MAY EDITION, VOLUME 2020, NO. 5
NOT ALL SUPERHEROES WEAR CAPES! A SALUTE TO OUR HEALTHCARE PROFESSIONALS. . . YOU ARE OUR HEROES! WE ARE GRATEFUL FOR YOUR DEDICATION, STRENGTH, AND FEARLESSNESS AS WE FACE COVID-19 TOGETHER. THANK YOU! "NEVER WAS SO MUCH OWED BY SO MANY TO SO FEW." - WINSTON CHURCHILL CAPITAL MEDICAL SOCIETY 2020 MEETINGS CALENDAR ~Please note: The May 5, 2020 Connect the Docs Happy Hour has been postponed~ May 5, 2020 Connect the Docs Happy Hour sponsored by Capital City Bank
~Please note: The CMS Family Night has been cancelled~ May/June 2020 CMS Family Night
CONTINUED ON PAGE 5
BOARD OF GOVERNORS Ken Whithaus, M.D., 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
Rohan Joseph, M.D., President-Elect Paresh Patel, M.D., Secretary/Treasurer
CMS Announcements.........................................................3 CMS Member News.............................................................4 CMS News.............................................................................5 COVID-19 Updates..............................................................7 A Message from the CMS Executive Director..............8 Thank You To All PPE Donors and Volunteers...........10 PPE Donations Needed.................................................... 11 Viewpoint............................................................................ 12 Medical/Legal.................................................................... 13 Practice Management...................................................... 15 Physician Wellness........................................................... 16 Honor A Doctors’ Day...................................................... 18 Donate to the CMS Foundation..................................... 19 CMS Foundation: We Care Network........................... 20
Maribel U. Lockwood, M.D., Immediate Past President Nicole Balmer, M.D. David Burns, M.D. Sybil Holt, CMS Alliance
HAPPY BIRTHDAY!
Sarah Ko, M.D. Amulya Konda, M.D.
{MAY BIRTHDAYS}
Matt Lee, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Family Medicine Residents Tristan Brooks, D.O./Mary Claire Smallwood, M.D. General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, M.D.
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
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
B. David Robinson, M.D. – 1st Nancy Chorba, M.D. – 2nd Marc Fisher, M.D. – 2nd Shawn Ramsey, D.O. – 3rd William Comer Cherry, Jr., M.D. – 4th Joel Kramer, M.D. – 4th Charles Long, M.D. – 4th David Smith, M.D. – 4th Anthony Wright, M.D. – 5th Matthew Connor, M.D. – 6th Spencer Gilleon, M.D. – 6th H. Timothy Paulk, M.D. – 6th Ryan Sanderson-Smith, M.D. – 6th Brett Howard, M.D. – 7th Nola Munasifi, M.D. – 7th Anthony Russell, M.D. – 7th Erin Carlquist, M.D. – 8th Vatsal Patel, M.D. – 9th Don Zorn, M.D. – 9th Shamil Castro, M.D. – 12th Kimberly Smith, M.D. – 12th John Bailey, D.O. – 13th Sam Ashoo, M.D. – 14th Hari Kolli, M.D. – 14th Floyd Jaggears, M.D. – 15th Chukwuma Okoroji, M.D. – 15th Amanda Stephens, D.O. – 15th Hugh VanLandingham, M.D. – 15th Mitchell Peabody, D.O. – 16th
Mark Saunders, M.D. – 16th Patricia Hogan, M.D. – 18th Cybelle Pfeifer, M.D. – 18th Jayati Singh, M.D. – 19th Rex Williams, M.D. – 19th Sandya Jiandani, M.D. – 20th John Mahoney, M.D. – 20th Christopher Price, M.D. – 20th Kurt Luhmann, M.D. – 21st Al McCully, M.D. – 22nd David Hood, M.D. – 23rd Stephen Medvid, M.D. – 23rd Sudha Ravilla, M.D. – 23rd Stephen Sandroni, M.D. – 23rd Aaron Appiah, M.D. – 25th Jerry Harris, M.D. – 26th Jeffrey Crooms, M.D. – 27th Steven Currieo, M.D. – 27th Hong Gao, M.D. – 27th Gordon Low, M.D. – 27th Jeffrey Rawlings, M.D. – 27th Matthew Standridge, M.D. – 27th John Agens, M.D. – 28th Stephen LaRosa, M.D. – 29th David Oberste, M.D. – 29th Daniel Yang, M.D. – 29th Suzanne Harrison, M.D. – 30th Jayan Nair, M.D. – 31st Mehul Patel, M.D. – 31st
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!
CMS ANNOUNCEMENTS
NEW DOCS ON THE BLOCK Pablo Rengifo-Moreno, M.D. Medical School: Universidad Central De Venezuela Internship/Residency: Tufts University Fellowship: Jackson Memorial Hospital, Albert Einstein Medical Center Practice: Southern Medical Group, P.A. Specialty: Interventional Cardiology
Anthony Russell, M.D. Medical School: New York University Internship: New Jersey Medical Center; Mount Sinai Medical Center Residency: Beth Israel Medical Center Fellowship: University of Florida Practice: TMH Physician Partners, Chronic Pain Management Specialty: Anesthesiology, Pain Management
Abel Romero-Corral, M.D. Medical School: Universidad La Salle Internship/Residency: Albert Einstein Medical Center Fellowship: Albert Einstein Medical Center Practice: Southern Medical Group, PA Specialty: Non-invasive Cardiology
Beatriz Cepeda Valery, M.D. Medical School: Universidad Central de Venezuela Internship/Residency: Albert Einstein Medical Center Fellowship: Albert Einstein Medical Center Practice: Southern Medical Group, PA Specialty: Non-invasive Cardiology
PROFESSIONAL NOTES Kaylee Denmark and Julianna Kacheris, past CMS Foundation scholarship recipients and third-year medical students at the FSU College of Medicine Pensacola Regional Campus made and donated 150 masks to the Pensacola community. In addition to filling requests from faculty and students at the regional campus, they hope to supply masks, made of Halyard material, to local hospitals and nursing homes.
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.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS MEMBER NEWS
CMS MEMBERS: ARE YOU RETIRING? If you are planning to retire, please be sure to contact Rosalie Carlin at the Capital Medical Society office (850) 877-9018 or rcarlin@capmed.org. As a Retired CMS Member, your membership dues change to: Retired - $150.00 with meals (includes dinner at CME meetings) or Retired - $50.00 without meals (you are billed for dinner if you attend a CME meeting). It is your choice. Do you plan to change the status of your Florida Medical License to Retired? Visit this link: https:// flboardofmedicine.gov/help-center/how-do-i-changethe-status-of-my-license-to-retired/, or search online for: Florida Board of Medicine How do I change the status of my license to retired? You must formally request Retired status with the Board of Medicine (BOM) for your medical licensure and pay a fee rather than just not renewing. The penalty for being late in requesting a Retired status change with the BOM can be $515.00. Remember, be sure to let CMS know of your change in status.
IN MEMORIAM Dr. Robert E. Ashmore, Jr Announces his retirement WILLIAM F. LINDSEY, M.D. 1927 - 2020
on May 29, 2020. He feels blessed that he has been given a career of 40 years in the practice of Obstetrics and Gynecology. Thank you for this opportunity.
ROBERT STEELE, M.D. 1947 - 2020 4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS NEWS
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS ~Please note: The May 20, 2020 Lunch and Learn has been postponed~ May 20, 2020 Understanding and Managing Stress
Save the Date for the Fall 2020 Lunch and Learn Seminars: September 16, 2020 Employee Law Updates With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, and preparing for coming changes to federal wage and hour laws. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: CAMPUS USA Credit Union
October 21, 2020 No Ego: How Leaders Can Cut the Cost of Workplace Drama, End Entitlement, and Drive Big Results Speaker: Bert Mitchell Sponsor: FMI Printing & Distribution November 18, 2020 Exploring Telemedicine Speakers: Paige Dixon and Eric Friall Sponsor: TMH Federal Credit Union
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, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
CAPITAL MEDICAL SOCIETY 2020 MEETINGS CALENDAR CONT. FROM COVER
September 15, 2020 CMS Membership & CME Meeting Brain Health: Primary Prevention of Cognitive Decline and Dementia, including Alzheimer’s Disease Speaker: Demetrius M. Maraganore, M.D., FAAN 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks October 20, 2020 CMS Membership & CME Meeting Domestic Violence (2 Hours) Speaker: Suzanne Harrison, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
November 10, 2020 CMS Membership & CME Meeting Human Trafficking (1 Hour) Speaker: Terry Coonan, J.D., Executive Director at the Florida State University Center for the Advancement of Human Rights 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks December 3, 2020 CMS Foundation Holiday Auction 6:00 pm FSU University Center Club
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
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4 BR | 4.5 BA | 3,183 sf
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Hettie Spooner (850)509-4337 Lindsay Elliott (850)545-2463 Calynne Hill (850)545-6140 1390 Timberlane Road Tallahassee, Florida 32312
HILLSPOONER.COM 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
COVID-19 UPDATES
HOTELS WITH SUITES AND AIRBNB OFFERING FRONT LINE HEALTHCARE PROVIDERS DISCOUNTED RATES DURING COVID-19 PANDEMIC When surveyed, the second highest source of anxiety among physicians during the COVID-19 pandemic is that they are concerned about being exposed to COVID-19 at work and taking the infection home to their family. There are local hotel and Airbnb options available to you at discounted rates. If you have any trouble with the links below, please contact the Capital Medical Society at (850) 877-9018. •
•
“At Residence Inn by Marriott,® we are offering our community’s first responders and front-line workers a special rate available now through June 30, 2020. Based on availability. From $94/night. To reserve your room, call 850.422.0093 or visit www.Marriott.com/TLHRI and use rate code G11.”
Home2 Suites by Hilton (210 S Magnolia Drive):
First Responders Good Neighbor Rate - $89. Use this link to make your reservation at the discounted rate: http://home2suites.hilton.com/en/ht/reservations/ index.jhtml?hotel=TLHHTHT&corporateCo de=0002666921.
Residence Inn by Marriott (1880 Raymond Diehl Road):
•
Airbnb:
“We’re proud to share that our incredible community of generous hosts has offered over 140,000 places to stay for COVID-19 first responders. First responders can book stays in 160 countries and regions. If you are a first responder or know a first responder in need, visit: https://www.airbnb.com/openhomes/covid19relief.”
Inspiring Good Health with In-Office and Remote Appointments!
We are still seeing patients in our office and now offering tele-medicine appointments by request. Dr. Muniyappa and our staff are here to serve you and your patients.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
7
A MESSAGE FROM THE CMS EXECUTIVE DIRECTOR
PPE-AN ACRONYM THAT MEANS LIFE By Pam Irwin, CMS Executive Director I have a son in the Army, so I'm used to acronyms. I had not heard of PPE before March. Now, I'll never forget it or what it means to the physicians and others who need it. It started with a suggestion by Dr. Ray Bellamy on March 23rd. Some dental and medical practices are temporarily shuttered or seeing patients by telehealth only and might have Personal Protective Equipment (PPE) that they could donate to those still seeing patients in their offices. It started slowly. A few N95 masks were received. My Dad called from Mobile, Alabama, and said the Medical Society of Mobile County was on the news about collecting PPE for physicians. I looked up the news video and visited the medical society's website. Rosalie Carlin created a professional donation request image to post on social media. The Capital Medical Society Foundation's PPE effort officially launched. Then, I received a phone call from Jeff Burlew at the Tallahassee Democrat. We are Facebook friends. He'd seen our post and wanted to interview me about what we were doing, why it mattered, and what we needed. The article he wrote was picked up by the news media and on the local news, and my new nickname in the office became "RADAR." This endearing member of the M*A*S*H cast had legendary abilities to secure the most hard-to-find items needed for their M*A*S*H unit. The real story is about the donors who are helping meet the PPE needs of physicians. Hospitals are prioritized to receive PPE. They should be. However, physicians in practice outside of hospitals have a significant need for PPE as well. The pipeline of resources to them has not been as abundant. With the help of many new connections, we have made inroads in securing PPE. An Aaron's Furniture manufacturer in Cairo, GA, makes face masks. I received an email from Greg Cohen, owner of Lofty Pursuits. He connected me to Will Hawe of Making Awesome. Will is committed to producing and donating face shields made by his team on 3D printers. Visiting his location, I watched him trying to make face shields, hole-punch the plastic shields, and make deliveries. How could we help him? Dr. John and Barb Mahoney became hole punchers for the face shields. We used 8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
social media to call for others with 3D printers that could be referred to Will's team to also produce face shields. Local schools with 3D printers have joined the face shield collaboration. Through Will, I learned that the Innovation Hub at FSU had been closed as non-essential by FSU's General Counsel. Since they are able to make face shields, many in the community disagreed. I emailed President Thrasher who understood the need and began efforts to get a waiver for them to reopen. President Thrasher connected me to Emily Pritchard at the Innovation Hub. While we wait for the Innovation Hub's door to open, she connected me to a supply chain resource in Monticello, who is getting quicker turn-around on orders for N95 masks, surgical masks, and face shields. We began taking preorders from practices. The CMS Foundation pays the supplier; the practices reimburse the CMS Foundation. The board room is our PPE triage area for deliveries. Dr. Celeste Hart suggested a Tallahassee man contact me. He is in the tradeshow business and was successfully receiving KN95 masks from China. He offered his help. On behalf of the CMS Foundation, I took pre-orders for over 4,000 KN95 face masks on a Saturday in five hours. We decided to try two orders of 500 to see if they would make it through customs. We were not required to make any payment until they arrived. Two weeks later, I got the text that they were in Tallahassee. The invoicing and distribution began. A new order for 2,000 was submitted. Those arrived in one week and were available for delivery within four hours of being dropped off at the CMS office. We will continue to fill the original requests and move on to a maintenance level. There have been incomprehensible solutions that could only have been divinely orchestrated. Last week, Dr. Gao from the Digestive Disease Clinic, asked if I had any N95 masks. I shared we had no donated ones but were about to take pre-orders. I asked about the need. She shared that some non-elective G.I. procedure patients were hesitant to have surgery in a hospital setting at this time and were opting for their non-elective procedures to be done at DDC. She said they had to close because they were out of N95 masks. That was 4:00 p.m. At 5:00 p.m., a lab director from
A MESSAGE FROM THE CMS EXECUTIVE DIRECTOR
the FSU Dept. of Biological Science arrived at the CMS door. He was carrying a box N95 masks – 117 N95 masks. After offering profuse thanks, I went back to my office and contemplated the chances of that many N95 masks arriving at one time. I didn't have Dr. Gao's or Dr. Rodriguez's cell phone numbers, so I called CMS's past President Dr. Josh Somerset. He explained the need. I asked him to reach out to Dr. Rodriguez to confirm. I was not giving away 117 N95 masks to one practice unless it would reopen their surgery theatre. They confirmed that they needed the N95 masks and face shields. I got home around 8 p.m. that night and received a text message from the son of a past Rotary Club of Tallahassee member. He resides in Louisiana but is weathering the pandemic with his parents in Tallahassee. He had 25 face shields for me to pick up that night. My sidekick Rowdy, a German Short-haired Pointer, and I went in pursuit of the masks. The next day, Dr. Andres Rodriquez gratefully received 117 N95 masks and 25 shields. "Thank you so much for the masks. We had to close for lack of masks. Patients really don't want to go to the hospital if they can avoid it for obvious reasons. Even with restrictions on elective cases, there are many who need procedures. If we can stay open to keep people out of the E.R. or inpatient hospital, that should help as COVID-19 cases increase in the area. Thanks again. We, our staff and patients, are all appreciative. Just like our CMS mission statement attests! Andres (P.S.: here's my cell number)."
Pam Irwin (far right) delivers much-needed PPE to Dr. Andres Rodriguez (far left) and Nicki Thomson (middle) with Digestive Disease Clinic.
That same evening, I received another text from Emily Pritchard at the Innovation Hub at FSU. I didn't see it until the next morning. "You will receive a call from Greg about 5,000 surgical masks to be donated." Although most of my donation deliveries and pickups feel a bit like clandestine drug deals since they all occur in parking lots, I was not anticipating the next
transaction. Greg Boebinger, Director of the National High Magnetic Field Laboratory in Tallahassee, asked me to meet him at his home. Piled high on a dolly was Army-green, plastic tarp-wrapped boxes of surgical masks shipped by their Chinese counterpart in the Wuhan Province. The Chinese National Magnetic Lab just wanted to support their partners in Tallahassee. Those 5,000 surgical masks are now in the hands of those who need them. Tallahassee Memorial HealthCare received 2,500. Others went to Tallahassee Primary Care Associates, North Florida Women's Care, and Southern Vitreoretinal Associates. Dr. Faisal Munasifi traded 30 surgical masks for a box of 20 small N95 masks. Southeastern Center for Infectious Disease requested the small masks.
Pam Irwin and Rosalie Carlin sort and coordinate distribution of the surgical masks received from the U.S. and Chinese National Magnetic Labs.
The Capital Medical Society and the Capital Medical Society Foundation hope that our efforts are helping to protect our physicians and their staff. What started as a suggestion has become a full-time operation at the CMS office. We have distributed: 5,000 surgical masks 2,960 KN95 masks 400 face shields 300 N95 masks 200 shoe booties Stay healthy!
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THANK YOU TO ALL PPE DONORS AND VOLUNTEERS
Turning the tide Determining whether or not an error occurred is best left to an expert clinician, not an insurance executive. That’s why every incident reported to MagMutual is reviewed by a physician – and appropriate medicine is always expertly defended. It’s a better, more policyholder-focused way to process claims, and it’s only at MagMutual.
magmutual.com/innovation
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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800-282-4882
PPE DONATIONS NEEDED
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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VIEWPOINT
LET’S HOPE HISTORY DOESN’T REPEAT ITSELF By Charles D. Williams, M.D., FACR, FAAP 1918: The year of the Spanish flu. The year that changed the destiny of the Williams family. Grandpa Williams died at the age of 27 with that bad flu leaving grandma with 7 children and they were all farmers. The children did not go to school in order to save the farm. They were unable to read or write. Boll weevils got the cotton and banks got the land. Dad with grandma and his 6 siblings moved onto someone else's run down place and became sharecroppers. Someone from the Baptist church dropped by and told grandma that she, her youngun's, and the good Lord shore got this place looking good. Dad replied, “you should have seen it when the good Lord had it by himself.” Grandma wanted her grandchildren to do better and get out of those cotton fields and get their education. She kept repeating, “git yore educashun. It's something they can't take away from you.” She wanted us to go off to college and get a “dilemma” to hang on our wall. We studied hard, did well in school and given scholarships. Mine was a fertilizer scholarship and a hog killing scholarship from Swift and Co. Education of me and my first cousins has taken us further than we ever dreamed. Even though grandma's 7 children could not read or write, the 7 grandchildren carrying her coffin at the time of her death were medical doctors. When I was a freshman in medical school I had a first cousin who was a sophomore and another one a senior at the Medical College of Georgia. Another one had already graduated. We all used the same microscope which we kept passing down. Grandma now has 26 descendants who are medical doctors. My dad was proud of me. I know he was. I saw it in his tears the night I graduated from high school. He wanted me to find a better way of life. 12
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Even though my dad couldn't read or write I’m proud of my dad. He saw it in my tears the night he got sick. He once said, “Since I ain't educated I'll have to use my head.” Even though he never got formally educated, he did learn to say “thank you” and “please” and he learned to give a dollar’s worth of work for a dollar’s worth of pay. He was the tallest when he was on his knees. He was the happiest when his hands were in the soil. Sometimes I wished I had stayed and taken my place with the home folks but now I have different shingles on my roof. If I had to do it over, I would once again become a radiologist. Grandma was right. Get your education and it will take you places you never dreamed of. However, with all that medical knowledge we could not cure dad and grandma when they got sick. If love for them could have cured them they would still be with us today. 2020: The year of the coronavirus. Will the destiny of some future generations be changed? Will people lose their businesses? Hope not. Maybe medical knowledge will save them. Hope so. Just like the 1918 pandemic, Americans once again will tough’en up, hunker down, and come back. That’s who we are.
MEDICAL/LEGAL
NONCOMPETE AGREEMENT TIPS AND MISTAKES TO AVOID AFTER COVID-19 By Jeff Cohen, Florida Healthcare Law Firm COVID is proving to be so burdensome on employers that we are seeing lay-offs and furloughs all over the country. As the virus curve bends back in a positive direction and physician and patient concerns for safety wane, patients will stream back to office. But what happens to the laid off (or furloughed) employees and contractors with non-competes? Will they come back or will they have moved on, possibly in a way that violates their noncompetes? And will a court think a noncompete has been violated when an employee or contractor was let go and there is no specific provision in their written contract that allows the employer to immediately let someone go without notice due to this type of situation? How will the COVID based lay-offs and furlough affect noncompetes? The short answer is we don’t yet know, but widespread lay-offs and furloughs may result in a flood of cases being filed because (1) many have been let go, (2) there likely isn’t a provision in their contract with the employer that specifically authorizes that sort of termination, and (3) a contract’s “breach” (e.g. no contract based allowance for the prompt termination) is traditionally a defense to an action to enforce a noncompete.
5. Stopping the ex-employee from practicing in the geographic zone does not create a healthcare crisis or shortage. This is tough. Very few practice areas are in such dire straits that the departure of one doctor will adversely affect the provision of such services in the area. The big COVID issue relates to item 3 above. The situation would be (1) the healthcare professional is let go with little or notice because of COVID, and (2) the contract doesn’t specifically allow such prompt termination. In effect, the contract has been breached, and a breached contract is a primary basis for a court throwing out the noncompete enforcement action. Add to that the fact that some professionals who are breaching have a duty to minimize their economic damages, and now the whole issue of noncompete enforcement is potentially in disarray. This issue isn’t likely to be clarified until a case makes its way through a trial court, is appealed and there is a reported case (or two). Regardless, the virus is sure to spawn litigation on the issue. Noncompete Tips
The COVID Issue Though there is an exception for unusual specialties or where there is essentially a community need, noncompetition covenants are generally enforceable in Florida with respect to doctors and other healthcare professionals. Many people think doctors in particular can’t be restricted from practicing medicine under any circumstances. That is just not true. Getting to the bone of the issue, noncompetes are enforceable in Florida if: 1. The geographic zone in the noncompete is reasonable. This depends on where the practice draws its patients. If patients come to the practice from just down the street, a ten-mile radius is probably overly broad; 2. The duration is two years or less (though it can be longer in some circumstances); 3. The employer has complied with all of the terms of the employment agreement. If the employer has breached the contract that contains the noncompete, most courts will reject a claim to enforce it; 4. The employer does the type of thing that the departing employee does. If the employee is the only person performing toe surgery for instance, and the practice will not provide toe surgery services once the employee leaves, the practice probably does not have a legitimate business interest to protect by enforcing the noncompete; and
While the COVID stuff will take some time to settle out. Here are the top two mistakes that healthcare businesses and healthcare professionals make with respect to noncompetes: Mistake #1 – Racing to litigation Going to court is a crap shoot. Once litigation begins, it takes on a life of its own and costs can be nuts, sometimes in the hundreds of thousands of dollars. You may think it’s a simple noncompete case. There rarely is such a thing. And if you sue someone on a noncompete breach, they may turn around and sue you in the same lawsuit for something. And…. insurance does not cover any such claims. That means you are paying out of pocket for a lawsuit, the certainty of which can never be guaranteed and which will seem endless once you run out of patience or money for the process. If you are an employer, ask yourself the following two questions before commencing litigation: 1. Does it make good economic sense to enforce the noncompete? 2. Is there a way to work out a deal with the employee, short of litigation?
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MEDICAL/LEGAL
CONTINUED FROM PREVIOUS PAGE
In some situations, it makes no business sense to pursue a noncompete. For instance, if the employee has been employed for only several months and if the patients are all referred to the prior employee by the employer, then the employee may not be a competitive threat to the employer. The employer could simply a replacement doctor at some point and refer the business to the new doctor. Case closed. It is also possible to work out settlements before going to court. For instance, you might avoid litigation by lowering the geographic zone, the duration. You can negotiate a buy out of the noncompete, since both the employer and the employee will likely want clarity, even at a price. If you are an employee who wants out of the noncompete, sit down with the employer and see if you can agree on a way out, so that both of you can have peace and move on. if you’re an employer, assuming you’ve decided it’s important to protect the business with the noncompete, see if there is a deal to be made that entails the employee agreeing to the terms of the noncompete, even a modified one.
laws (and the cases that construe them) change often. Do not use a friend’s noncompete, since you will not be able to tell if it will be enforceable at this time or under the circumstances that apply to you. The enforceability of noncompetes is extremely fact specific. Since noncompetes are strictly construed by courts, drafting them requires a trained eye. Here’s an example: an employee was employed in a year to year contract which expired at the end of 12 months. The contract contained a noncompete, which said in part that it applied upon the “termination” of the contract. Since, however, the contract was not terminated (it expired), the noncompete was not enforceable. True story! If you are an employee, do not accept comments like “Well, they’re unenforceable anyway, so go ahead and sign the contract.” Also, make sure the noncompete is reviewed by a Florida lawyer with expertise advising employers and employees of healthcare businesses. They’re unique and handled uniquely in Florida. Do not use an immigration lawyer. Do not use a lawyer in Illinois or your neighbor who’s a “really great guy.”
Mistake #2 – Doing it Yourself Noncompetes are governed by state law. There are both statutes and cases that inform lawyers about what types of noncompetes are enforceable and which are not. Do not work off of an old contract to create a new noncompete, since the
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PRACTICE MANAGEMENT
WHAT NURSE PRACTITIONER PRACTICE EXPANSION MEANS FOR DOCTORS By Jeff Cohen, Florida Healthcare Law Firm The issue of scope of practice is front and center in Florida right now with the expansion of what nurse practitioners (and nurse midwives) are legally permitted to do. The newly enacted 464.0123 allows for qualified APRNs (there is specific criteria) to practice independent of a supervising physician in the following areas of medicine–primary care, family medicine, general pediatrics, and general internal medicine. Even more, assuming they meet the membership criteria for admission to a healthcare facility medical staff, they may admit patients, manage patient care, and discharge patients. One of the only preserved connections with a physician established by the law is if the APRN practices at a healthcare facility, a transfer agreement including a physician is required. Additionally, the new law establishes a Council On Advanced Practice Registered Nurse Autonomous Practice, two members of which are appointed by the Board of Medicine and an additional two appointed by the Board of Osteopathic Medicine. While a “game changer” in Florida, the new law extends to APRNs many of the same restrictions applicable to physicians for many years, including state self-referral restrictions (the “Florida Patient Self-Referral Act of 1992”), adverse incident reporting, fee splitting prohibitions and professional liability insurance requirements, none of which were directly applicable to APRNs before the new law. The law distinguishes between APRNs that engage in autonomous practice and those that do not, pinning very particular clinical requirements and responsibilities to those who elect to practice autonomously. They are not all bound by the specific provisions applicable to autonomously practicing APRNs. Finally, the new law is clear that neither commercial insurance, self-insurance nor HMOs may require a patient to treat with an autonomously practicing APRN. Whether physicians view the expanded scope of practice to be positive or negative, they should expect and plan as if it is here to stay. And they should expect that there will be continued attempts to expand the scope of autonomous practice. The issue of “scope creep” has existed for years and will not go away. We’ve seen tremendous change in the area of relationships between ophthalmologists and optometrists (e.g. co management) and others.
The question physicians have to begin to ask is how it can be good for them and for their patients. Will patients come to demand an APRN (as some do with nurse midwives)? How can working with an APRN improve access, ensure quality and be cost effective? While relationships between physicians and APRNs are common, the challenges for both physicians and APRNs will be how to transition relationships with APRNs who want to practice autonomously into a platform that meets the needs of the medical practice, the APRN and patients. For the enterprising (or just curious) physician, this is an interesting time! PCPs, FPs, GPs and internists would be best served to lead here. Here’s what I mean: the specialties where autonomous practice are open happen to involve lower reimbursement by payers and high staffing requirements. From a business perspective, these are not “easy” practices. Moreover, any physician in practice for years will attest to the trials and tribulations (and the expensive learning curve) of these businesses. Issues like HR, billing and collecting, practice administration and regulation are especially challenging and will likely be even more challenging to APRNs who likely will not receive the same level of reimbursement from payers that physicians do. In short, it’s isn’t easy! All of this can mean that physicians already in practice with an existing patient base might have an existing platform for the APRN, might have an APRN who should be considered for partnership or as an independent business partner in a stand-alone practice. It’s a guessing game at this point as to whether this new niche will take flight. But it’s better to be at the table! The issue of “scope creep” is not a new issue. And as training and degree programs expand for healthcare professionals, the social issues of access to care and affordability continue to dominate public discussion, scope creep will continue. Physicians have to decide whether these changes are opportunities and whether they can use the changes to stabilize cost and quality in a profitable business model.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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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. 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)
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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)
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:
If you are an Active or Associate member of the 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. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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HONOR A DOCTORS' DAY
HONOR A DOCTORS’ DAY, IN CELEBRATION OF NATIONAL DOCTORS’ DAY, ENCOURAGES PHYSICIANS AND DENTISTS AND PROVIDES ADDITIONAL GIFTS FOR THE CAPITAL MEDICAL SOCIETY FOUNDATION By Judi Wills, CMS Foundation Development Director In late February and during the entire month of March, Honor A Doctors' Day tribute gifts were received in recognition of National Doctors' Day. The gifts encouraged recipients and provided additional support for the Capital Medical Society Foundation. Grateful patients, colleagues, family members, and friends participated generously with support for the CMSF's programs and initiatives, including the Area of Greatest Need, the Physician Wellness Program, Scholarship Fund, and the We Care Network program. With the current COVID-19 pandemic and these challenging times, the CMSF is especially appreciative of all donors who gave to celebrate Honor A Doctors' Day. Patients, families, and colleagues are proud to support these Superheroes, who are on the front line every day, exposing their own vulnerability as they fight to care for everyone who needs access to healthcare. It is a pleasure to share a few of the many personal words of gratitude that will describe the positive impact these physicians and dentists have in the practice of medicine and dentistry. We were given permission to share some of the tributes below. Jill Bauer shared these encouraging words about her son, Jesse Blake Bauer, M.D., who is currently completing his residency at Carolinas Medical Center in Charlotte, North Carolina and will begin his full-time medical career as an ER doctor at Tallahassee Memorial HealthCare in a few months: "It is such a gift to know that Blake is doing what he loves, taking care of others and making sure that each and every person in his care is provided top notch quality medical care and treated with respect and professionalism." Dr. Walt Colón honored his colleagues: • Dr. E. Lynn McLarty: "Congratulations on your retirement. Thank you for your service to Tallahassee!" •
Dr. Stanley E. Sheppard: "Congratulations on your retirement. Thank you for your service to Tallahassee!"
•
Dr. Frank Swerdzewski: "Thank you for all you do for so many."
Dr. Nancy Loeffler shared these words about Dr. Rich Henry: "I appreciate all your time, effort, and sacrifice. Thank you, Rich." 18
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Jay W. Millson, MBA, Executive Vice President, shared the following inspiring comments from The Florida Academy of Family Physicians, about why they chose to honor Dr. Christie Alexander: "The Florida Academy of Family Physicians (FAFP) is proud to honor FAFP President Dr. Christie Alexander for the passion and dedication she exemplifies not only to the medical students at the FSU College of Medicine but to her beloved profession of family medicine. Simply stated, she embodies the FAFP's mission statement of Supporting Florida's Family Physicians!" Dr. Charles Williams honored his colleague, Dr. Armand Cognetta with these kind words: "Dr. Cognetta has forged a truly awesome and inspiring career. He is a person of the highest integrity and dedication. He is a wonderful asset to this medical community." Rosalie Carlin honored Dr. Tracey Hellgren with the following comment: "Dr. Hellgren has been my primary care physician for 30 years. Her thoroughness, kindness, and compassion are beyond compare!" Thank you for the gifts and encouraging words to celebrate "Honor A Doctors’ Day" – National Doctors' Day. Please continue to celebrate the hard work of all doctors every day during this challenging time. Make a gift today, to support the CMS Foundation. Visit: https://capmed.org/donate/ or mail your gift check, payable to the CMS Foundation, 1204 Miccosukee Road, Tallahassee, FL 32308.
HAPPY NATIONAL DOCTORS’ DAY
DONATE TO THE CMS FOUNDATION
The Impact of Private Support:
Donate to the CMS Foundation – We Thank Our Donors We thank the following individual donors who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – Area of Greatest Need Ray Bellamy, M.D. – In Memory of Cynthia Marie Golson Ronald H. Saff, M.D. Honor a Doctor – Area of Greatest Need Christie Alexander, M.D. – In Honor of Andrea Friall, M.D. Judi Wills – In Honor of John Turner, M.D. Honor a Doctor – Physician Wellness Program Christie Alexander, M.D. – In Honor of Joedrecka Brown Speights, M.D. Honor a Doctor – Scholarship Fund Christie Alexander, M.D. – In Honor of Mary Norton, M.D. Honor a Doctor – We Care Network Christie Alexander, M.D. – In Honor of Kerwyn Flowers, D.O. Walter E. Colón, D.M.D. – For the We Care Dental Network – In Honor of E. Lynn McLarty, D.D.S., Stanley Sheppard, Jr., D.M.D., Frank Swerdzewski, D.D.S., and Ken Whithaus, M.D. Judi Wills – In Honor of Walter E. Colón, D.M.D. Physician Wellness Fund Rosalie Carlin – In Memory of Mary Ann Deitchman Scholarship Fund David Bellamy, M.D. – In Memory of Mary Elisabeth Alford David Bellamy, M.D. – In Memory of Sam Moorer, M.D. David Bellamy, M.D. – In Memory of Reverend Franklin Pompey We Care Network Dr. and Mrs. David Smith
Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.
The 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 the We Care Network and the We Care Network Endowment Fund. More than $105.4 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 2018-19, which ended June 30, 2019, more than $7.4 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 the 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. $50,000 was awarded in 2019. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2019, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice for bereavement services, and the 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 gift 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. The 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 make a gift at any time to one of the 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 Gifts should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to give. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Gifts may be made by credit card or direct debit 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: Judi Wills Development Director jwills@capmed.org or (850) 877-9018 or after hours at (850) 509-2058 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care Network partners who provided healthcare to new patients in March 2020. Your generosity and support of the We Care Network makes a difference.
Physicians Venkata Bavikati, M.D. Marie Becker, M.D. David Burday, M.D. Joseph Camps, M.D. Gilbert Chandler, M.D. Armand Cognetta, Jr., M.D. George Cohen, M.D. Matthew Connor, M.D. Raymond Cottrell, M.D. Kenneth DeLay, M.D. David Dolson, M.D. Chesley Durgin, M.D. Mark Fahey, M.D. Hong Gao, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Muhanad Hasan, M.D. Marc Inglese, M.D. Beverly Johnson, M.D. Rohan Joseph, M.D. Kenneth Kato, M.D. Sayeed Khalillullah, M.D. Amulya Konda, M.D. Matthew Lee, M.D. Gordon Low, M.D. Michael Mangan, M.D. D. Jason Oberste, M.D. Jorge Perez de Armas, M.D. Alexander Ramirez-Valderrama, M.D. Hussein Rayatzadeh, M.D. Andres Rodriguez, M.D. Garrison Rolle, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Joshua Somerset, M.D. William Stephens, M.D. Kris Stowers, M.D. William Thompson, M.D. Jean-Paul Tran, M.D. Kenneth Whithaus, M.D. Brian Zirgibel, M.D.
Dentists Briano Allen, D.D.S. Laban Bontrager, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. William McFatter, D.D.S. Ralph Montalvo, D.M.D. Facilities Advanced Dental Care Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Health Plan Capital Regional Surgical Associates Care Point Health & Wellness Center CESC Dental Clinic Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists & Research Institute FSU PrimaryHealth Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Madison Medical Center Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care North Monroe Medical Center Oral & Facial Surgery Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Red Hills Endodontics Southeastern Plastic Surgery Southeastern Urological Center Southern Medical Group, P.A. Tallahassee Community College Dental Hygiene Clinic
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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 Clinical Genetics Center 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 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 March 2020 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. In addition, 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 March 2020:
Ebonie Allen, APRN
Dale French, D.O.
Vincent Riesgo, M.D.
David Alvarez, M.D.
Anneka Gaffney, APRN
Carla Robertson, APRN
Anne Ananga, APRN
Hong Gao, M.D.
Andres Rodriguez, M.D.
Clifton Bailey, M.D.
Chinara Garraway, D.M.D.
Tim Ruark, M.D.
Katrina Ball, APRN
Wanda Goodreau, D.M.D.
Lucilita Salvador, PA
Karen Bartley, M.D.
Hantz Hercule, M.D.
Mark Saunders, M.D.
Dhanajay Bendre, M.D.
Shermeeka Hogans-
Eliot Sieloff, M.D.
Kenara Blocker, APRN
Jeanine Silberman, M.D.
Sherry Bramblett, APRN
Amit Jain, M.D.
Thomas W. Smith, M.D.
Daniel Breivogel, APRN
Howard Kessler, M.D.
Denise Smith, M.D.
Joedrecka Brown
Ben Kirbo, M.D.
Abisoye Somorin, APRN
Elaine Larkins, APRN
Alanna Steaple, APRN
Frances Carney, APRN
Matthew Lee, M.D.
Seth Stern, M.D.
Francisco Carpio, M.D.
Ian MacDonald, APRN
William Stephens, M.D.
Lysmar Carrion-Dinguis, M.D.
Michael Mangan, M.D.
Jennie Strickland, APRN
Gilbert Chandler, M.D.
Ovidiu Marina, M.D.
Scott Tetreault, M.D.
Todd Chenicek, APRN
Damon McMillan, M.D.
Briana Thompson, M.D.
Melba Colon-Renta, M.D.
Kelley Miller, APRN
Lacie Thompson, APRN
Deborah Congdon, APRN
Marcia Morris, APRN
Faye Tinson, APRN
Matthew Connor, M.D.
Jayan Nair, M.D.
Barrett Tolley, D.D.S.
Elizabeth Dickens, M.D.
Chukwuma Okoroji, M.D.
Mary Tucker, M.D.
William Dixon IV, M.D.
Rose Origa. APRN
Ramona Vossler, R.D.H.
Shirleen DuPont, APRN
Mitchell Peabody, D.O.
Dwanna
Joyce Dwyer, APRN
Jorge Perez de Armas, M.D.
Cynthia Evans, APRN
Lisa Perkins, APRN
Jeffrey Wasserman, D.O.
Alberto Fernandez, M.D.
Laura Preston, M.D.
Lucas Watkins, M.D.
Sharron Foster, M.D.
Hussein Rayatzadeh, M.D.
Eula Weaver, APRN
Alexander Franz, M.D.
Brandi Richardson, APRN
Brian Zirgibel, M.D.
Speights, M.D.
Mathews, M.D.
Ward-Boahen, APRN
DURING THE MONTH OF MARCH 2020, THE WE CARE NETWORK: RECEIVED 227 REFERRALS, WITH 143 PATIENTS NEW TO THE PROGRAM
SCHEDULED 98 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$427,014.10 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
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