Spring 2011 - School of Medicine

WELLNESSCHRONICLE
Vol XIV No. 3 Spring 2011
Creighton Medical Humanities:
A Look at Mind, Body, and Spirit
Thomas Hansen, M.D.
Associate Dean for Medical Education
The Office of Medical Education is piloting a Creighton Medical Humanities
program! The purpose of the Humanities Program is to focus on the Ignatian
Values that are part of our Jesuit tradition as they apply to medicine. This
will be a four-year, longitudinal course. Each year will focus on a
different Ignatian value. The teaching methods will include speakers,
online reflection and online small group activities and will utilize
various forms of media.
In this first year of the pilot, 25 M1 students are focusing on the
Jesuit theme “Contemplatives in Action.” The word
“Contemplative” generally refers to a monk or a nun in the
Catholic tradition who spends his or her days focusing on
reflection, scholarship, work and prayer. This seems to apply to firstyear medical students who spend most of their days in the lecture halls,
labs or library focusing on learning, studying and reflecting on their new
profession. Speakers from the Jesuit Community as well as a
Sister of Mercy will present the Jesuit tradition and the Sisters of
Mercy Spirituality to provide a context for understanding the
mission statements for Creighton University, the School of
Medicine and our two hospitals. Students will be asked to write
their own mission statement and present it via
PhotoStory. There will also be a session focusing on the
Jesuit form of prayer using the senses as a method for continuing
to develop empathy in patient care. Students will be asked to write
a brief reflection of this based upon a patient in a television show
or movie. Students will also write a reflection paper following the
Memorial Service for their Anatomical Donors in April.
The second year of the pilot will focus on the theme Cura
Personalis, or Care for the Entire Individual. We will focus on the
development of Mind, Body, and Spirit of both ourselves as well
as of our patients. The third year will focus on the Magis (the
Latin word for “more”), and the fourth year will focus on “Men
and Women for Others.” Each year will first be piloted with
volunteer students from the Class of 2014. As a group we will
modify the course so that it is ready to be initiated into the
curriculum the following year. We hope to have the first year of
the Creighton Medical Humanities Program ready for the M1
year by August of this year.
In This Issue
Creighton Medical
Humanities
Taking a Spiritual Patient
History
Shrink Rap
A Personal Approach to
Stress
Talent Show
Time Management or Life
Management
1
2
3
4
4
5
Transcending
Omaha’s Artists
The Grey Area
Reflection as a First-Year
Medical Student
Importance of a Good
Night’s Sleep
Our Journey to Change
Lives and Inspire Hope
The Battle of the Boards
5
6
7
7
8
8
9
Blue-Jaywalking
CURA 2011
Health Disparities Today: A
Look at Diabetes in the
Native American
Apple and Ginger Turkey
Burgers
Kate’s Cookbook
Big News
Match 2011
9
10
12
12
13
14
15
“A rock pile
ceases to be a
WELLNESS
CHRONICLE
rock pile the
FACULTY ADVISOR
Dr. Michael Kavan, Ph.D.
moment a
EDITORS IN CHIEF
Catherine Weaver
Angela Chon
single man
contemplates it,
CONTRIBUTORS
Liz Ferguson
Thomas Hansen
Michael Kavan
Michele Millard
Linda Pappas
Marcia Shadle-Cusic
Maryal Concepcion
Courtney Foote
Patty Terp
Sean Creeden
Adam Pendleton
Amanda Jo Ross
Kate Tepper
Naomi Whittaker
Laura August-Schmidt
Kay Bruemmer
Christina Caruso
Heather Dalton
Kylie Dixson
Megan Hamre
John Hollowed
Mike Mandrell
Stephanie Ng
Drew Keyser
Amith Reddy
Hannatu Tunga-Lergo
bearing within
him the image
of a cathedral.”
~Antoine de
Saint-Exupery
Photo by Heather Dalton, M1
Taking a Spiritual Patient History
Marcia Shadle-Cusic
Chaplain
As medical students you have an opportunity
to learn the art of taking patient medical
histories. Have you ever wondered about the
value of taking a look at your patient’s spiritual
history? The National Institutes of Health and
Human Services, the Centers for Disease
Control and Prevention and the National Center
for Health Statistics has reported that more than
50% of all Americans use mind/body
approaches for better health. The most
commonly used intervention is praying for
oneself. According to Dr. Herbert Benson from
Harvard Medical School, the studies have also
shown that unless asked, most patients do not
communicate the use of these approaches to
their healthcare providers. Knowing that your
patients may look to their spirituality for
coping, enduring, or healing you may want to
ask them about their spirituality to fully
understand your patients and how best to care
for them.
Dr Christine Puchalski from George
Washington Hospital, has developed the FICA
spiritual assessment with suggested questions
to ask:
F Faith Belief, meaning, “Do you have
spiritual beliefs that help you cope?,” “What
gives your life meaning?”
I Importance and Influence, “Do you have
specific beliefs that might influence your
healthcare decisions?”
C Community, “Is there a group of people you
really love or who are important to you?”
A Address/Action in Care, “How should the
healthcare provider address these issues in
your healthcare?”
Spirituality is how we ”make sense” out of life.
By simply exploring the belief system with a
patient, you may find resources that would be
valuable and enhance how they will cope and
their overall compliance in taking care of their
health in partnership with you, their physician.
Shrink Rap:
Tips for Coping with Anger and Helping to Prevent Violence
Michael G. Kavan, Ph.D.
Associate Dean for Student Affairs
anger is bad, and you have to control it before it has untoward
health consequences.
Okay, you’re standing in Walmart on a Saturday night…I won’t
comment on the fact that you are in a Walmart on a Saturday
night…and you are standing behind a woman with three unruly
kids, and she has 15 items in the 10-item or less checkout line. At
first, you feel frustrated, but you try to distract yourself with the
latest People magazine cover or better yet the National
Enquirer!did Angelina Jolie really deliver two alien babies this
past year??? However, as time progresses your anger begins to
peak as you can’t believe that it is taking so long to buy a tube of
toothpaste. Does this imbecile really not know how to count, and
why is she keeping me from getting out of this hellhole!!!
Closer to home!you are a medical student, and you see the
forecast for a beautiful Friday!in January…in Nebraska
nonetheless!and you have another mandatory event scheduled by
the School of Medicine for that same day. It’s on alcohol abuse,
and you think that rather than attending you could be out having a
beer on one of the few nice days in this dreary winter. You steam…
you’re angry. Either of these sound familiar? To be honest, getting
angry is natural. However, staying angry is not and can have
adverse health consequences.
Anger Management
So if you feel angry, what can you do about it? Here are my tips:
• Take a deep breath!this allows you to take a time out
and slow down the sympathetic nervous system
response. Counting to ten really does work!
• Get some space from the person you are angry
with!research on marital arguments demonstrates that
when couples get angry, they have a diffuse physiologic
response that disables their ability to process information
rationally, and they need 20 minutes to calm down
before they should continue any discussion.
• Reason with yourself!Is this really important enough to
get angry about? Am I justified in getting angry? Will
getting angry make a difference?
• Focus on solutions versus what made you mad.
• Use “I” statements versus “you made me…” or “you
did…”
• Practice empathy. Remember the woman in Walmart!put
yourself into her shoes. Maybe she is a single parent
struggling to make ends meet…
okay, I can wait.
•Finally, remember you get angry
by accident, and you stay angry on
purpose. Oh, the feeling of letting
it go!
Effects of Anger
When you get angry, your body
has a sympathetic nervous system
reaction that triggers the release of
catecholamines (epinephrine and
norepinephrine), resulting in an
increased heart rate and force of
contraction, increased respiration,
and other physical changes.
Continued anger results in the
release of cortisol and other nasty
stress hormones that can certainly
affect your body in a negative
way. In fact, one study found that
people most prone to anger are
three times more likely to suffer
from a heart attack than those
persons with low anger. Another
study found that medical students
who became angry quickly when
under stress were three times more
likely to develop premature heart
disease and five times more likely
to have an early heart attack than
their calmer colleagues. A study I
conducted with colleagues and
published in the Journal of
Psychosomatic Research found
that over-controlled hostility
predicted onset and stage of
presentation in colon cancer. So,
Final Thoughts
There is no better time to get
control over your anger than now.
Practice the above steps while
dealing with classmates, driving
to/from school, or shopping at
Walmart. Learn to laugh at
yourself and move on. Also, be
aware of problematic anger in
others. If you see classmates with
anger issues, and you begin to see
warning signs of violence,
including them losing their temper,
engaging in more risky behaviors
(e.g. increased drinking/drug use),
with-drawing from friends/
classmates, talking about getting
back at someone, and so forth,
then don’t hesitate to approach
them about the issue. Also, keep in
mind that faculty or administration
may be able to offer assistance and
referral for these issues as well.
Again, be aware and take action
within yourself and with others.
image courtesy of brcurtis.net
A Personal Approach to Stress
Linda Pappas
Academic Success Consultant
It is spring time at CUSOM, and that means warmer days,
flowers blooming, birds singing and students possibly stressing.
M1s are concerned about Neuroscience; M2s are thinking about
Step 1; M3s are starting to think about choosing a specialty. M4s
are the only students who have relaxed since Match Day is behind
them! Experiencing the pressure to do well is normal; it is how we
choose to react to that pressure that makes the difference. The
Myers-Briggs Type Indicator helps me to understand how people,
including myself, experience that pressure. The MBTI measures
self-reported life preferences. When we are unable to use our
preferences because of our current circumstances, we may react in
certain ways that reflect our personality type.
The first set of preferences is where we get our energy:
Extraversion is gathering our energy from other people and things,
while Introversion is gathering our energy from internal thoughts
and processes. Under stressful conditions E’s may become very
“talky,” and I’s may withdraw more and more.
The second set of preferences is how we take in information:
Sensing is initially focusing on the details, while Intuitive is first
focusing on the overall idea or concept. Under stressful conditions
S’s may become overwhelmed by all the details, and N’s may get
caught up in all the possibilities and become overwhelmed.
The third set of preferences is how we make decisions: Thinking
is taking the task-oriented route of decision-making, while Feeling
is deciding by focusing on relationships with self and others.
Under stressful conditions T’s may become negative or critical of
self and others, and F’s may become emotional about disappointing
self and others.
The fourth and final preference set is how we like to manage our
lives: Judging is preferring an organized, planned way of living,
while Perceiving is preferring more spontaneity and a “go with the
flow” way of living. Under stressful conditions J’s may become
rigid, and P’s may become chaotic. When these individual four
preferences combine into each of the sixteen types, then certain
behaviors may become more apparent.
The following is a chart of possible behaviors of the stressed out
Introversion preference types:
T
N
LE
W
O
SH
TA
ISTJ
ISFJ
INFJ
INTJ
ISTP
ISFP
Become stubborn and irritable
Become panicky and attempt to organize everything
Become quiet and may start over-personalizing
Become impatient and outwardly appear unfeeling
Become irritated and forget to show appreciation
Become avoidant of stressful situations and undervalue
themselves
INFP Become anticipatory of all negative possibilities and feel
inadequate
INTP Become reticent and don’t pay attention to detail and follow
through
Here is a chart of possible behaviors of the stressed out
Extroversion preference types:
ESTP
ESFP
Become antsy and begin to talk rapidly or too bluntly
Become compulsive or scattered and experience difficulty
with memory
ENFP Become forgetful, sarcastic and disorganized or
compulsive
ENTP Become frustrated, mouthy and irritated with others’
incompetence
ESTJ Become critical, negative, somber or quiet
ESFJ Become negative, lose self-esteem or experience physical
stress symptoms
ENFJ Become cranky, self-critical, remote or short-tempered
ENTJ Become anxious, insensitive, lose control or have tunnel
vision
When under stressful conditions, if a person is aware of
tendencies toward these behaviors, he/she can watch for them or
listen when others point them out. It is wise to explain to those
close to us how our behaviors may have nothing to do with them; it
is our preferences acting out, and we are attempting to monitor and
minimize those behaviors. If we see them occurring, it is time to
remember our stress reduction strategies and take time to use those
(playing sports, going for a run, doing yoga, listening to music,
talking to a good friend, etc.) Also don’t forget that first line of
defense against stress: practicing good sleep habits, exercising and
eating healthy. Take care!
Your Creighton medical classmates would like to
cordially invite You!!!......yes you, to attend the annual
Med School Talent Show to be held the evening of
Wednesday, April 20th. A happy hour with food and drink
at Billy Blues Alumni Grill in the Harper Center will be
open from 4:00-6:00 p.m. prior to show, with the show
starting promptly at 6:00 p.m. across the hallway in the
Harper Center Auditorium.
Witness the broad ranging talents that our med school
student body has to offer, and if you are lucky enough
you may even have the opportunity to win some great
prizes throughout the show. Please come out for an
evening full of laughs and fun. Thanks, hope to see you
all there!
Sincerely,
image courtesy of arborstation.dce.schoolinsites.com
Med School Talent Show Planning Committee
Time Management or
Life Management?
Michele Millard
Academic Success Consultant
Any guess at what the most used word in
the English language is? It’s “time,” usually
in the context of something that we don’t
have enough of. . .” I would venture to say
that the word is used exponentially more
often by medical students as it seems that
there is never enough time for what you are
supposed to know or do. You might hear the
word used amongst med students in
different ways:
M4s: Our time here is over. . .next year, I’ll
have no time for a life at all.
M3s: I have to find time to do residency
applications.
M2s: There is not enough time to study all
this stuff for the boards.
M1s: Neuro is sucking up all of our time. . .
William Penn wrote, “Time is what we
want most, but what, alas, we use worst.”
We all have the same amount of time in a
day!about 86,000 seconds (the same as
Curie, Pasteur, Michelangelo, da Vinci,
Mother Teresa, just to make us all feel
guilty!). But we all live in a state of “time
poverty” where we have too much to do and
too little time for ourselves. We end up
being reactive or responsive to time
crunches rather than being proactive about
time management, and time manages us
rather than us managing time. We become
addicted to complaining about how busy we
are and how little time we have as if it’s a
badge of honor or a game where “I win
because I have less time than you do.”It’s a
resource that is perishable, irreplaceable and
can only be reallocated from activities of
lower value to activities of higher value.
Our approach to time should be to not try to
cram more into every available minute of
the day but to make decisions how to use
time more effectively and productively.
Some people might avoid time
management, fearing that it would make life
way to structured and stifled. To the
contrary, the wise use of time leads to more
freedom because it allows you peace of
mind in fulfilling responsibilities at the
same time as achieving some kind of
balance between tasks and personal needs
and between immediate needs and future
goals. Time management forces us to ask
some important questions like “Am I
achieving the things I want to accomplish?,”
“Am I getting what I want out of life?,”
“Am I meeting my commitments?” and
“Am I spending time doing the things that
matter most?”
We all have lots of time wasters in our
lives such as indecision, interruptions,
procrastination, unrealistic time estimates,
poor planning, micromanagement, multitasking and ultimately, focusing on the
urgent but unimportant things. You can
develop a matrix of where you spend your
time in life that might look like this:
Not
Urgent
A
Not
Important
Important C
Transcen!ng
Hannatu Tunga-Lergo
M1
Shedding the old garment,
Wearing my new vestment.
Transcending.
Urgent
Releasing the cloak of darkness,
B
Draping myself with light.
D
Transcending.
So. . . what quadrant do you spend most of
your time? Typically, it’s in A or B where
we spend time and energy on things that are
not important. The urgent is screaming at us,
and the not urgent is just tempting us with
distraction. Where we really need to balance
our time and energy is in C and D or things
that are important, both urgent and nonurgent. Stephen Covey would call that
moving from time management to life
management.
Some ideas about how to approach time:
1. Examine your perspective on time.
Is it something to be overpowered, or
is it a gift to be used wisely?
2. Know what’s important to you. If
you have defined your values, you will
know best how to focus your time.
3. Determine your priorities. Part of
this approach is not only deciding what
to do (do more of and do it sooner),
but what not to do (do less of and do it
later).
4. Strive for balance. You want to be
successful in medical school, pass the
boards and get good residencies, and
you also want to have good
relationships and take care of yourself.
Those goals will guide your behavior.
5. Examine your time expenditures.
What you do with your time reveals a
lot about your goals, your values and
your priorities. If inner and outer
worlds are out of alignment,
dissonance and disharmony is the
result; if they align, then life is more
harmonic and congruent!things just
work better.
Feeling my soul,
Knowing my Love.
Transcending.
Sojourning towards Truth,
Kneeling for the Word.
Transcending.
Wisdom becoming my friend,
Love my companion.
Transcending.
Climbing towards infinity,
Kissing forever.
Transcending.
Omaha’s Artists: Lost Treasures Resurfaced
Amanda Jo Ross
M2
Throughout my five and a half years of living in this wonderful
city, I have discovered that Omaha has a wealth of artistic talent
that is yet undiscovered by most of its student population.
Unfortunately, as busy medical students, we usually only have
time to appreciate Netter drawings and the myriad of photographs
placed around the small group rooms and the computer lab.
Perhaps after getting the lowdown on a couple of my favorite
Omaha art institutions, you will be able to venture out and
discover some masterpieces for yourself.
The Joslyn Art Museum (www.joslyn.org)
complex of artistic genius that houses an artists’ co-op of pure
creativity. The building features over 80 studio artists and provides
workshop space for Bruning Sculpture and Crystal Forge. The
gamut of artistic endeavors can be found within The Hot Shops, and
I would advise anyone interested in art to attend their spring open
house on April 30th and May 1st. The open house is a time to tour
the facility and to observe the artists at work as well as to purchase
pieces of finished work. The pricing varies from artist to artist, but
some pieces are very reasonably priced and make very unique gifts.
Did I mention they also have another open house around Christmas?
Wink-wink.
Perhaps one of the more interesting exhibits is the glass blowing
done at Crystal Forge. Glass work is an extremely labor intense
process, not to mention blazingly hot and dangerous. But it is
interesting to watch if you have never seen it done before. After you
have toured the complex, sit down and watch an old craft come
back to life. It will give you a new appreciation for that glass
paperweight sitting on your desk. And if by the off chance you
enjoy the show so much that you want to jump in and do it yourself,
you can always sign up to take weekend glass
blowing classes. How cool! I mean HOT!!!
Tip: They take requests. If you like a certain
glass mug, lamp shade or vase, they can make it
in any color you like. Go ahead and get your
Dad’s favorite sports team colors. He’ll probably
think it’s the most awesome thing on the planet.
Have you ever wondered what’s inside the salmon colored
museum on 24th and Dodge Street? Well, the Joslyn boasts a
healthy art collection that rivals any reputable museum around the
nation, and it has been doing so since 1931. The museum is most
known for its beautiful collection of “American West” watercolors
by Karl Bodmer. The
series chronicles his
journey through the
Missouri River frontier
from 1832-1834. The
Joslyn also features works
from antiquity to present
d a y. I t s p e r m a n e n t
collection includes works
Jun Kaneko (www.thekaneko.org)
from Degas, Monet,
Pollock and Segal, just to
Have you ever been towed from the seemingly
name a few.
innocuous building across from Urban Wine
While the world famous
Company? Ok, I may have. I was mad as heck,
artists and the entrancing
but that incident gave me my first introduction to
watercolors are some of Attic Black-Figure Ovoid Neck-Amphora at the Joslyn Art
Jun Kaneko’s headquarters at 1111 Jones Street.
t h e b e t t e r k n o w n Museum.
I’ll admit it was not the greatest first impression,
highlights of the museum,
but I quickly learned that the property belonged to
my personal love in the institution resides within an unassuming
the world famous Japanese ceramic artist who made his home right
corridor that is passed up by most visitors. The collection of
here in Omaha. His works, ranging from drawing to bronzes, have
Grecian amphora pottery attributed to the “Omaha Painter” and
been featured in more than 40 museum collections. Neat-o!
others from antiquity is a sight to see. In Archaic Greece (600-480
He is most known for his “Dango” collection of massive ceramic
BC), the amphora pottery shape was a favorite among Attic blackforms. Translated from Japanese, Dango means “rounded form,”
figure painters. The name amphora means “carried on both sides,”
and Kaneko uses this three-dimensional canvas as his own way to
as manifested in the handles. Amphorae were used in a wide
express a visual language. If you went to Golden Apple last year,
variety of ways, but most commonly they contained liquids. Try to
you have seen his work. (Bet you didn’t know you were that
find the “Attic Black-Figure Ovoid Neck-Amphora” on display.
cultured). Some of the Dangos were purchased by the Hilton
This piece represents a class of Tyrrhenian (derived from
downtown and reside in the center of the circular drive way. In
“Tyrrhenoi,” the name used by Athenians in reference to the
strictly Nebraskan vernacular, they can be likened to giant egg
Etruscans) amphorae offset by the detail painted on the neck of
looking things that are either striped, polka-dotted or both.
the vase that became characteristic of amphorae exported to the
Stop by his studio in the Old Market and check out his new 2011
Etruscans from Attica. This amphora makes use of the common
collection entitled “Metamorphosis.” He will have on display his
Corinthian animal friezes and floral decorations in the upper and
costume collection for Madame Butterfly as well as information
lower registers, along with a unique combination of a
about his collaboration with the Lauritizen Gardens on an outdoor
mythological and genre scenes.
exhibit running from late April until mid September.
Tip: Take your significant other to the Joslyn and spout off what
Tip: Don’t try to buy a Dango. While they are very pretty, they are
you just learned about the amphora. You’ll look very suave and
also very expensive. Or at least wait until you’ve paid off those
sophisticated. Trust me.
student loans. Then it’s all Louis Vuitton purses and huge ceramic
eggs for the rest of your career.
The Hot Shops (www.hotshopsartcenter.com)
Located at 1301 Nicholas Street, The Hot Shops is a massive
The Grey Area: Secret Keepers
Laura August-Schmidt
M1
And this, a dedication:
To all the secret keepers, slowly preyed upon by
silence. I hear you in the quiet.
For an excessively talkative extrovert, I’ve
got my tongue in a bit of a tangle. There’s a
rather large cat holding my wriggling words,
and I want very much to just let my insides
burst out my eye balls and finger tips and
finally release the crushing gravity of this
pressure. The bliss and bitters of medical
school are quite equipped at hunting down
our every weakness, magnifying them
tenfold, then drowning us in surging fire
hydrants of medical knowledge. We signed
up for this, it is true. And truth be told I love
every minute of it. Sleep deprivation is no
new challenge to an insomniac, but there are
many more blunders of which I can only
dream to tell you in this mad mad world we
share. To catch my breath, I know what
plagues you. And it terrifies me to think of
you huddled in that silence. If I know one
thing too intimately, it is that sickening
silence, and suffice it to say, it is a killer, that
one.
Over the course of my twenty-five years,
my neurons have run a bit amuck, and life, as
it loves to do, waits for no man. With due
time I developed a cluster of varying internal
dragons whom I battle on a daily basis. They
so choose, on their twisted own, to peek their
taunting eyes out and take little jabs at me in
the most inconvenient of times. One such
time was during the dizzying days of my
sandlot pre-teens. Who knows what my
angsty deal was then, but I was in a ball of
frustration on the floor one afternoon when I
felt the gentle touch of a sticky, markered
hand on my shoulder. I turned my puffy,
dripping eyes to see my baby brother, not
more than 3 or 4, shaggy blonde mullet in
tow. He said to me through peanut butter
breath, “D.W.A.I.”
“D. W. What?” I asked, pausing in
frustration for momentary confusion, to
which he replied with remarkable wisdom,
“Don’t worry about it.” He had no idea what
was troubling me but regardless, his answer
would have been the same. So I say to you,
with heavy experience in too many things for
me to tell you here: D.W.A.I. There’s always
tomorrow and all that good stuff, they say.
And it’s true, I’ve found out. Apparently
there’s no end or disaster unless we make
one ourselves. Who knew??
We’re in this together right? I mean, that’s
what makes us Creighton. We are a family.
And we are human. School is a monster, and
life is even more blind than justice. There’s
nothing fair or unfair about it. It is what it is;
it gives and takes mercilessly. All we can do
really is just take what we get and do the best
we can…as a family.
And like any family there’s that obnoxious
uncle, prissy sister, arrogant stepbrother,
suspiciously quiet second cousin once
removed, and they make it annoyingly
difficult to love…but love them we must.
Should the worst find us in the worst way,
they’ll catch us in our inevitable fall. Now, if
you’ll trust me, I’ll get on my soap box.The
next time you make that casual comment
about all those things you know in the
deepest part of your heart will alienate any
one of us, even if meant in jest, think about
that secret clawing at your throat in the dark
of the night. Wouldn’t it be nice to have a
friend to tell, get that darn cat out of that
tormented bag? Well who will be there to
listen when ignorance, fear, and, the worst of
them, indifference, have stomped out any
hope for a conversation? We all have a secret
to tell. I’m listening, are you?
Should any of you be interested, I and several of
your classmates would like to begin a monthly (or
so) frank open forum about what med school is
doing to our psyche, our sex life, our marriages,
our singledom, our health, our religion, our
politics, our sanity, what have you, please email
me at LMA83117@creighton.edu. Also please
let me know if you’d prefer our meetings to be
confidential. I will gladly make arrangements for
that.
Reflection as a First-Year Medical Student
Hannatu Tunga-Lergo
M1
It is with an elated heart that I thank God for the blessing He has
bestowed by giving me the opportunity to become a Doctor.
Something uttered as a Child is becoming a reality, and at times
this life seems surreal. I have encountered and undergone many
battles that not even my closest friends would understand, and
yet, I can stand shoulders pressed back, chest pushed up, back
erect and feet planted firmly as I finish my first year as a neophyte
of medicine. I’ve stressed, gotten angry and cried, yet the
happiness and delight that is reverberating through my body,
through my soul comes from God. I am joyful because I see and
feel the growth into a Physician that seemed impossible at the
commencement.
In this journey I look to my right, and I see you. I look to my
left, and I see them. I look forward, and I see us. Us, Doctors
filled with Ignatian Spirit led by the teachings of Christ to serve
our brothers and sisters, determined to use the gifts and talents He
has granted us in order to reveal to the world a human’s capacity
to love. That’s what we do. As Doctors we show Love. We may
not be perfect; our philosophies may not be quite right; we may
become cynical, sad, frustrated at times, but we will continue to
treat. Is that not Love? Sacrificial Lovers: that is what we will
become. That is what I look forward to becoming. That is what
makes me joyful.
Laughing, I remember when I would sit to study shaking my
head wondering who was the guy that had the audacity to think I
would learn all this, within a week, and pass my exam. And yet,
time and time again I did. And yet, I sit here remembering and
applying what I learned. Who would have thought that the
audaciousness to believe in one’s greatness is integral to our
learning processes? Who would have thought?
All the reasons, the people, the purposes, the chances that
brought us to Creighton I believe were orchestrated by God. For
to bring together the people I now call my friends, my
companions, my colleagues has the delicate and fine script that is
the handwriting of God. It was like yesterday when I started to
read the story of Class of 2014, and it will be like today when I
read the chapters of our magnificent transformation. This year
was truly a treasure that at times I wonder what I did to deserve.
As I traverse this world of medicine, I shall look to my right, to
my left and forward. Simply smile and say “Thank you God, I
promise to be an audacious Sacrificial Lover just the way You
intended.”
Importance
of a Good
Night’s Sleep
Liz Ferguson
Events Coordinator,
Office of Student Affairs
Did you know that not getting enough
sleep can affect your body mass index;
increase your risk of diabetes, heart
problems, depression and substance abuse;
and increase risk of motor vehicle accidents?
Lack of sleep can affect every aspect of our
lives. So how much sleep is enough? Every
person’s sleep requirements are different,
and in fact our sleep needs change as we
age. As a general rule you should be getting
7-9 hours of sleep each night.
If you are struggling with getting enough
sleep, experts recommend keeping a sleep
journal for two weeks to determine what
barriers may be preventing you from getting
a good nights sleep. Here is a very simple
sleep journal provided by webmd.com:
http://img.webmd.com/dtmcms/live/
webmd/consumer_assets/site_images/
media/pdf/hw/form_tm4434.pdf
According to the National Sleep
Foundation, there are some basic steps to
follow when trying to establish better sleep
habits:
1. Establish consistent sleep and wake
schedules, even on weekends.
2. Create a regular, relaxing bedtime routine
that begins an hour or more before the time
you expect to fall asleep.
3. Create a sleep-conducive environment
that is dark, comfortable and cool.
4. Sleep on a comfortable mattress and
pillows.
5. Use your bedroom only for sleep (keep
“sleep stealers” out of the bedroom—avoid
watching TV, using a computer or reading in
bed).
6. Finish eating at least 2-3 hours before
your regular bedtime.
7. Exercise regularly during the day or at
least a few hours before bedtime.
8. Avoid caffeine and alcohol products close
to bedtime, and give up smoking.
For more information on sleep and strategies
to
improve
sleep,
visit:
www.sleepfoundation.org
Our Journey to
Change Lives
and Inspire Hope
Naomi Whittaker
M2
As the kick-off year for Partners Against
Cancer comes to an end, we have matched
over 40 students with patients and have
heard compelling stories of students being
by their patients’ sides at the hardest part of
their lives. It is heart-breaking but
inspirational to hear that a student was a
patient’s sole companion as the patient
reached the end of life.
Every student has had a very unique
experience in the program, so our officers
are planning a retreat dinner for students to
share their stories. The dinner will consist
of a speaker to spark dialogue among
students at their tables. We hope this will
serve as a reminder of why we came into
medicine and as an opportunity to share
how students were able to handle difficult
and very personal situations.
We never could have imagined we would
have such an incredible first year! Though
we had some challenges along the way, we
were able to learn from them in order to
make the PAC experience rewarding and
enjoyable for students, while engaging
patients who would benefit most from the
program.
The best example happened when we
redesigned our match process. Instead of
shadowing to match with a patient, the
oncologists at CUMC identify patients in
need of a medical student partner. When
Dr. Silberstein identifies a patient in need,
he tells them, “If you choose to participate
in PAC, you get your very own medical
student. They are completely yours.”
Oftentimes, patients are comforted to get
such specialized attention from someone in
the medical profession. For many patients,
this marks the beginning of a difficult
journey that is eased by having a partner by
his or her side.
A Special Thanks to…
Partners Against Cancer’s volunteers,
officers, oncologists, and clinic staff.
Without you, the program could not exist.
We want to take a moment to thank the
PAC volunteers for being patient with us
and giving us honest feedback. We could
not have improved the program for next
year without your feedback and support.
Dr. Silberstein and his staff (especially
Kathy Hebenstreit R.N. and Fellisha
Miller) have taken it upon themselves to
work extra hard with PAC to go above and
beyond for patient care. In addition, we
have had wonderful officers who have been
flexible as the program was developing
(especially Sara Birdsong, Evan Kirschner,
and Joanna Gould). It is a credit to these
amazing people that many cancer patients’
lives have been profoundly changed.
Photo by
Heather
Dalton, M1
The Battle of the Boards
Adam Pendleton
M2
Over the past two years, the Board Monster (yes, this was
actually a rejected Lady Gaga song) has been silently
creeping up behind us. As M1s, “boards” was a word
haphazardly thrown out by professors in an attempt to get
our attention back after we’d been distracted by the “shiny
things” of classroom life: who had fallen asleep in class for
the third time this week, who was on Facebook, what type of
blood Charlie Sheen had drank for breakfast, etc. It
worked…sometimes. It was easy to say, “Boards? Those are
so far away!” And with that phrase muttered out into the
universe, unbeknownst to us, The Monster took one step
closer.
Then came the beginning of second year. Rejuvenated
from our summer break, we were poised to attack: we
sneezed our way through ID, bled through heme/onc,
hallucinated through bmed, lub-dubbed through cardio,
gasped through pulm, got pissed at renal, hor-moaned
through endo and broke out during MSI. With every course,
It took one more ghoulish step. No longer did the word
“boards” incite apathy. When spoken now, “boards” creates
a flurry of feverish note-taking, the occasional involuntary
facial spasm and the ever-inconvenient bladder voiding.
Every moment that passes, The Monster grows ever more
fierce. As we begin to study, we can feel Its presence, like
someone watching from the shadows…waiting. We can
smell the stench of Its breath, rotten from devouring the
dreams and free time of med students everywhere. At times,
hopelessness sinks in. But, alas, all is not lost.
Suddenly, from the foggy distance, you hear it: boom,
boom, boom. Battle drums. The slow and steady beat grows
louder as you peer over the horizon to see the cavalry, ready
to join the fight: Linda Pappas, wielding the Crossbow of
Courage; Michele Millard with her Nunchuks of
Knowledge; Kavan slicing the air with his Blade of Balance
(why he’s wearing tight leather shorts, I’m not sure, and it’s
disturbing!don’t look directly at him). Following them is
the rest of the Creighton Crusade ready to help us take on the
beast. We all know the battle plan: stick together; support
each other; ask for help. The Monster has stepped out of the
darkness. We are ready to face It. If you get tired, Marcia is
manning the coffee station. Need some heavy artillery? Call
Dr. Hunter. He literally uses his first edition Robbins as a
weapon.
The battle will be exhausting, but we will make it through
together!we always have. I have faith that when the dust
settles, the Monster will lay slain on the battlefield, and we,
though bloodstained, will be victorious. The reward will be
great: personal accomplishment (…and Kavan promised to
put a hot tub and a wet bar in the lounge).
To my fellow M2s, have no fear!our army is strong and
prepared. So, put your heads down and your weapons up…
and let the battle begin.
BlueJaywalking
What are your plans for the summer?
“To move. I’m going to Indiana.
Indianapolis is the Paris of the
Midwest.”
-Jordan Whitson (M4)
“I’m going to Chile for 3 weeks
because all my family is there. I’m
thinking about maybe going to the
Andes Mountains and climbing. Maybe
buying an alpaca sweater.”
-Kevin Gysling (M2)
“I’m going to Peru on Cura and then
babysitting in Omaha after that.”
-Mimi Longo (M1)
“I’m going to hang out in Omaha and
celebrate boards being done with
everyone here then go to San Diego
and hang out with my parents and go
to the beach.”
-Jaya Maewal (M2)
“I’ll be in Minneapolis doing
anesthesia research.”
~Mike Potter (M1)
“Haven’t decided yet. Still looking
for options. If anyone has anything,
let me know!”
-Dusty Sitzmann (M2)
“I am going on a Mediterranean cruise
with my family.”
-Elena Strunk (M2)
Pine Ridge:
Eight M1s continued the Creighton tradition of spending Spring Break at the
Pine Ridge Indian Reservation. Pine Ridge, South Dakota is in one of the
poorest counties in the US. The Lakota Sioux, who live on the reservation,
suffer from 80%-85% unemployment with 50% of the population living below
the poverty line. They also suffer from the shortest life expectancies in the
Western Hemisphere (about 50 years-old). We volunteered for three days in
the Red Cloud Native American School teaching the basics of health and
wellness with a focus on diabetes and heart disease prevention. The 3 schools
in the Jesuit-affiliated Red Cloud School system have about 600 students
ranging from K-12th grade. While our teaching abilities may have been
underdeveloped, the kids responded with enthusiasm. At the conclusion of the
week, we were invited to participate in a traditional Lakota sweat lodge
ceremony. The sweat lodge consists of about 15 people sitting in a circle under
a 3-ft. tall dome covered in blankets, tarps and skins. Red-hot stones are
brought in and placed in the middle. The ceremony begins with Native
American songs while water is poured over the hot rocks. The steam and heat
are intense. It was an interesting and memorable experience for everyone.
Team Members: Mike Mandrell (leader), Jordan Crow, John Franco, Steve
Marcoux, Mario Mitkov, Eric Olge, Justin Otis, Sam Pearson, Sarah Takimoto
Nicaragua:
CURA
Our group will be working with ATRAVES, a non-profit organization
that is just finishing up a clinic we will use. We will be serving the
neighborhoods ("barrios") Anexo Camilo Ortega and William Galeano
on the southwest outskirts of Managua. We will be staying the entire 3
weeks with Nicaraguan families and are all looking forward to the
homestays as one of the best parts of the trip! Nicaragua is the second
poorest country in the Western hemisphere. About 80% of the
population lives on less than $2 a day, and of that percentage, 45%
lives on less than $1 a day. For these individuals, the nearest
healthcare center is currently 2.5 miles away and not completely free.
There are many health problems stemming from the poverty, including
almost 30% of school-age children suffering from malnutrition. In the
past, ATRAVES has ran half-day clinics out of the school and served
over 1000 people in a month. We expect to see at least this many
patients, as our services will be full day and from a new facility. As
you can see, we have a lot of service to provide to this community!
We will be working with Nicaraguan physicians but will be doing the
majority of vitals, interviews, and physical exams we feel comfortable
doing. On the weekends we will be doing a bit of sight-seeing and are
very excited for all the beauty the country has to offer!
Team Members: Kylie Dixson (leader), Carrie Cusack, Katie Cusack,
Aimee Hintz, Nick Ingraham, Steve Marcoux, Rob McMillan, Daniel
Mistrot, Peter Nguyen, Vy Nguyen, Briana Scott, Kayla Wiesner
Peru I:
Our group will be spending about 5 weeks in
Peru this summer, 3 of which will be spent
doing medical service in Cusco and
Urubamba. For the duration of the trip, we will
be working with Maximo Nivel, a volunteer
service organization that allows international
medical students to work within the
government-run healthcare system in Peru. We
are excited to have the opportunity to live with a
host family, practice our Spanish during the trip,
and volunteer in both urban and rural settings
and in an orphanage and elder home. Dr. Walter
Longo, a hematologist/oncologist at the
University of Wisconsin-Madison (and Mimi's
dad), will join us for the week we spend in the
rural village of Urubamba. After volunteering
for 3 weeks, we plan to embark on the Salkantay
Trail to Machu Picchu and spend time traveling
in southern and central Peru. Follow our
experiences and reflections during and after our
trip at http://projectcuraperu1.blogspot.com.
Team Members: Megan Hamre (leader), Mimi
Longo, Sarah DeWitt, Erik Egeland, Erik
Frandsen, Matin Ebneshahrashoob, Jessica
Veatch, Cameron Ghaffary, Kristina Khazeni
Peru 2:
Our group will be flying into Lima before taking a
long bus ride through the Andes to Huancayo where
we will be volunteering with CarismaPeru
(www.carismaperu.org). While in Huancayo we will
spend 3 weeks volunteering in local medical centers,
helping at orphanages and schools, and taking Spanish
lessons. After our time in Huancayo, we plan on
traveling to Cusco before going on the Salcantay Trek,
an alternative to the Classic Incan Trail, to Machu
Picchu. We plan on bringing children’s clothes, dental
supplies, and old laptops with us to Peru to aid
CarismaPeru’s New Development Program, which
aims at broadening the opportunities available to the
children of Huancayo.
Team Members: Christina Caruso (leader), Austin
Andersen, Scott Bruschwein, Daniel Hosker, Ashley
Husebye, Cody King, Corinne Lieu, Rachel Petersen
2011
Romania:
We will be traveling to five cities within Romania
where we will be providing basic medical services and
free medicine. The cities include: Arad, Buteni,
Sighisoara, Botosani, and Bucharesti. Through our
efforts, we hope to gain valuable clinical and cultural
experience that will help us become better physicians,
and more importantly, better human beings.
Team Members: Amith Reddy (leader), Heather
Berigan, Gregory Dodaro, Matthew Dorweiler,
Hasnain Hasham, Nicholas Mancuso, Shelby
Takeshita.
Ghana I:
Our team will spend the first portion of the trip working with
Dr. Young, who is currently the director of the Saboba
Medical Centre in northern Ghana near the Togo border.
Currently, Dr. Young is the only doctor servicing an area with
a population of over 120,000. Students will work in the
hospital with locally trained medical assistants in the areas of
surgery, obstetrics, pediatrics, and medicine. Students will
also travel around local villages to make much-needed house
calls and assist in public health education within the
community. The second portion of the trip will take place in
the more urban setting of Kumasi, the former capital of the
Ashanti kingdom, where students will participate in outreach
work involving tutoring and education at the Mother Theresa
Orphanage. Students will also have time to enjoy Ghana’s
rich cultural and ecological diversity by visits to Mole
National Park and the Cape Coast Castle and by participating
in the local festivals and traditions in Kumasi and Saboba.
Follow our blog: http://projectcuraghana1.blogspot.com/.
Team Members: Kay Bruemmer (leader), Sarah
Bly, Brittany Boswell, Lauren Brin, Tyson Hickle, Timothy
McCarthy, Ian Steele, Mary Warlaumont
Ghana II:
As Ghana Team II, we will spend the first part of our service trip working with Rev.
Goodwin Ahlijah, Dr. Lenusia Ahlijah and the Meaningful Life International (MLI) team in
the city of Tema. While working with MLI, we will support mobile medical units that
provide rural communities with free health care and will also provide fresh water wells to
areas where there is no clean drinking water. Following a week with MLI, our team will
travel to Saboba, near the Togo border. In Saboba, we will live on-site and work for two
weeks with Dr. Jean Young, the director of the Saboba Medical Centre. This rural clinic
services a population of over 120,000 people in the Northeastern part of the country. At the
clinic we will have the opportunity to work with trained medical providers in areas of acute
care, obstetrics/gynecology, surgery and pediatrics. In addition, Team Ghana will also have
the opportunity experience the cultural highlights of Ghana. Among the many sights to be
seen are: Mole National Park, Axim Beach, and the Cape Coast Castles.
Team Members: John Hollowed (leader), Tom Knowles, Eddie Krajicek, David Skoglund,
Jen Rosin, Jen Cabral, Laura August-Schmidt, Ariel Postone
India:
Our group plans to visit Calcutta, Delhi, Agra,
Mumbai and Goa. We will work with the Mother
Theresa house in Calcutta and hopefully in Delhi as
well. At the Mother Theresa House, we will care for
patients afflicted with tuberculosis, leprosy and
various mental health disorders, and provide care and
comfort to the terminally ill. In Delhi and Mumbai, we
hope to tour state-of-the-art hospitals, and we will
team up with local doctors to organize health clinics in
rural areas. We are very excited to learn about the
practice of medicine in India and to experience the
wonderful Indian culture by serving the local
communities!
Team Members: Drew Keyser (leader), Susan
Behnawa, Laura Brannen, Angela Chon, Alexander
Cranwell, Salima Hasham, Jiten Patel, Nargis Sadat
SE Asia:
Our group will be traveling to the Philippines,
Indonesia, and Cambodia. We will spend about a week
in each country volunteering with different
organizations. In the Philippines and Indonesia, we
will be collaborating with HOPE Worldwide to bring
medical care to the underserved populations around
Manila and Jakarta, respectively. In Indonesia, we will
also be working in HOPE's tuberculosis clinics. In
Cambodia, we will be volunteering with Solaid
International doing community health assessments,
teaching English to Khmer students, and assisting
Solaid with other projects. We are very excited to
serve the communities of SE Asia and look forward to
learning about the healthcare practices and cultures of
the places we visit!
Team Members: Stephanie Ng (leader), Lindsay
Emerick, Natalie Erbs, Lindsay Ferguson, Drew Moss,
Staci Shepard, Liz Wooster
Health Disparities Today:
A Look at Diabetes in the Native American Population
According to a recent CDC report, “diabetes continues to affect
American Indians/Alaskan Natives disproportionately and is
becoming more common among younger populations.” As of 2007,
there are 3.3 million American Indians and Alaska Natives in the
United States who are members of 561 tribes. 16.3% of Native
Americans have already been diagnosed with diabetes. That is over
500,000 individuals or roughly the entire population of Omaha,
Nebraska. In 2004, 1,758 Indian youth had been diagnosed with
diabetes. This is up 68% from 1994. 20-29 year old Indian and
Alaskan Natives have seen a 58% increase in diabetes prevalence
compared with a 9.1% increase in the general population.
Complications include major comorbidities such as kidney failure,
extremity amputation, cardiovascular diseases, blindness, and
premature mortality. On average, receiving a diagnosis of diabetes
means one’s lifespan is shortened by 15 years. In 2004, it was the
fourth leading cause of death for Native Americans.
The cause of the great disparity in diabetes prevalence between
tribes and the general U.S. population is multifocal. Besides
diminished physical activity and increased fat and calorie
consumption leading to general obesity, genetics plays an important
role. Numerous theories have been proposed including the Thrifty
Gene Theory, which addresses the feast versus famine adaptation
element, and a theory regarding a dual impairment in the processing
of alcohol and sugars. These factors are compounded by a limited
access to health care secondary to rural locations and a lack of
funding for health programs.
“People don’t think about the unique situations that occur in a
rural setting like a reservation,” said Kelly Beam, nurse practitioner
in charge of the Carl T. Curtis health clinic on the Omaha
reservation. “For example, we lose water at least twice a week, and
the biggest accomplishment of the community last year was killing
over 300 wild dogs.” While that seemed a bit shocking to me, she
explained that wild dogs are a major reason many on the reservation
do not exercise.
“It’s not just the obstacles to exercise either,” she continued.
“Eating healthy is near impossible.” I discovered that most
residents of the reservation do not have a car, and the nearest major
grocery store is thirty miles away in Sioux City. There is a local
grocery store on the reservation, but Kelly told me the pickings are
sparse. “Pop is cheaper than milk, and milk spoils,” she said.
“When the water’s off and your child is thirsty, you give him pop.
That’s just the way it is here.” Even when the water was on, she
explained, there have been so many incidences of tainted water that
everyone tends to avoid drinking it.
Funding is also a major obstacle in the fight against diabetes.
According to the U.S. Department of Health and Human Services,
the per capita spending for health in 2003 was $5,065. The
government spent about $3,803 on average for health per federal
prisoner. And for Native Americans, who are guaranteed healthcare
through federal treaties, the federal allotment was only $1,914. That
is less than half of what the average American spends on health care
per year. Adds Debra Parker, former Diabetes Coordinator for the
Omaha tribe, “The IHS will never fund 100% of our need. If you
get only 65% of what you need, what do you pick to do?”
Unfortunately, addressing this question may prove just as difficult
as addressing the disparity in general.
References available on demand: courtneyfoote@creighton.edu
Megan Hamre’s (M1) Apple & Ginger Turkey Burgers
1½ lbs ground turkey
¼ c. liquid egg substitute or 1 egg white
1 medium apple
¼ medium onion
¼ c. breadcrumbs
1½ tbsp grated ginger root
Salt and pepper to taste
¼ c. ketchup (optional)
*Make this recipe gluten-free by substituting gluten free breadcrumbs (ex: brown rice or
tapioca bread)
Place the ground turkey in a large bowl. Add the egg substitute. Peel and core the apple
and cut into chunks. Place it in a food processor or blender with the onion and bread
crumbs. Chop all ingredients fine. Add to the meat along with the ginger root. Salt and
pepper to taste. I recommend adding ketchup for more flavorful burgers. Mix thoroughly
and shape into 4” patties. Grill for about 15 to 20 minutes. You can also broil in the oven
with meat approx. 7 inches from the heat. Makes 6 servings.
image courtesy of peapodannouncements.com
Courtney Foote
M4
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MATCH 2011
To the Fabulous Class of 2011!
It's official!we've all matched, and nothing can stop us now! Match Day was such a fun day, and I could
not be happier for any of you! Countless years of busting our a--es finally paid off, and in just a few
weeks we will be "Doctors!" Now we can get excited for the festivities during graduation week, when we can
fully celebrate our achievements all together before moving day. I feel fortunate to have known all of
you, and I wish you all the best as you continue to be rockstars in residency!
2011 Love Forever!
Patty Terp (M4)
ANESTHESIOLOGY
Aldrich, !Christopher
Oregon !Health !& !Science !Univ, Portland, !OR
Boyle, !Molly
Mayo !School !of !Grad !Med !Edu, Rochester, !MN ! !
Medicine!Preliminary: !St !Josephs !Hospital, !Phoenix, !AZ
Carney, !Seri
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI ! !
Medicine!Preliminary: !U !South !Dakota !SOM, !Sioux !Falls, !SD
Farber, !Daniel
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI
Guenzer, !Joseph
Univ !of !Chicago !Med !Ctr,! Chicago, !IL
Healy, !Elizabeth
Univ !of !Chicago !Med !Ctr,! Chicago, !IL
House, !Rebecca
Virginia !Mason !Med !Ctr ! Seattle, !WA ! !
Preliminary !Surgery: !Creighton !Univ !Affil !Hosps, Omaha, !NE
Otuwa, !Nnamdi
Med !Coll !Wisconsin !Affil !Hosps,! Milwaukee, !WI ! !
Preliminary !Surgery: !Loyola !Univ. !Med !Center, !Chicago, !IL
Rayl, !Thomas
U !Minnesota !Med !School,! Minneapolis, !MN ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE
Thelen, !Brendan
U !Nebraska !Medical !Center,! Omaha, !NE ! !
Preliminary !Surgery: !UC !Davis !Med !Ctr, !Sacramento, !CA
DERMATOLOGY
Junck, !Marianne
Med !Coll !Wisconsin !Affil !Hosps,! Milwaukee, !WI ! !
Transitional !Year: !St !Lukes !Med !Ctr, !Milwaukee, !WI
EMERGENCY
Ali, !Anah
Barnes!Jewish !Hosp,! St. !Louis, !MO
Benson, !Ryan
Oregon !Health !& !Science !Univ,! Portland, !OR
Ellingson, !Marc
Regions !Hosp/HealthPartners,! St. !Paul, !MN
Gross, !Maureen
Barnes!Jewish !Hosp ! St. !Louis, !MO
Rau, !Matthew
Hennepin !Co !Med !Ctr,! Minneapolis, !MN
Rogers, !Kirsten
U !New !Mexico !SOM,! Albuquerque, !NM
Wang, !Heeyoung
U !Nebraska !Affil !Hosps,! Omaha, !NE
FAMILY MEDICINE
Azar, !Baubak
Research !Medical !Center,! Kansas !City, !MO
Bui, !Loan
White !Mem !Med !Ctr,! Los !Angeles, !CA
Dentlinger, !Renee
Research !Medical !Center, Kansas !City, !MO
Esteba !(Colina), !April
Central !WA !Family !Med, !Yakima, !WA
Ramig, !James
Clarkson !Regional !Health !Services,! Omaha, !NE
Wang, !Danielle
U !Minnesota !Med !School,! Minneapolis, !MN
GENERAL SURGERY
Osmolak, !Angela
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Hwang !(Macatangay),! Aileen
Swedish !Medical !Center, Seattle, !WA
Svetanoff, !Wendy !Jo
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Tieva, !Erwin
Tripler !Army !Medical !Center,! Tripler !AMC, !HI
Torgersen, !Zachary
Creighton !Univ !Affil !Hosps,! Omaha, !NE
INTERNAL MEDICINE
Anazia, !Gregg
LSU !SOM!New !Orleans,! New !Orleans, !LA
Barbee, !Stephen
U !Utah !Affil !Hospitals,! Salt !Lake !City, !UT
Batzlaff, !Cassandra
Mayo !School !of !Grad !Med !Educ,! Rochester, !MN
Beckman, !Jennifer
U !Utah !Affil !Hospitals,! Salt !Lake !City, !UT
Bracken, !Susanna
Summa !Health/NEOUCOM,! Akron, !OH !
Daniel, !Kimberly
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI
Fulton, !James
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Gogia, !Namrita
UC !Irvine !Med !Ctr,! Orange, !CA
Gupta !(Sinha), !Jaya
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Hurley, !Peter
U !Minnesota !Med !School,! Minneapolis, !MN
Koll, !Thuy
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Lane, !Ashley
Duke !Univ !Med !Ctr,! Durham, !NC
Mackenzie, !Kara
Vanderbilt !Univ !Med !Ctr,! Nashville, !TN
Mathias, !Jonathan
Cleveland !Clinic !Fdn,! Cleveland, !OH
Mitchell, !Adam
U !Minnesota !Med !School,! Minneapolis, !MN
Oberle, !Amber
Indiana !Univ !SOM,! Indianapolis, !IN
Olson, !David
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Pease, !Daniel
Hennepin !Co !Med !Ctr,! Minneapolis, !MN
Pedersen, !William
U !Utah !Affil !Hospitals,! Salt !Lake !City, !UT
Scheibe, !Meghan
CA !Pacific !Med !Center,! San !Francisco, !CA
Tran, !Phu
UPMC !McKeesport,! McKeesport, !PA
Walter, !James
Thomas !Jefferson !Univ,! Philadelphia, !PA
Werth, !Amy
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Whitson, !Jordan
Indiana !Univ !Sch !Of !Med, Indianapolis, !IN
MEDICINE/EMERGENCY MEDICINE
Dang, !Tam
Christiana !Care,! Wilmington, !DE
INTERNAL MEDICINE/PEDIATRICS
Kaminski, !Amy
St !Louis !Univ !SOM,! St. !Louis, !MO
OBSTETRICS/GYNECOLOGY
Arms, !Richard
Creighton !Univ !Affil !Hosps,! Omaha, !NE
Foote, !Courtney
U !Texas !Med !Branch!Galveston,! Galveston, !TX
Davis, !Andrew
St !Johns !Mercy !Med !Ctr,! St. !Louis, !MO
Donahue, !Meghan
Maricopa !Med !Ctr,! Phoenix, !AZ !
Hammers, !Amy
U !Florida !COM!Jacksonville,! Jacksonville, !FL
Roediger, !Laurian
U !Kentucky !Med !Ctr,! Lexington, !KY
Viamonte, !Louis
Maricopa !Med !Ctr,! Phoenix, !AZ
Wood, !Amber
Barnes!Jewish !Hosp,! St. !Louis, !MO
OPHTHALMOLOGY
Dworak, !Douglas
Stroger/Cook !County,! Chicago, !IL ! !
Medicine!Preliminary: !U !Illinois !COM, !Chicago, !IL
Joos, !Zachary
U !Utah,! Salt !Lake !City, !UT ! !
Medicine!Preliminary: !U !Utah !Affil !Hospitals,! Salt !Lake !City, !UT
Nash, !David
Eastern !Virginia !MS,! Norfolk, !VA ! !
Medicine!Preliminary: !Eastern !VA !Med !School, !Norfolk, !VA
Terp !(Schwartz), ! Patricia
U !Nebraska !Medical !Center,! Omaha, !NE ! !
Medicine!Preliminary: !U !Nebraska !Affil !Hosps, !Omaha, !NE
ORTHOPAEDIC SURGERY
Busse, !Eric
William !Beaumont !Hosp,! Royal !Oak, !MI
Dinh, !Nam
U !Kansas !SOM!Wichita,! Kansas !City, !MO
Horrigan, !Patrick
U !Minnesota !Med !School,! Minneapolis, !MN
Hsiao, !Mark
William !Beaumont !Army !Medical !Center,! El !Paso, !TX
McCarthy, !Meagan
UC !San !Diego !Med !Ctr,! San !Diego, !CA
Neary, !Kaitlin
Creighton!Nebraska !Hlth !Fnd,! Omaha, !NE !
Orsini, !David
Summa !Health/NEOUCOM,! Akron, !OH
Steiner, !Murphy
SUNY !Upstate !Med !University,! Albany, !NY
Van !Demark, !Robert
Mayo !School !of !Grad !Med !Educ,! Rochester, !MN
OTOLARYNGOLOGY
Rasband-Lindquist, ! Allison
U !Kansas !SOM!Kansas !City,! Kansas !City, !MO
Wood, !Joshua
U !Tennessee !COM!Memphis,! Memphis, !TN
PATHOLOGY
Lynch, !David
San !Antonio !Military !Medical !Center,! Lackland !AFB, !TX
Reinig, !Erica
Oregon !Health !& !Science !Univ,! Portland, !OR
Rusin, !Spencer
U !North !Carolina !Hospitals,! Chapel !Hill, !NC
Van !Gemert, !Lisa
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI
PEDIATRICS
Clark, !Kylie
Childrens !Mercy !Hosp,! Kansas !City, !MO
Kouri, !Anne
Indiana !Univ !Sch !Of !Med,! Indianapolis, !IN
Langerman, !Eric
U !Arizona !Affil !Hospitals, Phoenix, !AZ
Larsen, !Chari
U !Utah !Affil !Hospitals,! Salt !Lake !City, !UT
Long, !Michael
Childrens !Hospital!Oakland,! Oakland, !CA
McDermott !(Miller), ! Laura
UC !Davis !Med !Ctr,! Sacramento, !CA
Renn, !Caitlin
Creighton!Nebraska !Hlth !Fnd,! Omaha, !NE
Roenfeld, !Michelle
Childrens !Mercy !Hosp,! Kansas !City, !MO
Romans, !Ryan
Childrens !Hospital!Boston,! Boston, !MA
Senozan, !Erin
Walter !Reed !Army !Medical !Center,! Washington, !DC
Straley, !Matthew
U !Minnesota !Med !School,! Minneapolis, !MN
Venglarcik, !Carey
Kaiser !Permanente!Oakland,! Oakland, !CA
PSYCHIATRY
Anazia !(Butler), TaSheitha
LSU !SOM!New !Orleans,! New !Orleans, !LA
Carlson !Jr., !Richard
Vanderbilt !Univ !Med !Ctr,! Nashville, !TN
Forystek, !Amanda
U !Iowa !Hosps !and !Clinics,! Iowa !City, !IA
Johnson, !Amber
U !Iowa !Hosps !and !Clinics,! Iowa !City, !IA
Miiller, !Jason
U !Michigan !Hosps!Ann !Arbor,! Ann !Arbor, !MI !
Nguyen, !My !Phon
Univ !of !Illinois !at !Chicago,! Chicago, !IL
Schumacher, !Joseph
U !Colorado !SOM!Denver,! Denver, !CO
Turner, !Andrew
Tripler !Army !Medical !Center,! Tippler !AMC, !HI
Yang, !Bryan
Harbor!UCLA !Med !Ctr,! Torrance, !CA
RADIATION ONCOLOGY
Nolan, !Nicole
U !Kansas !SOM,! Kansas !City, !MO ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE
RADIOLOGY-DIAGNOSTIC
Bravo !(Cockson), !Erin
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE
Burke, !Richard
Loyola !Univ !Med !Ctr,! Chicago, !IL ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE
Haverkamp, !Benjamin
Univ !of !MO!KC !Programs,! Kansas !City, !MO
Hurd, !Elizabeth
U !Nebraska !Affil !Hosps,! Omaha, !NE ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE
Kehler, !Daniel
Med !Coll !Wisconsin !Affil !Hosps,! Milwaukee, !WI ! !
Transitional !Year: !Gunderson !Lutheran !Med !Fdn, !La !Crosse, !WI
Lindquist, !Jonathan
U !Kansas !SOM!Kansas !City,! Kansas !City, !MO ! !
Medicine!Prelim/Radiology: !U !Kansas !SOM, !Kansas !City, !MO
Packard, !Ann
Mayo !School !of !Grad !Med !Educ,! Rochester, !MN ! !
Medicine!Preliminary: !Creighton !Univ !Affil !Hosps, !Omaha, !NE !
Sana, !SaidMunib
Maine !Medical !Center,! Portland, !ME
Simpson, !Dustin
San !Antonio !Military !Medical !Center,! Ft. !Sam !Houston, !TX
Snodgrass, !Douglas
Madigan !Army !Medical !Center,! Tacoma, !WA
Schemmel, !Andrew
U !Wisconsin !Hospital !and !Clinics,! Madison, !WI
Stetz, !Michael
Med !Coll !Wisconsin !Affil !Hosps,! Milwaukee, !WI ! !
Transitional !Year: !Marshfield/St !Josephs, !Marshfield, !WI
Stibbe, !Adam
Creighton !Univ !Affil !Hosps,! Omaha, !NE ! !
Preliminary Surgery: Creighton !Univ !Affil !Hosps, !Omaha, !NE
Welsh, !Brandon
U !Kansas !SOM!Kansas !City,! Kansas !City, !MO ! !
Transitional !Year: !U !North !Dakota !SOM,! Grand !Forks, !ND
UROLOGY
Reznicek, !Daniel
U !Maryland !Hospital,! Baltimore, !MD
March 17, 2011
Maryal Concepcion
M4