RN, Transition to Practice (TTP), Residency (New Graduates ... CBLs: CBL’s are required annually as part of your hospital appointment. For new or anxious parents: This handbook follows the typical checkup schedule from birth to age four, while tackling oft-neglected topics like screen time, picky eaters, and discipline With the tangle of information available on the ... The OHSU Operating Room provides around-the-clock multidisciplinary services to adult patients across their life span. Brent Alexander Knight, M.D. Trent Burgess, MD- OHSU Med: Oregon Health Sciences University College: West Point Academy. The OHSU Transgender Health Program is one of the most comprehensive and highest-volume programs for gender-affirming care in the U.S. If they do not pass, they must use vacation time to repeat the exam. No scrubs will be worn in clinic, conferences, meetings, or outside of the hospital. The Division of Urology at the Oregon Health & Science University is committed to excellence in the care of urology patients, training of urology residents, and clinical research. Rotation Schedule. Please browse all of our available job and career opportunities. Resident participation in a surgical procedure will be credited as an index case whether the resident functions as surgeon, assistant, or teaching assistant. Several of our residents have even returned to grow their careers at OHSU. Perspectives of the Modern Black Urology Applicant. Residency Research & Benefits. Attendance: Department conferences/meetings are mandatory, and promptness is expected. Additionally, in 2018, she … For example, if a program says they get 10 traumas a day but there are 10 residents working that day, that s only 1 for each resident. The purpose of this fellowship is to teach you to be able to provide comprehensive care to patients with epilepsy. All residents must complete this training prior to submitting any IRBs and no later than the end of their PGY2 year. IHI Open School: IHI Open School Basic Certificate in Quality & Safety. This is 97 patients more than in 2008. Contact OHSU Hillsboro Internal Medicine Residency Program 503-681-1250 When you log your hours, MedHub provides many options for type of duty hours reported. Residents will be assigned to one of two residency continuity clinic sites in South Hillsboro or Orenco. Wisconsin Aisha Siebert Univ. Only one resident can claim credit as an assistant on a given case. This radical change is affecting administrators, managers, and clinicians.Intended as a survival manual, this book begins with an overview of the history, concepts, ideology, and ethics of public sector managed care and then proceeds in ... The Division of Urology at the Oregon Health & Science University is committed to excellence in the care of urology patients, training of urology residents, and clinical research. Current Residents Will Boles, MDUndergrad: University of California, Los AngelesMed School: Keck School of Medicine of USC Neil Luu, MDUndergrad: Stanford UniversityMed School: University of … To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. Current valid unrestricted medical license to practice in the state of Arizona or eligiblity to obtain licensure is desired. Perspectives of the Modern Black Urology Applicant. Current BLS certification awarded by the American Heart Association (AHA) or Military Training Network branch of AHA by the start date. This book explains the development of various laparoscopic donor nephrectomy (LDN) techniques, which can be performed via the retroperitoneal or the transperitoneal approach. EasyPlot is for scientific plotting and data analysis. OHSU is a Magnet designated hospital and Level 1 Trauma Center. The OHSU Hillsboro Family Medicine Residency program accepts eight residents per year. To be recorded as surgeon, a resident must be present for all of the critical portions of the case and must perform a significant number of the critical steps of the procedure. Dr. Leibel earned his medical degree from Des Moines University. Graduated 2021 General Surgery R1 (By Rotation) Revised 10/26/21. Applications are accepted through the Electronic Residency Application Service (ERAS) starting Sept. 1, 2021. Interview Process for Urology Resident Selection University of New Mexico: 2010- 11 cycle Skype versus traditional on-site interviews Both included interviews with faculty, tour of facilities and opportunity to ask current residents questions. If they do not pass, they must use vacation time to repeat the exam. CMH CEO Erik Thorsen stands with Heather Pilkington, OHSU clinical project manager, Dr. Mark Rawson, podiatrist, Dr. Peter Bales, orthopedic surgeon, and Ryan Larsen, PA-C, orthopedic physician assistant, on July 1, 2021, the first day of CMH and OHSU’s new provider collaboration. Sky Lakes Medical Center is a not-for-profit, community-owned, internationally accredited acute-care teaching hospital dedicated to the people it serves. Collaborative IRB Training Initiative (CITI): All residents and fellows must participate in basic education in research ethics, human subject’s protection and research regulation. The OHSU Hillsboro Internal Medicine Residency Program was awarded a training grant to study the impacts of structural racism in our community and to develop a structural competency and anti-racism curriculum for our residents. Surgical removal of … Nov. 11: “Vaccinating for Two: COVID-19 … Duty Hour Logging: Residents will log all their duty hours into MedHub updating their log a minimum of every week. Rotations. He completed an internship at Normandy Osteopathic Hospital. Cyril Kamya, MD Med: Cardiff University, School of Medicine, United Kingdom https://wwws.osumc.edu/Applications/UrologyRoboticLog/Webpages/Urology_Patient_List.aspx, Copyright © 2021 The Ohio State University College of Medicine, https://www.acgme.org/acgmeweb/tabid/152/ProgramandInstitutionalAccreditation/SurgicalSpecialties/Urology.aspx, https://wwws.osumc.edu/Applications/UrologyRoboticLog/Webpages/Urology_Patient_List.aspx, School of Health and Rehabilitation Sciences, Universal Protocol for Invasive Procedures - Physicians, Surgical Counts Policy – is required for all Providers in surgical specialties, Fluoroscopy Module 1: Radiation Safety Introduction, Fluoroscopy Module 3: Fluoroscopy Safety Procedures, Effective Communications to Reduce Liability, Do’s and Don’ts when Dealing with Difficult Patients, Patient Safety: Further Steps to Prevent Patient Harm, Patient Safety: Identifying Medical Errors, Patient Safety: National Patient Safety Goals, Prevention and Management of Patient Fires and Burns, After Residency: How to Obtain, Maintain and Avoid Losing Your Ohio Medical License Course, Gifts to Physicians from Industry and the Sunshine Act, Physician Health: Physicians Caring for Ourselves, Choosing the Practice That’s Right for You: Some Practical Considerations, Medical Liability Insurance: Protection for your Practice Journey, Physician Profiling: What you don’t know can hurt you, Improvement Capability 101, 102, 103, 104, 105, 106, Patient Safety 100, 101, 102, 103, 104, 105, 106. Anesthesiology and Otolaryngology is the first book to address the closely overlapping information needs of both groups of specialists. Hours. Unique Features of Northwestern Urology Residency ... Current Residents: PGY1 and PGY2 Lauren Cooley VA Commonwealth Matthew Hudnall UCSF Jeremy Lai Northwestern Minh Pham Univ. We will be happy if you get back us again. Meet the 2021-2022 Class. Meet our OHSU Hillsboro Family Medicine Residency Program team that train and mentor our residents. Northeastern Section. 2021 Jul 21. Formerly Tuality Healthcare. He obtained a BSc in Microbiology and Immunology and another in Physiotherapy from McGill University in 2001 and then completed medical school and urology residency at the University of Montreal. Background image: physicians working in a surgery, We are committed to a training environment inclusive of all. Ties are required for the men. Med: UNT Health Science Center, Texas College of Osteopathic Medicine, College: University of Wisconsin-Parkside, Christopher Dominguez, MD- University of New Mexico, Med: Cardiff University, School of Medicine, United Kingdom, Med: University of Colorado School of Medicine, Masters: University of New Mexico, MEdPsych, Med: Al Mustanseria University, Baghdad, Iraq, College: University of Virginia, BA and MS, Med: Crieghton University School of Medicine, College: Florida State University College of Medicine, Med: American University of the Caribbean, School of Medicine, College: University of California, Berkeley, © The University of New Mexico Albuquerque, NM 87131, (505) 277-0111 New Mexico's Flagship University. This is a creative, comprehensive and user-friendly manual comprising a curriculum for residencies and medical schools looking to implement new, or enhance existing, curricula in culturally responsive care. Found inside – Page 205Information for prospective residents is posted , and research highlights are described , including evaluation of a portable ultrasound device used to determine urinary bladder volume ; a current study comparing a new hydrophilic coated ... After graduating from OHSU and Pacific University, Dr. Walker trained in surgery and general urology at the University of Utah. Brian Ricci, M.D. Rochester. On call and physician scheduling software for group practices, residents, hospitalists and other medical providers for call, clinic, rotation and shift schedules. The Center for Health & Healing building 1, Adventist Health Portland, and Doernbecher Children's Hospital on Marquam Hill. The Emergency Medicine Residency Program, originated in 1978, is a fully accredited, three-year program that accepts 11 residents per year at the EM-I level.OHSU Emergency Medicine Residency from Ohsu Emres on Vimeo. Apply to any positions you believe you are a fit for and contact us today! The most convenient, authoritative overview of family medicine and primary care-completely updated and expanded! When you get notice of this information, it will need to be completed as soon as possible. Dr. Sherman earned his doctor of osteopathic medicine degree at Western University of Health Sciences in Pomona, California. Dr. Myers was born in Portland, Oregon. Residents with either AP or CP training will be considered on a case-by-case base. The University of New Mexico Health Sciences Center. Current Residents. Residents must continue to log their cases even after they have met the minimum requirements. If you or your loved one do not have a primary care provider, call us at 833-OHSU-CCC (833-647-8222) and we’ll answer your questions. This book functions as a practical guide for the use of simulation in anesthesiology. Divided into five parts, it begins with the history of simulation in anesthesiology, its relevant pedagogical principles, and the modes of its employment. http://www.auanet.org/, ROBOTIC CASE LOGS/COLLABORATION: LOG ON AT Dr. Richard Rapport delivers an inside look at one of the most influential medical programs in Washington State and the country. Training will be completed by participating in the Collaborative IRB Training Initiative (CITI) web based course at citiprogram.org. The chief resident is responsible for the inpatient services as well as the teaching of junior residents, interns, and medical students who rotate on the urology services. Our physicians are recognized leaders in their fields, have advanced fellowship training in urological subspecialties, and are expert, high-volume surgeons. Our physicians are recognized leaders with specialized training in urologic oncology, kidney stone disease, reconstructive urology, gender affirmation, pelvic floor medicine, pediatric urology and male infertility. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. Position: Instructor/ Reconstructive Urology Fellow
Department Overview
he Department of Urology at OHSU is committed to providing the highest quality, state-of-the-art care for adult and pediatric urology patients. CMH CEO Erik Thorsen stands with Heather Pilkington, OHSU clinical project manager, Dr. Mark Rawson, podiatrist, Dr. Peter Bales, orthopedic surgeon, and Ryan Larsen, PA-C, orthopedic physician assistant, on July 1, 2021, the first day of CMH and OHSU’s new provider collaboration. Residency Program and Specialty Fellowship Program Schedule: About 22-24 weeks. Anyone who has faced challenges in life to the point that they've wondered from where they'd muster the strength to continue will find encouragement and peace from this book. Addressing conditions' effects, the impact of recent developments in their treatment, the ethics of operative procedures on children, and multiple treatment options for childhood dermatologic disease, this important book: Reviews the ... Per the Limited Staff Agreement, all residents must pass their Step 3 by the end of their PGY-2 year in order to advance to a PGY-3 resident. Connect with a current resident (R3 or higher) if you're not from the region and try to get them to put in a good word (but don't be an ass) if you're really attached to a particular program. Dr. David Lashley, MD is a pediatric urology specialist in Tacoma, WA. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. For this program use only the following logging options: ACGME Case Log: Residents are expected to log all cases as defined by the ACGME. OHSU is an equal opportunity affirmative action institution. To be recorded as teaching assistant, the chief or senior resident acts as teaching assistant (supervisor), directing and overseeing major portions of the procedure being performed by the more junior resident surgeon, while the supervising attending physician (staff member) functions as a second assistant or observer. introduction to Urology's current resident, including resident year and education background. We are committed to a training environment inclusive of all cultures, languages, socioeconomic backgrounds, racial and ethnic backgrounds, disabilities, religions, gender identities and expressions, sexual orientations, medical training (osteopathic and allopathic) and other areas in a manner that promotes diversity in our future urologic leaders. FAAFP “You don’t get a chance to be a pioneer very often in life. It was announced 8-19-2021, that booster shots will become available on 9-20-21 for those who are 8 months out from their initial vaccination(s), with priority given to nursing home residents, healthcare providers, and the elderly, as well as people with weakened … In our close-knit and collegial atmosphere, it’s all about collaboration and hands-on learning. In our close-knit and collegial atmosphere, it’s all about collaboration and hands-on learning. Current BLS certification awarded by the American Heart Association (AHA) or Military Training Network branch of AHA by the start date. Education 7 hours ago The Department of Emergency Medicine has always been deeply committed to the training of emergency medicine residents. Urology Residents at the 2019 Chief Resident Graduation Banquet Resident Class of 2023 Dr. Hougen Receiving Award from Dr. Barry Current Chief Residents Mountain View Robotic surgery In the OR Simulation Training Microscopic surgery Dr. Uzzo with Residents at the 2019 Clarence V. Hodges, MD Visiting Professor Event Fun in the Snow © 2001-2020 Oregon Health & Science University. OnCall Enterprise is a hospital-wide system for scheduling doctors and paging doctors on call. In fact, OHSU is collaborating to stand up vaccine clinics throughout the area to reach underserved people. Please do not hesitate to contact me if further information is required. The appointee shall provide services in the Department of Urology as assigned by the fellowship director. This opioid review board advises OHSU primary care and internal medicine providers … Per the Limited Staff Agreement, all residents must pass their Step 3 by the end of … If these modules aren’t completed by June of each year, you will lose IHIS access. Urology residents spend 6 months in general surgery and 4 and half years in urology. Residents are responsible for renewing their license annually. Manual of Total Mesorectal Excision is the authoritative manual for the trainee and qualified surgeon, covering every aspect of total mesorectal excision for rectal cancer.Written by the surgeons who pioneered and popularized TMEIncludes ... COVID-19 Vaccine Information Line: (301) 295-2829. Faculty within the Department of Urology lead the vaginoplasty and metoidioplasty programs and work in conjunction with Plastic Surgery to provide phalloplasty care. David Leibel, DO, joined the CMH-OHSU Health Urology Clinic in June 2004. After more than seven years of preparation by CMH, the OHSU Knight Cancer Institute and the community of Astoria, the CMH-OHSU Knight Cancer Collaborative opened its … 1506 (64%) were … (253) 301-5350. Group-based, self-directed, and preceptorship shifts are integrated weekly for up to 40 hours per week. Residency Experience The OHSU Hillsboro Family Medicine Residency Program uses a modified “2 + 2” schedule that allows residents to complete most rotations in two-week segments, alternating between outpatient and inpatient experiences. Your case log should be updated at a minimum of every week. If you or your loved one do not have a primary care provider, call us at 833-OHSU-CCC (833-647-8222) and we’ll answer your questions. We are open from 8 a.m. to 8 p.m., seven days a week. New to virtual video visits? Virtual visits offer a safe, convenient way to connect with an OHSU provider. The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. Resident Handbook: Residents will be given an updated resident handbook at the start of each year. General Surgery R3 Revised 10/8/21. Must qualify for licensure in California. The Urology faculty at the George Washington University is dedicated to providing excellent residency training for the best and brightest students. Meet our OHSU Hillsboro Internal Medicine Residency Program team that trains and mentor our residents. He also completed a residency at the University of Medicine and Dentistry of New Jersey. I invite you to look over the many sections of this residency web and discover what we have to offer. Fellows must complete this in their first year of training. In 1915, the two universities; Willamette University and the University of Oregon merged their medical programs to form the Oregon Medical College. Since January 2019, Dr. Anderson had served as a temporary locum physician in the clinic. Dress Code: Your clothes must display professionalism. OHSU has always been incredibly respectful of this desire." This book is an ideal resource for physicians-in-training to prepare for initial written and oral exams and physicians in practice to maintain their skills and prepare for maintenance of certification longitudinal and written exams. Dr. Barry has lived in Oregon since 1969, and he has been an OHSU faculty member since 1973. Surgeons working in rural and remote hospitals, however, must be proficient in the great breadth of current surgical practice and face a number of challenges and demands that are specific to rural surgery. Current Studies; Urology Residency Robotic Prostatectomy. State License: Residents are required to have in their possession a current, active, valid, unrestricted professional license. All first year residents and fellows will need to complete the 16 modules listed below by Dec. 31 of their first year. Residents must come to the hospital campus and to ambulatory buildings fully dressed in professional attire. "An evidence-based guide to using the Mediterranean diet and your kitchen in the pursuit of optimal health"--Cover. Bringing School to Life: Place-Based Education across the Curriculum offers insights into how to build a program across the K-8 grades. Through research and in-depth interviews with sitting and former General Counsel and executives in the sphere of influence, the authors identify a deliberate evolution in the fabric and tenor of the role of the GC. The personal stories are ... Photo: Pixabay Medicalxpress.com An internal medicine clinic at Oregon Health & Science University has sharply reduced the amount of opioids prescribed through innovative use of a review board comprising a team of health care professionals from various disciplines to ensure patients' needs are being met.
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Department Overview
he Department of Urology at OHSU is committed to providing the highest quality, state-of-the-art care for adult and pediatric urology patients. CMH CEO Erik Thorsen stands with Heather Pilkington, OHSU clinical project manager, Dr. Mark Rawson, podiatrist, Dr. Peter Bales, orthopedic surgeon, and Ryan Larsen, PA-C, orthopedic physician assistant, on July 1, 2021, the first day of CMH and OHSU’s new provider collaboration. Residency Program and Specialty Fellowship Program Schedule: About 22-24 weeks. Anyone who has faced challenges in life to the point that they've wondered from where they'd muster the strength to continue will find encouragement and peace from this book. Addressing conditions' effects, the impact of recent developments in their treatment, the ethics of operative procedures on children, and multiple treatment options for childhood dermatologic disease, this important book: Reviews the ... Per the Limited Staff Agreement, all residents must pass their Step 3 by the end of their PGY-2 year in order to advance to a PGY-3 resident. Connect with a current resident (R3 or higher) if you're not from the region and try to get them to put in a good word (but don't be an ass) if you're really attached to a particular program. Dr. David Lashley, MD is a pediatric urology specialist in Tacoma, WA. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. For this program use only the following logging options: ACGME Case Log: Residents are expected to log all cases as defined by the ACGME. OHSU is an equal opportunity affirmative action institution. To be recorded as teaching assistant, the chief or senior resident acts as teaching assistant (supervisor), directing and overseeing major portions of the procedure being performed by the more junior resident surgeon, while the supervising attending physician (staff member) functions as a second assistant or observer. introduction to Urology's current resident, including resident year and education background. We are committed to a training environment inclusive of all cultures, languages, socioeconomic backgrounds, racial and ethnic backgrounds, disabilities, religions, gender identities and expressions, sexual orientations, medical training (osteopathic and allopathic) and other areas in a manner that promotes diversity in our future urologic leaders. FAAFP “You don’t get a chance to be a pioneer very often in life. It was announced 8-19-2021, that booster shots will become available on 9-20-21 for those who are 8 months out from their initial vaccination(s), with priority given to nursing home residents, healthcare providers, and the elderly, as well as people with weakened … In our close-knit and collegial atmosphere, it’s all about collaboration and hands-on learning. In our close-knit and collegial atmosphere, it’s all about collaboration and hands-on learning. Current BLS certification awarded by the American Heart Association (AHA) or Military Training Network branch of AHA by the start date. Education 7 hours ago The Department of Emergency Medicine has always been deeply committed to the training of emergency medicine residents. Urology Residents at the 2019 Chief Resident Graduation Banquet Resident Class of 2023 Dr. Hougen Receiving Award from Dr. Barry Current Chief Residents Mountain View Robotic surgery In the OR Simulation Training Microscopic surgery Dr. Uzzo with Residents at the 2019 Clarence V. Hodges, MD Visiting Professor Event Fun in the Snow © 2001-2020 Oregon Health & Science University. OnCall Enterprise is a hospital-wide system for scheduling doctors and paging doctors on call. In fact, OHSU is collaborating to stand up vaccine clinics throughout the area to reach underserved people. Please do not hesitate to contact me if further information is required. The appointee shall provide services in the Department of Urology as assigned by the fellowship director. This opioid review board advises OHSU primary care and internal medicine providers … Per the Limited Staff Agreement, all residents must pass their Step 3 by the end of … If these modules aren’t completed by June of each year, you will lose IHIS access. Urology residents spend 6 months in general surgery and 4 and half years in urology. Residents are responsible for renewing their license annually. Manual of Total Mesorectal Excision is the authoritative manual for the trainee and qualified surgeon, covering every aspect of total mesorectal excision for rectal cancer.Written by the surgeons who pioneered and popularized TMEIncludes ... COVID-19 Vaccine Information Line: (301) 295-2829. Faculty within the Department of Urology lead the vaginoplasty and metoidioplasty programs and work in conjunction with Plastic Surgery to provide phalloplasty care. David Leibel, DO, joined the CMH-OHSU Health Urology Clinic in June 2004. After more than seven years of preparation by CMH, the OHSU Knight Cancer Institute and the community of Astoria, the CMH-OHSU Knight Cancer Collaborative opened its … 1506 (64%) were … (253) 301-5350. Group-based, self-directed, and preceptorship shifts are integrated weekly for up to 40 hours per week. Residency Experience The OHSU Hillsboro Family Medicine Residency Program uses a modified “2 + 2” schedule that allows residents to complete most rotations in two-week segments, alternating between outpatient and inpatient experiences. Your case log should be updated at a minimum of every week. If you or your loved one do not have a primary care provider, call us at 833-OHSU-CCC (833-647-8222) and we’ll answer your questions. We are open from 8 a.m. to 8 p.m., seven days a week. New to virtual video visits? Virtual visits offer a safe, convenient way to connect with an OHSU provider. The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. Resident Handbook: Residents will be given an updated resident handbook at the start of each year. General Surgery R3 Revised 10/8/21. Must qualify for licensure in California. The Urology faculty at the George Washington University is dedicated to providing excellent residency training for the best and brightest students. Meet our OHSU Hillsboro Internal Medicine Residency Program team that trains and mentor our residents. He also completed a residency at the University of Medicine and Dentistry of New Jersey. I invite you to look over the many sections of this residency web and discover what we have to offer. Fellows must complete this in their first year of training. In 1915, the two universities; Willamette University and the University of Oregon merged their medical programs to form the Oregon Medical College. Since January 2019, Dr. Anderson had served as a temporary locum physician in the clinic. Dress Code: Your clothes must display professionalism. OHSU has always been incredibly respectful of this desire." This book is an ideal resource for physicians-in-training to prepare for initial written and oral exams and physicians in practice to maintain their skills and prepare for maintenance of certification longitudinal and written exams. Dr. Barry has lived in Oregon since 1969, and he has been an OHSU faculty member since 1973. Surgeons working in rural and remote hospitals, however, must be proficient in the great breadth of current surgical practice and face a number of challenges and demands that are specific to rural surgery. Current Studies; Urology Residency Robotic Prostatectomy. State License: Residents are required to have in their possession a current, active, valid, unrestricted professional license. All first year residents and fellows will need to complete the 16 modules listed below by Dec. 31 of their first year. Residents must come to the hospital campus and to ambulatory buildings fully dressed in professional attire. "An evidence-based guide to using the Mediterranean diet and your kitchen in the pursuit of optimal health"--Cover. Bringing School to Life: Place-Based Education across the Curriculum offers insights into how to build a program across the K-8 grades. Through research and in-depth interviews with sitting and former General Counsel and executives in the sphere of influence, the authors identify a deliberate evolution in the fabric and tenor of the role of the GC. The personal stories are ... Photo: Pixabay Medicalxpress.com An internal medicine clinic at Oregon Health & Science University has sharply reduced the amount of opioids prescribed through innovative use of a review board comprising a team of health care professionals from various disciplines to ensure patients' needs are being met.
La Experiencia De Pablo En Arabia, Is Executive Order 14043 Legal, Homesteading Farm Equipment, Singer Inspiration Bobbin Case Installation, Backgrounds In Theater Crossword, Bridges Rental Assistance, Negotiation Process In Procurementultimate Halloween Fest, Round Table Pizza Coupons 25% Off, What Is Gymnasium In Germany,