I hope I have time to walk around with a camera because it’s so frustrating to write this all down but not really having the words to capture what I’m seeing. But that seems to be the resonating theme for me here: It is something that you can learn SO much about a place before arriving and that knowledge has nothing on the actual experience of it. No matter how prepared I was, no matter how much research I did, no matter how good of a traveler I might be, nothing could accurately describe the experience here, and I’m assuming that tomorrow’s day at work will be no different.

As for tomorrow, I’ll be on the labor and delivery floor unless things change (which is also common here…you have to go with the flow or you’re bound to be frustrated). I naively thought it was an error in my information packet that 27,000 babies are born here each year. It was not a typo: I’m told 80-100 deliveries per day.

Click here if you’d like to read more about the hospital.

Get a FREE osteopathic manual treatment from Des Moines University at OMM Community Night taking place tonight in the Student Education Center from 6-8 p.m. Learn how osteopathic manual medicine (OMM) is used to evaluate and treat the whole body, from the feet through the pelvis, spine and upper extremities & decrease your pain!

Come enjoy the following for FREE:
• structural/muscular assessment & OMM demonstration
• information about medical & health graduate programs
• information about OMM (osteopathic manual medicine)

This event is open to the community. For more information, call 515.271.1421.

Good-lookin' cooking: DMU Wellness Specialist Nicole Frangopol, Wellness Director Joy Schiller and Professor David Spreadbury stir-fry vegetables while Associate Professor Wayne Wilson sets out rice.

Des Moines University thinks so. Wellness Director Joy Schiller, M.S., CHES, and David Spreadbury, Ph.D., chair of biochemistry and nutrition, co-teach a very popular “Nutrition 101″ elective in DMU’s wellness center kitchen in which students learn how to stock their pantries and kitchens for healthful, quick meal preparation and gain hands-on lessons on cooking techniques. They also get a fabulous meal once a week, with themes ranging from Indian to Asian to Italian to Mediterranean.

On the seventh and final session of the course, students plan and prepare the meal. I recently had the great pleasure of observing these budding chefs at work and writing about the class in the spring issue of DMU Magazine, soon to be posted on the DMU website. You, too, can watch them in action on YouTube. The students agree the experience has taught them that vegetables are delicious, that cooking doesn’t have to be time-consuming and that basic techniques free them from having to slavishly follow recipes. They also feel better equipped to talk to future patients about their diets and to give them practical, realistic ways to eat better.

It’s with great pleasure that I serve up a recipe from that final class session, prepared by second-year osteopathic medical student Abhishek Karwa. Not only is it delicious and nutritious, this recipe – which he doubled for the class – makes a big batch, the perfect mix for a Sunday afternoon to freeze for the following week.

“The amount of soup I made easily can be equivalent to five full meals and costs me less than $10,” Abhishek says. “It is pretty awesome to get so much vegetable goodness in such a colorful way.”

Butternut squash ginger soup

• 1 small butternut squash
• 1 pound carrots (about 4-6 carrots)
• 1 1/2-inch piece fresh ginger
• 3 cloves garlic
• 1 onion
• Cinnamon
• 1 tablespoon olive oil
• Roughly 3 cups water
• Salt and pepper to taste
• Fresh chopped coriander (optional)

Roughly chop the onion. It doesn’t have to be perfect since you’ll blend the whole thing in the end. Crush the garlic cloves using the flat part of a knife and the base of your palm. Peel the butternut squash with a vegetable peeler. Cut in half lengthwise and remove the seeds with a spoon. Chop into large chunks.

In a large soup pot, heat the olive oil on medium-high. Sauté the chopped onion until it becomes transparent, about five minutes. Add the garlic and sauté for another 30 seconds. Add two cups water and the squash. Cover and allow it to come to a boil.

Meanwhile, peel the carrots and chop into inch-long pieces. Peel the ginger and slice into 1/8-inch pieces. Add carrots and ginger to the soup pot. Add salt and pepper to taste. Add a few shakes of cinnamon. Add enough water just to cover everything in the pot.

Stir, cover and simmer on medium-low heat for about 20 minutes. The vegetables should be soft and easily pierced with a knife. If not, cover and allow it to simmer longer.

Using a blender or food processor, blend the soup into a smooth puree. Garnish with chopped coriander if desired and serve.

Alisdair “Rod” Philp, Ph.D., a DMU assistant professor of biochemistry and nutrition, was inspired to help students create the group because of student anxiety over genetics questions on medical licensing examinations. He is an elected affiliated scientist of the ACMG, which enabled the student interest group’s affiliation. Philp says the rapid advancement in genetic knowledge and research, along with DMU students’ interest in both, affirmed the idea for such an organization.

“The human genome project took years, around 20 world-class institutions and 2.7 billion dollars,” he says about the effort, completed in 2003, to identify all the thousands of genes in human DNA. “It revolutionized my job. Nowadays, you can sequence the coding part of the genome with one machine and one person in an off-the-shelf test for around $4,500 in 90 days.

“We are on the cusp of a paradigm shift in how genetics impacts clinicians, from family practice to the specialist surgeon,” he adds. “That’s why we need to cater for students who are interested in this area. We have the opportunity to give our students, from any of our programs, a strong advantage in a competitive field.”

As genetics knowledge expands, health care providers will be expected to translate it to their patients.

The parents of a child who’s losing his eyesight due to a genetic disorder, for example, may be better prepared with accurate prognosis for him as well as the risk for any future children based on correlations of genotypes and phenotypes. Members of a family plagued by diseases such as diabetes may be able to have better crafted medications as scientists discover the subtle genetic changes that influence individual patients’ responses to drugs.

In addition, diseases that were always considered too complicated for genetic analysis, such as coronary artery disease, are rapidly being deciphered. Recent advances in the U.S. and Europe have seen successful gene replacement therapies, based on the accurate identification of the causative gene. And as more companies bypass the physician and diagnosis – “an alarming prospect,” Philp says – with services that genotype individuals’ DNA, health care providers will be asked to analyze and translate their patients’ results.

“Medical genetics is a rapidly expanding field and will likely be integrated into nearly every branch of medicine pursued by DMU students,” says DMU osteopathic medical student Arman Cicic, president of the genetics student interest group (SIG). “By providing comprehensive and up-to-date genetics education, the SIG hopes to keep our students at the forefront of contemporary medicine and maintain DMU’s mission to produce highly competent health professionals.”

The mission of DMU’s SIG, says vice president and student Scott Miller, is to “provide students and staff, along with local physicians and residents, with comprehensive medical genetics education to better serve and advocate for the health of our community.” In addition to providing a forum for students to research topics in medical genetics and present their findings, the group will seek to foster networking among health care providers and researchers at other universities, hospitals and more.

The group also plans to survey DMU alumni in family practice and who are physician assistants in central Iowa to learn the most common genetic diseases they encounter in their practices, what they wished they had learned in genetics and what DMU should teach students about genetics today. That information may lead to enriched curriculum and will allow the SIG to design additional courses and continuing education for those practicing in the field.

“This is a student-driven effort to demystify genetics for students, physicians, residents and others,” Philp says. “The field changes so quickly that many practicing physicians can get left behind by uninformative technical terms. Often it appears that the new advances are very complicated, but the beauty of genetics is that it’s like Legos. It fits together one way; you just need to have someone show you the how the trick works.”

The group is also in the process of arranging a genetics grand rounds that draws together oncologists, pediatricians, surgeons, family practice physicians, genetic counselors, nurses and other interested professionals from local health care institutions, a win-win for those participants as well as DMU students and faculty.

“For a basic scientist, I believe it is essential for us to maintain close contact with the health care professional,” Philp says. “If we do not, we run the risk that what we teach students will be out-of-date and irrelevant. Furthermore, these rounds, I hope, will present the opportunity for practitioners in Des Moines to take a seat at a truly interprofessional forum.”

DMU has the perfect way for pre-med students to get a head start…

The DMU Health Professions Advanced Summer Scholars Program (Health P.A.S.S.) gives them a taste of what it’s like to be a student in osteopathic medicine, podiatric medicine, physician assistant or physical therapy.

The FREE three-week program takes place at the end of July and is open to college sophomores and juniors who want to get a taste of what med school will be like and pad their resumes with a little hands-on experience. Enrollment is limited to 10 students and applicants must have a minimum cumulative college grade point average of 3.0.

APPLY NOW!

Do you say "take me home, country roads" when you think about your future?

Further, “rural residents are more likely to be considered in poor health and have conditions such as cardiovascular disease, hypertension and diabetes,” the American Medical News article states.

These crying needs strike me as a great opportunity for up-and-coming health care providers. In addition to the critical need for their expertise and service, practice in rural areas can offer a “sense of community and personal connections with patients,” American Medical News states.

Des Moines University is working to tackle the shortage in rural Iowa and beyond. Its Rural Medicine Educational Pathway (RMEP) program offers a full-tuition scholarship to osteopathic medicine students who agree to practice primary care medicine in rural Iowa for at least four years after residency. And to draw even younger students to medicine and health care, DMU’s week-long “Youth Education in Science and Medicine” summer camp, or YES MED, invites Iowa high school students to experience the University’s faculty, facilities and hands-on learning opportunities.

“In a small town, a physician is a pillar of the community,” says Katie Schell Meyers, a DMU student and RMEP scholarship recipient from Cascade, Iowa. “It’s a chance to serve on civic committees and the local school board and to be the doctor for the high school football team.”

I applaud future physicians like Katie who embrace those leadership roles in rural areas. Are you interested in practicing in a rural area? If so, why? If not, why not?

Having the D.O. program at DMU also impacts all our other programs in approach, overlap and understanding and that gives our grads an edge. Wouldn’t you want to know your health care practitioner understood other disciplines and had a whole body outlook on your health?

Des Moines University has an entire department devoted to teaching students how to care for patients with compassion, ethics and leadership. And in 2007, the University became one of 72 of the nation’s more than 160 medical schools to have a GHHS chapter.

Every year, a highly select group of fourth-year osteopathic students, nominated by their peers and faculty, are inducted into the society. That very special ceremony occurred last week. Congratulations to our fourth class of GHHS members!

“GHHS is very fitting for Des Moines University because it recognizes exactly what DMU prides itself on – the personal aspect of medicine,” says 2009 DMU graduate Justin Atherton, a member of the University’s first group of GHHS inductees. “DMU has academically gifted students, but it has a way of attracting students willing to go above and beyond to put the ‘caring’ back into medicine.”