RESIDENCY University of Washington Department of General Surgery Seattle, WA Internship July 1994 July 1995

Transcription

1 Julie A. Switzer, M.D. Assistant Professor University of Minnesota Director of Geriatric Trauma Department of Orthopaedic Surgery Regions Hospital 640 Jackson Street, MS 11503L St. Paul, MN Telephone: Fax: UNDERGRADUATE EDUCATION Stanford University, Stanford, CA B.A/B.S., English and Biology September June 1988 MEDICAL EDUCATION Stanford University School of Medicine, Stanford, CA Doctor of Medicine September 1989 June 1994 RESIDENCY University of Washington Department of General Surgery Seattle, WA Internship July 1994 July 1995 University of Washington Department of Orthopaedic Surgery Seattle, WA Residency July 1995 June 1999 FELLOWSHIP Vail Orthopaedic & Sports Medicine Vail, CO Orthopaedic Sports Fellowship August 1999 April 2000 BOARD CERTIFICATION American Board of Orthopaedic Surgery Diplomate (2005) LICENSURE State of Minnesota 43065

2 POSITIONS AND EXPERIENCE Orthopaedic Consultants, PA 7373 France Avenue S Edina, MN Orthopaedic Surgeon September 2000 December 2001 Western Orthopaedics & Sports Medicine 490 S. Maple Street Waconia, MN Orthopaedic Surgeon October March 2003 Western Orthopaedic Surgery, Ltd 550 Wayzata Boulevard Golden Valley, MN Orthopaedic Surgeon September March 2004 University of Minnesota Department of Orthopaedic Surgery 2450 Riverside Avenue S, R200 Minneapolis, MN Assistant Professor April Present Regions Hospital Department of Orthopaedic Surgery 640 Jackson Street, MS# 11503L St. Paul, MN Orthopaedic Surgeon Director of Geriatric Orthopaedic Trauma April Present HONORS 1988 Departmental Honors, Biology, Stanford University 1989 Cap and Gown, Women s Honor Society, Stanford University 1989 Scholars Research Fellowship, Stanford University Medical School 1990 Founder, Women in Medicine and the Medical Sciences, Stanford University 1990 Deans Award for Outstanding Community Service, Stanford University Medical School 1996 Eli Powell Award, Outstanding Junior Orthopaedics Resident, Harborview Medical Center, Seattle, Washington 2007 Clinical Excellence Nominee, HealthPartners Medical Group, St. Paul, MN 2008 Top Doctor s Recognition, Mpls-St. Paul 2008 Edition, January Clinical Excellence Awardee, HealthPartners Medical Group, St. Paul, MN 2009 Awardee Leadership Fellowship Program, American Academy of Orthopaedic Surgeons, Rosemont, IL 2

3 2010 Recipient of Ian Swatez Teaching Award Regions Hospital Department of Emergency Medicine, St Paul, MN MEDICAL SOCIETY MEMBERSHIPS AAOS Women s Health Issues Advisory Board member American Academy of Orthopaedic Surgeons American Board of Medical Specialties American Orthopaedic Association, faculty for geriatric course Minnesota Medical Association Minnesota Orthopaedic Society 2010 President-Elect National Osteoporosis Foundation Orthopaedic Trauma Association active member Ramsey County Medical Society Ruth Jackson Orthopaedic Society - Board of Directors, member-at- large The American Society for Bone and Mineral Research BOARD MEMBERSHIPS Regions Hospital Institutional Review Board Regions Hospital Medical Executive Committee Member University of Minnesota Medical School, Faculty Advisory Council PRESENTATIONS 1. Switzer JA and Routt MLC. The comminuted and unstable iliac wing fracture: a rare and difficult problem. Surgery of the Pelvis and Acetabulum: The Third International Consensus Pittsburgh, P A, October Switzer JA, Patel N, and Routt MLC. Rotational imaging of complex acetabular fractures. Surgery of the Pelvis and Acetabulum: The Third International Consensus Pittsburgh, PA, October Switzer JA. Tibial shaft fractures. University of Washington Dept. of Orthopaedics Grand Rounds Seattle, W A, September Switzer JA, Duckworth D, Matsen FA, and Smith KL. The efficacy of total shoulder arthroplasty in improving shoulder function and health status of patients with primary glenohumeral degenerative joint disease. 14th Open Meeting of the American Shoulder and Elbow Surgeons New Orleans, LA, March Switzer JA and Reilly D. Preoperative evaluation of the orthopaedic patient. University of Washington Dept. Of Orthopaedics Grand Rounds July Switzer JA, Norman AG, Chansky HA, and Clark JM: The importance of surface integrity in the healing of intra-articular defects. Orthopaedic Research Society Poster Anaheim, CA, February Switzer JA. Compartment syndrome in trauma. Vail Orthopaedics and Sports Medicine Conference Vail, CO, November Switzer JA. Surgical solutions to patellofemoral problems. Institute for Athletic Medicine Teaching Conference Minneapolis, MN, December Switzer JA. Exertional compartment syndrome. Minneapolis Sports Institute Conference Minneapolis, MN, March Switzer JA. Orthopaedic implications of osteoporosis and other diseases of bone metabolism. Ridgeview Medical Center Grand Rounds Waconia, MN, February 3

4 Switzer JA. Geriatric trauma. Fairview Ridges Hospital Burnsville, MN, May Switzer JA. Better bone health. Eagle Crest Assisted Living Roseville, MN, August Switzer JA. Osteoporosis and the orthopaedist. Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN September Switzer JA. Morbidity and mortality in the elderly trauma patient, Hennepin County Trauma Conference, Orthopaedic Nursing: New Concepts and Challenges Minneapolis, MN November Switzer JA. Morbidity and mortality in the elderly trauma patient, Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN November Switzer JA. Elder polytrauma. Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN March Switzer JA. Testing for Osteoporosis, explanation of tests and diagnostic procedures, American College of Sports Medicine, St. Cloud State University, St. Cloud, MN April Switzer JA. Osteoporosis: It s not just for old folks. American College of Sports Medicine, St. Cloud State University, St. Cloud, MN April Switzer JA. Traction pin placement, Regions Hospital Orthopaedic Clinic Staff, Regions Hospital, St. Paul, MN April Switzer JA. Upper extremity arthritis. Regions Hospital Hand Clinic, Regions Hospital, St. Paul, MN June Switzer JA. Osteoporosis Work-up, Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN September Switzer JA. Avascular necrosis following intertrochanteric fracture fixation, Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN October Switzer JA. Osteoporosis and Orthopaedics: How good bone health can help prevent fractures and how preventing fractures can help you, HealthPartners 6 th Annual Conference, Women s Health: The Challenges of the Changing Body, Minneapolis, MN November Switzer JA. Ankle fractures in the elderly. Regions Orthopaedic Rounds, Regions Hospital, St. Paul, MN December Switzer JA. Case Discussion of Osteoporotic Distal Humerus Fractures. Regional New Technologies Symposium (Synthes), Minneapolis, MN February Switzer JA. Osteoporosis: It s not just for old folks. Tri-County Hospital Emergency and Outreach Services Telemedicine Grand Rounds, Wadena, MN March Switzer JA. Adjuvant Treatment: Crash Course. 6 th Annual Arthritis and Arthroplasty Course: Hip, Knee, Shoulder, and Foot & Ankle, University of Virginia Health System, Minneapolis, MN, May Switzer JA. Ankle fractures in the diabetic patients. HSC Interdisciplinary Conference, St. Paul, MN June Switzer JA. Perioperative Delirium: Anxiolytic and narcotic administration in the elderly. University of Minnesota, Department of Orthopaedic Surgery, First Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA. Fragility Fracture and Dementia: What is the best game plan?, 4

5 University of Minnesota Department of Orthopaedic Surgery, First Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA. Case of the Month Presentation. Regions Hospital Department of Orthopaedic Surgery Orthopaedic Rounds, St. Paul, MN, November Switzer JA. Osteoporosis and the orthopaedist. HealthPartners Como Clinic, St. Paul, MN, January Switzer JA. Fractures in the elderly. University of Minnesota, Department of Orthopaedic Surgery Grand Rounds, February Switzer JA. Indications and treatment options for proximal humerus fractures. Treatment options for difficult fractures: Upstate Medical University of New York and Synthes Sponsorship, Minneapolis, MN, February Switzer JA. Pediatric Both Bones Forearm Fractures. Regions Hospital Department of Orthopaedic Surgery Orthopaedic Rounds, St. Paul, MN, May Switzer JA. Common and complicated shoulder injuries. Regions Hospital Emergency Department, St. Paul, MN, May Switzer JA. Postoperative delirium after hip fracture. Regions Hospital 9S Nursing Administration, St. Paul, MN, June Switzer JA. Shoulder Orthopaedic Boot Camp, University of Minnesota, Department of Orthopaedic Surgery, Bloomington, MN, June Switzer JA. Case of the Month Presentation. Regions Hospital Department of Orthopaedic Surgery Orthopaedic Rounds, St. Paul, MN, August Switzer JA. Compartment syndrome. Regions Hospital Emergency Department, St. Paul, MN, August Switzer JA. Is a proximal humerus fracture in an older person as bad as a hip Fracture? University of Minnesota Department of Orthopaedic Surgery, 2 nd Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA. Pelvic Fracture Puzzles Epidemiology. University of Minnesota Department of Orthopaedic Surgery, 2 nd Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA, Siy J. Case Group Discussions. University of Minnesota Department of Orthopaedic Surgery, 2 nd Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA, Sems SA. Hip Modules, Co-Presenter. University of Minnesota Department of Orthopaedic Surgery, 2 nd Annual Geriatric Trauma Summit, St. Paul, MN, September Switzer JA. Fractures in the elderly. 25 th Annual Strategies in Primary Care Medicine, Regions Hospital Department of General Internal Medicine, HealthPartners Medical Group and Clinics and HealthPartners Institute for Medical Education, Center for Continuing Professional Development, Minneapolis, MN, September Switzer JA. What consumers need to know about orthopaedics? HealthPartners Marketing and Sales Development Annual Meeting. Bloomington, MN, September Switzer JA. Questions and Answer- Focus: Back pain. Monthly HealthPartners Nurse Practitioner Meeting, HealthPartners Bloomington, February

6 48. Switzer JA. Aging and orthopaedics. Academic Health Center Spring Mini Medical School Course, University of Minnesota Medical School, March Switzer, JA. Osteoporosis and orthopaedists. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, March Switzer JA. Osteoarthritis and rheumatoid Arthritis. University of Minnesota Department of Physical Medicine and Rehabilitation Grand Rounds, May Switzer JA. Shoulder Orthopaedic Boot Camp, University of Minnesota, Department of Orthopaedic Surgery, Bloomington, MN, June Switzer, JA. Geriatric orthopaedic trauma. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, July Switzer JA. Case of the month. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, August Switzer JA. Moderator: Distal radius fracture panel. 3 rd Annual Geriatric Trauma Summit, St. Paul, MN, October Switzer JA. Orthopaedic focus: crossfire panel discussion cannulated screws. 3 rd Annual Geriatric Trauma Summit, St. Paul, MN, October Switzer JA. Orthopaedic focus: crossfire panel discussion to cement or not to cement. 3 rd Annual Geriatric Trauma Summit, St. Paul, MN, October Switzer JA, Torchia M, Sems A, Ly T, Koval K. Winning the race one illustrated favorite trick for a hip fracture in 3 or less. 3 rd Annual Geriatric Trauma Summit, St. Paul, MN, October Switzer JA. Ankle fractures in the elderly. 3 rd Annual Geriatric Trauma Summit, St. Paul, MN, October Switzer, JA. Proximal tibia fractures in elderly, including tibial periprosthetic. AO North America Management of the Geriatric Fracture Patient. Miami, FL, June Switzer, JA. Pediatric distal femur fractures. Regions Hospital Department of Orthopaedic Surgery Pediatric Trauma Summit. St. Paul, MN, September Switzer, JA. Autumn and winter of life: falling leaves-broken bones geriatric trauma. Regions Hospital Nursing Trauma Conference. St. Paul, MN, September Switzer, JA. Geriatric trauma: how do we best treat older folks who fracture? St. Alexius Medical Center Grand Rounds. Bismarck, ND. September Switzer, JA. Aging, beauty and the human skeleton. HealthPartners Institute of Medical Education. 10 th Annual Women s Health Conference. St. Paul, MN, November Switzer, JA. Shoulder and proximal humerus. Regions Hospital Department of Emergency Medicine Grand Rounds. St. Paul, MN, February Switzer, JA. Geriatric trauma. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, March Switzer, JA. 2- and 3-part Fractures: Plates are better. AAOS/ASES/OTA Proximal Humeral Fractures Course. Rosemont, IL, May Switzer, JA. Is a proximal humerus fracture in an older person as bad a hip fracture? Michigan State University Grand Rounds, Grand Rapids, MI, June

7 68. Switzer, JA. Geriatric fractures and joint replacement. Regions Health Foundation Learn More Health Education Series, Regions Hospital, St. Paul, MN, August Switzer, JA. Geriatric trauma. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, August Switzer, JA. Geriatric fracture Synthes Annual Trauma Fall Conference. Tucson, AZ, October Switzer, JA. Indications for fixation of proximal femur fractures AO North American Operating Room Personnel Principles and Advanced Courses. Seattle, WA, November Switzer, JA. Alphabet soup and geriatric trauma Geriatric Orthopaedic Fracture Conference, St. Paul, MN, December Switzer, JA. Isn t there a drug to help us make bone heal? 2010 Geriatric Orthopaedic Fracture Conference, St. Paul, MN, December Switzer, JA. Bone health considerations following fracture protocols and hot topic. 25 th Annual Family Medicine Today Conference. Regions Hospital Institute for Medical Education, Minneapolis, MN, March Switzer, JA. Beyond hip fractures: high energy orthopaedic trauma. University of Minnesota Department of Orthopaedic Surgery Grand Rounds, Minneapolis, MN, March Switzer JA. Shoulder Orthopaedic Boot Camp, University of Minnesota, Department of Orthopaedic Surgery, Bloomington, MN, June Switzer, J.A. Geriatric orthopaedic trauma what s new? Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, August Switzer, JA. Elbow fractures nonunions in the geriatric patient. AONA Co- Management of the Geriatric Fracture Patient, Philadelphia, PA, September Switzer, JA. Case of the Month. Regions Hospital Department of Orthopaedic Surgery Rounds, St. Paul, MN, October Switzer, JA. Hip fractures. Regions Hospital Department of Orthopaedic Surgery, Core Curriculum. St. Paul, MN, November Switzer, JA. Shoulder function in asymptomatic elderly individuals, AAOS/ORS Research Review. University of Minnesota Department of Orthopaedic Surgery Grand Rounds, Minneapolis, MN, January Switzer JA. Shoulder/Hip Orthopaedic Boot Camp, University of Minnesota, Department of Orthopaedic Surgery, Bloomington, MN, June Switzer, JA. Elbow fractures nonunions in the geriatric patient. Co- Management of the Geriatric Fracture and Aging Spine Patient: A Systems-Based Model of Interdisciplinary Care, San Diego, CA, October Switzer, JA. Periprosthetic fractures/playground principles, Co-Management of the Geriatric Fracture and Aging Spine Patient: A Systems-Based Model of Interdisciplinary Care, San Diego, CA, October Switzer, JA. Bone health and fracture prevention, HealthPartners 13 th Annual Women s Health Conference, Minneapolis, MN November Switzer, JA. Hip and shoulder injuries in the elderly: When to refer to MRI or scan? HealthPartners EM Trauma Update: Beyond the Golden Hour, St Paul, MN, November

8 87. Switzer, JA. Fragility facts and figures. Regions Hospital Department of Orthopaedic Surgery 2012 Geriatric Orthopaedic Fracture Conference, St. Paul, MN, November Switzer, JA, Arendt, E, Bechtold, J. Sex in your orthopedic practice. University of Minnesota Department of Orthopaedic Surgery Grand Rounds, Minneapolis, MN, January 2012 SCIENTIFIC EXHIBITS: 1. Poster Presentation: Switzer JA, Zlowodzki M, Brink, Wingerster S, Bruinsma DR, Petrisor BA, Krego, PJ, Bhandari M. Patient function following femoral neck shortening and varus collapse after cancellous screw fixation of isolated femoral neck fractures: A multi-center cohort study. OTA Annual Meeting, Boston, MA. October Poster Presentation: Switzer, JA, Arora, PS, Gertner, E. Subtrochanteric femoral fractures associated with alendronate therapy A Case Series. 10 th Annual University of Minnesota Department of Medicine Research Day, Minneapolis, MN. May Poster Presentation: Switzer, JA, Arora, PS, Gertner, E. Subtrochanteric femoral fractures associated with alendronate therapy A Case Series. ENDO08, The Endocrine Society Annual Meeting, San Francisco, CA. June Scientific Exhibit: Switzer JA, Algan SM, Arendt EA. Sex and your orthopaedic practice: How important is it? - AAOS Women's Health Issues Annual AAOS Meeting, New Orleans, LA. March Scientific Exhibit: Guide for women in surgery. AAOS Ruth Jackson Society AAOS Annual Meeting, New Orleans, LA. March Scientific Exhibit: Switzer JA, Algan SM, Arendt EA. Sex in Your Orthopaedic Practice - AAOS Women s Health Issues Advisory Board. American Academy of Orthopaedic Surgeons Annual Meeting. San Diego, CA. February Poster Presentation: Kinnucan E, Knudsen M, Galan T, Martin S, Anderson C, Switzer J. Shoulder Function in Asymptomatic Elderly Individuals. HealthPartners Research Foundation Celebration of Research, Bloomington, MN. September Poster Presentation: Kinnucan E, Knudsen M, Galan T, Martin S, Anderson C, Switzer J. Shoulder Function in Asymptomatic Elderly Individuals. American Academy of Orthopaedic Surgeons Annual Meeting. San Francisco, CA. February Poster Presentation: Wright D, Switzer J. Trauma Induced Sexual Dysfunction: You Can t Fix What You Don t Know is Broken. 9th Annual Women s Health Research Conference- University of MN. Minneapolis, MN. September, Poster Presentation: Bennett R, Vlasak A, Gammon S, Vang S, Switzer J. Surgical Time of Day Does Not Affect Outcome Following Hip Fracture Fixation. 28th Annual Meeting, Orthopaedic Trauma Association. Minneapolis, MN. October, Podium Presentation: Switzer J. Regions Geriatric Fracture Program: Mobile Outreach as an innovative, integral part of comprehensive elder fracture care. 1st 8

9 Annual Meeting, International Geriatric Fracture Society. La Jolla, CA. October, Podium Presentation: Switzer JA, Hill BW, Torchia M, Cole PA. High Energy Acetabular Fractures in Elderly Patients: Are We Prepared? International Geriatric Fracture Society, La Jolla, CA. October RESEARCH ACTIVITIES 1. Patient function following femoral neck shortening and varus collapse after cancellous screw fixation of isolated femoral neck fractures: A prospective multicenter cohort study Osteosynthesis and Trauma Care (OTC) in Collaboration with Association Internationale Pour L Osteosynthese Dynamique (AIOD) Research Grant, 2007 Co-investigator 2. Shoulder Function in Asymptomatic Elderly Individuals HealthPartners Research Foundation, 2008 Principal Investigator 3. Diagnosis and Treatment of Osteoporosis in the Home Health Care Setting HealthPartners Research Foundation Discovery Grant, 2008 Principal Investigator 4 Fixation Using Alternative Implants for the Treatment of Hip Fractures: A Multicenter Randomized Trial Comparing Sliding Hip Screws and Cancellous Screws on Revision Surgery Rates and Quality of Life in the Treatment of Femoral Neck Fractures NIH, NIAMS Grant 1R01AR A1, 2009 Performance Site Principal Investigator 5. Outcomes of Elderly Hip Fracture Patients Based on Surgical Time of Day HealthPartners Research Foundation, 2011 Principal Investigator 6. The Regions Hospital Geriatric Program American Orthopaedic Association Fracture Liaison Service Site Application, submitted 2012 Principal investigator REVIEWER Clinical Orthopaedics and Related Research (CORR) Geriatric Orthopaedic Surgery and Rehabilitation (GOS) Journal of Bone and Joint Surgery (JBJS) Journal of Orthopaedic Trauma (JOT) Osteoporosis International PUBLICATIONS 1. Peroutka SJ, Switzer JA, and Hamik A. Identification of the 5-Hydroxytryptamine-ID reception in human membranes. Synapse, (1): Jasper JR, Leiber D, Alousi AA, Kuruppu J, Switzer JA, Insel PA, Bernstein D.Cytoskeletal disruption enhances hormone-dependent and independent stimulations of adenyl cyclase activity via alterations in g-proteins. Federation of 9

10 American Societies for Experimental Biology Journal, ( 4):A Grudzen M and Switzer JA. McGann Women and Health Series: A model for feminist pedagogy in medical education. Women's Health Forum Newsletter, May Switzer JA, Nork SE, and Routt MLC. Comminuted fractures of the iliac wing. Journal of Orthopaedic Trauma, (4): Switzer JA. Operative fixation of osteoporotic fractures. Canadian Orthopaedic Association, Bulletin May/June 2006 (73): Switzer JA, Ellis T, Swiontkowski MF. Wilderness Orthopaedics. Auerbach: Wilderness Medicine, fifth edition, Chapter 24. Jan 2007 (24): Switzer JA. Strategies for fracture prevention in the elderly. US Musculoskeletal Review 2007, Issue II, December Cole, PA, Miclau, t; Ly, TV, Switzer, JA, Li, M. What s new in orthopaedic trauma, J Bone Joint Surg Am, 2008;90: Zlowodzki M, Brink O, Switzer J, Wingerter S, Woodall J Jr, Petrisor BA, Kregor PJ, Bruinsma DR, Bhandari M. The effect of shortening and varus collapse of the femoral neck on function after fixation of intracapsular fracture of the hip: a multi-centre cohort study. J Bone Joint Surg Br Nov;90(11): O Donnell, P, Anavian, J, Switzer, JA, Morgan, R. The history of halo skeletal fixator. Spine Jan; 34(16): Switzer JA, Jaglal S, Bogoch, ER. Overcoming barriers to osteoporosis care in vulnerable elderly patients with hip fracture. Journal of Orthopaedic Trauma, July (6): Bhandari M, Sprague S, Schemitsch EH; International Hip Fracture Research Collaborative (Regions Hospital- Cole PA, Switzer, JA). Resolving controversies in hip fracture care: the need for large collaborative trials in hip fractures. J Orthop Trauma Jul;23(6): Switzer, JA, Layman, M, Bogoch, E. Perioperative and postoperative considerations in geriatric patient. OKU Trauma AAOS. Chapter 40, Bukata SV, Behrend CJ, Switzer JA. The pregnant trauma victim. AAOS Now. July Switzer JA, Rolnick SJ, Jackson JM, Schneider NK, Dutkowski JE, Edgett DR.. An opportunity for improving osteoporosis treatment in home health care. Geriatric Orthopaedic Surgery and Rehabilitation. Nov : Switzer, JA, Bovard, R. Wilderness orthopaedics. Wilderness Medicine, 6 th Edition. Dec 2011 (27): Michienzi AE, Switzer JA. Is it osteoporosis or elder abuse? AAOS Now. December Switzer JA, Michienzi AE. Elder abuse: an update on prevalence, identification, and reporting for the orthopaedic surgeon. J Am Acad Orthop Surg. 2012;20: Hill, BW, Switzer, JA, Cole, PA. Management of high-energy acetabular fractures in the elderly individuals: A current review. Geriatric Orthopaedic Surgery & Rehabilitation, Aug Switzer JA, Gammon SR. High-Energy Skeletal Trauma in the Elderly: A Current Concepts Review. J Bone Joint Surg Am Dec 05;94(23):

11 21. Switzer, JA, Michienzi AE. Elder abuse. Minnesota Physician Dec 26(9):