Volume 8, Issue 8 August 2010

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Bill Toffler’s 25th Year Celebration Bill Toffler and OHSU Family Medicine celebrated a milestone on Thursday, August 19 as we marked the 25th anniversary of Bill Toffler joining the Department.

Bill joined us in August of 1985, leaving an active practice in Sweet Home, Oregon to become an OHSU Family Medicine Faculty member, charged with the task of creating a successful patient care enterprise. As our clinical activities became more robust, Bill focused his talents on teaching medical students. He currently heads the Department’s Section on Medical Student Education.

Bill, Marlene, Toffler family members, faculty, staff and residents gathered in the CHH Kirk Auditorium to hear tributes and a few humorous stories. Scott Fields, John Saultz and Bob Taylor shared memories of early days of the department. Shawn Blanchard described how Bill has mentored him (and many others). A highlight was the “You’ll Know ….When…” observations by Jessica Brown, presented here. (see page 4)

Bill received a “memory book,” edited by Coelleda O’Neil, with contributions from many who have worked with Bill during his time here. Bill and Marlene also were given a certificate for dinner at Jake’s--Bill’s favorite restaurant.

In presenting the certificate, Bob Taylor noted that Bill’s “recruitment dinner” was held at a Chuck E. Cheese restaurant, with Marlene and several little Tofflers present. And so, finally, 25 years later, Bill and Marlene will get their elegant (and well deserved) “recruitment dinner.”

Marlene and Bill Toffler

Bill with Memory Book

Bill, Marlene and Bob

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Bill Toffler’s 25th Year Celebration (continued)

At Bill’s celebration were Marlene’s mother, and Bill’s youngest son, Mark.

Volume 8 Issue 8 Aug 2010

Bill Toffler’s 25th Year Celebration (continued)

Here’s more pictures during Bill’s Celebration. Bill’s and Marlene’s reactions are priceless. What a fun time!

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Bill Toffler’s 25th Year Celebration (continued) In the Medical Student Education section we talk in code…that code is Myers Briggs personality type indicators. That being said, I am an “I”. When Bob asked me to speak today, I nearly had a stroke…but then I quickly realized that if I was ever going to give a speech for anyone, I’m absolutely honored that it is for Bill. I want to give you an idea what it is like to work for Bill.

You know you’re Bill Toffler’s assistant when…

You get phone calls from NBC, ABC and FOX News all wanting to speak to Bill within the next hour for a breaking news story.

You know you’re Bill Toffler’s assistant when… You have steady stream of pharmaceutical reps in your office to make appointments with Bill because he is one of the last Family Medicine docs at OHSU who will speak to them.

You know you’re Bill Toffler’s assistant when…

You go into Bill’s office to get a signature and leave 20 minutes later only to realize that you still need his signature.

You know you’re Bill Toffler’s assistant when…

You put something in his box that you need back, and have to go into his office and look through 30 NEW piles to fine what you are looking for.

In the words of Bill, “You can’t make this stuff up.”

The number one way you know that you are Bill Toffler’s assist is…Everyday your opinions are not only listened to but heard, your ideas are valued, and your recommendations are implemented.

Thank you, Bill, for being the most amazing boss I have every worked for.

Jessica Brown

Jessica and Bill

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The Taylors celebrate 50 years On July 30, Bob and Anita Taylor celebrated their 50th wedding anniversary at a dinner held in Virginia Beach, the home of their oldest daughter and her family. More than two dozen relatives and friends came to join in the event. The Taylors were married in

New York City, and lived in Virginia, upstate New York, and North Carolina before coming to Oregon in 1984. At the event, old stories were told, grandchildren had their first limo ride, and new memories (and some new friendships) were made.

Full-Service Family Medicine Hospital Care The Family Medicine Inpatient Service recently discharged and re-admitted a very ill patient so he could attend a motorcycle festival which was significant for him – a “not-for-profit” motorcycle club (only in Oregon).

The patient was readmitted in an end-of-life situation. The intern, Sharlene Murphy, D.O wrote in her discharge summary, “Patient and partner of 25 years were married in the hospital. This was the big goal they wanted to achieve before the patient dies.” \

What Dr. Murphy, an ordained minister, did not mention in the discharge summary, was that it was she, the intern, who performed the marriage in a ceremony which those who witnessed it describe as unforgettable.

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AAFP National Conference for Residents & Students The OHSU Family Medicine Residency Program, alongside the OHSU Cascades East and Providence Milwaukie residency programs, exhibited at the 2010 AAFP National Conference for Residents and Students. Heather Whetstone, Ben Schneider, Clea Lόpez, Jean Bendik, Chris Faison, Sean Robinson and Nick Gideonse were on hand to talk to medical students deciding which residency programs to apply to this fall.

Mellisa Pensa and Benjamin Schneider took this opportunity to run for national positions. We are extremely proud of Mellisa Pensa for her election as National Conference Resident Chair, and Ben Schneider for election as resident representative to the Association of Family Medicine Residency Directors. Mellisa Pensa is currently serving as the Resident Representative to the AAFP Commission on Governmental Advocacy.

Mellisa Pensa, 3rd year Resident © Sheri Porter/AAFP News Now

Jean Bendik & Clea Lόpez with their friend Cobras.

Rob Stenger with fellow National Conference Leader

Melinda Davis, PhD joined the Department of Family Medicine in August with a new position as a Research Investigator with the Oregon Rural Practice-based Research Network (ORPRN). Melinda spent the last 4 years in La Grande, OR as a Practice Enhancement and Research Coordinator (PERC) for ORPRN while completing her PhD in Social-Developmental Psychology from the University of Vermont. Melinda uses participatory research approaches and mixed method study designs to explore health service delivery in community and primary care settings. Her work focuses on rural populations and interventions to facilitate healthy/optimal aging across the lifespan, addressing topics such as childhood obesity, unmet

dental needs, and primary care clinician age-expectations and quality of care. Melinda grew up in the beautiful rural Columbia River Gorge (Stevenson, WA) and she enjoys rock climbing, mountain biking, trail running, and practicing yoga in her spare time. We encourage you to stop by her new office in EJH 28C to say hello and explore collaborative opportunities!

Volume 8 Issue 8 August 2010

Golden & Red Rose Recipients Sharlene Murphy will become the fourth Family Medicine physician recognized with the Golden ROSE. See her story “Full Service Family Medicine Care” on Page 5.

And if that wasn’t exciting enough, Ashley Hart and Linda Lallande are receiving the coveted Red ROSE for outstanding service.

Sharlene Murphy, MD Golden Rose

Ashley Hart, MD

Red Rose Linda Lallande, FNP

Red Rose

Melinda Davis, PhD

New Faculty in ORPRN

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New Faculty In Family Medicine

Heather Whetstone: Heather is finishing a few remaining out-patient rotations while beginning her role as Chief Resident of our Portland program and Instructor at Richmond Family Health Center.

Moniquea Degan: Moniquea is trained as a family nurse practitioner and has experience caring for patients across the age spectrum. She enjoys working with children, families and older adults. Her previous experience has included emergency department care, well-child care and prenatal care. She hopes to incorporate integrative health care concepts and develop partnership with patients in pursuit of health. Moniquea is seeing patients at Richmond Family Health Center.

Moniquea DeGan, MN, FNP

Heather Whetstone, MD

Ryan Petering, MD

Ryan Petering: Ryan completed college and medical school at East Tennessee State University in northeast Tennessee. He moved to Oregon for residency and a fellowship. His practice interests include primary care for people of all ages, sports medicine, and wilderness medicine. He enjoys helping patients create, maintain, and return to active, healthy lifestyles. He also provides manual manipulation medicine for certain musculoskeletal conditions.

Ryan enjoys the great outdoor opportunities that the beautiful Pacific Northwest has to offer. Surf ski paddling on the Columbia River, whitewater paddling, telemark skiing, and camping at 10,000 feet on Mount Adams are just some of the activities he enjoys. Additionally he likes photography, cooking and gardening.

Talley Andrews, MPH

Talley Andrews: Talley joined OHSU Family Medicine as a Research Assistant 2 on August 16, 2010. In her primary role at OHSU, she will review and synthesize evidence to improve the quality of care for respiratory tract infections in children.

Talley recently moved to Portland from Atlanta, GA, and she is excited to get out and explore her new neighborhood, city, and region. In her spare time, Talley enjoys reading, playing cards, and spending time with her family.

Volume 8 Issue 8 August 2010

New Faculty in Family Medicine (continued)

Dr Matthew Thompson completed medical school at the University of Glasgow in Scotland in 1989, and postgraduate training in the United Kingdom before spending a year working in a rural hospital in Kwazulu in South Africa. He moved to the USA to

complete a family medicine residency at the University of Cincinnati (1995-1999), followed by a research fellowship and MPH degree at the University of Washington (1999-2001) as a NRSA Primary Care Research fellow. In 2001 Matthew joined the faculty at the University of Washington Department of Family Medicine working in rural health research and health workforce. In 2003 he was appointed to the faculty at the University of Oxford Department of Primary Health Care, where he completed a DPhil in 2006. He maintains a joint appointment with Oxford University as a Senior Clinical Scientist and as a Lecturer with the Center for Evidence-Based Medicine.

Dr Thompson has extensive experience in primary care research, particularly in the areas of infectious disease, paediatrics, and diagnostics. He is Co-Director of the Oxford Centre for Monitoring and Diagnosis, a NIHR funded initiative at improving diagnostic strategies used for a variety of acute and chronic conditions in primary care, and coordinates a European initiative to improve recognition of serious infection in children in emergency departments and primary care. Other ongoing research studies include systematic reviews of diagnostics and interventions in primary care, observational studies of patients with respiratory tract infections, and use of new diagnostic and point of care technologies. Dr Thompson has over 60 scientific publications, and as PI or co-applicant has been awarded major grant funding from the UK’s National Institute of Health Research, and Health Technology Assessment Programmes. Dr Thompson is an Editorial Advisor to the British Medical Journal, an Editor for the Acute Respiratory Infection Group of the Cochrane Collaboration, and Associate Editor of Family Practice. He enjoys teaching students and clinicians about incorporating evidence based medicine in clinical practice and research.

Dr Thompson has worked as a family doctor in the USA, UK, and South Africa, and has a special interest in paediatrics. He is board certified by the American Board of Family Medicine and a Member of the Royal College of General Practitioners. Dr Thompson enjoys time with his family, as well as international travel, bicycling, and mountaineering.

Matthew Thompson, D Phil

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"You and I may not live to see the day, and my name may be forgotten when it comes, but the time will arrive when great outbreaks of cholera will be things of the past; and it is the knowledge of the way in which the disease is propagated which will cause them to disappear."

British anesthesiologist and epidemiologist John Snow (1813-1858)

The above is a comment made in 1884 by Dr. Snow to the Reverend Henry Whitehead, of the St. Luke's Church in Soho, who originally challenged the Broad Street pump theory as to the source of the cholera epidemic. Whitehead’s research caused him to change his mind and agree with Snow. In fact, Snow’s name has not been forgotten.

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In the News Daisuke Yamashita made a presentation and was a member of a panel discussion on the symposium regarding Family Medicine Certification in Japan held June 27, 2010. The Japan Primary Care Association Annual Scientific Meeting was very first scientific

meeting after the merger of three primary care focused academies. There was heated discussion around family medicine board certification. Issues included "grandfathering for existing physicians", "scope of practice", and "social acceptance". Daisuke presented the history and current state of board certification in the US and UK.

On July 29, Daisuke presented a workshop titled International Medical Graduates Applying to Family Medicine Residency Programs at the National Conference of Family Medicine Residents and Students in Kansas City. The presentation helped international medical graduates learn how to develop attractive applications and included tips around the ERAS matching process.

Daisuke Yamashita, MD

Rick Deyo is author or co-author of 2 new publications: Deyo RA. Treatment of lumbar spinal stenosis: a balancing act. Spine J. 2010 Jul;10(7):625-7. And Sherman KJ, Cherkin DC, Ichikawa L, Avins AL, Delaney K, Barlow WE, Khalsa PS, Deyo RA. Treatment expectations and preferences as predictors of outcome of acupuncture for chronic back pain. Spine 2010; 35: 1471-7.

Rick Deyo, MD, MPH

The Oregon Hospice Association awarded Dr. Eric Walsh, the “Hospice Physician of the Year” award in a ceremony at the MAC. He was named to the Oregon Hospice “Dream Team” along with RN, MSW and Chaplains from different hospices.

At the National Conference of Family Medicine Residents and Student Members, two OHSU residents were elected to national positions:

Mellisa Pensa, M.D. was selected as Co-Chair of the 2011 National Conference of Family Medicine Residents and Medical Students. And

Benjamin Schneider, M.D. was selected as Resident Representative to the Association of Family Medicine Residency Directors Board of Directors.

Eric Walsh, MD

Mellisa Pensa, MD

Benjamin Schneider, MD Also at the National Conference, Rachel Seltzer, an OHSU medical

student, testified in support of a resolution asking the Academy to work with the National Health Service Corps, or NHSC, to eliminate any conflicts between individual state work commitments and NHSC obligations.

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Volume 8 Issue 8 August 2010

Sports Medicine Fellowship The Sports Medicine Fellowship has celebrated the end of its first very successful year!

The Sports Medicine team, comprised of Program Director and Associate Professor, Charles Webb, DO, Associate Program Director and Assistant

Professor, Jim Chesnutt, MD, Faculty Ryan Petering, MD, and Fellow Thayer White, MD look forward to another exciting year as the fellowship continues to grow and build partnerships with the athletes of Oregon.

Ryan graduated from the fellowship on July 31st and Thayer started as the 2nd fellow in mid-July. The group has already been busy this summer with providing low-cost sports physicals at the Get Going Oregon event on July 24th and providing medical coverage for Street Jam from July 30 - August 1st. They are gearing up for providing medical coverage for other mass-participation events such as the Portland Triathlon, Hood to Coast, the Portland Marathon, and Skate America.

Charles was recently appointed as the Medical Director for Special Olympics Oregon, providing more opportunities to provide medical coverage for Special Olympics events. Aside from one-time sporting events, the Sports Medicine program also provides regular medical coverage for most area high school sports teams, as well as the collegiate athletic programs for Portland State, University of Portland, Lewis & Clark, and Concordia

University.Applications for two fellowship positions during the 2011-2012 academic year are currently being accepted, and fellowship inquiries can be made to Katie Foster, 503-494-6771 or fosterka@ohsu.edu.

Charles Webb, DO Jim Chesnutt, MD Ryan Petering, MD Thayer White, MD

We do our best to keep you up-to-date with news about our graduates and the Department of Family Medicine. But if you change your e-mail address, we have lost you.

SO… If you change to a new e-mail address, please let us know by contacting Coelleda O’Neil: Phone: 503-494-7595 or oneilc@ohsu.edu. Thanks. And we’ll try to keep quality newsletters coming.

• ALSO Course OHSU Old Library October 25-26, 2010 Marquam Hill Campus

• 42nd Annual Primary Care Review Governor Hotel, Portland, OR February 7 – 11, 2011

Upcoming Events

Moving Your E-Mail Address? Please Tell Us

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• Robert B. Taylor Society Luncheon Elk Cove Vineyards, Gaston, OR June 11, 2011

Volume 8, Issue 8 August 2010

Hood to Coast Relay Team 2011 We are thinking about putting together a Family Medicine Hood to Coast Relay Team for the 2011 race. We need a total of 12 runners (5 people have already committed) 3 non runner volunteers who will have course responsibilities and 2 van drivers.

We are interested in people who can make a solid commitment as the entry fee is due at the time of the application and is approximately $125 per runner. Applications are submitted in October 2010.

If you are interested, please contact: Heidi mallyh@ohsu.edu or Barb stollb@ohsu.edu We are at the South Waterfront clinic.

Our newsletter goes each month to some 600 persons, mostly family physicians, and especially our residency graduates. We see the newsletter as a way to maintain communication among graduates, faculty, staff, and friends of the department.

If you are a recipient of the newsletter, and would like to send us a notice of a job opening for a family physician, we will be happy to print it. A donation of $100 to help support the newsletter will be appreciated. The notice will run for three months. Please send your item and donation to Coelleda O’Neil at oneilc@ohsu.edu. Please keep it short. We reserve the right to edit submissions.

Placing Notices of Job Opportunities for Physicians

• OB Fellowship Trained Clinician Teacher Cascades East Family Practice Residency - Klamath Falls, Oregon

• Clinician Teacher for Cascades East Family Medicine Residency

• Clinician Teacher positions at Gabriel Park, South Waterfront, Richmond and Scappoose For more information, please contact Laura Charron at 503-494-6616, or charronl@ohsu.edu.

Positions Available in OHSU Family Medicine

Volume 8, Issue 8 August 2010

What if …

What if the whole community teamed up to improve your patients’ health?

You’d have Gladstone CareOregon Community Health Clinic near Portland, Oregon with Kindergarten, Head Start, Healthy Start, Day Care, Parenting Education, Relief Nursery, a Health Clinic and more —all in the same center.

CareOregon is looking for a Family Medicine Physician to join this exciting new clinic. If you want a more satisfying, team-based clinical practice using the Medical Home model, visit us online for a full position description and application instructions at http://www.careoregon.org/. For more Information, please contact:

Rhonda Palos HR Manager 503-416-1715 PalosR@CareOregon.org 072910

CareOregon seeking a Family Physician & Nurse Practitioner

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Volume 8, Issue 8 August 2010

Physician Opportunity

•1:7 Call •Enjoyable Collegial Atmosphere •Loan Repayment Assistance

The Location: Reedsport, Oregon • Picturesque river and ocean community surrounded by beautiful mountainous areas and bay • 9-hole golf course located minutes from the hospital – Links golf course located 55 scenic miles

from community • Great outdoors – fishing, sailing, hiking, golfing, hunting, beautiful sand dunes • Whale watching and bird watching stations • Great restaurants in town • Easy access to major metro • Cost of living below the national average • Tremendous quality of life and virtually a non-existent

crime rate provides for a great place to raise a family • New and existing housing options available • Small community living – many opportunities for

community involvement

The Practice: • Be busy from day one • Full scope of Family Medicine (except OB) with ability to do wide variety of procedures –

includes pediatrics, emergency and nursing home coverage • Exceptional quality of life atmosphere • Practice in an enjoyable, collegial atmosphere with excellent support staff • Paid malpractice insurance (full benefit) • Rural Health Clinic – Eligible for $5,000 Rural and may be eligible for $1,000 Tri-care tax credits

The Financials: • Total package approximately $200,000. Base salary

$150,000 plus additional compensation for weekend ER coverage, benefits and $6,000 tax credit.

• Relocation reimbursement • Local loan repayment program • National Health Service Corps Loan Repayment

Program eligibility • Four-week paid time off • Full benefits package including paid malpractice,

generous retirement plan and much more • CME – 5 days and $1,500 per year

This is an opportunity that will balance practice, lifestyle and community involvement due to the position and location. For more information regarding this opportunity please email your CV to Sheri Aasen, Clinic Manager, at dunes@luhonline.com or call 541.271.2163.

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Volume 8, Issue 8 August 2010

CHAS (Community Health Association of Spokane) in Spokane, Washington Seeks Physicians

The mission of the CHAS family of clinics is to improve the overall health of the communities we serve by expanding the availability of quality health services, dental care, and wellness education.

Looking to help make an impact in the overall health of a community? CHAS is currently seeking a physician to join our dynamic team. CHAS is a non-profit system of six federally qualified community clinics providing quality medical, dental, and pharmacy services to Spokane-area families and people of all ages, regardless of insurance status. CHAS provides a place patients can come to that is their healthcare home.

Previous experience working with underserved populations is highly desired. CHAS is a rewarding place to work:

• CHAS offers competitive compensation and benefits • CHAS pays 100% medical premium, dental, life, AD&D and long term care insurance • Employees receive an employee assistance program, paid time off, continuing education

reimbursement and 401(K)

Help improve the overall health of the Greater Spokane community today! • To learn more, see a full job description here: http://www.chas.org/employment/ • The Spokane region is a great place to call home. To learn more about Spokane, please

visit www.visitspokane.com.

For questions about this job, please contact: April Gleason Phone: 509-444-8888 Email: agleason@chas.org

Volume 8, Issue 8 August 2010

Family Practice Opportunity for BC/BE Physician ♦ Full spectrum family medicine

patient base; join 3 partners who serve a base of less than 8000 residents (OB optional)

♦ Income Guarantee $160,000 for first year, relocation and housing assistance

♦ Stipend for 3rd year residents able to sign on early

♦ State of the art electronic clinic environment ♦ New hospital facility with full outpatient

services and 24/7 surgical coverage

♦ Quality lifestyle for those choosing our unique rural practice environment

For more information, please contact:

Stacy Rothwell, Manager High Desert Medical Center 541-573-8870 srothwell@highdesertmed.com www.highdesertmed.com

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Burns – in Eastern Oregon’s High Desert Country

Volume 8, Issue 8 August 2010

Oregon: Full-time, Board-Certified, OB fellowship and C-section trained faculty needed for Oregon Health & Science University, Department of Family Medicine, Cascades East Family Medicine Residency program.

Come and work in a full-time University position with excellent benefits in a University- administered, community-based program, tailored to provide training for physicians who wish to practice full spectrum family practice in rural America.

We attract excellent residents from throughout the U.S. This unique residency is located in southern Oregon in a beautiful small city that rests in the Cascade Mountains. Come and join a dynamic faculty who need help in realizing the full potential of the available resources.

Responsibilities include resident and medical student teaching, patient care (flexible duties depend on qualifications and can include inpatient and ICU; obstetrics required; with possible high-risk OB call-coverage shared with OB faculty), and ample opportunity and time to pursue scholarly and administrative duties. A safe environment, good schools, and incredible outdoor recreation await the qualified applicant. This is a NHSC loan repayment site, and a suitable candidate may apply.

Please send CV and three references to Robert Ross, M.D., Program Director, CEFPC, 2801 Daggett, Klamath Falls OR, 97601, e-mail robr1228@aol.com, or call (541) 885-4612 for further information. AA/EEO employer.

Tuality Physicians, PC, a primary care clinic in Hillsboro, with five independently-contracted physicians, is seeking a family practice physician.

In this position, the physician will be medically independent, while being expected to conform to our efficient administrative model. The position is full-time, which is four or five days weekly as scheduled. Remuneration is on the basis of a percentage of collections.

Because we are an independent clinic, we are able to set our own policies, be non-bureaucratic and personalize our practices for the benefit of our patients and ourselves.

Professional and personal relationships within the Clinic are cordial and helpful, and are free of much of the frustration that is so often experienced by physicians who work for large, hospital-owned entities.

If you are interested in this position, please contact me at: Robert D. Fields, M.D., Director Tuality Physicians, PC Cell: 503-349-9292; Home: 503-292-2977 fieldsrobert@comcast.net

Faculty Ad: Full Time OB Fellowship Trained Family Physician

Independent Clinic is Seeking Family Physician

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I SUPPORT OHSU FAMILY MEDICINE

I accept the invitation to support OHSU Family Medicine. Enclosed is my donation.

Name

Address

City State Zip

Telephone (day)

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Enclosed is my check for $______ payable to “OHSU Foundation.” Please write “OHSU Family Medicine” on the check. OR

Please charge $_________ to my _______Visa or ________MC

Name on Card

Card/Account Number

Expiration Date

Signature Date

Please specify if there is a special Family Medicine Fund that you wish to support:

[ ] I would like additional information regarding giving opportunities to the Family Medicine

Department at OHSU. [ ] I/we have placed the Family Medicine Department in my/our estate plans. Comments for the Department Chairman:

Please Send to:

Coelleda O’Neil OHSU Family Medicine, Mail Code: FM Oregon Health & Science University School of Medicine 3181 S.W. Sam Jackson Park Road Portland, OR 97239-3098 Gifts to OHSU Foundation are tax-deductible to the extent allowed by law.

Contributions to support the newsletter, student and resident programs, and other department activities are always appreciated.

Donation Form

January 2007

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Volume 8, Issue 8 August 2010

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