Table Of ContentManual of Family Practice
Second Edition
2002
Lippincott Williams & Wilkins
Philadelphia
530 Walnut Street, Philadelphia, PA 19106 USA, LWW.com
0-7817-2652-2
All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any
means, including photocopying, or utilized by any information storage and retrieval system without written permission
from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in
this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the
above-mentioned copyright.
Copyright for Chapter 14.3 (“Genetic Disorders and Pregnancy”) is held by the Mayo Foundation, Rochester, Minnesota.
Printed in the USA
Library of Congress Cataloging-in-Publication Data
Manual of family practice / editor, Robert B. Taylor.—2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-7817-2652-2
1. Family medicine—Handbooks, manuals, etc. I. Taylor, Robert B.
[DNLM: 1. Family Practice—methods—Handbooks. WB 39 M2939 2002]
RC55 .M266 2002
616—dc21
2001029829
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted
practices. However, the authors, editor, and publisher are not responsible for errors or omissions or for any
consequences from application of the information in this book and make no warranty, expressed or implied, with
respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information
in a particular situation remains the professional responsibility of the practitioner.
The authors, editor, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this
text are in accordance with current recommendations and practice at the time of publication. However, in view of
ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy
and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and
dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new
or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for
limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA
status of each drug or device planned for use in their clinical practice.
Editor Department of Family Medicine, Albert Einstein College of
Medicine; Attending Physician, Department of Family
Medicine, Montefiore Medical Center, Bronx, New York
Robert B. Taylor M.D.
Professor Kathryn M. Andolsek M.D., M.P.H.
Department of Family Medicine, Oregon Health Sciences
Clinical Professor
University School of Medicine and Active Staff, Department
Department of Community & Family Medicine, Duke
of Family Medicine, Oregon Health Sciences University
University Health System, Durham, North Carolina
Hospital, Portland, Oregon
With 206 Contributors
Evan A. Ashkin M.D.
Secondary Editors Clinical Assistant Professor
Department of Family Medicine, University of North
Carolina-Chapel Hill School of Medicine, Chapel Hill, North
Richard Winters Carolina
Acquisitions Editor
John W. Bachman M.D.
Michelle M. LaPlante
Consultant
Developmental Editor Department of Family Medicine, Mayo Clinic and Mayo
Foundation; Professor, Department of Family Medicine, Mayo
Robert Pancotti
Medical School, Rochester, Minnesota
Production Editor
R. Eugene Bailey M.D.
Colin Warnock
Assistant Professor
Manufacturing Manager
Department of Family Medicine, State University of New
York-Upstate Medical University, Syracuse, New York
Christine Jenny
Cover Designer
Nancy J. Baker M.D.
University Family Physicians/Smiley's Clinic
Circle Graphics
Minneapolis, Minnesota
Compositor
Robert A. Baldor M.D.
R.R. Donnelley
Printer, Crawfordsville Associate Professor and Vice-Chairman
Department of Family Medicine & Community Health, The
CONTRIBUTING AUTHORS University of Massachusetts Medical School, Worcester,
Massachusetts
Alan M. Adelman M.D., M.S.
Otis L. Baughman III M.D.
Associate Chair & Professor
Professor
Department of Family & Community Medicine, Pennsylvania
Department of Family Medicine, Medical University of South
State University College of Medicine; Faculty, Department of
Carolina College of Medicine, Charleston; Director,
Family & Community Medicine; M.S. Hershey Medical Center,
Spartanburg Regional Healthcare System, Family Medicine
Hershey, Pennsylvania
Residency Program, Spartanburg, South Carolina
Thomas Agresta M.D.
Dennis J. Baumgardner M.D.
Assistant Professor
Professor
Department of Family Medicine, University of Connecticut
Department of Family Medicine, University of Wisconsin
School of Medicine, Farmington, Connecticut
Medical School; Faculty, St. Luke's Medical Center,
Milwaukee, Wisconsin
John P. Allen Ph.D.
Associate Director of Treatment Studies Christopher B. Behrens M.D.
U.S. National Institute on Alcohol Abuse and Alcoholism,
Assistant Clinical Instructor
Rockville, Maryland
Department of Medicine, Harborview Medical Center;
Medical Educator, Northwest AIDS Education and Training
William A. Alto M.D., M.P.H.
Center, University of Washington Center for Education and
Associate Professor Research, Seattle, Washington
Department of Family & Community Medicine, Maine-
Dartmouth Medical School, Fairfield; Faculty, Department of Marvin Moe Bell M.D., M.P.H.
Family Practice, Maine General Hospital, Waterville, Maine
Clinical Associate Professor
Department of Family & Community Medicine, University of
Navin M. Amin M.D.
Arizona College of Medicine, Tucson; Associate Director,
Professor Family Practice Residency, Scottsdale Healthcare-Osborn,
Department of Family Medicine, University of California, Scottsdale, Arizona
Irvine College of Medicine, Orange; Chairman and Program
Director, Department of Family Medicine/Pediatrics, Kern Michelle Anne Bholat M.D., M.P.H.
Medical Center, Bakersfield, California
Assistant Professor and Chief of Clinical Services
Department of Family Medicine, University of California-Los
Matthew R. Anderson M.D.
Angeles Medical Center, Los Angeles, California
Assistant Professor
Linda R. Bigi D.O. Bruce M. Bushwick M.D.
Clinical Instructor Associate Program Director
Department of Family Practice, Northwestern University Family Practice Residency Program, York Hospital, York,
Medical School, Chicago; Attending Physician, Department of Pennsylvania
Family Practice, Glenbrook Family Care Center, Glenview,
Illinois
Thomas A. Bzoskie M.D.
Associate Clinical Professor
Nina R. Birnbaum M.D.
Department of Family Medicine, University of California-Los
Assistant Clinical Professor Angeles School of Medicine, Los Angeles; Faculty, Santa
Department of Family & Community Medicine, University of Monica-UCLA Family Practice Residency Program, Santa
California-San Francisco School of Medicine; Active Staff, Monica, California
Department of Family & Community Medicine, San Francisco
General Hospital, San Francisco, California
David B. Callahan M.D.
Assistant Clinical Professor
Carol E. Blenning M.D.
Department of Family Medicine, Virginia Commonwealth
Assistant Professor University/Medical College of Virginia, Richmond, Virginia
Department of Family Medicine, Oregon Health Sciences
University School of Medicine; Medical Director, Richmond
Frank S. Celestino M.D.
Family Health Center, Portland, Oregon
Associate Professor
Department of Family & Community Medicine, Wake Forest
Richard D. Blondell M.D.
University School of Medicine; Attending Physician, North
Professor Carolina Baptist Hospital, Winston-Salem, North Carolina
Department of Family & Community Medicine, University of
Louisville School of Medicine, Louisville, Kentucky
Jodi A. Chaffin R.Ph.
Herbal Resource Pharmacist
Karen M. Bolton M.D.
Health Partners Center for Health Promotion, Minneapolis,
Assistant Clinical Professor Minnesota
Department of Family Medicine, University of Washington
School of Medicine, Seattle; Medical Director, Anacortes
S. Shekar Chakravarthi M.B., B.S.
Family Medicine, Anacortes, Washington
Medical Director
Senior Services, Hunterdon Medical Center, Flemington, New
Cora Collette Breuner M.D., M.P.H.
Jersey
Assistant Professor
Department of Pediatrics, University of Washington School of
Rabin F. C. Chandran M.D.
Medicine; Faculty, Division of Adolescent Medicine, Children's
Hospital Medical Center, Seattle, Washington Assistant Clinical Professor
Department of Family Medicine, Brown University School of
Medicine; Assistant Residency Director, Department of
Richard Joseph Breuner M.D.
Family Medicine, Memorial Hospital of Rhode Island,
Clinical Assistant Professor Pawtucket, Rhode Island
Department of Family Medicine, University of Washington
School of Medicine; Faculty, Swedish Family Practice
Jason Chao M.D., M.S.
Residency, Swedish Health Services, Seattle, Washington
Associate Professor
Department of Family Medicine, Case Western Reserve
Dan Brewer M.D.
University School of Medicine; Predoctoral Division Director,
Associate Professor Department of Family Medicine, University Hospitals of
Department of Family Medicine, University of Tennessee Cleveland, Cleveland, Ohio
School of Medicine; Active Staff, Department of Family
Medicine, University of Tennessee Medical Center, Knoxville,
Kathi D. Clement M.D.
Tennessee
Associate Professor
Department of Family Medicine, University of Wyoming;
James Broomfield M.D.
Faculty, Department of Family Medicine, United Medical
Assistant Professor Center, Cheyenne, Wyoming
Department of Family Medicine, University of Wyoming
Family Practice Residency-Cheyenne; Active Staff,
Elise M. Coletta M.D.
Department of Family Practice, United Medical Center,
Cheyenne, Wyoming Assistant Professor
Department of Family Medicine, Brown University School of
Medicine, Providence; Chief of Gerontology, Department of
Michael H. Bross M.D.
Family Medicine, Memorial Hospital of Rhode Island,
Medical Director Pawtucket, Rhode Island
Institute for Research and Education in Family Medicine, St.
Louis, Missouri
Carol Cordy M.D.
Clinical Associate Professor
Robert L. Buckley M.D.
Department of Family Medicine, University of Washington
Clinical Professor School of Medicine; Faculty, Family Practice Residency
Department of Family Practice, Loyola Stritch School of Program, Swedish Hospital and Medical Center, Seattle,
Medicine, Maywood; Chairman and Executive Director, Washington
Department of Medical Education, Resurrection Medical
Center, Chicago, Illinois
Gerald M. Cross M.D. John P. Fogarty M.D.
Commander Professor and Chairman
Darnall Army Community Hospital, Fort Hood, Texas Department of Family Practice, University of Vermont
College of Medicine; Clinical Leader, Department of Family
Practice Health Care Service, Fletcher Allen Health Care,
Peggy R. Cyr M.D.
Burlington, Vermont
Clinical Assistant Professor
Department of Family Medicine, Maine Medical Center,
Thomas Paul Forks D.O., Ph.D.
Portland, Maine
Assistant Professor
Department of Family Medicine, University of Mississippi
Mel P. Daly M.D.
School of Medicine; Family Physician, Department of Family
Faculty Medicine, Baptist Hospital, Jackson, Mississippi
Greater Baltimore Medical Center, Baltimore, Maryland
Keith A. Frey M.D., M.B.A.
Marilyn S. Darr Pharm.D., M.D.
Chairman
Clinical Assistant Professor Department of Family Medicine, Mayo Clinic, Scottsdale,
Department of Family Medicine, University of Washington Arizona
School of Medicine, Seattle; Associate Program Director,
Family Medicine of Southwest Washington Residency Program,
Carolyn L. Frymoyer M.D.
Southwest Washington Medical Center, Vancouver,
Washington Assistant Professor
Department of Family Medicine, State University New York-
Upstate Medical University; Attending Physician, Department
Susanne R. Dillon M.D.
of Family Medicine, St. Joseph's Hospital Health Center,
Active Member Syracuse, New York
Department of Family Practice, St. Luke's Hospital and St.
Alphosus Hospital, Boise, Idaho
Michael Genova M.D.
Assistant Clinical Professor
Lisa Grill Dodson M.D.
Department of Family Medicine, University of California-Los
Assistant Professor Angeles School of Medicine, Los Angeles; Faculty, Santa
Department of Family Medicine, Oregon Health Sciences Monica-UCLA Family Practice Residency Program, Santa
University School of Medicine, Portland, Oregon Monica, California
Patrick T. Dowling M.D., M.P.H. Dwenda K. Gjerdingen M.D.
Professor and Chairman Professor
Department of Family Medicine, University of California-Los Department of Family Practice & Community Health,
Angeles School of Medicine, Los Angeles, California University of Minnesota School of Medicine; Active Staff
Member, Department of Family Practice, St. Joseph's
Hospital, St. Paul, Minnesota
Pamela Dull M.D.
Assistant Clinical Professor
Bruce W. Goldberg M.D.
Department of Family Medicine, Ohio State University
College of Medicine; Attending Physician, Department of Associate Professor
Family Medicine, Ohio State University Hospitals, Columbus, Departments of Family Medicine and Public Health &
Ohio Preventive Medicine, Oregon Health Sciences University
School of Medicine, Portland, Oregon
Thomas P. Ehrlich M.D.
Ronald H. Goldschmidt M.D.
Assistant Clinical Professor
Department of Family Practice, Virginia Commonwealth Professor
University School of Medicine, Richmond; Residency Faculty, Department of Family & Community Medicine, University of
Department of Family Practice, Fairfax Family Practice, California-San Francisco School of Medicine; Director, Family
Fairfax, Virginia Practice Inpatient Service, San Francisco General Hospital,
San Francisco, California
Nancy C. Elder M.D., M.S.P.H.
Eduardo C. Gonzalez M.D.
Associate Professor
Department of Family Medicine, University of Cincinnati Associate Professor
School of Medicine, Cincinnati, Ohio Department of Family Medicine, University of South Florida
College of Medicine, Tampa, Florida
Paul Evans D.O.
David B. Graham M.D.
Associate Dean for Curricular Affairs; Associate Professor
Department of Family Medicine, Oklahoma State University Clinical Assistant Professor
College of Osteopathic Medicine, Tulsa, Oklahoma Department of Family Medicine, Oregon Health Sciences
University School of Medicine, Portland; Private Practice,
Strawberry Wilderness Family Clinic, John Day, Oregon
Lyle J. Fagnan M.D.
Associate Professor
Pepi Granat M.D.
Department of Family Practice, Oregon Health Sciences
University School of Medicine; Medical Director, Oregon Clinical Professor
Health Sciences University-Gabriel Park Family Health Center, Department of Family Medicine & Community Health,
Portland, Oregon University of Miami School of Medicine; Attending Physician,
Department of Family Medicine, Baptist Health Systems of
Meg Hayes M.D.
South Florida, Miami, Florida
Assistant Professor
Department of Family Medicine, Oregon Health Sciences
Joseph W. Gravel Jr. M.D.
University School of Medicine, Portland, Oregon
Residency Program Director
Tufts University Family Practice Residency, Malden,
John M. Heath M.D.
Massachusetts
Associate Professor
Department of Family Medicine, Robert Wood Johnson
Lee A. Green M.D., M.P.H.
Medical School, New Brunswick, New Jersey
Associate Professor
Department of Family Medicine, University of Michigan
Fred E. Heidrich M.D., M.P.H.
Medical School, Ann Arbor, Michigan
Clinical Associate Professor
Department of Family Medicine, University of Washington
James L. Greenwald M.D.
School of Medicine; Residency Director, Group Health
Associate Professor Cooperative, Seattle, Washington
Department of Family Medicine, State University of New
York-Upstate Medical University; Attending Physician,
Michael James Henehan D.O.
Department of Family Practice, Crouse Hospital, Syracuse,
New York Associate Clinical Professor
Department of Family and Community Medicine, Stanford
University School of Medicine, Stanford; Faculty Member,
James K. Gude M.D.
Family Practice Residency Program, San José Medical Center,
Clinical Professor San José, California
Departments of Medicine and of Family & Community
Medicine, University of California-San Francisco School of
Charles E. Henley D.O., M.P.H.
Medicine, San Francisco, California
Professor and Chairman
Department of Family Medicine, Oklahoma State University
Robert M. Guthrie M.D.
College of Osteopathic Medicine; Attending Physician,
Professor Department of Family Practice, Tulsa Regional Medical
Department of Emergency Medicine, Internal Medicine, & Center, Tulsa, Oklahoma
Pharmacology, The Ohio State University College of Medicine,
Columbus, Ohio
Michael M. Herbst M.D.
Associate Professor
Frank A. Hale Ph.D.
Department of Family Medicine, University of California-Los
Professor Angeles School of Medicine, Los Angeles; Chairman,
Department of Family & Community Medicine, University of Department of Family Practice, Santa Monica-UCLA Medical
Arizona College of Medicine, Tucson, Arizona Center, Santa Monica, California
John G. Halvorsen M.D., M.S. Denise D. Hermann M.D., F.A.C.C.
Thomas and Ellen Foster Chairman and Professor Associate Clinical Professor
Department of Family & Community Medicine, University of Department of Medicine, University of California-San Diego
Illinois-Chicago College of Medicine at Peoria; Active Staff, School of Medicine; Assistant Director, Heart Failure/Cardiac
Department of Family Practice, Methodist Medical Center, Transplantation Program, University of California-San Diego
Peoria, Illinois Medical Center, San Diego, California
Todd L. Hamel M.D. Kenneth A. Hirsch M.D., Ph.D.
Instructor Medical Manager
Department of Family Medicine, Oregon Health Sciences Department of Mental Health, Naval Medical Center, San
University School of Medicine, Portland, Oregon Diego, California
Jimmy H. Hara M.D. Joseph Hobbs M.D.
Associate Clinical Professor Chairman
Department of Family Medicine, University of California-Los Department of Family Medicine, Medical College of Georgia
Angeles School of Medicine; Residency Director, Department School of Medicine, Augusta, Georgia
of Family Practice, Kaiser-Los Angeles, Los Angeles,
California
Douglas F. Hoffman M.D.
Active Staff
Diane M. Harper M.D., M.P.H., M.S.
Department of Sports Medicine & Orthopedics, St.
Associate Professor Mary's/Duluth Clinic, Duluth, Minnesota
Departments of Community & Family Medicine and Obstetrics
& Gynecology, Dartmouth Medical School, Lebanon, New
Pamela S. Horst M.D.
Hampshire
Associate Professor
Department of Family Medicine, State University of New
Jeffrey D. Harrison M.D.
York-Upstate Medical University; Faculty, St. Joseph's
Assistant Professor Hospital Family Practice Residency Program, Syracuse, New
Department of Family Medicine, University of Nebraska York
Medical Center, Omaha, Nebraska
William J. Hueston M.D.
Professor and Chairman Private Practice
Department of Family Medicine, Medical University of South Mobile Infirmary Medical Center, Mobile, Alabama
Carolina, Charleston, South Carolina
Evan W. Kligman M.D.
James W. Jarvis M.D.
Clinical Professor
Assistant Professor Department of Family & Community Medicine, University of
Department of Family Medicine, Medical University of South Arizona; Co-Director, Arizona Center on Aging, University of
Carolina, Charleston; Faculty Family Physician, Benton M. Arizona Health Science Center, Tucson, Arizona
Montgomery Center for Family Medicine, Self Memorial
Hospital, Greenwood, South Carolina
Michael S. Klinkman M.D., M.S.
Associate Professor
Cynda Ann Johnson M.D.
Department of Family Medicine, University of Michigan
Professor and Chair Medical School, Ann Arbor, Michigan
Department of Family Medicine, University of Iowa College of
Medicine; Clinical Chief, Family Practice Service, University
Aubrey L. Knight M.D.
of Iowa Hospitals & Clinics, Iowa City, Iowa
Associate Professor
Department of Family Medicine, University of Virginia School
Jeffrey G. Jones M.D., M.P.H.
of Medicine, Charlottesville; Director, Family Practice
Medical Director Education, Carilion Health System, Roanoke, Virginia
Employee Health, St. Francis Hospital, Indianapolis, Indiana
Donald R. Koester M.D.
Daphne Karel M.D.
Associate Professor
Associate Professor Department of Family Practice, Southwestern Medical School,
Department of Family Medicine, Medical University of South Dallas; Active Staff, Department of Family Practice, Hillcrest
Carolina, Charleston; Active Staff, Self Memorial Family Baptist Medical Center, Waco, Texas
Practice Residency Program, Greenwood, South Carolina
Peter B. Kozisek M.D.
David A. Katerndahl M.D., M.A.
Associate Program Director
Professor Family Practice Residency of Idaho, Boise, Idaho
Department of Family & Community Medicine, University of
Texas Health Science Center; Active Staff, University
Karen W. Krigger M.D.
Hospital, San Antonio, Texas
Assistant Professor
Department of Family & Community Medicine, University of
Michael T. Kernan M.D.
Louisville School of Medicine, Louisville, Kentucky
Associate Professor
Department of Family Medicine, State University of New
Valerie B. Laing M.D.
York-Upstate Medical University; Associate Residency
Director, Family Practice Residency Program, St. Joseph's Active Staff
Hospital Health Center, Syracuse, New York Department of Dermatology, Boice-Willis Clinic, Rocky Mount,
North Carolina
Kenneth F. Kessel M.D.
Walter L. Larimore M.D.
Professor
Department of Family Medicine, Rush University School of Vice President of Medical Outreach
Medicine/Rush-Presbyterian St. Lukes Medical Center, Focus on the Family, Colorado Springs, Colorado
Chicago; Associate Director, Department of Family Practice,
La Grange Memorial Hospital, La Grange, Illinois
Lars C. Larsen M.D.
Professor
Sanford R. Kimmel M.D.
Department of Family Medicine, The Brody School of
Associate Professor & Associate Residency Director Medicine at East Carolina University; Active Staff,
Department of Family Medicine, Medical College of Ohio, Department of Family Medicine, University Health System,
Toledo, Ohio Pitt Memorial Hospital, Greenville, North Carolina
Mitchell S. King M.D. Kim Edward LeBlanc M.D., Ph.D.
Assistant Professor Director
Department of Family Medicine, Northwestern University Residency Program, Department of Family Practice,
Medical School, Chicago; Residency Program Director, University Medical Center (LSU), Lafayette, Louisiana
Department of Family Medicine, Glenbrook Hospital,
Glenview, Illinois
Daniel T. Lee M.D.
Assistant Clinical Professor
Jeffrey T. Kirchner D.O.
Department of Family Medicine, University of California-Los
Clinical Associate Professor Angeles School of Medicine, Los Angeles; Active Staff,
Department of Family & Community Medicine, Temple Department of Family Practice, Santa Monica-UCLA Medical
University School of Medicine, Philadelphia; Associate Center, Santa Monica, California
Director, Department of Family & Community Medicine,
Lancaster General Hospital, Lancaster, Pennsylvania
Clarence W. Legerton III M.D.
Associate Professor
George L. Kirkpatrick M.D.
Department of Medicine, Division of Rheumatology & Residency Program, Chestnut Hill Hospital, Philadelphia,
Immunology, Medical University of South Carolina, Pennsylvania
Charleston, South Carolina
Jerry T. McKnight M.D.
William T. Leslie M.D.
Chairman
Assistant Professor Department of Family Medicine, University of Alabama
Department of Internal Medicine, Rush University School of College of Community Health Sciences; Physician,
Medicine, Chicago, Illinois Department of Family Medicine, DCH Regional Medical
Center, Tuscaloosa, Alabama
James E. Lessenger M.D.
Albert A. Meyer Jr. M.D.
Private Practice
Porterville, California Consulting Associate Professor
Department of Community & Family Medicine, Duke
University Medical Center, Cary; Attending Physician and
Wade A. Lillegard M.D.
Medical Staff, Department of Medicine, Central Carolina
Assistant Clinical Professor Hospital; Sandtills Family Practice, Sanford, North Carolina
Department of Family Medicine, University of Minnesota-
Duluth School of Medicine; Co-Director, Department of
Kim W. Meyer R.N., M.H.S., PA-C
Orthopedics, St. Mary's/Duluth Clinic, Duluth, Minnesota
Physician Assistant
Private Family Practice, Durham, North Carolina
Joseph G.M. Lurio M.D.
Assistant Professor
Donald B. Middleton M.D.
Department of Family Medicine, Albert Einstein College of
Medicine, Bronx; Medical Director, Family Practice Sites, Professor
Continuum Family Health, New York, New York Department of Family Medicine, University of Pittsburgh
School of Medicine; Director, Family Practice Residency,
University of Pittsburgh Medical Center, Pittsburgh,
Susan E. MacDonald M.D., C.C.F.P.
Pennsylvania
Assistant Professor
Department of Family Medicine, Queen's University, Kingston,
William F. Miser M.D., M.A.
Ontario, Canada
Associate Professor & Residency Director
Department of Family Medicine, The Ohio State University
Russell G. Maier M.D.
College of Medicine & The Ohio State University Medical
Clinical Associate Professor Center, Columbus, Ohio
Department of Family Medicine, University of Washington,
Seattle; Central Washington Family Medicine, Yakima,
Norman J. Montalto D.O.
Washington
Associate Professor
Department of Family Medicine, West Virginia University
Timothy R. Malloy M.D.
School of Medicine; Active Staff, Department of Family
Director Medicine, Charleston Area Medical Center, Charleston, West
Department of Geriatrics; Associate Professor, Department Virginia
of Family Medicine, University of Nebraska College of
Medicine, Omaha, Nebraska
Eric D. Morgan M.D., M.P.H.
Residency Director
Katherine L. Margo M.D.
Department of Family & Community Medicine, Eisenhower
Assistant Professor Army Medical Center, Fort Gordon, Georgia
Department of Family Practice & Community Medicine,
University of Pennsylvania School of Medicine, Philadelphia;
John P. Muench M.D.
Active Faculty, Harrisburg Hospital Family Practice Residency,
Harrisburg, Pennsylvania Assistant Professor
Department of Family Medicine, Oregon Health Sciences
University School of Medicine, Portland, Oregon
Thomas D. Masten M.D.
Clinical Associate Professor
Jessica H. Muller Ph.D.
Department of Family Practice, Orthopedics, Physical
Medicine, & Rehabilitation, State University of New York- Associate Professor
Upstate Medical University, Syracuse, New York Department of Family & Community Medicine, University of
California-San Francisco School of Medicine, San Francisco,
California
Richard C. Mauer M.D., A.B.E.S.
Attending Physician
John B. Murphy M.D.
Covenant Medical Center, Waterloo, Iowa
Professor
Department of Family Medicine, Brown University School of
K. Patricia McGann M.D., M.S.P.H.
Medicine, Providence; Residency Director, Department of
Associate Professor of Clinical Medicine Family Medicine, Memorial Hospital of Rhode Island,
Stanford University School of Medicine, Stanford, California Pawtucket, Rhode Island
Marc W. McKenna M.D. James E. Nahlik M.D.
Associate Professor Associate Clinical Professor
Department of Community & Family Practice, University of
Pennsylvania School of Medicine; Director, Family Practice
Department of Community & Family Medicine, St. Louis
Douglas S. Parks M.D.
University School of Medicine; Chief, Department of Family
Practice, Missouri Baptist Medical Center, St. Louis, Missouri Associate Professor
Department of Family Practice, University of Wyoming
Family Practice Residency—Cheyenne; Department of Family
Sara L. Neal M.D., M.A.
Practice, United Medical Center, Cheyenne, Wyoming
Assistant Professor
Department of Family Medicine, Wake Forest University
Paul M. Paulman M.D.
School of Medicine, Winston-Salem, North Carolina
Professor
Department of Family Medicine, University of Nebraska
Jon O. Neher M.D.
College of Medicine, Omaha, Nebraska
Clinical Associate Professor
Department of Family Medicine, University of Washington
Kevin A. Pearce M.D., M.P.H.
School of Medicine, Seattle; Active Staff, Valley Family Care,
Renton, Washington Associate Professor
Department of Family Practice, University of Kentucky
College of Medicine, Lexington, Kentucky
Gary R. Newkirk M.D.
Clinical Professor
Linda M. Petter D.O.
Department of Family Medicine, University of Washington
School of Medicine, Seattle; Director, Family Practice Head
Residency, Spokane, Washington Department of Family Practice, St. Francis Hospital,
Franciscan Health System, Federal Way, Washington
Carole Nistler M.D.
John L. Pfenninger M.D., F.A.A.F.P.
Active Staff
Department of Family Practice, Olmsted Medical Center, Clinical Professor
Rochester, Minnesota Department of Family Medicine, Michigan State University
College of Human Medicine, Lansing; President & Medical
Director, The National Procedures Institute, Midland,
William A. Norcross M.D.
Michigan
Professor
Department of Family & Preventive Medicine, University of
Garfield C. Pickell M.D.
California-San Diego School of Medicine, La Jolla; Active
Staff, University of California-San Diego Medical Center, San Associate Clinical Professor
Diego, California Department of Family Medicine, University of California-
Davis School of Medicine, Sacramento, California
Jim Nuovo M.D.
Eric Douglas Poplin M.D., M.P.H.
Associate Professor
Department of Family & Community Medicine, University of Medical Director
California-Davis School of Medicine, Sacramento, California St. Francis Occupational Health, Indianapolis, Indiana
Michael L. O'Dell M.D. Michael D. Prislin M.D.
Associate Professor Professor
Division Director of Family Medicine, University of Alabama Department of Clinical Family Medicine, University of
School of Medicine, Huntsville Campus; Active Staff, California-Irvine College of Medicine, Irvine, California
Huntsville Hospital, Huntsville, Alabama
Michael A. J. Purdon M.D.
Cynthia G. Olsen M.D.
Clinical Instructor
Professor Department of Family Medicine, University of Washington
Department of Family Medicine, Wright State University School of Medicine; Active Staff, Department of Family
School of Medicine, Dayton, Ohio Medicine, Swedish Medical Center, Seattle, Washington
Eugene Orientale Jr. M.D. Janey M. Purvis M.D.
Associate Professor Clinical Assistant Professor
Department of Family Medicine, University of Connecticut Department of Family Medicine, Oregon Health Sciences
School of Medicine, Farmington; Attending Staff, Department University School of Medicine, Portland; Physician, Cascades
of Family Medicine, St. Francis Hospital, Hartford, East Family Practice Center, Klamath Falls, Oregon
Connecticut
Martin A. Quan M.D.
Susan M. Ott M.D.
Professor
Associate Professor Department of Family Medicine, University of California-Los
Department of Medicine, University of Washington School of Angeles School of Medicine; Residency Director, Department
Medicine, Seattle, Washington of Family Medicine, University of California-Los Angeles
Medical Center, Los Angeles, California
Pamela D. Parker M.D.
Robert T. Quinn II M.D.
Resident & Instructor
Department of Obstetrics & Gynecology, University of Fellow
Missouri School of Medicine & Truman Medical Center, Kansas Department of Plastic Surgery, Providence Hospital,
City, Missouri Southfield, Michigan
Joshua J. Raymond M.D., M.P.H. Assistant Clinical Professor
Department of Family & Community Medicine, University of
Attending Physician
California-San Francisco School of Medicine, San Francisco;
Department of Family Medicine, St. Peter's University
Service Chief, Department of Family Medicine, Natividad
Hospital, New Brunswick, New Jersey
Medical Center, Salinas, California
Barbara D. Reed M.D., M.S.P.H.
Roland Sakiyama M.D.
Associate Professor
Professor
Department of Family Medicine, University of Michigan
Department of Family Medicine, University of California-Los
School of Medicine, Ann Arbor, Michigan
Angeles School of Medicine, Los Angeles, California
Carmen Rebecca Rexrode M.D.
John W. Saultz M.D.
Active Staff
Professor and Chairman
Love Memorial Clinic, Moorefield, West Virginia
Department of Family Medicine, Oregon Health Sciences
University School of Medicine, Portland, Oregon
Ronald D. Reynolds M.D.
Volunteer Associate Professor Ted C. Schaffer M.D.
Department of Family Medicine, University of Cincinnati
Clinical Assistant Professor
College of Medicine, Cincinnati; Center Director, New
Department of Family Medicine, University of Pittsburgh
Richmond Family Practice, New Richmond, Ohio
School of Medicine; Director, UPMC/St. Margaret Hospital
Family Practice Residency Program, Pittsburgh, Pennsylvania
James P. Richardson M.D., M.P.H.
Clinical Associate Professor Joseph K. Schoeber M.D.
Departments of Family Medicine and Epidemiology &
Associate Professor
Preventive Medicine, University of Maryland School of
Department of Family Medicine, University of Wyoming
Medicine; Chief, Geriatric Medicine, St. Agnes Healthcare,
College of Health Sciences, Laramie; Program Director,
Baltimore, Maryland
Family Practice Residency Program, Casper, Wyoming
Richard G. Roberts M.D., J.D.
Martin C. Schulman M.D.
Professor
Associate Clinical Professor
Department of Family Medicine, University of Wisconsin
Department of Family & Preventive Medicine, University of
Medical School, Madison, Wisconsin
California-San Diego School of Medicine; Clinical Service
Chief, Division of Family Medicine, University of California-
John W. Robinson M.D. San Diego Medical Group, La Jolla, California
Residency Director
St. Mark's Family Medicine Residency; President, Utah Health Jerome E. Schulz M.D.
Care Institute, Midvale, Utah
Clinical Professor
Department of Family Medicine, East Carolina University
Jonathan E. Rodnick M.D. Brody School of Medicine, Pitt County Memorial Hospital,
Greenville, North Carolina
Professor & Chair
Department of Family & Community Medicine, University of
California-San Francisco School of Medicine, San Francisco, Robert H. Scott M.D.
California
Clinical Assistant Professor
Department of Family Medicine, University of Washington
JoAnn Rosenfeld M.D. School of Medicine; Chief, Department of Family Medicine,
Swedish Medical Center, Seattle, Washington
Assistant Professor
Johns Hopkins School of Medicine, Baltimore, Maryland
David P. Sealy M.D.
Joseph E. Ross M.D. Associate Professor
Department of Family Medicine, Medical University of South
Assistant Clinical Professor
Carolina, Charleston; Self Memorial Hospital Family Practice
Department of Family Medicine, University of Illinois-
Residency, Greenwood, South Carolina
Rockford; Active Staff, Department of Family Medicine,
Swedish American Hospital, Rockford, Illinois
John P. Sheehan M.D., F.A.C.E., F.A.C.N.
Robert G. Ross M.D. Associate Clinical Professor
Department of Medicine, Case Western Reserve University
Associate Professor
School of Medicine, Cleveland; Medical Director, North Coast
Department of Family Medicine, Oregon Health Sciences
Institute of Diabetes and Endocrinology, Inc., Westlake, Ohio
University School of Medicine, Portland; Program Director,
Cascades East Family Practice Residency Program, Klamath
Falls, Oregon Robert D. Sheeler M.D.
Assistant Professor and Clinical Practice Chair
Nannette A. Sageser Pharm.D. Department of Family Medicine, Mayo Medical School,
Rochester, Minnesota
Clinical Pharmacist
Family Medicine of Southwest Washington, Southwest
Washington Medical Center, Vancouver, Washington William M. Simpson Jr. M.D.
Professor
Stephen D. Saglio M.D.
