CURRICULUM VITAE John A. Sample, D.O.
PERSONAL: Date of Birth: 02/15/52 Philadelphia, PA, USA Married Kelly Sample 2 children E-mail: jasample@[Link] Home Address: 1432 Main Street Philadelphia, Pennsylvania 19048 OFFICES: Philadelphia Family Practice Center 1 Mill Road Philadelphia, PA 19006 Telephone: (215) 946-8000 Fax: (215) 975-6094 123 Columbus Drive, Suite 200 Philadelphia, PA 19111 Telephone: (215) 832-9800 Fax: (215) 832-7451 EDUCATION: D.O., College of Osteopathic Medicine and Surgery, Des Moines, Iowa - 1979 B.S., Illinois State University, Bloomington, Illinois - 1975 Biology POSTGRADUATE TRAINING: 1980-1982, Pennsylvania University Hospital, Philadelphia, Pennsylvania - Fellowship Family Practice 1978-1980, Hayes Hospital, Philadelphia, Pennsylvania - Residency Family Practice 1977-1979, Hayes Hospital, Philadelphia, Pennsylvania - Rotating Internship ACADEMIC APPOINTMENTS: Clinical Assistant Professor of Medicine, Pennsylvania University School of Medicine, Philadelphia, Pennsylvania EMPLOYMENT HISTORY: Private Practice 1982 - Present Student Volunteer, 1994 U.S. Department of Justice, Health Fraud Unit, Assistant U.S. Attorney, John Cooper MEDICAL LICENSURES: Pennsylvania: XXXXXX New Jersey: XXXXXX New York: XXXXXX
Page 2 - CV John A. Sample, D.O. BOARD CERTIFICATIONS: American Osteopathic Board of Emergency Medicine, 1991, Certificate No. XXX - Emergency Medicine American Osteopathic Board of Family Physicians, 1987, Certificate No. XXX Family Practice APPOINTMENTS: Chairman, Committee on Medicine, Bureau of Osteopathic Medicine and Surgery, Pennsylvania Osteopathic Medical Association, 2000-Present Member, Bureau of Public Affairs and Health Education, Pennsylvania Osteopathic Medical Association, 2000-Present Member, Legislative Committee, Pennsylvania Osteopathic Medical Association, 2000-Present Member, Committee on Ethics and Grievance Pennsylvania Osteopathic Medical Association, 1999-Present Ex-Officio Member Board of Directors, University Hospital, 1999-Present Member, Committee on Bylaws/Manual of Procedures - Pennsylvania Osteopathic Medical Association, 1996-1998 Member, Committee on Organization and Members Insurance Plans - Pennsylvania Osteopathic Medical Association, 1996-1998 Pennsylvania Chapter Representative, Des Moines University College of Osteopathic Medicine and Surgery National Alumni Association, 1995-1998 Alternate Delegate, American Osteopathic Association House of Delegates, Chicago, Illinois, 1998 Delegate, District 15, Pennsylvania Osteopathic Medical Association, 1995, 1997, 2001, 2002 HONORS: Diplomate, National Board of Medical Examiners Fellow, American College of Family Physicians Summa Cum Laude (Illinois State University) Phi Beta Kappa (Gamma Chapter) Sigma Sigma Phi, National Medical Honorary Society Phi Kappa Phi (ISU Chapter) Omicron Delta Kappa PROFESSIONAL SOCIETIES: Member, American Osteopathic Association Member, American College of Osteopathic Family Physicians Member, American College of Osteopathic Emergency Physicians Member, American College of Physicians Member, Pennsylvania Osteopathic Medical Association Member, American College of Physician Executives PROFESSIONAL COMMITTEE AND ADMINISTRATIVE SERVICES: President, Medical Staff, University Hospital, 1999 - 2002 Vice President, Medical Staff, University Hospital, 1997 1998 Secretary, Medical Staff, University Hospital, 1996 1997 Chairman, Scientific Research Committee, University Hospital, 2003 - Present Chairman, University Hospital Physician Development Committee, 2000 - Present Chairman, By-Laws Committee, University Hospital, 1996 Present Chairman, Nutritional Support Committee, University Hospital, 1989 - Present Member, Credentials Committee, University Hospital, 1989 1993 Member-At-Large, Medical Executive Committee, University Hospital, 1993 - 1994 Member, Pharmacy and Therapeutics Committee, University Hospital, 1990 - 1994
Page 3 - CV John A. Sample, D.O. COMMUNITY SERVICE: Host, Meet the Dean Mentorship Program, Philadelphia Alumni Chapter, College of Osteopathic Medicine and Surgery, November 15, 1999 Mentor, Jewish Heritage Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, November 3, 2000 Member, Board of Directors, Mill Creek School, 1989 - 1995 Member, Development Committee, Mill Creek School, 1990 1995 BIBLIOGRAPHY: Sample JA: Physician Liability for Mistakes of Physician Extenders. Physicians On-Line Newsletter, Focus: Medical Malpractice Issues, [Link] April 2002. Sample JA: How Does the Regional Physician Shortage Affect Us? Friends Forum; Fall 2000. Sample JA: The Ownership of Medical Records. Friends Forum; Winter 1999/2000. Sample JA, Carl B, Porter M: The Syndrome of Type A Chronic Atrophic Gastritis, Pernicious anemia and multiple gastric carcinoids. J Clin Gastroenterol 1988; 8:28-37. Sample JA, Horowitz C, Gavin N, Pinelli R: Adenocarcinoma of the cecum in association with Crohn's disease: Report of a case. JAOA 1985; 83:725-735. Carter VP, Murphy SNS, Sample JA, Lu W, Cheskey TM: Dissociation of plasma concentrations of gastrin, cholecystokinin and motilin and distal colonic motor activity after food ingestion. Dig Dis Sci 1980; 29:524. CLINICAL RESEARCH: Protocol 1999-2001: A Multicenter Comparison of the EXACT Panel with Hemoccult II for the Detection of Colorectal Neoplasia in Average Risk Patients. (EXACT Science) Phase III Principal Investigator. (1999-2001) Protocol NR16161B: A Prospective, Randomized, Multicenter, Open-Label, Comparative Safety Study or Pegasys Plus Ribavirin Treatment vs. a Twelve-Week Treatment Delay in Patients with Chronic Hepatitis C. (Roche Laboratories Inc.) Phase III Principal Investigator. (1995-1997) Protocol Rel-AX-001: A Multicenter, Double-Blind, Randomized Study to Compare the Safety and Efficacy of Nizatidine Extended Release (ER) 150 mg twice daily (BID), Nizatidine ER 300 mg daily (QD) and Placebo in the Treatment of Subjects with Symptomatic, Endoscopically Confirmed Erosive Gastroesophageal Reflux (GERD). (Reliant Pharmaceuticals) Phase III Principal Investigator. (1999) ReCap Study: Rebetron Combination Therapy Compliance Assessment Program. (Schering Corporation) Phase IV Subinvestigator. (1994-1995) INVITED LECTURES: April 1, 2002 Physician Liability for Physician Extenders, New Jersey Osteopathic Medical Society, Winter Conference, Hilton, Garden City, New Jersey. January 15, 2002 Diverticular Disease of the Colon, Department of Medicine Grand Rounds, University Park Hospital, University of Baltimore, College of Medicine, College Park, Maryland. March 23, 2001 Setting Up and Growing A Private Medical Practice, The First Philadlephia FP Fellows Career Development Symposium: Planning for A Successful Career in Family Practice, Pennsylvania State University, Department of Medicine, Division of Family Practice, Hilton Hotel, Philadelphia, Pennsylvania.