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California

FAMILY PHYSICIAN

LIVE FROM RIO, HEALTH CARE AND MORE

16

THE AFFORDABLE CARE ACT SIX YEARS LATER: THE GOOD, BAD, AND PROMISING

20

MACRA 101: READY, SET, GO!

24

#NEVERSTOP BEING HEROIC

28

VOL. 67 NO. 4 Fall 2016

CAFP Goes to Orlando!


Success. It’s what California’s finest physicians strive for... and what CAP can help you achieve. Since 1977, the Cooperative of American Physicians (CAP) has provided superior medical professional liability coverage and valuable risk and practice management programs to California’s finest physicians through its Mutual Protection Trust (MPT). As a physician-directed organization, we understand the realities of running a medical practice, and we are committed to supporting you with a range of valuable programs and services. These include a 24-hour adverse outcomes hotline, HR support, EHR consultation, a group purchasing program, and payment and reimbursement education and support, to name a few.

The 6 Most Common HIPAA Violations Revealed in CAP’s Free Guide. CAP’s new compliance guide, The 6 Most Common HIPAA

Violationss, not only explains how to avoid such mistakes, but cites the accompanying penalties for these common – yet easily avoidable – violations. With the right procedures in place, you can focus on practicing medicine and serving your patients instead of worrying about penalties.

For Your Protection. For Your Success.

Request your free copy today! 800-356-5672 | CAPphysicians.com/Compliance


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41 ST ANNUAL

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E A RN UP TO 34 C ME/CE CREDITS AND MOC-D Jointly provided by

in affiliation with

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ϭϱϮϬWĂĐŝĮĐǀĞŶƵĞͻ^ĂŶ&ƌĂŶĐŝƐĐŽ͕ĂůŝĨŽƌŶŝĂϵϰϭϬϵͻǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ WŚŽŶĞ;ϰϭϱͿϯϰϱͲϴϲϲϳͻ&Ădž;ϰϭϱͿϯϰϱͲϴϲϲϴͻͲŵĂŝů͗ĐĂĨƉΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ

ĜŒŽ›œȱŠ—ȱ˜Š›

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President >ĞĞZĂůƉŚ͕D

^ƵƐĂŶ,ŽŐĞůĂŶĚ͕ 

President-Elect DŝĐŚĞůůĞYƵŝŽŐƵĞ͕D Immediate Past President :ĂLJt͘>ĞĞ͕D͕DW, Speaker >ŝƐĂtĂƌĚ͕D͕DW, Vice-Speaker tĂůƚĞƌDŝůůƐ͕D Secretary/Treasurer ĂǀŝĚĂnjnjŽ͕D Executive Vice President ^ƵƐĂŶ,ŽŐĞůĂŶĚ͕ Foundation President ŶƚŚŽŶLJŚŽŶŐ͕D AAFP Delegates :ĞĨĨ>ƵƚŚĞƌ͕D ĂƌůĂ<ĂŬƵƚĂŶŝ͕D AAFP Alternates ĂƌŽů,ĂǀĞŶƐ͕D :ĂLJt͘>ĞĞ͕D͕DW, CMA Delegation ƐŚďLJtŽůĨĞ͕D͕DW,͕DWW :ĂLJt͘>ĞĞ͕D͕DW, DĂƌŝĞZĂŵĂƐ͕D DĂƌŬƌĞƐƐŶĞƌ͕D sĂŶEŐƵLJĞŶ͕K &ĞůŝdžEƵŶĞnj͕D͕DW,

Executive Vice President

ƐŚŽŐĞůĂŶĚΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ŽŶƌĂĚŵĞŶƚĂ

Director, Health Policy

ĐĂŵĞŶƚĂΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ :ĞƌƌŝĂǀŝƐ͕ ,W

Director, CME/CPD

ũĚĂǀŝƐΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ƌŝĂŶĞǀŝŶĞ

Manager, Finance

ďĚĞǀŝŶĞΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ĚĂŵ&ƌĂŶĐŝƐ

Director, Government Affairs

ĂĨƌĂŶĐŝƐΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ^ŚĂŶŶŽŶ'ŽĞĐŬĞ

Director, Membership and Marketing

ƐŐŽĞĐŬĞΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ^ŽŶŝĂ<ĂŶƚĂŬ

Manager, Medicall Practice Affairs

California FAMILY PHYSICIAN

LJŶƚŚŝĂ<ĞĂƌ͕Dŝǀ͕,W Senior Vice President

Quarterly publication of the California Academy of Family Physicians

ĐŬĞĂƌΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ůŝnjĂďĞƚŚ>ƵŬƌŝĐŚ͕



Manager, Communications and Social Media

ĞůƵŬƌŝĐŚΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ

^ŚĞůůLJZŽĚƌŝŐƵĞƐ͕͕&,W Deputy Executive Vice President

ƐƌŽĚƌŝŐƵĞƐΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ZŝĐŚĂ^ĂƌĂƐǁĂƚ

Manager, Medical Student and Residency Relations

ƌƐĂƌĂƐǁĂƚΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ

EĂƚŚĂŶ,ŝƚnjĞŵĂŶ͕D͕ Editor ŽŵŵƵŶŝĐĂƚŝŽŶƐŽŵŵŝƚƚĞĞ͗ EĂƚŚĂŶ,ŝƚnjĞŵĂŶ͕D͕Chair ͻ:ƵůŝĂůĂŶŬ͕D ͻEĂƚŚĂŶ,ŝƚnjĞŵĂŶ͕D ͻ:ĞĨĨƌĞLJ>ƵƚŚĞƌ͕D ͻ:ĂLJDŽŶŐŝĂƌĚŽ͕D ͻDŝĐŚĞůůĞYƵŝŽŐƵĞ͕D ͻůďĞƌƚZĂLJ͕D dŚĞCalifornia Family Physician ŝƐƉƵďůŝƐŚĞĚƋƵĂƌƚĞƌůLJďLJƚŚĞ ĂůŝĨŽƌŶŝĂĐĂĚĞŵLJŽĨ&ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ͘KƉŝŶŝŽŶƐĂƌĞƚŚŽƐĞŽĨ ƚŚĞĂƵƚŚŽƌƐĂŶĚŶŽƚŶĞĐĞƐƐĂƌŝůLJ ƚŚŽƐĞŽĨƚŚĞŵĞŵďĞƌƐĂŶĚ ƐƚĂīŽĨƚŚĞ&W͘EŽŶͲŵĞŵďĞƌ ƐƵďƐĐƌŝƉƟŽŶƐĂƌĞΨϯϱƉĞƌLJĞĂƌ͘ ĂůůϰϭϱͲϯϰϱͲϴϲϲϳƚŽƐƵďƐĐƌŝďĞ͘

ƐŬĂŶƚĂŬΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ

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California Family Physician Fall 2016


16 Live from Rio, Health Care and More

Carol Grench, MD

18 Commentary for California Family Physician, “ACA: Six Years and Counting. The Good, Bad, and the Promise” 20 The Affordable Care Act Six Years Later: The Good, Bad, and Promising

Wanda Filer, MD, MBA Ignatius Bau

22 Covered California Plans to Match Primary Care Physicians with Patients

Conrad Amenta

24 MACRA 101: Ready, Set, Go!

Leah Newkirk

26 CAFP Goes to Orlando!

Shelly Rodrigues, CAE, CHCP, FACEHP

28 #NeverStop Being Heroic

Jack Chou, MD

6

Editorial

Six Years of ACA: Changing the Conversation

8

President’s Message

From Where I Sit: The Medical Community Can Overcome Whatever Obstacle is Put in Front of Us

10 Political Pulse

We Really Will Have a Ballot Initiative Bonanza

14 Membership

Your Membership Matters

15 CAFP Foundation

National Conference for Students and Residents

30 EVP’s Forum

Verdict on the ACA? Good, Overall.

Nathan Hitzeman, MD

Lee Ralph, MD Carla Kakutani, MD Shannon Goecke Richa Saraswat Susan Hogeland, CAE

&ŽƌƵƉĐŽŵŝŶŐDĂĐƟǀŝƟĞƐǀŝƐŝƚĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĐŵĞ California Family Physician Fall Fall 2016 ϮϬϭϰ

5


EDITORIAL

ȱŠ‘Š—ȱ ’ĵŽ–Š—ǰȱȱ

Six Years of ACA: Changing the Conversation >Ğƚ͛ƐŶŽƚĨŽŽůŽƵƌƐĞůǀĞƐŚĞƌĞ͘dŚĞĨĨŽƌĚĂďůĞĂƌĞĐƚ;Ϳ ƌĞŝŶĨŽƌĐĞƐĂůĂƌŐĞůLJǁĂƐƚĞĨƵůĂŶĚĚLJƐĨƵŶĐƚŝŽŶĂůŚĞĂůƚŚĐĂƌĞ ƐLJƐƚĞŵ͘WĂƚĐŚǁŽƌŬƉůĂŶƐ͕ŵƵůƚŝƉůĞŵŝĚĚůĞŵĞŶ͕ƉŚĂŶƚŽŵ ƉƌŽǀŝĚĞƌŶĞƚǁŽƌŬƐĂŶĚŶŽĚĞƚĞƌƌĞŶĐĞĨŽƌƉŚĂƌŵĂĐĞƵƚŝĐĂů ƉƌŝĐĞŐĂƵŐŝŶŐ͘ŶĚ͕ĂƐƚŚĞĚƵƐƚƐĞƚƚůĞƐ͕/͛ŵŐůĂĚƚŚĂƚŝƚ ƉĂƐƐĞĚ͘ tŚLJ͍dŚĞ͛ƐŵĂŝŶŐŽĂůǁĂƐƚŽŝŶƐƵƌĞŵŽƌĞƉĞŽƉůĞĂŶĚ ŐŝǀĞƚŚĞŵƐŽŵĞŬŝŶĚŽĨ ĂĐĐĞƐƐƚŽĐĂƌĞ͘/ƚŚĂƐĚŽŶĞ ƚŚĂƚ͘ŶĚǁŚĞŶŚĞĂůƚŚ ĐĂƌĞďĞĐŽŵĞƐĂƌŝŐŚƚ͕ŶŽ ƐĞƌŝŽƵƐƉŽůŝƚŝĐŝĂŶŝƐŐŽŝŶŐ ƚŽƉƵůůŽƵƚƚŚĞƌƵŐ͘dƌLJ ĚŽŝŶŐƚŚĂƚǁŝƚŚDĞĚŝĐĂƌĞ͘ KŶĐĞŚĞĂůƚŚĐĂƌĞďĞĐŽŵĞƐ ĂƌŝŐŚƚ͕ŵŽƌĞĂƚƚĞŶƚŝŽŶĐĂŶ ďĞƐŚŝĨƚĞĚƚŽǁŚĂƚǁŽƌŬƐ ĂŶĚĨŝdžŝŶŐǁŚĂƚĚŽĞƐŶ͛ƚ͘ dŚĂƚ͛ƐǁŚĞƌĞǁĞĂƌĞŶŽǁ͘

ƚŚŝƐLJĞĂƌ͘ĞĨŽƌĞLJŽƵƚĂŬĞƚǁŽƐƚĞƉƐĂǁĂLJĨƌŽŵŵĞĂƚŽƵƌ ŶĞdžƚŵĞĞƚŝŶŐ͕LJĞƐ͕/ƐƚŝůůŐŽƚŽƚŚĞĚĞŶƚŝƐƚĂŶĚŚĂǀĞĂďƐŽƌďĞĚ ƚŚĞĐŽƐƚƉĞƌƐŽŶĂůůLJ͕ďƵƚ/ĚŝĚĨĞĞůŵŽŵĞŶƚƐŽĨƉĂŶŝĐǁŚĞŶ ŝƚŚĂƉƉĞŶĞĚĂŶĚƐŚĂŵĞǁŚĞŶ/ŚĂĚƚŽĚŝƐĐƵƐƐŝƚǁŝƚŚŵLJ ĚĞŶƚĂůƉƌŽǀŝĚĞƌ͘EŽƚďĞŝŶŐĐŽǀĞƌĞĚƐƵĐŬƐ͘ tĞůů͕ŚĞĂůƚŚĐĂƌĞƐƉĞŶĚŝŶŐŚĂƐƐůŽǁĞĚĚŽǁŶ͕ďƵƚŝƐƐƚŝůů ƌŝƐŝŶŐĂŶĚŶŽǁŚŝƚƚŝŶŐϮϬƉĞƌĐĞŶƚŽĨ'W͘dŚĞĐŽŵƉůĞdžŝƚLJŽĨ ƌĞŐƵůĂƚŝŽŶŝƐĞdžƚĞƌŵŝŶĂƚŝŶŐ ƚŚĞƉƌŝǀĂƚĞƉƌĂĐƚŝƚŝŽŶĞƌ͘ WĂƚŝĞŶƚƐŚĂƌĞŽĨĐŽƐƚŚĂƐƉƵƚ ƚŚĞƐƋƵĞĞnjĞŽŶƉŚLJƐŝĐŝĂŶ ƚŝŵĞŝŶŵĂŶĂŐŝŶŐƚŚĞ ͞dƌŽũĂŶ,ŽƌƐĞƉŚLJƐŝĐĂů͟Žƌ ƌĞƐƉŽŶĚŝŶŐƚŽŵĞƐƐĂŐĞƐ ĨƌŽŵƉĂƚŝĞŶƚƐůŝŬĞ͞/͛ǀĞ ďůĞĚƚǁŽďƵĐŬĞƚƐŽĨďůŽŽĚ͘ ^ŚŽƵůĚ/ďĞƐĞĞŶ͍/ŚĂǀĞĂ ĐŽƉĂLJ͙͟WŚĂƌŵĂĐĞƵƚŝĐĂů ĐŽŵƉĂŶLJƐŚĞŶĂŶŝŐĂŶƐĨƌŽŵ ƚŚĞDĂƌƚŝŶ^ŚŬƌĞůŝ͛ƐƚŽ ƚŚĞƉŝWĞŶĨŽůŬƐƐĞŶĚƐŵĞ ŝŶƚŽĂŶĂŶĂƉŚLJůĂĐƚŝĐƌĂŐĞ͘ ŶĚǁŚLJŚĂƐŝƚďĞĞŶƐŽ ŚĂƌĚƚŽƉƌĞƐĐƌŝďĞŐĞŶĞƌŝĐ ĚŽdžLJĐLJĐůŝŶĞ͕ĨŽƌůŝŬĞ͕ĨŝǀĞ LJĞĂƌƐŶŽǁ͊dŚĞĐůŽƐĞĚ ĚŽŽƌZhĂĚǀŝƐŽƌLJƉĂŶĞů ƚŽDĞĚŝĐĂƌĞƐƚŝůůďůŽĂƚƐ ƐƉĞĐŝĂůƚLJƌĞŝŵďƵƌƐĞŵĞŶƚ ǁŚŝůĞƵŶĚĞƌƉĂLJŝŶŐƉƌŝŵĂƌLJ ĐĂƌĞ͘DĞĚŝĐĂůĞĚƵĐĂƚŝŽŶĚĞďƚ ŐƌŽǁƐĞǀĞƌŚŝŐŚĞƌ͘hŶĚŽĐƵŵĞŶƚĞĚŝŵŵŝŐƌĂŶƚƐƐƚŝůůŚĂǀĞ ůŝƚƚůĞƌĞĐŽƵƌƐĞďƵƚƚŽŐŽƚŽƚŚĞ͘'ƌƌƌƌ͙͘͘

˜ȱ’—žœ›’Š•’£Žȱ Œ˜ž—›¢ȱ‘ŠœȱŠȱ™Ž›ŽŒȱ ‘ŽŠ•‘ȱŒŠ›Žȱœ¢œŽ–ǰȱŠ—ȱ Žȱ—ŽŸŽ›ȱ ’••ȱŽ’‘Ž›ǰȱ ‹žȱ—˜ ȱ Žȱ‘ŠŸŽȱ “˜’—Žȱ‘Žȱ’›œȱ˜›•ȱ ’—ȱ›ŽŒ˜—’£’—ȱ‘ŽŠ•‘ȱ ŒŠ›ŽȱŠœȱŠȱ›’‘ǯ

tŚĂƚŚĂƐǁŽƌŬĞĚƚŚĞ ƉĂƐƚƐŝdžLJĞĂƌƐ͍tĞůů͕ŵLJ ĞůĞĐƚƌŽŶŝĐŚĞĂůƚŚƌĞĐŽƌĚ ;,ZͿĐĂŶŶŽǁĂĐĐĞƐƐ ƚŚĂƚŽĨŽƚŚĞƌŚĞĂůƚŚ ƐLJƐƚĞŵƐ͘WƌĞǀĞŶƚŝǀĞ ƐĞƌǀŝĐĞƐĂƌĞĐŽǀĞƌĞĚ͘ŝƌƚŚ ĐŽŶƚƌŽůŝƐďĞƚƚĞƌĐŽǀĞƌĞĚ͘ ŶĞŵƉŚĂƐŝƐŽŶĐŽƐƚ ĐŽŶƚĂŝŶŵĞŶƚĂŶĚǀĂůƵĞͲ ďĂƐĞĚĐĂƌĞĐŽŶƚŝŶƵĞƐƚŽ ĞǀŽůǀĞ͘&ŽƌĞdžĂŵƉůĞ͕/ĚŽŶ͛ƚƐĞĞŽŶĞŽĨŽƵƌůŽĐĂůĐĂƌĚŝŽůŽŐLJ ĐĞŶƚĞƌƐĚŽŝŶŐƚŚĞǁŚŽůĞďŽĚLJƐĐĂŶƐŝƚŽŶĐĞĚŝĚ͘ƵƚŵŽƐƚ ŐƌĂƚŝĨLJŝŶŐ͕/ƐĞĞƉĂƚŝĞŶƚƐǁŚŽƚĞůůŵĞŚŽǁŚĂƉƉLJƚŚĞLJĂƌĞ ƚŽƐĞĞĂĚŽĐƚŽƌĂĨƚĞƌƚŚĞLJĐŽƵůĚŶ͛ƚĨŽƌƐŽůŽŶŐďĞĐĂƵƐĞƚŚĞLJ ĚŝĚŶ͛ƚŚĂǀĞŝŶƐƵƌĂŶĐĞ͘,ŽǁďĂĚǁŽƵůĚŝƚĨĞĞůŶŽƚƚŽŚĂǀĞ ŚĞĂůƚŚŝŶƐƵƌĂŶĐĞ͍

dŚƌŽƵŐŚĂůŽŐŝƐƚŝĐĂůƐŶĂĨƵŝŶƚƌĂŶƐĨĞƌƌŝŶŐŵLJĨĂŵŝůLJƚŽŵLJ ǁŝĨĞ͛ƐĚĞŶƚĂůƉůĂŶ͕/ĂĐĐŝĚĞŶƚĂůůLJĚƌŽƉƉĞĚŵLJƐĞůĨĨƌŽŵĚĞŶƚĂů

6

California Family Physician Fall 2016

EŽŝŶĚƵƐƚƌŝĂůŝnjĞĚĐŽƵŶƚƌLJŚĂƐĂƉĞƌĨĞĐƚŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵ ͲͲǁĞŶĞǀĞƌǁŝůůĞŝƚŚĞƌͲͲďƵƚŶŽǁǁĞŚĂǀĞũŽŝŶĞĚƚŚĞ&ŝƌƐƚ tŽƌůĚŝŶƌĞĐŽŐŶŝnjŝŶŐŚĞĂůƚŚĐĂƌĞĂƐĂƌŝŐŚƚ͘EŽǁǁĞĐĂŶĂůů ĐŽŵĞƚŽƚŚĞƚĂďůĞĂŶĚŚĂƐŚŽƵƚƚŚĞĚĞƚĂŝůƐ͘ DĞĂŶǁŚŝůĞ͕ĚŽŶ͛ƚĨŽƌŐĞƚƚŽĨůŽƐƐ͘


Sutter Pacific Medical Foundation (SPMF) has an opportunity for a BC/BE Family Medicine physician to join Sutter Medical Group of the Redwoods (SMGR), a growing multi-specialty group in beautiful Sonoma County. Spanish speaking a plus! Benefits: t 1-2 years guaranteed income t Relocation allowance t Sign on bonus negotiable t Option for shareholder track after two years of employment t Generous compensation and benefits, including paid CME, up to six weeksâ&#x20AC;&#x2122; vacation, pension plan and 401(k) Modalities: s'OODOPPORTUNITYFORWORKLIFEBALANCE s#OMPLETELYAMBULATORY.OINPATIENTWORK s0ATIENTPANELCANBEESTABLISHEDWITHIN three to six months SMGR is a 105+ member physician-owned, multi-specialty medical group that has served the City of Santa Rosa and surrounding areas FOROVERYEARS3-'2HASBEENNATIONALLY recognized as a medical group that provides the highest quality and most complete health CAREPOSSIBLE Located 55 miles north of San Francisco and MILESEASTOFTHE0ACIFIC/CEAN 3ANTA2OSA is a warm and friendly city of 170,000 within 3ONOMA#OUNTY POPULATION 9OUWILL enjoy a unique blend of culture with exceptional ART WINE FOOD ANDRECREATION!MENITIES include 400 wineries in Sonoma County, 27 golf courses, hot air ballooning, hiking, spas, RIVERSPORTS ANDWORLD CLASSCUISINE3ONOMA County also has a professional symphony, excellent public and private schools, fantastic weather, and some of the most affordable HOUSINGINTHE"AY!REA9OUWOULDLIVEAND WORKWHEREOTHERSONLYDREAMOFVISITING Contact: Isabelle von Tobel

707.521.8841 vontobi@sutterhealth.org

California Family Physician Fall 2016

7


PRESIDENT’S MESSAGE

ŽŽȱŠ•™‘ǰȱ

From Where I Sit: The Medical Community Can Overcome Whatever Obstacle is Put in Front of Us /ŐƌĞǁƵƉŝŶŵŚĞƌƐƚ͕DĂƐƐĂĐŚƵƐĞƩƐŝŶĂŵĞĚŝĐĂůĨĂŵŝůLJ͘,ĞĂůƚŚ ĐĂƌĞǁĂƐĂĨƌĞƋƵĞŶƚĚŝŶŶĞƌƚĂďůĞĐŽŶǀĞƌƐĂƟŽŶƚŽƉŝĐ͘/ŽŌĞŶ ĞŶǀŝƐŝŽŶĞĚŵLJƐĞůĨĂƐĂĚŽĐƚŽƌƚĂŬŝŶŐĐĂƌĞŽĨƉĂƟĞŶƚƐ͘/ǁŽŶĚĞƌĞĚ ǁŚĂƚƚŚĞŵĞĚŝĐĂůĂƚŵŽƐƉŚĞƌĞǁŽƵůĚďĞůŝŬĞďLJƚŚĞƟŵĞ/ĮŶŝƐŚĞĚ ƵŶĚĞƌŐƌĂĚƵĂƚĞĂŶĚŵĞĚŝĐĂůĞĚƵĐĂƟŽŶ͘EŽǁĂĚĂLJƐ͕ǁŝƚŚŚĞĂůƚŚ ĐĂƌĞĂĨƌĞƋƵĞŶƚĚŝŶŶĞƌƚĂďůĞƚŽƉŝĐŝŶŵLJŽǁŶŚŽŵĞ͕/ĐĂŶ͛ƚŚĞůƉ ďƵƚǁŽŶĚĞƌŚŽǁŵLJŽůĚĞƐƚĚĂƵŐŚƚĞƌ͕:ƵůŝĂ͕ĂƐĞŶŝŽƌŝŶŚŝŐŚƐĐŚŽŽů ĐŽŶƚĞŵƉůĂƟŶŐĂŵĞĚŝĐĂůĐĂƌĞĞƌ͕ŝƐŝŵĂŐŝŶŝŶŐŚĞƌĨƵƚƵƌĞŵŝŐŚƚůŽŽŬ͘ /ďĞŐĂŶƉƌĂĐƟĐĞďĞĨŽƌĞƚŚĞĂĚǀĞŶƚŽĨŵĂŶĂŐĞĚĐĂƌĞ͘,/sǁĂƐƚŚĞ ŶĞǁĞƐƚďƵƌŐĞŽŶŝŶŐĚŝƐĞĂƐĞĚŽŵŝŶĂƟŶŐƚŚĞŵĞĚŝĐĂůůĂŶĚƐĐĂƉĞ͘ &ŽƌƚƵŶĂƚĞůLJ͕ǁĞůĞĂƌŶĞĚŚŽǁƚŽŚĂŶĚůĞĐĂƉŝƚĂƚĞĚƉĂLJŵĞŶƚĂŶĚ ŵĂŶĂŐĞĚĐĂƌĞƐLJƐƚĞŵƐ͘tĞĞǀĞŶƚƵĂůůLJƵŶĚĞƌƐƚŽŽĚƚŚĞĚĞĂĚůLJ ƌĞƚƌŽǀŝƌƵƐǁĞůůĞŶŽƵŐŚƚŽŬĞĞƉŝƚĂƚďĂLJǁŝƚŚĐŽŵďŝŶĂƟŽŶƐŽĨ ŵĞĚŝĐĂƟŽŶƐ͕ĞǀĞŶƚŚŽƵŐŚǁĞŚĂǀĞLJĞƚƚŽĚĞǀĞůŽƉĂĐƵƌĞ͘tĞ ůĞĂƌŶĞĚĂƐĂŵĞĚŝĐĂůĐŽŵŵƵŶŝƚLJƚŽŽǀĞƌĐŽŵĞǁŚĂƚĞǀĞƌŽďƐƚĂĐůĞ ǁĂƐƉƵƚŝŶĨƌŽŶƚŽĨƵƐ͘ tŚĂƚǁŝůůďĞƚŚĞĚŽŵŝŶĂŶƚŵĞĚŝĐĂůŝƐƐƵĞƐŽĨƚŚĞĐŽŵŝŶŐĚĞĐĂĚĞ͍ tŝůůŝƚďĞƚŚĞĨƵƌƚŚĞƌŝŶƚƌŽĚƵĐƟŽŶŽĨŐĞŶŽŵŝĐŵĞĚŝĐŝŶĞŽƌ ƚĞůĞŚĞĂůƚŚ͍tŝůůƐŵĂůůĂŶĚƐŽůŽƉƌĂĐƟĐĞƐďĞĐŽŵƉůĞƚĞůLJŽǀĞƌƚĂŬĞŶ ďLJůĂƌŐĞŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵƐ͍tŚĞƌĞǁŝůůDZĂŶĚǀĂůƵĞͲďĂƐĞĚ ŵĞĚŝĐŝŶĞůĞĂĚ͍ ĞĨŽƌĞ/ĐĂŶŵĞŶƚĂůůLJĂƩĞŵƉƚƚŽƚĂĐŬůĞƚŚĞƐĞŝƐƐƵĞƐ͕ůĞƚ͛ƐĂĚĚƌĞƐƐ ƚŚĞǁŚŽůĞŝƐƐƵĞŽĨƚŚĞīŽƌĚĂďůĞĂƌĞĐƚ;ͿĂŶĚŝƚƐĨƵƚƵƌĞ͘dŚŝƐ ŝƐƐƵĞŽĨCalifornia Family PhysicianŝƐĚĞǀŽƚĞĚƚŽƚŚĞ͗͞^ŝdžzĞĂƌƐ ĂŶĚŽƵŶƟŶŐ͗dŚĞ'ŽŽĚ͕dŚĞĂĚ͕ĂŶĚdŚĞWƌŽŵŝƐĞ͘͟tĞůů͕ŚĞƌĞĂƌĞ ŵLJƵŶŽĸĐŝĂůƐĐŽƌĞĐĂƌĚĂŶĚƉƌŽŐŶŽƐƟĐĂƟŽŶƐ͗

›˜–ȱ ‘Ž›Žȱ ȱœ’ǰȱ ’—Žœœ’—ȱ ‘˜ ȱ‘’œȱŠ••ȱž—ž›•œȱ’œȱ ‹˜‘ȱŽ¡Œ’’—ȱŠ—ȱœŒŠ›¢ǯȱȱ žȱ›Ž–Ž–‹Ž›ǰȱ Žȱœž›Ÿ’ŸŽȱ

œȱŠ—ȱ ǯȱȱ ȱ ˜ž•ȱ ‹Žȱ ’••’—ȱ˜ȱ‹Žȱ‘Šȱ Žȱ ŒŠ—ȱœž›Ÿ’ŸŽȱ‘Žȱǯ 8

California Family Physician Fall 2016

The Good: ͻ ƚůĞĂƐƚϮϬŵŝůůŝŽŶŶĞǁƉĂƟĞŶƚƐŚĂǀĞŚĞĂůƚŚŝŶƐƵƌĂŶĐĞ;ƌŽƵŐŚůLJ ŽŶĞͲŚĂůĨďLJDĞĚŝĐĂŝĚĞdžƉĂŶƐŝŽŶĂŶĚŽŶĞͲŚĂůĨďLJƚŚĞŝŶƐƵƌĂŶĐĞ ĞdžĐŚĂŶŐĞƐͿ͘ĂůŝĨŽƌŶŝĂŚĂƐƚŚƌĞĞŵŝůůŝŽŶŶĞǁĞŶƌŽůůĞĞƐĨŽƌ DĞĚŝͲĂůĂŶĚŵŽƌĞƚŚĂŶŽŶĞŵŝůůŝŽŶŶĞǁĐŽǀĞƌĞĚůŝǀĞƐƚŚƌŽƵŐŚ ŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ͖ ͻ ĞƉĞŶĚĞŶƚƐƵƉƚŽĂŐĞϮϲŶŽǁĂƌĞŶŽǁĞůŝŐŝďůĞĨŽƌĐŽŶƟŶƵĞĚ ĐŽǀĞƌĂŐĞŽŶƚŚĞŝƌƉĂƌĞŶƚƐ͛ƉůĂŶƐ͖ ͻ WĞŽƉůĞǁŝƚŚƉƌĞͲĞdžŝƐƟŶŐĐŽŶĚŝƟŽŶƐĐĂŶŶŽƚďĞĚĞŶŝĞĚĐŽǀĞƌĂŐĞ͖ ĂŶĚ ͻ ŽƐƚ^ŚĂƌŝŶŐZĞĚƵĐƟŽŶƉƌŽŐƌĂŵŵĂŬŝŶŐŚĞĂůƚŚŝŶƐƵƌĂŶĐĞĨƌĞĞ ŽƌǀĞƌLJĂīŽƌĚĂďůĞƚŽŵĂŶLJůŽǁĞƌŝŶĐŽŵĞŵĞƌŝĐĂŶƐŝƐŝŶƉůĂĐĞ͘ The Bad: ͻ ^ĞƌŝŽƵƐĐŽŶĐĞƌŶƐĂďŽƵƚƚŚĞĨƵƚƵƌĞůŽŶŐƚĞƌŵĮƐĐĂůƐƚĂďŝůŝƚLJŽĨƚŚĞ ƉƌŽŐƌĂŵĂďŽƵŶĚ͖ ͻ ĂůŝĨŽƌŶŝĂƚŚƌŽƵŐŚŽǀĞƌĞĚĂůŝĨŽƌŶŝĂĨŽƌϮϬϭϳŵĂLJƐĞĞĂ ƉƌŽũĞĐƚĞĚϭϯƉĞƌĐĞŶƚƉƌĞŵŝƵŵŝŶĐƌĞĂƐĞ;ǁŚĞŶŝŶĐƌĞĂƐĞƐǁĞƌĞ ƐƵƉƉŽƐĞĚƚŽďĞƚĂŝůŝŶŐŽī͊Ϳ͖ĂŶĚ ͻ dŚĞĐƵƌƌĞŶƚƚĂdžƉĞŶĂůƚLJŝƐŶŽƚŚŝŐŚĞŶŽƵŐŚƚŽƉĞƌƐƵĂĚĞ ͞ŚĞĂůƚŚLJ͟ŝŶĚŝǀŝĚƵĂůƐƚŽƐŝŐŶƵƉ͕ƚŚƵƐĐĂƵƐŝŶŐƐĞƌŝŽƵƐĐŽŶĐĞƌŶƐ ĂďŽƵƚƌŝƐŬĐŽŶŐƌĞŐĂƟŽŶŝŶƚŚŽƐĞǁŚŽĚŽĚĞĐŝĚĞƚŽƐŝŐŶƵƉ͘ The Promise: ͻ dŚĞǁŝůůďĞ͞ďƵĚŐĞƚŶĞƵƚƌĂů͟ĂŶĚĂ͞ŶĞƚƉŽƐŝƟǀĞ͟ĨŽƌŽƵƌ ŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵ͊ ,ĂǀĞǁĞĂĐŚŝĞǀĞĚƚŚŝƐƉƌŽŵŝƐĞ͍džƉĞƌƚƐǁŝůůĐŽŶƟŶƵĞƚŽĚĞďĂƚĞ ƚŚŝƐŝƐƐƵĞĨŽƌLJĞĂƌƐƚŽĐŽŵĞ͘WƌĞƐŝĚĞŶƚĂƌĂĐŬKďĂŵĂůĂƵĚĞĚƚŚĞ ĂĐĐŽŵƉůŝƐŚŵĞŶƚƐŽĨƚŚĞŝŶĂƌĞĐĞŶƚ:ŽƵƌŶĂůŽĨƚŚĞŵĞƌŝĐĂŶ DĞĚŝĐĂůƐƐŽĐŝĂƟŽŶĂƌƟĐůĞ͘KƚŚĞƌƐŚĂǀĞůĂŵďĂƐƚĞĚŝƚƉƵƌĞůLJĨƌŽŵĂ ĮŶĂŶĐŝĂůͬĂĐƚƵĂƌŝĂůďĂƐŝƐĂŶĚĐŽŶƐŝĚĞƌŝƚĂ͞ŚŽƵƐĞŽĨĐĂƌĚƐ͘͟/ĐĂŶƚĞůů LJŽƵ/ƌĞĂůůLJĚŽŶ͛ƚŬŶŽǁƚŚĞĐŽŵƉůĞƚĞĂŶƐǁĞƌLJĞƚ͘/ƚŚŝŶŬǁĞĂƌĞƐƟůůĂ ǁŽƌŬŝŶƉƌŽŐƌĞƐƐĂŶĚƐůŽǁůLJĞǀŽůǀŝŶŐ͘ ƵƚŵŽƌĞŝŵƉŽƌƚĂŶƚůLJ͕ĨƌŽŵǁŚĞƌĞ/ƐŝƚĂƐWƌĞƐŝĚĞŶƚŽĨƚŚĞ&W͕ ĐŽŶĐĞƌŶĞĚĂďŽƵƚŽƵƌƉŝƉĞůŝŶĞŽĨĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ͕ƚŚĞƚŚŽƵŐŚƚƐŽĨŽƵƌ LJŽƵŶŐĞƌƐƚƵĚĞŶƚƐĂƌĞǁŚĂƚ/ǁĂŶƚƚŽŬŶŽǁ͘tŚĂƚĚŽĞƐ:ƵůŝĂƚŚŝŶŬŽƌ ĐĂƌĞĂďŽƵƚƚŚĞ͍tŝůůŝƚďĞĐŽŵƉůĞƚĞůLJƚƌĂŶƐĨŽƌŵĞĚďLJƚŚĞƟŵĞƐŚĞ ĐŽŵƉůĞƚĞƐŚĞƌĞĚƵĐĂƟŽŶ͍DŝŐŚƚŝƚƐĞīĞĐƚƐĚŝƐƐƵĂĚĞŚĞƌĨƌŽŵƉƵƌƐƵŝŶŐ ĂĐĂƌĞĞƌŝŶŵĞĚŝĐŝŶĞ͍tŚĂƚĂďŽƵƚŽƵƌĐƵƌƌĞŶƚŵĞĚŝĐĂůƐƚƵĚĞŶƚƐĂŶĚ ƌĞƐŝĚĞŶƚƐ͍tŝůůƚŚĞĞīĞĐƚƐŽĨƚŚĞŐƌĞĂƚůLJŝŶŇƵĞŶĐĞƚŚĞŝƌĚĞƐŝƌĞƐƚŽ ƚƌĂŝŶƚŽďĞĐŽŵĞĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ͍ &ƌŽŵǁŚĞƌĞ/Ɛŝƚ͕ǁŝƚŶĞƐƐŝŶŐŚŽǁƚŚŝƐĂůůƵŶĨƵƌůƐŝƐďŽƚŚĞdžĐŝƟŶŐĂŶĚ ƐĐĂƌLJ͘ƵƚƌĞŵĞŵďĞƌ͕ǁĞƐƵƌǀŝǀĞĚ,DKƐĂŶĚ,/s͘/ǁŽƵůĚďĞǁŝůůŝŶŐƚŽ ďĞƚƚŚĂƚǁĞĐĂŶƐƵƌǀŝǀĞƚŚĞ͘


Mountain Valleys Health Centers, Inc. is a great place to work and rural north eastern California is a great place to live. Whether raising a family, relaxing in seclusion or working your own ranch the communities we live in and serve are a great place to enjoy a little slower pace and a much higher quality of life. Mountain Valleys Health Centers offer numerous attractive employment opportunities for health care professionals. If you are a dedicated, mission driven health care professional or want to be part of the staff of a mission driven corporation, please consider joining our team. MVHC is currently recruiting for a full scope Family Practice physician which includes being on staff at the local rural hospital and, preferably, performing OB.

We offer generous compensation packages including: Â&#x2021;)XOO0HGLFDO%HQHILWV3DFNDJH Â&#x2021;5HWLUHPHQW3ODQ Â&#x2021;&RQWLQXLQJ(GXFDWLRQ Â&#x2021;372 +ROLGD\V Â&#x2021;1+6&/RDQ5HSD\PHQW Â&#x2021;)7&$0DOSUDFWLFH,QVXUDQFH

Interested Candidates Please Contact: Mountain Valleys Health Centers 'DYH-RQHV&(2 530-294-5114 djones@mtnvalleyhc.org California Family Physician Fall 2016

9


Š›•Šȱ Š”žŠ—’ǰȱȱ

POLITICAL PULSE

We Really Will Have a Ballot Initiative Bonanza EĞdžƚŵŽŶƚŚ͕ĂůŝĨŽƌŶŝĂǀŽƚĞƌƐǁŝůůĚĞĐŝĚ ŝĚ ĚĞ ŽŶ ŽŶ ϭϳ ďĂĂůůůůŽƚ ůůŽƚƚ ŝŶŝŝƟĂ ƟĂƟǀ Ɵ ĞƐ Ɵǀ ĞƐ͕͕ ŵĂŶLJŽĨǁŚŝĐŚĐŽƵůĚĂīĞĐƚLJŽƵĂŶ ŶĚ LJŽ LJ Ƶƌ ƉĂƟ ĂƟĞŶ ƟĞŶ ĞŶƚƐ ƚƐ͘͘  ƚƐ &W &&W W͛ƐƐ >ĞŐ ĞŐŝƐ ŝƐůĂ ŝƐ ƐůĂ ůĂƟǀ Ɵ Ğ Ɵǀ īĂŝƌƐŽŵŵŝƩĞĞĂŶĚŽĂƌĚ Ě ŽĨ ŝƌ ŝƌĞĐ ĞĐƚŽ ĞĐ ƚŽƌƐ ƚŽ ƌƐ ĐĂƌ Ă ĞĨ ĞĨƵů ƵůůLJ Ƶů ůLJ ƌĞǀ ĞǀŝĞ ŝĞǁĞ ŝĞ ǁĞĚ Ě ĞĂĂĐŚ ŝ ŝƟ ŝŶ ŝƟĂƟǀĞĂŶĚĂĚŽ Ě ƉƚĞĚ ĚƚŚĞĨŽůůŽ Žǁŝ ǁ ŶŐ ƉŽƐ ŽƐŝƟ ŝƟŽŶ ŽŶƐ͗ Ɛ͗

SUPPORT:

CAFP urges you to WƌŽƉŽƐŝƟŽŶϱϮͲ/ŶϮϬϬϵ͕ĂĨĞĞŽŶĂůŝĨŽƌŶŝĂŚŽƐƉŝƚĂůƐǁĂƐ ĞƐƚĂďůŝƐŚĞĚƚŽĚƌĂǁĚŽǁŶĨĞĚĞƌĂůŵŽŶĞLJƚŽĨƵŶĚŚŽƐƉŝƚĂůͲƉƌŽǀŝĚĞĚ ƵŶĐŽŵƉĞŶƐĂƚĞĚĐĂƌĞ͕DĞĚŝͲĂůƐĞƌǀŝĐĞƐĂŶĚƐƵƉƉŽƌƚĐŚŝůĚƌĞŶ͛Ɛ Ɖ ƉƉ ŚĞĂůƚŚĐŽǀĞƌĂŐĞ͘dŚŝƐĨĞĞŚĞůƉĞĚĂůŝĨŽƌŶŝĂŚŽƐƉŝƚĂůƐĚƌĂǁĚŽǁŶ ƌŽƵŐŚůLJΨϮďŝůůŝŽŶĂLJĞĂƌŝŶĂĚĚŝƟŽŶĂůĨĞĚĞƌĂůŵŽŶĞLJƚŚƌŽƵŐŚ DĞĚŝͲĂů͘dŚĞ'ŽǀĞƌŶŽƌĂŶĚ>ĞŐŝƐůĂƚƵƌĞŚĂǀĞĚŝǀĞƌƚĞĚƐŽŵĞŽĨ ƚŚĞŵĂƚĐŚŝŶŐĨƵŶĚƐƚŽƚŚĞƐƚĂƚĞ͛Ɛ'ĞŶĞƌĂů&ƵŶĚ͕ŚŽǁĞǀĞƌ͘dŚŝƐ ŝŶŝƟĂƟǀĞǁŽƵůĚŵĂŬĞƚŚĞĨĞĞƉĞƌŵĂŶĞŶƚĂŶĚůŝŵŝƚŚŽǁƚŚĞŵŽŶĞLJ ŝƐĂůůŽĐĂƚĞĚ͕ƉƌĞǀĞŶƟŶŐŝƚĨƌŽŵďĞŝŶŐĚŝǀĞƌƚĞĚƚŽƚŚĞ'ĞŶĞƌĂů &ƵŶĚƵŶůĞƐƐĚŽŶĞƚŚƌŽƵŐŚĂĨƵƚƵƌĞďĂůůŽƚŝŶŝƟĂƟǀĞ͘/ƚŝƐƐƵƉƉŽƌƚĞĚ ďLJĂǀĂƐƚďŝƉĂƌƟƐĂŶŐƌŽƵƉŽĨůĞŐŝƐůĂƚŽƌƐ͕ŚĞĂůƚŚĐĂƌĞƉƌŽǀŝĚĞƌ ŽƌŐĂŶŝnjĂƟŽŶƐ͕ůĂďŽƌ͕ďƵƐŝŶĞƐƐĂŶĚŽƚŚĞƌĂƐƐŽĐŝĂƟŽŶƐ͕ĂŶĚ&W͛Ɛ ƌĞĐĞŶƚƐƵĐĐĞƐƐŝŶĐŽŶǀŝŶĐŝŶŐƚŚĞ>ĞŐŝƐůĂƚƵƌĞĂŶĚ'ŽǀĞƌŶŽƌƚŽ ĂůůŽĐĂƚĞΨϭϬϬŵŝůůŝŽŶƚŽƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶƚƌĂŝŶŝŶŐŝƐƟĞĚƚŽƚŚŝƐ ĨĞĞ͕ŵĂŬŝŶŐLJŽƵƌƐƵƉƉŽƌƚĞƐƐĞŶƟĂů͘

ŌĞƌƐŝŐŶŝĮĐĂŶƚĚĞůŝďĞƌĂƟŽŶ͕&WĂĚŽƉƚĞĚƚǁŽƉŽůŝĐLJƐƚĂƚĞŵĞŶƚƐŝŶ ůŝĞƵŽĨƉŽƐŝƟŽŶƐŽŶWƌŽƉŽƐŝƟŽŶϲϭĂŶĚϲϰ;ďĞůŽǁͿ͘KƵƌŶĞǁƉŽůŝĐŝĞƐ state: WƌĞƐĐƌŝƉƟŽ ƟŽŶ ƟŽ Ŷ ƌ Ŷ ƌƵŐ ƵŐ ŽƐ ŽƐƚƚŽ ŽŶƚ ŶƚĂ ĂŝŶŵĞŶ ĂŝŶŵ Ğ ƚĂŶ ĞŶ ĂŶĚ ĚWƌ WƌŝĐ ŝĐĞ Ğdƌ dƌĂ ĂŶƐƉ ƐƉĂ ĂƌĞŶ Ăƌ ĞŶĐLJ ĐLJLJ &WƐƵƉ ƉƉŽ ƉŽƌƚƐƐƉƌ Ɖ ŽŐŐƌĂŵƐǁŚŽ ŽƐĞƉƵ ƵƌƉŽ ƉŽƐĞŝƐ ƐƚŽ ƚŽ ĐŽŶ ŽŶƚĂ ƚĂŝŶƚŚĞ ƌŝƐ ŝƐŝŶ ŝŶŐĐŽƐƚƐ ŽĨƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƐ͕ƉƌŽǀŝĚĞĚƚŚĂƚƚŚĞĨŽůůŽǁŝŶŐĐƌŝƚĞƌŝĂĂƌĞƐĂƟƐĮĞĚ͗ ;ĂͿƉŚLJƐŝĐŝĂŶƐŵƵƐƚŚĂǀĞƐŝŐŶŝĮĐĂŶƚŝŶƉƵƚŝŶƚŽƚŚĞĚĞǀĞůŽƉŵĞŶƚĂŶĚ ŵĂŝŶƚĞŶĂŶĐĞŽĨƐƵĐŚƉƌŽŐƌĂŵƐ͖;ďͿƐƵĐŚƉƌŽŐƌĂŵƐŵƵƐƚĞŶĐŽƵƌĂŐĞ ŽƉƟŵƵŵ Ɖ Ɖ ƉƌĞƐĐƌŝďŝŶŐŐ Ɖ ƉƌĂĐƟĐĞƐĂŶĚƋƵĂůŝƚLJŽĨĐĂƌĞ͖ Ƌ LJ ;;ĐͿͿ Ɖ ƉĂƟĞŶƚƐŵƵƐƚ ŚĂǀĞĂĐĐĞƐƐƚŽĂůůƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƐŶĞĐĞƐƐĂƌLJƚŽƚƌĞĂƚƚŚĞŝƌŝůůŶĞƐƐĞƐ͖ ;ĚͿƉŚLJƐŝĐŝĂŶƐŵƵƐƚŚĂǀĞƚŚĞĨƌĞĞĚŽŵƚŽƉƌĞƐĐƌŝďĞƚŚĞŵŽƐƚĂƉƉƌŽƉƌŝĂƚĞ ĚƌƵŐ;ƐͿĂŶĚŵĞƚŚŽĚŽĨĚĞůŝǀĞƌLJĨŽƌƚŚĞŝŶĚŝǀŝĚƵĂůƉĂƟĞŶƚ͖ĂŶĚ;ĞͿƐƵĐŚ ƉƌŽŐƌĂŵƐŝŶĐĞŶƟǀŝnjĞƌĞƐĞĂƌĐŚĂŶĚĚĞǀĞůŽƉŵĞŶƚŽĨĐůŝŶŝĐĂůůLJŶĞĞĚĞĚ ƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƐ͕ǁŚŝůĞĞŶƐƵƌŝŶŐƉĂƟĞŶƚƐĐĂŶƌĞĂƐŽŶĂďůLJĂīŽƌĚƚŚĞŝƌ ŵĞĚŝĐĂƟŽŶƐĂƐůŽŶŐĂƐĐůŝŶŝĐĂůůLJŝŶĚŝĐĂƚĞĚ͘/ŶĂĚĚŝƟŽŶ͕

ϭͿ &WƵƌŐĞƐƚŚĞĞůŝŵŝŶĂƟŽŶŽĨƚŚĞDĞĚŝĐĂƌĞƉƌŽŚŝďŝƟŽŶŽŶĚƌƵŐƉƌŝĐĞ ŶĞŐŽƟĂƟŽŶĂŶĚĞŶĐŽƵƌĂŐĞƐĨĞĚĞƌĂůůĞŐŝƐůĂƟŽŶƚŽŐŝǀĞƚŚĞ^ĞĐƌĞƚĂƌLJ ŽĨƚŚĞĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚĂŶĚ,ƵŵĂŶ^ĞƌǀŝĐĞƐƚŚĞĂƵƚŚŽƌŝƚLJƚŽ ŶĞŐŽƟĂƚĞĐŽŶƚƌĂĐƚƐǁŝƚŚŵĂŶƵĨĂĐƚƵƌĞƌƐŽĨĐŽǀĞƌĞĚWĂƌƚĚƌƵŐƐ͘ ϮͿ &WƐƵƉƉŽƌƚƐĂŶĂƉƉƌŽƉƌŝĂƚĞďĂůĂŶĐĞďĞƚǁĞĞŶŝŶĐĞŶƟǀĞƐĨŽƌ ŝŶŶŽǀĂƟŽŶĂŶĚĞīŽƌƚƐƚŽƌĞĚƵĐĞƌĞŐƵůĂƚŽƌLJĂŶĚƐƚĂƚƵƚŽƌLJďĂƌƌŝĞƌƐƚŽ WƌŽƉŽƐŝƟŽŶϱϱͲdŚŝƐŝŶŝƟĂƟǀĞĞdžƚĞŶĚƐďLJƚǁĞůǀĞLJĞĂƌƐ&WͲ ĐŽŵƉĞƟƟŽŶĂƐƉĂƌƚŽĨƚŚĞƉĂƚĞŶƚƐLJƐƚĞŵ͘ ƐƵƉƉŽƌƚĞĚWƌŽƉŽƐŝƟŽŶϯϬƉĞƌƐŽŶĂůŝŶĐŽŵĞƚĂdžŝŶĐƌĞĂƐĞƐĞŶĂĐƚĞĚ ϯͿ &WŽƉƉŽƐĞƐĂŶƟĐŽŵƉĞƟƟǀĞďĞŚĂǀŝŽƌďLJƉŚĂƌŵĂĐĞƵƟĐĂů ŝŶϮϬϭϮŽŶŝŶĚŝǀŝĚƵĂůƐĞĂƌŶŝŶŐŵŽƌĞƚŚĂŶΨϮϱϬ͕ϬϬϬĂŶŶƵĂůůLJ;ŵŽƌĞ ĐŽŵƉĂŶŝĞƐĂƩĞŵƉƟŶŐƚŽƌĞĚƵĐĞĐŽŵƉĞƟƟŽŶĨƌŽŵŐĞŶĞƌŝĐ ƚŚĂŶΨϱϬϬ͕ϬϬϬĨŽƌũŽŝŶƚĮůĞƌƐͿ͘dŚĞƐĞĨƵŶĚƐŚĂǀĞďĞĞŶĐƌƵĐŝĂůƚŽ ŵĂŶƵĨĂĐƚƵƌĞƌƐƚŚƌŽƵŐŚŵĂŶŝƉƵůĂƟŽŶŽĨƉĂƚĞŶƚƉƌŽƚĞĐƟŽŶƐĂŶĚ ŵĂŝŶƚĂŝŶŝŶŐƐƚĂƚĞŚĞĂůƚŚƉƌŽŐƌĂŵƐ͖ƚŚĞŝƌůŽƐƐĐŽƵůĚŵĞĂŶĐƵƚƐŽĨƵƉ ĂďƵƐĞŽĨƌĞŐƵůĂƚŽƌLJĞdžĐůƵƐŝǀŝƚLJŝŶĐĞŶƟǀĞƐ͘ ƚŽΨϮďŝůůŝŽŶƉĞƌLJĞĂƌ͘ ϰͿ &WĞŶĐŽƵƌĂŐĞƐƚŚĞŵŝƟŐĂƟŽŶŽĨƌĞƐƚƌŝĐƟŽŶƐƚŚĂƚůŝŵŝƚƉĂƟĞŶƚ ĂĐĐĞƐƐƚŽ͕ĂŶĚŵĂƌŬĞƚĐŽŵƉĞƟƟŽŶĨŽƌ͕ƉƌĞƐĐƌŝƉƟŽŶŵĞĚŝĐĂƟŽŶ͘ WƌŽƉŽƐŝƟŽŶϱϲͲdŚŝƐŝŶŝƟĂƟǀĞŝŶĐƌĞĂƐĞƐƚŚĞĐŝŐĂƌĞƩĞƚĂdžďLJΨϮ͘ϬϬ ϲ ϱͿ &WĞŶĐŽƵƌĂŐĞƐƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƉƌŝĐĞĂŶĚĐŽƐƚƚƌĂŶƐƉĂƌĞŶĐLJ ƉĞƌƉĂĐŬ͕ǁŝƚŚĞƋƵŝǀĂůĞŶƚŝŶĐƌĞĂƐĞƐŽŶŽƚŚĞƌƚŽďĂĐĐŽƉƌŽĚƵĐƚƐĂŶĚ ĂŵŽŶŐƉŚĂƌŵĂĐĞƵƟĐĂůĐŽŵƉĂŶŝĞƐ͕ƉŚĂƌŵĂĐLJďĞŶĞĮƚŵĂŶĂŐĞƌƐĂŶĚ ĞůĞĐƚƌŽŶŝĐĐŝŐĂƌĞƩĞƐĐŽŶƚĂŝŶŝŶŐŶŝĐŽƟŶĞ͘/ƚǁŽƵůĚĂůůŽĐĂƚĞƌĞǀĞŶƵĞƐ ŚĞĂůƚŚŝŶƐƵƌĂŶĐĞĐŽŵƉĂŶŝĞƐ͘ ƉƌŝŵĂƌŝůLJƚŽŝŶĐƌĞĂƐĞĂĐĐĞƐƐƚŽĐĂƌĞĨŽƌDĞĚŝͲĂůƉĂƟĞŶƚƐďLJƌĂŝƐŝŶŐ ϲͿ &WƐƵƉƉŽƌƚƐŝŶĐƌĞĂƐĞĚŵĂŶƵĨĂĐƚƵƌĞƌƌĞďĂƚĞƐŝĨƚŚĞƉƌŝĐĞŽĨĂ DĞĚŝͲĂůƉƌŽǀŝĚĞƌƉĂLJŵĞŶƚƚŽDĞĚŝĐĂƌĞůĞǀĞůƐĂŶĚĂŶŶƵĂůůLJŝŶǀĞƐƚƐ ŐĞŶĞƌŝĐĚƌƵŐƌŝƐĞƐĨĂƐƚĞƌƚŚĂŶŝŶŇĂƟŽŶ͘ ΨϰϬŵŝůůŝŽŶŝŶƌĞƐŝĚĞŶĐLJĨƵŶĚŝŶŐ͘&ƵŶĚƐǁŽƵůĚĂůƐŽďĞƵƐĞĚĨŽƌ ϳͿ &WƐƵƉƉŽƌƚƐƐŚŽƌƚĞŶŝŶŐĞdžĐůƵƐŝǀŝƚLJƟŵĞƉĞƌŝŽĚƐĨŽƌďŝŽůŽŐŝĐƐ͘ ƚŽďĂĐĐŽƵƐĞƉƌĞǀĞŶƟŽŶͬĐŽŶƚƌŽůƉƌŽŐƌĂŵƐ͕ƚŽďĂĐĐŽͲƌĞůĂƚĞĚĚŝƐĞĂƐĞ ϴͿ &WƐƵƉƉŽƌƚƐƚŚĞĨƌĞĞĚŽŵŽĨĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽƵƐĞƚŚĞŵŽƐƚ ƌĞƐĞĂƌĐŚ͕ůĂǁĞŶĨŽƌĐĞŵĞŶƚĂŶĚĚĞŶƚĂůĚŝƐĞĂƐĞƉƌĞǀĞŶƟŽŶƉƌŽŐƌĂŵƐ͘ ĞīĞĐƟǀĞƉŚĂƌŵĂĐĞƵƟĐĂůƐǁŚĞŶƉƌĞƐĐƌŝďŝŶŐĚƌƵŐƐĨŽƌƚŚĞŝƌƉĂƟĞŶƚƐ ĂŶĚĞŶĐŽƵƌĂŐĞƐĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽƐƵƉƉůĞŵĞŶƚŵĞĚŝĐĂůũƵĚŐŵĞŶƚ WƌŽƉŽƐŝƟŽŶϲϯͲdŚŝƐŝŶŝƟĂƟǀĞƉƌŽŚŝďŝƚƐƉŽƐƐĞƐƐŝŽŶŽĨůĂƌŐĞͲĐĂƉĂĐŝƚLJ ǁŝƚŚĐŽƐƚĐŽŶƐŝĚĞƌĂƟŽŶƐŝŶŵĂŬŝŶŐƚŚĞƐĞĐŚŽŝĐĞƐ͖ ĂŵŵƵŶŝƟŽŶŵĂŐĂnjŝŶĞƐĂŶĚƌĞƋƵŝƌĞƐƚŚĞŝƌĚŝƐƉŽƐĂůďLJƐĂůĞƚŽ ϵͿ &WĞŶĐŽƵƌĂŐĞƐĞdžƉĂŶĚĞĚƚŚŝƌĚƉĂƌƚLJĐŽǀĞƌĂŐĞŽĨƉƌĞƐĐƌŝƉƟŽŶ ĚĞĂůĞƌƐ͕ĚĞƐƚƌƵĐƟŽŶŽƌƌĞŵŽǀĂůĨƌŽŵƚŚĞƐƚĂƚĞ͘/ƚǁŽƵůĚĂůƐŽƌĞƋƵŝƌĞ ƉŚĂƌŵĂĐĞƵƟĐĂůƐĂƐĐŽƐƚĞīĞĐƟǀĞĂŶĚŶĞĐĞƐƐĂƌLJŵĞĚŝĐĂůƚŚĞƌĂƉŝĞƐ͖ ŵŽƐƚŝŶĚŝǀŝĚƵĂůƐƚŽƉĂƐƐďĂĐŬŐƌŽƵŶĚĐŚĞĐŬƐĂŶĚŽďƚĂŝŶĞƉĂƌƚŵĞŶƚ ϭϬͿ &WĞŶĐŽƵƌĂŐĞƐĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽĐŽŶƐŝĚĞƌƉƌĞƐĐƌŝďŝŶŐƚŚĞůĞĂƐƚ ŽĨ:ƵƐƟĐĞĂƵƚŚŽƌŝnjĂƟŽŶƐƚŽƉƵƌĐŚĂƐĞĂŵŵƵŶŝƟŽŶ͘DŽƐƚĂŵŵƵŶŝƟŽŶ ĞdžƉĞŶƐŝǀĞ&ͲƌĂƚĞĚŐĞŶĞƌŝĐƉƌŽĚƵĐƚƐ͕ƵŶůĞƐƐŝƚŝƐŶŽƚĂǀĂŝůĂďůĞ͖ ƐĂůĞƐǁŽƵůĚŚĂǀĞƚŽďĞŵĂĚĞƚŚƌŽƵŐŚůŝĐĞŶƐĞĚĂŵŵƵŶŝƟŽŶǀĞŶĚŽƌƐ ĂŶĚ ĂŶĚƌĞƉŽƌƚĞĚƚŽƚŚĞĞƉĂƌƚŵĞŶƚŽĨ:ƵƐƟĐĞ͘>ŽƐƚŽƌƐƚŽůĞŶĮƌĞĂƌŵƐ ϭϭͿ &WĞŶĐŽƵƌĂŐĞƐĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽďĞĐŽŵĞĨĂŵŝůŝĂƌǁŝƚŚƚŚĞ ĂŶĚĂŵŵƵŶŝƟŽŶŵƵƐƚďĞƌĞƉŽƌƚĞĚƚŽůĂǁĞŶĨŽƌĐĞŵĞŶƚ͘/ƚǁŽƵůĚ ƉƌŝĐĞƐŝŶƚŚĞŝƌĐŽŵŵƵŶŝƟĞƐŽĨƚŚĞŵĞĚŝĐĂƟŽŶƐƚŚĞLJƉƌĞƐĐƌŝďĞĂŶĚƚŽ ĂůƐŽƉƌŽŚŝďŝƚƉĞƌƐŽŶƐĐŽŶǀŝĐƚĞĚŽĨƐƚĞĂůŝŶŐĂĮƌĞĂƌŵĨƌŽŵƉŽƐƐĞƐƐŝŶŐ ĐŽŶƐŝĚĞƌƚŚŝƐĂůŽŶŐǁŝƚŚƚŚĞƚŚĞƌĂƉĞƵƟĐďĞŶĞĮƚƐŽĨƚŚĞŵĞĚŝĐĂƟŽŶƐ ĮƌĞĂƌŵƐŝŶƚŚĞĨƵƚƵƌĞ͘ ƚŚĞLJƐĞůĞĐƚĨŽƌƚŚĞŝƌƉĂƟĞŶƚƐ͘ 10

California Family Physician Fall 2016

ŽŶƟŶƵĞĚŽŶƉĂŐĞϭϮххх


MED7 has been providing urgent care services in the Greater Sacramento area since 1987

Urgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. All shifts 9am to 9pm. Full time is 13 shifts per month. We offer our full time physicians the following: full malpractice coverage, medical & dental coverage at no cost for the physician & any dependents, disability policy & we have a simple IRA you can contribute to with 3% matching. Part time is 6 to 8 shifts per month. For more information about MED7 and our clinics please visit our website: www.med7.com We offer an attractive compensation package. Contact Merl O’Brien,MD, at: (916) 791-1300, ext.11111; or email CV to: sherry@med7atwork.com.

Primary Care Opportunities in Southern California Loma Linda University Faculty Medical Group, is seeking candidates for the following positions: • Inpatient Hospitalist • Outpatient Clinics in Loma Linda and outlying areas • Federally Qualified Health Center • Community-Based Outpatient Clinics/VA We are looking for applicants that BE/BC in Family Medicine or Internal Medicine, with a commitment to developing comprehensive quality primary care services. Includes opportunities for onsite teaching and metoring Loma Linda University students and residents. Loma Linda University is located East of Los Angeles, known as the Inland Empire. The beached of Newport, Laguna, and Malibu are only 60-90 minutes to the West, with superb swimming, sunbathing, surfing, and sailing. Also 60 minutes to the West is downtown Los Angeles, with its top-quality restaurants, world-renowed museums, opera, and other cultural opportunities. The Big Bear Mountain Ski resort is about an hour drive from LLU. The golf courses, shopping, and spas of Palm Springs are an hour drive to the East and the World-class Mammoth Mountain resort is a 6 hour drive to the North. These opportunities are not eligible for a J1 Waiver.

Interested candidates, please send your CV to: Mike Unterseher Director of Physician Recruitment recruitmd@llu.edu 800-328-1163

Two engaging courses, one getaway destination: PALLIATIVE MEDICINE IN CLINICAL PRACTICE 2017 Learn from leading experts how to improve symptom management and complex medical decision making for patients with advanced illnesses. FEBRUARY 13-15, 2017

CE.MAYO.EDU/PALLIATIVE2017

PAIN MEDICINE FOR THE NON-PAIN SPECIALIST 2017 Learn the latest treatment strategies and multidisciplinary management options for patients with acute and chronic pain. FEBRUARY 16-18, 2017

CE.MAYO.EDU/PAIN2017

Receive $100 off when you register for both! Details available online.

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JW MARRIOTT DESERT SPRINGS RESORT & SPA PALM DESERT, CALIFORNIA


DĂƌŝũƵĂŶĂWŽƐƐĞƐƐŝŽŶĂŶĚWĞƌƐŽŶĂůhƐĞ &WƐƵƉƉŽƌƚƐƚŚĞĚĞĐƌŝŵŝŶĂůŝnjĂƟŽŶŽĨƚŚĞƉŽƐƐĞƐƐŝŽŶĂŶĚ ƉĞƌƐŽŶĂůƵƐĞŽĨŵĂƌŝũƵĂŶĂ͕ďƵƚƚŚĞůĂĐŬŽĨƐĐŝĞŶƟĮĐĚĂƚĂĂŶĚ ƉĞĞƌͲƌĞǀŝĞǁĞĚƌĞƐĞĂƌĐŚƉƌĞǀĞŶƚƐ&WĨƌŽŵĞŶĚŽƌƐŝŶŐŝƚƐ ƌĞĐƌĞĂƟŽŶĂůƵƐĞ͘&WƐƵƉƉŽƌƚƐƚŚĞĨŽůůŽǁŝŶŐŵĞĂƐƵƌĞƐƚŽ ŝŵƉƌŽǀĞƉĂƟĞŶƚƐĂĨĞƚLJĂŶĚĞdžƉĂŶĚƚŚĞƌĞůŝĂďŝůŝƚLJĂŶĚƐƚƌĞŶŐƚŚŽĨ ŵĂƌŝũƵĂŶĂƌĞƐĞĂƌĐŚ͗ ͻ dŚĞĨĞĚĞƌĂůŐŽǀĞƌŶŵĞŶƚƐŚŽƵůĚĐŚĂŶŐĞƉŚĂƌŵĂĐĞƵƟĐĂů ĐĂŶŶĂďŝŶŽŝĚƐĨƌŽŵ^ĐŚĞĚƵůĞ/ƚŽĂ^ĐŚĞĚƵůĞ//ĚƌƵŐƐ ƚŽĨĂĐŝůŝƚĂƚĞƌĞƐĞĂƌĐŚ͕ĂŶĚƉƌŝǀĂƚĞŵĂŶƵĨĂĐƚƵƌŝŶŐĂŶĚ ĚŝƐƚƌŝďƵƟŽŶŽĨŵĂƌŝũƵĂŶĂƐŚŽƵůĚďĞƉĞƌŵŝƩĞĚĨŽƌƌĞƐĞĂƌĐŚ ƉƵƌƉŽƐĞƐ͘ ͻ /ŶƐƚĂƚĞƐŝŶǁŚŝĐŚŵĂƌŝũƵĂŶĂŝƐůĞŐĂůŝnjĞĚ͕ƌĞƐĞĂƌĐŚƐŚŽƵůĚ ďĞĐŽŶĚƵĐƚĞĚŝŶƚŽƚŚĞŽǀĞƌĂůůƐĂĨĞƚLJĂŶĚŚĞĂůƚŚĞīĞĐƚƐŽĨ ƚŚĞƌĞĐƌĞĂƟŽŶĂůƵƐĞŽĨŵĂƌŝũƵĂŶĂ͕ĂƐǁĞůůĂƐƚŚĞĞīĞĐƚƐŽĨ ůĞŐĂůŝnjĂƟŽŶŽŶƉĂƟĞŶƚĂŶĚƐŽĐŝĞƚĂůŚĞĂůƚŚ͘ ͻ dŚĞĨĞĚĞƌĂů&ŽŽĚĂŶĚƌƵŐĚŵŝŶŝƐƚƌĂƟŽŶ͕ŽƌĂƐŝŵŝůĂƌ ƐƚĂƚĞĂŐĞŶĐLJ͕ƐŚŽƵůĚƚŚŽƌŽƵŐŚůLJŝŶǀĞƐƟŐĂƚĞƌĞĐƌĞĂƟŽŶĂů ĂŶĚŵĞĚŝĐŝŶĂůŵĂƌŝũƵĂŶĂĨŽƌƐĂĨĞƚLJĂŶĚĞĸĐĂĐLJ͕ŝŶĐůƵĚŝŶŐ ŵŽŶŝƚŽƌŝŶŐĨŽƌƉƵƌŝƚLJ͕ƐƚĂŶĚĂƌĚŝnjĂƟŽŶŽĨƐƚƌĞŶŐƚŚĂŶĚƉƌŽƉĞƌ ƵƐĂŐĞ͕ĂƐǁĞůůĂƐƚĞƐƟŶŐĨŽƌŚĂƌŵĨƵůĐŽŶƚĂŵŝŶĂŶƚƐƐƵĐŚĂƐ ŝŶƐĞĐƟĐŝĚĞƐ͕ŚĞƌďŝĐŝĚĞƐŽƌŵŽůĚƐ͘ /ŶĂĚĚŝƟŽŶ͕&WďĞůŝĞǀĞƐŽƵƌƐŽĐŝĞƚLJŵƵƐƚƌĞĐŽŐŶŝnjĞĚƌƵŐ ƵƐĞĂŶĚĂďƵƐĞĂƐŵĞĚŝĐĂůĂŶĚƐŽĐŝĂůƉƌŽďůĞŵƐƚŚĂƚŵƵƐƚďĞ ƚƌĞĂƚĞĚǁŝƚŚŵĞĚŝĐĂůĂŶĚƐŽĐŝĂůƐŽůƵƟŽŶƐ͘&WĐĂůůƐŽŶƚŚĞ WƌĞƐŝĚĞŶƚĂŶĚŽŶŐƌĞƐƐƚŽĞŵƉŽǁĞƌĂŶŽďũĞĐƟǀĞĐŽŵŵŝƐƐŝŽŶƚŽ ƌĞĐŽŵŵĞŶĚƌĞǀŝƐŝŽŶŽĨŶĂƟŽŶĂůĚƌƵŐůĂǁƐƚŽƌĞĚƵĐĞƚŚĞŚĂƌŵ ĐĂƵƐĞĚďLJĐƵƌƌĞŶƚƉŽůŝĐŝĞƐ͘ WƌŽƉŽƐŝƟŽŶϲϭͲdŚŝƐŝŶŝƟĂƟǀĞǁŽƵůĚƉƌŽŚŝďŝƚƐƚĂƚĞĂŐĞŶĐŝĞƐ ĨƌŽŵƉĂLJŝŶŐŵŽƌĞĨŽƌĂƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƚŚĂŶƚŚĞůŽǁĞƐƚƉƌŝĐĞ ƉĂŝĚĨŽƌƚŚĞƐĂŵĞĚƌƵŐďLJƚŚĞhŶŝƚĞĚ^ƚĂƚĞƐĞƉĂƌƚŵĞŶƚŽĨ sĞƚĞƌĂŶƐīĂŝƌƐ;sͿ͘^ƵƉƉŽƌƚĞƌƐĂƌŐƵĞƚŚĞŝŶŝƟĂƟǀĞǁŽƵůĚůŽǁĞƌ ĚƌƵŐƉƌŝĐĞƐĂŶĚŝŶĐƌĞĂƐĞƚƌĂŶƐƉĂƌĞŶĐLJ͘KƉƉŽŶĞŶƚƐĂƌŐƵĞƚŚĂƚƚŚĞ ŝŶŝƟĂƟǀĞŝƐƉŽŽƌůLJǁƌŝƩĞŶĂŶĚǁŝůůŶŽƚĮdžƚŚĞƌŝƐĞŝŶƉƌĞƐĐƌŝƉƟŽŶ ĐŽƐƚƐ͘EŽŶƉĂƌƟƐĂŶĂŶĂůLJƐƚƐŚĂǀĞƌĂŝƐĞĚĐŽŶĐĞƌŶƐƌĞŐĂƌĚŝŶŐ ĂůĂĐŬŽĨƌĞůŝĂďůĞŝŶĨŽƌŵĂƟŽŶŽŶĚƌƵŐĐŽƐƚƐĂŶĚƵŶŝŶƚĞŶĚĞĚ ĐŽŶƐĞƋƵĞŶĐĞƐƚŚĂƚĐŽƵůĚƌĞƐƵůƚŝĨƚŚĞŵĞĂƐƵƌĞƉĂƐƐĞƐ͘dŚĞ s͛ƐĚƌƵŐƉƌŝĐŝŶŐĚĂƚĂŝƐĐŽŶĮĚĞŶƟĂů͕ĂƐĂƌĞŵŽƐƚƐƚĂƚĞƉƌŝĐŝŶŐ ĂŐƌĞĞŵĞŶƚƐǁŝƚŚĚƌƵŐĐŽŵƉĂŶŝĞƐ͘/ƚŝƐƉŽƐƐŝďůĞƚŚĞƐƚĂƚĞŝƐ ƌĞĐĞŝǀŝŶŐĂďŝŐŐĞƌĚŝƐĐŽƵŶƚƚŚĂŶƚŚĞsŝŶƐŽŵĞŝŶƐƚĂŶĐĞƐ͘dŚĞƌĞ ŝƐĂůƐŽĐŽŶĐĞƌŶƚŚĂƚƚŚĞůĂŶŐƵĂŐĞŽĨƚŚĞŝŶŝƟĂƟǀĞƟĞƐƚŚĞƉƌŝĐĞ ƚŽǁŚĂƚƚŚĞsƉĂLJƐ͕ĂƐŽƉƉŽƐĞĚƚŽƚŚĞĂĐƚƵĂůĐŽƐƚŽĨƚŚĞĚƌƵŐ͕ ǁŚŝĐŚĐƌĞĂƚĞƐĂŶŝŶĐĞŶƟǀĞĨŽƌĐŽŵƉĂŶŝĞƐƚŽƌĂŝƐĞƚŚĞsƉƌŝĐĞ͕ ĂƐŽƉƉŽƐĞĚƚŽůŽǁĞƌŝŶŐƚŚĞƐƚĂƚĞƉƌŝĐĞ͘ WƌŽƉŽƐŝƟŽŶϲϰͲdŚŝƐŝŶŝƟĂƟǀĞǁŽƵůĚůĞŐĂůŝnjĞŵĂƌŝũƵĂŶĂĂŶĚ ŚĞŵƉƵŶĚĞƌƐƚĂƚĞůĂǁĂŶĚůŝĐĞŶƐĞĂŶĚƌĞŐƵůĂƚĞƚŚĞŵĂƌŝũƵĂŶĂ ŝŶĚƵƐƚƌLJ͘/ƚǁŽƵůĚŝŵƉŽƐĞƐƚĂƚĞƚĂdžĞƐŽŶƚŚĞƐĂůĞĂŶĚĐƵůƟǀĂƟŽŶ ŽĨŵĂƌŝũƵĂŶĂ͘/ƚǁŽƵůĚĂůƐŽĐƌĞĂƚĞƉĂĐŬĂŐŝŶŐ͕ůĂďĞůŝŶŐ͕ĂĚǀĞƌƟƐŝŶŐ ĂŶĚŵĂƌŬĞƟŶŐƐƚĂŶĚĂƌĚƐĂŶĚƌĞƐƚƌŝĐƟŽŶƐĨŽƌŵĂƌŝũƵĂŶĂƉƌŽĚƵĐƚƐ͕ ĂůƚŚŽƵŐŚŝƚƉƌŽŚŝďŝƚƐŵĂƌŬĞƟŶŐĂŶĚĂĚǀĞƌƟƐŝŶŐƚŽŵŝŶŽƌƐ͘/ƚ ǁŽƵůĚĂƵƚŚŽƌŝnjĞƚŚĞĚĞƐƚƌƵĐƟŽŶŽĨƌĞĐŽƌĚƐĂŶĚƌĞƐĞŶƚĞŶĐŝŶŐŽĨ ƉƌŝŽƌŵĂƌŝũƵĂŶĂͲƌĞůĂƚĞĚĐŽŶǀŝĐƟŽŶƐ͘ 12

California Family Physician Fall 2016

&W͛Ɛ^ĞŶŝŽƌ&WĞůĞŐĂƚĞĂƌůĂ<ĂŬƵƚĂŶŝ͕D͕ ĂŶŶŽƵŶĐĞĚŚĞƌƌĞƟƌĞŵĞŶƚĨƌŽŵƚŚĞĚĞůĞŐĂƟŽŶ ǁŝƚŚƚŚĞĐůŽƐĞŽĨƚŚĞϮϬϭϲŽŶŐƌĞƐƐ͘ĂƌůĂŚĂƐ ƐĞƌǀĞĚƚŚŝƐĚĞůĞŐĂƟŽŶĂƐĂŶĂůƚĞƌŶĂƚĞĂŶĚĚĞůĞŐĂƚĞ ĂŶĚůĞĚůĞĐƚ:ĂĐŬŚŽƵĐĂŵƉĂŝŐŶƚĞĂŵƐ͘^ŚĞǁŝůů ĐŽŶƟŶƵĞƚŽƐĞƌǀĞĂƐĐŚĂŝƌŽĨƚŚĞ&W͛Ɛ>ĞŐŝƐůĂƟǀĞ īĂŝƌƐŽŵŵŝƩĞĞĂŶĚ&WͲW͕ĂŶĚŚĂƐũƵƐƚďĞĞŶ ƌĞĂƉƉŽŝŶƚĞĚƚŽƚŚĞŶĂƟŽŶĂů&ĂŵDĞĚWŽĂƌĚŽĨ ŝƌĞĐƚŽƌƐ͘dŚĂŶŬƐƚŽĂƌůĂĨŽƌŚĞƌLJĞĂƌƐŽĨƐĞƌǀŝĐĞ͕ ŐĞŶƚůĞŐƵŝĚĂŶĐĞ͕ĂŶĚƚŚŽƵŐŚƞƵůůĞĂĚĞƌƐŚŝƉ͘


THE STRENGTH TO HEAL and stand by those who stand up for me. Learn n the latest treatments and play an impo mportant role in the care of Sold mp oldiers ol and th heir famil ilies. As a physician on the U.S. Army Reserve health care team, you’ll continue to practtice in yourr comm munity and serve when ne eeded. You’ll work with the most advanced techn nollogy and disting guish you urse rself while rs e wo orking g with dedicated proffessio onalss. You’lll make a difference. To learn more about the U.S. Army health care team, call 310-216-4433 or visit healthcare.goarmy.com/eb19.

©2013. Paid aid d for o by the h Uni Unitted St S ate es Army. All A rights reserved.

California Family Physician Fall 2016

13


MEMBERSHIP

‘Š——˜—ȱ ˜ŽŒ”Ž

Your Membership Matters /͛ǀĞũƵƐƚƌĞƚƵƌŶĞĚĨƌŽŵ>ŽƐŶŐĞůĞƐĂŶĚƚŚĞ&W Foundation’s Family Medicine Summit͕ŵLJĨŝƌƐƚƐŝŶĐĞ ũŽŝŶŝŶŐ ƚŚĞ&WƚĞĂŵŝŶƉƌŝů͘tĞŚĂĚŵŽƌĞƚŚĂŶϮϬϬ ƐƚƵĚĞŶƚƐ͕ƌĞƐŝĚĞŶƚƐ͕ƐƉĞĂŬĞƌƐĂŶĚƌĞƐŝĚĞŶĐLJƉƌŽŐƌĂŵ ĞdžŚŝďŝƚŽƌƐʹŽƵƌďŝŐŐĞƐƚƚƵƌŶŽƵƚĞǀĞƌ͘dŚŝƐĂŶŶƵĂůĞǀĞŶƚŝƐ ĂŽŶĞͲŽĨͲĂͲŬŝŶĚŽƉƉŽƌƚƵŶŝƚLJĨŽƌŽƵƌƐƚƵĚĞŶƚƐĂŶĚƌĞƐŝĚĞŶƚƐ ƚŽŐĂŝŶĐůŝŶŝĐĂůŬŶŽǁůĞĚŐĞ͕ŐĞƚĂĐƋƵĂŝŶƚĞĚǁŝƚŚƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐĂŶĚĚĞǀĞůŽƉŵĞĂŶŝŶŐĨƵůƌĞůĂƚŝŽŶƐŚŝƉƐǁŝƚŚŽƚŚĞƌ ĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ͘

DŽŶĚĂLJ͕DĂƌĐŚϲ͘tĂŶĚĂ&ŝůĞƌ͕D͕D͕&&W͕ƐŽŽŶͲƚŽͲďĞ ŽĂƌĚŚĂŝƌŽĨƚŚĞŵĞƌŝĐĂŶĐĂĚĞŵLJŽĨ&ĂŵŝůLJWŚLJƐŝĐŝĂŶƐ͕ ǁŝůůĚĞůŝǀĞƌƚŚĞŬĞLJŶŽƚĞĂĚĚƌĞƐƐ͘tĞŶĚLJdĂLJůŽƌͲdĂŶŝĞůŝĂŶ ǁŝůůĐŽŶĚƵĐƚŽƵƌ͞WƌŽĚƵĐƚŝǀĞ^ƚŽƌLJƚĞůůŝŶŐ͟ǁŽƌŬƐŚŽƉƚŽŚĞůƉ ĂƚƚĞŶĚĞĞƐĨƌĂŵĞƐƚŽƌŝĞƐƚŽĞĨĨĞĐƚĐŚĂŶŐĞĂŶĚŝŶĨůƵĞŶĐĞŶŽƚ ŽŶůLJƉŽůŝĐLJŵĂŬĞƌƐ͕ďƵƚĂůƐŽƉĂƚŝĞŶƚƐ͘

dŚŝƐŵĞĞƚŝŶŐŝƐŽƉĞŶƚŽĂůů&WŵĞŵďĞƌƐ͕ǁŚĞƚŚĞƌŽƌŶŽƚ LJŽƵĂƌĞĂĚĞůĞŐĂƚĞŽƌĂůƚĞƌŶĂƚĞĨƌŽŵLJŽƵƌĐŽƵŶƚLJĐŚĂƉƚĞƌ ŽƌĂŐĞŶĞƌĂůĂƚƚĞŶĚĞĞ͕hdLJŽƵŵƵƐƚƌĞŐŝƐƚĞƌŝŶĂĚǀĂŶĐĞ͘ KƵƌĚĂLJ͕ĨŽĐƵƐŝŶŐŽŶƐŽĐŝĂůŝƐƐƵĞƐĨĂĐŝŶŐĨĂŵŝůLJŵĞĚŝĐŝŶĞ͕ >ĞĂƌŶŵŽƌĞĂďŽƵƚƚŚĞDDĂŶĚƌĞŐŝƐƚĞƌĂƚŽƵƌǁĞďƐŝƚĞ ŝŶĐůƵĚĞĚĂĐŽŵƉĞůůŝŶŐƉĂŶĞůŽŶƚŚĞƐŽĐŝĂůĚĞƚĞƌŵŝŶĂŶƚƐ ĂƚĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĂůůͲŵĞŵďĞƌͲĂĚǀŽĐĂĐLJͲŵĞĞƚŝŶŐ͘EĂŵĞƐ ŽĨŚĞĂůƚŚ͕ĨĞĂƚƵƌŝŶŐƌƐ͘DŝĐŚĞůůĞYƵŝŽŐƵĞĂŶĚDŝĐŚĂĞů ŽĨĚĞůĞŐĂƚĞƐĂŶĚĂůƚĞƌŶĂƚĞƐ͕ĂƐǁĞůůĂƐĂŶLJƌĞƐŽůƵƚŝŽŶƐĨŽƌ ZŽĚƌŝŐƵĞnjĂŶĚĂƚƚŽƌŶĞLJ/ŐŶĂƚŝƵƐĂƵ͕ĂŶĚŵŽĚĞƌĂƚĞĚďLJŽƵƌ ĚŝƐĐƵƐƐŝŽŶ͕ĂƌĞĚƵĞƚŽ&WďLJĞĐĞŵďĞƌϵ͕ϮϬϭϲ͘/ĨLJŽƵ ƉƌĞƐŝĚĞŶƚ͕ƌ͘>ĞĞZĂůƉŚ͖ĞĚƵĐĂƚŝŽŶĂůƐĞƐƐŝŽŶƐŽŶĐƵůƚƵƌĂů ĂƌĞŝŶƚĞƌĞƐƚĞĚŝŶƐĞƌǀŝŶŐĂƐĂĚĞůĞŐĂƚĞŽƌĂůƚĞƌŶĂƚĞĨŽƌLJŽƵƌ ŚƵŵŝůŝƚLJ͕ŵŽďŝůĞŚĞĂůƚŚƚĞĐŚŶŽůŽŐLJ͕ĚǀĞƌƐĞŚŝůĚŚŽŽĚǀĞŶƚƐ ĐŽƵŶƚLJĐŚĂƉƚĞƌ͕LJŽƵĐĂŶĐŽŶƚĂĐƚƚŚĞĐŚĂƉƚĞƌĚŝƌĞĐƚůLJ͕Žƌ ;ͿƐĐŽƌĞƐĂŶĚĐŽŵŵƵŶŝĐĂƚŝŽŶƐĂŶĚůĞĂĚĞƌƐŚŝƉ͖ĂƐƉĞĐŝĂů ĐŽŶƚĂĐƚŵĞĨŽƌĂƐƐŝƐƚĂŶĐĞ͘zŽƵĐĂŶƌĞĂĐŚŵĞĂƚ;ϰϭϱͿϯϰϱͲ ƐĞƐƐŝŽŶĨŽƌƐƚƵĚĞŶƚƐŽŶĂƉƉůLJŝŶŐƚŽƌĞƐŝĚĞŶĐLJƉƌŽŐƌĂŵƐ ϴϲϲϳ͕ĞdžƚĞŶƐŝŽŶϮϮϲ͕ŽƌƐŐŽĞĐŬĞΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ͘ ĂŶĚĂƐƉĞĐŝĂů͞ƐƉĞĞĚĚĂƚŝŶŐ͟ͲƐƚLJůĞƐĞƐƐŝŽŶĨŽƌƌĞƐŝĚĞŶƚƐƚŽ ĂƐŬƋƵĞƐƚŝŽŶƐĂŶĚŐĂŝŶŝŶƐŝŐŚƚƐĨƌŽŵĞdžƉĞƌŝĞŶĐĞĚĨĂŵŝůLJ LJƚŚĞƚŝŵĞƚŚŝƐŝƐƐƵĞŽĨ&WŝƐƉƌŝŶƚĞĚ͕LJŽƵǁŝůůďĞĂůƐŽ ƉŚLJƐŝĐŝĂŶƐĨƌŽŵĂǀĂƌŝĞƚLJŽĨƉƌĂĐƚŝĐĞƐĞƚƚŝŶŐƐ͘ƚƚŚĞĞŶĚŽĨ ĂďůĞƚŽ ƌĞŶĞǁLJŽƵƌ&WĂŶĚ&WŵĞŵďĞƌƐŚŝƉ Ăƚǁǁǁ͘ ƚŚĞƉƌŽŐƌĂŵ͕ǁĞŚĂĚŽƵƌƉŽƉƵůĂƌZĞƐŝĚĞŶĐLJ&ĂŝƌĂƚǁŚŝĐŚ ĂĂĨƉ͘ŽƌŐͬĐŚĞĐŬŵLJĚƵĞƐ͘zĞƐ͕ƚŚĞĚƵĞĚĂƚĞŝƐĂĨĞǁŵŽŶƚŚƐ ƐƚƵĚĞŶƚƐĐŽŶŶĞĐƚĞĚǁŝƚŚŵŽƌĞƚŚĂŶϯϬŽĨĂůŝĨŽƌŶŝĂ͛ƐĨĂŵŝůLJ ŽƵƚ͕ďƵƚƚŚĞĞŶĚŽĨƚŚĞLJĞĂƌǁŝůůďĞŚĞƌĞďĞĨŽƌĞǁĞŬŶŽǁŝƚ͘ ŵĞĚŝĐŝŶĞƌĞƐŝĚĞŶĐLJƉƌŽŐƌĂŵƐ͘ ZĞŶĞǁŝŶŐĞĂƌůLJůĞƚƐLJŽƵƌĞƐƚĞĂƐLJ͕ŬŶŽǁŝŶŐƚŚĞƌĞǁŝůůďĞŶŽ ůĂƉƐĞŝŶLJŽƵƌŵĞŵďĞƌƐŚŝƉďĞŶĞĨŝƚƐĂŶĚLJŽƵǁŽŶ͛ƚŚĞĂƌĨƌŽŵ KŶĞŽĨŵLJĨĂǀŽƌŝƚĞƉĂƌƚƐŽĨƚŚĞĚĂLJǁĂƐĂůŝǀĞůLJĚŝƐĐƵƐƐŝŽŶ ƵƐƌĞŵŝŶĚŝŶŐLJŽƵƚŽƌĞŶĞǁ͘WůƵƐ͕ƚŚĞƚŝŵĞƚŚĂƚ&WƐƚĂĨĨ ďLJƌ͘ĂƌŽů,ĂǀĞŶƐŽŶŐĞŶĞƌĂƚŝŽŶĂůĚŝĨĨĞƌĞŶĐĞƐͲͲǁŚĂƚƚŚĞLJ ĚŽĞƐŶ͛ƚƐƉĞŶĚŽŶĨŽůůŽǁͲƵƉĐĂůůƐĂŶĚĞŵĂŝůƐŝƐƐƉĞŶƚĂƐƐŝƐƚŝŶŐ ŵĞĂŶĨŽƌůĞĂƌŶŝŶŐ͕ĞĚƵĐĂƚŝŽŶ͕ĐŽŵŵƵŶŝĐĂƚŝŽŶ͕ůĞĂĚĞƌƐŚŝƉ ŵĞŵďĞƌƐĂŶĚĂĚǀŽĐĂƚŝŶŐĨŽƌĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĂŶĚƉĂƚŝĞŶƚƐ͊ ĂŶĚĐĂƌŝŶŐĨŽƌƉĂƚŝĞŶƚƐ͘/ƐĂǁƌ͘,ĂǀĞŶƐ͛ǁŽƌĚƐŝŶĂĐƚŝŽŶƚŚĂƚ ĚĂLJͲͲƉƌĂĐƚŝĐŝŶŐƉŚLJƐŝĐŝĂŶƐƐŚĂƌŝŶŐƚŝŵĞĂŶĚŝŶƐŝŐŚƚƐǁŝƚŚŽƵƌ /ĨLJŽƵŚĂǀĞŽƉƚĞĚĨŽƌŵĞŵďĞƌƐŚŝƉĂƵƚŽͲƌĞŶĞǁĂů͕LJŽƵƌϮϬϭϳ LJŽƵŶŐĞƌŵĞŵďĞƌƐ͕ǁŚŽĐĂŵĞĂǁĂLJŝŶƐƉŝƌĞĚĂŶĚĞŵƉŽǁĞƌĞĚ͘ ĚƵĞƐƉĂLJŵĞŶƚǁŝůůŚĂǀĞďĞĞŶďŝůůĞĚƚŽLJŽƵƌĐƌĞĚŝƚĐĂƌĚŝŶ /ĐĂŶ͛ƚĐŽƵŶƚƚŚĞŶƵŵďĞƌŽĨƉĂƌƚŝĐŝƉĂŶƚƐǁŚŽƐƚŽƉƉĞĚĂŶĚ ůĂƚĞ^ĞƉƚĞŵďĞƌ͘/ĨLJŽƵŚĂǀĞŽƉƚĞĚĨŽƌŵĞŵďĞƌƐŚŝƉĂƵƚŽͲ ƚŚĂŶŬĞĚƐƚĂĨĨĨŽƌƉƵƚƚŝŶŐŽŶƐƵĐŚĂŐƌĞĂƚƉƌŽŐƌĂŵͶĂƉƌŽŐƌĂŵ ƌĞŶĞǁĂůŽŶƚŚĞŝŶƐƚĂůůŵĞŶƚƉƌŽŐƌĂŵ͕LJŽƵƌĐƌĞĚŝƚĐĂƌĚǁĂƐ ƚŚĂƚĐŽƵůĚŶ͛ƚŚĂǀĞďĞĞŶĂĐĐŽŵƉůŝƐŚĞĚǁŝƚŚŽƵƚƚŚĞƐƵƉƉŽƌƚŽĨ ďŝůůĞĚƚŚĞΨϭϱĂĚŵŝŶŝƐƚƌĂƚŝǀĞĨĞĞŝŶůĂƚĞ^ĞƉƚĞŵďĞƌĂŶĚ ŽƵƌƐƉĞĂŬĞƌƐ͕ŝŶĐůƵĚŝŶŐ͕ŝŶĂĚĚŝƚŝŽŶƚŽƚŚŽƐĞĐŝƚĞĚĂďŽǀĞ͗ƌƐ͘ LJŽƵƌŝŶƐƚĂůůŵĞŶƚƐǁŝůůďĞďŝůůĞĚŽŶƚŚĞϭϬƚŚŽĨĞĂĐŚŵŽŶƚŚ ZĂƵůLJĂůĂ͕dŽŵĞŶƚ͕&ƌĂŶĐŝƐŚƵ͕ŚƌŝƐ&ůŽƌĞƐ͕:ĞĨĨ>ƵƚŚĞƌ͕ ďĞƚǁĞĞŶKĐƚŽďĞƌĂŶĚƵŐƵƐƚ͘/ĨLJŽƵĂƌĞŶ͛ƚĞŶƌŽůůĞĚŝŶĂƵƚŽͲ ŶŶĞDŽŶƚŐŽŵĞƌLJ͕ZĂĐƋƵĞůWĞŶĂ͕:ĞĂŶŝŶĞZŽĚĞŵƐ͕>ĂƵƌĞŶ ƌĞŶĞǁĂůĂŶĚͬŽƌĂŶŝŶƐƚĂůůŵĞŶƚƉůĂŶ͕LJŽƵŵĂLJŵĂŬĞƚŚĂƚ ^ŝŵŽŶ͕ĂǀŝĚdƌĂŶ͕DĂƚƚsĂƌĂůůŽĂŶĚ&W͛Ɛ^ŚĞůůLJZŽĚƌŝŐƵĞƐ͘ ĐŚĂŶŐĞĂƚĂŶLJƚŝŵĞďLJĐŽŶƚĂĐƚŝŶŐƚŚĞ&W͘KĨĐŽƵƌƐĞ͕ŝĨ dŚĂŶŬLJŽƵ͊ LJŽƵŶĞĞĚĂŶLJĂƐƐŝƐƚĂŶĐĞǁŝƚŚƌĞŶĞǁŝŶŐLJŽƵƌŵĞŵďĞƌƐŚŝƉŽƌ ƌĞƉŽƌƚŝŶŐLJŽƵƌD͕ƉůĞĂƐĞůĞƚƵƐŬŶŽǁ͘ ďŝŐ&WĞǀĞŶƚĐŽŵŝŶŐƵƉŝƐƚŚĞůůDĞŵďĞƌĚǀŽĐĂĐLJ dŚĂŶŬLJŽƵĨŽƌLJŽƵƌŵĞŵďĞƌƐŚŝƉ͘/ůŽŽŬĨŽƌǁĂƌĚƚŽŵĞĞƚŝŶŐ Meeting;DDͿ͕DĂƌĐŚϰͲϲ͕ϮϬϭϳ͕ĂƚƚŚĞŝƚŝnjĞŶ,ŽƚĞůŝŶ ŵĂŶLJŽĨLJŽƵĂƚƚŚĞDD͕ĂŶĚĂŵĂƉŚŽŶĞĐĂůůŽƌĞŵĂŝů ^ĂĐƌĂŵĞŶƚŽ͕ĨŽůůŽǁĞĚďLJ>ŽďďLJĂLJŽŶDŽŶĚĂLJ͕DĂƌĐŚϲ͘ ĂǁĂLJŝĨLJŽƵŶĞĞĚĂƐƐŝƐƚĂŶĐĞ͘ DDƉĂƌƚŝĐŝƉĂŶƚƐĐŽůůĂďŽƌĂƚĞĂŶĚůĞĂƌŶŚŽǁƚŽĞĨĨĞĐƚŝǀĞůLJ ĂĚǀŽĐĂƚĞŽŶŬĞLJŝƐƐƵĞƐĚƵƌŝŶŐƚŚĞƐĞƐƐŝŽŶƐDĂƌĐŚϰͲϱ͕ Shannon Goecke is CAFP’s Director of Membership and ƚŚĞŶƉƵƚƚŚĞŝƌƐŬŝůůƐŝŶƚŽĂĐƚŝŽŶǁŝƚŚǀŝƐŝƚƐƚŽůĞŐŝƐůĂƚŽƌƐŽŶ Marketing.

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California Family Physician Fall 2016


’Œ‘ŠȱŠ›Šœ Šȱȱ

CAFP FOUNDATION

National Conference for Students and Residents &W͛ƐEĂƚŝŽŶĂůŽŶĨĞƌĞŶĐĞĨŽƌ^ƚƵĚĞŶƚƐĂŶĚZĞƐŝĚĞŶƚƐ ;E^ZͿ͕:ƵůLJϮϴͲϯϬŝŶ<ĂŶƐĂƐŝƚLJ͕ǁĂƐĂŶĞdžƉĞƌŝĞŶĐĞƚŽ ƌĞŵĞŵďĞƌ͘dŚĞĨŝƌƐƚĚĂLJŽĨƚŚĞĐŽŶĨĞƌĞŶĐĞĨĞĂƚƵƌĞĚĂƉĂŶĞů ŽĨƉŚLJƐŝĐŝĂŶĐŚĂŵƉŝŽŶƐĨƌŽŵĚŝĨĨĞƌĞŶƚƉƌĂĐƚŝĐĞƐĞƚƚŝŶŐƐ ƐŚĂƌŝŶŐƚŚĞŝƌĂĚǀŽĐĂĐLJĞdžƉĞƌŝĞŶĐĞƐ͘ƌƐ͘EĂƚĂƐŚĂŚƵLJĂŶ͕ :ĞŶŶŝĨĞƌƌƵůůĂŶĚƵďŝŶĂŵĂŶŝĂ;ŽŐŐDͿƐƉŽŬĞĂďŽƵƚ ŽƉƉŽƌƚƵŶŝƚŝĞƐĨŽƌƐƚƵĚĞŶƚƐĂŶĚƌĞƐŝĚĞŶƚƐƚŽďĞĐŽŵĞ ĐŚĂŵƉŝŽŶƐŽĨƉƌŝŵĂƌLJĐĂƌĞ͘ƌ͘ŚƵLJĂŶƐŚĂƌĞĚŚĞƌŵĂŶƚƌĂ͕ ͞^ŚŽǁƵƉ͘^ƉĞĂŬKƵƚ͘ŚĂŶŐĞƚŚĞƵůƚƵƌĞ͘͟dŚŝƐƌĂŶŐ ĞƐƉĞĐŝĂůůLJƚƌƵĞĨŽƌƐƚƵĚĞŶƚƐǁŚŽĨĂĐĞĂĐƵůƚƵƌĞŝŶŵĞĚŝĐĂů ƐĐŚŽŽůƚŚĂƚƉƵƐŚĞƐƚŚĞŵĂǁĂLJĨƌŽŵĐĂƌĞĞƌƐŝŶƉƌŝŵĂƌLJ ĐĂƌĞ͘ dŚŝƐĚŝǀĞƌƐĞĂŶĚŝŶĨŽƌŵĂƚŝǀĞƉĂŶĞůŬŝĐŬĞĚŽĨĨE^Z ǁŝƚŚĂďĂŶŐ͊ &W͛ƐĐŽŶƚŝŶŐĞŶƚŽĨƐƚƵĚĞŶƚĂŶĚƌĞƐŝĚĞŶƚĂƚƚĞŶĚĞĞƐŵĂĚĞ ƚŚĞŵŽƐƚŽĨŝƚƐƚŝŵĞĂƚE^Z͕ŝŶĐůƵĚŝŶŐƚŚĞĞůĞĐƚŝŽŶŽĨŽƵƌ ŽǁŶůĞdžD͘DĐŽŶĂůĚ͕DƐĂƐŶĞdžƚLJĞĂƌ͛ƐZĞƐŝĚĞŶƚŚĂŝƌ ŽĨEĂƚŝŽŶĂůŽŶĨĞƌĞŶĐĞ͘ůĞdžƐĂŝĚ͞dŚŝƐĞǀĞŶƚŝƐƵŶůŝŬĞ ĂŶLJŽƚŚĞƌĐŽŶĨĞƌĞŶĐĞĂŶĚŝƐŵLJĨĂǀŽƌŝƚĞǁŝƚŚŝŶƚŚĞǁŚŽůĞ &WĐĂůĞŶĚĂƌ͘dŚĞĞŶĞƌŐLJĂŶĚĞŶƚŚƵƐŝĂƐŵŝƐƉĂůƉĂďůĞĂŶĚ ĐŽŶƚĂŐŝŽƵƐ͘/ĂŵĞdžƚƌĞŵĞůLJĞdžĐŝƚĞĚƚŽďĞŐŝǀĞŶƚŚĞƉƌŝǀŝůĞŐĞ ĂŶĚŚŽŶŽƌƚŽďĞZĞƐŝĚĞŶƚŚĂŝƌŽĨEĂƚŝŽŶĂůŽŶĨĞƌĞŶĐĞŝŶ ϮϬϭϳ͘/ǁŝůůĐŽŶƚŝŶƵĞƚŽďƵŝůĚ ŽŶƚŚŝƐĞƐƚĂďůŝƐŚĞĚĨŽƵŶĚĂƚŝŽŶ ƚŽƐŚŽǁƌĞƐŝĚĞŶƚƐĂŶĚƐƚƵĚĞŶƚƐ ǁŚĂƚĨĂŵŝůLJŵĞĚŝĐŝŶĞŝƐĂůů ĂďŽƵƚ͘͟tĞŬŶŽǁůĞdžǁŝůů ďƌŝŶŐĂůĞǀĞůŽĨĞŶƚŚƵƐŝĂƐŵĂŶĚ ĞŶŐĂŐĞŵĞŶƚƚŽE^ZƚŚĂƚǁŝůů ŵĂŬĞĂůŝĨŽƌŶŝĂƉƌŽƵĚ͊ &W&ŽƵŶĚĂƚŝŽŶĂǁĂƌĚĞĚ ƐĐŚŽůĂƌƐŚŝƉƐƚŽĞŝŐŚƚƐƚƵĚĞŶƚƐ ƚŽĂƚƚĞŶĚE^Z͘ŶĚƌĞǁ>Ğ͕ tĞƐƚĞƌŶhŶŝǀĞƌƐŝƚLJ͕Ă^ƚƵĚĞŶƚ ŽƵŶĐŝůŵĞŵďĞƌĂŶĚƐĐŚŽůĂƌƐŚŝƉ ƌĞĐŝƉŝĞŶƚ͕ǁĂƐĞƐƉĞĐŝĂůůLJŝŶƐƉŝƌĞĚ ďLJƌ͘tĂŶĚĂ&ŝůĞƌ͛ƐƐƉĞĞĐŚĂŶĚ ĨŽƵŶĚŚŝŵƐĞůĨƌĞŝŶǀŝŐŽƌĂƚĞĚƚŽ ĐŽŶƚŝŶƵĞŚŝƐĂĚǀŽĐĂĐLJĨŽƌĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘,ĞƐĂŝĚ͕͞dŚĞŵŽƐƚ ƌĞǁĂƌĚŝŶŐĞdžƉĞƌŝĞŶĐĞƚŽŵĞǁĂƐ ďĞŝŶŐŝŵŵĞƌƐĞĚŝŶƚŚĞĨĂŵŝůLJ ŵĞĚŝĐŝŶĞĐƵůƚƵƌĞĂŶĚƐƵƌƌŽƵŶĚĞĚ ďLJĐŽůůĞĂŐƵĞƐǁŚŽƐŚĂƌĞĚŵĂŶLJ ĐŽŵŵŽŶŝŶƚĞƌĞƐƚƐ͘͟sŝĐƚŽƌŝĂ

ŽŐŐŝĂŶŽ͕^ƚĂŶĨŽƌĚhŶŝǀĞƌƐŝƚLJ͕ǁĂƐĞdžĐŝƚĞĚƚŽĞŶŚĂŶĐĞ ŚĞƌŝŶƚĞƌĞƐƚŝŶŚĞĂůƚŚƉŽůŝĐLJďLJŐĞƚƚŝŶŐŝŶǀŽůǀĞĚǁŝƚŚƚŚĞ &WƐƚƵĚĞŶƚĐŽŶŐƌĞƐƐĂĐƚŝǀŝƚŝĞƐ͘^ŚĞǁĞŶƚƚŚƌŽƵŐŚƚŚĞ ƉƌŽĐĞƐƐŽĨƌƵŶŶŝŶŐĨŽƌĂŶĞůĞĐƚĞĚƉŽƐŝƚŝŽŶĂŶĚĨŽƵŶĚŝƚĨƵŶ ĂŶĚŝŶĨŽƌŵĂƚŝǀĞ͘ůƚŚŽƵŐŚƐŚĞĚŝĚŶ͛ƚǁŝŶ͕ŝƚǁĂƐĂŐƌĞĂƚ ŝŶƚƌŽĚƵĐƚŝŽŶƚŽŽŶŐƌĞƐƐĂĐƚŝǀŝƚŝĞƐĂŶĚƐŚĞŝƐŶŽǁŝŶƚŚĞ ƉƌŽĐĞƐƐŽĨĂƉƉůLJŝŶŐĨŽƌĂŶĂƉƉŽŝŶƚĞĚƉŽƐŝƚŝŽŶ͘sŝĐƚŽƌŝĂƐĂŝĚ ͞E^ZƐƚƌĞŶŐƚŚĞŶĞĚŵLJĐŽŵŵŝƚŵĞŶƚƚŽĨĂŵŝůLJŵĞĚŝĐŝŶĞ ĂŶĚŐĂǀĞŵĞĂĚĞĞƉĞƌƉĞƌƐƉĞĐƚŝǀĞŽĨƚŚĞǁŝĚĞƌĂŶŐĞŽĨ ŽƉƉŽƌƚƵŶŝƚŝĞƐƚŽŵĂŬĞĂŶŝŵƉĂĐƚŝŶŚĞĂůƚŚƉŽůŝĐLJĂƐĂĨĂŵŝůLJ ŵĞĚŝĐŝŶĞƉŚLJƐŝĐŝĂŶ͘͟ dŚĞ&ŽƵŶĚĂƚŝŽŶŚŽƐƚĞĚŝƚƐĂŶŶƵĂůĂůŝĨŽƌŶŝĂƌĞĐĞƉƚŝŽŶ ŽŶƚŚĞ&ƌŝĚĂLJĞǀĞŶŝŶŐŽĨƚŚĞĐŽŶĨĞƌĞŶĐĞ͘tĞŚĂĚĂũĂŵͲ ƉĂĐŬĞĚƌŽŽŵ͕ǁŝƚŚĂůŝĨŽƌŶŝĂŵĞĚŝĐĂůƐƚƵĚĞŶƚƐ͕ƌĞƐŝĚĞŶƚƐ͕ ƌĞƐŝĚĞŶĐLJĨĂĐƵůƚLJŵĞŵďĞƌƐĂŶĚĞǀĞŶ&WůĞĂĚĞƌƐũŽŝŶŝŶŐ ƵƐĨŽƌƚŚĞŝŶĨŽƌŵĂůŐĂƚŚĞƌŝŶŐ͘KǀĞƌĂůů͕&WEĂƚŝŽŶĂů ŽŶĨĞƌĞŶĐĞϮϬϭϲǁĂƐĂŐůŽƌŝŽƵƐƐƵĐĐĞƐƐʹǁĞŽŶůLJǁŽŶĚĞƌ ŚŽǁŶĞdžƚLJĞĂƌĐĂŶƚŽƉŝƚ͊ Richa Saraswat is CAFP’s Manager of Medical Student and Residency Relations

ŶĚƌĞǁ>Ğ͕ƐĐŚŽůĂƌƐŚŝƉǁŝŶŶĞƌ͖>ĂƵƌĂŽĂŶ͕D͕ZĞƐŝĚĞŶĐLJĐŽƵŶĐŝůĐŽͲĐŚĂŝƌ͖ĂŶĚZŝĐŚĂ^ĂƌĂƐǁĂƚ͘

California Family Physician Fall 2016

15


Š›˜•ȱ ›Ž—Œ‘ǰȱȱ

Live from Rio, Health Care and More /ŚĂĚƚŚĞũŽLJŽĨƐĞĞŝŶŐŵLJĚĂƵŐŚƚĞƌ͕ŝůĞĞŶ'ƌĞŶĐŚ͕ĨĞŶĐĞĨŽƌ WĂŶĂŵĂŝŶƚŚĞKůLJŵƉŝĐƐ͘^ŚĞĚŝƐĐŽǀĞƌĞĚĨĞŶĐŝŶŐďLJŐĞƫŶŐůŽƐƚŝŶ ĂǀŝƐ͕ĂƐĂĐŚŝůĚ͘^ŚĞŚĂƉƉĞŶĞĚďLJƚŚĞĂǀŝƐ&ĞŶĐŝŶŐůƵď͕ƐĂǁ ĂŶŽƟĐĞĨŽƌĂĐĂŵƉƚŚĞŶĞdžƚǁĞĞŬ͕ĂŶĚĐĂŵĞŚŽŵĞĂƐŬŝŶŐŝĨƐŚĞ ĐŽƵůĚŐŽ͘&ƌŽŵůĞƐƐŽŶŽŶĞ͕ƐŚĞǁĂƐŚŽŽŬĞĚ͊ƚƚŚĞKůLJŵƉŝĐƐ͕ƐŚĞ ǁŽŶŚĞƌĮƌƐƚŵĂƚĐŚ͕ƚŚĞŶůŽƐƚƚŽƚŚĞŶƵŵďĞƌƚŚƌĞĞŝŶƚŚĞǁŽƌůĚ͕ ĐŽŵŝŶŐŝŶϯϬƚŚ͘&ŽƌŵĞ͕ĂƐĂĨĂŵŝůLJƉŚLJƐŝĐŝĂŶ͕ŝƚǁĂƐŝŶƚĞƌĞƐƟŶŐƚŽ ƐĞĞƚŚĞŵĞĚŝĐĂůƐŝĚĞŽĨƚŚĞKůLJŵƉŝĐƐ͘ dŚĞŚĂƌĚǁŽƌŬƚŚĂƚŐŽĞƐŝŶƚŽǁŽƌŬŝŶŐLJŽƵƌǁĂLJƵƉƚŚĞůĞǀĞůƐ͕ĨƌŽŵ ůŽĐĂůƚŽƵƌŶĂŵĞŶƚƐ͕ĂŶĚĮŶĂůůLJƚŽƚŚĞtŽƌůĚƵƉĐŽŵƉĞƟƟŽŶƐ͕ǁĂƐ ǁĞůůďĞLJŽŶĚǁŚĂƚ/ŚĂĚŝŵĂŐŝŶĞĚ͘ƵƌŝŶŐƚŚĞůĂƐƚϭϲLJĞĂƌƐ͕ƐŚĞ ŚĂƐŐŽŶĞƚŽŵŽƌĞƚŚĂŶϱϬĨŽƌĞŝŐŶĐŝƟĞƐʹĂůůŽŶƚŚĞƉĂƚŚƚŽƋƵĂůŝĨLJ ĨŽƌƚŚĞKůLJŵƉŝĐƐ͘^ŚĞŚĂƐŚĂĚŵƵůƟƉůĞŝŶũƵƌŝĞƐ͕ƐƚĂƌƟŶŐǁŝƚŚĂŶ >ƌĞƉĂŝƌŚĞƌũƵŶŝŽƌLJĞĂƌŽĨŚŝŐŚƐĐŚŽŽů͘^ŚĞŚĂƐŚĂĚďĂĐŬƉĂŝŶ͕ ĚĞǀĞůŽƉĞĚŬŶĞĞĂƌƚŚƌŝƟƐ͕ƐƉƌĂŝŶĞĚŚĞƌǁƌŝƐƚ͕ĮŶŐĞƌƐ͕ĂŶŬůĞĂŶĚ ĨŽƌĞĂƌŵĂŶĚŚĂĚĞůďŽǁƚĞŶĚŽŶŝƟƐ͘^ŚĞŚĂƐŚĂĚĚŝīĞƌĞŶƚŝŶĨĞĐƟŽŶƐ ŝŶĐůƵĚŝŶŐƚƌĂǀĞůĞƌ͛ƐĚŝĂƌƌŚĞĂĂŶĚŵƵůƟƉůĞƌĞƐƉŝƌĂƚŽƌLJďƵŐƐ͘^ŚĞ ŚĂĚŝŬĂĂƚŚƌŝƐƚŵĂƐ͕ďĞĨŽƌĞŝƚǁĂƐǁĞůůͲŬŶŽǁŶŽƌĞǀĞŶŝŶhƉͲƚŽͲ ĂƚĞ͘dŚĞĚŝƐƚĂůũŽŝŶƚƐǁĞůůŝŶŐǁŝƚŚŝŬĂǁĂƐŝŵƉƌĞƐƐŝǀĞ͕ƐǁĞůůŝŶŐ ĂůůƚŚĞũŽŝŶƚƐŝŶŚĞƌŚĂŶĚƐ͘dŚĞĞŵŽƟŽŶĂůƐƚƌĞƐƐ͕ƵƉƐĂŶĚĚŽǁŶƐ͕ ǁĂƐĂůƐŽŚĂƌĚ͘ ƌƵŐƚĞƐƟŶŐŝƐĂŶŽŶŐŽŝŶŐĐŽŶĐĞƌŶ͘&ŽƌϭϲLJĞĂƌƐ/ŚĂǀĞďĞĞŶ ƌĞĂĚŝŶŐƚŚĞďĂŶŶĞĚůŝƐƚ͘ŝůĞĞŶŚĂƐŶŽƚĞĂƚĞŶƉŽƉƉLJƐĞĞĚƐĂŶĚ ŚĂƐďĞĞŶĐůĞĂŶ͘^ŚĞŚĂƐƚƵƌŶĞĚĚŽǁŶ͞ŶĂƚƵƌĂů͟ƌĞŵĞĚŝĞƐŽƌ ŵĞĚŝĐĂƟŽŶƐĨƌŽŵĨŽƌĞŝŐŶƚƌĂŝŶĞƌƐĂŶĚĨƌŝĞŶĚƐǁŚĞŶƐŚĞŚĂƐďĞĞŶ ŝŶũƵƌĞĚŽƌƐŝĐŬĂƚƚŽƵƌŶĂŵĞŶƚƐ͘ŚŝŐŚůĞǀĞůDĞdžŝĐĂŶĨĞŶĐĞƌǁĂƐ ďĂŶŶĞĚƚŚĞǁĞĞŬďĞĨŽƌĞƚŚĞKůLJŵƉŝĐƐ͘^ŚĞĚĞŶŝĞĚĚŽŝŶŐĂŶLJƚŚŝŶŐ͕ ĞdžĐĞƉƚƚĂŬŝŶŐĂŶŚĞƌďĂůĚŝĞƚƉŝůů͘

16

California Family Physician Fall 2016


INSPIRE greatness 'Ĺ˝Ĺ?ĹśĹ?Ć&#x161;Ĺ˝ZĹ?Ĺ˝Ç Ĺ?Ć&#x161;Ĺ&#x161;ŽŜůÇ&#x2021;Ć&#x161;Ĺ&#x161;Ć&#x152;Ä&#x17E;Ä&#x17E;Ç Ä&#x17E;Ä&#x17E;ĹŹĆ?Ć&#x161;Ĺ˝Ć&#x2030;ĹŻÄ&#x201A;Ĺś Ç Ä&#x201A;Ć?Ä&#x201A;Ä?Ĺ?Ć&#x161;Ä&#x161;Ä&#x201A;ƾŜĆ&#x;ĹśĹ?Í&#x2DC;^ŽžÄ&#x17E;Ä?ŽžžŽŜĆ&#x152;Ä&#x17E;Ć?Ć&#x2030;ŽŜĆ?Ä&#x17E;Ć? Ć&#x161;Ĺ˝Ĺ&#x161;Ä&#x17E;Ä&#x201A;Ć&#x152;Ĺ?ĹśĹ?Ä&#x201A;Ä?ŽƾĆ&#x161;Ĺ?ĹŻÄ&#x17E;Ä&#x17E;ĹśÍ&#x203A;Ć?Ĺ?Ĺ˝Ĺ?ĹśĹ?Ć&#x161;Ĺ˝Ć&#x161;Ĺ&#x161;Ä&#x17E; KĹŻÇ&#x2021;ĹľĆ&#x2030;Ĺ?Ä?Ć?Ç Ä&#x17E;Ć&#x152;Ä&#x17E;Í&#x17E;Ć&#x152;Ä&#x17E;ĹśÍ&#x203A;Ć&#x161;Ç&#x2021;ŽƾÄ&#x201A;ĨĆ&#x152;Ä&#x201A;Ĺ?Ä&#x161;ŽĨĹ?Ä&#x17E;ĆŤĹśĹ? 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For Sale: Well-established internal medicine / family practice since 2007 focusing on improving the health and well-being of their patients and the surrounding communities with two clinics in Los Angeles Area and over 6000 active charts. This practice has been on a fast track since day one. Priced at $3,000,000, for the 2 locations, but willing to sell the practices individually. Trained staff will stay and the seller will provide assistance during transition period. For details email: info@DoctorsBroker.com or call (877)955-4447 www.DoctorsBroker.com

At Dignity Health, we lead by example. By always striving to give our personal best-and encouraging our patients and colleagues to do the same-we're able to achieve and do more than we ever imagined. If you're ready to inspire greatness in yourself and others, join us today.

OUTPATIENT FAMILY MEDICINE PHYSICIANS Northern and Southern California (Grass Valley, Inland Empire, Redding, Sacramento, Santa Cruz, Stockton, Ventura & Woodland)

Practice Highlights: â&#x20AC;˘ Autonomy with administrative and clinical support

â&#x20AC;˘ Salary guarantee period and excellent earning potential based on productivity model

â&#x20AC;˘ An established, growing medical group OR an independent single specialty group practice

â&#x20AC;˘ Attractive bonus structure

â&#x20AC;˘ Full-time and part-time practice options â&#x20AC;˘ A Medical Foundation aligned with one of the largest health systems in the nation and the largest hospital system in California

â&#x20AC;˘ Sunny California locations with easy access to San Francisco, Napa, Lake Tahoe, Los Angeles and San Diego

Please contact/send your CV to: Physician Recruitment providers@dignityhealth.org | 888-599-7787 www.dignityhealth.org/physician-careers

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Hello humankindness

Academic FP Program Director â&#x20AC;&#x201C; Las Vegas, NV HCA MountainView Hospital is seeking qualified candidates for our new Family Medicine Residency Program. The Program Director provides leadership and general administration and establishes the strategic direction of the program and is responsible for the standards, quality and reputation of the Family Medicine Residency Program. The Program Director is expected to integrate the Family Medicine Residency Program with physician practices and hospital clinical services in a manner that enhances value and quality, and that promotes an optimal environment for professional practice and graduate medical education.

QUALIFICATIONS t3FRVJTJUFTQFDJBMUZFYQFSUJTFBOEEPDVNFOUFEFEVDBUJPOBMBOE administrative expertise acceptable to the review committee. t$VSSFOUDFSUJGJDBUJPOJOUIFTQFDJBMUZCZUIF"NFSJDBO#PBSEPG Family Medicine. t$VSSFOUNFEJDBMMJDFOTVSFBOEBQQSPQSJBUFNFEJDBMTUBGG appointment. t"DUJWFJOWPMWFNFOUJOUIFDBSFPGQBUJFOUT1SJPSUPBTTVNJOHUIJT position, a minimum of two years full-time professional activity in family medicine, as well as teaching experience in a family medicine residency is required.

For more information, please forward your cover letter and CV. Randy Mitchell HCA Physician Services Group 615.943.7854 Randall.Mitchell@HCAHealthcare.com California Family Physician Fall 2016

17


 Š—Šȱ’•Ž›ǰȱǰȱǰȱBoard Chair, American Academy of Family Physicians ȱ

Commentary for California Family Physician, “ACA: Six Years and Counting. The Good, Bad, and the Promise” ƐĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ͕ŽƵƌƉƌŝŽƌŝƚLJŝƐĞŶƐƵƌŝŶŐƚŚĂƚ ƉĂƚŝĞŶƚƐŚĂǀĞĂĐĐĞƐƐƚŽĐĂƌĞ͘dŽƚŚĂƚĞŶĚ͕ƚŚĞŵĞƌŝĐĂŶ ĐĂĚĞŵLJŽĨ&ĂŵŝůLJWŚLJƐŝĐŝĂŶƐƐƵƉƉŽƌƚĞĚƚŚĞĨĨŽƌĚĂďůĞ ĂƌĞĐƚ;Ϳ͘EŽƚŽŶůLJĚŝĚƚŚĞůĂǁĐŽŶƚĂŝŶĂWĂƚŝĞŶƚ͛Ɛ ŝůůŽĨZŝŐŚƚƐ͕ďƵƚŝƚĂůƐŽĞƐƚĂďůŝƐŚĞĚĂƉĂƚŚƚŽǀĂůƵĞ ƉƌŝŵĂƌLJĐĂƌĞĂŶĚƌĞǁĂƌĚŚŝŐŚͲƋƵĂůŝƚLJĐĂƌĞƌĂƚŚĞƌƚŚĂŶ ŚŝŐŚͲǀŽůƵŵĞĐĂƌĞ͘ &ƵůůLJŵĞĞƚŝŶŐƚŚĞƐĞŐŽĂůƐƌĞƋƵŝƌĞƐĐŽŵƉůŝĐĂƚĞĚ͕ ƐŽŵĞƚŝŵĞƐƉĂŝŶĨƵů͕ĐŚĂŶŐĞƐ͘/ŶƚŚĞLJĞĂƌƐƐŝŶĐĞ ƉĂƐƐĂŐĞ ŽĨƚŚĞ͕ǁĞ͛ǀĞƐĞĞŶďŽƚŚƐƵĐĐĞƐƐĞƐĂŶĚ ĐŚĂůůĞŶŐĞƐ͘ĞƐƉŝƚĞůĞŐŝƐůĂƚŝǀĞĐŚĂŶŐĞƐĂŶĚũƵĚŝĐŝĂů ĐŚĂůůĞŶŐĞƐ͕ƚŚĞĐŽƌĞŽĨƚŚĞƌĞŵĂŝŶƐ͘/ŶƚŚĞ ĞŶĚ͕ƚŚĞ ůĂǁŝƐƚƌĂŶƐĨŽƌŵŝŶŐĂĨŽƌŵĞƌůLJĨƌĂŐŵĞŶƚĞĚ͕ ĚƵƉůŝĐĂƚŝǀĞĂŶĚĞdžƉĞŶƐŝǀĞĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞƉĂLJŵĞŶƚ ƐLJƐƚĞŵŝŶƚŽĂďůĞŶĚĞĚƐLJƐƚĞŵƚŚĂƚƐŚŽƵůĚƌĞǁĂƌĚ ƋƵĂůŝƚLJ ĂŶĚŽƵƚĐŽŵĞƐ͘ ^ŝŶĐĞƚŚĞ͛ƐƉĂƐƐĂŐĞ͕ŵŽƌĞƚŚĂŶϭ͘ϰŵŝůůŝŽŶ ĂůŝĨŽƌŶŝĂŶƐŐĂŝŶĞĚŚĞĂůƚŚĐĂƌĞĐŽǀĞƌĂŐĞƚŚƌŽƵŐŚ ŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ͘ŶŽƚŚĞƌƚŚƌĞĞŵŝůůŝŽŶŐĂŝŶĞĚ DĞĚŝĐĂŝĚŽƌŚŝůĚƌĞŶ͛Ɛ,ĞĂůƚŚ/ŶƐƵƌĂŶĐĞWƌŽŐƌĂŵ;,/WͿ ĐŽǀĞƌĂŐĞ͘dŚĞŶƵŵďĞƌŽĨƵŶŝŶƐƵƌĞĚĂůŝĨŽƌŶŝĂŶƐŚĂƐ ĚƌŽƉƉĞĚĨƌŽŵŶĞĂƌůLJϮϮƉĞƌĐĞŶƚƚŽϭϱƉĞƌĐĞŶƚ͘EĞĂƌůLJ ĞŝŐŚƚŝŶϭϬƌĞĐĞŶƚůLJŝŶƐƵƌĞĚĂůŝĨŽƌŶŝĂŶƐĂƌĞŵŽƌĞůŝŬĞůLJ ƚŽƌĞƉŽƌƚƚŚĂƚƚŚĞŝƌŚĞĂůƚŚŶĞĞĚƐĂƌĞďĞŝŶŐŵĞƚʹƵƉ ĨƌŽŵŽŶůLJŚĂůĨŝŶϮϬϭϯ͘dŚĞLJ͛ƌĞĂůƐŽŵƵĐŚůĞƐƐǁŽƌƌŝĞĚ ĂďŽƵƚƉĂLJŝŶŐĨŽƌĂƐĞƌŝŽƵƐŝůůŶĞƐƐ ŽƌĂĐĐŝĚĞŶƚ͘ ^ƚŝůů͕ĐŽƐƚĂŶĚĂĐĐĞƐƐƌĞŵĂŝŶĐŚĂůůĞŶŐŝŶŐ͘EŽƚĂůů ĂůŝĨŽƌŶŝĂŶƐŐĞƚƚŚĞĐĂƌĞƚŚĞLJŶĞĞĚ͘dǁŽŝŶϭϬƌĞĐĞŶƚůLJ ĐŽǀĞƌĞĚĂůŝĨŽƌŶŝĂŶƐƐĂŝĚƚŚĞLJĨĂŝůĞĚƚŽŐĞƚŵĞĚŝĐĂůĐĂƌĞ ĚƵĞƚŽĐŽƐƚĂƚƐŽŵĞƉŽŝŶƚŝŶƚŚĞƉĂƐƚLJĞĂƌ͘KŶĞŝŶĨŽƵƌŽĨ ƚŚĞƌĞĐĞŶƚůLJŝŶƐƵƌĞĚƐĂŝĚƚŚĞLJŚĂǀĞŚĂĚƚŽǁĂŝƚ͞ůŽŶŐĞƌ ƚŚĂŶĂƌĞĂƐŽŶĂďůĞƚŝŵĞ͟ƚŽŐĞƚĂŶĂƉƉŽŝŶƚŵĞŶƚĂŶĚ ŵŽƌĞƚŚĂŶŽŶĞŝŶϭϬǁĞƌĞƚŽůĚƚŚĞƉŚLJƐŝĐŝĂŶŽĨĨŝĐĞǁĂƐ ŶŽƚĂĐĐĞƉƚŝŶŐŶĞǁƉĂƚŝĞŶƚƐ͘ ^ŽůƵƚŝŽŶƐƚŽƚŚĞƐĞĐŚĂůůĞŶŐĞƐůŝĞŝŶĂƉƉƌŽƉƌŝĂƚĞůLJ ĨƵŶĚŝŶŐWĂƚŝĞŶƚĞŶƚĞƌĞĚDĞĚŝĐĂů,ŽŵĞƐ;WD,ͿǁŚĞƌĞ ƚĞĂŵƐĞŶƐƵƌĞƉĂƚŝĞŶƚƐŐĞƚƚŚĞƌŝŐŚƚĐĂƌĞĂƚƚŚĞƌŝŐŚƚ ƚŝŵĞĨƌŽŵƚŚĞƌŝŐŚƚƉƌŽĨĞƐƐŝŽŶĂů͘^ĂŵĞͲĚĂLJƐĐŚĞĚƵůŝŶŐ͕ ǁĞďƉŽƌƚĂůƐĨŽƌƐĞĐƵƌĞŵĞƐƐĂŐŝŶŐ͕ĞdžƚĞŶĚĞĚŽĨĨŝĐĞŚŽƵƌƐ

18

California Family Physician Fall 2016

ĂŶĚĞŵĂŝůĐŽŵŵƵŶŝĐĂƚŝŽŶĂůůŚĞůƉƚŽĞdžƚĞŶĚƉĂƚŝĞŶƚ ĂĐĐĞƐƐƚŽĐĂƌĞ͘ tĞƐĞĞĂŐŽŽĚŶĞǁƐͲďĂĚŶĞǁƐĚŝĐŚŽƚŽŵLJŝŶƚŚĞ͛Ɛ ĚĞůŝǀĞƌLJƐLJƐƚĞŵƌĞĨŽƌŵƐĂƐǁĞůů͘ dŚĞŐŽŽĚŶĞǁƐŝƐƚŚĞƐƚĞĚŶĂƐĐĞŶƚĞĨĨŽƌƚƐ ƚŽŵŽǀĞƚŚĞŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵƚŽǁĂƌĚǀĂůƵĞĚͲ ďĂƐĞĚƉĂLJŵĞŶƚ͘/ŶƐƵƌĂŶĐĞĐŽŵƉĂŶŝĞƐǁĞƌĞĂůƌĞĂĚLJ ĞdžƉĞƌŝŵĞŶƚŝŶŐǁŝƚŚƚŚĞĐŽŶĐĞƉƚǁŚĞŶƚŚĞ ŝŶƐƚŝƚƵƚĞĚ ƉŽůŝĐŝĞƐƚŚĂƚĐůĞĂƌůLJĞƐƚĂďůŝƐŚĞĚǀĂůƵĞͲ ďĂƐĞĚĐĂƌĞĂƐƚŚĞŐŽĂů͘dŚĞĐŽŶĐĞƉƚŽĨWD,ŵĞĚŝĐĂů ŚŽŵĞƐŚĂĚƚĂŬĞŶƌŽŽƚĂŶĚĂĐĞƌƚŝĨŝĐĂƚŝŽŶƉƌŽĐĞƐƐŚĂĚ ďĞĞŶůĂƵŶĐŚĞĚ͘dŚĞ͛ƐĐŚĂůůĞŶŐĞ͕ƚŚĞŶ͕ŚĂƐďĞĞŶ ƚŽƐŵŽŽƚŚŽƵƚƚŚĞĚŝĨĨĞƌĞŶĐĞƐĂŵŽŶŐƉƌŽŐƌĂŵƐ͕ŵŽƌĞ ƵŶŝǀĞƌƐĂůůLJ ĚĞĨŝŶĞƋƵĂůŝƚLJĂŶĚĞƐƚĂďůŝƐŚŵĞĂƐƵƌĞƐƚŚĂƚ ƌĞĨůĞĐƚŚŝŐŚƋƵĂůŝƚLJĐĂƌĞĂŶĚĚĞǀĞůŽƉƉĂLJŵĞŶƚƚŚĂƚ ƌĞǁĂƌĚƐŽƵƚĐŽŵĞƐ͕ŶŽƚŝŶƚĞƌǀĞŶƚŝŽŶƐ͘ WŝŽŶĞĞƌĐĐŽƵŶƚĂďůĞĂƌĞKƌŐĂŶŝnjĂƚŝŽŶƐ;KƐͿ ĂŶĚƚŚĞDĞĚŝĐĂƌĞ^ŚĂƌĞĚ^ĂǀŝŶŐƐWƌŽŐƌĂŵ;D^^WͿ ŚĂǀĞďŽƚŚďĞĞŶĞĂƌůLJƐƵĐĐĞƐƐĞƐŽĨƚŚĞůĂǁ͘ŽƚŚ ŚĂǀĞĚĞŵŽŶƐƚƌĂƚĞĚŝŵƉŽƌƚĂŶƚƐĂǀŝŶŐƐĂŶĚƋƵĂůŝƚLJ ŝŵƉƌŽǀĞŵĞŶƚƐ͘WŝŽŶĞĞƌKƐ ŚĂǀĞƌĞĐŽƌĚĞĚŽǀĞƌĂůů ƋƵĂůŝƚLJƐĐŽƌĞƐďĞƚǁĞĞŶϵϮƚŽϵϴƉĞƌĐĞŶƚǁŚŝůĞ ŐĞŶĞƌĂƚŝŶŐƐĂǀŝŶŐƐŽĨŵŽƌĞƚŚĂŶΨϯϳŵŝůůŝŽŶ͘DĞĚŝĐĂƌĞ ^ŚĂƌĞĚ^ĂǀŝŶŐƐŐĞŶĞƌĂƚĞĚƚŽƚĂůƉƌŽŐƌĂŵƐĂǀŝŶŐƐŽĨ ΨϰϮϵ ŵŝůůŝŽŶ͘EƵŵďĞƌŽĨƚŚĞƐĞƉĂƌƚŝĐŝƉĂŶƚƐĞĂƌŶĞĚ ƐŚĂƌĞĚƐĂǀŝŶŐƐďLJŵĞĞƚŝŶŐďŽƚŚƋƵĂůŝƚLJƐƚĂŶĚĂƌĚƐĂŶĚ ĐŽƐƚďĞŶĐŚŵĂƌŬƐ͘ dŚĞůĂǁŚĂƐŶŽƉƌŽǀŝƐŝŽŶƚŚĂƚĞŶƐƵƌĞƐƚŚĞKƐƐŚĂƌĞ ƚŚĞƐĂǀŝŶŐƐǁŝƚŚƚŚĞƉŚLJƐŝĐŝĂŶƐǁŚŽĂƌĞƚŚĞĨŽƵŶĚĂƚŝŽŶ ŽĨƚŚĞKĂŶĚǁŚŽĐƌĞĂƚĞĚƚŚŝƐǀĂůƵĞ͕ ŚŽǁĞǀĞƌ͘ DŽƌĞŽǀĞƌ͕ƌĞĨŽƌŵŝŶŐŚĞĂůƚŚĐĂƌĞĚĞůŝǀĞƌLJĚĞƉĞŶĚƐ ŽŶ ĞůĞĐƚƌŽŶŝĐŚĞĂůƚŚƌĞĐŽƌĚƐ;,ZƐͿƚŚĂƚŚĂǀĞƉƌŽǀĞŶ ƚŽ ďĞĐƵŵďĞƌƐŽŵĞ͕ƚŝŵĞͲĐŽŶƐƵŵŝŶŐĂŶĚŽĨƚĞŶ ĐůŝŶŝĐĂůůLJ ĂǁŬǁĂƌĚ͘ ĞĨŽƌĞƚŚĞ͛ƐƉĂƐƐĂŐĞ͕ĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐůĞĚ ƚŚĞŵĞĚŝĐĂůĐŽŵŵƵŶŝƚLJŝŶďƵLJŝŶŐĂŶĚƵƐŝŶŐŚĞĂůƚŚ ŝŶĨŽƌŵĂƚŝŽŶƚĞĐŚŶŽůŽŐLJ͘,ZĂĚŽƉƚŝŽŶĂŵŽŶŐĨĂŵŝůLJ


ƉŚLJƐŝĐŝĂŶƐƐƵƌŐĞĚ͕ƚŚĞŶĨĞůů͘^ĂƚŝƐĨĂĐƚŝŽŶ ǁŝƚŚ,ZĨƵŶĐƚŝŽŶĂůŝƚLJĂŶĚŝŶƚĞƌŽƉĞƌĂďŝůŝƚLJ ƉůƵŵŵĞƚĞĚĨƌŽŵϲϭƉĞƌĐĞŶƚŝŶϮϬϭϬƚŽ ϯϰƉĞƌĐĞŶƚŝŶϮϬϭϰďĞĐĂƵƐĞŽĨŝƐƐƵĞƐŽĨ ŝŶƚĞƌŽƉĞƌĂďŝůŝƚLJĂƐƉŚLJƐŝĐŝĂŶƐƐƚƌƵŐŐůĞĚƚŽ ĐŽŵƉůLJǁŝƚŚŵĞĂŶŝŶŐĨƵůƵƐĞƌĞŐƵůĂƚŝŽŶƐ͘ ^ƵĐŚĐŚĂůůĞŶŐĞƐƵŶĚĞƌĐƵƚĞĨĨŽƌƚƐƚŽďƵŝůĚ ƚƌƵůLJĐŽŽƌĚŝŶĂƚĞĚĐĂƌĞ͕ĂŶĚƚŚĞ&W ĐŽŶƚŝŶƵĞƐƚŽĂĚǀŽĐĂƚĞĨŽƌƐŝŐŶŝĨŝĐĂŶƚ ĐŚĂŶŐĞƐŝŶƌĞŐƵůĂƚŝŽŶƐĂŶĚǀĞŶĚŽƌ ĂĐĐŽƵŶƚĂďŝůŝƚLJ͘dŚĞƌƵůĞƐʹĂŶĚƚŚĞ,ZƐ ƚŚĞLJŐŽǀĞƌŶʹŵƵƐƚďĞĚĞƐŝŐŶĞĚƚŽŝŵƉƌŽǀĞ ƉĂƚŝĞŶƚĐĂƌĞŽƌŝŶĐƌĞĂƐĞĞĨĨŝĐŝĞŶĐLJŝŶ ǁŽƌŬĨůŽǁ͘ZĞŐƵůĂƚŽƌƐŚĂǀĞƚĂŬĞŶŶŽƚĞ͘ WƌŽƉŽƐĞĚƌƵůĞƐƚŽŝŵƉůĞŵĞŶƚƚŚĞDĞĚŝĐĂƌĞ ĐĐĞƐƐĂŶĚ,/WZĞĂƵƚŚŽƌŝnjĂƚŝŽŶĐƚŚĂǀĞ ƚĂŬĞŶĂĐĐŽƵŶƚŽĨƚŚĞ&W͛ƐĐŽŵŵĞŶƚƐ͘ dŚĞƉƌŽƉŽƐĂůĐŽŶƚĂŝŶƐƉƌŽǀŝƐŝŽŶƐƚŚĂƚ ƐŚŽƌƚĞŶƌĞƉŽƌƚŝŶŐƉĞƌŝŽĚƐĨŽƌŵĞĂŶŝŶŐĨƵů ƵƐĞͲͲŶŽǁŬŶŽǁŶĂƐĂĚǀĂŶĐŝŶŐĐĂƌĞ ŝŶĨŽƌŵĂƚŝŽŶͲͲĂŶĚƌĞƋƵŝƌĞŝŵƉƌŽǀĞĚ ŝŶƚĞƌŽƉĞƌĂďŝůŝƚLJĂŶĚĨƵŶĐƚŝŽŶĂůŝƚLJ͘ DƵĐŚŵŽƌĞŶĞĞĚƐƚŽďĞĚŽŶĞ͘dŚĞ&W ĐŽŶƚŝŶƵĞƐƚŽĂĚǀŽĐĂƚĞĨŽƌĂĚĚŝƚŝŽŶĂů ŝŵƉƌŽǀĞŵĞŶƚƐƚŚĂƚĞŶƐƵƌĞĂƐƚƌŽŶŐ͕ ĐŽŵƉƌĞŚĞŶƐŝǀĞƉƌŝŵĂƌLJŵĞĚŝĐĂůĐĂƌĞ ďĂĐŬďŽŶĞ͘ŵŽŶŐƚŚĞŵ͗ ͻ ŽŶƚŝŶƵĞĚĂĚǀŽĐĂĐLJĨŽƌĞƋƵĂů ƉĂLJŵĞŶƚƚŽĐŽŵŵƵŶŝƚLJƉŚLJƐŝĐŝĂŶ ƉƌĂĐƚŝĐĞƐĂŶĚŚŽƐƉŝƚĂůĐŽŵŵƵŶŝƚLJ ŽƵƚƉĂƚŝĞŶƚĐůŝŶŝĐƐ͕ƌĞŐĂƌĚůĞƐƐŽĨ ŽǁŶĞƌƐŚŝƉ͘ ͻ ĚŵŝŶŝƐƚƌĂƚŝǀĞƐŝŵƉůŝĨŝĐĂƚŝŽŶƚŚĂƚ ĞŶƐƵƌĞƐƋƵĂůŝƚLJŵĞĂƐƵƌĞƐƌĞĨůĞĐƚ ƉĂƚŝĞŶƚĐĂƌĞĂŶĚƚŚĂƚƌĞĚƵĐĞƐ ƚŚĞƉĂƉĞƌǁŽƌŬĂƐƐŽĐŝĂƚĞĚǁŝƚŚ ŵĞĞƚŝŶŐƚŚŽƐĞŵĞĂƐƵƌĞƐ͘ ͻ ƐƚĂďůŝƐŚŵĞŶƚŽĨŶĞǁƉĂLJŵĞŶƚ ĐŽĚĞƐƚŚĂƚƌĞĨůĞĐƚƚŚĞŝŶƚĞŶƐŝƚLJĂŶĚ ĐŽŵƉůĞdžŝƚLJŽĨĂŵďƵůĂƚŽƌLJƉƌŝŵĂƌLJ ĐĂƌĞͬDƐĞƌǀŝĐĞƐ͘ dŚĞĞŶŽƌŵŽƵƐĂŵŽƵŶƚŽĨĐŚĂŶŐĞŚĂƐďĞĞŶ ƉĂŝŶĨƵůĂŶĚĚŝĨĨŝĐƵůƚ͘/͛ŵĐŽŶĨŝĚĞŶƚǁĞǁŝůů ŵĞĞƚƚŚĞƵůƚŝŵĂƚĞŐŽĂůŽĨďŽƚŚŝŵƉƌŽǀŝŶŐ ƉĂLJŵĞŶƚĨŽƌƉƌŝŵĂƌLJŵĞĚŝĐĂůĐĂƌĞĂŶĚ ĂĐĐĞƐƐƚŽŚŝŐŚƋƵĂůŝƚLJĐĂƌĞĨŽƌŽƵƌƉĂƚŝĞŶƚƐ͘

Faculty

John Muir Health’s Family Medicine Residency Program, Walnut Creek, CA

John Muir Health is a nationally-recognized healthcare system that offers a full range of outpatient and inpatient services. We are proud to be launching our UCSF-Affiliated John Muir Health Family Medicine Residency Program in the San Francisco East Bay area. We are seeking a faculty member to help develop an innovative, dynamic, 8-8-8 unopposed, community-based program that is attentive to underserved patient populations. The successful candidate must be a board-certified family physician who is committed to educating future family physicians and passionate about excellence in education and clinical services. The selected individual will be responsible for administrative leadership support, direct clinical care and precepting. Contact: Lynn Eddleman, Residency Program Coordinator p: (925) 941-2674 f: (925) 296-9015 lynn.eddleman@johnmuirhealth.com

California Family Physician Fall 2016

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The Affordable Care Act Six Years Later: The Good, Bad, and Promising ^ŝdžLJĞĂƌƐĂŌĞƌƚŚĞĞŶĂĐƚŵĞŶƚŽĨƚŚĞ īŽƌĚĂďůĞĂƌĞĐƚ;Ϳ͕ƚŚĞƌĞŝƐŵƵĐŚ ƚŽĨĞĞůŐŽŽĚĂďŽƵƚƚŚĞĞdžƉĂŶƐŝŽŶŽĨŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞĐŽǀĞƌĂŐĞĂŶĚƉƌŽŐƌĞƐƐŽŶŚĞĂůƚŚ ĐĂƌĞĚĞůŝǀĞƌLJƐLJƐƚĞŵƌĞĨŽƌŵ͘dŚĞĚĂLJƐ ŽĨĞdžĐůƵƐŝŽŶƐĨŽƌƉƌĞͲĞdžŝƐƟŶŐĐŽŶĚŝƟŽŶƐ͕ ůŽƐŝŶŐĐŽǀĞƌĂŐĞďĞĐĂƵƐĞŽĨĂŶŶƵĂůŽƌ ůŝĨĞƟŵĞůŝŵŝƚƐĂŶĚĞdžĐĞƐƐŝǀĞƉƌĞŵŝƵŵƐ ƐƉĞŶƚŽŶĂĚŵŝŶŝƐƚƌĂƟǀĞĞdžƉĞŶƐĞƐĂŶĚ ƉƌŽĮƚƐƌĂƚŚĞƌƚŚĂŶŵĞĚŝĐĂůĐĂƌĞĂƌĞĨĂĚŝŶŐ ŝŶƚŽƉĂƐƚŵĞŵŽƌŝĞƐ͘,ĞƌĞŝŶĂůŝĨŽƌŶŝĂ͕ϭ͘ϰ ŵŝůůŝŽŶĂůŝĨŽƌŶŝĂŶƐŚĂǀĞŚĞĂůƚŚŝŶƐƵƌĂŶĐĞ ƚŚƌŽƵŐŚŽǀĞƌĞĚĂůŝĨŽƌŶŝĂĂŶĚϭϮ͘ϳ ŵŝůůŝŽŶĂůŝĨŽƌŶŝĂŶƐŚĂǀĞĐŽǀĞƌĂŐĞƚŚƌŽƵŐŚ ŽƵƌĞdžƉĂŶĚĞĚDĞĚŝͲĂůƉƌŽŐƌĂŵ͘ŶĚ ĂůŝĨŽƌŶŝĂŚĂƐůĞĚƚŚĞŶĂƟŽŶŝŶĞdžƉĂŶĚŝŶŐ DĞĚŝĐĂŝĚĐŽǀĞƌĂŐĞƚŽƵŶĚŽĐƵŵĞŶƚĞĚ ŝŵŵŝŐƌĂŶƚĐŚŝůĚƌĞŶĂŶĚŝŶƚĂŬŝŶŐƐƚĞƉƐƚŽ ŽƉĞŶŽǀĞƌĞĚĂůŝĨŽƌŶŝĂƚŽƵŶĚŽĐƵŵĞŶƚĞĚ ŝŵŵŝŐƌĂŶƚĂĚƵůƚƐ͘ /ŶƚĞƌŵƐŽĨŚĞĂůƚŚĐĂƌĞĚĞůŝǀĞƌLJƐLJƐƚĞŵ ƌĞĨŽƌŵ͕ƚŚĞ/ŶƚĞŐƌĂƚĞĚ,ĞĂůƚŚĐĂƌĞ ƐƐŽĐŝĂƟŽŶĂŶĚW'ůĂŝĚƐŽŵĞŽĨƚŚĞ ĨŽƵŶĚĂƟŽŶƐĨŽƌƉĂLJͲĨŽƌͲƉĞƌĨŽƌŵĂŶĐĞ ŝŶĐĞŶƟǀĞƐ͕ĂĐĐŽƵŶƚĂďůĞĐĂƌĞŽƌŐĂŶŝnjĂƟŽŶƐ ĂŶĚďƵŶĚůĞĚƉĂLJŵĞŶƚƐĂƐƉĂƌƚŽĨƚŚĞ ŶĂƟŽŶĂůŵŽǀĞŵĞŶƚĂǁĂLJĨƌŽŵĨĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞƉĂLJŵĞŶƚƐ͘dŚĞĨĞĚĞƌĂůŐŽǀĞƌŶŵĞŶƚ ĂŶĚŵŽƐƚŚĞĂůƚŚĐĂƌĞƚŚŽƵŐŚƚĂŶĚƉƌĂĐƟĐĞ ůĞĂĚĞƌƐŚĂǀĞĞŵďƌĂĐĞĚƚŚĞ͞ƚƌŝƉůĞĂŝŵ͟ŽĨ ďĞƩĞƌĐĂƌĞ͕ŝŵƉƌŽǀĞĚŚĞĂůƚŚ͕ĂŶĚůŽǁĞƌ ĐŽƐƚƐ͘WĂƟĞŶƚƐĂĨĞƚLJŝŶŝƟĂƟǀĞƐƐƵĐŚĂƐƚŚĞ WĂƌƚŶĞƌƐŚŝƉĨŽƌWĂƟĞŶƚƐ͕ŶŽŶͲƉĂLJŵĞŶƚƐĨŽƌ ĂǀŽŝĚĂďůĞŚŽƐƉŝƚĂůƌĞĂĚŵŝƐƐŝŽŶƐ͕ĂŶĚĐĂůůŝŶŐ ŽƵƚƚŚĞŽǀĞƌͲƵƐĞŽĨƉƌŽĐĞĚƵƌĞƐƚŚƌŽƵŐŚ ŚŽŽƐŝŶŐtŝƐĞůLJŚĂǀĞĐŽŶƟŶƵĞĚƚŚĞ ŵŽŵĞŶƚƵŵĂǁĂLJĨƌŽŵďƵƐŝŶĞƐƐĂƐƵƐƵĂů ŝŶ ŚĞĂůƚŚĐĂƌĞ͘ DƵĐŚǁŽƌŬƌĞŵĂŝŶƐƚŽďĞĚŽŶĞƚŽĂĐŚŝĞǀĞ ƵŶŝǀĞƌƐĂůŚĞĂůƚŚŝŶƐƵƌĂŶĐĞĐŽǀĞƌĂŐĞĂŶĚ ŵŽƌĞƉƌŽŐƌĞƐƐƚŽǁĂƌĚƐƚŚĞƚƌŝƉůĞĂŝŵ͕ ŚŽǁĞǀĞƌ͘tŝƚŚƚŚĞĂŶŶŽƵŶĐĞŵĞŶƚŽĨ ĂŶĂǀĞƌĂŐĞŽĨϭϯƉĞƌĐĞŶƚŝŶĐƌĞĂƐĞƐŝŶ ƉƌĞŵŝƵŵƐĨŽƌĐŽǀĞƌĂŐĞƚŚƌŽƵŐŚŽǀĞƌĞĚ ĂůŝĨŽƌŶŝĂĨŽƌϮϬϭϳ͕ƚŚĞ͞ĂīŽƌĚĂďůĞ͟ƉĂƌƚ 20

California Family Physician Fall 2016

ŽĨƚŚĞǁŝůůŝŶĐƌĞĂƐŝŶŐůLJďĞĐŽŵĞĂ ĐŚĂůůĞŶŐĞ͘ZŝƐŝŶŐĐŽͲƉĂLJŵĞŶƚƐĨŽƌƉĂƟĞŶƚƐ ĂůƐŽĚŝƐŝŶĐĞŶƟǀŝnjĞƐƚŚĞƌĞŐƵůĂƌĂŶĚ ĐŽŽƌĚŝŶĂƚĞĚĐĂƌĞďĞŝŶŐƉƌŽŵŽƚĞĚƚŚƌŽƵŐŚ ŵĞĚŝĐĂůŚŽŵĞĂŶĚĂĐĐŽƵŶƚĂďůĞĐĂƌĞ ŵŽĚĞůƐ͘/ĨƉĂƟĞŶƚƐŝŶƐŝůǀĞƌƉůĂŶƐĂƌĞďĞŝŶŐ ĂƐŬĞĚƚŽƉĂLJΨϯϱĨŽƌĂƉƌŝŵĂƌLJĐĂƌĞŽĸĐĞ ǀŝƐŝƚ͕ĂŶĚƵƉƚŽΨϮϱϬĂLJĞĂƌŝŶĚĞĚƵĐƟďůĞƐ ĨŽƌƉƌĞƐĐƌŝƉƟŽŶĚƌƵŐƐ͕ĂĐŚŝĞǀĞŵĞŶƚ ŽĨŐŽĂůƐŝŶĐĂƌĞƉůĂŶƐĂŶĚŵĞĚŝĐĂƟŽŶ ĂĚŚĞƌĞŶĐĞŝƐŐŽŝŶŐƚŽƉůƵŵŵĞƚ͘

ZĞĂƵƚŚŽƌŝnjĂƟŽŶĐƚ;DZͿǁŝƚŚĂ :ĂŶƵĂƌLJϮϬϭϳƐƚĂƌƚĚĂƚĞĨŽƌƉĞƌĨŽƌŵĂŶĐĞ ŵĞĂƐƵƌĞŵĞŶƚŵĞĂŶƐƚŚĂƚĞǀĞŶŵŽƌĞ ĚŝƐƌƵƉƟǀĞĐŚĂŶŐĞŝƐŽŶůLJŵŽŶƚŚƐĂǁĂLJ͘ tŚŝůĞDZĐŽƵůĚĂƉƉƌŽƉƌŝĂƚĞůLJ ŝŶĐĞŶƟǀŝnjĞ͞ĐůŝŶŝĐĂůƉĞƌĨŽƌŵĂŶĐĞ ŝŵƉƌŽǀĞŵĞŶƚĂĐƟǀŝƟĞƐ͟ĂƐǁĞůůĂƐ ĐŽŶƟŶƵĞĚƵƐĞŽĨ,ZƐĂŶĚƌĞƉŽƌƟŶŐ ŽĨƋƵĂůŝƚLJŵĞĂƐƵƌĞƐ͕D^͛ƉƌŽƉŽƐĂůĨŽƌ ŚŽǁDĞĚŝĐĂƌĞďŽŶƵƐƉĂLJŵĞŶƚƐĂŶĚ ƉĞŶĂůƟĞƐǁŝůůďĞĐĂůĐƵůĂƚĞĚŝƐƵŶŶĞĐĞƐƐĂƌŝůLJ ĐŽŵƉůŝĐĂƚĞĚ͘DŽƌĞĂůĂƌŵŝŶŐ͕D^ŝƚƐĞůĨ tŚŝůĞƚŚĞƌĞŝƐŐŽŽĚŶĞǁƐƚŚĂƚϳϱƉĞƌĐĞŶƚŽĨ ĞƐƟŵĂƚĞƐƚŚĂƚϴϳƉĞƌĐĞŶƚŽĨƐŽůŽƉŚLJƐŝĐŝĂŶƐ ŚŽƐƉŝƚĂůƐĂŶĚϳϰƉĞƌĐĞŶƚŽĨƉŚLJƐŝĐŝĂŶƐŚĂǀĞ ĂŶĚϳϬƉĞƌĐĞŶƚŽĨƉŚLJƐŝĐŝĂŶƐŝŶŐƌŽƵƉƐ ŝŵƉůĞŵĞŶƚĞĚĨĞĚĞƌĂůůLJͲĐĞƌƟĮĞĚĞůĞĐƚƌŽŶŝĐ ŽĨƚǁŽͲƚŽͲŶŝŶĞƉŚLJƐŝĐŝĂŶƐǁŝůůƌĞĐĞŝǀĞ ŚĞĂůƚŚƌĞĐŽƌĚ;,ZͿƐLJƐƚĞŵƐ͕ƚŚĞďĂĚŶĞǁƐ ƉĞŶĂůƟĞƐŝŶƚŚĞĮƌƐƚƉĂLJŵĞŶƚLJĞĂƌ͘hŶůĞƐƐ ŝƐƚŚĂƚŽŶůLJŵŝŶŝŵĂůŚĞĂůƚŚŝŶĨŽƌŵĂƟŽŶ ƚŚĞƌĞĂƌĞƐŝŐŶŝĮĐĂŶƚĐŚĂŶŐĞƐŝŶŚŽǁ ĞdžĐŚĂŶŐĞĂŶĚŝŶƚĞƌŽƉĞƌĂďŝůŝƚLJĞdžŝƐƚƐ DZŝƐŝŵƉůĞŵĞŶƚĞĚ͕ƉŚLJƐŝĐŝĂŶƐǁŝůůďĞ ĂŵŽŶŐ,ZƐ͘ŶĚǁŚŝůĞƚŚĞƌĞĂƌĞŵĂŶLJ ĐŽŶĨƵƐĞĚ͕ĨƌƵƐƚƌĂƚĞĚĂŶĚƌĞƐĞŶƞƵů͘ ƉƌŽŵŝƐŝŶŐŵŽĚĞůƐĨŽƌŚĞĂůƚŚĐĂƌĞĚĞůŝǀĞƌLJ ƐLJƐƚĞŵƌĞĨŽƌŵƐƵĐŚĂƐƉĂƟĞŶƚͲĐĞŶƚĞƌĞĚ DĞĂŶǁŚŝůĞ͕ƚŚĞŶĂƟŽŶĂůĞůĞĐƟŽŶŝŶ ŵĞĚŝĐĂůŚŽŵĞƐ͕ŽŶůLJĂƉĂƚĐŚǁŽƌŬŽĨ EŽǀĞŵďĞƌŵĞĂŶƐĂĐŚĂŶĐĞƚŽĞůĞĐƚĂ ĮŶĂŶĐŝĂůŝŶĐĞŶƟǀĞƐŝƐĂǀĂŝůĂďůĞƚŽƐƵƉƉŽƌƚ ŶĞǁWƌĞƐŝĚĞŶƚĂŶĚƉŽƚĞŶƟĂůůLJĐŚĂŶŐĞ ƚŚĞĐŽƐƚƐŽĨŵĞĞƟŶŐĂŶĚŵĂŝŶƚĂŝŶŝŶŐƚŚĞ ƚŚĞďĂůĂŶĐĞŽĨƉŽůŝƟĐĂůƉŽǁĞƌŝŶĂ ƌĞƋƵŝƌĞŵĞŶƚƐĨŽƌƌĞĐŽŐŶŝƟŽŶ͘dŚĞƋƵĂůŝƚLJ ĚĞĂĚůŽĐŬĞĚŽŶŐƌĞƐƐ͘ZĞŐĂƌĚůĞƐƐŽĨ ŵĞĂƐƵƌĞƐďĞŝŶŐƵƐĞĚďLJƚŚĞĞŶƚĞƌƐĨŽƌ ŽƵƚĐŽŵĞ͕ůĞŐŝƐůĂƟǀĞĐĂůůƐƚŽ͞Įdž͟ƚŚĞ DĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚ^ĞƌǀŝĐĞƐ;D^ͿĂŶĚ ǁŝůůĐŽŶƟŶƵĞ͕ĞǀĞŶĂƐǁĞƚƌLJƚŽĐŽŶǀŝŶĐĞ ĐŽŵŵĞƌĐŝĂůŚĞĂůƚŚƉůĂŶƐĂƌĞƐƟůůƉŽŽƌůLJ ŵŽƌĞ͞LJŽƵŶŐŝŶǀŝŶĐŝďůĞƐ͟ƚŽƐŝŐŶƵƉĚƵƌŝŶŐ ĂůŝŐŶĞĚĂŶĚƐƟůůƚŽŽŝŶŇƵĞŶĐĞĚďLJƐƉĞĐŝĂůƚLJ ƚŚŝƐĨĂůů͛ƐĨŽƵƌƚŚŽƉĞŶĞŶƌŽůůŵĞŶƚƉĞƌŝŽĚ ƐŽĐŝĞƟĞƐǀĞƐƚĞĚŝŶƉƌĞƐĞƌǀŝŶŐƚŚĞŝƌ ƵŶĚĞƌƚŚĞƚŽƐŵŽŽƚŚŽƵƚƚŚĞĮŶĂŶĐŝĂů ĚŝƐƉƌŽƉŽƌƟŽŶĂƚĞƐŚĂƌĞŽĨĐƵƌƌĞŶƚĨĞĞͲĨŽƌͲ ƌŝƐŬƐƚŚĂƚĂƌĞĐĂƵƐŝŶŐŵŽƌĞŚĞĂůƚŚƉůĂŶƐƚŽ ƐĞƌǀŝĐĞƉĂLJŵĞŶƚƐ͘&ŽƌĞdžĂŵƉůĞ͕ƚŚĞƌĞĂƌĞ ǁŝƚŚĚƌĂǁĨƌŽŵƉĂƌƟĐŝƉĂƟŽŶŝŶƚŚĞŚĞĂůƚŚ ůŽŶŐĚĞďĂƚĞƐĂďŽƵƚǁŚŝĐŚĂŵŽŶŐĚŽnjĞŶƐ ŝŶƐƵƌĂŶĐĞŵĂƌŬĞƚƉůĂĐĞƐ͘/ŶƚĞƌĞƐƟŶŐůLJ͕ŝŶ ŽĨŝŶĚŝǀŝĚƵĂůĂŶĚĐŽŵƉŽƐŝƚĞĚŝĂďĞƚĞƐ ĂŶƵŶƉƌĞĐĞĚĞŶƚĞĚ:ŽƵƌŶĂůŽĨƚŚĞŵĞƌŝĐĂŶ ŵĞĂƐƵƌĞƐƐŚŽƵůĚďĞƵƐĞĚĨŽƌǀĂůƵĞͲďĂƐĞĚ DĞĚŝĐĂůƐƐŽĐŝĂƟŽŶĐŽŵŵĞŶƚĂƌLJ͕WƌĞƐŝĚĞŶƚ ƉĂLJŵĞŶƚ͕ŝŶĐůƵĚŝŶŐŵĞĂƐƵƌĞƐŽŶĚŝĂďĞƚĞƐͲ ĂƌĂĐŬKďĂŵĂŚŝŵƐĞůĨĐĂůůĞĚĨŽƌƚŚĞ ƌĞůĂƚĞĚĂŵƉƵƚĂƟŽŶƐ͕ƌĂƚŚĞƌƚŚĂŶĂƐŬŝŶŐ ĚĞǀĞůŽƉŵĞŶƚŽĨĂƉƵďůŝĐŚĞĂůƚŚƉůĂŶŽƉƟŽŶ͕ ƚŚĞďŝŐŐĞƌƉŝĐƚƵƌĞƋƵĞƐƟŽŶƐĂďŽƵƚŚŽǁ ĞdžĂĐƚůLJƚŚĞŽƉƉŽƐŝƚĞŽĨƚŚŽƐĞǁŚŽǁĂŶƚƚŽ ƚŽƐƵƉƉŽƌƚƉƌĂĐƟĐĞƐŝŶŝĚĞŶƟĨLJŝŶŐƉƌĞͲ ͞ƌĞƉĞĂůĂŶĚƌĞƉůĂĐĞ͟ƚŚĞ͘ ĚŝĂďĞƚĞƐ͕ŵĂŬŝŶŐƉƌĞǀĞŶƟŽŶƉƌŽŐƌĂŵƐ ŵŽƌĞĞīĞĐƟǀĞĂŶĚƐƵƉƉŽƌƟŶŐƉĂƟĞŶƚƐĂŶĚ dŚĞƌĞĂůƐŽŝƐƚŚĞĐŽŶƚĞdžƚŽĨŽƚŚĞƌĐƵƌƌĞŶƚ ĨĂŵŝůŝĞƐŝŶĚŝĂďĞƚĞƐƐĞůĨͲŵĂŶĂŐĞŵĞŶƚ͘ ĞǀĞŶƚƐ͕ƐĞĞŵŝŶŐůLJƵŶƌĞůĂƚĞĚƚŽŚĞĂůƚŚ ĐĂƌĞ͗ƚŚĞŚŝŐŚůŝŐŚƟŶŐŽĨƉĞƌƐŝƐƚĞŶƚŝŶĐŽŵĞ EĞdžƚLJĞĂƌƉƌĞƐĞŶƚƐĂĚĚŝƟŽŶĂůĐŚĂůůĞŶŐĞƐ͘ ŝŶĞƋƵĂůŝƚLJĞǀĞŶĂƐƚŚĞŶĂƟŽŶĂůĂŶĚ /ŶϮϬϭϳ͕D^͛ƉƌŽƉŽƐĂůƚŽďĞŐŝŶ ŐůŽďĂůĞĐŽŶŽŵŝĞƐĐŽŶƟŶƵĞƚŽƌĞĐŽǀĞƌ ŝŵƉůĞŵĞŶƚĂƟŽŶŽĨƚŚĞDĞĚŝĐĂƌĞĐĐĞƐƐ ĂŶĚŐƌŽǁ͕ŝŶĐƌĞĂƐĞĚĐŽŶƐĐŝŽƵƐŶĞƐƐĂďŽƵƚ ĂŶĚŚŝůĚƌĞŶ͛Ɛ,ĞĂůƚŚ/ŶƐƵƌĂŶĐĞWƌŽŐƌĂŵ ŝŶƐƟƚƵƟŽŶĂůƌĂĐŝƐŵĂƐηůĂĐŬ>ŝǀĞƐDĂƩĞƌ


ƐĞĞŬƐĂĐĐŽƵŶƚĂďŝůŝƚLJĨŽƌǀŝŽůĞŶĐĞĂŶĚŬŝůůŝŶŐƐ ŽĨĨƌŝĐĂŶŵĞƌŝĐĂŶƐďLJƉŽůŝĐĞŽĸĐĞƌƐ͕ĂŶĚ ŽŶŐŽŝŶŐĚĞďĂƚĞƐĂďŽƵƚŝŵŵŝŐƌĂƟŽŶůĂǁĂŶĚ ƉŽůŝĐŝĞƐ͕ĞƐƉĞĐŝĂůůLJĨŽĐƵƐĞĚŽŶDĞdžŝĐĂŶĂŶĚ DƵƐůŝŵŝŵŵŝŐƌĂŶƚƐĂŶĚƌĞĨƵŐĞĞƐ͘ĞĐĂƵƐĞ ůŽǁͲŝŶĐŽŵĞĂŶĚƵŶĞŵƉůŽLJĞĚŝŶĚŝǀŝĚƵĂůƐ͕ ĨƌŝĐĂŶŵĞƌŝĐĂŶƐĂŶĚŽƚŚĞƌƉĞŽƉůĞŽĨ ĐŽůŽƌ͕ĂŶĚDĞdžŝĐĂŶŵĞƌŝĐĂŶƐ͕DƵƐůŝŵ ŵĞƌŝĐĂŶƐ͕ĂŶĚŝŵŵŝŐƌĂŶƚƐĂŶĚƌĞĨƵŐĞĞƐ ĨƌŽŵƚŚƌŽƵŐŚŽƵƚƚŚĞǁŽƌůĚĂůůŶĞĞĚŚĞĂůƚŚ ĐĂƌĞ͕ƚŚĞƐĞŝƐƐƵĞƐ͕ŝŶĨĂĐƚ͕ĚŽŚĂǀĞĂŶŝŵƉĂĐƚ ŽŶŚĞĂůƚŚĐĂƌĞ͘&ŽƌƚƵŶĂƚĞůLJ͕ŚĞĂůƚŚĐĂƌĞ ĚŽĞƐĐŽŶƟŶƵĞƚŽƌĞƐƉŽŶĚƚŽƚŚĞŶĞĞĚƐŽĨ ŝŶĐƌĞĂƐŝŶŐůLJĚŝǀĞƌƐĞƉĂƟĞŶƚƐ͕ĂŶĚƚŚĞƌĞ ĂƌĞŝŶĐƌĞĂƐŝŶŐĐĂůůƐĨŽƌĂĚǀĂŶĐŝŶŐĞƋƵŝƚLJ͘ D^ŚĂƐŝƐƐƵĞĚŝƚƐĮƌƐƚĞǀĞƌƋƵŝƚLJWůĂŶĨŽƌ YƵĂůŝƚLJ/ŵƉƌŽǀĞŵĞŶƚŝŶDĞĚŝĐĂƌĞ͕ĂŶĚƚŚĞ /ŶƐƟƚƵƚĞĨŽƌ,ĞĂůƚŚĐĂƌĞ/ŵƉƌŽǀĞŵĞŶƚŚĂƐ ĐĂůůĞĚĨŽƌŶĂƟŽŶĂůĂĐƟŽŶŽŶƚŚĞ͞ĨŽƌŐŽƩĞŶ͟ ƋƵĂůŝƚLJŝŵƉƌŽǀĞŵĞŶƚĂŝŵŽĨĞƋƵŝƚLJ͘ tŚŝůĞƚŚĞĐŽůůĞĐƟŽŶŽĨƉĂƟĞŶƚƌĂĐĞ͕ ĞƚŚŶŝĐŝƚLJ͕ĂŶĚůĂŶŐƵĂŐĞĚĂƚĂŝƐŝŶĐƌĞĂƐŝŶŐůLJ

ƌŽƵƟŶĞ͕ŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵƐĂŶĚƉƌŽǀŝĚĞƌƐ ĂƌĞƐƟůůŶŽƚĨƵůůLJƵƟůŝnjŝŶŐƚŚĂƚĚĂƚĂƚŽ ĞŶƐƵƌĞĞƋƵŝƚĂďůĞĐĂƌĞ;ĨŽƌĞdžĂŵƉůĞ͕ƚŚƌŽƵŐŚ ŚĞĂůƚŚĐĂƌĞŝŶƚĞƌƉƌĞƚĞƌƐͿĂŶĚƚŽŝĚĞŶƟĨLJ ĂŶĚƌĞĚƵĐĞ ĚŝƐƉĂƌŝƟĞƐĂƐƉĂƌƚŽĨƋƵĂůŝƚLJ ŝŵƉƌŽǀĞŵĞŶƚ͘/ŶĐƌĞĂƐŝŶŐůLJ͕ĚĂƚĂĂďŽƵƚ ƉĂƟĞŶƚĚŝƐĂďŝůŝƚLJƐƚĂƚƵƐ͕ƐĞdžƵĂůŽƌŝĞŶƚĂƟŽŶ͕ ŐĞŶĚĞƌŝĚĞŶƟƚLJ͕ĂŶĚŽƚŚĞƌƐŽĐŝĂůĂŶĚ ďĞŚĂǀŝŽƌĂůĨĂĐƚŽƌƐĂůƐŽŝƐďĞŝŶŐĐŽůůĞĐƚĞĚ͕ ďƵƚŵŽƐƚŚĞĂůƚŚĐĂƌĞƉƌŽǀŝĚĞƌƐĂƌĞĞǀĞŶůĞƐƐ ƉƌĞƉĂƌĞĚƚŽŵĞĞƚƚŚĞŶĞĞĚƐŽĨƚŚĞƐĞĚŝǀĞƌƐĞ ƉĂƟĞŶƚƉŽƉƵůĂƟŽŶƐ͘

/ŐŶĂƟƵƐĂƵŝƐĂŚĞĂůƚŚĐĂƌĞƉŽůŝĐLJ consultant based in San Francisco. From ϮϬϬϯͲϮϬϬϵ͕ĂƐĂƉƌŽŐƌĂŵŽĸĐĞƌĨŽƌdŚĞ California Endowment, he supported the California Academy of Family Physicians’ ĐŽŽƌĚŝŶĂƟŽŶŽĨƚŚĞDĞĚŝĐĂů>ĞĂĚĞƌƐŚŝƉ ŽƵŶĐŝůĨŽƌƵůƚƵƌĂůWƌŽĮĐŝĞŶĐLJ͕ǁŚŝĐŚ convened the leadership of 40 of ĂůŝĨŽƌŶŝĂ͛Ɛ ƉŚLJƐŝĐŝĂŶŽƌŐĂŶŝnjĂƟŽŶƐĂŶĚ health systems to collaborate on improving the quality of care for California’s diverse ƉĂƟĞŶƚƉŽƉƵůĂƟŽŶƐ͘

ĞƐƉŝƚĞĂůůƚŚĞŐŽŽĚ͕ďĂĚ͕;ĂŶĚ ƵŐůLJͿŝŶŚĞĂůƚŚĐĂƌĞƚŽĚĂLJ͕ƚŚĞŽŶůLJ ĐĞƌƚĂŝŶƚLJŝƐƚŚĂƚŵŽƌĞĐŚĂŶŐĞƐ ǁŝůůďĞĐŽŵŝŶŐ͘ĂůŝĨŽƌŶŝĂ͛ƐĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐŚĂǀĞĂǀŝƚĂůƌŽůĞŝŶ ĞŶƐƵƌŝŶŐƚŚĂƚƚŚŽƐĞĐŚĂŶŐĞƐ ƐƵƉƉŽƌƚ ƚŚĞŝƌƉƌĂĐƟĐĞƐ͕ĂŶĚƐƵƉƉŽƌƚ ƚŚĞŝŵƉƌŽǀĞŵĞŶƚŽĨƚŚĞŚĞĂůƚŚŽĨ ƚŚĞŝƌƉĂƟĞŶƚƐ͕ĨĂŵŝůŝĞƐ͕ĐĂƌĞŐŝǀĞƌƐ͕ ĂŶĚĐŽŵŵƵŶŝƟĞƐ͘

Explore new possibilities Adventist Health offers a variety of employment opportunities with full- and part-time physician careers throughout the West Coast in California, Washington, Oregon and Hawaii .

PHYJOBS AHORGs  sPHYSICIANCAREERSAHORG California Family Physician Fall 2016

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Covered California Plans to Match Primary Care Physicians with Patients ĂůŝĨŽƌŶŝĂŝƐŵĂŬŝŶŐĂďŽůĚŵŽǀĞƚŽǁĂƌĚŝŵƉƌŽǀŝŶŐƉƌŝŵĂƌLJ ĐĂƌĞƵƚŝůŝnjĂƚŝŽŶĂŶĚĞŶŚĂŶĐŝŶŐƚŚĞĐŽŶƚŝŶƵŝƚLJĂŶĚƌĞůŝĂďŝůŝƚLJ ŽĨĐĂƌĞ͘ĞŐŝŶŶŝŶŐŝŶϮϬϭϳ͕ŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ͕ƚŚĞƐƚĂƚĞ͛Ɛ ŚĞĂůƚŚŝŶƐƵƌĂŶĐĞĞdžĐŚĂŶŐĞ͕ǁŝůůƌĞƋƵŝƌĞĂůůŚĞĂůƚŚƉůĂŶ ĞŶƌŽůůĞĞƐĞŝƚŚĞƌƚŽƐĞůĞĐƚĂƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶŽƌďĞ ŵĂƚĐŚĞĚǁŝƚŚŽŶĞďLJƚŚĞŝƌŚĞĂůƚŚƉůĂŶƐ͘ dŚĞĐƌƵdžŽĨƚŚŝƐƐƚƌĂƚĞŐLJŝƐƚŽĞŶƐƵƌĞĂůŝĨŽƌŶŝĂŶƐŚĂǀĞĂ ƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶŽĨƌĞĐŽƌĚƚŽŚĞůƉƚŚĞŵŶĂǀŝŐĂƚĞƚŚĞ ŚĞĂůƚŚƐLJƐƚĞŵ͕ŵĂŶĂŐĞĐŽŵƉůĞdžĂŶĚĐŚƌŽŶŝĐĐŽŶĚŝƚŝŽŶƐĂŶĚ ĞŶƐƵƌĞƚŚĞĐŽŵƉůĞƚĞŶĞƐƐŽĨƚŚĞŝƌŚĞĂůƚŚŝŶĨŽƌŵĂƚŝŽŶ͘dŚĞƐĞ ŵĞĂƐƵƌĞƐĂƌĞĞdžƉĞĐƚĞĚƚŽĞŶŚĂŶĐĞƚŚĞƌĞůĂƚŝŽŶƐŚŝƉďĞƚǁĞĞŶ ƉƌŽǀŝĚĞƌĂŶĚƉĂƚŝĞŶƚ͕ĂŶĚĐŽŶƚƌŝďƵƚĞƚŽƚŚĞŽǀĞƌĂůůŚĞĂůƚŚ ĂŶĚǁĞůůŶĞƐƐŽĨƚŚĞƉĂƚŝĞŶƚ͘ ƐĂĂŶĂĚŝĂŶ͕ƚŚĞŶŽƚŝŽŶŽĨƐĞĞŝŶŐŵLJĨĂŵŝůLJĚŽĐƚŽƌĂƐ ĂŶĞŶƚƌLJƉŽŝŶƚƚŽƚŚĞŚĞĂůƚŚĐĂƌĞƐLJƐƚĞŵŝƐĂĨĂŵŝůŝĂƌŽŶĞ͘ EŽŶĞƚŚĞůĞƐƐ͕ĂƌŽďƵƐƚĐŽŶǀĞƌƐĂƚŝŽŶĂďŽƵƚƚŚĞůŽŐŝƐƚŝĐĂů ĂŶĚƉŚŝůŽƐŽƉŚŝĐĂůƌĂŵŝĨŝĐĂƚŝŽŶƐŽĨƚŚŝƐŵŽǀĞŝƐƌŝŐŚƚĨƵůůLJ ƚĂŬŝŶŐ ƉůĂĐĞ͘ ŚŝĞĨĂŵŽŶŐ&W͛ƐƉƌŝŽƌŝƚŝĞƐŝƐƚŽŵĂŝŶƚĂŝŶƌĞƐƉĞĐƚĨŽƌ ƚŚĞĂƵƚŽŶŽŵLJŽĨƉƌŽǀŝĚĞƌƐĂŶĚƉĂƚŝĞŶƚƐ͕ĂŶĚƚŽĞŶƐƵƌĞ ŵŝŶŝŵĂů ĚŝƐƌƵƉƚŝŽŶƐƚŽĐĂƌĞ͘&WŚĂƐĐŽŶǀĞLJĞĚƚŚŝƐ ŵĞƐƐĂŐĞůŽƵĚĂŶĚĐůĞĂƌƚŽŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ͕ǁŚŝĐŚ ǁŚŽůĞŚĞĂƌƚĞĚůLJ ĂŐƌĞĞƐ͘ ^ĞĐŽŶĚůLJ͕ŝƚǁŝůůďĞŝŵƉŽƌƚĂŶƚƚŽĚŝƐƉĞůĂŶLJĨĞĂƌĂŵŽŶŐ ƉĂƚŝĞŶƚƐƚŚĂƚĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĂƌĞďĞŝŶŐƵƐĞĚĂƐďĂƌƌŝĞƌƐƚŽ ĐĂƌĞ͕ƌĂƚŚĞƌƚŚĂŶĐĂƌĞĞŶŚĂŶĐĞƌƐ͕ŽƌƚŚĂƚĂůůŚĞĂůƚŚƉůĂŶƐǁŝůů ďĞĐŽŵĞĚĞĨĂĐƚŽŚĞĂůƚŚŵĂŝŶƚĞŶĂŶĐĞŽƌŐĂŶŝnjĂƚŝŽŶ;,DKͿ ƉůĂŶƐ͘ŶƌŽůůĞĞƐŝŶĞdžĐůƵƐŝǀĞƉƌŽǀŝĚĞƌŽƌŐĂŶŝnjĂƚŝŽŶƐ;WKͿŽƌ ƉƌĞĨĞƌƌĞĚƉƌŽǀŝĚĞƌŽƌŐĂŶŝnjĂƚŝŽŶƐ;WWKͿƉůĂŶƐǁŝůůďĞŵĂƚĐŚĞĚ ǁŝƚŚƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶƐ͕ďƵƚǁŝůůƐƚŝůůďĞĂďůĞƚŽĂĐĐĞƐƐ ĂŶLJŝŶͲŶĞƚǁŽƌŬĐĂƌĞƉƌŽǀŝĚĞƌƐƚŚĞLJǁŝƐŚĂŶĚĐŚĂŶŐĞƚŚĞŝƌ ƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶŽĨƌĞĐŽƌĚĂƚƚŚĞŝƌĚŝƐĐƌĞƚŝŽŶĂƐŵĂŶLJ ƚŝŵĞƐĂƐƚŚĞLJǁŝƐŚ͘;/ĨƉĂƚŝĞŶƚƐǁĂŶƚĂŶƵƌƐĞƉƌĂĐƚŝƚŝŽŶĞƌŽƌ ĂƉŚLJƐŝĐŝĂŶĂƐƐŝƐƚĂŶƚĂƐƚŚĞƉƌŝŵĂƌLJĐĂƌĞƉƌŽǀŝĚĞƌ͕ŚŽǁĞǀĞƌ͕ ƚŚĞLJǁŝůůƐƚŝůůŶĞĞĚƚŽƐĞůĞĐƚƚŚĞƉŚLJƐŝĐŝĂŶŵĞŵďĞƌŽŶƚŚĂƚ ĐůŝŶŝĐŝĂŶ͛ƐƚĞĂŵĂƐƚŚĞŝƌƉƌŝŵĂƌLJĐĂƌĞƉƌŽǀŝĚĞƌ͘Ϳ WĂƚŝĞŶƚƐŶŽƚŝŶŵĂŶĂŐĞĚĐĂƌĞƉůĂŶƐǁŝůůŶŽƚďĞƌĞƋƵŝƌĞĚƚŽ ƐĞĞƚŚĞƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶƚŽŽďƚĂŝŶĂƵƚŚŽƌŝnjĂƚŝŽŶďĞĨŽƌĞ ƐĞĞŝŶŐĂƐƉĞĐŝĂůŝƐƚ͕ĂŶĚĞĂĐŚĞŶƌŽůůĞĚĨĂŵŝůLJŵĞŵďĞƌĐĂŶ ŚĂǀĞŚŝƐŽƌŚĞƌŽǁŶƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶ͘ĂƌĞŝƐďĞŝŶŐ ƚĂŬĞŶƚŽĞŶƐƵƌĞƚŚĂƚƉĂƚŝĞŶƚƐǁŚŽƉĂLJĨŽƌĂĐŚŽŝĐĞĐŽŶƚŝŶƵĞ ƚŽĞŶũŽLJƚŚĞůĞǀĞůŽĨĂĐĐĞƐƐƚŽǁŚŝĐŚƚŚĞLJ͛ƌĞĂĐĐƵƐƚŽŵĞĚ͘ 22

California Family Physician Fall 2016

ǀĞŶǁŝƚŚƚŚŝƐĐŚŽŝĐĞŝŶƚĂĐƚ͕ŚŽǁĞǀĞƌ͕ŝŶƚŚĞĨŝƌƐƚLJĞĂƌŽĨƚŚŝƐ ŝŶŝƚŝĂƚŝǀĞ͕ŚĞĂůƚŚƉůĂŶƐǁŝůůĂƐƐŝŐŶĂƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶ ƚŽĂůůĞŶƌŽůůĞĞƐ͘ŽǀĞƌĞĚĂůŝĨŽƌŶŝĂŝƐƉƌĞƉĂƌŝŶŐĨŽƌƉŽƐƐŝďůĞ ŝƐƐƵĞƐǁŝƚŚƚŚŝƐŵĂƚĐŚŝŶŐ͕ƐƵĐŚĂƐŵĂƚĐŚŝŶŐĂƉĂƚŝĞŶƚ ǁŚŽŚĂƐĂƉƌĞĞdžŝƐƚŝŶŐƌĞůĂƚŝŽŶƐŚŝƉǁŝƚŚŽŶĞƉŚLJƐŝĐŝĂŶƚŽĂ ĚŝĨĨĞƌĞŶƚƉŚLJƐŝĐŝĂŶ͕ĂŶĚĂŶƚŝĐŝƉĂƚĞƐƚŚĂƚƚŚĞƐĞŵŝƐƚĂŬĞƐǁŝůů ďĞĞĂƐŝůLJĐŽƌƌĞĐƚĂďůĞ͘ ƐĂƌĞƐƵůƚŽĨƚŚŝƐŵĂƚĐŚŝŶŐ͕ƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶƐŵĂLJ ĨŝŶĚƚŚĞŵƐĞůǀĞƐǁŝƚŚĂďƌŽĂĚĞŶĞĚƐĞƚŽĨĞdžƉĞĐƚĂƚŝŽŶƐ͘&Žƌ ŽŶĞƚŚŝŶŐ͕ƚŚĞLJǁŝůůŚĂǀĞƚŽĚĞĂůŵŽƌĞĚŝƌĞĐƚůLJǁŝƚŚƚŚĞ ƚƌĂŶƐŝƚŝŽŶƐŝŶĐĂƌĞŝŶǁŚŝĐŚŝŶĨŽƌŵĂƚŝŽŶĂďŽƵƚĂƉĂƚŝĞŶƚ͛Ɛ ŚĞĂůƚŚƚĞŶĚƐƚŽĨƌĂĐƚƵƌĞ͘tŚŝůĞƉƌŝŵĂƌLJĐĂƌĞƉŚLJƐŝĐŝĂŶƐ ĐĂŶƌĞĂƐŽŶĂďůLJƉƌĞƉĂƌĞƚŽďĞŵĂƚĐŚĞĚǁŝƚŚƉĂƚŝĞŶƚƐ͕ƚŚĞLJ ĐĂŶŶŽƚĞŶƐƵƌĞƚŚĂƚƐƵďƐƉĞĐŝĂůŝƐƚƐƐŽƵŐŚƚŽƵƚďLJƉĂƚŝĞŶƚƐ ĞŶƌŽůůĞĚŝŶWKĂŶĚWWKƉůĂŶƐǁŝůůĚŽƚŚĞŝƌƉĂƌƚƚŽƌĞƉŽƌƚ ƉĂƚŝĞŶƚĞŶĐŽƵŶƚĞƌƐďĂĐŬƚŽƚŚĞŵ͘dŚŝƐŵŝŐŚƚďĞĂŶĞƐƉĞĐŝĂůůLJ ĂĐƵƚĞŝƐƐƵĞŐŝǀĞŶƚŚĞŽŶŐŽŝŶŐŝƐƐƵĞƐǁŝƚŚƚŚĞŝŶƚĞƌŽƉĞƌĂďŝůŝƚLJ ŽĨĞůĞĐƚƌŽŶŝĐŵĞĚŝĐĂůƌĞĐŽƌĚƐ;DZƐͿ͘&WŝƐǁŽƌŬŝŶŐ ǁŝƚŚŽǀĞƌĞĚĂůŝĨŽƌŶŝĂƚŽĐůĂƌŝĨLJƌŽůĞƐĂŶĚƌĞƐƉŽŶƐŝďŝůŝƚŝĞƐ ƌĞŐĂƌĚŝŶŐƚŚĞĐŽŵƉůĞƚĞŶĞƐƐŽĨƉĂƚŝĞŶƚƐ͛ŵĞĚŝĐĂůƌĞĐŽƌĚƐ͘ dŚƌŽƵŐŚŽƵƚƚŚŝƐƉƌŽĐĞƐƐ͕&WǁŝůůŵŽŶŝƚŽƌĚŝƐĐƵƐƐŝŽŶƐĂŶĚ ĐŽůůĂďŽƌĂƚĞǁŝƚŚŽǀĞƌĞĚĂůŝĨŽƌŶŝĂƚŽĐƌĞĂƚĞĐůĂƌŝƚLJĂŶĚ ŐƵŝĚĂŶĐĞĨŽƌŽƵƌŵĞŵďĞƌƐ͘tĞƌĞŵĂŝŶƉĂƌƚŝĐƵůĂƌůLJŝŶƚĞƌĞƐƚĞĚ ŝŶƚŚĞĐƌŝƚĞƌŝĂƚŚĂƚŚĞĂůƚŚƉůĂŶƐǁŝůůƵƐĞƚŽŵĂƚĐŚƉŚLJƐŝĐŝĂŶƐ ĂŶĚĞŶƌŽůůĞĞƐ͕ĂŶĚǁŚĞƚŚĞƌŽƌŶŽƚŝƚǁŝůůďĞƉŽƐƐŝďůĞƚŽƚƌĂĐŬ ƚŚĞƉĞƌĐĞŶƚĂŐĞŽĨĞŶƌŽůůĞĞƐǁŚŽƌĞƉŽƌƚƚŽƚŚĞŝƌƉƌŝŵĂƌLJĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐĂĨƚĞƌƚŚĞŵĂƚĐŚ͘ &ĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƐŚŽƵůĚďĞĂǁĂƌĞƚŚĂƚƉĂƚŝĞŶƚƐǁŚŽŚĂǀĞ ďĞĞŶŵĂƚĐŚĞĚǁŝƚŚƚŚĞŵ͕ŽƌƉĂƚŝĞŶƚƐǁŚŽƐǁŝƚĐŚƚŽƚŚĞŵ ĂĨƚĞƌƚŚĞŵĂƚĐŚ͕ŵĂLJĐŽŶƚĂĐƚƚŚĞŝƌŽĨĨŝĐĞƐƚŽƐĐŚĞĚƵůĞǀŝƐŝƚƐ͘ /ƚŝƐĂůƐŽŝŵƉŽƌƚĂŶƚƚŚĂƚĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐŶŽƚŝĨLJŚĞĂůƚŚƉůĂŶƐ ŽĨĂŶLJĐŚĂŶŐĞƐĂƚƚŚĞŝƌƉƌĂĐƚŝĐĞƐ͕ĞƐƉĞĐŝĂůůLJŝĨƚŚĞŝƌƉƌĂĐƚŝĐĞƐ ŶŽůŽŶŐĞƌĂĐĐĞƉƚŶĞǁƉĂƚŝĞŶƚƐ͘ŽŝŶŐƐŽǁŝůůĂůůŽǁƚŚĞŚĞĂůƚŚ ƉůĂŶƐƚŽĂĚĚŽƌƌĞŵŽǀĞŶĂŵĞƐĨƌŽŵƚŚĞůŝƐƚŽĨĂǀĂŝůĂďůĞ ƉƌŽǀŝĚĞƌƐ͘ dŚĞƚƌĂŶƐŝƚŝŽŶĂŚĞĂĚŵĂLJďĞĂůŝƚƚůĞďƵŵƉLJ͕ďƵƚŵĂƚĐŚŝŶŐ ƉĂƚŝĞŶƚƐƚŽĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĂŶĚŽƚŚĞƌƉƌŝŵĂƌLJĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐŝƐĂŶŝŵƉŽƌƚĂŶƚƐƚĞƉŝŶƚŚĞŚŝƐƚŽƌLJŽĨĨĂŵŝůLJ ŵĞĚŝĐŝŶĞŝŶĂůŝĨŽƌŶŝĂ͘/ƚǁŝůůŚĞůƉƚŽƐŽůŝĚŝĨLJƚŚĞĐĞŶƚƌĂůŝƚLJ ĂŶĚǀĂůƵĞŽĨƚŚĞWĂƚŝĞŶƚĞŶƚĞƌĞĚDĞĚŝĐĂů,ŽŵĞĂƐĂŵŽĚĞů ŽĨĐĂƌĞ͕ĂŶĚ͕ƚŚĞƌĞĨŽƌĞ͕ŽĨĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŚĞŵƐĞůǀĞƐ͘ Conrad Amenta is CAFP’s new Director of Health Policy.


PARTNERS IN HEALTH Career Opportunity OUTPATIENT FAMILY MEDICINE PHYSICIANS ARE INVITED TO JOIN OMNI

ABOUT OMNI FAMILY HEALTH National-award winning Omni Family Health was founded in 1978 in rural Kern County, California. Today, the organization operates 18 state-of-the-art health centers throughout 9 communities, providing medical, dental, behavioral health, chiropractic, OB/GYN, pediatrics and specialty services. Our mission is to improve the health of our communities by providing the highest quality healthcare to everyone.

Competitive compensation and benefits package including choice of two retirement plans, 18 days vacation, education leave and paid CME benefits Generous Sign-On Bonus Relocation Package Incentives And more!

Call Arlana Lynn at (661) 630-7048 or Valentina Chavez at (661) 630-4049 for more information. Visit our website for details: www.OmniFamilyHealth.org

Department of Family

and Community Medicine Academic Recruitment The University of California, Davis, Department of Family and Community Medicine seeks a Health Sciences Assistant Clinical Professor. The position will be expected to contribute with distinction in the areas of clinical care, teaching, mentoring of trainees, and University and public service. Positioned in the heart of Northern California, Sacramento is a diverse farm-to-fork foodie and coffee town with a vibrant art scene, and is an easy drive from San Francisco, the Napa Valley, Tahoe, and Yosemite. We have everything—but you! Candidates wishing to learn more about this academic opportunity should review the full recruitment description at https:// recruit.ucdavis.edu/apply/JPF01151 If interested, candidates should submit their application, including a current CV and a cover letter with full contact information, and they should apply online using the above URL. Inquiries regarding this position may be directed to Search Committee Chair, Dr. Sarah Marshall at smarshall@ucdavis.edu or by calling (916) 734-6226. The position opens on August 1, 2016. For full consideration, applications should be received by December 1, 2016. The position will remain open until filled through June 30, 2018. The University of California is an Affirmative Action/Equal Opportunity Employer with a strong institutional commitment to the achievement of diversity among its faculty, staff, and students.


ŽŠ‘ȱŽ ”’›”

MACRA 101: Ready, Set, Go! Background dŚĞDĞĚŝĐĂƌĞĐĐĞƐƐĂŶĚ,/WZĞĂƵƚŚŽƌŝnjĂƟŽŶĐƚ;DZͿ ƌĞĚĞƐŝŐŶƐƉĂLJŵĞŶƚŝŶƚŚĞDĞĚŝĐĂƌĞƉƌŽŐƌĂŵďĞŐŝŶŶŝŶŐŝŶϮϬϭϵ͘ ŶĚŝƚŝƐŶŽƚũƵƐƚƉĂLJŵĞŶƚƚŚĂƚĐŚĂŶŐĞƐ͕ďƵƚĂůƐŽƚŚĞǁĂLJƚŚĞ ĞŶƚĞƌƐĨŽƌDĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚ^ĞƌǀŝĐĞƐ;D^ͿŵĞĂƐƵƌĞƐ ĂŶĚƉƵďůŝĐůLJƌĞƉŽƌƚƐŽŶƉŚLJƐŝĐŝĂŶƉĞƌĨŽƌŵĂŶĐĞ͘ dŚĞƉĂLJŵĞŶƚĐŚĂŶŐĞƐĂŶĚƌĞƉŽƌƟŶŐƚŚĂƚƐƚĂƌƚŝŶϮϬϭϵǁŝůůďĞ ďĂƐĞĚŽŶĚĂƚĂƐƵďŵŝƩĞĚďLJƉŚLJƐŝĐŝĂŶƐŝŶϮϬϭϳ͘/Ŷ^ĞƉƚĞŵďĞƌ͕ ŶĚLJ^ůĂǀŝƩ͕ĐƟŶŐĚŵŝŶŝƐƚƌĂƚŽƌŽĨD^͕ĂŶŶŽƵŶĐĞĚĐŚĂŶŐĞƐ ƚŽƚŚĞƌŽůůͲŽƵƚŽĨDZ͘D^ŚĂĚƉƌŽƉŽƐĞĚƚŚĂƚƉŚLJƐŝĐŝĂŶƐ͛ DĞĚŝĐĂƌĞƉĂLJŵĞŶƚǁŽƵůĚďĞƉŽƐŝƟǀĞůLJŽƌŶĞŐĂƟǀĞůLJĂĚũƵƐƚĞĚ ďĂƐĞĚŽŶƉĞƌĨŽƌŵĂŶĐĞĂŶĚƵƟůŝnjĂƟŽŶĚĂƚĂĨŽƌƚŚĞĞŶƟƌĞLJĞĂƌŽĨ ϮϬϭϳ͘ĐƟŶŐĚŵŝŶŝƐƚƌĂƚŽƌ^ůĂǀŝƩ͛ƐĂŶŶŽƵŶĐĞŵĞŶƚĂƉƉĞĂƌƐƚŽ ĐƌĞĂƚĞĂŵŽƌĞŇĞdžŝďůĞƐĐŚĞŵĂ͗ƉŚLJƐŝĐŝĂŶƐǁŚŽƐƵďŵŝƚEzĚĂƚĂ ŝŶϮϬϭϳĐĂŶĂǀŽŝĚĂŶĞŐĂƟǀĞĂĚũƵƐƚŵĞŶƚ͘WŚLJƐŝĐŝĂŶƐǁŚŽƐƵďŵŝƚ ŵŽƌĞĚĂƚĂŵĂLJŐĞƚĂƉŽƐŝƟǀĞƉĂLJŵĞŶƚĂĚũƵƐƚŵĞŶƚ͘ĐƟŶŐ ĚŵŝŶŝƐƚƌĂƚŽƌ^ůĂǀŝƩĂůƐŽƉƌŽŵŝƐĞĚĮŶĂůDZƌĞŐƵůĂƟŽŶƐďLJ EŽǀĞŵďĞƌϭĂŶĚŝŶĨĞƌƌĞĚƚŚĞƌĞǁŽƵůĚďĞŶŽĚĞůĂLJƚŽƚŚĞƐƚĂƌƚ ŽĨƚŚĞĮƌƐƚŵĞĂƐƵƌĞŵĞŶƚƉĞƌŝŽĚŽŶ:ĂŶƵĂƌLJϭ͕ϮϬϭϳ͘DĞĚŝĐĂů ŽƌŐĂŶŝnjĂƟŽŶƐ͕ŝŶĐůƵĚŝŶŐƚŚĞ&WĂŶĚƚŚĞŵĞƌŝĐĂŶĐĂĚĞŵLJŽĨ &ĂŵŝůLJWŚLJƐŝĐŝĂŶƐ͕ŚĂĚƌĞƋƵĞƐƚĞĚĂĚĞůĂLJƵŶƟůĂƚůĞĂƐƚ:ƵůLJϮϬϭϳ͘ ƐϮϬϭϳʹƚŚĞƟŵĞƚŽƐƵďŵŝƚĚĂƚĂĂŶĚĂǀŽŝĚĂŶĞŐĂƟǀĞ ƉĂLJŵĞŶƚĂĚũƵƐƚŵĞŶƚʹĚƌĂǁƐĐůŽƐĞƌ͕&WƵƌŐĞƐĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽƉƌĞƉĂƌĞĨŽƌDZ͘dŚĞĮƌƐƚƐƚĞƉŝƐƚŽ ďĞĐŽŵĞĨĂŵŝůŝĂƌǁŝƚŚƚŚĞůĂǁ͕ƵŶĚĞƌƐƚĂŶĚŝƚƐƐƚƌƵĐƚƵƌĞĂŶĚƚŚĞ ŶĞǁǁĂLJƐƉŚLJƐŝĐŝĂŶƐǁŝůůďĞŵĞĂƐƵƌĞĚĂŶĚƉĂŝĚ͘DZĐƌĞĂƚĞƐ ƚŚĞYƵĂůŝƚLJWĂLJŵĞŶƚWƌŽŐƌĂŵ͕ĂƚǁŽͲƚƌĂĐŬƐLJƐƚĞŵƚŚĂƚŝŶĐůƵĚĞƐ͗ ;ϭͿĂDĞƌŝƚͲĂƐĞĚ/ŶĐĞŶƟǀĞWĂLJŵĞŶƚ^LJƐƚĞŵ;D/W^ͿĂŶĚ;ϮͿ ĚǀĂŶĐĞĚůƚĞƌŶĂƟǀĞWĂLJŵĞŶƚŵŽĚĞůƐ;WDƐͿ͘DŽƐƚĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐǁŝůůƉĂƌƟĐŝƉĂƚĞŝŶƚŚĞD/W^ƉƌŽŐƌĂŵ͘dŚŝƐŝƐ ŶŽƚĂĐŚŽŝĐĞŽƌƚŚĞƌĞƐƵůƚŽĨĂŶLJĂĐƟŽŶ͘/ŶƉƌŽƉŽƐĞĚƌĞŐƵůĂƟŽŶƐ͕ D^ĚĞĮŶĞĚWDƐŶĂƌƌŽǁůLJ͕ĂŶĚǀĞƌLJĨĞǁĂůŝĨŽƌŶŝĂĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐĂƌĞŝŶƋƵĂůŝĨLJŝŶŐƉƌŽŐƌĂŵƐ͘ĂƐĞĚŽŶƉƌŽƉŽƐĞĚ ĐƌŝƚĞƌŝĂ͕ŽŶůLJƚŚĞĨŽůůŽǁŝŶŐǁŝůůďĞĚĞĞŵĞĚĚǀĂŶĐĞĚWDƐŝŶ ϮϬϭϳ͗ ͻ DĞĚŝĐĂƌĞ^ŚĂƌĞĚ^ĂǀŝŶŐƐWƌŽŐƌĂŵ;dƌĂĐŬϮĂŶĚϯͿ ͻ EĞdžƚ'ĞŶĞƌĂƟŽŶĐĐŽƵŶƚĂďůĞĂƌĞKƌŐĂŶŝnjĂƟŽŶDŽĚĞů ͻ ŽŵƉƌĞŚĞŶƐŝǀĞŶĚ^ƚĂŐĞZĞŶĂůŝƐĞĂƐĞĂƌĞʹƚǁŽͲƐŝĚĞĚ ƚƌĂĐŬ ͻ ŽŵƉƌĞŚĞŶƐŝǀĞWƌŝŵĂƌLJĂƌĞWůƵƐ ͻ KŶĐŽůŽŐLJĂƌĞDŽĚĞů;ƚǁŽͲƐŝĚĞĚƌŝƐŬƚƌĂĐŬĂǀĂŝůĂďůĞŝŶ ϮϬϭϴͿ DĞƌŝƚͲĂƐĞĚ/ŶĐĞŶƟǀĞWĂLJŵĞŶƚ^LJƐƚĞŵ D/W^ĞǀĂůƵĂƚĞƐƉŚLJƐŝĐŝĂŶƐŝŶĨŽƵƌƉĞƌĨŽƌŵĂŶĐĞĐĂƚĞŐŽƌŝĞƐ͗ YƵĂůŝƚLJ͕ZĞƐŽƵƌĐĞhƐĞ͕ůŝŶŝĐĂůWƌĂĐƟĐĞ/ŵƉƌŽǀĞŵĞŶƚĐƟǀŝƟĞƐ ;W/ƐͿĂŶĚĚǀĂŶĐŝŶŐĂƌĞ/ŶĨŽƌŵĂƟŽŶ;/Ϳ͘D/W^ĐŽŵďŝŶĞƐ 24

California Family Physician Fall 2016

ƚŚĞƐĞĨŽƵƌĞǀĂůƵĂƟŽŶƐƚŽĐƌĞĂƚĞĂŽŵƉŽƐŝƚĞWĞƌĨŽƌŵĂŶĐĞ ^ĐŽƌĞ͘D^ƉƌŽƉŽƐĞƐƚŽǁĞŝŐŚƚƚŚĞĨŽƵƌĐĂƚĞŐŽƌŝĞƐ͕ĂƐ ŝůůƵƐƚƌĂƚĞĚŝŶƚŚĞĐŚĂƌƚďĞůŽǁ͕ǁŝƚŚĂŐƌĞĂƚĞƌĞŵƉŚĂƐŝƐŽŶ ƋƵĂůŝƚLJŝŶƚŚĞĮƌƐƚLJĞĂƌ͘ƐĂƐƚĂƌƟŶŐƉŽŝŶƚƚŽƵŶĚĞƌƐƚĂŶĚŝŶŐ ƚŚĞƐĞƉĞƌĨŽƌŵĂŶĐĞĐĂƚĞŐŽƌŝĞƐ͕ƌĞĐŽŐŶŝnjĞƚŚĂƚƚŚƌĞĞŽĨƚŚĞŵ ĚƌĂǁĨƌŽŵĞdžŝƐƟŶŐD^ƉƌŽŐƌĂŵƐ͕ĂƐŶŽƚĞĚŝŶƚŚŝƐƚĂďůĞ͗

Performance Category

Weight

ƌĂǁƐŽŶdžŝƐƟŶŐ Program

YƵĂůŝƚLJ

ϱϬƉĞƌĐĞŶƚ WŚLJƐŝĐŝĂŶYƵĂůŝƚLJ ZĞƉŽƌƟŶŐ^LJƐƚĞŵ ;WYZ^Ϳ

ZĞƐŽƵƌĐĞhƐĞ

ϭϬƉĞƌĐĞŶƚ sĂůƵĞͲďĂƐĞĚWĂLJŵĞŶƚ DŽĚŝĮĞƌ;sDͿ

ůŝŶŝĐĂůWƌĂĐƟĐĞ ϭϱƉĞƌĐĞŶƚ /ŵƉƌŽǀĞŵĞŶƚĐƟǀŝƟĞƐ ĚǀĂŶĐŝŶŐĂƌĞ /ŶĨŽƌŵĂƟŽŶ

ϮϱƉĞƌĐĞŶƚ DĞĂŶŝŶŐĨƵůhƐĞ

D/W^ĞǀĂůƵĂƚĞƐ͞ůŝŐŝďůĞůŝŶŝĐŝĂŶƐ͟;ƐͿ͘ƐŝŶĐůƵĚĞ ƉŚLJƐŝĐŝĂŶƐ;DͬKͬDͬ^Ϳ͕ƉŚLJƐŝĐŝĂŶĂƐƐŝƐƚĂŶƚƐ͕ŶƵƌƐĞ ƉƌĂĐƟƟŽŶĞƌƐ͕ĐůŝŶŝĐĂůŶƵƌƐĞƐƉĞĐŝĂůŝƐƚƐĂŶĚĐĞƌƟĮĞĚƌĞŐŝƐƚĞƌĞĚ ŶƵƌƐĞĂŶĞƐƚŚĞƟƐƚƐ͘^ŽŵĞƉŚLJƐŝĐŝĂŶƐĂƌĞĞdžĐůƵĚĞĚĨƌŽŵD/W^͕ ŝŶĐůƵĚŝŶŐŶĞǁůLJĞŶƌŽůůĞĚƉŚLJƐŝĐŝĂŶƐ͕ƉŚLJƐŝĐŝĂŶƐƉĂƌƟĐŝƉĂƟŶŐŝŶ WDƐĂŶĚƉŚLJƐŝĐŝĂŶƐďĞůŽǁĂůŽǁͲǀŽůƵŵĞƚŚƌĞƐŚŽůĚ;ƉƌŽƉŽƐĞĚ ƚŽďĞĂƉƌŽǀŝĚĞƌǁŚŽďŝůůƐĐŚĂƌŐĞƐůĞƐƐƚŚĂŶΨϭϬ͕ϬϬϬĂŶĚ ǁŚŽƉƌŽǀŝĚĞƐĐĂƌĞĨŽƌϭϬϬŽƌĨĞǁĞƌWĂƌƚͲĞŶƌŽůůĞĚDĞĚŝĐĂƌĞ ďĞŶĞĮĐŝĂƌŝĞƐĂŶŶƵĂůůLJͿ͘ ƐĐĂŶŚĂǀĞƚŚĞŝƌƉĞƌĨŽƌŵĂŶĐĞĂƐƐĞƐƐĞĚĂƐĂŐƌŽƵƉŝĨƚŚĞLJ ŵĞĞƚĂƉƌŽƉŽƐĞĚĚĞĮŶŝƟŽŶ͘'ƌŽƵƉƐǁŝůůŚĂǀĞƚŚĞŝƌƉĞƌĨŽƌŵĂŶĐĞ ĂƐƐĞƐƐĞĚĂƐĂŐƌŽƵƉĂĐƌŽƐƐĂůůĨŽƵƌƉĞƌĨŽƌŵĂŶĐĞĐĂƚĞŐŽƌŝĞƐ͘&Žƌ ƐǁŚŽƉƌĂĐƟĐĞŝŶƌƵƌĂůŚĞĂůƚŚĐůŝŶŝĐƐŽƌ&ĞĚĞƌĂůůLJYƵĂůŝĮĞĚ ,ĞĂůƚŚĞŶƚĞƌƐ͕ǁŚŽďŝůůĨŽƌƐĞƌǀŝĐĞƐƵŶĚĞƌƚŚĞZ,ͬ&Y,ĂůůͲ ŝŶĐůƵƐŝǀĞƌĂƚĞ͕ƚŚĞD/W^ĂĚũƵƐƚŵĞŶƚǁŽƵůĚŶŽƚĂƉƉůLJ͘ YƵĂůŝƚLJ &ŽƌĞĂĐŚƉĞƌĨŽƌŵĂŶĐĞƉĞƌŝŽĚ͕ƐŽƌŐƌŽƵƉƐǁŝůůƌĞƉŽƌƚĂƚůĞĂƐƚ ƐŝdžƋƵĂůŝƚLJŵĞĂƐƵƌĞƐ͕ŝŶĐůƵĚŝŶŐŽŶĞ͞ĐƌŽƐƐͲĐƵƫŶŐ͟ŵĞĂƐƵƌĞ ĂŶĚŽŶĞŽƵƚĐŽŵĞŵĞĂƐƵƌĞ͘ƐǁŝůůĐŚŽŽƐĞŵĞĂƐƵƌĞƐĨƌŽŵĂ ůŽŶŐůŝƐƚƉƌŽǀŝĚĞĚďLJD^͘ŶǁŚŽƌĞƉŽƌƚƐŽŶĨĞǁĞƌƚŚĂŶƐŝdž ŵĞĂƐƵƌĞƐǁŝůůďĞƚƌĞĂƚĞĚĂƐĂĐŚŝĞǀŝŶŐƚŚĞůŽǁĞƐƚƉŽƐƐŝďůĞƐĐŽƌĞ ĨŽƌĞĂĐŚŵĞĂƐƵƌĞƵŶĚĞƌƐŝdž͘ ZĞƐŽƵƌĐĞhƐĞ ZĞƐŽƵƌĐĞhƐĞŝƐD^͛ƐǁĂLJŽĨŵĞĂƐƵƌŝŶŐƉŚLJƐŝĐŝĂŶĐŽƐƚƐĂŶĚ ǁŝůůĐŽŵƉĂƌĞĂƉƉůŝĐĂďůĞƌĞƐŽƵƌĐĞƐƵƐĞĚƚŽƚƌĞĂƚƐŝŵŝůĂƌĐĂƌĞ


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&WƵƌŐĞƐĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐƚŽďĞĐŽŵĞĨĂŵŝůŝĂƌǁŝƚŚDZƚŚŝƐĨĂůůŝŶĂŶƟĐŝƉĂƟŽŶŽĨĚĂƚĂĐŽůůĞĐƟŽŶƚŚĂƚǁŝůůďĞŐŝŶŝŶϮϬϭϳ͘dŽ ĂƐƐŝƐƚLJŽƵ͕&WǁŝůůĚĞůŝǀĞƌĂƐĞƌŝĞƐŽĨƌĞƐŽƵƌĐĞƐ͗ ͻ DZϭϬϭ͗'ĞƚZĞĂĚLJ͘dŚŝƐĨĂůů͕&WǁŝůůƉƵďůŝƐŚƐƵŵŵĂƌLJŵĂƚĞƌŝĂůƐĂŶĚůĂƵŶĐŚŶĞǁ͕ǁĞďͲďĂƐĞĚƌĞƐŽƵƌĐĞƐŽŶ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ͘ ͻ DZĨŽƌ^ŵĂůůĂŶĚZƵƌĂů&ĂŵŝůLJWŚLJƐŝĐŝĂŶƐ͗'Ğƚ^Ğƚ͘^ŵĂůůĂŶĚƌƵƌĂůƉƌĂĐƟĐĞƐĨĂĐĞƵŶŝƋƵĞĐŚĂůůĞŶŐĞƐǁŝƚŚ DZ͕ďƵƚǁŝůůŚĂǀĞƵŶŝƋƵĞŽƉƉŽƌƚƵŶŝƟĞƐŝŶƚĞƌŵƐŽĨƚĞĐŚŶŝĐĂůĂƐƐŝƐƚĂŶĐĞĂŶĚĂŶƟĐŝƉĂƚĞĚĂĐĐŽŵŵŽĚĂƟŽŶƐŝŶƚŚĞ ƌĞŐƵůĂƟŽŶƐ͘&WǁŝůůĚĞǀĞůŽƉŽƵƚƌĞĂĐŚĂŶĚĞĚƵĐĂƟŽŶĂůŵĂƚĞƌŝĂůƐĂƐƐŝƐƟŶŐƚŚŝƐŐƌŽƵƉ͘ ͻ DZϮϬϭ͗'Ž͊&ŽůůŽǁŝŶŐƉƵďůŝĐĂƟŽŶŽĨƚŚĞĮŶĂůƌĞŐƵůĂƟŽŶƐ͕&WǁŝůůŽīĞƌƉƌŽŐƌĂŵŵŝŶŐƚŽŚĞůƉĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ ĚĞǀĞůŽƉĂƐƚƌĂƚĞŐLJĨŽƌƚŚĞŝƌƉƌĂĐƟĐĞ͘>ĞĂƌŶŚŽǁƚŽƐĞůĞĐƚĂŶĚƌĞƉŽƌƚŽŶŵĞĂƐƵƌĞƐƚŚĂƚďĞŶĞĮƚLJŽƵƌƉƌĂĐƟĐĞ͕ƉĂƟĞŶƚƐ ĂŶĚďŽƩŽŵůŝŶĞ͘ California Family Physician Fall 2016

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 ‘Ž••¢ȱ˜›’žŽœǰȱǰȱ ǰȱ 

CAFP Goes to Orlando! DŽƌĞƚŚĂŶϮϬϬ&WŵĞŵďĞƌƐĂƩĞŶĚĞĚƚŚĞƌĞĐĞŶƚ&W ŽŶŐƌĞƐƐŽĨĞůĞŐĂƚĞƐĂŶĚ&ĂŵŝůLJDĞĚŝĐŝŶĞdžƉĞƌŝĞŶĐĞ;&DyͿ ŵĞĞƟŶŐŝŶKƌůĂŶĚŽ͕&>ŽŶ^ĞƉƚĞŵďĞƌϭϴͲϮϰ͘ zŽƵƌĚĞůĞŐĂƟŽŶƚŽƚŚĞ&WŽŶŐƌĞƐƐďĞŐĂŶŝƚƐǁŽƌŬŽŶ^ƵŶĚĂLJ ǁŝƚŚƚŚĞtĞƐƚĞƌŶ^ƚĂƚĞƐ&ŽƌƵŵŵĞĞƟŶŐĂŶĚdŽǁŶ,Ăůů͘dŚĞϭϮ ǁĞƐƚĞƌŶƐƚĂƚĞĐŚĂƉƚĞƌƉĂƌƟĐŝƉĂŶƚƐʹϳϬŝŶĂůůʹŵĞƚĨŽƌĂĐĂƐƵĂů ĚŝŶŶĞƌĂŶĚĐŽŶǀĞƌƐĂƟŽŶĂďŽƵƚƌĞƐŽůƵƟŽŶƐƐƵďŵŝƩĞĚďLJƚŚĞŝƌ ĐŚĂƉƚĞƌƐ͘dŚĞdŽǁŶ,Ăůů͕ĨĞĂƚƵƌŝŶŐ&WŽĸĐĞƌƐĂŶĚdžĞĐƵƟǀĞ sŝĐĞWƌĞƐŝĚĞŶƚŽƵŐůĂƐ,ĞŶůĞLJ͕D͕ŚŝŐŚůŝŐŚƚĞĚƚŚĞĐĂĚĞŵLJ͛Ɛ ƌĞĐŽŵŵĞŶĚĂƟŽŶƐƚŽĂĚĚƌĞƐƐƉŚLJƐŝĐŝĂŶǁĞůůŶĞƐƐĂŶĚďƵƌŶŽƵƚ͕ ƚŚĞ ŽƉŝŽŝĚĐƌŝƐŝƐ͕ƚŚĞDĞĚŝĐĂƌĞĐĐĞƐƐĂŶĚ,/WZĞĂƵƚŚŽƌŝnjĂƟŽŶ Đƚ;DZͿĂŶĚ,ĞĂůƚŚŝƐWƌŝŵĂƌLJͬ&ĂŵŝůLJDĞĚŝĐŝŶĞĨŽƌ ŵĞƌŝĐĂ͛Ɛ ,ĞĂůƚŚ͘ DŽŶĚĂLJǁĂƐƚŚĞŽŶŐƌĞƐƐŽƉĞŶŝŶŐ͕ƌĞĨĞƌĞŶĐĞĐŽŵŵŝƩĞĞ ŵĞĞƟŶŐ͕ĂŶĚĐĂŶĚŝĚĂƚĞŚŽƐƉŝƚĂůŝƚLJĞǀĞŶƚ͘dŚĞ&WĚĞůĞŐĂƟŽŶ͕ ŽĸĐĞƌƐĂŶĚŽƚŚĞƌŵĞŵďĞƌƐƐƉŽŬĞŝŶĞĂĐŚŽĨƚŚĞƌĞĨĞƌĞŶĐĞ ĐŽŵŵŝƩĞĞƐ͕ƚĂŬŝŶŐƐƵƉƉŽƌƚŽƌŽƉƉŽƐĞƉŽƐŝƟŽŶƐŽŶĂǀĂƌŝĞƚLJŽĨ ƌĞƐŽůƵƟŽŶƐ͕ŝŶĐůƵĚŝŶŐƚǁŽŽĨŽƵƌŽǁŶŽŶƌĞƉƌŽĚƵĐƟǀĞŚĞĂůƚŚ ;ǁŚŝĐŚƐƵďƐĞƋƵĞŶƚůLJƉĂƐƐĞĚƐƵĐĐĞƐƐĨƵůůLJͿ͘DŽŶĚĂLJĞǀĞŶŝŶŐ͕ƚŚĞ &WƚĞĂŵŚŽƐƚĞĚĂŐƌĞĂƚĞǀĞŶƚĨŽƌ:ĂĐŬŚŽƵ͕ŽƵƌĐĂŶĚŝĚĂƚĞ ĨŽƌWƌĞƐŝĚĞŶƚͲĞůĞĐƚ͘DŽƌĞƚŚĂŶϮϬ&WĞƌƐƐƉŽƌƚĞĚ:ĂĐŬŚŽƵ ͞^Ɵůů>ĞĂĚŝŶŐĨƌŽŵƚŚĞ,ĞĂƌƚ͟ƐŚŝƌƚƐĂŶĚŐƌĞĞƚĞĚƐĞǀĞƌĂů ŚƵŶĚƌĞĚŐƵĞƐƚƐŝŶƚŚĞŚŽƐƉŝƚĂůŝƚLJďĂůůƌŽŽŵ͘ĂůůŽŽŶƐ͕ďƵƩŽŶƐ͕ ĨŽƌƚƵŶĞĐŽŽŬŝĞƐ͕:ĂĐŬďŽďďůĞŚĞĂĚƐĂŶĚĐŽŶǀĞƌƐĂƟŽŶƐŐĂůŽƌĞ ĂĚĚĞĚƚŽƚŚĞĨƵŶŽĨƚŚĞĞǀĞŶŝŶŐ͘

ĚƵĐĂƟŽŶ͘dŚĞĞůĞŐĂƚĞƐĚŝŶŶĞƌƚŚĂƚĞǀĞŶŝŶŐĐĂƉƉĞĚŽīƚŚĞ ŽŶŐƌĞƐƐ͘ ĚƵĐĂƟŽŶĂůƐĞƐƐŝŽŶƐďĞŐĂŶŽŶtĞĚŶĞƐĚĂLJǁŝƚŚƚŚĞŽƉĞŶŝŶŐ ŽĨ&DyĂŶĚƚŚĞ&WĐƌŽǁĚǁĂƐŝŶƐƉŝƌĞĚďLJŬĞLJŶŽƚĞƌƚƵů 'ĂǁĂŶĚĞ͕D͕ǁŚŽƐƉŽŬĞƚŽŽƵƌŚĞĂƌƚƐĂŶĚŚĞĂĚƐĂƐŚĞ ƉƵƐŚĞĚĨŽƌƐƚƌŽŶŐĞƌƐLJƐƚĞŵƐƚŽƐƵƌƌŽƵŶĚĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ ĂŶĚƚŚĞŝƌƚĞĂŵƐĂƐƚŚĞLJƉƌŽǀŝĚĞƚŚĞƉƌŝŵĂƌLJĐĂƌĞŵĞƌŝĐĂ͛Ɛ ƉĂƟĞŶƚƐŶĞĞĚĂŶĚĚĞƐĞƌǀĞ͘^ĞǀĞƌĂů&WĞƌƐƐĞƌǀĞĚĂƐĨĂĐƵůƚLJ ĨŽƌ&Dy͕ŝŶĐůƵĚŝŶŐ&WŽŵŵŝƩĞĞŽŶŽŶƟŶƵŝŶŐWƌŽĨĞƐƐŝŽŶĂů ĞǀĞůŽƉŵĞŶƚŵĞŵďĞƌƐ^ĂƌĂŚDĐEĞŝůĂŶĚ<ĂƌĞŶDƵĐŚŽǁƐŬŝĂƐ ǁĞůůĂƐŽĂƌĚŵĞŵďĞƌƐŚďLJtŽůĨĞ͕D͕DW,͕DWW͘ KŶdŚƵƌƐĚĂLJ͕&WƌĞƐŝĚĞŶƚŵĞŵďĞƌƐĂǀŝĚdƌĂŶ;>ŽŶŐĞĂĐŚ DĞŵŽƌŝĂůͿ͕DĂƌŐŽƚƌŽǁŶĞ;^ƵƩĞƌͲ^ĂŶƚĂZŽƐĂͿ͕:ĞƌƌLJďƌĂŚĂŵ ;h^ͿĂŶĚŚƌŝƐƟŶĞ<ŝŶŶĞǀĞLJ;h^Ϳ͕ǁĞƌĞŚŽŶŽƌĞĚǁŝƚŚĨŽƵƌ ŽĨƚŚĞϭϮ'DǁĂƌĚƐĨŽƌdžĐĞůůĞŶĐĞŝŶ'ƌĂĚƵĂƚĞDĞĚŝĐĂů ĚƵĐĂƟŽŶ͘KƵƌĨƵƚƵƌĞŝƐŝŶĚĞĞĚďƌŝŐŚƚ͘ dŚĞĞǀĞŶƚƐǁŽƵŶĚĚŽǁŶǁŝƚŚƚŚĞĮŶĂůƐĞƐƐŝŽŶƐ͕ĂŶĚ&ƌŝĚĂLJ͛ƐĂůů ŵĞŵďĞƌĞǀĞŶƚĂƚhŶŝǀĞƌƐĂů^ƚƵĚŝŽƐ͘dŚĂŶŬƐƚŽƚŚĞĂůŝĨŽƌŶŝĂŶƐ ǁŚŽĚĞƐĐĞŶĚĞĚŽŶKƌůĂŶĚŽʹǁĞ͛ůůƐĞĞLJŽƵĂůůĂŐĂŝŶŶĞdžƚLJĞĂƌ ŝŶ^ĂŶŶƚŽŶŝŽ͕dy͘ ^ŚĞůůLJZŽĚƌŝŐƵĞƐŝƐ&W͛ƐĞƉƵƚLJdžĞĐƵƟǀĞsŝĐĞWƌĞƐŝĚĞŶƚ͘

dƵĞƐĚĂLJǁĂƐZĞĨĞƌĞŶĐĞŽŵŵŝƩĞĞƌĞƉŽƌƚƐĂŶĚĐĂŶĚŝĚĂƚĞ ƐƉĞĞĐŚĞƐͬYƵĞƐƟŽŶĂŶĚŶƐǁĞƌ;YΘͿĚĂLJ͘:ĂĐŬĚŝĚƵƐ ƉƌŽƵĚǁŝƚŚĂƚĞƌƌŝĮĐƐƉĞĞĐŚĂŶĚYΘƐĞƐƐŝŽŶ͘&W͛ƐƚǁŽ ƌĞƐŽůƵƟŽŶƐ͕ŶĚŽƌƐĞĐĐĞƐƐǁŝƚŚŽƵƚŐĞZĞƐƚƌŝĐƟŽŶƐƚŽKǀĞƌͲ ƚŚĞͲŽƵŶƚĞƌKƌĂůŽŶƚƌĂĐĞƉƟǀĞƐĂŶĚDĞĚŝĐĂŝĚŽǀĞƌĂŐĞŽĨ KǀĞƌͲƚŚĞͲŽƵŶƚĞƌŵĞƌŐĞŶĐLJŽŶƚƌĂĐĞƉƟŽŶ͕ǁĞƌĞďŽƚŚƉĂƐƐĞĚ ŽŶƚŚĞĐŽŶƐĞŶƚĐĂůĞŶĚĂƌŽŶƌĞĐŽŵŵĞŶĚĂƟŽŶŽĨƚŚĞƌĞĨĞƌĞŶĐĞ ĐŽŵŵŝƩĞĞ͘ tĞĚŶĞƐĚĂLJǁĂƐĞůĞĐƟŽŶƌĞƐƵůƚƐĚĂLJ͕ĂŶĚŵƵĐŚƚŽŽƵƌĚŝƐŵĂLJ͕ :ĂĐŬǁĂƐŶŽƚƐƵĐĐĞƐƐĨƵůŝŶŚŝƐďŝĚĨŽƌWƌĞƐŝĚĞŶƚͲĞůĞĐƚ͘:ĂĐŬ͕ZŽď >ĞĞŽĨ/ŽǁĂĂŶĚDŝŬĞDƵŶŐĞƌŽĨ<ĂŶƐĂƐƌĂŶĂŐƌĞĂƚƌĂĐĞĂŶĚ ƌ͘DƵŶŐĞƌǁŝůůďĞ&W͛ƐϮϬϭϳͲϭϴWƌĞƐŝĚĞŶƚ͘ĂƌůĂ<ĂŬƵƚĂŶŝ͕ &W͛ƐƐĞŶŝŽƌĚĞůĞŐĂƚĞ͕ĂŶŶŽƵŶĐĞĚŚĞƌƌĞƟƌĞŵĞŶƚĨƌŽŵƚŚĞ ĚĞůĞŐĂƟŽŶĂŶĚƌĞĐĞŝǀĞĚĂŚƵŐĞƌŽƵŶĚŽĨĂƉƉůĂƵƐĞ͘ŶĚŽƵƌ ŽǁŶŶŶĞDŽŶƚŐŽŵĞƌLJǁĂƐŶĂŵĞĚĐŚĂŝƌŽĨƚŚĞŽŵŵŝƐƐŝŽŶŽŶ

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California Family Physician Fall 2016

dŚĂŶŬƐƚŽĂůůƚŚĞ&WĞƌƐǁŚŽĐĂŵĞŽƵƚƚŽŚĞůƉŝŶ:ĂĐŬ͛ƐĐĂŵƉĂŝŐŶ͊

ŽŶƟŶƵĞĚŽŶƉĂŐĞϮϴххх


NORTHERN CALIFORNIA, NAPA Independent Medical Group is seeking qualified candidates to staff their minor emergency department.

Candidates include: Near retirement Emergency Physicians Family Practice physicians Urgent care Physicians Emergency department Nurse Practitioners.

Like a dose of good medicine for an ailing industry, Petaluma Health Center is leading the way in changing healthcare for the better. For medical professional and practitioners inspired to improve the health of people and communities, that makes PHC the ideal place to work. Not only has PHC established itself as a model for integrative medicine, there’s a spirit of innovation that empowers everyone to find new and better ways to do things. So, if you’re looking for a place to practice what you’re passionate about, there’s a place for you at Petaluma Health Center.

707.559.7500 phealthcenter.org

1179 North McDowell Blvd. Petaluma, CA 94954

If interested, forward C.V. to Tony Mottalei M.D. mottalei@gmail.com

Mayo School of Continuous Professional Development

UPDATES IN FAMILY MEDICINE Relevant information for the practicing primary care clinician

Disney’s Grand Californian Hotel Anaheim, CA REGISTER NOW! MARCH 2-4, 2017 ce.mayo.edu/familymedupdate2017 In collaboration with

California Family Physician Fall 2016

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ŠŒ”ȱ‘˜žǰȱ

#NeverStop Being Heroic tŽǁ͕ǁŚĂƚĂƌŝĚĞ͊^ĞƌǀŝŶŐŽŶƚŚĞ&WŽĂƌĚŽĨŝƌĞĐƚŽƌƐ ŚĂƐďĞĞŶĂďůĂƐƚĂŶĚŚĂǀŝŶŐƚŚĞŽƉƉŽƌƚƵŶŝƚLJƚŽƌƵŶĨŽƌ &WWƌĞƐŝĚĞŶƚͲĞůĞĐƚǁĂƐƚŚĞĞdžƉĞƌŝĞŶĐĞŽĨĂůŝĨĞƚŝŵĞ͘/Ŷ ƚŚĞĐŽƵƌƐĞŽĨƚŚƌĞĞƐŚŽƌƚLJĞĂƌƐ͕/͛ǀĞŚĂĚƚŚĞƉƌŝǀŝůĞŐĞŽĨ ƚƌĂǀĞůŝŶŐĂĐƌŽƐƐŽƵƌŐƌĞĂƚŶĂƚŝŽŶ͕ĨƌŽŵ^ĞĂƚƚůĞ͕tĂƐŚŝŶŐƚŽŶ ƚŽtĂƐŚŝŶŐƚŽŶ͕ŽŝƐĞ͕/ĚĂŚŽƚŽŽůƵŵďƵƐ͕KŚŝŽZĞŶŽ͕ EĞǀĂĚĂƚŽ,ŽƵƐƚŽŶ͕dĞdžĂƐ͕ĂŶĚĨƌŽŵƚŚĞǀĂƐƚƐƚĂƚĞŽĨ ůĂƐŬĂƚŽƚŚĞŐƌĞĂƚĨŽŽƚďĂůůƐƚĂƚĞŽĨůĂďĂŵĂ͘/ĞǀĞŶǀŝƐŝƚĞĚ ƚŚĞĂƌŝďďĞĂŶʹWƵĞƌƚŽ ZŝĐŽĂŶĚh͘^͘sŝƌŐŝŶ/ƐůĂŶĚƐĂƐǁĞůů ĂƐƚŚĞWĂĐŝĨŝĐŝƐůĂŶĚƐŽĨ'ƵĂŵ ĂŶĚ,ĂǁĂŝŝ͘ /ůĞĂƌŶĞĚƚŚĂƚƚŚƌŽƵŐŚŽƵƚƚŚŝƐĚŝǀĞƌƐĞĐŽƵŶƚƌLJ͕ǁĞĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐĂƌĞƚŚĞĐŽŵŵŽŶƚŚƌĞĂĚƌƵŶŶŝŶŐƚŚƌŽƵŐŚƚŚĞƐĞ ĚŝǀĞƌƐĞĐŽŵŵƵŶŝƚŝĞƐ͘&ĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĂƌĞŝŵƉƌŽǀŝŶŐƚŚĞ ŚĞĂůƚŚĂŶĚůŝǀĞƐŽĨƚŚĞŝƌƉĂƚŝĞŶƚƐŝŶƚŚĞŝƌĐŽŵŵƵŶŝƚŝĞƐ͕ ĨƌŽŵŶŐŝĞ^ƉĂƌŬƐǁŽƌŬŝŶŐƚŽŝŶƚĞŐƌĂƚĞƚĞĂŵƐŝŶƚŚĞ 'ƌŽƵƉ,ĞĂůƚŚŽŽƉĞƌĂƚŝǀĞŝŶ^ĞĂƚƚůĞƚŽdŽďŝĞ>LJŶŶ^ŵŝƚŚ ƐĞƌǀŝŶŐƚŚĞŚŽŵĞůĞƐƐĂŶĚƚŚĞƵŶĚĞƌƐĞƌǀĞĚŝŶtĂƐŚŝŶŐƚŽŶ͕ ͘^ƚĂƚĞĐŚĂƉƚĞƌƐĂƌĞĞŶŐĂŐĞĚŝŶďƌŝŶŐŝŶŐďĞƚƚĞƌŚĞĂůƚŚ ƚŽƚŚĞŝƌƐƚĂƚĞƐ͕ĨƌŽŵ/ĚĂŚŽĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ ĐĂƌƌLJŝŶŐ ůĞŐŝƐůĂƚŝŽŶƚŽƚŚĞŽŝƐĞƐƚĂƚĞŚŽƵƐĞƚŽĐůŽƐĞƚŚĞŐĂƉŽĨ ŚĞĂůƚŚĐĂƌĞĐŽǀĞƌĂŐĞƚŽKŚŝŽĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĨŝŐŚƚŝŶŐ ĂƚƚŚĞŽůƵŵďƵƐƐƚĂƚĞŚŽƵƐĞŝŶƚŚĞďĂƚƚůĞĂŐĂŝŶƐƚ ŝŶĂƉƉƌŽƉƌŝĂƚĞŽƉŝŽŝĚƵƐĞ͘&ĂŵŝůLJƉŚLJƐŝĐŝĂŶƐĐŽŶƚŝŶƵĞ ƚŽŵĂŝŶƚĂŝŶƚŚĞĨĂďƌŝĐŽĨŽƵƌƚŝŐŚƚůLJͲŬŶŝƚĐŽŵŵƵŶŝƚŝĞƐ͕ ĨƌŽŵ:ŽŚŶƵůůĞŶ͕ĂĨƵůůͲƐĐŽƉĞƉŚLJƐŝĐŝĂŶƐĞƌǀŝŶŐŚŝƐ ƌƵƌĂůĐŽŵŵƵŶŝƚLJŝŶsĂůĚĞnj͕ůĂƐŬĂǁŝƚŚƚĞůĞŵĞĚŝĐŝŶĞ ƚŽĞǀĞƌůLJ :ŽƌĚĂŶ͕ĂƐƉŽƌƚƐŵĞĚŝĐŝŶĞĨĂŵŝůLJƉŚLJƐŝĐŝĂŶ ƐĞƌǀŝŶŐŚĞƌƐŵĂůůĐŽŵŵƵŶŝƚLJŽĨŶƚĞƌƉƌŝƐĞ͕ůĂďĂŵĂ͘KƵƌ ĐŽůůĞĂŐƵĞƐĂƌĞĂůƐŽŝŶŶŽǀĂƚŝǀĞůĞĂĚĞƌƐ͕ĨƌŽŵĂŶ^ƉŽŐĞŶ͕ ǁŽƌŬŝŶŐƚŽƌĞŵĂŬĞĂƵŶŝǀĞƌƐŝƚLJͲďĂƐĞĚŚĞĂůƚŚƐLJƐƚĞŵŝŶ ZĞŶŽ͕ƚŽdƌŽLJ&ŝĞƐŝŶŐĞƌ͕ĐƌĞĂƚŝŶŐĂŶĞǁŝŶƚĞŐƌĂƚĞĚŚĞĂůƚŚ ƐLJƐƚĞŵŝŶ,ŽƵƐƚŽŶ͘&ĂŵŝůLJŵĞĚŝĐŝŶĞůĞĂĚĞƌƐĐŽŶƚŝŶƵĞ ƚŽƚĂĐŬůĞĚŝĨĨŝĐƵůƚŝƐƐƵĞƐƚŚƌĞĂƚĞŶŝŶŐƚŽƵŶĚĞƌŵŝŶĞƚŚĞ ŚĞĂůƚŚŽĨƚŚĞŝƌĐŽŵŵƵŶŝƚŝĞƐ͕ĂĚĚƌĞƐƐŝŶŐƚŚĞƉƌŝŵĂƌLJ ĐĂƌĞďƌĂŝŶĚƌĂŝŶŝŶWƵĞƌƚŽZŝĐŽĂŶĚƚŚĞĐŚĂůůĞŶŐĞŽĨ ƚƌĂƵŵĂƐĞƌǀŝĐĞƐŝŶƚŚĞh͘^͘sŝƌŐŝŶ/ƐůĂŶĚƐ͕ƚŚĞůĂĐŬŽĨ ƐƵďƐƉĞĐŝĂůƚLJ ƐƵƉƉŽƌƚŝŶ'ƵĂŵĂŶĚŵĂůĚŝƐƚƌŝďƵƚŝŽŶŽĨƌƵƌĂů ƉŚLJƐŝĐŝĂŶƐŝŶ,ĂǁĂŝŝ͘/ĂŵƉƌŽƵĚƚŽŚĂǀĞƐĞƌǀĞĚĂůŽŶŐƐŝĚĞ ĂůůŽĨLJŽƵ͕ĂŶĚĐŽƵŶƚůĞƐƐŽƚŚĞƌĨĂŵŝůLJƉŚLJƐŝĐŝĂŶƐ ĂƌŽƵŶĚ ŽƵƌ ĐŽƵŶƚƌLJ͕ŝŶƉƵƌƐƵŝŶŐďĞƚƚĞƌŚĞĂůƚŚĂŶĚďĞƚƚĞƌĐĂƌĞĨŽƌ ŽƵƌĐŽŵŵƵŶŝƚŝĞƐ͘ /ǁĂŶƚƚŽĞdžƚĞŶĚŵLJŐƌĂƚŝƚƵĚĞƚŽƚŚĞŵŽƐƚĂǁĞƐŽŵĞ ĐĂŵƉĂŝŐŶƚĞĂŵ͕ůĞĚďLJ:ĂLJ>ĞĞĂŶĚĂƌůĂ<ĂŬƵƚĂŶŝ͕ƚĞĂŵ ŵĞŵďĞƌƐ:ĞĨĨ>ƵƚŚĞƌ͕ĂƌŽů,ĂǀĞŶƐ͕>ĞĞZĂůƉŚĂŶĚDŝĐŚĞůůĞ YƵŝŽŐƵĞĂŶĚĂůůŽĨLJŽƵƐĞƌǀŝŶŐŽŶƚŚĞ&WŽĂƌĚŽĨ 28

California Family Physician Fall 2016

:ĂĐŬǁĂƐũŽŝŶĞĚŝŶKƌůĂŶĚŽďLJŚŝƐǁŝĨĞ<ĂƚŚLJĂŶĚĐŚŝůĚƌĞŶ͕ ^ĂƌĂŚ͕^ĂŵĂŶƚŚĂĂŶĚEĂƚŚĂŶ͘


ŝƌĞĐƚŽƌƐ͕&WdžĞĐƵƚŝǀĞsŝĐĞWƌĞƐŝĚĞŶƚ^ƵƐĂŶ,ŽŐĞůĂŶĚ͕ ĞƉƵƚLJdžĞĐƵƚŝǀĞsŝĐĞWƌĞƐŝĚĞŶƚ^ŚĞůůLJZŽĚƌŝŐƵĞƐ͕ĂŶĚŽƵƌ &WƐƚĂĨĨŵĞŵďĞƌƐ͘/ŶĂĚĚŝƚŝŽŶ͕/ǁĂŶƚƚŽƚŚĂŶŬĂůůŽĨŵLJ ƐƵƉƉŽƌƚĞƌƐĨƌŽŵĂůŝĨŽƌŶŝĂĂŶĚĞůƐĞǁŚĞƌĞǁŚŽƚƌĂǀĞůĞĚƚŽ KƌůĂŶĚŽĂŶĚƉĂƌƚŝĐŝƉĂƚĞĚŝŶƚŚĞŚŽƐƉŝƚĂůŝƚLJŶŝŐŚƚĞǀĞŶƚ͘dŽ ƚŚŽƐĞǁŚŽŚĞůƉĞĚĐŽŶƚĂĐƚĚĞůĞŐĂƚĞƐĂŶĚĂůƚĞƌŶĂƚĞƐŽŶŵLJ ďĞŚĂůĨ͕ĞŝƚŚĞƌďLJĐĂůůŝŶŐŽƌǁƌŝƚŝŶŐ͕ĂŶĚƚŽƚŚŽƐĞǁŚŽƐĞŶƚŵĞ LJŽƵƌǁĞůůͲǁŝƐŚĞƐ͕/ĚĞĞƉůLJĂƉƉƌĞĐŝĂƚĞLJŽƵƌƉŽƐŝƚŝǀĞĞŶĞƌŐLJ͖ŝƚ ŝŶǀŝŐŽƌĂƚĞĚŵLJƐƉŝƌŝƚĚƵƌŝŶŐƚŚŝƐŐƌƵĞůŝŶŐ͕LJĞĂƌͲůŽŶŐƉƌŽĐĞƐƐ͘ /ǁŽƵůĚŶŽƚŚĂǀĞďĞĞŶĂďůĞƚŽĂĐŚŝĞǀĞƚŚŝƐůĞǀĞůŽĨĞdžĐĞůůĞŶĐĞ ĂůŽŶĞĂŶĚ/ĂŵƚƌƵůLJďůĞƐƐĞĚƚŽŚĂǀĞĨƌŝĞŶĚƐĂŶĚĐŽůůĞĂŐƵĞƐ ůŝŬĞ LJŽƵ͘

ĐĂƵƚŝŽŶĞĚƚŚĞĐƌŽǁĚĂƚƚĞŶĚŝŶŐƚŚĞhŶŝƚĂƌŝĂŶhŶŝǀĞƌƐĂůŝƐƚ ƐƐŽĐŝĂƚŝŽŶ͛ƐĂŶŶƵĂůtĂƌĞ>ĞĐƚƵƌĞ͕ƚŚĂƚ͚KŶĞŽĨƚŚĞŐƌĞĂƚ ŵŝƐĨŽƌƚƵŶĞƐŽĨŚŝƐƚŽƌLJŝƐƚŚĂƚĂůůƚŽŽŵĂŶLJŝŶĚŝǀŝĚƵĂůƐĂŶĚ ŝŶƐƚŝƚƵƚŝŽŶƐĨŝŶĚƚŚĞŵƐĞůǀĞƐŝŶĂŐƌĞĂƚƉĞƌŝŽĚŽĨĐŚĂŶŐĞĂŶĚ LJĞƚĨĂŝůƚŽĂĐŚŝĞǀĞƚŚĞŶĞǁĂƚƚŝƚƵĚĞƐĂŶĚŽƵƚůŽŽŬƐƚŚĂƚƚŚĞ ŶĞǁƐŝƚƵĂƚŝŽŶĚĞŵĂŶĚƐ͘dŚĞƌĞŝƐŶŽƚŚŝŶŐŵŽƌĞƚƌĂŐŝĐƚŚĂŶƚŽ ƐůĞĞƉƚŚƌŽƵŐŚĂƌĞǀŽůƵƚŝŽŶ͛͘ƐŵĞŵďĞƌƐŽĨƚŚŝƐŽƵƚƐƚĂŶĚŝŶŐ ŽƌŐĂŶŝnjĂƚŝŽŶ͕ǁĞƐŚĂůůĐŽŶƚŝŶƵĞƚŚĞƉƌŽŐƌĞƐƐǁĞŚĂǀĞŵĂĚĞ ƐŽĨĂƌŝŶƉƵƐŚŝŶŐĨŽƌǁĂƌĚƚŚĞ&ĂŵŝůLJDĞĚŝĐŝŶĞZĞǀŽůƵƚŝŽŶ͘ tĞƐŚĂůůŚĞĞĚƚŚĞƐĂŐĞǁŽƌĚƐŽĨƌ͘<ŝŶŐĂŶĚŶĞǀĞƌƐƚŽƉ ďĞŝŶŐŚĞƌŽŝĐ͕ĂŶĚǁĞƐŚĂůůĐŽŶƚŝŶƵĞƚŽĚŽǁŚĂƚŝƐƌŝŐŚƚďLJŽƵƌ ƉĂƚŝĞŶƚƐĂŶĚŽƵƌĐŽŵŵƵŶŝƚŝĞƐ͘

Ɛ/ĐůŽƐĞĂŶŽƚŚĞƌĐŚĂƉƚĞƌŝŶŵLJ&WůĞĂĚĞƌƐŚŝƉũŽƵƌŶĞLJ͕ /ǁĂŶƚ ƚŽƐŚĂƌĞǁŝƚŚLJŽƵŵLJĐůŽƐŝŶŐƌĞŵĂƌŬƐĂƚƚŚĞ&W ŽŶŐƌĞƐƐŽĨĞůĞŐĂƚĞƐ;KͿ͘

&ŝŶĂůůLJ͕/ƐŚĂůůĞĐŚŽƌ͘<ŝŶŐ͛ƐǁŽƌĚƐĂƚƚŚĞĞŶĚŽĨŚŝƐŚŝƐƚŽƌŝĐ tĂƌĞ>ĞĐƚƵƌĞƐƉĞĞĐŚ͕ƚŚĂƚ͚ǁŝƚŚƚŚŝƐĨĂŝƚŚǁĞǁŝůůďĞĂďůĞƚŽ ŚĞǁŽƵƚŽĨƚŚĞŵŽƵŶƚĂŝŶŽĨĚĞƐƉĂŝƌĂƐƚŽŶĞŽĨŚŽƉĞ͘tĞǁŝůů ďĞĂďůĞƚŽƚƌĂŶƐĨŽƌŵƚŚĞũĂŶŐůŝŶŐĚŝƐĐŽƌĚƐŽĨŽƵƌŶĂƚŝŽŶŝŶƚŽ ĂďĞĂƵƚŝĨƵůƐLJŵƉŚŽŶLJŽĨďƌŽƚŚĞƌŚŽŽĚ͕ĂŶĚƐƉĞĞĚƵƉƚŚĂƚĚĂLJ ǁŚĞŶĂůůŽĨ'ŽĚ͛ƐĐŚŝůĚƌĞŶĂůůŽǀĞƌŽƵƌŶĂƚŝŽŶĂŶĚƚŚĞǁŽƌůĚǁŝůů ďĞĂďůĞƚŽǁĂůŬƚŚĞĞĂƌƚŚĂƐďƌŽƚŚĞƌƐĂŶĚƐŝƐƚĞƌƐ͕ĂŶĚƚŚĞŶǁĞ ĐĂŶƐŝŶŐŝŶƚŚĞǁŽƌĚƐŽĨƚŚĞŽůĚEĞŐƌŽƐƉŝƌŝƚƵĂůʹ&ƌĞĞĂƚůĂƐƚ͕ ĨƌĞĞĂƚůĂƐƚ͕ƚŚĂŶŬ'ŽĚĂůŵŝŐŚƚLJǁĞĂƌĞĨƌĞĞĂƚůĂƐƚ͛͘dŚĂŶŬLJŽƵ ĨŽƌLJŽƵƌƐƵƉƉŽƌƚĂŶĚĞŶĐŽƵƌĂŐĞŵĞŶƚƚŚƌŽƵŐŚŽƵƚƚŚĞƐĞLJĞĂƌƐ͘ sŝǀĂη&DZĞǀŽůƵƚŝŽŶĂŶĚ/͛ůůƐĞĞLJŽƵŽŶƚŚĞ ďĂƚƚůĞĨŝĞůĚ͊͟

͞ƌ͘:ŽŚŶDĞŝŐƐ͕ĐƵƌƌĞŶƚ&WWƌĞƐŝĚĞŶƚ͕ƌĞŵŝŶĚĞĚƚŚĞ ĂƚƚĞŶĚĞĞƐƚŚĂƚƚŚŝƐLJĞĂƌŝƐƚŚĞϱϬƚŚĂŶŶŝǀĞƌƐĂƌLJĨŽƌƚŚĞ ƐƉĞĐŝĂůƚLJŽĨ&ĂŵŝůLJDĞĚŝĐŝŶĞ͘/ŶƚŚĞƉĂƐƚŚĂůĨĐĞŶƚƵƌLJ͕ǁĞŚĂǀĞ ĐŽŵĞƐŽĨĂƌĂƐĂƐƉĞĐŝĂůƚLJ͖LJĞƚ͕ǁĞŚĂǀĞŵƵĐŚƚŽůŽŽŬĨŽƌǁĂƌĚ ƚŽĂƐǁĞĐŽŶƚŝŶƵĞƚŽƌĞƐŚĂƉĞŚĞĂůƚŚůĂŶĚƐĐĂƉĞƐĂƌŽƵŶĚŽƵƌ ĐŽŵŵƵŶŝƚŝĞƐ͘/Ŷϭϵϲϲ͕ƚŚĞƐĂŵĞLJĞĂƌĂƐƚŚĞĨŽƵŶĚŝŶŐŽĨ&ĂŵŝůLJ DĞĚŝĐŝŶĞĂƐĂŵĞĚŝĐĂůƐƉĞĐŝĂůƚLJ͕ZĞǀ͘DĂƌƚŝŶ>ƵƚŚĞƌ<ŝŶŐ͕:ƌ͘

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California Family Physician Fall 2016

29


EXECUTIVE VICE PRESIDENT’S FORUM

žœŠ—ȱ ˜Ž•Š—ǰȱ

Verdict on the ACA? Good, Overall. WĞƚĞƌZ͘KƌƐnjĂŐ͕WŚ͕ƉŽŝŶƚƐŽƵƚŝŶĂŶĞĚŝƚŽƌŝĂůŝŶƚŚĞ:ƵůLJϭϭ ŝƐƐƵĞŽĨdŚĞ:ŽƵƌŶĂůŽĨƚŚĞŵĞƌŝĐĂŶDĞĚŝĐĂůƐƐŽĐŝĂƟŽŶƚŚĂƚ ͞WƌĞƐŝĚĞŶƚKďĂŵĂŝƐƚŚĞŽŶůLJƐŝƫŶŐƉƌĞƐŝĚĞŶƚŽĨƚŚĞhŶŝƚĞĚ ^ƚĂƚĞƐŝŶŵŽĚĞƌŶŚŝƐƚŽƌLJƚŽƉƵďůŝƐŚĂŶĂƌƟĐůĞŝŶ:D͘͟ƌ͘ KƌnjĂŐƐƵŐŐĞƐƚƐƚŚĂƚŝƐĂƉƉƌŽƉƌŝĂƚĞŝŶůŝŐŚƚŽĨƚŚĞĨĂĐƚƚŚĂƚŚĞŝƐ ͞ĂůƐŽƚŚĞŽŶůLJƌĞĐĞŶƚƉƌĞƐŝĚĞŶƚƚŽƐŝŐŶĐŽŵƉƌĞŚĞŶƐŝǀĞŚĞĂůƚŚ ƌĞĨŽƌŵůĞŐŝƐůĂƟŽŶ͕ƚŚĞīŽƌĚĂďůĞĂƌĞĐƚ;Ϳ͕ůĞŐŝƐůĂƟŽŶǁŝƚŚ ƚŚĞĞdžƉƌĞƐƐƉƵƌƉŽƐĞŶŽƚŽŶůLJŽĨĞdžƉĂŶĚŝŶŐĐŽǀĞƌĂŐĞďƵƚĂůƐŽ ĐŽŶƚĂŝŶŝŶŐĐŽƐƚĂŶĚŝŵƉƌŽǀŝŶŐƋƵĂůŝƚLJ͘͟

ƉŽŝŶƚŽƵƚƚŚĂƚƚŚĞĂǀĞƌĂŐĞŝŶĐƌĞĂƐĞŽǀĞƌƚŚƌĞĞLJĞĂƌƐŝƐƐĞǀĞŶ ƉĞƌĐĞŶƚ͖&W͛ƐŽǁŶƉƌĞŵŝƵŵĨŽƌĞŵƉůŽLJĞĞƉůĂŶĐŽǀĞƌĂŐĞ ŝŶĐƌĞĂƐĞĚϭϬƉĞƌĐĞŶƚƚŚŝƐLJĞĂƌ͕ďLJĐŽŵƉĂƌŝƐŽŶ͘ĚĚŝƟŽŶĂůůLJ͕ ƐŽŵĞƉůĂŶƐƉƌŽǀŝĚŝŶŐĐŽǀĞƌĂŐĞƚŚƌŽƵŐŚŝŶƐƵƌĂŶĐĞĞdžĐŚĂŶŐĞƐ ;hŶŝƚĞĚ,ĞĂůƚŚ'ƌŽƵƉ͕ĞƚŶĂĂŶĚ,ƵŵĂŶĂͿŚĂǀĞĚƌŽƉƉĞĚŽƵƚ͕Žƌ ǁŝůů͕ĂŶĚŽƚŚĞƌƐŚĂǀĞĞdžƉĞƌŝĞŶĐĞĚůŽƐƐĞƐ;ůƵĞ^ŚŝĞůĚĂŶŶŽƵŶĐĞĚ ŝƚǁŽƵůĚƐŚƵƚĚŽǁŶĨŽƌĨŽƵƌĚĂLJƐŝŶ^ĞƉƚĞŵďĞƌƚŽƌĞĚƵĐĞ ůŝĂďŝůŝƟĞƐĨŽƌƉĂŝĚƟŵĞŽīŝŶƌĞƐƉŽŶƐĞƚŽůŽƐƐĞƐŝƚŚĂƐŝŶĐƵƌƌĞĚŝŶ ŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ͘/ƚǁŝůůƌĂŝƐĞŽǀĞƌĞĚĂůŝĨŽƌŶŝĂƌĂƚĞƐďLJŶĞĂƌůLJ ϮϬƉĞƌĐĞŶƚŶĞdžƚLJĞĂƌ͘ͿdŚĞƐĞĞǀĞŶƚƐƉŽƌƚĞŶĚƉŽƚĞŶƟĂůĂĚĚŝƟŽŶĂů ŽƚŚƚŚĞWƌĞƐŝĚĞŶƚĂŶĚƌ͘KƌnjĂŐĞdžƚŽůƚŚĞŵĂŶLJƐƵĐĐĞƐƐĞƐ ƉƌĞŵŝƵŵŝŶĐƌĞĂƐĞƐŝŶĂǀĞƌLJƉƌŝĐĞͲƐĞŶƐŝƟǀĞƉŽƉƵůĂƟŽŶĂŶĚ ŽĨƚŚĞ͗ϭͿϮϬŵŝůůŝŽŶĨĞǁĞƌƵŶŝŶƐƵƌĞĚʹĂĚĞĐůŝŶĞŝŶƚŚĞ ŝŶĚŝĐĂƚĞďƵŵƉƐĂŚĞĂĚ͕ĂƐĚŽĞƐƐŽŵĞƉůĂŶƐďĂĐŬŝŶŐŽƵƚŽĨƚŚĞ ƵŶŝŶƐƵƌĞĚŽĨϰϯƉĞƌĐĞŶƚĨƌŽŵϭϲƉĞƌĐĞŶƚƚŽϵ͘ϭƉĞƌĐĞŶƚďĞƚǁĞĞŶ ĂůůƚŽŐĞƚŚĞƌ͕ůĞĂǀŝŶŐŽŶůLJŽŶĞŚĞĂůƚŚƉůĂŶĐŚŽŝĐĞŝŶƐŽŵĞ ϮϬϭϬĂŶĚϮϬϭϱ͖ϮͿĂĚĞĐůŝŶĞŝŶŚĞĂůƚŚĐĂƌĞĐŽƐƚƐ͖ϯͿŝŵƉƌŽǀĞŵĞŶƚ ĂƌĞĂƐŽĨƚŚĞĐŽƵŶƚƌLJ͘ ŝŶƋƵĂůŝƚLJŽĨĐĂƌĞ͖ĂŶĚϰͿĂƌĞĚƵĐƟŽŶŝŶĮŶĂŶĐŝĂůŝŶƐĞĐƵƌŝƚLJĂƐ ĂƌĞƐƵůƚŽĨĞdžƉĂŶĚĞĚĐŽǀĞƌĂŐĞĂŶĚĂĐĐĞƐƐ͘ĚĚŝƟŽŶĂůůLJ͕ ŶĚ͕ĮŶĂůůLJ͕ƚŚĞĂůŝĨŽƌŶŝĂ,ĞĂůƚŚĂƌĞ&ŽƵŶĚĂƟŽŶƌĞƉŽƌƚƐƚŚĂƚ ŽƉƉŽŶĞŶƚƐ͛ƉƌĞĚŝĐƚĞĚŵĂƐƐŝǀĞũŽďůŽƐƐĞƐĂƐĞŵƉůŽLJĞƌƐƐŽƵŐŚƚ ǁŚŝůĞĞŵƉůŽLJĞƌͲƐƉŽŶƐŽƌĞĚŝŶƐƵƌĂŶĐĞ;^/ͿĂǀĂŝůĂďŝůŝƚLJŚĂƐďĞĞŶ ƚŽĂǀŽŝĚƉƌŽǀŝĚŝŶŐǁŽƌŬĞƌƐǁŝƚŚŚĞĂůƚŚĐŽǀĞƌĂŐĞŚĂƐŶŽƚLJĞƚ ŽŶƚŚĞĚĞĐůŝŶĞƐŝŶĐĞϮϬϬϵ͕ƚŚĞƋƵĞƐƟŽŶŽĨǁŚĞƚŚĞƌƚŚĞ ŵĂƚĞƌŝĂůŝnjĞĚ͘ŽƚŚƚŚĞWƌĞƐŝĚĞŶƚĂŶĚƌ͘KƌnjĂŐĂĐŬŶŽǁůĞĚŐĞ ƌĞĨŽƌŵƐǁŽƵůĚĨƵƌƚŚĞƌĞƌŽĚĞ^/ƐĞĞŵƐƚŽŚĂǀĞďĞĞŶĂŶƐǁĞƌĞĚ͗ ŇĂǁƐƚŚĂƚĐŽƵůĚĂŶĚƐŚŽƵůĚďĞĮdžĞĚ͕ƉŽůŝƟĐƐƉĞƌŵŝƫŶŐ͕ĂŶĚƚŚĞ ƚŚĞϮϬϭϱĂůŝĨŽƌŶŝĂŵƉůŽLJĞƌ,ĞĂůƚŚĞŶĞĮƚƐ^ƵƌǀĞLJŝŶĚŝĐĂƚĞƐ WƌĞƐŝĚĞŶƚŶŽǁŝƐĂĚǀŽĐĂƟŶŐĨŽƌĂƉƵďůŝĐƉůĂŶŽƉƟŽŶƚŚƌŽƵŐŚ ƚŚĞĂǀĂŝůĂďŝůŝƚLJŽĨ^/ƌĞŵĂŝŶĞĚƐƚĂďůĞŝŶƚŚĞƐƚĂƚĞĨŽůůŽǁŝŶŐ ƚŚĞĞdžĐŚĂŶŐĞƐ͘dŚĞŚĞĂůƚŚďĞŶĞĮƚƐŽĨĐŽǀĞƌŝŶŐϮϬŵŝůůŝŽŶŵŽƌĞ ŝŵƉůĞŵĞŶƚĂƟŽŶ͘ŽƚŚƚŚĞƐŚĂƌĞŽĨĮƌŵƐŽīĞƌŝŶŐĐŽǀĞƌĂŐĞ ŝŶĚŝǀŝĚƵĂůƐŚĂǀĞLJĞƚƚŽďĞƉƌŽǀĞŶ͖ƐƟůů͕ĂƌĞĐĞŶƚƐƚƵĚLJĐŽŵƉĂƌŝŶŐ ďĞƚǁĞĞŶϮϬϭϯĂŶĚϮϬϭϱĂŶĚƚŚĞƐŚĂƌĞŽĨĞŵƉůŽLJĞĞƐǁŽƌŬŝŶŐ ĨŽƌŵĞƌůLJƵŶŝŶƐƵƌĞĚŝŶĚŝǀŝĚƵĂůƐŝŶŽŶĞƐƚĂƚĞƚŚĂƚĞdžƉĂŶĚĞĚ ĂƚĮƌŵƐŽīĞƌŝŶŐƐƵĐŚĐŽǀĞƌĂŐĞƌĞŵĂŝŶĞĚƐƚĂďůĞ͘EĞŝƚŚĞƌĚŽĞƐ DĞĚŝĐĂŝĚĐŽǀĞƌĂŐĞǁŝƚŚĂŶŽƚŚĞƌƐƚĂƚĞƚŚĂƚĚŝĚŶŽƚŝŶĚŝĐĂƚĞƐ ƚŚĞƌĞĂƉƉĞĂƌƚŽďĞĂƐŚŝŌďLJĞŵƉůŽLJĞƌƐĨƌŽŵĨƵůůͲƟŵĞǁŽƌŬ ƐŽŵĞƉŽƐŝƟǀĞĐŚĂŶŐĞĂŵŽŶŐŝŶƐƵƌĞĚƐŝŶǁŚĂƚƚŚĞĂƵƚŚŽƌƐƚĞƌŵ ƚŽƉĂƌƚͲƟŵĞǁŽƌŬĞƌƐƚŽĂǀŽŝĚĞůŝŐŝďŝůŝƚLJĨŽƌ^/ƉůĂŶƐ͘/ŶĨĂĐƚ͕ ĂŵĂƐƐŝǀĞŶĂƚƵƌĂůĞdžƉĞƌŝŵĞŶƚ͘ ĂĐĐŽƌĚŝŶŐƚŽƚŚĞƌĞƐĞĂƌĐŚ͕ĮƌŵƐǁŝƚŚĂůĂƌŐĞƌƐŚĂƌĞŽĨůŽǁͲǁĂŐĞ ĞŵƉůŽLJĞĞƐ;ŵŽƌĞƚŚĂŶϯϱƉĞƌĐĞŶƚŽĨǁŽƌŬĞƌƐĞĂƌŶŝŶŐůĞƐƐƚŚĂŶ KƚŚĞƌďĞŶĞĮƚƐŽĨƚŚĞŵĞŶƟŽŶĞĚďLJWƌĞƐŝĚĞŶƚKďĂŵĂ ΨϮϯ͕ϬϬϬƉĞƌLJĞĂƌͿ͕͞ƚŚĞƉƌŽƉŽƌƟŽŶŽĨǁŽƌŬĞƌƐǁŚŽǁĞƌĞĞůŝŐŝďůĞ ŝŶĐůƵĚĞĂĐĐĞƐƐƚŽĂĐŽƌĞƐĞƚŽĨŚĞĂůƚŚƐĞƌǀŝĐĞƐ;ŝŶĐůƵĚŝŶŐ ĨŽƌĐŽǀĞƌĂŐĞĂĐƚƵĂůůLJŝŶĐƌĞĂƐĞĚƐŝŐŶŝĮĐĂŶƚůLJĨƌŽŵϲϮ͘ϯƉĞƌĐĞŶƚ ŵĂƚĞƌŶŝƚLJĐĂƌĞĂŶĚƚƌĞĂƚŵĞŶƚĨŽƌŵĞŶƚĂůŚĞĂůƚŚĂŶĚƐƵďƐƚĂŶĐĞ ƚŽϳϲ͘ϳƉĞƌĐĞŶƚ͟ĚƵƌŝŶŐƚŚŽƐĞLJĞĂƌƐ͕ĂůƚŚŽƵŐŚƚŚĞŽǀĞƌĂůůƐŚĂƌĞ ƵƐĞĚŝƐŽƌĚĞƌƐͿ͕ĐŽǀĞƌĂŐĞŽĨƌĞĐŽŵŵĞŶĚĞĚƉƌĞǀĞŶƟǀĞƐĞƌǀŝĐĞƐ ŽĨĞůŝŐŝďůĞĞŵƉůŽLJĞĞƐǁŚŽĂĐƚƵĂůůLJĞŶƌŽůůĞĚŝŶ^/ĐŽǀĞƌĂŐĞ ǁŝƚŚŽƵƚĐŽƐƚͲƐŚĂƌŝŶŐ͕ŝŶĐůƵĚŝŶŐǁŽŵĞŶ͛ƐƉƌĞǀĞŶƟǀĞƐĞƌǀŝĐĞƐ ĚĞĐůŝŶĞĚĨƌŽŵϴϲ͘ϰƉĞƌĐĞŶƚƚŽϴϬ͘ϮƉĞƌĐĞŶƚŝŶƚŚĂƚƉĞƌŝŽĚ͕ĐůŽƐĞƌ ƐƵĐŚĂƐĐŽŶƚƌĂĐĞƉƟǀĞĐŽǀĞƌĂŐĞĂŶĚƐĐƌĞĞŶŝŶŐĂŶĚĐŽƵŶƐĞůŝŶŐ ƚŽƚŚĞŶĂƟŽŶĂů͕ƵŶĐŚĂŶŐĞĚĂǀĞƌĂŐĞŽĨϳϵƉĞƌĐĞŶƚ͘ ĨŽƌĚŽŵĞƐƟĐĂŶĚŝŶƚĞƌƉĞƌƐŽŶĂůǀŝŽůĞŶĐĞ͕ƉƌŽƚĞĐƟŽŶĂŐĂŝŶƐƚ ĐĂƚĂƐƚƌŽƉŚŝĐĐŽƐƚƐ͕ĞůŝŵŝŶĂƟŽŶŽĨůŝĨĞƟŵĞůŝŵŝƚƐŽŶĐŽǀĞƌĂŐĞĂŶĚ ŵŽŶŐƚŚĞƉŽƚĞŶƟĂůƌĞĂƐŽŶƐĨŽƌƚŚĞůŽǁĞƌƚŚĂŶĞdžƉĞĐƚĞĚ ĐĂƉƐŝŶŵŽƐƚƉůĂŶƐŽŶĞŶƌŽůůĞĞƐ͛ĂŶŶƵĂůŽƵƚͲŽĨͲƉŽĐŬĞƚĞdžƉĞŶƐĞƐ͘ ĐŽƐƚƐĂƌĞĚŽǁŶƚƵƌŶƐŝŶƚŚĞďƵƐŝŶĞƐƐĐLJĐůĞƐ͕ďĞŚĂǀŝŽƌĐŚĂŶŐĞƐ ƚŚĂƚĂŶƟĐŝƉĂƚĞĚĐŽƐƚƐĂǀŝŶŐƐŝŶŝƟĂƟǀĞƐ͕ŝŶĐůƵĚŝŶŐƌĞĚƵĐĞĚ ƌ͘KƌnjĂŐĞdžĂŵŝŶĞƐƐŽŵĞƵŶĂŶƟĐŝƉĂƚĞĚƌĞƐƵůƚƐ͗ƐƵƌƉƌŝƐŝŶŐ ŚŽƐƉŝƚĂůƌĞĂĚŵŝƐƐŝŽŶƐ;ƌĞƐƵůƟŶŐĨƌŽŵĞīŽƌƚƐƵŶĚĞƌƚĂŬĞŶďLJ ƌĞĚƵĐƟŽŶŝŶDĞĚŝĐĂƌĞƐƉĞŶĚŝŶŐƉĞƌďĞŶĞĮĐŝĂƌLJƚŚƌŽƵŐŚ ŚŽƐƉŝƚĂůƐĞǀĞŶďĞĨŽƌĞƉĞŶĂůƟĞƐǁĞŶƚŝŶƚŽĞīĞĐƚ͊ͿĂŶĚůŽǁĞƌ ϮϬϭϰĂŶĚĂĚĞĐůŝŶĞŝŶŽǀĞƌĂůůŚĞĂůƚŚĐĂƌĞƐƉĞŶĚŝŶŐ͘,ĞĐŝƚĞƐ ƌĂƚĞƐŽĨŚŽƐƉŝƚĂůͲĂĐƋƵŝƌĞĚŝŶĨĞĐƟŽŶƐ͘KƚŚĞƌƐƵƌƉƌŝƐŝŶŐŽƵƚĐŽŵĞƐ͗ ĂZŽďĞƌƚtŽŽĚ:ŽŚŶƐŽŶ&ŽƵŶĚĂƟŽŶͲhƌďĂŶ/ŶƐƟƚƵƚĞĂŶĂůLJƐŝƐ ĂŶŝŶĐƌĞĂƐĞŽĨŽŶĞƚŚŝƌĚŝŶDĞĚŝĐĂƌĞĚǀĂŶƚĂŐĞĞŶƌŽůůŵĞŶƚ ƐƵŐŐĞƐƟŶŐŶĂƟŽŶĂůŚĞĂůƚŚĞdžƉĞŶĚŝƚƵƌĞƐǁŝůůďĞϭϭƉĞƌĐĞŶƚůŽǁĞƌ ĚĞƐƉŝƚĞĂƐŝŐŶŝĮĐĂŶƚƉĂLJŵĞŶƚƌĞĚƵĐƟŽŶĨŽƌƚŚĂƚƉƌŽŐƌĂŵĂŶĚ ƚŚĂŶƉƌŽũĞĐƚĞĚĨƌŽŵϮϬϭϰͲϭϵ͘KĨĐŽŶĐĞƌŶŝŶŽƵƌŽǁŶƐƚĂƚĞ͕ ƐƚĂďŝůŝƚLJŝŶĞŵƉůŽLJŵĞŶƚŽīĞƌĞĚŝŶƐƵƌĂŶĐĞĚĞƐƉŝƚĞƉƌĞĚŝĐƟŽŶƐ ŚŽǁĞǀĞƌ͕ŝƐĂϭϯƉĞƌĐĞŶƚĂǀĞƌĂŐĞŝŶĐƌĞĂƐĞŝŶƉƌĞŵŝƵŵƐĨŽƌƉůĂŶƐ ƚŚĂƚĞŵƉůŽLJĞƌƐǁŽƵůĚĞŶĚƐƵĐŚƉůĂŶƐ͕ƉŽƚĞŶƟĂůůLJƐĞŶĚŝŶŐ ƉƵƌĐŚĂƐĞĚƚŚƌŽƵŐŚŽǀĞƌĞĚĂůŝĨŽƌŶŝĂ;Ϳ͕ĂůƚŚŽƵŐŚŽĸĐŝĂůƐ ĞŵƉůŽLJĞĞƐƚŽƚŚĞŝŶƐƵƌĂŶĐĞĞdžĐŚĂŶŐĞƐŝŶƐƚĞĂĚ͘

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California Family Physician Fall 2016


Excellent Physician Opportunities Enjoy Work - Life Balance in the Gateway to the Sierras

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• Short distance to hiking in 2 National Parks • Numerous lakes • Biking, Fishing, Hunting, Golf, as well as other outdoor activities available

• Close to International airport • Excellent schools • Low cost of living • High Quality Medical Care

Now Seeking: Family Medicine • Internal Medicine Competitive compensation, signing bonus, annual physician bonus, malpractice coverage.

Please send CV to CVIH HR: 2740 Herndon Ave., Clovis, CA 93611 or email to hr@cvih.org

Central Valley Indian Health, Inc.

Hiring in accordance with Indian Pref. Act.

NAPA VALLEY WINE COUNTRY OUTPATIENT FP POSITIONS Hospital supported outpatient FP positions in desirable growing community of 135,000 nestled in the Napa Wine Country 45 minutes to San Francisco associated with award winning 200 bed health system. Refer inpatients to Hospitalist program. New and modern clinic facilities. Excellent 5 year salary guarantee, signing bonus, production bonus, benefits and relocation. High income projection.

314-984-0624 donohueandassoc@aol.com

FAMILY MEDICINE/PEDIATRIC MEDICINE

Vista Community Clinic With locations in Vista/No San Diego County, Lake Elsinore/So Riverside County and La Habra/Orange County Seeking: Full-time, part-time and per diem Family Medicine Physicians and Pediatricians. Requirements: California license, DEA license, CPR certification and board certified in family medicine. Bilingual English/Spanish preferred.

Contact c Us: Visitt our website at a ww www.vistacommunityclinic.org r Forward resume to hr@vistacommunityc t linic.org r or fax resume to 760-414-3702

UCSF FRESNO FAMILY MEDICINE FACULTY POSITION The UCSF Fresno Medical Education Program and Central California Faculty Medical Group (CCFMG) are recruiting for a physician to join the teaching faculty. The successful applicant should be board certified or board eligible in Family Medicine, have a license to practice medicine in the United States, and be eligible to obtain a California medical license. This position provides an opportunity for teaching, clinical research, and community practice. Proficiency in OB optional. Administrative/leadership opportunities are available. A competitive salary is offered. The program is based in Fresno, California, which offers a high standard of living combined with a low cost of living. The result is a quality of life uniquely Californian, yet surprisingly affordable. Fresno is a vibrant, growing city located in Central California. There is much to see and do in Fresno and the city is ideally located for fast, convenient getaways to the scenic Central Coast as well as the majestic Sierra Nevada mountains. Fresno is the only major city in the country with close proximity to three national parks, including renowned Yosemite National Park.

INTERESTED APPLICANTS PLEASE SEND CV AND 5 REFERENCES TO: Diane O’Connor • Diane.oconnor@ccfmg.org

California Family Physician Fall Fall2016 2016

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CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION 1520 PACIFIC AVE SAN FRANCISCO, CA 94109 -2627

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Keeping true to our mission MIEC has never lost sight of its original mission, always putting policyholders (doctors like you) first. For over 40 years, MIEC has been steadfast in our protection of California physicians with conscientious Underwriting, excellent Claims management and hands-on California Dividends as % of premiums Loss Prevention services; we’ve partnered with policyholders ($1m/$3m limits) to keep premiums low. 60%

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Profile for California Academy of Family Physicians

Fall 2016  

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