Lynne Cossman
Dr. Jeralynn S. Cossman
Research Fellow, SSRC; Professor, Department of Sociology, MSU
Ph.D., Sociology, Florida State University
Email:Lynne.Cossman@ssrc.msstate.edu
Phone: (662) 325-3791
Dr. Cossman has research and teaching interests in medical sociology, demography, and health services research. She works with the Social Science Research Center’s (SSRC) Mississippi Health Policy Research Center at Mississippi State University as a Research Fellow, examining issues related to health assessment, prevention, and social epidemiology. She also directs the Mississippi Center for Health Workforce.
Dr. Cossman’s recent research focuses on spatial concentrations of mortality and morbidity, Mississippi’s physician workforce, access to care for Medicaid patients (particularly children), and an evaluation of the Mississippi Medicaid Medical Home Program. She is currently pursuing a comparative health research agenda with faculty at the University of Catania, Sicily, Italy.
Her research projects have been funded by The Robert Wood Johnson Foundation, the Department of Health and Human Services’ Office of Rural Health Policy, and Mississippi’s Division of Medicaid. More recently her physician workforce research has been funded by the Mississippi Primary Care Network, the Mississippi Academy of Family Physicians and the American Academy of Family Physicians.
Her works have been published in several sociology and interdisciplinary journals including the American Journal of Public Health, Social Problems, AIDS Education and Prevention, Health and Place, The International Journal of Health Geographics, The Journal of Economic and Social Measurement, Omega: The Journal of Death and Dying, Population Research and Policy Review, Sociological Inquiry, and Sociological Spectrum.
EDUCATION
1996 PhD in Sociology and Demography, The Florida State University
Dissertation Title: Development of Children’s Attitudes toward People with AIDS
1992 MS in Sociology, The Florida State University
Master’s Title: Parental Influence on Children’s AIDS Attitudes
1993 BS in Sociology and Women’s Studies, The Florida State University
ACADEMIC APPOINTMENTS
MISSISSIPPI STATE UNIVERSITY
2010
• Full Professor of Sociology
2006 – 2010
• Associate Professor of Sociology
2009
• Graduate Program Coordinator, Department of Sociology
2008
• Director, Mississippi Center for Health Workforce
2003
• Research Scientist, Mississippi Health Policy Research Center
2001
• Research Fellow, Social Science Research Center
2003-2009
• Director, Ellen Bryant Women’s Resource Center and Gender Studies
2001-2006
• Assistant Professor of Sociology
UNIVERSITY OF CENTRAL ARKANSAS
1997-2001
• Assistant Professor of Sociology
MIAMI UNIVERSITY, Oxford Ohio
1996-1997
• Visiting Assistant Professor of Sociology
FLORIDA STATE UNIVERSITY
1990-1995
• Project Manager, Children’s AIDS Knowledge and Attitudes
PI: Isaac Eberstein, Center for the Study of Population
HONORS AND AWARDS
2010
• State of Pride Award
• Harvard Management Development Program
2008 – 2010
• Clinton Wallace Dean’s Eminent Scholar
2007 – 2008
• Academic and Research Leadership Program, Mississippi State University
2005 – 2007
• Health Disparities Scholar, National Institutes of Health, National Center on
Minority Health and Health Disparities
2004
• Mississippi State University Outstanding Faculty Woman Award
1991
• Frances Allen Fellowship, Outstanding Student Paper, Florida State University
• ICPSR Program Scholarship from Florida State University
ACADEMIC PUBLICATIONS
Rader, NE and JS Cossman. Forthcoming. “Fear of Crime for Others: An Examination of College Men and Women.” Sex Roles. Accepted October 2010.
Cossman, JS and Rader, NE. Forthcoming. “Fear of Crime and Personal Vulnerability: Examining Self-Rated Health.” Sociological Spectrum. Accepted September 2010.
Cossman RE, JS Cossman JS, WL James, TC Blanchard, R Thomas, LG Pol, and AG Cosby. 2010. “Correlating Pharmaceutical Data with a National Health Survey as a Proxy for Estimating Rural population Health.” Population Health Metrics. Sep. 14:8:25.
Cossman, JS, WL James, AG Cosby and RE Cossman. Forthcoming. “The Nonmetropolitan Mortality Penalty — Is It Cause-Specific?” American Journal of Public Health. 100(8): 1417-1419.
Cossman, JS and D Street. 2010. “Policy, Autonomy and Physician Satisfaction.” Journal of Health Care for the Poor and Underserved. 21(3): 898-912.
Street, D and Cossman, JS. 2010. Forthcoming. “Does Familiarity Breed Respect? Physician Attitudes towards NPs in a Medically Underserved State.” Journal of American Academy of Nurse Practitioners. 22(8): 431-439.
Street, D and JS Cossman. “Mississippi Burnout, Part II: Mississippi Burnout Part II: Career Satisfaction and Work/Family Influences,” Journal of the Mississippi State Medical Association. 50(10): 338-345. Invited publication.
Cossman, JS and D Street. 2009. “Mississippi Burnout, Part I: The Role of Practice Characteristics” Journal of the Mississippi State Medical Association. 50(9): 306-310. Invited publication.
Rader, NE, Cossman, JS, and Allison, M.. 2009. “Considering the Gendered Nature of Constrained Behaviors among Male and Female College Students.” Journal of Contemporary Criminal Justice. 25(3): 282-299.
Crudden, A, JS Cossman, W Sansing and HI Burson. 2009. “Emergency Room Demographics, Diagnoses, and Frequency of Use among Mississippi Medicaid Beneficiaries.” Journal of the Mississippi State Medical Association. 50(7): 179-183.
Irion, GL and JS Cossman. 2009. “Determinants of Sex Segregation Within Practice Settings.” Acute Care Perspectives. 18(1): 1-7.
Cossman, JS, Young, S, Silberman, SL and Harney KC. 2009. “Using Data to Drive the AHEC: The Mississippi Center for Health Workforce.” The National AHEC Bulletin. Spring/Summer. XXV(1) Spring/Summer: 30-32.
Irion, GL and JS Cossman. 2008. “Factors Related to Low Representation of Male Physical Therapists in Acute Care Settings.” Acute Care Perspectives. 17(4): 16-25.
Cossman, JS and Street, D. 2008. “Practice and Malpractice: Physician Responses to the Liability ‘Crisis.’” Journal of Public and Professional Sociology, December 2008. http://www.gsajournal.com/CossmanandStreetVol2Art1.pdf.
Cosby, AG, Thornton-Neaves, T, Cossman, RE, Cossman, JS, James, WL, Feierabend, N, Mirvis, DM, Jones, CA, and Farrigan, T. 2008. “Preliminary Evidence for an Emerging Non-Metropolitan Mortality Penalty in the United States” American Journal of Public Health, 98(8): 1470-1472.
Cossman, RE, Cossman, JS, James, WL, Blanchard, TC, Thomas, RK, Pol, LG, Cosby, AG. 2008. “Testing Heart Disease Prescriptions-Filled As A Proxy For Heart Disease Prevalence Rates For Small Geographic Areas.” Journal of Health and Human Services Administration 30(4):503-28.
Cossman, RE, Cossman, JS, Cosby, AG, Reavis, R. 2008. “Reconsidering the Rural-Urban Continuum in Rural Health Research: A Test of Stable Relationships Using Mortality as a Health Measure” Population Research and Policy Review. 27(4): 385-402.
Street, D and Cossman, JS. 2008. “Perspectives on Mississippi’s 21st Century Physician Workforce Supply: Findings from the 2007 MSMD Survey.” Journal of Mississippi State Medical Association 49(4): 99-103.
Cossman, JS, Cossman, RE, James, WL, Campbell, CR, Blanchard, TC and Cosby AG. 2007. “Persistent Clusters of Mortality in the U.S.” American Journal of Public Health 97(12): 2148-2150.
Gray, VB, Byrd, SH, Cossman, JS, Chromiak, J, Cheek, W and Jackson, G. 2007. “Parental Attitudes towards Child Nutrition and Weight Have a Limited Relationship with Child’s Weight Status Nutrition Research.” Nutrition Research 27: 548-558.
Gray, VB, Byrd, SH, Cossman, JS, Chromiak, J, Cheek, W and Jackson, G. 2007. “Family Characteristics Have Limited Ability to Predict Weight Status of Young Children.” Journal of the American Dietetic Association 107:1204-1209.
Street, D and Cossman, JS. 2006. “Altruism or Self-Interest: Social Spending and the Life Course.” Journal of Sociology and Social Welfare 33(3): 73-99.
James, WL and Cossman, JS. 2006. “Does Regional Variation Affect Ecological Mortality Research? An Examination of Mortality, Income Inequality and Health Infrastructure in the Mississippi Delta.” Population Research and Policy Review 25: 175-195.
Gray, VA, Cossman, JS and Powers, E. 2006. “Food Insecurity and Malnutrition among Rural School Children in Honduras.” Nutrition Research 26(11):549-555.
Gray, VA, Cossman, JS, Dodson, W and Byrd, SH. 2006. “Dietary Acculturation of Hispanic Immigrants in Mississippi.” Salud Publica 47:351-360. http://www.insp.mx/salud/47/475_4.pdf.
Jimenez, A and Cossman, JS. 2006. “When People Died: An Examination of Mortality Seasonality Using An Historic African American Population.” Sociological Spectrum 26(2): 149-181.
Street D and Cossman, JS. 2006. “Greatest Generation or Greedy Geezers? A Life Course Approach to Social Spending Preferences.” Social Problems 53(1):75-96.
Cossman, JS, Ritchie, JB, and Cosby, AG. 2006. “Medicaid Reimbursement and Access to Physicians: Does Lower Reimbursement Mean Less Access to Care?” Journal of the Mississippi State Medical Association 47(11):323-336.
Blanchard, TC, Levin, ML and Cossman, JS. 2004. “Data Sources for the Estimation of Hierarchical Models of Individual Mortality Outcomes.” Journal of Economic and Social Measurement 29(4): 473–485.
Blanchard, TC, Cossman, JS and Levin, ML. 2004. “Multiple Meanings of Minority Concentration: Incorporating Contextual Explanations into the Analysis of Individual Level U.S. Black Mortality Outcomes.” Population Research and Policy Review 23(3): 309-326.
James, WL, Cossman, RE, Cossman, JS, Campbell, CR and Blanchard, TC. 2004. “A Brief Visual Primer for the Mapping of Mortality Trend Data.” International Journal of Health Geographics 3(7). http://www.ij-healthgeographics.com/content/pdf/1476-072X-3-7.pdf
Cossman, JS. 2004. “Do Heterosexist Parents Influence Children’s Attitudes Toward People with AIDS?” Sociological Spectrum 24(3):319-339.
Cossman, RE, Cossman, JS, James, WL, Blanchard, TC and Cosby, AG. 2004. “Mortality Rates Across Time: Does Persistence Suggest “Healthy and Unhealthy Places” in the United States?” In WorldMinds: Geographical Perspectives on 100 Problems, edited by Janelle, DG, Warf, B, and Hansen, K. Amsterdam: Kluwer Press.
Cossman, JS. 2004. “Mississippi’s Physician Labor Force: Current Status and Future Concerns.” Journal of the Mississippi State Medical Association. 45(1):8-31.
Cossman, RE, Cossman, JS, Jackson, R and Cosby, AG. 2003. “Mapping High and Low Mortality Places Over Time in the U.S.: A Research Note on a Health Visualization Project.” Health & Place 9(4): 361-369.
Cossman, JS, Lewers, GA, Wilson, JK, Fox, JE and Kamakahi, JJ. 2002. “The Hemlock Society Membership: Comparisons Between 1983 and 1995 Surveys and the General Population.” OMEGA: The Journal of Death and Dying. 45(1): 43-55.
Kamakahi JJ, Cossman, JS, and Fox, JE. 2001. “The Right-to-Die Movement: Extrapolating From the National Hemlock Society USA Membership Survey.” OMEGA: The Journal of Death and Dying 43(1): 7-24.
Cossman, JS, and Powers, E. 2000. “Dynamics of Hispanic Population Growth in Arkansas.” Arkansas Business and Economic Review 32(4): 2-8.
Kelley, M and Cossman, JS. 2000. “Hispanics, Health and Corporate Responsibility.” Arkansas Business and Economic Review 33(1): 7-12.
Cossman, JS. 2000. Review of David V. Baker’s book, “Structured Inequality in the United States: Discussions on the Continuing Significance of Race, Ethnicity and Gender.” In Teaching Sociology. 28(3): 266-268.
Quadagno, D, Eberstein IW, Foster K, Sittig, JE, Sly, D and Kistner, J. 1997. “Magic Johnson and Children’s Conceptions of AIDS.” AIDS Education and Prevention 9(4): 359-373.
Kistner, J, Eberstein, IW, Quadagno, D, Sly, D, Sittig, JE, Foster K, Balthazor, RC and Osborne, M. 1997. “Children’s AIDS related Knowledge and Attitudes: Variations by Grade, Race, Gender, Socioeconomic Status, and Size of Community.” AIDS Education and Prevention 9(3): 285-298.
Inniss, L and Sittig, JE. 1996. “Race, Class and Support for the Welfare State.” Sociological Inquiry 66(2): 175-196.
MANUSCRIPTS UNDER REVIEW
Burson, HI, JS Cossman and SL Cain. “The Termination of Primary Care Case Management in Medicaid: A Case Study.” Revise and resubmit at the Journal of Health Care for the Poor and Underserved. November 2009.
MANUSCRIPTS IN PROGRESS
Porter, J.R., Rader, N.E., and J.S. Cossman. “Social Disorganization and Neighborhood Fear: Examining the Intersection of Individual, Community, and County Characteristics” for submission to the Journal of Quantitative Criminology in August 2010.
Cossman, J.S. and W.L. James. Macro Level Influences of Income on Individual Mortality Risk: AN HLM Analysis for submission to Demography in September 2010.
Rader, N.E., Cossman, J.S., and J.R. Porter. “Vulnerability and Fear of Crime: A Multi-Level Analysis” for submission to Social Forces in September 2010.
Cossman, J.S., Porter, J.R., and N.E. Rader. “Exploring the Relationship between Health and Fear: The Importance of Cross Level Interactions” for submission to Social Science & Medicine in October 2010.
RESEARCH REPORTS AND BRIEFS: PUBLIC AND APPLIED SOCIOLOGY
MISSISSIPPI CENTER FOR HEALTH WORKFORCE REPORTS
Northeast Mississippi Area Health Education Center and the Mississippi Center for Health Workforce. 2010. Listening to Mississippi’s Needs: Assessing Our Health Workforce.
Krause, D and JS Cossman. 2010. An Analysis of Oral Health Disparities and Access to Services in the Appalachian Region. Prepared for The Appalachian Regional Commission. Washington, D.C.
Cossman, JS and D Street. 2009. Rural and Minority MDs in Mississippi: Their Importance to Access in a Diverse State. Prepared for the Mississippi Institute for the Improvement of Geographic Minority Health.
Street, D, JS Cossman, CC Butts and SH Smith. 2009. Physicians Practicing in Rural and Underserved Areas of Mississippi. Prepared for the Mississippi Institute for the Improvement of Geographic Minority Health.
Street, D, JS Cossman, SH Smith and CC Butts. 2009. Mississippi Physicians: Individual Characteristics and Experiences in an Underserved State. Prepared for the Mississippi Institute for the Improvement of Geographic Minority Health.
MISSISSIPPI CENTER FOR HEALTH WORKFORCE RESEARCH PAPERS
DiColandrea, NDA, CC Butts and JS Cossman. 2009. A Health Insurance Mandate and Its Effect on Health Care Demands.
MISSISSIPPI CENTER FOR HEALTH WORKFORCE RESEARCH BRIEFS
Butts, CC, NDA DiColandrea, and JS Cossman. 2009. A Health Insurance Mandate and Its Effect on Health Care Demands: An Executive Summary.
Street, D and JS Cossman. 2009. Satisfaction, Autonomy and Physician Burnout. http://www.nemsahec.msstate.edu/publications/policybriefs/Physician_Burnout_BriefIV.pdf
Street, D and JS Cossman. 2009. Patient and Peer Relationships and Physician Burnout. http://www.nemsahec.msstate.edu/publications/policybriefs/Physician_Burnout_BriefIII.pdf
Cossman, JS and D Street. 2009. Professional Pressures and Physician Burnout. http://www.nemsahec.msstate.edu/publications/policybriefs/Physician_Burnout_Brief_I.pdf
Cossman, JS and D Street. 2009. Families, Communities and Physician Burnout. http://www.nemsahec.msstate.edu/publications/policybriefs/Family%20Community%20and%20Burnout–FINAL.pdf
MISSISSIPPI CENTER FOR HEALTH WORKFORCE HEALTH MAPS
Butts, CC, Cossman, JS and Welford, E. 2008. Where’s the Primary Care? A Spatial Analysis of Mississippi Generalists. http://nemsahec.msstate.edu/publications/healthmaps/generalist.pdf
Butts, CC, and Cossman, JS. 2008. Where’s the Obstetrical Care? A Spatial Analysis of Mississippi OB/GYNs. http://nemsahec.msstate.edu/publications/healthmaps/obgyn.pdf
Butts, CC, and Cossman, JS. 2008. Where’s the Primary Care for Children? A Spatial Analysis of Mississippi Pediatricians. http://nemsahec.msstate.edu/publications/healthmaps/peds.pdf
MISSISSIPPI HEALTH POLICY RESEARCH CENTER POLICY PAPERS
Campbell, CR, Cossman, JS, and Ritchie, JB. 2006. What Is a Usual Source of Care? Medical Homes and Continuity of Care in Mississippi Medicaid. http://www.healthpolicy.msstate.edu/publications/USOC.pdf
Costello, H, Cossman, JS, and Ritchie, JB. 2006. The Mississippi Medicaid Medical Home:
Concept and Baseline Data. http://www.healthpolicy.msstate.edu/publications/mmmhbaseline.pdf
Burson, HI, Costello, H, and Cossman, JS. 2006. Medicaid Primary Care Case Management: Lessons for Medicaid Medical Homes? http://www.healthpolicy.msstate.edu/publications/historyofpccm.pdf
Cossman, JS, Ritchie, JB, and Cosby, AG. 2006. Medicaid Reimbursement and Access to Physicians: Does Lower Reimbursement Mean Less Access to Care? http://www.healthpolicy.msstate.edu/publications/drivetime.pdf
Costello, H, Cossman, JS and Burson, HI. 2006. Medicaid HMOs: Lessons for Medicaid Medical Homes? http://www.healthpolicy.msstate.edu/publications/medicaidHMO.pdf
Cossman, JS. 2003. Mississippi’s Physician Labor Force: Current Status and Future Concerns. http://www.healthpolicy.msstate.edu/publications/laborforcereport.pdf
Powers, E, Cossman, JS, Fox, JE and Kamakahi, JJ. 2001. Lake Yojoa Study 2000: A Report on the Well-Being of Families and School Children in Five Rural Villages. Prepared for the Ministry of Health Republic of Honduras.
MISSISSIPPI HEALTH POLICY RESEARCH CENTER POLICY BRIEFS
Cossman, JS and Street, D. 2008. Mississippi Physician Perceptions of Nurse Practitioners’ Health Care Roles,. http://www.healthpolicy.msstate.edu/publications/PhysicianPerception_NP.pdf
Street D and Cossman, JS. 2008. Technology Diffusion in Mississippi: Computerized Practices and Electronic Medical Records in Physician Primary Practices, http://www.healthpolicy.msstate.edu/publications/PhysicianTechUse.pdf
Cossman, JS and Street, D. 2008. Hurricane Katrina’s Effects on Mississippi’s Health Care: Physician Perspectives from the 2007 MSMD Survey http://www.healthpolicy.msstate.edu/publications/katrinahealthcare.pdf
Cossman, JS, Sansing, WK, Burson, HI and Crudden, A. 2007. The Demographics of Emergency Room Visits for Mississippi Medicaid Beneficiaries, http://www.healthpolicy.msstate.edu/publications/ERDemographics.pdf
Burson, HI, Sansing, WK, Crudden, A and Cossman, JS. 2007. Diagnoses and Emergency Room Visits for Mississippi Medicaid Beneficiaries, http://www.healthpolicy.msstate.edu/publications/diagnoses.pdf
Crudden, A, Sansing, WK, Cossman, JS, and Burson, HI. 2007. Mississippi Medicaid Programs and Emergency Room Use, http://www.healthpolicy.msstate.edu/publications/MMPERU.pdf
Campbell, CR, Cossman, JS, and Ritchie, JB. 2007. What Is a Usual Source of Care? Medical Homes and Continuity of Care in Mississippi Medicaid (Part 3 of 3), http://www.healthpolicy.msstate.edu/publications/USOC_pb3of3.pdf
Campbell, CR. Cossman, JS, and Ritchie, JB. 2007. What Is a Usual Source of Care? Medical Homes and Continuity of Care in Mississippi Medicaid (Part 2 of 3), http://www.healthpolicy.msstate.edu/publications/USOC_pb2of3.pdf
Campbell, CR. Cossman, JS, and Ritchie, JB. 2007. What Is a Usual Source of Care? Medical Homes and Continuity of Care in Mississippi Medicaid (Part 1 of 3), http://www.healthpolicy.msstate.edu/publications/USOC_pb1of3.pdf
Costello, H, Cossman, JS, and Breen, J. 2006. Assessing Quality of Mississippi Medicaid Medical Homes: Baseline Measures of Child Immunization Rates, http://www.healthpolicy.msstate.edu/publications/mmmhquality.pdf
Costello, H, Cossman, JS, and Ritchie, JB. 2006. Cost of Care in the Mississippi Medicaid Program: Assessing Costs Prior to the Implementations of the Mississippi Medicaid Medical Home, http://www.healthpolicy.msstate.edu/publications/medbasecosts.pdf
Cossman, JS, Costello, H, and Ritchie JB. 2006. Access to Generalist Care in Mississippi’s Medicaid Program, 2001-2003, http://www.healthpolicy.msstate.edu/publications/generalistaccess.pdf
Cossman, JS, Costello, H, and Ritchie JB. 2006. Access to Specialist Care in Mississippi’s Medicaid Program, 2001-2003, http://www.healthpolicy.msstate.edu/publications/specialistaccess.pdf
Cossman, JS and Ritchie, JB. 2006. Driving to Doctors: Access to Primary Care Physicians in Mississippi, http://www.healthpolicy.msstate.edu/publications/drivetimedocs.pdf
Cossman, JS and Ritchie, JB. 2006. Driving to Doctors: Access to Specialists in Mississippi, http://www.healthpolicy.msstate.edu/publications/drivetimespecs.pdf
Costello, H., Burson, HI and Cossman, JS. 2006. Medicaid HMOs: Lessons for Medicaid Medical Homes? http://www.healthpolicy.msstate.edu/publications/medhomelessons.pdf
Burson, HI, Cossman, JS and Costello, H. 2006. The Development of Primary Care Case Management in Mississippi: An Overview, http://www.healthpolicy.msstate.edu/publications/pccm.pdf
Costello, H. and Cossman, JS. 2006. Medical Homes: A Review of the Concept, http://www.healthpolicy.msstate.edu/publications/homesconcept.pdf
Cossman, JS. 2003. Executive Summary for Mississippi’s Physician Labor Force: Current Status and Future Concerns, http://www.healthpolicy.msstate.edu/publications/laborforcesumm.pdf
MISSISSIPPI HEALTH POLICY RESEARCH CENTER HEALTH MAPS
Butts, CC and Cossman, JS. 2007. Mississippi’s Physician Labor Force: Assessing Primary Care Providers, http://www.healthpolicy.msstate.edu/publications/healthmaps/assessingpcp.pdf
Butts, CC and Cossman, JS. 2007. Mississippi’s Physician Labor Force: Assessing OB/GYN and Neonatal Care, http://www.healthpolicy.msstate.edu/publications/healthmaps/assessingobgyn.pdf
Butts, CC and Cossman, JS. 2007. Mississippi’s Physician Labor Force: Assessing High-Risk Emergency Care, http://www.healthpolicy.msstate.edu/publications/healthmaps/healthmap_er.pdf
Butts, CC and Cossman, JS. 2007. Mississippi’s Primary Care Shortages: Can Wal-Mart’s Retail Clinics be a Potential Solution? http://www.healthpolicy.msstate.edu/publications/healthmaps/walmartpcp.pdf
Ritchie, JB and Cossman, JS. 2006. Driving to Doctors: Access to Generalists in Mississippi. http://www.healthpolicy.msstate.edu/publications/healthmaps/drivingtodocs_spec.pdf
Ritchie, JB and Cossman, JS. 2006. Driving to Doctors: Access to Specialists in Mississippi. http://www.healthpolicy.msstate.edu/publications/healthmaps/drivingtodocs.pdf
Cossman, JS, Ritchie, JB and James, WL. 2004. Physician Distribution in Mississippi. http://www.healthpolicy.msstate.edu/publications/healthmaps/primcarephys.pdf
March 6, 2011
