Cap Scan - June 2021 by Capital Medical Society

JUNE EDITION, VOLUME 2021, NO. 6

CAPITAL MEDICAL SOCIETY MEMBERSHIP HAS ITS PRIVILEGES So how does a Capital Medical Society (CMS) membership benefit you? In many, many ways! We’re committed to making Capital Medical Society an even stronger medical association. Here are just a few of the benefits you receive as a Capital Medical Society member: PHYSICIAN REFERRALS – Each year, the Capital Medical Society receives numerous calls from the public seeking information to select a physician. The Capital Medical Society makes referrals to CMS physician members. The medical society provides the public with information about member physicians’ medical backgrounds, board certifications, and accepted insurance. PHYSICIAN VOICE – The Capital Medical Society works in conjunction with the Florida Medical Association and the American Medical Association to inform legislators at the state and national level on key legislative issues that impact physicians and their patients. PHYSICIAN WELL-BEING – The Physician Wellness Program, available to Active and Associate members, provides a safe harbor for physicians to receive confidential wellness coaching to address normal life difficulties in a confidential and professional environment. Each member may receive six, free wellness coaching sessions a year. RELATIONSHIP-BUILDING – Building lasting relationships with colleagues and their families is encouraged through Capital Medical Society’s “Connect the Docs” and “Catch My Stride” events. EDUCATIONAL OPPORTUNITIES – CME courses are offered throughout the year. These are often in conjunction with membership meetings or are promoted for other entities who offer free or reduced-fee educational events. MEDICAL PRACTICE EDUCATION – The Capital Medical Society offers Lunchtime Seminars during the year to medical practice clinical and non-clinical office staff. Past topics have included: “Take Your Practice’s Revenues to the Max,” “What’s the Cure? Proper Reporting and Use of Your COVID Funding,” “Clinical Best Practices in Patient Documentation,” and “The Role in Avoiding Medical Liability.”

PERSONAL PROTECTION EQUIPMENT – The Capital Medical Society is a dependable resource for PPE. STAY TUNED – The Capital Medical Society takes a leadership role in communicating time-sensitive information impacting the practice of medicine through emails to CMS members. This has proven invaluable during the pandemic. Cap Scan, the Capital Medical Society’s monthly magazine, is sent to each Capital Medical Society member and their office manager. CapMed Today, the Capital Medical Society’s weekly newsletter, is sent each week via email on relevant legislative, regulatory, and healthcare related issues that impact the practice of medicine. CE BROKER – Every licensed CMS member has access to a discounted fee Professional CE Broker account as part of their membership. The Capital Medical Society and CE Broker have joined together to offer our Members an exclusive rate of only $12 per year for the Professional Account ($29) with CE Broker. This is a savings of $17! GIVING BACK TO THE COMMUNITY – The Capital Medical Society physicians are passionate about their communities. Each year, CMS members, who have signed up to be part of the CMS Foundation’s We Care Network, donate healthcare to low-income, uninsured patients coordinated by the We Care Network staff. Over $112 million in donated healthcare has been coordinated since 1992. PAYING IT FORWARD FOR THE FUTURE OF MEDICINE – Through the Capital Medical Society Foundation’s Scholarship Fund, local medical students are awarded scholarships to help defray the cost of medical education. CMS members support the fund through their donations. By paying it forward through scholarships, the local medical community has benefited. Many of these scholarship recipients are now practicing in Tallahassee. Thank you for being a valued Capital Medical Society member. We hope you will let us know how we can serve you better. Yours in Capital Medical Society service,

Pam Irwin

CAPITAL MEDICAL SOCIETY 2021 MEETINGS CALENDAR September 14, 2021 Celebration Awards Dinner University Center Club at FSU 6:30 pm

September 21, 2021 Virtual CME (2-Hours) Panel Discussion – Updates and Debates in Cancer Screening 6:30 pm CONTINUED ON PAGE 3

BOARD OF GOVERNORS Rohan Joseph, 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

CMS News....................................................................3 Professional Notes.....................................................5 CMS Lunchtime Learning Seminars.......................6 Catch My Stride Activities.......................................8 Celebration Awards Dinner.....................................9 Viewpoint................................................................... 10 Simpler Times............................................................ 11 Physician Wellness.................................................. 12 Access to Care Award............................................. 14 Donate to the CMS Foundation............................ 15

Paresh Patel, M.D., President-Elect

CMS Foundation: We Care Network................... 16

Sarah Ko, M.D., Secretary/Treasurer Ken Whithaus, M.D., Immediate Past President Nicole Balmer, M.D. David Burns, M.D.

HAPPY BIRTHDAY!

Russell Cole, M.D.

{JUNE BIRTHDAYS}

Amulya Konda, M.D. Helen Paulson, M.D. Shawn Ramsey, D.O.

Melissa Martin, M.D. – 1st

Andrea Stephens, CMS Alliance

Katherine Cone, D.O. – 17th

Connie Speer, M.D. – 2

Carlos Zapata, M.D. – 17th

Christopher Sundstrom, M.D. – 2

Deanna Louie, M.D. – 18th

Stephanie Evans, M.D. – 3

H. Whit Oliver, M.D. – 18th

A. Lane Janney, M.D. – 3

Barbara Williams, M.D. – 19th

James Killius, M.D. – 3

William Yaakob, M.D. – 19th

Hiren Joshi, M.D. – 4

Jitendra Padalia, M.D. – 20th

Cody VanLandingham, M.D.

Julia Weeks, M.D.

Graham Whitaker, M.D.

Pam Irwin, Executive Director, CMS

Irina Hillman, M.D. – 5

Frederic Vroom, M.D. – 20th

Winston Ortiz, M.D. – 5

Kristin Harmon, M.D. – 23rd

Robert Glickenberger, M.D. – 6

Jose Roberto Mendoza, M.D. – 23rd

Robert Ashmore, M.D. – 8

Joseph Mazziotta, M.D. – 24th

Shane Rignanese, M.D. – 8

PUBLICATION EDITOR Frank Skilling, M.D. GRAPHIC DESIGN Gandy Printers

MANAGING EDITOR Shannon Boyle EDITOR EMERITUS Charles E. Moore, M.D.

Myrle Grate, Jr., M.D. – 25th

Kishor Muniyappa, M.D. – 25th

Okanta Jackson, M.D. – 10

Suzanne Morgan, M.D. – 10

Madhuri Sankuratri, M.D. – 25th

Neelima Ravi, M.D. – 11

Matthew Davis, M.D. – 26th

David Saint, M.D. – 11

Amanda Aronchick, M.D. – 27th

Scott Sellinger, M.D. – 11

Ricardo Bailey, M.D. – 27th

Alexander Ramirez Valderrama, M.D. – 11

Ryan Curran, M.D. – 27th

Timothy Bolek, M.D. – 12

Ronald Saff, M.D. – 27th

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.

Leonard Leichus, M.D. – 13

Leslie Emhof, M.D. – 28th

Earl McKenzie, III, M.D. – 13

Russell Cole, M.D. – 29th

Davis Rierson, M.D. – 13

Margarett Conklin Ellison, M.D. – 29th

Nancy Loeffler, M.D. – 14

Amit Jain, M.D. – 29th

Misty Leeana Gangar, M.D. – 15

Alexandra Nevett-Fernandez, M.D. – 30th

Scottie Whiddon, M.D. – 15

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

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 NEWS

CAPITAL MEDICAL SOCIETY 2021 MEETINGS CALENDAR

IN MEMORIAM

CONTINUED FROM COVER

October 19, 2021 CME (2-Hours) Prevention of Medical Errors 6:30 pm Location TBA

November 16, 2021 CME (1-Hour) Health Disparities and Social Determinants 6:30 pm Location TBA

December 2, 2021 CMS Foundation Holiday Auction Time and Location TBA

DAVID L. SHAFER, M.D. APRIL 30, 2021

Growing while others are shrinking At a time when healthcare liability insurers are decreasing or eliminating policyholder dividends to pad the bottom line, MagMutual has the positive outlook and strength to consistently deliver industry-leading financial rewards to you. We’ve returned more than $315M in total financial rewards to date* – and we’re not done yet.

MagMutual.com | 800-282-4882 *Dividends and Owners Circle allocations are declared at the discretion of the MagMutual Board of Directors and are subject to eligibility requirements.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS NEWS

MEDICAL LICENSURE EXTENDED UNTIL JUNE 30, 2021 On March 31, 2021, as part of the response efforts to the Novel Coronavirus 2019 (COVID-19), FL State Surgeon General Dr. Scott A. Rivkees issued Emergency Order 21-001 extending the licensure renewal expiration date for any professional license issued by the Department or a Department board or council until June 30, 2021.

YOUR DOSE OF MEDICAL HUMOR “My doctor asked me if I’d ever had a stress test. I said, ‘Doesn’t 2020 count?’”

The license expiration date for Medical Doctors expiring January 31, 2021 is further extended to June 30, 2021. The full version of the State Surgeon General’s Emergency Order may be found at https://www.flhealthsource.gov/pdf/DOH-EO-21-001.pdf.

Malpractice insurance that’s

FOCUSED ON YOU. (Not Wall Street.)

Announcing the 2021 Dividend for Florida Members The Doctors Company has awarded $440 million in dividends to its members—including 4.5 percent to qualified Florida members. Unlike some insurers who are guided by their investors, we’ve always been guided by the belief that the practice of good medicine should be advanced, protected, and rewarded. Join us and discover why delivering the best imaginable service and unrivaled rewards is at the core of who we are.

1 47927_FL_CapitalCMS_Div_Jun2021_v3.indd CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

5/5/21 10:26 AM

PROFESSIONAL NOTES

PROFESSIONAL NOTES Dr. Christie Alexander will be taking a leave of absence, beginning the first week of July 2021, for one year to run a small, rural practice in Marfa, Texas, in the far western part of the state near the Mexican border. The practice owner is taking a one-year sabbatical with his wife to educate their children in a language and cultural immersion setting in Europe. Dr. Alexander will be joining the practice this July and will be returning to the College of Medicine at the same time next year. This practice opportunity will allow Dr. Alexander to expand her professional and personal development. Marfa, known as the “Biggest Little Town in Texas,” is in the high plains of the Chihuahuan Desert – about 60 miles east of the border and with a population of around 2,000 people. The two nearest urban cities are El Paso and Midland, both 200 miles away. The Marfa Clinic, located in the center of town, is the community’s anchor for health care. As part of the FSU College of Medicine’s inaugural class, Dr. Alexander understands the mission well. This decision reflects who she is as both a person and as a family physician. She looks forward to returning with new skills and a new perspective of the FSUCOM mission that can be taught and shared with students, faculty, staff, and the community.

Dr. Shelby Blank serves as the Medical Director of the Walker Breast Program at the Tallahassee Memorial Cancer Center. The Walker Breast Program is Florida’s longest continuously accredited comprehensive community hospital cancer program and the Big Bend region's only accredited breast program by the National Accreditation Program for Breast Centers (NAPBC).

Dr. Michelle Miller, a primary care physician currently practicing at Capital Health Plan Governor’s Square location, and a Tallahassee Memorial Family Medicine Residency Program graduate, will be moving to New Zealand for a one year locums primary care position starting in June 2021. A recruiter contacted Dr. Miller via email, and due to COVID-19 pandemic-related stress and recently becoming financially independent (FIRO), she and her family jumped at the opportunity. She is very excited to practice in a socialized medical nation with no ICD-10 coding and hopes to return with a slight accent or new jargon to confuse everyone. She will be based on the North Island but hopes to travel the country and will be sending postcards periodically. Dr. Miller plans to return to Tallahassee in July 2022.

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

CMS LUNCHTIME LEARNING SEMINARS

CAPITAL MEDICAL SOCIETY LUNCHTIME LEARNING SEMINARS SAVE THE DATE FOR THE FALL 2021 LUNCH AND LEARN SEMINARS: September 15, 2021 – Virtual Ransomware Prevention and Response All it takes is one person clicking on a link, and all of your shared files could be locked up for good. Organizations of all kinds— from financial institutions to law firms to manufacturers— are held hostage by ransomware, the malicious software that encrypts your data until you pay a hefty fee. Today's criminals also threaten to publish or sell your information if you don't meet their demands. How can you reduce your risk of a ransomware incident, and how should you respond if you fall victim? Tune in to hear simple steps you can take to reduce the risk of ransomware attacks and respond effectively. Topic is best suited for a general, technical or executive audience. Speakers: LMG Security Time: 12:30 PM to 1:30 PM Place: Virtual Cost: No cost for this virtual seminar October 20, 2021 – In-person at Capital Health Plan Communicating with Confidence Delivering an important message can be a difficult skill to master. Learn to communicate your message and how best to manage conflict and change successfully. Speaker: TBA Sponsor: Secure Records Solutions Time: 12 Noon to 1:30 PM (Seminar starts at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governor’s Square Blvd. Cost: $10 per person (Lunch Provided)

For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

November 17, 2021 – In-person at Capital Health Plan Good Evaluation Practices Retaining and supporting employees can be among the most difficult and time-consuming duties of any supervisor. Learn techniques to improve evaluation of work performance and to ensure compliance with work standards. Speaker: Bert Mitchell Sponsor: FMI Printing & Distribution Time: 12 Noon to 1:30 PM (Seminar starts at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governor’s Square Blvd. Cost: $10 per person (Lunch Provided)

On April 21st, Nadia Batey, CPA and Jay Hutto, CPA with James Moore CPAs and Consultants gave an excellent program on Proper Reporting and Use of COVID Funding.

We thank TMH Federal Credit Union for sponsoring the April 21st Virtual Lunchtime Learning Seminar. Liz Thiele attended as a representative from TMH Federal Credit Union (https://www.tmhfcu.org/).

Dr. Kishor Muniyappa 4012 Kelcey Ct Ste 103| Tallahassee, FL 32308

Phone 850.297.0351 | Fax 850.297.0352

Inspiring Good Health

www.TALLYGASTROHEALTH.com

Work in healthcare? You can join! Improving the financial life of each member is our priority and our pleasure.

TIME TO SAVE! Get the most bang for your

buck with our GREAT RATES...

AUTO LOANS

New. Used. Refinance. Rates as low as

1.99

% APR*

Up to 72 months for vehicles five years or newer.

PERSONAL LOANS Three. Four. Five. Rates as low as

3.00

% APR*

for 4 Years on a minimum of $5,000.

*APR = Annual Percentage Rate. Available to qualified borrowers. Other restrictions may apply. Rates do not apply to existing TMH FCU loans. Membership is subject to eligibility. Federally Insured By NCUA

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CATCH MY STRIDE ACTIVITES

May was another great month of “Catch My Stride” events. The Tallahassee Museum was a hit for all. The animals were all out and roaming. That always makes it fun. The Bradfordville Dog Park event gave us a chance to enjoy our canine friends together. We are a “pup-lovin’” group!

MAY 2 – TALLAHASSEE MUSEUM

MAY 15 – BRADFORDVILLE DOG PARK

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CELEBRATION AWARDS DINNER

e t a D e h t e v Sa

CELEBRATION AWARDS DINNER IN SEPTEMBER

Sadly, due to the COVID-19 pandemic, we could not celebrate our 2020 Celebration Awards Dinner honorees, Dr. Sergio Ginaldi and Dr. David Saint in March 2020. The Capital Medical Society’s Celebration Awards Dinner is now scheduled on Tuesday, September 14, 2021, at 6:30 p.m. at the University Center Club at Florida State University. We will honor Dr. Sergio Ginaldi, 2020 I.B. Harrison, M.D. Humanitarian Award recipient, and Dr. David Saint, 2020 Outstanding Physician Award recipient.

Sergio Ginaldi, M.D.

David Saint, M.D.

Celebrate the profession of medicine with your colleagues! Invitations will be sent in August. We hope to see you there!

Wolfson Children’s and Nemours Children’s specialists are here for Leon County kids and providers. Our Wolfson Children’s Specialty Centers at Tallahassee Memorial HealthCare bring doctors from two nationally recognized children’s health organizations close to home. Specialties we provide in Tallahassee include: Pediatric cardiology to diagnose, treat and manage congenital heart conditions; on-site testing Appts: 850.629.4861 • Fax: 850.629.4859 Pediatric gastroenterology for diseases of the digestive tract

Pediatric urology for complex urinary and genital conditions

Pediatric pulmonology for common and complex lung conditions

Pediatric hematology for all types of acute and chronic blood disorders

Appts: 904.697.3600 • Fax: 904.697.3927 To learn more, contact Wolfson Children’s Business Development Specialist Faithe Galloway Zoda at 850.559.3072 or Faithe.Zoda@bmcjax.com. TMH.org/Wolfson ©2021 Baptist Health

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

VIEWPOINT

STEPPING BACK By Jimmy L. Moss, M.D., FSUCOM Class of 2010, Anesthesiologist, Carle Foundation Hospital, Urbana, IL Have you ever heard silence within a scream?

surprising quietness was interrupted by a scream... from the sister.

The deafening hum of pain being injected into a moment of loss.

It was chilling; deep and underlining a heaviness that only a twin sibling could emphatically employ. A mother and father just lost their son... but she lost her soul mate... her womb mate; her first friend... and first roommate, and quite possibly her childhood annoyance down the hall. No one shared a more intimate bond with him, than she did; no one on earth carried the pain of his sudden loss... more loudly than she did in that moment.

During the beginning month of my fellowship, we had a trauma patient transferred to our ICU, after having surgery performed for his injuries. However, shortly after arriving, he became hemodynamically unstable. Instead of waiting for a cardiac ultrasound, my Trauma ICU attending, Dr. Marc de Moya, emergently (and instinctively) performed a bedside thoracotomy (i.e. cracked open the patient's chest). He manually removed the large blood clot from around his heart and started cardiac massage. For the first time ever, I watched someone squeezing life into another human being with their hand. Despite aggressive measures, however, the patient quickly continued to decompensate and he subsequently passed away. He was 21 years old. The police officers were able to contact his parents (via license plates); they arrived and were in the consulting room. Dr. de Moya, the patient's nurse, and I entered the room, and upon sitting down, Dr. de Moya looked the young man's parents, and his accompanying twin sister, square in the eyes and said: “Your loved one sustained some very serious injuries from his motor vehicle accident. We attempted to resuscitate him in the OR and at bedside; however, he unfortunately passed away.” He abruptly stopped talking... and then pain entered the room. I caught myself being transfixed on the mother; leaning on her husband's shoulders, hands anxiously hidden under the table... I was waiting for her response. Her noise. Her pain. Her tears. I was wondering what her next words would be... but she made none, she simply gasped. The father grabbed her closely, moaned “My God...” ... and their 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

I felt the wrinkles of her sadness speaking angrily as her screams faded into a feeling; into a silent hum. I felt the resentment she must have confronted for not remembering everything they did or all the little secrets she forgot that they once shared. I felt her wishing this was all a bad dream, a case of mistaken identity... a wrong patient sticker... a pause, followed by an apology from us for walking into the wrong room. I felt her needing no one to be anything to, or for, her in that moment... because no one could be what she wanted the most: her brother. I remember this encounter vividly because I remember being... quiet. As she screamed and as his parents sobbed, I remember Dr. de Moya performing something he later explained to me as “stepping back.” He told me, “In these moments, Moss, you aren't here to be a savior, a counselor, an explainer, a protector, or even a doctor. In these moments... you step back... and be what they need you to be the most: quiet.” Quiet. What I experienced that day wasn't the absence of sound, nor was it the echoes of noise somehow escaping into a distant metaphysical gateway... but rather me deeply reflecting... and challenging my understanding of what it means “to lose someone” ... during the silence of “being human.”

SIMPLER TIMES

THE REAL TEST IS YET TO COME By Charles D. Williams, M.D., FACR, FAAP (“Pedro”) When I started to school in 1946 at Culbertson (a rural country school), I looked around and felt slightly embarrassed wearing those floppy sole shoes and those flour sack shirts even though Mama had put a lot of care into each stitch. After a few days in the first grade I looked beyond myself and saw Jerry. He didn’t even have any arms. I now can’t remember his last name but his image is still clear. He was bare-footed and actually held the pencil between his toes and did his assignments. He could jump high and run fast. He treated me nice and gave me courage. Years later I met Granger at Mercer. He lived across the hall from me and we joined the same fraternity. He graduated as the #1 student, obtained his Ph.D., and came back to Mercer to teach history. Granger was blind. He did his reading in Braille, did his book reports listening to 33 1/3 records and typed his assignments. He taught us to laugh at our minor misfortunes and make fun of our minor handicaps. He, like many Southerners, taught us to laugh at our own tragedies. One night it was hot in our dorm room without air conditioning. Granger decides to go outside and study by Braille in the pitch-black dark but it was always dark for Granger. A campus guard came by in the wee hours and asked him, “What are you doing young man?” Granger replied, “Studying.” The campus cop, thinking Granger had lost his mind, took him in for further questioning. Granger and I signed up together for English with profession Griffin. Granger talked better than me and he wrote better than me or rather than I. I never did learn to type. One night after finishing a book report, I dropped off by his room and heard him playing a 33 1/3 record on 78 speed. It was just a jumbling. I asked, “Granger, what in the world are you doing?” He replied, “I’m running behind on my book report so I’m just skimming.” Granger was the only blind person on campus except for one other person. She was a female. They had a date and he came back discussing his good-looking blind date. One night late Granger, Chris and I headed up to the Krystal. Chris drove. Granger didn’t know how. It was Chris’ car, an old Karmann Ghia. Chris would squeal the tires, turn the corners sharply, and stop abruptly. Upon arrival, Granger said, “I’m sure glad I’m blind or I’d be a nervous wreck.”

One day around Christmas time, Granger, Pope Hamrick and I had gone downtown to Macon and we asked Granger what he wanted for Christmas. He jokingly said, “A flashlight.” We took him at his word and took him in a store and purchased one. When the clerk asked, “What about batteries?” Granger quickly responded, “Oh no, we don’t need batteries.” Granger overcame his handicap with humor and hard work and set an example for others with less problems. Later, Dickie Starnes arrived at Mercer and joined mine and Granger’s fraternity. He had been a swimming star until the polio years. This changed his life. He became paralyzed from the neck down. He could no longer walk or feed himself. He could now only move his head, think and keep his pride and dignity. His parents hired a special roommate who fed him and took care of his personal necessities. In class his friends would place a small stick about the size of a pencil in his mouth which he used to turn pages. My friends and I would take Dickie to the movies, to ball games, and to the social events in a specially designed chair. Dickie was gracious, dignified, appreciative and bright, and he finished law school. Years later he was selected as the outstanding Jaycee in the whole state of Georgia, elected to the Georgia House of Representatives, and elected State Court Judge for three terms before he succumbed to respiratory problems. There is a plaque located in the old Court House in Rome, Georgia in honor of Dickie, my friend. I now reflect back and feel embarrassed that I felt handicapped because of a lack of things. My friends, Jerry, Granger, and Dickie had the real problems but yet they had the real strengths and the real courage. They set the real examples. I hope I’ve learned their lessons well. For most of us the real test is yet to come. Reprinted with author permission from Simpler Times.

Dr. Williams’ sequel book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the Capital Medical Society Foundation’s We Care Network program. The total sales from his books have raised over $39,000 for the CMS Foundation’s We Care Network.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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)

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) 7. I find my work to be a positive challenge. Strongly Agree (+1) Agree (+2) Disagree (+3) Strongly Disagree (+4)

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

PHYSICIAN WELLNESS

8. During my work, I often feel emotionally drained. 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)

9. Over time, one can become disconnected from this type of work. Strongly Agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)

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)

12. After my work, I usually feel worn out and weary. Strongly agree (+4) Agree (+3) Disagree (+2) Strongly Disagree (+1)

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

ACCESS TO CARE AWARD

SHELBY HARTWELL, M.D. RECEIVES CMS FOUNDATION’S 2021 ACCESS TO CARE AWARD, IN HONOR OF ROBIN MCDOUGALL The Capital Medical Society Foundation awarded the 2021 Access to Care Award in Honor of Robin McDougall to Shelby Hartwell, M.D. in May 2021. The FSU College of Medicine’s Annual Awards Ceremony could not be held due to COVID-19. The CMS Foundation’s Access to Care Award is named for Robin McDougall, LCSW, who championed increased access to healthcare as the Program Coordinator of our We Care Network for 14 years. The We Care Network is the Capital Medical Society Foundation’s program operated by local physicians who donate medical specialty care to local low-income, uninsured patients. It is our Foundation’s mission to increase access to care. Shelby Hartwell graduated from New College of Florida, the honors college of the state, in 2016, after defending her Honors Thesis in January on the cell signaling pathway in maize during the gravitropic response. At New College she spent time as president of the Swim Club and held several TA and research assistant positions. Many of her summers were spent as a camp counselor in the Rocky Mountains, empowering children of all ages. Shelby chose to attend the Florida State University College of Medicine after seeing the health disparities present in her local ER, where she worked as a scribe for two years and served as chief scribe. She is honored and humbled to be a part of the Class of 2021 and to learn more on how she can improve health equity. She was honored to graduate from the Florida State University College of Medicine on May 15, 2021. She hopes to uphold the mission of patient-centered health care and serving the underserve in her practice of medicine. Dr. Nicole Bentze, dean of the Sarasota Regional Campus, shared in her nomination of Hartwell: “During that time, she has proven to be an excellent medical student, peer mentor and patient advocate. She is a champion for health equity and has demonstrated unwavering dedication to the school's mission. In 2020, Shelby was recognized with induction into the Gold Humanism Honor Society (GHHS).

14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

In her first two years at FSU COM, Shelby was active in leadership, mentorship, and community outreach. She served as President of PRIDE in Healthcare, Secretary for the American Medical Association FSU COM student chapter, Editor for Humanism Evolving Through Art and Literature (HEAL) Journal and co-founded FSU's Medical Students for Choice, an organization that established a clinical rotation in Family Planning. She was Co-Lead Organizer for Racism Awareness Week (RAW) and Cover the Uninsured Week. Further, Shelby was also awarded the Chapman Scholarship for Humanism twice. Shelby is a wonderful example of the Florida State University College of Medicine’s mission to develop exemplary physicians who care for vulnerable and underrepresented populations within the State of Florida. As President of PRIDE in Healthcare, she had gender-neutral restroom signs installed, incorporated inclusive language into our intake forms, and sought out a rotation in gender-affirming care. Shelby also advocated for genderneutral restroom signs when the Sarasota regional campus moved to its new location in January of 2020. While working at CAN Community Health, she helped patients affected by HIV, Hepatitis C and other sexually transmitted infections. Shelby also completed a rotation in Women's Health working with at-risk and underserved populations in Immokalee, FL. In summary, Shelby is a sincere and motivated student who is a strong advocate for vulnerable populations. She is a role model of compassionate, patient-centered care and has worked diligently to increase access to healthcare for underserved populations. Simply put, Shelby Hartwell exemplifies the mission model of the FSU College of Medicine.” Dr. Hartwell exemplifies our future, a young physician who will take an on-going interest in increasing access to medical care for the underserved. We wish her the best as she begins her residency in ObstetricsGynecology at the Orlando Health Winnie Palmer Hospital for Women and Babies.

DONATE TO THE CMS FOUNDATION

The Impact of Private Support:

Donate to the CMS Foundation – We Thank Our Donors We thank the following donors who made a gift to the CMS Foundation this past month: Capital Medical Society Foundation – Area of Greatest Need PhRMA Scholarship Fund David Bellamy, M.D. – In Memory of Charlotte Etheridge Holland David Bellamy, M.D. – In Memory of John R. Purvis, M.D.

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 $112.3 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 2019-20, which ended June 30, 2020, more than $6.9 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. $31,000 was awarded in 2020. ➢ 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 2020, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program and the Big Bend Hospice Foundation for bereavement services. 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) The Anesthesiology Associates of Tallahassee Scholarship Endowment 6) Scholarship Fund 7) The Ronald G. Pickett Endowment 8) 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: Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 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 Network partners who provided healthcare to new patients in April 2021. Your generosity and support of the We Care Network makes a difference.

Physicians Christopher Babl, M.D. Julia Barry, D.O. Venkata Bavikati, M.D. Marie Becker, M.D. David Bellamy, M.D. Dhanajay Bendre, M.D. Viralkumar Bhanderi, M.D. Tim Broeseker, M.D. Robert Brumberg, D.O. Viet Bui, M.D. David Burns, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Francisco Carpio, M.D. Armand Cognetta Jr., M.D. Matthew Connor, M.D. Raymond Cottrell, M.D. William Dixon IV, M.D. David Dolson, M.D. Romyll Garcia, M.D. Akash Ghai, M.D. W. Harris Green, M.D. Celeste Hart, M.D. Muhanad Hasan, M.D. Todd Hewitt, M.D. Brook Hill, M.D. Okanta Jackson, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Arjun Kaji, M.D. Kenneth Kato, M.D. Amulya Konda, M.D. Maribel U. Lockwood, M.D. Robert Lott, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D. Tod Morris, M.D. Manoela Mota, M.D. Christopher Murphy, D.O. Jayan Nair, M.D. Charles Newell, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Hussein Rayatzadeh, M.D. James Renehan, M.D. Davis Rierson, M.D. 16

Tim Ruark, M.D. Jeannine Silberman, M.D. Hardeep Singh, M.D. David Smith, M.D. Matthew Standridge, M.D. Job Soble, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. Christian Del Carpio Tenorio, M.D. Ernesto Umana, M.D. Alexander Ramirez Valderrama, M.D. Beatriz Cepeda Valery, M.D. Kaisa van der Kooi, M.D. David Vermess, M.D. William Yaakob, M.D. Daniel Yang, M.D. Robert Watson, M.D. Dentists Laban Bontrager, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Russell Walther, D.D.S. Facilities Advanced Dental Care Advanced Urology Institute Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bristol Dental Clinic Bond Community Health Center Capital Regional Cancer Center Care Point Health & Wellness Center Centre Pointe Dental Group CESC Dental Clinic Dermatology Associates Digestive Disease Clinic Eye Associates of Tallahassee Family Dermatology of North Florida Florida Cancer Specialists & Research Institute FSU PrimaryHealth Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J. Pijut DMD PA Madison Medical Center Neighborhood Medical Center North Florida Nephrology Associates North Florida Regional Thyroid Center North Florida Women’s Care North Monroe Medical Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Red Hills Oral & Facial Surgery

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Memorial Family Medicine Residency Program Tallahassee Memorial HealthCare TMH Physician Partners Cancer and Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Cardiothoracic Surgery Specialists TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Heart Rhythm Clinic TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Physician Partners Quincy TMH Physician Partners Wakulla TMH Transition Center Tallahassee Orthopedic Clinic TOC Canopy Tallahassee Outpatient Surgery Center Tallahassee VA Clinic Taylor Medical Center Vascular Surgery Associates Wakulla County Health Department Wakulla Medical Center Wilson Family Medicine Womens Clinic Women’s Imaging Center

Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of April 2021, 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 April 2021:

Ebonie Allen, APRN

John Dozier, D.M.D.

Chukwuma Okoroji, M.D.

Anne Ananga, APRN

Vicari Erwin-Wilson, M.D.

Rose Origa, APRN

Katrina Ball, APRN

Cynthia Evans, APRN

Jorge Perez de Armas, M.D.

Karen Bartley, M.D.

Sharron Foster, M.D.

Brandi Richardson, APRN

Marie Becker, M.D.

Hong Gao, M.D.

Adrian Roberts, M.D.

Dhanajay Bendre, M.D.

Gabrielle Gardner, APRN

Carla Robertson, APRN

Viralkumar Bhanderi, M.D.

Charmaine Gilmore, APRN

Tim Ruark, M.D.

Shelby Blank, M.D.

Judy Griffin, APRN

Karen Russell, M.D.

Kendra Brady, APRN

Muhanad Hasan, M.D.

Lucilita Salvador, P.A.

Sandy Brafford, M.D.

Hantz Hercule, M.D.

Eliot Sieloff, M.D.

Daniel Breivogel, APRN

Todd Hewitt, M.D.

Hardeep Singh, M.D.

Fran Bridges, APRN

David Huang, M.D.

David Smith, M.D.

Tim Broeseker, M.D.

Amit Jain, M.D.

Robert Snyder, M.D.

Viet Bui, M.D.

Anneka Johnson, APRN

Abisoye Somorin, APRN

Frances Carney, APRN

Aida Kousheshian, D.O.

Franckel Taylor, APRN

Francisco Carpio, M.D.

Stefanie Kreamer, M.D.

Cynthia Tie, M.D.

Stephanie Chandler, APRN

Elaine Larkins, APRN

Faye Tinson, APRN

Victor Chou, D.M.D.

Damon McMillan, M.D.

Teresa Tullos, APRN

Eric Chung, M.D.

Kelley Miller, APRN

Ramona Vossler, RDH

Walter Colón, D.M.D.

Ralph Montalvo, D.M.D.

Dwanna Ward-Boahen, APRN

Melba Colon-Renta, M.D.

Angela Morgan, APRN

Jeffrey Wasserman, D.O.

Deborah Congdon, APRN

Tod Morris, M.D.

Robert Watson, M.D.

Easa Darwish, APRN

Marcia Morris, APRN

Shana Wood, APRN

William Dixon IV, M.D.

Manoela Mota, M.D.

Charles Yowell, M.D.

H. Avon Doll, M.D.

Christopher Murphy, D.O.

DURING THE MONTH OF APRIL 2021, THE WE CARE NETWORK: RECEIVED 233 REFERRALS, WITH 121 PATIENTS NEW TO THE PROGRAM

SCHEDULED 102 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$268,251.99 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308

Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.