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Gender-Based Medicine

Women’s Health Spring 2009


Spring 2009

Volume 69 Issue 2

The American Medical Association Alliance

on the cover 4 Women’s Health: Gender-Based Medicine

features 10 The Sandwich Generation: Caught in Between

14

Alliance Members Rally Support for Medicine at Nation’s Capitol

16 17

4

20 26

Calling All Members: 86th Annual Meeting Alliance Delegates Prepare to Consider Bylaws Amendments Meet the 2009–2010 Slate of Officers Strategic Planning Process: Past, Present and Future

inside ever y issue

10 OUR MISSION The mission of the American Medical Association Alliance, Inc., is to partner with physicians to promote the good health of America and to support the family of medicine. As the organization’s member magazine, Connections is committed to providing readers with the news and information most relevant to today’s medical families. We welcome your suggestions, concerns and ideas. Please send all submissions to: Connections AMA Alliance 515 N. State St., 9th Floor Chicago, IL 60654 Phone: 312.464.4470 Fax: 312.464.5020 E-mail: amaa@ama-assn.org

17 Executive Director

Jo Posselt

Editor

Rosetta Gervasi

Managing Editor

Leia Vincent

Assistant Editors

Kallie Norton Henry Tam

3

From Our Alliance Family to Yours

19

Screen Out! News

22

Healthy Connections

24

Bulletin

25

Profile: Harriet Hodgson

27

Network News

Connections (ISSN 1088-7393) is published four times per year by the American Medical Association Alliance, Inc., 515 N. State St., 9th Floor, Chicago, IL 60654. The subscription price per year for members of the AMA Alliance is $3.50, included in annual membership dues. The subscription price for non-members is $7 in the United States and U.S. Possessions, $10 in all other countries. A single copy is $2.50. Printed in the U.S. Change of address may be made by sending old address (as it appears on your Connections) and new address with ZIP code number. Allow six weeks for changeover. POSTMASTER: Send address changes to Connections, American Medical Association Alliance, 515 N. State St., 9th Floor, Chicago, IL 60654.

Contributing Writer

Melissa Walthers

Advisory Board

Sandi Frost – President Nancy Kyler – President-Elect The inclusion of an advertisement in this publication does not indicate Kathy Lariviere – Secretary endorsement by the AMA Alliance for products or services. Susan Todd – Treasurer © Copyright 2009 by the American Medical Association Alliance, Inc. Dianne Fenyk – Immediate Past President

Design and Layout

Anna Matras


President’s Letter

From Our Alliance Family to Yours

Spring is a time of rebirth and renewal! It’s a time to celebrate the exciting promise of new growth that lies just ahead. We throw open our doors and windows to let invigorating fresh air sweep into our homes. We catch “spring fever” and get the itch to start transforming our surroundings and our lives to reflect this renewed feeling of optimism and energy. Spring has officially arrived for the AMA Alliance! Throughout this past year, we have engaged in a strategic planning process that began last October in Chicago at our Leadership Development Conference with a brainstorming session with the state and county leaders in attendance. You, our loyal member, have planted the seeds for growth and renewal with your open and honest communication throughout this year. You told us what the Alliance means to you and what the AMAA can do to impact your life as part of a medical family. Next year, President-elect Nancy Kyler and her leadership team will put into action a new strategic direction for the AMAA. We’re returning to the roots of our organization and ushering in a new era of memberfocused service. We pledge to be there with resources and support for every Alliance member, regardless of what stage of life you are in during the continuum of medical practice. You’ll find the information and networking opportunities you need to thrive, whether you’re just starting your journey as a physician couple with medical school stresses, facing a medical practice issue that only fellow Alliance members can understand or enjoying a well-deserved retirement. We’ve already taken our first steps by partnering with the AMA and their new Physician Wellness Initiative. Coordinated programming for physicians and their spouses has been offered this year at the National Advocacy Conference and at the AMA Interim Meeting. Both the AMA and the AMAA are aligned on the importance of

focusing on creating health and wellness in medical families. Achieving a work/life balance and stress reduction is crucial in today’s hurried and harried lifestyles. Last June, in my inaugural address, I shared my firm belief that Alliance members who work together to support each other and improve the health of America are heroes, just as physicians are heroes…Alliance heroes of integrity, courage, character, faith and action. This year has shown me that I was absolutely correct in my assessment. The Alliance is gaining visibility in America’s medical community as a resource for physicians and their families. Reach out to your friends and colleagues who will benefit from Alliance resources, knowledge and social networking, and infect them with our Alliance “spring fever.” They will find not only work/life balance options and ideas to use and to share, but opportunities for career enhancement and personal development, leadership skills, health promotion tools and a powerful voice in advocacy. Check the Alliance Web site for the latest services, blog topics and news. Take a moment to add your thoughts and ideas, and to add a friend to the Alliance list of heroes.

Sandi Frost President sandi.frost@ama-assn.org

Spring 2009 Connections 3


Women’s Health 4 Spring 2009 Connections

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Gender-Based Medicine


Most people know what makes a man and woman different, whether they use the explana�on of reproduc�ve organs or X and Y chromosomes, the reasoning is pre�y clear-cut. But the medical differences that exist between the two sexes have been somewhat blurred for centuries. It is only in the last 20 years or so that there has been major efforts put forward on behalf of research and medical discoveries rela�ng to diseases, illnesses and symptoms and how they affect each sex differently. “Both the general public and a vast majority of physicians think of ‘gynecology’ when the words ‘women’s health’ are mentioned,” said Donnica Moore, M.D. Moore is the president of Sapphire Women’s Health Group and author of the new book Women’s Health For Life. “We need to educate health care professionals, as well as the public, about the different questions that should be asked and answered when treating a woman.”

Founda�on of Women’s Health Research

According to the director of the Office of Women’s Health at the Centers for Disease Control and Prevention (CDC), Yvonne T. Green, RN, CNM, MSN, “In the past, pregnancy was one of the main women’s issues receiving attention. However, since the 1960s, many women have desired more information about their bodies and their health.” She went on to explain that the focus previously has been primarily on issues that affect women only. “Women’s health gained more

prominence in the 1990s and still remains important today,” said Green. Moore agrees that for years the research of women’s health focused solely on those conditions that affected women exclusively. Until 1991, there were 13 institutes at the National Institutes of Health (NIH) and not one focused on general women’s health. In that year, the Office of Research on Women’s Health was created, and the first order of business was changing the definition. According to Moore, there was much discussion about how to define it correctly, because the only explanations commonly used dictated how “differently” to treat women, therefore establishing men as the standard. The final definition, which spoke to the true purpose of research of women’s health, was anything that affects the health and well-being of women. Phyllis Greenberger, president of the Society for Women’s Health Research, a nonprofit organization whose mission is to improve the health of all women through research, education and advocacy, agrees with Moore. “In the

1990s our society was founded because women weren’t being included in clinical research studies,” said Greenberger. “In 1993 we were officially established and we put women’s health on the map. What people don’t realize is that sex differences exist for all conditions, and research is beneficial to both genders to know the causes and correct treatment. We can’t know how to correctly treat a person, man or woman, unless we study both sexes and how different conditions affect all.”

Life Stages of Women

According to Moore, one major difference between men and women is the fact that women use the medical system more throughout their life stages than men do. “Women spend a lot more time with physicians for [conditions] not related to diseases or disorders. We effectively can label our life stages by our medical [evolution], for example getting a period at puberty, needing contraception, pre-menstrual syndrome, pregnancy, menopause — these are all normal life events and transitions that we treat medically. There is no male counterpart for these changes,” said Moore. Because there is no comparison to these life changes for men, these

Spring 2009 Connections 5


are parts of women’s health that are already clearly identified and moderately understood. According to Moore, these life stages have been the study of women’s health in the past even dating back to the 1800s, and while these transitions are handled well by the gynecology specialty, they are always researching further to find ways of improving.

What We Know… And Don’t Know

“We can clearly see the differences that exist between conditions in men and women, but we don’t know why the differences exist,” said Greenberger. “Our new scientific membership organization is exploring biological sex differences, so we can answer this question. Once we know why the differences exist, we can know how to [recognize] the symptoms in men and women and treat appropriately.” According to Greenberger, some of the big questions include: why is cardiovascular disease the top killer of women, why does depression affect more women, why do more women suffer from autoimmune disease, among many others. “Also, we know very little about the causes behind some of the conditions that only affect women — are they genetically linked or hormonal, or a combination of both,” noted Greenberger. “We need to know the underlying mechanism to properly understand and treat any and all conditions.” According to Moore, there is so much new information that comes out every day, and on menopause every week. She cites the Women’s Health Initiative as leading the major long-term studies on women’s health today. “One of the biggest topics being researched right now is estrogen and the finding that it’s neither absolutely good or bad,” said Moore. “Changing levels of estrogen for whatever reason is an individual decision women need to make based on their own values, needs and risk factors.”

6 Spring 2009 Connections

Two of the biggest differences in women and men have to do with the heart, said Moore. “Women are more likely to have a silent heart attack with no major symptoms like they see on TV, [such as] severe chest pains and cramping in the arm. Many women instead present with severe indigestion, upset stomach, sweating and nausea — symptoms [of a silent heart attack] that they might ignore as something non-serious.”

founded and ask ‘Isn’t that normal?’ to which I reply ‘Absolutely not!’” said Moore. She insisted that women are not aware of the risk factors of heart disease, including high cholesterol, high level of triglycerides, belly fat and large waist size. “Women are less likely to be told by their physicians to get their cholesterol and triglyceride levels checked, which is very important to know how your body is functioning.”

The other heart problem that can be less than obvious is symptoms of heart disease, the top killer of both men and women in the U.S. More then 10 times as many women die of heart disease every year than die of breast cancer. “I often talk to women and ask them about shortness of breath after walking up a flight of stairs and they look at me dumb-

New Knowledge on Women’s Health Topics

The Society for Women’s Health Research’s Greenberger mentioned that the organization established a scientific membership society to initiate communication between professionals who study genderbased differences. According to the group’s Web site, www.ossdweb.org,

Women’s Health: New Medical Specialty While the study of women’s health is very important as its own individual forum, both the Society for Women’s Health Research’s Greenberger and Sapphire Women�s Health Group�s Moore agree that having women’s health be its own specialty, like cardiology or gynecology for example, would be a move in the wrong direc�on. “We don’t want to segregate the en�re medical profession,” said Greenberger. “Physicians should be knowledgeable about both genders and the differences and similari�es between them which can then benefit the health and well-being of both. Learning something new about how a condi�on should be treated in a woman can shed light on how it might also be treated in a man, [albeit] in a different way.” Moore believes that every medical specialty should become more educated about women’s health issues. While she knows that there is much to learn about women’s health and that it could very well have its own specialty, she believes it should fall under a different, more neutral name. “Why call it women’s health when it will benefit both genders?” asked Moore. “So that people can focus on gender-based differences instead of singling women out like they are the problem, the �tle should be switched to gender-based medicine to be�er reflect the gravity of the findings.”


“The field of women’s health is not that old and much s�ll needs to be learned about how sex and gender impact the health, safety and quality of life of women at every stage of life.”

the Organization for the Study of Sex Differences (OSSD) is a nonprofit society that includes “basic and clinical scientists from various disciplines who share an interest in exploring sex/gender differences in all areas of biological, medical and behavioral science.” The hope is that new discoveries will be made by the sharing of information of similar-themed studies. “The field of women’s health is not that old and much still needs to be learned about how sex and gender impact the health, safety and quality of life of women at every stage of

life,” said the CDC’s Green. She went on to specify these recent public health examples of progress: • The Women’s Health Initiative changed how we think about menopause and hormone therapy (NIH) — www.nhlbi.nih.gov/whi • Inclusion of women in clinical trials is helping determine if there are significant sex/gender differences of clinical or public health importance. • Introduction of the HPV vaccine for the prevention of cervical cancer —

www.cdc.gov/std/hpv/STDFactHPV-vaccine-young-women.htm • The Sister Study is looking at environmental and genetic characteristics of women whose sisters had breast cancer (NIH) — www. nih.gov/news/health/mar2009/ niehs-16.htm • Recognition of symptoms for ovarian cancer which before were considered too vague or unspecified — www.cdc.gov/cancer/ ovarian/basic_info

Spring 2009 Connections 7


Choosing the Right Physician

According to Moore, the number one question she gets asked from her female patients is: what kind of doctor should I be seeing? Her response: “It depends on what your problem or symptoms are.” In many medical insurance policies, there is a requirement that everyone have a primary care physician specified who handles overall health and can collect information from any specialist a patient might see. But according to Moore, it is always better to have both a regular internist for general illnesses and a gynecologist. “If you have an internist who is comfortable with gynecological tests, then you can get it all done with the same person, but you run the risk of something possibly falling through the cracks,” she noted. “The followup procedures at gynecologists offices match that of the conditions treated there. But I stress that every woman needs to visit a gynecologist at least once a year.” Moore spoke of a specific case that she heard about that shows how important having both an internist and a gynecologist really is. This woman went to her internist every year without fail. Her physician

Women’s Health Study

asked the normal questions about her symptoms. She had developed a bad cough, but was not a smoker, and was treated for bronchitis with antibiotics. After that didn’t work and she came back with a more severe cough, they took X-rays and found a mass in her lungs, which they biopsied and found out she had cervical cancer. After talking with an oncologist, she went back to her internist and simply asked why he had never inquired about when her last pap smear was. She had not had one in five years and since her internist hadn’t told her she needed to go, she was unaware of the importance of an annual check-up. The word is now spreading worldwide more and more every day about the need for annual check-ups thanks to the new cervical cancer vaccine and the publicity around the recent death of British TV reality star Jade Goody (who died March 22, 2009 at age 27 of cervical cancer after finding out about her prognosis while in front of the cameras). Still, Moore feels it is very important for family practitioners and internists to ask questions and inform their female patients of the necessary annual check-ups in case they don’t already know.

The purpose of this study is to evaluate the effects of vitamin E and low-dose aspirin in primary preven�on of cardiovascular disease and cancer in apparently healthy women. The study was introduced in October of 1999 and is ongoing. The trial is in Phase III of the study. According to the Web site for the Women’s Health Study, this analysis was based on the findings of another study. The Web site stated: “The results of the Physicians’ Health Study, a large-scale primary preven�on trial of aspirin in male physicians, have shown a decrease in myocardial infarc�on, a non-significant increase in cerebral vascular events, and no difference in overall

8 Spring 2009 Connections

The Proac�ve Woman

Interaction with your physician is critically important. The more specific information you give him or her, the more accurate the diagnosis. “We have learned from behavioral health studies that there is a disconnect in eliciting information from both the patient and physician,” said Moore. “If the patient has a problem, the physician thinks that they should disclose that information. Vice versa, the patient thinks that the physician should ask, and if they don’t, the patient doesn’t tell. When it comes to female patients, the questions should be very specific to give them ‘permission’ to discuss very important topics that they might be too embarrassed to bring up without being prompted.” Moore spoke specifically about simple things, like sleep for example. Women are twice as likely to suffer from insomnia, and yet most physicians don’t ask their patients how many hours of sleep they typically get a night. Also, women are six to seven times more likely to get migraines, said Moore, and again, it is not a typical question a physician asks the patient. Incontinence is another

mortality. However, few studies have addressed the efficacy of aspirin in vascular diseases in women, and it is possible that the risk to benefit ra�o may be different in women. Specifically, there have been no large primary preven�on trials in women, who are at risk of coronary heart disease, especially a�er menopause.” The trial was extended through March 2009, so results should be made available soon. For more informa�on and study results, visit the Women’s Health Study Web site at h�p:// clinicaltrials.gov/ct2/show/study/ NCT00000479


MAY major problem that very often is left undiagnosed because a patient is embarrassed to talk to anyone about it, including her physician. “There is so much misinformation, and as physicians, we need to be more aware of the heightened sensitivity on such topics,” said Moore. “The average woman lives four years with incontinence before talking about it because it is perceived as an ‘old woman’ problem. The truth is that one out of three women begin having symptoms of incontinence before the age of 35.” Moore’s message to women is that even if the doctor doesn’t ask, tell them everything that is going on. The Alliance is very focused on this topic and the advancements it will bring to the future of medicine. Share the advantages of Alliance work on this very important initiative by asking a friend or colleague to join the Alliance. The Alliance will be providing resources and information throughout the year to Alliance members via the magazine, the Web site, E-Connection (if we have your e-mail) and through Alliance conferences in Chicago and around the country. To join, visit the Alliance Web site and click on the button to “Join Today Become A Member!”

For more information on women’s health and updates of ongoing studies on the topic, visit the Web sites for the Women’s Health Initiative (www.nhlbi.nih.gov/whi), Society for Women’s Health Research (www.womenshealthresearch.org) or the CDC’s Office of Women’s Health (www.cdc.gov/Women/). For easy reference, the Alliance Web site lists all of our cited resources in its Strategic Partners and Useful Links section under the About portion (www.amaalliance. org/site/epage/68496_625.htm).

Women�s Health Week The 10th annual Na�onal Women’s Health Week kicked off on Mother’s Day, May 10, 2009 and was celebrated through May 16, 2009. Na�onal Women’s Checkup Day was Monday, May 11, 2009. The eight-week Women and Girls Moving Across the Na�on (WOMAN) Challenge, an online physical ac�vity program, runs from May 10– July 4, 2009. Na�onal Women’s Health Week is a weeklong health observance coordinated by the U.S. Department of Health and Human Services’ Office on Women’s Health (OWH). Na�onal Women’s Health Week empowers women to make their health a top priority. With the theme “It’s Your Time,” the na�onwide ini�a�ve encourages women to take simple steps for a longer, healthier and happier life. During Na�onal Women’s Health Week, communi�es, businesses, government, health organizations and other groups work together to educate women about steps they can take to improve their physical and mental health, and lower their risks of certain diseases. Important steps include: • Ge�ng at least 2 ½ hours of moderate physical ac�vity, one hour and 15 minutes of vigorous physical ac�vity or a combina�on of both each week. • Ea�ng a nutri�ous diet. • Visi�ng a health care professional for regular checkups and preventa�ve screenings. • Avoiding risky behaviors, like smoking and not wearing a seatbelt. • Paying a�en�on to mental health, including ge�ng enough sleep and managing stress. Source: U.S. Department of Health and Human Services’ Office on Women’s Health (www.4woman.gov/whw/index.cfm)

Spring 2009 Connections 9


The Sandwich Generation: 10 Spring 2009 Connections


By Henr y Tam

Y ou finally find the missing shoe strategically hidden under your kid’s backpack as you rush him to school. After dropping him and his siblings off, you drive over to your mother’s place to check on her and pay some of her bills and get a little yard work done. Then you head to your local Alliance meeting to plan next weekend’s fundraiser. Back to school to pick up the kids and drive them to karate and soccer. You finally head home to have the kids help stuff fundraiser invitations and call the in-laws to check on them. This is a typical day of life for a person caught in the “sandwich generation.”

People who care for

People who care for their children and aging parents are part of the sandwich generation. The Pew Research Center, nonpartisan “fact tank” that provides information on the issues, attitudes and trends shaping America and the world, reports that nearly 10 million boomers are now raising kids or supporting an adult child while financially supporting an aging parent. And just over one of every eight Americans aged 40 to 60 is raising both a child and caring for a parent. These Americans find themselves in the parental and supportive role for two generations of their families, their own children and their own parents.

their children and aging parents are part of the sandwich genera�on.

Nurturing Roles

Having to care for children and aging parents has always been an issue Alliance families have faced. According to Loving Care: How do Alliance members cope with aging parents? which appeared in the May 2005 issue of AMA Alliance Today, “The tables turned for Marcee Claflin. For years she played the role of daughter while her parents cared and nurtured her into adulthood, but when their health began to decline, she assumed a new role — caregiver.” Today’s members are no exception.

Caught in Between

Alliance member Mary Meyers of Houston was in the sandwich position when she cared for her two daughters and father-in-law. Although her two daughters are grown now, she understands how

Spring 2009 Connections 11


it feels to be part of the sandwich generation. “My kids were probably 4 and 6 when [my husband’s] father went into a nursing home and we went every day to check on him and see that things were going all right…but the kids would say ‘Oh, do we have to go to the nursing home?’” Meyers said. When Meyers’ father-in-law passed away, she started caring for her mother-in-law who moved to be within a mile of where they lived. While the sandwich generation is generally thought of as providing support to aging parents and young children, the clear focus of the definition should be the key supportive role of the sandwiched person. Alliance member Susan Owen of Knoxville, Tenn., was thrown into the sandwich generation when her 23-year-old daughter suffered traumatic brain injury in a tragic car accident nearly two and a half years ago. Owen cares for her daughter every day, taking her to therapy and occasionally provides weeklong respite care for her 85-year-old fatherin-law. “I think when people think of the sandwich generation, they think of [caring for] children who are young and healthy [as well as] the care of an elderly parent, but ours is so different because Caroline was a junior in college when

12 Spring 2009 Connections

she had her accident,” Owen said. Now, Owen cares for her daughter every day; taking it little by little, in hopes of helping her daughter recover walking and speech skills. Taking on new responsibilities will seem overwhelming initially for the person in a sandwich situation, and even those around them. Owen said the biggest hurdle for her initially was just “time adjustment; leaving one life behind and picking another one up, and it certainly wasn’t a choice, but you deal with what you are given.” For Meyers, caring for her in-laws affected her children. “When we had [my husband’s] father in the nursing home, my children remember that as a not so fun time because our time was really divided. The time that they wanted to play or do something fun, we would have to go to the nursing home,” Meyers said.

Coping

Meyers didn’t have to add a full-time job to her list of responsibilities, so she was able to manage the time crunch. “I tried to [visit my father-in-law] when [the girls] were in school. They were in early elementary school so I would do [most of the] running [then]. I’ve


been fortunate that [my husband’s] income has always allowed me to stay home with my kids and his parents, because I couldn’t have done it as much as I did if I worked full time.” Even the older generation helped ease Meyers’ load at times, when she did take her daughters with her. “I took them to the nursing home to see [my husband’s] father all the time, and they happily went to see his mother, because she was a good grandmother. She liked to have them around and do things with them and they would spend the night,” she said. Meyers was still able to juggle a lot when she was sandwiched in. “When we were taking care of [my husband’s] father in the nursing home, I was president of the PTA, working for volunteer organizations and trying to get that done so that the family didn’t know that I wasn’t [busy] entirely,” she said.

Fostering Family Connec�ons

being part of the sandwich generation. “I can only hope that we are giving an example to our kids so somebody takes care of us,” Meyers said. Owen now views her supportive role for her daughter’s current life as a blessing; after her daughter woke up from a lengthy coma. Owen stays positive about the partial care she gives to her father-in-law as well. “I refuse to think negatively about those grandparents whom we help care for. He is not here full time, and we refuse to think negatively about Caroline. If you let those thoughts creep in, they multiply, not only having a drain on yourself, [but that] becomes a mental drain.” Instead, Owen said, “there is no end to what [Caroline] can do.” It is no surprise that Meyers’ mother-in-law is 97 years old. She is currently in independent living about a mile away from where Meyers and her husband live. “We go over at night to get her to bed and go in the morning to get her up.” Meyers also recently returned from a four-

Being part of the sandwich generation isn̕t always a choice, but Meyers suggests using it as an opportunity to teach. “Use it as a teaching tool for your kids, to learn that the older generation is valuable and can’t be discarded because they have reached a time when they are not so much fun. I think it’s good for children to know that not everything is fun, that you still have to do it and it’s worthwhile in the long run. Some day you are going to think that I did this for my grandfather and I was there when he needed me,” she said. Responsibility can bring a lot of stress and can differ from family to family. Owen noted the best advice given to her because her situation is really unique, “there is no concrete thing, so take a deep breath, pray a lot and have somebody you can talk to.” While those in the sandwich generation may appear trapped with added responsibility over two generations of a family, it also shows the strong family ties that span generations. Instead of looking at the responsibilities as a burden, look at your responsibilities as a value system you are passing on from generation to generation. “I taught them as my mother taught me, because she had her mother-in-law close by her [when] we were young; it’s just what you do, you take care of them. She was wonderful to her mother-in-law, and when people say ‘you are so nice to take care of your mother-in-law, most people wouldn’t do that,’ well I say ‘you learn from the master, my mother did that when we were little.’ She made it important to us to take care of those older members of the family; go get grandma, bring her over for dinner every night.” She stresses the family values aspect of

Being part of the sandwich genera�on isn�t always a choice, but Meyers suggests using it as an opportunity to teach. hour drive visiting her father. She isn’t currently in a sandwich situation, but will soon be sandwiched again since her daughter is moving back closer to Meyers and bringing along her new grandson and babysitting duties. “I guess in the long run, it’s worth it because I feel good about the time I have given to my elderly relatives.”

Spring 2009 Connections 13


Alliance Members Rally Support for Medicine at Na�on’s Capitol

B� H���� T��

Alliance members from 27 states gathered in Washington, D.C. for the 2009 AMA Alliance Capitol Conference, held in conjunction with the AMA’s National Advocacy Conference (NAC). The Coalition-Building Skills Workshop was a key session of the Capitol Conference that discussed community and building relationships with organizations to promote local Alliances’ work on health promotion topics with Screen Out! Executive Vice President of Fenton Communications William Hamilton and Screen Out! Coordinator Melissa Walthers, MPH, led the session. “It is always wonderful to reconnect with Alliance members from around the country and hear about their amazing work on the Screen Out! campaign,” Walthers said. “We are hoping that the session gave them some new tips and ideas on how to engage community organizations on gaining endorsements for the Screen Out! solutions to smoke-free movies.” Hamilton discussed and encouraged Alliance representation for Screen Out! He emphasized the identity of the Alliance and stressed looking for allies and forming a local coalition with health care providers, school officials, elected officials, parents organizations, community groups, youth organizations and church leaders. The Fundraising for Medicine’s Future session included speaker Don Wilson, Ph.D., President of Don W. Wilson and Associates, Inc. and AMA Foundation Board President Jean Howard. Howard spoke about the goals of the AMA Foundation and AMA Alliance partnership. “We

14 Spring 2009 Connections

know we have a wonderful, grassroots army of fundraisers out there, and we want to continue this long-standing partnership…we want to build an AMA Alliance endowment fund within the Foundation; a permanent fund that will support the long term goals and objectives of this strong partnership,” Howard said. Wilson spoke about enhancing local efforts and national results in fundraising. “Just because you have a good cause, one of thousands out there, doesn’t mean money will automatically find its way to you. You have to attract support the old-fashioned way — earn it…people will support you if you present them with a challenging project that is consistent with their interests. To succeed, you must explain exactly why you seek the funding, why your project is compelling, who will benefit and why the money is needed now.” He concluded by stressing that “all members have to be active ambassadors and ‘friendraisers’ in helping others connect the dots to see the value in what you are doing as an organization. It is not a time to retreat from public view and wait out the economic storm. You need to be out there nurturing face-to-face relationships with your key supporters and constituents.” The Volunteers and Voices for Advocacy session, led by AMA Chair of the Council on Legislation John M. VanEtta, M.D., and Vice Chair David Hannan, M.D., covered the top advocacy issues the AMA is most involved in. Physician spouses learned about the focus of health care physician payment reform and the direction it should be


taking. Hannan stressed the Alliance partnership with the AMA as a key to influence direction. “We must continue to rally together with a unified voice to advocate our message on payment and quality to Congress,” he said. “Our voice was heard in July 2008, and Congress enacted an 18-month fix. We must continue to work together in this same manner.” He concluded by urging members to act on your physician’s behalf. “As the process develops in 2009 and proposals are considered, we all need to contact our members of Congress to advocate a unified message that preserves Medicare access to quality care for our patients.” The Alliance’s presence was also felt at NAC. A majority of Alliance members who attended the Capitol Conference also attended NAC, which included sessions on health system reform and a Capitol Hill briefing. Alliance member and state Senator Susan Paddack was presented with one of the Dr. Nathan Davis Awards for Outstanding Government Service at NAC’s Dr. Nathan Davis Awards Dinner. To view the session handouts, photo album and meeting schedule for the Capitol Conference, please visit www.amaalliance.org/site/epage/51775_625.htm. If you have any pictures you have taken at the Capitol Conference or NAC and would like to share them, please e-mail them to amaa@ama-assn.org.

Spring 2009 Connections 15


Calling All Members Attention all AMA Alliance members! You are invited to join us in Chicago for the 86th Alliance Annual Meeting, June 13–15, 2009. The main event is the Alliance House of Delegates in action, deliberating the future direction of Alliance resources and services to members and policies that affect physicians and their families in their communities. Chicago is a summer destination for families on vacation. Picnic in the park, stroll along the lakefront, shop, dine, visit the zoo, peruse world-famous museums, take in the art galleries, view city vistas from the tops of some of the world’s tallest buildings and soak up the cultural diversity of an international city. Take a trip to Chicago this summer with your family, and while you’re here, weigh in on the issues that affect the future of the family of medicine. AMA Alliance President Sandi Frost will preside over the House actions. Meet the nominated candidates for the 2009–10 slate of officers on June 14, and learn more about the Alliance’s strategic future and how it relates to you, the member and your friends and colleagues in the medical family as future members. Presidentelect Nancy Kyler will be installed as the 87th president of the AMA Alliance on June 15. The coveted Alliance Prestige Awards ceremony on June 13 will celebrate this year’s Health Awareness Promotion (HAP), Legislative Education and Awareness Promotion (LEAP) and Membership Development Project (MDP) awards. For complete details, registration information and a link for hotel reservations, visit the Alliance Web site at www.amaalliance.org and click on the AMA Alliance Annual Meeting link on the Calendar page.

16 Spring 2009 Connections


Alliance Delegates Prepare to Consider Bylaws Amendments The upcoming AMA Alliance Annual Meeting in June gives delegates representing the entire membership the opportunity to consider important bylaw amendments, elect and install new officers and directors, elect the Nominating Committee and consider the policies and resolutions that will determine the future of the Alliance. When the House of Delegates (HOD) convenes in June, the delegates will deliberate on the following proposed amendments to the bylaws: ARTICLE IV. MEMBERSHIP Sec�on 1. Categories, Rights and Privileges Adding partner to membership categories: regular, associate, resident physician spouse and medical student spouse. Combining Section 2. rights and privileges with Section 1. categories. ARTICLE VI. HOUSE OF DELEGATES Sec�on 1. Responsibili�es Updating and clarifying the responsibilities of the members of the House of Delegates. Sec�on 3. Annual and Special Sessions Providing that the notice of time, place and purpose of the Annual Meeting, together, with the slate of nominees for all offices and positions to be filled be personally transmitted by mail or electronically. Sec�on 6. Quorum Updating and clarifying voting procedures in the House of Delegates.

ARTICLE VII. OFFICERS Sec�on 1. Designa�ons Creating flexibility by proposing an inclusive number of directors to meet the needs of the organization in carrying out its strategic plan and establishing the position of the executive director of the corporation as an officer. Changing the number of directors for the Alliance to four to six and stipulating that the voting members of the group will be the president, the president-elect, the secretary, the treasurer, directors, and the immediate past president; plus the executive director, who shall serve ex-officio without privilege of a vote. Sec�on 2. Elec�on and Term Updating and clarifying language regarding elected and appointed officers’ election, term and election during an emergency. Sec�on 3. Du�es of Elected Officers Updating the job descriptions for the elected officers and the executive director. ARTICLE VIII. NOMINATIONS, ELECTIONS, APPOINTMENTS Sec�on 1. Nomina�ng Commi�ee Updating the language regarding eligibility to serve on the Nominating

Committee and the responsibilities of the committee, including confidentiality statement, and clarification of meeting, quorum, vacancies and removal of committee member. ARTICLE IX. BOARD OF DIRECTORS Sec�on 1. Powers, Responsibili�es and Accountabili�es Clearly defining the board’s authority, responsibilities and accountability and allowing notification to board members of board meetings by electronic means. Sec�on 2. Term of Office and Vacancies Compiling and clarifying language regarding term of office and vacancies. Sec�on 3. Regular and Special Mee�ngs Updating of language regarding regular and special meetings of the Board of Directors. Sec�on 6. Removal Proposing new language to cover the issue of absences by designating that any board member who is absent from three (3) consecutive entire board meetings without prior notification may be considered to have resigned, and upon approval by a majority of the members present and voting at any regular meeting of the Board of Directors, shall be notified to this effect.

Spring 2009 Connections 17


ARTICLE X. EXECUTIVE COMMITTEE Sec�on 1. Composi�on Providing for the inclusion of the appointed officer as a member of the Executive Committee, to include the president, president-elect, secretary, treasurer, immediate past president and executive director, who shall serve ex-officio without privilege of a vote. Sec�on 2. Responsibili�es Updating the responsibilities of the Executive Committee to state that committee members may exercise the powers of the Board of Directors in the interim between board meetings, except that the Executive Committee shall not have the power to adopt the budget, or to take action which is contrary to or a substantial departure from, the direction established by the Board of Directors or the voting members of the AMA Alliance, or which represents a major change in the affairs, business or policy of the AMA Alliance. Further, the Executive Committee will not take any action prohibited by federal or state statute. The Executive Committee shall submit reports in writing to the Board of Directors regarding all action taken. Sec�on 4. Mee�ngs Adding new language regarding meetings of the Executive Committee. ARTICLE XI. COMMITTEES Allowing the Board of Directors to use committees efficiently and as needed by proposing to amend the committee structure regarding the establishment of committees, the

18 Spring 2009 Connections

required number of members on committees and eligibility to serve as committee chair and members. ARTICLE XVI. AMENDMENTS Reducing the Article to the following two sections: Sec�on 1. Method The bylaws of the AMA Alliance shall be amended by a two-thirds (2/3) vote of those present and voting at any properly constituted regular annual or special meeting of the voting members of the corporation, provided the membership has been informed of the proposed change in writing at least 30 days prior to the date of said meeting. Sec�on 2. Revision These bylaws may be revised only upon authorization by the House of Delegates. A summary of the proposed revision shall be distributed in the Call to the Annual Session sent to the membership at least 30 days prior to the session of the House of Delegates at which time action is to be taken. ARTICLE XVII. DIRECTOR CONFLICTS OF INTEREST Inserting a new Article on Director Conflicts of Interest. ARTICLE XVIII. EMERGENCY CLAUSE Adding new language regarding operations during an emergency. Please visit the Alliance Annual Mee�ng Web page under the Calendar tab to view a complete copy of the bylaws with language crossed out or added as proposed.

Background on Bylaw Amendment 1 Proposed Bylaw Amendment One, to add “partner” to four categories of Alliance membership, was considered by the HOD in 2007 and 2008. The proposed amendment was approved by a majority of delegates in 2008, but fell short of the two-thirds vote necessary to adopt a proposed bylaw amendment. The Alliance Board of Directors unanimously supports adoption of this amendment, noting that the organization can do no less than lend its support to all AMA physicians. The board believes that this is the proper direction for the Alliance and the time is now to welcome those physician partners who share our goals of building healthy communities and fighting for the profession of medicine.


Screen Out! News

Screen Out! News The Screen Out! campaign is urging local and state Alliances to participate actively in campaign activities this spring and summer to help meet the American Legacy Foundation grant goals and continue making the Alliance voice heard by Hollywood. By continuing to put pressure on the six largest media companies, they will know that the Alliance will not rest until a policy solution is in place to protect kids from dangerous smoking imagery. Please visit www.screenout.org for up-to-date announcements, materials and assistance in working on this campaign in your state and county Alliances.

Take Action this Summer Movie Season

Summer movies highlight some of the biggest youth-rated blockbusters of the season and this year Screen Out! wants you to keep watch and make your voices heard. Here are some simple actions to take during the summer movie season to help make the Alliance voice loud and clear that all future youth-rated movies should be smoke-free. 1. Tear out the six postcards in this issue of Connections. Sign, and send the postcards, free of charge with the postage-paid permit, to the AMAA offices to be forwarded on to the media companies urging them to stop promoting smoking to youth in their films. 2. If you go to the movies and see a youth-rated film that features smoking, write a letter to the media company who produced that film urging them to stop. You can even submit a letter to your local movie reviewer asking them to highlight this issue when reviewing films. Materials for this can be found at www.screenout.org. 3. When soliciting an organizational endorsement for the campaign, point out current youth-rated movies that feature smoking. Connecting people to the films that promote smoking is sometimes the easiest way to get a message across. Here are some recent examples of youth-rated films that featured smoking: • He’s Just Not That Into You (PG-13) • The Curious Case of Benjamin Button (PG-13) • Australia (PG-13)

AMAA Featured in US Weekly The March 15, 2009 issue of Us Weekly magazine men�oned the AMA Alliance and our messages against the smoking imagery in the feature film He’s Just Not That Into You in their “Feuds of the Week” sec�on. The �tle was “The AMAA vs. He’s Just Not That Into You" and showed an image of the film’s star and execu�ve producer Drew Barrymore. The ar�cle read: The American Medical Associa�on Alliance is smoking mad at Warner Bros. over images of American Spirit cigare�es in He’s Just Not That Into You. “There is absolutely zero ar�s�c jus�fica�on for this,” Melissa Walthers of the AMAA told The New York Times February 25. “It doesn’t ma�er if the story line is nega�ve or not in terms of the impact on kids.” (Warner Bros. had no comment.) This ar�cle followed the February 25, 2009 feature ar�cle in The New York Times. To read the en�re The New York Times ar�cle, visit h�p://www. ny�mes.com/2009/02/26/movies/ 26smok.html.

Scholarships to attend AMA Alliance Annual Meeting in Chicago The Screen Out! campaign is offering five $1,000 scholarships to AMA Alliance members to attend the AMA Alliance Annual Meeting in Chicago from June 13-15, 2009. All members who have shown exceptional participation and action on the Screen Out! campaign in their local communities are encouraged to apply. Applications are due by May 22, 2009. To download an application, please visit www.screenout.org or e-mail melissa.walthers@ama-assn.org.

World No Tobacco Day May 31st, 2009 marks the day when we stand united to create

a tobacco-free world through World No Tobacco Day. Support this day by promo�ng Screen Out! in your community through gathering pe��ons, wri�ng a le�er to the editor or asking an organiza�on for their endorsement of smoke free movies! Spring 2009 Connections 19


Meet the 2009–2010 Slate of Officers The Nominating Committee met on Saturday, March 14, 2009 at the Marriott and on Sunday, March 15, 2009 at the Alliance Chicago headquarters. Meet the nominated candidates for the 2009–10 slate of officers on June 14 at the Annual Meeting, and come witness as President-elect Nancy Kyler is installed as the 87th president of the AMA Alliance on June 15.

The slate of officers for 2009–10 is as follows:

President: Nancy Kyler

Nancy Kyler of Staunton, Virginia, assumed the office of president-elect of the American Medical Association Alliance in June 2008. Kyler previously served as secretary, director for two terms, Legislation chair, a member of the Legislation Committee, as the Alliance representative to the American Medical Association’s Council on Legislation and as Committee Chair of the Legislative Education and Awareness Promotion (LEAP) Awards. Kyler has served the Medical Society of Virginia Alliance and Rockingham County Medical Society Alliance in many positions, including president.

President-elect: Susan Todd, Texas Elected: Treasurer (2008-09); Director (2006-08), Nominating Committee Member (2004) Appointed: Finance Committee Member (2006-07); Strategic Advancement Advisory Committee Member (2006-09); Bylaws Committee Member (2007-08); Election Committee Member (2005, 2006); Legislation Committee Member (2004-06); Membership Advisory Committee Member (2003-04) State President: 2002-03

Secretary: Marilyn Kezirian, California Elected: Director (2003-06) Appointed: Bylaws Committee Chair (2006-08); Strategic Advancement Task Force Member (2005-06); Finance Committee Member (2005-06); Integrated Marketing Communications Advisory Committee Member (2002-03); HAP Awards Selection Committee Member (2002, 2004); Election Committee Member (2000, 2001); Health Promotion Committee Chair (2001-02); Bylaws Committee Member (2001-02, 2004-05); Membership Committee Member (1999-01) State President: 1998-99

Treasurer: John Lovin, North Carolina Elected: Director (2006-09); Nominating Committee Member (1999) Appointed: Finance Committee Member (2008-09); Bylaws Committee Member (2007-08); Finance Committee Member (2006-07); Integrated Marketing Communications Advisory Committee Chair (2004-06), Member (2003-04); Communications/Public Relations Task Force Member (2001-02); Health Promotion Committee Member (2000-01) State President: 1998-99 20 Spring 2009 Connections


Director: Emma Borders, Louisiana Elected: Director (2007-09) Appointed: Finance Committee Member (2008-09); Reference Committee on Organizational Aairs Member (2008); HAP Awards Selection Committee Member (2007-08); Bylaws Committee Member (2007-08); AMA Foundation Committee Member (2005-07); Election Committee (2005, 2006); Health Promotion Committee Member (2004-05)

Director: Gail Kacich, Illinois Elected: Nominating Committee Member (2008) Appointed: Integrated Marketing Communications Advisory Committee Chair (2008-09); Strategic Advancement Advisory Committee Member (2008-09); Membership Advisory Committee Member (2007-08) State President: 2006-07

State President: 2002-03 Director: Dinah Goldenberg, North Dakota Elected: Director (2008-09) Appointed: Bylaws Committee Member (2008-09); AMA Foundation Committee Chair (2007-08); AMA Foundation Board Member (2007-09); Strategic Advancement Advisory Committee Member (2006-08); Membership Awards Selection Committee Member (2007); Membership Advisory Committee Member (2006-07); Integrated Marketing Communications Advisory Committee Member (2005-06)

Director: Barbara Hanas, Iowa Elected: Director (2007-09); Nominating Committee Member (2006) Appointed: Bylaws Committee Member (2008-09); Reference Committee on Organizational Aairs Member (2008); Finance Committee Member (2007-08); HAP Awards Selection Committee Member (2007); Health Promotion Committee Chair (2006-07), Member (2005-06) State President: 2004-05

State President: 2004-07 Director: Pat Hyer, Texas Elected: Director (2008-09) Appointed: Bylaws Committee Member (2008-09); Legislation Committee Chair (2007-08), Member (2006-07); AMA Council on Legislation Member (2007-08)

Director: Jo Terry, Tennessee Elected: Director (2008-09); Nominating Committee Member (2007) Appointed: Health Promotion Committee Chair (2007-08), Member (2006-07); AMA Council on Violence and Abuse Member (2007-09)

State President: 2005-06

State President: 2005-06

Director: Sarah Sanders, Indiana Elected: Nominating Committee Member (2007)

Director: Sue Vegors, Tennessee Appointed: Health Promotion Committee Chair (2008-09); Legislation Committee Member (2007-08)

Appointed: Membership Advisory Committee Chair (2008-09), Member (2006-08); Strategic Advancement Advisory Committee Member (2006-08)

State President: 2006-07

State President: 2004-05 Spring 2009 Connections 21


Healthy Connections This is the first installment in our new feature Healthy Connections which is dedicated to wellness for physicians and medical families. We’ll provide you with stories and information about how to stay healthy — both physically and emotionally — statistics, the latest resources available, advice on work/ life balance and updates on what the AMA is doing in this area. This issue, we’re presenting excerpts from “21st Century Medical Families: Engaged, Enlightened and Empowered,” the popular presentation by Alliance President Sandi Frost. During the presentation Frost commented on the nature of physicians married to non-physicians. She remarked, “Medical Marriages are increasingly squeezed for time with both partners in the work force.” Putting even more strain on a marriage is the situation of physicians married to other physicians, and the unique challenges these marriages may encounter. Frost explained, “Both women and men in dual-doctor families differ in their professional and family lives from other married physicians.” One issue in many medical marriages is that long hours are viewed as “normal” and can result from the doctor’s personality and the culture of medicine. Frost pointed out that main sources of conflict tend to stem from time

22 Spring 2009 Connections

and money. When dealing with time conflicts, she recommended the spouse not take lateness personally. To resolve financial conflict, it is best to set clear financial goals together. The types of stress medical families may encounter are broken out into the following three categories by Wayne and Mary Sotile, the authors of The Medical Marriage: 1) The Anticipated and Unavoidable, which account for 80 percent of the stresses medical families face each day: postponing gratification until after training, long hours of work, emotional toll from fear of making mistakes and daily exposure to pain and suffering. 2) The Unanticipated and Unavoidable of which many pertain only to 21st century medical families: sixfigure medical school debt, government intrusion into practice, physician bashing in the media. 3) The Anticipated and Avoidable, but not avoided are the toxic stresses that fuel resentments and can potentially do the most harm to medical marriages: competitiveness, needing to control others, constantly rushing. Strategies to maintain relationships include: assessment, walking in the other person’s shoes; acceptance, this is our life, not a problem; anger management, resentments are the number one killer of relationships; and action, work together as a team.


Changing medical family demographics: • Approximately 20 percent of male physicians are married to another physician • Approximately half of female physicians are married to another physician – Decreasing percentage over the past 20 years • Dual physician families will increase as number of women physicians increase

Work/Life balance checklist: • Exercise regularly • Eat right • Surround yourself with people you like and respect • Live in an area that suits your lifestyle • Stay organized • Confront your problems

Why the Alliance to build your ac�on team: • Unique in volunteer opportuni�es to partner with our physician spouses to build be�er communi�es and have an impact on the future of medical care in our na�on • Membership gives spouses access to a network of friendship and support in the medical community • Spouses grow skills in leadership, communica�on and advocacy

Advantages of teamwork for Alliances and medical associa�ons: • Joint projects strengthen both organiza�ons’ programs and goals • For the medical society — the Alliance is its volunteer arm • To the Alliance, the medical society is a resource, both for funding and medical exper�se

Spring 2009 Connections 23


Paddack Wins AMA Award

Correc�on/Clarifica�on

Recently profiled state Senator Susan Paddack (Winter 2009 issue of Connections) was honored by the American Medical Association (AMA) with one of the 2009 Dr. Nathan Davis Awards for Outstanding Government Service. Paddack accepted the honor at the Dr. Nathan Davis Awards gala held March 10, 2009 at the National Advocacy Conference. Joseph M. Heyman, chair of the AMA Board of Trustees said Paddack was honored for her dedication to removing barriers to health care access for the people of Oklahoma. The AMA Alliance nominated Paddack for this award. It is recognized nationally as one of the most prestigious honors extended to elected officials and career government employees for outstanding endeavors that advance public health.

dzi Photo by Ted Gru

nski

Paddack thanked her husband, the Alliance and the family of medicine during her acceptance speech. She credited her experience including the 2000-01 Alliance presidency: “During this span of time I received incredible training on legislative advocacy, health care policy discussions and public speaking, all which empowered me with the skill sets that enabled me to run for office.” Paddack also encouraged everyone to, “take this leap of faith to run for office, or to help others run because we need more members from our family of medicine to be a part of the solution.”

Master of Ceremonies, Journalist Bill Kurtis; State Senator, Susan Paddack; Chair of the AMA Board of Trustees, Joseph M. Heyman

24 Spring 2009 Connections

A statement in the Winter 2009 issue story “New Online Resource Addresses Teen Drug and Alcohol Use” indicated that the Alliance’s Youth Alcohol Awareness Grant Program is an annual program, when in fact, the donation that funds it was a one-time gift to use in supporting work with underage drinking.

Ready to Take Ac�on Against Childhood Obesity? According to the Centers for Disease Control and Prevention (CDC), data from the National Health and Nutrition Examination Survey (1976–1980 and 2003–2006) shows that the prevalence of obesity has increased: for children aged 2–5 years, prevalence increased from 5 percent to 12.4 percent; for those aged 6–11 years, prevalence increased from 6.5 percent to 17 percent; and for those aged 12–19 years, prevalence increased from 5 percent to 17.6 percent. Look in the next issue for the launch of a new Alliance campaign with the CDC aimed at the serious public health problem of childhood obesity. The series will span across Alliance communication media, including Connections, E-Connection, Leader’s Digest, the Web site www.amaalliance.org, the Alliance’s editorial service and the CDC Web site www.cdc.gov. Topics will include fast-food fads, the importance of drink choices for children, breast feeding and hospital practices, food labeling and legal issues. There will also be a spot on CDC’s Web site for sharing stories from the Alliance and your community.


Member Profile

Harriet Hodgson: A Woman of Her Words passing, I derived sympathy from the condolence cards I received from many Alliance members.”

Harriet Hodgson — photo taken by her granddaughter Haley Welby

Harriet Hodgson has been a member of the Minnesota Medical Association Alliance for nearly 32 years. She was first asked to join the Alliance by a friend, but decided the timing wasn’t quite right. About two years later she became an official member. Harriet comments on her motivation for signing up, “I wanted to help others and belong to a network that understands medical families.” Along with her activities with the Alliance, Hodgson created a prestigious writing career, which started on a typewriter in her basement near the water heater. Since those humble beginnings, she has written 27 books and hundreds of Internet and print articles. Harriet’s love for the written word saw her through the most difficult experience of her life. In February of 2007, her eldest daughter died from injuries she received in a car accident. Two days later, her father-in-law passed away from pneumonia. Eight weeks later, her brother died from a heart attack. And several months after that, another car accident took the life of Hodgson’s former son-in-law, the father of her two grandchildren. Within nine months, Harriet and her family experienced more loss and heartache than many people endure over a lifetime. These deaths left Harriet, her husband John and their twin grandchildren reeling with grief and disbelief. Harriet reflects on the experience, “After my daughter’s

In this trying time Harriet found her inner strength through writing. She kept a grief journal and literally wrote her way to recovery. “Four deaths in nine months brought me to my knees,” Hodgson says. “Since I’m a writer, I decided to write my way through grief. I spent a year on the book and realized I wasn’t only writing to recover, I was writing to survive.” Her writing became the foundation for her books, Writing to Recover, Writing to Recover Journal and the Writing to Recover Affirmations Calendar. In Writing to Recover, Harriet explains, “Each of us recovers from loss in our own way, at our own pace, and on our own terms. Whether you’re grieving for one loss or many, I hope you sit down and write… Writing your way through grief helps you find your way through grief. And that is a blessing.” Hodgson’s passions extend beyond writing. She comments on a few social issues close to her heart, “I feel inner city neighborhoods should have fresh produce on hand so locals can eat a nutritious diet, and public bike paths and walking trails should be available so people can be physically active.”

editor, president-elect and president of Zumbro Valley Medical Society Alliance. She has also served on the Minnesota Medical Association Communications Committee and was an ad hoc member of its Health Reform Task Force.

“Since I’m a writer, I decided to write my way through grief. I spent a year on the book and realized I wasn’t only wri�ng to recover, I was wri�ng to survive.” On the national level, Hodgson served on the IMC committee, the Nomination committee and the Coordinated School Health Council of Olmsted County, Minn. She also spoke at a North Central Conference in Minneapolis with co-presenter Becky Gonzalez-Campoy. Their talk focused on “Communications on a Shoestring.”

Harriet believes it is crucial to take personal responsibility for one’s health. “I think it’s important to know how to get a natural ‘high’ from life, instead of using drugs and alcohol.” In keeping with her beliefs, Harriet served on the Mayo Clinic’s Action on Obesity Task Force for more than four years.

Today, Harriet is enjoying her role as a GRG (grandparent raising grandchildren). She recently created a presentation entitled, “You, Too, Can Write to Recover.” She presented the lecture at an area church and has three more presentations planned in June. Harriet offers her presentation to Alliances at no charge, but requests her traveling expenses be covered. For more information, including how to purchase her books, please visit www.harriethodgson.com.

At the county level, Harriet has held the titles of secretary, newsletter

This Member Profile was written by Kallie Norton.

Spring 2009 Connections 25


Alliance Strategic Planning Process: Past, Present and Future The strategic planning process began last October in Chicago when the Alliance selected Paul Amundsen & Associates to facilitate the development of its 20092011 strategic plan. The Alliance’s chief planning objective was to focus its programs and services to meet the priority needs of today’s medical family. The planning timeline from beginning to the near future includes: • In October, the Alliance asked the board and committees what they thought about how the leaders can work together to make the organization stronger and to attract more members around the country so that the Alliance voice can be stronger for all physicians. The Alliance used this feedback with other research gathered to fuel an ongoing strategic planning dialogue from October through the end of February. • During the weekend of March 7-8, the Alliance Board of Directors dedicated 15 hours of deliberation to what this means for the future of the Alliance and how it affects the objectives and strategies. They also discussed how the Alliance will use its limited resources for the greatest good, to reach members with service that helps them adapt to the unique pressures and stresses of life in a medical family. • Between the March deliberation and April 20, the elements of the plan were drawn and debated by the Board of Directors so that they could meet the direction that has been agreed upon to follow as national leaders. • The Alliance will begin disseminating the completed plan in May so that national leaders can discuss it when they come together in June at the Alliance Annual meeting in Chicago. Board members are expected to be represented at this important meeting, where the Alliance will look at all of the opportunities foreseen in the future for both members and the Alliance as an integral part of the family of medicine in America.

Alert — Lockbox address change The AMA Founda�on has changed its lockbox address to 9050 Paysphere Circle, Chicago, IL 60674. Please make note of the change, as it may differ from printed fundraising forms and materials currently s�ll in circula�on. We ask that you begin using the new address immediately. The old lockbox is no longer available and any dona�ons sent to that box will be returned to the sender.

26 Spring 2009 Connections


Network News

Bringing Health Care to Guatemala In August 2008, Dr. Richard Hirata of the Baltimore County Medical Association Auxiliary (BCMAA) and several other volunteers from the Baltimore area traveled to Guatemala on a mission to provide medical attention to nearly 400 children and their caregivers. They arrived in Guatemala City on the afternoon of August 5, and were transported by bus to their camp in a rural village called Lemoa. The mission was made possible with funds contributed by the BCMAA, which donated $500 to the cause, and medical supplies donated by GBMC HealthCare and other health-related organizations. Dr. Hirata, nurses and allied health professionals constituted the medical team, which saw more than 350 patients in four different communities. They treated patients with various ailments including gastro esophageal reflux disease, musculoskeletal pain and lesion of the lower lip. The medical team also encountered patients with parasites, headaches, hypertension and other common

maladies. Many of the conditions they treated resulted from insufficient primary care. For Dr. Hirata, one of the most memorable parts of the trip, was his visit to the orphanage, Hogar del Niño, in Lemoa, where an American couple from Tennessee provided loving care to 16 children varying in age from infancy to 16 years old. The orphanage’s total financial support comes from the Tennessee United Methodist Church. Dr. Hirata provided physicals for all the children and medical care to several of the staff at the orphanage. Dr. Hirata reflects on his experience, “It was spiritually gratifying to serve the people of Lemoa, but our work is not done. For many of these people, this is the only medical care they will ever receive.” Dr. Hirata hopes there will soon be significant improvement in the infrastructure of Guatemala so that water purification and basic sanitation will be commonplace and its people will have access to sufficient health care.

Dr. Hirata on far left with other volunteers from the Greater Baltimore area

If you wish to join the BCMAA and help this cause, visit their Web site at www.medchi.org/BCMA/bcma.htm. The AMA Alliance offers members the opportunity to support worthy causes such as this, go to the AMA Alliance homepage at www.amaalliance.org and click “Join Today Become a Member.” If you are interested in learning how you can help the children of Hogar del Niño, please visit www.samaritanhands.org.

This edition of Network News was written by Kallie Norton.

The Alliance Web site www.amaalliance.org has been completely redesigned and reorganized. Have you visited lately?

Take a look!

Spring 2009 Connections 27


Another AMA Alliance membership advantage.

Timely rewards.

Expedite your reservations. Enjoy faster rentals. Rent as a Hertz #1 Club Gold® member and enjoy all of these benefits, plus automatic AMA member discounts, when CDP# 11636 is included in your Hertz #1 Club Gold profile. Visit www.amaalliance.org and scroll down to the Hertz Gold Club button. AMA Alliance members can enroll to get their first year of Gold membership, free! For reservations, visit www.hertz.com, call (800) 654-2200 or call your travel agent.

Members of www.amaalliance.org the AMA Alliance have advantages. Take advantage of our new Hertz offer. Free first-year Hertz #1 Club Gold offer - $60 value.

Sign up before Summer travel begins and start saving.


AMA Alliance Connections Spring 09