The Message, November 2014 by Spokane County Medical Society

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Guest Speaker: Craig Karges Illusionist / Mentalist

Dennis Miller, comedian and media personality, put it this way after seeing Karges perform, “This weirds me out!” Craig Karges is truly extraordinary! extraordinary! The “extraordinist” is an awardwinning entertainer, a nationally recognized speaker and an author. Karges has made over five thousand appearances in twenty-two countries on four continents and in all fifty states.

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Anne Oakley, MD Immediate Past President

President’s Message: Big Data in Medicine . . . . . . . . . . . . . . . . . .

J. Edward Jones, MD Vice President

In-Depth Interview: Geraldine Peterdy, MD: Completing the Cycle of Life . . . . . . . . . 3

Gary Newkirk, MD Secretary-Treasurer Trustees Charles Benage, MD Audrey Brantz, MD Karina Dierks, MD Elizabeth Grosen, MD Clinton Hauxwell, MD Louis Koncz, PA-C Frank Otto, MD Fredric Shepard, MD Carla Smith, MD Brian Tryon, MD Newsletter Editor – Matt Hollon, MD

Medical Education: Working Together for Medical Education in Our Community . . . . . . . 5 Medical Education: A Collaborative Faculty Development Seminar for the Spokane Medical Education Community Faculty Development Session September 23, 2014 - Recap . . . . 7 First Obstetrics Residency Underway at Hospital . . . . . . . . . . . . . . . . . 9 Medicine 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

WSMA: First Statewide Report in Nation to Measure Choosing Wisely® Recommendations Finds Overuse and Widespread Geographic Variation . . . . . . . . . 13

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Table of Contents

Performance magazine called called the extraordinist’s performance “The next era in mystery entertainment.”

Double Cut Pork Loin Chop

Chicken Oscar

2014 Officers and Board of Trustees

All rights reserved. This publication, or any part thereof, may not be reproduced without the express written permission of the Spokane County Medical Society. Authors’ opinions do not necessarily reflect the official policies of SCMS nor the Editor or publisher. The Editor reserves the right to edit all contributions for clarity and length, as well as the right not to publish submitted articles and advertisements, for any reason. Acceptance of advertising for this publication in no way constitutes Society approval or endorsement of products or services advertised herein.

Membership Recognition for November 2014 . . . . . . . . . . . . . . . . . . . .

Christ Clinic: The Heart of a Volunteer: The Beat Goes On … . . . . . . . . . . . . . 16 New SCMS Members . . . . . . . . . . . . . . . . . . . . . . . . . 17 In The News . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Department of Health . . . . . . . . . . . . . . . . . . . . . . . . . 19 A Physician’s Perspective: What’s Missing . . . . . . . . . . . . . . . . . . 20 In Memoriam: William Edward Anderson, MD . . . . . . . . . . . . . . . . . 20 Ebola Protocols & Resources . . . . . . . . . . . . . . . . . . . . . . . 21 Classified Ads . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 “It is when I struggle that I strengthen. It is when challenged to my core that I learn the depth of who I am.” – Dr. Steve Maraboli

PRESIDENT’S MESSAGE

BIG DATA IN MEDICINE

electronic medical record, report writers

healthcare organizations needed to improve

Opportunity by Allen Bernard “Big Data is

had to be hired to extract that data from

at providing value to their perspective

a misnomer because it is about answering

the record. Eventually, legislation was

patients. He pointed out that one of the

business (healthcare) questions and

passed by congress rewarding healthcare

huge problems right now that demonstrates

addressing business (healthcare) needs

organizations which demonstrated and met

the archaic condition of medicine is how

using new data streams and existing data

the standards of Meaningful Use. Patient

we get paid for what we do. Currently this

sets combined in novel ways while applying

Centered Medical Home (PCMH) eventually

system is based on RVU (Relative Value

Big Data analytics to tease out otherwise

set standards for levels of patient care

Units) enacted by the Omnibus Budget

hard-to-find correlations and connections

that awarded Level 1, 2, or 3 Status. Both

Reconciliation Act of 1989, which is a fee

that will lead to a better business

Meaningful Use and PCMH status were

schedule for how providers get paid for

advantage”1 or in my opinion, a better

aligned so that working on one goal would

what they do. It didn’t look at quality; it

healthcare delivery system.

partially help reach the other.

didn’t look at outcomes; it didn’t look at

There was a progression of data extraction

By David Bare, MD

Not until I joined a larger government

All of these processes required that

SCMS President

funded medical organization here in

information was extracted from patients,

Spokane did anyone ever ask for proof

patient records and payors. Initially this

that I had been performing the procedures

levied intense effort as paper charts

I was seeking to continue. When I went

had to be reviewed and the information

from my private practice to CHAS, clinical

painstakingly highlighted. The only

treatment guidelines where just beginning

automated data “back when” was the claims

to be formulated regarding what needed to

information which could tell us what we

be done at what intervals for both health

were billing for, but it didn’t tell us if we were

maintenance and disease management. In

treating appropriately and obtaining good

the last decade things have really changed.

outcomes.

As medical director of CHAS for 10 years there have been many lessons learned about medical data. When I was in private practice, outcome documentation was rarely obtained or shared beyond myself and my patient, and treatment accuracy in comparison to others in the community was rarely reviewed.

volume, velocity and variety. Those things

“Crystal Reports” or using other software

of medicine is moving towards a QVU

give Big Data structure but they are just

programs that could “data mine”. This led

(Quality Value Unit) based on outcomes, to

constructs; a way to separate “Big Data”

to shared dashboards of information for

include enhanced access and continuity

from “lots of data,” for example. It’s what

patient populations, which also allowed

of care, identification and management of

you do with the data that matters. There’s

provider shared panels measuring

patient populations, accomplishment of

no use in crunching massive data sets if you

performance. However, none of this

planned and managed care, realization of

don’t profit somehow.”2

information was available real-time on the

self-care support and understanding of

frontline of practice.

community resources, the ability to track

This leads us to our main topic, “Big Data!” It’s a term that has been used in other arenas of business for some time, but it is a very recent concept in the field of medicine. Wikipedia defines it as “an all-encompassing term for any collection of data sets so large and complex that it becomes difficult to process using traditional data processing applications. The challenges include analysis, capture,

Enter the era of the electronic medical

curation, search, sharing, storage, transfer,

I had to submit to credentialing, which had

in July, 2001 and it explored medical errors

record. Initially this was no better than a

visualization, and privacy violations.”

peers looking at where I trained and what I

and how many lives were being lost because

paper record as it was just another way to

was trained to do regarding inpatient care

of those errors. The Institute of Health

store information and there was no way

and procedures. There was also peer review

Improvement became a moving force in

to easily retrieve data. About 12 years

that entailed my fellow physicians reviewing

medicine and began looking at these errors

ago, quality officers began to appear

a certain number of my admissions every

and encouraging transparency so that such

tasked with the duty of making sure their

six months to ensure I was maintaining the

events could be accessed and evaluated to

organizations were performing “good

community standard related to my diagnostic

ensure the errors did not reoccur. They also

work,” which also affected the health

acumen and treatment. Only if there was an

reviewed the process of why these errors

plans rating score. HEDIS measurements

adverse clinical event did anyone ever look

occurred in the first place.

were an early effort to be able to compare

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to be thinking about. Not just the three ‘Vs’:

According to Dr. Gaziano, the future

Crossing the Quality Chasm was released

health plans on the same level. Even with an

“This is the definition of Big Data you need

capability that grew from individuals writing

Certainly, to obtain privileges in the hospital

at the outcome of this process.

patient satisfaction.

While at the recent WSMA House of Delegates meeting in Seattle, Dr. Phillip Gaziano, Chairman and CEO of Accountable Care Associates, attempted to pique our interest as an audience of forward-thinking providers and relayed the success he has had in Big Data gathering, manipulation and interpretation for large and small

and coordinate care, and finally to be able to measure and then improve performance. To do all of this, which is something that is required to change medicine, one has to have the ability to analyze what data is needed at what junctures within a patient’s health and healthcare journey. Organizations such as Dr. Gaziano’s use tracking tools such as Care Screen which appear to meet these challenges, and it all has to do with the management and analysis of the massive amounts of data that will be available to us in real-time. When relating Big Data to medicine, there will be new threads of knowledge that have great complexity, diversity and timeliness. It is based on the combination of three things: ultra-high speed CPUs, ultra-fast storage and big data analytics packages that can sift and report on massive amounts of data in milliseconds.

organizations in the world of healthcare. His

According to Big Data and the CMO: An

company stemmed from the realization that

Introduction to the Challenge and the

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

For more information on what Big Data entails, terminology and volume sizes of data, I invite you to read the full article found at http://hosteddocs.ittoolbox.com/ zd_article_bigdataandthecmo_092313.pdf An example of growth in our industry is shown in the interactions between people and technological devices, with each episode producing more data, including the ability to monitor blood pressure and pulse, track patient activities, temperature and medication remotely. Big Data has the ability to take all of the information from all sources and make associations within the data. All this will allow for the possibility of not only giving people what they need today but anticipating what they’ll need tomorrow or next week or next year as well. Hopefully this has given you a glimpse at what Big Data is and how it works from the 50,000 foot level. n , http://hosteddocs.ittoolbox.com/zd_article_ bigdataandthecmo_092313.pdf

1 2

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IN-DEPTH INTERVIEW

IN-DEPTH INTERVIEW a greater good.” A traditional Roman Catholic

my children’s future,” she declared. “We’ve

for over 30 years, she starts every morning

been very fortunate

with prayer and

to be able to set it up

offering. “It provides

and work it for this

great strength and

long, and especially

is a very large part

fortunate for our

of why I am here and

health and the health

what I’m doing,” she

of our children,” she

affirms. She adds,

fruits, including plums, apples, peaches,

acknowledged. She

“You don’t know what

pears, cherries, grapes and berries. They

and her husband take

tomorrow brings.

also have a Christmas tree farm where they

a very active part in

plant over 5,000 trees each year.

raising their children, and admits she has

things and doing them well that makes you

no problem picking up after them when she

appreciate everything.”

On top of all of that, they also have 15 head of cattle and 20 chickens. They use wind and solar-powered barns and

GERALDINE PETERDY, MD: COMPLETING THE CYCLE OF LIFE

major emphasis is building something for

sheds, along with in-ground heated water

It’s doing the little

sees them working so hard. Additionally, her mother-in-law lives nearby and is always there to help.

and fencing that they put up themselves.

She was born the eldest of three in Ireland.

“Every member of the family takes part in

She began preparing as early as eighth

the work. The boys do all of the picking

grade and studied hard through her senior

and the girls do all of the canning. We

year. Upon graduation, she went straight to

make everything from sauce to cider,”

med school. There were limited places for

Dermatopathologist for quite some time, and

own practice, she is the mother of nine, with

she states. They maintain a “live off the

studying the specialties, and the cream of

SCMS Development Coordinator

recently opened her own local, independent

the ages of her children ranging from four to

land” lifestyle providing great exposure to

the class always went into pathology. Only

pathology practice in June of this year –

fifteen. Although she was never particularly

work and staying occupied in worthwhile

three months before she started, there was

Allied Pathology, PC in Liberty Lake.

interested in having a large family, she has

activities, “good trouble” as Dr. Peterdy

an opening and she went for it, finishing her

fully embraced it. “I’ve worked hard towards

puts it. She continues, “The older help

residency here in the United States in St.

finding the balance of an office job and being

take care of the younger, developing

Louis, Missouri. It was over 16 years ago

fairly available to my children,” she stated.

self-sufficiency and bringing about an

in that small, traditional community where

“My family is my passion,” she continued.

appreciation for what

she met her future

they have. They can

husband at church,

see the full cycle of

and eventually

life, from the ground

they moved to the

up, and it keeps them

northwest.

treasured items, a woman finds an old diary. Taken aback, she dusts it off, holds it close, takes a deep breath, opens the pages and begins to read. She reads of dreams and ambitions of what appears to be a nine year old girl. She reads on and travels

She and her husband moved to the northwest

back several years in time; a time when

from St. Louis in 2003 with their, then,

things were more innocent. She stops at

three children. It was primarily the schools

one specific entry. She’s surprised to read

available for her girls that led them to Post

that, already, at the tender age of nine, the

Falls, Idaho. All of her friends had gardens

girl writes of going into medicine. She had

and it fascinated her, which inspired her

She continues

knowledge-based,

forgotten that. You see, the diary is hers.

to start her own; so much so that she and

working at it every

and she particularly

She had forgotten all about that young girl

her family currently live on 40 acres on

day, and is driven by

enjoys being part

centered.”

Her field is very

Mica Peak where they fill much of their day,

the peer pressure

of the product. “It’s

The word “superwoman” comes to mind

working and developing the land together.

she places on herself.

very challenging and

at all. Dr. Geraldine Peterdy has been

when I hear of how she fills her day. Not only

Here, they grow and maintain three orchards

She really enjoys working with her hands,

rewarding,” she states. “It’s very gratifying

practicing as an Anatomic Pathologist and

has she been laying the foundation for her

and multiple gardens bearing a variety of

and also knits, crochets and sews. “My

to use my training, and use it for something of

and her vocational ambitions at that early of an age. But then, she shouldn’t be surprised

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any questions, she offers her contact information: (208) 659-3770 or gap@

By Shelly Bonforti

While cleaning her home and boxing

If you would like to contact her with

alliedpathologypc.com. n

Dr. Peterdy graduated from the University College Cork with a MB BCh BAO, NUI in 1994. After her Internship she embarked on her career in Anatomic Pathology which led her to the U.S. where she met her husband. Mentored by world renowned Drs. Louis Dehner and Mark Wick at Barnes Jewish Children’s Hospital at Washington University School of Medicine, St. Louis, Missouri, she completed Residency in Anatomic Pathology and two fellowships; Surgical Pathology and Dermatopathology. She received Board Certification in Anatomic Pathology and Dermatopathology. Post Falls, Idaho offered unparalleled education for her then three children. The family rapidly grew to eleven (six boys and three girls). Inspired by them, she set up her own local, independent pathology practice in Liberty Lake in June, 2014. Her hobbies include gardening, reading, sewing, biking, skiing, canning, and knitting. Dr. Peterdy is a member of numerous medical societies. She has authored several papers, and has presented at numerous peer attended meetings and local organizations.

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MEDICAL EDUCATION

WORKING TOGETHER FOR MEDICAL EDUCATION IN OUR COMMUNITY

help nurture students’ affinity for this work. Lastly, continuing and expanding all programs

A SHOUT-OUT TO WWAMI-SPOKANE CLINICAL GUIDES

including residency training in the Spokane area will foster a desire for students to stay here for their training and their careers. As faculty, physicians, and citizens of Eastern

By WWAMI-Spokane Clinical Guides

had spent their first year of medical school

of physical exam, interviewing, and

WWAMI-Spokane Palouse College Faculty

in Spokane and many of whom are now

problem solving skills – leaving these

Geoff Jones, MD Janelle Clauser, MD

doing clinical training as third year medical

students exceptionally well prepared

Alisa Hideg, MD

Bruce Abbotts, MD

students in our community.

for the clinical years of training.

Bill Sayres, MD

Matt Hollon, MD MPH

Cicely White, MD Karen Wildman, MD As the eight core physician faculty

Despite challenges, cooperation among professionals in our community to educate medical students for all four years of

Ultimately, we proved that innovatively teaching this second year of medical school supported by the Spokane community is possible. In so doing,

Washington, we want to keep the medical

By Janelle Clauser, MD

fundamentals of organ specific science

needs of our communities and the current

Geoff Jones, MD

to solve the clinical cases using a

and future medical students at the center

Matt Hollon, MD MPH

pedagogy that’s dubbed the “flipped

of our focus. As WSU faces funding and

Karen Wildman, MD

accreditation hurdles in the next several years prior to admitting an inaugural class, it might still be a decade before students graduating from a WSU medical school would be fully trained and ready to serve

currently teaching the second year

medical school in Eastern Washington

of medical school in Spokane through

is working. You may have heard recent

the historical partnership between the

concerns that the WWAMI-Spokane

University Of Washington School Of

second year program has not lived up to

Medicine’s (UWSOM) WWAMI program

expectations, enrolling just 9 students

and Washington State University (WSU),

for a possible 20 spots in the 2014-15

we offer our perspective on the future of

school year. However, individual student

medical education in Spokane. We are

decisions about where to complete 2nd

primary care physicians who have grown

year of medical school were influenced

The principal argument advanced in the

left with substantial delays in the production

up in Spokane, raised families in the Inland

by a complex and broad set of factors not

call for two public medical schools in

of physicians for our region’s communities.

Northwest, and/or have practiced here

easily captured in the news stories. The

Washington has been that the current

We call on our medical community to work

for decades. We want to see medical

number enrolled this year is an inaccurate

system has failed to expand enrollment

together in a focused manner to advance all

education in the Spokane area succeed.

measure of success.

to keep pace with the physician shortage

medical education infrastructures in Eastern

There are better measures of success.

in our state - a shortage particularly

Washington to accommodate growing

Prior to the 2013-14 school year, all

numbers of medical students here. We hope

UWSOM medical students did their

Using a problem-based, integrated

acute in primary care and in rural

format, our students last year averaged

Eastern Washington. It is true that too

that all in the medical community can set aside

second year of training in Seattle. Thanks

any institutional resentment that seems to

to substantial support from the Spokane

higher grades on UWSOM exams than

few openings are available for admitting

their Seattle colleagues. With a strong

students to medical school in Washington

have affected the conversation and contribute

community, the program we instituted

to all programs, including residency programs,

in the fall of 2013 has provided the first

emphasis on teamwork in and out of

State. However, the number of students

class, our students developed robust

admitted will not alone address the

that advance medical education in Spokane.

opportunity for medical students to

Let’s build on the years of unprecedented

complete all four years of their medical

skills in self-organizing and successfully

shortage issue. Being educated by

completed complex assignments

primary care physicians in a manner that

success we have had so far with existing

education here. In the context of the

programs and anticipate future programs to

WWAMI-Spokane collaboration on the

working together (an approach

encourages students to think creatively,

historically ignored in physician

take on challenges, and learn clinical

educate collaboratively the medical students

Riverpoint campus (now in it’s seventh

we have now in Eastern Washington and the

year of teaching the 1st year of medical

education where independence has

skills early in their careers is more likely

been fostered). Furthermore, with

to encourage students to enter primary

students who we will admit in coming years.

school in Spokane), last year we taught

focused personal attention from faculty,

care. Additionally, providing training in

Please, let’s not let discord divide us. Let’s

core clinical science and doctoring skills

work together. n

to 19 second year students, most of whom

we advanced the core curriculum

rural areas of our state (as the UWSOM’s

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

we further developed the nascent medical education infrastructure here and proved that four years of medical education in Spokane is possible. This is the principal measure of success and will contribute significantly to the future if cooperatively nurtured.

communities. We have a great opportunity to continue to tackle the physician shortage in real-time by continuing to support all medical education across all levels of training in our community. At ground level, if we attempt to address this shortage by anything other than a collaborative approach, we will likely be

Many of us remember the second year of medical school as the most challenging. The informational fire hydrant was opened full bore as we were expected to memorize and then

classroom”. So not only are you asked to be content expert for the second year of medical school but also a teaching expert in a new approach to medical education. It would be really hard.

regurgitate the full scope of organ

We, as the four faculty teaching clinical

specific biochemistry, molecular

skills to second year University of

biology, physiology, pathology,

Washington medical students

pharmacology and the associated

this past year, have had the

diseases without much in the way

extraordinary pleasure of working

of clinical context. Imagine being

alongside the four “clinical guides”

asked a decade or more into your

who accomplished everything just

clinical practice to go back to second

described. We have been continuously

year medical school. It would be

amazed at the dedication and work

hard.

that these four primary care physicians

Now imagine being asked not only to re-learn all of the content of that year in less than 12 months but also prepare to teach it. Moreover, you are going to teach medical school in a way that it’s not traditionally taught. Rather than just borrowing slides and giving lectures, you will re-develop the entire curriculum with a focus on active learning and clinical context. You will supplement the traditional curriculum with clinical cases and ask the students to prepare ahead of time for class. In half-day

from our community have given to the success of the second year program in Spokane. Bruce Abbotts, Alisa Hideg, Bill Sayres, and Cicely White deserve special recognition (and really a standing ovation) from our entire medical community for their contribution to advancing medical education here. So, if you happen to cross paths with any of them in the coming weeks, please give them a pat on the back and sincere thanks for their effort and success.

sessions every weekday, you will guide small groups of students through the

TRUST program currently does) will

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MEDICAL EDUCATION

A COLLABORATIVE FACULTY DEVELOPMENT SEMINAR FOR THE SPOKANE MEDICAL EDUCATION COMMUNITY FACULTY DEVELOPMENT SESSION SEPTEMBER 23, 2014 - RECAP

Spokane County Medical Society 2014 PHYSICIAN CITIZEN OF THE YEAR NOMINATION FORM

DEADLINE for nominations is November 30, 2014.

Any member of the Spokane County Medical Society is eligible for nomination.

Nominee: EXAMPLES FOR

By Darryl Potyk, MD and

in a respectful manner. Dr. Surawicz’s

well as those who are not currently teaching

John McCarthy, MD

comments included input from “master”

but would like to be.

Assistant Deans for Regional Affairs

teacher-clinicians in our community.

UW School of Medicine

This event, collaboratively sponsored

medical community in Spokane is ready

by UW, WSU and Providence, was well

and eager to become a part of medical

medicine in a medical school is in the wards,

received. The fact that over 90 busy

education in order to rectify the physician

teaching his pupils how to deal with patients

physicians from our community attended

shortage in Eastern Washington. It was

and their diseases.” - Sir William Osler

this event after a full day of seeing patients

great to see Spokane’s physician community

speaks to the fact that the physician

come together in a collaborative manner

community in Spokane recognizes the need

to promote and further medical education

to develop excellent clinical education

locally. Impressively, the focus of this

role of the physician is teaching. There was ample evidence of this at the faculty development seminar in Spokane that took place on September 23rd at the Riverpoint Campus. The idea of clinicians as teachers is fully embraced but there

as well as a willingness to be engaged.

event was upon ensuring quality medical

Attendees included those already involved in

education for the learners, not upon the

teaching medical students and residents as

institutions doing the medical education. n

is recognition that not all great clinicians

Invested in Your Comfort and Your Care

are great teachers. Faculty development

Hospice of Spokane’s first priority is patient care so our patients can focus on what’s important to their lives.

sessions are designed to help physicians

(Attach pages as needed.)

1. Contributed to public understanding and appreciation of the role of medicine and to an improved public image of our profession and its members.

This seminar is a clear statement that the

“The primary work of a professor of

Dr. Osler’s advice is clear – integral to the

EACH OF THE FIVE SECTIONS MUST BE INCLUDED:

2. Demonstrated high standards of competence, ethics and professionalism.

3. Showed outstanding ability in medicine.

4. Worked for the advancement of the medical profession.

hone their teaching skills for maximal effectiveness. To this end, this collaborative Faculty Development Seminar featured two

“I knew that once we got to the Hospice House, I could just be with my mom. It was the best choice we ever made.”

speakers from UW School of Medicine. Dr. Byron Joyner talked about educating the millennial generation. While this topic is of general interest, Dr. Joyner’s talk specifically focused on recognizing and appreciating the generation gap and

– Kristie, daughter of Hospice of Spokane patient

accompanying traits often separating practicing physicians and their students. This appreciation allows teachers to be more effective. Dr. Chris Surawicz talked

Northeast Washington’s only nonprofit hospice, providing care and support for terminally ill patients and their families since 1977.

about how to teach at the bedside. She specifically emphasized the art of ensuring

Comfort. Dignity. Peace of Mind.

that bedside teaching incorporates the needs of both the patient and the learner

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

509.456.0438

5. Contributed to the betterment of our community and nation.

NOMINATED BY:

DATE: Please submit to: SCMS Physician Citizen of the Year Nomination Orange Flag Building 104 S. Freya St., Ste. 114 Spokane, WA 99202-4868 Or fax to: (509) 325-5409 Or email to: shelly@spcms.org

hospiceofspokane.org

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OBSTETRICS RESIDENCY

FIRST OBSTETRICS RESIDENCY UNDERWAY AT HOSPITAL By Lorraine Nelson, Communications

“He quizzes me so he can focus my learning

addition to learning how she can fit as part

Washington State University Spokane

for the next week,” Blum said.

of the obstetrics team, she is designing a

At first, the physicians who were visiting

“Briggs spoke personally to two of the

their pregnant patients at the hospital

physicians at the Maternal-Fetal Medicine

did not understand why a pharmacist

Clinic at Providence Sacred Heart Medical

had moved into an office on the labor and

Center in Spokane to explain the idea for

delivery floor and was associating with

the obstetrics residency,” Blum said. The

them, but Alyson Blum quickly summarized

other person instrumental in creating the

her value.

residency was Linda Garrelts MacLean,

residents and fellows, they started asking her to review the literature on drug-related decisions. “It was me,” Blum said. “My assignment for this first year of this residency is to

1968 alumnus of the College from Southern California who is an expert in obstetrics pharmacy and who co-created a textbook on the subject. Blum’s residency was created after Briggs identified the benefit of pharmacists working on the team with OB doctors and nurses. Briggs personally funded the one-year OB pharmacy residency with the goal of demonstrating the value of a pharmacist on the team and to develop a “best practice” model of care that could then be duplicated in other hospitals.

to offer and she now goes to their journal clubs with the medical residents

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stated.

Email and text enhanced notiﬁcations

Blum is from Newbury Park,

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California, and moved to Seattle

an easy way for them to engage

phone weekly with Gerald G. Briggs, a

The physicians are learning what she has

been a rewarding experience,” Blum

used to seeing her with the medical

Pharmacy in Spokane. She talks on the

wonderful and excited to have me here.”

Download and Register your free copy of DocbookMD today. (See instructions below.)

incorporate me into their team. It has

medication decisions, so as they got

Washington State University College of

on the floor have been “welcoming and

perinatologists for their work to

and reviewing literature to support

pharmacy resident in obstetrics at the

to the obstetrics team. Blum said the nurses

FREE mobile web-based communication and organization app.

to the Maternal-Fetal Medicine

pharmacist, she is skilled at finding

Blum is breaking new ground as the first

value a clinical pharmacist specialist brings

DocbookMD

and OB fellows. “I am grateful

She told the physicians that as a

‘look, listen and learn.’”

research project intended to explore the

IS PLEASED TO OFFER A NEW BENEFIT EXCLUSIVELY TO MEMBERS

where she obtained her bachelor’s

Push notiﬁcation with priority-speciﬁc ring tone

degree in cellular and molecular

Sender notiﬁcations for unread urgent messages

biology – with a minor in chemistry an associate dean at the College, who

and quantitative science – from the

teamed up with the director of pharmacy at

University of Washington. She continued

Sacred Heart Medical Center to design the

living in Seattle for another six years and

residency. All the legwork was done when

worked as a pharmacy tech at Costco

Blum started the residency in mid-July,

before pursuing a pharmacy degree at

so she dove into learning about obstetric

WSU. She heard about this new residency

pharmacy from the online course Briggs and

shortly before graduating in May. “It’s really

MacLean developed a few years ago from

amazing to be at the forefront of something

Briggs’ textbook. “We get a few lectures in

new,” Blum said. “It has been a steep

pharmacy school about it, but this is a very specialized field and there is a lot to know,” Blum said.

Message forwarding Ability to create customized care team groups Local pharmacy directory Editable favorites list

An up-to-date, mobile internal directory

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learning curve, and I am still learning, but I

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Critical value reporting (HL7 and API)

know I am making a difference.”

Ability to attach high-resolution images, including X-rays and EKGs, to any message

External branding

Briggs’ textbook is titled, “Diseases, Complications, and Drug Therapy in

the Doctor of Pharmacy program this year

Obstetrics.” The online course, by the same

and help a third-year student create a

name, can be found on the College’s web

formal presentation based on an obstetrics

site at: http://www.pharmacy.wsu.edu/

patient. But she is spending most of her

online/index.html . n

time at the Maternal-Fetal Clinic where, in

A communication solution that keeps doctors in control

Time-stamped read receipts

Coordination across the full care team including nurses, PAs, and ofﬁce staff

She will give lectures in three classes in

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

DocbookMD offers physicians, groups, and hospitals:

| THE MESSAGE | NOVEMBER 2 014

Outgoing fax (coming soon)

Download DocbookMD today. 1. Go to the App Store or Google Play from your mobile device and download DocbookMD. 2. Tap "Create Account" and complete the registration process.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

MEDICINE 2014

Senior Physicians Elect Chair for 2015

On September 26, 2014 SCMS sponsored Medicine 2014

On October 16, 2014, senior physicians and spouses enjoyed an

at the Red Lion Hotel at the Park. The program focused on

evening of camaraderie and dinner at the Manito Golf and

the more challenging management issues that clinicians

Country Club. The evening began with a moment of silence for the

encounter. The sessions were very informative, and the

physicians that had passed away over the past year. Following

event was well attended.

dinner, the business meeting included the election of the 2015 Senior Physicians committee chair. Dr. Michael Judd was unanimously voted into the position. He will be arranging a date for the Senior Physicians Golf Tournament soon so be sure to watch for more details.

We would like to thank the event supporters for helping make this day a great success. SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

WSMA

FIRST STATEWIDE REPORT IN NATION TO MEASURE CHOOSING WISELY® RECOMMENDATIONS FINDS OVERUSE AND WIDESPREAD GEOGRAPHIC VARIATION

care leaders can learn and advance

– DATA FROM 3.3 MILLION LIVES IN WASHINGTON ILLUSTRATES SUCCESSES AND OPPORTUNITIES FOR IMPROVEMENT – WASHINGTON STATE CHOOSING WISELY TASK FORCE UNVEILS CAMPAIGN TO FOCUS ON IMAGING FOR UNCOMPLICATED HEADACHES

• WA State Radiological Society

principles that can be applied to other overuse issues and measurably improve

Wisely is to help providers and patients

nation to measure Choosing Wisely®

have conversations about the necessity of

recommendations finds that patients in

tests and procedures and support efforts

Washington may be exposed to care that

to help patients make smart and effective

you have (commercial vs. Medicaid)

they don’t need—and potential harm. The

care choices. The report was made possible

may influence the type of treatment you

report, Less Waste, Less Harm: Choosing

thanks to support from the ABIM Foundation

Wisely in Washington State, offers

and the Robert Wood Johnson Foundation.

the lowest and highest performing counties vary by more than twofold. • Where you live and the type of insurance

receive.

As a purchaser-led, multi-stakeholder the Washington Health Alliance is committed

is a membership organization representing

to leading health system change in

community hospitals and several health-

Washington state. The Alliance has a bold

related organizations. The association

vision: By 2017, physicians, other providers

provides issues management and analysis,

• North Pacific Pediatric Society

and hospitals in the region will achieve the

information, advocacy and other services.

• WA Association of Physician Assistants

top 10 percent in performance nationally in

In 2005, WSHA launched the Patient Safety

• WA Chapter American College of

the delivery of quality, evidence-based care

program to help hospitals improve patient

and in the reduction of unwarranted variation,

safety by supporting the adoption of evidence-

resulting in a significant reduction in medical

based protocols that have been proven to save

cost trends. To achieve this goal, it will require

lives. WSHA works to improve the health of

the aligned efforts of those who give, get

the people of the state by becoming involved

and pay for health care. A cornerstone of the

in all matters affecting the delivery, quality,

Alliance’s work is the Community Checkup,

accessibility, affordability and continuity of

a regional report to the public comparing

health care. www.wsha.org. Follow WSHA on

the performance of clinics and hospitals

Twitter at @WAHospitals and on Facebook at

for basic measures of quality care (www.

www.facebook.com/WAhospitals.

organizations are participating to reduce imaging for uncomplicated headaches.

• WA Osteopathic Medical Association “In the state of Washington, we have variation in the care provided for most all conditions that cannot be explained by differences in clinical circumstances or patient preference,” said Matt Handley, MD, medical director for quality at Group

“More care is not always better care.

measure change as Choosing Wisely

Health Cooperative and chair of the task

The report shows where we’re doing well

recommendations inform providers and

force. “We have individual clinicians and

The results are based upon claims

in Washington state as well as areas for

patients. It is up to clinics and hospital

medical groups that provide less low value

data representing 3.3 million lives in

improvement,” said Brian Seppi, MD, newly

systems to support and implement change

care than others, but there is opportunity

Washington state and was issued by the

elected president of the WSMA. “Providing

within their organizations, and it is up to

for improvement everywhere. Our hope is

Washington Health Alliance (the Alliance)

quality, safe care for our patients is

physicians and patients to consider the

that we can support a learning community

in conjunction with the Washington State

paramount. Choosing Wisely provides

recommendations at the time of care.

that can help us harness our greatest

About the Washington State Medical

Choosing Wisely Task Force, a group of

evidence-based guidelines that provide an

resource—each other.”

Association

more than 20 medical leaders from the

opportunity for physicians and patients to

largest health care organizations in the

have candid conversations about what care

making Choosing Wisely a major focus in

To support physicians seeking to integrate

The Washington State Medical

state. The task force is co-sponsored by

is appropriate and needed.”

Washington state,” said Carol Wagner, RN,

Choosing Wisely recommendations into

Association’s vision is to make Washington

WSHA senior vice president for patient

their practices, the task force has developed

the best place to practice medicine and

More than 60 national medical specialty

safety. “Physicians still have to make

an action manual that outlines eight steps

to receive care. The WSMA represents

societies identified “top five” lists of tests

choices based on the individual needs and

for leading change that include developing

physicians, physician assistants, residents

or procedures commonly used in their field

conditions of their patients, but this data

a change vision and generating short-term

and students throughout Washington

“This report provides a first look

whose necessity should be questioned and

helps to highlight where there is variation

wins. The action manual is available for

state. Through the WSMA, Washington

into some of the Choosing Wisely

discussed. The resulting lists of “Things

and opportunities for improvement.”

download at www.wsma.org/Choosing-

became the first state in the nation to

recommendations, informing the local

Providers and Patients Should Question”

Wisely.

bring Choosing Wisely to the grassroots

and national discussion,” said Nancy A.

were designed to encourage discussion

Giunto, executive director of the Alliance.

about the need—or lack thereof—for many

“Our hope is that this report will spark

frequently ordered tests or treatments.

Choosing Wisely recommendations.

the Alliance, the Washington State Medical Association (WSMA) and the Washington State Hospital Association (WSHA).

discussions and initiatives so we can move to a new view in health care, where smarter care equals better care.” Choosing Wisely® is an initiative of the American Board of Internal Medicine (ABIM) Foundation. The goal of Choosing

Among the key findings of the report: • Overuse exists. Patients may be getting unnecessary care that costs money and could potentially put them at risk. • Variation exists. Often the rates between

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

“Medical officers are very committed to

To demonstrate that change is possible, the task force has launched the Change

For questions, contact Susan Callahan,

One Thing initiative, which targets one

WSMA director of communications,

Choosing Wisely recommendation, “Don’t

(206) 441-9762 or susan@wsma.org;

do imaging for uncomplicated headache,”

John Gallagher at the Washington Health

that participating organizations will focus

Alliance at (206) 454-2957 or jgallagher@

on implementing in Washington.

wahealthalliance.org; or Mary Kay Clunies-

The goal is to collaboratively work together on the same recommendation so health

| THE MESSAGE | NOVEMBER 2 014

Association The Washington State Hospital Association

The report provides a baseline to

county-by-county results for nine different

About the Washington State Hospital

collaborative with more than 165 participants,

the care in Washington. The following

Physicians The first statewide report in the

About the Washington Health Alliance

Ross at the WSHA at (206) 216-2894 or marykaycr@wsha.org.

wacommunitycheckup.org). The Alliance is a member of the Robert Wood Johnson Foundation’s Aligning Forces for Quality communities. Follow the Alliance on Twitter @ WAHealthCheckup.

MEMBERSHIP RECOGNITION FOR NOVEMBER 2014 Thank you to the members listed below. Their contribution of time and talent has helped to make the Spokane County Medical Society the strong organization it is today.

level through the Know Your ChoicesAsk Your Doctor campaign, a statewide effort to give patients and physicians tools and encouragement to talk about their choices—getting the right care, in the right place, at the right time. For more information about the WSMA, please visit www.wsma.org. Follow WSMA on Twitter

30 Years Roberto A. Auffant, MD

11/27/1984

Cornelis B. Bakker, MD

11/27/1984

Philip D. Cleveland, MD

11/27/1984

Jeff B. Collins, MD

11/27/1984

John F. Hahn, Jr., MD

11/27/1984

Robert G. Hartman, MD

11/27/1984

D. Vernon Holbert, MD

11/27/1984

Brent S. Maughan, MD

11/27/1984

Gary R. Newkirk, MD

11/27/1984

Thomas R. Pellow, MD

11/27/1984

Rodney D. Raabe, MD

11/27/1984

10 Years Trent I. Lengl, PA-C

11/3/2004

Leonard Atkinson, PA-C

11/22/2004

at @WSMA_update and on Facebook.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

EASTERN WASHINGTON PHYSICIAN HEALTH COMMITTEE (EWPHC) EWPHC is a “quick call” to find assistance

Assistance is available to you in the following areas:



Drug/Alcohol Misuse

This commi�ee, a fusion of the former SCMS commi�ee and one including members of medical staﬀs of Community Health Services and Providence Health Care Hospitals, meets quarterly to educate ourselves about physician health issues, review u�liza�on and sa�sfac�on with the Wellspring Employee Assistance Program (EAP) and plan ac�vi�es, programs and resources to address needs in those areas.



Lawsuit Educa�on and Support

Some of the guiding principles of the commiƩee are:



Marital and Family Issues



Death of a Spouse or Family Member



MQAC/OSTEO Board Issues



Boundary Issues



Disrup�ve Behavior

  



Elder Care



Prac�ce Management

The medical profession and healthcare community should foster physician well‐being A sense of community with one’s peers is vital to personal well‐being Assess the changes in the healthcare environment

CHRIST CLINIC

THE HEART OF A VOLUNTEER: THE BEAT GOES ON … top-of-mind. Dr. Decker and his bride,

Monday afternoon. Occasionally he puts

Raeann, attended both the groundbreaking

in a full day if needed. The staff welcomes

of the “new” clinic in 2008 and the grand

him enthusiastically and his patients

re-opening of the Kitchen in 2006 (both

appreciate the help, kindness, and care he

located at the corner of Carlisle & Monroe).

offers them. He speaks of a particular patient with tenderness; this man is only about 35 and

By Raelene Vogelsang, Development

has had a rough life -- incarcerated, bad life

Director for

choices, lacking a good guiding force in his

Christ Clinic/Christ Kitchen

life … and now he has a serious disease. “It’s such a sad ending to a life not spent

He smiles as he thinks back … to those

well.” And although this patient has not

early meetings of the Christian Medical

been open to prayer, Christ Clinic might be

Society more than 20 years ago … talk of a

the only time this man has experienced the

clinic … a place to be the hands and feet of

hands, feet and love of Jesus … just like

Jesus right here in our own Spokane … a

Physician Commi�ee Members

place for “the least of these.” Colleagues

(Name and Contact Informa�on)

see … to catch … to make happen. And

the story of the Good Samaritan.

he respects are casting a vision for all to

At the end of the day, sometimes he feels he has made a big difference in their

it did happen. Christ Clinic began and Dr.

Jim Shaw, Chair 710‐3151

care … other times the patient has not

Gordon Decker was one of the first in line to

Barry Barnes

255‐6557

Michael Metcalf

927‐4102

Paul Russell

954‐4989

volunteer. He worked one or two Thursday

Steve Brisbois

953‐3798

Michael Moore

747‐5141

Robert Sexton

624‐7320

afternoons a month “back in the day” when the Clinic was in its infancy and housed in a

Andi Chatburn

624‐2313

Mira Narkiewicz

889‐5599

Tasca Snow

565‐4000

Deb Harper

443‐9420

Sam Palpant

467‐4258

Alexandra Wardzala

990‐1938

Michael Henneberry

448‐2558

Tad Pa�erson

939‐7563

Hershel Zellman

993‐4274

Dr. Decker’s own practice became

Greg Loewen

844‐8476

Rod Peterson

944‐5781

extremely busy and he had to pull back from

Physician Family Alanon Group ‐ Physicians, physician spouses or signicant others and their adult family members share their experience, strength and hope concerning diﬃcult physician family issues. This may include medical illness, mental illness, addic‐ �ons, work‐related stress, life transi�ons and rela�onship diﬃcul�es. We meet Tuesday evenings a�er 6pm. The format is structured by the 12‐Step Alanon principles. All is conden�al and anony‐ mous. There are no dues or fees. To discuss whether this group could be helpful for you, contact Bob at (509) 998‐5324.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

Regardless, he knows he is very much appreciated and he wants to express his own appreciation; “Christ Clinic is not

tiny space on Boone.

the patients he loved at Christ Clinic. But, his heart continued to beat in unison with

Caduceus Al Anon Family Group ‐ Meets every Thursday evening from 6:15 pm un�l 7:15 pm at 626 N. Mullan Rd., Spokane, WA. Non‐smoking mee�ng for spouses and signicant others of Healthcare Providers who are in recovery or who may need help seeking recovery. Facilitated 12 Step Al Anon Format. No dues or fees. Contact (509) 928‐4102 for more informa�on.

been persuaded to change his/her habits.

those founding docs. The Clinic is always in need of medical samples and supplies; he brought what he could on a regular basis. His church, First Presbyterian, is one of many that shares his heart for the poor and needy and has been a strong advocate and supporter – helping to keep Christ Clinic

an isolated entity. The greater medical community has made such a wonderful DR. GORDON DECKER VOLUNTEERS MONDAY AFTERNOONS

He loves what Christ Clinic & Kitchen strive to accomplish in the lives of people in need

partner … Inland Imaging, PAML, Incyte, INHS, etc. make it possible … and specialty referring is critical.” To all, we share his heart-felt “Thank You!”

of God’s love and care. The next milestone

If you would like to explore volunteering or

came in December of 2013.

support the work of Christ Clinic in another

Retirement. Dr. Decker? Well, sort of. He retired from his practice and within 60 days was hard at work at Christ Clinic caring

way, please contact Raelene@christclinic. org or call 509.325.0393 ext. 331. We would love to thank you too!

for patients with his whole heart every

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

IN THE NEWS

NEW SCMS MEMBERS The following physicians and physician assistants have applied for membership and notice of application is presented. Any member who has information of a derogatory nature concerning an applicant’s moral or ethical conduct, medical qualifications or such requisites shall convey this to our Credentials Committee in writing to the Spokane County Medical Society, 104 South Freya Street, Orange Flag Building, Suite 114, Spokane, Washington, 99202.

Rooney, Michele, MD Pathology Med School: U of Minnesota (1987) Internship: SUNY Upstate U. Hospital (1990) Residency: Mayo School of Graduate Education (1991) Fellowship: Mayo School of Graduate Education (1992) Fellowship: Nephropath (2015) Joining InCyte Diagnostics 04/2015

3RD & BROWNE BUILDING

IN THE NEWS

SCMS MEMBER NAMED PRESIDENT OF STATE MEDICAL ASSOCIATION SCMS member Brian Seppi, MD was elected president of the Washington

PHYSICIANS Randolph, Joseph, MD Emergency Medicine Med School: Medical School Of Wisconsin (1997) Internship: U of Missouri (1998) Residency: U of Missouri (2000) Joining Emergency Consultants, Deaconess 04/2015

Eastvold, Paul, MD Pathology Med School: Loma Linda (1995) Internship: Wake Forest Baptist Medical Center (1996) Residency: Wake Forest Baptist Medical Center (2000) Fellowship: U.T.S.W. Medical Center (2001) Joined Inland Northwest Blood Center, Director 10/2014

Fournier, James, PA-C Physician Assistant Med School: Stanford School of Medicine (2000) Joining Emergency Consultants, Deaconess 12/2014

Lance, Raymond, MD Urology Med School: Uniformed Services (1991) Internship: Walter Reed (1992) Residency: Walter Reed (1998) Fellowship: U of Texas (2000) Joining Spokane Urology 12/2014

PHYSICIANS PRESENTED A SECOND TIME

104 West 3rd Avenue Spokane, WA 99201

SPOKANE INTERNAL MEDICINE PHYSICIAN AND

State Medical Association at the association’s annual meeting in Seattle, Saturday, September 20, held at the Hilton Seattle Airport Hotel. The WSMA represents physicians, residents, medical students and

AVAILABLE FOR IMMEDIATE SALE!

physician assistants throughout Washington state. Dr. Seppi is an internal medicine physician in Spokane.

Great downtown investment on lighted corner near hospitals and I-90. 14,000 s.f. for $300,000 (Only $21.50/s.f.)! 7,000 s.f. on first floor and 7,000 s.f. partially finished basement. Full HVAC, good roof, sprinkler and security system. Could be medical offices, general offices, commercial/retail or even storage.

“Our state is already a nationwide leader in many aspects of health policy and we’re closer than ever to all Washingtonians having access to care,” said Dr. Seppi. “Let’s continue to fulfill the promise we have made to

For more information, please call Gordy at 404.822.8488 or email gordy@flagship-group.com

patients in our state by making sure they don’t just have Lyman, Jeffrey, MD Orthopedic Surgery Joined The Lyman Knee Clinic 01/2013

insurance coverage but also a doctor to treat them.”

priorities for his term including physician shortages, issues of reimbursement, funding for graduate medical education and funding for behavioral health. “The WSMA will continue to be a strong advocate for physicians and patients, making Washington state the best place to practice medicine and to receive care,” added Dr. Seppi. Dr. Seppi received his medical degree from the University of Utah School of Medicine in Salt Lake City. He completed his residency at Spokane Internal Medicine. He is board certified by the American Board of Internal Medicine.

ARTHRITIS NORTHW EST

Celebrating 30 years as the largest single specialty practice dedicated to serving the needs for the prevention, diagnosis, and management of patients with rheumatic diseases throughout the Inland Northwest. We track patient’s response to therapy at each visit, in real-time, by using a software tool developed exclusively at Arthritis Northwest known as JointMan™ care portal. This cutting edge technology enables us to quantify and enhance quality measures that result in better patient outcomes, enhanced patient compliance, and the prevention of untoward events. The JointMan™ care portal is also being used by many of our colleagues as we strive in a spirit of partnership to improve the health of all of our patients. • Physical Examination/Consultation • Treatment of acute and chronic inflammatory diseases • Tracking patient's response to therapy in real-time using JointMan™ care portal • Joint injections for inflammatory & Osteoarthritis • Weight Loss Programs • Researched Nutraceuticals

• Anti-Inflammatory Nutrition • Hands-On Musculoskeletal Therapy • Exercise Prescriptions • Smoking Cessation • Expertise pursuing challenging diagnoses and coordinating care with PCP’s, orthopedists and other specialists.

Arthritis Northwest | Rheumatology 105 West 8th Avenue, Suite 6080 | Spokane, WA 99204 | (509) 838-6500 www.arthritisnw.com

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

$300,000

| $21.50/SF Commercial Building | On Highly Visible Corner

In his acceptance speech, Dr. Seppi noted several other

Howard M. Kenney, M.D. Jeffrey B. Butler, M.D. Gary L. Craig, M.D. Sean P. LaSalle, M.D. Eric C. Mueller, M.D. Christopher M. Valley, N.D. Diana M. Webster, ARNP Erin E. Saunders, PA-C Dale R. Raschko, PA-C Kari M. Holman, PA-C

| THE MESSAGE | NOVEMBER 2 014

MEDICAL STUDENTS REACH OUT TO THE MEDICAL COMMUNITY A newly-formed medical Spanish interest group at the WSU Riverpoint campus is currently seeking Spanish speaking preceptors. Started this year by three UW/WSU WWAMI medical students, the group witnessed a growing interest among classmates who were interested in shadowing providers who speak Spanish in a clinical setting in order to observe and experience applied medical Spanish. The group plans to expand to become an interprofessional organization open to all Riverpoint campus health professions students. Group Goals

Dr. Seppi is a practicing internist at Providence Medical

• Improve and maintain Spanish-speaking skills

Group in Spokane, where he also serves as division lead

• Learn medical Spanish

physician for internal medicine. He is a member of the

• Increase cultural awareness of Spanish-speaking populations

American College of Physicians, Spokane Society of

• Become more comfortable speaking in Spanish with patients

Internal Medicine and the American Medical Association,

• Learn best practices for working with all non-English speaking

and serves on the board of directors at OneHealthPort. Dr. Seppi is a past president of the Spokane County Medical Society, where he remains an active member.

patients and those of different cultural backgrounds Interested in Being Involved? If you are interested in getting involved, please email Izzy Nuttall at ejn5@uw.edu with your availability. Afternoons and Tuesdays are the easiest to schedule.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

DEPARTMENT OF HEALTH

A PHYSICIAN’S PERSPECTIVE

DOH RELEASES DRAFT REPORT OPPOSING patients that were suggested in the NATUROPATH’S SUNRISE PROPOSAL TO applicant report. EXTEND PRESCRIPTIVE AUTHORITY TO • Full prescriptive authority is not necessary SCHEDULE II – V CONTROLLED SUBSTANCES for NDs to practice as primary care physicians under Medicaid. The Department of Health (DOH) has • Referrals for controlled substances are released its draft report opposing the necessary to ensure the most qualified Naturopath’s sunrise proposal to extend health care professionals are prescribing their prescriptive authority to Schedule these substances, which are controlled II – V Controlled Substances. The WSMA because of their significant risks to public testified in opposition to the proposal before health due to overdose, abuse and misuse. the Naturopathic Board, and submitted • The applicant has not shown NDs several comment letters, including one with receive adequate education in clinical over 25 state and national specialty society pharmacotherapy of prescribing opioid, signatures. antianxiety, sedative, hypnotics, and Following is a summary of the DOH’s amphetamine substances to treat various recommendations. The department does disease states to safely prescribe controlled not support the proposal to expand the substances. The desire to add eight hours prescriptive authority of NDs (applicant) of additional education and 10 hours of to include all Schedule II-V controlled continuing education is not sufficient to substances because: overcome the deficiencies. • The applicant has not proven the current • The department does not see a need to prescriptive authority is inadequate or increase access to prescription opioid problematic. pain medications that are included in this • The applicant’s proposal does not provide proposal because: evidence of the disruption of continuity • Prescription opioid related overdoses and and coordination of care for naturopathic deaths have reached epidemic levels.

• Data has shown a correlation between the rise in overdose deaths and states that have expanded the use of prescription opioids. • The U.S. Drug Enforcement Administration (DEA) on August 22, 2014, announced final rules reclassifying hydrocodone combination products, such as Vicodin, from a Schedule III to Schedule II controlled substance, including tighter restrictions on prescribing these products, citing the “substantial evidence of potential abuse.” • The state is currently engaged in intensive and effective efforts to curb the overuse of opioids in Washington. Granting broader prescribing authority for controlled substances is contrary to these efforts.

Pessimistic about any remedy, I stumbled on 1 Corinthians With apologies to St. Paul, I put the verses into medical

wishes to remain anonymous.

13. It is a beautiful piece of literature and a Bible chapter

There is a destructive sterility in modern medicine. It is as though the humanity has been sucked out of the system.

You might be surprised at what you find. Rockwood South Hill features custom homes, duplexes and apartments nestled in a quiet, park-like neighborhood. We are a locally owned and operated nonprofit with a strong history of providing innovative retirement living environments. Our new 11-story luxury apartment tower, The Summit, is being constructed and will open in 2016. Come join us for a bus tour and lunch presentation and discover why Rockwood South Hill has been Spokane’s Community of Choice for over 50 years. We look forward to meeting you.

terms. Different words, same intent. To me - as found in

I have loved since childhood. As I read it again, I suddenly its original form or adapted as I have done - it describes understood what has been left out of (removed?) our health system.

what is missing in American medicine. Read it. Take it to heart. See what happens.

WHAT’S MISSING If I speak the language of medicine and

dishonest, nor does it dishonor others, it is

treat in part, but when completeness

science, but do not have love, I am but a

not self-seeking, it is not easily angered nor

comes, what is in part will

dark microscope or empty lab coat. If I

easily fatigued, it keeps no record of wrongs

disappear. When I was a child, I talked

have a gift that allows me to fathom all

and does not delight in the failure of others.

like a child, I thought like a child, I

the body’s mysteries and thence have all

Love rejoices in healing. It always protects,

reasoned like a child. But when I

knowledge, and if I have confidence that I

always trusts, always hopes, always

became a physician, I put my childhood

can cure all diseases, but do not have love,

perseveres.

behind me. For now we see only a

I am nothing. If I use all my knowledge and To read more on the DOH’s full recommendations, please go to http://www.doh.wa.gov/Portals/1/ Documents/2000/DraftNDRpt.pdf. For more information, please contact Susan Peterson, Associate Director of Legislative and Regulatory Affairs, Washington State Medical Association (WSMA) at (360) 352-4848.

rockwoodretirement.org 800-727-6650

You’re Invited to Discover

The following was submitted by a SCMS member who

skill to help the poor, giving over my body to hardship so that I may boast, but do not have love, I gain nothing. Love is patient, love is kind. It does not envy, it does not boast, it is not proud, it does not profiteer, it does not gouge. It is not

reflection as in a mirror; some day we

Love never fails.

will see it all. Now I know in part; then I

But where there are treatments, they will cease; where there are protocols, they will be void; where there is knowledge, it will pass away. For we know in part and we

shall fully know. In the end, these three remain: science, hope and love. But the greatest of these is love.

IN MEMORIAM

School of Nursing. They married in 1950 and

everyone with respect regardless of their

WILLIAM EDWARD ANDERSON, MD

recently celebrated 64 years of marriage.

social status. Foremost, he was a loving and

After serving a one year internship at the US

devoted husband to his beloved Doris “Dor

William Edward Anderson, MD passed

moved to Spokane where he did his residency avid bird hunter and fisherman throughout

away on October 23, 2014. He was born July 29, 1921 and raised in Missoula, MT. He attended the University of Montana for two years majoring in Forestry and fought forest fires as a smoke jumper in the summers. He

Naval Hospital in Bethesda, MD he and Doris Dor” and father to his children. He was an at Sacred Heart Medical Center followed

his life. He discovered golf later in life and

by a three year practice at The Rockwood

boasted his Hole-in-One at the Coeur d’Alene

Clinic. He was called back to serve in the

Municipal Golf Course in 1988. He was one

US Navy during the Korean War and was

of the founders and original physicians of the

stationed at Whidbey Island. Upon discharge, Spokane Valley General Hospital, serving on he returned to Spokane and opened a solo

the Board of Directors of the Medical Service

Depression and was a self-made man. He

Family Practice Clinic in the Spokane Valley

Bureau and Board of Incorporators. He was a

in WWII. He received his undergraduate

allowed him in the practice of medicine. He

Dakota. He completed his post-graduate

calls and delivered babies in the middle of the the years 1968-1983. He was a devoted

was raised by a single mother during The

enlisted in the US Navy in 1942 serving in the in 1954 and worked until he retired in 1983. South Pacific on the Battleship New Mexico He always celebrated the rich privilege

member of the American Medical Association and the Spokane County Medical Society. The Spokane Valley Hospital presented him a

Your Future Home.

medical training through the Navy, University took the Hippocratic Oath to heart. He was an memorial in recognition and appreciation for old-fashioned style doctor who made house his professionalism and dedication through of Notre Dame and University of North

Come Explore Our Beautiful 90-Acre Community

medical training at Temple University

Please RSVP to Joanne at 509-536-6850

joanneb@rockwoodretirement.org

he received his Doctorate in Medicine in

11am-1pm Community Center

Family Medicine in 1949. It was there that he

Wednesday Oct. 8th

Thursday Nov. 13th

School of Medicine in Philadelphia where

met his future wife Doris Eloise Treiber who graduated in 1949 from Temple University’s

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

night long before the days of pagers, voice

member of the Episcopal Church throughout

mail or cell phones. He took his own calls and his life and was one of the founders of the would be paged over the intercom at baseball Church of the Resurrection in Spokane Valley games or restaurants during the off hours if

(formerly Church of the Holy Spirit). He gave

a patient needed him. Through his success

many hours of volunteering at Meals on

he never lost sight of his roots and treated

Wheels and Habitat for Humanity.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

EBOLA PROTOCOLS & RESOURCES By Ed Dzedzy, Administrator

every traveler returning from the affected

waste-idUSKCN0IC2AW20141023?utm_

Lincoln County Health Department

areas of Africa will be actively monitored

medium=Email&utm_

Region 9 Healthcare Coalition Chair

based on risk for 21 days in accordance with

source=ExactTarget&utm_campaign=).

CDC guidance. This will strongly reduce the

Guidance for EVD Hazardous Type A Waste

potential of an unknown case showing up in

Transportation (CDC) can be found at http://

the healthcare system.

www.cdc.gov/vhf/ebola/hcp/medical-waste-

The Regional Healthcare System is heavily involved in planning and preparing to enhance our capacities to respond to the Ebola threat in our communities. We are all receiving information from various sources, so the Region 9 Healthcare Coalition has made a conscious effort to screen any information we receive prior to dissemination in order to prevent email and information overload.

• In any case suspect of Ebola, you should contact your infectious disease coordinator

management.html. • Although you may be seeing new FDA

and your local public health agency

approved quick Ebola tests on the market, at

immediately. Your Local Health Agency is

this time, any suspect case must be reported

your connection into the response system

to your local health jurisdiction and testing

being developed.

completed through the Washington State

• The Washington State Public Health

Public Health Laboratory, if warranted. The

Here are some useful information resources,

Laboratory is one of 13 laboratories that

including links to policies and protocols

can confirm Ebola in a patient within 6 to

developed that might be helpful in your planning

8 hours of receiving the sample. Please

efforts. Some things to be aware of regarding

assure your local public health agency is

(examples):

statewide planning efforts:

aware of samples being submitted for EVD

° Emory Hospital: http://www.

testing. DOH is working on a contract with a

emoryhealthcare.org/ebola-

courier service to transport samples to the

protocol/support-documents.

Public Health Laboratory from anywhere in

html?utm_medium=Email&utm_

the state.

source=ExactTarget&utm_campaign=

• Washington State Department of Health has taken the lead role in a state-wide response to Ebola Virus Disease (EVD) by coordinating a multi-agency coordination Group (MAC Group) convened to designate 7 hospitals across the state to receive and care for confirmed EVD Patients. This working group has been helping major hospitals prepare for the logistics associated with a minimum of thirty days of 24/7 patient care. The goal is for all hospitals across the state to have the ability to identify, isolate, evaluate, confirm and transport EVD patients to these designated facilities that are ready to provide extended care. • All hospital facilities are doing their best to supply and prepare for their role in this response. We understand that nationally many of the major suppliers for personal protective equipment (PPE) are out of the necessary supplies to ensure full body coverage. To facilitate the State of Washington plan for EVD response it is important that our regional facilities hold off on over-ordering PPE and allow the 7 lead hospitals to fulfill their initial supply demand to meet the expectations of the Washington State Department of Health. • The public health system has developed a national traveler monitoring system where

• DOH has developed a plan to provide an Epi Task Force in the event a case is identified to assist a local jurisdiction with contact tracing and monitoring to stop further transmission. • Nationally, AMR has put processes and

accuracy and sensitivity of these new tests have not been validated at this time. • Hospital Ebola Preparedness Protocols

° Deaconess Hospital: https://srhd.org/ documents/Providers-HCC/DeaconessEbola-Policy-Protocol.pdf °Providence Health Care Ebola policies and protocols have been developed

protocols in place found at http://www.

in coordination with the CDC and

amr.net/Ebola/Ebola-Patient-Information.

Department of Health and are available

aspx for inter-facility transportation of an

for its medical staff at https://phs-

CLASSIFIED ADS REAL ESTATE ALL COSTS INCLUDED--UPSCALE VIEW CONDO One of a kind, separate entrance condo built into an upscale home on the north side. (Owners rarely in residence) This home is located in a quiet, gated community, with panoramic views overlooking a small lake and golf course. It is totally turnkey furnished, dishes, linens, cleaning supplies etc. All new appliances, modern decor. One bedroom (king size bed/rollway for guests) one bath, complete laundry room w/full size washer/dryer and one car garage with extra storage. ALL COSTS ARE INCLUDED! Heat/ AC, Utilities/Water, Cable TV, Internet/WiFi, Long Distance phone. Golf and walking trails right out the door. Close to Holy Family Hospital and Whitworth University. Freeway access to South Hill hospitals. Call (509) 954-8339 for details. Available immediately. Willing to rent “unfurnished.” NEW 2,400 SQ. FT. HOME located five minutes from downtown Spokane in country setting. Three bedrooms, three bathrooms, full kitchen and completely furnished. $250.00 day/$1,000.00 week/$3,000.00 month with a month maximum stay unless arranged by owner. Call Sheri at (208) 6419069 or email 209homedesign@gmail.com.

Categories and Response can be found at

9 Healthcare Coalition can be a resource for

http://www.amr.net/Files/PDFs/Ebola/

you as well. If you have questions regarding

AMR-Guidance-on-Patient-Category-and-

your Ebola planning, please email HCC@

Response.

SRHD.org.

CONDO FOR RENT- Very nice and clean 2BR, 2BA one-level, 1,200 sq. ft. 7th and Monroe, City views, one block walk to Deaconess, Shriners, shopping. Convenient to SHMC, Rockwood and downtown. Covered underbuilding parking. Quiet, nicely updated, fireplace, dishwasher, washer/dryer, elevator. $800/month. Call (509) 263-1746 for more information and to see.

While the Healthcare Coalition is here to

MEDICAL OFFICES/BUILDINGS

Ebola patient. They have successfully made two patient transports in the USA and are

wapshmc.policystat.com/ If you have further questions, please contact

prepared for more. AMR Overview of Patient your local public health agency. The Region

• The National Department of Transportation has issued permits to U.S. medical waste haulers that allow them to transport Category A waste, which includes Ebola waste, anywhere in the country. The companies with permits are Veolia ES Technical Solutions, Stericycle, Triumvirate Environmental, Smith Systems Transportation and Advanced Environmental Options. (Source: http://www.reuters.com/ article/2014/10/23/us-health-ebola-usa-

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

share ideas and resources between our healthcare partners, this information is not intended to be used as clinical guidance. As protocols are changing at a rapid rate, any protocols need to be based on the most recent guidance from Spokane Regional Health District Epidemiology and/or CDC. Counties outside of Spokane should contact

NEW MEDICAL PLAZA - Downtown Spokane has available a 2,000 sq. ft. Ambulatory Surgery Center within a newly constructed integrated medical plaza. Medical Plaza is comprised of complimentary clinical specialties including dermatology, age management, wellness programs and a medical spa. Surgery Center is ready

for immediate custom build out to your specifications. Conveniently located within one mile of two major hospitals at the intersection of 3rd and Sherman. Plenty of onsite parking with heated sidewalks. Building amenities include shared conference room, beautiful lobby, coffee kiosk and more. Partnership/ownership opportunity possible subject to terms of lease. Financing available. For further information, and to schedule a tour, contact John Driscoll at (509) 624-1184, ext. 1123. NORTH SPOKANE PROFESSIONAL BUILDING has several medical office suites for lease. This 60,000 sq. ft. professional medical office building is located at N. 5901 Lidgerwood directly north of Holy Family Hospital at the NWC of Lidgerwood and Central Avenue. The building has various medical office spaces available for lease from 635 to 10,800 contiguous usable sq. ft. and has undergone extensive remodeling, including two new elevators, lighted pylon sign, refurbished lobbies, corridors and stairways. Other tenants in the building include urgent care, family practice, pediatrics, dermatology, dentistry, pathology and pharmacy. Floor plans and marketing materials emailed upon request. A Tenant Improvement Allowance is available, subject to terms of lease. Contact Patrick O’Rourke, CCIM, CPM®with O’Rourke Realty, Inc. at (509) 624-6522, mobile (509) 999-2720 or HYPERLINK “mailto:psrourke@comcast.net” psrourke@comcast.net. OFFICE SPACES FOR LEASE 1315 NORTH DIVISION - Located 1.5 miles north of downtown Spokane and just west of Gonzaga and the university district. SUITE #1 - Approx. 860 sq. ft. $900 /month, including utilities. Ideal for ancillary medical, chiropractic or therapeutic clinic. Space has a receptionist-enclosed area with several office, storage, or exam rooms. SUITE #2 – 204 sq. ft. – $300/month, including utilities. Built-in cabinets, running water, and leaded walls. Originally used for C-Arm procedures.

SUITE #3 – 213 sq. ft. $300/month, including utilities. Small built-in cabinet and solar tube. The rest of the building is occupied by a physiatry practice. Amenities: Free on-site parking and shared reception area. Call for a showing of your ideal office space (509)3212276. POSITIONS AVAILABLE PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington has immediate opportunities for BE/BC Family Physicians to join our expanding primary care team in Spokane, eastern Washington’s largest city. Newborns to geriatrics, no OB. Excellent compensation and benefits. PMG – Eastern Washington is our physician-led network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at mark. rearrick@providence.org or (509) 474-6605 for more information. PROVIDENCE MEDICAL GROUP (PMG) – Eastern Washington is recruiting for an excellent Family Medicine physician to join our care team in Spokane Valley, a scenic suburb of Spokane. Full-time opportunity with our growing medical group in what will be a large, state-of-the-art medical ambulatory center (construction completion target is spring 2014). No OB. Outpatient only. Competitive compensation and comprehensive benefits. PMG – Eastern Washington is our physicianled network of more than 450 primary and specialty care providers in multiple clinic locations in Spokane and Stevens County. PMG partners with some of the region’s most advanced hospitals: Providence Sacred Heart Medical Center & Children’s Hospital, Providence Holy Family Hospital, Providence Mount Carmel and Providence St. Joseph’s Hospital. Contact Mark Rearrick at mark. rearrick@providence.org or (509) 474-6605 for more information.

their local health jurisdiction. n

| THE MESSAGE | NOVEMBER 2 014

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

| THE MESSAGE | NOVEMBER 2 014

CLASSIFIED ADS ESTABLISHED SPOKANE CLINICAL RESEARCH COMPANY is seeking primary care and specialty physicians interested in serving as Principle Investigators or as SubInvestigators. There is an opportunity to assume an on-going research portfolio and to join new studies that are opening in the fall of 2014. For more information, contact Dalyn Boehm or John Driscoll at Premier Clinical Research at (509) 343-3710 or research@ premierclinicalresearch.com. BC/BE PEDIATRICIAN WANTED, SPOKANE The State of Washington Division of Disability Determination Services seeks a BC/BE pediatrician to perform contract service in our Spokane office. Contract services include the evaluation of physical impairment severity from medical records and other reports, utilizing Social Security regulations and rules of law. Medical consultants function as members of the adjudicative team and assist staff in determining eligibility for disability benefits. Reimbursement: $65/hour base; potential for $68/hour for high productivity. Interested physicians should contact Chief Medical Consultant Dr. Gene Profant at (360) 664-7454 or Spokane Office Manager David Bennett at (509) 329-2508. This position reviews interesting cases; teaching is thus an integral function. Hours are quite flexible. PROVIDENCE FAMILY MEDICINE RESIDENCY SPOKANE - Immediate opening with Providence Family Medicine Residency Spokane (PFMRS) for a fulltime BC/BE FP physician who has a passion for teaching. PFMRS is affiliated with the University of Washington School of Medicine. We have seven residents per year in our traditional program, one per year in our Rural Training Track and also administer OB and Sports Medicine Fellowships. This diversity benefits our educational mission and prepares our residents for urban & rural underserved practices. We offer a competitive salary, benefit package and gratifying lifestyle. Please contact Linda Barkley, Program Assistant at (509) 459-0688 or Linda.Barkley2@providence.org.

CLASSIFIED ADS

QTC MEDICAL GROUP is one of the nation’s largest private providers of medical disability evaluations. We are contracted through the Department of Veterans Affairs to manage their compensation and pension programs. We are currently expanding our network of Psychology, Psychiatry, Physical Medicine and Rehabilitation, Family Medicine, Occupational Medicine, Internal Medicine and General Medicine providers for our Washington Clinics. We offer excellent hours and we work with your availability. We pay on a per exam basis and you can be covered on our malpractice insurance policy. The exams require NO treatment, adjudication, prescriptions to write, on-call shifts, overhead and case file administration. Please contact Theresa Domasin directly at (909) 718-5424 or tdomasin@qtcm.com or visit our website www.qtcm.com to learn more about our company. SPECTRUM HEALTHCARE RESOURCES has an immediate opportunity for a civilian Family Practice Physician at Fairchild Air Force Base. This contract position offers: Fulltime; Outpatient setting; Monday through Friday, 7:30am to 4:30pm; Manageable patient load (20-25 per day) and Shared on-call responsibilities (mostly telephone consulting). The position will have the following requirements: Current and unrestricted medical license; Successful completion of a family medicine residency; Board Certified by the ABFM or AOBFP; BLS, ACLS, PALS and Ability to work in a team setting. Contact Spectrum recruiter Lisa Paska for more information at Lisa_Paska@ spectrumhealth.com or (314) 744-4107. MANN-GRANDSTAFF VA MEDICAL CENTER in Spokane has immediate opportunities for Psychiatrists, Emergency Medicine Physicians, Internists, and Hospitalists and an immediate opening for a Director of the Emergency Department. Recruitment incentives and Education Debt Reduction Incentives may be available. Please contact Rodney Gile (509) 434-7590 (Rodney.gile@ va.gov) or Robyn Highbarger (509) 434-7393 (Robyn.Highbarger@va.gov) for specific information about positions.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

We are looking for a COMPASSIONATE AND SKILLED FAMILY/INTERNAL MEDICINE PHYSICIAN/ FINAL YEAR RESIDENT for our growing clinic in the Olympic Peninsula. This setting provides a place and all the resources for setting up your own private practice in a complete turnkey manner with regulatory and administrative matters taken care of professionally. The organization is physician led and takes care of physicians very well. We would expect the new physician to start with some urgent care hours and slowly transition to a full time private practice primary care. Candidates signing up in during their residency are eligible for a $1000 per month stipend for the remainder of their residency. For further details, please call (509) 414-6390.

HEALTH PHYSICIANS. Benefits include: Full malpractice indemnification, medical/ dental/vision benefits, 401(k), 4 weeks paid vacation, CME, long-term disability, long-term care benefits. Competitive salary offered. Spokane is located on the eastern side of the state. Its unique location provides year round activities including skiing, hiking, boating and kayaking. Small town charm, pleasant neighborhoods, affordable housing and a highly rated school system make Spokane a great place to live and an unparalleled place to raise a family. Columbia Medical Associates is an Equal Opportunity Employer committed to a diverse and inclusive workforce. Interested candidates may send a CV to Jessica Billings at billings.j@ghc.org.

orthopaedic conditions in children. At Shriners Hospitals for Children, each patient receives an individualized care plan incorporating the full range of needed multidisciplinary services, always incorporating the patient and family’s goals and addressing their concerns. The Spokane hospital treats over 9,000 patients in our outpatient clinic and over 900 surgeries annually. We offer a competitive salary and benefit package including medical/dental/vision, four weeks paid vacation, CME, extended illness, 403(b) matching, short and long term disability leave benefits. Drug free, equal opportunity employer. Interested candidates may send a CV to Karen Mattern at kmattern@ shrinenet.org.

N.E. WASHINGTON HEALTH PROGRAMS LOON LAKE COMMUNITY HEALTH CENTER is seeking a family practice ARNP or PA-C. The ideal candidate will enjoy working with a medical team that is dedicated to the mission of NEWHP and have the ability to work autonomously. The Loon Lake clinic is nestled in the rural area of Loon Lake in N.E. Washington State. The area allows for the recreational enthusiast who enjoys, skiing, hiking, hunting, fishing, snowshoeing, horseback riding and any other outdoor event that you desire. Competitive salary and benefits. N.E. Washington Health Programs is also a NHSC/State student loan repayment eligible site. Please send resume to NEW Health Programs/Attn: HR DTR/PO Box 808/ Chewelah, WA 99109 or email to: vickien@ newhp.org. EOE & Provider

PHYSICIAN WANTED NATIVE PROJECT/ NATIVE HEALTH CLINIC—Consider joining a growing, innovative, community health clinic in Spokane, WA. NATIVE offers patient-centered care in a medical home that provides medical, dental, mental health, chemical dependency and preventative health services in a multidisciplinary practice model and needs a Family or Internal Medicine physician. Physician benefits include competitive salary and excellent medical, dental and life insurance benefits, 401(k), paid licenses and CMEs, I.H.S. and NHSC loan repayment and signing bonus. At NATIVE’s beautiful facility, we serve people of all ethnicities, income levels, ages and medical or behavioral health needs. For more information contact Dylan Dressler, Clinic Manager, at (509) 483-7535 or our website at www.nativeproject.org for the complete job description.

Join our team as a FT PCP! Christ Clinic is a well-established faith-based, non-profit primary care clinic with over 23 years of service to Spokane’s low-income and under-served populations. We are seeking a FT ARNP or PA-C to serve as a primary care clinician. Must have current WA state license, experience in primary care and ability to work with electronic medical records. Previous experience with underserved populations is preferred. For more information or to apply send your cover letter and resume to bridget@christclinic. org As a PCP at Christ Clinic you will help heal the body and soul of Spokane.

PHYSICIAN-BE/BC FAMILY MEDICINE General Full Time, Spokane, WA Columbia Medical Associates (CMA) is a multispecialty medical group with more than 40 clinicians in 12 locations throughout the Spokane, Wash. region. The providers of CMA are dedicated to providing patient-centered, evidence-based medical care for the 70,000 patients the organization serves each year. CMA employs 200 health care professionals and accepts all types of insurance. CMA is a subsidiary of Group Health Cooperative and its physicians are employees of Group

| THE MESSAGE | NOVEMBER 2 014

Shriners Hospitals for Children-Spokane is looking for a full-time PEDIATRIC HOSPITALIST. We are dedicated to providing medical and rehabilitative services to children with congenital deformities and conditions, problems resulting from orthopaedic injuries and diseases of the neuromusculoskeletal system. We are also committed to the promotion of medical education and research related to the causes of

We meet Tuesday evenings after 6 p.m. The format is structured by the 12-Step Alanon principles. All is confidential and anonymous. There are no dues or fees. To discuss whether this group could be helpful for you, please contact Bob at (509) 998-5324.

COMMUNITY OF PROFESSIONALS

MEETINGS/CONFERENCES/EVENTS Institutional Review Board (IRB) - Meets the second Thursday of every month at noon at the Heart Institute, classroom B. Should you have any questions regarding this process, please contact the IRB office at (509) 358-7631. Physician Family Alanon Group: Physicians, physician spouses or significant others and their adult family members share their experience, strength and hope concerning difficult physician family issues. This may include medical illness, mental illness, addictions, work-related stress, life transitions and relationship difficulties.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

For more information regarding the Community of Professionals program contact Dean Larsen, CEO at (509) 325-5010.

| THE MESSAGE | NOVEMBER 2 014

PRSRT STD

SPOKANE COUNTY MEDICAL SOCIETY - ORANGE FLAG BUILDING 104 S FREYA ST STE 114 SPOKANE, WA 99202

U.S. Postage

PAID

Spokane, WA Permit No. 307

ADDRESS SERVICE REQUESTED

Please Recycle

PLASTIC SURGERY 41% NEUROLOGICAL SURGERY 39% URGENT CARE 38% NEUROLOGY 36% PATHOLOGY 33% CARDIOVASCULAR SURGERY 32% ORTHOPEDIC SURGERY 32% UROLOGICAL SURGERY 32% GENERAL SURGERY 31% RADIOLOGY 30% EMERGENCY MEDICINE 30% OBSTETRICS AND GYNECOLOGY 29% FAMILY PRACTICE 29% OPHTHALMOLOGY 28% INTERNAL MEDICINE 27% PULMONARY DISEASES 26% GENERAL PRACTICE 26% GYNECOLOGY 24% PEDIATRICS 24% GASTROENTEROLOGY 21% PSYCHIATRY 20% PHYSICAL MEDICINE & REHAB. 18%

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