SEPTEMBER EDITION, VOLUME 2019, NO. 9
YOUR PRESIDENT’S PERSPECTIVE ON THE 2019 FMA ANNUAL MEETING By Maribel U. Lockwood, M.D., CMS President The 2019 FMA Annual Meeting was held from August 9-11 in Orlando, FL at the Hilton Bonnet Creek Hotel. Capital Medical Society was entitled to eleven delegates as its representatives, based on the number of its members who are also FMA members. Our delegation included John Bailey, D.O., Andy Borom, M.D., David Dixon, D.O., Michael Forsthoefel, M.D., Rohan Joseph, M.D., Alma Littles, M.D., Maribel Lockwood, M.D., John Mahoney, M.D., Winston Ortiz, M.D., Ken Whithaus, M.D., and Gary Winchester, M.D. We were joined by Christie Alexander, M.D., FMA Board of Governors Delegate; John Katopodis, M.D., 2017 FMA President and FMA Board of Governors Delegate; Andrea Friall, M.D., American Congress of Obstetricians & Gynecologists (ACOG) District XII Florida; and Brence Sell, M.D., FL Society of Anesthesiologists. Avon Doll, M.D. was in attendance as a delegate for the Florida Society of Nephrology. The Northwest Florida (NWFL) Caucus combines eleven Capital Medical Society delegates, eight delegates from the Emerald Coast Medical Association, and eight delegates from the Escambia County Medical Society. As a caucus, we are very passionate about the practice of medicine and the resolutions we reviewed. The leadership of the NWFL Caucus rotates among the three delegations every year. This year, it was Capital Medical Society’s turn, so I was tasked to this role as the current CMS President. It was my second year attending the FMA Annual Meeting. I knew our NWFL Caucus is a passionate group, so I was hesitant, but determined to fulfill my role. With the help of our excellent CMS Executive Director Pam Irwin, we were able to navigate the issues in a timely manner. Capital Medical Society Foundation’s new Development Director Judi Wills also attended and helped Pam with the meeting setup each morning. Shannon Boyle provided her assistance in advance by handling the event-side of things like reserving the meeting space, AV rentals, and food orders. We discussed all of the proposed resolutions, were able to discuss and debate them, and end our caucus meetings with a unified position to present, as needed, to
the Reference Committees. I truly appreciate all members of the NWFL Caucus for their ideas and willingness to work together for the good of the practice of medicine. I believe we all felt good with the work accomplished. There are 4 Reference Committees. Reference Committees are groups of at least five delegates, selected by the Speaker to conduct open hearings on matters of business of the House of Delegates. Having heard discussion on the subject before it, the committee draws up a report with recommendations to the House for disposition of its items of business. Capital Medical Society’s members participated in three of the four as committee members: Rohan Joseph, M.D., Reference Committee I- Health, Education, and Public Policy; Brence Sell, M.D., Reference Committee II- Finance and Administration; and I served on Reference Committee III- Legislation and Miscellaneous.
Delegates and Members from Capital Medical Society: (standing, l-r) Rohan Joseph, M.D., Judi Wills, Brence Sell, M.D., Andy Borom, M.D., Michael Forsthoefel, M.D., Ken Whithaus, M.D., David Dixon, D.O., John Katopodis, M.D., Pam Irwin, (seated, l-r) Christie Alexander, M.D., Maribel U. Lockwood, M.D., and Alma Littles, M.D. (Not pictured: John Bailey, D.O., John Mahoney, M.D., Winston Ortiz, M.D., and Gary Winchester, M.D.) CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR September 17, 2019 CMS Membership & CME Meeting Disaster Preparedness Speaker: Joe Mazziotta, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
October 15, 2019 CMS Membership & CME Meeting Prevention of Medical Errors Speakers: Julia Weeks, M.D. and Jesse Suber, Esq. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks CONTINUED ON PAGE 3
BOARD OF GOVERNORS Maribel U. Lockwood, M.D., President
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
Ken Whithaus, M.D., President-Elect Rohan Joseph, M.D., Secretary/Treasurer David Dixon, D.O., Immediate Past President
2019 FMA Annual Meeting..............................................................1 Professional Notes............................................................................6 CMS News...........................................................................................7 CMS Lunch and Learn....................................................................10 New Docs on the Block.................................................................. 11 Women in Medicine Month........................................................... 12 Alliance Corner................................................................................ 14 Viewpoint.......................................................................................... 15 2019 CMS Foundation Holiday Auction.................................... 17 More Simpler Times........................................................................ 19 CMS Foundation Appoints New Development Director..... 20 CMS Foundation.............................................................................. 21 CMS Foundation: We Care Network..........................................22
Christie Alexander, M.D. Todd Hewitt, M.D. Marc Inglese, M.D.
HAPPY BIRTHDAY!
Melissa Inglese, CMS Alliance Sarah Ko, M.D.
{SEPTEMBER BIRTHDAYS}
Matt Lee, M.D. Paresh Patel, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Dermatology Residents Samantha Marrone, M.D./Shalini Thareja, M.D. Family Medicine Residents Tristan Brooks, D.O./Mary Claire Smallwood, M.D. General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, M.D.
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.
Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Brittany Schafer, 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 L. Dan Kaelin, M.D. – 3rd Laurence Rosenberg, M.D. – 3rd Vicki Erwin-Wilson, M.D. – 4th George Slade, M.D. – 4th Alberto Fernandez, M.D. – 5th John Fogarty, M.D. – 5th Howard Kessler, M.D. – 5th Robert Rowland, M.D. – 6th James Patty, M.D. – 7th David Stewart, M.D. – 7th Andrea Randell, M.D. – 8th Laura Rosner, M.D. – 8th Nicholette Fox, M.D. – 9th Hardeep Singh, M.D. – 9th James Stockwell, M.D. – 9th Julia Weeks, M.D. – 9th Guerdine Alcius, M.D. – 10th John Dortch, M.D. – 10th Fabiola Puga Duénas, M.D. – 10th Carlos Campo, M.D. – 11th Charles F. Manning, Jr., 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 Kenneth Whithaus, M.D. – 15th Robert Bradford, M.D. – 16th Jennifer Swisher Lynes, D.O. – 16th James Martin, M.D. – 17th Mervin Wallace, M.D. – 18th Kaisa van der Kooi, M.D. – 19th Robert Brumberg, D.O. – 20th Robert Hoyne, M.D. – 20th David Vermess, M.D. – 21st James Pfeifer, D.O. – 22nd Faisal Munasifi, M.D. – 22nd Temple Robinson, M.D. – 23rd Dean Watson, M.D. – 23rd Patrick Brown, M.D. – 24th Susan Cross, M.D. – 24th Jose Diaz, M.D. – 24th Michael Allison, M.D. – 25th Daniel Van Durme, M.D. – 25th Charles Holland, M.D. – 26th Marilyn Cox, M.D. – 28th Mark Shamis, M.D. – 28th Alexandra Wright, M.D. – 28th Randall Hartlage, M.D. – 29th Romaine Barrett, M.D. – 30th Mark Cannella, M.D. – 30th Kathryn Simmons, M.D. – 30th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
2019 FMA ANNUAL MEETING
CONTINUED FROM COVER
John Mahoney, M.D. was the chair of the Credentials and Standing Rules Committee, which is a stand-alone committee responsible for determining whether to accept late resolutions and monitoring the distribution of election ballots and electronic voting devices to voting delegates. This committee is also responsible for counting ballots and providing election results to the Speaker of the House. Once all of the resolutions are reviewed at the caucus level and additional testimony from the delegates is heard during the Reference Committees, the Reference Committees hold executive sessions to review the testimony and make recommendations on each resolution. They either recommend adoption, adoption as amended or substituted, referral to the Board of Governors, nonadoption, or filing or reaffirmation of policy. These Executive Sessions of the Reference Committees last most of Saturday afternoon, depending on the contentiousness of the resolutions. The resolutions that were recommended for non-adoption, then are presented to the House of Delegates on Sunday morning on the Consent Calendar. There is an opportunity for delegates to give more testimony on issues related to the resolutions with an ultimate display of democracy. Anyone who wants to testify is heard until there is “a call to question.” Time limits are enforced for comment. The Speaker and Vice Speaker do a tremendous job keeping the discussion respectful with the House directing to stop the discussion with a call to question. It was fascinating to see that resolutions recommended for non-adoption by the Reference Committees can be reversed by the House of Delegates. This year, very controversial/complex issues were reviewed, and some passed (to my surprise) with a majority vote from the House. This process will help set the legislative agenda for the FMA Board of Governors in the upcoming legislative session. Ronald F. Giffler, M.D. was installed as the FMA’s 143rd President. He is a pathologist with vast experience at the FMA. He gave a thoughtful and inspirational acceptance speech. He said that his priorities this year are the scope of practice and prior authorization/fail first issues with insurance companies. He believes heartily that if you want to be called a Doctor in Medicine, you should go to medical school. This sounds like common sense, but apparently, common sense is not common anymore.
John N. Katopodis, M.D. was awarded the 2019 FMA Distinguished Service Award. “The Distinguished Service Award is the FMA’s highest award and is presented by the FMA House of Delegates. Selections, of no more than two recipients per year, are made among those members who have rendered exceptional and outstanding service to the Association, to the medical profession, and to the public over a period of years.” Congratulations to Dr. Katopodis and deep gratitude for all he has done and continues to do for organized medicine and our patients. There is a friendly competition for the specialty societies and county societies who donate the most money to the FMA PAC the weekend of the annual meeting. We earned second place for medical societies. Duval donated 40K! Way to go! Duval gets to keep an enormous trophy for a year. We earned it two years ago. Let’s try to get it back next year! We, as a physician community, can influence the legislative process. The Florida Representatives and Senators will listen to us. The FMA has to have money to support politicians friendly to medicine. The FMA Board effectively lobbies and educates politicians on our issues. They need us all to become FMA members and to support the FMA Political Action Committee (PAC). And, last but not least, we as physicians must be active participants in the process, by giving testimony during legislative committees, building relationships with physician/patientadvocate politicians, and being present to answer questions and to clarify issues for them. It was my pleasure to attend the 2019 FMA Annual Meeting. It was a display of camaraderie and democracy. Our profession is being hit from all directions. If we are not there, - UNITED- to respond, it will not be long before we do not recognize the great profession of medicine, as we know it now. The FMA’s mission statement is “Helping Physicians Practice Medicine.” Let’s do that. I would like to end by encouraging every physician to join the FMA, so they can help physicians to practice medicine for the ultimate benefit of the patient.
CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR CONT. FROM COVER
November 12, 2019 CMS Membership & CME Meeting Women are from Venus; Men are from Mars: Sexual Dysfunction on both Planets Speakers: Andrea Friall, M.D. and Kenneth DeLay, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 5, 2019 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
2019 FMA ANNUAL MEETING
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Captions for above photos: 1 – (L-r) Corey Howard, M.D., FMA President, presented the 2019 FMA Distinguished Service Award to John N. Katopodis, M.D.
5 – John Mahoney, M.D., Chair of the Credentials and Standing Rules Committee.
2 – CMS Immediate Past President, David Dixon, D.O. representing Capital Medical Society at the meeting.
6 – FL House Representative Gayle Harrell was recognized for her service at the FMA Annual Meeting. She and her late husband, James Harrell, M.D. of Stuart, FL jointly advocated for the practice of medicine.
3 – Andy Borom, M.D. and Christie Alexander, M.D., both advocates for the practice of medicine through the FMA.
7 – Florida Senate President Bill Galvano shared his commitment to physicians and their patients during the Good Government Lunch at the FMA Annual Meeting.
4 – FSU College of Medicine students and leadership were well represented at the FMA Annual Meeting. Pictured l-r: Alma Littles, M.D., Lauren Angnardo (M2), Gabby Cintron (M2), John Fogarty, M.D., Stenia Accilien (M2), Naomi Thelusma (M2), Alejandro Gonzalez (M3), and Samantha Pavlock (M2, PhD).
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2019 FMA ANNUAL MEETING
CMS Delegates and Members joined their fellow North Florida Delegates for a Social in the Hospitality Suite on Friday, August 9. This was a great way to kick off the 2019 FMA Annual Meeting and gave everyone a chance to get to know one another in a casual setting. We thank our sponsor, Danna-Gracey.
CONTINUED ON PAGE 8
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PROFESSIONAL NOTES
PROFESSIONAL NOTES Roy Forman, M.D. was awarded the Mission Model Award by the FSU College of Medicine Tallahassee Regional Campus. This award is given to a clinical faculty member at each regional campus who has distinguished herself/himself by participating in activities that model the mission of the FSU College of Medicine, “to educate and develop exemplary physicians who practice patient-centered health care, discover and advance knowledge, and are responsive to community needs, especially through service to elder, rural, minority & underserved populations.” Congratulations, Dr. Forman! Andrea Friall, M.D. presented a motivational, personal glimpse into her ever-evolving journey in leadership at the Tallahassee Chamber’s Professional Women’s Forum on August 6, 2019. Sharing her own sense of vulnerability and self-doubt at times, she encouraged women to believe in themselves and their abilities. Sharing the dim statistics about women in leadership roles, despite their education and experience, she challenged women to look for leadership opportunities and to not shy away when they are offered. “We as women need to hold hands and lift each other up. Not crush each other.” Well done, Dr. Friall! Rohan Joseph, M.D. was awarded the Outstanding Clinical Faculty Educator Award by the FSU College of Medicine Tallahassee Regional Campus. Each year, the FSU College of Medicine Tallahassee Regional Campus selects a faculty member who demonstrates the following: 1) consistent dedication to the six (6) COM principles of the curriculum; 2) consistent dedication to identifying and meeting the educational needs of students; 3) enthusiasm for teaching; 4) participation in faculty development; and, 5) willingness to work collaboratively with clerkship directors/clerkship faculty/ regional campus staff to deliver the COM’s clinical curriculum to students. Congratulations, Dr. Joseph! John Katopodis, M.D. was presented the Award of Distinguished Service on August 10, 2019 during the 2019 FMA Annual Meeting. This is the FMA’s highest award and was presented by the FMA House of Delegates. Selections, of no more than two recipients per year, are made among those members who have rendered exceptional and outstanding service to the Association, to the medical profession, and to the public over a period of years. Congratulations, Dr. Katopodis!
Capital Regional Behavioral Health Center has opened Outpatient Services for university and college students, providing additional psychiatric services to young adults in the area. Behavioral-health–specific facilities are a need in Tallahassee and the surrounding communities. “Behavioral health treatment has come a long way, but just as with other diseases, psychiatric disorders have episodic flare-ups that require intervention and follow-up,” said Alan Keesee, Chief Executive Officer at Capital Regional Medical Center. “With our new Outpatient Services, geared towards students we have more opportunities to ensure our patients receive the care they need, when and where they need it.”
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.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS NEWS
CMS WELCOMES STUDENTS FROM THE ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE (ACOM) On July 26, 2019, Dr. John Bailey and Pam Irwin welcomed 3rd year medical students from the Alabama College of Osteopathic Medicine, who will be in clinical training in Tallahassee for their third- and fourth-year. Dr. Bailey shared the importance of seeking leadership
opportunities in the practice of medicine and the value of involvement at the local, state, and national level in organized medicine to improve collegiality and to effect positive change for the ultimate benefit of the patient through the legislative process.
IN MEMORIAM
FRANCIS HANSELL “HANK” WATT, M.D. 1923 - 2019
EDWARD FRANCIS ZAPERT, D.M.D. 1956 - 2019
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2019 FMA ANNUAL MEETING
CONTINUED FROM PAGE 5
CMS Delegates and Members enjoyed the college football-themed FMA Celebration honoring 2019 FMA President, Dr. Ronald Giffler, on Saturday, August 10.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS MARK YOUR CALENDARS FOR THE FALL 2019 LUNCH AND LEARN SEMINARS September 18, 2019 Challenging Patients: To Dismiss or Not to Dismiss, that is the Question Unfortunately, not all patients and families are easy to work with. Attend this session for the answers to these questions and more: • Should you continue to care for patients who don’t adhere to their treatment plan, pay their bills or no show frequently? • Is there right way to dismiss a patient? Is there a wrong way and what are the consequences? • Should you do anything if the patient fires you? Learn how to protect you practice, your providers and your patients during the dismissal process. Speaker: Sue Boisvert, The Doctors Company Sponsor: Medical AR Revenue Solutions, LLC Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
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October 16, 2019 Improving Patient Communication Within the Medical Community Speaker: Zach Finn, HIE Networks Sponsor: HIE Networks November 13, 2019 Technology Roundtable Speaker: TBA Sponsor: TMH Federal Credit Union For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
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
NEW DOCS ON THE BLOCK
NEW DOCS ON THE BLOCK Trey M. Blake, M.D. Medical School: West Virginia University Internship/Residency: University of Tennessee at Chattanooga Practice: Chief Medical Officer, Capital Regional Medical Center Specialty: Internal Medicine
Christine Tsin-Wan Chiu-Geers, M.D. Medical School: University of Florida Internship/Residency: Halifax Medical Center Practice: Capital Health Plan Specialty: Family Medicine
Matthew P. Connor, M.D. Medical School: Loyola University Stritch School of Medicine Internship/Residency: San Antonio Military Medical Center Practice: Tallahassee Ear, Nose & Throat Specialty: Otolaryngology
Karan N. Patel, M.D. Medical School: Saint George’s University School of Medicine Internship: University of Texas Health Science Center Residency: Wayne State University, The Brooklyn Hospital Center Fellowship: University of Maryland Shock Trauma Hospital Practice: Radiology Associates of Tallahassee Specialties: Radiology/Interventional Radiology
FSU COLLEGE OF MEDICINE/TMH INTERNAL MEDICINE RESIDENTS Maarij Ahmad, D.O. - Edward Via College of Osteopathic Medicien ~ Virgi Kristina Akopyan, M.D. - St. George's University School of Medicine Anazilta Edward, M.D. - Ross University School of Medicine Jussi Niiranen, M.D. - Universitatsmedizin Greifswald Melvis Villar, M.D. - Universidad Iberoamericana (UNIBE) School of Medic
TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENTS Ricardo Bailey, M.D. - Florida State University Jared S. Barber, M.D. - Florida State University Fabiola C. Cardozo, M.D. - Universidad Central de Venezuela Bennie G. Diamond, M.D. - Morehouse School of Medicine Nicholette B. Fox, M.D. - St. George's University Sandya G. Jiandani, M.D. - American University of Antigua Vincent L. Nguyen, M.D. - University of Queensland Fabiola E. Puga Duénas, M.D. - Universidad Autónoma de Guadalajara Breanna J. Walters, M.D. - Florida State University Alexandra N. Wright, M.D. - University of the West Indies, Jamaica Zohaib Zia, M.D. - American University of the Caribbean
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
WOMEN IN MEDICINE MONTH
WOMEN IN MEDICINE MONTH THANK YOU TO THE WOMEN PHYSICIANS IN THIS COMMUNITY WHO ARE SHAPING HEALTH OUTCOMES ONE PATIENT AT A TIME!
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WOMEN IN MEDICINE MONTH
WOMEN IN MEDICINE MONTH THANK YOU TO THE WOMEN PHYSICIANS IN THIS COMMUNITY WHO ARE SHAPING HEALTH OUTCOMES ONE PATIENT AT A TIME!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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ALLIANCE CORNER
ALLIANCE CORNER We hope everyone enjoyed summer and are ready for fall… and maybe for some “fall” weather?! After a busy spring, we took a break for summer, but managed to meet socially one evening at The Wine Loft Wine Bar for good conversation, good wine, and a great surprise guest - Prissy Elrod. If you missed it, Prissy plans to speak at our Honoring Past Presidents Luncheon on September 25th at Table 23. She is a local author, and interested members have been reading her most recent publication, “Chasing Ordinary.” In November, we will have this year’s fundraising event, a “Scotch & Sparkles” tasting, graciously hosted again by Hank and Kelly Hutchinson at their home. A portion of the proceeds will be given to the Joanna Francis Living Well Foundation, our community outreach partner for 2019. Additional details are forthcoming.
you have any questions about the Alliance, be sure to reach out! Email us at tallycmsa@gmail.com, find us on Facebook, or call me at 352-258-1929. Wishing you all the best of fall! Sincerely, Melissa Inglese CMSA President
We have great programs lined up for our fall. All active members should have already received an electronic newsletter with Alliance updates. If you did not, or if
October 23: Membership Meeting Location: Home of Suzanne Cognetta Speaker: David Smith, M.D., FACC, FASE, DACLM Topic: Lifestyle Medicine - Dr. Smith will talk about how to prevent chronic diseases, and how Lifestyle Medicine can help improve our healthcare system and help prevent physician burnout.
November 20: Membership Meeting Location: Home of Eva Beaty Speaker: Voices For Florida Topic: We will hear about local (Tallahassee) and state-wide initiatives to address and end human/child trafficking. December 11: 6th Annual Ornament Exchange Location: Home of Michelle Reyes
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VIEWPOINT
Editor’s Note: Dr. Carlquist is a Tallahassee native and graduated from FSU College of Medicine. She recently joined KWB Pathology Associates here in Tallahassee as one of the group’s dermatopathologists. Dr. Carlquist gives her perspective on what the new generation of physicians brings to medical care as well as its expectations for the future.
MILLENNIALS ARE ALL GROWN UP AND PRACTICING MEDICINE! By Erin Carlquist, M.D. Millennials. Maybe you’ve heard of them? They can be positively identified by their downward gaze at the cell phone permanently affixed to their hand. This generation consists of individuals entering adulthood in the early 2000’s. They have grown up in a world unlike any we have seen before. Conveniences like cell phones, internet, Twitter, and Facebook have always been present in their adult lives. Raised in an era where they can get anything that they want at the touch of a button. Millennials are accustomed to instant gratification. Without meaning to, they may seem impatient, overstepping, or entitled to others. The days of snail mail, pictures on film, and telephone booths are things of the past. They want results and they expect them now, because this is the world they know. This generation is filled with highly capable, confident and achievement-oriented individuals, and they are growing up. How do I know so much about this recent generation, you may ask? I know millennials because I, myself, am a millennial. We are all grown up now. Many millennials have attended college, medical school, and residency. They are now your colleagues. They are out in the community practicing medicine. So, what does this mean for the rest of the medical profession? What unique struggles do young physicians today face that their predecessors didn’t? How can we learn to better understand each other? First, you have to know that millennials in medicine are privileged in many regards, however, there are struggles unique to this generation, as well. More millennial women are entering the career of medicine than any generation prior. With that, they have challenges of their own. There seems to be more pressure today than ever before to do it all and have it all. So, balancing the various hats that millennials wear is another struggle. Living in this ‘tech age’ can bring its own challenges as well. Lastly, they must learn to navigate the burdensome finances that come along with a medical career today. Millennial physicians are largely female. The number of women in medicine is continuing to rise. Many medical school classes have 1:1 female-to-male ratio or higher. This means that there are a larger number of female millennials
who are becoming doctors than any generation of doctors in the past. This brings its own unique challenges as well. Women in medicine have to decide if they want a family, when and how to family plan while their training spans most of their 20’s and 30’s. When is a good time to get married? When can you have kids? How can you balance a family and medical training? Some women feel they have to delay starting a family until after they have become an attending. Unfortunately, in addition to these challenges, there is an added factor of significantly higher infertility rate in women physicians compared to the general population. Women physicians also seem to have more demanding societal expectations to uphold as a woman and physician. Women are expected to be ‘super-mom’ and be at the hospital working crazy hours, because that is what doctors do, right? While their male colleagues are likely never asked how they balance their family and their career, it is a common question to women physicians. With so much on their plate, women physicians are primed to burnout. Millennial docs love their technology. Now, this is a huge aspect of the millennials’ identity. They were raised in the era of not only cell phones and internet, but social media has played an integral role in their entire lives. They are used to being able to connect with people instantly and share their experiences, feelings, goals, hopes, and fears with the world. Their lives have been broadcast over the internet since they were adolescents. This is drastically different than the generations who have come before. There is an undeniable liability that comes with putting your life out there for the world to see, and judge. Our patients can now google their doctor and find a wealth of personal information with minimal effort. This could be potentially detrimental to a physician’s career, as we all well know. However, with millennials comes a new age of social media being used as a powerful tool for education, collaboration, and mentorship in medicine. Physicians and physicians in training all around the world are connecting on social media platforms to work together, motivate one another, and share their experiences. Millennial physicians are broke. The average medical student finishes medical school with about $200,000 in student loan debt. This is an astronomical number that is only going to keep rising. Medical school is far more CONTINUED ON NEXT PAGE
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VIEWPOINT
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expensive today than it was even twenty years ago. A year of medical school tuition ranges from $20,000 to upwards of $60,000 a year! They will often delay paying their huge loans off through training, allowing interest to rack up their student loan debt for 3-7 years before making their first payment. Of course, most will not start making a real doctor salary until their early- to mid-30’s. This delay in financial maturity means that they put off starting retirement accounts and lose out on the returns they would have seen early on. Combine this debt with decreasing reimbursement rates over the years and you get a drastically different financial landscape that millennials are facing than those doctors who entered practice, even as little as 10 years prior. This trend of increasing cost to obtain a medical education seems to have no end in sight. Still, due to societal pressures and expectations of what a doctor should be, many new physicians in practice will immediately begin living an inflated lifestyle, despite their huge debt burden. They will buy a new car, new house, go on elaborate vacations, immediately out of training living the ‘doctor life’. Combined with the poor financial health of graduating trainees, this can be absolutely catastrophic. It can be very easy to get seduced into this inflated lifestyle but once you are there it is almost impossible to undo. To
make matters worse, finance is still something that is not adequately addressed in medical school or training, so most millennial physicians are ill-equipped at the start to deal with these significant financial challenges. In Tallahassee, our medical students are supported better than many other areas. The medical school tuition is much cheaper than most and they have many opportunities to obtain scholarships, such as those offered every year by the Capital Medical Society Foundation. I am a proud twotime recipient of the Capital Medical Society Foundation scholarship, which was able to greatly offset my financial burden in my early medical education. The newest generation of doctors are unlike any we have seen before. They grew up in a brand-new world and they have their own unique challenges. When we learn more about each other, we can better understand each other and work together to provide the absolute best care for our patients.
WELCOME Antoni Kafrouni, MD Endocrinology
Residency: Kendall Regional Medical Center, Miami, FL Endocrinology Fellowship: Albany Medical College, Albany, New York Board Certifications: Internal Medicine
TMH PHYSICIAN PARTNERS 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Metabolic Health Center 2633 Centennial Blvd. Tallahassee, Florida 32308 850-431-5404
2019 CMS FOUNDATION HOLIDAY AUCTION
Save the Date! FOUNDATION
We Care Network
2019 Holiday Auction DECEMBER 5, 2019 6:30 PM UNIVERSITY CENTER CLUB AT FLORIDA STATE UNIVERSITY 1 CHAMPIONS WAY (DOAK CAMPBELL STADIUM) WE WILL ONCE AGAIN BE USING THE BIDPAL/ONECAUSE BIDDING SYSTEM, SO BE SURE TO BRING YOUR FULLY CHARGED SMARTPHONES TO BID ON ITEMS! IF YOU WOULD LIKE TO DONATE AN ITEM TO THE AUCTION, WE WILL GRACIOUSLY ACCEPT IT - WEEK/WEEKEND AT VACATION HOMES, GIFT ITEMS, JEWELRY, FINE WINE & SPIRITS, SPORTS MEMORABILIA, PAINTINGS/ART, HOLIDAY DECOR, TOYS, GAMES, ETC. GIVE US A CALL AT (850) 877-9018 AND WE'LL ARRANGE FOR PICK UP! INDIVIDUAL TICKETS: $100.00 PER PERSON RETIREES AND THEIR GUEST: $75.00 PER PERSON RESIDENTS AND THEIR GUEST: $50.00 PER PERSON CMS MEMBER MEDICAL STUDENTS AND THEIR GUEST: $50.00 PER PERSON INVITATIONS WILL BE MAILED IN NOVEMBER. WE HOPE TO SEE YOU THERE! CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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2019 CMS FOUNDATION HOLIDAY AUCTION
FOUNDATION
We Care Network SUPPORT YOUR FOUNDATION - BECOME A SPONSOR! Capital Medical Society Foundation ~ Holiday Auction December 5, 2019 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 2020 in the newsletter, Cap Scan • Logo on 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
_____ Presenting Sponsors: $2,500 • Invitation for six (6) company representatives to the Holiday Auction • Logo on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • One free half-page black & white ad in 2019 in the newsletter, Cap Scan • Logo on 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 Federal Tax I.D. #: 59-2104510 COMPLETE AND FAX THIS FORM TO CMS: (850) 878-0218 QUESTIONS? CALL (850) 877-9018 18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
MORE SIMPLER TIMES
THE BASEBALL GLOVE By Charles D. “Pedro” Williams, M.D., FACR, FAAP Pedro wanted a baseball glove. He wanted it real bad. He wanted it more than anything else in the whole world. He promised Mama and Daddy that if they would give him the glove, he would never ask for anything else and his behavior would improve. Dad looked at Pedro with hurt in his eyes and said that times were tough and the glove would have to wait. However, Pedro knew that he could never be happy again without that glove. Dad subsequently got sick and became thinner than Pedro and Mary Alice put together. He couldn’t shake the memory and problems of the big war where he had received frozen feet and a bleeding ulcer during the Battle of the Bulge. He didn’t talk about it much, but you knew it was on his mind. They decided to take him to the VA Hospital and he told Pedro to stay home and look after thangs. He told Pedro to say his prayers ever’ night so Pedro could go to heaven. Pedro replied, “I don’t want to go to heaven. I want to go with you.”
in a mason jar in the center of the table next to a kerosene lamp with a new wick. A whole passel of folks dropped by to greet Dad and to howdy and shake and give thanks. As we all sat around the table bonding in laughter and love, Pedro felt secure again and realized that the best things are felt in the heart. The kerosene lamp in the middle of the table casted a glow on our faces as we shared food and closeness. Sitting at that table all gathered together symbolized unity again and somewhere along the way Pedro forgot about the baseball glove.
Reprinted with author permission from More Simpler Times, Tales of a Southern Boy.
Dr. Williams’ book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the We Care Network program.
When Dad arrived at the hospital, they decided to give him blood and take out most of his stomach. When Pedro heard about this, he stood there like a little man trying to act brave on the outside, but scared on the inside. Pedro learned that you could hurt real bad on the inside and not shed a tear on the outside. Home was supposed to be where Daddy was, but he was not there. Pedro had trouble sleeping, even when it was time to get up. He thought that he might not see Dad again and he had things to tell him. Pedro was hoping that if it’s not your time to die, even the doctors can’t kill you. Word came back that Dad had endured and was coming home. Grandma fell to her knees giving thanks. Mama started shelling peas, skinning taters, shucking rous’nears, and dressing chickens for his arrival. She placed a bright colored piece of oil cloth on the table with some Black-eyed Susans
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
CMS FOUNDATION APPOINTS NEW DEVELOPMENT DIRECTOR
CMS FOUNDATION APPOINTS JUDI WILLS AS DEVELOPMENT DIRECTOR The Capital Medical Society Foundation, Inc. is pleased to announce Judi Wills has joined their team as Development Director. According to Paula Fortunas, Capital Medical Society Foundation Board member, “Judi Wills' 22 years of combined experience at the FSU Foundation and the TMH Foundation uniquely qualify her for our Development Director position. Her strengths and expertise will be immediately and effectively transferable to our mission, goals, and objectives.” Judi’s passion for improving access to healthcare within the local community will help advance the mission of the Capital Medical Society Foundation by building the resources needed 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.”
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CMS FOUNDATION
The Impact of Private Support:
Donate to the CMS Foundation We Thank Our Donors We thank the following individual donors who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – included with their annual dues payment Paul Arons, M.D. James Cavanagh, Jr., M.D. Margaret Havens Neal, M.D. Alfredo Paredes, M.D. Terence Reisman, M.D. Capital Medical Society Foundation – Area of Greatest Need Dr. and Mrs. Charles D. Williams – In Honor of Armand Cognetta, M.D. Scholarship Fund David Bellamy, M.D. – In Memory of Francis Hansell “Hank” Watt, M.D. David Bellamy, M.D. – In Memory of Edward Francis Zapert, D.M.D. We Care Network David Bellamy, M.D. The Beatitude Foundation, Inc.
Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.
The Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” ➢ Access to healthcare is increased through gifts to the We Care Network and the We Care Network Endowment Fund. More than $105.6 million in donated specialty medical and dental care has been provided to low-income, uninsured patients since the program was created in 1992. In fiscal year 2018-19, which ended June 30, 2019, more than $7.6 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at the FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $42,000 was awarded in 2018. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2019, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice for bereavement services, and the Lighthouse of the Big Bend to provide clients who have vision loss with the aids needed to manage their health and medical care independently. Gifts to Honor and In Memoriam: You can make a 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. The CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of the CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) Physician Wellness Fund 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 Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Donations may be made by credit card from the CMS website. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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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 July 2019. Your generosity and support of the We Care Network makes a difference.
Physicians David Alvarez, M.D. Mark Applegate, M.D. Emily Ashmore, M.D. Nicole Balmer, M.D. Venkata Bavikati, M.D. Robert Bradford, M.D. Tony Bryant, M.D. Viet Bui, M.D. David Burday, M.D. David Burns, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Gilbert Chandler, M.D. Alan Chen, M.D. Matthew Connor, M.D. William Dixon IV, M.D. Nicholas Farber, M.D. Hong Gao, M.D. Frank Gredler, M.D. Aaron Guyer, M.D. Jerry Harris, M.D. Amit Jain, M.D. Kenneth Kato, M.D. John Katopodis, M.D. James Killius, M.D. Fang Sarah Ko, M.D. Amulya Konda, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Michael Mangan, M.D. Jayan Nair, M.D. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. William Placilla, M.D. Christopher Price, M.D. Davis Rierson, M.D. Adrian Roberts, M.D. Scott Sellinger, M.D. Hardeep Singh, M.D. Joshua Somerset, M.D. Robert Steinmetz, M.D. Kris Stowers, M.D.
Christopher Sundstrom, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. William Thompson, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Samuel Yu, M.D. Brian Zirgibel, M.D. Dentists John Bidwell, D.D.S. Ransey Boyd, D.M.D. Walter Colón, D.M.D. Makeba Earst, D.D.S. Jiguo Liu, D.M.D. William McFatter, D.D.S. Lawrence Weaver, D.D.S. Facilities Advanced Urology Institute Anesthesiology Associates Aspros, Badger, & Boyd Dental Associates Bond Community Health Center Care Point Health & Wellness Center CESC Dental Clinic Desloge Home Oxygen Dermatology Advanced Care Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists and Research Institute Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence E. Weaver DDS Leon County Health Department Molar Express Madison Medical Center Nature Coast Womens Care, LLC Neighborhood Medical Center North Florida Women’s Care North Monroe Medical Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Tallahassee Ear, Nose, & Throat Tallahassee Memorial HealthCare Taylor Dental Center TMH Family Medicine Residency Program TMH Family Medicine - Wakulla TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Rehabilitation Center TMH Transition Center TMH Wound Healing Center Tallahassee Orthopedic Clinic Tallahassee VA Clinic Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center
Please contact Diana Bixler at dbixler@ capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of July 2019 and your name is omitted.
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. 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 Diana Bixler at (850) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
CMS FOUNDATION: WE CARE NETWORK
We thank our referring providers from July 2019:
Ebonie Allen, APRN
Alexander Franz, M.D.
Jorge Perez de Armas, M.D.
Anne Ananga, APRN
Anneka Gaffney, APRN
Cybelle Pfeifer, M.D.
John Bailey, D.O.
Judy Griffin, APRN
William Placilla, M.D.
Karen Bartley, M.D.
Muhanad Hasan, M.D.
Alexander Ramirez-
Kenara Blocker, APRN
Hantz Hercule, M.D.
Ransey Boyd, D.M.D.
Todd Hewitt, M.D.
Brandi Richardson, APRN
Jonna Bradley, APRN
Lisa Hofstad, D.D.S.
Garrison Rolle, M.D.
Daniel Breivogel, APRN
Amit Jain, M.D.
Lucilita Salvador, PA
Tim Broeseker, M.D.
Kenneth Kato, M.D.
Hardeep Singh, M.D.
Carlos Campo, M.D.
Howard Kessler, M.D.
David Smith, M.D.
Frances Carney, APRN
Amulya Konda, M.D.
Abisoye Somorin, APRN
Francisco Carpio, M.D.
Stefanie Kreamer, M.D.
Alanna Steaple, APRN
Lysmar Carrion-Dinguis, M.D.
Elaine Larkins, APRN
William Thompson, M.D.
Walter Colon, D.M.D.
Janice Lawson, M.D.
Faye Tinson, APRN
Deborah Congdon, APRN
Michael Mangan, M.D.
Ramona Vossler, R.D.H.
Amber Cook, D.D.S.
Ovidiu Marina, M.D.
Jeffrey Wasserman, D.O.
Marilyn Cox, M.D.
Kelley Miller, APRN
Lucas Watkins, M.D.
Chesley Durgin, M.D.
Marcia Morris, APRN
Eula Weaver, APRN
Makeba Earst, D.D.S.
Jayan Nair, M.D.
Tamesia Wilson, APRN
Nicholas Farber, M.D.
Chukwuma Okoroji, M.D.
Alberto Fernandez, M.D.
Rose Origa, APRN
Sharron Foster, M.D.
Mitchell Peabody, D.O.
Valderrama, M.D.
DURING THE MONTH OF JULY, THE WE CARE NETWORK: RECEIVED 239 REFERRALS, WITH 138 PATIENTS NEW TO THE PROGRAM
SCHEDULED 119 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$318,411.27 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
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