The Official USU Newsletter

Volume 10, Issue 7 n April 13, 2015

www.usuhs.edu

Learning to Care for Those in Harm’s Way
2 the pulse April 13, 2015

Sharon Holland

Deputy Vice President for External 

Affairs and Managing Editor

Master Sgt. Oshawn Jefferson

NCOIC of VPE and Deputy Chief, 

Media Affairs

Eric Ritter

Writer and Editor

MC3 Laura Bailey

Writer and Photographer

Production

Editorial content is edited, prepared 

and provided by the USU Office of 

External Affairs unless otherwise 

indicated. The Pulse staff may 

include or exclude articles based 

upon news value, impact on the 

university and space availability.

Submissions

The Pulse is published 

biweekly on Mondays. The deadline 

for submissions is at 4 p.m. 

Tuesday prior to the publication 

date. Submissions can be sent to 

eric.ritter2@usuhs.edu or by calling 

301-295-3338.

Children of deployed parents at risk for more Dr. visits 

by Mass Communications Specialist 3rd Class Laura Bailey, writer and photographer

Students and faculty of the Daniel K. Inouye 

Graduate School of Nursing at the Uniformed 

Services University. See Story, page 4. (photo 

by Tom Balfour) 

On the cover

A group of researchers, led by Dr. 

Elizabeth Hisle-Gorman at the Uniformed 

Services University (USU), analyzed 

healthcare data from the U.S. Military 

Health System of more than 485,000 children aged 3-8. 

The study, published in the Journal of 

the American Academy of Child and Adolescent Psychiatry, reports that following military parents’ return from combat deployment, their children show increased visits 

for mental healthcare, physical injury, and 

child maltreatment consults, compared to 

children whose parents have not been deployed. 

Findings suggest that deployment-related risk to children continues into the 

post-deployment period, and that risk increases when parents return from deployment injured. Increased healthcare visits in 

the post-deployment period also indicate 

that parents seek care for children affected 

by parental deployment and injury. 

Increased awareness of the impact 

of parental deployment and combat injury will assist health and mental healthcare 

providers in effectively identifying children 

at risk and providing needed resources 

where indicated.

Signs that may signal the 

presence of child abuse or 

neglect

•	 Has not received help 

for physical or medical 

problems brought to the 

parents’ attention.

•	 Rarely touches or looks at 

the parent.

•	 Has learning problems (or 

difficulty concentrating) 

that cannot be attributed 

to specific physical or 

psychological causes.

•	 Is always watchful, as 

though preparing for 

something bad to happen.

•	 Lacks adult supervision.

•	 Is overly compliant, 

passive, or withdrawn.

•	 Comes to school or other 

activities early, stays late, 

and does not want to go 

home.

*Source: Child Welfare 

Information Gateway
3 the pulse April 13, 2015

USU Graduate Student Awarded National Science 

Foundation Fellowship

by Dr. Andrew Waters, Department of Medical and Clinical Psychology

Smoking is the leading preventable 

cause of mortality and morbidity in the 

U.S. and it is a major concern for the U.S. 

military. Although smoking rates have decreased in Western countries over the past 

30 years, the number of smokers worldwide 

is actually increasing. There are currently 

alarmingly high rates of cigarette smoking 

among Asian males, including among Korean men – about 40 percent. There is also a 

danger that cigarette smoking will increase 

in Asian women, including young Korean 

women, over the next decades. Tobacco 

use is estimated to cause more than eight 

million deaths annually by 2030.

Psychologists have examined cigarette smoking using a method called Ecological Momentary Assessment (EMA), in 

which mood, cognitive performance, location, and smoking behaviors can all be assessed using mobile devices, such as smartphones, as individuals go about their daily 

lives. Individuals are prompted at random 

times during the day to complete brief assessments. 

Most EMA studies have been completed in Western countries, and none have 

been completed in Korea. Edwin Szeto, a 

Taiwanese-American and fourth-year civilian graduate student in USU’s Department 

of Medical and Clinical Psychology has 

been awarded a National Science Foundation Fellowship to conduct a study at Korea University in Seoul this summer. His 

host researcher is Se-Hoon Jeong, a Korean 

psychologist educated at the University of 

Pennsylvania with interests in using smartphones to change unhealthy behaviors. 

Szeto’s culturally sensitive EMA 

study will examine smoking among Korean males and females. This information will 

be useful to understand smoking behavior 

in this population and to develop smartphone-based smoking cessation treatments 

in the future.

Szeto is working toward a Ph.D. in 

Medical and Clinical Psychology. Students 

in Medical and Clinical Psychology develop 

skills as researchers, clinicians, educators, 

and policy makers with a focus on health 

and behavioral health problems of military 

and national interest. In the past few years, 

many students in this program have been 

successful in securing fellowships through 

the NSF or National Institutes of Health, 

and many have ended up working in government after graduating.

The Uniformed Services University 

announced its 2014 selection for Service 

Member of the Year (SMOY) March 13.

Air Force Col. Kevin Glasz, the brigade commander at USU, hailed all hands 

to congratulate Air Force Mental Health 

Tech. Sgt. Rondricueas Barlow, Department of Psychiatry, who was named the 

university’s 2014 SMOY. 

“Receiving this award really hasn’t 

sunk in yet,” said Barlow. “I think it’s a great 

accomplishment because I know my competition and they’ve done some outstanding things, so for me to be picked amongst 

that group of great enlisted people that we 

have here – it makes me feel good, but it’s 

still sinking in.”

Then-Health Clinic Superintendent 

and Air Force Senior Enlisted Advisor Senior Master Sgt. Bonnie Sanchez had nothing but praise for Barlow. 

"Tech. Sergeant Barlow is phenomenal,” she said. “He possesses everything that 

you want to see in someone who is going 

to make it all the way. I have been his senior enlisted advisor for the whole three 

years that I’ve been here. So, I have always 

thought highly of him, but as we gave him 

more responsibilities, and he willingly accepted every single one of them, I realized 

his leadership potential and his qualities 

and how outstanding he is.”

He added that great leaders with admirable qualities inspire the cultivation of 

those same traits within him. His performance reflects his leaders. 

“Even though it’s an individual 

award, it was a team effort, and I couldn’t 

have been here without my entire senior 

enlisted,” said Barlow. “All of them have 

played a role in me being here. In particular, Senior [Master Sgt.] Sanchez has helped 

me to propel to this level. She’s been one of 

my biggest supporters. Senior Master Sgt. 

Sanchez is the reason I’m sitting here today talking about this award. She gave me 

that encouragement. She believed in me, 

and she put me in those positions. I admire 

her genuineness. She genuinely cares about 

everyone. You want to do whatever task is 

given to you when you know your leader 

has your best interest at heart.”

“He sought out opportunities to improve himself and improve his work center,” said Sanchez. 

A few of his achievements include 

setting up a weekly clinical rotation at the 

Andrews Air Force Base Mental Health 

Clinic, more than 65 hours volunteering in 

the community, and creating an avenue for 

future technicians to receive vital certified 

alcohol and drug certification training. 

Barlow will now advance to the 

next round of competition where he will 

compete against the top service members 

throughout the region. 

The SMOY program recognizes service members who exhibit sustained superior performance, leadership, self-improvement, command and community 

involvement and military bearing. It is open 

to service members in the ranks of E-4, E-5 

and E-6 who served in the region during 

the calendar year.

Barlow selected as Service Member of the Year 

by Mass Communications Specialist 3rd Class Laura Bailey, writer and photographer

Edwin Szeto, graduate student in USU's 

Medical and Clinical Psychology degree program (photo by Tom Balfour)
4 the pulse April 13, 2015

USU's GSN Program Earns National Ranking

by Eric D. Ritter, Writer/Editor

The mobile First-responders Radiology Assessment Triage (mFRAT) app, developed by USU’s Armed Forces Radiobiology 

Research Institute (AFRRI) in conjunction 

with The Informatics Application Group, 

Inc. (TIAG), is nearing completion and is 

set to be released later this month. This 

hand-held technology will allow first-responders to triage suspected radiation casualties based on the prodromal features 

–early signs or symptoms that could indicate that something is not normal -- listed 

in the Emergency Radiation Medical Response-AFRRI Pocket Guide. 

AFRRI’s biodosimetry software 

products group originally developed the 

First-responders Radiological Assessment 

Triage (FRAT) tool for Palm and Pocket 

devices, but it was never released. Later, 

FRAT was developed as a product for personal computers running Microsoft Windows operating systems, and dubbed “winFRAT.”

For years, the AFRRI biodosimetry 

software team, led by Dr. William F. Blakely, wanted to transition their software products onto smartphones, but were restricted 

because their former computer scientist 

team member, Ira Levine, retired. The 

team later turned to USU Vice President 

for Information and Education Technology 

Timothy Rapp and Chief Knowledge Officer Eric Hanson for assistance. Rapp and 

Hanson facilitated discussions with TIAG 

which led to the collaboration to transition 

the Windows-based product into a mobile 

app. The first meeting was held at the beginning of November, 2014, and within a 

little more than three months, a beta (test) 

version for the mobile Android system was 

available. That version was heavily tested 

and an evaluation report was issued at the 

beginning of April, 2015.

“We wanted to give students in the 

MEIR [Medical Effects of Ionizing Radiation] course mobile app versions of WinFRAT and it was also recommended by 

the Institute of Medicine and National Research Council Report that AFRRI’s tools 

be extended onto smartphones,” said Brian 

Livingston, chief of the AFRRI health physics division, and a FRAT team member. 

“With minimum text entry, the program 

AFRRI to debut mobile app for triaging suspected radiation casualties 

by Mass Communications Specialist 3rd Class Laura Bailey, writer and photographer

mFRAT, Cont. Page 5

The mFRAT app, soon available for Android and Apple iOS, will allow first responders 

quicker access to medical data to help triage, and track and record information following 

radiation exposure. (Photo by MC3 Laura Bailey)

The Uniformed Services University 

Daniel K. Inouye Graduate School of Nursing (GSN) has been named as one of the 

top 50 graduate nursing programs in the 

nation, appearing as No. 41 on this year’s 

list of the best nursing schools in the country by U.S. News and World Report.

The selection came from a list of 503 

surveyed nursing schools from around the 

nation. The scoring was based on a variety 

of indicators and criteria. The data collected came from faculty, students and also a 

school’s reputation among other peer nursing schools.

“It’s exciting to be recognized like 

this,” said Dr. Carol Romano, Dean of the 

GSN. “It’s a sign of increased awareness that 

continues to give credibility to our school.”

Romano added that much of the peer 

attention USU received was due to the professional contributions of GSN faculty and 

students who have gained recognition and 

visibility through their practice and research in the literature and through national and international professional dialogues. 

More than 700 alumni work in fields of 

nursing education, practice, research and 

administration and touch the lives of millions of active duty and retired military and 

civilian beneficiaries. 

“It really is satisfying to know the 

quality of our education is preparing strong 

nursing leaders who work to transform federal and military health through advanced 

practice and nursing science. Our faculty 

and graduates are doing such a great job.”

Last year was the first year they made 

the list appearing at No. 87. To have moved 

up more than double on the ranking scale 

to No. 41 in one year is very exciting for the 

faculty and staff at GSN, said Romano.

“We were just happy to make the list 

last year,” she exclaimed. “To make such 

strides in such a short time is testament to 

the hard work and dedication of the faculty 

and students here.”

Romano also takes pride in the 

achievements of USU’s graduate nursing 

program in its short history compared to 

the other schools that made the list.

“When you look at our program, 

which has only been around 20 years, 

against other schools with much longer histories, some over 100 years, it really does 

say a lot about the quality of our curriculum.”

The GSN curriculum is one of the 

keys to the recognition. Romano added that 

the GSN continues to change the curriculum to meet the healthcare needs today.

“To keep GSN curriculum current, 

lessons learned on the battlefield are continuously integrated into the curriculum. 

Thanks to that continuous review and evaluation, we’re really making a difference in 

the health of our country,” she said.

Romano said the goal now is for the 

graduate program ranking to go even higher next year.

“We prepare our graduates to meet 

the unique challenges of military health 

care. I am pleased that U.S. News and 

World Report recognized that commitment.”
5 the pulse April 13, 2015

Disaster/Humanitarian Assistance Student Interest 

Group Visits Holocaust Museum

by 2nd Lt. Sean E. Scott, U.S. Army 

Members of the Uniformed Services 

University’s Humanitarian Assistance and 

Disaster Response student interest group 

spent several hours at the United States 

Holocaust Museum in Washington, DC, 

recently as part of a lesson on genocide and 

military medical history.

The visit, sponsored by USU’s Center 

for Disaster and Humanitarian Assistance 

Medicine (CDHAM), drew 14 students for 

a tour guided by Warren Marcus, a Holocaust Museum staff member dedicated to 

the education of military personnel, followed by a classroom session that incorporated a number of moral and ethical dilemmas into the discussion. 

The students described the visit as 

somber and said they felt as if they had 

stepped into a “living piece of history” -- as 

if they were thrown into the lives of the persecuted, their attackers, and the neighbors 

and witnesses to the Nazi party’s genocide.

At the beginning of the tour, each 

student was given an ID card of someone 

who witnessed the Holocaust, or was perhaps a survivor of the atrocities. 

After the tour, students participated in a discussion about the choices made 

throughout the war, such as why the U.S. 

did not bomb a gas chamber responsible 

for the deaths of thousands each day when 

it bombed a nearby iron quarry. Marcus explained that, in his interactions, he hoped 

to help students and military members 

learn the history and also learn from the 

history. He also wanted them to consider 

the wide range of motives people may have 

for behavioral choices, even within the context of a mass atrocity or genocide. 

“The potential of military personnel 

interacting with vulnerable populations 

of any characteristic is almost assured 

in today’s global environment,” said Dr. 

Kevin Riley, deputy director of CDHAM. 

“Whether it be in areas of conflict, disasters, or during humanitarian assistance, 

the necessity of military health leaders to 

understand the nature of how to identify, 

protect, and if required, to care for such a 

population, is important and emphasized 

in the USU curriculum. This academic experience with the staff and faculty of the 

Holocaust Museum gave us an opportunity 

to learn from a historical perspective, and 

Members of USU's Humanitarian Assistance and Disaster 

Response student interest group tour the Holocaust Museum 

in Washington, DC, to learn lessons on genocide. (courtesy 

photo)

the interactive classroom 

discussions allowed us 

to explore indicators and 

perceptions in a modern 

context.” 

According to one 

student, as future military 

doctors, seeing the costs 

of war and the devastation 

it creates in its numerous 

forms is critical for their 

effective practice. With 

the increasing occurrence 

of global health engagements, understanding 

culture and its impact on 

health, and coping with 

loss, will greatly assist 

them in their mission. It’s 

museums like the Holocaust Museum that help 

them appreciate the different perspectives and 

cultures spread throughout the world--even in 

the context of war. At the 

same time, he said, it also 

shows them the costs of 

being innocent bystanders and the meaning of 

British Parliament member Edmund Burke’s famous line, “‘All that is 

necessary for the triumph 

of evil is that good men 

do nothing.”

provides screens to record and analyze 

signs and symptoms, blood lymphocyte 

counts, and dosimetry data.” 

Additional features of the mobile app 

include triage dose-specific messages addressing hematology guidance, reliability 

and diagnostic information, hospitalization estimations, and mortality projects.

The benefits of mFRAT may also extend beyond the classroom and into the 

field, according to Livingston. For instance, if a soldier was showing signs of 

intestinal distress, a first-responder could 

use mFRAT in combination with a blood 

sample to assess if radiation exposure is 

contributing to the symptoms. 

Countless algorithms went into the 

development of mFRAT and the overwhelming amount of data compiled from 

historical nuclear events, including the 

Chernobyl disaster and Hiroshima bombing, has made the mFRAT a trusted source 

for triaging real-world radiation patients, 

Livingston added. Air Force Col. (Dr.) 

Lester “Andy” Huff, AFRRI director, said 

the application can also serve as a training 

tool for use in a variety of radiological scenario applications. 

All Department of Defense employees will have access to the mobile app once 

it is released. Additionally, a version of 

mFRAT for iPhones is currently in development. 

mFRAT, From Page 4
6 the pulse April 13, 2015

“Change how you see, See how you change”

Prominent photographer brings life’s lessons to USU

 by 2nd Lt. Kimberly D. Stickler, U.S. Air Force

Rick Guidotti, award-winning fashion photographer and founder of the notfor-profit organization, Positive Exposure, 

visited the Uniformed Services University 

as part of the “Bench to Bedside and Beyond” curriculum. 

Guidotti’s work with Positive Exposure began in 1998 when he left the world 

of fashion photography after a chance encounter on a busy Manhattan street. During 

his presentation to USU third-year medical 

students, Guidotti described this life-altering encounter. It occurred when he saw a 

beautiful young girl at a bus stop in Manhattan who had long, blond hair, pale skin, 

and light colored eyes. He said he realized 

she was a girl with albinism (a congenital 

disorder characterized by the complete or 

partial absence of pigment in the skin, hair 

and eyes). He was so moved by her beauty 

that he spent the rest of that day in search of 

more information about people born with 

albinism. 

The photos he found, mostly black 

and white mug shots of children and adults 

with black bars over their eyes, posed 

against white backgrounds, were appalling. 

In these images, he said he saw representations of medical conditions, without any 

sense of the subject’s humanity. He said 

it was an experience that changed his life. 

After several years of working with fashion 

models and having his images on the cover 

of magazines like Vogue and Elle, Guidotti 

decided to change the focus of his photography and founded Positive Exposure.

After sharing his professional background, Guidotti showed some of his photographs as he discussed his work with 

various support and advocacy groups, such 

as the National Organization for Albinism 

and Hypopigmentation (NOAH) in the 

United States. He also spoke of his efforts 

to help create groups similar to NOAH in 

countries around the world from the Netherlands to New Zealand. He also wanted to 

raise awareness at the government level in 

areas such as Tanzania where people with 

albinism are subjected to violence because 

of their physical differences. 

In addition to raising awareness for 

people born with genetic conditions, Guidotti uses his work to make possible the 

sharing of experiences between people with 

and without these differences. One example of that sharing is the Positive Exposure 

Ambassadors’ Real Life Stories (PEARLS) 

Project, where children with genetic differences share photos and videos with high 

school children across the country. 

The children who share these maintain a safe, online blog which the high 

school students can then follow. The goal of 

this project is to make relevant the blogger’s 

experiences to children who do not live 

with these conditions, with the hope that 

the use of the visual arts and corresponding 

blogs will help people to celebrate diversity 

and see beauty in difference.

Guidotti’s unique vision was appreciated by many at USU. When asked of his 

overall impression after the presentation, 

Dr. Mark Stephens, chair of the Department of Family Medicine, noted, “Mr. Guidotti is an extraordinary talent. He has a 

unique eye for beauty that encompasses the 

exterior while touching the soul. His ability 

to cross borders, cultures, societal boundaries and social norms is truly unique. He 

is foremost an artist. While his primary 

medium is photography, his true canvas is 

humanity. It was a true pleasure to share in 

his stories.” 

Many of the medical students felt that 

Guidotti’s ability to capture the humanity of 

a person, not just their physical appearance 

or medical condition, was refreshing and a 

wonderful change from what they often see 

in their textbooks. 

“I wish our textbooks used the pictures Rick takes, or some of similar style, 

because these photos humanize our patients... [they] show people and not worstcase manifestations of various diseases. 

These pictures are very modern and in stark 

contrast to the outdated, black and white, 

frankly depressing, photos we are accustomed to seeing. 

“The examples we see in our texts 

don’t prepare us well for daily clinic. After 

viewing these photos, I feel more comfortable seeing patients, [including those] with 

these genetic conditions,” remarked Air 

Force 2nd Lt. Ross Canup.

As inspirational as Guidotti’s work 

is from an artistic perspective, his willingness to leave his lucrative and high-profile 

career to start a not-for-profit organization 

and pursue a project that was both important and a moral imperative for him, was 

moving to many students. As Army 2nd 

Lt. Sara Wilson commented, “Almost in 

between breaths of his talk, he was also inspiring each of us to pursue our dreams, no 

matter how quirky, new, or previously unexplored... showing us all that when we live 

our dreams, beauty will follow.” 

When asked what was most striking 

Change, Cont. Page 7

Grace, who was born with Down Syndrome, is one of the subjects photographer Rick Guidotti 

looks to highlight as part of his "Change how you see. See how you change." campaign. (photo 

by Rick Guidotti)
7 the pulse April 13, 2015

USU Honor Medical Society wins national award

Submitted by Gamma Chapter of the AOA Honor Medical Society

about Guidotti’s talk, Navy Ens. Camille 

Eggebroten remarked on the impact his 

work has had on those he photographs. 

Guidotti told of instances where children 

walked in a room to have their portraits 

taken, hunched over, appearing shy, and 

seeming as if they were hiding, and by the 

end of the day, they walked standing up 

straight with their heads held high. 

“I found his work inspiring in the 

way that it changed the children’s image 

they have of themselves, helping them develop positive self-esteem and see themselves through a new lens,” said Eggebroten. 

As USU’s medical students complete 

a rigorous and demanding military medicine curriculum, Guidotti’s art did a fantastic job of reminding many why they decided to become doctors – to help people, not 

just treat disease or medical conditions. 

Given that USU students train in military and civilian medical facilities worldwide, working with and caring for people of 

all creeds, religions, nationalities, physical 

appearances, and with many different medical conditions, Guidotti’s work was an especially poignant reminder that no matter 

how a person appears, they are all united in 

the community of humankind. 

Guidotti opened and closed his presentation with the challenge, “Change how 

you see. See how you change,” reminding 

the members of the audience that perspective deeply influences not only how they 

view the world, but also how they interact 

within their environment. When asked to 

reflect on that message, Dr. Adam Saperstein, assistant professor in the Department 

of Family Medicine and coordinator of 

Guidotti’s visit, said, “Mr. Guidotti's message cuts to the core of what it means to be 

human - the ability to engage with others in 

an environment of respect. His presentation helps us to reflect on the lens through 

which we see our world, and how that 

lens can facilitate or make more difficult 

our ability to engage with others - whether friends, colleagues, patients, or perhaps 

most importantly, ourselves. It is a lesson 

that seems to me to be of particular value 

for military medical officers and one that 

will stick with me for a long time to come.”

The nation's medical honor society, 

Alpha Omega Alpha, recently announced 

the Uniformed Services University Gamma 

Chapter as one of the winners of its 2015 

Medical Student Service Leadership Project 

Award. 

The purpose of the award is to support the leadership development of medical 

students through the financial support of 

their service learning projects. Air Force 

2nd Lt. Mark Prats, class of 2015, and 

Navy Capt. (Dr.) Mark Stephens were the 

student and faculty mentors, respectively, 

responsible for designing and submitting 

the proposal for the national contest. Their 

proposal was designed to ensure that an already established service relationship with 

a local charity, Bethesda Cares, continues 

into the future with an enhanced capability 

under the label of the Homeless Outreach 

Medical Engagement Team. The award includes a total of $9,000 spread over a threeyear span with allotments of $5,000, $2,000, 

and $1,000 dispersed after one, two, and 

three years, respectively. 

The USU students who participate 

in the Bethesda Cares activities, like the 

H.O.M.E. Team, aim to improve the lives 

of the hundreds of homeless individuals in 

Montgomery County. The relationship initially involved students conducting health 

vulnerability surveys on a bi-annual basis. 

Since then, the relationship has grown, with 

students now conducting home visits to 

check on the health of individuals recently 

placed in permanent housing. Moving forward, the H.O.M.E. Team hopes to expand 

student involvement in the medical care 

of those who remain homeless. The funds 

from the Alpha Omega Alpha Medical Student Service Leadership Award will be used 

to purchase medical supplies and medications to treat acute and chronic ailments. 

The students and their physician mentors 

then take their medical skills to homeless 

camps in the region. In addition to the direct medical care experiences, students will 

participate in a student-developed leadership curriculum aimed at cultivating the 

skills necessary to inspire others to take 

action in addressing the homelessness issue 

in our communities. 

Alpha Omega Alpha and the USU 

Gamma Chapter are dedicated to the belief that medical care will improve for all 

by recognizing excellence in academic 

achievement, teaching, leadership, humanism, and service to others. The current 

members of the chapter will be recognizing 

excellence when they announce the results 

of their spring election, welcoming new 

medical students, alumni, faculty, residents 

and fellows to the organization. To learn 

more about Alpha Omega Alpha and the 

Gamma Chapter please visit http://www.

alphaomegaalpha.org/uhealth.html

Medical Student Leadership Awardees from Left to Right: 2nd Lt. Mark Prats (MS4 and 

award recipient), Andrea Loejos Lee (of Bethesda Cares), Cmdr. Adam Saperstein, 2nd Lt. 

Tiffany Chang (MS1), Ensign Kristin Wertin (MS1), Navy Capt. Mark Stephens (faculty 

mentor for award proposal)(Courtesy Photo)

Change, From Page 6
8 the pulse April 13, 2015

Final Frame

White coat ceremony April 10, 2015 (photo by Mass Communications Specialist 3rd Class Laura Bailey)