volume 1 issue 2 august 2012
TRANSCRIPT
IN THIS ISSUE
Hello Pacific Medicare Family,
Another year of pharmacy school has passed! As many of last year’s Medicare Part D students prepare themselves for rotations, the new class is gearing up for the fall slate of outreach events that await us. Aside from the 80 or so drugs that Dr. Patel has us studying over break (ugh!) in preparation for a “quiz” on the first day of class next semester, some of us are taking advantage of our short summer break by traveling the world or merely catching up on sleep that was lost studying for that five-hour pharmacokinetics final. As we look forward to helping Medicare beneficiaries, we also find ourselves looking back to admire what the students in the Medicare classes before us have accomplished. We know that Dr. Patel and the Medicare Part D faculty have provided us with the knowledge to help beneficiaries potentially save money when choosing their Medicare Part D prescription drug plan, but we cannot predict the patients that we will encounter at the upcoming outreach events or truly fathom the
impact that we will have on the lives of those that we will be serving. Near the end of this issue (Pages #9-14), you will find a beautiful presentation of memories and photos compiled by Zohal Fazel from all 40 students in the 2011 Medicare class. For those former Part Ders, we hope this compilation brings a smile to your face as you sit back and remember your days at Pacific as a proud Medicare Part D student. You built this class and we hope to continue the tradition and create our own memories as well. As you browse through this issue you will also find the finalized dates and times for each of the upcoming Medicare outreach events this fall, learn more about the evolution of the Part D class from its inception to its present day status, read about Medicare research conducted by previous students, and maybe even laugh a little bit at the corny Medicare jokes that will be sporadically interspersed. As always, thank you for reading and being an active member of the Medicare family. We appreciate your support and feedback!
Save the Dates!!
The Medicare Part D open enrollment period is just around the corner. Check out this year’s outreach events schedule and find out how you
can help. Page #4
NCCCP PharmD Research Day Former Part D students present their Medicare
research to fellow students and faculty. Page #5
Medicare Class of 2011 Memories Students from the 2011 Medicare Class share their
favorite Part D memories. Page #9-14
Memories, Memories by Natalie Hajian
Volume 1 Issue 2 August 2012
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by Kelly Chen
When looking at a cross section of a tree trunk, one will find concentric rings (growth rings or annual rings) that describe its age. The inner rings describe the early phases of growth, and the outermost rings signify the most recent growth patterns, of the tree. Similarly, we have created a pictorial (seen on the right), the “Medicare Class Tree Trunk”, to describe the evolution of the class since its inception. We also have provided brief descriptions of the learning and services provided by Part D students since the class was first created in 2007.
2007 Medicare Part D Plan Review and Low-Income Subsidy (LIS) Assistance These two services have been provided each year since we began the Part D program in 2007. Through the Medicare Part D plan review students ensure that beneficiaries are enrolled in the optimum (lowest cost) Part D plan based on their specific prescription drug mix and personal preferences (e.g., preferred pharmacy). The LIS assistance is where students will determine if beneficiaries with limited income/assets may qualify for additional governmental assistance with their Part D drug costs.
2009 Pharmaceutical Assistance Program (PAP) Help In 2009, students first began assisting beneficiaries with determining if their non-Part D covered brand name medications could be obtained at a lower cost through a Pharmaceutical Assistance Program.
2010 Medication Therapy Management (MTM) and Vaccine Administration (Flu) Beginning in 2010, students (under the supervision of licensed pharmacists) began providing full blown MTM services to each assisted beneficiary. During the MTM intervention, students utilize their knowledge and also use drug information databases to identify severe medication related issues including: drug-drug interactions, therapeutic duplication, therapeutic interchange opportunities, Beers list medications, and many others. Findings from the MTM intervention, along with specific recommendations, are communicated to the beneficiary’s prescriber and/or pharmacy. Additionally, students first provided the flu vaccine to beneficiaries at 2010 Medicare outreach events.
2011 Vaccines (Pneumococcal and Shingles) In 2011, students were trained and provided three different vaccines to beneficiaries during the Medicare outreach events. In addition to the flu vaccine (provided starting 2010), students also began providing the pneumococcal and shingles vaccines.
2012 Medicare Top 200 Drugs To help increase students’ knowledge and confidence during the provision of MTM services, the Medicare Top 200 was incorporated in this year’s class. The list of drugs was adopted from the Centers for Medicare & Medicaid Services (CMS) and is based on the most commonly filled medications by Medicare beneficiaries. Each week students are required to learn (and are tested) on approximately 10 new drugs from this list. Information that students are required to know about each drug include: brand/generic name, therapeutic class, common indication, dosing range, common adverse events, key drug-drug interactions, contraindications, key counseling points, and whether the medication is on the Beers list. Quizzes are cumulative to ensure that students have repeated exposure to these drugs and are better prepared for outreach.
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Although we appreciate the opportunity to utilize our knowledge and skills to help improve the outcomes of the Medicare beneficiaries that we assist during our health fairs, we also understand that NONE of this would be possible without you, our pharmacist preceptors. We sincerely thank you for taking time out of your schedules to share your knowledge and expertise with us and sharing in our goal of positively impacting the lives of those in the community. You serve as role models and we want you to know how much we appreciate your dedication and belief in us.
Below is a list of all of those pharmacists who have selflessly given of their time to precept at one or more of the Medicare health fairs since our program began.
Former Part D Students (and now pharmacists!)
Medicare Class of 2007
Chau Phan Tanya Shepard Mina Kim Teresa Dai-Zovi Nick Baker
Medicare Class of 2008
Alana Lee Heather Wong Mallory Iha Pamela Tien Amanda Wight Janjri Desai Marisa Chun Saduf Ashfaq
Carly Auch Julie Guglielmo Nikki Nunokawa
Medicare Class of 2009
Jennifer Chen Kim Diep Richard Pigao Jonathan Fat Matt Serna Sue Lor Kevin Lau
Faculty members Adam Kaye Jason Bandy Kate O’Dell Melissa Mantong Rajul Patel Allen Shek Jenna Maker Linda Bortell Myo Kim Sian Carr-Lopez Bill Kehoe Jim Uchizono Linda Norton Nancy DeGuire Susan Ravnan Bryan Fusco Joe Woelfel Marcus Ravnan Nancy Nguyen Suzanne Galal Dana Nelson Joel Wagner Mark Walberg Oby Stan-Ugbene Veronica Bandy
Volunteer Pharmacists Amal Thakarsey Daniel Louie John Hashimoto Michelle Gabriel Steven Kyle Andrew Truong Danielle Willis Jonathan Szkotak Michelle Ho Teresa Kwong Angela Leahy David Kang Jonathan Yeh Nam Nguyen Timothy Chow Annie Patel Dipam Doshi Kasey Le Nola Akilo Tina Hsieh Avinesh Raman Edlen Wong Kelly Lam Patty Fong Tony Luu Blaire Fujimoto Elizabeth Zhu Kevin Chang Pei-Yu Lee Tracy Pham Brent Chock Ethan Anderson Laura Kawamoto Raj Gandhi Tracy Phan Brigette Lofholm Flora Siao Lindsay Russell Rina Mehta Tricia Doblados Carol Lee Greg Kurtz Lohit Tutupalli Ryan DeGuzman Tyler Hanson Catherine Hill Helean Ye Lynn Riley Sagar Patel Vanessa Fong Chris Tsui Hyeryeon (Helen) Noh Selina Tam Vivian Fujimoto Clement Toh Jennifer Branch Michael Ignacio Sonia Sahi Vy Tran Coby LaMattina Jennifer West Michelle Chan Stefany Shimada Yasameen Qazen
Pharmacist Preceptor Recognition
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Save the Dates!
by Benicia Ortiz As many of you know, the Medicare Part D open enrollment period begins on October 15th and
runs through December 7th. During this time window, all Medicare beneficiaries should evaluate their Part D plan options for the upcoming year (2013). Why is this important? We have found that up to 90% of beneficiaries in a Part D plan can potentially save money (~$600) by switching plans during the open enrollment period. As such, it is crucial that we reach out to vulnerable Medicare beneficiaries and provide them with the necessary assistance.
Trained pharmacy students from the University of the Pacific will be holding a series of outreach events during which beneficiaries will be provided Part D plan assistance and Medication Therapy Management services. In addition, at each of these events, outreach attendees will be offered a myriad of health care screenings and services. Below you will find a detailed list of our scheduled events this fall including details about event date/timing and location. As always, to be able to provide these services, we need your help. We are looking for extraordinary pharmacists that would be willing to volunteer their time to precept students at these events. If you are interested in volunteering at one or more of these events or would like additional details please contact Dr. Rajul Patel ([email protected]).
Date Event Timing Site (City)
Tuesday, October 16th 1-5pm Jene Wah (Stockton)
Friday, October 19th 1-6pm Franco Center (Stockton)
Sunday, October 21st 10am-6pm University of the Pacific- DeRosa Center (Stockton)
Thursday, October 25th 1-7pm Hutchins Street (Lodi)
Friday, October 26th 1-6pm Casa de Modesto (Modesto)
Thursday, November 1st 1-5pm Sierra Vista (Stockton)
Friday, November 2nd 1-6pm Northeast Community Center (Stockton)
Sunday, November 4th 10am-6pm O’Connor Woods (Stockton)
Sunday, November 11th 10am-5pm Seven Trees Community Center (San Jose)
Thursday, November 15th 1-6pm LOEL Center and Gardens (Lodi)
Saturday, November 17th 10am-6pm Lytton Gardens (Palo Alto)
Sunday November 18th 9am-3pm Vietnamese Martyrs Catholic Church (Sacramento)
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by Natalie Hajian
Medicare Part D Students Present at NCCCP’s
PharmD Research Day
Above: Former Part Ders Michael Shioji and Jennifer Rodriguez present “Healthcare Passport: A Comprehensive Community Outreach Model for Medicare Beneficiaries”.
Below: Aesun Kim and Yvonne Mai explain the factors involved in”Predicting Cost under the Part D Benefit”.
(Photo credits: Natalie Hajian)
The Northern California College of Clinical Pharmacy (NCCCP) committee hosted the inaugural PharmD Research Day on July 9th for current Pacific pharmacy students to showcase their research efforts and findings, refine their oral presentation skills and receive structured feedback from faculty judges. Under the guidance of faculty members, 25 students (23 took last year’s Medicare class) presented their Medicare-related research projects on this day. The ultimate goal for each of these students is to present their research at a national meeting and to submit a completed manuscript to a peer-reviewed journal. One such example of a research project is the “Healthcare Passport” which focuses on turning the concept of Pacific’s Medicare Part D Outreach program into a reproducible model for other pharmacy schools across the nation to emulate. This poster received the “Outstanding Pharmacy Student Poster” at the NCCCP PharmD Research Day. In addition, the poster “Beneficiaries' Knowledge, Attitudes, and Perceptions of the Medicare Part D Benefit” won the day’s highest prize (“Pharmacy Research Excellence Award”) which included a $100 Grant to help defray student travel costs when presenting their work at a future conference. All 10 Medicare research projects have been accepted for presentation at national conferences this year. A comprehensive list of the Medicare research projects, conferences this work will be presented at, and the students and faculty involved can be found on the following page. We are proud of our fellow Part Ders for their research efforts and wish them continued success!
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Part Ders Present their Research Projects Across the Country 1. American Association of Colleges of Pharmacy (AACP) conference in Kissimmee, Florida- July
2012
“Healthcare Passport: A Comprehensive Community Outreach Model for Medicare Beneficiaries”
o Students: Neha Rahan, Jennifer Rodriguez, Dina Hoang, Marlyn Nicolas and Michael Shioji
o Faculty: Sian M. Carr-Lopez, Joseph A. Woelfel, Rajul A. Patel, Mark P. Walberg, Suzanne M. Galal
“STAR Model: A Collaborative Approach to Combining Service, Teaching And Research”
o Students: Seth Gomez, Van Duong, Lauren Ujihara, Caitlin Mizoshiri and Tina Tran
o Faculty: Suzanne M. Galal, Sian M. Carr-Lopez, Rajul A. Patel, Joseph A. Woelfel, Mark P. Walberg
“Assessment of Students’ Knowledge and Confidence of Medicare Part D and Immunizations”
o Students: Tina Tran, Caitlin Mizoshiri, Lauren Ujihara, Van Duong and Seth Gomez
o Faculty: Suzanne Galal, Sian M. Carr-Lopez, Rajul A. Patel, Joseph A. Woelfel, Mark P. Walberg
2. American Public Health Association (APHA) conference in San Francisco, California- November
2012
“Medicare Part D Plan Optimization: The Need for an Annual Check-Up” (Podium Presentation)
o Students: Nataliya McElroy, Anil Mallya, Yvonne Mai, Justin Seo and Aesun Kim
o Faculty: Rajul A. Patel, Mark P. Walberg, Joseph A. Woelfel, Sian M. Carr-Lopez, Suzanne M. Galal
“Predicting Cost under the Medicare Part D Benefit”
o Students: Aesun Km, Justin Seo, Yvonne Mai, Anil Mallya, and Nataliya McElroy
o Faculty: Rajul A. Patel, Mark P. Walberg, Joseph A. Woelfel, Sian M. Carr-Lopez, Suzanne M. Galal
“Health Status Evaluation of Medicare Beneficiaries”
o Students: Carly Ranson, Urvish Italia, Binita Patel, Henry Lee and Sean Chu
o Faculty: Joseph A. Woelfel, Rajul A. Patel, Mark P. Walberg, Sian M. Carr-Lopez, Suzanne M. Galal
3. American Society of Consultant Pharmacists (ASCP) conference in National Harbor, Maryland-
November 2012
“Beneficiaries' Knowledge, Attitudes, and Perceptions of the Medicare Part D Benefit”
o Students: Sean Chu, Henry Lee, Binita Patel, Urvish Italia, Carly Ranson
o Faculty: Joseph A. Woelfel, Rajul A. Patel, Mark P. Walberg, Sian M. Carr-Lopez, Suzanne M. Galal
“Medication Therapy Management in a Medicare Beneficiary Population- Effectiveness of Student Pharmacist
Providers”
o Students: Michael Shioji, Marlyn Nicolas, Dina Hoang, Jennifer Rodriguez, and Neha Rahan
o Faculty: Sian M. Carr-Lopez, Joseph A. Woelfel, Rajul A. Patel, Mark P. Walberg, Suzanne M. Galal
“Compliance with Osteoporosis Prevention and Treatment Guidelines in an Ambulatory Medicare Population: Can
Pharmacists add the Critical Mass?”
o Students: Alyssa Hobby, Bethany Eng, Stephanie Chen, Keira Domer and Stephanie Jeffcoach
o Faculty: Mark P. Walberg, Suzanne M. Galal, Rajul A. Patel, Sian M. Carr-Lopez, Joseph A. Woelfel
“Health Status and Utilization of Ambulatory Screening Services by Medicare Beneficiaries”
o Students: Stephanie Jeffcoach, Keira Domer, Stephanie Chen, Bethany Eng and Alyssa Hobby
o Faculty: Mark P. Walberg, Suzanne M. Galal, Rajul A. Patel, Sian M. Carr-Lopez, Joseph A. Woelfel
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What? A creative, catchy, yet simple logo, which can be easily reproduced as a
small icon that can go on our newsletters, polo’s, posters, and various other products that we may design in future. And yes, there will be a prize for the designer of the winning logo!
How? Design the logo on a computer in JPG/JPEG format or do it the old fashioned
way – draw it, scan it, and send it! Please e-mail submissions to Dr. Patel at [email protected]
When? Send your designs any time from now through September 7th, 2012
Submissions will be anonymously presented in the next issue of our newsletter and the winning logo will be chosen by your votes! The winner will be announced in the final issue of the year, so keep reading The Donut Hole!
A r e Y o u R e a d y t o P u t Y o u r C r e a t i v e J u i c e s a n d P a r t D P a s s i o n i n t o A c t i o n ? by Radha Changela
If your answer is “Yes!!!”, then get ready to sharpen your pencils or dust off the computer...
We are looking for a logo design to unite all of the Medicare Part D students across the span of time. Since its start, the Part D class has been constantly adapting by making changes in instructional material, outreach services offered, events, and even polo colors! We wish to add our stamp to this ever-improving class by creating a unique logo that will connect the entire Part D family members forever. So be as creative as you like and design a logo that will make our very own Pacific Part D class timeless!
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2013 MEDICARE PART D UPDATES The 10 things you should know about the Part D benefit in 2013:
Inclusion (for the first time) of Benzodiazepines and Barbiturates as Part D covered drugs
o Part D drugs will include, provided they meet all other requirements to be a Part D drug,:
Barbiturates used for the medical indications of epilepsy, cancer, or a chronic
mental health disorder; and
Benzodiazepines
CMS established a Special Enrollment Period that allows eligible Medicare beneficiaries the
opportunity to enroll in a 5-star Part D plan at any point during the year
The maximum allowable deductible for a Part D plan in 2013 is $325
Total (beneficiary + plan) drug costs between $2970 and $6733.75 describe the coverage gap
(‘donut hole’)
Beneficiaries will receive a 52.5% point-of-sale discount on formulary covered brand-name
medications while in the coverage gap
Beneficiaries will receive a 21% point-of-sale discount on formulary covered generic
medications while in the coverage gap
Beneficiaries pay whichever is higher, 5% of the covered drug cost over $6733.75
(‘catastrophic coverage’), or
o $2.65 for formulary generic drugs or
o $6.60 for formulary brand drugs
Until reaching catastrophic coverage, full-benefit dual-eligible (Medicare and Medi-Cal)
beneficiaries will pay:
o $1.15 for formulary generic drugs or
o $3.50 for formulary brand drugs
Full-benefit dual-eligible (Medicare and Medi-Cal) beneficiaries pay nothing ($0) for formulary
medications once reaching catastrophic coverage
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“Making Dr. Patel Lakers Cupcakes.”
~Stephanie Jeffcoach
“My favorite memory was hearing Dr. Patel’s most
embarrassing moment about losing his swim trunks in the ocean because I can relate.”
~Jennifer Rodriguez
“My favorite memory of Medicare 2011 was saving a
beneficiary a whopping $53,000 at the San Jose health fair!”
~Kenny Cheng
“Having dinner at Tandoori Nites after a long day of Medicare interventions.”
~Stephanie Chen
“My favorite memory was at Waterfront in Stockton when Henry went up to an elderly
woman slowly walking through the room with a walker. Henry
was walking toward her to greet her. As soon as she noticed she
took off so fast! It’s like she didn’t even need the walker. It was hilarious! (Sorry Henry).”
~Marlyn Nicolas
Medicare Part D
Class of 2011
Memories Created by: Zohal Fazel
“My favorite memory is buying the newspaper with Dr. Patel, finding a shocking
surprise of myself on the front page with the most
unflattering facial expression.”
~Caitlin Mizoshiri
"The road trip down to Palo Alto!"
~Sean Chu
“Convincing Dr. Wight to get out of
her car and play ninja with us after
dinner in San Jose” ~Jodi Ott
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Medicare Part D Class of 2011 Memories
“The best class and classmates anyone
could ask for!” ~Katie Nguyen
“Listening to Michael Shioji’s
“Emo Mix” on the way to the San
Jose event.” ~Anil Mallya
“My favorite memory well…Jon…a cupcake…
enough said.” ~Keira Domer
“Going back to the same event multiple times and
running a red light, only to find that the folders were
empty!”
~Suzanna Tashdijan
“Trying to convince patients to come to
our events!”
~Henry Lee
“One of my favorite memories include watching Anil and Michael struggle with
carrying heavy objects and having trouble taking apart banner poles…only to have Dr.
Woelfel come by and easily complete the task himself! (With no trouble at all!)”
~Aesun Kim
"My favorite memory was when a beneficiary gave me a
hug after I helped her and yelled at her husband to also give me a hug because they
were so grateful."
~Lauren Ujihara
“While helping beneficiaries in itself is a life changing experience, so is working
alongside an outstanding group of colleagues. I will never forget our Costco
runs with the logistics committee and Aesun flexing her strength, carrying more cases of water with such grace, elegance
and finesse compared to Anil and I.” ~Michael Shioji
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Medicare Part D Class of 2011 Memories
“My favorite memory was a Palo Alto when two patients wanted to take a picture with Michelle and I even though
they didn’t speak English.” ~Alyssa Hobby
“Our last class on 11/21/2011!!!”
~Anh Pho
“Watching the professors open their gifts at the end of the pot luck. Their faces were priceless!”
~Seth Gomez
“The entire Part D experience is by far my favorite pharm school
memory!” ~Nichole Saqueton
“Watching Suzanna get her wallet out of her car trunk at the toll on the way to the Palo Alto outreach event-
didn’t know there was a toll.” ~Orkideh Moghaddam
“Next year I am going to do interviews, because none of you
would have been selected if I knew more about you (Dr. Patel).”
~Andy Miller
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Medicare Part D Class of 2011 Memories
“My favorite memory is going out to eat Bun bo hue!”
~Van Duong
“My favorite memory… is following a trail of cars, trying to get out of O’Connor Woods parking lot, only to realize that we were locked in for the night! Nooooo…we have food waiting for us at Tandoori Nites! Luckily, we escaped.” ~Angela Wong
“Jon’s story about his teacher in grade school
pulling cupcakes out of her shirt to hand out.”
~Carly Ranson
“Dr. Patel: So PAP stands for… Class: hahahahaha Dr. Patel: No, Carly I’m no changing my acronym just because of you. As I was saying PAP… Class: hahahahaha”
~Binita Patel
“Making fun of Dr. Patel… and telling him that my internet doesn’t work , or looking for
BOS forms.” ~Nataliya McElroy
“My favorite memory is of a 93 year old beneficiary hitting on me and then
asking for my phone #”. ~Jon Schmidt
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Medicare Part D Class of 2011 Memories
“Story time during question of the day.”
~Tina H. Tran
“Learning about life on a ship, Suriname, China, Philippines, Peru,
etc. My patients have such cool stories.” ~Bhumika Bhakta
“When Dr. Patel told his most embarrassing moment –when his shorts were washed away by the ocean.” ~Yvonne Mai
“Having our beneficiaries who spoke almost no English
be so enthusiastic about taking pictures with Alyssa
and me in Palo Alto.” ~Michelle Moon
“Being able to assist a beneficiary with lung cancer, on multiple medications and dialysis, and ultimately finding interactions with his therapy.
Knowing that there are tons of people like him in our community, and the fact that we as pharmacy
students can have such a huge impact in their lives and health, is amazing.”
~Erin Boos
“My favorite memory from was conducting a whole part D intervention to a beneficiary who
primarily spoke Chinese (very little English) without a translator. It was not easy but we made
it work and ultimately ended up changing his plan! He was so grateful for our help.” ~Neha Rahan
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“My favorite memory was working with the Chinese patients at the Palo Alto event.
That was my favorite site and I hope to help out at this event in the future.” ~Xiao Wen
Jiang
“It felt like spending 2 semesters with a big family. Supportive faculties, friendly
students, and hilarious jokes, what else can I ask for? I will miss all of you!” ~Runyu (Jennie)
Chen
“A beneficiary asked me to go and spend $100 at a bar since I saved her $700. She felt up my chest and called herself a cougar. It was so funny!” ~Yousef Trabouly
“My favorite memory is forgetting to submit 3
questions for one of our assignments and driving
Dr. Patel crazy!” ~Vivian Tran
“Dr. Patel said, “Expect the unexpected”. I got hit by a chicken at an event. We would take a bullet for you Dr. Patel, even if it is a chicken!”
~Dina Hoang
Medicare
Part D
Class of
2011
Memories
“It was very memorable for me to meet a couple that had been married
for 73 years. It was very touching to see the
husband so loving and caring, and trying to find
the best medical coverage for his wife.“
~Laura Hwang
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What’s to come in the next issue of The Donut Hole:
Special thanks to: Dua Moua Zohal Fazel Sarah Higgins Radha Changela Raj Patel Kelly Chen Natalie Hajian Benicia Ortiz
Stay tuned.....
More information on the Medicare Part D Open Enrollment Outreach events
Finalists for the Part D class logo competition
Interview with Dr. Gundersen, newest faculty member of the Part D family
Description of the 2012 Service Based Medicare Outreach Events
The personalities of the 2012 Medicare Part D students
Corrections from the last issue with our sincerest apologies:
Sabrina Cho was regretfully left out
of the recognition of the Medicare
Part D Class of 2010
Misspelling of Jon Schmidt’s name
(Medicare Part D Class of 2011)