr. Sarah Gore

Conway: Dr. Srinivas Vuppala Fayetteville: Dr. Jordan Miller Goldsboro: Dr. Subodh Pal Harnett: Dr. Asif Zia Lumberton: Dr. Eric Breitbart Raleigh: Dr. Stephen DeMeo Salisbury: Dr. Aerik Williams Smithfield: Dr. Devang Gujarathi MEDICINE.C AMPBELL.EDU

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Edward H. Holder Service Award Recipients Dr. Bonnie Brenseke & Mr. Dusty Barbour

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he School of Osteopathic Medicine Student Government Association (SGA) announced Dr. Bonnie Brenseke (faculty recipient) and Mr. Dusty Barbour (staff recipient) as the Mr. Edward H. Holder Service Award recipients for the 2020-2021 academic year. The Award was instituted by SGA in 2014 by the inaugural class as an opportunity for the student body to acknowledge a faculty member and a staff member who go above and beyond demonstrating the qualities of Mr. Eddie Holder, the beloved security guard of Levine Hall, who inspired the students to create the award as an ongoing way to appreciate all he does for the school as well as others who make the day-to-day aspects of medical school a little less trying and each day a little brighter with their kindness. The students who nominated Mr. Barbour offered the following statements about why he should receive the award: •

He is always very friendly and brightens up my day;

He is the unsung hero of CUSOM;

I can’t even imagine everything he’s had to go through to make sure we get a complete clinical skills experience. Every time I see him, he is hard at work making sure we get the best experience. Especially during COVID, he has truly gone above and beyond, and is very pleasant just to simply hold a conversation with;

He continuously puts student education first. He is friendly, professional, and knowledgeable; and

All the members of the clinical skills staff deserve to be nominated this year. Dusty and the whole team have done an INCREDIBLE job adapting to COVID protocols and being incredibly innovative with our education.

The students who nominated Dr. Brenseke offered the following statements about why she should receive the award: •

Dr. Brenseke constantly and consistently works with the students to create interactive and genuinely fun lectures that we can participate in and actually feel like we are a part of (which is definitely a struggle with online classes) as well as providing supplemental activities that we can use to study (Kahoot, crosswords, etc);

She is an amazing advisor;

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I love her lectures! She is relatable and makes the learning fun, and no harder than it needs to be. I actually enjoy listening to her lectures and learning from her. I always retain the information the way she emphasizes and integrates it;

She makes sure we understand what we are learning and makes it an enjoyable experience;

She’s easy to talk to and has been very helpful any time I have had a question. She’s one of the smartest professors I’ve ever come across, as well; and

Dr. Brenseke has been a shining light for me throughout my entire process – making sure I am taking care of myself and staying on top of my studies. Her actions have always gone beyond her job title, and it doesn’t go unnoticed! She is such a wonderful advisor to have and every conversation is always delightful and speaks so much to her personal character.

“This past academic year has been difficult for students and faculty as we transitioned to a new way of life,” shared Ankita Mishra, global health chair of SGA and award committee member. “Mr. Barbour’s and Dr. Brenseke’s dedication and support to students has been apparent, and the Student Government Association is excited to present this award to such deserving candidates. This is only a small token of our appreciation for the hard work and compassion they’ve shown students this year.”


Congratulations and Kudos Mr. CUSOM 2021 raised over $10,000 for the Campbell University Community Care Clinic, with more than 180 donors. Congratulations to Greg Chen (best alternative wear), Michael Dmytruk (most athletic), Collin Welteroth (most talented), Dallas Kaiser (1st runner up) and Ross Marnock (Mr. CUSOM 2021). The Great Duck Race raised over $3,000 for medical education scholarship funds. Donors were encouraged to sponsor a duck or a team of ducks to “paddle” down the Cape Fear River. Over 200 ducks were sponsored. Chi Upsilon, a local chapter of Sigma Sigma Phi, accepted 41 Campbell Medical students (31 MS-1 and 10 MS-2) into their service fraternity in 2021. Heather Pol, MS-II, was awarded the Welch Grant by the American Osteopathic Foundation (AOF). Student Doctor Pol is already a licensed pharmacist and decided to become a physician to provide a greater scope of care to underserved patients and reduce the healthcare disparities in disadvantaged communities as a primary care physician.

Dr. David Tolentino was interviewed by Valonda Calloway with WRAL News for an “Inside Look” on COVID-19 and Campbell University as part of the CARES Act Relief Fund. Dr. Tiffany Lowe-Payne was interviewed for an “Out and About” segment on “Celebrating the Holidays Safely”. She was also interviewed for an “Inside Look” on COVID-19+Cold and Flu segment. Dr. Andrea Mann was interviewed by 6AM media for article content to promote the “COVID Social Story” created this past summer by MS-II students Jack Thomas and Kayla Distin. Dr. Nicholas Pennings orchestrated the testing of 2,123 Campbell University students and employees for COVID-19 before the start of the spring semester. Bailey Dunn, MS-IV and Kevin Chambers, MS-IV were selected to serve as Campbell SOM representatives to NCMS’ Student Leadership Council.

The CUSOM Pediatrics Club joined with WIC and CommWell Health to support a Baby and Toddler Donation Drive to support local families.

Thank you for your service to CUSOM, Mr. Eddie Holder Levine Hall’s beloved head security officer, Mr. Eddie Holder, retired from full-time service. Mr. Eddie has been the welcoming face of our medical school since the building opened, and he went above and beyond to make everyone feel welcome at Campbell Medicine - cooking bbq, fixing a flat tire, keeping any eye out for trouble, or simply opening the door. Students, faculty, staff and alumni shared their words of appreciation and well wishes at a celebration virtually and in person.

Dear Mr. Eddie, Congratulations on your retirement! Thank you for being the constant light to CUSOM, genuinely caring about our well-being, and for always being a friendly face. I wish you and your family health and happiness! With great appreciation, Dr. Catherine Chan, Class of 2019

Brother Eddie, Whenever I smell BBQ my time in Buies Creek quickly comes to mind! Thank you for making such amazing food and memories that last a lifetime. Your kindness and hospitality are an inspiration to us all! Dr. Brett M. Prestia, Class of 2018

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Campbell University Free Clinic Ribbon Cutting Hosted at First Choice Community Health Center he Campbell University Community Care Clinic announced its new location at First Choice Community Health Center in Lillington, NC at a ribbon-cutting on Tuesday, March 16th.

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“Dr. Joe Cacioppo has been diligent in every aspect of this and above all else – our students. The free clinic was conceived, implemented and given to the community as a service by the students of our medical school,” affirmed Dr. Wallace.

“We are so excited to be part of this collaboration because we know that the mission is always to serve, said Ms. Shelia Simmons, CEO of First Choice Community Health Centers. “Together, we will be able to give to those in need.”

Student Doctor Maren Downing, executive director of the clinic board, emphasized the importance of the new location in the clinic being able to accommodate more volunteers and see more patients.

“Today we have expanded the opportunities for the medical school to serve Harnett County and this region, and nothing is clearer to the purpose of Campbell than to do that,” shared Dr. Jerry M. Wallace, university chancellor and namesake of the School of Osteopathic Medicine, who was instrumental in developing this collaboration.

“Without the collaboration with First Choice, our ability to provide health care to the uninsured of the community would be greatly hampered, so we would like to thank Ms. Simmons, the First Choice Community Health Board, and the community for their support.”

The CUCCC was founded by the inaugural Class of 2017 and opened to patients in March 2015 at the University Health Center on Tuesday evenings. Over the past six years, the clinic has provided invaluable primary care and referral services to uninsured patients. The clinic is an interprofessional volunteer-staffed organization with students and faculty from the schools of osteopathic medicine, pharmacy, physicians’ assistant, public health, and social work, and is one of only 17 student-run clinics affiliated with U.S. medical schools. Dr. Joe Cacioppo is the chair of community and global health at the medical school and is the primary advisor and faculty volunteer who oversees the operation of the clinic weekly.

“Myself and all of the student volunteers look forward to coming to the clinic every week to extend our educational efforts beyond the classroom. Having this wonderful facility house the clinic can open many doors for us and further our efforts to provide quality and passionate healthcare to the medically underserved in the community.” The Community Care Clinic saw patients at approximately 1,000 appointments in 2020 and has approximately 300 regular patients. The operational budget is funded by grants and private donations with most of the expenses being labs and medications for patients.

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CONTINUING THE FIGHT

AGAINST COVID-19 Healthier Together Grant funded COVID-19 Outreach to Eastern North Carolina Tribes This fall, Dr. David Tillman, chair of public health in the College of Pharmacy and Health Sciences, and Dr. Amy Hinkelman, assistant professor of microbiology and immunology, along with the Harnett County Coharie Indian Association received a Healthier Together Grant funded by the NC Counts Coalition. The Campbell faculty worked alongside community leaders within the Coharie Tribe to train tribal outreach workers, provide educational materials, hold local community events to address concerns and questions about the COVID-19 vaccines, and connect tribal members with local resources including the CUCCC mobile clinic to get vaccinated. Educational sessions were well attended by Coharie tribe members, and COVID-19 vaccination numbers increased among tribe members. These efforts have sparked additional opportunities to extend this outreach to other tribal communities, including the Waccamaw Tribe and collaborations with Dr. Ronny Bell of the Lumbee Tribe and Dr. LinwoodWatson of the Haliwa-Saponi Tribe. The hope is to continue to collaborate with tribal leaders to improve the health of our local tribal communities.

Above: Dr. Amy Hinkelman presenting to the Coharie Indian Tribe.

COVID-19 PSA Campaign Continued The Campbell University Jerry M. Wallace School of Osteopathic Medicine received $6 million as part of North Carolina’s $1.6 billion COVID-19 Recovery Act in 2020. The projects and initiatives supported by this funding continued into 2021 including a $200,000.00 PSA campaign educating targeted populations about prevention, testing and vaccination.

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Student, faculty clinic volunteers give COVID-19 vaccinations

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he Campbell Community Care Clinic has provided free primary care and specialty referrals to uninsured patients of the Harnett County Community since 2015, and now the Campbell student and faculty volunteers are answering the call to give COVID-19 vaccinations. “Folks, especially those 65 and older in Group 1B, are eager to get the vaccine as soon as possible, but availability and appointments are limited,” said Dr. Joe Cacioppo, chair of community and global health and director of the Community Care Clinic. “When the Harnett County Health Department asked us to host clinics out in the community to help increase access, we were excited and immediately began to contact potential community partners.” Mt. Pisgah Free Will Baptist Church in Erwin was the first community organization to work with the community care clinic to host a vaccine event. Pharmacy, physician assistant and medical school faculty and students volunteered at the church on Feb. 6 and gave more than 300 shots. Volunteers and patients came from beyond Harnett County to serve others and to receive the vaccine. “I have a passion for helping people, and I had a family member pass away from COVID-19 last year, so being able to help — especially the elderly — receive the vaccine makes me really happy,” said Casandra from Fayetteville. “I’m their caretaker — my aunt [68], my mother [70] and my grandmother [92] are here with me from Goldsboro to get their vaccines,” said Elanor Perez. “It’s important for me because it will hopefully help me live a little longer and be able to spend time safely with my grandchildren,” added Francis Carter. “I want to be there and see everything with them.”

In addition to volunteering at the vaccine clinics hosted by the care clinic, Campbell Medicine and Pharmacy & Health Sciences students are volunteering weekly at clinics hosted by Harnett Health and other health systems throughout the region. “Campbell has been sending students to help with the Harnett Health clinics for about a month now,” Dr. Katie Trotta, CUCCC and University Health Center pharmacy manager said. “Saturday’s clinic was the first large-scale vaccination event organized and staffed by all Campbell employees and students. “It was an exciting day, and we were happy to bring vaccinations to more than 300 people in Harnett County. The event would not have been possible without the help of the parishioners of Mt. Pisgah, so a big thank you to them. We look forward to our continued aid with vaccination efforts throughout the community.”

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Mobile clinics provide COVID-19 testing and vaccinations in Mt. Olive Campbell University School of Osteopathic Medicine’s brand new Mobile Health Education Clinics (MHEC) debuted in June during a week-long local mission trip serving migrant farm workers and their families in Mt. Olive, NC. Overall, the team provided health assessments, COVID testing, and administered the Johnson and Johnson COVID vaccine for 76 patients. They enrolled 100 patients, including children, for continued follow-up and primary care through the Department of Global Health’s mobile and free clinic offerings. The MHEC fleet includes two 40-ft. units and a 26-ft. unit. The 40-ft. units each have two full-sized treatment rooms and are equipped to provide any service available in a family practitioner’s office, from general health screenings to minor surgical procedures.

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“This has afforded us the ability to really expand,” shared Dr. Joe Cacippoio, chair of community and global health and associate professor of emergency medicine. “We are 100% fully equipped to do full-fledged primary care for communities that have no access to healthcare otherwise.” “This [first trip] has been a real success,” he continued. “We’re identifying so many people that really need ongoing care. I think I’m going to have an overbooked clinic for the next several weeks!” CUSOM’s medical outreach team worked alongside two other NGOs throughout the week that were providing diapers


her first medical outreach trip with CUSOM.

Above: Dr. Joe Cacippoio (right) talking with a patient during the Mt. Olive evening clinic.

and supplies for new moms, and meals for patients coming through each evening. “The real success [this week] was student education and the ability to offer care for people who have no other resource,” shared Dr. Cacippoio. Medical outreach trips – both local and abroad – provide students with direct access and experience learning, serving and providing medical care first-hand with rural and underserved populations. Students not only hone their clinical skills, but they learn the importance of developing trust and connection with their patients.

“I think it really helps you see the difference between learning medicine and doing medicine,” said Lugmayer. “I want [patients] to be able to learn to make healthy choices that impact them. That’s important, especially in a rural area, because people don’t have access to [healthcare]. I like helping to others help themselves and making it sustainable so that it’s something they can continue doing … it’s uplifting to see how grateful the patients are for your time and care. It reminds you why you’re here and why you want to be a doctor.”

The Mt. Olive outreach was also Emmanuel Ayeni’s first trip with CUSOM. A rising second-year MSBS student, Ayeni was excited to gain new experience alongside physicians and PAs to give back to the underserved community. “Seeing all of the healthcare workers and medical students doing hard work – it inspired me,” he shared. “I haven’t had very much experience working with underserved populations, so I thought it would be great to jump in and volunteer … to do my part.” Ms. Jaclyn Blair, PA-C, works with students during medical outreach events and weekly at the Community Care Clinic. She shared how these opportunities are great for students because they can spend more time with the patient in a healthcare setting than they are able to during clinical skills labs.

“The students see how important it is to relate directly and develop a relationship with their patients,” said Dr. Cacippoio. “They take everything they’re learning in medical school and are able to put it right to work and see how it can be effective. That kind of first-hand Below: Student Doctor Brittany Lugmayer (left) working with an MSBS graduate to check in patients. experience will impact them as a future physician or healthcare provider.” “We talk a lot about empathy and connecting with patients,” echoed Mr. Doug Short, Administrative Director of the Department of Community and Global Health. “Today, I asked the students to focus on three things – eye contact, facial expression and body posture. Each of these things communicates to patients that [the student] is present with them.” Brittany Lugmayer, a rising secondyear medical student, shared her experience serving in Mt. Olive –

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“The students get to see patients that have multiple problems at once and sit with them for 30-45 minutes – collecting a complete history and practicing their skills on their own without a provider with them,” she explained. “Then they come back out, ask us questions, and we can affirm what they’ve found and go in and see the patient together. It gives them a good experience … and I think it can help them with empathy as well. “We are also able to see that there are different ways to get access and to care for underserved populations. That’s important because it’s not something you always just have a class on … but there are people willing to give their time, money Below: Ms. Jaclyn Blair, PA-C (middle) working with patients during an evening clinic with and efforts to see people who don’t have the NC migrant farm workers. the resources otherwise. Hopefully, it can open their eyes and heart to maybe one day also do the same.”

Campbell’s new Mobile Health Education Clinics were commissioned at a dedication ceremony on Wednesday, May 12th “Each unit has two exam rooms, fully equipped with everything a physician needs to do primary care procedures and practice - lab space, refrigeration for immunization materials, educational systems to provide information on primary care issues, health care concerns and — in this particular part of the country — diabetes, obesity and smoking cessation.” - Bob Schmid, assistant prof. of SIM medicine and technical director of the medical school’s SIM center.

One MHEC vehicle was leased to Erlinger Health in Murphy, NC for several weeks to provide a safe space for immuno-compromised patients to receive monoclonal antibody infusions.

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Addressing Adolescent Mental Health: Peds Club Connects with Local Schools MS-III Andrew Brackins and MS-II Meaghan Nazareth led the Campbell Medicine Pediatrics Interest Group (aka Peds Club) in responding to the call for a national response to pediatric mental health – specifically in adolescent patients. Here, they share the details of the project and the hoped for impact. INTRODUCE THE PROJECT AND HOW IT WAS INSPIRED. Each year the American Academy of Pediatrics (AAP) selects one area of pediatric well-being to be the focus of an advocacy campaign. This year’s topic is Pediatric Mental Health, and each chapter of the AAP was tasked with creating their own project to highlight the importance of Pediatric Mental Healthcare. As our club’s AAP National Representatives, we sought the counsel of the Harnett County School’s mental health specialists and determined we would create a series of videos discussing various behavioral health issues. These short videos could then be shared with Harnett County middle and high students. WHAT ARE THE KEY COMPONENTS OF THE PROJECT AND WHO WAS INVOLVED? Ultimately, four videos were scripted, prepared, and filmed by members of the Pediatric Interest Group with supervision from our advisor, Dr. Stephen DeMeo. These videos cover symptoms, personal stories, and advice on how to overcome topics like depression, eating disorders, impostor syndrome, and anxiety. Medical students chose topics that had personally affected them with the hope middle and high school age students would understand they aren’t alone in struggling with anxiety, depression, eating disorders, or any of the other topics discussed. A huge thanks to the following Campbell Student Doctors for their contribution to the creation of the videos, as well as the Campbell Video Production team: Medical Students – Hannah Agnew, Kara Brads, Taylor Coles, Karlye Denner, Diana Ivancev, Matthew Maffey, Ben Legere, Matthew Lucito, Robyn Narron, Madeline Walker; Video Production – Charles Phillips and Samantha Steichen

HOW DID YOU CONNECT WITH HARNETT COUNTY SCHOOLS AND HOW WILL THEIR STUDENTS BE INVOLVED? We reached out to the Harnett County School System Student Support Services team of Mental Health Specialists – specifically, Jessalyn Pedone and Brittny Gainey and School Counseling Services Director Lauren Cappola. The goal is for the videos to be shared via Harnett County Schools messaging pathways this fall. WHERE CAN THE VIDEOS BE FOUND AND ARE THERE ADDITIONAL RESOURCES YOU RECOMMEND FOR TEENS AND THEIR PARENTS? Videos can be found together in a playlist on the Campbell Medicine YouTube channel, and the AAP has several great resources for families.

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CLASS OF 2025

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FAST FACTS

162 students

25 states & Canada represented

Over 30 colleges/ universities represented

7 Campbell graduates

92 female 70 male

66 students from North Carolina

Avg. GPA 3.61 Avg. Science GPA 3.55

Avg. MCAT 506

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FACULTY & STUDENT RESEARCH 36

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Medical Student Summer Research Scholars Luis Anthony Acevedo

Sumiyah Enayet

Dillon Pham

Justin Baird

Celeste R. Gracey

Melissa Jenkins Soares

Sarah Bogan

Abiha Jafri

Kelsey Tschopp

Abby Daniels

Joshua Jenkins

Madeline Walker

Melanie Domann

Rebekah Miller

Eric Yu

Robyn Naron The Medical Student Summer Research Scholars (MSSRS) Program is a 7-week summer research opportunity open to rising MS-II students and requires weekly work-in-progress sessions and a final report presentation in the form of a poster or oral presentation at a local, regional, or national meeting. “I saw this as an opportunity to immerse myself in a field of medicine that I am interested in as well as being able to contribute to a project that may have huge implications for diagnosing patients with cancer. I have learned so much about the research process and the impact we as medical students can have in the medical community.” - Madeline Walker “Summer Scholars is a great way to learn more about research as well as get involved in community projects. I saw this as an opportunity to immerse myself in a field of medicine that I hadn’t considered before: surgery and trauma care. While my primary role in this project was extracting and transferring patient data, I was able to learn more about the inner workings of the hospital and the surgical/trauma field.” - Abiha Jafri “I chose to participate in the Summer Scholars program to expand my experience regarding research and clinical practice. While being involved in the research, I have also been able to shadow the residents and attendings in the Emergency Department. I have been able to take the knowledge I have gained from my first year of medical school and apply it to patients I have seen come into the ED. The experience I have had has been invaluable to my medical education. I have watched many procedures, discussed patient cases thoroughly, and have learned the process of seeing a patient from start to finish. I will take these experiences with me throughout my career and use them to make myself a better physician.” - Abby Daniels MEDICINE.C AMPBELL.EDU

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Campbell Received $1.1 Million for Osteopathic Research

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n anonymous philanthropic gift was recently made to Campbell University to support Dr. Tom Motyka’s research in musculoskeletal dysfunction and pain; specifically, identifying the mechanism in prolotherapy and the efficacy of OMT in increasing range of motion. Efficacy of OMT Thanks to the generous gift, the team purchased an Optitrack system with Theia3D software for motion capture of human subjects. The goal is testing for efficacy of OMT treatments comparing before and after for range of motion. The first step is capturing sample data and learning the system. “We are working with the software support folks to upload and evaluate test videos capturing us walking, running, jogging, squatting and lunging - standardized movements they use to train us to use the system properly,” explained Dr. Adam Foster, associate professor of anatomy, whose background is in biomechanics. “Our goal is to use this system to more precisely and reliably measure movements that can be prone to inter-observer measurement error. Once they have established proficiency with the system, the first study will examine the efficacy of OMT

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on the diaphragm to increase the range of motion. The team is already brainstorming future projects on the epidemiology of movement with large numbers of human subjects. “We can characterize gait or movement patterns in large sample sizes of people that may have important clinical or behavioral implications. For example, nursing home residents or migrant farmworkers, or just residents of Harnett County. That hasn’t really been done before.” Prolotherapy inflammatory marker cellular work: “Given the number of people who suffer from chronic pain and/ or motor dysfunction of joints, prolotherapy offers a potentially efficacious therapy to reduce pain and even stimulate healing processes while being minimally invasive and non-addictive.” “Although prolotherapy has been reported to reduce pain and improve mobility and function of joints, it has yet to gain a lot of traction in the medical world as a recommended therapy. There simply is not sufficient research yet, but that is the really exciting component of this research project—it is unchartered territory. Anything we find out will be new and helpful in better understanding this therapy and its potential to become


a safe and established therapy that could help thousands of patients, improving their quality of life. In particular, we are really interested in the mechanistic component of prolotherapy because no one really knows what it’s doing at the cellular or tissue level,” Dr. Amy Hinkelman, assistant professor of microbiology and immunology said. “If you look in the literature, there are just a few labs that have done work on it. This is a prime opportunity to fill in those gaps.” “Even if we find negative data, at least that is something that we can provide to the scientific community, and say ‘it’s not this; it doesn’t do this’. So, there are lots of different things that you can investigate and explore. We’re starting with fibroblasts.” “Fibroblasts are known to be modulators of inflammatory and other immune responses. They can secrete growth factors, cytokines, etc.—all kinds of things that can guide the immune response from being anti-inflammatory and quieting things down all the way to promoting inflammatory responses to stimulating tissue repair and growth.” “With the assistance of CUSOM Medical Research Fellow, Cailee Dean, we are investigating how these cells respond to the therapeutic doses of compounds used in prolotherapy. How does their phenotype and expression of certain markers change? How does their function change? What factors do they secrete in response? We hope these in vitro studies will guide and inform other branches of the research project as we move into an animal model and then, eventually studies in humans.” Dr. Snezana Petrovic & Dr. Tom Motyka: Physical function and dietary acid load in older adults (Metabolomics of oral bicarbonate supplementation) Maintaining good physical function is a cornerstone of aging well. Yet, other than exercise, there are no established approaches to prevent age-associated decline in physical function, although more than half of adults over 65 reports at least one limitation in a basic activity of daily living! Because of that, novel and synergistic approaches to ameliorate ageassociated disability, arthritis, and decline of physical function are urgently needed.

Our approach is to evaluate the effects of dietary interventions and supplements that may help older adults maintain good physical function and be free from arthritis. One such possibility is to neutralize harmful high dietary acid load of the contemporary diets. It can be done by increased consumption of fruits and vegetables or supplementation with small amounts of baking soda (the base, bicarbonate). Our current study uses cutting edge-analysis of small chemicals in the blood (the “metabolites”) of healthy elderly individuals who eat a diet with high dietary acid load but have taken controlled, small amounts of baking soda as a supplement to neutralize the high dietary acid load. We will compare them with those who also eat a diet with high dietary acid load, but used a placebo supplement instead of baking soda. We expect this analysis will tell us who are good candidates to benefit from such supplementation and which parts of metabolism may be involved in these beneficial effects. The potential benefits of establishing novel ways to better preserve physical function and prevent arthritis by modifying diet or using baking soda as a supplement, go well beyond prevention of disability. The harmful effects of high dietary acid load we study include (but are not limited to) higher mortality, cognitive impairments, decrease in bone density, and faster decline of kidney function, to mention a few. Therefore, we expect the current analysis will have many useful ramifications to help older people age well, without disability and disease.

THE INAUGURAL OSTEOPATHIC RESEARCH FELLOW, CAILEE DEAN. Dr. Motyka expressed his thanks for Student Doctor Dean’s willingness to embark on this project as the inaugural fellow. “As a rising 3rd year student, she completed Sim Month and passed her boards, then she totally changed her life in a matter of a few weeks. She was set to start rotations, but once we were able to offer her the fellowship, she quickly moved back and changed her plans.” Student Doctor Dean is part of Dr. Motyka’s research team looking at prolotherapy as well as efficacy of OMT and while assisting with MS-I and MS-II instruction in the OMM labs , and working with Doctor Motyka in the University Health Center to receive more clinical training and OMT practice. Photo opposite page: Student Doctor Dean working alongside Dr. Motyka.

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Anatomy professor published in Scientific Reports

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r. David Green, associate professor of anatomy, co-authored a paper published today in Scientific Reports with Daniel GarciaMartinez and Jose Maria Bermudez de Castro, paleoanthropologists from the National Center for Research on Human Evolution (CENIEH) in Burgos, Spain. Their published findings suggest that Homo antecessor shoulder development was nearly identical to that of Homo sapiens. The authors concluded that H. antecessor shoulders were already very similar to modern humans, even during the Lower Pleistocene (~850,000) years ago. “This is my first foray into a study of “archaic” humans, ancient hominins that are more humanlike than apes, but clearly not what we call “anatomically” modern,” Green explained. “Studying comparative anatomy helps us understand the form/function relationship between the shape of our bones and how that enables us to move the way we do. Comparative anatomy is integral to studying fossils for helping contextualize the way that this form/ function relationship has changed over time. We use these associations to interpret the behavioral attributes of extinct forms (i.e., their “paleo” biology),” Green explained. “Much of my previous work has been with older, more primitive groups like Australopithecus, Homo erectus, and Paranthropus. Our findings are consistent with hypotheses that at least from the neck down, more recent groups like H. antecessor were nearly identical to modern humans, perhaps with some regional, environmentally-influenced adaptations.” Dr. Green did his dissertation on human and ape scapular development at The George Washington University. He met Dr. Garcia-Martinez in 2015 in South Africa as part of the Rising Star Workshop to study new fossils that eventually led to their first collaboration. Green later corresponded with Dr. Bermudez de Castro while reviewing a related article, and the three connected on this project in late 2019.

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“I signed my review (normally, reviews are blind to the authors) and mentioned that I had a large comparative dataset, which could work perfectly for a follow-up study,” shared Green. “Dr. Garcia-Martinez had just joined Jose Maria as a post-doc, and the project grew from there.” The study of shape changes in the shoulder girdle provides critical information about locomotor and behavioral capabilities throughout evolution such as climbing proficiency or the ability to throw objects with precision – stones or spears for hunting or self-defense, for example. One critical component of the shoulder girdle is the shoulder blade or scapula, but the study of these bones has been lacking because the human fossil record contains very few of these delicate fossil bones. This study, the first attempt to investigate the growth and development of Homo antecessor shoulders, sought to answer: at what stage of human evolution did the shoulder girdle undergo morphological and developmental shifts away from more apelike characteristics seen in earlier hominins? The team used virtual anthropology tools, 3D geometric morphometry, and complex statistical methods to determine that shoulder development in H. antecessor at ~850,000 years ago was already very similar to that of modern humans, although the growth might have proceeded at a slightly faster rate. This study indicates at nearly one million years before present, the H. antecessor shoulder girdle was nearly indistinguishable from modern Homo sapiens in both biomechanical capabilities and developmental characteristics. It also highlights shoulder developmental and morphological shift away from behavioral adaptations like climbing, which likely characterized more archaic hominin groups. “While teaching human anatomy to our healthcare professional students, discussing the evolutionary context of the human body has implications both anatomically and clinically. For example, our evolutionary history has left us with a mobile shoulder joint enabling us to do a wide range of things with our hands: throw with accuracy and power, manipulate objects, and use tools to transform the way we live. With mobility, however, comes a loss of stability, and there are many injuries, both chronic and acute, that we discuss with our students in the context of that anatomy and the evolutionary “baggage” we carry. There are many other examples beyond the shoulder that pertain to functional anatomy, and other examples with cardiovascular, neurological, and embryological or developmental relevance.”


Harvard Research Fellowship Spotlight Maren Downing, MEng

HOMETOWN: Columbia, SC EDUCATION: BS and MEng Biomedical Engineering, Clemson University; Summer Research Fellowship Harvard University Longwood T-35 Vascular Surgery Fellowship FELLOWSHIP OVERVIEW: Student Doctor Downing was a Research Fellow at Harvard-Longwood Vascular Surgery Short Term Research Harvard University Surgical Bioinformatics Lab, Boston, MA | 2021 Downing worked under Dr. Gabriel Brat on an intra-operative computer vision model in conjunction with Stanford University to measure surgical behaviors. Witnessed over 40 surgeries spanning across General, Plastics, Vascular, and Cardiac specialties. She worked to characterize challenges and successes in mobilizing healthcare data during a crisis by analyzing lessons on rapid evidence generation in the era of COVID-19. WHAT RESEARCH ARE YOU INVOLVED IN NOW? I am still a part of the Surgical Informatics lab with Dr. Brat. I was invited to continue after my short summer experience. I meet with the lab as I can throughout the week and contribute remotely. I am seeing what kind of role AI plays in surgery and healthcare in general, and looking to see how I can be involved with this in the future. I aspire to combine Biomedical Engineering into my professional career, whether that be through medical devices or bio-informatics. ARE YOU INVOLVED IN RESEARCH IN ANY OTHER WAY? I am working to bring research projects to the University’s free clinic: The Campbell University Community Care Clinic. I am the Executive Director

of the clinic this year, and have been working to start Osteopathic Manipulative Medicine research in the rural and underserved population. This would set precedent for the classes to come to continue to utilize our very own clinic for projects, and to provide data coming from a student run clinic. HOW DOES THIS FIT WITH YOUR FUTURE? I want to be a surgeon, and I want to use medical devices in my career somehow. Product innovation during my previous degrees has led me to work with many clinicians. I aspire to be on the other side and serve as a consultant. Every medical device needs a clinician on board, and I think I could apply these experiences to help move medicine forward in that way.

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US Army conducts ground-breaking research in the Campbell Gross Anatomy Lab Can a commercial technology create a capability for a downrange, non-surgical provider to give surgical care for a discrete number of predetermined tasks for fellow soldiers to save lives and limbs?

T

he Vyas Anatomy Lab is serving as the host facility for a research project with partnerships between Womack Army Community Hospital’s Col. (Dr.) Tyler Harris, the principal investigator and orthopedic hand surgeon, the Uniformed Services University of Health Sciences, and Bio Mojo, a woman-owned small business based in Research Triangle Park. Bio Mojo focuses on XR, extended reality, related technologies and has been working with the U.S. Army at Fort Bragg since 2017 on the idea that you could use commercial technology to create a capability for downrange non-surgical providers to provide surgical care for a discrete number of predetermined tasks for fellow soldiers. Phase 2 of the project led by Col. Dr. Harris is being tested at Campbell. “This specific project is an outgrowth of the initial work we started in 2017. It went from, ‘is this even possible?’ To, ‘how does this become something that is rolled into training?” said Jerry Heneghan, chief design officer for Bio Mojo. “Under the leadership of Lt. Col. (Ret.) Steve Delellis at the Fort Bragg Research Institute, the Army came up with

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a dozen tasks deemed that a physician assistant, a nonsurgical physician, or a special forces medic, ought to be able to do to save a life downrange. Bio Mojo got involved to provide augmented reality heads-up display so that a remote expert, a surgeon, could draw on the heads-up display to identify physiological anatomical landmarks and provide visual guidance via HoloLens – kind of like John Madden on the screen when you are watching a football game.” Doctor Boyer, a renowned trauma surgeon at the Uniformed Services Medical School, created and teaches a course accredited by the American College of Surgeons for such downrange interventions and it has been used at Fort Bragg. The study at Campbell is evaluating the use of a pictorial flipbook of procedures versus the heads-up display specifically to treat compartment syndrome by dissecting apart and releasing fascia. One such procedure - a twoincision, four-compartment fasciotomy of the lower leg - is an effort to save the life and limb who has sustained significant trauma to the lower leg. The procedure releases pressure from internal bleeding inside the fascia saving muscle tissue and preventing toxins that develop


and can cascade to a variety of life-threatening conditions. In Phase 1 of the study, small cohorts of 15 to 20 military personnel were brought into the medical simulation training center at Fort Bragg and trained on these procedures including a didactic review the anatomy and physiology, as well as a pre-test to establish participants’ baseline knowledge of fasciotomy, what compartment syndrome is, and when it’s an appropriate treatment. About a year after this training, the study brings them back for Phase 2 at Campbell to determine their proficiency in retaining the knowledge of how to do the procedure. The evaluation process consists of pre and postprocedure questions and a compartment syndrome procedure on cadavers with some participants using the heads-up display with live guidance and some of them using the flipbook. Bio Mojo was hired to provide the technology for the study, which Jerry Heneghan explains in four key components. “The military can give someone a fairly complex piece of equipment, train them up in about 15 minutes on how to use it, explain the goals for how this would work in the future - in the field - they would connect through a satellite connection or a tactical phone or radio connection, and talk to a surgeon at Walter Reed or in Germany who will guide them through the procedure.” Lt. Col. Dan Hankes, deputy surgeon for clinical operations at 18th Airborne Corps and Corps Senior Physician Assistant is serving as a liaison between the director of this program and the operational force to bring in the PAs to actually execute the test procedure and share the potential future life and limb saving significance of the project.

“Over the past 20 years, the United States has been involved in the global War on Terror in places like Afghanistan and Iraq, where we have had air support. Outside of shooting at us from the ground, there have been no helicopters or other types of aircraft in the air to shoot down our aircraft including those airlifting injured soldiers in need of emergency treatment.” “In this uncontested environment, we have been able to medevac patients off the battlefield within the golden hour pretty much with impunity. We have had little problem getting them back from the battlefield, where they were treated and stabilized by the medic and the PA, then to be transported if needed to an operating room if they are an emergent surgical case. We have been able to put them in a helicopter, and in relatively short order, get them there pretty quickly.” “This project is inspired by preparedness. These are America’s sons and daughters, and we need to provide them the best care possible to get them home.” “If, God forbid, we ever have a war where the air space is part of the battlefield, and we won’t have easy medivac ability. We won’t have the freedom of movement that we once did, so the PA’s who are pushed out with the units need to be able to do these types of procedures that would otherwise be done by surgeons in a field hospital.” “A scalpel is being given to a non-surgical provider in some cases for the first time. In that case, it’s cutting edge, but I think forward thinking people like the folks that hired us to do this know that in near peer kind of conflicts, access to surgical providers is not necessarily guaranteed,” affirmed Heneghan. “This all came about through the vision of Col. (Dr.) Tyler Harris when he was in Afghanistan a few years ago. He contacted me and asked ‘can you build something for me where you can see through my eyes and see what I’m

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seeing? I’m an orthopedic surgeon, and I have to deal with everything that comes into my facility, and you know I need sometimes a subject matter expert or different occupational areas to help me to do my job’. So, we put something together for him that seemed to work.” “Now, the goal of all of this research - and this is just one of many procedures that Dr. Harris and the Uniformed School wanted to train our soldiers on - is to equip our PAs in a war zone to do advanced provider techniques damage control procedures that would be otherwise done by a surgeon in an operating room. Once this project is done, then they’ll move on to a different procedure. There is a whole host of other procedures this training could apply to.” Gerald Robertson, research assistant on the project and a former special forces medic, has also been key in all aspects of the project including supporting Lt. Col. Hankes in coordinating personnel participants. Lt. Col. Hankes shared the participants in this project include PAs along with special operations combat medics, special forces medics, conventional side medics and some sister service medics and corpsman from the Navy for a total of 70 personnel completing Phase One, the training, and the Phase Two procedure in Campbell’s lab.

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“For purposes of study right now, Bio Mojo is facilitating and simulating communication to a remote expert who could be anywhere in the world through the magic of an Internet connection, and he has the ability to see in 3D what the downrange provider sees. Whether you get the flipbook Dash 1, which is a book that gives you step by step instructions with photographs, pictures, good imagery to jog your memory and give you a good landmark of where you need to cut and separate the muscles, or HoloLens in Phase 2 is randomized.” The project has been impacted by COVID-19. “The intent was to bring back the participants from Phase 1 six to eight months later, but because of COVID, all kinds of complications got in the way. So now, it’s been roughly a year since the first cohort. I was in the first cohort, and when I came in to do Phase 2, I was feeling like ‘Oh my gosh I’m so rusty!’ “I was selected to use HoloLens where the surgeon can see what you see - they can see the leg; they can see everything. They can see your hands moving and talk you through it; if you get hung up, they can help you or just reassure you that you are doing fine. For me, it was a good fasciotomy.”


Dr. Harris’ thesis is that he can train personnel to do these types of procedures in a day, and Bio Mojo is refining the technological process with the hope that the study affirms this process works and the Generals can approve implementation for real practice. “Dr. Harris’ intent is to use the data from Phase 1, a year ago with the didactic and the hands-on training, then Phase 2 a year later to see how much you retained, and then put all the results together to move forward with the army credentialing and privileging bodies after the study has proven mid-level providers can do this with skill and safety into an expert level,” explained Lt. Col. Hankes.

POINTS OF PRIDE

31 total publications from faculty and students 11 faculty listed as authors 10 students listed as authors

“There are lots of details to work out. How HoloLens would be incorporated into our kits and how they would hold up in the field, for example. But to be able to go to a General and say, this is a dynamite piece of equipment helps.” The collaborative team is already thinking about applications for the project in civilian medicine. “This is starting to happen in other countries, not necessarily ours - folks are looking at how to use this for emergency medicine,” shared Heneghan. “You’ve got paramedic talking to attending physician in the ER at a tier one facility in terms of what’s happening at the car wreck that’s 20 miles away. I think this will eventually transition out to be used when appropriate.” Bio Mojo is focused on the technology at the operator level - what’s the operator seeing and doing. What information are they collecting? Also, what are the options for connectivity? “In the aftermath of a hurricane, it could be a satellite truck, or a blimp, or a balloon. It could be anything. So, our question is, how do you plug into that network to take a signal and then manage a situation and get help for folks?” “Campbell has bought into the idea of researching this cutting-edge approach, and I’m excited to be here,” said Heneghan. “I’ve worked at universities, and I think Campbell has provided unique capabilities here in terms of the anatomy lab and some of the faculty and the staff here available to this study. Everything is set up. It’s very efficient. This is a world-class operation here in terms of putting this together that I haven’t really seen anywhere before, so I think from an integration standpoint, Campbell has really provided that role in terms of providing the study resources, the staff, the faculty, the resources in the anatomy lab for this to happen in a way that could have taken more time.” “Hopefully this will save some lives, Heneghan concluded. “If it saves one life, it’s worth it, right? So, that’s what we’re trying to do.”

44 Student poster presentations 4 received awards

3 student oral presentations

21 Medical Student Summer Scholars Program Projects 18 faculty mentors (5 from WakeMed) 30 student participants

7 active grants totaling over $7.4 million in support for research and related initiatives

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INSIDE LOOK Recruiting ONMM residents for 2022

22 ACGME accredited residency programs

Sports Medicine Fellowship graduated 7th cohort

Over 400 residency positions

Campbell affiliated residencies 100% filled CAMPBELL AFFILIATED RESIDENCY & FELLOWSHIP PROGRAMS: Dermatology Transitional Year Emergency Medicine Family Medicine Cardiology Fellowship Osteopathic Neuromusculoskeletal Fellowship

OB/GYN General Surgery Psychiatry Internal Medicine Sports Medicine Fellowship MOHS’s Micrographic Surgery Fellowship

AFFILIATE HOSPITALS Campbell University Cape Fear Valley Medical Center Conway Medical Center

Harnett Health Sampson Regional Medical Center Southeastern Health MEDICINE.C AMPBELL.EDU

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ALUMNI NEWS

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5 YEAR STATISTICS

CLASS OF 2017 - CLASS OF 2021 D

765 graduates from 2017 - 2021

18% entered specialties of need in NC

O

99% residency placement

10% entered a Campbell University affiliated program

59% matched into primary care

49% matched into residencies in the Southeastern US

LEFT PHOTO: DR. ELIZABETH WILLIS Dr. Elizabeth Willis (’17) returned to her alma mater to deliver the White Coat Ceremony keynote address to both classes. Pursuing a career in pediatric anesthesiology, Dr. Willis completed a pediatric residency, serving as chief resident 2020-2021, at the University of North Carolina School of Medicine and is now a first year anesthesiology resident.

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CLASS OF 2017 STATISTICS As we approach 5 years since the inaugural graduation, here’s a snap shot of where they are fulfilling the Campbell Medicine mission.

43 are from North Carolina

42 went to a NC college or university

32 are from a rural area

41 are from a Health Profession Shortage Area

10 entered military health professions scholars residency

25 entered residency in North Carolina

48 entered residency in our geographic/SE target area

D

O

83 went into primary care

31 entered family medicine

115 did a residency in a target speciality of need

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2021 ANNUAL REPORT

32 reported entering fellowship

34 are in practice or fellowship in NC

84 reported being in medical practice

57 are in the SE US target area and 2 internationally

15 report they’ll complete residency in 2022

32 served as Chief resident


Join the Alumni Association Enjoy support, resources and special events throughout your career.

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Alumni Research Spotlight: Dr. Rachel Ranson (‘21)

Dr. Rachel Ranson (‘21) was the first Campbell Medicine student to receive Honorable Mention from the AACOM Student Researcher of the Year Award. Dr. Ranson took a gap year as an MS-III to participate in a research year at New York University’s Orthopedic Surgery Department and is now in residency for orthopedic surgery at George Washington University in Washington, DC. She recently shared the details of her experiences with medical research before and during medical school that she believes were instrumental in her receiving Honorable Mention as well as her continued work while in residency. “I would like to thank Dr. Craig Fowler for telling me about the AACOM Research Award and for mentoring me regarding the required letters of recommendation, personal essay and CV of my research. Dr. Fowler also advised me through the process of seeking a research gap year, and I was very fortunate to get accepted to NYU for a 2019-2020 research year where I gained significant research experience. “There were hundreds of applications, a winner, the runner up, and a handful of honorable mentions. To be among those who received Honorable Mention was amazing because a huge component of the award criteria is osteopathic – ‘how is your research helping osteopathic students?’ Unfortunately, I hadn’t published anything of that nature yet, even though I’m working on it now, I was really honored that they respected my drive and what I’m doing.”

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WHAT PROMPTED YOU TO APPLY FOR THE RESEARCH YEAR AT NYU? I went to medical school to be an orthopedic surgeon. I really knew what I wanted to do. I was obviously open to other things, but in my heart, I knew that’s what I wanted. So, I tried to get involved in some research, but it was difficult to get ortho specific research without a home [Campbell affiliated] ortho program. Doctor Fowler showed me an article about gap years research years. A lot of allopathic students have been doing this, and he suggested I pursue one. It was really hard to grapple with taking a year off - knowing you are putting another year between you and graduating losing a year of pay. But, I decided if it can solidify a spot in something I know I want to do, I’ll do it, and then I got the most amazing opportunity. When I got into the fellowship at NYU, I had no idea how impactful it was going to be. The Primary Investigator I did research with, Dr. Kenneth Egol, is quite significant in the ortho world, and he’s a great guy. He wrote The Handbook of Fractures and was the program director for NYU for quite some time -one of the top orthopedic programs in the country - and he is now the vice chair. Later, when I was doing residency interviews, folks asked me “You got to work with Ken? Wow, that’s pretty cool”.

WHAT WERE THE SPECIFICS OF YOUR PROJECTS AT NYU? NYU has had this research program for almost 20 years, so it’s a well-oiled machine as far as what fellows do; you are assigned certain internal databases. I was in charge of a large geriatric database and one about proximal humerus fractures. Additionally, I created a hip fracture database with NYU’s data, which they have continued using since I left, resulting in several publications already. Also, they had just created a tibial shaft database which was an international, multi-center study with the AO Foundation - a huge trauma conglomerate in Switzerland who come up with a lot of the treatment principles. They chose NYU to be one of the sites for this multi-national study, and I was the sole person setting it up for the whole institution. A guy came from Switzerland to train me. He also brought me chocolates which was super nice. In addition to the databases, I was going to IRB meetings myself and presenting, coming up with protocols, talking to the legal department, et cetera. I got to see the inner workings of research from an administrative standpoint as well - that was really unique. Unfortunately, SARS COV-2 hit while I was in the program in New York, but it provided an opportunity for some really interesting research on the orthopedic impacts of the virus

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It was a really interesting project because it affected patients in the moment of the evolving pandemic. I’m still working with NYU, and we are about to do a one-year follow-up. Unfortunately, the data is looking bleak in regards to patient morbidity. It quite sad, yet it is such important information. We published to the Journal of Orthopedic Trauma. The papers can be found on PUB Med as well as a few international journals. Later, when I was interviewing for residency, interviewers said “Oh, I read your paper! We’re teaching it and updating our hip fracture policy because of it” - that was a bit surreal and definitely exciting. It was in that moment when I realized how truly impactful the project was; I knew research could be impactful, but it got me even more excited to continue doing research. Articles published: “Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York Perspective” “Modifications of Validated Risk Stratification Tool in Characterize Geriatric Hip Fracture Outcomes and Optimize Care in a Post-COVID-19 World”

that we were able to publish. Using our hip fracture database and many man-hours, we got all of our data for the COVID papers in about 2 weeks. SARS-COV-2 and Hip Fractures - you have a hip fracture, and you have COVID-19, what’s your mortality risk? If you have COVID, it can be terrible. If you have a hip fracture, that’s terrible because within a year of hip fracture, there’s a 30% mortality risk in and of itself. For geriatric patients, either one is a pretty rough thing to happen, so we were interested to see how COVID-19 + hip fractures impacted mortality rates. Turns out it’s really bad. We looked at data from 2019 and compared to 2020 and the mortality risk was significantly more. Using the database, we factored in patients’ age, their comorbidity index, the injuries they sustained, and plug that information into an algorithm to calculate the percentage risk of patient death within their hip fracture hospitalization and even 30 days out. Our paper shared how we can use this tool for patients to risk stratify them in quartiles and every single person who had COVID was in the highest quartile. It was predictive of their death rate, which was really upsetting, but it also gave us a better treatment algorithm for patients who have both conditions. Typically, if you have hip fracture, you get surgery right away, but if you have COVID symptoms, it’s actually in your best interest to hold off until you’re asymptomatic. 54

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OUTSIDE OF THE NEW DIRECTION IN YOUR RESEARCH, HOW WERE YOU IMPACTED PERSONALLY BY THE COVID PANDEMIC? I got COVID pretty early in 2020. Thankfully, it wasn’t terrible for me. It was like a week-long flu. I only lost my taste for a day, so really, I had best case scenario with it. My cat got sick too though, so that was really sad. I was really worried. She had horrible breathing, and the vets weren’t even open, but she recovered, too. New York City is usually so lively and vibrant with something always going on, but when everything was fully shut down, no one was out. It was like a ghost town. It was terrifying. It made you realize how serious the situation was. I was in research, but we had a huge clinical component to this year as well, so I was going to clinic and the hospitals after I recovered. Then, I got pulled out like all nonessential hospital staff from the end of March or early April until June. That’s when things were getting really bad; I went to the hospital and patients were packed along the hallways like sardines because there weren’t enough beds. It was exactly like what the media said happened. I saw the Red Cross come...It was pretty scary. Luckily, I didn’t have a lot of first-hand experience compared to all of the physicians who have, unfortunately, gone through a lot of trauma. I was only peripherally there seeing it all. In April and May, we weren’t allowed to be in the lab, so we did our research remotely. June 1st, we went back. To be by yourself in a tiny apartment for two months…it was rough for a while, but we made it through.


WHAT ARE YOUR PLANS FOR FUTURE RESEARCH WHILE IN RESIDENCY AT GW? I’ve continued the research with NYU, and I’ve started some new projects. NYU Hip Fracture Anesthesia One of my main projects with NYU was looking at a new anesthesia technique for hip fracture care. Instead of doing general anesthesia or a spinal, it was like when you are under for a dental procedure - it’s called MAC sedation, along with injections of lidocaine in your hip, so it’s the most minimal. We did this for patients who were really sick, when it was not recommended to do general anesthesia, and spinal’s can be hit or miss, so we were seeing if this was a more safe and effective option. It turned out great especially in light of COVID and other patients who are really, really sick. We want to do a multi-center clinical trial, and I’m hoping to do it with George Washington, Cedars Sinai, and NYU. Publication: “Monitored Anesthesia Care and Soft-Tissue Infiltration With Local Anesthesia: An Anesthetic Option for High-Risk Patients With Hip Fractures” The Tulane Project: Osteopathic Presence in Orthopedics I’ve started working with Dr. Mary Mulcahey at Tulane who’s also an allopathic (MD) physician. My research year was at NYU, which is allopathic, and I was the first and only DO ever to enter into the NYU research program. This inspired me to look at osteopathic students, residents, and physicians in orthopedics, especially academic medicine. An important component of the AACOM Research Award is how it’s helping raise the profile of osteopathic medicine and, through my experience at NYU, I saw how underrepresented DO’s are in orthopedic research. Given DOs’ additional musculoskeletal training, I thought it was pretty crazy how osteopathic medicine is not well represented in orthopedic surgery, so I pursued doing a study to document how many DOs, both faculty and residents, are in academic medicine by reviewing all of the residency program websites. Eventually, I want to compare DO’s versus MD’s board scores because you would think intuitively DO scores would be higher since we have more MSK training, at least initially. Some board data that’s out there has shown DOs outperform MDs in the early years of residency. Unfortunately, we cannot gain access to the in-training examination raw data, so we cannot tell if this is statistically significant, yet. Currently, we’ve decided to make a broader study to see where osteopathic students are going in general; we are looking at The Match data. Also, we will look at DO residents in orthopedics and then DO faculty in ortho - compare and contrast. For example, if there are more DO faculty, does that

correlate to more DO residents in these academic centers? Historically, DOs are more “community based”, so more rural or suburban, but I think we need to realize that even big cities are a community, right? So, it’s translatable. I don’t want there to be a bias at community programs towards researchers thinking “they are too big league for us” and that researchers will only want an academic, ivory-tower environment. Community research should be done as well so we can reveal how to treat all patient populations. We need a more accepting environment both ways - more from the osteopaths to support those who want to get more involved in academic medicine as well those who want to be community medicine focused and more major academic institutions to be accepting towards osteopathic practitioners. No matter what, don’t discourage. Dr. Mulcahey and I are also interested in females in positions of power. If there are more female faculty members, do those programs have more female residents? She is the vice president of the Ruth Jackson Orthopedic Society, and she is passionate about getting women and POC involved in orthopedics as well as the cause of equality for osteopathic residents and physicians. Being able to work alongside her has been phenomenal. Our research is specific to orthopedics, but it also affects all women going into surgery, because women are underrepresented in surgery in general, but especially orthopedic surgery. I idolize her cause and want my career path to emulate hers – by helping marginalized populations achieve their goals. Personally, I want to represent us - women and DOs - in these specialized fields where we don’t currently see as many, and I hope these studies will help increase our numbers, too. MEDICINE.C AMPBELL.EDU

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More than a Milestone SAVE THE DATE July 22 - 24

Inaugural 5 year Reunion and CME weekend Raleigh Marriott City Center

Gather to acknowledge your endurance in a time of unprecedented hardship and celebrate your future as leaders in medicine.

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Support the School of Osteopathic Medicine Thanks to the incredible generosity of foundations, families, friends, faculty, staff and students, Campbell Medicine is educating and preparing the next generation of physicians who will care for rural and underserved patients in North Carolina, the southeastern United States and beyond. We invite you to be part of this future.

INCREASE ENDOWED SCHOLARSHIPS

A gift to one of our endowed scholarships will help increase the individual award amounts as well as the number of awards. Campbell Medicine has seven endowed scholarships and four medical missions endowed scholarships. See the complete list at medicine.campbell.edu/scholarships

CONTINUE THE COMMUNITY CARE CLINIC

The Campbell University Community Care Clinic (CUCCC) was founded by the inaugural Class of 2017 to provide primary care to the uninsured patient population of Harnett County and surrounding communities. In 2021, the clinic has expanded its services to include two weekly mobile clinics and other vaccination clinics as needed. A gift to the CUCCC will help us to continue to provide health care to patients in need.

FURTHER THE MOBILE HEALTH AND EDUCATION CLINICS The Mobile Health and Education Clinics (MHECs) were purchased in 2020 via the COVID Relief Act and include 3 clinic vehicles, 2 supporting transport vehicles, clinic tents, and educational materials. A collaboration of the Departments of Community and Global Health, Simulation Medicine, Clinical Skills, Graduate Medical Education and the Community Care Clinic, the MHEC is equipped to bring clinical and simulation training to rural providers and deliver healthcare services in underserved communities. A gift to the MHEC will help us go further - increasing the distance and frequency the units are on the road providing these essential services.

EASY WAYS TO GIVE

Hover over this code with the camera app on your smart device or visit https://medicine.campbell.edu/give. To give by check, make it payable to Campbell University with the fund of your choice in the memo line and mail to the School of Osteopathic Medicine, PO Box 4280, Buies Creek NC 27506 MEDICINE.C AMPBELL.EDU

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Articles inside

Alumni Research Spotlight: Dr. Rachel Ranson (‘21)

12min
pages 52-55

US Army conducts ground-breaking research in the Campbell Gross Anatomy Lab

10min
pages 42-45

Harvard Research Fellowship Spotlight

2min
page 41

Anatomy professor published in Scientific Reports

4min
page 40

Campbell Received $1.1 Million for Osteopathic Research

6min
pages 38-39

Addressing Adolescent Mental Health: Peds Club Connects with Local Schools

3min
page 33

Mobile clinics provide COVID-19 testing and vaccinations in Mt. Olive

5min
pages 30-32

Student, faculty clinic volunteers give COVID-19 vaccinations

3min
page 29

CONTINUING THE FIGHT AGAINST COVID-19

2min
page 28

Campbell University Free Clinic Ribbon Cutting Hosted at First Choice Community Health Center

3min
page 27

Edward H. Holder Service Award Recipients

5min
pages 24-25

MS-II Kathleen McDermott selected for National Health Service Corps

3min
page 22

Student organizations endow DO student scholarship

2min
page 21

Student Doctor of the Year - Anjali Agrawal, ('21)

7min
pages 18-20

MSBS Student Spotlight

4min
page 17

Eleven Class of 2021 members entered military medicine residency

2min
page 15

Class of 2021 Match Day virtual celebration

5min
pages 13-14

Campbell Medicine celebrates fifth graduation with 165 graduates

3min
pages 12-13

Dean's Message

4min
pages 6-7
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