FEBRUARY EDITION, VOLUME 2018, NO. 2
GREETINGS! HAPPY TWO-THOUSAND AND GREAT-TEEN! By David Dixon, D.O., CMS President For some reason, as much as I love the holiday season, I find that as I get older, Christmas makes me feel so outdated and behind the times. It is not intentional, but my kids look at me with amazed expressions when they realize that I am clueless on how to use their new toys or games. It is not that I am not able to learn how to use these new toys; it is the fact that I have no interest in doing so that makes me feel so old. I realize that not everyone my age feels this way. I have friends who get so excited about the latest iPhone model, or the latest Madden Football graphics. But me? I just do not get enjoyment out of these things. However, I cannot help but wonder and speculate about life in 50 years. What will my children be buying their kids? I joined North Florida Women’s Care (NFLWC) in July of 2003. At that time, Dr. David O’Bryan walked me around Tallahassee Memorial, showing me the ropes. He showed me how to find the clipboard with the vital signs and I’s and O’s. He showed me where to find patient charts, and where to find the blank progress note forms along with the blank doctor’s order forms. He showed me how to find the folder with NFLWC’s preprinted admission and discharge order sets. He showed me how to flag the orders, put the prescriptions on the chart, and to whom to give the chart. As archaic as this sounds, the reality is that I could walk on to the floor, see four to five patients, write my notes and orders, and be off the floor in no time at all. Fast-forward 14½ years later. I now walk on to the floor at 7:00 am (thirty minutes to an hour earlier than
I used to); log on to a computer, whenever there is one available; make an average of 15 clicks on the computer just to get those vitals and I’s and O’s; then go see my patient. I then sit back down at the computer, log back on, and make another 10 clicks to get to the screen where I start my note. I then complete my progress note (typically a template note from a prior patient’s care), which, by the way, has about four pertinent lines out of the page and a half of information. I then get my discharge orders completed, reconcile my medications, print off my prescriptions, go find them on the printer, sign them, and give them to the clerk. I then move on to the next patient’s chart. Let me say that I do not openly whine about Electronic Medical Records or the effect of technology on the practice of medicine…at least not very often. I was on the committee at NFLWC that convinced my partners that going paperless was inevitable, and that we should be proactive by beginning the process back in 2006. I understand that complaining about the inefficiencies of EMR systems is wasted energy. EMR is just an example, maybe the whipping post for physician frustrations about the healthcare environment. As healthcare shifts from a fee-for-service-based model to a value-based reimbursement structure, we are now asked to take the time to document and report huge volumes of information to various agencies. For those of us in private practice, this burden is sometimes so overwhelming that we start looking at practice models that can help us with the demands of this new system, often leading physicians to look for opportunities to partner with hospitals or become employees. This has taken its toll on the morale of many physicians. Many physicians are simply exhausted; they feel they just CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2018 MEETINGS CALENDAR March 8, 2018 Connect the Docs Happy Hour Sponsored by Capital City Bank 6:00 pm - 8:00 pm The Wine House (1355 Market Street, A1)
March 22, 2018 Libations, Candles, and Conversation Soirée - Proceeds from the sale of Hearth & Soul’s March Featured Candle benefit Capital Medical Society Foundation 6:00 pm - 8:00 pm Hearth & Soul (1410 Market Street, D1)
March 29, 2018 Celebration Awards Dinner 6:30 pm FSU University Center Club
CONTINUED ON PAGE 3
BOARD OF GOVERNORS David Dixon, D.O., President
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
Maribel Lockwood, M.D., President-Elect Kenneth Whithaus, M.D., Secretary/Treasurer
A Message from Your 2018 CMS President....................1 Professional Notes .............................................................6 Upcoming CMS Events......................................................7 2017 CMS Foundation Holiday Auction.........................8 CMS Lunch and Learn...................................................... 14 Medical/Legal.................................................................... 15 Viewpoint............................................................................ 18 CME Opportunity – Physician Burnout....................... 22 Physician Wellness Program......................................... 23 2018 CMS Foundation Board of Directors................. 25 CMS Foundation............................................................... 26 CMS Foundation: We Care Network............................27
Tracey Hellgren, M.D., Immediate Past President Christie Alexander, M.D. Todd Hewitt, M.D. Sarah Ho, President, CMS Alliance Rohan Joseph, M.D.
HAPPY BIRTHDAY!
Sarah Ko, M.D. Narayanan Krishnamoorthy, M.D.
{FEBRUARY BIRTHDAYS}
Paresh Patel, M.D. Laurence Rosenberg, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society
Robert Steinmetz, M.D. – 1st
Jeannine Silberman, M.D. – 10th
Bert Morales, M.D. – 2nd
Satish Mital, M.D. – 11th
Family Medicine Residents
David O’Bryan, M.D. – 2nd
William Simmons, M.D. – 14th
Meredith Maxwell, M.D./Alex Vanderby, M.D.
Eric Keasler, M.D. – 3rd
Kenneth Kato, M.D. – 15th
Internal Medicine Residents
Brian Sherman, M.D. – 3rd
Chris DeRosier, M.D. – 16th
Tahir Motiwala, M.D./Cristin Sampson, M.D.
C. Raymond Cottrell, M.D. – 4th
Garrison Rolle, M.D. – 16th
General Surgery Residents
Shakra Junejo, M.D. – 6th
Robert Snyder, M.D. – 16th
Aaron Hayson, M.D./Justin Lee, M.D.
Anahita Sanaie, M.D. – 6th
Robert Atwater, M.D. – 18th
Wade Douglas, M.D. – 7th
Narlito Cruz, M.D. – 19th
PUBLICATION
Donald Loucks, M.D. – 7th
Meredith McKinney, M.D. – 19th
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
James O’Neill, M.D. – 7th
Jerry Ford, M.D. – 21st
Stephen Quintero, M.D. – 7th
Joseph Camps, M.D. – 22nd
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
William Thompson, M.D. – 7th
Narlin Beaty, M.D. – 23rd
Graham Whitaker, M.D. – 7th
Bruno Dipasquale, M.D. – 23rd
Frank Gredler, M.D. – 8th
James Geissinger, Jr., M.D. – 23rd
John MacKay, M.D. – 8th
Abby Hunter Peters, M.D. – 25th
Michael Cavallaro, M.D. – 9th
Joseph Baker, M.D. – 26th
Larry Harper, M.D. – 10th
Gregory Albright, D.O. – 28th
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.
Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Krista Rankin, M.D. – 10th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
A MESSAGE FROM YOUR 2018 CMS PRESIDENT
CONTINUED FROM COVER
cannot continue to sacrifice more and more time out of their day just to make the same dollar they made five years ago. As we enter 2018, there is an increasing awareness about physician burnout and discontent. Numerous articles in peer-reviewed journals and in news publications have discussed burnout amongst health care providers. The impact of this on the care provided to our patients remains to be seen. Locally, Pam Irwin and other members of CMS and the CMS Foundation have realized the need for better support for our physicians. In 2017, the Capital Medical Society Foundation developed our Physician Wellness Program here in Tallahassee. This program allows our members to receive care from licensed psychologists without worrying about the potential implications of this care on their licensure or reputation. On our
website, Pam and Shannon have compiled a list of articles, websites, videos and books devoted to the topic of physician burnout and mood disorders. We have also dedicated one of our CME events this year to the topic of physician burnout. As your president this year, I would like to continue to review the available literature on physician burnout and to continue our work here at CMS on devising methods of helping our members cope with their frustrations and not give up on medicine. We are blessed in Tallahassee to have an amazing group of physicians that provide the highest quality of healthcare to our patients. We need to support each other during this evolution. We should not feel alone with these frustrations. Most importantly, we should not lose our passion for caring for our patients.
CAPITAL MEDICAL SOCIETY 2018 MEETINGS CALENDAR CONT. FROM COVER
Friday, April 27, 2018
October 16, 2018
CMS Membership & CME Meeting Stress In Medical Practice: Avoiding Risks of Burnout and Suicide Stefan A. Pasternack, M.D., Board Certified Psychiatrist and Psychoanalyst and Distinguished Life Fellow of the American Psychiatric Association, Boca Raton, Florida 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Spouses Welcome
CMS Membership & CME Meeting Domestic Violence & Human Trafficking (2-Hour CME) Suzanne Harrison, M.D., FSU College of Medicine and Terry Coonan, J.D., Center for the Advancement of Human Rights 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May 15, 2018 CMS Membership & CME Meeting Advances in Minimally-Invasive Neurosurgery Narlin Beaty, M.D., Tallahassee Neurological Clinic, PA 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May/June 2018
November 13, 2018 CMS Membership & CME Meeting Health Impact of Common Electronic Devices Alice Pomidor, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 6, 2018 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
CMS Doctor/Daughter Event Time & Location: TBA
September 18, 2018 CMS Membership & CME Meeting Addressing the Opioid Epidemic Panel: Sam Ashoo, M.D., Emergency Management; Victoria Penny, Attorney; Celeste Phillip, M.D., Florida Surgeon General; and Justin French, Tallahassee Police Department 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
3
We’ve Moved!
VISIT US AT OUR NEW LOCATION 1401 CENTERVILLE ROAD, SUITE 100 TALLAHASSEE, FL 32308
Lincoln Roland, MD, RPVI Board Certified, Vascular Surgery
Medical School: Pennsylvania State University College of Medicine, Hershey, PA Residency: New York Medical College (Sound Shore) Program, New Rochelle, NY Fellowship: University of Massachusetts Medical Center, Worcester, MA
TMH PHYSICIAN PARTNERS
VASCULAR SURGERY SPECIALISTS
1401 Centerville Rd, Suite 100 | Tallahassee, FL | 850-431-8346
4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
PROFESSIONAL NOTES
Mark O’Bryant, President and CEO of Tallahassee Memorial HealthCare, was recently presented with an Award of Special Recognition by the Professionals Resource Network, Inc. (PRN). This award was given in appreciation for the generous donation from TMH to the PRN in support of their important mission and services protecting Florida’s citizens and assisting impaired healthcare practitioners to return to productive practice. The mission of the Professionals Resource Network (PRN) is to protect the health, safety and welfare of the public, while also supporting the health and integrity of Florida’s healthcare and other professionals. Brence A. Sell, M.D. has recently been designated a Fellow of the American Society of Anesthesiologists for demonstrating excellence in leadership and dedication to the field of anesthesiology. This designation identifies anesthesiologists who exhibit the highest standard in professionalism, leadership, advocacy for the profession, patient safety, and education. Dr. Sell is the first anesthesiologist in Northwest Florida to receive this recognition. He is a Diplomate of the American Board of Anesthesiology, the National Board of Echocardiography, and the American Board of Neurophysiological Monitoring. He is on the Board of Directors of the Florida Society of Anesthesiologists and is currently serving as the Assistant Treasurer of the Florida Society of Anesthesiologists. Gary Winchester, M.D. was recently presented with an Outstanding Advocate Award by the Professionals Resource Network, Inc. (PRN). This award was given in appreciation for his dedicated and outstanding advocacy in support of the mission and services of the PRN. The mission of the Professionals Resource Network (PRN) is to protect the health, safety and welfare of the public, while also supporting the health and integrity of Florida’s healthcare and other professionals.
CMS Members: If you receive accolades, please let us know so we can include you in this section! Email the details to Shannon Boyle at sboyle@capmed.org.
Dennis A. Fried, M.D., J.D.
Licensing, Discipline & Peer Review Defense for All Medical Professionals in Florida Free Initial Consultation Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218
6
www.medicaladministrativedefense.com
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
UPCOMING CMS EVENTS
JOIN YOUR COLLEAGUES FOR A
HAPPY HOUR THURSDAY, MARCH 8, 2018 6:00 PM – 8:00 PM THE WINE HOUSE (NEXT TO TASTY PASTRY, 1355 MARKET STREET, A1) HORS D’OEUVRES AND FIRST BEVERAGE PROVIDED BY OUR SPONSOR:
PLEASE RSVP BY MARCH 1ST TO ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG.
MARK YOUR CALENDAR FOR THE 17TH ANNUAL CELEBRATION AWARDS DINNER Celebrate the profession of medicine with your colleagues! Mark your calendars for the Capital Medical Society’s annual Celebration Awards Dinner on Thursday, March 29th at 6:30 pm at the University Center Club at Florida State University. Our Celebration Awards Dinner honors Doctors’ Day, which is on March 30th every year. An exciting part of this event is the presentation of two prestigious awards. The I.B. Harrison, M.D. Humanitarian Award will recognize a local physician’s humanitarian effort to help patients. The Outstanding Physician Award will recognize a local physician’s effort to help the profession of medicine. The 2018 recipients will be announced in early February. Invitations will be sent in early March. We hope to see you there! CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
7
2017 CMS FOUNDATION HOLIDAY AUCTION
HOLIDAY AUCTION EXCEEDS EXPECTATIONS IN RAISING FUNDS FOR WE CARE NETWORK AND MEDICAL SCHOOL SCHOLARSHIPS By Pam Irwin, CMS Executive Director “Pop guns! And bicycles! Roller skates! Drums! Checkerboards! Tricycles! Popcorn! And plums! And he stuffed them in bags. Then the Grinch, very nimbly, Stuffed all the bags, one by one, up the chimbley!” - Dr. Seuss, How the Grinch Stole Christmas!
Auctioneers, Dr. Scott Sellinger and Dr. John Mahoney Those who attended the 2017 Holiday Auction were rewarded with the vision of our own, very non-Grinchlike Grinch, Dr. Scott Sellinger, and Dr. John Mahoney as they emceed another fantastic holiday auction. I was concerned when Dr. Sellinger shared he would not come as an elf this year, but he never ceases to surprise us. Serving as auctioneers for Capital Medical Society Foundation’s 16th annual Holiday Auction, the two helped raise funds to support the Foundation’s mission of improving access to health care through its We Care Network and its robust scholarship program for FSU College of Medicine’s local students. When you grasp that the We Care Network leveraged almost $11 million in donated specialty medical care and dental care last year and that forty-four FSUCOM alumni are now practicing in the Tallahassee area, you begin to understand the importance of this annual event to the community in its funding support for these two programs.
wines donated by our member wine connoisseurs, original art, a kayaking trip, spectacular dinners, trips to NY and beyond, and more. There was even a drawing this year for a group wine-tasting for those who participated in the Live Auction. We may not have had pop guns and bicycles this year, but we did have a Segway donated by Radiology Associates that was expertly demonstrated by their own Gina Rhodes. Although most of us enjoy a festive holiday party, the enthusiastic support of sponsors, donors, and smartphone-toting bidders to raise important dollars for We Care Network and medical school scholarships makes for an even more meaningful and lively evening. Whether it was the “Dinner for 8 prepared by the Forsthoefel’s and Mahoney’s,” a trip to New York, a handcrafted knife, sports memorabilia for diehard Seminole fans, homemade blackberry jam “put up” by Dr. Tracey Hellgren or paintings and photographs masterfully created by our own member physicians Dr. Manning and Dr. Borom, the guests did not lack for something in their price range to get the bidding juices flowing. And bid, they did! Many were very competitive. The success of the event is possible due to the strong support of its sponsors, donors, and bidders. EMTeLink generously provided $5,000 as our Title Sponsor. Florida Cancer Specialists, Florida Medical Association, FSU College of Medicine, and Periodontal Associates of North Florida were each Presenting Sponsors at the $2,500 level. In all, 60 Corporate and Individual Donors provided the financial support needed to host the event. Sponsorships enabled the funds from the Live and Silent Auctions to go directly to Capital Medical Society Foundation’s We Care Network and Scholarship Fund. We are deeply grateful to all of the wonderful volunteer support in addition to the Alliance Auction Committee and Auction Steering
“Well, in Whoville they say – that the Grinch’s small heart grew three sizes that day. And then – the true meaning of Christmas came through, and the Grinch found the strength of ten Grinches, plus two!” There were many big hearts this year who helped make this fund-raising event successful. Each year, the competitive spirit and creativity of our many incredible donors in putting together their baskets and specialty items for the Capital Medical Society Foundation Holiday Auction, quite frankly, continues to amaze not only the staff, but also those who attend. This year’s auction offered superb 8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Title Sponsor, EMTeLink: (l-r) Dr. and Mrs. James Walton, Mr. and Mrs. Brian Ramos, Mr. and Mrs. Dean Massey, and Mr. and Mrs. Eric Chorey.
2017 CMS FOUNDATION HOLIDAY AUCTION
Committee. This year we had six medical students volunteer to help guests register on BidPal, serve as Live Auction spotters, and help gather items at the end of the event. They included past CMSF Scholarship recipients and additional medical students from the FSUCOM Tallahassee Regional Campus for 3rd and 4th year students. The medical students truly enjoy the opportunity to give back to the medical community that supports them so generously through medical education and scholarships. Drs. Scott Sellinger and John Mahoney continued to hone their skills as Auctioneers Extraordinaire, keeping the lively group bidding against each other for a wonderfully great mission. They also took time to introduce the FSU College of Medicine students who assisted, to get a glimpse into their decisions to enter the field of medicine and the importance of their scholarships. This year, they also opened the microphone to Dr. Walt Colon, Dr. Lisa Jernigan, Dr. Rohan Joseph, and Diana Bixler, We Care Program Coordinator for them to share the impact that We Care Network’s donating providers are having in the lives of the patients they have served. It was a truly encouraging evening. We are deeply grateful to all of our sponsors, donors, volunteers, and bidders. We thank our Steering and CMS Alliance Auction Committees for their help and insight in planning and organizing a spectacular holiday party and auction and who worked diligently behind the scenes for months gathering “the goods.” No carb counting was allowed this evening as we indulged on our favorites, back by popular demand, like martini glasses of lobster mac ’n cheese and Banana Fosters Flambé. Shrimp and Grits was added, which probably helped raise the bids for the Jonah’s gift certificate. Diets may resume immediately. The University Center Club was transformed by the talented Alliance Auction team who has decorating down to an art form. They set the mood for the evening with ornaments, greenery from Bob McCully’s property, and pine cones from Dr. Tracey Hellgren’s acreage. Last, but not least, I thank the Capital Medical Society staff. The staff was all hands on deck to assist guests and represented us well. My heartfelt gratitude to Shannon Boyle whose leadership and event planning skills created an event that seemed effortless, but is truly a labor of love. Shannon is truly exceptional. My deep appreciation goes to Rosalie Carlin, who somehow manages to keep track of and upload over $100,000 in Auction items, helps coordinate the RSVPs, and who is Winspire’s example of how to work with a nonprofit for auction trip planning. And they both do this in the midst of an already full schedule of CapScan deadlines, new memberships, CMEs, Lunch and Learns and other events. But this year, we also dealt with the plague that circled the office and took us down one by one. One more obstacle that arose the final days before the auction
was the loss of internet access when a UPS semi-truck hit a low hanging fiber optic line and pulled down a city power pole that had our cable connected to it. Coverage was out from December 5th through December 7th. Our friend and tenant Sharon Weeden, CEO of Right at Home, gave us access to her Comcast internet so we could upload the final auction items to the website for bidding. The adventure continued post event. Minutes after the last guests left the auction, someone pulled a fire alarm at the University Center Club causing our dedicated team to have to evacuate for twenty minutes. Timing is everything! What a team! We look forward to December 6, 2018 for next year’s Holiday Auction. Mark your calendars for another wonderful event! “Maybe Christmas, the Grinch thought, doesn’t come from a store.”
Auction Steering Committee
Scott Sellinger, M.D., Chair Shannon Boyle Jana Bures-Forsthoefel, M.D. Rosalie Carlin Tracey Hellgren, M.D. Pam Irwin David Jones, M.D. John Mahoney, M.D. David Miles, M.D. Tony Weaver, M.D. Barbara Williams, M.D.
Alliance Auction Committee Shannon Boyle Valerie Draper Tami Frankland Pam Irwin Amy Pagano Jane Snyder Gillian Stewart Missy Whiddon
Decorating Committee Valerie Draper Cay Ford Rita Kaelin Sarah Ho Cynara Miller Amy Pagano Gillian Stewart Missy Whiddon
FSU College of Medicine Student Volunteers
Brian Bowden Kaylee Denmark Quinn Frier Ciara Grayson David Powers Marvin (A.J.) Rhodes
Volunteer
Kelsea Sharp
And, last but not least, the CMS Elves Chief Elves
Shannon Boyle Dawna Bunker Rosalie Carlin Pam Irwin Kathy Migliaccio
We Care Network Elves Diana Bixler Shonda Davis Roshanda Dorsey Abby Edwards Robin Satchell Gregory Sharp
CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
9
2017 CMS FOUNDATION HOLIDAY AUCTION
CMS FOUNDATION THANKS THOSE WHO HELPED MAKE THE 2017 HOLIDAY AUCTION A SUCCESS FOUNDATION
Title Sponsor
Presenting Sponsors
Supporting Sponsors American Health Imaging Carroll and Company, CPAs Covenant Care Dermatology Associates of Tallahassee Dr. and Mrs. Avon Doll First Commerce Credit Union/Six Pillars Financial Advisors Grossman, Furlow & Bayó, LLC Henry Buchanan, P.A. Hopping Green & Sams, P.A. KWB Pathology Associates MagMutual John & Barbara Mahoney Messer Caparello, P.A. Neighborhood Medical Center Patients First Radiology Associates of Tallahassee Southeastern Center for Infectious Diseases, PA
Proceeds enable our foundation to increase access to healthcare in our community through the We Care Network and provide scholarships to medical students. Southern Medical Group SunTrust Tallahassee Orthopedic Clinic Tallahassee Primary Care Associates Tallahassee Pulmonary Clinic Tallahassee State Bank/Synovus Tapestry Senior Living of Tallahassee Thomas County Federal TMH Federal Credit Union Vascular Surgery Associates Event Sponsors Advanced Urology Institute, LLC Anesthesiology Associates of Tallahassee Bean Team Big Bend Hospice Brett Thompson Financial Group of Raymond James BriovaRx Infusion Services Capital City Bank Capital Medical Society Alliance Capital Regional Medical Center Capital Regional Surgical Associates Desloge Home Oxygen/Hopewell In-Home Senior Care Digestive Disease Clinic Elder Care Services, Inc. Eye Associates of Tallahassee FMB Bank Hancock Bank HealthSouth Rehabilitation Hospital of Tallahassee Pam Irwin NAI TALCOR North Florida Women’s Care Preventive Cardiology & Internal Medicine Associates Jennifer Rupert, Wealth Mgmt. Advisor, Merrill Lynch Select Specialty Hospital Southern Vitreoretinal Associates Strategic Benefits Group Tallahassee Neurological Clinic The Doctors Company The Naumann Group Thomas Howell Ferguson, P.A., CPAs Westminster Oaks Active Living Community In-Kind Sponsors Betsy Barfield Photography Gandy Printers
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Individual Sponsors Jonathan Appelbaum, M.D. Dr. Tyler & Rhonda Baldock Dr. & Mrs. Efren Baltazar Tim and René Bolek James Cavanagh, M.D. Dr. David & Valerie Draper Henry & Susan Gunter Jerry Harris, M.D. Dr. Tracey E. Hellgren Dr. David & Dottie Jones Maribel Lockwood, M.D. Charles Long, M.D. John & Barbara Mahoney Al McCully, M.D. David & Janet Miles Faisal & Nola Munasifi Joe & Amy Pagano Nancy E. Phillips, D.D.S. Gloria & Raleigh Rollins Laurence & Lori Rosenberg David & Gillian Stewart James Stockwell, M.D. Mary Ann & Frank Swerdzewski, D.D.S. D.J. & Gayle Underwood Frank & Lynn Walker Ken & Lee Wasson Charles & Pat Williams Don & Taska Zorn Kathy & Richard Zorn Item Donors AAA Autoclub Group Alumni Hall AMC Tallahassee Mall At Home in Thomasville Bonnie Bailey Ballet Arts Conservatory of Tallahassee Mrs. E. Baltazar Betsy Barfield Photography Bedfellows Big Bend Hospice Foundation, Inc. Andrew Borom, M.D. Michael & Shannon Boyle Joseph Camps, M.D. Capital Genealogy Capital Health Plan Capital Regional Medical Center
2017 CMS FOUNDATION HOLIDAY AUCTION
Rosalie Carlin Carrie Ann & Co., Inc. Chicken Salad Chick Costco Wholesale Coton Colors Dermatology Associates of Tallahassee Diane’s 2202 a Salon Eye Associates of Tallahassee, P.A. Firefly in Thomasville FSU SeniorHealth Dean Gioia Gynecology and Obstetrics Associates Suzanne Harrison, M.D. Heartwood Forge, Will Manning Tracey Hellgren, M.D. Anne Hempel Mollie Hill His Daughter Boutique in Thomasville Lucy Ho Pam Irwin Nancy Jefferson Jonah’s fish & grits David & Dottie Jones Dan & Rita Kaelin kanvas Kevin’s Fine Outdoor Gear and Apparel Killearn Country Club Kool Beanz Café, Keith Baxter Ann Kozeliski KWB Pathology Associates Nancy Loeffler, M.D. Loli & the Bean Long’s Photography John Mahoney, M.D. Charles F. Manning, Jr., M.D. Mockingbird Forge, Jeff Mohr Mode in Thomasville My Favorite Things Native Nurseries North Florida Women’s Care Quirky Perks in Thomasville Radiology Associates Relish in Thomasville Ron Saff, M.D. Seminole Sitters Frank & Karen Skilling Stein Mart Gillian Stewart Jim & Carroll Stockwell Super-Suds Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. Tallahassee Memorial HealthCare Tallahassee Nurseries Tallahassee Primary Care Associates Tallahassee Symphony Orchestra The Bookshelf in Thomasville The Facial Plastic and Reconstructive Center, Scott Asher, M.D.
The Fresh Market The Gift Shop in Thomasville The Tallahassee Ballet Theatre Tallahassee Frank Walker, M.D. Tony Weaver, M.D. Scottie & Missy Whiddon Wild Birds Unlimited Wines for Humanity Catherine Wood Designs, Jeanie Wood Yellow Dog Jazz Band We Care Network and Scholarship Donors Dr. Jonathan Appelbaum Rosalie Carlin Dr. and Mrs. Walt Colón Dr. and Mrs. David Dixon Dr. H. Avon Doll Dr. and Mrs. John Fogarty Dr. Michael Forsthoefel and Dr. Jana Bures- Forsthoefel Dr. Sergio Ginaldi and Ms. Robin Brock Bill Hambsh and James Gordon Dr. and Mrs. Alex Ho Drs. Julian and Myra Hurt Pam Irwin Dr. David Jones Dr. and Mrs. Arjun Kaji Dr. Bill Kepper Dr. Sarah Ko Dr. and Mrs. John Mahoney Cynara Miller Dr. and Mrs. Joseph Pagano Dr. and Mrs. Frank Skilling Dr. and Mrs. David Smith Dr. and Mrs. David Stewart Cindy Tyler Dr. and Mrs. Kenneth Wasson Mr. and Mrs. George Watts Dr. and Mrs. Kenneth Whithaus Dr. and Mrs. Andrew Wong Dr. and Mrs. Richard Zorn Winning Bidders Jonathan Appelbaum, M.D. Diana Bixler Andrew Borom, M.D. Cathy Bracher Sergio Ginaldi, M.D. and Ms. Robin Brock Dawna Bunker Dr. Michael Forsthoefel and Dr. Jana Bures- Forsthoefel Rosalie Carlin Walt Colón, D.M.D. and Marybeth Colón Nina Davis John and Kim Detelich Mark and Paulette Didier Dotty Diltz
H. Avon Doll, M.D. William G. Donnellan, M.D. and Caryl Donnellan Jay and Kara Faherty Mark Fahey, M.D. and Shera Fahey, M.D. Lisa Flannagan, M.D. John Fogarty, M.D. and Diane Fogarty Jerry Ford, M.D. and Cay Ford Allen Grossman Aaron Guyer, M.D. and Hien Guyer Alex Ho, M.D. and Sarah Ho Brandon and Allyson Hogue Julian Hurt, M.D. and Myra Hurt, Ph. D. Marc Inglese, M.D. and Melissa Inglese Barbara Jaeger, M.D. Kelly Overstreet Johnson David Jones, M.D. Rohan Joseph, M.D. Arjun V. Kaji, M.D. and Diane Kaji Ken Kato, M.D. John N. Katopodis, M.D. and Evi Katopodis Sarah Ko, M.D. Neil Levine Liberty Taylor, M.D. Tommy and Frances Locke Maribel Lockwood, M.D. Jennifer Lynes, D.O. and Richard Lynes Kathy Manders Charles F. Manning, Jr., M.D. and Mert Manning Terence McCoy, M.D. E. Lynn McLarty, D.D.S. and Miriam McLarty Cynara Miller Faisal and Nola Munasifi Paula Musgrove David Oberste, M.D. and Christy Oberste Joseph Pagano, M.D. and Amy Pagano Teresa Pawlina Waffa Rassam Heather Redfield Brian Schaper Scott Sellinger, M.D. and Jinger Sellinger Frank Skilling, Jr., M.D. and Karen Skilling Dave Stewart, M.D. and Gillian Stewart Bill and Ida Thompson Mallory Tucker Daniel Van Durme, M.D. Agustin Vilardo, M.D. and Carmen Vilardo Frank Walker, M.D. and Lynn Walker Ken Wasson, M.D. and Lee Wasson George and Karen Watts Karen Wendland Ken and Joy Whithaus Dennis Williams, M.D. and Barbara A. Williams, M.D. Liza Witmer Andrew Wong, M.D. and Ann Wong Richard Zorn, M.D. and Kathy Zorn CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
2017 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 1 – (L-r) Presenting Sponsor, Florida Cancer Specialists: Dr. Viralkumar Bhanderi; Supporting Sponsor, Dermatology Associates of Tallahassee: Dr. Armand and Suzanne Cognetta; and Supporting Sponsor, Grossman, Furlow & Bayó, LLC: Lynn and Allen Grossman.
1
2
2 – (L-r) Event Sponsor, Pam Irwin with Presenting Sponsor, Florida Medical Association: Adam and Jenn Baust. 3 – (L-r) Presenting Sponsor, Florida State University College of Medicine: Dean Dr. John Fogarty with Event Sponsor, Westminster Oaks Active Living Community: Tyler Sununu and Bethany Sheats.
3
4
4 – (L-r) Presenting Sponsor, Periodontal Associates of North Florida: Dr. Walter E. Colón and Marybeth Colón; Gillian Stewart; and Dr. James Stockwell. 5 – Supporting Sponsor, Carroll and Company, CPAs: (l-r) Heike Strickland and Patty Busboom.
5
6
6 – Supporting Sponsor, Covenant Care: (l-r) Mark Lewis, Blythe Newsome, Mike Hamaker, and Martin Franklin. 7 – Supporting Sponsor, Dr. Avon and Louie Doll. 8 – Supporting Sponsor, First Commerce Credit Union/Six Pillars Financial Advisors: Warren and Jaime Sumner. 9 – Supporting Sponsor, Henry Buchanan, P.A.: Jesse and Hope Suber.
12
7
8
9
10
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
10 – Supporting Sponsor, KWB Pathology Associates: Dr. Ken and Joy Whithaus.
2017 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 11 – (Second from left and far right) Supporting Sponsor, Dr. John and Barbara Mahoney with Dr. John and Evi Katopodis (far left and second from right).
11
12
12 – Supporting Sponsor, Neighborhood Medical Center: (l-r) Edwin Cummings, Jeanne Freeman, Mark Leonard, and Jessica Leonard. 13 – Supporting Sponsor, Patients First: (l-r) Cathy Bracher and Aida Winter. 14 – Supporting Sponsor, Radiology Associates of Tallahassee: John and Kim Detelich.
13
14
15 – Supporting Sponsor, Southern Medical Group: Dr. Michael Forsthoefel and Dr. Jana Bures-Forsthoefel. 16 – (L-r) Mark O’Bryant; Event Sponsor, Hancock Bank: Diana Cureton; Supporting Sponsor, SunTrust: Allyson Hogue and Brandon Hogue.
15
16
17 – Supporting Sponsor, Tallahassee Orthopedic Clinic: (l-r) Christy Oberste, Dr. David Oberste, Hien Guyer, Dr. Aaron Guyer, Ida Thompson, Dr. Bill Thompson, Mark Didier, and Paulette Didier. 18 – Supporting Sponsor, Tallahassee Primary Care Associates: (l-r) Steve Manders, Kathy Manders, and Tom Harrison. 19 – Supporting Sponsor, Tallahassee State Bank/Synovus: (l-r) Mary Colonese, Cathy Warren, Kristi White, and Steve Mitchell.
17
18
19
20
20 – (L-r) Supporting Sponsor, Thomas County Federal: Matt Brown and Jessica Tryon with Supporting Sponsor, Messer Caparello, P.A.: Denay Brown and Ben Brown.
CONTINUED ON PAGE 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
13
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS SPRING 2018 February 21, 2018 The ‘Earn It or Lose It’ Challenge Continues! Like taxes, change in the healthcare realm is a constant we can count on. The Quality Payment Program is no exception. Whether you’re well positioned to earn additional reimbursement or face cut-backs as this program moves forward is all in how informed you are and in how your practice manages the changes required. This is not for the faint of heart. Challenge on! Join AHIT for updates on the QPP and how they may impact your success. Speaker: Diane Gaddis, CPHIMS, FHIMSS, BSMP, President/CEO, The Center for the Advancement of Health IT, Community Health Centers Alliance, Inc. Sponsor: Medical AR Revenue Solutions, LLC March 21, 2018 A Healthy Practice of Medicine-Stress in the Physician Workplace A recent CareerBuilder survey finds healthcare workers report the highest rate of stress level of any occupation surveyed. More than half of us report increased workloads over the past 12 months, so we feel we have little control and lots of demands in our workplace. Add in high personal expectations, compassion fatigue, economic concerns about job security and we often struggle to keep our balance. During her talk, Robin will help identify sources of stress and some coping strategies we can use diffuse stress both in our workplace and at home. Speaker: Robin McDougall, LCSW Sponsor: Greenway Health
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
April 18, 2018 Keeping The Good Ones What does it take to create a culture of retaining good employees? Is examining the work environment a high priority for your company? At some point your employees will ponder a simple yet profound question based on the 80’s pop song, “Should I stay or should I go?” What can you do to keep the good ones? Speaker: Bert Mitchell Sponsor: TBD May 16, 2018 Legislative Updates Speaker: TBD Sponsor: Hancock Bank
Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar Seminars are held at the Capital Health Plan on Governors Square Blvd – and we thank them for providing this venue to us.
MEDICAL/LEGAL
DISASTER PREPAREDNESS FOR YOUR MEDICAL PRACTICE By Julie Brightwell, JD, RN, Director, Healthcare System Patient Safety, The Doctors Company Recent fires, hurricanes, and floods nationwide have highlighted the importance of planning for disasters. Wildfires in California forced several physicians to quickly relocate their practices―some permanently―and to move scheduled procedures to different facilities. Hurricane and flood damage in Texas and Florida left practices without power for days or even weeks. Is your practice prepared for this type of situation? A disaster can overwhelm a medical practice, with damage that can include shattered windows, flood debris, power outages, disrupted telephone systems, computer and system outages, unsafe drinking water, destroyed medical records, medication exposure to temperature and humidity extremes, contaminated instruments, and building structure failure. Disaster preparedness requires a continuous cycle of planning, organizing, training, equipping, rehearsing, and evaluating. Physicians are critical participants in disaster preparedness, ensuring that patient care and critical services are not interrupted— especially for at-risk individuals who may have special medical needs.
communicate without a wireless network or cellular data connection. • Instructions for securing records of patients undergoing diagnostic testing and a list of outstanding diagnostic studies. • Guidelines for maintaining Health Insurance Portability and Accountability Act (HIPAA) compliance. Although the HIPAA Privacy Rule is not suspended during a natural disaster or other emergency, the Secretary of Health and Human Services may waive certain provisions of the Privacy Rule. • A Certificate of Insurance for your medical malpractice coverage, or instructions for contacting your agent or insurer directly to obtain proof of coverage. This document will be necessary if you are forced to temporarily relocate your practice or procedures. • Verification that home health agencies caring for your patients have plans in place to provide adequate services in a disaster. • Steps to follow upon returning from evacuation. When Disaster Strikes Planning today makes accomplishing the following tasks more feasible during a disaster: Communication • Contact staff immediately to determine realistic return-to-work time frames. • Notify external vendors and business associates of your practice interruption and targeted resumption of operation. • Implement staff briefings at the beginning and end of each day. • Create temporary phone, fax, and answering services. • Establish patient telephone triage. • Implement temporary controls to ensure HIPAA compliance.
Plan Ahead Now Before the next disaster strikes, make sure your practice has a plan in place. A checklist, ordered by priority and customized to specific types of disasters, can provide the framework for a comprehensive plan. The checklist should include these elements: • A full-circle call tree that outlines who contacts whom. • Instructions for setting up instant messaging technology that enables staff to
Computers and systems • Contact computer service vendors to ensure integrity and recovery. • Verify insurance coverage for repair or replacement costs and losses. • Evaluate applicable warranties and consider an information technology restoration service contract. • Inventory and document hardware and software. • Document the type and extent of both lost electronic and paper data.
• Ensure data back-up and periodically test compliance. • Reestablish filing systems and internal programs. Medical records • Determine the extent of damage to, or loss of, patient records and filing systems. • Attempt to restore all damaged charts and document inventory findings. • Notify the state medical board for specific guidance pertaining to lost or damaged records. • Document all efforts to restore and protect existing records. • Reconstruct lost charts at the next patient encounter. • Contact your insurance carrier for restorative services and/or claim procedures. • Reestablish a filing system and temporary storage if necessary. • Obtain legal guidance for patient notification during recovery efforts. • Contemporaneously date and initial all late entries and duplicate information in context of recovery efforts. In addition, create an inventory of all equipment and medications that may have been exposed to water or extremes in temperature. Repair, replace, or discard damaged items appropriately. Once your plan is in place, regularly reevaluate its steps and update all contact information. Practice and rehearse the plan’s protocols. An effective disaster preparedness plan will help keep your practice focused on delivering care during an emergency. The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. Contributed by The Doctors Company (thedoctors.com)
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
2017 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 21 – Supporting Sponsor, TMH Federal Credit Union: (l-r) Liz Thiele and Mallory Tucker. 22 – Supporting Sponsor, Vascular Surgery Associates: Dr. Robert and Nina Hoyne.
21
22
23 – Event Sponsor, Anesthesiology Associates of Tallahassee: (l-r) Calla MacNamara and Dr. Liberty Taylor. 24 – (L-r) Event Sponsor, Advanced Urology Institute, LLC: Troy and Amy Johnson with Event Sponsor, Select Specialty Hospital: Liza Witmer and Jay Faherty. 25 – Event Sponsor, Bean Team: Charles and Paula Musgrove.
23
24
26 - Event Sponsor, Big Bend Hospice: Dr. Jennifer Lynes and Richard Lynes. 27 - Event Sponsor, Capital City Bank: William and Sophie Smith. 28 - (L-r) Event Sponsor, Capital Regional Medical Center: Randy Delee and Chase Christianson with Dr. Niraj Pandit.
25
26
29 - (L-r) Event Sponsor, Desloge Home Oxygen/Hopewell In-Home Senior Care: Michael Kramer, and Dr. Ken Kato. 30 - (L-r) Drs. Mark and Shera Fahey with Event Sponsor, Digestive Disease Clinic: Dr. Andres Rodriguez and Dr. Cristina Rodriguez
16
27
28
29
30
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2017 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 31 - Event Sponsor, Elder Care Services, Inc.: Mark Baldino and Joie Fliger. 32 - Event Sponsor, Eye Associates of Tallahassee: (l-r) Joseph Farenden, Dr. Sarah Ko, and Dr. Ken Kato.
31
32
33 - Dr. Jay Walton (center) with Event Sponsor, FMB Bank: John McNeill (left) and Renee McNeill (right). 34 - Event Sponsor, HealthSouth Rehabilitation Hospital of Tallahassee: Dale and Stacie Neely. 35 - Event Sponsor, North Florida Women’s Care: (l-r) Bill Hambsh and James Gordon.
33
34
36 - (L-r) Event Sponsor, Strategic Benefits Group: Paul Fenstermaker, and James Gordon. 37 - Event Sponsor, Thomas Howell Ferguson, P.A., CPAs: (l-r) Brian Walgamott and Dennis Gallant.
35
36
38 - Capital Medical Society staff: (backrow, l-r) Pam Irwin, Gregory Sharp, Shannon Boyle, Rosalie Carlin, Roshanda Dorsey, Shonda Davis, (front row) Diana Bixler, Abby Edwards, and Robin Satchell. 39 - (L-r) Dr. John Mahoney, Capital Medical Society Foundation President with FSU College of Medicine student volunteers, Ciara Grayson, Kaylee Denmark, and David Powers.
37
38
39 CONTINUED ON PAGE 20
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
VIEWPOINT
PRAYERS AFTER MIDNIGHT By Lisa Jernigan, M.D. The clock tells me it is 3:41 a.m., and I am sitting vigil for Robert. His wife called me from Hospice House earlier this long night in a panic over his agitation. Linda is not one to panic, so after briefly advising her and thinking it over for a few minutes with my husband, I drove over to see them. Robert was sleeping or unconscious when I arrived at Hospice House, so I had a few minutes to let Linda catch me up on things. She spoke honestly of her frustrations with his symptom control, and was even able to summon some irony telling me how the nurses had reminded her several times that the goal at this point was not to cure him. He had a seizure yesterday, which she thought was the end, but it was brief. Unsaid is the knowledge that he likely has metastasis to his brain. He has been started on some new medications to control the agitation, and the pain doesn’t seem as bad now, but there is increased difficulty breathing. Plus, he has a painful spasm of his neck muscles, pulling his head to the right. Robert’s mother arrived yesterday and was at the bedside, as well as two friends of Linda’s from work. There were several other family members present by then. As we talked, he began to reach for the oxygen tubing, to fidget, to reach for the spasm in his neck. His eyes opened a bit as she held his hand. More to reassure her than anything, I put on the stethoscope and listened to his lungs. She had been indignant that the nurse had told her they were clear when he was so obviously struggling to breathe, but I reported that the nurse had been right. His problem was likely a mucus plug, and he was both too dehydrated and too weak to cough much, but that didn’t stop the agitation 18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
at needing to. We sat him up gently and encouraged him to cough. His attempts were pitiful, almost a cartoon version of someone coughing, but he tried. I noted that it didn’t seem to hurt as bad as I expected, since his chest wall had been the original location of the metastases several months back, and the pain there had required huge doses of medication to control. While less pain is good in this situation, it was likely due to a severe elevation in his serum calcium level, once known as “the morphea of the dead.” Our hope was that the cardiac toxicity of this condition would literally be the death of him, a death far kinder than his present state of air hunger and anxiety. Antique paintings of physicians often portray them sitting patiently at the bedside of some clearly moribund patient, sometimes even holding the patient’s hand. When modern patients complain that their doctors never seem to do such a thing, the doctors are generally quick to point out that the physician sat there like that because there was little else they could do to better the situation. I did feel a little like being in one of those paintings, with the wife leaning over the top of the bed, weeping and exhausted, an emaciated patient with a sheet draped for modesty, a few concerned onlookers, dim lighting, and me, unable to do much to alter this course of events. And that is the real reason the modern physician is generally not to be found at such a bedside, or not to be found there for long. The modern expectation that we do something, combined with our utter inability at times, is often unbearable. He stirred a bit more, and I asked him how he was doing, the usual stupid question with an obvious answer. To my surprise, he lifted his hand to make the back and forth wobble
VIEWPOINT
associated with “so-so”. Linda leaned over and said, “Dr. Jernigan is here”, with the tone of voice that communicates to little children that things are going to get better now that this person is here to help us. “Oh, dear Jesus!” I thought, “She is hoping so much that I will have an answer to this distress, and I don’t”. He was there mentally, with a very low energy reserve, not enough to say anything, or even maintain eye contact for long, but there. This was clearly one of the more difficult deaths I have attended over the years, and there were few things I could think of to make it easier on either of them. I did my best to explain what was happening now, and likely to happen soon with him, offered a few suggestions as to things she could do, and then went to the nurse’s desk to tweak the orders a bit. This was also a good opportunity to give the nurses some of history and perspective on this particular family that they seemed to find more troublesome than usual, in a place well known for sorrow and pain. That done, I returned to the room for a final word with Linda, to tell her what she already knew. This was going to be a long night, and a hard one. There was no way out of this night for her but to go through it with him, minute by minute, breath by breath, calming him as best she could, her own fatigue pushed down for possibly the last of many nights. “Call me”, I say, “if there is anything I can do”. There isn’t anything I can do, except pray, and I’ve been doing that to no obvious avail. We modern physicians do not sit vigil at the bedside of the patient much anymore, but sometimes we can’t help but sit vigil in our own homes, hearing the rasping breath and the murmurs of reassurance as though we were there, mentally walking with those we have known for years through the long last valley of the shadow of death. Godspeed, Robert, Godspeed, and to you, Linda, peace, peace.
And to me, as the day dawns upon my waiting, another day of clinic, with the knowledge that we will all be Robert someday, or Linda, and that if we are blessed there will be those that sit vigil, present or unseen, walking us through to the Doctor of our souls, gently releasing us into those hands, forever.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
2017 CMS FOUNDATION HOLIDAY AUCTION
TALLAHASSEE ORTHOPEDIC CLINIC WELCOMES
Brian Zirgibel, M.D.
Total Joint Reconstruction & Orthopedic Surgery MEDICAL SCHOOL Florida State University College of Medicine RESIDENCY Orlando Health
3334 Capital Medical Blvd | Tallahassee, FL | 850-877-8174 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
SELLING THE BEST PROPERTIES TO THE BEST PEOPLE IN THE BEST PLACE
SOLD IN 2017
Being real estate agents in Tallahassee is our dream job because of the wonderful people we get to meet. In 2017, we enjoyed helping 224 customers buy or sell amazing homes all across the Panhandle. Here are some highlights: • We helped first-time homebuyers buy homes in super competitive neighborhoods such as Lafayette Park, Betton Hills, Bobbin Trace, Bobbin Brook, Killearn, Rosehill, Southwood & more! • We had multiple listings under contract in less than 24 hours. • We sold residential homesites and paired families with reputable builders. • We helped sellers sell their longtime family homes and homes they owned for only a few months. • We helped past customers buy their second, third and even fourth properties with us! • We listed over 100+ properties around Tallahassee and the Emerald Coast, including Leon, Gadsden, Franklin, Wakulla, Jefferson and Walton counties, ranging in price from $85,000 to $1,850,000. We went everywhere and sold everything! It was a very good year indeed. In total, the Hill Spooner & Elliott office sold over $69 million in real estate and, most importantly, we had a lot of fun doing it. Here’s to making 2018 just as great!
EMERALD COAST
|
BIG BEND
|
FORGOTTEN COAST
HILLSPOONER.COM 850.907.2051
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
21
CME OPPORTUNITY - PHYSICIAN BURNOUT
CMS MEMBERS – SAVE THE DATE! THE CAPITAL MEDICAL SOCIETY and THE FLORIDA MEDICAL ASSOCIATION Present STRESS IN MEDICAL PRACTICE: AVOIDING RISKS OF BURNOUT AND SUICIDE
Presented by Stefan A. Pasternack, M.D. Dr. Stefan Pasternack is a Board Certified Psychiatrist and Psychoanalyst and Distinguished Life Fellow of the American Psychiatric Association. He graduated from Georgetown University School of Medicine in 1965 and completed his internship at UCLA Affiliated Hospitals in 1966 and his psychiatry residency at the University of Cincinnati Medical Center in 1969.He served as Lieutenant Commander in the U.S. Navy at National Naval Medical Center in Bethesda, Maryland from 1969-1971 and was additionally responsible for the training of military psychiatry residents. Friday, April 27, 2018 - 6:00pm Maguire Center for Lifelong Learning at Westminster Oaks, 4449 Meandering Way, Tallahassee, FL 32308 Educational Objectives: - To identify sources of stress in medical practice. - To identify basic mechanism of stress and its harmful effects on mind and body. - To learn strategies to avoid burnout, enhance resilience and prevent suicide. - To learn when to seek professional help. CAPITAL MEDICAL SOCIETY MEMBERS AND THEIR SPOUSE/PARTNER ARE INVITED TO ATTEND. Watch Your Email for Registration Information! 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PHYSICIAN WELLNESS PROGRAM
Dear Capital Medical Society Members, Capital Medical Society Foundation is pleased to launch its new Physician Wellness Program designed to help you take care of yourself. The CMSF Physician Wellness Program (PWP) features, among other benefits, confidential, convenient, cost-free access to professional wellness coaching for active and associate physician members. Overview Being a physician isn’t easy. Burnout levels are rising. Many of the issues you face can take their toll. Whatever the issue, the PWP services provide a safe harbor for you to address normal life difficulties and the challenges of a medical career, overcome trauma, receive wellness coaching on managing stress, and help you reclaim satisfaction in your career and personal life. You deserve it. How it Works CMSF provides up to 6 sessions with a licensed psychologist per year for free as a benefit to Active and Associate CMS physician members. Funding for the first year of this program has been generously provided through a grant from MagMutual Foundation. CMS contracts with independent, doctorate-level psychologists who have been evaluated by the volunteer CMSF Physician Wellness Committee members. *Confidential appointments are selfreferred and physician-initiated with no medical diagnoses, no insurance billing, and no electronic records. There is no identification to CMSF, CMS employees, or any other party (unless required by law). Psychologist providers bill CMSF directly with de-identified data.
To schedule an appointment, view the participating psychologists listed at http://capmed.org/membersonly/physician-wellness-providers/ and follow these simple steps: • Call the psychology practice’s phone number. Identify yourself as a CMS ACTIVE or Associate member and ask them to call you to schedule an appointment for wellness coaching. Indicate any preferences for day of the week or time of day. • Psychologists will respond to physician requests for wellness coaching services with twentyfour (24) hours of an inquiry. • Appointments will be scheduled within one (1) week, unless otherwise requested by the physician. • Services do not include wellness coaching for relatives of a member unless the member is present and participates in the coaching session as the primary client. • Private, comfortable psychologist offices offer the opportunity to use private entrances or screened arrival and departure. • Other resources are available on the Capital Medical Society website at http://capmed.org/ resources/physician-wellness/ or by calling Pam Irwin at 850-877-9018. Our hope is that Capital Medical Society physicians will seek help as a normal response to acute and chronic stress rather than just “powering through.” Please note - the PWP benefit is only available to current CMS Active and Associate members. If you are not a CMS member yet, please apply online at http://capmed. org/become-a-member/. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
Reliable, comprehensive care for your patients with kidney disease and hypertension. Serving Tallahassee and surrounding counties since 1975. 1609 Physicians Drive, Tallahassee, FL 32308 • (850) 878-1171 • (850) 942-1291 fax • nfnephrolgy.com
Avon Doll, Jr., MD
Hari Kolli, MD
24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Kaushal Patel, MD
Sayeed Khalillullah, MD
2018 CMS FOUNDATION BOARD OF DIRECTORS
CMS Foundation 2018 Board of Directors David Dixon, D.O. CMS President Obstetrics & Gynecology North Florida Women’s Care Married to Leslee Paige Dixon Nova Southeastern University
Maribel Lockwood, M.D. CMS President-Elect Radiology Radiology Associates of Tallahassee University of Panama
John Mahoney, M.D. President Pathology Retired Married to Barbara Mahoney University of Florida
Avon Doll, M.D. Nephrology North Florida Nephrology Associates Married to Louie Doll Oral Roberts University
Faisal Munasifi, M.D. Psychiatry Psych Management Services Married to Nola Munasifi University of Baghdad
Al McCully, M.D. Vice President Urology Retired University of Tennessee
Marlisha Edwards, M.D. Family Medicine Southern Medical Group Florida State University
J. Brian Sheedy, M.D. Hematology/Oncology TMH Palliative Care Consultation Married to Wende Sheedy State University of Buffalo
Nancy Loeffler, M.D. Secretary Anesthesiology Anesthesiology Associates of Tallahassee Married to Duane Pickel Baylor College of Medicine
Paula Fortunas Retired, TMH Foundation Married to Tim Fortunas Florida State University
Jay Walton, D.D.S. Dentistry Married to Susan Walton Emory University
David Stewart, M.D. Treasurer Pathology Pathology Associates Married to Gillian Stewart University of New Mexico
Terreze Gamble, M.D. Family Medicine Tallahassee Primary Care Associates Married to Vaughn Samuel American University of the Caribbean
Kenneth R. Wasson, M.D. Pulmonary Medicine Retired Married to Lee Wasson Vanderbilt University
Joedrecka Brown-Speights, M.D. Family Medicine FSU College of Medicine Married to Gregory Speights Emory University
Tracey Hellgren, M.D. Family Medicine Patients First University of Florida
Barbara Williams, M.D. Family Medicine Patients First Married to Dennis Williams, M.D. University of Florida
Walt Colón, D.M.D. Dentistry Married to Marybeth Colón University of Kentucky
David Jones, M.D. Pediatrics Capital Health Plan Married to Dottie Jones Ohio State University
Charles Williams, M.D. Radiology Radiology Associates Married to Pat Williams Medical College of Georgia
J. Alan Cox, Esq. Attorney Married to Tracy S. Cox Florida State University
Fred Lindsey, M.D., Emeritus Radiology Retired Married to Jimmie Lindsey Medical College of Georgia
Pam Irwin Executive Director, Capital Medical Society Married to Edward Irwin University of Kentucky
FOUNDATION
We Care Network
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
25
CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.”
➢ Access to healthcare is increased through gifts to We Care Network and the We Donate to the CMS Foundation We Thank Our Donors We thank the following people/ organizations who made a donation to the CMS Foundation this past month: CMS Foundation Henry and Susan Gunter Paul Hartsfield, M.D. Joel Kramer, M.D. Terry McCoy, M.D. Manu and Nila Padalia W. Paul Sawyer, M.D. Orson and Eleanor Smith CMS Foundation – Area of Greatest Need Charles A. Frueauff Foundation We Care Network Charles A. Frueauff Foundation Year-End Appeal for the CMS Foundation Ray Bellamy, M.D. – In Honor of Drs. Brewster Caldwell, Ray Dolly, Karl Hempel, Farhat Khairallah, Matthew Lee, Vikki McKinnie, Faisal Munasifi, Winston Ortiz, David Pascoe, Cody VanLandingham, and Richard Zorn Dr. and Mrs. Ray Bellamy – In Memory of Sandy Kerr, Ph.D. Charles Cooper, M.D. Stanley Gwock, M.D. Christopher Wilhoit, M.D. – In Honor of Robert D. Snyder, M.D. Year-End Appeal for Access to Care Grants Anonymous Year-End Appeal for the Area of Greatest Need Dr. and Mrs. Roy M. Forman Drs. William and Alice Pomidor Dr. and Mrs. D.J. Underwood – Through Their Donor-Advised Fund Year-End Appeal for the Scholarship Fund Drs. Kenneth and Amrita Brummel-Smith Dr. and Mrs. C. Raymond Cottrell Year-End Appeal for the We Care Network Lenox Family Limited Partnership
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
Care Network Endowment Fund. More than $90 million in donated specialty medical and dental care has been provided to low-income, uninsured patients since the program was created in 1992. In fiscal year 2016-17, which ended June 30, 2017, more than $10.9 million in health care was donated. Gifts support the salaries and benefits of the case management team who coordinate donated care. ➢ To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $47,000 was distributed to eight medical students in 2017. ➢ Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2017, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to CMSF’s Physician Wellness Program. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) Physician Wellness Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Donations may be made by credit card from the CMS website. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018
26 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in December 2017. Your generosity and support of the We Care Network makes a difference. Physicians Gregg Alexander, M.D. Arvind Bakhru, M.D. Timothy Bolek, M.D. Tim Broeseker, M.D. Viet Bui, M.D. Ashton Byington, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. Raymond Cottrell, M.D. Wade Douglas, M.D. David Durden, M.D. Michael Ford, M.D. Hong Gao, M.D. Sergio Ginaldi, M.D. Gregory Hartlage, M.D. Iman Imanirad, M.D. Marc Inglese, M.D. Okanta Jackson, M.D. Amit Jain, M.D. Kenneth Kato, M.D. James Killius, M.D. Fang Sarah Ko, M.D. Amulya Konda, M.D. Stephanie Kreamer, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Gordon Low, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Hector Mejia, M.D. Jayan Nair, M.D. Timothy Paulk, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Alexander Ramirez, M.D. Less Shrestha, M.D. Jeannine Silberman, M.D. Hardeep Singh, M.D. Christopher Sundstrom, M.D. Timothy Sweeney, M.D. John Thabes, M.D. Robert Thornberry, M.D. Tony Weaver, M.D. William Yaakob, M.D. Daniel Yang, M.D. Samuel Yu, M.D.
Dentists William Baldock, D.D.S. Labon Bontrager, D.M.D. Walter Colón, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. James Walton, D.D.S. Facilities Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Periodontal Associates Capital Regional Cancer Center Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists and Research Institute Gadsden County Health Department Gynecology and Obstetrics Associates Jessie Furlow Medical Center Ketchum, Wood, & Bergert Pathology Associates Neighborhood Medical Center North Florida Women’s Care Radiology Associates of Tallahassee Smile Connection at Bond Community Health Center Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Memorial HealthCare TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Rehabilitation
TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee Pulmonary Clinic Tallahassee VA Clinic Wakulla Medical Center Women’s Imaging Center
Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of December 2017 and your name is omitted.
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours, per biennium, of CE credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Diana Bixler at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! We thank our referring providers from December 2017: Ebonie Allen, ARNP
Helen Paulson, M.D.
Karen Bartley, M.D.
Mitchell Peabody, D.O.
Megan Bassett, ARNP
Jorge Perez de Armas, M.D.
Viralkumar Bhanderi, M.D.
Lisa Perkins, ARNP
Timothy Bolek, M.D.
Jessica Proxmire, ARNP
Jonna Bradley, ARNP
Stephen Quintero, M.D.
Logan Brooks, M.D.
Alexander Ramirez, M.D.
Jana Bures-Forsthoefel, M.D.
Jeannine Silberman, M.D.
LaToya Butler, D.D.S.
David Smith, M.D.
Lysmar Carrion-Dinguis, M.D.
Abisoye Somorin, ARNP
David Castillo, M.D.
Joseph Soto, M.D.
Christie Chiu, M.D.
Alanna Steaple, ARNP
Marion Cooper, D.M.D.
Christopher Sundstrom, M.D.
David Dixon, D.O.
Faye Tinson, ARNP
Douglas Evans, D.M.D.
Marianne Towler, ARNP
Sharron Foster, M.D.
Jean-Paul Tran, M.D.
Hong Gao, M.D.
Jeffrey Wasserman, D.O.
Judy Griffin, ARNP
Lucas Watkins, M.D.
Dwight Hooper, M.D.
Franklin Watson, D.D.S.
Amit Jain, M.D.
Eula Weaver, ARNP
Amulya Konda, M.D.
Jillian Weissman, M.D.
Elaine Larkins, ARNP
Dorothy White, M.D.
Esaias Lee, M.D.
Barbara Williams, M.D.
Ovidiu Marina, M.D.
Ronald Willis, D.M.D.
Damon McMillan, M.D. Marcia Morris, ARNP
Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if Timothy M.D. and you provided volunteer specialty you are a WePaulk, Care volunteer care in the month of November 2017 and your name is omitted
DURING THE MONTH OF DECEMBER, THE WE CARE NETWORK: RECEIVED 109 REFERRALS, WITH 53 PATIENTS NEW TO THE PROGRAM
SCHEDULED 178 $295,612.58 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS DENTISTS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 27
Prsrt. Std. U.S. Postage
PAID Tallahassee, FL Permit 801
Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
Your Prescription for World-Class Entertainment
RAY CHEN, VIOLIN - February 22
PATTI LUPONE - April 5
TICKETS AVAILABLE AT OPENINGNIGHTS.FSU.EDU