of Medicine or Doctor of Osteopathic Medicine degree. Completion of a nationally recognized test pilot school program. Mission Specialist Educator Applicants must have a bachelor's degree with teaching experience, including work at the kindergarten through twelfth grade level. An advanced degree, such as a master's degree or a doctoral degree, is not required, but is strongly desired. Mission Specialist Educators, or "Educator Astronauts", were first selected in 2004, and as of 2007, there are three NASA Educator astronauts: Joseph M. Acaba, Richard R. Arnold, and Dorothy Metcalf-Lindenburger. Barbara Morgan, selected as back-up teacher to Christa McAuliffe in 1985, is considered to be the first Educator astronaut by the media, but she trained as a mission specialist. The Educator Astronaut program is a successor to the Teacher in Space program from the 1980s. Health risks of space travel Astronauts are susceptible to a variety of health risks including decompression sickness, barotrauma, immunodeficiencies, loss of bone and muscle, loss of eyesight, orthostatic intolerance, sleep disturbances, and radiation injury. A variety of large scale medical studies are being conducted in space via the National Space Biomedical Research Institute (NSBRI) to address these issues. Prominent among these is the Advanced Diagnostic Ultrasound in Microgravity Study in which astronauts (including former ISS commanders Leroy Chiao and Gennady Padalka) perform ultrasound scans under the guidance of remote experts to diagnose and potentially treat hundreds of medical conditions in space. This study's techniques are now being applied to cover professional and Olympic sports injuries as well as ultrasound performed by non-expert operators in medical and high school students. It is anticipated that remote guided ultrasound will have application on Earth in emergency and rural care situations, where access to a trained physician is often rare. A 2006 Space Shuttle experiment found that Salmonella typhimurium, a bacterium that can cause food poisoning, became more virulent when cultivated in space. More recently, in 2017, bacteria were found to be more resistant to antibiotics and to thrive in the near-weightlessness of space. Microorganisms have been observed to survive the vacuum of outer space. On 31 December 2012, a NASA-supported study reported that human spaceflight may harm the brain and accelerate the onset of Alzheimer's disease. In October 2015, the NASA Office of Inspector General issued a health hazards report related to space exploration, including a human mission to Mars. Over the last decade, flight surgeons and scientists at NASA have