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Podcast Episodes

01/31/23

Episode 76: Clinical Conversations: Individualized Nutrition Plans

In this episode, OMA Executive Director of Clinical Education, Dr. Nicholas Pennings is joined by Dr. Ethan Lazarus, 2021-2022 President of the OMA Board of Trustees, to discuss the importance of individualized nutrition plans in the treatment of obesity. Obesity Medicine Association has developed the 4 pillars construct as a tool for structuring an obesity treatment plan. Of the 4 pillars (nutrition, physical activity, behavioral therapy, and pharmacotherapy), nutrition tends to be one of the most challenging in terms of the wide variety of options for nutritional intervention as well as the wide variety in individual response of patients to nutritional interventions. In this podcast, the doctors explore individualized nutrition plans including meal replacements and intermittent fasting, the role of medication, as well as the importance of a team-based approach in treating the chronic disease of obesity. Episode Guests Ethan Lazarus, MD, FOMA Nick Pennings, DO, FOMA Related Resources Obesity Medicine 2023 Obesity Pillars Journal Obesity Algorithm® "Tailoring a Nutrition Plan to Your Patient" - 2022 Spring Obesity Summit Recording
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12/21/22

Episode 75: Pediatric Podcast: Trauma Informed Care and Pediatric Obesity

Dr. Suzanne Cuda and Dr. Dominique Williams discuss trauma informed care and the treatment of obesity in pediatric patients. Dr. Suzanne Cuda is a pediatrician and obesity medicine specialist who runs her own practice in San Antonio, TX called Alamo City Healthy Kids and Families in which she treats both children and their families. Dr. Dominique Williams practices with Children's Hospital and University Center in Columbus Ohio which specializes in weight management for children and adolescents. Dr. Williams is Board Certified in Obesity Medicine. Topics discussed in this podcast include the role of trauma in affecting physiology, the importance of screening pediatric patients for trauma, and using the four R's in treating obesity in pediatric patients. Episode Guests Suzanne Cuda, MD, FOMA, FAAP, ABOM Dominique Williams, MD, MPH, FAAP, ABOM Resources Mentioned Surveys to screen for ACES Related Resources Pediatric Obesity Algorithm® 
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12/19/22

Episode 74: Topics in Pediatric Obesity [Sponsored]

Dr. Jennifer Paisley, an internal medicine and pediatric physician with St. Elizabeth Health System, and Dr. Sherry Sakowitz-Sukkar, the director and Founder of Healthways Valley Center for Pediatric Wellness and Weight Management, discuss topics in pediatric obesity. Topics discussed include preventing, diagnosing, monitoring, treating, and tracking obesity in pediatric patients. The discussion touches on the role of the Covid 19 pandemic in increasing childhood obesity rates, multidisciplinary treatment options for pediatric patients, and Bariatric surgery in adolescents. Episode Guests Jennifer Paisley, MD, FAAP, ABOM Sherry Sakowitz-Sukkar, MD Resources Mentioned Healthways Valley Center for Pediatric Wellness and Weight Management Extended BMI Charts NHANES Data Iqvia CDC Study Related Resources Future of Obesity Care in Pediatrics
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12/16/22

Episode 73: Article Reviews: Clinical Practice Statements for the Management of Obesity - Nutrition and Physical Activity, Part 2 of 2: Body Composition

OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Karli Burridge, PA-C, MMS, FOMA about the Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) for which she was first author, titled 'Nutrition and Physical Activity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Topics include personal history documentation; laboratory procedures; components of energy expenditure; non-exercise activity thermogenesis (NEAT); accurately assessing and understanding body composition; body fat cut-off levels and the inclusion of a "pre-obesity" category. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. In this episode, we analyze the role of body composition in obesity medicine. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Karli Burridge PA-C, MMS, FOMA Resources Mentioned Obesity Pillars
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12/15/22

Episode 72: Article Reviews: Clinical Practice Statements for the Management of Obesity - Nutrition and Physical Activity, Part 1 of 2: Effective Patient Documentation; Electronic Medical Records (EMR's) and Energy Expenditure

OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Karli Burridge, PA-C, MMS, FOMA about the Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) for which she was first author, titled 'Nutrition and Physical Activity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Topics include personal history documentation; laboratory procedures; components of energy expenditure; non-exercise activity thermogenesis (NEAT); accurately assessing and understanding body composition; body fat cut-off levels and the inclusion of a "pre-obesity" category. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. In this episode, we analyze how obesity doctors can maximize patient documentation (EMR's) as well as the documentation of energy expenditure. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Karli Burridge PA-C, MMS, FOMA Resources Mentioned Obesity Pillars
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09/08/22

Episode 71: Article Reviews: Clinical Practice Statements for the Management of Obesity - Cancer and Obesity; Part 2 of 2

OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Ethan Lazarus, MD, FOMA, AMA Delegate about the Obesity Medicine Association (OMA) Clinical Practice Statement for which he was first author, titled 'Cancer and Obesity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Today's topics include the management and care of patients with obesity following a cancer diagnosis; the need for aggressive treatment of obesity using behavioral, medical and surgical strategies; the benefits of weight loss in cancer patients with obesity; and the devastating impact that clinician bias can have on the long term progression of patients with obesity. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. This podcast has been divided into 2 parts, with this being second and the final part. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Ethan Lazarus, MD, FOMA, AMA Delegate Resources Mentioned Obesity Pillars Cancer and Obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022
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09/08/22

Episode 70: Article Reviews: Clinical Practice Statements for the Management of Obesity - Cancer and Obesity; Part 1 of 2

OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Ethan Lazarus, MD, FOMA, AMA Delegate about the Obesity Medicine Association (OMA) Clinical Practice Statement for which he was first author, titled 'Cancer and Obesity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Today's topics include the complex relationship between cancer and obesity; how the steep decline of nicotine use over the past 30 years can inform us regarding possibilities for obesity management and care; and the nature of fat as a metabolically, hormonally active substance that predisposes the body to different types of cancer. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. This podcast has been divided into 2 parts, with the final part following this segment. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Ethan Lazarus, MD, FOMA, AMA Delegate Resources Mentioned Obesity Pillars Cancer and Obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022
Listen Now
09/08/22

Episode 69: Article Reviews: Clinical Practice Statements for the Management of Obesity - Cancer and Obesity; Full Podcast

OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Ethan Lazarus, MD, FOMA, AMA Delegate about the Obesity Medicine Association (OMA) Clinical Practice Statement for which he was first author, titled 'Cancer and Obesity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Today's topics include the complex relationship between cancer and obesity; how the steep decline of nicotine use over the past 30 years can inform us regarding possibilities for obesity management and care; and the nature of fat as a metabolically, hormonally active substance that predisposes the body to different types of cancer. Additionally, our experts discuss the management and care of patients with obesity following a cancer diagnosis; the need for aggressive treatment of obesity using behavioral, medical and surgical strategies; the benefits of weight loss in cancer patients with obesity; and the devastating impact that clinician bias can have on the long term progression of patients with obesity. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. Following this podcast, the contents have been divided into 2 parts in the following episodes. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Ethan Lazarus, MD, FOMA, AMA Delegate Resources Mentioned Obesity Pillars Cancer and Obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022
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09/08/22

Episode 68: Clinical Conversations: Top 10 Obesity Myths

In this episode, Obesity Medicine Specialist and OMA Clinical Education Director Dr. Nicholas Pennings joins NP Obesity Treatment Center owner Dr. Angela Golden to debunk common myths surrounding obesity and discuss effective strategies for supporting patients with obesity. Today's topics include the misconception of obesity as being a "condition of will power" as opposed to a chronic, progressive, relapsing and treatable disease; the importance of ongoing clinician education concerning obesity; how obesity impacts the cancer rate; tips for helping patients re-frame their internal biases; as well as productive goal-setting for lasting results and the necessity of food planning and preparation. You can access more information about Obesity Medicine podcasts and other resources from the clinical leader in Obesity Medicine at www.obesitymedicine.org/podcasts. Episode Guest Nicholas Pennings, DO, FOMA, Dipl. ABOM Angela Golden, DNP, FNP-C, FAANP Resources Mentioned 2022 Spring Obesity Summit www.obesitymedicine.org/podcasts
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08/04/22

Episode 67: Clinical Conversations: The Satiety Index in Dieting

In this episode, Obesity medicine specialist and OMA clinical education director Dr. Nicholas Pennings interviews Dr. Justin Tondt, highlighted speaker from the Overcoming Obesity 2021 Conference, about the role of the satiety index in obesity treatment. Topics covered include distinguishing between satiety and satiation, how the satiety index is determined, the effects of alcohol and caffeine on appetite, as well as the role of water plays in satiety. You can access more information about Obesity Medicine podcasts and other resources from the clinical leader in Obesity Medicine at www.obesitymedicine.org/podcasts. Episode Guest Nicholas Pennings, DO, FOMA, Dipl. ABOM Justin Tondt, MD Resources Mentioned 2021 Fall Obesity Summit www.obesitymedicine.org/podcasts Related Resources https://academy.obesitymedicine.org/p/Overcoming_Obesity_2021_Fall_Obesity_Summit_recorded https://academy.obesitymedicine.org/p/Overcoming_Obesity_2021_Fall_Obesity_Summit_recorded_noncme
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Master Fellows of Obesity Medicine (MFOMA)

Master Fellow of OMA (MFOMA) is an honorary designation bestowed upon members whose contributions have exceeded those of a traditional member and whose leadership within the organization has elevated both the association and the field of obesity medicine.

Deborah Bade Horn, DO, MPH, MFOMA

Deborah Bade Horn, DO, MPH, MFOMA

2015

Denise E. Bruner, MD, MFOMA

Denise E. Bruner, MD, MFOMA

2015

Allen Rader, MD, MFOMA

Allen Rader, MD, MFOMA

2015

Larry Richardson, MD, MFOMA

Larry Richardson, MD, MFOMA

2015

Eneida Roldan, MD, MPH, MBA, MFOMA

Eneida Roldan, MD, MPH, MBA, MFOMA

2015

Eric C. Westman, MD, MHS, MFOMA

Eric C. Westman, MD, MHS, MFOMA

2015

Gary Zisk, DO, MFOMA

Gary Zisk, DO, MFOMA

2015

Lydia Alexander, MD, FOMA

Lydia Alexander, MD, DABOM, DACLM, MFOMA 

2023

Harold Bays, MD, FTOS, FACC, FACE, FNLA, FOMA

Harold Bays, MD, MFOMA, FTOS, FACC, FNLA, FASPC, DABOM 

2023

Sandra Christensen, MSN, ARNP, FOMA

Sandra Christensen, MSN, ARNP, FNP-BC, MFOMA, FAANP 

2023

Suzanne Cuda, MD, FAAP, FOMA

Suzanne Cuda, MD, FAAP, ABOM, MFOMA

2023

Angela Fitch, MD, FACP, FOMA

Angela Fitch, MD, FACP, MFOMA, DABOM

2023

Michelle Freshwater, MD, FOMA

Michelle Freshwater, MD, DABOM, MFOMA

2023

Frank Greenway, MD, FOMA

Frank Greenway, MD, MFOMA, FTOS, FACP, MABOM

2023

Carl Knopke, MD, FOMA

Carl Knopke, MD, MFOMA, FAAFP

2023

Ethan Lazarus, MD, FOMA

Ethan Lazarus, MD, DABFM, DABOM, MFOMA

2023

William McCarthy, MD, FOMA

William McCarthy, MD, DABOM, MFOMA

2023

Jeremy McConnell, MD, FOMA

Jeremy McConnell, MD, MFOMA

2023

Daisy Merey, MD, PhD, FAAFP, FOMA

Daisy Merey, MD, PhD, FAAFP, MFOMA

2023

Nicholas Pennings, DO, FOMA

Nicholas Pennings, DO, DABOM, MFOMA, FACOFP, FAAFP

2023

Craig Primack, MD, FACP, FAAP, FOMA

Craig Primack, MD, FACP, FAAP, MFOMA, DABOM

2023

Bharti Shetye, MD, FOMA

Bharti Shetye, MD, MFOMA, DABOM

2023

Jeffrey Sicat, MD, FACE, FOMA

Jeffrey Sicat, MD, FACE, MFOMA

2023

Wickham Simonds, MD, FOMA

Wickham Simonds, MD, MFOMA

2023

Fellows of Obesity Medicine (FOMA)

The following candidates met a list of criteria to become Fellows of OMA. They earned their Fellow designation, FOMA, which identifies them as someone who is passionate about the field and continues to seek new ways to treat obesity effectively.

Samina Afreen, MD, FOMA

Samina Afreen, MD, FOMA

2023

Mahtab Ahmed, MD, FOMA

Mahtab Ahmed, MD, FOMA

2020

Amit Algotar, MD, PhD, MPH, FOMA

Amit Algotar, MD, PhD, MPH, FOMA

2023

Rebecca Andrick, DO, CNS, FOMA

Rebecca Andrick, DO, CNS, FOMA

2023

Anthony Auriemma, MD, JD, FOMA

Anthony Auriemma, MD, JD, FOMA

2020

Stacy Braff, MD, FOMA

Stacy Braff, MD, FOMA

2020

Allen Browne, MD, FAAP, FACS, DABOM, FOMA

Allen Browne, MD, FAAP, FACS, DABOM, FOMA

2022

Nancy Browne, MS, PPCNP-BC, CBN, FAANP, FAAN, FOMA

Nancy Browne, MS, PPCNP-BC, CBN, FAANP, FAAN, FOMA

2022

Karlijn Burridge, MMS, PA-C, FOMA

Karlijn Burridge, MMS, PA-C, FOMA

2020

Pascale Carbonara Fellows Headshot 200 X200

Pascale Carbonara, MD, DABOM, FOMA, FACP

2023

Marisa Censani, MD, FOMA

Marisa Censani, MD, FOMA

2020

Erin Chamberlin, MD, FAAFP, FOMA

Erin Chamberlin, MD, FAAFP, FOMA

2017

Aparna Chandrasekaran, MD, MBBS, FOMA

Aparna Chandrasekaran, MD, MBBS, FOMA

2021

Cindi Condos, FNP, FOMA

Cindi Condos, FNP, FOMA

2022

Sunil Daniel, MD, FTOS, FOMA

Sunil Daniel, MD, FTOS, FOMA

2020

Lisa Maria DeRosimo, MD, MS, FOMA

Lisa Maria DeRosimo, MD, MS, FOMA

2022

Teji Dhami, MD, FOMA

Teji Dhami, MD, FOMA

2022

Krishna Doniparthi, MD, FAARM, FOMA

Krishna Doniparthi, MD, FAARM, FOMA

2016

U. Inge Ferguson, DO, FACOI, FOMA

U. Inge Ferguson, DO, FACOI, FOMA

2016

Lisa Ferreira, MD, FOMA

Lisa Ferreira, MD, FOMA

2021

Carolynn Francavilla-Brown, PhD, RN, FNP-C, FOMA

Carolynn Francavilla-Brown, PhD, RN, FNP-C, FOMA

2019

Christina Funk, DNP, FNP-C, APNP, FOMA

Christina Funk, DNP, FNP-C, APNP, FOMA

2021

Brent Gear, DO, FACEP, FACOEP, FOMA

Brent Gear, DO, FACEP, FACOEP, FOMA

2018

Angela Golden, DNP, FNPC, FOMA

Angela Golden, DNP, FNPC, FOMA

2022

Sylvia Gonsahn-Bollie, MD, FOMA

Sylvia Gonsahn-Bollie, MD, FOMA

2022

Fadia Haddadin, MD, FAAFP, FOMA

Fadia Haddadin, MD, FAAFP, FOMA

2022

Binju Joel, MD, FOMA

Binju Joel, MD, FOMA

2022

Sara Karjoo, MD, FOMA

Sara Karjoo, MD, FOMA

2022

Breann Kelley, MD, FOMA

Breann Kelley, MD, FOMA

2022

Monu Khanna Fellows Headshot 200x200

Monu Khanna, MD, FOMA

2023

Kristopher Knoop, MD, FOMA

Kristopher Knoop, MD, FOMA

2020

Scot Kolsin, MD, FOMA

Scot Kolsin, MD, FOMA

2017

Jennifer Kucera, APRN, FNP-C, FOMA

Jennifer Kucera, APRN, FNP-C, FOMA

2022

Cesar Lara, MD, FOMA

Cesar Lara, MD, FOMA

2016

Michael B. McClurken, MD, FOMA

Michael B. McClurken, MD, FOMA

2022

Peter McIlveen, MD, MBA, FACOG, FOMA

Peter McIlveen, MD, MBA, FACOG, FOMA

2020

Stephanie McKnight, MD, FOMA

Stephanie McKnight, MD, FOMA

2022

Julia Melamed, MD, FOMA

Julia Melamed, MD, FOMA

2016

Ryan Morgan, DO, FACOI, Dipl. ABOM, Dipl. ABCL, BC-ADM, FOMA

Ryan Morgan, DO, FACOI, Dipl. ABOM, Dipl. ABCL, BC-ADM, FOMA

2022

Derek Muse, MD, FOMA

Derek Muse, MD, FOMA

2016

Jennifer Ng Fellows Headshot 200x200

Jennifer Ng, MD, DABOM, FOMA

2023

Joynita Nicholson, DO, FOMA

Joynita Nicholson, DO, FOMA

2018

Chima Nwizu, MD, FAAFP, FNLA, FOMA

Chima Nwizu, MD, FAAFP, FNLA, FOMA

2022

Valerie O’Hara, DO, FAAP, FOMA

Valerie O’Hara, DO, FAAP, FOMA

2022

Teresa H. Owens, ARNP, FNP-C, MSN, FOMA

Teresa H. Owens, ARNP, FNP-C, MSN, FOMA

2019

Jennifer Paisley Fellows Headshot 200x200

Jennifer Paisley, MD, DABOM, FOMA

2023

Naomi Parrella, MD, FOMA

Naomi Parrella, MD, FOMA

2022

Warren Peters, MD, MPH, FOMA

Warren Peters, MD, MPH, FOMA

2018

Kanchan Pillai, MD, FOMA

Kanchan Pillai, MD, FOMA

2022

Justin Puckett, DO, FOMA

Justin Puckett, DO, FOMA

2017

Jennifer Rajkumar, MD, FOMA

Jennifer Rajkumar, MD, FOMA

2021

Jill Ratanaphruks, RN, MSN, FNP-C

Jill Ratanaphruks, RN, MSN, FNP-C

2022

Vivienne Rose Fellows Headshot 200x200

Vivienne Rose, MD, FOMA

2017

Carol Rowsemitt, PhD, RN, FNP-C, FOMA

Carol Rowsemitt, PhD, RN, FNP-C, FOMA

2020

Mark Schwartz, MD, FOMA

Mark Schwartz, MD, FOMA

2021

Jennifer Seger, MD, FOMA

Jennifer Seger, MD, FOMA

2016

Michelle A. Kennedy, NP-C, FOMA

Michelle A. Stone, NP-C, FOMA

2017

Pankaj Timsina, MD, FOMA

Pankaj Timsina, MD, FOMA

2020

Komal Trivedi Fellows Headshot 200 X200

Komal Trivedi, MD, DABOM, FOMA

2023

Kirsten Tychonievich, MS, APRN-CNP, FOMA

Kirsten Tychonievich, MS, APRN-CNP, FOMA

2022

Cate Varney Fellows Headshot 200x200

Catherine Varney, DO, ABOM, FAAFP, FOMA

2023

Verlyn Warrington, MD, FOMA

Verlyn Warrington, MD, FOMA

2016

Christopher Weber, MD, FAAP, FACP, CSCS, DABOM, FOMA

Christopher Weber, MD, FAAP, FACP, CSCS, DABOM, FOMA

2023

Anna Welcome, MD, FACOG, FOMA

Anna Welcome, MD, FACOG, FOMA

2019

Sarah Wells Fellows Headshot 200x200

Sarah Wells, MD, FOMA

2023

Lori Wenz, NP-C, BC-ADM, FOMA

Lori Wenz, NP-C, BC-ADM, FOMA

2022

Dominique Williams Fellows Headshot 200x200

Dominique Williams, MD, MPH, FOMA, DABOM

2023

Susan Wolver, MD, FACP, FOMA

Susan Wolver, MD, FACP, FOMA

2021

Courtney Younglove, MD, FACOG, FOMA

Courtney Younglove, MD, FACOG, FOMA

2021

Robert Ziltzer, MD, FACP, FAAP, FOMA

Robert Ziltzer, MD, FACP, FAAP, FOMA

2020

Rameck Hunt

Rameck Hunt, MD, DABOM, FACP, FOMA

2023

Kevin Rosenberg

Kevin Rosenburg, MD, FACO, FACEP, FOMA

2023

Mahesh Sreedasyam

Mahesh Sreedasyam, MD, MHA, DABOM, FOMA

2023