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She helped the organization mobilize and train volunteers for the , well publicized , Rebuild America Conference in ' 92 . Dotson , a first grade teacher at the Oakley Elementary School , has made the Risk Watch program an integral part of her teaching because she believes in the importance and ability to protect her students and their families . In Pennsylvania , Benfield said , a sizable minority of parents originally asked for their children not to be included in the measurements , but now nearly all students in that state participate . As one of the Gresham Fire Department 's pilot teachers for the Risk Watch program , Michael created innovative ways to teach the hard to reach age group of seventh - and eighth-graders . Part " a " refers to the diagnosis associated with the entry in 10a ( OPD ) or 11a ( ED ) : How did the physician diagnose the most important complaint or symptom for the patient during this visit ? Soils in the eastern part of the state tend to have high levels of phosphorus , so there is little need to add more of this expensive component .