<xml xmlns:v="urn:schemas-microsoft-com:vml"
 xmlns:o="urn:schemas-microsoft-com:office:office"
 xmlns:p="urn:schemas-microsoft-com:office:powerpoint"
 xmlns:oa="urn:schemas-microsoft-com:office:activation">
 <p:presentation sizeof="screen" notessizex="4608" notessizey="6048"
  gridspacingx="49152" gridspacingy="49152">
  <p:master id="3" slidesn="0,0" type="main" href="master03.htm"
   xmlhref="master03.xml" template="Default Design" layout="title_body"
   slots="title,body,dateTime,footer,slideNumber">
   <p:schemes>
    <p:colorscheme
     colors="#0000ff,#ffffff,#000000,#ffff00,#ff9900,#00ffff,#ff0000,#969696"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#00cc99,#3333cc,#ccccff,#b2b2b2"/>
    <p:colorscheme
     colors="#ffffff,#000000,#333333,#000000,#dddddd,#808080,#4d4d4d,#eaeaea"/>
    <p:colorscheme
     colors="#ffffcc,#000000,#666633,#808000,#339933,#800000,#0033cc,#ffcc66"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#ffcc66,#0000ff,#cc00cc,#c0c0c0"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#c0c0c0,#0066ff,#ff0000,#009900"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#3399ff,#99ffcc,#cc00cc,#b2b2b2"/>
   </p:schemes>
  </p:master>
  <p:master id="6" slidesn="1C2B1DD,DD24A410" type="main" href="master06.htm"
   xmlhref="master06.xml" template="Contemporary" layout="title_body"
   slots="title,body,dateTime,footer,slideNumber">
   <p:schemes>
    <p:colorscheme
     colors="#0066cc,#ffffff,#000000,#cbcbcb,#009999,#ff9933,#330099,#cbcbcb"/>
    <p:colorscheme
     colors="#ffffff,#000000,#868686,#000000,#3366ff,#009900,#ff0033,#cccccc"/>
    <p:colorscheme
     colors="#ffffff,#000000,#868686,#000000,#eaeaea,#5f5f5f,#969696,#cbcbcb"/>
   </p:schemes>
  </p:master>
  <p:master id="7" slidesn="1C2B1DD,DD24A410" type="title" href="master07.htm"
   xmlhref="master07.xml" layout="title_subtitle"
   slots="centerTitle,subTitle,dateTime,footer,slideNumber"/>
  <p:master id="8" slidesn="0,0" type="main" href="master08.htm"
   xmlhref="master08.xml" template="AAFP 2001 Keynote" layout="title_body"
   slots="title,body,dateTime,footer,slideNumber">
   <p:schemes>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#00cc99,#3333cc,#ccccff,#b2b2b2"/>
    <p:colorscheme
     colors="#0000ff,#ffffff,#000000,#ffff00,#ff9900,#00ffff,#ff0000,#969696"/>
    <p:colorscheme
     colors="#ffffcc,#000000,#666633,#808000,#339933,#800000,#0033cc,#ffcc66"/>
    <p:colorscheme
     colors="#ffffff,#000000,#333333,#000000,#dddddd,#808080,#4d4d4d,#eaeaea"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#ffcc66,#0000ff,#cc00cc,#c0c0c0"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#c0c0c0,#0066ff,#ff0000,#009900"/>
    <p:colorscheme
     colors="#ffffff,#000000,#808080,#000000,#3399ff,#99ffcc,#cc00cc,#b2b2b2"/>
   </p:schemes>
  </p:master>
  <p:master id="1" slidesn="1C2B1C7,ACDC1D30" type="notes" href="master01.htm"
   layout="notes" slots="header,dateTime,slideImage,body,footer,slideNumber"/>
  <p:master id="2" slidesn="1C4BEF3,7CBB0C20" type="handout" href="master02.htm"
   layout="handout" slots="header,dateTime,footer,slideNumber"/>
  <p:slide id="10" slidesn="0,0" href="slide0010.htm" masterhref="master07.htm"
   layout="title_subtitle" slots="centerTitle,subTitle"/>
  <p:slide id="205" slidesn="1C2FC5C,1C7ADD00" href="slide0205.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="112" slidesn="1C2B46E,B051D370" href="slide0112.htm"
   layout="title_body" slots="title,object"/>
  <p:slide id="8" slidesn="0,0" href="slide0008.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="17" slidesn="0,0" href="slide0017.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="18" slidesn="0,0" href="slide0018.htm" layout="title_body"
   slots="title,object"/>
  <p:slide id="19" slidesn="0,0" href="slide0019.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="20" slidesn="0,0" href="slide0020.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="98" slidesn="0,0" href="slide0098.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="325" slidesn="0,0" href="slide0325.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="21" slidesn="0,0" href="slide0021.htm" layout="2_columns"
   slots="title,clipart,body"/>
  <p:slide id="394" slidesn="1C2FC5C,1C7ADD00" href="slide0394.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="24" slidesn="0,0" href="slide0024.htm" layout="2_columns"
   slots="title,body,body"/>
  <p:slide id="395" slidesn="1C2FC5C,1C7ADD00" href="slide0395.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="391" slidesn="1C48DCC,1416CD60" href="slide0391.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="331" slidesn="1C403E4,81EBAF30" href="slide0331.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="396" slidesn="1C2FC5C,1C7ADD00" href="slide0396.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="32" slidesn="0,0" href="slide0032.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="29" slidesn="0,0" href="slide0029.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="397" slidesn="1C2FC5C,1C7ADD00" href="slide0397.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="333" slidesn="0,0" href="slide0333.htm" layout="2_columns"
   slots="title,body,body"/>
  <p:slide id="22" slidesn="0,0" href="slide0022.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="398" slidesn="1C2FC5C,1C7ADD00" href="slide0398.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="275" slidesn="1C3E39C,CD7ABD0" href="slide0275.htm"/>
  <p:slide id="298" slidesn="1C3E39C,1EB83D60" href="slide0298.htm"/>
  <p:slide id="278" slidesn="1C3E39C,CD7ABD0" href="slide0278.htm"/>
  <p:slide id="279" slidesn="1C3E39C,CD7ABD0" href="slide0279.htm"/>
  <p:slide id="276" slidesn="1C3E39C,CD7ABD0" href="slide0276.htm"/>
  <p:slide id="282" slidesn="1C3E39C,CD7ABD0" href="slide0282.htm"/>
  <p:slide id="326" slidesn="1C403BC,243ABA20" href="slide0326.htm"/>
  <p:slide id="283" slidesn="1C3E39C,CD7ABD0" href="slide0283.htm"/>
  <p:slide id="284" slidesn="1C3E39C,CD7ABD0" href="slide0284.htm"/>
  <p:slide id="285" slidesn="1C3E39C,CD7ABD0" href="slide0285.htm"/>
  <p:slide id="266" slidesn="1C3E39C,CD7ABD0" href="slide0266.htm"/>
  <p:slide id="316" slidesn="1C3E39C,CD7ABD0" href="slide0316.htm"/>
  <p:slide id="297" slidesn="1C3E39C,1EB83D60" href="slide0297.htm"/>
  <p:slide id="268" slidesn="1C3E39C,CD7ABD0" href="slide0268.htm"/>
  <p:slide id="269" slidesn="1C3E39C,CD7ABD0" href="slide0269.htm"/>
  <p:slide id="286" slidesn="1C3E39C,CD7ABD0" href="slide0286.htm"/>
  <p:slide id="287" slidesn="1C3E39C,CD7ABD0" href="slide0287.htm"/>
  <p:slide id="288" slidesn="1C3E39C,CD7ABD0" href="slide0288.htm"/>
  <p:slide id="299" slidesn="1C3E39C,1EB83D60" href="slide0299.htm"/>
  <p:slide id="300" slidesn="1C3E39C,1EB83D60" href="slide0300.htm"/>
  <p:slide id="301" slidesn="1C3E39C,1EB83D60" href="slide0301.htm"/>
  <p:slide id="303" slidesn="1C3E39C,1EB83D60" href="slide0303.htm"/>
  <p:slide id="304" slidesn="1C3E39C,1EB83D60" href="slide0304.htm"/>
  <p:slide id="271" slidesn="1C3E39C,CD7ABD0" href="slide0271.htm"/>
  <p:slide id="272" slidesn="1C3E39C,CD7ABD0" href="slide0272.htm"/>
  <p:slide id="294" slidesn="1C3E39C,CD7ABD0" href="slide0294.htm"/>
  <p:slide id="274" slidesn="1C3E39C,CD7ABD0" href="slide0274.htm"/>
  <p:slide id="295" slidesn="1C3E39C,CD7ABD0" href="slide0295.htm"/>
  <p:slide id="263" slidesn="1C3E39C,1EB83D60" href="slide0263.htm"/>
  <p:slide id="296" slidesn="1C3E39C,1EB83D60" href="slide0296.htm"/>
  <p:slide id="324" slidesn="1C3EE69,A7315230" href="slide0324.htm"/>
  <p:slide id="323" slidesn="1C3EE68,9CFF4390" href="slide0323.htm"/>
  <p:slide id="235" slidesn="0,0" href="slide0235.htm"/>
  <p:slide id="267" slidesn="1C3E39C,CD7ABD0" href="slide0267.htm"/>
  <p:slide id="273" slidesn="1C3E39C,CD7ABD0" href="slide0273.htm"/>
  <p:slide id="318" slidesn="1C3E39C,CD7ABD0" href="slide0318.htm"/>
  <p:slide id="321" slidesn="1C3E39C,CD7ABD0" href="slide0321.htm"/>
  <p:slide id="302" slidesn="1C3E39C,1EB83D60" href="slide0302.htm"/>
  <p:slide id="399" slidesn="1C2FC5C,1C7ADD00" href="slide0399.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="332" slidesn="1C2CCC3,D9D92190" href="slide0332.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="4" slidesn="0,0" href="slide0004.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="105" slidesn="1C2B1DC,E3954FD0" href="slide0105.htm"
   layout="title_body" slots="title,graph"/>
  <p:slide id="251" slidesn="1C2B1D3,DB141F20" href="slide0251.htm"/>
  <p:slide id="327" slidesn="1C403C0,BD5B06C0" href="slide0327.htm"/>
  <p:slide id="328" slidesn="1C403C0,C2C06790" href="slide0328.htm"/>
  <p:slide id="329" slidesn="1C403C0,C2C06790" href="slide0329.htm"/>
  <p:slide id="254" slidesn="0,0" href="slide0254.htm"/>
  <p:slide id="255" slidesn="1C30483,F6FABC00" href="slide0255.htm"
   layout="title_body" slots="title,object"/>
  <p:slide id="277" slidesn="1C3E39C,CD7ABD0" href="slide0277.htm"/>
  <p:slide id="111" slidesn="1C2B46E,6FC0BE20" href="slide0111.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="400" slidesn="1C2FC5C,1C7ADD00" href="slide0400.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="25" slidesn="0,0" href="slide0025.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="401" slidesn="0,0" href="slide0401.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="26" slidesn="0,0" href="slide0026.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="402" slidesn="0,0" href="slide0402.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="38" slidesn="0,0" href="slide0038.htm" layout="title_body"
   slots="title,graph"/>
  <p:slide id="39" slidesn="0,0" href="slide0039.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="403" slidesn="1C2FC5C,1C7ADD00" href="slide0403.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="386" slidesn="1C48DC5,407EC4E0" href="slide0386.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="383" slidesn="0,0" href="slide0383.htm" masterhref="master08.htm"
   layout="title_body" slots="title,table"/>
  <p:slide id="385" slidesn="0,0" href="slide0385.htm" masterhref="master08.htm"
   layout="title_body" slots="title,table"/>
  <p:slide id="340" slidesn="1C48B07,1E0FA430" href="slide0340.htm"
   layout="big_object" slots="object"/>
  <p:slide id="357" slidesn="1C48D06,72F2A000" href="slide0357.htm"
   layout="big_object" slots="object"/>
  <p:slide id="358" slidesn="1C48D06,77BDBCA0" href="slide0358.htm"
   layout="big_object" slots="object"/>
  <p:slide id="404" slidesn="1C2FC5C,1C7ADD00" href="slide0404.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="351" slidesn="1C48C3A,34673F70" href="slide0351.htm"
   layout="big_object" slots="object">
   <p:headersfooters footerstr="Delbanco &amp; Sands,NEJM 350;17 April 22,2004"
    noheader="t" nodate="t"/>
  </p:slide>
  <p:slide id="405" slidesn="1C2FC5C,1C7ADD00" href="slide0405.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="387" slidesn="1C48DC8,50AA9A30" href="slide0387.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="406" slidesn="1C2FC5C,1C7ADD00" href="slide0406.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="343" slidesn="1C48B07,579597F0" href="slide0343.htm"
   layout="big_object" slots="object"/>
  <p:slide id="354" slidesn="1C48B07,5ED4C1D0" href="slide0354.htm"
   layout="big_object" slots="object">
   <p:headersfooters footerstr="Greenfield Health System 2003" noheader="t"
    nodate="t"/>
  </p:slide>
  <p:slide id="350" slidesn="1C48B07,5FE19DF0" href="slide0350.htm"
   layout="big_object" slots="object">
   <p:headersfooters footerstr="Greenfield Health Systems 2003" noheader="t"
    nodate="t"/>
  </p:slide>
  <p:slide id="353" slidesn="1C48C3A,3CDC9F60" href="slide0353.htm"
   layout="big_object" slots="object">
   <p:headersfooters footerstr="Greenfield Health System 2003" noheader="t"
    nodate="t"/>
  </p:slide>
  <p:slide id="407" slidesn="1C2FC5C,1C7ADD00" href="slide0407.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="388" slidesn="1C48DC9,FD8F8200" href="slide0388.htm"
   layout="2_columns" slots="title,body,body"/>
  <p:slide id="389" slidesn="1C48DCA,CDC75740" href="slide0389.htm"
   layout="title_body" slots="title,body"/>
  <p:slide id="95" slidesn="0,0" href="slide0095.htm" layout="title_body"
   slots="title,body"/>
  <p:slide id="96" slidesn="0,0" href="slide0096.htm" layout="title_body"
   slots="title,object"/>
  <p:slide id="127" slidesn="1C2CCC5,1C473ED0" href="slide0127.htm"/>
  <p:viewstate type="slideSorter" slidehref="slide0395.htm" restoredleft="264"
   restoredtop="946" manualadjustleft="t" manualadjusttop="t"
   hideoutlineicons="t"/>
  <p:slideshowsettings pencolor="schemeText" manualadvance="t"/>
  <p:font name="Times New Roman" charset="0" type="4"/>
  <p:font name="Comic Sans MS" charset="0" type="6" family="66"/>
  <p:font name="Arial" charset="0" type="4"/>
  <p:font name="Wingdings" charset="2" type="6" family="2"/>
  <p:font name="Symbol" charset="2" type="6" family="18"/>
  <p:headersfooters noheader="t"/>
  <p:headersfooters notes="t" slidenumber="t"/>
  <p:pptdocumentsettings framecolors="WhiteTextOnBlack" hideslideanimation="t"
   browsersupport="v4"/>
 </p:presentation>
 <o:shapedefaults v:ext="edit" spidmax="726028" style='mso-wrap-style:none'>
  <o:colormru v:ext="edit" colors="blue,yellow,black"/>
  <o:colormenu v:ext="edit" strokecolor="black"/>
 </o:shapedefaults></xml>