Welcome from the Chair
Welcome to the first edition of Keeping Up with PACE, the newsletter for the Division of Practice Advancement and Clinical Education at the UNC Eshelman School of Pharmacy. This newsletter will showcase accomplishments by our faculty, postgraduates, graduates, and alumni. It will also share our educational, practice, and research initiatives as we work to educate future leaders and advance patient-centered care through innovative progressive pharmacy practice and scholarship.
In this issue, we get you up to speed on what has been a busy year in PACE so far, marked by a plethora of awards and recognitions for our faculty and students, including a strong showing at the American Pharmacists Association Annual Meeting & Exposition and the American Association of Colleges of Pharmacy Annual Meeting. We also hosted the Seventh Annual Chapel Hill Drug Conference, which explored the transformation of pharmacy practice models. This is also the time of the year when we bid goodbye to our departing trainees and welcome a host of new faces.
Hope you are enjoying the summer and getting ready for the start of school. We’ll welcome the new school year with a kickoff picnic. Stay tuned for details on the event
Denise Rhoney, PharmD
Ron and Nancy McFarlane Distinguished Professor
New Law Expands Pharmacists’ Immunization Authority
Governor Pat McCrory signed House Bill 832 on July 3, expanding pharmacists’ authority to administer immunizations in North Carolina. The bill allows pharmacists who meet the qualifications and requirements to administer any CDC-required vaccine by prescription. It also allows them to administer five key vaccines in addition to influenza by protocol to patients 18 years and older: pneumococcal and zoster, which are currently allowed by prescription only; Hepatitis B; meningococcal; and Tdap.
Several people with ties to the School helped spearhead the four-year effort to get the measure passed. Ashley Branham (a former resident and current preceptor at the School), Ouita Davis Gatton (preceptor), Macary Marciniak (faculty member in PACE), and Dennis Williams (faculty member in DPET) were part of the leadership for the North Carolina Association of Pharmacists’ Immunization Task Force. Leslie Norris, a former PGY1 community resident at the School, helped provide data to support the measure through her residency research project, which collected information on the scope of pharmacists’ immunization authority in all fifty states, the District of Columbia, and Puerto Rico.
In the News
|The Volunteer Center of Durham named clinical assistant professor Kelly Scolaro its for her work at Senior PharmAssist.|
|The American Journal of Health-System Pharmacy interviewed clinical associate professor Betsy Shilliday on using the new TCM codes in internal medicine.|
|The University Gazette profiled a new tool developed by clinical associate professor Stephen Eckel and associate professor William Zamboni that helps wipe away hazardous drug contamination.In his most recent column in Pharmacy Times, Eckel considers whether pharmacists should have certain credentials to deliver — and be reimbursed for — medication therapy management.|
|Denise Rhoney has been promoted to professor and is the first recipient of the Ron and Nancy McFarlane Distinguished Professorship in Pharmacy Practice at the UNC Eshelman School of Pharmacy.|
|Pam Joyner has been promoted to clinical professor. She has been also been elected as chair for the University Teaching and Awards Committee for 2013–2014. In addition, she received the Fred M. Eckel Pharmacy Leadership Award in June.|
|Stephen Eckel has been appointed as clinical associate professor and named vice chair for graduate and postgraduate education in PACE.|
|Steve Caiola was awarded the 2013 Ned Brooks Award for Public Service by the Carolina Center for Public Service.|
|Heidi Anksorus was selected the PY3 Teacher of the Year by the PY3 class.|
|Three trainee-mentor teams were : Ashley Hannings (PGY2 Community Practice/Academia Resident) and Macary Marciniak, Abby Mateluwicz (PGY1 Community Pharmacy Resident) and Daniel Forrister, and Jamie Shelly (PCL Academic Fellow) and Kelly Scolaro.|
|Kelly Scolaro was part of the APhA Books and Electronic Products Advisory Board meeting.|
|Stefanie Ferreri has been elected as chair-elect of the AACP Self-Care Therapeutics/Nonprescription Medicines Special Interest Group|
|Phil Rodgers is completing the Academic Leadership Fellows Program thru AACP in July. Stefanie Ferreri has been accepted into the program and will begin in July.|
|Ruth-Ann Lee will begin the Focused Investigator Training Program thru ACCP in August.|
|PGY1 community pharmacy resident Charlie Frye has received an American Pharmacist Association Foundation Incentive Grant for his residency research project.|
|PGY2 community pharmacy resident Ben Culpepper has received an American Pharmacist Association Foundation Incentive Grant for his residency research project.|
Chapel Hill Drug Conference
L. Allen Dobson Jr. delivers the keynote address at the Seventh Annual Chapel Hill Drug Conference.
PACE hosted the Seventh Annual Chapel Hill Drug Conference on May 16 and 17. The conference’s theme this year was “Pharmacy Practice Models: Traditions and Innovations.”
The event drew 100-plus attendees and featured a terrific lineup of speakers who discussed the evolving challenges and innovations in the health-care system and opportunities for practitioners, payers, and researchers. L. Allen Dobson Jr., MD, the CEO of Community Care of North Carolina, delivered the keynote address. For more information about the conference, visit http://pharmacy.unc.edu/chdc2013.
Thanks to PACE executive vice chair Stefanie Ferreri, PharmD, who led the programming committee that organized the event. Thanks also to the other committee members:
- Steve Dedrick, MS
- Stephen Eckel, PharmD, MHA
- Herb Patterson, PharmD
- Denise Rhoney, PharmD
- Casey Emerson
- David Etchison
- Stacey McGlothlin
- Krista Sills
- John Zhu
Success at APhA 2013
Thirty-five of our PharmD students and a number of our faculty and alumni attended the American Pharmacists Association Annual Meeting & Exposition in Los Angeles on March 1–4. Here’s a list of their accomplishments.
- Amanda Gates, Mandy Hollar, and Leslie Norris (PGY1 residents): APhA Foundation Incentive Grants
- Justin Arnall (PY3): APhA Student Leadership Award
- CAPS: 2011-2012 APhA-ASP Regional Award for Operation Diabetes
- CAPS: 2011-2012 APhA-ASP Regional Award for Operation Immunization
- CAPS: 2012 PharmFlix Best Picture nominee (one of ten)
- CAPS: 2012 PharmFlix Most Informative nominee (one of five)
- CAPS: 2012 Third place for GenerationRx
- CAPS: 2011-2012 APhA-ASP Division A first runner-up
- Heather Coleman (PY2) and Audrey Schnell (PY2): Chapter delegates to the APhA-ASP House of Delegates
- Stephanie Craycroft (PY3): UNC representative in the APhA-ASP National Patient Counseling Competition
- Erin Turingan (PY2): Member of the APhA-ASP National Nominating Committee
- Megan Smith (PY4): Vice chair of the APhA-ASP Education Standing Committee, member of the APhA-ASP House of Delegates Credentials Committee
- Michael Wolcott (PY3): Incoming vice chair of the APhA-ASP Awards Standing Committee
- Justin Arnall (PY3): Candidate for APhA-ASP national member-at-large
- David Steeb (PY4): APhA-ASP national president; APhA-ASP delegate to the APhA House of Delegates
- Justin Arnall (PY3), Whitney Davis (PY3) and Macary Marciniak: Student Pharmacist Experiences and Attitudes Following Completion of a One-Day Immunization Certificate Training Program
- Whitney Davis (PY3), Ashley Chiasson (PY4), Keith Warshany (former student), Elisabeth Caddell (former student), Lisa Dinkins, and Macary Marciniak: Providing Influenza Immunizations to Underserved Patients in an Interprofessional Health Clinic
- Christopher Daly (PGY1 resident), Ashley Branham (former PGY1 and PGY2 resident), Joe Moose, Stefanie Ferreri, Macary Marciniak: Evaluation of Marketing Strategies Used to Promote Community Pharmacy-Based Clinical Services
- Amanda Gates (PGY1 resident), Dana Petri (former student and PGY1 resident), Tasha Michaels (former student and resident), Macary Marciniak, Stefanie Ferreri: Patients’ Ability to Accurately Interpret Over-the-Counter (OTC) Acetaminophen Labeling
- Ashley Hannings (PGY2 resident), Tasha Michaels (former student and PGY1 resident), Debbie Hiller (former PGY1resident), Macary Marciniak, Stefanie Ferreri: Vial-to-Pen: Community Pharmacists Converting Insulin Regimens
- Mandy Hollar (PGY1 resident), Dana Petri (former student and PGY1 resident), Tasha Michaels (former student and PGY1 resident), Macary Marciniak, Stefanie Ferreri: Incorporation of Medication Therapy Management into Pharmacy Workflow: A Retrospective Analysis
- Abigale Matulewicz (PGY1 resident), Andria Eker (former student and PGY1 resident), David Line, Stefanie Ferreri, Macary Marciniak: Enhancing Value of Medication Therapy Management Services: An Assessment of Physicians’ Needs
- Leslie Norris (PGY1 resident), Ashley Branham (former PGY1 and PGY2 resident), Joseph Moose, Stefanie Ferreri, Macary Marciniak, Rebecca Snead, Mitchel Rothholz: Analysis of Pharmacist Immunization Authority and Reporting Requirements in the United States
- Angie Roark (PGY1 resident), April Chapman (former student), Cathy Huie, Lane Ferguson, Stefanie Ferreri, Macary Marciniak: Evaluating North Carolina Pharmacists’ Knowledge Regarding Medication Disposal and Take-Back Programs
- Amanda Gates: Panel presentation titled “APhA-ASP Year in the Life of New Practitioners”
- Ashley Hannings and Macary Marciniak: Presentation titled “Implementing MTM in Your Future Practice”
- Denise Rhoney: Breakfast symposium titled “Managing Hyponatremia: Clinical Challenges and Solutions for the Pharmacist”
Alumni Spotlight: Jeffrey Reichard, PharmD, MS
When Jeffrey Reichard, PharmD, MS, was a professional student at the UNC Eshelman School of Pharmacy, he was drawn to the School’s MS in pharmaceutical sciences program by the strong didactic and experiential relationship between the School and UNC Hospitals and Clinics. For him, this created a rigorous training environment where classroom skills could be tested in both the clinical and administrative setting.
In tandem with his MS degree, Reichard also completed a two-year health-systems pharmacy administration residency. The residency culminated with his research project on transitions of care, specifically their effect on patient satisfaction. His work was recently recognized in an ASHP news article on transitional care programs.
Upon completing his training, Reichard accepted a position with Novant Health as pharmacy manager at Kernersville Medical Center in Kernersville, North Carolina, where his main goals remain advancing pharmacy practice models, advocating for pharmacy services, and striving to meet the medication needs of customers in a smaller hospital setting.
AACP Annual Meeting
Many of PACE’s faculty presented at the American Association of Colleges of Pharmacy Annual Meeting on July 13-17 in Chicago. Here’s a recap of our presentations.
- Prayer Breakfast
Daniel A. Hussar (moderator), University of the Sciences; Frederick M. Eckel (speaker), UNC Eshelman School of Pharmacy
- Student Services Personnel SIG: Getting Our Affairs in Order: Transitioning to a Comprehensive Professional and Graduate Student Affairs Office
Wendy C. Cox (speaker), UNC Eshelman School of Pharmacy; Bradford L. Wingo (speaker), UNC Eshelman School of Pharmacy; Aaron Todd (speaker), UNC Eshelman School of Pharmacy
- Special Session: Lessons Learned from Satellite Campuses: Focus on Collaboration, Technology, Student Organizations, and Interprofessional Education
Mollie A. Scott (moderator), UNC Eshelman School of Pharmacy; Pamela U. Joyner (speaker), UNC Eshelman School of Pharmacy; Greene Shepherd (speaker), UNC Eshelman School of Pharmacy; George E. Francisco (speaker), The University of Georgia; Amy L. Pittenger (speaker), University of Minnesota
- Laboratory Instructors SIG: A tale of two (or more) campuses: Challenges of practice skills education in multi-campus programs
Jeannine M. Conway (speaker), University of Minnesota; Angela K. George (speaker), University of Minnesota; Erika L. Kleppinger (speaker), Auburn University; Kelly Scolaro (speaker), UNC Eshelman School of Pharmacy; Daniel Forrister (speaker), UNC Eshelman School of Pharmacy; Jennifer Robertson (speaker), UNC Eshelman School of Pharmacy
- Self-Care Therapeutics/Nonprescription Medicine SIG: Advancing Team Based Learning in Self Care Education
Kelly Scolaro (moderator), UNC Eshelman School of Pharmacy; Kristy L. Brittain (speaker), South Carolina College of Pharmacy; Holly S. Divine (speaker), University of Kentucky; Lindsey K. Elmore, Samford University (speaker)
- Special Session: Rural Pharmacy Education: Past, Present & Future
Shanna K. O’Connor (speaker), University of Washington; Pamela U. Joyner (speaker), UNC Eshelman School of Pharmacy; Suzanne M. Soliman (speaker), University of Illinois at Chicago
- ALFP Group Presentations: Pharmacy student perceptions of access to student organization opportunities and student services at colleges/schools of pharmacy with satellite campuses.
Erin Adams (speaker), Shenandoah University School of Pharmacy; Philip T. Rodgers (speaker), UNC Eshelman School of Pharmacy.
Use of students, residents, and other support personnel in labs.
Lisa Dinkins, UNC Eshelman School of Pharmacy; Marion Pearson, University of British Columbia
Teaching sterile and nonsterile compounding
Amusa Adebayo, Roosevelt University; Heidi Anksorus, UNC Eshelman School of Pharmacy
Jamie Shelly, Kelly Scolaro. Utility of a Professionalism Assessment Form Activity: a Survey of Students and Teaching Assistants.
Mary R. McClurg, Scott Singleton, Philip T. Rodgers, Craig Lee, Jacqui McLaughlin, Joe Moore, Marti Guidotti, Pamela U. Joyner, Russell Mumper, Robert A. Blouin. A Systems Approach to Innovation in Pharmacy Education.
Bob Shrewsbury and Heidi Ankosorus. The Long-Term Benefits of the Analysis Requirement in Assessing Student Compound Preparations.
Wendy Cox and Jacqui McLaughlin. Association of Health Sciences Reasoning Test Scores with Academic and Clinical Performance.
Lisa Dinkins. Impact of Professional Development Series on First-year Student Pharmacists in a Pharmaceutical Care Lab Course.
|Josh Guffey, Associate Director of Pharmacy Education at Charlotte AHECGuffey received his undergraduate degree from the UNC Eshelman School of Pharmacy and his PharmD from Wingate. He did residency training with the University of Georgia, specializing in ambulatory care. He comes to us from the Greenville Hospital University Medical Center in South Carolina.|
|Lindsay Harris, Mission/UNC shared faculty position in critical careHarris is a graduate of the Purdue University School of Pharmacy and Pharmaceutical Sciences. She completed two years of residency training, specializing in critical care. After completing her residency, she worked for six years as a clinical pharmacy specialist in the surgical intensive care unit at Johns Hopkins Hospital in Baltimore, Maryland.|
|Suzanne Harris, UNC Hospital Region Experiential DirectorHarris received her doctor of pharmacy in 2002 from the University of Texas College of Pharmacy at Austin and completed a one-year psychiatric specialty residency with Kaiser Permanente Colorado Region. She comes to us from Central Regional Hospital in Butner.|
|Ashley Marx, UNC Hospitals/UNC shared faculty position in infectious diseasesMarx received her undergraduate degree and her doctor of pharmacy from UNC-Chapel Hill. She completed a PGY1 residency at Medical University of South Carolina and a PGY2 residency specializing in infectious diseases at Wake Forest Baptist Health. She comes to the School from the Virginia Commonwealth University School of Pharmacy and Inova Fairfax Hospital, where she was a clinical assistant professor and a clinical pharmacy specialist in infectious diseases.|
|Jacqui McLaughlin, Associate Director of the Office of Strategic Planning and AssessmentMcLaughlin has a BS in biological engineering from North Carolina State University, an MS in biomedical engineering from the University of Memphis, and a PhD in educational research and policy analysis from NCSU. She joined the UNC Eshelman School of Pharmacy Office of Strategic Planning and Assessment in July 2012 as a postdoctoral fellow.|
|Scott Wilkie, Mission/UNC shared faculty position in internal medicineWilkie completed his undergraduate and graduate work at Texas A&M University. He received his doctor of pharmacy from the University of Houston College of Pharmacy. He comes to us from University of Kentucky Healthcare in Lexington, Kentucky, where he completed two years of residency training, specializing in internal medicine.|
Incoming Postgraduate Trainees and Master’s Students
- Elizabeth Hess, Ohio Sate University
- Jami Mann, University of Kentucky
- Daniel O’Neil, Lake Erie College of Osteopathic Medicine
- Leah Sautman, Palm Beach Atlantic
Duke University Hospital
- Grayson Peek, University of Tennessee
Wake Forest Baptist Health
- Joanna Robinson, University of Kansas
- James Paarlberg, Mercer University
PGY1 Community Pharmacy Residency Program
- Kerr Drug, Chapel Hill: Lucas Berenbrok, University of Pittsburgh
- Kerr Drug, Asheville: Megan Smith, UNC Eshelman School of Pharmacy
- Moose Pharmacy: Patrick Brown, UNC Eshelman School of Pharmacy; William Holland, UNC Eshelman School of Pharmacy
- Kroger Pharmacy, Raleigh: Courtney Tate Humphries, UNC Eshelman School of Pharmacy
- Brame Huie Pharmacy: Charlie Frye, UNC Eshelman School of Pharmacy
PGY1 Managed Care Residency Program
AccessCare: Phung On, Massachusetts College of Pharmacy
PGY2 Community Practice/Academia Resident
- Benjamin Culpepper, South Carolina College of Pharmacy and PGY1 community pharmacy residency at Barney’s Pharmacy and the University of Georgia
Academic Fellow in the Pharmaceutical Care Lab
- Abigale Matulewicz, Drake University and PGY1 community pharmacy residency at Kerr Drug Asheville and the UNC Eshelman School of Pharmacy
Neurocritical Care Pharmacotherapy Academic Fellow
- Kathryn Morbitzer, Wayne State University and PGY1 pharmacy practice residency at MUSC Medical Center and South Carolina College of Pharmacy.
Office of Innovative Leadership and Diversity Academic Fellow
- Tomashu “Kenyatta” Jones, PhD at the University of California, Los Angeles
Best wishes to our outgoing postgraduate trainees and master’s students. Here’s a look at where they are headed.
Community Pharmacy Residents
- Amanda Gates, Kerr Drug, Warrenton, North Carolina
- Ashley Hannings, public service assistant at the University of Georgia in the Experiential Education Department
- Chris Daly, returning to Buffalo, New York
- Leslie Norris, Walgreen’s, Kansas City
- Mandy Hollar, Kerr Drug, Durham, North Carolina
- Angie Roark, Brame Huie, Wilkesboro, North Carolina
- Abby Mateluwicz, PCL fellowship at the UNC Eshelman School of Pharmacy
Managed Care Resident
- Neil Shah, currently interviewing
Academic Fellow in the Office of Recruitment and Diversity Initiatives
- Brittney Louis, currently interviewing
Academic Fellow in the Pharmaceutical Care Lab
- Jamie Shelly, clinical assistant professor at the St. Louis College of Pharmacy
- Gavin Magaha, pharmacy manager, Medication Control and Compliance, Wake Forest Baptist Health, Winston-Salem, North Carolina
- Adrienne P. Giddens, assistant director of pharmacy, Pardee Hospital, Hendersonville, North Carolina
- Ryan Moore, clinical pharmacy specialist, High Point, North Carolina
- Joseph H. Krushinski III, pharmacy care coordinator, Vidant Medical Center
- Matt Lamm, lead pharmacist, UNC at Hillsborough
- Adam Wolfe, controlled substances and data analytics coordinator, UNC Medical Center, Chapel Hill, North Carolina
- Jeffrey S. Reichard, pharmacy manager, Novant Health, Kernersville Medical Center, Kernersville, North Carolina
The Layered Learning Practice Model: Toward a Consistent Model of Pharmacy Practice (see the news release about this grant)
- Funded (5/2013): $25,000 ASHP Foundation (Principal Investigator; 10% Salary x 1 year)
Intravenous Exenatide in Critically Ill Neurologic Injured Patients: A Proof of Concept Study
- Funded: (12/2012): $199,573 Bristol Myers Squibb (Principal Investigator; 8.5% Salary x 2 years; Co-PI Rhoney DH)
Evaluating Prevention of Microbiological Ingress with the Use of the Yukon Medical Sterile Access Device
- Funded (7/2013): $32,153 Yukon Medical (Principal Investigator; 10% Salary x 4 months)
Stefanie P. Ferreri, Shanna K. O’Connor. Redesign of a Large Lecture Course Into a Small-Group Learning Course. American Journal of Pharmaceutical Education: Volume 77, Issue 1, 2013: Article 13.
Full Text | PDF (459 KB)
Jennifer A. Waitzman, Melissa M. Dinkins. A Prescription Analysis Exercise in a Pharmaceutical Care Laboratory Course. American Journal of Pharmaceutical Education: Volume 77, Issue 2, 2013: Article 32.
Full Text | PDF (561 KB)
Elizabeth L. Alford, Robert P. Shrewsbury. Impact of Required Versus Optional Remake of a Preparation on Pharmacy Students’ Compounding Accuracy. American Journal of Pharmaceutical Education: Volume 77, Issue 4, 2013: Article 73.
Full-Text | PDF
Scott Knoer, Robert J. Weber, David R. Witmer, David A. Zilz, Daniel M. Ashby, Steve Rough, James Stevenson, Paul W. Bush, Rowell Daniels, Sam v. Calabrese, David Chen. Highlights of the Cleveland Clinic Pharmacy Practice Model Summit. Am J Health Syst Pharm, February 15, 2013 70:356-365.
Ryan K. Owenby, Jamie N. Brown, Debra Kemp. Evaluation of Pharmacy Services in Emergency Departments of Veterans Affairs Medical Centers. Journal of Health-System Pharmacy Residents: Volume 1, Issue 4.
Alex DeLucenay, Mollie Ashe Scott, Barry Bunting. Development of pharmacist-led wellness clinic using the clinical pharmacist practitioner model. J Am Pharm Assoc. 2013; 53:118-119.
Nicki Pinelli, SA Grandi, G Lipari, K Payter, M Morelli, E Chackunkal, A Patel, S Gray, A Dwyer, FD Salinitri. Co-Administration of Liraglutide with Tacrolimus in Kidney Transplant Recipients: Preliminary Data. Diabetes 2013 – In Press
X Liu-DeRyke, D Parker, BE Atkinson, P Levy, W Coplin, Denise Rhoney. A Prospective Evaluation of Labetalol vs. Nicardipine for Blood Pressure Management in Patients with Acute Stroke. Neurocritical Care 2013
Suzanne Harris, B V Robbins. Testosterone Replacement in Male Patient with Treatment-Resistant Depression and Hypogonadism. College of Psychiatric and Neurologic Pharmacists 2013 Poster Abstracts. Journal of Pharmacy Practice (accepted for publication for June 2013)
Carla White, Brittney Louis, Adam Persky, Davon Townsend Howell, LaToya M. Griffin, Amica Simmons-Yon, and Kelly L. Scolaro (2013). Institutional Strategies to Achieve Diversity and Inclusion in Pharmacy Education. American Journal of Pharmaceutical Education: Volume 77, Issue 5, Article 97.
Recent Invited Presentations
- Safe and Effective Glucose Lowering Therapies for Patients with Diabetes and CKD.
National Kidney Foundation 2013 Spring Clinical Meeting, Orlando, Florida, April 2013
- Clinical Pharmacologic Management of Hyponatremia
American Pharmaceutical Association Annual Meeting, Los Angeles, California, March 2013)
- Hyponatremia Treatment Options: Management of High Risk Patients
Internal Medicine Grand Rounds VA Hospital, Beckley, West Virginia (May)
Internal Medicine Grand Rounds Sister of Charity Hospital, Buffalo, New York (May)
- Internal Medicine Grand Rounds Jackson Madison County Hospital, Jackson, Tennessee (July)
- The Impact of Hyponatremia: Role of the Pharmacist in Improving Care
Metroplex Society of Health System Pharmacists, Dallas, Texas (January)
Dallas Area College of Clinical Pharmacy, Dallas, Texas (May)
Suzanne Harris, B V Robbins. Testosterone Replacement in Male Patient with Treatment-Resistant Depression and Hypogonadism. College of Psychiatric and Neurologic Pharmacists Annual Meeting. April 2013, Colorado Springs, CO.
Greene Shepherd. Developing A Functional “Gold Standard” For Mass-Casualty Triage. Prehospital Emergency Care 2013; 17(1): 111. National Association of EMS Physicians. (Won the award for best disaster research poster)
Nicki Pinelli, A Patel, FD Salinitri. Co-Administration of Liraglutide with Tacrolimus in Kidney Transplant Recipients. American Diabetes Association 73rd Scientific Sessions. June 23 2013, Chicago, IL.