Spring 2020

VO L . 71 N O. 2 S p r i n g 2020

Watercolor by Elizabeth Covington, MD

in this issue: FAMILY PHYSICIANS, RESILIENCY AND THE POWER OF THE ARTS THE POWER OF ART ADVOCATING IN A COVID-19 WORLD

California Family Physician Spring 2020

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ϭϱϮϬ WĂĐŝĮĐ ǀĞŶƵĞ • San Francisco, California 94109 • www.familydocs.org Phone (415) 345-8667 • Fax (415) 345-8668 • E-mail: cafp@familydocs.org

Officers and Board President Walter Mills, MD, MMM Immediate Past President Lisa M. Ward, MD, MScPH, MS President-elect ĂǀŝĚ ĂnjnjŽ͕ D Speaker Shannon Connolly, MD Vice-Speaker Lauren Simon, MD, MPH Secretary/Treasurer ZĂƵů LJĂůĂ͕ D Chief Executive Officer Lisa Folberg, MPP Foundation President Marianne McKennett, MD AAFP Delegates Jeff Luther, MD ĂƌŽů ,ĂǀĞŶƐ͕ D AAFP Alternates Jay W. Lee, MD, MPH Lee Ralph, MD CMA Delegation ZĂƵů LJĂůĂ͕ D <ŝŵďĞƌůLJ ƵƐƐ͕ D ͕ DW, Jay W. Lee, MD, MPH &Ğůŝdž EƵŶĞnj͕ D ͕ DW, <ĞǀŝŶ ZŽƐƐŝ͕ D

Staff Lisa Folberg, MPP

Chief Executive Officer lfolberg@familydocs.org

ŽŶƌĂĚ ŵĞŶƚĂ

Director, Health Policy and Strategic Engagement camenta@familydocs.org

DŽƌŐĂŶ ůĞǀĞůĂŶĚ

Manager, Operations|Governance and FP-PAC mcleveland@familydocs.org

:Ğƌƌŝ ĂǀŝƐ͕ , W

Director, CME/CPD jdavis@familydocs.org

ĚĂŵ &ƌĂŶĐŝƐ

Director, Government Affairs afrancis@familydocs.org

Melissa Grindstaff

Manager, Member Engagement mgrindstaff@familydocs.org

ƌůĂŶŶĂ ,ĞŶƌLJ

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^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ͕ ͕ & ,W Deputy Executive Vice President srodrigues@familydocs.org

YƵĞƐƟŽŶƐ͍ Ăůů ϴϴϴͲϴϴϰͲϴϮϰϮ ĂŶĚ a HEALTHeCAREERS ƌĞƉƌĞƐĞŶƚĂƟǀĞ ǁŝůů ŚĞůƉ LJŽƵ͘

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Brent Sugimoto, MD, Editor Josh Lunsford, Managing Editor Shelly Rodrigues, CAE, Consulting Editor

The California Family Physician is published quarterly by the California Academy of Family Physicians. Opinions are those of the authors and not necessarily those of the members and staff of the CAFP. Non-member subscriptions are $35 per year.

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California Family Physician Spring 2020

pcipublishing.com Created by Publishing Concepts, Inc. David Brown, President • dbrown@pcipublishing.com 800.561.4686 ext 103 For Advertising info contact Michelle Gilbert • 800.561.4686 ext 120 mgilbert@pcipublishing.com EDITION 34

Catherine Sonquist Forest, MD, MPH Santa Cruz Chapter

S p r i n g 2020

My orchids don’t know dŚĞ ǁŽƌůĚ ŝƐ ƚŽƉƐLJ ƚƵƌǀLJ KƵƚƐŝĚĞ ƌĂŝŶ ƐƟůů ĨĂůůƐ See more on page 18 for Family Physicians, Resiliency and the Power of the Arts

features 14 The Power of Art

Moazzum Bajwa, MD

18 Family Physicians, Resiliency and the Power of the Arts 24 Looking at Family Medicine Through Mentorship and Peer Learning

Elizabeth Sophy, MD and Pamela Mann, MPH

departments 6

Editorial

The Elements of Our Nest Behave Collectively

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President’s Message

Artists of Family Medicine: Accessing the Healer’s Soul in the Time of COVID-19

10 Political Pulse

Brent Sugimoto, MD, MPH Walt Mills, MD

Advocating in a COVID-19 World

Carla Kakutani, MD

12 In The News 28 Advocacy Update

While COVID-19 Is Important, CAFP Keeps Its Eyes on the Prize

Adam Francis

30 CEO Message

Understanding the Importance of Creativity in Challenging Times

Lisa Folberg, MPP

&Žƌ ƵƉĐŽŵŝŶŐ D ĂĐƟǀŝƟĞƐ ǀŝƐŝƚ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĐŵĞ California Family Physician Spring 2020

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editorial

Brent K. Sugimoto, MD, MPH, FAAFP

The Elements of Our Nest Behave Collectively dŚŝƐ ŵĂLJ ŚĂƉƉĞŶ ƚŽ LJŽƵ͕ ĂƐ ŝƚ ŽĨƚĞŶ ĚŽĞƐ ǁŝƚŚ ŵĞ͘ /Ŷ ƚŝŵĞƐ ŽĨ ĚŝƐƌƵƉƚŝŽŶ͕ ƚŚĞ ŵŽƐƚ ĚŝƐĐŽŶŶĞĐƚĞĚ ƌĞĐŽůůĞĐƚŝŽŶƐ ƐŽŵĞŚŽǁ ƌĞƐƵƌĨĂĐĞ ƚŽ ŵLJ ĐŽŶƐĐŝŽƵƐŶĞƐƐ͘ /ŶĚĞĞĚ͕ ƚŚĞƐĞ ĂƌĞ ƚŚĞ superlative of strange, terrifying and disruptive times. ^ĞǀĞƌĂů ŵŽŶƚŚƐ ĂŐŽ͕ ŵLJ ĚĂƵŐŚƚĞƌ ĂŶĚ / ŚĂĚ ďĞĞŶ ŽŶ Ă ǁĂůŬ ƚŚƌŽƵŐŚ ŽƵƌ ŶĞŝŐŚďŽƌŚŽŽĚ͕ ǁŚĞƌĞ ĨŽƌ Ă ĨŽƵƌͲLJĞĂƌͲŽůĚ͕ Ă ƐƵďƵƌďĂŶ ƚƌĂĐƚ ŽĨ ůŽǁͲƐůƵŶŐ ƉŽƐƚͲǁĂƌ ŚŽƵƐĞƐ ǁĂƐ ƌĞƉůĞƚĞ ǁŝƚŚ ĞŶĚůĞƐƐůLJ ĞŵĞƌŐŝŶŐ ƐŝŐŚƚƐ ĨŽƌ ŝŶƐƉĞĐƚŝŽŶ͕ ƌĞĨůĞĐƚŝŽŶ ĂŶĚ ǁŽŶĚĞƌ͘ ,Ğƌ ŽďũĞĐƚ ŽĨ ĞŶĚƵƌŝŶŐ ĂĨĨĞĐƚŝŽŶ ŚĂƐ ďĞĞŶ ƚŚĞ >ŝůLJ ŽĨ ƚŚĞ EŝůĞ͕ ǁŚŝĐŚ ƐŚĞ ƌĞĨĞƌƐ ƚŽ ďLJ ŝƚƐ >ŝŶŶĂĞĂŶ ŶĂŵĞ Agapanthus. Agapanthus gets a shout-out from my daughter ĞǀĞƌLJ ƚŝŵĞ ǁĞ ƉĂƐƐ Ă LJĂƌĚ ŐƌĂĐĞĚ ďLJ ŝƚƐ ƉůĂŶƚŝŶŐ ŽĨ ƚŚĞ ďůƵĞͲ ǀŝŽůĞƚ ĐůƵƐƚĞƌƐ ŽĨ ƐƚĂƌͲƐŚĂƉĞĚ ƚƌƵŵƉĞƚƐ ƚŚƌƵƐƚ ƵƉǁĂƌĚ ŽŶ ƚŚĞŝƌ ƐůĞŶĚĞƌ ŐƌĞĞŶ ƐƚĂůŬƐ͘ dŚŝƐ ƉĂƌƚŝĐƵůĂƌ ǁĂůŬ ǁĂƐ ĚŝĨĨĞƌĞŶƚ͘ Ɛ ǁĞ ƐƚƌŽůůĞĚ ŽŶ Ă ƐƚƌĞƚĐŚ ŽĨ ƐŝĚĞǁĂůŬ ƐŚĂĚĞĚ ďLJ Ă ĐĂŶŽƉLJ ŽĨ ŽǀĞƌŚĂŶŐŝŶŐ branches, my daughter spotted a novelty on the ground. ƚ ĨŝƌƐƚ ŝƚ ůŽŽŬĞĚ ůŝŬĞ Ă ƚŝŶLJ ƚƵŵďůĞǁĞĞĚ͕ Žƌ ƉĞƌŚĂƉƐ͕ Ă ůĂƌŐĞ ďƌŽǁŶ ĚƵƐƚ ďƵŶŶLJ ƚŚĂƚ ŚĂĚ ĞƐĐĂƉĞĚ ĂŶ ƵŶƐǁĞƉƚ ŚŽƵƐĞ͘ /ƚ ǁĂƐ Ă ďŝƌĚ͛Ɛ ŶĞƐƚ͘ tĞ ďŽƚŚ ƐƚĂƌĞĚ ǁŽƌĚůĞƐƐůLJ͘ /ƚ ǁĂƐ ƉĞƌĨĞĐƚ ŝŶ ƐLJŵŵĞƚƌLJ ĂŶĚ ƐŚĂƉĞ Ͷ ŚĂůĨ Ă ŚŽůůŽǁĞĚ ŽƵƚ ƐƉŚĞƌĞ ǁŝƚŚ ŝƚƐ ĐĞŶƚĞƌ ŝŶĚĞŶƚ ĂƐ ŝĨ ŵŽůĚĞĚ ďLJ ĂŶ Žƌď͘ /ƚ ǁĂƐ ĞdžƉĞƌƚůLJ ǁŽǀĞŶ͕ ƉŝŶĞ needles and other pieces of fiber interlaced in a disorderly ĨĂƐŚŝŽŶ͕ LJĞƚ ǁŝƚŚ ƚŚĞ ƌĞƐƵůƚ ŽĨ Ă ƉĞƌĨĞĐƚ ƐŚĂƉĞ͘ /ƚ ƐĞĞŵĞĚ impossible that any being could so precisely craft an object ǁŝƚŚŽƵƚ ŵĂĐŚŝŶĞ͕ ďƵƚ ŚĞƌĞ ǁĂƐ ƚŚĞ ƉƌŽŽĨ͘ ^ŽŵĞƚŚŝŶŐ ǁŚŽƐĞ construction from such delicate materials should have been ŽĨ ĞǀĂŶĞƐĐĞŶƚ ďĞĂƵƚLJ͕ LJĞƚ Ăƚ ƐŽŵĞ ƉŽŝŶƚ ƚŚŝƐ ǁĂƐ Ă ŚŽŵĞ ǁŝƚŚ ƚŚĞ ƐƚƌĞŶŐƚŚ ƚŽ ƐƵƐƚĂŝŶ Ă ĨĂŵŝůLJ͘ Ɛ / ǁƌŝƚĞ ƚŚŝƐ͕ ŵLJ ŚŽƵƐĞ ŝƐ ŽŶ ĚĂLJ ƚŚƌĞĞ ŽĨ ůŽĐŬĚŽǁŶ͕ ƚŚĞ ĚĂLJ 'ŽǀĞƌŶŽƌ 'ĂǀŝŶ EĞǁƐŽŵ ĞdžƉĂŶĚĞĚ ͞ƐŚĞůƚĞƌͲŝŶͲƉůĂĐĞ͟ ƚŽ ŝŶĐůƵĚĞ Ăůů ϰϬ ŵŝůůŝŽŶ ƌĞƐŝĚĞŶƚƐ ŽĨ ĂůŝĨŽƌŶŝĂ ŝŶ ŽƌĚĞƌ ƚŽ ƐůŽǁ ĚŽǁŶ Ks/ Ͳϭϵ͘ DLJ ĚĂƵŐŚƚĞƌ ĂƐŬƐ ƐĞǀĞƌĂů ƚŝŵĞƐ Ă ĚĂLJ ǁŚLJ ƚŚĞƌĞ ŝƐ ŶŽ ƐĐŚŽŽů͘ / ĚŽ ŶŽƚ ǁĂŶƚ ƚŽ ƚĞƌƌŝĨLJ ŚĞƌ ďLJ ƚĞĂĐŚŝŶŐ ŚĞƌ ƚŚĂƚ ƚŚĞ ǁŽƌůĚ ĐĂŶ ŚĂǀĞ ƚŚŝŶŐƐ ůŝŬĞ ƉĂŶĚĞŵŝĐƐ͘ ^ŚĞ

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California Family Physician Spring 2020

ĂĐĐĞƉƚƐ ŵLJ ĞdžƉůĂŶĂƚŝŽŶ ƚŚĂƚ ƚŚŝƐ ŝƐ ŽŶĞ ǁĂLJ ǁĞ ĂƌĞ ƚƌLJŝŶŐ ƚŽ help her friends, our neighbors, the community. /ƚ ĨĞĞůƐ ŝŵƉŽƐƐŝďůĞ ƚŚĂƚ ŽƵƌ ƐŵĂůů ĞĨĨŽƌƚƐ Ăƚ ŽƌĚĞƌ ĐŽƵůĚ ďĞ ŵƵĐŚ ŽĨ Ă ƐĂůǀĞ ĨŽƌ ƐƵĐŚ Ă ĐŚĂŽƚŝĐ ƉůĂĐĞ͘ dŚŝƐ ƐĞĞŵƐ ůŝŬĞ Ă ŐĂƉŝŶŐ ĨůĂǁ ŝŶ ƚŚĂƚ ƌĞĂƐŽŶŝŶŐ͘ dŚŝƐ ďƌŝŶŐƐ ŵĞ ďĂĐŬ ƚŽ ďŝƌĚ͛Ɛ ŶĞƐƚƐ͘ ďŝƌĚ͛Ɛ ŶĞƐƚ ĂƉƉĞĂƌ ƚŽ ďĞ ĐŽŶƐƚƌƵĐƚĞĚ ŝŶ Ă ĚŝƐŽƌĚĞƌůLJ ǁĂLJ͕ Ă ͞ƐƚŝĐŬ ďŽŵď͟ ƚŚĂƚ ƐŽŵĞŚŽǁ ƐƚĂLJƐ ƚŽŐĞƚŚĞƌ ƚŚƌŽƵŐŚ ĞŶŽƵŐŚ ƉŽƚĞŶƚŝĂů ĞŶĞƌŐLJ ƚŽ ŬĞĞƉ ŝƚ ƐƚƌƵĐƚƵƌĂůůLJ ƐŽƵŶĚ͘ zĞƚ͕ tĞŝŶĞƌ Ğƚ Ăů͕͘ ;ϮϬϮϬͿ Ăƚ ƚŚĞ hŶŝǀĞƌƐŝƚLJ ŽĨ ŬƌŽŶ͕ ĨŽƵŶĚ ƚŚĂƚ ĞǀĞŶ ǁŚĞŶ ƉĂĐŬĞĚ ƚŽŐĞƚŚĞƌ ƌĂŶĚŽŵůLJ͕ ƚŚĞ ĞůĞŵĞŶƚƐ ŽĨ Ă ďŝƌĚ͛Ɛ ŶĞƐƚ ďĞŚĂǀĞ ĐŽůůĞĐƚŝǀĞůLJ͘ Each and every one of our efforts to improve the lives ŽĨ ŽƚŚĞƌƐ ŵĂŬĞƐ Ă ĚŝĨĨĞƌĞŶĐĞ͘ ĂĐŚ ŝŶĚŝǀŝĚƵĂů ĂĐƚŝŽŶ ĂƐ Ă reflection of our collective dedication to our patients, their families, our communities and our colleagues redounds to ƚŚĞ ǁŚŽůĞ͖ ŝƚ ŵĂŬĞƐ ƵƐ ƐƚƌŽŶŐĞƌ͘ dŚŽƐĞ ŽĨ LJŽƵ ǁŚŽ ǁĞƌĞ able to participate in the first virtual All Members Advocacy DĞĞƚŝŶŐ ŚĂĚ ƚŚĞ ƉůĞĂƐƵƌĞ ŽĨ ŚĞĂƌŝŶŐ &W ^ƉĞĂŬĞƌ ƌ͘ ^ŚĂŶŶŽŶ ŽŶŶŽůůLJ͕ ǁŚŽ ŽĨĨĞƌĞĚ Ă ƉƌŽĨŽƵŶĚ ƌĞĨůĞĐƚŝŽŶ ĂďŽƵƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĚƵƌŝŶŐ Ks/ Ͳϭϵ͘ / ǁŝƐŚ / ŚĂĚ ŚĞƌ ĞdžĂĐƚ ǁŽƌĚƐ͕ ƐĂŝĚ ƐŽ ĞůŽƋƵĞŶƚůLJ͕ ĂŶĚ ƚŽ ǁŚŝĐŚ / ǁŝůů ĚŽ little justice. But, to paraphrase, she said, in the face of ƚŚĞ ƉƌĞǀĂůĞŶƚ ĂŶdžŝĞƚLJ ƚŚŽƐĞ ŝŶ ƐĞƌǀŝĐĞ ƉƌŽĨĞƐƐŝŽŶƐ ǁŽƵůĚ ĚŽ ǁĞůů ƚŽ ƌĞŵĞŵďĞƌ ƚŚĂƚ ƚŚŝƐ ŝƐ ǁŚĂƚ ǁĞ͛ǀĞ ƐƉĞŶƚ ŽƵƌ lives preparing for, and this may prove to be the pinnacle of our careers.

Whatever our role, small or large, it all serves to hold the ŐŽŽĚ ƚŽŐĞƚŚĞƌ͘ / ŬŶŽǁ ƚŚĂƚ LJŽƵ͕ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ŬŶŽǁ ƚŚŝƐ͘ Ƶƚ ŝƚ͛Ɛ ŶŝĐĞ ƚŽ ŬŶŽǁ ŝƚ ŵĂLJ ŶŽƚ ũƵƐƚ ďĞ ĂŶ ĞƚŚŽƐ͕ ŝƚ ŵĂLJ ďĞ Ă ůĂǁ ŽĨ ŶĂƚƵƌĞ͕ ƚĂŬŝŶŐ ƐŚĂƉĞ ƚŚƌŽƵŐŚŽƵƚ ŽƵƌ ǁŽƌůĚ ŝĨ ǁĞ ůŽŽŬ Ͷ ĞǀĞŶ ŝŶ Ă ďŝƌĚ͛Ɛ ŶĞƐƚ͘ References ϭ͘ tĞŝŶĞƌ͕ E͕͘ z͘ ŚŽƐĂůĞ͕ D͘ 'ĂnjnjŽůĂ͕ ,͘ <ŝŶŐ͘ DĞĐŚĂŶŝĐƐ ŽĨ ƌĂŶĚŽŵůLJ ƉĂĐŬĞĚ ĨŝůĂŵĞŶƚƐͶdŚĞ ͞ďŝƌĚ ŶĞƐƚ͟ ĂƐ ŵĞƚĂͲŵĂƚĞƌŝĂů͘ Journal of Applied Physics 127͕ ϬϱϬϵϬϮ ;ϮϬϮϬͿ͖ ŚƚƚƉƐ͗ͬ​ͬĚŽŝ͘ ŽƌŐͬϭϬ͘ϭϬϲϯͬϭ͘ϱϭϯϮϴϬϵ

California Family Physician Spring 2020

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p r e s i d e n t ’s m e s s a g e

Walt Mills, MD, MMM

Artists of Family Medicine: Accessing the Healer’s Soul in the Time of COVID-19 Ɛ / ǁƌŝƚĞ ŵLJ ĮŶĂů ƉƌĞƐŝĚĞŶƚ͛Ɛ ŵĞƐƐĂŐĞ͕ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ƚŚĞ ŚƵŵĂŶ ƌĂĐĞ ŝƐ ŝŶ ƚŚĞ ĞĂƌůLJ ĞdžƉĞƌŝĞŶĐĞƐ ŽĨ Ă ƉĂŶĚĞŵŝĐ͘ / Ăŵ ŚƵŵďůĞĚ ƚŚĂƚ ĚĞƐƉŝƚĞ ůŝǀŝŶŐ ŝŶ Ă ƟŵĞ ŽĨ ͞ĚĞĞƉ ĚĂƚĂ͟ ĂŶĚ ŝŶĐƌĞĚŝďůĞ ƚĞĐŚŶŽůŽŐLJ͕ / ĐĂŶŶŽƚ ƉƌĞƐĂŐĞ ŽƵƌ ĨƵƚƵƌĞ ĨŽƌ LJŽƵ͘ tŚŝůĞ ƉƌŽŐŶŽƐƟĐĂƟŽŶ ŝƐ ĞůƵƐŝǀĞ͕ / ĚŽ ŬŶŽǁ ƚŚĞƌĞ ŚĂƐ ŶĞǀĞƌ ďĞĞŶ Ă ƟŵĞ ŶĞĞĚŝŶŐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ fully apply our healing arts more.

ƚŚĞŝƌ ŽǁŶ ƵŶŝƋƵĞ ƐƚLJůĞ ŽĨ ƉƌĂĐƟĐĞ͕ ƚŚĞŝƌ ĞdžƉƌĞƐƐŝŽŶ ŽĨ ĚĞĚŝĐĂƟŽŶ͕ ĐŽŵƉĂƐƐŝŽŶ͕ ĂŶĚ ĞǀĞŶƚƵĂůůLJ ƚŚĞŝƌ ͞ŚĞĂůĞƌ͛Ɛ Ăƌƚ͘͟ /Ŷ ƚŚŝƐ ƟŵĞ ŽĨ Ks/ ϭϵ͕ ĞǀĞƌLJ ƉĂƟĞŶƚ ĞŶĐŽƵŶƚĞƌ͕ ƚĞƐƚ͕ ŽƌĚĞƌ͕ ĂŶĚ ƉĂƟĞŶƚ ŶĂƌƌĂƟǀĞ ďĞĐŽŵĞƐ Ă ĐƌĞĂƟŽŶ ŽĨ ƐŽƌƚƐ ĨŽƌ ĞĂĐŚ ŽĨ ƵƐ͘

^ŝƌ tŝůůŝĂŵ KƐůĞƌ͕ ƚŚĞ ĨĂƚŚĞƌ ŽĨ ŵŽĚĞƌŶ ŵĞĚŝĐŝŶĞ͕ ƐĂŝĚ͕ ͞dŚĞ ŐŽŽĚ ƉŚLJƐŝĐŝĂŶ ƚƌĞĂƚƐ ƚŚĞ ĚŝƐĞĂƐĞ͖ ƚŚĞ ŐƌĞĂƚ ƉŚLJƐŝĐŝĂŶ ƚƌĞĂƚƐ ƚŚĞ ƉĂƟĞŶƚ &ĂŵŝůLJ ŵĞĚŝĐŝŶĞ ǁĂƐ ďƵƚ Ɛŝdž LJĞĂƌƐ ŽůĚ ŝŶ ϭϵϳϱ ǁŚĞŶ / ͞ĚŝƐĐŽǀĞƌĞĚ͟ ǁŚŽ ŚĂƐ ƚŚĞ ĚŝƐĞĂƐĞ͘͟ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƉƌĂĐƟĐĞ ŽƵƌ ĂƌƞƵů ŽƵƌ ƐƉĞĐŝĂůƚLJ ĂƐ Ă ĮƌƐƚͲLJĞĂƌ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ Ăƚ h ^ ͘ /ƚ ǁĂƐ ƚŚĞ ďŽůĚ ďƌĂŶĚ ŽĨ ŵĞĚŝĐŝŶĞ ŚĂǀĞ ĂůǁĂLJƐ ƐŽƵŐŚƚ ƚŚĂƚ KƐůĞƌŝĂŶ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ĚĞĐůĂƌĂƟŽŶ ͞ǁĞ ĂƌĞ Ă ďŝŽƉƐLJĐŚŽƐŽĐŝĂů ƐƉĞĐŝĂůƚLJ͟ ƚŚĂƚ ĞdžĐŝƚĞĚ ŵĞ͘ ƚŽ ŚĞĂůĞƌ͕ ǁŚĞƌĞ ǁĞ ďĞĐŽŵĞ ŶŽ ůŽŶŐĞƌ ƚŚĞ ĚŝƐƉĞŶƐĞƌ ŽĨ ƚŚĞƌĂƉŝĞƐ /ƚ ƐŽƵŶĚĞĚ ͞ŚŽůŝƐƟĐ͟ ƚŽ ŵĞ ĂƐ / ǁĂƐ ĞĂƌůLJ ŝŶ ŵLJ ŽǁŶ ƐƚƵĚLJ ŽĨ ƚŚĞ ďƵƚ ƌĂƚŚĞƌ ƚŚĞ ĞŵďŽĚŝŵĞŶƚ ŽĨ ƚŚĞƌĂƉLJ͘ dŝŶƐůĞLJ ,ĂƌƌŝƐŽŶ͛Ɛ ;ŵĂŶLJ ŵŝŶĚͲďŽĚLJͲƐƉŝƌŝƚ ĐŽŶŶĞĐƟŽŶ͘ / ĐŽŵƉůĞƚĞĚ Ă ƉĂƉĞƌ ŽŶ ƚŚĞ ͞^ĐŝĞŶĐĞ ƌĞŵĞŵďĞƌ ͞,ĂƌƌŝƐŽŶ͛Ɛ dĞdžƚŬ ŽĨ DĞĚŝĐŝŶĞ͟Ϳ ƉƌĞĚŝĐƚĞĚ Ă ŽĨ ƌĞĂƟǀĞ /ŶƚĞůůŝŐĞŶĐĞ͟ ƚŚĂƚ ƐƵŵŵĞƌ ŝŶ ǁŚŝĐŚ / ƉŽƐŝƚĞĚ ƚŚĂƚ ŝĨ ͞ƉŚLJƐŝĐŝĂŶ͛Ɛ ĚĞƐƟŶLJ ŝƐ ƚŚĞ ĞŶĚͲƉŽŝŶƚ ŽĨ ĂŶ Ăƌƚ ǁĞůů ŵĂƐƚĞƌĞĚ͘͟ ǁĞ ďĞĐĂŵĞ ͞ĞŶůŝŐŚƚĞŶĞĚ ĂƐ Ă ƐŽĐŝĞƚLJ͟ ǁĞ ĐŽƵůĚ ŵĂŬĞ ŵĞĚŝĐŝŶĞ /Ŷ ƚŚĞŝƌ Ŭ ͞^ŽƵů DĞĚŝĐŝŶĞ͟ ƌƐ͘ EŽƌŵĂŶ ^ŚĞĂůLJ ĂŶĚ ĂǁƐŽŶ ŽďƐŽůĞƚĞ͕ ĂƉƉĞĂůŝŶŐ ƚŽ ƚŚĞ ƐŽƵƌĐĞ ŽĨ ŝůůŶĞƐƐ ƌĂƚŚĞƌ ƚƌĞĂƟŶŐ ƚŚĞ ŚƵƌĐŚĚĞƐĐƌŝďĞ ŚĞĂůĞƌƐ ĂƐ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ͞ƚLJƉŝĐĂůůLJ ŚĂǀĞ ƐƚƌŽŶŐ ƐLJŵƉƚŽŵƐ ŽĨ ŚƵŵĂŶ ĚŝƐĞĂƐĞ͘ ZĞǀŽůƵƟŽŶĂƌLJ ƚŚŝŶŬŝŶŐ ŝŶ ϭϵϳϱ͘ dŚŽƵŐŚ ƐƉŝƌŝƚƵĂů ƉƌĂĐƟĐĞƐ ĂŶĚ ďĞůŝĞĨ ƐLJƐƚĞŵƐ ĂŶĚ ǁŚŽ ƌĞŐƵůĂƌůLJ ŝŶĚƵĐĞ ŶŽƚ ŝŶ ŵLJ ǀĞƌŶĂĐƵůĂƌ ƚŚĞŶ͕ / ŶŽǁ ĂƉƉƌĞĐŝĂƚĞ ƚŚĂƚ ǁĂƐ ǁŚĞŶ / ũŽŝŶĞĚ ĨĞĞůŝŶŐƐ ŽĨ ƉĞĂĐĞ ĂŶĚ ƚƌĂŶƋƵŝůŝƚLJ ǁŝƚŚŝŶ ƚŚĞŵƐĞůǀĞƐ͘ WŚLJƐŝĐŝĂŶƐ ǁŚŽ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞǀŽůƵƟŽŶ͊ ŵƵůƟͲůĂLJĞƌĞĚ ƌĞǀŽůƵƟŽŶ ǁŚŽƐĞ ŚĂǀĞ ƉĞƌĨĞĐƚĞĚ ƚŚĞŝƌ Ăƌƚ ŚĂǀĞ Ă ƐƉŝƌŝƚƵĂů ƉƌĂĐƟĐĞ ĨŽĐƵƐĞĚ ŽŶ ůŽǀĞ ĐŽƌĞ ŝƐ Ăƌƚ ĂŶĚ ƚŚĞ ŚĞĂůĞƌ͛Ɛ ƐŽƵů͘ ĂŶĚ ŐƌĂƟƚƵĚĞ͘ WĂƟĞŶƚƐ ďĞůŝĞǀĞ ŝŶ ƚŚĞŵ͕ ƚƌƵƐƚ ƚŚĞŵ ĂŶĚ ƚŚĞŝƌ ŵĞƌĞ ƉƌĞƐĞŶĐĞ ŝŶĚƵĐĞƐ ŚĞĂůŝŶŐ͘͟ Psychology, mind-body medicine, and the study of consciousness pulled me beyond organ physiology and pharmacology early in / ĐĂŶŶŽƚ ƉƌĞƐĂŐĞ ƚŚĞ ĨƵƚƵƌĞ͕ ĂƐ ƚĞŶƵŽƵƐ ĂƐ ŝƚ ĂƉƉĞĂƌƐ ĂƐ / ǁƌŝƚĞ ƚŚŝƐ ŵLJ ĐĂƌĞĞƌ͕ ŝŶƚŽ ƚŚĞ ƐƚƵĚLJ ŽĨ ƚŚĂƚ ƵŶŝĮĞĚ ĮĞůĚ ƚŚĂƚ ĂŶŝŵĂƚĞƐ ůŝǀŝŶŐ ƉŝĞĐĞ ĨŽƌ LJŽƵ ŝŶ ƚŚĞ ƟŵĞ ŽĨ Ks/ Ͳϭϵ͘ / ĐĂŶ ƚĞůů LJŽƵ ƚŚĞ ƉĂƐƐŝŽŶ͕ ůŽǀĞ ďĞŝŶŐƐ͘ DLJ ĐĞƌƟĮĐĂƟŽŶ ŝŶ ϭϵϴϴ ŝŶ LJƵƌǀĞĚŝĐ DĞĚŝĐŝŶĞ ;ƐĂŶƐŬƌŝƚ ĨŽƌ ĂŶĚ ĞŶĞƌŐLJ ƚŚĂƚ ďƌŽƵŐŚƚ ƵƐ ĞĂĐŚ ŝŶƚŽ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ŝŶ ƚŚĞ ĮƌƐƚ ƚŚĞ ͞ƐĐŝĞŶĐĞ ŽĨ ůŝĨĞ͟Ϳ͕ ƚĂƵŐŚƚ ŵĞ ƚŽ ƌĞƐƉĞĐƚ ƚŚĞ ŝŶĚŝǀŝĚƵĂů ƉƌĂŬƌŝƟ ƉůĂĐĞ͕ ǁŝůů ďĞ Ă ĚĞƚĞƌŵŝŶŝŶŐ ƉĂƌƚ ŽĨ ŽƵƌ ĞǀĞŶƚƵĂů ƐƵĐĐĞƐƐ ĂƐ ǁĞ ĞĂĐŚ ;ŵŝŶĚͲďŽĚLJ ƚLJƉĞͿ ŽĨ ĞĂĐŚ ƉĂƟĞŶƚ ĂƐ ĨŽƵŶĚĂƟŽŶĂů ƚŽ ŚĞĂůŝŶŐ ;ďĞĨŽƌĞ ĮŶĚ ŽƵƌ ǁĂLJ ƚŽ ǁŽƌŬ ŝŶ ƌĞƐƚŽƌŝŶŐ ŚĞĂůƚŚ ƚŽ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐŽ ͞ƉĂƟĞŶƚ ĐĞŶƚĞƌĞĚ͟ ǁĂƐ Ă ƚĞƌŵͿ͘ /ƚ ĂůƐŽ ƚĂƵŐŚƚ ŵĞ ƚŽ ƌĞƐƉĞĐƚ ŽƵƌ ĚĞĞƉůLJ ĐĂƌĞ ĨŽƌ͘ ƌƚ ŵĂLJ ďĞ ŝŶĨŽƌŵĞĚ ďLJ ƐĐŝĞŶĐĞ͕ ďƵƚ ŝƚ ǁŝůů ďĞ LJŽƵ ŝŶƚĞƌĐŽŶŶĞĐƚĞĚŶĞƐƐ ǁŝƚŚ ĞĂĐŚ ŽƚŚĞƌ ĂŶĚ ƚŚĞ ƌĞƐƚ ŽĨ ĐƌĞĂƟŽŶ ŝŶ ĂƐ ĂƌƟƐƚƐ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ĂĐĐĞƐƐŝŶŐ ƚŚĞ ŚĞĂůĞƌ͛Ɛ ƐŽƵů ƚŚĂƚ ǁŝůů ŝƚƐ ĨŽƌŵĂůŝnjĞĚ ƚŚĞŽƌŝĞƐ ƐƚĂƟŶŐ ƚŚĂƚ ͞ĂƐ ŝƐ ƚŚĞ ŵŝĐƌŽĐŽƐŵ͕ ƐŽ ŝƐ ƚŚĞ ƵůƟŵĂƚĞůLJ ƚƌŝƵŵƉŚ ŝŶ ƚŚŝƐ ƵŶƉƌĞĐĞĚĞŶƚĞĚ ƟŵĞ ŽĨ ŶĞĞĚ͘ WůĞĂƐĞ ƚĂŬĞ ŵĂĐƌŽĐŽƐŵ͘͟ ƟŵĞ ƚŽ ďƌĞĂƚŚ͕ ƌĞůĂdž͕ ƌĞŵĞŵďĞƌ ǁŚŽ LJŽƵ ĂƌĞ͕ ĂŶĚ ƉƌĂĐƟĐĞ LJŽƵƌ Ăƌƚ from that source of healing. / ŚŽŶĞĚ ŵLJ ĚŝĂŐŶŽƐƟĐ ĂŶĚ ƚƌĞĂƚŵĞŶƚ ƐŬŝůůƐ ǁŝƚŚ ƚŚŝƐ ͞ĐŽŵƉůĞŵĞŶƚĂƌLJ Ăƌƚ ŽĨ ŵĞĚŝĐŝŶĞ͟ ŝŶ ,/s ĐůŝŶŝĐƐ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ͘ / ĞŵďƌĂĐĞĚ ƚŚĞ ĞĂƌůLJ dŚĂŶŬ LJŽƵ ĨŽƌ LJŽƵƌ ƐĂĐƌĞĚ ǁŽƌŬ͘ WůĞĂƐĞ ƚĂŬĞ ĐĂƌĞ ŽĨ LJŽƵƌƐĞůǀĞƐ͘ ͞ƐĐŝĞŶƟĮĐ͟ ĂŶƟƌĞƚƌŽǀŝƌĂůƐ͕ ǁŚŝĐŚ ƌĞƉůĂĐĞĚ ƚŚĞ ŐŽŽĚ ŝŶƚĞŶƟŽŶƐ ŽĨ ŵLJ ĞīŽƌƚƐ ǁŝƚŚ ŵŝƌĂĐƵůŽƵƐ ƌĞŵŝƐƐŝŽŶƐ ŝŶ ǁŚĂƚ ŚĂĚ ďĞĞŶ Ă ƵŶŝǀĞƌƐĂůůLJ References: ĚĞĂĚůLJ ĚŝƐĞĂƐĞ͘ >ŝŬĞǁŝƐĞ͕ / ƉƌĂLJ ƚŚĂƚ ďŝŽŵĞĚŝĐŝŶĞ ǁŝůů ƋƵŝĐŬůLJ ƉƌŽǀŝĚĞ ϭ͘ Mambu, J. Restoring the Art in Medicine Am J of Med, December ϮϬϭϳ sŽůƵŵĞ ϭϯϬ͕ /ƐƐƵĞ ϭϮ͕ WĂŐĞƐ ϭϯϰϬʹϭϯϰϭ K/͗ ŚƚƚƉƐ͗ͬ​ͬĚŽŝ͘ ƵƐ ǁŝƚŚ ƚŚĞ ŵĂŐŝĐ ŵĞĚŝĐŝŶĞ ƚŽ ͞ĐƵƌĞ͟ Ks/ ϭϵ͘ 'ŽŝŶŐ ƐƟůů ĚĞĞƉĞƌ ŝŶƚŽ ŽƵƌ ƌŽůĞƐ ŝŶ ƚŚĞ ƟŵĞ ŽĨ Ks/ ϭϵ͕ ƌĞĐĂůů ƚŚĞ KĂƚŚ ŽĨ ,ŝƉƉŽĐƌĂƚĞƐ͛ ĐƌLJƉƟĐ LJĞƚ ŝŶƐƉŝƌŝŶŐ ǁŽƌĚƐ ŚŝŐŚůŝŐŚƟŶŐ ƚŚĞ ĞƚŚŝĐƐ ĂŶĚ ƐƉŝƌŝƚƵĂů ĚŝŵĞŶƐŝŽŶƐ ŽĨ ďĞŝŶŐ Ă ƉŚLJƐŝĐŝĂŶ͘ KƵƌ ͞Ăƌƚ͟ has purity and holiness at its core. Each family physician develops 8

California Family Physician Spring 2020

ŽƌŐͬϭϬ͘ϭϬϭϲͬũ͘ĂŵũŵĞĚ͘ϮϬϭϳ͘Ϭϲ͘Ϭϯϰ Ϯ͘ Shealy, N. and Church, D. Soul Medicine. ůŝƚĞ ŽŽŬƐ͕ ^ĂŶƚĂ ZŽƐĂ͕ ͖ ϮϬϬϴ 3. Harrison, T. Principles of Internal Medicine. DĐ'ƌĂǁͲ,ŝůů͕ EĞǁ zŽƌŬ͕ Ez͖ ϭϵϱϬ

political pulse

Carla Kakutani, MD Chair, CAFP Legislative Affairs Committee

Advocating in a COVID-19 World Ɛ / ǁƌŝƚĞ ƚŚŝƐ͕ ƐĞǀĞƌĂů ŽĨ ĂůŝĨŽƌŶŝĂ͛Ɛ ŵŽƐƚ ƉŽƉƵůĂƚĞĚ ĐŽƵŶƟĞƐ ŚĂǀĞ ŝƐƐƵĞĚ ͞ůŽĐŬ ĚŽǁŶ͟ ŝŶƐƚƌƵĐƟŽŶƐ͕ ƵƌŐŝŶŐ ƌĞƐŝĚĞŶƚƐ ƚŽ ƐĞůĨͲƋƵĂƌĂŶƟŶĞ Ăƚ ŚŽŵĞ͘ /ƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŚĂƚ͕ ĂƐ ǁĞ ƌĞƐƉŽŶƐŝďŝůŝƚLJ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ƐŽĐŝĂů ĚŝƐƚĂŶĐŝŶŐ͕ ǁĞ ĚŽŶ͛ƚ ƐƚŽƉ ƚŚĞ ǀŝƚĂů ƌŽůĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƉůĂĐĞ Khd^/ ŽĨ ƚŚĞ ĞdžĂŵ ƌŽŽŵ͕ ĞŶƐƵƌŝŶŐ ƚŚĞ ƉƵďůŝĐ ĂŶĚ ŽƵƌ ůĞŐŝƐůĂƚŽƌƐ ĂƌĞ ĂǁĂƌĞ ŽĨ ǁŚĂƚ ŝƐ ŚĂƉƉĞŶŝŶŐ ŝŶ ƚŚĞŝƌ ĐŽŵŵƵŶŝƟĞƐ ĂŶĚ ŚŽǁ ƚŚĞŝƌ ĚĞĐŝƐŝŽŶƐ ǁŝůů ĂīĞĐƚ ƉĂƟĞŶƚƐ ĂŶĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ƉƌĂĐƟĐĞƐ͘ ,ĞƌĞ ĂƌĞ ƐŽŵĞ ƐŝŵƉůĞ ƚŚŝŶŐƐ LJŽƵ ĐĂŶ ĚŽ ƚŽ ŬĞĞƉ LJŽƵƌ ĂĚǀŽĐĂĐLJ ŐŽŝŶŐ ǁŝƚŚŽƵƚ ǀŝƐŝƟŶŐ LJŽƵƌ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ͘ ĞĐŽŵĞ Ă &W <ĞLJ ŽŶƚĂĐƚ Ɛ Ă <ĞLJ ŽŶƚĂĐƚ͕ LJŽƵ ǁŝůů ŝŶĨŽƌŵ LJŽƵƌ ƐƚĂƚĞ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚͬŽƌ h^ ĐŽŶŐƌĞƐƐŝŽŶĂů ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĂďŽƵƚ ĐƌŝƟĐĂů ŚĞĂůƚŚ ĐĂƌĞ ŝƐƐƵĞƐ ŝŶ ĂůŝĨŽƌŶŝĂ͘ &W ǁŝůů ƉƌŽǀŝĚĞ LJŽƵ ǁŝƚŚ ŝŶĨŽƌŵĂƟŽŶ ŽŶ ƐƉĞĐŝĮĐ ŝƐƐƵĞƐ ĂƐ ƚŚĞLJ ƌĞĂĐŚ ĐƌƵĐŝĂů ƉŽŝŶƚƐ ŝŶ ƚŚĞ ƐƚĂƚĞ Žƌ ĨĞĚĞƌĂů ƉŽůŝĐLJŵĂŬŝŶŐ ƉƌŽĐĞƐƐ͘ zŽƵ ĐĂŶ ƚŚĞŶ ĐŽŶǀĞLJ ƚŚŝƐ ŝŶĨŽƌŵĂƟŽŶ ƚŽ LJŽƵƌ ůĞŐŝƐůĂƚŽƌƐ ĂƐ ĂŶ ŝŶĨŽƌŵĞĚ͕ ŝŶǀŽůǀĞĚ ĐŽŶƐƟƚƵĞŶƚ͘ ͻ ^ŝŐŶ ƵƉ ƚŽ ďĞ Ă &W <ĞLJ ŽŶƚĂĐƚ ͻ ŚƩƉƐ͗ͬ​ͬǁǁǁ͘ƞĂĨŽƌŵƐ͘ĐŽŵͬϯϳϵϵϱϰ ͻ ZĞĐĞŝǀĞ ƚŚĞ tĞĞŬůLJ >ĞŐŝƐůĂƟǀĞ hƉĚĂƚĞ ͻ Ğ Ă ǀŽŝĐĞ ĨŽƌ LJŽƵƌ ƉƌĂĐƟĐĞ ĂŶĚ ƉĂƟĞŶƚƐ ͻ ^ŚĂƌĞ LJŽƵƌ ĞdžƉĞƌƟƐĞ ͻ ZĞƐƉŽŶĚ ƚŽ ĐƟŽŶ ůĞƌƚƐ 'Ğƚ /ŶǀŽůǀĞĚ sŝƌƚƵĂůůLJ zŽƵ ĚŽŶ͛ƚ ŚĂǀĞ ƚŽ ůĞĂǀĞ LJŽƵƌ ŚŽŵĞ Žƌ LJŽƵƌ ŽĸĐĞ ƚŽ ŵĂŬĞ ƐƵƌĞ LJŽƵƌ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚ ŐŽǀĞƌŶŵĞŶƚ ŽĸĐŝĂůƐ ŬŶŽǁ ǁŚĂƚ ŝƐ ŚĂƉƉĞŶŝŶŐ ŝŶ LJŽƵƌ community.

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ͻ • ͻ ͻ

^ŝŐŶ ƵƉ ĨŽƌ LJŽƵƌ ůĞŐŝƐůĂƚŽƌƐ͛ ŶĞǁƐůĞƩĞƌƐ ĂŶĚ ĂůĞƌƚƐ͘ Add your legislators on social media. /ŶƚĞƌĂĐƚ ĚŝƌĞĐƚůLJ ŽŶ ƉŽƐƚƐ dĂŐ ƚŚĞŵ ŽŶ ŝŶĨŽƌŵĂƟǀĞ͕ ĐŽŵŵƵŶŝƚLJͲďĂƐĞĚ ŝŶĨŽƌŵĂƟŽŶ ƚŽ share.

WĂƌƟĐŝƉĂƚĞ ŝŶ Ă ŽŶǀĞƌƐĂƟŽŶ ŽŶ ^W Z< ^W Z< ŝƐ ĂŶ ŽŶůŝŶĞ ĐŽŵŵƵŶŝƚLJ ƉůĂƞŽƌŵ ĚĞƐŝŐŶĞĚ ĞdžĐůƵƐŝǀĞůLJ ĨŽƌ &W ŵĞŵďĞƌƐ ƚŽ ĐŽŶŶĞĐƚ ǁŝƚŚ ĨĞůůŽǁ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ĂƐŬ ƋƵĞƐƟŽŶƐ ĂŶĚ ƐŚĂƌĞ ĞdžƉĞƌƟƐĞ͘ ^W Z< ĂůůŽǁƐ LJŽƵ ƚŽ ĞĂƐŝůLJ ŝŶƚĞƌĂĐƚ ĂŶĚ ĐŽŵŵƵŶŝĐĂƚĞ ǁŝƚŚ ŽƚŚĞƌ ŵĞŵďĞƌƐ ŝŶ Ă ƉƌŝǀĂƚĞ ŵĞŵďĞƌƐͲŽŶůLJ ĨŽƌƵŵ͘ ^W Z< ŐŝǀĞƐ &W ŵĞŵďĞƌƐ ĂŶ ĞŶǀŝƌŽŶŵĞŶƚ ŝŶ ǁŚŝĐŚ ƚŽ ĐŽŶŶĞĐƚ͕ ĞŶŐĂŐĞ ĂŶĚ ƐŚĂƌĞ ŝŶĨŽƌŵĂƟŽŶ ĂŶĚ ďĞƐƚ ƉƌĂĐƟĐĞƐ ŝŶ ƌĞĂů ƟŵĞ͘ ^W Z< ĂůƐŽ ŚĞůƉƐ &W ĐŽŵŵƵŶŝĐĂƚĞ ŵŽƌĞ ĚLJŶĂŵŝĐĂůůLJ ǁŝƚŚ ŵĞŵďĞƌƐ͕ ƌĞƐƉŽŶĚŝŶŐ ŵŽƌĞ ƋƵŝĐŬůLJ ƚŽ LJŽƵƌ ŶĞĞĚƐ ĂŶĚ ƌĞĐĞŝǀŝŶŐ LJŽƵƌ ŝŶƉƵƚ ŽŶ ĐƌŝƟĐĂů ŝƐƐƵĞƐ͘ ŽŶŶĞĐƚ ǁŝƚŚ ƚŚŽƵƐĂŶĚƐ ŽĨ ŽƚŚĞƌ ĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ǁŚŝůĞ ŵĂŝŶƚĂŝŶŝŶŐ LJŽƵƌ ƐŽĐŝĂů ĚŝƐƚĂŶĐĞ͘ • File sharing tools and resource library • Discussion topics guided by and for California family physicians • Share resources and best practices ͻ ƐŬ ĨŽƌ ŚĞůƉ ʹ ĐƌŽǁĚƐŽƵƌĐĞ ƐŽůƵƚŝŽŶƐ

IN THE NEWS Spring 2020 tŚĞŶ ĐƌŝƐŝƐ Śŝƚ͕ <ĂƚĞ ĂƚŚĞƌĂůů ƵƐĞĚ ŚĞƌ ĞdžƚĞŶƐŝǀĞ ĞdžƉĞƌŝĞŶĐĞ ĂŶĚ ŶĞƚǁŽƌŬƐ ƚŽ ƚĂŬĞ ĂĐƟŽŶ ŽŶ ďĞŚĂůĨ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ <ĂƚĞ͛Ɛ husband, Conrad Amenta, CAFP Director of Policy and Strategic /ŶŝƟĂƟǀĞƐ͕ ƐŚĂƌĞĚ ǁŝƚŚ ŚĞƌ ǁŚĂƚ ŚĞ ŚĂĚ ũƵƐƚ ŚĞĂƌĚ ŽŶ &W͛Ɛ DĂƌĐŚ ϭϳƚŚ Ks/ Ͳϭϵ ǁĞďŝŶĂƌ͘ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁĞƌĞ ĚĞƐĐƌŝďŝŶŐ ŚĞĂƌƚͲǁƌĞŶĐŚŝŶŐ ĚĞĐŝƐŝŽŶƐ ƚŽ ĞŝƚŚĞƌ ƉƵƚ ƚŚĞŵƐĞůǀĞƐ ĂŶĚ ƐƚĂī Ăƚ ƌŝƐŬ ĨŽƌ Ks/ Ͳϭϵ ďĞĐĂƵƐĞ ƚŚĞLJ ĐŽƵůĚŶ͛ƚ ŐĞƚ ƉĞƌƐŽŶĂů ƉƌŽƚĞĐƟǀĞ ĞƋƵŝƉŵĞŶƚ ;WW Ϳ Žƌ ĂǀŽŝĚ ƉĂƟĞŶƚ ĐŽŶƚĂĐƚ ǁŚĞŶ ŝƚ ǁĂƐ ŶĞĞĚĞĚ ŵŽƐƚ͘ <ĂƚĞ͕ ǁŚŽ ŝƐ ĂŶ ĞdžƉĞƌŝĞŶĐĞĚ ƐƚƌĂƚĞŐŝƐƚ ĂŶĚ ŽƌŐĂŶŝnjĞƌ͕ ƐĞŶƚ Ă ŵĞƐƐĂŐĞ ŽŶ ƐŽĐŝĂů ŵĞĚŝĂ ĚĞƐĐƌŝďŝŶŐ ƚŚĞ ƐŝƚƵĂƟŽŶ͘ <ĂƚĞ ĂŶĚ ŽŶƌĂĚ ƌĞĐĞŝǀĞĚ Ă ƐƵƌƉƌŝƐŝŶŐ ŽƵƚƉŽƵƌŝŶŐ ŽĨ ŽīĞƌƐ ĨŽƌ ĚŽŶĂƟŽŶƐ͕ ůĂƌŐĞ ĂŶĚ ƐŵĂůů͘ /Ŷ ƚŚĞ ĮƌƐƚ ϰϴ ŚŽƵƌƐ ĂůŽŶĞ͕ ĂůŵŽƐƚ ϭϬϬ ŝŶĚŝǀŝĚƵĂů ĚŽŶŽƌƐ ŽīĞƌĞĚ ƐŵĂůů ǀŽůƵŵĞƐ ŽĨ ǀĂƌŝŽƵƐ WW ĂŶĚ Ă ĨĞǁ ŽīĞƌĞĚ ƚŽ ĐŽŶŶĞĐƚ &W ǁŝƚŚ ůĂƌŐĞ ƐƵƉƉůŝĞƌƐ͘ ^ŽŽŶ͕ ƚŚĞ New York Times͕ EE͕ ZĞƵƚĞƌƐ ĂŶĚ E ǁĞƌĞ

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California Family Physician Spring 2020

ĐĂůůŝŶŐ ƚŽ ůĞĂƌŶ ŵŽƌĞ ĂŶĚ ĐĞůĞďƌŝƟĞƐ ĂŶĚ ƉŽůŝƟĐĂů ĮŐƵƌĞƐ ǁĞƌĞ ƌĞͲƚǁĞĞƟŶŐ ƚŚĞ ŵĞƐƐĂŐĞ͘ <ĂƚĞ ŚĞůƉĞĚ ŽŶƌĂĚ ŵĂŶĂŐĞ ƚŚĞ ƉƌŽĐĞƐƐ ǁŚŝůĞ ŵĂŝŶƚĂŝŶŝŶŐ ŚĞƌ ĚĂLJ ũŽď ĂƐ džĞĐƵƟǀĞ sŝĐĞ WƌĞƐŝĚĞŶƚ ŽĨ ǀĂůĂŶĐŚĞ ^ƚƌĂƚĞŐLJ͕ Ă Įƌŵ ĚĞĚŝĐĂƚĞĚ ƚŽ ŐĞƫŶŐ ĮƌƐƚ ƟŵĞ ĐĂŶĚŝĚĂƚĞƐ ĞůĞĐƚĞĚ ƚŽ ŽĸĐĞ͘ &W ƚŚĂŶŬƐ <ĂƚĞ ĨŽƌ ŚĞƌ ƟŵĞ ĂŶĚ ĞīŽƌƚƐ ƚŽ ŵĂŬĞ Ă ƌĞĂů ĚŝīĞƌĞŶĐĞ ĨŽƌ family physicians and the Californians in their care.

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As of publication, more than 14,000 masks, 11,500 gloves, and several thousand other individual units of PPE were matched to family physician practices across California.

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&ĂŵŝůLJ DĞĚŝĐŝŶĞ ĚǀŽĐĂƚĞ͗ <ĂƚĞ ĂƚŚĞƌĂůů

the power of art

Moazzum Bajwa, MD

The Power of Art is Reflected in the Work of Family Physicians ǀĞƌLJ ŵŽŶƚŚ͕ / ƚĂŬĞ ŽƵƌ ƌĞƐŝĚĞŶƚ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ůŽĐĂů ŚŝŐŚ ƐĐŚŽŽůƐ as part of a pipeline program in health education and advocacy. tĞ ƚĞĂĐŚ ƚŚĞ ƐƚƵĚĞŶƚƐ ŚŽǁ ƚŽ ĂĚǀŽĐĂƚĞ ĞĨĨĞĐƚŝǀĞůLJ ĨŽƌ ŚĞĂůƚŚLJ change in their communities. These teenagers find their voice ŝŶ ďƌŝůůŝĂŶƚ ĂŶĚ ŝŵĂŐŝŶĂƚŝǀĞ ǁĂLJƐ͕ ƐŚĂƌŝŶŐ ƚŚĞŝƌ ƐƚŽƌŝĞƐ ƚŚƌŽƵŐŚ ǀŝĚĞŽƐ͕ ĚŝƐƉůĂLJƐ͕ WŚŽƚŽsŽŝĐĞ ĂŶĚ ƐŬŝƚƐ͘ KƵƌ ƌĞƐŝĚĞŶƚ ƉŚLJƐŝĐŝĂŶƐ ďŽƚŚ ŐƵŝĚĞ ĂŶĚ ĞdžƉĞƌŝĞŶĐĞ ƚŚĞ ƚƌĂŶƐĨŽƌŵĂƚŝǀĞ ƉŽǁĞƌ ŽĨ Ăƌƚ ŝŶ ĂĐƚŝŽŶ͕ ǁŚŝůĞ ƐĞƌǀŝŶŐ Ă ĚƵĂů ƌŽůĞ ĂƐ ĐŚĂŶŐĞͲŵĂŬĞƌƐ ĂŶĚ ƌŽůĞ models in their local community. dŚŝƐ ƉŽǁĞƌ ŽĨ Ăƌƚ ŝƐ ƐŝŵŝůĂƌůLJ ƌĞĨůĞĐƚĞĚ ŝŶ ƚŚĞ ǁŽƌŬ ŽĨ ƚŚĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ tŚŝůĞ ŽĨƚĞŶ ŽǀĞƌůŽŽŬĞĚ ǁŚĞŶ ŚĞůĚ ĂŐĂŝŶƐƚ ĐůŝŶŝĐĂů ƐƚƵĚŝĞƐ͕ ĂƌƚŝƐƚŝĐ ĞdžƉƌĞƐƐŝŽŶ ĨƵůĨŝůůƐ ŵĂŶLJ ƉƵƌƉŽƐĞƐ ŝŶ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ͗ ŝƚ ƉƌŽŵŽƚĞƐ ŽƵƌ ŽǁŶ ǁĞůůͲďĞŝŶŐ ƚŚƌŽƵŐŚ ŵŝŶĚĨƵůŶĞƐƐ͖ ŝƚ ŚĞůƉƐ ƐƚƌĞŶŐƚŚĞŶ ŽƵƌ ǀĂůƵĂďůĞ ĐŽŶŶĞĐƚŝŽŶƐ͕ and it encourages us to share stories creatively as leaders ĂŶĚ ĂĚǀŽĐĂƚĞƐ͘ /Ŷ ƚŚŝƐ ŝƐƐƵĞ ŽĨ California Family Physician͕ ǁĞ ĂƌĞ ƉƌŽƵĚ ƚŽ ŚŝŐŚůŝŐŚƚ ŽƵƌ ŵĞŵďĞƌƐ ǁŚŽ ĞŵďŽĚLJ ƚŚĞƐĞ ŝĚĞĂƐ through their dedication to the arts.

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California Family Physician Spring 2020

dŚĞ ŵŝŶĚĨƵů ƉŚLJƐŝĐŝĂŶ ŝƐ ƐĞůĨͲĂǁĂƌĞ ĂŶĚ ŽƉĞŶ ƚŽ ƚŚĞ ĞdžƉůŽƌĂƚŝŽŶ ŽĨ ŶĞǁ ĐŽŶĐĞƉƚƐ ŽĨ ƉƌĂĐƚŝĐĞ͘ tŚĞƚŚĞƌ ŝŶ ƚŚĞ classroom or the clinic, mindfulness in medicine requires the same reflection and dedicated practice involved in ĂƌƚŝƐƚŝĐ ĞdžƉƌĞƐƐŝŽŶ͘ dŚŝƐ ĨŽƌĐĞƐ ƵƐ ƚŽ ƉĂLJ ĂƚƚĞŶƚŝŽŶ ƚŽ ĨŝŶĞƌ ĚĞƚĂŝůƐ ŽĨ ƚŚĞ ǁŽƌůĚ ĂƌŽƵŶĚ ƵƐ͘ ŵƵƐŝĐŝĂŶ ĞdžƉůŽƌĞƐ ƚŚĞŝƌ ƚĂůĞŶƚ ǁŝƚŚŝŶ ĂƉƉůŝĞĚ ƚŚĞŽƌLJ ƚŽ ĨŝŶĚ ƚŚĞŝƌ ŽǁŶ ͞ƐŽƵŶĚ͕͟ ũƵƐƚ ĂƐ Ă ƉŚLJƐŝĐŝĂŶ ƐĞĂƌĐŚĞƐ ĨŽƌ ƚŚĞŝƌ ŽǁŶ ͞ƐƚLJůĞ͟ ŝŶ ĐůŝŶŝĐĂů ƉƌĂĐƚŝĐĞ͘ ^ŝŵŝůĂƌůLJ͕ ǁĞ ĐĂŶ ĂƉƉůLJ ĚĞƐĐƌŝƉƚŝǀĞ ŝŵĂŐĞƌLJ ŽĨ ǀŝƐƵĂů Ăƌƚ ŝŶ ĞdžĂŵŝŶŝŶŐ Ă ĐůĂƐƐŝĐ ZĞŵďƌĂŶĚƚ Žƌ a chest radiograph. The perceived mental and physical ŚĞĂůƚŚ ďĞŶĞĨŝƚƐ ŽĨ Ăƌƚ ĂŶĚ ŵƵƐŝĐ ƚŚĞƌĂƉLJ ĂƌĞ ǁĞůů ƐƚĂƚĞĚ͕ both in the production and consumption of creative ǁŽƌŬƐ͘ ϮϬϭϮ ƐƚƵĚLJ ŝŶ ƚŚĞ Journal of Epidemiology and Community Health demonstrated that participating in ͞ƌĞĐĞƉƚŝǀĞ ĂŶĚ ĐƌĞĂƚŝǀĞ ĐƵůƚƵƌĂů ĂĐƚŝǀŝƚŝĞƐ͟ ǁĂƐ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ďĞƚƚĞƌ ƐĂƚŝƐĨĂĐƚŝŽŶ ǁŝƚŚ ŚĞĂůƚŚ ĂŶĚ ůŽǁĞƌ ƌĂƚĞƐ ŽĨ ĂŶdžŝĞƚLJ ĂŶĚ ĚĞƉƌĞƐƐŝŽŶ͖ ƚŚŝƐ ŚĞůĚ ƚƌƵĞ ĂĐƌŽƐƐ ƐŽĐŝŽͲ economic cofactors.

ĐŽŶƟŶƵĞĚ ŽŶ ƉĂŐĞ ϭϲ х

California Family Physician Spring 2020

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the power of art ф ĐŽŶƟŶƵĞĚ ĨƌŽŵ ƉĂŐĞ ϭϰ

dŚĞ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ƵƐĞƐ Ăƌƚ ƚŽ ĞdžƉůŽƌĞ ƚŚĞŝƌ ŽǁŶ ƚŚŽƵŐŚƚƐ ĂŶĚ ĨĞĞůŝŶŐƐ ĐĂŶ ĂůƐŽ ďĞƚƚĞƌ ĨŽƌŵ ƚŚĞƌĂƉĞƵƚŝĐ ďŽŶĚƐ ǁŝƚŚ ƚŚĞŝƌ patients. Narrative art, or storytelling through prose or poetry, ĂƐŬƐ ƵƐ ƚŽ ŝŵĂŐŝŶĞ Ă ĐŚĂƌĂĐƚĞƌ͛Ɛ ƉŽŝŶƚͲŽĨͲǀŝĞǁ͕ ǁŚŝĐŚ ŝƐ ĞdžĂĐƚůLJ ǁŚĂƚ ǁĞ ĞdžƉĞĐƚ ŽĨ ŽƵƌ ůĞĂƌŶĞƌƐ ĚƵƌŝŶŐ Ă ƉĂƚŝĞŶƚ ǀŝƐŝƚ ĂƐ ƚŚĞLJ navigate a history and physical. We hope that a thoughtful ƉĞƌƐƉĞĐƚŝǀĞ ǁŝůů ƌĞŵŽǀĞ ƚŚĞ ůĞŶƐĞƐ ŽĨ ŝŵƉůŝĐŝƚ ĂŶĚ ĞdžƉůŝĐŝƚ ďŝĂƐ͘ /ŶĚĞĞĚ͕ ƐĞǀĞƌĂů ŵĞĚŝĐĂů ƐĐŚŽŽůƐ ƉƌŽŵŽƚĞ ŚƵŵĂŶŝƚŝĞƐ ĐƵƌƌŝĐƵůĂ ĚĞƐŝŐŶĞĚ ŽŶ ĂĐƚŝǀĞ ůŝƐƚĞŶŝŶŐ ĂŶĚ ĨŽĐƵƐĞĚ ĐŽŵŵƵŶŝĐĂƚŝŽŶ ʹ Ăůů ǁŝƚŚ ƚŚĞ ŐŽĂů ŽĨ ŝŵƉƌŽǀŝŶŐ ƚŚĞ ƉŚLJƐŝĐŝĂŶͲƉĂƚŝĞŶƚ ƌĞůĂƚŝŽŶƐŚŝƉ͘ dŚƌŽƵŐŚ ƚŚŝƐ ĐƌĞĂƚŝǀĞ ǁŽƌŬ͕ ǁĞ ďĞĐŽŵĞ ĐŽŐŶŝnjĂŶƚ ŽĨ ŚŽǁ ŽƵƌ ĚĞƐĐƌŝƉƚŝŽŶƐ ĂŶĚ ůĂŶŐƵĂŐĞ ƐŚĂƉĞ ƚŚĞ ĞdžƉĞƌŝĞŶĐĞ ŽĨ ŽƵƌ ƉĂƚŝĞŶƚƐ͘ ŶĚ ƚŚĂƚ ƐĂŵĞ ƉĞƌƐƉĞĐƚŝǀĞ ĂůůŽǁƐ ƵƐ ƚŽ ƐĞĞ ŽƵƌ ƉĂƚŝĞŶƚƐ ŝŶ Ă ŵƵĐŚ ďƌŽĂĚĞƌ ĐŽŶƚĞdžƚ͖ ǁĞ ĨŝŶĚ ĐŽŵŵŽŶ ƚŚƌĞĂĚƐ ŽĨ ŚƵŵĂŶŝƐŵ ďĞƚǁĞĞŶ ŽƵƌ ƐŚĂƌĞĚ ƐƚŽƌŝĞƐ ĨƌŽŵ ƵƌĞŬĂ to San Diego.

EĂƌƌĂƚŝǀĞ Ăƌƚ ĨƵƌƚŚĞƌ ĂůůŽǁƐ ǁƌŝƚĞƌƐ ƚŽ ĞdžƉůŽƌĞ ƚŚĞŝƌ ĨƌƵƐƚƌĂƚŝŽŶƐ ǁŝƚŚ ƚŚĞ ĨƌĂĐƚƵƌĞĚ ƐLJƐƚĞŵƐ ŽĨ ŚĞĂůƚŚ ĂĐĐĞƐƐ ĂŶĚ delivery. The art itself is not a substitute for the systemsůĞǀĞů ĂĚǀŽĐĂĐLJ ŶĞĞĚĞĚ ƚŽ ŵĂŬĞ ĞĨĨĞĐƚŝǀĞ ĐŚĂŶŐĞ͕ ďƵƚ ŝƚ ĂůůŽǁƐ ƵƐ ƚŽ ĐŽŶƚĞdžƚƵĂůŝnjĞ ƚŚĞ ĐŚĂůůĞŶŐĞƐ ǁĞ ĨĂĐĞ͘ dŚĞ ĂďŝůŝƚLJ ƚŽ ͞ƚŚŝŶŬ ŽƵƚƐŝĚĞ ƚŚĞ ďŽdž͟ ŝƐ ŚŽǁ ǁĞ ĐƌĞĂƚĞ ƚŚĞ ƉĂƌĂĚŝŐŵƐ ƚŚĂƚ ultimately bring reasoned solutions for these community ĐŚĂůůĞŶŐĞƐ͘ ͞dŚĞ EŽĐƚƵƌŶŝƐƚƐ͕͟ Ă ŵĞĚŝĐĂů ƐƚŽƌLJƚĞůůŝŶŐ ƉůĂƚĨŽƌŵ͕ ŝƐ ŽŶĞ ĞdžĂŵƉůĞ ŽĨ ĞdžĂĐƚůLJ ƚŚĂƚ ŬŝŶĚ ŽĨ ŶĂƌƌĂƚŝǀĞ Ăƌƚ͖ ƚŚĞ ^ĂŶ &ƌĂŶĐŝƐĐŽͲďĂƐĞĚ ŝŶŝƚŝĂƚŝǀĞ ĂůůŽǁƐ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ƐŚĂƌĞ ƚŚĞŝƌ ĞdžƉĞƌŝĞŶĐĞƐ ĐƌĞĂƚŝǀĞůLJ ŝŶ ŵĞĚŝĐŝŶĞ ǁŝƚŚ Ă ůŝǀĞ ĂƵĚŝĞŶĐĞ͘ /ƚ ŝƐ ƚŚĞƐĞ ƐƚŽƌĞƐͶƚŚŽƐĞ ŽĨ ŽƵƌ ƉĂƚŝĞŶƚƐ͕ ŽĨ ŽƵƌ ŽǁŶ ƐƚƌƵŐŐůĞƐ and successes, of our precious interactions at the most human ůĞǀĞůͶƚŚĂƚ ĚƌŝǀĞ ƵƐ ĂŶĚ ŐŝǀĞ ŵĞĂŶŝŶŐ ĂŶĚ ĚĞƉƚŚ ƚŽ ŽƵƌ ǁŽƌŬ͘ tĞ ĂƌĞ ƉƌŝǀŝůĞŐĞĚ ƚŽ ǁŝƚŶĞƐƐ ĨŝƌƐƚͲŚĂŶĚ ƚŚĞƐĞ ďĞĂƵƚŝĨƵů ĂŶĚ ƉŽǁĞƌĨƵů ŶĂƌƌĂƚŝǀĞƐ͘ /ƚ ƐŚŽƵůĚ ďĞ ĞĂƐLJ͕ ƚŚĞŶ ƚŽ ĨŝŶĚ ĐƌĞĂƚŝǀĞ ǁĂLJƐ ƚŽ ŵĂŐŶŝĨLJ ŽƵƌ ǁŽƌŬ ŽŶ Ă ůĂƌŐĞƌ ƐĐĂůĞ͗ ƐƉŽŬĞŶ ǁŽƌĚ poetry, graphic novels and comics, or even an op-ed piece.

But the innate desire to share our stories through art is often stifled by some combination of professional humility ĂŶĚ ƐƵďĐŽŶƐĐŝŽƵƐ ĚĞƐĞŶƐŝƚŝnjĂƚŝŽŶ͖ ǁĞ ĂƐƐƵŵĞ ƚŚĂƚ ƚŚĞ ŐĂƵŶƚůĞƚ ŽĨ ƐŚĂƌĞĚ ĞdžƉĞƌŝĞŶĐĞƐ ŝŶ ŵĞĚŝĐĂů ƚƌĂŝŶŝŶŐ ŵĂŬĞƐ ŽƵƌ profound one-on-one interactions mere commonplace. As a ƌĞƐƵůƚ͕ ǁĞ ƌĂƌĞůLJ ƐŚĂƌĞ ƚŚŝƐ ďĞĂƵƚLJ ǁŝƚŚ ƚŚĞ ƌĞƐƚ ŽĨ ƚŚĞ ǁŽƌůĚ around us. This mindset deprives us of the tremendous joy in appreciating each story as a unique part of our transformation as healers, and further distances our community from ƌĞĂůŝnjŝŶŐ ŝƚƐ ƐŚĂƌĞĚ ŚƵŵĂŶŝƚLJ͘ Our challenge, then, is to embrace our creativity as integral to our role as physicians and actively pursue opportunities ƚŽ ƐŚĂƌĞ ŽƵƌ ǁŽƌŬ͘ dŚĞ ŚŽƉĞ ŝƐ ƚŚĂƚ ďLJ ĞdžƉůŽƌŝŶŐ ƐƚŽƌLJƚĞůůŝŶŐ ƚŚƌŽƵŐŚ Ăƌƚ͕ ŽƵƌ ƌĞĂĐŚ ĂƐ ƉŚLJƐŝĐŝĂŶƐ ǁŝůů ĞdžƚĞŶĚ ďĞLJŽŶĚ ŽŶĞͲ 16

California Family Physician Spring 2020

on-one interactions into the population level as public health education and advocacy. ĞLJŽŶĚ ƚŚĞ ƐƚŽƌŝĞƐ ŽĨ ŽƵƌ ƉĂƚŝĞŶƚƐ͕ Ăƌƚ ĂůůŽǁƐ ƵƐ ƚŽ ƐŚĂƌĞ ĂŶĚ celebrate the diversity of our specialty in family medicine. ƌƚŝƐƚŝĐ ĞdžƉƌĞƐƐŝŽŶ ĐĂŶ ĚĞƐĐƌŝďĞ ǁŚŽ ǁĞ ĂƌĞ͕ ŽƵƌ ǀĂůƵĞƐ ĂŶĚ ŽƵƌ ǁŽƌŬ ĂƐ ƚŚĞ ďĂĐŬďŽŶĞ ŽĨ ƚŚĞ ŚĞĂůƚŚĐĂƌĞ ǁŽƌůĚ͘ tĞ ĐĂŶ ĞdžƉůŽƌĞ ĂŶĚ ƐŚŽǁĐĂƐĞ ƚŚĞ ďƌĞĂĚƚŚ ĂŶĚ ĚĞƉƚŚ ŽĨ ŽƵƌ ĨŝĞůĚ ƚŚƌŽƵŐŚ ĂŶLJ ŶƵŵďĞƌ ŽĨ ĐƌĞĂƚŝǀĞ ŽƵƚůĞƚƐ͘ dŚŝŶŬ ŽĨ ƚŚĞ ƐŝŶĐĞƌĞ ĂƉƉƌĞĐŝĂƚŝŽŶ ǁĞ ƌĞĐĞŝǀĞ ǁŚĞŶ ǁĞ ƐŚĂƌĞ ŽƵƌ ĚĂŝůLJ ƐƚŽƌŝĞƐ ǁŝƚŚ ĨŽůŬƐ ǁŽƌŬŝŶŐ ŽƵƚƐŝĚĞ ŽĨ ŵĞĚŝĐŝŶĞ͗ ǁĞ ƐŚŽƵůĚ ŚĂƌŶĞƐƐ ƚŚĂƚ ĞŶĞƌŐLJ ŝŶƚŽ ƐŚĂƌŝŶŐ ŽƵƌ ďƌŝůůŝĂŶƚ ǁŽƌŬ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ dŚĂƚ ƐƚĂƌƚƐ ǁŝƚŚ ĨŝŶĚŝŶŐ ĂŶĚ ƐŚĂƌŝŶŐ ŽƵƌ ŽǁŶ ǀŽŝĐĞ ƚŚƌŽƵŐŚ art. Most of us consider these artistic pursuits to be ͞ŚŽďďŝĞƐ͕͟ ďƵƚ / ĞŶĐŽƵƌĂŐĞ LJŽƵ ƚŽ ĨƌĂŵĞ LJŽƵƌ Ăƌƚ ĂƐ ŵŽƌĞ ƚŚĂŶ Ă ĚŝǀĞƌƐŝŽŶ ĨƌŽŵ ǁŽƌŬ͘ KŶĞ ŽĨ ŽƵƌ ŵŽƐƚ ŝŶĨůƵĞŶƚŝĂů ĨŝŐƵƌĞƐ ŝŶ ŵŽĚĞƌŶ ŵĞĚŝĐŝŶĞ͕ tŝůůŝĂŵ KƐůĞƌ͕ ƌĞĐŽŐŶŝnjĞĚ ƚŚĞ practice of medicine as both art and science and placed great ĞŵƉŚĂƐŝƐ ŽŶ ƚŚĞ ŚƵŵĂŶŝƚŝĞƐ͘ KƵƌ ĐŚĂůůĞŶŐĞ ŝƐ ƚŽ ƌĞĐŽŐŶŝnjĞ that science and art are not separate entities, but rather ŝŶƚĞŶƐĞůLJ ĐŽŶŶĞĐƚĞĚ ƚŽ ĞĂĐŚ ŽƚŚĞƌ ĂŶĚ ǁŽƌƚŚLJ ŽĨ ĞƋƵĂů ǁĞŝŐŚƚ ŝŶ ŽƵƌ ĐŽůůĞĐƚŝǀĞ ũŽƵƌŶĞLJ͘ &Žƌ ĞǀĞƌLJ ŵĞĚŝĐĂů ĐŽŶĨĞƌĞŶĐĞ ǁĞ ĂƚƚĞŶĚ Žƌ ĐůŝŶŝĐĂů ƉŽĚĐĂƐƚ ǁĞ ĚŽǁŶůŽĂĚ͕ ůĞƚ ƵƐ ĐŽŵŵŝƚ ƐŝŵŝůĂƌ ƚŝŵĞ ƚŽ Ă ĐŽŵŵƵŶŝƚLJ Ăƌƚ ǁĂůŬ Žƌ ŽƌĐŚĞƐƚƌĂ͘ dŚĞ &W ŚĂƐ ůĞĚ ďLJ ĞdžĂŵƉůĞ ŝŶ ƌĞĐĞŶƚ LJĞĂƌƐ ďLJ ƉƌŽŵŽƚŝŶŐ ŶĂƌƌĂƚŝǀĞ Ăƌƚ of our physicians at the Family Medicine Summit, holding Ă ^ƚŽƌLJ^> D ĞǀĞŶƚ ŝŶ ϮϬϭϳ ĂŶĚ ŝŶǀŝƚŝŶŐ dŚĞ EŽĐƚƵƌŶŝƐƚƐ ĂƐ ŬĞLJŶŽƚĞ ƐƉĞĂŬĞƌƐ ŝŶ ϮϬϭϴ͘ hůƚŝŵĂƚĞůLJ͕ ǁĞ ĂƌĞ ƌĞƐƉŽŶƐŝďůĞ ĨŽƌ ĐƵůƚŝǀĂƚŝŶŐ ƚŚĞ ŶĂƌƌĂƚŝǀĞ of our profession for ourselves, our patients and our ĐŽŵŵƵŶŝƚŝĞƐ͖ ƚŚŝƐ ŝƐ ĞƐƉĞĐŝĂůůLJ ĐƌŝƚŝĐĂů ŝŶ ƚŚĞ ĐƵƌƌĞŶƚ ĂŐĞ ŽĨ ŵŝƐͲŝŶĨŽƌŵĂƚŝŽŶ͘ tŚŝůĞ ŐĞŶĞƌĂůůLJ ĨĞĞůŝŶŐ ƵŶǁŽƌƚŚLJ ŽĨ ƚŚĂƚ ƌĞƐƉŽŶƐŝďŝůŝƚLJ͕ / ĐĂŶ ĚƌĂǁ ŝŶƐƉŝƌĂƚŝŽŶ ĨƌŽŵ ƚŚĞ ƉŚLJƐŝĐŝĂŶƐ ŽŶ ƚŚĞ ĨŽůůŽǁŝŶŐ ƉĂŐĞƐ ǁŚŽ ĞŵďƌĂĐĞ ƚŚĞŝƌ ĂƌƚŝƐƚŝĐ ƉƵƌƐƵŝƚƐ ĂŶĚ ƌĞĐŽŐŶŝnjĞ ƚŚĞ ǀĂůƵĞ ƚŚĞLJ ďƌŝŶŐ ƚŽ ƚŚĞŝƌ ǁŽƌŬ͘ / ƐŝŶĐĞƌĞůLJ ŚŽƉĞ LJŽƵ ǁŝůů ĨŝŶĚ ƚŚĂƚ ƐĂŵĞ ĞŶĐŽƵƌĂŐĞŵĞŶƚ ŝŶ ƉŝĐŬŝŶŐ ƵƉ LJŽƵƌ ŽǁŶ ŝŶƐƚƌƵŵĞŶƚ͗ ǁŚĞƚŚĞƌ Ă ƉĞŶ͕ Ă ĐĂŵĞƌĂ͕ Ă ďƌƵƐŚ͕ Ă ŐƵŝƚĂƌ͕ Ă ŵŝĐƌŽƉŚŽŶĞ Žƌ ƚŚĞ ůŝŬĞ͘ dŚĂŶŬ LJŽƵ ĨŽƌ ƐŚĂƌŝŶŐ LJŽƵƌ ƐƚŽƌŝĞƐ ǁŝƚŚ ƵƐ ĂŶĚ ďĞŝŶŐ Ă ƉĂƌƚ ŽĨ ƚŚŝƐ ĐŽŵŵƵŶŝƚLJ͘ References: ϭ͘ Ϯ͘

ŵĞƌŐŝŶŐ ,ĞĂůƚŚ ĚǀŽĐĂƚĞƐ ʹ ,͘ ͘>͘W ŝŶ ƚŚĞ ŽŵŵƵŶŝƚLJ ʹ Zh,^ͬh Z &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ͗ ǁǁǁ͘ĞŵĞƌŐŝŶŐĂĚǀŽĐĂƚĞƐ͘ĐŽŵ ͞WĂƩĞƌŶƐ ŽĨ ƌĞĐĞƉƟǀĞ ĂŶĚ ĐƌĞĂƟǀĞ ĐƵůƚƵƌĂů ĂĐƟǀŝƟĞƐ ĂŶĚ ƚŚĞŝƌ ĂƐƐŽĐŝĂƟŽŶ ǁŝƚŚ ƉĞƌĐĞŝǀĞĚ ŚĞĂůƚŚ͕ ĂŶdžŝĞƚLJ͕ ĚĞƉƌĞƐƐŝŽŶ ĂŶĚ ƐĂƟƐĨĂĐƟŽŶ ǁŝƚŚ ůŝĨĞ ĂŵŽŶŐ ĂĚƵůƚƐ͗ ƚŚĞ ,hEd ƐƚƵĚLJ͕ EŽƌǁĂLJ͘͟ ƵLJƉĞƌƐ͕ Ğƚ Ăů͘ : ƉŝĚĞŵŝŽů ŽŵŵƵŶŝƚLJ ,ĞĂůƚŚ͘ ϮϬϭϮ ƵŐ͖ ϲϲ;ϴͿ͗ ϲϵϴʹ ϳϬϯ͘ WƵďůŝƐŚĞĚ ŽŶůŝŶĞ ϮϬϭϭ DĂLJ Ϯϯ͘ ĚŽŝ͗ ϭϬ͘ϭϭϯϲͬũĞĐŚ͘ϮϬϭϬ͘ϭϭϯϱϳϭ Ͳ ŚƩƉƐ͗ͬ​ͬǁǁǁ͘ŶĐďŝ͘Ŷůŵ͘ŶŝŚ͘ŐŽǀͬƉƵďŵĞĚͬϮϭϲϬϵϵϰϲͬ

the power of art

Family Physicians, Resiliency and the Power of the Arts

^LJůǀŝĂ ĂƐƚƌŽ͕ D

ůŝĂ DĐ<ĞĂŶ

^LJůǀŝĂ ĂƐƚƌŽ͕ D ;WŽĞƚƌLJͿ Stanislaus Chapter ƌ͘ ĂƐƚƌŽ ŝƐ Ă ĮƌƐƚͲLJĞĂƌ ƌĞƐŝĚĞŶƚ Ăƚ sĂůůĞLJ ŽŶƐŽƌƟƵŵ ĨŽƌ DĞĚŝĐĂů ĚƵĐĂƟŽŶ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ ŝŶ DŽĚĞƐƚŽ͘ ͞/Ŷ ŵLJ ĮƌƐƚ LJĞĂƌ ŽĨ ƌĞƐŝĚĞŶĐLJ͕ / ŚĂĚ Ă ƉĂƟĞŶƚ ƉĂƐƐ ĂǁĂLJ ĚƵƌŝŶŐ ŵLJ ĮƌƐƚ ŶŝŐŚƚ ŽĨ ŶŝŐŚƚ ŇŽĂƚ͕͟ ƐĂŝĚ ƌ͘ ĂƐƚƌŽ͘ ͞/ ŚĂĚ Ă ŚĂƌĚ ƟŵĞ ĚĞĂůŝŶŐ ǁŝƚŚ ƚŚŝƐ͘ / ǁƌŽƚĞ Ă ƉŽĞŵ ŽĨ ƚŚĞ ĞǀĞŶƚ͕ ǁŚŝĐŚ ŚĞůƉĞĚ ŵĞ ĨĞĞů ďĞƩĞƌ ĂƐ / ĂůůŽǁĞĚ ŵLJƐĞůĨ Ăƚ ƚŚĂƚ ŵŽŵĞŶƚ ƚŽ ŐƌŝĞǀĞ ŚŝƐ ĚĞĂƚŚ͘͟ Code Blue ^Ž͕ / ƌĂŶ ƚŽ LJŽƵ͕ ŽŶůLJ ƚŽ ĮŶĚ ŽƵƚ ƚŚĂƚ LJŽƵ ǁĞƌĞ ĚLJŝŶŐ͘ What I saw, I couldn’t even predict.

WĞŽƉůĞ ǁŽƌŬŝŶŐ ŽŶ LJŽƵ͕ ĐŽŶƟŶƵŽƵƐůLJ͘ ĮŐŚƚ ƚŚĂƚ ǁĂƐ ŶĞǀĞƌ ŵĞĂŶƚ ƚŽ ďĞ ǁŽŶ͘ Ɛ ǁĞ ĨŽƵŐŚƚ ĨŽƌ LJŽƵ͕ LJŽƵ ĚƌŝŌĞĚ ĂǁĂLJ ĨĂƌƚŚĞƌ ĂŶĚ ĨĂƌƚŚĞƌ͘ I just stood there, not knowing what to do.

Could you see what was going on, I wondered?

Burned into my head stood the image of you in the bed, pale as a ghost.

WĞŽƉůĞ ǁŽƌŬŝŶŐ ŽŶ LJŽƵ͕ ĐŽŶƟŶƵŽƵƐůLJ ĐŽŵƉƌĞƐƐŝŶŐ LJŽƵƌ ĐŚĞƐƚ͕ and all I could hear was an incomprehensible groan.

Did that come from you or was that the sound I heard as we cracked your ribs?

Broken-hearted I stood wondering if this was my fault.

Could I have done something to prevent your death?

Then came the hardest part of all as your mother entered the room.

“Wake up, wake up,” she said as she slapped you.

Just when I thought things couldn’t get any worse your sister arrives and stands in the hallway screaming, “not my brother, 18

California Family Physician Spring 2020

John Clark, MD

not my brother, please.”

How familiar are those words to me, as I remembered when my brother died and I thought, “no, not my brother, please.” dŚĞ ƟŵĞ ĐŽŵĞƐ ƚŽ ĚĞĐůĂƌĞ LJŽƵ ĚĞĂĚ͘ &ƵŶŶLJ ŚŽǁ / ĚŽŶ͛ƚ ƌĞŵĞŵďĞƌ ƚŚĂƚ ƟŵĞ͘ And I walk away, without a tear in sight, for I have other ƉĂƟĞŶƚƐ ƚŽ ƚĂŬĞ ĐĂƌĞ ŽĨ͘ The luxury of grief does not exist for me.

For a moment, I feel your death and I want to go to a corner and ũƵƐƚ ĐƌLJ͕ ďƵƚ / ĐĂŶ͛ƚ ĨŽƌ ƚŚĞƌĞ ĂƌĞ ŽƚŚĞƌ ƉĂƟĞŶƚƐ / ŶĞĞĚ ƚŽ ƚĂŬĞ care of. ^Ž͕ / ĐŽŵƉĂƌƚŵĞŶƚĂůŝnjĞ ŵLJ ĨĞĞůŝŶŐƐ ŝŶ Ă ůŝƩůĞ ǀĂƵůƚ ĂŶĚ ůŽĐŬ ƚŚĞŵ up so I can keep going. &Žƌ ŶŝŐŚƚ ƐŚŝŌ ŚĂƐ ŶŽƚ ĞŶĚĞĚ ĂŶĚ / ŵƵƐƚ ďĞ ƌĞĂĚLJ ĨŽƌ ƚŚĞ next call.

ůŝĂ DĐ<ĞĂŶ͕ D^Ͳϯ ; ƌĂǁŝŶŐͿ Solano Chapter ůŝĂ DĐ<ĞĂŶ ŝƐ Ă ƚŚŝƌĚ LJĞĂƌ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ Ăƚ dŽƵƌŽ hŶŝǀĞƌƐŝƚLJ ŝŶ sĂůůĞũŽ͘ DƐ͘ DĐ<ĞĂŶ ďĞŐĂŶ ƉůĂLJŝŶŐ ǀŝŽůŝŶ Ăƚ ĨŽƵƌ LJĞĂƌƐ ŽůĚ͘ ^ŚĞ ďĞŐĂŶ ĚƌĂǁŝŶŐ ĂƐ ƐŽŽŶ ĂƐ ƐŚĞ ĐŽƵůĚ ŚŽůĚ Ă ƉĞŶ͘ ͞^ŝŶĐĞ ƐƚĂƌƟŶŐ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ / ŚĂǀĞ ĨŽƵŶĚ ŝƚ ĚŝĸĐƵůƚ ƚŽ ŬĞĞƉ ƵƉ ǁŝƚŚ ŵƵƐŝĐ ĂŶĚ Ăƌƚ͕ ďŽƚŚ ŽĨ ǁŚŝĐŚ ŚĂǀĞ ďĞĞŶ ƉĂƌƚ ŽĨ ŵLJ ůŝĨĞ ĨŽƌ ĂƐ ůŽŶŐ ĂƐ / ĐĂŶ ƌĞŵĞŵďĞƌ͕͟ DƐ͘ DĐ<ĞĂŶ ƐĂŝĚ͘ ͞dŚŝƌĚ LJĞĂƌ ŚĂƐ ƉƌŽǀĞĚ ƚŽ ďĞ ďŽƚŚ ĞdžĐŝƟŶŐ ĂŶĚ ƵŶĐŽŵĨŽƌƚĂďůĞ Ăƚ ƚŚĞ ƐĂŵĞ ƟŵĞ͗ / Ăŵ ĮŶĂůůLJ ;ĮŶĂůůLJ͊Ϳ ŐĞƫŶŐ Ă ĐŚĂŶĐĞ ƚŽ ŝŶƚĞƌĂĐƚ ǁŝƚŚ ƉĂƟĞŶƚƐ͕ ďƵƚ / ĂůƐŽ ƐŽŵĞƟŵĞƐ ĨĞĞů ŝŶĐŽŵƉĞƚĞŶƚ ĂŶĚ ŝƐŽůĂƚĞĚ ŝŶ ƐƵĐŚ ĂŶ ƵŶĨĂŵŝůŝĂƌ ĞŶǀŝƌŽŶŵĞŶƚ͘ / ǁĂŶƚĞĚ ƚŽ ƐĞĞ ŝĨ / ĐŽƵůĚ ĐŚĂŶŶĞů ƐŽŵĞ ŽĨ ƚŚĞ ƵŶĐĞƌƚĂŝŶƚLJ͕ ĂŶdžŝĞƚLJ͕ ĂŶĚ ƐĞůĨͲĚŽƵďƚ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ŵĞĚŝĐĂů ƚƌĂŝŶŝŶŐ ŝŶƚŽ ƐŽŵĞƚŚŝŶŐ ƉŽƐŝƟǀĞ ĂŶĚ ĨƵůĮůůŝŶŐ͘͟

<ĂƚŚĞƌŝŶĞ ^ĐŚůĂĞƌƚŚ͕ D ͕ & &W

ůŝƐŽŶ ůŽĐŬ͕ D

John Clark, MD (Literature) Santa Cruz-Monterey Chapter ƌ͘ ůĂƌŬ ŝƐ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ŝŶ ^ĂůŝŶĂƐ͘ Ɛ ĂŶ ĂƌƟƐƚ ŚŝŵƐĞůĨ͕ ƌ͘ ůĂƌŬ ĂůƐŽ ƚĞĂĐŚĞƐ Ă ĐŽƵƌƐĞ ŝŶ Ăƌƚ ĂŶĚ ůŝƚĞƌĂƚƵƌĞ ŝŶ ŵĞĚŝĐŝŶĞ ƚŽ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ Ăƚ EĂƟǀŝĚĂĚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ Residency Program.

DĞĚŝĐŝŶĞ ŚĂƐŶ͛ƚ ƚƌĂĚŝƟŽŶĂůůLJ ŝŶĐŽƌƉŽƌĂƚĞĚ Ă ĚŝƐĐŽƵƌƐĞ ŝŶ ďĞĂƵƚLJ͘ dŚŝƐ ƌĞŇĞĐƚƐ Ă ŚŝƐƚŽƌŝĐ ůĂĐŬ ŽĨ ƉƌŽĨĞƐƐŝŽŶĂů ǀĂůƵĞ ŝŶ ŝƚ͘ /Ŷ ĐŽƵŶƚĞƌƉŽŝŶƚ͕ /͛ǀĞ ƚĂƵŐŚƚ Ă ĐŽƵƌƐĞ ŝŶ Ăƌƚ ;ĂŶĚ ůŝƚĞƌĂƚƵƌĞͿ ŝŶ ŵĞĚŝĐŝŶĞ to medical students and residents for a number of years, and the ĨĞĞĚďĂĐŬ ŚĂƐ ŐĞŶĞƌĂůůLJ ďĞĞŶ ĂůŽŶŐ ƚŚĞ ĨŽůůŽǁŝŶŐ ůŝŶĞƐ͗ ͚dŚĞ ŵŽƐƚ ŵĞĂŶŝŶŐĨƵů ƚŚŝŶŐ /͛ǀĞ ĚŽŶĞ ŝŶ ŵĞĚŝĐĂů ƐĐŚŽŽů ƐŽ ĨĂƌ͛͘ ĂŶĚ ͚dŚĞ ďĞƐƚ ƚŚŝŶŐ /͛ǀĞ ĚŽŶĞ ĨŽƌ ǁĞůůŶĞƐƐ ŝŶ Ă ǁŚŝůĞ͛͘ ͙ ƌƚ ŶŽƚ ŽŶůLJ ĐĂŶ ŽīĞƌ Ă ĚŝƐĐŽƵƌƐĞ ŝŶ ŵĞĂŶŝŶŐ ĂŶĚ ǁĞůůŶĞƐƐ ƚŽ ŵŽĚĞƌŶ ŵĞĚŝĐŝŶĞ ďƵƚ ĂůƐŽ Ă ǁĂLJ ĨŽƌǁĂƌĚ ŝŶƚŽ ĂŶ ĂƐ LJĞƚ ƵŶĚŝƐĐŽǀĞƌĞĚ ĨƵƚƵƌĞ ŝŶ ǁŚŝĐŚ ŵĞĚŝĐĂů ƉƌĂĐƟƟŽŶĞƌƐ ĂƌĞ ƉƌŽĨĞƐƐŝŽŶĂůůLJ ĞŶĐŽƵƌĂŐĞĚ ƚŽ ďĂůĂŶĐĞ ƚŚĞŝƌ ŵŝŶĚƐ ĂŶĚ ŶŽƚ ŽŶůLJ ĞŵďƌĂĐĞ ŵĞĚŝĐŝŶĞ͛Ɛ ƌĂƟŽŶĂů ƐĐŝĞŶƟĮĐ ƚƌƵƚŚƐ ďƵƚ ƚŚĞ ƉĂƐƐŝŽŶĂƚĞ ŚƵŵĂŶŝƐƟĐ ƚƌƵƚŚƐ ƚŚĂƚ ĂƌŝƐĞ ŽƵƚ ŽĨ ƚŚĞ ĂĞƐƚŚĞƟĐƐ͕ ƚŚĞ poetry, and the beauty of the healing art. ƌ͘ ůĂƌŬ͛Ɛ ĨƵůů ƐƵďŵŝƐƐŝŽŶ ĐĂŶ ďĞ ĨŽƵŶĚ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ͘

<ĂƚŚĞƌŝŶĞ ^ĐŚůĂĞƌƚŚ͕ D ͕ & &W ; ƵƚŚŽƌͿ Los Angeles Chapter Dr. Schlaerth is a family physician also boarded in pediatrics, ƉĞĚŝĂƚƌŝĐ ŝŶĨĞĐƟŽƵƐ ĚŝƐĞĂƐĞƐ ĂŶĚ ǁŝƚŚ Ă Y ŝŶ ŐĞƌŝĂƚƌŝĐƐ͘ ^ŚĞ ŚĂƐ Ă ůŽŶŐ ŚŝƐƚŽƌLJ ŽĨ ǁƌŝƟŶŐ ĨŽƌ ŵĂŐĂnjŝŶĞƐ͕ ŶĞǁƐƉĂƉĞƌƐ͕ ĂŶĚ ŚĂĚ ŽŶĞ ďŽŽŬ ƉƵďůŝƐŚĞĚ ĞŶƟƚůĞĚ ͞ZĂŝƐŝŶŐ Ă >ĂƌŐĞ &ĂŵŝůLJ͟ ďĂƐĞĚ ŽŶ ƌĞƐĞĂƌĐŚ done at USC. Currently, she is faculty at the Rio Bravo Family DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ ; ĂŬĞƌƐĮĞůĚͿ ĂŶĚ ĂůƐŽ ĚŽĞƐ ƵƌŐĞŶƚ ĐĂƌĞ ;<ĂŝƐĞƌ WĂƐĂĚĞŶĂͿ͘ ŌĞƌ ƚĞĂĐŚŝŶŐ ŝŶ ƚŚĞ ĂǀŝƐ ^ĐŚŽŽů ŽĨ 'ĞƌŽŶƚŽůŽŐLJ

ZŽŵĞƌŽ ^ĂŶƟĂŐŽ͕ D ͕ DW,

Ăƚ h^ ͕ ƐŚĞ ƌĞĐŽŐŶŝnjĞĚ ƚŚĂƚ graduate students in non-medical ĮĞůĚƐ ŚĂǀĞ ůŝƩůĞ ŝĚĞĂ ŽĨ ƚŚĞ physiologic changes of aging.

Dr. Schlaerth said, ͞ ĞŵŽŐƌĂƉŚŝĐĂůůLJ͕ ǁĞ ĂƌĞ ƐĞĞŝŶŐ Ă ǁŽƌůĚǁŝĚĞ ĂŐŝŶŐ ŽĨ ƉŽƉƵůĂƟŽŶƐ͘ tŚĂƚĞǀĞƌ ŽŶĞ͛Ɛ ǀŽĐĂƟŽŶ͕ ŝƚ ŝƐ important to understand the ƐƚƌĞŶŐƚŚƐ ĂŶĚ ƉƌŽďůĞŵƐ ǁŚŝĐŚ occur as people physiologically ĂŐĞ͘ &Žƌ ĞdžĂŵƉůĞ͕ Ă ĚƌĞƐƐ ĚĞƐŝŐŶĞƌ ŚĂƐ ƚŽ ŬŶŽǁ ƚŚĂƚ ĚƵĞ ƚŽ ƌŽƚĂƚŽƌ ĐƵī ŝƐƐƵĞƐ͕ ĂŶ ŽůĚĞƌ ǁŽŵĂŶ ŵĂLJ ŚĂǀĞ ĚŝĸĐƵůƚLJ ǁŝƚŚ ĚƌĞƐƐĞƐ ƚŚĂƚ ďƵƩŽŶ ƵƉ ƚŚĞ ďĂĐŬ͕ ĂŶĚ ĂŶ architect designing public buildings needs to consider that seniors ŶĞĞĚ Ă ŚŝŐŚĞƌ ŝŶƚĞŶƐŝƚLJ ŽĨ ŝůůƵŵŝŶĂƟŽŶ͕ ĂŶĚ ďŽůĚĞƌ ĐŽůŽƌ ĐŽŶƚƌĂƐƚƐ ƚŽ ĂƉƉƌĞĐŝĂƚĞ ĚĞƉƚŚ ĞƚĐ͘ ^Ž͕ / ǁƌŽƚĞ Ă ďŽŽŬ ĨŽƌ ŶŽŶŵĞĚŝĐĂů ŐƌĂĚ ƐƚƵĚĞŶƚƐ ĂŶĚ ĨŽƌ ƚŚĞ ƉƵďůŝĐ ŝŶ ŶŽŶŵĞĚŝĐĂů ƚĞƌŵƐ͕ Ăůů ǁŝƚŚ ,/W ĐŽŵƉůŝĂŶƚ ĂŶĞĐĚŽƚĞƐ ƚŽ ƚĞůů ƚŚĞ ƐƚŽƌLJ ŽĨ ƚŚĞ ƉŚLJƐŝŽůŽŐLJ ŽĨ ŵĂƚƵƌŝƚLJ͘͟ ͞/Ŷ ƚĞƌŵƐ ŽĨ ŵLJ ǁŽƌŬ ŝŵƉĂĐƟŶŐ ŵLJ ǁƌŝƟŶŐ͕ ůŽƚƐ ŽĨ ƉŚLJƐŝĐŝĂŶƐ ŚĂǀĞ ƚƵƌŶĞĚ ƚŽ ǁƌŝƟŶŐ͘ /Ŷ ŵLJ ĐĂƐĞ͕ / ǁĂŶƚĞĚ ŵLJ ƐƚƵĚĞŶƚƐ͕ ŵLJ ŵĂƚƵƌĞ ƉĂƟĞŶƚƐ͕ ĂŶĚ ƚŚĞŝƌ ĂĚƵůƚ ĐŚŝůĚƌĞŶ ƚŽ ŚĂǀĞ Ă ƌĞƐŽƵƌĐĞ ŶŽƚ ǁƌŝƩĞŶ ŝŶ ͞ŵĞĚŝĐĂůĞƐĞ͟ ƚŚĂƚ ĞdžƉůĂŝŶĞĚ ŚŽǁ ŽƵƌ ďŽĚŝĞƐ ĐŚĂŶŐĞ ŽǀĞƌ ƚŚĞ LJĞĂƌƐ͘͟

ůŝƐŽŶ ůŽĐŬ͕ D ;^ƚŽƌLJƚĞůůŝŶŐͿ Alameda-Contra Costa Chapter ƌ͘ ůŽĐŬ ƉƌĂĐƟĐĞƐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ Ăƚ ƚŚĞ ŽŶƚƌĂ ŽƐƚĂ ZĞŐŝŽŶĂů DĞĚŝĐĂů ĞŶƚĞƌ͘ Ɛ ǁĞůů ĂƐ Ă ůŽŶŐƟŵĞ ĂƉƉƌĞĐŝĂƚŽƌ ŽĨ ƚŚĞ ĂƌƚƐ͕ ƐŚĞ has a special passion for using storytelling to illuminate important topics in health care. ĐŽŶƟŶƵĞĚ ŽŶ ŶĞdžƚ ƉĂŐĞ х California Family Physician Spring 2020

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the power of art ф ĐŽŶƟŶƵĞĚ ĨƌŽŵ ƉƌĞǀŝŽƵƐ ƉĂŐĞ

Jennifer Kreger, MD

ůŝnjĂďĞƚŚ ŽǀŝŶŐƚŽŶ͕ D

͞/ ũŽŝŶĞĚ dŚĞ EŽĐƚƵƌŶŝƐƚƐ ĂƐ džĞĐƵƟǀĞ WƌŽĚƵĐĞƌ ƌŝŐŚƚ ĂŌĞƌ ŽƵƌ ĮƌƐƚ ƐŚŽǁ ŝŶ :ĂŶƵĂƌLJ ϮϬϭϲ͕͟ ƌ͘ ůŽĐŬ ƐĂŝĚ͘ ͞tĞ ŚĂĚ ŶŽ ŝĚĞĂ Ăƚ ƚŚĞ ƟŵĞ ƚŚĂƚ ǁŚĂƚ ǁĞ ǁĞƌĞ ĚŽŝŶŐ Ͷ ďƌŝŶŐŝŶŐ ƚŽŐĞƚŚĞƌ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ƐŚĂƌĞ ƚŚĞŝƌ ƐƚŽƌŝĞƐ Ͷ ǁŽƵůĚ ƚƵƌŶ ŝŶƚŽ Ă ĨƵůůͲŇĞĚŐĞĚ ŵŽǀĞŵĞŶƚ͘ tŝƚŚ ƐŽ ŵƵĐŚ ďƵƌŶŽƵƚ ĂŶĚ ĚŝƐĐŽŶŶĞĐƟŽŶ ŝŶ ŵĞĚŝĐŝŶĞ ƌŝŐŚƚ ŶŽǁ͕ ĐƌĞĂƟŶŐ Ă ƐƉĂĐĞ ǁŚĞƌĞ ĚŽĐƚŽƌƐ ĐĂŶ ƌĞĐŽŶŶĞĐƚ ƚŽ ƚŚĞŝƌ ŚƵŵĂŶŝƚLJ ŚĂƐ ďĞĞŶ ŝŶĐƌĞĚŝďůLJ ƌĞǁĂƌĚŝŶŐ ĂŶĚ ŚĂƐ ŚĞůƉĞĚ ŵĞ ƌĞƐƚŽƌĞ ĂŶĚ ŵĂŝŶƚĂŝŶ ƚŚĞ ũŽLJ ŝŶ ŵLJ ŽǁŶ ƉƌĂĐƟĐĞ͘͟ DŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ŽŶ dŚĞ EŽĐƚƵƌŶŝƐƚƐ ĐĂŶ ďĞ ĨŽƵŶĚ ŽŶůŝŶĞ Ăƚ ŚƩƉ͗ͬ​ͬ ƚŚĞŶŽĐƚƵƌŶŝƐƚƐ͘ĐŽŵͬ͘

Romero Santiago, MD, MPH (Cello) Sacramento Valley Chapter ƌ͘ ^ĂŶƟĂŐŽ͕ Ă ƌĞƐŝĚĞŶƚ ŵĞŵďĞƌ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͕ ƐĂŝĚ͕ ͞DƵƐŝĐ ŚĂƐ served as a core element of my development as an individual and as Ă h ĂǀŝƐ &DZW ƉŚLJƐŝĐŝĂŶ Ͷ ŚĂǀŝŶŐ ďĞĞŶ ĞdžƉŽƐĞĚ ƚŽ ŵƵƐŝĐ ĨƌŽŵ Ă very young age due to my maternal grandmother and my parents. Ɛ Ă LJŽƵŶŐ ďŽLJ͕ / ǁĂƚĐŚĞĚ ŵLJ ŐƌĂŶĚŵŽƚŚĞƌ ƉůĂLJ ŽŶ ƚŚĞ ƉŝĂŶŽ ĨŽƌ ŵLJ ĞůĚĞƌůLJ ŐƌĞĂƚͲŐƌĂŶĚƉĂƌĞŶƚƐ ŝŶ ƚŚĞ ŶƵƌƐŝŶŐ ŚŽŵĞ͘ / ǁĂƐ ŵŽǀĞĚ ďLJ ƚŚĞ ǁĂLJ ŵƵƐŝĐ ĞŶĂďůĞĚ ƚŚĞ ĞůĚĞƌůLJ ƚŽ ďƌŝŶŐ ŽƵƚ ƚŚĞŝƌ LJŽƵƚŚĨƵů ƐƉŝƌŝƚƐ ŝŶ ƚŚĞŝƌ ĂƩĞŵƉƚƐ ƚŽ ũŝǀĞ ƚŽ ƚŚĞ ŵƵƐŝĐ ďĞŝŶŐ ƉĞƌĨŽƌŵĞĚ͘ / ŚĂǀĞ ďĞĞŶ ƚƌĂŝŶĞĚ ĂƐ Ă ƚĞŶŽƌ ǀŽĐĂůŝƐƚ͕ ĂůŽŶŐ ǁŝƚŚ ďĞŝŶŐ Ă ƉŝĂŶŝƐƚ ĂŶĚ ĐĞůůŝƐƚ͕ ĂŶĚ ŝŶƚĞŶĚ ƚŽ ĐŽŶƟŶƵĞ ŵLJ ŝŶǀŽůǀĞŵĞŶƚ ŝŶ ŵƵƐŝĐ ĂƐ Ă ƉŚLJƐŝĐŝĂŶ ĂŶĚ ĞŶŐĂŐĞ ŝŶ ƉĞƌĨŽƌŵŝŶŐ ĂƌƚƐ ŵĞĚŝĐŝŶĞ ŝŶ ŵLJ ĨƵƚƵƌĞ ĐĂƌĞĞƌ ĂƐ ǁĞůů͘ DƵƐŝĐ ĂŶĚ ŵĞĚŝĐŝŶĞ ĂƌĞ ƚƌƵůLJ ŝŶƚĞƌƚǁŝŶĞĚ͘ DƵƐŝĐ ŚĂƐ ĞŶĂďůĞĚ ŵĞ ƚŽ ƉƌĞƐĞƌǀĞ ƚŚĞ ĞƐƐĞŶĐĞ ŽĨ ǁŚŽ / Ăŵ ĂƐ Ă ƉĞƌƐŽŶ ƚŚƌŽƵŐŚŽƵƚ ƚŚŝƐ ũŽƵƌŶĞLJ ŝŶ ŵĞĚŝĐŝŶĞ͘ /ƚ ŚĂƐ ĂůůŽǁĞĚ ŵĞ ƚŽ ďƌŝŶŐ ĞŵŽƟŽŶĂů ŚĞĂůŝŶŐ ĂŶĚ ũŽLJ ƚŽ ƚŚŽƐĞ ĨŽƌ ǁŚŽŵ / ŚĂǀĞ ŚĂĚ ƚŚĞ ĨŽƌƚƵŶĞ ŽĨ ƉĞƌĨŽƌŵŝŶŐ͘͟

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California Family Physician Spring 2020

sĂůĞƌŝĞ ĞŶŐĂů͕ D ͕ & &W

:ĞŶŶŝĨĞƌ <ƌĞŐĞƌ͕ D ;^ŽŶŐǁƌŝƟŶŐͿ Mendocino-Lake Chapter ƌ͘ <ƌĞŐĞƌ͕ Ă ŵĞŵďĞƌ ŝŶ &Žƌƚ ƌĂŐŐ ƐŚĂƌĞĚ͕ ͞DLJ ĞĂƌůLJ ƐŽŶŐƐ ǁĞƌĞ ůŝŬĞ ũŽƵƌŶĂůͲǁƌŝƟŶŐ͗ ƉĂƌƚ ŽĨ ŵLJ ŽǁŶ ŚĞĂůŝŶŐ͘ EŽǁĂĚĂLJƐ͕ ƐŽŶŐǁƌŝƟŶŐ ŝƐ Ă ƉůĂĐĞ ƚŽ ĂƉƉůLJ ǁŚĂƚ / ŚĂǀĞ ůĞĂƌŶĞĚ ĂďŽƵƚ ƚŚĞ ŚƵŵĂŶ ŵŝŶĚͶƐƵĐŚ ƚŚĞ need to feel connected to a person before you can see something from ƚŚĞŝƌ ƉĞƌƐƉĞĐƟǀĞͶƚŽ ĂĐƟǀŝƐŵ͘ / ǁĂŶƚ ƚŽ ƵƐĞ ŵƵƐŝĐ͕ ĂŶĚ ŽƚŚĞƌ ƚŽŽůƐ͕ ƚŽ ƚƵƌŶ ĂƌŽƵŶĚ ĐůŝŵĂƚĞ ĐŚĂŽƐ ĂŶĚ ĐƌĞĂƚĞ Ă ĨƵƚƵƌĞ ĨƌĞĞ ŽĨ ĞŶĞŵŝĞƐ͘͟ DŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ŽŶ ƌ͘ <ƌĞŐĞƌ͛Ɛ ŵƵƐŝĐ ĐĂŶ ďĞ ĨŽƵŶĚ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ familydocs.org.

ůŝnjĂďĞƚŚ ŽǀŝŶŐƚŽŶ͕ D ;tĂƚĞƌĐŽůŽƌƐͿ Los Angeles Chapter ƌ͘ ŽǀŝŶŐƚŽŶ͕ Ă ƉƌĂĐƟĐŝŶŐ ƉŚLJƐŝĐŝĂŶ ŝŶ >ŽƐ ŶŐĞůĞƐ͕ ŝƐ Ă ƌĞƐŝĚĞŶƚ ĂƌƟƐƚ Ăƚ dŚĞ ,ŝǀĞ 'ĂůůĞƌLJ ŝŶ ŽǁŶƚŽǁŶ >ŽƐ ŶŐĞůĞƐ ǁŚĞƌĞ ƐŚĞ ƐŚŽǁĐĂƐĞƐ ŚĞƌ ǁŽƌŬ ƚǁŝĐĞ ŵŽŶƚŚůLJ͘ ͞/͛ǀĞ ďĞĞŶ Ă ĨĂŵŝůLJ ĚŽĐ ĨŽƌ ŽǀĞƌ ϰϬ LJĞĂƌƐ ĂŶĚ ůŽǀĞ ŝƚ͕͟ ƐĂŝĚ ƌ͘ ŽǀŝŶŐƚŽŶ͘ ͞/ ƐƚĂƌƚĞĚ ƉĂŝŶƟŶŐ ĂďŽƵƚ ƚĞŶ LJĞĂƌƐ ĂŐŽ ƐĞŐƵĞŝŶŐ ŝŶƚŽ ǁĂƚĞƌĐŽůŽƌ ƚŽ ĚĞĐŽƌĂƚĞ ŵLJ ĐĂůůŝŐƌĂƉŚLJ͘ /͛ǀĞ ƐŝŶĐĞ ďĞĞŶ ŚŽŶŽƌĞĚ ƚŽ ŚĂǀĞ ƌĞĐĞŝǀĞĚ Ă ĮƌƐƚ ƉůĂĐĞ ŝŶ ǁĂƚĞƌĐŽůŽƌ Ăƚ ƚŚĞ ĞǀĞƌůLJ ,ŝůůƐ ƌƚ ^ŚŽǁ ŝŶ DĂLJ ϮϬϭϵ͘͟ ƌ͘ ŽǀŝŶŐƚŽŶ͛Ɛ ǁĂƚĞƌĐŽůŽƌ ƉĂŝŶƟŶŐ ŝƐ ĂůƐŽ ƚŚĞ ĐŽǀĞƌ Ăƌƚ ŽĨ ƚŚŝƐ ŝƐƐƵĞ͘

sĂůĞƌŝĞ ĞŶŐĂů͕ D ͕ & &W ;sŝŽůŝŶͿ Santa Cruz-Monterey Chapter ƌ͘ ĞŶŐĂů ƐĂŝĚ͕ ͞/ ŚĂǀĞ ƉůĂLJĞĚ ǀŝŽůŝŶ ĂŶĚ ǀŝŽůĂ ƐŝŶĐĞ ĐŚŝůĚŚŽŽĚ͘ DLJ ĮƌƐƚ

DŝůƚŽŶ <ŽŐĂŶ͕ D ͕ & &W

ďĞƌŚĂƌĚ EĞƵƚnj͕ D

ŶŶĞ DŽŶƚŐŽŵĞƌLJ͕ D

ƉƌŽĨĞƐƐŝŽŶĂů ŽƌĐŚĞƐƚƌĂ ĐŽŶƚƌĂĐƚ ǁĂƐ ĚƵƌŝŶŐ ĐŽůůĞŐĞ͘ / ďĞĐĂŵĞ ŵŽƌĞ ĂĐƟǀĞ ĂŌĞƌ ƌĞƐŝĚĞŶĐLJ ƚƌĂŝŶŝŶŐ͘͟

ďĞƌŚĂƌĚ EĞƵƚnj͕ D ;Kŝů WĂŝŶƟŶŐͿ Orange County Chapter

͞/ ŚĂǀĞ ƉĞƌĨŽƌŵĞĚ ŝŶ ƐLJŵƉŚŽŶLJ ŽƌĐŚĞƐƚƌĂƐ͕ ŵƵƐŝĐĂů ƚŚĞĂƚĞƌ͕ ŽƉĞƌĂ͕ ĐŚĂŵďĞƌ ŵƵƐŝĐ͕ ŵƵƐŝĐ ĨĞƐƟǀĂůƐ͕ ũĂnjnj ǁŽƌŬƐŚŽƉƐ͕ ĞǀĞŶƚƐ ƐƵĐŚ ĂƐ ǁĞĚĚŝŶŐƐ͕ ƉĂƌƟĞƐ͕ ĨƵŶĞƌĂůƐ͕ ĨƵŶĚƌĂŝƐĞƌƐ͕ ĐŚƵƌĐŚ ƐĞƌǀŝĐĞƐ͕ ĐŚŽƌĂů ĐŽŶĐĞƌƚƐ͕ ĐŽŶǀĞŶƟŽŶƐ͕ ŵƵƐĞƵŵƐ͕ Ăƌƚ ƐŚŽǁƐ͕ ƌĞƐŝĚĞŶĐLJ ŐƌĂĚƵĂƟŽŶƐ͕ ĂŶĚ ŚŽƵƐĞ ĐŽŶĐĞƌƚƐ͘ / Ăŵ Ă ŵĞŵďĞƌ ŽĨ ^ĂŶƚĂ ƌƵnj ^LJŵƉŚŽŶLJ͕ DŽŶƚĞƌĞLJ ^LJŵƉŚŽŶLJ͕ ĂŶĚ ƚŚĞ ŵĞƌŝĐĂŶ &ĞĚĞƌĂƟŽŶ ŽĨ DƵƐŝĐŝĂŶƐͲ>ŽĐĂů ϲ͘ /ƚ ŝƐ Ă ŐƌĞĂƚ ĚĞĂů ŽĨ ǁŽƌŬ ǁŝƚŚ ŚŝŐŚ ƐƚĂŶĚĂƌĚƐ ĂŶĚ ƉĞƌĨŽƌŵĂŶĐĞ ƉƌĞƐƐƵƌĞƐ͕ LJĞƚ ŵĂŬĞƐ ŵĞ ƉĂƌƚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ŝŶ Ă ĚŝīĞƌĞŶƚ ĂƌĞĂ ŽĨ ƐĞƌǀŝĐĞ ĂŶĚ ĐƌĞĂƟǀŝƚLJ͘͟

ƌ͘ EĞƵƚnj ŝƐ Ă ƉŚLJƐŝĐŝĂŶ ŝŶ >ĂŐƵŶĂ ĞĂĐŚ͘ ƌ͘ EĞƵƚnj ƐĂŝĚ͕ ͞dŽ ŵLJ ŬŶŽǁůĞĚŐĞ͕ ďĞŝŶŐ ŵƵƐŝĐĂů ŝƐ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ďĞŝŶŐ Ă ŐŽŽĚ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ŵƵƐŝĐ ĐĂŶ ŵŽǀĞ LJŽƵ ƚŽ ƚĞĂƌƐ͘ WĂŝŶƟŶŐ ŝƐ ƌĞůĂdžŝŶŐ͕ ŽŶĞ ĐĂŶ ĨŽƌŐĞƚ͘͟

ƌ͘ ĞŶŐĂů ŝƐ ƉŝĐƚƵƌĞĚ ǁŝƚŚ ŚĞƌ ƉĂƌƚŶĞƌ sůĂĚŝŵŝƌ <ŚĂůŝŬƵůŽǀ͕ ŵĂƐƚĞƌ violist in the orchestra pit of Sunset Center, Carmel, during a ƉĞƌĨŽƌŵĂŶĐĞ ŽĨ dŚĞ EƵƚĐƌĂĐŬĞƌ͘

/ ůŽǀĞ ŬŶŝƫŶŐ ďĂďLJ ƐǁĞĂƚĞƌƐ ƐŝŶĐĞ ƚŚĞLJ ĂƌĞ ƋƵŝĐŬ͊ / ŚĂǀĞ ŵĂĚĞ ƐǁĞĂƚĞƌƐ ĨŽƌ Ăůů ŽĨ ƚŚĞ ďĂďŝĞƐ ǁŚŽ ŚĂǀĞ ĐŽŵĞ ƚŽ ŵLJ ƌĞƐŝĚĞŶƚƐ ŝŶ ƚŚĞ ůĂƐƚ ĨĞǁ LJĞĂƌƐ͘ ^ĞǀĞƌĂů ŽĨ ůĂƐƚ LJĞĂƌ͛Ɛ ƌĞƐŝĚĞŶĐLJ ŐƌĂĚƐ ŚĂĚ ďĂďŝĞƐ ĚƵƌŝŶŐ ƌĞƐŝĚĞŶĐLJ ;ŝŶĐůƵĚŝŶŐ Ă ƐĞƚ ŽĨ ƚǁŝŶƐͿ͖ ƚŚĞLJ ƚŚĂŶŬĞĚ ŵĞ ǁŝƚŚ ƚŚĞ ďĞůŽǁ ƉŚŽƚŽ͘

DŝůƚŽŶ <ŽŐĂŶ͕ D ͕ & &W ;&ŝůŵ ĂŶĚ dĞůĞǀŝƐŝŽŶͿ San Diego Chapter ƌ͘ DŝůƚŽŶ <ŽŐĂŶ͕ Ă ŵĞŵďĞƌ ŽĨ &W ƐŝŶĐĞ ϭϵϲϴ͕ ŚĂƐ ƉƌĂĐƟĐĞĚ ŵĞĚŝĐŝŶĞ ĂƌŽƵŶĚ ƚŚĞ ǁŽƌůĚ͘ ,ŽǁĞǀĞƌ͕ ƐŽŵĞ ŵĂLJ ƌĞĐŽŐŶŝnjĞ ƌ͘ <ŽŐĂŶ ĂƐ KĸĐĞƌ <ŽŐĂŶ͕ Ă ĚĞƐŬ ƐĂƌŐĞĂŶƚ ŽŶ ƚŚĞ ƚĞůĞǀŝƐŝŽŶ ƐŚŽǁ ĂƌŶĞLJ DŝůůĞƌ͘ tŝƚŚ ĂŶ ĞdžƚĞŶƐŝǀĞ ůŝƐƚ ŽĨ ǁŽƌŬ ŝŶ Įůŵ ĂŶĚ ƚĞůĞǀŝƐŝŽŶ͕ ƌ͘ <ŽŐĂŶ ĐŽŵƉĂƌĞƐ ĂĐƟŶŐ ƚŽ ƉƌĂĐƟĐŝŶŐ ŵĞĚŝĐŝŶĞ͘ ƌ͘ <ŽŐĂŶ ƐĂŝĚ͕ ͞ ĐƟŶŐ ŝƐ ůŝŬĞ ƌĞĂůŝƚLJ͘ ^ƵĐĐĞƐƐ ŝƐ ĚĞƚĞƌŵŝŶĞĚ ďLJ ŚŽǁ Ă ƉĞƌĨŽƌŵĂŶĐĞ ŵĂŬĞƐ ĂƵĚŝĞŶĐĞƐ ďĞůŝĞǀĞ ƚŚĞLJ ĂƌĞ ƌĞĂůŝƚLJ͘ dŚĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ĞdžƉĞƌŝĞŶĐĞ͕ ŽŶ ƚŚĞ ŽƚŚĞƌ ŚĂŶĚ͕ ŵĞĂŶƐ LJŽƵ ŚĂǀĞ ĚĞĚŝĐĂƚĞĚ LJŽƵƌƐĞůĨ͕ LJŽƵƌ ůŝĨĞ͕ ĂŶĚ LJŽƵƌ ĐĂƌĞĞƌ͘ /ƚ ŝƐ ŶŽƚ ͚ůŝŬĞ͛ ƌĞĂůŝƚLJ͘ /ƚ ŝƐ ƌĞĂůŝƚLJ͘͟

ŶŶĞ DŽŶƚŐŽŵĞƌLJ͕ D ;<ŶŝƫŶŐͿ ŝƐĞŶŚŽǁĞƌ DĞĚŝĐĂů ĞŶƚĞƌ͕ >Ă YƵŝŶƚĂ / ŬŶŝƚ͘ DŽƐƚůLJ / ŵƵůƟƚĂƐŬ ǁŚŝůĞ ǁĂƚĐŚŝŶŐ ƐƉŽƌƚƐ Žƌ ŵŽǀŝĞƐ͕ Žƌ ƌŝĚŝŶŐ ŝŶ ƚŚĞ ĐĂƌ͊ Ƶƚ ŝƚ ĚŽĞƐ ŐŝǀĞ ŵĞ Ă ĐƌĞĂƟǀĞ ŽƵƚůĞƚ͘

/ ŬŶŝƚ ƐŽŵĞ ƚŚŝŶŐƐ for myself. Have also ĂƩĂĐŚĞĚ Ă ƉŚŽƚŽ ŽĨ ƚŚĞ ďĂĐŬ ŵLJ ĐƵƌƌĞŶƚ ŝŶͲƉƌŽŐƌĞƐƐ ƐǁĞĂƚĞƌ͘ / ƵƐĞĚ ƚŽ ĚŽŶĂƚĞ ĂŶ ƌĂŶ ƐǁĞĂƚĞƌ ƚŽ ƚŚĞ t &W &ŽƵŶĚĂƟŽŶ ĂƵĐƟŽŶ ĞǀĞƌLJ year—people chose style and color and / ĐƵƐƚŽŵ ŬŶŝƩĞĚ ĐŽŶƟŶƵĞĚ ŽŶ ŶĞdžƚ ƉĂŐĞ х California Family Physician Spring 2020

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the power of art ф ĐŽŶƟŶƵĞĚ ĨƌŽŵ ƉƌĞǀŝŽƵƐ ƉĂŐĞ

ŝƚ ƚŽ ƚŚĞŝƌ ŵĞĂƐƵƌĞŵĞŶƚƐ ;ĚƵƌŝŶŐ ƚŚĞ tŽƌůĚ ^ĞƌŝĞƐ͕ E&> ĂŶĚ ĐŽůůĞŐĞ ďĂƐŬĞƚďĂůů ƐĞĂƐŽŶͶŽŶůLJ ƉƌŽŵŝƐĞĚ ƚŽ ŚĂǀĞ ŝƚ ĚŽŶĞ ǁŝƚŚŝŶ Ă LJĞĂƌͿ͘ Ƶƚ ŶŽǁ ƚŚĂƚ ǁĞ ĂƌĞ ŝŶ ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ͕ / ĚŽŶ͛ƚ ƌĞĂůůLJ ůŝŬĞ ƚŽ ŬŶŝƚ ǁŝƚŚ ǁĂƌŵ ǁŽŽů ĂŶLJŵŽƌĞ͘

Emma Jane Hiscocks, MD (Singer) Los Angeles Chapter ƌ͘ ,ŝƐĐŽĐŬƐ͕ Ă ŵĞŵďĞƌ ŝŶ >ŽƐ ŶŐĞůĞƐ͕ ƐĂŝĚ͕ ͞/ ŚĂǀĞ ďĞĞŶ ƉůĂLJŝŶŐ ŵƵƐŝĐ ĨŽƌ ĂƐ ůŽŶŐ ĂƐ / ĐĂŶ ƌĞŵĞŵďĞƌ͘ / ŵĂĚĞ Ă ĂƐ Ă ƐƵƉƉůĞŵĞŶƚ ƚŽ ŵLJ ĐŽůůĞŐĞ ĂƉƉůŝĐĂƟŽŶƐ ĨĞĂƚƵƌŝŶŐ ŵĞ ƉůĂLJŝŶŐ ŇƵƚĞ ĂŶĚ ƉŝĂŶŽ ĂŶĚ ƐŝŶŐŝŶŐ͘ /Ŷ ĐŽůůĞŐĞ͕ / ĐŽŶƟŶƵĞĚ ƐŝŶŐŝŶŐ ŝŶ ƚŚĞ ĐŚŽŝƌ͘ tŚĞŶ / ŐŽƚ ƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ŝƚ ŵĂĚĞ ƐĞŶƐĞ ƚŽ ĐŽŶƟŶƵĞ ŵĂŬŝŶŐ ŵƵƐŝĐ ĨŽƌ ƌĞůĂdžĂƟŽŶ ĂŶĚ ƌĞůĞĂƐĞ͕ ƐŽ / ƐĂŶŐ ǁŝƚŚ ƚŚĞ ŽŶͲĐĂŵƉƵƐ Ă ĐĂƉƉĞůůĂ ŐƌŽƵƉ͘ LJ ĨŽƵƌƚŚ LJĞĂƌ͕ ŝƚ ǁĂƐ ŵŽƌĞ ĚŝĸĐƵůƚ ƚŽ ĮŶĚ ƟŵĞ ƚŽ ƐŝŶŐ͕ ƐŽ Ă ŐƌŽƵƉ ŽĨ ĐůŽƐĞ friends, both medical and non-medical, started a small singing group ƚŽ Įůů ƚŚĞ ǀŽŝĚ͘ tĞ ƐƟůů ƐŝŶŐ ƚŽŐĞƚŚĞƌͲͲǁŝƚŚ ƐůŝŐŚƚ ĐŚĂŶŐĞƐ ƚŽ ŐƌŽƵƉ ŵĞŵďĞƌƐŚŝƉ ŽǀĞƌ ƚŚĞ LJĞĂƌƐ ĚƵĞ ƚŽ ůŝĨĞͲͲϭϭ LJĞĂƌƐ ůĂƚĞƌ͘ /ƚ ŝƐ Ă ũŽLJ ƚŽ ďĞ ĂďůĞ ƚŽ ƐƚĞƉ ŽƵƚƐŝĚĞ ŽĨ ŵĞĚŝĐŝŶĞ ĂŶĚ ĐŽŶŶĞĐƚ ǁŝƚŚ ƉĞŽƉůĞ ǁŚŽ ƐŚĂƌĞ Ă ůŽǀĞ ŽĨ ŵƵƐŝĐ͘ / ĚŽ ŚŽƉĞ ŵĂŬŝŶŐ ŵƵƐŝĐ ĐŽŶƟŶƵĞƐ ƚŽ ƐƚĂǀĞ Žī ďƵƌŶŽƵƚ ĂƐ ŝƚ ŚĂƐ ďĞĞŶ ĚŽŝŶŐ ĨŽƌ ƐŽ ůŽŶŐ͘͟

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California Family Physician Spring 2020

Catherine Sonquist Forest, MD, MPH Santa Cruz Chapter My orchids don’t know dŚĞ ǁŽƌůĚ ŝƐ ƚŽƉƐLJ ƚƵƌǀLJ KƵƚƐŝĚĞ ƌĂŝŶ ƐƟůů ĨĂůůƐ

Elizabeth Sophy, MD and Pamela Mann, MPH

CAPF Foundation News

Looking at Family Medicine Through Mentorship and Peer Learning KŶ ^ĂƚƵƌĚĂLJ͕ DĂƌĐŚ ϳ͕ ϮϬϮϬ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ &ŽƵŶĚĂƚŝŽŶ ; &WͲ&Ϳ ƐƉŽŶƐŽƌĞĚ ƚŚĞ ĂŶŶƵĂů ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ WƌŽĐĞĚƵƌĂů tŽƌŬƐŚŽƉ Ăƚ ƚŚĞ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ /ƌǀŝŶĞ ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ ;h /Ϳ͘ EŽǁ ŝŶ ŝƚƐ ƐĞǀĞŶƚŚ LJĞĂƌ͕ ƚŚŝƐ ŚĂůĨͲĚĂLJ ĞǀĞŶƚ ďƌŽƵŐŚƚ ƚŽŐĞƚŚĞƌ undergraduates, medical students, resident physicians, other health care providers and family medicine faculty from Los Angeles, Orange, San Bernardino, San Diego and Riverside counties. With goals of teaching office-based ƉƌŽĐĞĚƵƌĞƐ ǁŝƚŚŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƉƌĂĐƚŝĐĞ͕ ƚŚĞ WƌŽĐĞĚƵƌĂů tŽƌŬƐŚŽƉ ƉƌŽǀŝĚĞƐ ƉĂƌƚŝĐŝƉĂŶƚƐ Ă ĨŽƌƵŵ ĨŽƌ ƉƌŽĨĞƐƐŝŽŶĂů

ĚĞǀĞůŽƉŵĞŶƚ ĂŶĚ ĞdžƉůŽƌĂƚŝŽŶ ĂŶĚ ĨŽƐƚĞƌƐ ŶĞǁ ĐŽŶŶĞĐƚŝŽŶƐ ďĞƚǁĞĞŶ ƚƌĂŝŶĞĞƐ ĂŶĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ dŚĞ ŚŝŐŚ ǀŽůƵŶƚĞĞƌ ĨĂĐƵůƚLJͲƚŽͲƐƚƵĚĞŶƚ ƌĂƚŝŽ ŵĂŬĞƐ ƚŚŝƐ ǁŽƌŬƐŚŽƉ ƐŽ ŝŶĐƌĞĚŝďůLJ special for students being introduced to primary care and family medicine.

The longevity and success of this activity is fueled by the enthusiasm and leadership of the CAFP Student and ZĞƐŝĚĞŶƚ ŽƵŶĐŝů ;ƚŚĞ ŽƵŶĐŝůͿ͕ ĂŶĚ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚůLJ͕ medical student and trainee interest in the various aspects ŽĨ ƚŚĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƐƉĞĐŝĂůƚLJ͘ dŚĞ ŽƵŶĐŝů ʹ ĐŽŵƉƌŝƐĞĚ of a diverse group of CAFP student and resident members ĨƌŽŵ ĂĐƌŽƐƐ ƚŚĞ ƐƚĂƚĞ ʹ ƌĞĐŽŐŶŝnjĞƐ ƚŚĞ ŶĞĞĚ ĨŽƌ ĂĚĚŝƚŝŽŶĂů ŚĂŶĚƐͲŽŶ ƉƌĂĐƚŝĐĞ ĂŶĚ ĞdžƉĞƌŝĞŶĐĞ ĂƐ Ă ǀŝƚĂů ĐŽŵƉŽŶĞŶƚ ŽĨ clinical training. Over the years, council members have led the design, development and implementation of this event and have selected procedures such as suturing, Pap smear ĂŶĚ /h ŝŶƐĞƌƚŝŽŶƐ͕ ŵƵƐĐƵůŽƐŬĞůĞƚĂů ũŽŝŶƚ ŝŶũĞĐƚŝŽŶƐ ;D^<Ϳ͕ electrocardiogram interpretations, dermoscopy evaluations ĂŶĚ ŵŽƐƚ ƌĞĐĞŶƚůLJ͕ ƉŽŝŶƚͲŽĨͲĐĂƌĞ ƵůƚƌĂƐŽƵŶĚ ;WK h^Ϳ͘ ƵƌŝŶŐ ƚŚŝƐ LJĞĂƌ͛Ɛ ǁŽƌŬƐŚŽƉ͕ ĂƚƚĞŶĚŝŶŐ ĂŶĚ ƌĞƐŝĚĞŶƚ ƉŚLJƐŝĐŝĂŶƐ ƚĂƵŐŚƚ ƉĂƌƚŝĐŝƉĂŶƚƐ ƚŚĞ ďĂƐŝĐƐ ŽĨ͗ භ dŝĞƐ ĂŶĚ ƐƵƚƵƌĞƐ ƵƐŝŶŐ Ă ĐůĂƐƐŝĐ ƉŝŐ ĨŽŽƚ ƐŝŵƵůĂƚŝŽŶ භ WĂƉ ƐŵĞĂƌƐ ĂŶĚ /h ŝŶƐĞƌƚŝŽŶ͕ ŝŶĐůƵĚŝŶŐ contraception and health prevention counseling භ ^ŚŽƵůĚĞƌ ĂŶĚ ŬŶĞĞ ũŽŝŶƚ ŝŶũĞĐƚŝŽŶƐ ǁŝƚŚ ƌĞǀŝĞǁ ŽĨ basic anatomy and common clinic scenarios භ WK h^ ǁŝƚŚ ƉƌĂĐƚŝĐĞ ĞdžĂŵŝŶŝŶŐ ƚŚĞ ůƵŶŐƐ͕ ŚĞĂƌƚ ĂŶĚ abdomen

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California Family Physician Spring 2020

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With volunteer faculty and residents working alongside students, this activity ensures participants have an opportunity to improve their understanding of the family medicine specialty.

ŶĞǁ ĂĚĚŝƚŝŽŶ ƚŽ ƚŚŝƐ LJĞĂƌ͛Ɛ ƉƌŽŐƌĂŵ ǁĂƐ the Family Medicine Panel Discussion.

Our panelists, family physicians representing various practice settings including obstetrics, geriatrics, sports ŵĞĚŝĐŝŶĞ ĂŶĚ ĂĚŵŝŶŝƐƚƌĂƚŝŽŶ ;ĂƐƐŽĐŝĂƚĞ ƉƌŽŐƌĂŵ ĚŝƌĞĐƚŽƌͿ͕ ĂŶƐǁĞƌĞĚ ƋƵĞƐƚŝŽŶƐ ranging from concerns about residency applications to time constraints during clinical visits, from the breadth of practice options to issues addressing primary care shortage areas. dŚĞ WƌŽĐĞĚƵƌĂů tŽƌŬƐŚŽƉ ŚĂƐ ƚŚĞ potential to improve interest in family medicine. According to an AAFP survey, ĐŽŶƟŶƵĞĚ ŽŶ ŶĞdžƚ ƉĂŐĞ х California Family Physician Spring 2020

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ф ĐŽŶƟŶƵĞĚ ĨƌŽŵ ƉƌĞǀŝŽƵƐ ƉĂŐĞ

ƐƚƵĚĞŶƚƐ ĨĞĞů ƚŚĂƚ ĞĂƌůLJ ĐůŝŶŝĐĂů ĞdžƉĞƌŝĞŶĐĞƐ ĂŶĚ ĞdžƉŽƐƵƌĞ ƚŽ family medicine careers are the most meaningful interactions during training. With volunteer faculty and residents ǁŽƌŬŝŶŐ ĂůŽŶŐƐŝĚĞ ƐƚƵĚĞŶƚƐ͕ ƚŚŝƐ ĂĐƚŝǀŝƚLJ ĞŶƐƵƌĞƐ ƉĂƌƚŝĐŝƉĂŶƚƐ have an opportunity to improve their understanding of the family medicine specialty.

Special Thanks: We are grateful to collaborate closely ǁŝƚŚ dĂŶ EŐƵLJĞŶ͕ D ͕ ĂƐƐŽĐŝĂƚĞ ĐůŝŶŝĐĂů ƉƌŽĨĞƐƐŽƌ ĂŶĚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ /ŶƚĞƌĞƐƚ 'ƌŽƵƉ ;&D/'Ϳ ĨĂĐƵůƚLJ ĂĚǀŝƐŽƌ Ăƚ h /͛Ɛ ĞƉĂƌƚŵĞŶƚ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͕ h /͛Ɛ &D/'͕ ĂŶĚ ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ &ĂŵŝůLJ Medicine Residency Programs to offer this program. Supplies and teaching ŵĂƚĞƌŝĂůƐ ǁĞƌĞ ŵĂĚĞ ĂǀĂŝůĂďůĞ ďLJ generous donations from family medicine training programs and SonoSite.

KƌŐĂŶŝnjĞƌƐ͗ • Juliana Jones, MS-4, Ross University SOM • Nadine Grace, MS-4, Ross University SOM • ůŝnjĂďĞƚŚ ^ŽƉŚLJ͕ W'zͲϯ͕ UC San Diego FMRP • >ƵůƵĂ ĂŚƌĂŝŶǁĂůĂ͕ W'zͲϯ͕ Emanate Health FMRP ďŽƵƚ ƚŚĞ &W ^ƚƵĚĞŶƚ ĂŶĚ ZĞƐŝĚĞŶƚ Council CAFP strives to meet the special interests of students and residents ƚŚƌŽƵŐŚ ƚŚĞ ǁŽƌŬ ŽĨ ƚŚĞ &W ^ƚƵĚĞŶƚ and Resident Council. The Council ƐƚƌĂƚĞŐŝnjĞƐ ĂŶĚ ŝŵƉůĞŵĞŶƚƐ ĂĐƚŝǀŝƚŝĞƐ aimed at reaching medical students and family medicine residents in California. This group of dedicated ůĞĂĚĞƌƐ ĞƐƚĂďůŝƐŚĞĚ ǁŽƌŬŝŶŐ ŐƌŽƵƉƐ focused on membership engagement, ƉƌŽĐĞĚƵƌĞ ǁŽƌŬƐŚŽƉƐ͕ ĂĚǀŽĐĂĐLJ͕ ŶĞƚǁŽƌŬŝŶŐ ĂŶĚ ǁĞůůŶĞƐƐ͘ ĚĚŝƚŝŽŶĂůůLJ͕ the Council serves as the official student-resident voice of the Academy.

By bringing students and residents together, the Council promotes 26

California Family Physician Spring 2020

ƚŚĞ ĞdžĐŚĂŶŐĞ ŽĨ ŝĚĞĂƐ͕ ďƵŝůĚƐ ůĞĂĚĞƌƐŚŝƉ ƐŬŝůůƐ͕ ƉƵƌƐƵĞƐ ƚƌĂŶƐĨŽƌŵĂƚŝŽŶĂů ĂĚǀŽĐĂĐLJ ĂŶĚ ĞŶƌŝĐŚĞƐ ĂůŝĨŽƌŶŝĂ͛Ɛ ƉƌŝŵĂƌLJ ĐĂƌĞ ǁŽƌŬĨŽƌĐĞ ǁŝƚŚ Ă ƐƚƌŽŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƉŝƉĞůŝŶĞ͘ dŚĞ ϮϬϭϵͲϮϬ ŽƵŶĐŝů ŝƐ Ϯϱ ŵĞŵďĞƌƐ ƐƚƌŽŶŐ͘

Adam Francis CAFP Director of Government Relations

advocacy update

While COVID-19 is Important, CAFP Keeps Its Eyes on the Prize Ks/ Ͳϭϵ ŝƐ ĂīĞĐƟŶŐ ĂůŵŽƐƚ ĞǀĞƌLJƚŚŝŶŐ ŝŶ ŽƵƌ ĚĂŝůLJ ůŝǀĞƐ͘ /ƚ ŝƐ ĂůƐŽ ĂīĞĐƟŶŐ &W ĂĚǀŽĐĂĐLJ ƐƚƌĂƚĞŐLJ͘ tŚŝůĞ ǁĞ ĂƌĞ ĨŽĐƵƐŝŶŐ ĞīŽƌƚƐ ŽŶ ĐŽŵďĂƫŶŐ ƚŚĞ ǀŝƌƵƐ ĂŶĚ ůŝŵŝƟŶŐ ŝƚƐ ƐƉƌĞĂĚ͕ &W ŝƐ ĂůƐŽ ĂĐƟǀĞůLJ ŝŶǀŽůǀĞĚ ŝŶ ƐƵƉƉŽƌƟŶŐ ƚǁŽ ŽƚŚĞƌ ƉƌŝŽƌŝƚLJ ĞīŽƌƚƐ͗ ĐƌĞĂƟŶŐ Ă WƌŝŵĂƌLJ ĂƌĞ ŽůůĂďŽƌĂƟǀĞ ůĞĚ ďLJ ƚŚĞ ^ƚĂƚĞ͕ ĂŶĚ ƉƌŽƚĞĐƟŶŐ ^ŽŶŐͲ ƌŽǁŶ ,ĞĂůƚŚ ĂƌĞ tŽƌŬĨŽƌĐĞ dƌĂŝŶŝŶŐ Act funding ensuing primary care physicians are trained in ƵŶĚĞƌƐĞƌǀĞĚ ĂƌĞĂƐ͕ ƚƌĞĂƟŶŐ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶƐ͘ WƌŝŵĂƌLJ ĂƌĞ ŽůůĂďŽƌĂƟǀĞ Ɛ ĂůŝĨŽƌŶŝĂ ďĞŐŝŶƐ ƚŽ ĨŽĐƵƐ ŽŶ ŚĞĂůƚŚ ĐĂƌĞ ĂīŽƌĚĂďŝůŝƚLJ ĂŶĚ ůŽŽŬ ĨŽƌ ƐŽůƵƟŽŶƐ ƚŽ ďĞŶĚ ƚŚĞ ĐŽƐƚ ĐƵƌǀĞ͕ ƉƌŽǀĞŶ ƉƌŽŐƌĂŵ ĞdžĂŵƉůĞƐ ĨƌŽŵ ŽƚŚĞƌ ƐƚĂƚĞƐ ƚŚĂƚ ŚĂǀĞ ĂĐŚŝĞǀĞĚ ƚŚŽƐĞ ŐŽĂůƐ ǁŚŝůĞ ĂůƐŽ ŝŵƉƌŽǀŝŶŐ ƋƵĂůŝƚLJ ŽĨ ĐĂƌĞ ĐŽŵĞ ŝŶƚŽ ƉůĂLJ͘ KŶĞ ĞdžĂŵƉůĞ ŝƐ Ă ƐĞƌŝĞƐ ŽĨ ŵƵůƟͲƉĂLJĞƌ ŝŶŝƟĂƟǀĞƐ ƚŽ ŚĞůƉ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉƌĂĐƟĐĞƐ ƚƌĂŶƐĨŽƌŵ ŝŶƚŽ WĂƟĞŶƚ ĞŶƚĞƌĞĚ DĞĚŝĐĂů ,ŽŵĞƐ ;W D,ƐͿ͕ ǁŚŝĐŚ ƌĞĚƵĐĞ ĐŽƐƚƐ ĂŶĚ ƉƌŽǀŝĚĞ ĞīĞĐƟǀĞ͕ ĐŽŽƌĚŝŶĂƚĞĚ ĐĂƌĞ ĨŽƌ ƉĂƟĞŶƚƐ͘ The PCMH model of integrated care, focused on quality and ĂĐĐĞƐƐ͕ ŝŵƉƌŽǀĞƐ ƚŚĞ ĐĂƌĞ ĚĞůŝǀĞƌĞĚ ƚŽ ƉĂƟĞŶƚƐ͘ dŽ ĂĐŚŝĞǀĞ ƚŚĞ ĞĸĐŝĞŶĐŝĞƐ ŽĨ ƚŚĞ W D,͕ ƉŚLJƐŝĐŝĂŶƐ͛ ƉƌĂĐƟĐĞƐ ŶĞĞĚ ĂůŝŐŶŵĞŶƚ ĂŶĚ ĐŽůůĂďŽƌĂƟŽŶ ǁŝƚŚ ƉƵďůŝĐ ĂŶĚ ƉƌŝǀĂƚĞ ƉĂLJĞƌƐ͘ ĞƐƉŝƚĞ ƚŚĞ ŽďǀŝŽƵƐ ďĞŶĞĮƚƐ ŽĨ ĂůŝŐŶŵĞŶƚ͕ ŚĞĂůƚŚ ƉůĂŶƐ ĂŶĚ ŽƚŚĞƌ ƐƚĂŬĞŚŽůĚĞƌƐ ƐƚƌƵŐŐůĞ ǁŝƚŚ ĐŽŶƐĞŶƐƵƐ ďƵŝůĚŝŶŐ ŐŝǀĞŶ ĂŶƟͲƚƌƵƐƚ ůŝĂďŝůŝƚLJ ĂŶĚ ĐŽŶŇŝĐƟŶŐ ŝŶƚĞƌĞƐƚƐ͘ &W ƐĞĞŬƐ ƚŽ ĐƌĞĂƚĞ Ă WƌŝŵĂƌLJ ĂƌĞ ŽůůĂďŽƌĂƟǀĞ ƚŽ ĂĚĚƌĞƐƐ ƚŚŝƐ ǀĞƌLJ ŝƐƐƵĞ ĂŶĚ ĚŝƐƐĞŵŝŶĂƚĞ ďĞƐƚ ƉƌĂĐƟĐĞƐ͘ dŚŝƐ ƉƌŽƉŽƐĂů ǁŽƵůĚ ĂůůŽǁ ƚŚĞ ƐĞĐƌĞƚĂƌLJ ŽĨ ĂůŝĨŽƌŶŝĂ͛Ɛ ,ĞĂůƚŚ ĂŶĚ ,ƵŵĂŶ ^ĞƌǀŝĐĞƐ ŐĞŶĐLJ ƚŽ ĂĐƚ ĂƐ Ă ͞ ŽŶǀĞŶĞƌ͕͟ ǁĂŝǀŝŶŐ ƐƉĞĐŝĮĐ ĂŶƟͲƚƌƵƐƚ ůŝĂďŝůŝƚLJ and bringing together public payers, private health carriers, third-party purchasers and providers to develop a consistent payment model, common performance and outcome measures ĂŶĚ ĂůŝŐŶ ŝŶĐĞŶƟǀĞƐ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞ W D, ŵŽĚĞů͘ KŶůLJ ďLJ ĐŽŽƌĚŝŶĂƟŶŐ ƉĂLJĞƌ ĞīŽƌƚƐ ǁŝƚŚ ĐŽŵŵŽŶ ŐŽĂůƐ ĂŶĚ ĞdžƉĞĐƚĂƟŽŶƐ͕ ĂŶĚ ĐƌĞĂƟŶŐ ƌĞůŝĂďůĞ ĨƵŶĚŝŶŐ ƐƚƌĞĂŵƐ ĐĂŶ ƚƌƵĞ ƐLJƐƚĞŵ ƌĞĨŽƌŵ occur. ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ &ƵŶĚŝŶŐ dŚĞ ^ŽŶŐͲ ƌŽǁŶ ,ĞĂůƚŚ ĂƌĞ tŽƌŬĨŽƌĐĞ dƌĂŝŶŝŶŐ Đƚ ;^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵͿ ǁĂƐ ĞƐƚĂďůŝƐŚĞĚ ŝŶ ϭϵϳϯ ƚŽ ƐƚĂďŝůŝnjĞ ĨƵŶĚŝŶŐ ĨŽƌ family medicine residency programs. The program eventually ĞdžƉĂŶĚĞĚ ƚŽ ŝŶĐůƵĚĞ ƚŚĞ ƉŚLJƐŝĐŝĂŶ ƐƉĞĐŝĂůƟĞƐ ŽĨ ƉĞĚŝĂƚƌŝĐƐ͕ ŝŶƚĞƌŶĂů ŵĞĚŝĐŝŶĞ ĂŶĚ ŽďƐƚĞƚƌŝĐƐͬŐLJŶĞĐŽůŽŐLJ͘ dŽ ƌĞĐĞŝǀĞ ^ŽŶŐͲ 28

California Family Physician Spring 2020

ƌŽǁŶ WƌŽŐƌĂŵ ĨƵŶĚŝŶŐ͕ ƌĞƐŝĚĞŶĐŝĞƐ ĂƌĞ ĞǀĂůƵĂƚĞĚ ŽŶ ƚŚĞŝƌ ĂďŝůŝƚLJ ƚŽ͗ • Recruit underrepresented minority residents. ͻ WƌŽǀŝĚĞ ĐĂƌĞ ƚŽ ƵŶŝŶƐƵƌĞĚ ĂŶĚ DĞĚŝͲ Ăů ƉĂƟĞŶƚƐ͘ ͻ 'ƌĂĚƵĂƚĞ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƉƌĂĐƟĐĞ ŝŶ ĂƌĞĂƐ ŽĨ ƵŶŵĞƚ need. ͻ 'ƌĂĚƵĂƚĞ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƌĞŵĂŝŶ ŝŶ ƉƌŝŵĂƌLJ ĐĂƌĞ ;ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂƌĞ ƚŚĞ ŽŶůLJ ƉŚLJƐŝĐŝĂŶ ƐƉĞĐŝĂůƚLJ ǁŚŽ ĂůŵŽƐƚ ĞdžĐůƵƐŝǀĞůLJ ƉƌŽǀŝĚĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƐĞƌǀŝĐĞƐ͕ ǁŝƚŚ ŐƌĂĚƵĂƚĞƐ ŽĨ ŽƚŚĞƌ ƐƉĞĐŝĂůƟĞƐ ƐƵďƐƉĞĐŝĂůŝnjŝŶŐ ĂŶLJǁŚĞƌĞ ĨƌŽŵ ϱϬ ƚŽ ϴϬ ƉĞƌĐĞŶƚ ŽĨ ƚŚĞ ƟŵĞͿ͘ ^ŝŶĐĞ ŝƚƐ ŝŶĐĞƉƟŽŶ͕ ƚŚĞ ^ŽŶŐ ƌŽǁŶ WƌŽŐƌĂŵ ŚĂƐ ďĞĞŶ ƉƌĞĚŽŵŝŶĂŶƚůLJ ƐƚĂƚĞ ĨƵŶĚĞĚ Ăƚ ůĞƐƐ ƚŚĂŶ Ψϱ ŵŝůůŝŽŶ ĂŶŶƵĂůůLJ͘ /Ŷ ϮϬϭϲ͕ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĨĂĐĞĚ ƚŚĞ ĞdžƉŝƌĂƟŽŶ ŽĨ ƚĞŶƐ ŽĨ ŵŝůůŝŽŶƐ ŝŶ ĂĚĚŝƟŽŶĂů ĨƵŶĚŝŶŐ ĨƌŽŵ ĞdžƉŝƌŝŶŐ ĨĞĚĞƌĂů ĂŶĚ ĂůŝĨŽƌŶŝĂ ŶĚŽǁŵĞŶƚ ŐƌĂŶƚƐ͘ ĂůŝĨŽƌŶŝĂ ĂǀĞƌƚĞĚ ƚŚŝƐ ĨƵŶĚŝŶŐ ĐƌŝƐŝƐ ďLJ ĂƉƉƌŽƉƌŝĂƟŶŐ Ψϯϯ ŵŝůůŝŽŶ ƉĞƌ LJĞĂƌ ĨŽƌ ƚŚƌĞĞ LJĞĂƌƐ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ ƚŽ ƐƚĂďŝůŝnjĞ ĞdžŝƐƟŶŐ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͕ ĞdžƉĂŶĚ ĞdžŝƐƟŶŐ ƉƌŽŐƌĂŵƐ͕ ĐƌĞĂƚĞ ŶĞǁ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂŶĚ ƐƵƉƉŽƌƚ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌƐ͘ /Ŷ ϮϬϭϵ͕ &W ƐƵĐĐĞƐƐĨƵůůLJ advocated for the annual $33 million to be made permanent to avoid another funding crisis. dŚĂŶŬƐ ŝŶ ůĂƌŐĞ ƉĂƌƚ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ͕ ƚŚĞ ƚŽƚĂů ŶƵŵďĞƌ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ ŐƌĞǁ ďLJ ϱϴ ƉĞƌĐĞŶƚ ĨƌŽŵ ϮϬϭϮ ƚŽ ϮϬϭϵ͘ /Ŷ ƚŚĞ ůĂƐƚ ƚŚƌĞĞ LJĞĂƌƐ ĂůŽŶĞ͕ ^ŽŶŐͲ ƌŽǁŶ ŚĞůƉĞĚ ƚŽ ĐƌĞĂƚĞ ĂŶĚ ĨƵŶĚ͗ ͻ Ϯϯ ŶĞǁ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ͻ ϰϱ ŶĞǁ ƐůŽƚƐ Ăƚ ĞdžŝƐƟŶŐ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ͻ ϲϬϬн ŶĞǁ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƌĞƐŝĚĞŶƚƐ /ƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŚĂƚ ůĞŐŝƐůĂƚŽƌƐ ƌĞĂůŝnjĞ ƚŚĞ ǀĂůƵĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ residency programs in their districts. Each family medicine ƌĞƐŝĚĞŶƚ ƉƌŽǀŝĚĞƐ ĂŶ ĂǀĞƌĂŐĞ ŽĨ Ăƚ ůĞĂƐƚ ϲϬϬ ĂĚĚŝƟŽŶĂů ƉĂƟĞŶƚ visits per year. Family medicine residency programs have ƐŝŐŶŝĮĐĂŶƚ ůŽŶŐͲƚĞƌŵ ďĞŶĞĮƚƐ ĨŽƌ ĐŽŵŵƵŶŝƟĞƐ ŝŶ ǁŚŝĐŚ ƌĞƐŝĚĞŶƚƐ ƚƌĂŝŶ͕ ĂƐ ƚŚĞ ŵĂũŽƌŝƚLJ ŽĨ ƌĞƐŝĚĞŶƚƐ ƐƚĂLJ ĂŶĚ ƉƌĂĐƟĐĞ ŝŶ ƚŚŽƐĞ ĐŽŵŵƵŶŝƟĞƐ͘ /Ĩ LJŽƵ ǁŽƵůĚ ůŝŬĞ ƚŽ ďĞ ŝŶǀŽůǀĞĚ ŝŶ &W͛Ɛ ĂĚǀŽĐĂĐLJ ĞīŽƌƚƐ͕ ƉůĞĂƐĞ ƐŝŐŶ ƵƉ ƚŽ ďĞ Ă &W >ĞŐŝƐůĂƟǀĞ <ĞLJ ŽŶƚĂĐƚ ŚĞƌĞ͗ ŚƩƉƐ͗ͬ​ͬǁǁǁ͘ƞĂĨŽƌŵƐ͘ĐŽŵͬϯϳϵϵϱϰ

ceo message

Lisa Folberg, MPP

Understanding the Importance of Creativity in Challenging Times tĞ ƉůĂŶŶĞĚ ƚŚŝƐ ŝƐƐƵĞ ƚŽ ĨŽĐƵƐ ŽŶ ƚŚĞ Ăƌƚ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ŽĨ ŽƵƌ ŵĞŵďĞƌƐ ůŽŶŐ ďĞĨŽƌĞ ĂŶLJŽŶĞ ǁĂƐ ƚĂůŬŝŶŐ ĂďŽƵƚ Ks/ Ͳϭϵ͘ Ɛ / ǁƌŝƚĞ ƚŚŝƐ͕ ƚŚĞ tŽƌůĚ ,ĞĂůƚŚ KƌŐĂŶŝnjĂƟŽŶ ŚĂƐ ĚĞĐůĂƌĞĚ Ks/ Ͳϭϵ Ă ƉĂŶĚĞŵŝĐ͖ WƌĞƐŝĚĞŶƚ dƌƵŵƉ ĚĞĐůĂƌĞĚ Ă EĂƟŽŶĂů ŵĞƌŐĞŶĐLJ͖ 'ŽǀĞƌŶŽƌ EĞǁƐŽŵ ŽƌĚĞƌĞĚ ƐŽĐŝĂů ĚŝƐƚĂŶĐŝŶŐ ĂŶĚ ŵĂŶLJ ĐŽƵŶƟĞƐ ŽƌĚĞƌĞĚ ƌĞƐŝĚĞŶƚƐ ƚŽ shelter in place.

ƌĞŵŝŶĚĞƌ ƚŚĂƚ ǁŚŝůĞ LJŽƵ ĂƌĞ Ă ĚĞǀŽƚĞĚ ƉŚLJƐŝĐŝĂŶ͕ ŝƚ ŝƐ ŶŽƚ Ăůů ƚŚĂƚ LJŽƵ ĂƌĞ͘ dŚĞ ĂƌƚƐ ĐĂŶ ĂůƐŽ ďĞ Ă ǁĂLJ ƚŽ ƌĞŵŝŶĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŽĨ ƚŚĞŝƌ ŽǁŶ ŚƵŵĂŶŝƚLJ ĂŶĚ ĐŽŶŶĞĐƚĞĚŶĞƐƐ ƚŽ ƚŚĞ ǁŽƌůĚ ǁŚŝĐŚ ŵĂLJ ŝŶ ƚƵƌŶ ŚĞůƉ LJŽƵ ĐŽŶŶĞĐƚ ƚŽ LJŽƵƌ ƉĂƟĞŶƚƐ͘ ƌƚ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ĐĂŶ ďĞ ďŽƚŚ ĂŶ ĞƐĐĂƉĞ ĂŶĚ Ă ĐŽŵƉůĞŵĞŶƚ ƚŽ ŵĞĚŝĐĂů ůĞĂƌŶŝŶŐ ĂŶĚ ƉƌĂĐƟĐĞ͘ /ŶĐƌĞĂƐŝŶŐůLJ͕ ŵĞĚŝĐĂů ƐĐŚŽŽůƐ ĂŶĚ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂƌĞ ĞdžƉĞƌŝŵĞŶƟŶŐ ǁŝƚŚ ƚĞĂĐŚŝŶŐ Ăƌƚ ĂŶĚ ŚƵŵĂŶŝƟĞƐ͕ ĂŶĚ ƚŚĞƐĞ ƐƵďũĞĐƚƐ ĐĂŶ ŚĞůƉ ƐŚĂƌƉĞŶ ŽďƐĞƌǀĂƟŽŶĂů ƐŬŝůůƐ͕ ŚĞůƉ ĐƌŝƟĐĂů ƚŚŝŶŬŝŶŐ ĂŶĚ ŝŵƉƌŽǀĞ ĞŵƉĂƚŚLJ͘ /ŶƚĞŐƌĂƟŶŐ Ăƌƚ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ŝŶƚŽ LJŽƵƌ ůŝǀĞƐ ŵĂLJ ĂůůŽǁ ĨŽƌ ŶĞǁ ƉĞƌƐƉĞĐƟǀĞƐ ŽŶ ŽůĚ ƉƌŽďůĞŵƐ͘

tĞ ĚŽ ŶŽƚ ŬŶŽǁ ǁŚĂƚ ƚŚĞ ǁŽƌůĚ ŽĨ Ks/ Ͳϭϵ ǁŝůů ůŽŽŬ ůŝŬĞ ǁŚĞŶ ƚŚŝƐ ŵĂŐĂnjŝŶĞ ĂƌƌŝǀĞƐ ŝŶ LJŽƵƌ ŵĂŝůďŽdžĞƐ͘ tŚĂƚ ǁĞ ĚŽ ŬŶŽǁ ŝƐ ƚŚĂƚ ŵĂŶLJ ŽĨ LJŽƵ ǁŝůů ŚĂǀĞ ƐƉĞŶƚ ƚŚĞ ůĂƐƚ ǁĞĞŬƐ ƉƵƫŶŐ LJŽƵƌƐĞůǀĞƐ ŝŶ ŚĂƌŵƐ ǁĂLJ ǁŽƌŬŝŶŐ ƟƌĞůĞƐƐůLJ ƚŽ ŚĞůƉ LJŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ ŵĂŶĂŐĞ Ks/ Ͳϭϵ͘ tĞ ĚĞďĂƚĞĚ ǁŚĞƚŚĞƌ ƚŽ postpone the planned content and ĨŽĐƵƐ ƚŚĞ ŝƐƐƵĞ ĞdžĐůƵƐŝǀĞůLJ ŽŶ ƚŚĞ ƉĂŶĚĞŵŝĐ͕ ďƵƚ Ăƚ ƚŚŝƐ ŵŽŵĞŶƚ ǁŚĞŶ Da Vinci, credited for his contributions LJŽƵ ĂƌĞ ŝŶƵŶĚĂƚĞĚ ǁŝƚŚ Ks/ Ͳϭϵ to medicine through detailed ŝŶĨŽƌŵĂƟŽŶ ĂŶĚ ŶĞǁƐ͕ ǁĞ ĚĞĐŝĚĞĚ anatomical drawings asked, “What kind LJŽƵ ŵŝŐŚƚ ŶĞĞĚ Ă ǁĞůůŶĞƐƐ ďƌĞĂŬ ƚŽ of words would you fetch to describe ƚŚŝŶŬ ĂďŽƵƚ ƐŽŵĞƚŚŝŶŐ ĞůƐĞ͘

so awkwardly what I could do so

“

“

Many family physicians have integrated Ăƌƚ ŝŶƚŽ ƚŚĞŝƌ ƉƌĂĐƟĐĞ ǁŝƚŚŽƵƚ ĐĂůůŝŶŐ ŝƚ ƚŚĂƚ͘ ^ĐŝĞŶƟĮĐ ŬŶŽǁůĞĚŐĞ ĂŶĚ ƚĞĐŚŶŝĐĂů ƐŬŝůůƐ ĂƌĞ ĞƐƐĞŶƟĂů ĨŽƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ but the art of storytelling and the art of listening are also important for the ƉƌĂĐƟĐĞ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ DƵĐŚ ŽĨ LJŽƵƌ ǁŽƌŬ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŝƐ ƚŽ ƚĂŬĞ ƚŚĞ ƉĂůĞƩĞ ŽĨ ƐLJŵƉƚŽŵƐ ĂŶĚ ŝŶƉƵƚƐ ĨƌŽŵ ƚŚĞ ƉĂƟĞŶƚ ĂŶĚ ƉĂŝŶƚ Ă picture of diagnosis and treatment.

dŚĞ ŽƌŝŐŝŶƐ ŽĨ ƚŚŝƐ ŵĂŐĂnjŝŶĞ ǁŝƚŚ ŝƚƐ magnificently with just one picture?” ƚŚĞŵĞ ŽĨ Ăƌƚ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ƐƚĂƌƚĞĚ ǁŝƚŚ Ă ĐŽŶǀĞƌƐĂƟŽŶ / ŚĂĚ ǁŝƚŚ DŽĂnjnjƵŵ ĂũǁĂ͕ D ǁŚŽ ǁƌŽƚĞ ĂŶ ĂƌƟĐůĞ ŝŶ ƚŚŝƐ ŝƐƐƵĞ͘ ƌ͘ ĂũǁĂ ǁĂƐ ƚĞůůŝŶŐ ŵĞ ĂďŽƵƚ ŚŝƐ ƉĂƌƟĐŝƉĂƟŽŶ Ăƚ Ă tŚĞŶ / ƐƚĂƌƚĞĚ Ăƚ &W ŵŽƌĞ ƚŚĂŶ ϭϴ ŵŽŶƚŚƐ ĂŐŽ / ŚĂĚ Ă ĐŽŶǀĞƌƐĂƟŽŶ ƐƉŽŬĞŶ ǁŽƌĚ ĞǀĞŶƚ͘ EŽƚ ůŽŶŐ ďĞĨŽƌĞ ŽƵƌ ĐŽŶǀĞƌƐĂƟŽŶ͕ / ŚĂĚ ƚĂůŬĞĚ ƚŽ Ă ǁŝƚŚ ŽŶĞ ŽĨ ŽƵƌ ůĞĂĚĞƌƐ ǁŚŽ ĂƐŬĞĚ ŵĞ ǁŚĂƚ / ĚŽ ĨŽƌ ĨƵŶ͘ / ƌĞĂůŝnjĞĚ ŵŽƐƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ŵĞŵďĞƌ ǁŚŽ ƚĞĂĐŚĞƐ ƚĂŶŐŽ ĚĂŶĐŝŶŐ ĂŶĚ ĂŶŽƚŚĞƌ ǁŚŽ ŽĨ ŵLJ ƌĞƐƉŽŶƐĞƐ ƐƚĂƌƚĞĚ ǁŝƚŚ ͞/ ƵƐĞĚ ƚŽ͘͟ / ƵƐĞĚ ƚŽ ĚĂŶĐĞ͖ / ƵƐĞĚ ƚŽ ĚŽ ƉůĂLJƐ ŐƵŝƚĂƌ͘ ^ŝŶĐĞ Ă ƚĂůĞŶƚ ƐŚŽǁ ƐĞĞŵĞĚ ŽƵƚ ŽĨ ƚŚĞ ƋƵĞƐƟŽŶ͕ ƚŚĞ &W LJŽŐĂ͖ / ƵƐĞĚ ƚŽ ŵĂŬĞ ĐĂƌĚƐ ĂŶĚ ďĂŬĞ ĨĂŶĐLJ ĐĂŬĞƐ͘ ƐƚĂī ƚĞĂŵ ĚĞǀĞůŽƉĞĚ ƚŚŝƐ ŝƐƐƵĞ ĂƐ Ă ǁĂLJ ƚŽ ĨĞĂƚƵƌĞ ŵĞŵďĞƌ ƚĂůĞŶƚƐ ĂŶĚ ƉƌŽǀŝĚĞ Ă ĨŽƌƵŵ ƚŽ ĚŝƐĐƵƐƐ ƚŚĞ ƉůĂĐĞ ŽĨ Ăƌƚ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ŝŶ ƚŚĞ ƉƌĂĐƟĐĞ DLJ ŬŝĚƐ ĂƌĞ ĂůǁĂLJƐ of family medicine. great teachers, and in my humble opinion, /Ŷ ďƵƐŝŶĞƐƐ͕ ƉƌŽĚƵĐƟǀŝƚLJ ĂŶĚ ĐƌĞĂƟǀŝƚLJ ĂƌĞ ŽŌĞŶ Ăƚ ŽĚĚƐ͘ WƌŽĚƵĐƟǀŝƚLJ ŝƐ ƚĂůĞŶƚĞĚ ĂƌƟƐƚƐ͘ ƚ ĞĸĐŝĞŶƚ͖ ŝƚ ŝŶǀŽůǀĞƐ Ă ĐůĞĂƌ ƐĞƚ ŽĨ ƐƚĞƉƐ ƚŽ ŐĞƚ ƐŽŵĞƚŚŝŶŐ ĚŽŶĞ ĂƐ the beginning of ƐŝŵƉůLJ ĂƐ ƉŽƐƐŝďůĞ͘ ƌĞĂƟǀŝƚLJ ŶĞĞĚƐ ƟŵĞ ĂŶĚ ƐƉĂĐĞ ĨŽƌ ĞdžƉůŽƌĂƟŽŶ͕ DĂƌĐŚ͕ ǁŚĞŶ ĨĞĂƌƐ ĂŶĚ ŵĞĂŶĚĞƌŝŶŐ ŝƐ Ă ƉĂƌƚ ŽĨ ƚŚĞ ƉƌŽĐĞƐƐ͘ Ɛ ƉĂƟĞŶƚ ǀŝƐŝƚƐ ĂƌĞ ĐƌĂŵŵĞĚ ǁĞƌĞ ƐƚĂƌƟŶŐ ĂƌŽƵŶĚ ŝŶƚŽ ϭϱͲŵŝŶƵƚĞ ŝŶƚĞƌǀĂůƐ ĂŶĚ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ƌĞƐƉŽŶƐŝďŝůŝƟĞƐ ƉŝůĞ ƵƉ͕ ƚŚĞ Ks/ Ͳϭϵ͕ ŵLJ ϭϱͲLJĞĂƌͲ ƉƌŽĚƵĐƟǀĞ ĐĂŶ ŽǀĞƌƚĂŬĞ ƚŚĞ ƐƉĂĐĞ ĨŽƌ ƚŚĞ ĐƌĞĂƟǀĞ͘ &Žƌ ďƵƐLJ ƉŚLJƐŝĐŝĂŶƐ ŽůĚ ĚƌĞǁ Ă ĐĂƌƚŽŽŶ ǁŝƚŚ ŵƵůƟƉůĞ ĚĞŵĂŶĚƐ͕ ƚŚĞ ĐƌĞĂƟǀĞ ĐĂŶ ƐĞĞŵ ůŝŬĞ Ă ůƵdžƵƌLJ͘ Ks/ ͘ /ƚ ǁĂƐ ƐƵĐŚ Ă nice reminder that ƌƚ ŚĂƐ ƚŚĞ ŽďǀŝŽƵƐ ďĞŶĞĮƚ ĂƐ Ă ǁĞůůŶĞƐƐ ƚŽŽů͘ /ƚ ĐĂŶ ďĞ Ă ĚŝƐƚƌĂĐƟŽŶ even in the midst of ĨƌŽŵ ƐƚƌĞƐƐ͘ ƌĞĂƟŶŐ Ăƌƚ Žƌ ŽďƐĞƌǀŝŶŐ ŝƚ ĐĂŶ ƚĂŬĞ ƵƐ ƚŽ ĂŶŽƚŚĞƌ ƉůĂĐĞ͕ ƵŶŬŶŽǁŶƐ͕ ĐŚĂŶŐĞ ĂŶĚ ĐĂŶ ĐĂůŵ ĂŶĚ ďƌŝŶŐ ũŽLJ͘ /ƚ ĐĂŶ ĂůƐŽ ŚĞůƉ ĐƌĞĂƚĞ ďĂůĂŶĐĞ ĂŶĚ ƉƌŽǀŝĚĞ ĐŚĂůůĞŶŐĞ͕ ǁĞ ŚĂǀĞ ƟŵĞ ƉĞƌƐƉĞĐƟǀĞ͘ ŽŝŶŐ ƐŽŵĞƚŚŝŶŐ ĐƌĞĂƟǀĞ ŽƵƚƐŝĚĞ ŽĨ ŵĞĚŝĐŝŶĞ ŝƐ Ă ĨŽƌ ĐƌĞĂƟǀŝƚLJ͘ 30

California Family Physician Spring 2020

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

Presorted Standard U.S. POSTAGE PAID

Little Rock, AR Permit No. 2437