MSHP Past Presidents History (temp)


Tony Huke, Pharm.D., BCPS                      

Past President 2018-2019

Bio:  Dr. Huke received his Pharm.D. Degree from the University of Missouri at Kansas City (UMKC), School of Pharmacy in 2000, UMKC’s first all Pharm.D. class.  He then completed a Pharmacy Practice Residency at Cox Medical Center in Springfield MO, in June of 2001.  He was employed at Truman Medical Centers (TMC), from July of 2001 to December 2019, holding several titles including: Internal Medicine Clinical Lead Pharmacist, Interim Director of Pharmacy, Interim System Director of Pharmacy Services, Clinical Manager and Residency Program Director, and Director of Pharmacy Services at Truman Medical Center Lakewood.  Dr. Huke began a new career opportunity serving as Pharmacy Executive Director with Vizient Inc. starting in January of 2020, where he is providing consultant clinical pharmacy services for Vizient member organizations. Dr. Huke achieved the designation of Board-Certified Pharmacotherapy Specialist (BCPS) in 2010. 

While at TMC he has organized or supervised the creation of numerous clinical programs and initiatives and led formulary management and cost saving programs.

Dr. Huke has served as a preceptor and mentor for numerous pharmacy students on both IPPE and APPE rotations.  He was a founding member and preceptor of the TMC Pharmacy Residency.  Dr. Huke is passionate about the training of future health systems pharmacists at TMC, within the state of Missouri and across the country.

Dr. Huke began his involvement in professional service as a member of the Midwest Pharmacy Residency Conference Planning Committee in 2006, a committee he still serves on annually.  He has been a Board Member of the Greater Kansas City Society of Health System Pharmacy (GKC) since 2009; first as Membership Chair, a position he held for 2 years then a 3-year term as President- Elect/President/Past-President.  He is currently serving a 3-year term as the President- Elect/President/Past-President and was formerly the Treasurer Elect/Treasurer of the Missouri Society of Health Systems Pharmacist (MSHP).  Dr. Huke has served on the Planning Committee for the MSHP Spring meeting, Resident Research Day with GKC, The Pharmacy Future Trends Task Force with UMKC, and other committees throughout his career.

Dr. Huke has presented at numerous local, regional and national conferences and student group organizations regarding the importance of residency training, planning a career in health systems pharmacy, and is currently the course coordinator for the Hospital Pharmacy elective offered each fall at the UMKC School of Pharmacy.

Why did you join MSHP?

I joined MSHP to give back to the profession that has provided so much for me.  I enjoyed the networking opportunities and have formed some tremendous relationships with people I have met on or through the Board.  I found an unexpected interest in Public Policy through my work with MSHP and hope to continue that pursuit into the future.

What are you currently doing?

I am a Pharmacy Executive Director with Vizient Inc., where I provide clinical consulting services to Vizient member organizations.  I am a part of the Pharmacy Advisory Solutions team and serve as a subject matter expert for clinical pharmacy programs and initiatives.


Diane McClaskey, RPh, BCPS   

Past President 2014-2015

Why did you join MSHP? 

I enjoyed being involved with professional associations when I was a student, however, I hadn’t been involved for quite a while.  It was a colleague who reached out and said the Programming and Education Committee needed some help and would I be willing.  I was excited to get back to working in this environment!  After that first year of helping with P&E, I started helping with the Website committee.  I had absolutely no clue about website design and development!  It was a small group, and we were tasked with updating our website.  This took a couple of years, and I learned so much!  The best benefit came from working with other colleagues throughout the state to accomplish our task.  And this is why I remain an active member today – these lifelong friendships mean so much to me!

What are you currently doing? 

After 25 years of inpatient practice I decided to make a jump into academia!  Way back when I was in school, I had thought about an advanced degree in Pharmaceutics, however, really hadn’t considered academia since that time.  And what a fun change it has been with new and different challenges!  Probably the biggest challenge is teaching both pharmacy law courses at UMKC.  It is really fun to learn with the students, share experiences, and watch them use what they learned in class as an intern.  The week after they learned about the DEA 222 form, one student came rushing in and said that CSOS had gone down and he had to fill out a paper 222!  He was so excited to use that to help his pharmacy!

Another area I have learned so much about with this practice change has been interprofessional education (IPE).  I really have enjoyed working with other health care professions faculty at SBU and MSU to provide opportunities for all of our students to learn with and from each other.  It is an area we probably don’t think about much in our daily practice, however, for our students these experiences have been very valuable in learning to be a better team member.

Another unique aspect of my practice is that of experiential education!  I have been a preceptor for a number of years and learning what goes on from the other side to ensure successful learning experiences for our students has been incredible.  We’ve been working hard on implementing new standards and concepts and providing effective preceptor development. 

Over the years I have really enjoyed being involved in residency training, and I’m so thankful I can continue by being part of our PGY2 program here at UMKC SOP @ MSU.  I serve as coordinator for our program giving me the opportunity to work with more brilliant minds!



Andrew J. Smith, Pharm.D., FCCP, BCCP, BCPS
Past President 2013-2014


Why did you join MSHP?

I joined MSHP initially for the networking, mainly thru the local affiliates, GKCSHP in my case.  This allows new practitioners to begin to develop a professional network.  Involvement in a state organization expands that network and allows contact to other practitioners with similar interests.  MSHP also offers great opportunities for leadership experience.  This can be in the form of committee involvement or elected positions. 

What are you currently doing? 

After finishing my term as President of MSHP, I continued to serve the profession on the national level.  I recently completed a term as the Chair of the Education and Training PRN of ACCP and I was just elected the secretary of the Cardiology PRN.  I am also serving as the national secretary of the Rho Chi Society.  I truly enjoy working with organizations to expand the practice of pharmacy. 


Daniel Good, MS, RPh.                

Past President 2012-2013

Why did you join MSHP?

Honestly, I guess it was the thing to do.  I was involved with the state and local societies in both Washington and Texas when we lived there.

I do sincerely believe that we have a professional obligation to be involved in the professional society to promote education, foster mentoring, advocate for profession and network.

When I arrived in Missouri, Joel Hennefent was the MSHP President; when we met the Spring meeting he asked where I wanted to get involved. I told him where ever the need was.  He immediately sent me to the Public Policy Committee. And the rest is history.

What are you currently doing?

As a past president of MSHP I stay involved with the public policy committee and occasional consult with one of the other committees or R&E Foundation.

I am currently (2020) President-elect of the Missouri Pharmacist Association.  I hope to take the lessons learned from my time with the MSHP Board to the MPA Board and bring more collaboration and more cross pollination.  I really believe we have more things in common than differences.

In my “day job” I serve the Mercy Ministry as the Regional Executive Director of Pharmacy.  I help coordinate resources across the health system and support the local hospital pharmacy leaders in their work.  I still enjoy working with students and residents as well as promoting medication safety initiatives within the healthcare community.



Brad Cook, Pharm.D., BCPS        

Past President 2011-2012

Bio: Graduated from UMKC School of Pharmacy and went on to complete a pharmacy residency at Barnes-Jewish Hospital and become a Board Certified Pharmacotherapy Specialist.  I worked at Baptist-Lutheran Medical Center in Kansas City, MO before becoming Clinical Coordinator at Providence Medical Center in Kansas City, KS.  I am currently Director-Pharmacy Services for Providence Medical Center and Saint John Hospital (Leavenworth, KS) and am also Chair of an Independent Review Board (IRB).  I am currently a member of ACCP, ASHP, GKCSHP, KCHP, and MSHP.  I have served as Treasurer of the Greater Kansas City Society of Health-System Pharmacists. I have served on the MSHP Board of Directors as Treasurer, President-Elect, President and Immediate Past President.  I have also served on the MSHP Research and Education Foundation as Treasurer, Vice-Chair and Chair.  I have had the opportunity to be a member of the ASHP Commission on Affiliate Relations where I have been able to participate in ASHP Policy Week in Washington, D.C.  I am currently sitting on the KCHP Governmental Affairs Committee and the ASHP Section Advisory Group of Patient Care Quality.

Why did you join MSHP?

I joined MSHP to be a part of a pharmacy organization that was making an impact throughout the state.  I wanted to find a way to give back to the profession and this was a wonderful opportunity.

What are you currently doing in the field of pharmacy?

I am currently a pharmacy director for two community hospitals where we are always working to improve the care received by patients.  We are currently working to ensure compliance with USP 800 when that goes in to place and we are working to ensure we are optimizing our outpatient infusion centers.



Greg Teale, Pharm.D., BCPS             

Past President 2008-2009

Why did you join MSHP?

I joined MSHP when I moved back to Missouri after completing my residency training. Growing up, I was able to watch my dad and his involvement in his professional organization. I had an interest in public policy and wanted to be connected with MSHP. I volunteered to be on the Public Policy Committee and then moved into other leadership roles.

What are you currently doing?

Currently, I serve as the Chief Pharmacy Officer for Saint Luke’s Health System. I am also actively involved with a number of youth sports and serve on the Ray-Pec School Foundation Board.



Nancy Konieczny, BS Pharm, MBA          

Past President 2007-2008

Why did you join MSHP?

I had the good fortune to have Neil Schmidt (MSHP Past President) as one of my clinical elective preceptors at St. John’s Mercy Hospital in St. Louis. This was before experiential rotations were required by colleges of pharmacy! Neil encouraged students to join local and state professional organizations for networking and career development opportunities. Great advice!  Through StLSHP and MSHP I met many important mentors including Bill Reed and Fred Tonnies. The networking led to procuring a position at Christian Hospital as a staff pharmacist.  Continued membership in MSHP has provided me with lifelong friendships and career development opportunities. It is true that one receives more than one gives and I have received much!

What are you currently doing?

After nearly 41 years at Christian Hospital (part of BJC HealthCare since 1994), I have recently retired from my position as Director of Pharmacy, Pulmonary and Research and look forward to the next phase of life with my husband Bill. It has been my great pleasure to be a part of the development of new pharmacists through the ASHP PGY-1 Residency Program at Christian Hospital for the last six years. I look forward to following the success of these pharmacists as well as MSHP leaders past and present as they develop and grow in their careers.    



William Martin (4/22/58-10/5/03)                        

Past President 2003-2004

Bill was a Deacon at First Baptist Church of Harvester; Commander in U.S. Naval Reserves; taught at St. Louis College of Pharmacy; Director of Pharmacy at Missouri Baptist Medical Center; President of the Missouri Society of Health Systems Pharmacists; member of Rho Chi Honor Fraternity & Phi Delta Chi Prof. Fraternity and coached soccer for St. Charles County Youth Soccer Association.



Tom Hall, Pharm.D                       

Past President 1999-2000

Why did you join MSHP?

I relocated from Iowa to Missouri in 1989 for a position as a pharmacy manager at Barnes Hospital.  I knew that MSHP and the local St. Louis Society would be excellent venues for meeting other hospital pharmacy practitioners and leaders in the State.  Several other pharmacists at Barnes were active in those organizations, so I was quickly able to join and start attending meetings.  I started becoming more involved in 1996, after mentioning at the annual meeting that I would be interested in helping plan the 1997 meeting.  That led to increasing involvement, including the term as president in 1999 and several years of service on the Annual Meeting Program and Legislative Affairs Committees.

What are you currently doing?

I moved from Barnes-Jewish Hospital to the pharmacy director position at Missouri Baptist Medical Center in 2004, and continue to serve in this role.  For the past seven years, I have also had leadership responsibility for Research Administration at the organization.  I have been a member of the Missouri Board of Pharmacy Hospital Advisory Committee and MSHP Public Policy Committee since early 2019.



Mark Woods, Pharm.D., FASHP, BCPS

Past President 1997-1998

Bio:  Mark Woods, Pharm.D., FASHP, BCPS is the Clinical Coordinator and Residency Program Director in the Pharmacy Department at Saint Luke’s Hospital, Kansas City, Missouri.  Dr. Woods did prepharmacy work at Kansas State University, obtained his B.S. in Pharmacy at the University of Kansas School of Pharmacy and his Doctor of Pharmacy degree at the University of Nebraska Medical Center.  He completed a Residency in Clinical Pharmacy at the University of California-San Francisco. 

Dr. Woods has served as the Clinical Coordinator at Saint Luke’s Hospital since 1985.  During that time, he has worked to establish clinical pharmacy services and pharmacy education programs.  At present, he helps coordinate drug use policy and staff development and provides direction and support to 13 pharmacists, 6 pharmacy practice residents and 13 interns on the Saint Luke’s Hospital main campus.  He serves as an adjunct clinical professor in the School of Pharmacy for both the University of Kansas and the University of Missouri-Kansas City.

He has been extensively involved in professional organizations.  He has served as president of both the Kansas and Missouri Societies of Health-System Pharmacists, chaired the ASHP Council on Legal and Public Affairs, ASHP Board of Directors and was President of ASHP in 2004-05.  At present, Dr. Woods is a member of the Executive Advisory Council for the University of Kansas School of Pharmacy.  In February 2011 he was appointed to a two-year term on the FDA’s Drug Safety and Risk Management Committee.

Honors and awards include Kansas Health-System Pharmacist-of-the-Year, Harold Godwin Lecture Award, Thomas J. Garrison Lecture Award, Distinguished Young Pharmacist of the Year in Kansas and several Missouri Society of Health-System Pharmacists Research Awards.  Dr. Woods has published more than 35 papers/chapters/letters in books and/or peer reviewed journals.  In addition, he has presented numerous posters and platform presentations at local, state, national and international meetings.

Why did you join MSHP?

I felt like it was important to be a part of the professional organization in Missouri that advocated on behalf of pharmacists working in hospitals and health system.  The needs of health system pharmacists are unique from those working in other sectors of pharmacy.  I wanted to be a part of an organization that insured we could do the things we need to do to provide the best drug therapy possible to our patients.

What are you currently doing?

Clinical Coordinator and PGY-1 Pharmacy Residency Program Director, Pharmacy Department, Saint Luke’s Hospital of Kansas City.



Mark Tiemann, RPh.                    

Past President 1993-1994

Bio:  After obtaining his B.S. in Pharmacy from St. Louis College of Pharmacy in 1981, Mark Tiemann worked as a pharmacist at Barnes Jewish Hospital for 22 ½ years.  He then completed a pharmaceutical marketing development program at GlaxoSmithKline, and eventually moved into Reimbursement, Assistance and Distribution.  He is now working in sales at Boehringer Ingelheim, where he is a Senior Associate Director, Access and Reimbursement.

Why did you join MSHP?

I joined to develop professionally. At the time of my deep involvement with MSHP I was working at Barnes-Jewish Hospital, and felt the need to part of a professional organization.  I was involved locally and state wide.  I held a number of offices before moving into the President’s role. You develop state wide and national contacts while participating in a leadership role in a professional organization.  The relationships and my participation in MSHP continue to help me to this day.  I am part of a unique group of pharmacists in Missouri – those who held the role of President of MSHP.  Networking – Professional Growth – Time Management – Meeting Co-Ordination are all things that I learned or gleamed from participating in a professional organization.

What are you currently doing?

I worked at Barnes – Jewish Hospital from September of 1977 until April 2000.  I moved into the pharmaceutical industry in April of 2000, initially working for GlaxoSmithKline in Sales, but eventually obtained a Rotation in Marketing for 6 months, and eventually moved into Reimbursement, Assistance and Distribution.  In April of 2013 I moved to Boehringer Ingelheim doing more of the same in Reimbursement, Assistance, and Distribution.  Today I am now back in Sales working in National Accounts at Boehringer Ingelheim.  My background as a pharmacist and as an MSHP Past President continue to benefit me in my current role.  Pharmacy is really a small world and the contacts you make in a professional organization last a lifetime.  I feel only good things can become of participation in a professional organization and greater personal development once an individual chooses to take on a leadership role.



Richard Moore, B.S. Pharm, PharmD                    

Past President 1987-1988

Bio:  Richard Moore received his B.S Pharm. from University of Texas 1972.  He then got a PharmD and completed residency at the University of Kentucky in 1975

Why did you join MSHP?

I joined MSHP shortly after moving to MO in 1980 when I started working as the first Clinical Coordinator at the University of Missouri Hospital & Clinics.  Immediately there was a need for someone to edit the MSHP newsletter, so I volunteered to do the newsletter and got involved right away. I also soon had the idea to start the MSHP Research & Education Foundation so I got that started. I joined MSHP because I believe state-level organizations can have a more direct effect on elevating the practice of pharmacy.

What are you currently doing?

I’ve been retired since September of 2011.

Fun Fact:

In the early-to-mid-nineteen eighties I started what may have been at that time the first aminoglycoside and vancomycin dosing service provided 24/7 by all of the inpatient pharmacists at the University of Missouri Hospital.  This was the first such dosing service in Missouri (as far as I know).



Larry Windmoeller, B.S. Pharmacy, M.Ed.                          

Past President 1984-1985

Why did you join MSHP?

I joined MSHP to enhance pharmacy service and care in the hospital and institution environment. I was MSHP President from 1984-1985.

What are you currently doing?

I am now retired, enjoy playing golf, riding my bike, boxing, attending movies, running, attending University of Missouri sports.



Neil Schmidt, M.A., R.Ph., FASHP                            

Past President 1983-1984

Why did you join MSHP?

I joined MSHP in 1973 after I graduated from STLCOP because I was intrigued by the future practice of clinical pharmacy in hospitals. I had been hired upon graduation in June of 1973 at St. John's Mercy Hospital in St. Louis which had just implemented an IV Admixture Service and I wanted to continue the positive progression of the department. I attended my first MSHP program in March of 1974 at a hotel across from Lambert International Airport and met Tom Garrison who became a role model for me along with Fred Tonnies as pharmacists who had a very progressive approach to their practice in health system pharmacy.

What are you currently doing?

I am currently an Adjunct Assistant Professor of Pharmacy Practice at St. Louis College of Pharmacy responsible for teaching Hospital Pharmacy, a three-hour professional elective course each semester. I have taught Hospital Pharmacy at STLCOP for 32 years as a part-time educator.

Fun Facts:

I was President of MSHP in 1983-84. What I accomplished as president was the affiliation of GKCSHP with MSHP and assisting in the start-up of the Ozark Society of Health System Pharmacists which then became an affiliate of MSHP. During my year as president, the Continuing Education requirement was signed into law in Missouri by the Governor. I also requested that our legal counsel file an Amicus Brief with the Missouri Supreme Court in favor of Nurses that were following physician protocols in a Family Planning Clinic in Cape Girardeau that if overturned would have had a huge impact on pharmacists in hospitals that were following protocols regarding Parenteral Nutrition and Pharmacokinetic Dosing.



Fred Tonnies, M.S., RPh, FASHP               

Past President 1976-1978 (2 terms)

Why did you join MSHP?

I first joined and was a founding member of MSHP to promote Hospital Pharmacy that was not representative in any other Pharmacy organization in Missouri.  I also help found the MMSHP organization in Columbia, Missouri. 

Goals we worked on were to have a hospital pharmacist represented on the Missouri Board of Pharmacy

What are you currently doing?

I have retired twice and I still practice pharmacy as the Pharmacy Coordinator for the Department of Mental Health Hospitals in the state of Missouri.



Tom Garrison (8/4/39-7/19/15)                              

Past President 1974-1976

Beginning at the age of 13, Tom worked at Pierce Drug Store in the Northeast area of Kansas City from 1952-1962, beginning as a delivery boy, stock boy and working behind the soda fountain. He continued working there through high school and college, saving money for his dream of going to college. After graduation from Northeast High School in 1957, Tom was able to pursue that dream by pursuing a profession in hospital pharmacy, graduating with distinction with a B.S in Pharmacy, from the University of Missouri-Kansas City in 1962. Upon graduation, he worked at both Research Hospital and Menorah Medical Center, in Kansas City. From 1964-1975, he was Director of Pharmacy at Lakeside Hospital. In 1975, he became Director/Corporate Director of Pharmacy at the University of Health Sciences Hospital, serving there until 1990. From 1990 until his retirement in 2006, he was Director of Pharmacy at Western Missouri Mental Health Hospital.

In addition to his work in hospital pharmacy, he enjoyed a very active career in pharmacy professional organizations which included the following: President of the Kansas City Society of Hospital Pharmacists 1969-1970; President of the Missouri Society of Health System Pharmacists 1974-1976; member of the Missouri State Board of Pharmacy 1981-1987 and President 1985; member of National Association of Boards of Pharmacy 1982-1987; member of Board of Trustees of American Pharmaceutical Association 1987-1989 and President of the American Society of Hospital (Health System) Pharmacists 1983-1984.

Throughout his 40 years of pharmacy practice, he participated in numerous seminars and institutes, speaking to various groups nationally and internationally as he developed one of the first unit dose and intravenous admixture programs in the Midwest. He also initiated the first ASHP (American Society Hospital Pharmacists) accredited residency programs in Missouri. When working at Western Missouri Mental Health Hospital he developed a Focused Practicum for pharmacists wanting experience in the area of psychopharmacy.



Deacon Tom Whalen, B.S. Pharmacy                    

Past President 1973-1974

Why did you join MSHP?

I am a founding member of MSHP, as well as the 4th President of the organization (1973-74). I lived in Hannibal at the time and was Pharmacy Director at Levering Hospital (now closed). I may have been the first or one of the first, to start using a unit dose system in a hospital.

What are you currently doing?

I have been retired from pharmacy since 1998, having spent 21 years as Consultant Pharmacist with the MO Division of Aging, Department of Social Services. I helped to write regulations for the LTC Industry, and assisted in inspections of the facilities regarding pharmaceutical issues.



Ralph Holbrook, B.S. Pharmacy, FASHP                

Past President 1972-1973

Bio: Ralph Holbrook was one of the founding members of MSHP.  He obtained his B.S. in Pharmacy from the University of Missouri-Kansas City.  His clinical experience includes time spent at Baptist Memorial Hospital and Children’s Mercy Hospital before becoming the Director of Pharmacy at Stormont Vail HealthCare.  He has teaching experience for UMKC, UNKC, and KU.  He has served in the House of Delegates for both APhA and ASHP, and has actively participated in several committees for pharmacy organizations such as ACA, AHFS, KPhA, KCHP, MPhA and MSHP.  In addition to serving as the president of MSHP, Ralph has also served as the president for the Kansas City chapter of ACA. 

Why did you join MSHP?

I was one of the founding members back when the movement began to have a state chapter

What are you currently doing?

I am still on the payroll at Stormont Vail in the retail store just doing very little prn work. This is my 45th year with them.



Garf Thomas, credentials                          

Past President 1971-1972

Bio:  I received my Undergraduate Pharmacy degree from Idaho State College in 1961 (go Bengals).  First 5-year pharmacy class at ISC.  I obtained my MS in Hospital Pharmacy from University of Iowa in 1963.  Did my hospital pharmacy residency as part of that degree at the VA Hospital Iowa City.  During my time at Iowa City I had the great opportunity to be associated with the University of Iowa Hospital Pharmacy which was very innovative in the development of unit dose dispensing, 24 hour coverage, with clinical coverage.  I obtained my MS in Public Health.  (The degree that is currently MS Hospital Administration.)  from University of Missouri, Administrative classes as a part time student while Director of Pharmacy.

My work experience includes the positions of: Assistant Director for Research and Development - University of Colorado Medical Center (Denver, CO), and Director Pharmacy - University of Missouri Medical Center and Assistant Professor, (teaching pharmacology in School of Nursing) - University of Missouri (Columbia, MO).  It was during this time MSHP was founded. I left active practice of Pharmacy for many years. I was the Assistant Administrator at the University of Missouri Medical Center (Columbia, MO), and at Ohio State University Hospitals and Clinics (Columbus, OH).  I was the Associate Administrator - Chief Operating Officer at Audrain Medical Center (At that time a busy 240 bed Community Hospital, Mexico, MO). I returned to active practice of Pharmacy as the Director Pharmacy and Vice-President Projects - St. Mary's Health Center (Jefferson City, MO) and then took a position as Pharmacy Contract Manager on site in Michigan for Maxor and the State of Michigan Prison System.

Why did you join MSHP?

Fifty years ago, hospital pharmacy was in its infancy.  In many cases, in Missouri and nationally, hospital pharmacy was nothing more than a "drug room" in a hospital.  At that time a group of "young" hospital pharmacists knew there was more to the practice of hospital pharmacy.  In Missouri we decided it was in the best interest of patients, our respective hospitals, the profession of pharmacy and our individual goals and aspirations to form an association of like-minded pharmacists to markedly improve practice of pharmacy in hospitals.  The success of MSHP and the professional pharmacy practice since that time has clearly fulfilled our "wildest" aspirations.  I feel certain with the work and leadership of your generation of practitioners and those to follow you, pharmacy practice will also fulfill your aspirations

What are you currently doing?

Semi-retired working part time as a pharmacist for Webber's Pharmacy - Mexico, MO.

Pharmacy in general and Hospital Pharmacy specifically has been very good to me and my family.  I sincerely hope I have added to the professional practice during my career.  Health care is a great professional choice.  You have chosen well to be professional health care practitioners.  Please find the personal satisfaction, the professional contributions that are there for you.

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