MOA TRIAD Vol. 27, Issue 1, 2016

VOLUME 27 ISSUE 1 2016

THE AWARD WINNING JOURNAL OF THE MICHIGAN OSTEOPATHIC ASSOCIATION

Join your DO family in Dearborn!

Thursday, May 12 - Sunday, May 15, 2016 31.5 AOA Category 1-A CME credits anticipated The Michigan Osteopathic Association (MOA) is proud to announce the 117th Annual Spring Scientific Convention, to be held again at Edward Village Michigan in Dearborn (formerly the Adoba Hotel). We hope you will join the DO family in this 4-day event of networking, learning and growing in the osteopathic profession. The MOA has requested that the AOA Council on Continuing Medical Education approve this program for 31.5 AOA Category 1-A CME credits.

Approval is currently pending.

Registration and details at: DOMOA.org/spring2016

WWW.DOMOA.ORG

TABLE OF CONTENTS

FEATURES 6 MOA Resident of the Year:

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Joseph Gorz, DO

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Smile! The Doctor Is on Camera: The Pros and Cons of Recording Office Visits and Procedures

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Help Older Patients Avoid Falls, Manage Diabetes

Welcome to the 117th Annual Spring Scientific Convention

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Convention Highlights & Sponsors

(Full schedule available at domoa.org/spring2016)

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CME Process and Requirements

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President’s Reception

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College Night Receptions & MOA Intern/Resident Program Highlights

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DO Family Faces, Policy & Legislation

DEPARTMENTS 5

President’s Page

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CEO’s Message

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Dean’s Column

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Advertiser Index

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PRESIDENT’S PAGE A Dose of Change In May of last year during my inaugural address, I put forth an agenda for my year of Presidency. These strategic areas were as follows: • Engage new physicians, residents and osteopathic medical students • Modernize our CME offerings • Silo reduction • Effective and efficient governance

ROBERT G.G. PICCININI, DO, DFACN

• Accelerate opportunities for young, talented physicians • Disconnect the HOD from CME with a plan for 2017 • Mental Health and Substance Abuse • Universal preauthorization forms It’s true, I was shooting for the stars with this aggressive agenda, but significant change is never done on a small scale. We have made great headway in many of these areas, but let me share with you a few successes from our efforts.

Engagement was strengthened with new task forces, primarily the Women of Excellence and the New Physicians in Practice task force, providing vital perspectives into our membership.

The association has also changed how our committees run by incorporating greater, nonBoard of Trustee leadership. Now, with trustees acting only as liaisons to committees, more new, younger members can offer and groom their leadership skills.

We have developed new options for participating in this year’s Spring Scientific Convention to provide greater flexibility and choice. I hope that you take advantage of these changes in our upcoming program.

To respect the valuable time our members volunteer to us, we have started leveraging technology by incorporating video conferencing into our meetings. I also started a bi-monthly Component Society President’s conference call. Component Societies were encouraged to share their news and issues with me and MOA staff which has been fruitful from both sides.

Our future rests in our younger members and I will make room for them by foregoing my last two years as an active member of the Board of Trustees. Make no mistake, I do not plan to fade away from the association and I stand ready to provide mentorship to any who seek it.

It is our responsibility to ensure an atmosphere of progressive ideas.

I encourage all of us to continue to be active, to embrace a new dynamic, open association whose leaders help to develop our youth and to encourage friends to join. I would like to thank the MOA administration for their work to accommodate these changes amongst the other services they provide. Finally, I ask you to embrace the new custodian of the association, Dr. Bruce Wolf, and provide him as much help as you have done for me.

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RESIDENT OF THE YEAR Celebrating the Osteopathic Profession’s Future

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he Michigan Osteopathic Association’s Outstanding Resident of the Year Award was established to recognize and honor outstanding osteopathic residents from Michigan who go above and beyond to bring a sense of pride to the profession by exhibiting the exemplary characteristics of an osteopathic physician.

JOSEPH GORZ, DO

This year’s awardee had resounding support from many peers, mentors and supervisors.

It is with enthusiasm and pride that the MOA congratulates Joseph Gorz, DO with the 2016 Outstanding Resident of the Year award.

While completing residency at McLaren Oakland, Dr. Gorz demonstrated a unique combination of intelligence, innovation, leadership and compassion not only with his co-residents, but the medical community at large. Specifically, Dr. Gorz developed both an OMT and EKG review course that he presented to all McLaren Oakland’s residents monthly. This example is just one of many that illustrates his willingness to roll up his sleeves for the profession.

“It is with enthusiasm and pride that the MOA congratulates Joseph Gorz, DO with the 2016 Outstanding Resident of the Year award.”

Over the last 7 years, Dr. Gorz was also in a leadership position coordinating medical students from Michigan State University on annual medical missions to Peru. During these trips, Dr. Gorz has helped facilitate the treatment of over 11,000 patients and provided over $1.2 million dollars in medications and medical supplies to Peruvians. His budding leadership within the Michigan Osteopathic Association (MOA) includes participation in local component activity, as well as being a founding member of the new 24Fifties club.

“I am deeply honored and humbled to receive this award. I owe a many great thanks to my wife Dr. Shook, my family, friends, the esteemed professors and administration at MSUCOM, as well as all of the many talented physicians that I had the pleasure to work alongside during the three years of my residency. Without everyone’s support, I would not be the person I am today,” Dr. Gorz remarks, upon learning of his recognition.

Dr. Gorz will be formally acknowledged during the MOA House of Delegates to receive a $1,000 award and plaque. The meeting will take place at the 117th Annual Spring Scientific Convention, on Thursday, May 12, 2016.

Osteopathic residents are the future of the medical profession, which makes Michigan especially fortunate to have the largest number of osteopathic postdoctoral trainees in the country. Residents work demanding, long hours to complete their training and are seen as the lifeblood of many hospitals as they sharpen and expand their skills.

The Michigan Osteopathic Association would also like to recognize all of the nominees, portraying a bright future for the profession. All of their impressive accomplishments are the reason for such an award, and the MOA applauds their work and dedication. Ranging from specialties of family & internal medicine to neuromusculoskeletal, 2016 Outstanding Resident of the Year Award Nominees are Batoul Dagher, DO of Detroit Medical Center; Mary Joy, DO of Mercy Health; Tuyen Nguyen, DO of Allegiance Health; William Powers, DO of Detroit Wayne Count Health Authority.

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CEO’S MESSAGE Dear MOA Member, Over the past year your MOA has been working to strengthen our relationships within communities throughout Michigan. In order to stay relevant to our members and more integrated into their lives, we know this is essential to the association’s future. There have been a few organizations in particular that have recognized the value of our role and joined us in a new type of strategic partnership.

KRIS NICHOLOFF CEO AND EXECUTIVE DIRECTOR

Together, we are able to offer more services, resources and connections for our DO members. These partnerships also strengthen our voice on shared concerns in the legislature and communities where our members live and work, and will exceedingly benefit the osteopathic physicians of Michigan in ways that are not even known to us today. With continued communications between our groups, we constantly find new ways to work together.

If you are a physician that practices within these health systems, please be sure to thank their leadership. We are looking forward to expanding partnerships with more groups to better serve you, our valued members. Stay tuned.

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SMILE! THE DOCTOR IS ON CAMERA: THE PROS AND CONS OF RECORDING OFFICE VISITS AND PROCEDURES

BY RICH CAHILL, VICE PRESIDENT AND ASSOCIATE GENERAL COUNSEL, THE DOCTORS COMPANY

“Doctor, can I record our conversation today?”

Have you ever heard that question from a patient or a patient’s family member?

Or have you ever worried a patient might record the visit without asking your permission? As smartphones have become ubiquitous— giving patients a video and audio recorder that’s always at hand—the question of whether or not these devices should be allowed in the clinic or hospital setting is becoming increasingly more common.

A high-profile case involved a patient who accidentally recorded his colonoscopy, capturing derogatory remarks from the anesthesiologist while he was under anesthesia. The patient sued for malpractice and was awarded $500,000.1 While this case is extreme, it has raised the importance of addressing the issue in each practice and hospital.

To Record or Not to Record?

The issue of allowing patients to record their appointments requires balancing potential privacy and liability risks with the potential benefits of improved

patient recollection of instructions and treatment adherence. Patient pamphlets and other educational materials handed out at office visits are often lost or forgotten, and patients forget or remember inaccurately a significant portion of information shared at doctor visits. Patients who have a better and more complete understanding of their condition and the treatment plan are more likely to be actively engaged and involved in their healthcare.

Despite these potential benefits, it’s typically not the best course to allow patients to record the appointment.

The recording devices could be disruptive and could be potentially intimidating to physicians and staff. In addition, these recordings—unlike the electronic health record—can be altered or manipulated to create an inaccurate portrayal of what actually occurred. These recordings can also easily be streamed or posted online, raising the issue of patient and staff privacy and HIPAA

Video in the Exam Room: Should You Allow Patients to Record Visits? Medical Economics. September 22, 2015. http://medicaleconomics.modernmedicine.com/ medical-economics/news/video-exam-room-should-you-allow-patients-record-visits?page=0,0. Accessed January 19, 2016.

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compliance. In addition, recording the visit may inhibit the flow of information between the doctor and patient.

Patients may be less likely to be open about sensitive health issues because of the fear that the recording might be listened to by an outside party.

If a patient records a visit without the doctor’s permission, that can result in a loss of trust, which is the basis of a strong physician-patient relationship.

Only about a dozen states nationwide prohibit electronic recordings done without the explicit consent of all participants in the encounter. It is important to know the specific laws concerning recordings in the jurisdiction where you practice. Regardless, it is recommended that patients be advised unequivocally that digital recordings by handheld devices such as smartphones are prohibited on the premises in order to protect the privacy of other patients and staff in compliance with federal and state privacy laws.

Post this notice clearly on your practice website, in the conditions of treatment signed by the patient at the outset of the relationship, and as office signage near the reception window. Suspected violations should be handled immediately. If this policy is violated, meet with the patient in a confidential setting to discuss the issue and reiterate the office policy. Depending on the circumstances and the status of the patient’s current episode of care, advise the patient that further violations may result in termination of the physician-patient relationship.

If patients ask to record the visit, encourage them instead to take notes or to have a trusted family member or friend join them for the office visit to help take notes, remember information, and ask questions.

“Ask Me Three” Doctors can encourage patients to be engaged in the conversation with “Ask Me 3,” a program that promotes clear communication through these three main questions: 1. What is my main problem?

2. What do I need to do?

3. Why is it important for me to do this?

Doctors should also ask patients to repeat back the information shared, and then correct any misunderstandings.

Important Policies for Recording Surgical Procedures Practices and surgical centers also must decide whether they should video-record clinic visits or operative procedures. Office practices may want to record patient encounters to document when the informed consent occurred. Surgical centers may want to record surgeries for educational purposes.

It is important to note that this additional documentation will become a part of the record and can be subsequently accessed by government agencies responsible for healthcare oversight, such as state medical boards, the Centers for Medicare and Medicaid Services, and the Office of the Inspector General for the United States Department of Health & Human Services, among others. Law enforcement will also be able to secure a copy with a search warrant or other court order. A patient may also obtain the recording with a valid HIPAA-compliant authorization.

If a medical group or healthcare facility is considering doing audio or video recordings, it is recommended that several factors be considered and implemented: The practice or facility should create a written protocol detailing under what circumstances a digital recording—whether audio, video, or both—may be done.

The policy should also indicate how the digital recording will be stored, where it will be retained and by whom, and for how long it will be kept. Any such protocol should reference the manner in which the digital document will be destroyed, consistent with federal and state privacy laws.

Patients should be advised in advance that a digital recording is being considered. The patient should sign a written release that explains the reasons for the recording. As with all consent forms, the signed authorization should be placed in the chart as part of the permanent record.

The practice or facility should put a procedure in place to ensure that the policies are being followed and that a responsible administrator conducts a periodic review to ensure the effectiveness of the protocols. Adopting and following these procedures helps to protect the practice or facility in the event of a subsequent inquiry as to the validity and completeness of the patient’s chart.

The Doctors Company at Convention • Risk Management CME Session: A Primer on Medical Malpractice Lisa McCorkle, MSN, RN, CPHQ, CPPS, CPHRM, LNCC, The Doctors Company (Open to all convention attendees)

• Practice Managers Program Speaker (Program registrants only, please)

• Intern/Resident Program See page18 for details.

SPRING 2016 • Visit TDC at Booth #022 in the Exhibit Hall

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HELPING OLDER PATIENTS AVOID FALLS, MANAGE DIABETES Free classes are now available statewide to help physicians better manage their senior patients’ challenges, achieve higher compliance and better health.

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he “Great At Any Age” program, offered by Michigan’s 16 Area Agencies on Aging, is aimed at falls prevention and Type 2 Diabetes management.

These evidence-based classes were created by Boston University (A Matter of BalanceTM), and Stanford University’s School of Medicine (Diabetes SelfManagement Program), and have been expanded with the support of a $5 million grant from the Michigan Health Endowment Fund. “Great At Any Age” offers more than 300 classes for each of program over the next year in convenient, rural and urban locations.

A Matter of BalanceTM The falls prevention program, called A Matter of BalanceTM, is designed for older adults who are concerned about falls, have fallen in the past, have restricted their activities because falls, or are interested in improving flexibility, balance and strength. The program consists of eight two-hour classes, taught by two trained lay leaders to groups of 10-12 older adults. The classes are interactive and incorporate group discussion, problem-solving, skill building, assertiveness training, and training in low-level exercises that can be done by individuals using mobility aids. One class features a physical therapist, who educates and addresses questions and concerns from participants.

Diabetes-PATH The Diabetes Self-Management Program, also known as Diabetes-PATH (Personal Action Toward Health), is

a six-week workshop for small groups designed for individuals with Type 2 Diabetes. Individuals with Type 1 and pre-diabetes can also benefit, along with caregivers. Classes are led by two trained lay leaders who may themselves have experience with diabetes.

The content includes healthy eating, menu planning, reading food labels, physical activity, dealing with stress and difficult emotions, and how to communicate effectively with health providers The emphasis is on taking charge of your own health, creating personal action plans and setting practical, achievable goals.

FOR MORE INFORMATION Physicians can refer older patients by calling their local Area Agency on Aging for information and assistance. Local AAAs can be found using the search feature on the project’s website at www.GreatAtAnyAgeMI.com or by calling Mary Ablan at the AAA at (517) 886-1029.

Both of these “Great At Any Age” programs have been proven to reduce costs and improve healthy behaviors.

When graduates of A Matter of BalanceTM were compared with a control group, there were reductions in hospitalizations, skilled nursing facility care and home health care for a savings of $938/year/ person in Medicare costs.

Diabetes-PATH graduates have shown significant improvements in symptoms of hypoglycemia, healthy eating, and depression, and communication with their physician. Studies show fewer emergency room visits, and participants have maintained improvements up to 12 months after the classes.

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Welcome DO Family!

On behalf of the MOA, we thank you for joining us at the Edward Village Michigan hotel and convention center. Dearborn is an ideal location to spend an enjoyable long weekend with your family exploring a variety of restaurants, entertainment, local attractions, sporting events, shopping and more.

The MOA Spring Convention has something for everyone and is the state’s premier continuing medical education program for osteopathic physicians, offering over 31.5 hours of AOA Category 1-A CME credits. The Michigan Osteopathic Association represents more than 8,000 osteopathic physicians and students and promotes osteopathic medicine in Michigan by shaping the health care delivery system to better serve the community.

Exceptional educational offerings were developed to inspire and enhance your ability to better care for patients while improving their overall health. Please review the agenda and begin planning your schedule at www.domoa.org/spring2016.

MOA registration and pre-registration packet pick up is located in the Great Lakes Center where you can also visit with exhibitors to learn valuable information regarding products and services offered that may benefit you or your practice.

Looking forward to the MOA 117th Annual Spring Scientific Convention with you!

Join us on social media and share your experience using #MOAspring.

MOA Mission Statement The purpose and mission of the Association shall be to advance the science and art of osteopathic medicine, education and research; to improve health care and promote the benefits of scientific advancement in the treatment, prevention, and alleviation of human ailments; and to strengthen and promote osteopathic medicine in Michigan by shaping the health care delivery system to better serve the community.

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Spring Sponsors

Convention Highlights

Convention Sponsors McLaren Health Care Michigan Health and Hospital Association Beaumont Health Sparrow Health System The Doctors Company Blue Cross Blue Shield of Michigan American Osteopathic Foundation MSUCOM Family Medicine Community, Division of Family & Internal Medicine American Osteopathic Association of Addiction Medicine (AOAAM) Scientific Research Exhibit Competition Sponsors Blue Cross Blue Shield of Michigan Foundation Internal Medicine PAC/ MSUCOM Statewide Campus Systems

Thursday, May 12 - Sunday, May 15, 2016 Edward Village Michigan 600 Town Center Dr., Dearborn, MI 48126 Reservations: 313-592-3622 $112/night (group code 345)

The MOA is proud to bring you this year’s convention, held again at the Edward Village Michigan (formerly the Adoba Hotel).

Join your DO family in this 4-day event of networking, learning and growing in the osteopathic profession.

Full schedule & registration at domoa.org/spring 2016 or call 800-657-1556

McLaren Macomb Student Track Sponsor Michigan State University College of Osteopathic Medicine (MSUCOM) Resident and Intern Program Sponsor The Doctors Company Product Theater Sponsor Allergan, Inc. Practice Managers Program Sponsors (pg 14) The Doctor’s Company Northern Michigan Osteopathic Association Carr Healthcare Realty

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Stay Updated!

TEXT “MOA” 577-80 to get a jumpstart on convention.

By opting in, you will receive a link to our mobile convention app with up-to-date agenda info, interactive features for sessions and more.

Don’t miss important updates during convention about events and CME, text 577-80 now.

VISIT THE EXHIBIT HALL! (Great Lakes Center)

EXHIBIT DAYS & HOURS Thursday, May 12 2:30 - 7 p.m.

Friday, May 13 7 a.m. - 6 p.m.

Saturday, May 14 7 a.m. - 3 p.m.

For information on exhibiting at convention contact: Cyndi Earles 517-512-4307

Education Committee

THURSDAY

SATURDAY

(SATURDAY - continued)

MOA House of Delegates (9 am - 3 pm)

CME Sessions (7am – 6 pm)

Treatment for Opioid Disorders

MOA Luncheon & Town Hall Meeting (2 CME)— “Combatting the Opioid Mortality Crisis: The Perspective from the Governor’s Task Force”

Infectious Disease Update

Contact your local component society for more information.

Osteopathic Manipulative Treatment Fascial Distortion Model Insurance Sessions CME Sessions (4 – 7 pm)

Business of Medicine Behavioral Health

Jeffrey Postlewaite, DO, MPH, Department Co-Chair Duncan McGuire, Department Co-Chair Aaron Ellenbogen, DO, MPH, Committee Co-Chair

Florida Sessions

R. Taylor Scott, DO, Committee Co-Chair

FRIDAY

SUNDAY

MEMBERS

AOA Update BREAKFAST CME Sessions (7am– 6 pm) Cardiology Sessions SCS Internal Medicine Resident Program Scientific Research Exhibits & Oral Presentations

CME Sessions (8am – 3:30 pm)

Lawrence Abramson, DO, MPH

DME Expo & Student Track Author Presentation: Augustine Perrotta, DO LUNCHEON Abuse & Neglect Victims Geriatric Urology Update Florida Sessions (Fri - Sun)

Moderators: Tim Skubick, Senior Capitol Correspondent and host of WKAR “Off the Record” & David Neff, DO Panelists: Michigan Lt. Gov. Brian Calley; William Morrone; DO, President AOAAM; Rep. Edward Canfield (R), DO; Elizabeth Hertel, MDHHS Director, Policy & Legislative; David Best, DO, Palliative Care & Addiction Specialist; Robert G.G. Piccinini, DO, dFACN; Judge Donald Allen, 55th District Court Ingham County; Stephen Bell, DO, FACOI, Member Governor’s Task Force and Chair of the MOA President’s Ad Hoc Committee; Tom Clement, Attorney General’s Office

Student Track & DME Expo (Friday) Sponsored by:

Product Theater Breakfast: Prevention of Medical Error Thyroid Update

John Bodell, DO, FACOS Adam Chornoby, DO James Clinton, DO, FACP Harold Friedman, DO

Breast MRI

Mary Goldman, DO

Pediatric Concussions

Francis Komara, DO

Diabetes Update

Chad Kovala, DO

Florida Sessions

William Morrone, DO Anthony Ognjan, DO, FACP Kathleen Rollinger, DO

M S U CO M ( E L ) STUDENT MEMBERS Jacquelyn Albosta Kimberly Blom, MS Shannon Doud Dina Fakhouri Chaun Gandolfo Kevin Leikert

AOA Update American Osteopathic Association CEO Adrienne White-Faines (Friday breakfast)

Colleen Reidy

“A View From the Inside” Author Augustine Perrotta, DO (Friday luncheon) Presentation and book signing. Book sales proceeds donated to MOA Medical Mission Fund.

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MOA Spring CME Process MOA SPRING REGISTRATION

MOA SPRING CME FACTS

MOA registration and pre-registration packet pick up is located in the Great Lakes Center exhibit hall.

• 31.5 AOA Category 1-A credits offered ThursdaySunday, May 12-15, 2016.

MOA SPRING SCAN IN

• 3 Free AOA Category 1-A credits offered 30 days post-convention for completing the Outcomes Measurement Survey emailed to attendees.

• Scan the barcode on your name badge to receive CME credit during designated times, once in the morning and once in the afternoon.

• Attest your participation by completing the online evaluations at www.moaspring.com.

• Florida CME requirements: www.foma.org/cme • Florida CE Broker: www.cebroker.com • Specialty credits pending approval.

MOA SPRING EVALUATIONS – MANDATORY!

FOR MORE INFORMATION

• Complete evaluations to attest your attendance.

Visit www.domoa.org/CME or contact Melissa Budd, CME Coordinator, at (517) 347-1555 x112, or email mbudd@domoa.org.

• Upon completion, your CME certificate will be available to print or save to desktop.

• MOA will submit CME to the AOA by July 1, 2016.

MICHIGAN CME REQUIREMENTS MICHIGAN OSTEOPATHIC LICENSE REQUIREMENTS • Michigan osteopathic physicians are required to complete 150 hours of continuing medical education in courses or programs approved by the board of which not less than 60 hours of the required 150 hours must be earned in osteopathic related courses or programs designated as either Category 1 (accredited) or Category 3 (residency) programs.

• Every osteopathic physician who is renewing his/her license should retain records documenting the completion of continuing education.Those documents should be retained for a period of 4 years from the date of application.

• The continuing education requirements apply to every physician renewing a Michigan osteopathic license who held the license for the 3-year period immediately preceding the date the license expires.

The requirements apply whether or not the physician is actively engaged in the practice of osteopathic.

• No one, including retired physicians, medical school faculty and resident physicians, is exempt from this requirement.

• Visit www.domoa.org/CME for complete licensure requirements and more details on maintaining your Michigan osteopathic license.

• Please check your Michigan license for expiration date since it may differ from AOA three year cycle.

AOA CME MEMBERSHIP REQUIREMENTS For AOA CME membership requirements visit http://www.osteopathic.org

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7:00 p.m. - Saturday May 14, 2016 Springwells Ballroom

Edward Village Michigan 600 Town Center Dr., Dearborn

Tickets $25

Available at Registration, online at DOMOA.org/spring2016 or by calling 517-347-1555 Sponsored in part by Blue Cross Blue Shield of Michigan Oakland County Osteopathic Medical Association Michigan State University College of Osteopathic Medicine For hotel accomodations, please call 313-592-3622 (group code 345)

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MOA Intern/Resident Program 2016

College Night Receptions Thursday, May 12 MSU College of Osteopathic Medicine 5:30 P.M. – 7 P.M.

Sponsored in part by

Friday, May 13, 2016 - Highlights Locations and details to be announced.

12:00 - 1:30 PM MENTORSHIP LUNCH (Open to students and residents)

Big Fish Seafood Bistro

Bring your business cards and contact information for an informal networking session along with lunch for students, residents and physicians.

700 Town Center Drive

1:30-2:00 PM

Dearborn, MI 48126

Friday, May 13 A.T. Still University 5:30 P.M. – 7 P.M. DeSoto Foyer

Midwestern University CCOM/AZCOM 5:30 P.M. – 7 P.M. Bugatti Royale

Kansas City University of Medicine and Biosciences 5:30 P.M. – 7 P.M. Stearns Knight

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A PRIMER ON MEDICAL MALPRACTICE —THE DOCTOR'S COMPANY Come learn about the basics of medical malpractice and ways to be protected. If you don't know a head from a tail policy, this presentation is for you!

2:00-3:30 PM MICHIGAN LEGISLATIVE UPDATE & HAPPY HOUR Get to know the political landscape of Michigan’s legislature with MOA Legislative Liaison Kevin McKinney. Where does the MOA stand on the Flint Water Crisis, immunizations, public health? Come find out.

With a lifetime of experience, Kevin will share the ways of influencing policy and standing up for the osteopathic profession. Interns and Residents Committee to be present, also welcoming students and attendings.

3:30-4:30 PM FELLOWSHIP PANEL Fellows from various programs share their experiences and answer questions on fellowship. Find out if this is a path for you and how to start preparing.

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The choice is yours.

Healthcare is changing a lot, but one thing remains the same: you still have the ability to choose your health plan, Physician, and hospital. And who you choose matters.

Choose Wisely. Choose Sparrow.

Choose Wisely. Choose Sparrow.

1.800. Sparrow | Sparrow.org 1.800. Sparrow | Sparrow.org

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DO FAMILY FACES MOA / MSUCOM January student liaison meet & greet; AMOA gathering, and MOA Outstanding Graduating Senior nominees.

MUC MSUCOM Student Liaisons

East Lansing Campus MSUCOM Student Liaisons

MSUCOM Classes of 2018 & 2019

DMC campus MSUCOM Student Liaisons

Advocates for the Michigan Osteopathic Association members

Nominees for MOA Outstanding Graduating Senior Award with Dr. Prokop, chair of honors and awards committee. Winner to be announced at the 117th Annual Spring Scientific Convention.

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POLICY AND LEGISLATION MSAE Legislative & Public Policy Conference and Governor’s signing of Senate Bill 150

MOA Executive Director Kris Nicholoff; MOA President Robert Piccinini, DO; Stephen R. Bell, DO; Governor Rick Snyder; David Best, DO; David Neff, DO

Kris Nicholoff, MOA Executive Director, welcomes attendees to the PreConference, “The Flint Water Crisis: The facts, not the politics.”

As a strong supporter of Senate Bill 150, the MOA was invited to join Gov. Rick Snyder and Sen. Margaret O’Brien in the signing ceremony. The MOA was represented by Executive Director Kris Nicholoff and Student Trustee, Duncan McGuire.

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Clinic opportunities available.

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Please mail, fax, or email us your CV today.

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SPARTANS WILL. Support the next generation of osteopathic physicians.

Make your gift to an MSU College of Osteopathic Medicine scholarship today!

COM.MSU.EDU/DONATE 517ͳ355ͳ8355 CHRISTOPHER.SURIANΝHC.MSU.EDU

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DEAN’S COLUMN CELEBRATING OUR OSTEOPATHIC COMMITMENT TO EACH OTHER One of the aspects that has always made me proud to be part of the osteopathic community is the strong spirit of camaraderie that exists between members of our profession.

Whether we are coming together at the House of Delegates, working together to support new DOs, or taking part in continuing education, we have a strong, shared connection.

BY WILLIAM STRAMPEL, DO

This connection is something that begins when we’re in medical school. As Dean, I get to witness its beginning each spring when we welcome our incoming class and I address them for the first time during orientation.

I was recently reminded how quickly and how strongly that connection forms when our communications department conducted a set of focus groups with first- and second-year students to explore what messages about the MSU College of Osteopathic Medicine resonated with them.

Regardless of whether they were studying in Clinton Township, Detroit or in East Lansing, the students repeatedly noted their appreciation for peers who are not only dedicated learners, but who are supportive, caring, friendly and always ready to help each other. They talked about how hard they work, but that also they have fun. And they resonated with admiration for the alumni that they are looking forward to emulating that in their careers.

As much as I’d like to take full credit for this spirit, I know that it’s as much a result of the talented faculty and staff who work with our students and the exceptional admissions team that works to select candidates with not only an interest in medicine, but who also have a strong commitment to service, to leadership and teamwork.

I’m immensely proud of the young people that the MSU College of Osteopathic Medicine is training to become tomorrow’s osteopathic physicians. I know without a doubt that they’ll not only be excellent clinicians, community leaders and that they’ll humbly serve others, they’ll also be wonderful colleagues and peers to those of us already working to move our profession forward.

WILLIAM STRAMPEL, DO, IS DEAN OF THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE. HE CAN BE REACHED AT PAT.GRAUER@HC.MSU.EDU.

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TRIAD | SPRING 2016

ADVERTISERS Beaumont Health................................................................ 4 TRIAD STAFF Jeffrey Postlewaite, DO and Duncan McGuire, Student Doctor, Editors-in-Chief William Strampel, DO, Contributing Editor Kris T. Nicholoff, CEO and Executive Director Lisa M. Neufer, Director of Administration Todd Ross, Manager of Communications Cyndi Earles, Director, MOA Service Corporation Marc A. Staley, Manager of Finance Virginia Bernero, Executive Assistant & Advocacy Liaison

2015-16 BOARD OF TRUSTEES Robert G.G. Piccinini, DO, dFACN, President Bruce A. Wolf, DO, President-Elect Lawrence L. Prokop, DO, Secretary/Treasurer Myral R. Robbins, DO, FAAFP, FACOFP, Immediate Past President Michael D. Weiss, DO, Past President

Health Law Partners PC...................................................... 2 Kerr Russell...................................................................... 25 McLaren........................................................................... 12 Michigan Health and Hospital Association....................... 10 Michigan Health Opportunities........................................ 24 MOA Insurance Team....................................................... 20 MOPAC............................................................................ 21 MSU College of Osteopathic Medicine.............................. 24 Pinkus Derma................................................................... 25

Department of Membership Director Robert G.G. Piccinini, DO, dFACN

Residential Home Care, Inc.............................................. 24

Department of Membership Co-Directors David Best, DO, Patrick Botz, DO and Ryan Christensen, DO (IR)

Sparrow............................................................................ 20

Department of Insurance Co-Directors Lawrence J. Abramson, DO, MPH and Craig Glines, DO, MSBA, FACOOG

The Doctors Company..................................................... 28

Department of Education Co-Directors Jeffrey Postlewaite, DO and Duncan McGuire, Student Doctor

Wachler & Associates PC................................................. 24

Department of Professional Affairs Co-Directors Myral R. Robbins, DO, FAAFP, FACOFP and John W. Sealey, DO Department of Judiciary and Ethics Co-Directors John W. Sealey, DO and Michael D. Weiss, DO Department of Public Affairs Director David Best, DO The osteopathic profession in Michigan is made up of osteopathic physicians, osteopathic hospitals and an osteopathic medical school. This TRIAD stands together to serve our patients and one another. TRIAD, the official journal of the Michigan Osteopathic Association, serves Michigan’s osteopathic community, including its osteopathic physicians, hospitals, medical school and patients.

The Michigan Osteopathic Association will not accept responsibility for statements made or opinions expressed by any contributor or any article or feature published in TRIAD. The views expressed are those of the writer, and not necessarily official positions of MOA. TRIAD reserves the right to accept or reject advertising. The acceptance of an advertisement from another health institution or practitioner does not indicate an endorsement by MOA. TRIAD (ISSN 1046-4948; USPS 301-150) is published quarterly by the Michigan Osteopathic Association, 2445 Woodlake Circle, Okemos, MI 48864. Periodical postage paid at Okemos, MI 48864 and other post offices.

Subscription rate: $50 per year for non-members. All correspondence should be addressed to: Communications Department, Michigan Osteopathic Association 2445 Woodlake Circle, Okemos, MI 48864 Phone: 517.347.1555 Fax: 517.347.1566 Website: www.domoa.org Email: moa@domoa.org POSTMASTER: SEND ADDRESS CHANGES TO TRIAD, 2445 WOODLAKE CIRCLE, OKEMOS, MI 48864. ©2016 MICHIGAN OSTEOPATHIC ASSOCIATION

FOR ADVERTISING INQUIRIES, PLEASE CONTACT TODD ROSS AT 800.657.1556 OR VIA EMAIL AT TROSS@DOMOA.ORG SPRING 2016 | TRIAD

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UNMATCHED

WE ARE UNMATCHED IN REWARDING OUR MEMBERS FOR PRACTICING GOOD MEDICINE

As a company founded by doctors for doctors, we believe that doctors deserve more than a little gratitude for an outstanding career. That’s why we created the Tribute® Plan—to reward our members for their loyalty and commitment to superior patient care with a significant financial award at retirement. How significant?

The highest distribution to date is $138,599. This is just one example of our unwavering dedication to rewarding doctors.

Join your colleagues—become a member of The Doctors Company.

CALL 888.896.1868 OR VISIT WWW.THEDOCTORS.COM

REWARDS Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts.

For additional details, see www.thedoctors.com/tribute.