Cap Scan - July 2016 by Capital Medical Society

JULY EDITION, VOLUME 2016, NO. 7

DOCTORS AND SONS RESPOND TO TRAUMAS AND DISASTERS By Pam Wilson, CMS Executive Director “EMT’s, Dispatch, and Disaster Team Simulations, Oh My!” was a huge hit as this year’s Doctor-Son Event. The photographs tell the story of a customized stimulating and interactive evening hosted by Leon County modeled after their popular, award-winning Leon County Citizen Engagement Series. Our guests, young and old, participated in trauma response exercises in Cardiopulmonary Resuscitation (CPR), starting IV lines, and setting up EKGs under the guidance of local EMT’s and Major Sally Davis, Paramedic. There was plenty of enthusiastic participation in these hands-on experiences. A few needle jabs later, and most of the “dummies” were saved. In the second rotation of the evening, CMS guests learned about the Consolidated Dispatch Agency (CDA) and got to practice their observation skills in a realistic robbery attempt. How old? How big? What was he wearing? Who was that masked man? With some true team effort, our physicians and sons experienced the challenges of an incoming Category 2 Hurricane heading towards Tallahassee. Coordinating food, ice, water, media announcements, and shelters for humans and their pets seemed a bit more daunting when the adrenalin started flowing in this realistic exercise. One guest even took a call from Ron Burgundy, from the 2004 comedy “Anchorman.” Speechless, would be an understatement for her initial response! The program, which was introduced by County Administrator Vincent S. Long and CMS President Dr. J. Daniell Rackley, gave physicians and their sons an

opportunity to engage in public safety operations and view the various issues facing the community in a public safety emergency or disaster. “Public safety is one of the core functions of County government. The Public Safety Complex is a gamechanging project that brings life-saving services to one centralized location,” said Leon County Administrator Vincent S. Long. “This session will give Capital Medical Society the opportunity to gain greater insight into the integrated resources and techniques utilized by EMS, CDA, and Emergency Management.” A huge thank you to Leon County’s staff, especially Shington Lamy, for coordinating such a special evening for Capital Medical Society. Sponsor SunTrust Private Wealth Management provided wonderful backpacks and first aid kits and came to the “rescue” when we had a last minute food shortage. Sponsor Hancock Bank provided a photographer to capture some wonderful photos of the event with a great backdrop of the EMS truck. Their table was filled with kid-friendly giveaways. Patrick Khairallah, son of Dr. Farhat Khairallah was the happy winner of the Hancock Bank drawing for a toy EMS truck. We also had entertainment and photo opportunities from the Chick-fil-A Doctor Cow and the Leon the Lifesaver ambulance. The jury is out on how many of these young guests will be inspired to pursue a career in the field of public safety or medicine, but for one night, they rose to the occasion and experienced the everyday challenges of keeping our community safe. CMS CONTINUED ON PAGE 4

CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR September 8, 2016 CMS Meet the Candidates Forum 5:30 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 Spouses Welcome ($20 fee)

BOARD OF GOVERNORS

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

J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect David Dixon, D.O., Secretary/Treasurer

2016 CMS Doctor/Son Event …

CMS Member Announcements …

CMS Lunch & Learn …

Resident News …

Viewpoint …

2016 CMS Meetings Calendar …

CMS Membership Meeting Minutes …

Medical/Legal …

CMS Foundation Access to Care Award …

CMS Foundation News …

CMS Foundation …

CMS Foundation: We Care Network …

Joshua Somerset, M.D., Immediate Past-President Christie Alexander, M.D. Shelby Blank, M.D.

HAPPY BIRTHDAY!

Hien Guyer, CMS Alliance President Rohan Joseph, M.D.

{JULY BIRTHDAYS}

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 Residents Todd Hewitt, M.D./Meredith Maxwell, M.D.

PUBLICATION EDITOR Frank Skilling, M.D.

MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Gandy Printers

EDITOR EMERITUS Charles E. Moore, M.D.

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.

Amer Rassam, M.D. – 1st

Amulya Konda, M.D. – 19th

Raymond Shashaty, M.D. – 1st

Thomas Peele, Jr., M.D. – 19th

Larry Deeb, M.D. – 2nd

Andres Rodriguez, M.D. – 19th

Lynn Jones, M.D. – 2nd

Judith Lewis, M.D. – 20th

Rodrigo Agbunag, M.D. – 4th

Robert Thornberry, M.D. – 20th

J. Daniell Rackley, M.D. – 5th

Walter Bunnell, III, M.D. – 22nd

Kalil Al-Nassir, M.D. – 10th

William Dixon, M.D. – 22nd

Robert Campbell, M.D. – 12th

Abbas Abbey, M.D. – 23rd

Juan Martinez-Serra, M.D. – 12th

Ricardo Gonzalez-Rothi, M.D. – 23rd

Rodolfo Oviedo, M.D. – 12th

Viralkumar Bhanderi, M.D. – 24th

J. Richard Taylor, M.D. – 12th

David Guttman, M.D. – 24th

Charles Newell, M.D. – 13th

Paresh Patel, M.D. – 24th

Carey Dellock, M.D. – 14th

Omodele Awoniyi, M.D. – 27th

Seymour Rosen, M.D. – 14th

Tracey Hellgren, M.D. – 30th

Babatunde Adekola, M.D. – 16th

John Katopodis, M.D. – 30th

Daniel Conrad, M.D. – 17th

Kaushal Patel, M.D. – 30th

J. Daniel Davis, Jr., M.D. – 17th

Adrian Roberts, M.D. – 30th

Brence Sell, M.D. – 17th

Joseph Soto, M.D. – 31st

Richard Henry, M.D. – 18th

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

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!

CMS MEMBER ANNOUNCEMENTS

CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBER:

IN MEMORIAM

Seymour Robert Rosen, M.D. Medical School: Albert Einstein College of Medicine Internship: Montefior Medical Center Residency: Downstate Medical Center Specialty: Ophthalmology, Dermatology Practice: Retired

Nelson H. Kraeft, M.D. 1917 – 2016

PROFESSIONAL NOTES Richard Thacker, D.O. was recognized as a recipient of this year’s Frist Humanitarian Awards by Capital Regional Medical Center. The Frist Awards were created in 1971 to honor Dr. Thomas F. Frist, Sr., one of HCA’s founders. The purpose is to recognize individuals who give unselfishly to patients and the community. Qualities of a recipient include demonstrating a level of commitment to society, remarkable concern for the welfare and happiness of patients and a desire to make the world a better place. In 2015, Dr. Thacker fulfilled a lifetime goal of participating in an international medical mission trip. He traveled with a team to Yamaranguila, Honduras and set up medical clinics in remote villages. By the end of their fourth day they helped over 720 patients overcome medical issues such as fungal and parasitic infections, chronic pain and respiratory conditions. Congratulations, Dr. Thacker!

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 3

2016 CMS DOCTOR/SON EVENT

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

2016 CMS DOCTOR/SON EVENT

CONTINUED ON PAGE 8

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS LUNCH AND LEARN

CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS

On May 18th, Diane Gaddis (far right), CPHIMS, FHIMSS, BSMP, President/CEO, The Center for the Advancement of Health IT gave an excellent program on “Beyond Meaningful Use.” You can reach Ms. Gaddis at (727) 573-2422 ext. 225 or diane.gaddis@ advancehealthit.org. Pictured with Ms. Gaddis is Chantal Laperle and April Zehms-Payne.

TMH Federal Credit Union sponsored the May 18th Lunch and Learn. Liz Thiele and Susan Smiroldo were in attendance as representatives of TMH Federal Credit Union. You can reach Ms. Thiele at (850) 4025301 ext. 106 or lthiele@tmhfcu.org.

Seminars are held at the Capital Health Plan on Governors Square Blvd. We thank them for providing this convenient venue.

Mark Your Calendars for the Fall 2016 Lunch and Learn Seminars September 21, 2016 Time Management in a Medical Practice As the saying goes, “Someday is not a day of the week.” However, we treat it as if it is. Everyone gets 24 hours every day and what we do with our 24 hours is a choice we make each second. We can’t control time but we can manage it. “Do It Now” are three of the most powerful words we can put into action. In this session on Time Management, we will discuss some powerful ideas to improve your time management skills. Remember, “The best time to start was yesterday, the next best time is now.” Speaker: Bert Mitchell Sponsor: Tony Shah, Express Printing

October 19, 2016 Employment Law Update Speaker: Jason Vail, Allen, Norton and Blue, P.A. Sponsor: Tommy Folsom, Florida Insurance Consultants November 16, 2016 Wellness Programs; Health and Financial Speaker: Kim Quackenbush, Bill Hambsh, and Troy Johnson Sponsor: Scott Fenstermaker, RHU, Strategic Benefits Group

Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar For more information or to RSVP, contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. 6

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

RESIDENT NEWS

TMH GRADUATING RESIDENT CHOOSES TALLAHASSEE Jonathan Nava, M.D. Practice: Hospitalist, Tallahassee Memorial HealthCare Dr. Nava was born and raised in Lima, Peru, before immigrating to South Florida. He attended college at Florida Atlantic University where he earned a B.S. in Molecular Genetics, Biotechnology and Microbiology. A medical student at Ross University, Jonathan was fortunate to visit numerous places and interact with a wide range of cultures and people. His passion for family medicine stems from his desire to aid a diverse population of all ages. Having faced personal medical challenges he learned the value of patient-doctor relationships that will make him a more effective family physician. In his free time, Jonathan is a cooking enthusiast, particularly Peruvian cuisine and enjoys soccer, weightlifting, outdoor activities and spending time with his dog, Sasha. Having spent time in Tallahassee completing his Family Medicine Residency at TMH, Dr. Nava has decided to make Tallahassee his home. He is excited to be joining the hospitalist group at TMH.

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

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VIEWPOINT

A DEAN’S PERSPECTIVE ON MILITARY MEDICINE - PART 2 By John Fogarty, M.D., Dean, FSU College of Medicine Editor’s Note: Part 2 of Dr. Fogarty’s story deals with his medical practice in the U.S. Army at a time of great transition for the military and how he came to be the dean of the new FSU College of Medicine.

As noted in the first installment, the mid 70’s were an interesting time to be in the military. The Army Medical Department went through its own crisis at that time as the last of the “Berry planners,” physicians who had military obligations from med school (typically 2-3 years) and entered the Army after their residency, gradually came and went. For a young family physician, just out of residency, it was difficult to see the great teachers and mentors that I worked with leave as soon as their obligation was over. I had that 9 year obligation and felt “stuck.” How was I going to be treated? Would I get the worst assignments? Happily, I was well taken care of. Family Medicine was a very new entity in the Army and we needed faculty at our residency programs. I was assigned to stay at my residency program site after residency graduation, the first year to open a new soldier/family medicine clinic with another recent graduate from the Fort Bragg program. We did sick call and soldier care in the morning working with great medics and PA’s who managed most things and consulted with us for the rest. We could have as many as 100 soldiers show up at 6:30 and be finished by 9 AM (remember the Army commercial “we do more by 9 AM than most people do all day?” – we lived that). In the afternoon, we had a scheduled family medicine clinic caring for

soldiers and their families, retirees and their families and teaching them what family medicine was, doing full service family practice, including OB and inpatient care. The next year I returned to the residency program as a team leader and one of their core faculty and within one year I was selected to be Program Director (yes – two years out of residency). Growing into roles that I was not fully prepared for became a theme of my Army medical career. What I learned I spent most of my career at Army community hospital residency programs as opposed to the big Army Medical Centers. Army hospitals not only had to meet JCAHO standards but also Department of the Army standards. I enjoyed being with soldiers and their families in these settings and learned about the stresses of families being separated from their extended family far from home, frequent deployments and field training exercises that left spouses alone, and the family stresses of living on modest incomes with small children. The new specialty of family medicine was ideal for this environment and our generalist approach was welcome both in peacetime and on deployments. I quickly became spoiled by this “socialized medicine” system where I could take care of patients without concern for their insurance or ability to pay. I had the opportunity to attend the Army’s Command and Staff

College (a mid-career leadership training course) for 1 year at Fort Leavenworth and did several assignments with line units. I was incredibly impressed with the quality and dedication of my fellow officers who served in the “profession of arms.” While I could focus on the care of real patients in my clinics and hospitals, they were dedicated to training for a mission to protect and defend our country. I loved watching commanders interacting with their troops and learned amazing lessons in leadership from them. The medics and PA’s who were assigned directly to front line units had two missions, take care of soldiers in peacetime and prepare for the wartime mission of “conserving the fighting strength.” So, at home in garrison, they focused on sick call at the company and battalion level supervised by the PA and only sent patients up to the Troop Medical Clinics for things that they could not handle, where they would be seen by an MD (usually a “general medical officer (GMO)” right out of their internship). The role of the GMO was not just to care for patients but they were the trainer for the medics and PA’s in their unit. Over time, more and more of these GMO positions were replaced by family physicians since they had many more skills, including caring for the increased number of women in the military. When the unit went to the field for training, they went with them, again providing “field” medical CONTINUED ON NEXT PAGE

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9

VIEWPOINT

care, and had opportunities to practice stabilization and evacuation techniques. While the Army learned a great deal about trauma care in Vietnam, rapid helicopter evacuation and control of the air meant that casualties were never very far from definitive medical care. This lead to a focus on “calling Medivac” before initial stabilization of injuries. We could not assume that we would have this same advantage in the next conflicts so had to develop new doctrine for medical care and forward management of casualties. This lead to higher levels of training for combat medics and at Fort Hood, we developed the “Combat Lifesaver” program for non-medical soldiers to have stabilization and resuscitation skills (including IV placement) so that they could help save their squad mates before the medic got there. We also tested Forward Surgical Teams and placed medics

and docs farther forward on the battlefield to provide the best care possible for our wounded soldiers. These programs formed the basis for combat casualty care in place today. The Army has always been a laboratory for improving trauma care and along with fluid and blood expansion advances, rapid clotting products and improved surgical techniques, we continue to provide the best possible care to our soldiers on the battlefield and keep the nation’s commitment to them. It was an exciting time for the Army in the 80’s. Emerging from the Vietnam War, the Army focused its efforts on rebuilding a professional all-volunteer Army and this process took decades. I got to witness the integration of new equipment and new strategic doctrine in the mid 80’s at Fort Hood with the 2nd Armored Division and this work was validated and proven during

Operation Desert Storm in 1991. After spending 5 years at Fort Benning in charge of all of primary care and family medicine on that large post, I was offered the job as Chair of Family Medicine at the Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland in 1989. This became my entry point back to medical school and was the first of three medical schools that I’ve now served at over the past 26 years. My 24 years total in the military and 20 years as a medical corps officer formed the basis of who I am. Now that I am at the FSU College of Medicine, I am again part of an organization that has a true mission focus. That’s probably why I feel so comfortable here. I am pleased and proud to have served and feel blessed to have had such amazing experiences and opportunities.

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2016 CMS MEETINGS CALENDAR

CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR (continued from page 1)

Rosalie Carlin, recipient of the Wilson Award for her initiative in securing a new revenue system and her perseverance in securing accreditation for Capital Medical Society to provide dental CEUs for our Leon County Dental Association friends and partners.

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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 October 24, 2016 Connect the Docs Happy Hour 5:30 pm – 7:30 pm Food Glorious Food, 1950 Thomasville Road 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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CMS MEMBERSHIP MEETING MINUTES

MINUTES CMS MEMBERSHIP MEETING MAY 10, 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. J. Daniell Rackley, President, called the meeting to order at 6:30 pm. Dr. Rackley thanked Westminster Oaks for use of their incredible facility and Ms. Shannon Sauls spoke to the members about their facility. B. Sponsors – Dr. Rackley welcomed and thanked our sponsors for the evening: Presenting Sponsor Electronet Broadband Communications – Paul Watts and Nicole French Supporting Sponsors Campus USA Credit Union – Traci Poucher, Kendalyn Gordon, and Jaime Hoffman Waddell & Reed Financial Advisors – Michael Davino, Alan Null, and Grace Elsen Meeting Sponsors Boehringer-Ingelheim – Trish Sturdivant Radiology Associates – Gina Rhodes and Brett Sutton C. New Members a. Dr. Rackley announced one pending new CMS Member in attendance: Seymour Rosen, M.D. – retired ophthalmologist D. Recognition of Radiation Technologists and CT Technologists Dr. Rackley welcomed the Radiation Technologists and CT Technologists in attendance. 12

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

E. Announcements a. Pam Wilson and Rosemary Evans presented Shannon Boyle with the Wilson Award for her outstanding efforts in re-contracting all of the physicians, dentists, and medical practices in the We Care Network with Sovereign Immunity. b. Dr. Rackley announced that the CMS Foundation is one of three finalists in the Association/Non-Profit category for the 2016 Tallahassee Chamber Award. The winner will be announced at a luncheon on June 7. II. Mark Your Calendars Dr. Rackley announced upcoming events and meetings: 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

September 8, 2016 CMS Meet the Candidates Forum 5:30 pm - 7:30 pm Goodwood Museum Carriage House

September 20, 2016 CMS Membership Meeting and CME “America’s End of Life Ethical Dilemma: Is There A Time When It Is Ok To Die?” Monica Williams-Murphy, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks

CMS MEMBERSHIP MEETING MINUTES

III. Tonight’s CME Program – this is a 1 Hour Category One Program Topic: Medical Use and Risks of Radiation Speaker: Sergio Ginaldi, M.D. Dr. Ginaldi gave an excellent and informative program on radiation. Physician CME Proof of Attendance Forms will be sent to participants who attend the entire CME program. IV. Adjourn – Dr. Rackley adjourned the meeting at 7:50 pm.

Presenting Sponsor, Electronet Broadband Communications: Paul Watts

Representatives from Meeting Sponsor, Radiology Associates and our speaker for evening: (l-r) Gina Rhodes, Dr. Sergio Ginaldi, and Brett Sutton.

Supporting Sponsor, Waddell & Reed Financial Advisors: (l-r) Michael Davino, Grace Elsen, and Alan Null.

Meeting Sponsor, BoehringerIngelheim: Trish Sturdivant.

Please Thank Our Sponsors for the May 10th CMS Membership Meeting Presenting Sponsor Meeting Sponsors Boehringer-Ingelheim Radiology Associates

Supporting Sponsors

Supporting Sponsor, Campus USA Credit Union: (l-r) Jaime Hoffman, Kendalyn Gordon, and Traci Poucher. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

MEDICAL/LEGAL

KNOW YOUR SOURCE: PROTECT YOUR PATIENTS AND YOUR PRACTICE FROM UNSAFE MEDICATIONS By Susan Marr, MSA, LHRM, CPHRM, Senior Patient Safety Risk Manager, The Doctors Company The U.S. has one of the safest drug and medication supply systems in the world, in part due to careful regulation in the face of globalization and increasing threats to the supply chain. However, according to the FDA, there is a growing network of rogue wholesale drug distributors selling potentially unsafe drugs in the U.S. market. To combat this threat, the FDA has launched the Know Your Source campaign to ensure physicians are aware of the problem and to help them play their part in protecting the integrity of the U.S. drug supply chain. Which doctors are the main targets? While any specialty could be at risk, most of the counterfeit drugs in the U.S. targeted to physicians are expensive medicines, and the targeted specialties are often oncology, dermatology, plastic surgery, and dentistry.

legitimate. Practices can verify this through the FDA (http://www.fda.gov/Drugs/DrugSafety/ DrugIntegrityandSupplyChainSecurity/ ucm281446.htm). Select a state and click on the link to the agency that can verify that the supplier is legitimate. Once you’ve verified a supplier, rechecking once a year is sufficient as long as there are no changes in the name, address, and other information from the supplier. • Keep the “pedigree sheets” that are shipped with the product. Under federal law, they should contain: – Proprietary and established name of the drug. – Dosage. – Container size. – Number of containers. – Lot or control numbers.

Regardless of your specialty, these tips can help ensure that your practice is ordering safe medications: • Beware of e-mail blasts and faxes that advertise the option of buying expensive medications at a discount. Remember the adage, “If it sounds too good to be true, it probably is.” • Emphasize to staff, especially those in charge of ordering medications for patients, that it is illegal and ill-advised to buy medications and drugs from outside the U.S. The FDA is often aware of practices that order drugs from outside the U.S. and may initiate contact with the practice in order to educate employees. The FDA’s involvement may also trigger contact from a state’s Board of Medicine. • “Know Your Source” means know that a supplier of drugs and medications is 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

– Business name and address of all parties to each prior transaction involving the drug, starting with the manufacturer. – The date of each prior transaction. • Keep a log of drugs and medicines ordered, the supplier information, and when the legitimacy of the supplier was checked. • Be sensitive to any complaints by patients that might indicate there is a problem with the integrity of a product. Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors. com/patientsafety.

CMS FOUNDATION ACCESS TO CARE AWARD

CIELO GNECCO AND IVANA SIMPSON RECEIVE CMS FOUNDATION’S 2016 ACCESS TO CARE AWARD, IN HONOR OF ROBIN MCDOUGALL Dr. Christie Alexander presented the awards at the FSU College of Medicine’s Award Ceremony on May 20, 2016 and below are her comments on each recipient. She has demonstrated a passion to serve the underserved throughout her entire medical school training. She has served as the President of the Association of Latino Medical Students, the Vice President of Students Interested in Global Health, and the Coordinator of Student Volunteerism for her Regional Campus. In these roles, she helped organize several community health fairs, served as a mentor for minority students, and volunteered her time both here and abroad to provide care to the underserved. She has traveled to Argentina and Nicaragua with teams to bring medical care to those in need and was the student champion at Shepherd’s Hope, a non-profit organization that provides free health care for underserved patients in central Florida. For her dedication to serving the underserved, her dedication to compassionate patient care, and her dedication to the mission of our medical school, she was also just inducted into the Gold Humanism Honor Society. Her nominator for the Access to Care Award wrote that this student “has demonstrated the requirements for consideration of this award and has exceeded them.” I had the pleasure of working with this student in Nicaragua last year and can attest to this and to her love of all people and to her desire to give everything she can to those in need. With that, it is my honor to present this year’s first Access to Care Award to Cielo Gnecco.

She has also demonstrated a passion to serve the underserved throughout her medical school training. She is a National Health Service Corps Scholar, and has committed to dedicating the first few years after residency to working in a medically underserved community. She is a member of the Alpha Omega Alpha Honor Medical Society, whose members have a compelling drive to do well and to advance the medical profession and exemplify the highest standards of professionalism. She has participated in numerous FSUCares and SSTRIDE events, serving both the community and future medical students. She was also the Community Service Chair for the Student National Medical Association and a student scholar of the Society of Teachers of Family Medicine. Her nominator wrote that she “is the full package, the student you dream of having on your rotation, of having lead the other students, and of taking care of your patients.” I have personally observed her in our Clinical Learning Center, and can say that she is one of the most patient-centered students I have ever had the pleasure of working with and is highly deserving of this award. It is my honor to present this year’s second Access to Care Award to Ivana Simpson.

Pictured l-r: Dr. Christie Alexander, Cielo Gnecco, and Robin McDougall. (Photo courtesy of Glenn Hodgson/FSU College of Medicine.)

Pictured l-r: Dr. Christie Alexander, Ivana Simpson, and Robin McDougall. (Photo courtesy of Glenn Hodgson/FSU College of Medicine.) CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15

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_________ “It’s my job to know where you’ve been and where you want to go... It’s really beyond banking.” _________

PRIVATE BANKING by William Smith Who is looking out for your financial health and advising your wealth-building strategies?

I took a local doctor turkey hunting last spring. He was new to the area and would call me occasionally for advice on local services – where to get his car serviced, what drycleaner to use…things I would know from living here my whole life. Once we got to know each other better, he became a Private Banking client. It made me realize that in genuine business relationships, some things don’t change. This business is personal and it takes a certain amount of trust to make it work. As a Private Banker, it’s my job to know a little about your personal life – your goals and desires, where you’ve been, where you want to go. And to help you think through the steps to get you there, while making your life easier along the way. It’s really beyond banking. Some things my clients seem to like most about our Private Banking relationship: • You can trust your business isn’t going to be discussed. • I’m here to make things easier on you, to make it convenient to bank with Capital City and save you time. • All decisions and account servicing happen right here in town, so you have access to the people who work to meet your banking needs.

My grandfather and esteemed local banker, Godfrey Smith, used to say, “You can’t build a strong bank without a strong community.” He believed in strong personal relationships, which helped build a stronger community. And I try to do the same. I find if I take care of personal relationships, everything else falls into place. When I begin working with a physician, I usually recommend they concentrate on three areas to get on the right track: • Set goals – long-term and short-term. You wouldn’t start a procedure without a goal in my mind, so why should you with your financial decisions? • Get your priorities straight. This includes accumulating adequate cash reserves, protecting your assets and assessing risk. • Understand risk and be humble. Immediate gratification is not realistic when it comes to finances or building wealth. THE BOTTOM LINE: It’s never too soon to talk to a Private Banker. Make a friend in the industry. Call and give me the opportunity to work hard for you.

About William Smith, Private Banker William Smith is a fourth generation Tallahasseean from a long line of distinguished bankers. He understands the financial challenges of the medical profession and the importance of the local banker/medical professional relationship. To add a private banking partner to your practice, contact William today at 402.8136 or smith.william@ccbg.com.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FOUNDATION NEWS

TALLAHASSEE CHAMBER AWARDS

As the sponsor representatives for the Association/NonProfit category for the Tallahassee Chamber Award, Thomas Howell Ferguson, P.A., Certified Public Accountants, Brian Walgamott and Kavisha McCranie dropped by Capital Medical Society to present signage to Pam Wilson, Executive Director and Rosemary Evans, Jean McCully We Care Network Program Coordinator spotlighting their Finalist status. The winner will be announced June 7. Thank you, Thomas Howell Ferguson, P.A., CPAs!

Capital Medical Society Foundation Board Members and We Care Network Staff and Advisory Committee Members were in attendance at the Chamber Awards Luncheon on June 7 at the FSU University Center Club. Congratulations to Tallahassee Museum for winning the Association/Non-Profit category. (Not pictured: Dr. John Mahoney)

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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: Capital Medical Society Foundation Charles Long, M.D. – In Memory of Nelson Kraeft, M.D. William E. Price, M.D. – In Memory of Nelson Kraeft, M.D. Charles Williams, M.D. – In Honor of Armand Cognetta, M.D. Charles Williams, M.D. – In Honor of Charles Moore, M.D. Charles Williams, M.D. – In Memory of Nelson Kraeft, M.D. We Care Network AmazonSmile Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.

• 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 2015, CMSF was able to make office renovations and purchase a new computer firewall. $10,000 in grants were awarded for Elder Care’s In-Home Services Program and Lighthouse of the Big Bend. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund 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

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 May 2016. Your generosity and support of the We Care Network makes a difference. Physicians Arvind Bakhru, M.D. Raj Bendre, M.D. Viral Bhanderi, M.D. Shelby Blank, M.D. Tim Broeseker, M.D. Acquinonette Bryant, M.D. David Burday, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. George Cohen, M.D. Raymond Cottrell, M.D. Marilyn Cox, M.D. Jeffrey Crooms, M.D. Michael Ford, M.D. Alexander Franz, M.D. Akash Ghai, M.D. Frank Gredler, M.D. James Hunt, D.O. Iman Imanirad, M.D. Marc Inglese, M.D. John Katopodis, M.D. Ben Kirbo, M.D. Jeffrey Kirk, M.D. Amulya Konda, M.D. Vikki McKinnie, M.D. Jayan Nair, M.D. Adam Oliver, M.D. Steven Ostrov, M.D. Paresh Patel, M.D. Praful Patel, M.D. Timothy Paulk, M.D. Tim Ruark, M.D. Roy Schwartz, M.D.

Philip Sharp, M.D. Gadi Silberman, M.D. David Smith, M.D. Joshua Somerset, M.D. Bob Soni, M.D. Christopher Sundstrom, M.D. Larry Taylor, M.D. Andrew Wong, M.D. Anthony Wright, M.D. William Yaakob, M.D. Richard Zorn, M.D. Podiatrists Bryan Spooner, D.P.M. Dentists Eric Amundson, D.D.S. Marcos Barrera, D.D.S. Brian Beck, D.M.D. Susan Byrne, D.M.D. David Cardman, D.M.D. Walter Colón, D.M.D. John S. Dozier, D.M.D. Robert Murrell, D.M.D. Lawrence Pijut, D.M.D. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health 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 May 2016 and your name was omitted.

We thank our referring providers from May 2016: Kalil Al-Nassir, M.D. Eboni Allen, ARNP Viral Bhanderi, M.D. Jonna Bradley, ARNP Sherry Bramblett, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Susan Byrne, D.M.D. Kendall Campbell, M.D. Lysmar Carrion-Dinguis, M.D. Raymond Cottrell, M.D. Steven Currieo, M.D. Suma Dondapati, M.D. Julia Drude, C.N.M. Mignon Emenike, M.D. Cynthia Evans, ARNP Alberto Fernandez, M.D. Michael Forsthoefel, M.D. Sharron Foster, M.D. Alexander Franz, M.D. Anneka Gaffney, ARNP Giano-Carlo Giove, M.D. Frank Gredler, M.D. Judy Griffin, ARNP Hantz Hercule, M.D. Dwight Hooper, M.D. Nam Huynh, M.D. Iman Imanirad, M.D. Simha Jagadeesh, M.D. Lawrence Kaelin, M.D. John Katopodis, M.D. William Kepper, M.D.

Howard Kessler, M.D. Ben Kirbo, M.D. Aida Kousheshian, D.O. Elaine Larkins, ARNP Esaias Lee, M.D. Ashok Manoha, B.D.S. Ovidiu Marina, M.D. Damon McMillan, M.D. Kelley Miller, ARNP Michelle Miller, M.D. Jayan Nair, M.D. Charles Newell, M.D. Lisa Perkins, ARNP Marlaine Registe, ARNP Charlie Richardson, M.D. Jose Rodriguez, M.D. Tim Ruark, M.D. Karen Russell, M.D. Roy Schwartz, M.D. Philip Sharp, M.D. Jeannine Silberman, M.D. Alanna Steaple, ARNP Nina Sumlar, M.D. Tallahassee VA Clinic John Thabes, M.D. Faye Tinson, ARNP Marianne Towler, ARNP Jean-Paul Tran, M.D. Jeffrey Wasserman, D.O. Richard Zorn, M.D.

DURING THE MONTH OF MAY, THE WE CARE NETWORK: RECEIVED 181 REFERRALS, WITH 118 PATIENTS NEW TO THE PROGRAM

SCHEDULED 96 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$119,713 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19

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PAID Tallahassee, FL Permit 801

Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested

We have purchased 5.2 acres of vacant land at the corner on Miccosukkee Rd. and Blairstone. Our intention is to build a world-class cancer center. If you, or anyone you know, is contemplating building your own medical office/medical center, then this is your chance to come in on the ground floor with us and plan everything to your specifications. The size of the property allows us almost unlimited possibilities. We welcome folks who wish to be partners/owners in this venture. We do ask that inquiries be limited to serious investors only, and that inquiries be made by the physician owners of the group and not non-decision making lower level employees. Florida Cancer Specialists Dr. Scott Tetreault, Dr. Paresh Patel, Dr. Viral Bhanderi Stetreault@flcancer.com (850) 877-8166