Capt. Thomas Bayuk, 48th Medical Operations Squadron physician, evaluates the range of motion and current pain level of Airman 1st Class Tyler Denis, 779th Medical Operations Squadron member, at the Malcom Grow Medical Clinics and Surgery Center, Joint Base Andrews, Md., April 15, 2015. Evaluating pain level is the first step for physicians in a training program to become certified and licensed as physician acupuncturists. (U.S. Air Force photo/Airman 1st Class Philip Bryant)