CONSULT

A Newsletter for Medical Professionals SUMMER 2018 PIOIDS ARKANSANS ARE DYING – OOpioid overdose deaths are a nationwide epidemic. WHAT CAN WE DO? There were 116 deaths per day from opioid-related drug Program offers pain overdoses in the United States management education, in 2016, according to the U.S AR-IMPACT case consults Department of Health and Human Services. UAMS has launched a free weekly improving pain management in Arkansas ranks second in the nation education and consultation service for and the lives of these patients,” said G. for its opioid prescribing health care providers statewide. Richard Smith, M.D., a professor in the rate with an average of 114.6 Arkansas Improving Multidisciplinary Department of Psychiatry in the UAMS prescriptions per 100 people, Pain Care Treatment (AR-IMPACT) College of Medicine who is spearheading according to U.S. Centers for is a live streaming online video the project. “UAMS is an academic Disease Control and Prevention conferencing service staffed by a setting where we stay abreast of the data from 2014-2016. multidisciplinary team from UAMS, latest research and treatments, but these UAMS is fighting the epidemic including a pain physician, addiction physicians across the state are the true on several fronts, and one major psychiatrist, psychologist, two front lines. They are seeing this in their effort includes giving health pharmacists and a physical therapist. clinics every day. It’s time we join forces.” care providers across the state Each conference will include a Topics will include how to taper off access to UAMS expertise and 20-minute presentation on an opioid- opioids, alternatives to opioids for pain resources, through programs related topic and a question-and-answer management, when physical therapy like AR-IMPACT, MATRIARC and session. Participants are encouraged to is appropriate, when to recommend a the Center for Health Literacy. present patient cases for individualized nerve block or an epidural and more. feedback about approaches to treatment. Smith said participant interest will Need to make a referral? Physicians, physician assistants, nurse guide future topic choices. The Center for Addiction practitioners, pharmacists and other Funding for AR-IMPACT’s first year Services and Treatment in the health care providers are welcome to has been provided by $104,000 from UAMS Psychiatric Research use the service. Physicians, physician Arkansas Blue Cross and Blue Shield and Institute provides medication- assistants, nurses, nurse practitioners $49,000 from the office of the Arkansas assisted treatment services and pharmacists will be able to earn drug director. for opioid use disorder. For continuing medical education credits. Visit the AR-IMPACT website at appointments, call 501-526- “We want to partner with health ARIMPACT.UAMS.edu to sign up and find 8400. care providers across the state for an information about continuing medical The Women’s Mental Health exchange of information with the goal of education credits. Program treats pregnant women with opioid use disorder. For (Continued on page 2) appointments, call 501-526- 8201. July 2018 (Continued from page 1) Message from Dr. Jansen Connect with experts for help treating opioid use disorder Dear Colleagues, MATRIARC In 2017, the UAMS and the Arkansas assisted treatment, so many of our Winthrop P. Department of Human Services patients drive hours for treatment Rockefeller have launched a free one-on-one and others never seek treatment Cancer Institute consultation service for health care because of these barriers to care,” partnered with providers who are treating patients said Michael Mancino, M.D., a me through my Arkansas Blue with opioid use disorder. psychiatrist, director of the UAMS Cross and Blue These providers can call the Center for Addiction Services in the Shield, George K. Mitchell, M.D., Medication-Assisted Treatment Psychiatric Research Institute and Endowed Chair in Primary Care to Recovery Initiative for Arkansas leader behind MATRIARC. establish a Rural Health Summit of Rural Communities (MATRIARC) “We think helping community statewide health care stakeholders. hotline for advice on a range of providers gain the knowledge and They identified more than 100 rural health issues that could be topics – anything from determining confidence to treat these patients acted upon in one-two years with dosages of maintenance drugs like close to home will be an important collaborative effort. buprenorphine/naloxone (Suboxone) step in addressing the deadly opioid This group empowered a to connecting patients with support epidemic in Arkansas.” 12-member committee to refine the services to handling billing. To connect with the service, call focus and provide recommendations. “There are few people in the 1-833-872-7404 or 501-526-8459. The goal was not to find a silver bullet state who are providing medication- but to create a network to take action and leave rural Arkansas health care incrementally better, year after year. Services foster clear At the 2018 meeting, we CENTER FOR determined how to meet two-, five- communication with and ten-year goals to double the HEALTH LITERACY patients number of rural providers; increase residency slots and board certified physicians; form a rural health When the Department of director of programs and services. association; create a community Orthopaedic Surgery at UAMS “We use plain language best health workers certificate program; overhauled its opioid-prescribing practices to create and evaluate our address non-emergent transport practices, they called on the UAMS materials, and our team members issues; and develop early education Center for Health Literacy for help. have assessed and edited thousands outreach for health care professions. To follow along or become a part The research shows that patients of pages of health information. We of this important work to improve recover from surgery better when know what helps you communicate the future of rural health in Arkansas, they take fewer opioids. The clearly with patients.” visit RockefellerInstitute.org/blog/ department set a goal to standardize The Center for Health Literacy category/health. and reduce its opioid prescriptions. provides these services and others to They wrote new protocols and entities on and off the UAMS campus. Sincerely, educated their team members. Examples of services include “However, we knew that many assessing and editing existing patients were going to still expect health-related content for readability Mark T. Jansen, M.D. big opioid prescriptions after a and understanding, and translating Medical Director surgery,” said Simon Mears, M.D., an documents into Spanish while UAMS Physician Relations & Strategic orthopaedic surgeon who helped retaining plain language features. Development lead the effort. “We knew that if we They can do on-site assessments of were going to be successful, patient clinics’ policies and practices and Please visit our website for referring education would be key.” provide consultation and training providers: The Center for Health Literacy for staff on communicating clearly UAMShealth.com/MD created documents to facilitate with patients. They create new Content includes: these conversations, including clear, patient education materials and tools • 2018 Referring Physician Quick easy-to-read bulleted lists and to help engage patients, such as Reference charts with what to expect before programming to help them get the • CME Outreach – LearnOnDemand and after surgery. most out of their doctor visits. • Consult “We created the documents, For more information, visit • EpicCare Link • Find a Physician evaluated them for readability and HealthLiteracy.UAMS.edu or • Online Appointment Requests field tested them with real patients,” PlainPages.org, call 501-686-2595 • Physician Call Center said Alison Caballero, the center’s or email [email protected]. • Physician Recruitment & Provider Placement 2 • UAMS Library News to Know: Updates from UAMS Physician Relations Comprehensive Epilepsy topics between researchers on Center Earns Highest campus, assist residents and Physician Relations medical students with publishing & Strategic Development Accreditation Level Mark T. Jansen, M.D. The UAMS Comprehensive their research, increase the number [email protected] Epilepsy Center has been of clinical trials in the department, accredited with a Level 4, and pursue grant funding. Michael Manley, RN, MNSc the highest King has an M.D./Ph.D. in [email protected] designation molecular and cellular biology and available from pathobiology from the Medical Director the National University of South Carolina in Melanie Meyer, M.Ed. [email protected] Association of Charleston. She completed an Epilepsy Centers. internship in general surgery and a surgery residency in Manager Bashir Sami Carla Alexander, M.Ed. Shihabuddin, otolaryngology-head and neck [email protected] M.D., is medical surgery, both at UAMS. director of the Byron Jarrett & Brian Mann Comprehensive Epilepsy Center. Paul, M.D., Joins Pain Clinic [email protected] UAMS is capable of performing Christopher Paul, M.D., has the most complex surgeries joined the UAMS Pain Clinic. for the treatment of epilepsy, Paul completed his residency made possible with the hiring of in anesthesiology at Saint Louis CONSULT fellowship-trained neurosurgeon University. He is produced by the UAMS Office Viktoras Palys, M.D. underwent of Communications & Marketing Palys completed his general fellowship training and Physician Relations & surgery residency training at in regional Strategic Development. Lithuanian anesthesia and Editor University of acute pain at Amy Widner Health Sciences the University in Kaunas, of Alabama at Designer Lithuania. He Birmingham, Norma Edwards completed his where he focused on the use of general surgery ultrasound-guided injections in Vice Chancellor for internship at the treatment of pain conditions. the University He also completed a fellowship in Communications & Marketing of Illinois at interventional chronic pain at the Leslie Taylor Chicago, Metropolitan Group University of Alabama. , and neurosurgery He joins Jonathan Goree, residency training at Virginia M.D., and Heejung Choi, M.D., Commonwealth University in in the Pain Clinic, which offers a Richmond, Virginia. He also comprehensive approach to pain obtained additional functional and management. stereotactic neurosurgery training To make a referral, call 501-686-8818. at a Virginia Commonwealth University fellowship. Gut Club Meets Quarterly CONSULT To make a referral, call 501-686-5838. UAMS Gastroenterology holds quarterly Gut Club medical Quiz of the Month Deanne King, M.D., Ph.D., to education meetings and welcomes Direct ENT Clinical Research the participation of community Question Deanne L. King, M.D., Ph.D., has providers. The Centers for Disease Control joined UAMS as director of clinical The Aug. 30 meeting will and Prevention in 2012 and U.S. research for the Department of feature case presentations. The Preventive Services Task Force Otolaryngology- Nov. 29 meeting will feature a in 2013 recommended screening Head and Neck presentation on “Innovations in patients in the U.S. born between Surgery in ADR Improvement and Removal 1945 and 1965 for Hepatitis C. An the College of of Large Polyps” from Harry antibody-HCV blood test to screen Medicine. R. Aslanian, M.D., professor, for infection is recommended King will Department of Internal one time in this group. Of HCV

facilitate Medicine, Section of Digestive genotypes, which of the six is most

collaborations on Diseases, Yale University School common in the U.S.? 1 Genotype

A otolaryngology of Medicine. nswer (Continued on page 4)

3 News to Know: Updates from UAMS (Continued from page 3) Meetings are held from 6:30-8 new mothers to breastfeed as a and director of the UAMS Harvey p.m. on the 12th floor of the UAMS healthier way to feed their babies. & Bernice Jones Eye Institute, Jackson T. Stephens Spine & The World Health Organization has been appointed interim dean Neurosciences Institute. and the United Nations Children’s of the College For more information, contact Melanie Fund (UNICEF) launched the of Medicine. Meyer at [email protected] or 501- Baby-friendly Initiative as a Westfall will 686-8206. global program to assist hospitals in giving all mothers the information, continue his roles Runners Clinic Offers Patients confidence and skills necessary to in ophthalmology Unique Treatment Plans successfully initiate and continue and clinical The UAMS Orthopaedic Clinic breastfeeding. services. Westfall – 10815 Colonel Glenn, Suite 500, UAMS delivers more than 3,000 joined the faculty Little Rock – is offering a full- babies a year. To achieve the in 1997 and service diagnostic, treatment and baby-friendly designation, UAMS served in numerous leadership rehab clinic for running injuries. completed rigorous requirements positions. Patients include amateur or in each of four phases and passed Jill Mhyre, professional athletes and injured an on-site assessment. current runners or past runners. M.D., director The comprehensive analysis UAMS First Hospital in of obstetric includes a physician office visit, Arkansas to Install Cameras anesthesia and appropriate imaging if needed, on Every Preemie Bed vice chair for physical therapy evaluation, and The UAMS Medical Center and research in the 3D Gait Analysis, which the team Angel Eye Camera Systems has Department of uses to craft a treatment plan installed 40 camera systems in the Anesthesiology, unique to each patient. medical center’s neonatal intensive has accepted For appointments: 501-526-1046. care unit, making it the first in appointment as chair of For more information, visit the state with a camera on every anesthesiology, effective July 1. UAMSRunningClinic.com. preemie bed. Using the Angel Eye Mhyre joined the faculty in 2013. camera system, parents can see their UAMS Designated Baby baby anytime, day or night, from Friendly for Encouraging their mobile phone or computer. New Physicians Breastfeeding nn Clinical Pathology UAMS Medical Center is the only Academic Appointments Hoda Hagrass, M.D. hospital in central Arkansas to have Christopher T. Westfall, M.D., nn Internal Medicine received international recognition F.A.C.S., professor and chair of the Howard Lovett, M.D. as “baby friendly” for its policies Department of Ophthalmology in and procedures encouraging the College of Medicine at UAMS

UAMS PHYSICIAN RECRUITMENT & PROVIDER PLACEMENT PROGRAM

The UAMS Physician Recruitment & Provider Placement Program has a team of placement specialists dedicated to serving the recruitment needs of our partner communities, UAMS Regional Campuses and UAMS faculty. Physician/provider opportunities are available in all specialties throughout Arkansas. FEATURED JOBS Hospitalist opportunities: A northeast Arkansas medical center is seeking board certified/board eligible internal medicine physicians to join a patient-centered, evidence-based hospitalist program. Interventional Radiologist: A nonprofit, community-owned health care system in beautiful Northwest Arkansas is seeking an interventional radiologist. Rural Medicine Opportunities: Interested in practicing rural health? Opportunities are available throughout Arkansas, including Dumas, Eureka Springs, Fordyce, Green Forest, Huntsville, Jasper, Lake Village, Lincoln and Pocahontas, to name a few. Recruitment services contact: Carla Alexander: 501-686-7934 or [email protected]

For a complete listing of job descriptions and opportunities, visit: MedJobArkansas.com

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4 Hand Trauma Communication PHYSICIAN PROFILE Center Available 24/7 The UAMS Department LOVERD PEACOCK, M.D. of Orthopaedics staffs Professor four fellowship-trained Department of Radiation Oncology hand, wrist and elbow surgeons who are part What inspired you to become a doctor? of a statewide program As a young teenager, I to provide telemedicine viewed my father’s attempted consults for hand trauma but unsuccessful resuscitation 24 hours a day, seven by our family physician after his days a week. cardiac arrest. I found myself Through the Hand wishing I could be helpful in Telemedicine Program situations like that and thus my in the UAMS Center for journey and interest in health UAMS hand surgeons provide real-time consults on hand trauma cases through the Distance Health, hospitals care began. Hand Telemedicine Program in the UAMS throughout Arkansas can Center for Distance Health. consult with hand trauma What do you like most about your specialty? surgeons via a high- I can help my patients with cancer, have an definition broadband impact on their lives and, also, it gives me an video connection. opportunity to educate them on how radiation The real-time works with other treatments in cancer care. telemedicine consultations provide the What makes you unique among your peers? best possible treatment As the senior radiation oncologist at UAMS, for hand injuries. I bring years of clinical experience not only Theresa Wyrick- John Bracey, M.D. Under the program, in oncology but also internal medicine. My Glover, M.D. when a patient goes experience in medical management gives me to a local hospital perspective. I understand the importance of with a hand injury, the team building among specialties and building relationships among my colleagues. staff connects to a virtual The specialty of radiation oncology is unique hand trauma room along in that it is the interface between high tech with staff at the Arkansas and patient care. It is a confluence of physics, Trauma Communications engineering, radiobiology and their application Center and the hand to patient treatment. Tom Frazier, M.D. Mark Tait, M.D. surgeon. The hand surgeon evaluates the Why did you come to UAMS? patient’s injury and makes recommendations for treatment. I completed my undergraduate, graduate and If the hand surgeon recommends the patient be transported medical school degrees and internal medicine to a different hospital for further treatment, Arkansas Trauma residency in Arkansas, so when I was contacted Communications Center coordinates the transfer, confirming by friends and former colleagues to return to that the right specialist is available. university, it was an opportunity I could not When the program launched in 2014 with a partnership resist. Also, Little Rock is where my wife went between the Center for Distance Health, Arkansas Trauma to high school and has longstanding friendships. Communications Center and Arkansas Department of Health, it We love being back in Little Rock. was the first hand trauma telemedicine program in the nation. UAMS hand and upper extremity surgeon Theresa Wyrick- What are your clinical specialties? Glover, M.D., was part of the original hand trauma consultant I am a diplomate of the American Board of team, which now includes her colleagues, John Bracey, M.D., Internal Medicine and the American Board of Tom Frazier, M.D., and Mark Tait, M.D. They make up the only Radiology (Therapeutic) and consult primarily hand trauma team in the region. UAMS Medical Center is the on breast cancer, gynecologic malignancies and only provider in the state that performs hand reattachment complicated skin cancers. surgery. “These are injuries where time is key,” Wyrick-Glover said. How can doctors make referrals to you? “Telemedicine allows us to quickly and efficiently provide the Radiation Oncology Center expertise that can make all the difference.” Winthrop P. Rockefeller Cancer Institute To contact the Arkansas Trauma Communications Center, 501-664-4568 call 1-866-940-1409. Accepting new patients. To make a referral, call 501-526-1046. n 5 MEDICAL CASE STUDY Neurosurgery

muscle on the Once deployed, the retractor gave left side. the surgeons excellent access Traditional to the site of the tumor and the surgical adjacent nerve from which the approaches tumor had arisen. to spine They performed a partial tumors are facetectomy and removed the invasive and adjacent rib and transverse can involve process through the tube. Using significant an intraoperative microscope, blood loss, they dissected around the mass increased and ultimately freed it from the length of stay surrounding tissue. and carry the During the dissection, the T12 MRI imaging reveals a 3 cm paraspinal tumor arising from the exiting T12 nerve root. usual risks of nerve root and its dorsal root complications, ganglion was identified, carefully INITIAL CONTACT including preserved and freely dissected off A 58-year-old female patient infection, nerve injury and potential the mass. The mass had several presented to the Neurosurgery neurological deficits. The greatest satellite nodules and the largest Spine Clinic at the Jackson T. postoperative issue, however, is nodule was resected to give Stephens Spine & Neurosciences usually pain from significant muscle access to the remainder of the Institute at UAMS with severe dissection often required to access lesion. This allowed Kazemi to progressive pain in her buttock, the tumor. Kazemi discussed these completely remove the mass. The hip and left leg in a radicular issues together with traditional T12 nerve root was decompressed distribution. As a result, she was “open” surgery with the patient. and preserved. progressively less able to perform However, he proposed a minimally The neurosurgery team needed her usual activities of daily living invasive approach to resecting the to ensure that the tumor was and enjoy her hobbies, including tumor and felt that a total resection noncancerous, as this would interacting with her grandchildren. could be achieved this way, with influence her subsequent treatment. The initial assessment with an MRI less risk of complications and faster UAMS neuropathologist Murat scan of her spine had revealed a healing with shorter recovery times, Gokden, M.D., is one of the few spine tumor with possible nerve including length of stay in hospital. neuropathologists in the state. impingement. The patient opted for the In clinical neuro-oncology, there minimally invasive surgery. are more than 100 different ASSESSMENT types of tumors, most requiring She was referred to Noojan PROCEDURES additional testing and molecular Kazemi, M.D., F.A.C.S. Kazemi is During the operation with the markers for accurate diagnosis, a fellowship-trained neurosurgeon patient positioned prone, fluoroscopy prognosis and management. specializing in all aspects of surgical was used to identify internal This process requires close treatment for spine and peripheral landmarks, including the rib head, coordination and communication nerve conditions. His focus is adjacent facet joint and transverse between neuropathology, neuro- performing surgery through the process. These allowed the surgeons oncology and neurosurgery. latest minimally invasive surgical to fashion the location of a 3-cm Tumor cases are often discussed techniques, and he is often able vertical incision on the back. at both a neuro-oncology and to treat conditions such as spine Assisted by residents now neuropathology conference pre- tumors and nerve compression trained in minimally invasive spine and postoperatively. through these approaches. techniques, Kazemi made an Gokden confirmed the benign At clinic, her MRI was reviewed incision through the fascia and diagnosis with an intraoperative and was found to reveal a found a plane of cleavage in the consultation during the initial peripheral nerve sheath tumor, layers of the paraspinal muscles, stages of the procedure. arising from the left T12 neural avoiding any division of these Once the tumor had been foramen with clear nerve root muscles. They passed a series of completely resected, the expandable compression. The lesion extended increasingly sized tubular dilators retractor was closed and removed. into the paraspinal muscles through this plane and inserted The paraspinal muscles closed over immediately adjacent to the psoas and fixed an expandable retractor. the surgical site.

6 (Continued on page 7) Noojan Kazemi, M.D., F.A.C.S.

Assistant Professor Department of Neurosurgery UAMS College of Medicine

Education Medical degree, University of Sydney A minimally invasive expandable retractor is School of Medicine utilized to achieve excellent exposure without Intraoperative microscopy is utilized to obtain excessive retraction of adjacent tissues. great magnification of the tumor necessary for microdissection and release from the arising Residency nerve root. Neurosurgery, Royal Melbourne Hospital and Royal North Shore Hospital, Royal Australasian College of Surgeons, Australia

Fellowships Neurosurgery Research Fellowship, Mayo Clinic, Minnesota Complex Spine Surgery, Department of Orthopedics and Neurosurgery, University of Washington, Seattle Minimally invasive Complex Spine and Once the tumor is completely freed from adja- The exiting nerve and its dorsal root ganglion cent structures it is mobilized and completely are seen preserved following Tumor Surgery, Swedish Neuroscience removed. resection of the tumor. Institute, Seattle

This expandable technology and left the hospital the following day. accompanying minimally invasive At her six-week follow-up, she was techniques has opened a wider pain free and had returned to her Murat Gokden, M.D. range of other conditions to safe full activities. and practical surgical treatment A video of the surgery is available Professor options, including treatment at Youtu.be/89OY5wdMB_k or Department of of spine deformity conditions, by searching YouTube.com for Pathology spine trauma and degenerative “Minimally invasive approach UAMS College of conditions as well as peripheral to resection of paraspinal Medicine nerve and other types of tumors. schwannoma,” which is hosted on the Journal of Neurosurgery’s FOLLOW-UPS channel, “AANSNeurosurgery.” The patient had almost complete To make a referral, call resolution of their preoperative pain 501-526-7249. n Education immediately following surgery and Medical degree, Dokuz Eylul Medical School, Izmir, Turkey

2018 Referring Physician Residency Now Anatomic pathology, Washington Quick Reference available University, St. Louis online! Go to: UAMShealth.com/mdGuide Fellowships It contains helpful UAMS resources including: Neuropathology, Washington University, • Appointments/Online Scheduling St. Louis • Campus Map Surgical pathology, University of Texas, • EpicCare Link, SHARE, Physician Call Center M.D. Anderson Cancer Center, Houston • Key Phone Numbers Cytopathology, UAMS • Library • LearnOnDemand • Message from Dr. Jansen • Physician Recruitment • Referral Website 7 NONPROFIT ORGANIZATION U.S. POSTAGE PAID 4301 W. Markham St., #727 LITTLE ROCK, AR Little Rock, AR 72205 PERMIT NO. 1973

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Learn on Demand JULY 4 - CANCELED DUE AUGUST 7 SEPTEMBER 4 - TO HOLIDAY Blood Flow Restriction CANCELED DUE TO Training in Clinical HOLIDAY JULY 10 Rehabilitation A resource of the UAMS Center Technology-Facilitated Nicholas Hargett, PT, DPT SEPTEMBER 11 for Distance Health (CDH), the Brief Interventions for UAMS Outpatient Rehab Sickle Cell Update – Role LearnOnDemand.org web portal offers Depression Department of of Social Work in Pain health care professionals the flexibility Carolyn Greene, Ph.D. Physical Therapy Management of earning continuing education (CE) Psychiatric Research Ann Wilson, LCSW credits on their own schedule, through an Institute AUGUST 14 Sickle Cell expanded array of teleconferences and Lung Cancer Screening online courses. JULY 17 with Smoking Cessation SEPTEMBER 18 Chronic Opioid Guidelines Sanjay Maraboyina, M.D., Infection Management n Track all educational hours and Lindsey Dayer, Nikhil Meena, M.D., FCCP, in a Post Solid Organ credits earned inside or outside Pharm.D., BCACP Jason Muesse, M.D. Transplant Patient the program Department of Pharmacy Departments of Radiation Lyle J. Burdine, M.D., Ph.D. n Ensure compliance with the CE Oncology, Pulmonology Department of Surgery requirements for the national JULY 24 & Cancer accrediting organizations for Hip & Knee Arthritis — SEPTEMBER 25 physicians and nurses When is it Time to Get a AUGUST 21 Professional Development n Earn certificates of attendance for Replacement? Hospice vs. Palliative Care Managing Your Finances a variety of other disciplines Jeffery Stambough, M.D. Kimberly Gartner, M.D., and Student Loan Debt Department of MPH, FAAFP, CHCQM Janice Nottenkamper, B.A. Orthopaedics Little Rock Geriatric UAMS Student LearnOnDemand.org Research Education and Financial Services For information on LearnOnDemand, JULY 31 Clinical Center contact: [email protected] or Professional Development 1-855-234-3348. Financial Planning for AUGUST 28 Residents Professional Development To request speakers or topics or to learn Jason S. Mizell, M.D., Skills for Navigating more about how the UAMS Physician F.A.C.S., FASCRS Difficult Conversations Relations & Strategic Development team Division of Colon and Chelsea Wakefield, can help you, visit UAMShealth.com/MD Rectal Surgery Ph.D., LCSW The UAMS Couples Center

In support of improving patient care, for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team. The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1 ANCC contact hour. Nursing contact hours will be awarded for successful completion of program components based upon documented attendance and completion of evaluation materials.