The Message, December 2014

Page 1


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Anne Oakley, MD Immediate Past President J. Edward Jones, MD Vice President 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

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President’s Message: Blue Zones . . . . . . . . . . . . . . . . . . . . . . 1

In-Depth Interview: Dr. Gary M. Knox: Bringing Family Together at the Lake . . . . . . . .

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Psychiatry Residency Spokane Intent on Providing Solutions to the Shortage of Psychiatric Providers . . . . . . . . . . . . . . . .

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In The News . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Transitions in Partnerships and Opportunities . . . . . . . . . . . . . . . . . . 9

Newsletter Editor – Matt Hollon, MD

WSU: Grant Helps Injured Workers Get Back on the Job . . . . . . . . . . . . . . 11

Providence Ambulatory Surgery Center in Spokane Valley Approved . . . . . . . . . . 12

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Table of Contents

David Bare, MD President

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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.

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“There is nothing more beautiful than someone who goes out of their way to make life beautiful for others.” –Mandy Hale


PRESIDENT’S MESSAGE

PRESIDENT’S MESSAGE 9. Right Tribe: Be part of a social circle that supports healthy behaviors.1 So, at the end of this portion of the presentation, I was thinking, “Great, just

BLUE ZONES

like everything else I have ever heard about, living longer and better will require instructing patients on the facts and then trying to nudge (dare I say pry) them off the couches we all seem to find ourselves vegging on while watching our favorite three

within neighborhoods that would allow

of where people are thriving, came to several

for convenience of buying food at farmers

conclusions. Individuals who thrive tend

markets and getting involved with “group”

to possess enough money to cover their

walking to and from schools. In summary,

basic needs but they don’t strive for more.

The Blue Zones Project is a systems

Rather, they focus their time and energy on

approach in which citizens, schools,

developing a caring group of healthy friends,

employers, restaurants, grocery stores and

working at meaningful jobs, engaging in

community leaders collaborate on policies

enriching hobbies, staying in reasonable

and programs that move the community

shape, and volunteering and belonging to

towards better health and well-being.

faith-based communities. To know the Power

hours of programming in the evening.” But

Following the first half of the program, there

that’s where Dan’s talk took an interesting

was a panel consisting of local business

turn and had me perking up as he unfolded

leaders and political figures who advised

the next phase of his team’s research,

on their support to make Spokane a better,

which he defined as “Building Blue Zone

healthier place to live through incorporating

9 outlined earlier defines characteristics of cultures that have longevity associated with them is not enough to change a culture giving these same characteristics to it. Likewise, with the ability to thrive, it’s not enough to know about those activities in a culture

By David Bare, MD

medical community, could begin to turn

incredibly complex number crunching and

Communities.” He pointed out, as all of us

some of these changes and putting money

SCMS President

the tide of our practices to incorporate

lots of information gathering over a number

had experienced in our own lives, that most

into neighborhood developments. Among

and invest more time and energy towards

of years) in nine lessons:

people can make changes in lifestyle for a

those present were the mayor as well as a

time that are healthier and consequently will

demographer from the Region Public Health

result in the potential of less diseased states

Department who conducted a study pointing

in our lives. But willpower alone, especially

out the differences in longevity within the

on a bigger community level, is not going

neighborhoods of Spokane and compiled

to make much of a sustainable difference.

a database that will allow planners to help

What Dan and his team found is that armed

these neighborhoods catch up with the

with the information they learned from the

rest of Spokane. Case-in-point: a dietician

Blue Zones, cities could be transformed into

working for the Cheney School District,

environments that allowed for social circles

through a program of “Scratch Cooking”,

Additionally, Dan Buettner defined six

that supported healthy behaviors.

has been able to bring healthier lunches to

Thrive Centers, domains we live in that

a whole population of students who have

influence what we do, leading us to evaluate

succeeded in lowering BMI averages by

and identify changes we can make to help

more than three points over the last two

us live longer, better:

If you had to verbally define the role of a medical provider, what would it be? I think most of us in our day-to-day practices would summarize the definition as providing care for our patients

preventing disease rather than treating disease? Imagine the pain, suffering and disability that could be prevented, and the lower cost to society that could be had, if we could begin down that road.

1. Move Naturally: They didn’t find these individuals pumping iron or running marathons but rather their environment nudged them into moving without thinking about it. Their day-to-day work

in a relational way that is intimate and

Several weeks ago, I attended a lecture

usually personal. To further define “care”

delivered by Dan Buettner, a writer for

I think most of us would also include the

National Geographic and author of several

purpose extends life by seven years.

treatment of conditions that are either acute

books related to the topic of “Living Longer

3. Down Shift: Stress is harmful and in

or chronic with the goal to cure, control or, in

Better” entitled Blue Zones. In brief, there

these blue zones they have stress just

some cases, comfort in the process of care;

are a number of zones in the world that have

like everywhere else in the world but

They looked at city planning and walkability

the location of where the care is provided,

much higher percentages of individuals

have learned to let it go.

as the starting points to reinvent

either in an inpatient or outpatient setting;

who live productive lives beyond 100 years

and the broad area of preventive care, which

of age than anywhere else in the world.

works to keep our patients healthy as to

Dan reported that he became interested in

avoid disease and injuries. I personally have

this phenomenon from the perspective of a

vegetables are the cornerstones of

creation of healthy living environments

always had the desire to help my patients live

detective trying to figure out the puzzle of

diet with meat consumed only five

which allowed for safe travel routes that

better as they live longer.

what these divergent geographic locations

times a month on average.

were pedestrian-friendly and helped

Finally, the most recent effort by this Blue

decrease the isolation and inactivity within

Zone team was to look at more than just the

Now that I am under the umbrella of Medicare, I am also personally trying to accomplish those same goals through understanding and enacting practices and principles that will accomplish said end. If your practice is like mine, a much smaller

and cultures were doing to accomplish this

was the source of activity. 2. Purpose: Knowing one’s sense of

4. 80% Rule: Stop eating before you’re stuffed. 5. Plant Slant: Beans and other

6. Wine @ Five: Moderate drinkers

neighborhoods, streets, towns and cities. Dan Burden, a member of the team, inspired innovations in cities that directed the

years. Community center leaders are also bringing their neighborhoods together in these centers to help with meals, to teach and cook, and become more active.

that is thriving, but rather it takes changing the environment in the communities where improvement in the citizen’s ability to thrive is needed. The observation and conclusion is that cultures where people thrive and are happy with their lives have environments – geographic, social, cultural and physical – that constantly nudge them into pursuing intrinsic goods and other behaviors that favor a long-term sense of well-being.

1. Community: The nation, state, county, city or suburb in which you live. Does the government of that locale create an environment that helps you thrive and live out your values? 2. Workplace: Have you selected an

feat. These areas include Ikaria, Greece,

outlive nondrinkers, especially when

communities. Dan enlisted local government

environment of the community but also the

engaging job that lets you exercise your

Loma Linda, California, Sardinia, Italy,

shared with friends.

to allow for changes that created increased

spirit of individuals who seem to have the

talents without consuming you?

Okinawa, Japan and Nicoya, Costa Rica.

7. Belong: Attending faith-based services

ease for citizens to walk to their work, play

ability to thrive where they are planted. It’s

3. Social Life: Do your friends influence you

These regions have 10 times the number of

four times per month adds up to 14

and shopping. For instance, government

the part of “Living Longer Better,” the sense

to eat right, to be active, to laugh and to

centenarians as does the US on average.

years to life.

enacted ordinances that limited the

of well-being or the ability to thrive. The team

number of fast food establishments and

looked at the concept of living better, thriving

generational families where age is not

set a lower density in each neighborhood.

or being happy, and after studying several

spending strategies, and are they healthy

dreaded but embraced is a key.

The changes allowed for smaller business

locations around the globe that are examples

and mostly stress-free?

percentage of the effort is allocated

Most of what he found and shared with

towards the preventive side as opposed

the audience I didn’t find surprising at

to the treatment side. So what if we, as a

all. In fact, he was able to sum it up (after

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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8. Loved Ones: Put families first. Multi-

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reach your potential? 4. Financial Life: What are your savings and

CONTINUED ON NEXT PAGE SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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PRESIDENT’S MESSAGE CONTINUED FROM PREVIOUS PAGE the same as the six Thrive Centers. Some of

As always, with any stimulating new

the changes we as a community can make

concept, I would ask, “What can we, as

include things like limiting the shopping

individuals, do to help those for whom we

hours that are available in a community,

care?” This includes our patients, our family,

enough to accommodate people’s

our faith community or those in our larger

different work hours but not so many as

community that might be able to live longer

to have longer hours a burden when we

and better with this new information. What

overindulge. We can also control the hours

can we do as a society of providers to help

in the workweek so that we have enough

promote this concept? What’s your input on

hours to have us financially secure, but not

this? What ideas do you have that might be

Needless to say, just as in the opportunity

overworked to the point that we can’t enjoy

worth sharing? n

that we have to change the environment for

a reasonable social life. In each of the Thrive

being nudged into physical activity, buying

Centers, there are opportunities for us to

the better foods for our diet and funneling

improve on the potential of happiness (the

2

our community resources into activities

ability to thrive). 2

Zones Way. National Geographic.

5. Home: Is your home set up to nudge you into behaviors that favor happiness and away from behaviors that generate discontent? 6. Self: This is your education, sense of purpose and health strategies. Do you have the capacity for gratitude, openness to give and receive love, and an appreciation of the arts?

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Thank you for working together to improve our communities’ health. With a commitment to quality patient care and innovative technologies, INHS employees are providing collaborative health care services to benefit the entire region. St. Luke’s Rehabilitation Institute • Engage • Health Training Northwest MedStar • Northwest TeleHealth • Community Wellness COHE Community of Eastern Washington

https://www.bluezonesproject.com/power9

Buettner, D. (2011). Thrive: Finding Happiness the Blue

This holiday season, consider making a gift to support our services. Visit www.inhs.org

that will promote right choices, we can do

Inland Northwest Health Services (INHS) is a non-profit corporation in Spokane, Washington providing collaboration in health care services on behalf of the community and its member organization Providence Health Care.

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SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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IN-DEPTH INTERVIEW IN-DEPTH INTERVIEW

IN-DEPTH INTERVIEW

DR. GARY M. KNOX: BRINGING FAMILY TOGETHER AT THE LAKE

By Shelly Bonforti

certainly important to be able to do so.

Oregon in a small town called Milton-

SCMS Development Coordinator

Dr. Knox is currently the senior medical

Freewater. “It was a good place to grow up,

director at Rockwood Clinic as well as their

being in the Walla Walla Valley,” he admits.

There’s something to be said for lake vacationing - getting away from it all and “unplugging.” Lakes have a way of inspiring a time for personal reflection and identifying what’s truly important in life. “They’re a commons, owned by everyone, where you are free to stake out some space for yourself, slow your life down for a day or a weekend

or a couple weeks, and take stock of things,” says Jerry Dennis, author of The Living Great

compliance officer

“There were good

where he oversees

schools, summer jobs,

compliance with federal

and lots of outdoor

regulations and HIPAA

activities to become

laws. He also still works

involved in.” But

two half days of clinic

spending time on the

per week. “I am very

lake was not one of the

flattered that I still have

activities he enjoyed

patients that have stuck

during those years. “So

with me for so many

this is a unique thing

years even though my availability isn’t what

in our family, and has really been embraced

it used to be,” Knox acknowledged. “Those

by our whole family,” he declared. “The

patient relationships are so valuable and

huckleberry picking this year was epic! But,

rewarding that I would really miss them if I

of course, our favorite picking spots are

wasn’t able to continue to do some clinical

top secret and only to be shared with close

work,” he added. He also concedes that still

family members who are sworn to secrecy

being in the “trenches” part of the time helps

under the penalty of excommunication!”

in his work as medical director.

Lakes. Add quality family time and you’ll find

He describes the lake location as a special

lake is having the family together without

the right blend of what Dr. Gary Knox defines

place where the family gathers to relax and

all of the distractions of normal life in town.

as his favorite relaxation pastime. “There

engage in recreation and outdoor activities,

“The family enjoys singing around the

can be real relaxation and I can truly get

including kayaking and canoeing, boating,

campfire on warm summer nights, and there

away from it all for a while,” he professes.

swimming and mountain biking. “It has

never seems to be enough time at the lake,”

The family had spent some time camping and renting a cabin

available in the early 90’s, it was decided it

much more affordable,” said Knox. Located at Priest Lake in the Idaho Panhandle, Dr. Knox admits that spending time at the lake is good for his mental health. And given his typical work schedule, it’s

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always gets better when we have to leave

it’s their destination

and go back home.”

brings us all together,

the property became

to get our lakefront lot when the prices were

to our children that

stated. He adds, “It

love with it. “When

for the whole family and we were fortunate

he confesses. “We joke that the weather

summer months,” he

years ago and fell in

would be a great thing

become so endeared

of choice during the

at Priest Lake several

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

His favorite aspect of spending time at the

When he’s not able to be at the lake, he also enjoys golf, playing guitar for personal enjoyment and “riding my road” as he puts it.

and even my parents

Gary M. Knox, M.D., family medicine, received his

in their eighties like

undergraduate degree at the University of Oregon in Eugene,

coming to the lake for

OR, and his medical degree at the University of Oregon

a few days each summer.” His grandmother

Health Sciences in Portland, OR. Dr. Knox completed a

even visited in the summers well into her

residency at Family Medicine of Spokane in Spokane,

nineties, and she was still recalling with

WA. He belongs to the American Board of Family Medicine

affection her summers at Priest Lake when

and is a member of the Spokane County Medical Society. He

she turned 100.

has special interests in family practice, pediatrics, and sports

When he was growing up, his family didn’t

and facility compliance officer for Rockwood Clinic, and has

have a boat or spend any time at lakes.

been a physician there since 2000. He has been practicing

He spent his formative years in northeast

medicine for 34 years. n

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

medicine. Dr. Knox is currently the senior medical director

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PSYCHIATRY RESIDENCY SPOKANE

PSYCHIATRY RESIDENCY SPOKANE INTENT ON PROVIDING SOLUTIONS TO THE SHORTAGE OF PSYCHIATRIC PROVIDERS By Tanya Keeble, MD,

the Spokane Veterans Administration

based therapies, inpatient psychiatry and

Program Director,

Hospital, Eastern State Hospital, Sacred

neurology. We continue our longstanding

Psychiatry Residency Spokane

Heart Medical Center, Frontier Behavioral

work with established educational partners

Health, CHAS Health, Gonzaga University

in Spokane, which happen to be the very

and in Private Practice.

sites that have recruited our residents after

Our region has a severe shortage of psychiatric providers. Currently, in

training is completed.

Spokane, we import ninety-four percent

However, we are still not meeting the

of psychiatrists to meet the local needs.

community need for specialist mental

We have a strong emphasis on training

We also have an aging community of

healthcare. As our community has grown,

residents who are prepared for a

psychiatrists, with many psychiatrists

we have developed the structural resources

changing healthcare delivery model,

reaching or past retirement age and too

necessary to support all four years of

with an outpatient focus on integrated

few recent graduates to replace them.

training in Spokane. So, in 2013, with the

psychiatric care within a primary care

Psychiatry Residency Spokane is intent

encouragement and full support of the

setting. This emerging and innovative

on providing solutions to this shortage by

department of psychiatry at the University

model of healthcare delivery is designed

training psychiatrists locally and retaining

of Washington we went ahead with a plan

to ensure better outcomes for patients

them after graduation.

for a Providence Sponsored Psychiatry

with psychiatric disorders. Research

Residency program application and we were

demonstrates that at-risk populations such

successful in obtaining initial accreditation

as the elderly or those without medical

in May 2014. The new program has received

insurance do not follow through on specialist

Spokane has a long history of psychiatry residency training. A regional track of the University of Washington Psychiatry Residency Program was started back in 1992 as a response to a shortage of psychiatrists on the east side of the state. Because there were not enough foundational training experiences available in Spokane at that time, the program was designed to enable residents to complete core rotations in Seattle that could not be

over 600 applications for the first three

behavioral healthcare when it is provided at

positions which start June 2015. The

a separate location from their primary care

program will initially have three residents

visit, so we plan to provide their treatment

per year for a 12 resident complement, but

in a one-step approach. This innovative

the hope is that, with additional funding,

model of behavioral healthcare delivery

we will be able to grow this group to five

allows for early identification of psychiatric

residents per year taking the total resident

disorders, early and aggressive treatment

complement to 20.

of those disorders, treatment of comorbid

completed in Spokane, and to continue

We are excited to bring on board the

their training at Spokane sites for the final

Veterans Administration as a new

two years of training.

participating site for graduate medical

We are very proud of our ability to retain graduates from our predecessor program, with 50 percent of residents choosing to remain and practice in Spokane in the past five years. Our residents work in diverse settings which include

education in psychiatry. They are an important funding partner across all graduate medical education programs

sponsored residency programs, as well as Washington State University

St. Luke’s Rehabilitation Institute Medical

Harvard Medical School in Boston and

and Eastern Washington University in

Director Dr. Gregory Carter co-authored

a Fellow of the AAN and AANEM. “With

working alongside each other at the

a new guideline from the American

an accurate diagnosis, unnecessary tests

University District Health Center on the

Academy of Neurology (AAN) and the

or treatments may be avoided. Knowing

WSU Riverpoint campus in Spokane.

American Association of Neuromuscular

the specific subtype is important for

We are truly thankful to Empire Health

& Electrodiagnostic Medicine (AANEM).

getting the best possible care.”

Foundation, Providence Health Care, and

Carter’s work provides guidance on how

Washington State University for their

doctors should evaluate the full picture—

collaborative partnership in making this

from symptoms, family history and ethnicity

clinic a reality. We are emerging as a

to a physical exam and certain

vibrant medical education community

lab test results—in order to

in Spokane and are thrilled to see

determine what genetic tests

medical education expansion planned

may best diagnose a person’s

for Spokane, with the development of

subtype of limb-girdle or distal

a community-based medical school at

muscular dystrophy.

Washington State University, as well as ongoing collaboration with the University of Washington as a third year psychiatry clerkship site.

of the medical community,” Carter said. The guideline is published in the October 14, 2014,

“It has been an honor to work alongside some of the best medical researchers across

print issue of Neurology®, DR. GREGORY CARTER

Carter, St. Luke’s medical director and

Spokane plans to continue the work of its

AANEM board member. “Our efforts are

predecessor program. We are committed

instrumental in providing critical research

to decreasing regional dependence on

analysis for practitioners who diagnose

outside recruitment, fostering early interest

and treat patients who are suspected to

in psychiatry as a career, building a strong

have some type of muscular dystrophy.”

are most likely to remain in the area as colleagues so that access to psychiatric

patient care is a St. Luke’s an integral part

In summary, Psychiatry Residency

community, and attracting physicians who

in medical treatments and improved cornerstone of what makes

the country,” said Gregory

psychiatric clinical, academic, and teaching

“Continued research for advancements

“These are rare muscle diseases that can be difficult to diagnose,” said guideline lead author Pushpa Narayanaswami, MD, of

care for the underserved in our region can

the medical journal of the American Academy of

Neurology. To develop the guideline, researchers reviewed all of the available studies on the disorders, which cause muscles to waste away. To read this issue of Neurology®, visit: http://www. neurology.org/content/83/16/1453.full. pdf+html. For more information, please contact Nicole Stewart at (509) 232-8300 or newsroom@inhs.org. n

be expanded. n

syndromes, and management of medical problems (such as obesity, hypertension, tobacco dependence, diabetes) which often results in early death for patients with psychiatric disorders. We will be moving under sponsorship of

rich collaboration in areas of addiction

the Spokane Teaching Health Center in

and geriatric psychiatry, evidenced-

the next few months, and will be joining

7

IN THE NEWS

the other teaching, health center

disorders such as substance misuse or pain

in the country and we look forward to a

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

IN THE NEWS

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SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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MEDICAL EDUCATION

TRANSITIONS IN PARTNERSHIPS AND OPPORTUNITIES By John McCarthy, MD,

program. As leaders in the medical

Both WSU and UW are committed to

Assistant Dean Regional Affairs,

education community, both at University

medical education in Spokane and both

WWAMI Clinical Coordinator,

of Washington School of Medicine and at

will continue to develop their academic

Eastern/Central Washington;

WSU College of Medical Sciences, we stand

programs here. Ultimately, the success of

Darryl Potyk, MD, FACP,

united in our desire to provide excellent

both institutions in this endeavor will be

University of Washington School

innovative education for the current and

dependent on the continued and growing

of Medicine,

future medical students in Spokane.

participation of excellent medical educators

Clinical Professor & Assistant Dean for Regional Affairs, Providence Internal Medicine Residency Spokane, Associate Program Director; and Ken Roberts, PhD, Acting Dean, College of Medical Sciences

Those of you who have volunteered your time and continue to support local medical education have proven that excellent medical education can be delivered here in Spokane. As we look forward, we will continue to ask for your

willing to support medical students here in Spokane and across Eastern and Central

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Washington. Both UW and WSU are asking for growth of clinical opportunities and we need your help in order to be successful in

Intuitive features for your needs

creating the physicians of the future.

Active internal physician and staff directories

support. We hope that those of you

As all of us have experienced, we have

Most of you have likely heard that the

who have been engaged in teaching will

been taught by mentors who have

WWAMI partnership between UW and

continue to be engaged and perhaps

shared their wisdom, their knowledge,

WSU is in the process of being dissolved.

consider increasing your involvement

their frustrations and themselves with

For those who were trained within that

in medical education. For those who

us to make us better physicians, better

partnership, there is a sense of loss. For

have not been involved or who are new

educators, and ultimately, better people.

Ability to set a time priority for urgent messages

those who are eager to launch a new

to the Spokane medical community, we

As we look to the future, we will continue

venture, there is a sense of new opportunity.

encourage you to join us in supporting

to ask you to help us educate and mentor

Push notification with priority-specific ring tone

We realize that the Spokane community

the education of students who will

medical students as they strive to emulate

sees value in both a new medical school

become our future partners and quite

you and to meet their potentials as healers

at WSU and continuation of the WWAMI

possibly, our own doctors.

within our greater community. n

Active regional physician directory for medical society members

Email and text enhanced notifications

Sender notifications for unread urgent messages

DocbookMD offers physicians, groups, and hospitals: A communication solution that keeps doctors in control

Our business is turning them into realities. We do this by helping our clients plan and manage their financial resources. Fee-only.

For a complimentary consultation or brochure, call: Greer Gibson Bacon, CFP® (509) 838-4175 or (888) 864-8827 assetplanning.com

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

Time-stamped read receipts Message forwarding Ability to create customized care team groups Local pharmacy directory

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

Editable favorites list

An up-to-date, mobile internal directory

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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.

9

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SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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WSU

PROVIDENCE HEALTH CARE

GRANT HELPS INJURED WORKERS GET BACK ON THE JOB By Kevin Dudley

options they have when an employee is

worker,” she said.

WSU Spokane Communications Coordinator

injured. Smart and her colleagues began by

Smart brought her materials to the

surveying employers who are stakeholders

Western Governor’s Conference held in

in the ERTW program.

Spokane this past September. She also

A nursing professor at Washington State University Spokane has developed materials designed to save employers

After getting the results of the survey,

and the state’s Department of Labor &

Smart and her team – which also

Industries (L&I) time and money.

included Dr. Melody Rasmor from WSU

Getting individuals who have a job-related injury or illness back to work in one job

Vancouver – had a clear picture of what needed to happen. “We wanted to change the culture

goal of the Safety and Health Investment

and change their mindset,” she said.

Programs (SHIP) grant awarded to WSU

“We heard employers say, ‘We don’t

Spokane College of Nursing Associate

have light duty work, we don’t have

Professor Denise Smart.

modified duty work. If a worker can’t

The process began two years ago when the Washington State Legislature directed L&I and SHIP to encourage employers

come back a hundred percent, we can’t bring them back’.”

to use the Early Return to Work (ERTW)

develop materials for employers that

process and to support workers who

mapped out the ERTW process and helped

are injured on the job to return to work,

guide the development of modified work

DENISE SMART

preferably within

duty that an injured worker could do before

three days of their

returning to their regular job. This helps

injury.

L&I, the employer and the injured worker.

“The statistics

An occupational therapist and L&I expert

show that the

worked with Smart to show employers

average injured

how much an injured worker could do

worker comes

in a modified role. Sometimes, Smart

back to work in

said, employers didn’t even know they

eight days,” Smart

could offer modified work roles to injured

said.

workers, or that the state offers financial

To reduce the number of workdays missed, Smart partnered with Rockwood Health

incentives to employers with up to $10,000 in wage compensation.

Providence is immediately moving ahead

For more information, please call (509)

handed out 92 of the 35-page manuals she

with hiring staff to work in the new

474-3081 or email phcpublicrelations@

ambulatory surgery center and anticipates

providence.org. n

and her colleagues created. Smart said the conference attendees were very receptive

The manuals are for L&I and the grant team members to distribute to employers informing them of their options for when an employee is injured. They include a DVD with videos (with Spanish and Russian subtitles) for new employee orientation employers for when an employee is injured, information about contacting healthcare and insurance providers, and more. There can be a lot of paperwork and confusion involved in working with L&I and healthcare and insurance providers when an employee is injured, and the materials Smart and Rasmor helped to create aim to reduce the confusion.

Providence Health Services –

being ready to serve patients by the end of

Washington has received approval

this year.

from the Washington State Department of Health of its certificate of need application to open an ambulatory (outpatient) surgery center in the Providence Medical Park located in Spokane Valley. The approval

Providence Medical Park, located on the north side of I-90, east of Sullivan, opened in April of this year and is a multispecialty center that puts primary and specialty

MEMBERSHIP RECOGNITION FOR DECEMBER 2014

physician offices, lab, diagnostic imaging,

Thank you to the members listed below.

pharmacy services and urgent care together

Their contribution of time and talent

under one roof. The ambulatory surgery

has helped to make the Spokane County

center will provide outpatient surgical

Medical Society the strong organization

“We are delighted with the Department’s

services for patients who are admitted

it is today.

decision and are excited to bring

and discharged within 24 hours and do not

a greater complement of surgical

require inpatient hospitalization.

authorizes Providence to establish four operating rooms to serve both adult and pediatric patients.

specialties and services to the community,” says Elaine Couture, chief executive of Providence Health Care in Eastern Washington. “This decision will improve access for residents of Spokane Valley and surrounding communities to

“My commitment is to workplace

more cost-effective and convenient care.

safety,” Smart said. “Getting someone

By shifting care from high-cost hospital

back to work as soon as possible

settings to lower-cost, ambulatory or

minimizes the disruption in their salary,

outpatient settings, Providence will

their income and their livelihood. There

be able to pass along cost savings to

is also data that shows injured workers

consumers”, continued Couture.

40 Years Bruce G. Hopkins, MD

12/10/1974

“We sincerely appreciate the tremendous

Neil J. O’Keefe, MD

12/10/1974

support and enthusiasm Providence has

Robert A. Bonneau, MD

12/10/1974

received from physicians, community, business and government leaders, as well as residents of Spokane Valley, throughout the certificate of need process,” said Couture. “Providence Medical Park, and its full contingent of services that will now include ambulatory surgery, is an extension of our mission to bring exceptional care to the people we serve.

20 Years Vera H. Cheng, MD 12/15/1994 Andrea M. Dominey, MD 12/15/1994 Carol L. Hathaway, MD

12/15/1994

Daniel L. Randolph, MD

12/15/1994

10 Years Randy A. Poncher, MD

recover more quickly when they return

System and Valley Hospital to produce

“There are always tasks within a job that

materials for employers outlining the

could be accommodated for an injured

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

safety grant application process and

sessions, flowcharts explaining options for

Smart and her colleagues worked to

WASHINGTON STATE DEPARTMENT OF HEALTH APPROVES PROVIDENCE CERTIFICATE OF NEED APPLICATION

spoke to the crowd about the workplace

to her findings and solutions.

or another as soon as possible was the

PROVIDENCE AMBULATORY SURGERY CENTER IN SPOKANE VALLEY APPROVED

11

to their place of employment.” n

| THE MESSAGE | DECEMBER 2 014

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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| THE MESSAGE | DECEMBER 2 014

12/1/2004


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

Assistance is available to you in the following areas:

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.



Marital and Family Issues



Death of a Spouse or Family Member



Drug/Alcohol Misuse



Lawsuit Educa�on and Support

Some of the guiding principles of the commiƩee are:



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

DISCUS ANALYTICS / GROUP HEALTH

DISCUS ANALYTICS ENGAGES NUVODIA TO CREATE ELECTRONIC HEALTH RECORDS INTERFACES FOR ITS FLAGSHIP PRODUCT, JOINTMAN®. Nuvodia, a Spokane-based technology

application analysis, IT engineering and

“The Nuvodia/Discus Agreement is the

services organization, has been

development staff necessary to map the

first of our combined efforts to expand

engaged by Discus Analytics to develop

interfaces that will allow JointMan® to

and unlock the value of complex real-time

a series of software interfaces that

share data with leading EHR systems

practice data for patients, physicians and

will allow its JointMan® product, a

including: Allscripts, Centricity, Cerner,

payers. Nuvodia is an exceptional company

clinical intelligence and data collection

EPIC, Greenway and NextGen.

and we are excited to work with their

portal designed specifically for use by Rheumatologists, to improve patient outcomes and quality metrics in realtime. Nuvodia will build interfaces that enable Jointman® to seamlessly share data with a number of popular Electronic Health Record (EHR) systems. Nuvodia’s project team, over the course

Jon Copeland, CEO of Nuvodia shared: “Discus is clearly a best in class solution

talented team,” stated Karen Ferguson, CEO of Discus Analytics.

for the Rheumatology practice and we

For more information, please contact

are pleased to count them as a client.”

Jon Copeland, CEO, NUVODIA at 855-

Nuvodia and Discus will continue to

568-8634 or Karen Ferguson, WSMGMA

collaborate and add additional EHR and

Past-President, Discus Analytics, CEO, at

other population health management

509-462-2818. n

systems in the near future.

of a four-month engagement, will provide

Physician Commi�ee Members (Name and Contact Informa�on) Jim Shaw, Chair 710‐3151

GROUP HEALTH EARNS RARE FOURTH CONSECUTIVE MEDICARE 5 STAR QUALITY RATING

Barry Barnes

255‐6557

Michael Metcalf

927‐4102

Paul Russell

954‐4989

Steve Brisbois

953‐3798

Michael Moore

747‐5141

Robert Sexton

624‐7320

Andi Chatburn

624‐2313

Mira Narkiewicz

889‐5599

Tasca Snow

565‐4000

Group Health’s HMO Medicare Advantage

“Group Health’s approach to quality is

“Recognition as a

Deb Harper

443‐9420

Sam Palpant

467‐4258

Alexandra Wardzala

990‐1938

plan has earned the highest rating available

that it’s not a means to garner recognition

5 Star Medicare

Michael Henneberry

448‐2558

Tad Pa�erson

939‐7563

Hershel Zellman

993‐4274

from the Centers for Medicare & Medicaid

or awards, rather it is an outcome of our

Advantage plan

Services (CMS). Group Health is one of only

team’s expertise and commitment to doing

means we’re

16 plans in the country to receive this rating

what’s best for our members,” said Scott

proactively helping

for 2015*.

Armstrong, president and CEO of Group

our patients and

Health Cooperative. “It’s what our patients

members keep up

and members deserve and demand.”

their health — which is the essence of why

Greg Loewen

844‐8476

Rod Peterson

944‐5781

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. 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.

CMS assigns scores of one to five stars to Medicare Advantage plans based on more than 50 care and service quality measures

Group Health’s HMO Medicare Advantage

across five categories. Measures include

Plan was also ranked 14th in the nation

how a health plan helps its members

among more than 600 health insurance

stay healthy, manage chronic conditions,

plans by the National Committee for Quality

member satisfaction, customer service,

Assurance (NCQA). The NCQA results

and pharmacy services.

were published in the November issue of Consumer Reports®.

Group Health exists,” said Chief Medical Executive Steve Tarnoff, MD. “The more we listen to our patients’ perception of quality, we know they want the kind of experience that the 5-star program honors: Care that makes them feel heard and involved in their health, makes transactions easy, and keeps them safe.” n *Source: cms.gov, 2015 MA Landscape Source Files

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

13

| THE MESSAGE | DECEMBER 2 014

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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| THE MESSAGE | DECEMBER 2 014


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.

IN MEMORIUM PHYSICIAN ASSISTANTS O’Neel, Anthony, PA-C Physician Assistant Med School: U of Washington MEDEX (2014) Joined Northwest Orthopedic Specialists 10/2014

PHYSICIANS PRESENTED A SECOND TIME

PHYSICIANS Korasick, Jocelyn, MD Family Medicine Med School: Rush Medical College (2005) Internship: Idaho State U (2006) Residency: Idaho State U (2000) Joined Rockwood Clinic 8/2014 Cairney, Catherine, MD Obstetrics and Gynecology Med School: St Louis U (2009) Internship: St Louis U (2010) Residency: St Louis U (2013) Joined Rockwood OB/GYN Center 1/2014 Roos, Jason, DO Otolaryngology Med School: Still U (2010) Internship: Michigan State U (2011) Residency: Michigan State U (2015) Joining Rockwood ENT Center 8/2015

Eastvold, Paul, MD Pathology Joined Inland Northwest Blood Center, Director 10/2014 Lance, Raymond, MD Urology Joined Spokane Urology 12/2014 Rooney, Michele, MD Pathology Joining InCyte Diagnostics 04/2015 Randolph, Joseph, MD Emergency Medicine Joining Emergency Consultants, Deaconess 04/2015

PHYSICIAN ASSISTANTS PRESENTED A SECOND TIME Fournier, James, PA-C Physician Assistant Joined Emergency Consultants, Deaconess 12/2014

IN MEMORIUM

received training in cardiac surgery, thoracic

United States. Dr. Sandler was also an

DAVID SANDLER, MD

surgery, vascular surgery, and pediatric

accomplished and recognized author.

Dr. David Sandler passed away on November 12, 2014. He was born in Stalingrad, Russia on March 14, 1953. His mother was a doctor, and from a very early age she took David with her to the hospital where she worked. As a result, David knew that becoming a doctor was his life’s ambition. He completed his undergraduate work in Leningrad, Russia, and received his medical degree from the University of Leningrad in 1976. He completed his post-graduate work in Canada and Boston, Massachusetts.

medical training on cardiothoracic surgery. From 1985 to 1987, he was the Training Resident/Chief Resident in Cardiothoracic and Vascular Surgery at Queen’s University in Kingston, Ontario, Canada where he

Dr. Sandler served as a Senior Clinical Fellow in Transplant Surgery at the University of Western Ontario Affiliated Teaching Hospitals in London, Ontario where he selected and managed transplant patients and gained experience with orthotopic heart transplant, single lung, heart/lung transplant surgery and organ procurement. With Dr. Sandler’s distinguished background and technical surgical skills, he led the way in cardiothoracic surgery techniques and research. He presented new procedures in cardiac uses to other physicians at international professional conferences. Dr. Sandler was highly recognized within the United

Dr. Tim Icenogle met Dr. David Sandler in 1992 at which time Dr. Icenogle worked very diligently to convince Dr. Sandler to join his team as a partner at Sacred Heart Medical Center. Outside of the hospital, David’s focus was his family. He was successful in bringing his only sister, Leonora, and her husband, Yuri, to Canada from Russia, where they all lived before Dr. Sandler joined Dr. Icenogle’s team. David enjoyed art, photography, and travelling with his beloved wife of twelve years, Mischelle. David is survived by his “My Beautiful Wife” Mischelle; his sister; his nephew and niece, whom he helped raise; and his great nieces and nephews.

Network of Organ Sharing, established

In loving memory of Dr. David Sandler, a

by the U.S. Congress in 1984, which

new patient care room in the expanded

administers the only Organ Procurement

CICU (large, with city view) will be named in

and Transplantation Network in the

his honor. n

MEDICAL STUDENTS REACH OUT TO THE MEDICAL COMMUNITY A newly-formed medical Spanish

The group plans to expand to become an

interest group at the WSU Riverpoint

inter-professional organization open to

campus is currently seeking

all Riverpoint campus health professions

Spanish speaking preceptors.

students.

Started this year by three UW/WSU

Group Goals

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.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

continued to precede him. From 1990 to 1992,

surgery and had demonstrated their

In 1985, Dr. Sandler began focusing his

Nalluri, Murili, MD Gastroenterology Med School: Nagarjuna U, India (1988) Internship: U of Pennsylvania (1996) Residency: U of Pennsylvania (1999) Fellowship: St Louis U (2008) Fellowship: Mayo Clinic (2005) Joining Rockwood Digestive Health Center 1/2015

cardiothoracic surgery. His reputation

15

| THE MESSAGE | DECEMBER 2 014

• Become more comfortable speaking in Spanish with patients • Learn best practices for working with all non-English speaking patients and those of different cultural backgrounds

• Improve and maintain Spanish-speaking skills

Interested in Being Involved? If you are interested in getting involved,

• Learn medical Spanish

please email Izzy Nuttall at ejn5@uw.edu with

• Increase cultural awareness of Spanish-

your availability. Afternoons and Tuesdays

speaking populations

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

16

are the easiest to schedule. n

| THE MESSAGE | DECEMBER 2 014


CLASSIFIED ADS

CLASSIFIED ADS POSITIONS AVAILABLE 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. 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.

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. 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. PROVIDENCE FAMILY MEDICINE RESIDENCY SPOKANE - Immediate opening with Providence Family Medicine Residency Spokane (PFMRS) for a full- time 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.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

17

PROVIDENCE MEDICAL GROUP (PMG) Eastern Washington has immediate opportunities for BE/BC Family Physicians to join our expanding primary care team in Spokane and Spokane Valley, eastern Washington’s largest cities. 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. 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, evidencebased 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 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.

| THE MESSAGE | DECEMBER 2 014

SPECTRUM HEALTHCARE RESOURCES has an immediate opportunity for a civilian Family Practice Physician at Fairchild Air Force Base. This contract position offers: Full-time; 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. 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 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 underserved 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 under-served 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 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. 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 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.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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We are seeking an experienced CERTIFIED PHYSICIAN ASSISTANT, male or female, to join our team in a busy small, independent family practice in North Spokane. Beautiful office, super location, great patients! Contact lon_madsen@hotmail.com. 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. 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.

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CLASSIFIED ADS MEDICAL OFFICES/BUILDINGS

MEETINGS/CONFERENCES/EVENTS

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.

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. MEDICAL RESERVE CORPS. OF EASTERN WASHINGTON (MRC) – General Membership Meeting Wednesday, 10 December 2014, 6:15 p.m. – 8:15 p.m. at the Spokane Regional Health District, 1101 W. College, Auditorium. Meeting agenda to include a presentation on Survival and Preparedness, a presentation on Alternate Care Facilities, and an update on training, exercise, equipment, recruitment, recognition and communication. Next meeting scheduled for 14 January 2015.

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 psrourke@comcast.net.

SPOK ANE COUNT Y MEDICAL SOCIE T Y |

COMMUNITY OF PROFESSIONALS

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

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SPOK ANE COUNT Y MEDICAL SOCIE T Y |

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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

A Multidisciplinary Approach to Improving Quality of Life. Physical Medicine & Rehabilitation Pain Psychology Interventional Spine Pain Management Suboxone Management EMG/NCS Jamie Lewis, MD

Patricia Fernandez, PsyD

Northtown Office 5901 N. Lidgerwood St. Suite 117. Spokane WA, 99208 Phone: 509.464.6208

Downtown Office 105 W. 8th Ave Suite 250 Spokane, WA 99204 Fax: 888.316.1928

Spokane, Washington


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