FEBRUARY EDITION, VOLUME 2019, NO. 2
A MESSAGE FROM YOUR 2019 CAPITAL MEDICAL SOCIETY PRESIDENT By Maribel U. Lockwood, M.D., CMS President Dear CMS members: I am honored and humbled to be the 2019 President of the Capital Medical Society. Many things come to mind for projects and expectations for this coming tenure. One thing is paramount: we are a family, and we are physicians who started this long road because we loved what we do. We love the ability to heal, to relieve pain, to maintain health. Few in our society are capable of or willing to do this work. We have chosen the long road, the long hours, the long days and nights, the hard work and continue to make daily sacrifices to fulfill our oath. We must remember our purpose. We are currently facing many challenges that did not exist a decade ago. Our health care system punishes the physician with more administrative work taking time that should be dedicated to our patients. “Quality measures” are now part of our practice that do not ensure quality but ensure time away from patients, time away from family, time away to deserved rest after a hectic day. Consequently, it is no surprise we are dealing with physician burnout in alarming numbers. One of the ways our system is dealing with this is to attempt replacing well-trained physicians with lesstrained staff to fix the shortage of physicians available to patients. Nurse practitioners, physician assistants, and now pharmacists, colleagues who should be allies are competing directly with physicians. The media does not help, portraying us as greedy, heartless and unethical. Most of us have had the patient who comes with new information or worse, avoids coming to us because they trust the TV celebrities and essential oil purveyors. Do any of you think we are delivering better health care?
This is when we as a group of organized medicine have to say enough is enough. Our organization is powerful if we are united and cohesive. It will give us a strong voice in the Legislature. We cannot sit by on the sidelines and let things happen. We need to arm ourselves with legislative understanding so we can have effective communication with our politicians. We need good contacts. Do you know that physician compensation accounted for 8% of total healthcare costs in the US in 2011? It was the second lowest in developed western countries. Even if we worked for free, we will still have serious healthcare problems. There are a number of legislative issues that the FMA is exploring, that, by far, make our healthcare costs exorbitant, such as the Safe Harbor Law, that relates to the middleman for the pharmaceutical industry and the “pay for play” allowed making drugs so expensive, and the ACA and other federal regulations that require additional administrative staff to comply with and are a compliance burden. Perhaps, we should demand members of Congress adhere to ACA as well, and see, if then, it will be preserved. Other issues impacting the practice of medicine are EMRs and MACRA with payment adjustment to the physicians — who are responsible for 8% of healthcare cost — with no proof that it will either save Medicare money or improve value to patients. These are important issues that come to mind. Life is short, and we want for our patients and for ourselves to live it fully. Support each other. Let’s aim for a better future in medicine. It’s not fulfilling to work so many hours when half of the day is used clicking forms in the computer. This is not why we chose to be physicians. Who better for this task than the ones who are in the trenches? As our oath says, “I will apply, for the benefit of the sick, all measures that are required, avoiding those twin traps of overtreatment and therapeutic nihilism.” Our profession, as we know it, is in danger of extinction. Let’s bring back the common sense.
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR March 28, 2019 Celebration Awards Dinner 6:30 pm FSU University Center Club
April 16, 2019 CMS Membership & CME Meeting 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
April 25, 2019 Connect the Docs Happy Hour sponsored by Capital City Bank 6:00 pm – 8:00 pm The Wine House on Market Street (1355 Market Street, A1) CONTINUED ON PAGE 6
BOARD OF GOVERNORS Maribel U. Lockwood, M.D., President Ken Whithaus, M.D., President-Elect Rohan Joseph, M.D., Secretary/Treasurer David Dixon, D.O., Immediate Past President Christie Alexander, M.D. Todd Hewitt, M.D. Marc Inglese, M.D. Melissa Inglese, CMS Alliance Sarah Ko, M.D. Matt Lee, M.D. Paresh Patel, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Dermatology Residents Samantha Marrone, M.D./Shalini Thareja, M.D. Family Medicine Residents Tristan Brooks, D.O./Alex Vanderby, M.D. General Surgery Residents Shlermine Aupont, M.D./Blake Davis, M.D. Internal Medicine Residents Joshua Hickman, D.O./Luba Muaddi, M.D.
PUBLICATION
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
A Message from Your 2019 CMS President …...............1 CMS News.............................................................................4 CMS Lunch and Learn........................................................6 Upcoming CMS Events......................................................7 2018 CMS Foundation Holiday Auction.........................8 Update from Florida Department of Health............... 14 Check Presentation.......................................................... 15 Physician Wellness........................................................... 18 Medical/Legal................................................................... 22 2019 CMS Foundation Board of Directors................. 24 CMS Foundation............................................................... 25 CMS Foundation: We Care Network........................... 26
HAPPY BIRTHDAY! {FEBRUARY BIRTHDAYS}
Robert Steinmetz, M.D. – 1st
Krista Rankin, M.D. – 10th
Bert Morales, M.D. – 2nd
Jeannine Silberman, M.D. – 10th
David O’Bryan, M.D. – 2nd
Satish Mital, M.D. – 11th
Eric Keasler, M.D. – 3rd
William Simmons, M.D. – 14th
Brian Sherman, M.D. – 3rd
Kenneth Kato, M.D. – 15th
C. Raymond Cottrell, M.D. – 4th
Chris DeRosier, M.D. – 16th
Shakra Junejo, M.D. – 6th
Garrison Rolle, M.D. – 16th
Anahita Sanaie, M.D. – 6th
Robert Snyder, M.D. – 16th
Wade Douglas, M.D. – 7th
Robert Atwater, M.D. – 18th
Nicholas C. Farber, M.D. – 7th
Narlito Cruz, M.D. – 19th
Jessica L. Hill, M.D. – 7th
Meredith McKinney, M.D. – 19th
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
Donald Loucks, M.D. – 7th
Jerry Ford, M.D. – 21st
James O’Neill, M.D. – 7th
Joseph Camps, M.D. – 22nd
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
Stephen Quintero, M.D. – 7th
Narlin Beaty, M.D. – 23rd
William Thompson, M.D. – 7th
James Geissinger, Jr., M.D. – 23rd
Graham Whitaker, M.D. – 7th
Abby Hunter Peters, M.D. – 25th
Frank Gredler, M.D. – 8th
Joseph Baker, M.D. – 26th
John MacKay, M.D. – 8th
Shermeeka Hogans-Mathews, M.D. – 28th
Michael Cavallaro, M.D. – 9th
Vincent Riesgo, M.D. – 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
Larry Harper, 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!
LOT FOR SALE
LOT FOR SALE 2801 CHANCELLORSVILLE DR., 1021
BREAKAWAY GAP
429 LACY WOODS COURT
10.97 ACRES | TALLAHASSEE RANCH CLUB
0.35 ACRES | WOODBROOK ~ GATED
$50,000
$111,000
$209,900
3272 SALINGER WAY
907 LASSWADE DRIVE
701 ELEAZER PLACE 3 BR | 2.5 BA | 2,479 sf
$299,900
3 BR | 2.5 BA | 2,242 sf
$349,900
3 BR | 2 BA | 1,660 sf | CONDO
4 BR | 3 BA | 2,695 sf
$359,900
WAT E R F R O N T 1427 SPRUCE AVENUE
19 FRANK JONES ROAD
2800 ASBURY HILL
3 BR | 2 BA | 2,302 sf
3 BR | 2/2 BA | 2,872 sf | GUEST HOUSE
4 BR | 4 BA | 3,946 sf | POOL
$394,900
$475,000 | 4 ACRES
$615,000
9664 DEER VALLEY DRIVE
2810 CLINE STREET
4 BR | 4.5 BA | 3,939 sf
5 BR | 5.5 BA | 5,018 sf | POOL
5 BR | 4.5 BA| | 5,712 sf | 4.07 ACRES
$825,000
$1,195,000
$1,295,000 | POOL | TENNIS COURT
1230 SKIP WELLS COURT
Hettie Spooner (850)509-4337 Lindsay Elliott (850)545-2463 Calynne Hill (850)545-6140 2001 Thomasville Road Tallahassee, Florida 32308
HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
3
CMS NEWS
PROFESSIONAL NOTES Ronald Saff, M.D. was the guest speaker at the Rotary Club of Tallahassee on January 2, 2019 presenting on the topic of “Get the Lead Out!”
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.
IN MEMORIAM William Franklin Shipman, M.D. 1929 - 2018
THE ENDORPHIN VOYAGER SETS SAIL Follow Dr. Karl and Mackie Hempel as they travel the Great American Loop throughout 2019! https://endorphinvoyager.blogspot.com/2019/01/
David Bellamy took this picture as they were leaving the dock for one year! 4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
There’s Safety in Numbers
Florida Cancer Specialists has over 150 cancer centers in Florida where we offer patients the latest weapons in the fight against cancer including immunotherapy, vaccine therapy, monoclonal antibody based therapy and advanced clinical trials. Close to home, so you can live life to the fullest. We have two cancer centers right here in Tallahassee. Visit our website for full address locations
Scott Tetreault, M.D., Viral Bhanderi, M.D., & Paresh Patel, M.D. (850) 219-5830 2626 Care Dr, Suite 200 1600 Phillips Rd, Suite 300
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS - SPRING 2019 Be sure to register for the upcoming Lunch and Learn Seminars: February 20, 2019 Creating Satisfied Patients Who Love Your Organization Building satisfied and loyal advocates for your organization or medical services doesn’t just come from having good medical outcomes. Today’s patients often have choices on where to be seen for medical issues. They also tend to weigh the emotional side of the equation — how they are treated through the entire process, their ability to understand and relate to doctors and staff, and feeling valued and respected — as much as the factual side — success rates, experience of medical personnel, rates of complications or infection, and timeliness of care and service. Join us for this lunch-time session to learn and practice ways to communicate positively, learn the impact of words and offering options, and find ways to help build patients who are fierce advocates for your brand. We promise you’ll leave with some new ideas and have a little fun as well. Speaker: M. Michelle Bono Sponsor: TMH Federal Credit Union
March 27, 2019 Identifying and Retaining Talent in the 21st Century Speaker: Kim Moore, TCC Sponsor: TBA April 17, 2019 Disaster Planning Speaker: Greg Jaap, CIC, Executive Vice President, Brown and Brown of Florida, Inc. Sponsor: Brown & Brown of Florida May 15, 2019 Health Care Reform as of 2019 and Legislative Updates Speaker: Kelly James, Florida Blue Center for Health Policy Sponsor: TBA
Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
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 For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR CONT. FROM COVER
May 21, 2019 CMS Membership & CME Meeting 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
October 15, 2019 CMS Membership & CME Meeting 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
June 6, 2019 CMS Doctor/Son Event Time & Location: TBA
November 12, 2019 CMS Membership & CME Meeting 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
September 17, 2019 CMS Membership & CME Meeting 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
December 5, 2019 CMS Foundation Holiday Auction 6:30 pm Location: TBA
UPCOMING CMS EVENTS
JOIN YOUR COLLEAGUES FOR A
HAPPY HOUR THURSDAY, APRIL 25, 2019 6:00 PM – 8:00 PM THE WINE HOUSE ON MARKET STREET (1355 MARKET STREET, A1 - NEXT TO TASTY PASTRY) HORS D’OEUVRES AND FIRST BEVERAGE PROVIDED BY OUR SPONSOR:
PLEASE RSVP BY APRIL 18TH TO ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG.
MARK YOUR CALENDAR FOR THE 18TH 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 28th 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 2019 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
2018 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 Those who attended the 2018 Holiday Auction were rewarded with a festive, fun evening that culminated in a Live Auction, emceed by Dr. Scott Sellinger and Dr. John Mahoney, that had some saying it was “almost like Sotheby’s.” I’ll take their word for that. Serving as auctioneers for Capital Medical Society Foundation’s 17th annual Holiday Auction, the two helped raise over $80,000 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. That amount reflects an almost $9,000 increase over the 2017 Holiday Auction. When you grasp that the We Care Network leveraged over $8 million in donated, specialty medical 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. Dr. David Jones led the guests in a moment of silence to honor those physicians who died this past year in our community and for reflection for all who were grieving a loss personally. 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 medical practices and individual 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 wines donated by our member wine connoisseurs, several beautiful original paintings and photographs from local artists and photographers, several of whom are physicians, a kayak, “glow in the dark” paddle, life jacket and gift card set, spectacular dinners, including a new one this year to be hosted by Dr. Charles and Pat Williams, trips to NY and beyond, and more. There was even a drawing this year for a group winetasting for those who participated in the Live Auction. We may not have had Sotheby’s “spectacular ring once owned by Austria’s Mona Lisa,” but we did have a “Best of Opening Nights at FSU” basket donated by Radiology Associates, a one-hour flight with Dr. Alexander Brickler on his Cirrus SR22, and two 2-hour Carrabelle River Cruise with Dr. and Mrs. Lynn Pararo. 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 a trip to New York, 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. Borom, Dr. Manning, Dr. Rosen, and Dr. Skilling, 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. 8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Bidding reached a whole new level over hospital parking spaces at Capital Regional Medical Center and Tallahassee Memorial HealthCare. Almost $10,000 was raised in parking spaces alone this year. A huge thank you to Mark O’Bryant who generously provided a third space during the auction when the bidding got a bit crazy. Capital Regional Medical Center added two baskets of wines and other treats to their parking space gift certificates. And then, there was Dr. Charles Manning’s painting. Last year, some may recall, we had a post-auction fire alarm. As guardian of the painting, I personally carried the painting with me out of the building forsaking my personal possessions. This year, there was a new wrinkle. After serving as the bidder for Dr. Joseph, who could not attend this year, anxiety grew as I reached my maximum pre-arranged bidding limit. Thanks to smart phone technology and Dr. Joseph standing by, we were able to keep the bidding going until the final bid closed his purchase of “Skipper Bay.” But wait, there’s more. When loading the bubble-wrapped painting on a cart to take down to the loading dock at 10:00 p.m., I covered it with a white table cloth to protect it from the frame of another painting. I unloaded the top painting, and yes, I left Dr. Manning’s painting on the loading dock under the white table cloth, went to the office to unload, and then headed home to Killearn Lakes. As I approached Bannerman Rd, I suddenly did not remember loading the painting. With a quick U-turn and a frantic phone call to the FSU Campus Police, I raced, close to the speed limit, back to FSU. Dispatch called to let me know the painting was being guarded by the FSU Campus Police. As I peeled back into the loading dock, there were three white FSU Campus Police SUVs blocking the loading dock and three armed officers standing guard around the now infamous white-clothed cart protecting the cherished Manning painting as if it were the Mona Lisa, and this were indeed Sotheby’s. Never a dull auction and since it was retrieved with no harm, I can now share the story. (L-r) Auctioneer, Dr. Scott Sellinger and Pam Irwin, CMS Executive Director with Title Sponsor, EMTeLink: Jay Walton, D.D.S., Susan Walton, Dr. Jose Santana, and Melissa Santana.
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, over 60 Corporate and Individual Donors provided the financial
2018 CMS FOUNDATION HOLIDAY AUCTION
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 Auction Steering Committee and Alliance Auction Committee. This year, we had six medical students volunteer to help guests register on BidPal, serve as Live Auction spotters, and help gather your items at the end of the event. They included this year’s CMSF Scholarship recipients from the FSU College of Medicine. 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. Donations for scholarships rose $2,000 when Julie Kacheris started speaking about the importance of her scholarship to her and her fellow medical student husband. She put a face and words to why this evening is so important. FSU College of Medicine student volunteers: (l-r) Jeffrey Johnson, Marvin (A.J.) Rhodes, Mitchell Darnell, Julianna Kacheris, Caitlin Tweedie, and Koleton Forehand.
This year, they opened the microphone to Dr. Walt Colón, Dr. Aaron Guyer, 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. Dr. Guyer had seen three We Care patients that day. 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. A special thank you to the CMS Physician Auction Steering Committee who jumped in personally in securing incredible items for the donation when they learned the Hurricane Michael had set us behind. Their help and insight in planning and organizing a spectacular holiday party and auction resulted in a fantastic evening. 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 Bananas Foster Flambé. Shrimp and Grits was back by popular demand and 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. My deep appreciation goes to Rosalie Carlin, who somehow manages to keep track and upload over $100,000 in Auction items, creates all of the signage, and helps coordinate the RSVPs. And they both do this in the midst of an already full schedule of CapScan deadlines, new memberships, CMEs, Lunch and Learns, other events to plan, and a hurricane. And a huge thank you to Dawna Bunker and Kathy Migliaccio at Bean Team who keep the accounting end of things on track. What a team! We look forward to December 5, 2019 for next year’s Holiday Auction. Mark your calendars for another wonderful event!
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 Pam Irwin Amy Pagano Gillian Stewart Missy Whiddon Carol Winchester
Decorating Committee Valerie Draper Cay Ford Tami Frankland Sarah Ho Amy Pagano Mara Rumana Kathleen Smith Jane Snyder Gillian Stewart
FSU College of Medicine Student Volunteers
Mitchell Darnell Koleton Forehand Jeffrey Johnson Julianna Kacheris Marvin (A.J.) Rhodes Caitlin Tweedie
And, last but not least, the CMS Elves Chief Elves
Shannon Boyle Dawna Bunker Rosalie Carlin Pam Irwin
We Care Network Elves Diana Bixler Shonda Davis Roshanda Dorsey Abby Edwards Gregory Sharp
CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
9
2018 CMS FOUNDATION HOLIDAY AUCTION
CMS FOUNDATION THANKS THOSE WHO HELPED MAKE THE 2018 HOLIDAY AUCTION A SUCCESS FOUNDATION
Proceeds enable our foundation to increase access to healthcare in our community through the We Care Network and provide scholarships to medical students.
Title Sponsor
Presenting Sponsors
Supporting Sponsors American Health Imaging Carroll and Company, CPAs Dermatology Associates of Tallahassee Dr. and Mrs. H. 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 OB GYN Gynecology & Obstetrics Associates, Inc. Radiology Associates of Tallahassee Southern Medical Group SunTrust Private Wealth Management Synovus Tallahassee Neurology Specialists, P.L. Tallahassee Orthopedic Clinic Tallahassee Primary Care Associates TMH Federal Credit Union TMH Physician Partners-Pulmonary, Critical Care & Sleep Specialists Vascular Surgery Associates Roy and RoseMarie Young
Event Sponsors Advanced Urology Institute, LLC Anesthesiology Associates of Tallahassee Baker Donelson Bean Team Big Bend Hospice CAMPUS USA Credit Union Capital City Bank Capital Medical Society Alliance Capital Periodontal Associates, P.A. Capital Regional Medical Center Capital Regional Surgical Associates Carr, Riggs & Ingram, CPAs Brittney K. Craig, D.M.D. Danna-Gracey Desloge Home Oxygen/Hopewell In-Home Senior Care Digestive Disease Clinic Elder Care Services, Inc. Electronet Elite Women’s Health Envision Credit Union Eye Associates of Tallahassee Hancock Whitney Rohan Joseph and Elizabeth Medley Barbara B. Leadbeater, D.M.D., PL Medical AR Revenue Solutions, LLC NAI TALCOR Neighborhood Medical Center, Inc. North Florida Women’s Care Northwestern Mutual – The Gantt Financial Group Southern Vitreoretinal Associates Strategic Benefits Group Tallahassee Neurological Clinic Tallahassee Plastic Surgery Clinic The First Thomas Howell Ferguson, P.A., CPAs Westminster Oaks Active Living Community In-Kind Sponsors Betsy Barfield Photography Gandy Printers Individual Sponsors Jonathan Appelbaum, M.D. and William Morowski Dr. and Mrs. Efren L. Baltazar Joedrecka Brown-Speights, M.D. Rosalie Carlin Dr. and Mrs. Raymond Cottrell Marilyn M. Cox, M.D. Dr. and Mrs. Jerry Ford Michael W. Forsthoefel, M.D. and Jana Bures-Forsthoefel, M.D. Timothy and Paula Fortunas Jerry L. Harris, M.D. Tracey E. Hellgren, M.D. Dr. and Mrs. David Jones Joel H. Kramer, M.D. Maribel U. Lockwood, M.D. Charles G. Long, M.D.
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Dr. and Mrs. John P. Mahoney Al C. McCully, M.D. Dr. and Mrs. David D. Miles Faisal Munasifi, M.D. and Nola Munasifi, M.D. Dr. and Mrs. Mansukhlal Padalia Dr. and Mrs. Joseph Pagano Dr. and Mrs. Terence N. Reisman Dr. and Mrs. Raleigh W. Rollins Dr. and Mrs. William Paul Sawyer Dr. and Mrs. David W. Smith Dr. and Mrs. J. Orson Smith, Jr. Dr. and Mrs. David T. Stewart Dr. and Mrs. D.J. Underwood Dr. and Mrs. Frank C. Walker Dr. and Mrs. Kenneth R. Wasson Dr. and Mrs. Dean D. Watson Mr. and Mrs. Brian Webb Dr. and Mrs. Charles D. Williams Dr. and Mrs. Donald A. Zorn Dr. and Mrs. Richard L. Zorn Item Donors A La Provence AAA Auto Club Group Advanced Urology Institute Alena Bakutis Photography Allergy & Asthma Diagnostic Treatment Center – Ron Saff, M.D. Alumni Hall AR Workshop Dr. and Mrs. Efren Baltazar Bedfellows Betsy Barfield Photography Dr. and Mrs. Charles Bianco Big Bend Hospice Foundation, Inc. Blue Water Car Wash Andrew Borom, M.D. Michael and Shannon Boyle A.J. Brickler, III, M.D. Debra Brienen, Original Artist Randy Brienen, Original Artist Brian Bryson Dawna Bunker Dr. and Mrs. Joe Camps Capital City Country Club Capital Genealogy Capital Medical Society Capital Regional Medical Center Rosalie Carlin Caroline Hill, Thomasville Carrabba’s Restaurant Carrie Ann & Co. Chicken Salad Chick Citrine Spa & Body Shop Coton Colors Dermatology Associates of Tallahassee Diana Kathleen Baking Diane’s 2202 a Salon The Donnellans Valerie Draper
2018 CMS FOUNDATION HOLIDAY AUCTION
Esposito Lawn & Garden Center Eye Associates of Tallahassee, P.A. Firefly, Thomasville Tami Frankland, Realtor FSU Primary Care/FSU College of Medicine FSU Senior Health/FSU College of Medicine Fuzzy Goat, Thomasville Garnet & Gold Golden Eagle Country Club Grasslands Brewing Company Gynecology & Obstetrics Associates Hand-Did Birdhouses – Charles E. Bush Suzanne Harrison, M.D. Tracey Hellgren, M.D. Anne Hempel Honeybaked Ham Dr. and Mrs. Alex Ho Lucy Ho Hopkins’ Eatery Dr. and Mrs. Marc Inglese Pam Irwin J. Alan Cox Law Office Jeanie Wood Designs Jonah’s fish & grits, Thomasville David Jones, M.D. Rohan Joseph and Elizabeth Medley Dan and Rita Kaelin Dr. Bill and Mrs. Sharon Kepper Killearn Country Club Kool Beanz Café – Keith Baxter KWB Pathology Associates Little Italy Italian Restaurant Maribel U. Lockwood, M.D. Nancy Loeffler, M.D. Loli & the Bean Long’s Photography Charles F. Manning, Jr., M.D. Jane Mark Linda Miles, Ph.D. Millennium Nail & Day Spa Mimi’s Table Momentum Fitness Bert and Tracy Morales Narcissus Native Nurseries North Florida Women’s Care Lynn and Julie Pararo Premier Health & Fitness Center PRP Wine International Pure Barre Tallahassee Radiology Associates of Tallahassee Relish, Thomasville Roberts Jewelry & Design Dr. and Mrs. Raleigh Rollins Seymour Rosen, M.D. Rutabaga Café Seminole Sitters, LLC Signature Art Gallery Frank Skilling, M.D. Kathleen Smith SoDOUGH Baking Company Sonny’s Real Put Bar-B-Q Southern Seafood Tallahassee Fish Company Southwood Golf Club SteinMart Dr. and Mrs. Brad Stephens James Stockwell, M.D. Super Suds-Goodwill Sweet Grass Dairy, Thomasville Table 23 Table Works Plus Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. Tallahassee Memorial HealthCare Tallahassee Museum
Tallahassee Nurseries Tallahassee Orthopedic Clinic Tallahassee Plastic Surgery Clinic Tallahassee Primary Care Associates Tallahassee Symphony Orchestra Talon Range Texas Roadhouse The Bookshelf, Thomasville The Facial Plastic & Reconstructive Center The Gem Collection – Don and Dorothy Vodicka The Gift Shop, Thomasville The Polka Dot Press The Tallahassee Ballet The Wine House on Market Street Theatre Tallahassee Tire Choice Très Chic Uptown Café Frank Walker, M.D. Tony Weaver, M.D. Missy Whiddon Wild Adventures Theme Park Wild Birds Unlimited Nature Shop Dr. Charles and Mrs. Pat Williams Dennis Williams, M.D. and Barbara Williams, M.D. Nancy Wright, M.D. Yellow Dog Jazz Band Richard and Kathy Zorn We Care Network and Scholarship Donors Jonathan Appelbaum, M.D. and William Morowski Dr. and Mrs. Sam Ashoo Nicole Balmer, M.D. and Daniel Balmer Andrew Borom, M.D. Dr. and Mrs. Walter E. Colón Dr. and Mrs. David Dixon Mr. Chad Durgin Dr. and Mrs. Hank Hutchinson Dr. and Mrs. Marc Inglese Mr. and Mrs. Edward Irwin Dr. and Mrs. David Jones Mrs. Diane Kaji Dr. and Mrs. William T. Kepper Alma Littles, M.D. Dr. and Mrs. John P. Mahoney Dr. and Mrs. Charles F. Manning, Jr. Dr. and Mrs. Terry McCoy Dr. and Mrs. Satish Mital Faisal Munasifi, M.D. and Nola Munasifi, M.D. Dr. and Mrs. D. Jason Oberste Dr. and Mrs. David T. Stewart Cyneetha Strong, M.D. Dr. and Mrs. Kenneth R. Wasson Ms. Karen Watts Dr. and Mrs. Richard L. Zorn Winning Bidders Dr. and Mrs. John Agens Jonathan Appelbaum, M.D. and William Morowski Dr. and Mrs. Sam Ashoo Jeff and Lisa Askins Nicole Balmer, M.D. and Daniel Balmer Diana Bixler Andrew Borom, M.D. Dawna Bunker Michael W. Forsthoefel, M.D. and Jana Bures-Forsthoefel, M.D. Rosalie Carlin James E. Cavanagh, M.D. Nancy Chorba, M.D. Dr. and Mrs. Walter E. Colón Dr. and Mrs. David E. Craig Shonda Davis Mark and Paulette Didier Dr. and Mrs. David Dixon
Roshanda Dorsey Paul and Kristi Drake Dr. and Mrs. David Draper Chad Durgin Rohan Joseph, M.D. and Elizabeth Medley Dr. and Mrs. Mark E. Fahey Dr. and Mrs. Jerry Ford Tim Fraser Ben and Bambi Gantt Matthew and Susan Gilbert Leigh Graham Dr. and Mrs. Aaron Guyer Bill Hambsh Dr. and Mrs. Alex Ho Tanya Hollady Dr. and Mrs. Alex Holt Dr. and Mrs. Hank Hutchinson Dr. and Mrs. Marc Inglese Mr. and Mrs. Edward Irwin Brittany Jackson Barbara Jaeger, M.D. Dr. and Mrs. David Jones Roland Jones, M.D. and Lynn Jones, M.D. Diane Kaji Dr. and Mrs. William Kepper Lori Krevetski Alma Littles, M.D. Maribel U. Lockwood, M.D. Nancy Loeffler, M.D. and Duane Pickel Dr. and Mrs. John P. Mahoney Dr. and Mrs. Charles F. Manning, Jr. Dr. and Mrs. Kenneth McAlpine Dr. and Mrs. Terry McCoy Dr. and Mrs. E. Lynn McLarty Dr. and Mrs. Gary McManama Dr. and Mrs. David Miles Dr. and Mrs. Satish Mital Dr. and Mrs. Steven Morse Faisal Munasifi, M.D. and Nola Munasifi, M.D. Dr. and Mrs. D. Jason Oberste Kelly Overstreet Johnson Dr. and Mrs. Joseph Pagano Amer Rassam, M.D. Dr. and Mrs. Raleigh Rollins Dr. and Mrs. Chris Rumana Jose Santana, M.D. Dr. and Mrs. Scott Sellinger Dr. and Mrs. Phillip Simon Dr. and Mrs. Frank Skilling Dr. and Mrs. David Smith Jane Snyder Anthony Speights Dr. and Mrs. David T. Stewart Cyneetha Strong, M.D. Dr. and Mrs. D.J. Underwood Dr. and Mrs. David Vermess Brian Walgamott Dr. and Mrs. Eugene Wang Dr. and Mrs. Kenneth R. Wasson Karen Watts Dr. and Mrs. Tony Weaver Brian and Jaren Webb Karen Wendland Dr. and Mrs. Kenneth Whithaus Lora Wiggins Dennis Williams, M.D. and Barbara Williams, M.D. Gregory Williams, M.D. Jessica Williams Michelle Wilson Dr. and Mrs. Richard L. Zorn
CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
2018 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 1 – (L-r) Dr. Terry McCoy; Presenting Sponsor, Florida Medical Association: Kristy Jones; Antoinette McCoy; and Presenting Sponsor, Florida Medical Association: Rod Jones.
1
2
2 – Presenting Sponsor, Florida State University College of Medicine: (l-r) Heather Speights, Dr. Michael Sweeney, and Dr. Anthony Speights. 3 – (L-r) Diana Bixler, We Care Network Program Coordinator with Presenting Sponsor, Periodontal Associates of North Florida: Walter E. Colón, D.M.D. 4 – Supporting Sponsor, American Health Imaging: (l-r) Lauren Moomjian and Chad Durgin.
3
4
5 – Supporting Sponsor, Carroll and Company, CPAs: (l-r) Kathleen Brothers, Rich Heitmeyer, and Kacie McCloud. 6 – (L-r) Dr. Jerry Ford with Supporting Sponsor, Dermatology Associates of Tallahassee: Dr. Armand Cognetta.
5
6
7 – J. Alan Cox (far left) with Supporting Sponsor, First Commerce Credit Union/Six Pillars Financial Advisors: (l-r) Jeff Askins, Lisa Askins, and Stephen Austin. 8 – Supporting Sponsor, Grossman, Furlow & Bayó, LLC: (l-r) Paul Drake, Kristi Drake, and Ed Bayó. 9 – (L-r) Supporting Sponsor, Henry Buchanan, P.A.: Jesse Suber with Dr. Charles Manning.
12
7
8
9
10
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
10 – Supporting Sponsor, Hopping Green & Sams, P.A.: (l-r) Vashali Desai and Tim Fraser.
2018 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 11 – Supporting Sponsor, KWB Pathology Associates: (l-r) Dr. Ken Whithaus, Joy Whithaus, Daniel Balmer, Dr. Nicole Balmer, and Gillian Stewart.
11
12
12 – (L-r) Supporting Sponsor, Southern Medical Group: Dr. Michael Forsthoefel with Supporting Sponsor, OB GYN Gynecology & Obstetrics Associates, Inc.: Dr. Jana Bures-Forsthoefel. 13 – Supporting Sponsor, SunTrust Private Wealth Management: (l-r) Karen Watts, Leigh Graham, Allyson Hogue, and Brandon Hogue. 14 – (L-r) Dr. Frank Skilling with Supporting Sponsor, Tallahassee Orthopedic Clinic: Dr. Hank Hutchinson.
13
14
15 – (L-r) Dr. Chris Rumana with Supporting Sponsor, Tallahassee Primary Care Associates: Dr. Karl Hempel. 16 – Supporting Sponsor, Synovus: (l-r) Al Basford, Patricia Griffin, Chattie Winton, and Bill Moore.
15
16
17 – (L-r) Dr. Andrew Borom and Ashlee Farrell Borom with Supporting Sponsor, Tallahassee Neurology Specialists, P.L.: Sing Your Wang, Dr. Eugene Wang, and Brett Allen. 18 – Supporting Sponsor, TMH Federal Credit Union: (l-r) Eric Thiele and Liz Thiele.
17
18
19 – (L-r) Event Sponsor, Advanced Urology Institute, LLC: Dr. Scott Sellinger with Dr. John Mahoney, CMS Foundation President. Dr. Sellinger and Dr. Mahoney served as our auctioneers for the evening! 20 – Event Sponsor, Anesthesiology Associates of Tallahassee: (l-r) Duane Pickel and Dr. Nancy Loeffler.
19
20 CONTINUED ON PAGE 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
13
UPDATE FROM FLORIDA DEPARTMENT OF HEALTH
Candida auris Update: Information for Clinicians and Laboratorians Version 3.0 December 10, 2018 CDC:
Please contact your county health department if Candida auris infection or colonization is suspected.
The Florida Department of Health (Florida Health) is providing updated detection and reporting guidance for multi-drug resistant Candida auris (C. auris) to health care providers and laboratorians. This important emerging fungal pathogen causes invasive infections, can be misidentified using standard laboratory methods, and can be transmitted in health care settings. Initial analysis of C. auris infections reported in 2012-2015 from three continents indicates 60% mortality among infected persons. Further, 93% of isolates were resistant to fluconazole and 41% were resistant to two or more antifungal drug classes. As of October 31, 2018, the Centers for Disease Control and Prevention (CDC) reported 457 confirmed cases of C. auris infection in 12 states. Florida Health has confirmed four cases of C. auris infection in Florida. Two of the cases were acquired while receiving health care in another country and two are of unknown etiology. Recommendations for Identification of C.auris: 1. Test and identify ALL Candida isolates obtained from the bloodstream and other normally sterile, invasive body sites (e.g., cerebrospinal fluid) to determine the species and optimize treatment selection. C. auris is commonly misidentified as Candida haemulonii and other Candida species, as conventional biochemical identification may not reliably identify this species. Facilities should also suspect C. auris if: • An isolate is identified as Candida but cannot be further speciated. • An increase in unidentified Candida species infections in a patient care unit is identified. 2. Consider testing Candida isolates from non-sterile, non-invasive sites to determine species in certain situations. Per CDC, about 54% of C. auris has been identified in blood, while the remaining 46% of cases were identified from other body sites. Consider speciation of Candida isolates from non-sterile body sites in the following situations: • When clinically indicated in the care of a patient. • When a case of C. auris infection or colonization has been detected in a facility or unit. • When a patient has had an overnight stay in a health care facility outside the United States within the previous year in a country with documented C. auris transmission, especially countries linked to U.S. cases (India, Pakistan, South Africa, and Venezuela). 3. Screen patients/residents in hospitals or nursing homes who were close contacts of newly identified C. auris infection or colonization cases. • Please contact Florida Health for assistance when setting up screening of contacts. 4. Patients with C. auris infection should be closely monitored for treatment failure, as indicated by persistently positive clinical cultures (i.e., >5 days). Infection Prevention Measures: • Place patients with C. auris infection or colonization in a single patient room on contact precautions. • Clean and disinfect rooms of C. auris infected or colonized patients (daily and terminal) using Environmental Protection Agency-registered hospital-grade disinfectant effective against Clostridium difficile spores. Reporting: Immediately notify the Leon County Health Department at 850-404-6299 if C. auris is suspected or identified to arrange confirmatory testing of the organism.
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CHECK PRESENTATION
CHECK PRESENTATION Donald Park, President of The Rotary Club of Tallahassee presented Pam Irwin and Dr. Walt Colón with a check for $3,500 on January 2, 2019 to support the We Care Network in providing specialty medical and dental care to Leon, Gadsden, Jefferson, and Wakulla Counties low-income, uninsured adult residents.
GI MEDICAL SPECIALISTS Please contact us for expeditious and personalized care of your patients. Dr. Kishor Muniyappa is a board-certified gastroenterologist. He did his residency in internal medicine, in Chicago, and was later selected for a competitive fellowship in Gastroenterology at Virginia Commonwealth University in Richmond, Virginia.
Dr. Kishor Muniyappa
His practice offers treatment for the entire spectrum of gastrointestinal and liver diseases including irritable bowel syndrome, inflammatory bowel diseases (Crohn’s disease and Ulcerative colitis), nutrition, liver diseases, Hepatitis B and C treatment, endoscopic management of gastrointestinal cancers, pancreatic diseases (pancreas cysts, pancreas cancer, pancreatitis, and pseudocysts), bile duct stone and strictures and endoscopic removal of large polyps and early cancers.
2626 Care Drive, Suite 101, Tallahassee, FL 32308 Office hours: M - F: 1pm to 5 pm • Ph: (850) 297-0351 • Fax: (850) 297-0352
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
2018 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 21 – (L-r) Event Sponsor, Baker Donelson: Kelly Overstreet Johnson with Supporting Sponsor, Radiology Associates of Tallahassee: Dr. Barbara Jaeger and Dr. Maribel U. Lockwood.
21
22
22 – Event Sponsor, Capital City Bank: (l-r) Sophie Smith and William Smith. 23 – Event Sponsor, Capital Regional Medical Center: (l-r) Jessica Williams and Lori Krevetski, M.D. 24 – Event Sponsor, Carr, Riggs & Ingram, CPAs: (l-r) Matt Gilbert and Michelle Wilson.
23
24
25 – Event Sponsor, Desloge Home Oxygen/Hopewell In-Home Senior Care: (l-r) Michael Kramer and Dr. Joel Kramer. 26 – Event Sponsor, Elder Care Services, Inc.: (l-r) Mark Baldino and Susan Baldino. 27 – (L-r) Event Sponsor, Elite Women’s Health: Dr. Stephanie Lee and Dr. Matt Lee with Amber Vermess.
25
26
28 – Event Sponsor, Eye Associates of Tallahassee: (l-r) Curtis Rush, Charmaine Deshields, and Dr. Sarah Ko. 29 – (L-r) Christy Oberste; Event Sponsor, Hancock Whitney: Diana Cureton; Mark O’Bryant; and Event Sponsor, Hancock Whitney: Abby Smith 30 – (L-r) Event Sponsor, Northwestern Mutual-The Gantt Financial Group: Ben Gantt with Event Sponsor, Bean Team: Charles Musgrove and Paula Musgrove.
16
27
28
29
30
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2018 CMS FOUNDATION HOLIDAY AUCTION
Photo Captions: 31 – (L-r) Event Sponsor, Thomas Howell Ferguson, P.A., CPAs: Michael Kalifeh with Event Sponsor, North Florida Women’s Care: James Gordon, Bill Hambsh, Dr. David Dixon, and Paige Dixon.
31
32
33
32 – Dr. John Mahoney (middle) with Event Sponsor, Westminster Oaks Active Living Community: (l-r) Lora Wiggins and Sheri Whigham. 33 – Capital Medical Society staff: (backrow, l-r) Shannon Boyle, Rosalie Carlin, Diana Bixler, Gregory Sharp, Pam Irwin, Roshanda Dorsey, (front row, l-r) Dawna Bunker, Abby Edwards, and Shonda Davis.
CONTINUED ON PAGE 20
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
PHYSICIAN WELLNESS
PHYSICIAN WELLNESS BURNOUT INVENTORY This is an adapted version of the Oldenburg Burnout Inventory, one of several such validated instruments used to assess the presence of burnout in many occupations. Each of these instruments, including this one, has its own unique advantages and limitations. This sample is provided not as a definitive measure of the presence or absence of burnout, but merely as one potential piece of data for you to consider as you explore issues related to physician wellness and resilience. By answering the questions and tallying your score, you will be able to determine your score. Scores range from 16-64. Scores above 35 have been correlated with higher rates of burnout. If you are an Active or Associate member of Capital Medical Society and would like to seek free wellness coaching services, please visit https://capmed.org/members-only/physician-wellness/. If you need help with your CMS login information, please email rcarlin@capmed.org. 1. I always find new and interesting aspects in my work. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
4. After work, I tend to need more time than in the past in order to relax and feel better. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
2. There are days when I feel tired before I arrive at work. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
5. I can tolerate the pressure of my work well. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
3. It happens more and more often that I talk about my work in a negative way. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
6. Lately, I tend to think less at work and do my job almost mechanically. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1) CONTINUED ON NEXT PAGE
18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PHYSICIAN WELLNESS
7. I find my work to be a positive challenge. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4) 8. During my work, I often feel emotionally drained. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1) 9. Over time, one can become disconnected from this type of work. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
12. After my work, I usually feel worn out and weary. Strongly agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1) 13. This is the only type of work that I can imagine myself doing. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4) 14. Usually, I can manage the amount of my work well. Strongly agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
10. After working, I have enough energy for my leisure activities. Strongly agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
15. I feel more and more engaged in my work. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
11. Sometimes I feel sickened by my work tasks. Strongly agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)
16. When I work, I usually feel energized. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)
CALCULATE YOUR SCORE HERE:
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
2018 CMS FOUNDATION HOLIDAY AUCTION
20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2018 CMS FOUNDATION HOLIDAY AUCTION
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
21
MEDICAL/LEGAL
CURBSIDE CONSULTATIONS: PATIENT SAFETY AND LEGAL RISKS By Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education, and Carol Murray, RHIA, CPHRM, Patient Safety Risk Manager II Informal consultations among practitioners represent an important part of clinical practice. They can increase knowledge among physicians and may also improve care and treatment of patients who present with complex comorbidities. Informal consultation, however, has inherent risks for the consulting physician. This article answers questions that our patient safety risk managers routinely address about the potential liability of informal “curbside” consultations.
of guidance being solicited. In other words, if the conversation leads the attendant physician to rely on the consulting physician’s response when making a treatment decision and the patient suffers harm, there could be liability for both physicians. The legal questions are “was there a physicianpatient relationship between the consulted physician and the patient” and “did the consulted physician owe a duty of due care to the other physician’s patient?”
Q: Does the doctor run the risk of being sued because he or she provides a curbside consultation? A: Risks are involved if the expectations between the physicians are not clearly communicated at the outset of the dialogue. In a classic scenario, the consulting physician is sued by a patient that he or she has neither met nor examined—and certainly doesn’t remember months or years later, after a problem has developed and litigation has been initiated. Invariably, the physician offering his or her advice has made no written record of the encounter. The risk of being named in litigation increases significantly if the physician seeking advice identifies the consulting physician by name in the patient’s medical record and summarizes the general nature of the conversation.
For each affirmative response to the questions below, the likelihood increases that a curbside consultant will be named as a defendant: • Did the attending physician provide detailed facts that included the patient’s history, comorbidities, and laboratory data? • Did the consultant personally review any portion of the patient’s chart? • Did the consultant speak directly with the patient or conduct even a cursory physical examination at bedside? • Did the consultant recommend or order any specific tests, therapies, medications, or other treatment modalities? • Did the consultant follow up with either the attending physician or the patient? • Most importantly, did the consultant submit a bill for services rendered?
Q: What are the legal issues raised by curbside consultations?
Q: What kinds of cases have been litigated on the subject?
A: In a traditional face-to-face curbside consultation (as opposed to an electronic or written consultation), if an injury to the patient occurs and the patient can prove that the information provided was a proximate cause of the injury, the physician who was consulted could also be named in the lawsuit as a culpable party.
A: Our closed claims analyses revealed 21 cases in which informal consultations took place between physicians and the patient ultimately suffered serious cardiac, obstetric, neurologic, hemodynamic, or other untoward sequelae. Both physicians were named in the subsequent malpractice action. In some cases, the consultant physician shared in liability for the ultimate outcome based on his or her degree of involvement (see the factors outlined above).
At the outset of the encounter, there must be clear communication between the physicians that identifies the nature of the inquiry and the type 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
MEDICAL/LEGAL
Q: Curbside consults have also moved to electronic communications. Does a doctor’s professional liability insurance cover consulting with other physicians through electronic means? A: It doesn’t matter if the curbside consultation is electronic or face-to-face; the issues with informal consultations remain the same. However, the fact that an e-mail, text, or other electronic format allows physicians who are miles—or states—apart to communicate can also lead to other issues, such as privileging, credentialing, and physician licensure in the state where the patient resides. Professional liability insurance does not typically cover a physician for practice in a state where the physician is not licensed. Q: What kind of patient safety or risk management issues does this raise? A: As far as patient safety is concerned, a verbal or electronic exchange between physicians may lack the patient’s complete clinical picture (which should include history, symptoms, medications, etc.). The consulted physician, by responding without having all the pertinent information, may provide advice that is not in the best interests of the patient. If the patient is harmed, the consulted physician could be held liable. In looking at closed claims, we have learned that communication is one of the leading causes of bad outcomes. This represents a major risk with informal consultations: Communication of all the necessary information to obtain and provide good clinical advice is critical. Q: What criteria can be used to determine whether a situation is low risk or one that requires a formal consultation? A: If the requesting physician’s questions go beyond the guidelines shown below, a formal consult should be requested instead.
• No request to make or confirm a diagnosis is made. • No record review is required. • No questions about ordering specific tests or studies are raised. • The questions are straightforward and require only simple answers and nonspecific advice. Q: What can physicians do to protect themselves? A: Curbside consultations are tempting to busy physicians because they are convenient and speedy. But those are the very reasons to not engage in this practice. If you decide to take on this risk, you must: • Clarify the nature of the consult; advise the requesting physician that a curbside consultation should not be considered a formal consultation. • Consider the facts not provided. • Keep the consultation brief. • Make sure the attendant physician is aware that the advice given is not a treatment decision. If the attendant physician continues to insist that you render a treatment decision, we advise that you request a formal and documented consultation instead. ________________________________________ 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)
Low risk • Questions are for the general education of the requesting physician and are not patientspecific. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
2019 CMS FOUNDATION BOARD OF DIRECTORS
2019 CMS Foundation Board of Directors
FOUNDATION
Marlisha Edwards, M.D. Family Medicine Southern Medical Group Florida State University
We Care Network
Faisal Munasifi, M.D. Psychiatry Psych Management Services Married to Nola Munasifi University of Baghdad
John Mahoney, M.D. President Pathology Retired Married to Barbara Mahoney University of Florida
Paula Fortunas Retired, TMH Foundation
Walt Colรณn, D.M.D. Vice-President Dentistry Married to Marybeth Colรณn University of Kentucky
Terreze Gamble, M.D. Family Medicine Tallahassee Primary Care Associates Married to Vaughn Samuel American University of the Caribbean
Nancy Loeffler, M.D. Secretary Anesthesiology Anesthesiology Associates of Tallahassee Married to Duane Pickel Baylor College of Medicine
Tracey Hellgren, M.D. Family Medicine Patients First University of Florida
David Stewart, M.D. Treasurer Pathology Pathology Associates Married to Gillian Stewart University of New Mexico
David Jones, M.D. Pediatrics Capital Health Plan Married to Dottie Jones Ohio State University
Ken Whithaus, M.D. CMS President-Elect Pathology Pathology Associates Married to Joy Whithaus University of South Florida
Joedrecka Brown-Speights, M.D. Family Medicine FSU College of Medicine Married to Gregory Speights Emory University
Fred Lindsey, M.D., Emeritus Radiology Retired Married to Jimmie Lindsey Medical College of Georgia
Barbara Williams, M.D. Family Medicine Patients First Married to Dennis Williams, M.D. University of Florida
J. Alan Cox, Esq. Attorney
Maribel U. Lockwood, M.D. CMS President Radiology Radiology Associates of Tallahassee University of Panama
Charles Williams, M.D., Emeritus Radiology Retired Married to Pat Williams Medical College of Georgia
Avon Doll, M.D. Nephrology North Florida Nephrology Associates Married to Louie Doll Oral Roberts University
Al McCully, M.D., Emeritus Urology Retired University of Tennessee
Pam Irwin Executive Director, Capital Medical Society Married to Edward Irwin
24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
J. Brian Sheedy, M.D. Hematology/Oncology TMH Palliative Care Consultation Married to Wende Sheedy State University of Buffalo Jay Walton, D.D.S. Dentistry Married to Susan Walton Emory University
Kenneth R. Wasson, M.D. Pulmonary Medicine Retired Married to Lee Wasson Vanderbilt University
CMS FOUNDATION
The Impact of Private Support:
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 – Area of Greatest Need Charles A. Frueauff Foundation CMS Foundation Year-End Appeal – Area of Greatest Need Mr. Timothy Cross and Dr. Susan M. Cross – in memory of D. Miles McCaddon, M.D., Louis R. McCallister, M.D., and Raney A. Oven, M.D. Dr. and Mrs. David T. Stewart Dr. and Mrs. D.J. Underwood – in memory of Nancy Van Vessem, M.D. – Through Their Donor-Advised Fund CMS Foundation Year-End Appeal – CMS Foundation Endowment Dr. and Mrs. David T. Stewart Dr. and Mrs. Christopher Wilhoit CMS Foundation Year-End Appeal – Scholarship Fund Dr. and Mrs. Efren L. Baltazar David Bellamy, M.D. – in memory of William Shipman, M.D. and Nancy Van Vessem, M.D. Dr. and Mrs. Charles D. Williams CMS Foundation Year-End Appeal – We Care Network Endowment Patrice T. Bidwell, M.D. – in memory of Benjamin Shane Bidwell We Care Network Susan and Fred Redmon – in honor of Dr. Jesse Judelle and his staff at Southern Medical Group Rotary Club of Tallahassee SunTrust Foundation
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 Care Network Endowment Fund. More than $98 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 2017-18, which ended June 30, 2018, more than $8 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the 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. $42,000 was awarded in 2018. ➢ Gifts to Capital Medical Society Foundation help provide operational resources for Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to health care for the underserved. In 2018, CMSF awarded a total of $10,000 in grants to Elder Care for their In-Home Services Program, Alzheimer’s Project for caregiver support resources, and Lighthouse of the Big Bend to provide clients who have vision loss with the aids needed to manage their health and medical care independently. 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.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
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 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
25
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 2018. Your generosity and support of the We Care Network makes a difference.
Physicians Emily Ashmore, M.D. Venkata Bavikati, M.D. Marie Becker, M.D. Dhanajay Bendre, M.D. Robert Bradford, M.D. Alexander Brickler III, M.D. Tim Broeseker, M.D. Logan Brooks, M.D. Viet Bui, M.D. Armand Cognetta Jr., M.D. David Durden, M.D. Margarett Ellison, M.D. Alberto Fernandez, M.D. W. Harris Green, M.D. Aaron Guyer, M.D. Jerry Harris, M.D. Muhanad Hasan, M.D. Marc Inglese, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Arjun Kaji, M.D. Farhat Khairallah, M.D. James Killius, M.D. Amulya Konda, M.D. Carey Linker, M.D. Deanna Louie, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Jayan Nair, M.D. D. Jason Oberste, M.D. Timothy Paulk, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Andres Rodriguez, M.D. Garrison Rolle, M.D. Andras Schaffer, M.D. Joshua Somerset, M.D. Christopher Sundstrom, M.D.
Mary Swain, M.D. Timothy Sweeney, M.D. John Thabes, M.D. Andrea Venturini, M.D. Lucas Watkins, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. Chien-Yi Williams, M.D. William Yaakob, M.D. Charles Yowell, M.D. Samuel Yu, M.D. Dentists Kala Balan, D.M.D. William Baldock, D.D.S. Joseph Barnett, D.M.D. Labon Bontrager, D.M.D. Steven Bryan, D.M.D. Walter Colon, D.M.D. Brittney Craig, D.M.D. Ashok Manocha, D.D.S. William McFatter, D.D.S. Facilities Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Big Bend Oral Surgery Bond Community Health Center Bristol Dental Clinic Brittney K. Craig DMD Capital Periodontal Associates Care Point Health & Wellness Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists and Research Institute Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Madison Medical Center Manocha, McSoley, Balan, and Manocha Dentistry Neighborhood Medical Center North Florida Women’s Care North Monroe Medical Center Periodontal Associates Radiology Associates of Tallahassee
26 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, & Throat Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Physician Partners Urology Specialists TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee VA Clinic Wakulla County Health Department 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 2018 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) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
CMS FOUNDATION: WE CARE NETWORK
We thank our referring providers from December 2018:
Ebonie Allen, ARNP
Stefanie Kreamer, M.D.
Mary Jane Bailey, ARNP
Elaine Larkins, ARNP
Arvind Bakhru, M.D.
Ovidiu Marina, M.D.
Karen Bartley, M.D.
Michael Mangan, M.D.
Venkata Bavikati, M.D.
Damon McMillan, M.D.
Dhananjay Bendre, M.D.
Kelley Miller, ARNP
Robert Bradford, M.D.
Marcia Morris, ARNP
Daniel Breivogel, ARNP
Jayan Nair, M.D.
Fran Bridges, ARNP
Thomas Noel, M.D.
Tim Broeseker, M.D.
Mitchell Peabody, D.O.
Lysmar Carrion-Dinguis, M.D.
Jorge Perez de Armas, M.D.
Deborah Congdon, ARNP
Brandi Richardson, ARNP
Marilyn Cox, M.D.
Charlie Richardson, M.D.
Susan Drake, M.D.
Adrian Roberts, M.D.
Marlisha Edwards, M.D.
Karen Russell, M.D.
Margarett Ellison, M.D.
Scott Sellinger, M.D.
Cynthia Evans, ARNP
Philip Sharp, M.D.
Sharron Foster, M.D.
Christopher Sundstrom, M.D.
Hong Gao, M.D.
Scott Tetreault, M.D.
Gian-Carlo Giove, M.D.
Brett Thompson, ARNP
Judy Griffin, ARNP
Jean-Paul Tran, M.D.
Aaron Guyer, M.D.
Mary Tucker, M.D.
Muhanad Hasan, M.D.
Jeffrey Wasserman, D.O.
Hantz Hercule, M.D.
Lucas Watkins, M.D.
Amit Jain, M.D.
Graham Whitaker, M.D.
Fang Sarah Ko, M.D.
Charles Yowell, M.D.
Amulya Konda, M.D.
DURING THE MONTH OF DECEMBER, THE WE CARE NETWORK: RECEIVED 51 REFERRALS, WITH 111 PATIENTS NEW TO THE PROGRAM
SCHEDULED 137 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$311,555.23 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
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