SEPTEMBER EDITION, VOLUME 2014, NO. 9
2014 FMA Annual Meeting – Your President’s Perspective By Alfredo Paredes, M.D., President, CMS Board of Governors
Capital Medical Society sent another full delegation to the 2014 FMA Annual Meeting. We were fortunate to have a mix of seasoned delegates and a number of new delegates join this year. All were prepared for the Annual Meeting by reviewing over 30 resolutions in advance. We actively participated in the Northwest Florida Caucus meetings, spoke about resolutions before Reference Committees, and spoke on issues during the House of Delegates in Orlando. It was important to see the commitment of our delegation as the practice of medicine is being attacked on so many fronts. Our CMS members have a real impact on the state level. Dr. Mike Forsthoefel served on Reference Committee II, Finance and Administration, and Dr. Christie Alexander served on Reference Committee III, Legislation. These Reference Committees influence the strength of individual resolutions going forward, some of which make it to the legislature for enactment. Capital Medical Society gets respect from other Florida medical societies given our location in the heart of state government. We have an unfair advantage being inside the Capital, but also an obligation to show up polished, professional, and well-informed at the FMA Annual Meeting. Our delegation was vocal and convincing in testimony offered throughout the meeting. The Northwest Florida Caucus met at 6:00 a.m. on July 26th and 27th. These meetings helped us connect with our colleagues from Bays, Santa Rosa, and Escambia County Medical Societies. This was Bays turn to chair the caucus. Bays Medical Society had fine-tuned an online grid that gave all three medical societies the opportunity to review each other’s comments on the resolutions in advance of the Annual Meeting. It was incredibly helpful and saved time in reviewing the 30+ resolutions that had been sent forward. We also had CMS members who were representing their specialty societies join us for our caucus meetings and a joint caucus dinner. This was a great opportunity for the new delegates to be mentored by and network with those who have been involved in organized medicine for many years. Dr. Alma Littles was especially proud to be joined by several of her former students and residents serving on this year’s delegation.
Dr. Littles and “her kids” (l-r: Dr. Hillary Hulstrand, wife of Dr. Victor Hulstrand, FSU COM Class of 2006; Dr. Christie Alexander, FSU COM Inaugural Class of 2005; and Dr. Hugh VanLandingham, one of her chief residents when she was the TMH Family Medicine Residency Director) all now serving as FMA delegates!
Although not supported by the House of Delegates, Capital Medical Society did send forward Resolution 14-309 Limiting Medical Liability Insurance Profits. Dr. Forsthoefel spoke before the House of Delegates on the issue. Dr. David E. Winchester, son of Dr. Gary Winchester, sent forward Resolution 14-113 A Pilot Program to Encourage Expansion of Postgraduate Training Programs in Community Hospitals. The resolution was supported by the House of Delegates. Currently Florida does not have enough residency slots for the number of medical students graduating each year in Florida. Three CMS Members were elected to serve on the 201415 FMA Board of Governors at the FMA Annual Meeting. Congratulations!
John Katopodis, M.D. – Secretary
David Stewart, M.D. - Medical Specialties
Andrew Borom, M.D. - Surgical Specialties
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MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
BOARD OF GOVERNORS Alfredo Paredes, M.D., President Joshua Somerset, M.D., President Elect J. Daniell Rackley, M.D., Secretary/Treasurer Nancy Loeffler, M.D., Immediate Past-President Robert Chapman, M.D. Garrett Chumney, M.D. Tracey Hellgren, M.D. Zan Batchelor, CMS Alliance President Vikki McKinnie, M.D. Hector Mejia, M.D. Margaret Havens Neal, M.D. Philip Sharp, M.D. Timothy Sweeney, M.D. Ernesto Umaña, M.D. Pam Wilson, Executive Director Family Medicine Residents William Carlson, M.D./Anna Hackenberg, M.D. Internal Medicine Residents Chris Rosadzinski, M.D./Prerna Satyanarayana, M.D.
PUBLICATION EDITOR Charles E. Moore, M.D.,
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Young Design
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Dr. Charles Moore at cmoore5186@aol.com and 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 :
CMS FAMILY FUN NIGHT
1 3 5 6 8 10 11 17 18 21 22 23
HAPPY BIRTHDAY! {SEPTEMBER BIRTHDAYS}
Charlotte Maguire, M.D. – 1st David Burday, M.D. – 2nd Ben Kirbo, M.D. – 2nd Michael Pentaleri, M.D. – 2nd Mark Wheeler, M.D. – 2nd Donald Hansard, M.D. – 3rd Dan Kaelin, M.D. – 3rd Laurence Rosenberg, M.D. – 3rd George Slade, M.D. – 4th Vicki Erwin-Wilson, M.D. – 4th Alberto Fernandez, M.D. – 5th Howard Kessler, M.D. – 5th Robert Rowland, M.D. – 6th James Patty, M.D. – 7th
Amanda Shearer, M.D. – 15th Kenneth Whithaus, M.D. – 15th Robert Bradford, M.D. – 16th Jack MacDonald, M.D. – 17th James Martin, M.D. – 17th Mervin Wallace, M.D. – 18th Edwardo Williams, M.D. – 18th Wendell Heaton, M.D. – 19th Robert Brumberg, D.O. – 20th Robert Hoyne, M.D. – 20th David Vermess, M.D. – 21st Simha Jagadeesh, M.D. – 22nd Faisal Munasifi, M.D. – 22nd Temple Robinson, M.D. – 23rd
David Stewart, M.D. – 7th Andrea Randell, M.D. – 8th Laura Rosner, M.D. – 8th Hardeep Singh, M.D. – 9th James Stockwell, M.D. – 9th Carlos Campo, M.D. – 11th Charles Manning, M.D. – 11th Harry Rosenblum, M.D. – 11th Shelby Blank, M.D. – 12th Armand Cognetta, Jr., M.D. – 13th Tanya Evers, M.D. – 14th Henry Gunter, M.D. – 14th Karl Hempel, M.D. – 15th
Dean Watson, M.D. – 23rd John Blackmon, M.D. – 24th Patrick Brown, M.D. – 24th Susan Cross, M.D. – 24th Jose Diaz, M.D. – 24th Daniel Van Durme, M.D. – 25th Philbert Ford, M.D. – 26th Charles Holland, M.D. – 26th Marilyn Cox, M.D. – 28th Mark Shamis, M.D. – 28th Joan Worthington, D.O. – 28th Mark Cannella, M.D. – 30th Kathryn Simmons, M.D. – 30th
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
2014 FMA Annual Meeting – Your President’s Perspective CMS Lunch & Learn Jean McCully We Care Network R.N. Program Coordinator Reflections from the Editor First-Time Experience at the FMA Annual Meeting CMS Alliance Corner Medical/Legal CMS New Members CMS Foundation Holiday Auction FMA Annual Meeting Photos CMS Foundation CMS Foundation: We Care Network
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Did we miss your birthday? If so, please email Rosalie Carlin at rcarlin@capmed.org!
CMS LUNCH & LEARN
A Seminar Series offered by the Capital Medical Society. For physician office staff (clinical and non-clinical), practice administrators, office managers and business office managers. CMS member offices only! Please join us this Fall 2014 for a monthly luncheon series with topics that are designed especially for physician office staff – providing you with useful and current information to enhance your daily work life!
2014 MEETINGS CALENDAR September 16, 2014 CMS Membership & CME Meeting “Expanding Care through Telemedicine” Dean Watson, M.D. and Lauren Faison 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
October 21, 2014
CAPITAL MEDICAL SOCIETY LUNCH & LEARN FALL 2014 Capital Health Plan, 1491 Governors Square Boulevard WEDNESDAY, SEPTEMBER 17, 2014 MANAGING STRESS IN THE MEDICAL PRACTICE Hear about managing stress including managing difficult patients. Speaker: Tracey Morse, Ph.D., Licensed Psychologist Sponsor: Tallahassee State Bank WEDNESDAY, OCTOBER 22, 2014 MEDICAL RECORDS: HANDLING SUBPOENAS; CHARGING FOR COPIES Hear about the costs for reproduction of medical records and handling medical records subpoenas.
CMS Membership & CME Meeting “Domestic Violence and Human Trafficking” 2 Hour Required CME Suzanne Harrison, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
November 18, 2014 CMS Membership & CME Meeting “Women’s Health” David Dixon, D.O. and Stephanie Lee, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 4, 2014 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
Registration Form (please print): Seating is limited, you must pre-register. Reservation must include payment.
Speakers: Allison Dudley, J.D., Florida Board of Medicine Executive Director, and Lontejuana Cooper, PhD, RHIA, CPM, FAMU Health Informatics and Information Management Program
Name/Office/Phone: _____________________________
Sponsor: Centennial Bank
Email address: __________________________________
WEDNESDAY, NOVEMBER 19, 2014 LOCAL SOLUTIONS TO HIPAA SECURE COMMUNICATIONS Do the new Transition of Care and Meaningful Use requirements that are required for all offices, regardless of size, have you confused? Do you know how Interfacing, DIRECT Protocols, HISP, HealtheWay, and HIE apply to those requirements? We’ll show you how our set of Care Coordination tools tame these new standards while providing you with a simple HIPAA compliant replacement to phone/ fax/mail paper communications. Beyond this, there will be helpful tips for those striving for meaningful use compliance. Speaker: Zach Finn, HIE Networks Sponsor: Tallahassee State Bank
Please register me for (check all that apply): o September 17, 2014 “Managing Stress in the Medical Practice” o October 22, 2014 “Medical Records: Handling Subpoenas; Charging for Copies” o November 19, 2014 “Local Solutions to HIPAA Secure Communications” Enclosed please find my check in the amount of $_____________________
TIME: 12 NOON TO 1:30 PM (SEMINARS START AT 12:30 PM)
Please mail registration form and your check to:
PLACE: CHP AUDITORIUM, 2ND FL., 1491 GOVERNORS SQ. BLVD. COST: $10 PER SEMINAR/PER PERSON. YOU CAN RSVP FOR ALL SEMINARS, OR ONE AT A TIME!
Capital Medical Society 1204 Miccosukee Road, Tallahassee, FL 32308
FOR MORE INFORMATION, CALL ROSALIE CARLIN AT 877-9018.
(850) 877-9018
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FMA ANNUAL MEETING
We are also proud that a number of FSU COM students presented at the David A. Paulus, M.D. Poster Symposium. Competing against other medical students, residents and fellows across the state, two FSU medical students were rated among the top three entrants during the poster symposium. Sanjana Iyengar (Class of 2015) was recognized for her research abstract, “Clinicopathologic Predictors of Sentinel Lymph Node Metastasis in Thin Melanoma,” and received a $100 prize. Eric Branch (Class of 2016) finished third and received a $50 prize for his research poster, “Biomechanical Evaluation of Arthroscopic Meniscal Repair Constructs.”
This email received by Dr. Littles, following her comments defending loan repayment and post graduate training during the Reference Committee session, spotlight the importance of our advocacy to the future of medicine. “Hi Dr. Littles, I just wanted to say that it was a pleasure learning from you during the Reference Committee 1 session this weekend at the FMA Annual Meeting. This was the first time I attended a session of that nature, and it was very inspiring to observe the manner by which you represented your county medical society, caucus, and most of all our school! Thank you for advocating on behalf of my peers and me regarding loan repayment and post-graduate training. Have a great day!
Dr. Alan Pillersdorf, a plastic surgeon from Palm Beach, was installed as the President of the Florida Medical Association. He gave an emotional, rousing acceptance speech recounting his recovery from viral encephalitis. He noted that his recent, near-death experience would make him a better doctor and better FMA President. Dr. Pillersdorf has served the FMA in many leadership roles, including Secretary, Speaker of the House of Delegates and Delegate-Florida AMA Delegation. Under his leadership of the FMA, I know doctors in Florida will benefit immensely. Given the unprecedented amount of attacks on our House of Medicine, we need all the help we can get in organized medicine. After this weekend in Orlando, I can testify that we have a lot of very bright people defending Florida doctors and their patients.
Best, Jonathan P Salud, MPH Medical Student, Class of 2015 FSU COM Orlando Regional Campus Vice President” Adina Nobie was installed as the FMA FSU College of Medicine students participating in the David A. Paulus, M.D. Poster Symposium took time to visit with Dr. Alma Littles.
Dr. John Katopodis served as a judge during the David A. Paulus, M.D. Poster Symposium.
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Alliance President. She has been a member of the FMAA since 2008.
Dr. Alfredo Paredes pictured with Dr. Alan Pillersdorf after participating in the President’s Installation Ceremony.
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The CMS delegation has a long-standing history of helping bring sound policy and decision-making to the FMA. We encourage you to speak with members of the delegation about their experience in serving in this meaningful capacity. We hope that you will consider serving as a delegate within your specialty society or ask to have your name considered for openings in the CMS delegation in the future. While finding the time in a busy schedule to “get involved” remains a huge challenge, I believe we have an obligation to defend our patients and our medical degree from those who wish to alter the best practice of medicine. CMS
The FMA House of Delegates 2nd Session on July 27.
Jean McCully’s Legacy Honored in Naming of New Jean McCully We Care Network R.N. Program Coordinator By Pam Wilson, CMS Executive Director
There are few people who represent everything good, but Jean McCully and her legacy represent the good that reflects compassion, commitment and service to others. It is because of her tireless investment of herself in the lives of others and her embodiment of the traits that lead to excellence in nursing that the Capital Medical Society Foundation Board voted unanimously to name the Jean McCully We Care Network R.N. Program Coordinator position in her honor.
Jean McCully
Nursing is a field that demands much of those who pursue it. If a person cannot care about the people they are serving, they will not excel as a nurse. Nurses deal with the sick and injured
and their families on a daily basis, and they need to be able to show them that they truly care about their situation. Although Jean McCully’s nursing career transitioned into caring for her family and her community, she never lost touch with the traits of an excellent nurse. The mission of Capital Medical Society Foundation is 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. Jean gave of herself to strengthen that mission through humble service, displays of creativity, and tenacious efforts to raise support for the We Care Network and for the many needs she saw in her community. She never sought or requested recognition of her talents or services to us. From the medical society leadership, she obtained legendary status through her activities with the CMS Alliance, assistance with spouses and families of deceased physician members, and providing incredible strong and supportive interest in our We Care Network. “We are blessed indeed, that she came alongside our mission and was a tireless advocate and supporter on behalf of those in need,” shared John Mahoney, M.D., President of Capital Medical Society Foundation.
Monica Demott, R.N. holds the sign that was created for the Jean McCully We Care Network R.N. Program Coordinator and will be proudly displayed outside of her office.
It is with deepest respect that we announce the first Jean McCully We Care Network R.N. Program Coordinator, Monica Demott, R.N., who is leading the We Care Network case management team. We will steward Jean’s legacy and memory well, and we will miss her. She was our rose. Monica Demott is a native of Tallahassee. She lives with her husband Donnie Demott Jr. and 3 children Casey, Dalton and Caine in Monticello, Florida. She received her Registered Nursing degree and Associate of Arts degree from Tallahassee Community College in 2002. She has been employed by Tallahassee Memorial Hospital, on the Medical Surgical unit, Capital Health Plan Family Practice, and most recently, was a Community Health Nursing Supervisor with the Florida Department of Health in Jefferson County. During her 9 years at the Department of Health, she was the primary referral coordinator and worked closely with the We Care Network, as well as other indigent programs to ensure specialty medical care for low to no income, uninsured clients. “Serving as the first Jean McCully We Care Network R.N. Program Coordinator is an incredible honor,” said Monica. “I am grateful to have had the opportunity to visit with Mrs. McCully and her family at the Big Bend Hospice House in July.” She looks forward to serving the patients of Leon, Jefferson, Wakulla and Gadsden Counties. CMS
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REFLECTIONS FROM THE EDITOR
THE HEROIC TRADITION By Charles Moore, M.D.
Look! It never crossed my mind at either a very young age or much, much older that I wanted to be a physician. I never had any desire to emulate our “old family Doc,” his kindness, his house calls, his ability to stick a stick in my mouth and gag me while I was supposed to sing “Ahhh.” I was particularly well regarded for having, at least once when receiving some shot or other, so vigorously protested that I broke the needle off in my arm. I suppose they got it out, but I don’t remember anything. Yet there I was, graduating from medical school at the age of thirty, so by some obscure means I must have somehow decided to be a Doctor. Maybe it was because I knew I could not be a lawyer or an Indian Chief. But more likely it was because of some gradual, insidious process of illumination; the experience of many subliminal incidents that culminated in my “Eureka Moment” when I astounded my parents by saying “I think I’ll be a Doctor.” God bless us! We are made of a subtle aether, itself created out of figments of this and that, will o’ the wisps that cross our path, hopes and dreams seeking some shape. Of these unlikely figments, I vaguely think I remember a movie I once saw, and which may be a part of the warp and woof of my having decided to go to medical school. It was, of course, long ago and far away, and the film was for certain in black and white. I want to say that the scene 6
was somewhere in remotest China. There were mountains and warlords and it rained a lot. There was the young surgeon, unbelievably handsome in always just the right light and angle; and all the more so the gorgeous nurse, with luxurious eyelashes. There was thunder in the distance. Or was it gunfire! It was. Then into the sacrosanctity of the O.R. burst a terrible gaggle of cutthroats, waving guns and knives, and demanding that the surgeon instantly abandon his patient. The surgeon, calm as a carrot, his eyes ice, refuses. Nor did the beautiful nurse’s eyelashes blink, just within which brief period of time she was able to lay her lovely, gloved hand on the surgeon’s arm. They were shot, and all dead in a second, but their defiance rang amongst the mountain valleys. So I went to medical school. Forgive me; this was surely not the whole story. But, I must admit, for me there has always been something wonderful about the physician who rises above all circumstance, death itself, to care for and better the lives of others in need. Never mind that I myself, or even you, might be fully incapable of living up to that noble ideal; the ideal remains, even so. There are plenty of examples, probably more than otherwise, of Doctors who fled the plague in the 14th century, heading for the safety of the hills. But some did not, and put on their birdbeak masks, the beak stuffed with the aromatics of choice to both protect from mal aria and obscure the overwhelming
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stench of death. The Doctor, I reckon among other keepers of the peace, nonetheless personifies because of who he or she simply is a heroic willingness to voluntarily risk destruction for the sake of another. Surely it was in part for this reason that R.L. Stevenson wrote that “the physician almost as a rule…is the flower (such as it is) of our civilization.” In our terse modern world of tweeting, we are not used to such encomiums, of course, but just put up with it. And so, with the Ebola virus rampant in East Africa, and as the Tallahassee Democrat/USA Today so blandly put it, “only a flight away,” I think of the two physicians, Dr. Samuel Muhumuza Mutoro and Dr. Samuel Brisbane, who have just been reported as having died while treating Ebola patients in the field. And as I write this Dr. Kent Brantly and Dr. Nancy Writebol, both diagnosed with Ebola, are being flown for treatment from West Africa to Grady Memorial. How many other health workers, aides and nurses, technicians and volunteers have also been stricken, I cannot guess. Allow me to let the Doctors stand for the many who are faithfully there, against all the odds. Thinking on it, one is tempted not to dismiss so blithely what Robert Louis S. had to say of the physician after all. Don’t ask me why I take so long to get to the point. But here it is. In our very midst, “the Great Tradition” lives and breathes, and at the present
REFLECTIONS FROM THE EDITOR
moment, thankfully, is not feverish, but is certainly suffering from joint pains requiring two canes. That is what Chikungunya (pronounced “chickengun-ya”) Disease will get you. For those distant from the FSU Medical School, Dr. Dan Van Durme is the Professor and Chair of the Department of Family Medicine and Rural Health, and Director of the FSU College of Medicine’s Center on Global Health. True, I have never met anyone who had contracted Chikungunya Disease, but I would wager high stakes that you will never meet anyone with it who wears it with such affable good humor. “Ha-Ha,” he says, brandishing his cane (he is now down to one), “I have lectured the medical students here and throughout my travels on the dangers of deadly tropical diseases, Malaria, of course, Leishmanniasis, Dengue Fever, Chagas Disease, Trypanosomiasis, Dracunculiais, Schistosomiasis, Podoconiosis, all the Helminthiases, but never forgetting to clinch it with the little known Chikungunya Disease… which sounds so deliciously like some sort of noodle soup.” He pauses, almost smacking his lips, and eyes me with the intense gaze of a gentleman-physician. He has after all just been awarded from Johns Hopkins his Master’s Degree in Public Health, with a blue-ribbon (so to speak) certificate in “Global Health.” I sipped my coffee, remaining silent, but thinking “no wonder this single stranded Chikungunya RNA alphavirus, related as you and I know to the O’Nyong-nyong and Ross river viruses were so eager to attack him. He is their worst threat, with the credentials to prove it.”
“Do you remember the actual mosquito that bit you?” I asked. “Did you slapsquash it?” He did not quite. All he knew was that he was in the very depths of Haiti, lecturing in the most humanitarian manner to those who needed lecturing. A few days, three or four, passed, and as he sat in the airport to fly back to little old Tallahassee, he suddenly had a pain in his ankle. He shrugged it off. The next day, in the nick of time home, his every joint rendered him the Tim Conway figure in that old Carol Burnett program, the geezer who could barely hobble, and at that with two sticks. His fever soared to 104. He raved, perhaps, but I think always in “The Heroic Tradition,” always in good humor. He diagnosed himself, and serological tests proved him right: Chikungunya Disease! As he was speaking to the CDC he was asked, among many other questions, if he had had the rash. “No he hadn’t,” but then looked down at his hands, in the act of holding the telephone, and they were covered with a fine, bright red macular rash. He took it back; “Yes I have,” but all with such wonderful good humor. I think he even forgives the mosquito, either an Aedes aegypti or albopictus. Take your pick; both are common to our backyards, but the good news is that the vast majority of any mosquito rarely, unless blown far off course, travels more than fifty yards from where it hatches. The key, then, when you are outdoors barbecuing, is to make sure you have eliminated even all those least bottle caps in which still, standing water can breed thousands. Give your children a quarter for every bottle cap within 50 yards, and spray ‘em
with a little repellant before you send them forth to protect hearth and home. Yes, in our very midst we have Dr. Daniel J. Van Durme, M.D., M.P.H., exemplar of The Great Heroic Tradition. Of course, all this is nonsense unless we wish him well; a quick recovery. He is better, but sometimes worse, and knows that it may take weeks and months before he is entirely free of his pain. But at least, we can agree, it ain’t Dengue, or this terrible Ebola, which in each instance either may or very probably will kill you.
I had a cup of coffee, too, as I talked with him. I took a HIPAA approved photo, masked to hide his identity from any lurking mosquito. Next time he goes to Haiti I hope he will wear very long sleeves, very long pants, white gloves, and of course protective head gear, because the Aedes is very attracted to the heat of the human brain, and his is quite warm.
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FMA ANNUAL MEETING
First-Time Experience at the FMA Annual Meeting By Joshua Somerset, M.D., FACG,
closely with their chosen specialty, there is less cohesion of ideas and more specialty-oriented thinking. Physicians identify themselves as surgeons, psychiatrists, anesthesiologists, or cardiologists. Further division occurs with private practice, hospital-employee, or academic positions. Yet, legislators and patients often don’t see this distinction – to them, we are all doctors.
President-Elect, CMS Board of Governors
As a practicing physician, I am fairly comfortable assuming that most of my colleagues would agree the field of medicine needs continual improvement. We agree that “the system” has processes that are broken, yet we diverge when it comes to the solutions for these problems. Once physicians leave the stem cell state of medical school and identify more
As the saying goes, “All politics is local.” Ten local delegates, Drs. Shakra Junejo, Christie Alexander, Alma Littles, Michael Forsthoefel, Alfredo Paredes, William Kepper, Hugh VanLandingham, Gary Winchester, Joshua Somerset, and Jana BuresForsthoefel represented Capital Medical Society at the 2014 FMA Annual Meeting July 25-27 in Orlando, Florida, along with Dr. John Katopodis,
with the FMA, was a key part of our delegation. These local delegates analyzed and discussed resolutions presented from across the state of Florida by other medical societies, specialty medical societies, and other delegates. Ideas and resolutions varied from CPR training of high school students, reform of EMR control, medical school debt, all the way to fracking of natural gas and its effects on health. Our delegation tried to assess which resolutions were highest priority, most feasible, and warranted endorsement to take to our Northwest Florida Caucus (the delegates of CMS, Bays, Santa Rosa, and Escambia Medical Societies). Resolutions supported by Capital Medical Society would be further strengthened if the Northwest Florida Caucus endorsed them.
The Northwest Florida Caucus hard at work!
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FMA ANNUAL MEETING
At the FMA meeting, resolutions were further divided up into the appropriate reference committees with comments of support or opposition from the state’s county medical societies. The reference committees heard debate and made recommendation on the resolutions. Ultimately, each committee’s support or opposition carried a lot of weight. The House of Delegates met Saturday and Sunday, with the Sunday session being the opportunity for final debate and all delegate voting. The resolutions passed become the legislative agenda for the FMA Board for the coming year. Dr. Josh Somerset and Dr. Alfredo Paredes enjoy the North Florida Caucus Dinner on July 25 at Charley’s Steakhouse.
Some issues of the practice of medicine are state issues, others are federal issues. The FMA focuses on state issues and works with the AMA on the federal issues. At the meeting, we elected FMA Delegates to the AMA to represent the state of Florida at the AMA. Seeing how the whole process works, is both interesting and educational. Locally we benefit from a seasoned, experienced group of delegates who can get their voices heard. As a first year delegate, I saw how confusing and intimidating the process can be; familiarity and experience with the process are invaluable. In closing, I invite anyone interested to learn more about the avenues which shape the practice of medicine, and to understand what the FMA and FMA PAC do for the physicians in the state of Florida. CMS
Dr. Josh Somerset and Dr. Shakra Junejo represented the Northwest Florida Caucus at Reference Committee I – Health, Education & Public Policy.
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CMS ALLIANCE CORNER
We don’t want him, in his far-flung travels, to catch an Onchocerca volvulus either, and come down with “Nodding Syndrome,” even if it doesn’t kill you. It is hard to be an effective teacher when you are constantly “nodding,” and Dr. Van Durme is needed to continue being just that; as well as a “flower of our civilization.” As for the rest of us…and certainly myself…I am really very thankful that we, here, have been allowed to practice our art so safely in this delightful little city, quietly lost in the still undiscovered panhandle of Florida, rather than in a black and white world infested by guntotin’ Chinese war lords. P.S. And by the way, please forgive me what might seem a non sequitur for the following tribute: it is maybe 20 or even 25 years late, but let me here thank Dr. Moritz Dehler for his astute, and kind, acceptance of my wife’s self-diagnosis that she had Lyme disease back in the early nineties. Statistically it was not then supposed to be in Florida, and was dismissed accordingly by some, despite the tick, target rash, high fever and joint pain. Dr. Dehler, actually listening to his patient, put Lynn on something tetracycline-like, and after quite some time she got better with no later effects. Cured! Well done Dr. D! It is a worthwhile reminder, and worth this P.S. surely, that we should never simply dismiss a possibility because the statistics say otherwise. CMS
Dear Physician Spouse: The theme for the 2014-2015 Capital Medical Society (CMS) Alliance is: “Relationships, Retention and Recruitment”. The CMS Alliance works in partnership with the Capital Medical Society. The CMS Alliance will mail the first (September) and last (June) newsletters to physician spouses. For the months of September, January, and May, the CMS Alliance will provide an article for publication in the Cap Scan. We will gladly accommodate those who wish to receive a paper version, so please let us know if that is your desire. Your membership as a Capital Medical Society Alliance member supports local health care projects, educational scholarships, the CMS’s legislative initiatives, the CMS Celebration Awards Dinner, and the CMS Foundation’s Holiday Auction. This year, Alliance dues statements were mailed directly to members. The statements included an option to receive our newsletter electronically, and an invitation to participate on Alliance committees. The committees for this year are: Membership, Programs, Finance, CMS Support, and Bylaws. Signing up to serve on a committee is one of the best ways to help our organization and is truly a wonderful way to get to know other physician spouses in our community. Our first General Membership Meeting for 2014-2015 is scheduled to be held at A La Provence, Wednesday, September 24th, from 10:00am-12:00pm. This meeting is designated to honor our past CMS Alliance’s Presidents. The cost is $25.00, and the fee will be collected on the day of the event. Invitations will sent, but please mark your calendar. I encourage you to renew or join the CMS Alliance, and I look forward to working together to further our support of the Capital Medical Society. Sincerely, Zaneta Batchelor, President, Capital Medical Society Alliance
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
MEDICAL/LEGAL
New Rule for Telemedicine Due to the broadening scope of the practice of telemedicine, members of the Board of Medicine and the Board of Osteopathic Medicine have been discussing changes to the telemedicine rule in the past several meetings of the Joint Telemedicine Subcommittee. Florida’s Board of Medicine and Board of Osteopathic Medicine each adopted a rule addressing Standards for Telemedicine Practice.
Florida licensed physician or physician assistant provides health care services in person or by telemedicine.
Board of Medicine – Rule 64B8-9.0141: Standards for Telemedicine Practice
(3) Florida licensed physicians and physician assistants providing health care services by telemedicine are responsible for the quality of the equipment and technology employed and are responsible for their safe use. Telemedicine equipment and technology must be able to provide, at a minimum, the same information to the physician and physician assistant which will enable them to meet or exceed the prevailing standard of care for the practice of medicine.
Board of Osteopathic Medicine – Rule 64B15-14.0081: Standards for Telemedicine Practice
(4) Controlled substances shall not be prescribed through the use of telemedicine.
(1) “Telemedicine” means the practice of medicine by a licensed Florida physician or physician assistant where patient care, treatment or services are provided through the use of medical information exchanged from one site to another via electronic communications. Telemedicine shall not include the provision of health care services only through an audio only telephone, email messages, text messages, facsimile transmission, U.S. Mail or other parcel service, or any combination thereof.
(5) The practice of medicine by telemedicine does not alter any obligation of the physician or the physician assistant regarding patient confidentiality or recordkeeping.
The Final Rule for each Board became effective on March 12, 2014.
(2) The standard of care, as defined in s. 456.50(1)(e), F.S., shall remain the same regardless of whether a
(b) This rule does not apply to emergency medical services provided by emergency physicians, emergency medical technicians (EMTs), paramedics, and emergency dispatchers. Emergency medical services are those activities or services to prevent or treat a sudden critical illness or injury and to provide emergency medical care and prehospital emergency medical transportation to sick, injured, or otherwise incapacitated persons in this state. (c) The provisions of this rule shall not apply where a physician or physician assistant is treating a patient with an emergency medical condition that requires immediate medical care. An emergency medical condition is a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention will result in serious jeopardy to patient health, serious impairment to bodily functions, or serious dysfunction of a body organ or part. Rulemaking Authority: 458.331(1)(v), FS. Law Implemented: 458.331(1)(v), FS. History-New 3-12-14.
(6) A physician-patient relationship may be established through telemedicine.
Rulemaking Authority: 459.015(1)(z), FS. Law Implemented: 459.015(1)(z), FS. History-New 3-12-14.
(7) (a) Nothing contained in this rule shall prohibit consultations between physicians or the transmission and review of digital images, pathology specimens, test results, or other medical data by physicians or other qualified providers related to the care of Florida patients.
For more information, please visit the Board’s website at www. FLBoardofMedicine.gov. CMS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
MEDICAL/LEGAL
President Signs SGR Patch and ICD-10 Delay In April, the President signed a bill that will delay ICD-10 and patch the Sustainable Growth Rate formula. Following is a brief explanation of the legislation and what it means for you. Why does it matter? The bill addresses three things in particular that every physician needs to be aware of: o The Sustainable Growth Rate (SGR) is the flawed formula used to determine physician reimbursement under Medicare. This bill patches the SGR for another year, ensuring that physicians won’t see massive cuts to their Medicare reimbursement schedules. Without this patch, the SGR would have led to a 24-percent reduction in the Medicare fee schedule. Instead, the bill authorizes a 0.5-percent payment update during this period. o The bill delays the implementation of ICD-10 until October 2015. This means that physicians will have at least another year to prepare for the transition from ICD-9.
12
o The bill does not permanently repeal the SGR or replace it with a new reimbursement model. Congress had set out originally to accomplish this but failed to agree upon a funding source. Thus, the SGR will lapse again in another year if it is not once again patched or replaced in its entirety. Further, the bill does not end the Medicare sequestration cuts that have negatively affected physician practices across Florida. What else is in the bill? o The bill temporarily delays the highly controversial “two-midnight rule” that dictates when Medicare beneficiaries are considered inpatients for reimbursement purposes. o A myriad of other changes also are included. For instance, the bill achieves part of the savings necessary to fund the temporary SGR patch by re-evaluating Medicare payments for some services, including lab services and
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CT scans that don’t meet dosage standards. The bill also offers hospitals a one-year reprieve from the disproportionate share hospital (DSH) cuts that were scheduled to take effect under the ACA. It is highly unfortunate that Congress could not agree upon a permanent repeal of the SGR, especially in light of the considerable effort put forth in drafting a bipartisan, bicameral solution. However, the FMA remains committed to replacing the SGR with a fair and sustainable system for reimbursing physicians who serve Medicare beneficiaries. Rest assured, the FMA will continue working with our Congressional Delegation and other stakeholders to achieve this laudable goal. CMS
MEDICAL/LEGAL
Physicians in the Middle of the Marijuana Battle: How physicians became the gatekeepers between cannabis and the public and how physicians should approach cannabis as a form of treatment. By Jacqueline Bain, The Florida Healthcare Law Firm The Federal Government lists marijuana as a “Schedule I” controlled substance, meaning it has a high potential for abuse and no currently accepted medical use. 21 USC § 812(b)(1). Because there is no current accepted medical use, Federal law prohibits physician from issuing prescriptions for marijuana. 21 CFR § 1306.04(a). However, the Federal Government has traditionally deferred to the States to prosecute small-scale marijuana violations. This lack of Federal enforcement has encouraged the States to enact less stringent controls on the marijuana industry. On August 29, 2013, the Federal Department of Justice issued a memorandum stating that it will continue to rely on State and local authorities to address marijuana activity through enforcement of their own narcotics laws. Nevertheless, in light of new State laws allowing for possession of a small amount of marijuana and regulating production, processing and sale of marijuana, the Department of Justice has designated eight criteria to guide State law enforcement. States must (1) prevent the distribution of marijuana to minors; (2) prevent revenue from the sale of marijuana from flowing to criminal enterprises; (3) prevent the diversion of
marijuana from states where it is legal to states where it is illegal; (4) prevent marijuana activity from being used as a cover for the trafficking of other illegal drugs; (5) prevent violence and the use of firearms in the cultivation and distribution of marijuana; (6) prevent drugged driving and the exacerbation of other adverse public health consequences associated with marijuana use; (7) prevent the growth of marijuana on public lands; and (8) prevent marijuana possession or use on federal property. In the event that the Federal Government determines that States are not adhering to such criteria, the Federal Government reserves its right to challenge State laws. Most states that have legalized marijuana have done so for “medical use” only, meaning that consumers must obtain a prescription from a physician prior to purchasing or producing it. For this reason, physicians are often viewed as marijuana’s “gatekeepers”. As an increasing number of states, including Florida,
explore legalizing medical marijuana, physicians must educate themselves regarding its uses and challenges. First, prescribing medical marijuana remains a violation of the Federal Controlled Substances Act. A physician who prescribes medical marijuana risks the loss of his/her license to prescribe controlled substances. As recently as April 8, 2014, Attorney General Eric Holder answered questions from House Judiciary Committee members regarding the Federal Government’s selective enforcement of the law as it pertains to marijuana. This area of law continues to develop every day. Physicians who prescribe marijuana as a form of treatment must remain vigilant regarding changes in law. Second, physicians must become educated on when medical marijuana is appropriate as a form of treatment. As with any drug, physicians are obligated to understand marijuana’s uses and limitations before offering it as a treatment option. Effective
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
MEDICAL/LEGAL
January 1, 2015, physicians in Florida may prescribe low-dose marijuana to certain epilepsy and cancer patients. Low-dose marijuana contains roughly half the tetrahydrocannabinol (THC) of the average marijuana plant, while possessing normal levels of cannabidiol (CBD), which is used to treat seizures. The law does contain certain restrictions. Physicians may only prescribe the drug as a last resort if other treatments are not effective, and only to patients to whom they provide ongoing treatment. Patients must be permanent Florida residents. For patients under the age of 18, a second physician must concur with the treating physician’s suggested use of medicinal marijuana. Physicians must register as prescribers of low-dose cannabis and include the name of each patient in a State registry. Physicians must update the registry with each change in or termination of such prescription. Physicians may be guilty of a misdemeanor for prescribing the drug to patients who do not have cancer, symptoms indicative of cancer or seizures. Moreover, before prescribing the drug, physicians must complete an 8-hour training program with the Florida Medical Association. This sentiment is echoed in states where medical marijuana is legal. In 2013, the Journal of the American Board of Family Medicine published the results of a survey of family physicians in Colorado (where medical marijuana has been legal since 2000) regarding their attitudes toward medical marijuana. Those physicians overwhelmingly agreed that further medical education and training is needed about medical marijuana: 4 out of 5 agreed that
training should be incorporated into medical school curricula and family medicine residency curricula, and that primary care physicians should be required to receive formal training prior to recommending it to patients. Third, many State laws allow physicians to give patients a card allowing them access to marijuana. (Current law in Florida does not require patients to carry a card.) Prescription of controlled substances typically involves calculation of how much of a drug is delivered to the patient and for how long the drug will remain in the patient’s system. By contrast, there is no reliable delivery system for the marijuana to the patient and its lasting effects are unclear. It is an imprecise science and should be used with caution. Prescription of medical marijuana may present certain professional malpractice issues for a physician. Physicians are encouraged to contact their malpractice insurance providers prior to prescribing marijuana as a form of treatment. The November ballot in Florida will contain a proposition expanding the use of medical marijuana. The proposed law would allow Florida physicians to prescribe marijuana for a variety of specified diseases, and in the event that a physician believes that the medical use of marijuana would likely outweigh the potential health risks for a patient. The proposition may trigger Florida Pain Clinic registration for prescribing physicians. Pain Clinics are defined as advertising any medium for any type of pain-management services or where in any month a majority of patients are prescribed certain controlled substances
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
for the treatment of chronic nonmalignant pain. The Department of Health requires Pain Clinics to register with the State and undergo inspection. Moreover, in the event that Florida views marijuana as a “prescription drug”, prescribing physicians must vet any business relationship to which the physician refers, including marijuana dispensaries or treatment centers. Physician self-referral laws will apply. Finally, physicians are well-served to understand that prescribing marijuana without a full understanding of a State’s law may subject the physician to additional legal liability. For example, the Florida ballot measure to be voted on this November requires each prescription to be accompanied by a “physician certification”, wherein the prescribing physician affirms that in the physician’s professional opinion, the patient suffers from a debilitating medical condition, that the potential benefits of the medical use of marijuana would likely outweigh the health risks for the patient. Physicians must fully educate patients about how marijuana will impair decisions and affect motor skills. Results of patient’s poor choices while under the effects of marijuana may prove disastrous for a prescribing physician. _________________________________ Ms. Bain of the Florida Healthcare Law Firm is a healthcare attorney licensed exclusively in New York and has specific experience with compliance and negotiating and analyzing healthcare contracts. She can be reached via email at Jackie@ FloridaHealthcareLawFirm.com or by calling 888-455-7702. CMS
MEDICAL/LEGAL
Windows XP Use May Trigger HIPAA Non-Compliance Now that Microsoft has stopped supporting the Windows XP operating system, physician practices using Windows XP face threats from viruses, Trojans, and other potential security breaches. All PC workstations and laptops using Windows XP that contain Protected Health Information (PHI) are no longer compliant with HIPAA and the HITECH Act. This includes devices used to access PHI via the Internet. HIPAA Security Rule section 164.308(a)(5)(ii)(B) states that practices must implement “procedures for guarding against, detecting, and reporting malicious software.” This is no longer possible with Windows XP.
If your practice system currently runs on Windows XP, follow these tips immediately to bring your practice into HIPAA compliance:
· Identify all at-risk workstations and laptops. · Analyze the hardware in all at-risk computers to determine if they are capable of running a new operating system, such as Windows 7 or 8. · Upgrade all at-risk computers identified as capable of running a new operating system.
· For computers that cannot be upgraded, either replace the hardware or purchase new computers. · Create a transition plan for upgrading or replacing computers.
Internet Explorer 8 is also no longer supported—if your practice is running Windows XP and using Internet Explorer 8, you may be exposed to additional threats.
Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/ patientsafety.
CMS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS NEW MEMBERS
Capital Medical Society is pleased to welcome the following New Members:
TMH Family Medicine Residents Leah Anderson, M.D., University of Mississippi Marian Babalola, M.D., University of Medicine and Health Sciences Jannice Beckford, M.D., University of the West Indies, Jamaica Gary Brown, M.D., University of the West Indies, Jamaica Dwaipayan Choudhury, M.D., University of Mississippi Sasha Gittens, M.D., University of the West Indies, Jamaica Todd Hewitt, M.D., University of Medicine & Health Sciences Nam Huynh, M.D., Ross University Megan McNeil, M.D., American University of the Caribbean Aaron Ward, M.D., Windsor University Mitchell Whitehead, M.D., Florida State University FSU COM/TMH Internal Medicine Residents
Wade Douglas, M.D.
Gizatchew Ketsela, M.D.
Anthony Speights, M.D.
Medical School: University of Florida Internship/Residency: Morehouse School of Medicine Fellowship: Roswell Park Cancer Institute Specialty: General Surgery, Surgical Oncology Practice: Professor & Program Director, Florida State University College of Medicine General Surgery Residency Program at Tallahassee Memorial Healthcare
Medical School: Addis Ababa University, Ethiopia Internship/Residency: New York Medical College Fellowship: Shands Specialty: Infectious Disease Practice: Southeastern Center for Infectious Diseases
Medical School: University of South Florida Internship/Residency: Riverside Regional Medical Center Specialty: OBGYN Practice: Assistant Professor, Family Medicine and Rural Health, Florida State University College of Medicine
Sammy Ashouri, M.D., Florida State University Vishal Dahya, M.D., Florida State University Jilliane Grayson, M.D., Florida State University Anthony Herzog, M.D., Florida State University Marta Klisinska, M.D., Florida State University Rochelle Marill, M.D., Ross University Sahar Naeem, M.D., Ross University Tomonori Oyadomari, M.D., St. George’s University Rachel Russell, M.D., Florida State University Salil Shah, M.D., Ross University
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
CMS FOUNDATION HOLIDAY AUCTION
SUPPORT YOUR FOUNDATION – BECOME A SPONSOR! Capital Medical Society Foundation ~ Holiday Auction December 4, 2014 University Center Club at FSU FSU Doak Campbell Stadium – 1 Champions Way Sponsor Name:_____________________________________________________________ Address:___________________________________________________________________ Phone: ______________________________ Fax:__________________________________ E-mail:_________________________________ Today’s Date:________________________
Primary Contact:_____________________________________________________________ Contact Signature:___________________________________________________________ Please check your sponsorship level: Title Sponsors: $5,000 • Invitation for eight (8) company representatives to the Holiday Auction • Logo on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • One free full-page black & white ad in 2015 in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement Presenting Sponsors: $2,500 • Invitation for six (6) company representatives to the Holiday Auction • Listed as sponsor on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • One free half-page black & white ad in 2015 in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement Supporting Sponsors: $1,000 • Invitation for four (4) company representatives to the Holiday Auction • Listed as sponsor on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement Event Sponsors: $500 • Invitation for two (2) company representatives to the Holiday Auction • Listed as sponsor on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement Donations payable to: Capital Medical Society Foundation The Capital Medical Society Foundation is a 501(c)(3) Corporation COMPLETE AND FAX THIS FORM TO CMS: (850) 878-0218
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
•
•
Federal Tax I.D. #: 59-2104510
QUESTIONS? CALL (850) 877-9018
ROTARY CLUB OF TALLAHASSEE
The Rotary Club of Tallahassee awarded Capital Medical Society Foundation $2,500 for We Care Network on August 6, 2014. The Rotary Club of Tallahassee has supported We Care Network since 2003. Dr. John Mahoney, President of Capital Medical Society Foundation and a member of the Rotary Club of Tallahassee, is among the many Rotarian physicians and dentists donating specialty and dental care through the We Care Network. CMS
_
Mary Pankowski, President of Rotary Club of Tallahassee; Pam Wilson, Executive Director, Capital Medical Society; John Mahoney, M.D.; and Monica Demott, R.N., Jean McCully We Care Network R.N. Program Coordinator.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
You Are Invited
Event Sponsored By:
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(850) 487-1902 • 400 S. Monroe Street, Tallahassee, FL • www.flhistoriccapitol.gov Complimentary beverages and hors d’oeuvres will be served courtesy of Whole Foods Market.
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20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
FMA ANNUAL MEETING PHOTOS
Dr. Christie Alexander and Mollie Hill at the North Florida Caucus Dinner.
Dr. Michael Forsthoefel and Dr. Jana Bures-Forsthoefel at the North Florida Caucus Dinner.
Maria Paredes and Mary VanLandingham at the North Florida Caucus Dinner.
Dr. John Katopodis and Evi Katopodis at the North Florida Caucus Dinner.
Dr. Michael Forsthoefel, Pam Wilson, Dr. Alma Littles, Dr. Alfredo Paredes, and Dr. Christie Alexander.
Dr. Bill Kepper and Sharon Kepper at the North Florida Caucus Dinner. (L-r) Dr. Christie Alexander, Dr. John Katopodis, Dr. Jana Bures-Forsthoefel, Dr. Michael Forsthoefel, Dr. Alfredo Paredes, Dr. Josh Somerset, Dr. Hugh VanLandingham, Dr. Bill Kepper, Dr. Alma Littles, Dr. Andrea Friall, and Dr. Shakra Junejo.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
21
DONATE TO THE CMS FOUNDATION
We Thank Our Donors We thank the following people/ organizations who made a donation to the CMS Foundation last month: For the We Care Network Rotary Club of Tallahassee For the CMS Foundation Anonymous Anonymous
Along with their annual dues payment Jeffrey Crooms, M.D. Dermatology Associates Alfredo Paredes, M.D. Gregory Perry, M.D. Jeffrey Rawlings, M.D. Tim Ruark, M.D. Eliot Sieloff, M.D. Michael Wilhoit, M.D.
The mission of the Capital Medical Society Foundation is 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.
How to Buy Dr. Williams’
REASONS TO DONATE You can make a donation to the CMS Foundation in
More Simpler Times
memory of someone who has passed away or you can make a donation in honor of someone, such as a fellow physician you hold in high esteem or has
By Shannon Boyle
taken care of you or your family. CMS will send a letter to those you honor.
We are very grateful to Dr. Charles Williams that he has decided to donate to the We Care Network, proceeds from the sales of his new book and sequel, More Simpler Times.
ENDOWMENT FUNDS CMS Foundation has created three endowment funds in order to establish long-term financial stability to meet our mission. You can donate at any time to one of the CMS Foundation’s Endowment Funds. 1) The General Endowment Fund 2) The We Care Network Endowment Fund 3) The Scholarship Endowment Fund Checks should be made payable to the CMS Foundation and indicate on the “For line” to which Fund you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308.
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
The cost is $20 per book. You can buy copies of the book at: • The CMS office – 1204 Miccosukee Road • The Gift Shop at Capital Regional Medical Center • The Gift Shop at Tallahassee Memorial Hospital • Tallahassee Nurseries – 2911 Thomasville Road • My Favorite Things – 1410 Market Street, B2 • Feathered Pony Boutique – 2522 Capital Circle NE, #3 CHECKS SHOULD BE MADE OUT TO: CMS FOUNDATION. THIS MEANS YOU ARE MAKING A TAX-DEDUCTIBLE DONATION TO YOUR CMS FOUNDATION.
CMS FOUNDATION: WE CARE NETWORK
Thank you! To our CMS members and We Care partners who saw new patients for the We Care Network in July 2014. Your generosity and support of the We Care Network makes a difference. Physicians Greg Albright, D.O. Emily Ashmore, M.D. Marie Becker, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Viet Bui, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Michael Cavallaro, M.D. C. Raymond Cottrell, M.D. David Dolson, M.D. David Durden, M.D. Iman Imanirad, M.D. Marc Inglese, M.D. Okanta Jackson, M.D. Amit Jain, M.D. Arjun Kaji, M.D. Ken Kato, M.D. Hari Kolli, M.D. Amulya Konda, M.D. Stephanie Lee, M.D. Carey Linker, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. J. Daniell Rackley, M.D. Stephen Richardson, M.D. Adrian Roberts, M.D. William Sawyer, M.D. Jeannine Silberman, M.D. Hardeep Singh, M.D. Robert Snyder, M.D. Joseph Soto, M.D. Jean Paul Tran, M.D. James Trimble, M.D. William Yaakob, M.D. Richard Zorn, M.D.
Dentists Eric Amundson, D.D.S. Richard JP Bastien, D.M.D. M. 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. Ben Grooters, D.D.S. Michael Hartley, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, 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. Podiatrists Russell Rowan, D.P.M. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Dermatology Associates 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 Health Imaging Tallahassee Memorial HealthCare Tallahassee Orthopedic and Sports Physical Therapy 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. You can send your value of donated services via fax to Monica Demott, R.N. at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
We thank our referring providers from July 2014: Eboni Allen, ARNP Anne Ananga, ARNP Ricardo Ayala, M.D. Marcos Barrera, D.D.S. Marie Becker, M.D. Dhananjay Bendre, M.D. Viralkumar Bhanderi, M.D. Elizabeth Borger, ARNP Sherry Bramblett, ARNP Daniel Breivogel, ARNP Acquinonette Bryant, M.D. Carlos Campo, M.D. Natosha Canty, M.D. David Castillo, M.D. Eugene Charbonneau, M.D. Alex Davenport, M.D. Lysmar Dinguis, M.D. Evan Dussia, II, M.D. Tanya Evers, M.D. Michael Forsthoefel, M.D. W. Harris Green, M.D. Judy Griffin, ARNP Paul Hartsfield, M.D. Muhanad Hasan, M.D. Karl Hempel, M.D. Hantz Hercule, M.D. Iman Imanirad, M.D. Arjun Kaji, M.D. Marjorie Kirsch, M.D. Amulya Konda, M.D. Elaine Larkins, ARNP Esaias Lee, M.D. Michael Mangan, M.D. William Necaise, ARNP Neighborhood Medical Center Whit Oliver, M.D. Rose Origa, ARNP Andrea Plagge, M.D. J. Daniell Rackley, M.D. Adrian Roberts, M.D. Temple Robinson, M.D. Jose Rodriguez, M.D. Mark Saunders, M.D. Robert Snyder, M.D. Bob Soni, M.D. Alanna Steaple, ARNP Seth Stern, M.D. Tallahassee VA Clinic Faye Tinson, ARNP TMH Family Medicine Residency Program Chris VanSickle, M.D. Lawrence Weaver, D.D.S. Quandra Whaley, ARNP William Yaakob, M.D. Richard Zorn, M.D.
Please contact Monica Demott, R.N. at mdemott@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of July 2014 and your name is omitted.
During the month of July, the We Care Network: Received 115 referrals, with 38 patients new to the program
Scheduled 114 appointments with volunteer physicians and dentists
$68,765 in donated care was reported by We Care volunteers
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
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