JUNE EDITION, VOLUME 2016, NO. 6
THE FLORIDA PRESCRIPTION DRUG MONITORING PROGRAM The Florida Prescription Drug Monitoring Program, known as E-FORCSE® (Electronic-Florida Online Reporting of Controlled Substance Evaluation Program), was created by the 2009 Florida Legislature in an initiative to encourage safer prescribing of controlled substances and to reduce drug abuse and diversion within the state of Florida. The Centers for Medicare & Medicaid Services (CMS) now recognizes prescription drug monitoring programs like E-FORCSE® as specialized registries. In the past, Meaningful Use Eligible Providers were excluded from the specialized registry requirement as Florida did not have one that met criteria. Because of the designation change, at the beginning of 2016, use of E-FORCSE® is now required in order to meet Meaningful Use requirements for 2016. Use of this clinically relevant monitoring tool is not only good practice but will help ensure that all Eligible Providers meet the specialized registry reporting requirements. For Meaningful Use, the E-FORCSE® website generates a report that reflects the physician’s use, from basic login, to patient look up and drug monitoring. Regular use is highly encouraged.
n The first e-mail will contain a temporary password and instructions for accessing the system; n The second e-mail will contain your personal identification number (PIN) that you will use to identify yourself if you need assistance from the HID Help Desk. n You will be required to change the temporary password immediately when you first attempt to access the system. • If you are denied access to the system, you will be notified in writing.
To register: • Access the website http://www.hidesignscom/ flpdmp/practitionerpharmacist/ and click the “Registration Site” link to the left of the page • A pop up will display – Enter: username newacct; password welcome and click the “Log In” button • Enter the registration information on the resulting page and then click the “Accept & Submit” button • The E-FORCSE program staff will review your application and verify the information. You may be contacted if additional information is required. If you are approved for an account, you will be notified via two separate e-mails.
If you have received your user ID and password, go directly to the Quick Access link on the left menu to begin the query process where you will be required to enter your user ID and password. On logging in you will go to the recipient Query link and enter the required information and this will give you access to the required information which can be saved in a PDF format. Once registered it is usually a good idea to save the link below in your favorites for easy access the next time you need to search the data base. Review the guide on this website for more detailed instructions.
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR September 8, 2016 CMS Meet the Candidates Forum 6:00 pm Goodwood Museum Carriage House
September 20, 2016 CMS Membership & CME Meeting America’s End of Life Ethical Dilemma: Is There a Time When It Is OK to Die? Monica Williams-Murphy, M.D., Huntsville Hospital, author of “It’s OK to Die” 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
BOARD OF GOVERNORS J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect David Dixon, D.O., Secretary/Treasurer Joshua Somerset, M.D., Immediate Past-President Christie Alexander, M.D. Shelby Blank, M.D. Hien Guyer, CMS Alliance President Rohan Joseph, M.D. Shakra Junejo, M.D. Maribel Lockwood, M.D. Paresh Patel, M.D. Gregory Perry, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Resident Todd Hewitt, M.D. Internal Medicine Residents Sura Jermanus, M.D./Jose “Tony” Martinez, D.O.
PUBLICATION EDITOR Frank Skilling, M.D. GRAPHIC DESIGN Gandy Printers
MANAGING EDITOR Shannon Boyle 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.
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
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Professional Notes …
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CMS Connect the Docs Family Fun Day Picnic …
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CMS Lunch & Learn …
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CMS Alliance Corner …
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Member Recognition …
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Viewpoint …
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FSU College of Medicine – Student Pathography …
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Practice Management …
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CMS Membership Meeting Minutes …
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Medical/Legal ...
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CMS Foundation …
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CMS Foundation: We Care Network …
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HAPPY BIRTHDAY! {JUNE BIRTHDAYS}
Melissa Martin, M.D. – 1st
Nancy Loeffler, M.D. – 14th
Scott Asher, M.D. – 2nd
Scottie Whiddon, M.D. – 15th
Connie Speer, M.D. – 2nd
Phung Pham, M.D. – 16th
Christopher Sundstrom, M.D. – 2nd
Carlos Zapata, M.D. – 17th
A. Lane Janney, M.D. – 3rd
Whit Oliver, M.D. – 18th
James Killius, M.D. – 3rd
Barbara Williams, M.D. – 19th
Kirk Mauro, M.D. – 3rd
William Yaakob, M.D. – 19th
Edwin Crane, M.D. – 5th
Gary Hansen, M.D. – 20th
Winston Ortiz, M.D. – 5th
Jitendra Padalia, M.D. – 20th
Robert Ashmore, M.D. – 8th
Frederic Vroom, M.D. – 20th
Shane Rignanese, M.D. – 8th
Kristin Harmon, M.D. – 23rd
Shafi Mohamed, M.D. – 9th
J. Roberto Mendoza, M.D. – 23rd
Okanta Jackson, M.D. – 10th
Sam Moorer, M.D. – 23rd
Suzanne Morgan, M.D. – 10th
Joseph Mazziotta, M.D. – 24th
Alexander Ramirez, M.D. – 11th
Myrle Grate, Jr., M.D. – 25th
David Saint, M.D. – 11th
Kishor Muniyappa, M.D. – 25th
Scott Sellinger, M.D. – 11th
Madhuri Sankuratri, M.D. – 25th
Timothy Bolek, M.D. – 12th
Ronald Saff, M.D. – 27th
Leonard Leichus, M.D. – 13th
Leslie Emhof, M.D. – 28th
Earl McKenzie, III, M.D. – 13th
Russell Cole, M.D. – 29th
Donald Willis, M.D. – 13th
Amit Jain, M.D. – 29th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you. 2
The Florida Prescription Drug Monitoring Program …
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
PROFESSIONAL NOTES
PROFESSIONAL NOTES Paresh Patel, M.D. was appointed Principal Investigator for the LUN 299 clinical trial. This is a clinical trial for patients suffering from Stage IV, incurable non-small cell lung cancer. It tests a novel immunotherapy agent (atezolizumab). Atezolizumab is a programmed cell death ligand monoclonal antibody inhibitor designed to prime the patient’s own immune system to fight the cancer. The first two patients have been enrolled at Florida Cancer Specialists— Tallahassee. Drs. Tetreault and Bhanderi are sub-investigators.
Drs. Louis and Julia St. Petery were honored at Capital Area Healthy Start Coalition’s 3rd Annual Baby Shower on May 5, 2016. Drs. St. Petery received their Angel Award for graciously caring for and improving the quality of healthcare for so many children over the last 40 years.
Congratulations, Dr. Paresh Patel, Drs. Louis and Julia St. Petery, and Dr. Van Durme!
Daniel J. Van Durme, M.D., MPH has accepted a new position as Associate Dean for Clinical and Community Affairs at FSU College of Medicine. Dr. Van Durme has served as Chair of the Department of Family Medicine and Rural Health since 2004 and has agreed to take on this additional role. Dr. Van Durme will serve as the strategic leader for the development of clinical services for the College in matters related to the clinical practice of COM faculty and relationships with community partners.
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.
Dr. Frank Skilling has graciously accepted to serve as Editor for Cap Scan. He has made significant contributions to Cap Scan and we are thrilled that he is taking the helm in this new role.
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CONNECT THE DOCS FAMILY FUN DAY PICNIC
THE CMS CONNECT THE DOCS FAMILY FUN DAY PICNIC on April 23rd at Maclay Gardens State Park was a beautiful sunny day with delicious food, fun games and activities, and great conversation!
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CONNECT THE DOCS FAMILY FUN DAY PICNIC
A special thank you to our sponsors for this event Food provided by: Waddell & Reed Financial Advisors Games and activities provided by: CMS Alliance Drinks provided by: The Wharf Dessert provided by: Ekk & Hamilton Realty Face painting and balloon artist provided by: Centennial Bank Tile art provided by: ASP Pools CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS
On April 20th, Jarrod Fowler, MHA with the Florida Medical Association gave an excellent program on “Legislative Session and How It Impacts Your Practice.” You can reach Mr. Fowler at (850) 2246496 or JFowler@flmedical.org.
Waddell & Reed Financial Advisors sponsored the April 20th Lunch and Learn. Dustin Johnson and Grace Elsen were in attendance as representatives of Waddell & Reed Financial Advisors. You can reach Mr. Johnson at (850) 894-9950 or djohnson04@wradvisors.com.
Seminars are held at the Capital Health Plan on Governors Square Blvd. and we thank them for providing this lovely venue.
Mark Your Calendars for the Fall 2016 Lunch and Learn Seminars September 21, 2016 October 19, 2016 November 16, 2016 Topics and speakers will be announced in the summer. Be on the lookout! 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 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Pam Wilson, Shannon Boyle, Rosalie Carlin, and Dr. Tracey Hellgren enjoyed the TMH Golden Gala on April 21st starring James Taylor!
CMS ALLIANCE CORNER
CMS ALLIANCE CORNER UPCOMING EVENTS September 22, 2016 CMSA Wine Tasting Fundraiser (Sponsored by Brett Allen with SunTrust Bank) (A portion of proceeds to benefit The Brehon House) Location: Home of Marcia and Bob Thornberry Time: 6:30 p.m. - 8:30 p.m. Cost: $100 per couple (RSVP only)
CMSA Scholarship Presentation: April 27, 2016 Tallahassee Community College School of Nursing Left to Right: Sarah Ho, Heather Mitchell (Director of TCC Foundation), and Hien Guyer
September 28, 2016 Honoring Past Presidents Luncheon Speaker: Mark Robinson, President and CEO of CRMC Location: A La Provence Time: 11 a.m. - 1 p.m. Cost: $25
October 26, 2016 Children’s Medical Services Speaker: Ritu Ghai, M.D. “Pediatric Psychiatric Illnesses and Prevalence” Location: 2390 Phillips Road Time: 10 a.m. - 12 p.m. Cost: $10 November 16, 2016 Holiday Fiesta Location: Tallahassee Nurseries Time: 10 a.m. - 12 p.m. Cost: TBD December 6, 2016 CMSA Third Annual Ornament Exchange Location: Home of Andrea Stephens Time: 10 a.m. - 12 p.m.
North Florida Nephrology Associates and its physicians Gary Hansen, MD, H. Avon Doll, Jr., MD, Hari Kolli, MD and Kaushal Patel, MD are pleased to welcome Sayeed Khalillullah, MD to our practice Dr. Khalillullah is board certified in Internal Medicine and Nephrology. He will be affiliated with Tallahassee Memorial Healthcare and Capital Regional Medical Center, and he will be Medical Director at DaVita Dialysis West. He will also be seeing new patients at our office.
Fellowship: Mayo Clinic, Jacksonville, Florida Residency: Texas Tech University, El Paso, Texas Medical School: Central America Health Science University, Belize Specialty: Nephrology
NFNA proudly continues to serve Tallahassee and surrounding counties since 1976. 1609 Physicians Drive, Tallahassee, FL 32308 • (850) 878-1171 • (850) 942-1291 fax CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
TALLAHASSEE MEMORIAL HEALTHCARE
Neuroscience Symposium JUNE 10-11, 2016 TALLAHASSEE, FLORIDA
Join us for a comprehensive discussion on neuroscience trends and treatments. The symposium will begin Friday evening, June 10 with a dinner and keynote address followed by a day of presentations and discussion on Saturday, June 11. The symposium will feature presentations and information for primary care physicians, neurologists, neurosurgeons, physician assistants, nurse practitioners and nurses. This activity has been approved for AMA PRA Category 1 Creditsâ„¢.
REGISTER ONLINE AT:
TMH.ORG/NeuroSymposium
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MEMBER RECOGNITION
NONE EVER TO COMPARE By Charles Moore, M.D.
Perhaps we have had enough of this business about Charlie Williams following in the very footsteps of Madame Curie, discoverer of radium and polonium, whose story was so dramatically popularized by the 1943 movie starring Greer Garson as Marie Curie and Walter Pidgeon as her husband, Pierre. Together the Curies famously lived lives dedicated to science and mankind. It was terrible when Pierre got run over by a horse and cart in 1906, cruelly scattering his own brilliant brains in the street. Madame Curie was understandably grief stricken, but beautiful even so, certainly as Greer Garson. She soldiered bravely on, returning to that huge horrible heap of pitchblende that she and Pierre had collected within the primitive laboratory of their home. It took tons and tons of this nasty stuff, its dust forever hanging in the air, settling on herself, the furniture, the food, and the cat, in order to extract from it a mere nanomicromilligram of radium. It was scientific research and dedication at its heroic best, and made a fine film, gaining 7 nominations for excellence and winning none. It was, after all, the year of “Casablanca.” She had finally received her
Doctorate in 1903, despite the fact that her professors could hardly humble themselves to the idea of granting such an honor to a woman, and at that to one not even born French. Perhaps even worse she radiated, quite literally I would guess, a certain beauty and quiet strength that may have seemed to them quite unbecoming. By 1943 we were getting beyond these academic quibbles, and Greer Garson saw to it that those bastions of French hauteur were properly put in their place. In any case Madame Curie not only got her Doctorate and two Nobel prizes, but then, right out of the blue in 1931 came a letter from, of all places, the US of A. Actually it was from the AC of R, which you doubtless know more descriptively as the American College of Radiology. They wanted to give her some sort of very special award they had invented. She had to think about it a bit. It was a long trip, and she was already beginning to suffer from the aplastic anemia that would kill her in 1934. It is what you get, as we now so well know though she did not, for living in a pile of pitchblende and carrying around in your pocket and purse, night and day, scraps and bits of uranium and radium. No wonder the ACR wanted to award her their highest honor, “The Gold Medal,” given only to the very best of the best, that
is, since she was French now, the crème de la crème. The point of all of this is simply to remind you that the “footsteps” of Mme Curie are of such a nature that very few possess a sufficiency of “foot” to tread in their path. How many of us even know anyone who has? The question is futile because we all know someone who has, namely Charlie Williams, better known to the world as Charles D. Williams, M.D., F.A.C.R., “grandfather of the radiologist assistant” initiative, recipient of awards too numerous to mention, chairman of committees hither and yonder, member of the ACR Board of Chancellors year in and year out, President of the ACR, delegate to the AMA, and last if not altogether least author of Simpler Times and More Simpler Times; not to leave out raconteur and after-dinner speaker, who has brought the best of “simpler times” to more than forty States of our Union desperately in need of such enlightenment. Honestly, when I heard that Charlie has won the highest accolade his organization can give, I thought not so much of him but immediately of his Grandma, his Mama, and Millard, Dillard, and Willard. And of his Pa, too, who could not quite either read or write. I thought how marvelous for them, wherever they may be in this universe, that from their CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
MEMBER RECOGNITION
own share-croppered cotton patch should have arisen this remarkable sprout. I could just hear his Mama at the “supper table” (and don’t call it “dinner,” neither), teachin’ that boy to say “yes, Ma’m” and “no, Sir,” to spoon his grits proper, and “to thank the good Lord for all the blessin’s they’d been granted, ‘cause after all weren’t there grits on the table, and some gravy, too.” Even, sometimes, a little hog jowl. And maybe, this fall for school, a pair of shoes if only the Lord would grant a little rain to fall on the cotton. And then, clear as a bell, I heard her saying to that boy, “And don’t you never forget it, son, that you are only as good as the good you do.” That boy heard every word, and he got her words engraved right in his brain, and then sallied forth to become what he became. He is ACR “Gold,” and now a direct descendent of Madame Curie herself, the best that there’s been. So, having heard the news, and over a martini with my wife that very evening, I said, “Lynn, we’ve got to go up to Washington to that ACR Convocation, and shout ‘three cheers’ when Charlie gets that award.” Having her instant approbation, I gave Charlie a call and he very graciously got in touch with such powers as are required to get us badges, invitations and a program. The next thing we knew was that we were sitting in the very front row of the space set aside for guests, not six feet away from the dignitaries and awardees who marched into the auditorium in solemn procession within actual touching distance of us, their
academic gowns flowing, to take their position up on the stage. Did Charlie wink at us? Maybe.
his Oxbridge accent, and even the very nice shape of his tawny beard. The best, the greatest of the Awards, however, was saved for last.
I spare you the invocation, the introductions, the presentations, and all the affirmations that transpired, and the singing of “God Bless America,” noting only that it was all done with an exemplary dignity that would have almost permitted the approval of the French Professorial class. At the end of the proceedings we arrived at the granting of various honors of various sorts to various very deserving recipients. I remark on one, as an example, who was a highly distinguished British radiologist who had done extraordinary research respecting the treatment of extraordinary cancers of the brain and prostate. As had done the others after receipt of their encomiums, he gave a fine five minute discourse on the honor he felt upon being made an Honorary Fellow of the American College of Radiology. He was perfect in the grace of his remarks, in their reticence, in his own composure, in the clarity of
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I was very nervous. I whispered to Lynn, “My, God, my dear, how is Charlie going to navigate this huge moment? What if he starts wandering way off into ‘Simpler Times’ and some long reminiscence about Millard, Dillard, and Willard?” She squeezed my hand, giving me confidence. Charlie, his introduction having been solemnly pronounced, stood up to the rostrum. His face filled the huge screen that was mounted behind the stage. He looked strangely professorial in his cap and gown. Up above, on the very upper corners of the proscenium, like putti, I saw flying about in my mind’s eye the spirits of Charlie’s family from bygone days, while in the audience, just a couple of rows behind us, were twenty-eight (28!) of Charlie’s present day family; a veritable battalion of handsome children and grandchildren, kith and kin, shepherded by Pat, his wife. A master of the art of timing, as any good “raconteur” must be, Charlie stood before us, his look rather quizzical, his posture easy, a man who despite the honor and the couple thousand people awaiting his words, was someone clearly comfortable in his very own skin. And then, full rich in tone and with the proud accent of the best cotton fields in the state of Georgia, he said, “They told me…(brief pause, just to let
MEMBER RECOGNITION
everyone hold their breath for what might be next)… that I had five minutes to talk to you all…(further pregnant pause, allowing us to think to ourselves on the meaning and essence of time…) so forgive me ‘cause...(a pause just long enough for the flicker of a smile)…it takes me more than five minutes just to say ‘good mornin’.” For the first time that evening the auditorium rocked with laughter. Words on paper cannot do it justice. It is all in the delivery, and Charlie’s is such that surely derives from that same gift granted to folks like Mark Twain and old “Honest Abe.” The pleasure and great success of his remarks was not simply that he could so easily make us all laugh, but how he was able to weave within that laughter such a balanced proportion of serious observation and thanks. The timing of each reflection was perfect. The names of those legions of people, forgetting not one, towards whom he expressed his gratitude came forth like honey from a spoon. There was never any awkward search for what should next be said, nor when to deftly interject another light anecdote, recalling Mama’s down-toearth wisdom and Poppa’s integrity, or even eatin’ possum or taking a Saturday night bath in an old tin tub. Each quick sketch would cause us all to roar with laughter. I am sure a large proportion of that audience had never heard anything like it before. All I could say to Lynn was “Thank Heaven that Charlie came last!” You would have to pity anyone who had been forced to follow him. I wondered, too, what the distinguished British Radiologist had made of it, and delighted in questioning if he had been able even to understand such an exotic vernacular. I like to think that he did, and maybe that he even enjoyed it more than us regular Americans. Perhaps he will even have a restrained bit of fun telling his friends, at some dinner party somewhere in London, of this extraordinary recipient of the “Gold Medal” of the American College of Radiology. One thing for sure: there will probably never, ever be another recipient of that honor who can be very closely compared to either Madame Curie or Charlie, a.k.a. “Pedro,” Williams! CMS
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR (continued from page 1)
October 18, 2016 CMS Membership & CME Meeting Domestic Violence and Human Trafficking – 2-Hour Required CME Terry Coonan, J.D., Executive Director at FSU Center for the Advancement of Human Rights and Suzanne Harrison, M.D., Associate Professor and Education Director, Family Medicine, FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
November 15, 2016 CMS Membership & CME Meeting Periodontal Disease and Systemic Disease William Baldock, D.D.S., Capital Periodontal Associates and Spencer Gilleon, M.D., Tallahassee Ear, Nose & Throat-Head & Neck Surgery 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 1, 2016 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
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VIEWPOINT
A DEAN’S PERSPECTIVE ON MILITARY MEDICINE - PART 1 By John Fogarty, M.D., Dean, FSU College of Medicine Editor’s Note: Few American institutions were more influenced by the societal transformation in the 1960s than the U.S. Army. Here Dr. John Fogarty, Dean of FSU’s College of Medicine, offers a unique view of a young man who wanted a military career and ended up combining it with a medical career during those tumultuous times. For those of us who lived through those years it all seems so far away, but the divisions created by that period still remain with us today. Here he recounts his days at West Point. Next month he will describe his career as an Army physician in Family Practice.
First my background: my father was a World War II veteran and had served in the Pacific for four years. He got married right before he left for overseas and came back four years later to start his married life and have a family. I became the middle child with two sisters. Like most vets, my dad did not talk about the war much. He was one of The Greatest Generation, memorialized in Tom Brokaw’s book, which told the story of the men and women who served honorably, did their duty, and then came back to build our country, while asking for nothing other than an education and opportunity. I watched the “West Point Story” on TV (in black and white) while growing up and decided early on that that was where I wanted to go to college. Being from an Irish Catholic family, my family thought Notre Dame was the best choice for me and they had visions of my being a doctor (classic third generation immigrant family!). Of course, I had other ideas. I was fortunate to receive a congressional appointment to West Point from New York, my home state, and I arrived there in 1967. First year cadets are called plebes, and I was in shock, wondering what I had gotten myself into. It was also an interesting time in our nation’s history: my four years at West Point coincided with a dramatic shift in 12
our society which became anti-war and anti-establishment. Emblematic of my dissociation with my own peer group at that time was that in 1969, while the “Woodstock Festival” was happening on a small farm in upstate New York, I was a squad leader for “New Cadet” barracks 150 miles away, turning young men (the Academy had no females then) into cadets. While my peer group was growing their hair long, we were getting weekly haircuts at West Point and our officers would do whatever was necessary to keep us from becoming “hippies.”
permission to miss Saturday classes so that I could visit at the one medical school that offered me an interview was a challenge. Albany Medical College took a chance on me in spite of my MCAT score, and I spent my first four years of active duty in the Army as a medical student. I was even promoted to 1st Lieutenant in my second year. Getting married, supporting a wife as a nursing student while being a student myself, and buying a new car during med school are things that are not usually associated with medical students. It was a unique experience.
As my graduation loomed, and I learned more about the Army which was seriously impacted by the Vietnam War, the “imprinting” that I received from my family must have found its way to my frontal cortex, and I wondered if I could become a doctor and go to medical school. We were told early on at West Point that if one wanted to be a lawyer or doctor, we were in the wrong college. The Military Academy’s mission was to produce combat arms officers for the United States Army. But I learned of a new program where 1% of the graduates “might” be allowed to go directly to medical school.
I did several rotations at Army Medical Centers in my third year (I had to get a regulation haircut), and I was very impressed with the doctors I worked with and the care they provided. I was excited about doing my residency at an Army Hospital. I matched in Family Medicine at DeWitt Army Community Hospital in Virginia where the training was great. When I completed those three years, I asked the Army, “Now what?” The reply: “Now you owe us 9 years!” This was the payback for a West Point education and medical school. I was now a “career” Army medical officer. I had no medical school debt, but I had an Army service obligation. It was worth it!!
Working through a system that was not supportive of this plan, taking my first MCATs without any preparation, and asking for special
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Next installment: A career perspective. CMS
FSU COLLEGE OF MEDICINE STUDENT PATHOGRAPHY
Florida State University College of Medicine – Student Pathography (Student essay on one of their patients from their rotation. All patient names are fictitious.)
This patient is a 64-year-old Caucasian female here for follow-up of her cervical spine and COPD. Before jumping into her medical issues, we spent some time reflecting on her past. She was born as the eldest of three to an energetic and young couple in Baltimore. Her mom and dad were 30 and 31, respectively at the time of her birth in 1951. Her father had recently returned from fighting overseas and she soon had a younger brother and sister by the time she was five. Growing up in the Baltimore suburbs was difficult at times. She frequently reflects on her childhood and how her mother often made her stay inside for the sake of safety, if the snow didn’t force her in already, and considers this the genesis of her social troubles. The patient struggled from early on making friends in school. And home was not a place of refuge as her father became an alcoholic and verbally abused his spouse and family frequently. She grew up attending a catholic church, but never made any real friends there either. As she matured she grew tired of her family and by the time she was a teenager with some independence, she rebelled from her family. She experimented with drugs and alcohol, but mainly cigarettes – leading to an addiction. She ended up meeting a man eight years her senior when she was in the 10th grade, dropped out of high school, and moved with him to Denver to start a new life together. However, he never fully committed to her in action or word and within a couple years he became hyperfocused on his business which ultimately drove them apart. She then began to rent her own apartment living and working alone, which continued the theme in her life. The patient worked for an advertising company for thirty-five years before she had to quit for health reasons, filed for disability, and moved to Thomasville, Georgia in search of warmer winters. The reason for her disability was her cervical spine. Doctors said something happened when she was
born resulting in unapparent C2, 3, and 4 vertebral fractures that went unknown. In her 20s, when driving, she repeatedly noticed it difficult to turn head to the left. She was worked up and underwent a MRI where the fractures were found. Surgery was undergone and it was seemingly fixed for 30 years. But in her early 50s, she had a fall which jolted her neck. As result, she developed profound sensory deficits. She now has paresthesias in her hands and feet, characterizing them as “tingly” and “half-numb” all the time. Additionally she has problems hearing, tasting, and balancing. All this is compounded by her COPD, a mild left-sided hemiparesis due to a stroke a couple years ago, and a fall five years ago which fractured her right hand and leg. She quit smoking when she was in her mid-50s, but the damage had already been done. All her medical problems make it difficult to move around in her apartment. She now has a hard time walking more than a couple feet without being short of breath to the point of exhaustion. Because of her imbalance she must move about her home with a cane, walker, or railing whenever she stands. There is remarkable difficultly changing her clothes, getting into bed, and even bathing. Naturally, it is very difficult for her to leave the house for any reason, even though she just bought a spacious new sedan. When walking she must watch each step in order to place her feet in the correct spot because she often cannot feel them and has very limited proprioception. Getting her own mail or taking out her own trash are half-hour arduous chores. And recently, she got in a car accident (no fault of her own) which totaled her car. All of her difficulty only increases the chronic social isolation she speaks of. It is a big regret in her life that she has experienced so few relationships, a pattern she feels was created by her childhood and has led to her current lack of a spouse and children. CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
FSU COLLEGE OF MEDICINE STUDENT PATHOGRAPHY
One of the more emotional topics discussed was that of her mother’s recent death. While the two were fairly estranged, much like her relationship with her sister, it was still difficult to reconcile the death of her last parent. Her father passed in the 90s as a result of his alcoholism, while her mother continued living in Baltimore until her recent pass. There was a living will in place with a modest inheritance, to which her mom assigned the patient’s sister as the executor. The patient was told by her sister that the inheritance check would be mailed to her promptly, but it has now been nine months since her mother’s death. Many angry phone calls and voicemails have come and gone and the patient still is unsure of when or if the money will see her bank account. Her medical bills have begun to increase, and with her recent purchase of a necessary replacement car, times are financially tight. This is clearly a chief source of stress in her life and one that she hopes will be in the rear-view mirror soon.
When asked about religion, the patient is visibly uncomfortable, but insists she does not attend church. And when asked why, she states simply that church is “not for me.” It’s hard to get a sense of how she views life at this point in her existence. To me it seems that she is having trouble seeing the big picture, understandably so with all the challenges and hurdles in her life. She does reflect on her chronic isolation and desire for friends, but at the moment it is not worth the trouble and vulnerability to open herself up to new relationships. She has somewhat learned to live with her medical condition and current state of life, but also maintains hope of neurologic improvement following evaluation by a neurologist. If stable circumstances can be found, I am optimistic that more hope will be revealed to her. - Kyle Andrews
CAPITAL MEDICAL SOCIETY LEADERS PARTICIPATE IN THE FMA BOARD OF GOVERNORS Capital Medical Society (CMS) would like to thank all of our physician leaders that played a key role in the Florida Medical Association Board of Governors in May in Orlando. CMS was extremely well represented by a number of our leaders. The FMA Board engaged in a debate over a series of issues of significant importance to physicians throughout our community and the rest of Florida. Those issues included MACRA implementation, Maintenance of Certification, State Licensure Educational Requirements and Zika Preparations. One of the highlights of the weekend was a special reception for the Majority Leader of the Florida House of Representatives, Dana Young. The reception was extremely well attended including additional special guests Senator Wilton Simpson and Neal Dunn, M.D., candidate for Congress from the Panhandle. CMS would like to thank those members that participated throughout the weekend. We continue to illustrate our commitment to lead and engage at the FMA level. 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
The FSU College of Medicine was represented by Dr. Alma Littles, Avi Assidon (third year student), and Dr. Christie Alexander at the FMA Spring Meeting in Orlando on May 13-15, 2016.
PRACTICE MANAGEMENT
PHYSICIAN ASSISTANTS Effective Date: July 1, 2016 Governor Scott signed HB 375 into law on Monday, March 28, 2016. It relates to Physician Assistants (PA) and includes the following changes to the law: • At renewal, PA must acknowledge that he/she has completed a minimum of ten (10) hours continuing medical education in the specialty practice in which the PA has prescriptive privileges. A signed affidavit is no longer required. • PA may perform services delegated by the supervising physician in the PA’s practice in accordance with his/her education and training unless expressly prohibited under Chapter 458, Florida Statutes or the rules adopted by the Board of Medicine or Chapter 459, Florida Statutes or the rules adopted by the Board of Osteopathic Medicine. • Prescriptions may be written in paper or electronic form but must comply with sections 456.0392(1) and 456.42(1), Florida Statutes. • Changes to requirements for licensure: n No longer need two letters of recommendation; n No longer required to submit a sworn, notarized statement regarding criminal history; and n Deletes obsolete provisions related to administering a licensure examination for certain foreign trained PA applicants. These changes effect PA’s that practice with allopathic physicians and osteopathic physicians. To read the entire bill, visit http://www.flhealthsource.gov/2016-bills.
MEDICAL OFFICE BUILDING FOR LEASE
EASTWOOD OFFICE PLAZA 3,500 SQ FEET 2418 EAST PLAZA DRIVE Dr. Alex Davenport Office: 850-656-1997 Cell: 850-294-7045 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
CMS MEMBERSHIP MEETING MINUTES
MINUTES CMS MEMBERSHIP MEETING APRIL 19, 2016 The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient. I. Business Meeting – Capital Medical Society A. Welcome – Dr. Tracey Hellgren, President Elect, called the meeting to order at 6:20 pm. Dr. Hellgren thanked Westminster Oaks for use of their incredible facility and Ms. Sheri Whigham, Sales and Marketing Director at Westminster Oaks, spoke to the members about their facility. B.
Sponsors – Dr. Hellgren welcomed and thanked our sponsors for the evening: Presenting Sponsor: Capital Regional Medical Center – Steve Gordon, Dr. Carey Dellock, and Dr. Niraj Pandit
Meeting Sponsors: MagMutual – Staige Hoffman The Eliquis Team – Cynara Miller and Debra Placilla C. New Members a. Dr. Hellgren announced five new CMS Members who were approved since the last Membership Meeting: Sarah Ko, M.D. – Eye Associates of Tallahassee Kishor Muniyappa, M.D. – GI Medical Associates Jayan Nair, M.D. – TMH Cancer and Blood Specialists
16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Phung Pham, M.D. – Tallahassee Neurological Clinic, Division of Pain Management Sudha Ravilla, M.D. – TMH Lipid Center b. Dr. Hellgren announced one new CMS Member in attendance: Helen Paulson, M.D. – TMH Physician Partners, Quincy D. Introduction of new Jean McCully We Care Network Program Coordinator Dr. Hellgren introduced Rosemary Evans as the new Jean McCully We Care Network Program Coordinator. Rosemary assumed the role of Program Coordinator in March. II. Mark Your Calendars Dr. Hellgren announced upcoming events and meetings:
May 10, 2016 CMS Membership Meeting and CME “Medical Use and Risks of Radiation” Sergio Ginaldi, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May 17, 2016 CMS Doctor/Son Event EMT’s, Dispatch and Disaster Team Simulations, Oh My! 5:30 pm Public Safety Complex, 911 Easterwood Drive
CMS MEMBERSHIP MEETING MINUTES
III. Tonight’s CME Program – this is a 1 Hour Category One Program Topic: New Screening, Evaluation and Treatment Options for Lung Cancer Speaker: Jeffery Snyder, M.D. Dr. Snyder gave an excellent and informative program on lung cancer.
Physician CME Proof of Attendance Forms will be sent to participants who attend the entire CME program. IV. Adjourn – Dr. Hellgren adjourned the meeting at 7:15 pm.
Representatives from Presenting Sponsor, Capital Regional Medical Center and our speaker for the evening: (l-r) Dr. Niraj Pandit, Dr. Jeffery Snyder, Dr. Carey Dellock, and Steve Gordon.
Meeting Sponsor, MagMutual: Staige Hoffman.
Meeting Sponsor, The Eliquis Team: (l-r) Debra Placilla and Cynara Miller.
Please Thank Our Sponsors for the April 19th CMS Membership Meeting
Presenting Sponsor
Meeting Sponsors
MagMutual
The Eliquis Team
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
MEDICAL/LEGAL
SHARED RESPONSIBILITY FOR PREVENTING MALPRACTICE SUITS—PATIENT INTERACTIONS By Susan Shepard, MSN, RN, Senior Director, Patient Safety and Risk Management Education, and Carol Murray, RHIA, CPHRM, Patient Safety Risk Manager II, The Doctors Company Each member of a healthcare team plays an important role in reducing the number of incidents that cause patient dissatisfaction. Why Do Patients Sue? The basic emotions leading to any medical liability action are surprise, disappointment, and anger. These reactions can be triggered by a wide variety of causes that include miscommunication and medication errors. Communication Errors Remember that patients may experience uncomfortable emotions, including uncertainty, embarrassment, shyness, and fear. A failure to respond appropriately can create negative feelings that have serious consequences and trigger a chain of events ending in litigation. By contrast, comforting words, gestures of kindness, or simple expressions of caring will often evoke positive patient reactions and promote favorable relationships. Telephone Conversations with Patients For many members of a professional medical or dental staff, the telephone is often the primary mode of patient communication. All medical and dental professionals should note the following points: • Be courteous and maintain professionalism. Remember that you cannot read your patients’ nonverbal cues. Use your best listening skills. • Make sure that any member of your healthcare team who has the slightest doubt about giving instructions or advice to a patient first checks with the provider. If the provider is not immediately available, the staff member should assure the patient that his or her call 18
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
will be returned as soon as possible and should verify later that the patient’s call was returned. • Make sure that staff members obtain as much detailed information as possible on a patient’s health problem and its degree of urgency before conveying it to the provider for evaluation. • Establish procedures in your practice for providers and patient care staff to effectively manage urgent problems, scheduling difficulties, and unexpected visits. • Ensure that patient requests, problems, and issues received by telephone are addressed in a timely manner. Face-to-Face Encounters The following tips can help you and your staff develop and maintain therapeutic interactions with patients: • Initiate personal contact with the patient by expressing cordial, individual attention. • Make a favorable impression through your demeanor. Any interaction with any member of the team may represent the patient’s first, last, and most enduring impression of the provider, hospital, or office. • Explain unavoidable delays in the office schedule to the patient. If appropriate, offer to reschedule the appointment. Most patients will appreciate being informed. • Maintain strict confidentiality. Do not discuss any patient problems outside the hospital or office practice. Even when discussing a matter pertaining to a patient with another staff member, do not do so in a public area or within hearing range of other patients. • Staff should always alert providers to disgruntled or hostile patients so that the situations can be defused immediately.
MEDICAL/LEGAL
Patients frequently share information with healthcare support staff that they will not tell providers, so be sure providers are informed of any significant statements. • Staff members should never give advice beyond their competencies or scopes of practice. Assure any patient of a prompt response to an inquiry and follow through as soon as possible to ensure the patient gets the appropriate information or referral. • Encourage patients to write down their questions for providers or questions regarding the provider’s instructions. Studies have shown that patients remember only a small portion of what they are told. Furnish written instructions or educational information to patients for review at home. • Incorporate Ask Me 3 into your practice. This technique, which encourages patients to participate in their healthcare, has been shown to improve communication. Download free educational materials at www.npsf.org/askme3. Methods to Enhance Consent Although obtaining informed consent is the provider’s responsibility, staff members often become involved in assisting or answering additional questions from patients. Everyone involved in obtaining consent should follow these guidelines: • Be supportive and reassuring, but do not promise too much when dealing with anxious patients. • Take time to answer questions. Informed patients are less anxious and more cooperative. • Take time to answer questions. Informed patients are less anxious and more cooperative. • Remind patients of their instructions by using preprinted fact sheets for commonly performed procedures, tests, or treatments, including preparation requirements and instructions following discharge. Steps to Avoid Medication Mistakes Avoidable medication errors can result in severe
patient injury. These steps can help reduce the risk of errors when administering medications: • Review all current medications with a patient at each visit and reconcile any discrepancies. • Double- check the vial or bottle label against the order before drawing up a substance. Never use unlabeled vials or bottles • Make sure you understand the amount of the dose ordered. Fifteen and 50 sound similar, but the difference in dosage can be catastrophic • Ask a patient if he or she has an allergy to the drug or drugs to be injected or ingested before administering any medication by any route— even when there is no indication of drug allergy in the patient’s chart. • Know the location and proper use of oxygen and other resuscitative equipment and drugs for emergent conditions. • Develop guidelines to manage prescription calls and refills, and always record the calls with the date and time in patient’s charts. • Ensure that all healthcare personnel who deal directly with patients are trained in cardiopulmonary resuscitation. • Always verify the “six rights”: the right drug, right date, right dose, right route, right frequency, and the right patient. Summary Improving office or hospital procedures and communications in healthcare are the responsibility of all personnel. By following the guidelines in this article, you can make a vital contribution to safe patient care. ___________________ Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www. thedoctors.com/patientsafety. 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. CMS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
UNMATCHED
WE ARE UNMATCHED IN REWARDING OUR MEMBERS FOR PRACTICING GOOD MEDICINE
As a company founded by doctors for doctors, we believe that doctors deserve more than a little gratitude for an outstanding career. That’s why we created the Tribute® Plan—to reward our
members for their loyalty and commitment to superior patient care with a significant financial award at retirement. How significant? The highest distribution to date is $138,599. This is just one example of our unwavering dedication to rewarding doctors.
Join your colleagues—become a member of The Doctors Company.
CALL OUR JACKSONVILLE OFFICE AT 888.899.9091 OR VISIT WWW.THEDOCTORS.COM
Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts. For additional details, see www.thedoctors.com/tribute.
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CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.”
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: We Care Network St. Elizabeth Ann Seton Catholic Church - for medical assistance Iris Y. Thomas Shannon Boyle, CMS’s Communications and Events Coordinator was presented the Wilson Award at the May 10th Membership Meeting for her outstanding work in recontracting over 250 We Care Network donating volunteer physicians, dentists, and practices for sovereign immunity as required by the State of Florida by a 2015 rule change requiring recontracting every five years.
• Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. $72 million in donated specialty medical and dental care has been provided to low income, uninsured patients since the program was created in 1992. Gifts support the salaries and benefits of the case management team who coordinate donated care. • To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $50,000 was distributed to seven medical students in 2015. • Gifts to Capital Medical Society Foundation help provide operational resources for Capital Medical Society Foundation, including building maintenance, computer upgrades, as well as, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2014, CMSF was able to repave its parking lot after 17 years, install a front door security and intercom system to improve the safety of staff, and purchase a new computer server. $11,000 in grants were awarded for Big Bend Hospice’s Bereavement Services Program, Elder Care’s In-Home Services Program, and FSU College of Medicine’s Chapman Community Health Program were awarded in 2015. 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:
Roshanda Dorsey, Capital Medical Society Foundation’s Senior Case Manager and Dental Coordinator was presented the MVP Award on May 11th by Pam Wilson, Executive Director and Rosemary Evans, Jean McCully We Care Network Program Coordinator at a CMSF staff meeting for her outstanding work in helping recontract over 45 We Care Network donating volunteer dental providers for sovereign immunity as required by the State of Florida by a 2015 rule change requiring recontracting every five years.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
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 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. 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 Wilson, Executive Director pwilson@capmed.org or (850) 877-9018
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in April 2016. Your generosity and support of the We Care Network makes a difference. Physicians Kalil Al-Nassir, M.D. Greg Albright, D.O. Aaron Appiah, M.D. Wayne Batchelor, M.D. Raj Bendre, M.D. Alexander Brickler, III, M.D. Tim Broeseker, M.D. Carlos Campo, M.D. Michael Cavallaro, M.D. George Cohen, M.D. Avon Doll, M.D. Ray Dolly, M.D. Mark Fahey, M.D. Jerry Ford, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Sergio Ginaldi, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Larry Harper, M.D. Celeste Hart, M.D. Dwight Hooper, M.D. David Huang, M.D. Iman Imanirad, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. John Katopodis, M.D. Amulya Konda, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Kurt Luhmann, M.D. Kenneth McAlpine, M.D. Hector Mejia, M.D. Thomas Noel, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Richard Palmer, M.D. Praful Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Shawn Ramsey, D.O.
James Renehan, M.D. Lincoln Roland, M.D. Karen Russell, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Jeannine Silberman, M.D. Bob Soni, M.D. Christopher Sundstrom, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. Jean Paul Tran, M.D. Tony Weaver, M.D. William Yaakob, M.D. Podiatrists Paul Reynolds, D.P.M. Dentists Eric Amundson, D.D.S. William T. Baldock, D.D.S. JP Bastien, D.M.D. Steven Bryan, D.M.D. Darrh Bryant, D.M.D. Susan Byrne, D.M.D. David Cardman, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. John S. Dozier, D.M.D. Michael Hartley, D.M.D. Susanne Lumpp, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, D.M.D. Robert Murrell, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. James Sykes, D.M.D. Jay Walton, D.D.S. Lawrence Weaver, D.D.S. Ed Zapert, D.M.D. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Pathology Associates Radiology Associates Seven Hills Surgery Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
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 Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of April 2016 and your name was omitted.
We thank our referring providers from April 2016: Kalil Al-Nassir, M.D.
Iman Imanirad, M.D.
Eboni Allen, ARNP
Amit Jain, M.D.
Anne Ananga, ARNP
Elaine Larkins, ARNP
Arvind Bakhru, M.D.
Esaias Lee, M.D.
William T. Baldock, D.D.S.
Ronald Machado, M.D.
JP Bastien, D.M.D.
Ashley Massey, ARNP
Raj Bendre, M.D.
Damon McMillan, M.D.
Timothy Bolek, M.D.
Kelley Miller, ARNP
Jonna Bradley, ARNP
Thomas Noel, M.D.
Alexander Brickler, III, M.D.
Rose Origa, ARNP
Kendall Campbell, M.D.
Rodolfo Oviedo, M.D.
Carlos Campo, M.D.
Shawn Ramsey, D.O.
Joseph Camps, M.D.
Marlaine Registe, ARNP
Lysmar Carrion-Dinguis, M.D.
Charlie Richardson, M.D.
Sheryl Cowan, ARNP
Jose Rodriguez, M.D.
Brittney Craig, D.M.D.
Lincoln Roland, M.D.
Julia Drude, C.N.M.
Tim Ruark, M.D.
Shirley English, ARNP
Karen Russell, M.D.
Cynthia Evans, ARNP
William Shaner, D.D.S.
Elizabeth Fajer, M.D.
Jeannine Silberman, M.D.
Alberto Fernandez, M.D.
Alanna Steaple, ARNP
Edward Forster, M.D.
Nina Sumlar, M.D.
Sharron Foster, M.D.
Christopher Sundstrom, M.D.
Anneka Gaffney, ARNP
Tallahassee VA Clinic
Judy Griffin, ARNP
Faye Tinson, ARNP
Paul Hartsfield, M.D.
Leonard Tolley, D.D.S.
Hantz Hercule, M.D.
Marianne Towler, ARNP
Sarah Hinson, ARNP
Jeffrey Wasserman, D.O.
Dwight Hooper, M.D.
Quandra Whaley, ARNP
DURING THE MONTH OF APRIL, THE WE CARE NETWORK: RECEIVED 195 REFERRALS, WITH 125 PATIENTS NEW TO THE PROGRAM
SCHEDULED 127 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$142,171 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
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