NOVEMBER EDITION, VOLUME 2016, NO. 11
DONATED ITEMS NEEDED FOR THE UPCOMING HOLIDAY AUCTION! The Holiday Auction is just around the corner and we need donated items! All items, large or small, are welcome. Do you have any of the following items or know someone you can ask to donate them? • Vacation getaways • Hunting trips • Fishing trips • Hunting or fishing gear • Sport tickets • Concert tickets • Children’s toys • Cars • Boats • Jewelry • Art • Fine Wine & Spirits • Holiday Décor • Sports Memorabilia, etc. If you’d rather find another way to help with the Holiday Auction, please keep the following in mind: 1. Plan to attend! Mark the Holiday Auction on your calendar. We want everyone to attend. The Auction is December 1st at 6:30 pm at the University Center Club at FSU – Doak Campbell Stadium (1 Champions Way). The entrance fee is $100 per person. The invitations have been mailed, so don’t forget to RSVP by November 21st! 2. Be an Individual Sponsor. Make a $100 tax-deductible donation to help with the Auction. We will publish the names of our individual sponsors in our event marketing materials. If you have any questions or would like to donate an item, please call the CMS office at (850) 877-9018. Also, many of our member offices donate a themed basket each year and they are a big hit! If your office would like to donate a basket, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR November 15, 2016 CMS Membership & CME Meeting Periodontics in Today’s World (Periodontal Disease and Systemic Disease) William Baldock, D.D.S., Capital Periodontal Associates and Spencer Gilleon, M.D., Tallahassee Ear, Nose & Throat-Head & Neck Surgery 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 1, 2016 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
BOARD OF GOVERNORS J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
CMS Foundation Holiday Auction …
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CMS Foundation Year End Appeal ...
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Happy Thanksgiving ...
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Professional Notes …
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CMS Lunch and Learn …
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Happy Veterans Day …
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Viewpoint …
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CMS Membership Meeting Minutes …
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Medical/Legal …
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CMS Foundation …
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CMS Foundation: We Care Network …
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David Dixon, D.O., Secretary/Treasurer
We Care Network Patient Testimonial …
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Joshua Somerset, M.D., Immediate Past-President
CMS Foundation Annual Report: 2015-2016 …
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Christie Alexander, M.D. Shelby Blank, M.D. Hien Guyer, CMS Alliance President Rohan Joseph, M.D.
HAPPY BIRTHDAY!
Shakra Junejo, M.D. Maribel Lockwood, M.D.
{NOVEMBER BIRTHDAYS}
Paresh Patel, M.D. Gregory Perry, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D.
Kayleigh Ann Wright, M.D. – 1st
Ronald Mageau, M.D. – 14th
Pam Wilson, Executive Director
Viet Bui, M.D. – 2nd
Jeffery Snyder, M.D. – 14th
Family Medicine Residents Todd Hewitt, M.D./Meredith Maxwell, M.D.
Thomas Lawhorn, M.D. – 2nd
Robert Snider, M.D. – 15th
Internal Medicine Residents Vishal Dahya, M.D./Rachel Russell, M.D.
Frank Skilling, M.D. – 2nd
Less Shrestha, M.D. – 16th
Ernesto Umaña, M.D. – 2nd
Alexander Vanderby, M.D. – 16th
William Kepper, M.D. – 3rd
Alexander J. Brickler, III, M.D. – 17th
David Tedrick, M.D. – 4th
Avon Doll, M.D. – 17th
Joseph Gray, M.D. – 6th
Sue-Ellen Griffith, M.D. – 19th
Muhanad Hasan, M.D. – 6th
Jean Paul Tran, M.D. – 20th
Ovidiu Marina, M.D. – 6th
John Holt, M.D. – 21st
Gina Hope, M.D. – 7th
Christie Alexander, M.D. – 22nd
W. Harris Green, M.D. – 8th
Al Deeb, M.D. – 22nd
Carey Linker, M.D. – 8th
D.J. Underwood, M.D. – 22nd
Peter Loeb, M.D. – 8th
T. Bert Fletcher, Jr., M.D. – 25th
Leonard Waldenberger, M.D. – 8th
Kristi Reese, M.D. – 26th
Cyneetha Strong, M.D. – 10th
Alexandra Da Rocha, M.D. – 27th
Irene Alexandraki, M.D. – 11th
Michael Mangan, M.D. – 27th
David Draper, M.D. – 11th
Fang Ko, M.D. – 29th
Paul Arons, M.D. – 12th
Valerie Lazzell, M.D. – 29th
General Surgery Residents Emanuela Alvarenga, M.D./Paul Clark, 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.
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you. 2
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
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STAT MEDICATION
ALL ORDERS MUST BE DATES AND TIMES WHEN THEY ARE WRITTEN, WHEN THEY ARE SIGNED OFF BY THE NURSE, AND WHEN THEY ARE AUTHENTICATED BY A PHYSICIAN. DATE TIME PATIENT CARE ORDERS AND SIGNATURE
ADMIT PATIENT: Inpa ent Outpa ent 23° Observa on
gy o l 6 1 o / c 1 1/1 On t l u s s n t o s i l C a i M pec 7A S r e nc a C a F lor id Viral Bhanderi, M.D. • Pareshkumar Patel, M.D. Scott Tetreault, M.D. (850) 219-5830
In the practice of medicine and beyond – MagMutual is in your corner. www.magmutual.com
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
SPECIAL ADVERTISING FEATURE
_________ “Having a financial team is the right thing to do to protect your family, your practice and your future.” _________
PRIVATE BANKING by William Smith Are you using the same skills from your medical training to dictate your financial future? I’ve recently gotten to know some extremely smart physicians who may not be making the best choices when it comes to finances. It’s not that they’re choosing bad plans or investments, they simply don’t know how best to grow their assets. It’s an awkward topic. Here you have all this personal investment in the field of medicine and you seem to just be treading water when it comes to the financial picture. The truth is, they don’t teach you how to run a successful practice in medical school: • How and why to form an LLC • Weighing the risks in your personal portfolio • The difference between a tax credit and a tax deduction As I’ve suggested to these physicians who I’ve gotten to know better, it’s a good idea to review your personal and professional assets and goals with a financial team. It’s the right thing to do to protect your family, your practice and your future. Don’t have a team? Then build one, including an attorney, CPA and financial advisor. Don’t have time to build that team? Then start with your Private Banker.
If you’re new to the concept, a Private Banker is the front man to a cross-section of advisors and banking services. We help you get the financial aspects of your life in order. We’ll help you choose a bank account that fits, set up loans (home, business or any type you need), consider investments and assure all the protections are in place to give you peace of mind. And we make all these steps easy for you. Most importantly, we’ll help you avoid common mistakes. Perhaps some of these sound familiar: • One client’s idea of a diversified portfolio is having three money managers. My question: Is anyone comparing what’s in those portfolios to prevent duplication? • Another is convinced that adding a new piece of technology will boost the productivity of his practice. I wondered if anyone ran the numbers to assess the return on investment. • Another has insurance that protects her iPhone, but not insurance that protects her spouse and children if something should happen to her. THE BOTTOM LINE: Your financial health drives every aspect of your life. Call and give me the opportunity to work hard for you.
About William Smith, Private Banker William Smith is a fourth generation Tallahasseean from a long line of distinguished bankers. He understands the financial challenges of the medical profession and the importance of the local banker/medical professional relationship. To add a private banking partner to your practice, contact William today at 402.8136 or smith.william@ccbg.com.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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Bret Timmons and Paul V. Watts, CEO Electronet Broadband Communications
RE AL CUSTOMERS . RE AL ISSUES . RE AL SOLUTIONS . We have been strategic partners with Electronet for many years. We worked closely with them in the development of their PMAN (Private Medical Area Network). Electronet built fiber into our facilities to provide next generation broadband services. Once we heard that Electronet was offering voice and long distance services, we decided to bundle all of our services together. We have been very pleased with Electronet and their highly qualified team of professionals. If you’re looking to enhance your current communications platform while saving money, then Electronet is your perfect choice.
20 • LOCALLY OWNED AND OPERATED • NO AUTO ATTENDANT • BUSINESS TELEPHONE AND INTERNET SERVICE • LONG DISTANCE • TELEPHONE SYSTEM CONSULTING • FIBER OPTICS • HURRICANE-PROOF DATA FACILITY FOR COLLOCATION • WEB AND EMAIL HOSTING
Bret Timmons
2012 TECHNOLOGY BUSINESS OF THE YEAR WINNER
Recipient: Electronet
3 4 1 1 C A P I TA L M E D I C A L B LV D . TA L L A H A S S E E , F L | 2 2 2 . 0 2 2 9 | W W W. E L E C T R O N E T. N E T
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CMS FOUNDATION YEAR END APPEAL
Did You Know that Funding Received in 2015 by Capital Medical Society Foundation Provided:
$5.8 Million in Specialty Medical & Dental Care
$10,000 in Access to Care Grants
To 1,685 Low-income, Uninsured Patients donated by 355 We Care Network Volunteer Physicians and Dentists
Providing Services to the Underserved in Leon, Gadsden, Jefferson, and Wakulla Counties
$47,000 in Medical School Scholarships to Eight FSU College of Medicine Students to Defray the Cost of their Medical Education
SUPPORT THE MISSION THROUGH YOUR END OF YEAR GIFT BY DECEMBER 31, 2016 I would like to make a contribution to support the mission of Capital Medical Society Foundation Enclosed is my tax-deductible gift of: $ ___ I would like to dedicate my gift in memory of: ___ I would like to dedicate my gift in honor of:
Please return this card, along with your donation payable to:
___ I would like to designate my donation for: ___ The We Care Network
___ The We Care Network Endowment
___ The Scholarship Fund
___ The CMSF General Endowment
___ Support Access to Care Grants ___ I would like to learn more about making a pledge, a stock donation, making a gift in my will or making a life insurance gift. Please contact me. Credit card donations may be made at: www.capmed.org/donate
Capital Medical Society Foundation 1204 Miccosukee Road Tallahassee, FL 32308 For more information or if you have any questions, please call (850) 877-9018. www.capmed.org
Southeastern Center for Infectious Diseases (SCID) celebrated their 10 Year Anniversary in September with 10 Days of Giveaways to local nonprofits. Patricia Ballantine, Office Manager for SCID and Randy Ferjuste, Referral Coordinator for SCID presented the We Care Network staff with a $500 donation and a catered lunch from Newk’s Eatery. Thank you for your generous support of the We Care Network, Southeastern Center for Infectious Diseases! CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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HAPPY THANKSGIVING
We are so thankful to have you as a Capital Medical Society member! - From Your Capital Medical Society and Capital Medical Society Foundation Staff
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PROFESSIONAL NOTES
PROFESSIONAL NOTES
Christie Alexander, M.D. was appointed to the FMA Board of Governors in August as the representative from Florida’s Medical District A.
Andrea Friall, M.D. was appointed the new Chief Medical Officer (CMO) for Tallahassee Memorial Healthcare. Her new responsibilities took effect on November 1.
Louis St. Petery, M.D. received the Clifford G. Grulee Award at the annual meeting of the American Academy of Pediatrics in San Francisco in October. This award was created by the Executive Board in honor of Dr. Grulee upon his retirement as Executive Secretary in 1951. The award recognizes outstanding service to the American Academy of Pediatrics.
Hugh VanLandingham, M.D. was inducted into Tallahassee Community College’s Alumni and Friends Hall of Fame on October 13. This recognition is reserved for those who have demonstrated exceptional service in support of the advancement and continued excellence of TCC. These honorees personify the College’s values and serve as an inspiration to their faculty and students.
Congratulations, Dr. Alexander, Dr. Friall, Dr. Littles, Dr. St. Petery, and Dr. VanLandingham! 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.
MANAGING EDITOR’S NOTE: We included the incorrect practice name for one of our new members in last month’s issue of Cap Scan. Alma Littles, M.D. presented the Notable Alumnus Lecture at the University of Florida’s Alumni Weekend on October 14. Dr. Littles’ lecture highlighted the unique aspects of practicing in a rural area, as well as the ways the entire community can assist in improving access to health care for rural Americans.
Eric Chung, M.D. practices at Capital Regional Cancer Center CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS On September 21st, Bert Mitchell gave an excellent program on “Time Management in a Medical Practice.” You can reach Mr. Mitchell at (850) 212-9828 or BertMitchell@flhsmv.gov. Seminars are held at the Capital Health Plan on Governors Square Blvd – and we thank them for providing this venue to us.
Express Printing sponsored the September 21st Lunch and Learn. Tony Shah and Walter Ciliberto were in attendance as representatives of Express Printing. You can reach Mr. Shah and Mr. Ciliberto at (850) 222-9777.
Mark Your Calendars for the Remaining Fall 2016 Lunch and Learn Seminar November 16, 2016 - Wellness Begins Within The Medical Practice Whether you are a medical practice administrator, supervisor, human resource manager or team leader, you know a healthy office equals a successful practice. Offering health and financial wellness perks help to provide a positive culture for any business. Come hear a panel of experts discuss workplace wellness program activities developed for their practice. Speakers: Kim Quackenbush, Bill Hambsh, and Troy Johnson For more information or to RSVP, Sponsor: Scott Fenstermaker, RHU, Strategic Benefits Group contact Rosalie Carlin at Time: 12 Noon to 1:30 PM (Seminar starts at 12:30 PM) (850) 877-9018 or rcarlin@capmed.org. Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person
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eric e. chung, mD
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HAPPY VETERANS DAY
Veterans of our military sacrifice their innocence, time with their friends and family, their bodies and sometimes their lives to protect this country. Regardless of your thoughts on war, we’re all indebted to our troops. Veterans Day is unique among nations in that we honor those who are with us, reserving Memorial Day for those who have made the ultimate sacrifice. So while we honor fallen heroes and honor the memory of our great leaders on other days of remembrance, we have an opportunity on this day to pay homage to those who are still with us. This opportunity is a blessing, and we should exercise it with pride, purpose and enthusiasm. So to those members of Capital Medical Society who have served, we thank you! Member Name Branch of Service Robert Jackson Atwater, M.D. Air Force Donald C. Beeckler, M.D. Army Leslie M. Beitsch, M.D. Air Force Ray Bellamy, M.D. Navy A.D. Brickler, M.D. Air Force Gary Brown, M.D. Navy Michael C. Cavallaro, M.D. Navy William Comer Cherry, Jr., M.D. Air Force George Cohen, M.D. Air Force Daniel P. Conrad, M.D. Air Force David Ernest Craig, M.D. Army Edwin Duff Crane, III, M.D. Air Force Steven Ashley Currieo, M.D. Air Force Thomas Dean Dalrymple, M.D. Army Charles Deal, M.D. Army Larry Deeb, M.D. U.S. Public Health Service William Crawford Dixon IV, M.D. Army Wade Douglas, M.D. Army Russell W. Eggert, M.D. Air Force Tom Enoch, M.D. Navy Marcus Stewart Fisher, M.D. Air Force Thomas Bert Fletcher, Jr., M.D. Army John P. Fogarty, M.D. Army James D. Geissinger, M.D. Air Force Donald Ray Hansard, M.D. Army James Ocie Harris, M.D. Navy & National Guard Jerry Harris, M.D. Army Randell J. Hartlage, M.D. Navy Charles J. Holland, M.D. Army David Edward Hood, M.D. Navy Floyd Jaggears, M.D. Navy Lawrence D. Kaelin, M.D. Army Howard Kessler, M.D. Army Thomas Lawhorn, M.D. Air Force Nancy Loeffler, M.D. National Guard Charles Gordon Long, M.D. Air Force
Rank Major Major Captain Lieutenant/USNR Captain Lieutenant Commander Captain Colonel Major Major Captain Major Major Specialist III Commander/Lt. Cmndr. (Inactive Reserve) Lieutenant Colonel Major Colonel Lieutenant Commander Lieutenant Colonel Captain Colonel (Retired), US Army Medical Corps Captain (Surgeon) Captain Navy Lieutenant Commander Major Lieutenant Commander Captain Lieutenant Lieutenant Commander Major Major Major Captain Major
Member Name Branch of Service Rank Gordon Low, M.D. Air Force Retired Lt. Colonel Joe Mazziotta, M.D. Air Force Major Al C. McCully, M.D. Navy Seaman, First Class Earl McKenzie, M.D. Marine Corps & Navy Lieutenant Commander Meredith McKinney, M.D. Army Major Melissa Rice McMillan, M.D. Army Major Joan Younger Meek, M.D. Army Lieutenant Colonel David Durant Miles, M.D. Navy Lieutenant Robert Whelchel Miles, M.D. Navy Lieutenant Commander Charles E. Moore, M.D. Navy Lieutenant Commander Isaac Moore, M.D. Army Captain Sam H. Moorer, Jr., M.D. Navy Lieutenant Commander William Leigh Morse, M.D. Navy Lieutenant Commander David Jason Oberste, M.D. Air Force Major James W. Patty, M.D. Air Force Captain Thomas Peele, M.D. Army Captain Michael D. Pentaleri, M.D. Navy Lieutenant Commander Ira Burton Price, M.D. Army Captain Krista Ware Rankin, M.D. Air Force Major Terence Reisman, M.D. Army Major William Paul Sawyer, M.D. Navy Lieutenant Brence Sell, M.D. Army Major J. Brian Sheedy, M.D. Navy Lieutenant Commander Francis C. Skilling, Jr., M.D. Navy Lieutenant/Medical Corps Reserve Teresa M. Skojac, M.D. Air Force Colonel (Retired) George Francis Slade, M.D. Navy Lieutenant Commander Robert Snider, M.D. Air Force Captain James William Stockwell, M.D. Navy/Marine Corps Lieutenant John Michael Streacker, M.D. Army Specialist (Combat Medic) Fred Q. Vroom, M.D. Navy Lieutenant Commander, Public Health Service Kenneth R. Wasson, M.D. Navy Lieutenant Commander Michael Wilhoit, M.D. Army Captain Charles D. Williams, M.D. Air Force Captain John L. Williams, M.D. Air Force Lieutenant Colonel Spurgeon W. McWilliams, M.D. Army Major Pat Munroe Woodward, M.D. Army Captain CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
VIEWPOINT
UNEXPECTED OPPORTUNITIES AND THEIR LIFETIME EFFECTS: MY EXPERIENCE WITH THE U.S. PUBLIC HEALTH SERVICE By Larry C. Deeb, M.D. After I finished Emory College in 1969 and was on my way to medical school there, I had the opportunity to work at the Centers for Disease Control in the Epidemic Intelligence Service microbiology lab. Little did I know how much this would change and influence my life. Who knew that while investigating antibiotic resistance on farms, I would also learn that rattlesnakes carry multiresistant salmonella? But that wasn’t the really important discovery. During my first year in medical school at Emory, the Government decided that the Public Health Service could offer funding for medical students in return for service. CDC was willing to offer me a place in the Epidemic Intelligence Service after residency and pay all my expenses as a commissioned officer. It was hard to turn down because, as I tell medical students today, having no debt is a very good thing. Of course, back then, having a say where and what one did while in military service also counted for something. The Vietnam War was still being waged, and military medical officers were in high demand. During medical school I continued to work in the lab, and I even participated in field investigations. At the time, as a medical student, I could draw blood and run a field microbiology lab, especially for enteric diseases. It seemed pretty clear to me that a career in infectious diseases was my future. Since I was a graduate of Emory College and medical school, the pediatric chairman at Emory wanted me to go to the University of Minnesota which had one of the best programs in pediatric infectious diseases. But, as they say, something happened along the way. I met the pediatric endocrinologists and discovered how smart they were, how much I learned, 12
and most importantly, how much I loved the work of the endocrinologist. Dr. Phil Brachman, Chief of EIS at the CDC, accepted my request to do an endocrine fellowship because he knew there was an epidemic of diabetes. To this day I am eternally grateful. I met my hero, Dr. Don Etzwiler, who became president of the American Diabetes Association, completed diabetes research, and even spent part of the summers at Camp Boggy Creek, Florida’s camp for diabetic children. (This summer marked my 40th year at the camp.) Fortunately, Congress created and funded the Diabetes Program at CDC during my fellowship. I was appointed a Lieutenant Commander, and subsequently a Commander in the USPHS for my active duty. During my tour of duty, I visited every State save Hawaii and worked with the state health departments on diabetes programming. Along the way I made lifelong friends and met colleagues with whom I still work. It was a network that would have been impossible to create almost any other way. CDC has always been involved in global health. We recognized the emerging epidemic of diabetes in the Middle East. The Minister of Health from Kuwait was a classmate of the CDC director, and they formed many bonds including a concern for diabetes control. So I was sent off to Kuwait where I helped establish the first scientific assessment of the scope of the diabetes in the population. I helped start programs to intervene and prevent the complications of diabetic retinopathy, nephropathy, and amputations. I was housed at a government guest house where I met many expatriate consultants to Kuwait. I became immersed in a new
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
culture. One morning as I was leaving my apartment, I saw the heavily armed soldier at the door. I asked why he was there. It was simple: to protect me from potential harm that had come to the Americans at the embassy in Iran in November 1979. This was not the way you want to get up and face a day at the “office.” Needless to say, all turned out just fine in Kuwait. As my obligation came to an end I faced a decision about my future. CDC offered the opportunity to study at the London School of Hygiene for an MPH/ PhD. CDC was committed to diabetes management for the long haul. Kuwait wanted me to be a consultant and showed me my proposed home: a one-thousand meter square (yes, over 9000 square feet) apartment in Kuwait City. But I was called to practicing clinical medicine, in the USA, and ultimately Tallahassee, which was my childhood home. I was warmly welcomed into the medical community of Tallahassee and supported by my partners and colleagues as I continued the endeavors sparked by my time at CDC and the USPHS. My work locally, nationally, and internationally reflects that experience. I eventually became president of the American Diabetes Association, and I continue to travel the world in support of diabetic education, counseling and management. When I think back on my life and work, I always remember my time in Commissioned Corps, USPHS, as a molding force in my life. My superior once asked me how many lives I had saved in my clinical practice because he knew as PHS physicians we had saved literally thousands with our work in diabetes at home and abroad. As I reflect and write, he was correct.
VIEWPOINT
DO RADIOLOGISTS HAVE PATIENTS? By Maribel Lockwood, M.D.
I will make the case and you will be the judge. The following story is just an example, and in this case I will take you to a day with a mammographer (radiologist subspecialized in breast imaging). Our days typically start right at 8:00 am. We have a pile of mammograms assigned to read. In between readings, we have scheduled biopsies of cases that have earned the category of suspicious or highly suspicious. It sounds like a pretty straightforward day. If lucky, it will be. Most of the time however, it is not. Let me take you to one case: 44-year-old female patient comes for annual screening mammogram. A small illdefined nodule is seen in the regular mammogram, but 3D images the patient had showed this nodule to be spiculated. She is called back for targeted ultrasound of this nodule to see if it is visible and amenable for ultrasound guided biopsy. Patient comes back and the spiculated nodule is indeed visible by ultrasound. A report is issued with recommendations for needle guided biopsy. Report is sent to referring physician office and a lay report is sent to the patient. At this point we take over responsibility for the patient. That is, temporarily, until the detected problem is resolved. This will involve a needle biopsy that will be scheduled in a timely manner. Patient returns for needle biopsy and results are given to her as soon as we get them from pathology. If the results are cancer, the referring physician or health care provider is called. Then the patient is called, and she chooses to have the results given by phone or to come in to the office to talk to the radiologist. Because of
the cancer diagnoses, we recommend MRI breast. This is usually performed within a week of diagnoses. After the MRI is done, either patient will need another intervention (for an unsuspected finding) or the MRI will give a detailed description of extension of disease. At this point, patient will have an appointment to see a surgeon and sometimes oncologist of her preference. Our mission is to be the most knowledgeable and helpful physician in the care of patients screened for breast cancer. Physical exam and screening mammography are the first line of defense against breast cancer. But our involvement does not stop at screening. If something suspicious is found, we take responsibility to help the patient to go to the next step until a resolution is made, good or bad. Whereas we feel it is our moral duty with our “temporary” patients, we also have legal responsibilities. Mammography is probably the most regulated area in radiology. Mammography reports are standardized so anybody in the country understands the lingo. We have federal regulations that need to be met and we welcome annual inspectors from the FDA who come and audit our mammography practice. Mammography Quality Standards Act (MQSA) is the document the Feds use for the audit. It includes a check list from certificate for equipment use and maintenance, qualified personnel who perform mammography, to revision of physicians continued medical education in mammography. It revises our internal medical audit to ensure patients are being followed when recommendations in the mammogram have been made. The American College of Radiology
(ACR) is the radiologist professional medical society dedicated to advance the practice of radiology. They issue our mandatory certificate for the mammography accreditation program (every three years) and issue our “breast imaging center of excellence” certificate, which is awarded to breast imaging centers that achieve excellence by seeking and earning accreditation in all of the ACR’s voluntary breastimaging accreditation programs and modules (mammography, stereotactic breast biopsy, breast ultrasound, including ultrasound guided breast biopsy, and breast MRI). The most common cancer in females in the US is breast. Good news is that although we do not know how to prevent it, we have accomplished a reduction in mortality for this cancer since implementation of screening mammography back in the late 80’s. The mortality rate has decreased at least 35% and in women who actually screen, ACS recognized that mammography reduces breast cancer death as much as 48%. The survival in 5 years is close to 90% (Centers for Disease Control and Prevention latest data 2013). Mammography is not perfect and does not show all breast cancers (false negative 15-20%) but does a great job screening and detecting the majority of them. Do radiologists have patients? The answer is yes, temporary patients. I hope you agree. In closing, I’m happy to be part of this medical community, able to provide help with adequate training and proven technology to use in the fight against breast cancer, breaking a potentially devastating outcome for families.
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CMS MEMBERSHIP MEETING MINUTES
MINUTES CMS Membership Meeting September 20, 2016 The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient. I. Business Meeting – Capital Medical Society A. Welcome – Dr. J. Daniell Rackley, President, called the meeting to order at 6:30 pm. Dr. Rackley thanked Westminster Oaks for use of their incredible facility and Mr. Don Wilson, Executive Director at Westminster Oaks, spoke to the members about their facility.
Marvin Rhodes, FSU College of Medicine Student and CMSF Scholarship Recipient Brittany Shafer, FSU College of Medicine Student Dr. Robert Solomon, Family Medicine Resident
B. Dr. Rackley welcomed and thanked our sponsors for the evening:
Dr. Nakeisha Otto-Stewart, Family Medicine Resident
In-Kind Sponsor Big Bend Hospice – Cara Brown, Kathy Geddings, Candace McKibben and Gini West
Dr. Mary Jane Tucker, Family Medicine Resident
Meeting Sponsors Home Instead – Scott Harrell and Geno Santopadre MagMutual – Staige Hoffman Surterra Therapeutics – Tammy Falls Tapestry Senior Care of Tallahassee – Armando Cardenas and Mackenzie Hellstrom
Dr. Alexander Vanderby, Family Medicine Resident Dr. Rachel Vanderby, Family Medicine Resident Dr. Kayleigh Ann Wright, Family Medicine Resident b. Dr. Rackley introduced one new member applicant in attendance:
Trulieve – Ben Atkins and Victoria Walker
Dr. Cielo Rose, Preventative Cardiology and Internal Medicine Associates
C. New Members, Membership Applicants and Special Guests
c. Dr. Rackley introduced special guests in attendance:
a. Dr. Rackley introduced new CMS Members in attendance:
Dr. Myra Hurt, Professor and Senior Associate Dean for Research and Graduate Programs at FSU College of Medicine
Dr. Emanuela Alvarenga, General Surgery Chief Resident and CMS Board Member Dr. Daniel Bernabe, Family Medicine Resident Dr. Sue-Ellen Griffith, Family Medicine Resident 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS Alliance Members D. Dr. Rackley asked Dr. Joe Mazziotta, Program Director for the TMH Family Medicine Residency Program to introduce the
CMS MEMBERSHIP MEETING MINUTES
new first year TMH Family Medicine Residents in attendance:
following CMS members were nominated to the Nominating Committee:
Dr. Daniel Bernabe
Dr. Frank Walker nominated Dr. Joshua Somerset
Dr. Sue-Ellen Griffith Dr. Robert Solomon Dr. Nakeisha Otto-Stewart Dr. Mary Jane Tucker Dr. Alexander Vanderby Dr. Rachel Vanderby Dr. Kayleigh Ann Wright E. Dr. Rackley informed the members that Dr. Gregory Todd, Program Director for FSU College of Medicine’s Internal Medicine Residency Program was unable to attend the meeting and no first year FSU College of Medicine Internal Medicine Residents at TMH were in attendance. F. Dr. Rackley asked Dr. Wade Douglas, Program Coordinator for the FSU College of Medicine General Surgery Residency Program to introduce his new residents in attendance:
Dr. Frank Skilling nominated Dr. Paresh Patel Dr. David Miles nominated Dr. Ernesto Umana A motion was made by Dr. Charles Holland, seconded by Dr. William Kepper, and unanimously approved. I.
Recognition of FSU College of Medicine Scholarship Recipients – Dr. Rackley asked Dr. Frank Walker, Chair of the Scholarship Committee, to present the scholarship recipients for this year:
Brianna Baker Gabriella Edington Elizabeth Ichite Meghan McCallister David Powers
Dr. Emanuela Alvarenga Dr. Aaron Hayson
Marvin Rhodes
G. Dr. Rackley asked Dr. Ron Hartsfield, Regional Campus Dean, FSU College of Medicine – Tallahassee Campus to introduce the third year students at FSU College of Medicine – Tallahassee Campus in attendance:
Clayton Rooks
Gabriella Edington Clayton Fuqua Andrew Sellinger Drew Williams H.
Nominating Committee – Dr. Rackley called for three nominations from the floor. This committee will nominate future CMS officers, board members and FMA Delegates. The
Jarrod Robertson
II. Tonight’s CME Program – this is a 1 Hour Category One Program Topic: America’s End of Life Ethical Dilemma: Is There a Time When It Is OK to Die? Speaker: Monica Williams-Murphy, M.D. Dr. Williams-Murphy gave an enlightening and powerful presentation on End of Life. Physician CME Proof of Attendance Forms will be sent to participants who attend the entire CME program. CONTINUED ON NEXT PAGE
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
CMS MEMBERSHIP MEETING MINUTES
III. Mark Your Calendars
Our speaker for evening, Dr. Monica Williams-Murphy.
Dr. Rackley announced upcoming meetings/events: October 18, 2016 CMS Membership Meeting and CME Domestic Violence and Human Trafficking Speakers: Suzanne Harrison, M.D., FSU College of Medicine and Terry Coonan, J.D., FSU Center for the Advancement of Human Rights Maguire Center for Lifelong Learning 6:00 p.m.
In-Kind Sponsor, Big Bend Hospice: (l-r) Candace McKibben, Kathy Geddings, Nancy Chorba, M.D., Cara Brown, and Gini West.
October 24, 2016 Capital Medical Society Happy Hour hosted by Capital City Bank Food Glorious Food 5:30 p.m. - 7:30 p.m. November 15, 2016 ANNUAL MEETING-in which we will vote for our 2016 Board of Governors and CME Periodontal Disease and Systemic Disease Speakers: William Baldock, D.D.S. and Spencer Gilleon, M.D. Maguire Center for Lifelong Learning 6:00 p.m. – 8:30 p.m. December 1, 2016 CMSF Holiday Auction University Center Club 6:30 p.m. – 10:00 p.m.
Meeting Sponsor, Home Instead: Geno Santopadre.
Meeting Sponsor, MagMutual: Staige Hoffman. Meeting Sponsor, Surterra Therapeutics: Tammy Falls.
IV. Adjourn – Dr. Rackley adjourned the meeting at 8:05 pm. Please Thank Our Sponsors for the September 20th CMS Membership Meeting In-Kind Sponsor - Big Bend Hospice Meeting Sponsors - Home Instead, MagMutual, Surterra Therapeutics, Tapestry Senior Care of Tallahassee, Trulieve
Meeting Sponsor, Tapestry Senior Care of Tallahassee: (l-r) Mackenzie Hellstrom and Armando Cardenas.
Meeting Sponsor, Trulieve: (l-r) Ben Atkins and Victoria Walker. 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
MEDICAL/LEGAL
SHOULD YOU OFFER YOUR SERVICES AS A PAID MEDICAL EXPERT? By Susan Shepard, MSN, CPHRM, Senior Director, Patient Safety and Risk Management Education, and Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company You may be contacted by a defense or plaintiff medical malpractice attorney asking you to review a case and render an expert opinion about the care others provided to a patient whom you have not treated. The attorney may have obtained your name from another attorney familiar with your professional reputation or your unflappability on the witness stand in an unrelated case, from literature searches establishing your expertise in a particular area, or from unknown references. You should ask the attorney how he or she came to approach you. Whatever the source initiating the contact, and despite the flattery of having your opinion solicited and the lure of an additional source of income, your decision to function as a paid medical expert should not be entered into lightly. You should consider the following questions: Q: Do you have sufficient flexibility in your schedule and patient coverage support to be able to appear in court when required? Is the case simple, or will you need to review voluminous medical records, meet with the attorney repeatedly, give a lengthy deposition, and spend hours in court? A: If you cannot spare the time and do not have the practice coverage to ensure follow-through on your own patients, avoid offering expert opinions beyond those that you are required to give. Once you make the commitment to be the case medical expert, you should see it through regardless of the amount of time, inconvenience, and disruption to patient care that may result. Q: How well do you verbally spar without a script, and how do you handle the stress of being challenged in front of a room of spectators? A: Carefully consider whether your leadership and persuasive
communication skills in your clinical life will translate well to the courtroom. Some physicians bristle under the aggressive and persistent grilling of adversarial attorneys. You may want to observe some expert testimony and imagine how well you might tolerate a similar experience. Q: Could your testimony be used against you at a later time? A: Your status as a medical expert and your testimony in a given case are readily retrievable by current databases. If any patient ever sues you for malpractice, the testimony you give in this case might be misconstrued, taken out of context, or otherwise used against you. This possibility dictates caution whenever you are asked to testify. Q: How well will you deal with pressure to enhance your opinion, to be more critical or supportive of other providers’ care, or to venture outside your area of expertise in order to help the defendant’s or plaintiff’s case? A: Maintaining professional boundaries when providing expert testimony can be surprisingly challenging once you are caught up in the dynamics of a malpractice lawsuit. Keep in mind that the attorney you are working with has one goal: to present the best face possible on his or her case. The attorney is not focused on the long-range repercussions to you professionally if you stretch your opinion beyond current and authoritative medical evidence/practice to accommodate the needs of the case. Maintaining appropriate professional boundaries will require your ongoing vigilance as an expert witness. Check Your Coverage Your professional liability policy will not cover you for functioning in the role of a paid medical expert.
Consider contacting your insurance agent to determine if you have coverage under another policy or if coverage is available that would include performing in the role of a paid medical expert. Be Sure You Are an Expert Before taking on the role of paid medical expert, be sure you are familiar with your specialty and any existing standards of care regarding the particular issues of the case at hand. It is not unheard of for a physician to provide expert testimony that is not consistent with the applicable standard of care in effect on the date of the event at issue and, as a result, to be chastised by the pertinent professional society for this failure. Don’t let this happen to you. (It is worth noting that if you are investigated or reviewed by your professional society, your MediGuard® coverage would apply.) Prepare a Fee Schedule If you make the decision to be available as a paid medical expert, we encourage you to prepare a fee schedule that includes your hourly rate, half-day rate, and fullday rate, as well as whether these rates apply for actual courtroom testimony, as some experts charge a higher fee for live courtroom testimony than for medical record review. A judge may ask for justification of your fees, so be prepared to defend the numbers. The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. -------------------Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/patientsafety.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 17
CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” • Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. More than $79 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 2015-16, which ended June 30, 2016, more than $7 million in health care was donated. Gifts support the salaries and benefits of the case management team who coordinate donated care.
DONATE TO THE CMS FOUNDATION
WE THANK OUR DONORS We thank the following people/organizations who made a donation to the CMS Foundation this past month: We Care Network Susan Cross, M.D. Rotary Club of Tallahassee Southeastern Center for Infectious Diseases Steve and Teresa Sarbeck Fund SunTrust Foundation
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
• To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $47,000 was distributed to eight medical students in 2016. • Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In 2015-16, funds were used for a roof repair, purchase of a computer firewall upgrade, rental unit maintenance, exterior painting, and office renovations to accommodate additional staff. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2016, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to Lighthouse of the Big Bend to provide tools to the visually impaired to improve their access to health care. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Wilson, Executive Director pwilson@capmed.org or (850) 877-9018
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in September 2016. Your generosity and support of the We Care Network makes a difference. Physicians Gregory Albright, D.O. Arvind Bakhru, M.D. Raj Bendre, M.D. Timothy Bolek, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Logan Brooks, M.D. Carlos Campo, M.D. Michael Cavallaro, M.D. William Dixon, IV, M.D. David Durden, M.D. Michael Ford, M.D. Andrea Friall, M.D. Akash Ghai, M.D. Sergio Ginaldi, M.D. Gian-Carlo Giove, M.D. Celeste Hart, M.D. Gregory Hartlage, M.D. David Huang, M.D. Hank Hutchinson, M.D. Iman Imanirad, M.D. Barbara Jaeger, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. John Katopodis, M.D. James Killius, M.D. Fang Ko, M.D. Maribel Lockwood, M.D. Kurt Luhmann, M.D. Ronald Mageau, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Shafi Mohamed, M.D. Jayan Nair, M.D. Thomas Noel, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Praful Patel, M.D. Michael Pentaleri, M.D. Christopher Price, M.D. J. Daniell Rackley, M.D.
Alexander Ramirez Valderrama, M.D. Stephen Richardson, M.D. Adrian Roberts, M.D. Andres Rodriguez, M.D. David Saint, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Jeannine Silberman, M.D. Hardeep Singh, M.D. David Smith, M.D. Bhavik Soni, M.D. Joseph Soto, M.D. Matthew Standridge, M.D. William Stephens, M.D. Timothy Sweeney, M.D. David Vermess, M.D. Tony Weaver, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Dentists Eric Amundson, D.D.S. Glenn Beck, D.M.D. John Bidwell, D.D.S. Steven Bryan, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. Jiguo Liu, D.M.D. William McFatter, D.D.S. Robert Murrell, D.M.D. Lawrence Pijut, D.M.D. Erin Shiveler, D.M.D. Lawrence Weaver, D.D.S. Ronald Willis, D.M.D. Ed Zapert, D.M.D.
Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours per biennium of CE Credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of September 2016 and your name was omitted.
We thank our referring providers from September 2016: Eboni Allen, ARNP Anne Ananga, ARNP Aaron Appiah, M.D. William Baldock, D.D.S. Marie Becker, M.D. Viral Bhanderi, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Steven Bryan, D.M.D. Susan Byrne, D.M.D. J. Brewster Caldwell, M.D. Kendall Campbell, M.D. Carlos Campo, M.D. Lysmar Carrion-Dinguis, M.D. L. Christopher DeRosier, M.D. Cynthia Evans, ARNP Roy Forman, M.D. Sharron Foster, M.D. Anneka Gaffney, ARNP Lisa Gardner, ARNP Shirleen Greene, ARNP Judy Griffin, ARNP Brian Ham, ARNP Muhanad Hasan, M.D. Hantz Hercule, M.D. Dwight Hooper, M.D. Iman Imanirad, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. John Katopodis, M.D. Howard Kessler, M.D.
Farhat Khairallah, M.D. Marjorie Kirsch, M.D. Fang Ko, M.D. Elaine Larkins, ARNP Esaias Lee, M.D. Deanna Louie, M.D. Charles Maitland, M.D. Ashok Manocha, B.D.S. Ashley Massey, ARNP Mitchell Massie, M.D. Kelley Miller, ARNP Marcia Morris, ARNP Jayan Nair, M.D. Rose Origa, ARNP Rodolfo Oviedo, M.D. Kaushal Patel, M.D. Charlie Richardson, M.D. David Saint, M.D. Lucilita Salvador, ARNP Philip Sharp, M.D. Jeannine Silberman, M.D. David Smith, M.D. Kimberly Smith, M.D. Joseph Soto, M.D. Alanna Steaple, ARNP Tallahassee VA Clinic Faye Tinson, ARNP Leonard Tolley, D.D.S. Marianne Towler, ARNP Jeffrey Wasserman, D.O. Graham Whitaker, M.D. Leslie Wilson, M.D.
DURING THE MONTH OF SEPTEMBER, THE WE CARE NETWORK: RECEIVED 211 REFERRALS, WITH 129 PATIENTS NEW TO THE PROGRAM
SCHEDULED 147 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$365,345 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
WE CARE NETWORK PATIENT TESTIMONIAL
LINDA BURKE - A GRATEFUL PATIENT There’s no better way to share what we do at 1204 Miccosukee Road each day, than to provide you a glimpse of one patient’s story. Mrs. Byrd’s story represents the faces of the many patients served by the We Care Network’s compassionate network of donating providers. My name is Linda Burke and I’d like to tell you a little about myself. I have been a waitress for 25 years. I live in Tallahassee, I am married, and I have 12 grandchildren. My husband is retired and we pay our bills with his Social Security retirement income and my pay from waitressing. It leaves little left each month to pay for anything else.
the mass. The surgeon reviewed my test results and recommended that I see a GYN - Cancer Specialist. The problem was, We Care did not have any GYN Cancer specialists in their network. That is, until Dr. Arvind Bakhru moved to town and joined the We Care Network. In December 2015, 7 months after I first went to my doctor at Bond, I had an appointment with Dr. Bakhru. Dr. Bakhru was wonderful. He made me feel like he cared about me and he really wanted to help me. In other words, he made me feel like I was not less of a person because I couldn’t pay for his services to me. In January 2016, Dr. Bakhru performed the surgery at Tallahassee Memorial Hospital. He removed a 19-pound, 2B borderline cancerous mass from my stomach. My tumor weighed 20 pounds, as much as 2 one gallon jugs of water!
I’ve always been a high energy person, but over several months I started feeling so tired, and I was having stomach pain that wouldn’t go away. It hurt worse when I had to bend or lift anything. I went to Bond Community Health Center I spent 4 days in the hospital and in May 2015 because the pain Linda Burke with her We Care Network I was out of work for 2 weeks. was getting worse. My stomach Case Manager, Robin Satchell. I do not get sick leave where I was growing like I was pregnant, work so while I was out we lived and at my age I knew that wasn’t off my husband’s Social Security retirement income. If possible! The doctor felt a mass in my abdomen and I I hadn’t returned to work soon, I would have lost my was afraid it was Cancer because it runs in my family. job. So I was able to go back to work after the 2 weeks but with lifting restrictions. I will continue to follow I wanted to find out why my stomach was swelling up with Dr. Bakhru until he has determined that I no up and hurting, but I couldn’t afford to pay for the longer need to be under his care. CT the doctor recommended. I contacted Radiology Associates to find out what the test would cost & if I I am so thankful for the help I received from We Care. could make payments. I would have had to put down Dr. Bakhru said that had I not had the MRI and CT $250 and I had $50 to my name. I asked my doctor at that led to me being referred to him by my We Care Bond if there was anyone that could help me pay for Case Manager and undergoing surgery, most likely the the CT she recommended and she referred me to We tumor would have developed in to full blown cervical Care. cancer or would have ruptured, possibly killing me. So, in a nutshell, most likely I would not be here today In May, my We Care Case Manager sent me to get if it weren’t for the help from the We Care staff and a CT done of my abdomen. In August, my primary doctors. Thank you for allowing me the opportunity to care doctor at Bond ordered a pelvic MRI. After my share my story and say thank you. doctor reviewed the results and determined that I had a mass in my pelvic area, she referred me back to We Care for a General Surgeon to do a biopsy of 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION ANNUAL REPORT: 2015-2016
CAPITAL MEDICAL SOCIETY FOUNDATION
2015-2016
Annual Report
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.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
21
CMS FOUNDATION ANNUAL REPORT: 2015-2016
EXCEEDING EXPECTATIONS: A YEAR IN REVIEW Board of Directors John Mahoney, M.D., President Al McCully, M.D., Vice President Nancy Loeffler, M.D., Secretary Kenneth R. Wasson, M.D., Treasurer Walt ColĂłn, D.M.D. Avon Doll, M.D. Terreze Gamble, M.D. Tracey Hellgren, M.D., CMS President-Elect David Jones, M.D . Fred Lindsey, M.D., Emeritus Maribel Lockwood, M.D. J. Daniell Rackley, M.D., CMS President Brian Sheedy, M.D. Joedrecka Brown Speights, M.D. David Stewart, M.D. Jay Walton, D.D.S. Barbara Williams, M.D. Charles Williams, M.D. Pam Wilson, Executive Director
Dear Friends and Supporters of Capital Medical Society Foundation: As the President of Capital Medical Society Foundation, I am humbled by the strides we continue to make in improving access to health care both in our four-county service area and in our support of medical education. The fabric of Capital Medical Society Foundation is intertwined with specialty medical physicians, dentists, other donating providers, medical students, patients, grantors, FSU College of Medicine, corporate sponsors, individual donors, civic organizations, Florida Department of Health, local governments, auction bidders, authors, Board members, Capital Medical Society Alliance members, volunteers and staff. We were delighted to be recognized by the Tallahassee Chamber as a Finalist for the NonProfit/Association Award for our track-record of service to the community. The year saw new opportunities for the We Care Network program. With the increased need in our service area for coordinated donated specialty medical and dental care, staffing changes were made to address the demand. Rosemary Evans was rehired as the We Care Program Coordinator. Rosemary returns to the We Care Network where she previously held the position of Program Coordinator from 2009-2012. We are thrilled to regain her knowledge and expertise in grant writing, case management, and supervisory responsibilities along with her passion for increasing access to health care.
and Dental Case Management Aide. To succeed in our mission, hiring the right staff has helped ensure that our goal to fulfill our mission will continue to be successful. The case management team includes Roshanda Dorsey, BSW, Sr. Case Manager, and case managers, Devon Marrett and Robin Satchell and Diana Sheppard. Shannon Boyle continues in her role as Communications and Events Coordinator and was also critical in the contracting of We Care Network donating physicians and dentists for Sovereign Immunity as required by the State of Florida. The mission and programs of CMS Foundation has continued to thrive. Because of the generosity and vision of donating specialty physicians, dentists, primary care physicians, healthcare partners, friends, grantors, donors, volunteers, and staff who have collectively and individually embraced or shared in our mission to improve access to health care: v The health care needs of many of the community’s low-income, uninsured patients have been met with compassionate care and respect, and hope has been restored; v Medical students with a desire to return to North Florida to practice medicine after completion of their residencies were able to breathe a little easier over their debt load; v Community non-profits with healthcare initiatives were able to provide services to patients, caregivers, and those in grief. Because you are a friend and partner of Capital Medical Society Foundation and understand the significance of its mission and how it impacts the healthcare needs of the community, it is important to share with you the story you have helped write for 2015-16. In service,
John Mahoney, M.D. President, Capital Medical Society Foundation
Due to the increased volume of referrals and increasing caseloads, an additional case manager was needed. Additional grant funding was requested to meet the demand for We Care Network in 2016-17. Diana Sheppard was promoted from Case Management Aide to Case Manager. Allison Young was hired as the Case Management Aide Copyright: Matt Burke/Rowland Publishing
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION ANNUAL REPORT: 2015-2016
We Care Network Advisory Committee Avon Doll, M.D., Chair Patrice Bidwell, M.D. Patrick Brown, M.D. Walt Colón, D.M.D.
We Care Network is the premier charitable endeavor of Capital Medical Society Foundation. We Care Network is an integral part of the healthcare delivery system in Leon, Gadsden, Jefferson, and Wakulla Counties for patients whose income falls at or below 150% of the Federal Poverty Level. Since its inception, over $79 million in donated specialty medical and dental care has been coordinated. Without the We Care Network, these patients’ access to appropriate medical professionals would be limited at best, due to the prohibitive nature of the cost of being a self-pay patient. While it is difficult to predict or quantify what would have happened to these patients without the We Care Network, it is likely that significant uncompensated emergency room and hospital impatient care were avoided. We are the only access to specialty medical care for the population we serve - the low-income adults who fall through the cracks and have no other options for needed care.
Allison Herring, MSW Lisa Jernigan, M.D. Jeanne Freeman, MSW, MSP Tom Jones, PA Lisa Leibow, MSW, RN
42% of We Care Network patients who responded to survey would have gone to the emergency room if We Care Network were not available.
WOULD HAVE DONE NOTHING
29%
Ed Zapert, D.M.D. Pam Wilson, Executive Director Rosemary Evans, Jean McCully We Care Network Program Coordinator
medical care was provided by 315 specialty physicians and 2 podiatrists, imaging centers, labs, Capital Regional Medical Center, Tallahassee Memorial HealthCare, surgery centers, and durable equipment companies. v 1,685 patients were eligible for We Care Network services. v 2,664 patient visits were scheduled with volunteer specialty medical physicians. v 243 We Care Network physicians, 48 dentists, 12 physician assistants, and 59 ARNPs have sovereign immunity (SI) protection afforded through the Volunteer Health Care Provider Program (VHCPP) with the Florida Department of Health.
“Dr. Bakhru said that had I not had the MRI and CT that led to me being
Mary Martin, LCSW Temple Robinson, M.D.
v $7,064,038 donated specialty
referred to him by my We Care Case WOULD HAVE GONE TO EMERGENCY ROOM WOULD HAVE WAITED TO SEE IF THE PROBLEM WORSENED
Manager and undergoing surgery, most likely the tumor would have 42%
developed into full blown cervical cancer or would have ruptured, possibly killing me.” “My We Care doctor made me feel
29%
like he cared about me, and he really wanted to help me. In other words, he made me feel like I was not less of a person, because I couldn’t
Uninsured and low-income patients from Leon, Gadsden, Jefferson, and Wakulla Counties are thankful for the life-changing and life-saving services provided through the We Care Network.
pay for his services.”
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
23
CMS FOUNDATION ANNUAL REPORT: 2015-2016
We Care Dental Advisory Committee Walt Colón, D.M.D., Chair Darrh Bryant, D.M.D. Susan Byrne, D.M.D. Brittney Craig, D.M.D. Avon Doll, M.D. Lynn McLarty, D.D.S.
We Care Dental Network – The consequences of reduced access to care over time can be serious and costly, including preventable hospitalizations, poor overall health, disability, and premature death. Access to dental care for uninsured, low-income adults is incredibly limited for the adult population we serve. Physicians are sometimes forced to delay needed medical care, such as radiation treatments for patients with cancer, until all infected teeth have been extracted. In 2015-16:
Stan Sheppard, D.M.D. Phillip Simon, 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.
Scholarship Committee Frank Walker, M.D., Chair Jonathan Appelbaum, M.D.
essential component of the program by increasing available information about the needs of each patient, making appointments easier to schedule with volunteering dentists.
The Patient Assistance Fund provided resources to purchase medications, assist with patient transportation costs, and to purchase medical and dental supplies when they could not be obtained any other way. In 2015-16:
v 45 dentists and periodontists volunteered in the We Care Dental Network.
v $24,049 was spent providing
v $120,424 in dental care was provided by donating providers.
medications, durable medical equipment, dentures, and transportation to We Care Network and We Care Dental Network patients.
Jim McSoley, D.M.D. Lawrence Pijut, D.M.D.
v 204 new referrals were made to We Care Dental Network. v 167 patient visits were scheduled with volunteer dentists. v 5 Dental Clinic Days were conducted at the Leon County Health Department, with an average of 18 patients seen. The Leon County Health Dept. also provides each new patient in our program with a digital panoramic x-ray. This has become an
Florida State University College of Medicine Scholarships totaling $47,000 were awarded to eight medical students. The main criteria in scholarship consideration were financial need, geographic background within North Florida, other factors suggesting an interest in the mission of Capital Medical Society, and the medical students’ interest in returning to practice medicine in North Florida upon completion of their residencies. 2015 scholarship recipients were:
“Thank you for believing in all of us. I hope that not only I, but our entire class, makes FSU College of Medicine and Capital Medical Society proud.” Brianna Baker, FSU College of Medicine
Myra Hurt, Ph.D.
Brianna Baker (M2)
David Jones, M.D.
Gabriella Edington (M3)
David Miles, M.D.
Elizabeth Ichite (M2)
“I am beyond honored to receive such a generous award from this incredible society. I want to assure you all that your efforts to support us medical students are truly admired and appreciated. Not only will this award help alleviate a portion of my financial burdens, it will serve as a reminder that I am surrounded by so much love and support here in my very own community. Some days it is truly hard to believe that I will one day go on to become the first physician in my family. I am truly passionate about medicine, and there isn’t anything in the world I would rather do. Thank you for believing in me and for being a part of my journey.”
David T. Stewart, M.D.
Meghan McCallister (M1)
Elizabeth Ichite, FSU College of Medicine
Lorna Stewart, M.D.
David Powers (M2)
Marvin Rhodes (M1)
Jarrod Robertson (M4)
Clayton Rooks (M2)
“I am beyond grateful and excited to have been chosen for a CMSF scholarship. To even be considered for a scholarship was an honor for me as I love North Florida just as much as I know CMS does. I am truly excited that my future will entail working together with individuals like yourselves delivering the best possible care to the community we love so much.”
Mark Applegate, M.D. Mark Cannella, M.D. Larry L. Harper, M.D. Ronald Hartsfield, M.D.
George R. Whiddon, M.D.
Jarrod Robertson, FSU College of Medicine 24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION ANNUAL REPORT: 2015-2016
$1,000 Robin McDougall Access to Care Award were presented to Florida State University College of Medicine’s Cielo Gnecco, M.D. and Ivana Simpson, M.D. The Access to Care Award is presented to 4th year medical students with a “strong interest in providing access to health care for underserved populations,” and is given in honor of past We Care Network Program Coordinator, Robin McDougall. Christienne Alexander, M.D, FSU College of Medicine Department of Family Medicine and Rural Health, presented the scholarships with the following recognition comments: Cielo Gnecco, M.D. has demonstrated a passion to serve the underserved throughout her entire medical school training. She has served as the President of the Association of Latino Medical Students, the Vice President of Students Interested in Global Health, and the Coordinator of Student Volunteerism for her Regional Campus. In these roles, she helped organize several community health fairs, served as a mentor for minority students, and volunteered her time both here and abroad to provide care to the underserved. She has traveled to Argentina and Nicaragua with teams to bring medical care to those in need and was the student champion at Shepherd’s Hope, a non-profit organization that provides free health care for underserved patients in central Florida. For her dedication to serving the underserved, her dedication to compassionate patient care, and her dedication to the mission of our medical
Grants totaling $10,000 were awarded to local community charities. From donations received in 2015-16:
school, she was also just inducted into the Gold Humanism Honor Society. Her nominator for the Access to Care Award wrote that this student “has demonstrated the requirements for consideration of this award and has exceeded them.” I had the pleasure of working with this student in Nicaragua last year and can attest to this and to her love of all people and to her desire to give everything she can to those in need. With that, it is my honor to present this year’s Access to Care Award to Cielo Gnecco.
medical profession and exemplify the highest standards of professionalism. She has participated in numerous FSUCares and SSTRIDE events, serving both the community and future medical students. She was also the Community Service Chair for the Student National Medical Association and a student scholar of the Society of Teachers of Family Medicine. Her nominator wrote that she “is the full package, the student you dream of having on your rotation, of having lead the other students, and of taking care of your patients.” I have personally observed her in our Clinical Learning Center, and can say that she is one of the most patient-centered students I have ever had the pleasure of working with and is highly deserving of this award.
Photo courtesy of Glenn Hodgson/FSU College of Medicine
Ivana “Ivy” Simpson, M.D. is a National Health Service Corps Scholar, and has committed to dedicating the first few years after residency to working in a medically underserved community. She is a member of the Alpha Omega Alpha Honor Medical Society, whose members have a compelling drive to do well and to advance the v $5,000 to Lighthouse of the Big Bend to purchase aids related to medical care for clients with vision loss.
More Simpler Times by Charles Williams, M.D. We are grateful to Dr. Charles Williams that he continues to donate proceeds from the sale of his book to CMS Foundation for the We Care Network. The book is a collection of stories about growing up in South Georgia in the 1940’s and 50’s.
Funding the mission would not be possible without the collaborative support of our grantors, donors, foundations, corporate and private donors, Capital Medical Society Alliance, local businesses and individuals who donated items and corporate sponsorships to the 2015 Holiday Auction. We appreciate grants received in 2015-16 from:
To date, book sales and donations total $36,184 since 1997. $99 was received in book sales in 2015-16.
Capital Health Plan
Blue Foundation
Photo courtesy of Glenn Hodgson/FSU College of Medicine
v
$5,000 to Elder Care Services, Inc. to provide services for 20 at-risk seniors and their caregivers to help them remain at home and as independent as possible.
Jefferson County Commission Jefferson County Health Department Leon County Health Department Rotary Club of Tallahassee SunTrust Bank The Charles A. Frueauff Foundation
CareNet
The Perkins Charitable Foundation
City of Tallahassee Community Human Services Partnership Florida Association of Free and Charitable Clinics Gadsden County Commission/Gadsden Community Health Council
United Way of the Big Bend United Way-Rural Counties Wakulla County Commission Wakulla County Health Department
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25
CMS FOUNDATION ANNUAL REPORT: 2015-2016
Holiday Auction Steering Committee Scott Sellinger, M.D., Chair Shannon Boyle Jana Bures-Forsthoefel, M.D. Rosalie Carlin Tracey Hellgren, M.D. David Jones, M.D. John Mahoney, M.D. David Miles, M.D. Tony Weaver, M.D. Barbara Williams, M.D.
The CMSF Holiday Auction is the signature fundraising event of the Capital Medical Society physician community to fund the programs and initiatives of Capital Medical Society Foundation. The support of the medical, dental, and business communities, hard-working staff, and the many volunteers and auction participants enable CMSF to fund the We Care Network, provide scholarships to medical students, and grants to programs that improve access to health care. v The 2015 event raised $65,769 to support the mission.
Pam Wilson
v $47,840 in sponsorships were provided by local business and organizations.
CMS Alliance Auction Committee
v 149 local businesses and individuals donated items.
Zan Batchelor Valerie Draper Carol Fisher
v There were 52 total corporate sponsorships of which 23 were physician groups.
Kelly Hutchinson
Financial Report Balance Sheet as of June 30, 2016 Cash & Investments General Endowment WeCare Endowment Scholarship Fund Accounts Receivable Prepaid Expenses & Other Assets Building & Equipment Total Assets
375,681 337,953 301,927 85,911 142,364 3,236 130,858 1,377,930
Accounts Payable & Accrued Expenses Net Assets
43,403 1,334,527
Total Liabilities & Net Assets
1,377,930
Amy Pagano Debra Placilla
Income Statement as of June 30, 2015
Kathleen Smith Gillian Stewart Gina Tran 2015 Scholarship Recipients and Medical Students volunteered in gratitude for the support they receive from funds raised during the event: (front row, l-r) Amber Thomas, Rachel Pelt, Ilisa Lee, Heather Highsmith, Lindsay Gardner, Angela Bradford, Joshua Burns, and (back row, l-r) Samuel Muniz, Adam Danley, Sarah Hardy, and Brett Schubert.
Donations Grants Auction Rental & Other Income Total Income
Building for the future continues due to the generosity of donors and foundations:
Expense Dollar
Missy Whiddon Carol Winchester
Auction Decorating Committee Zan Batchelor Valerie Draper Hien Guyer Tracy Morales Amy Pagano Debra Placilla Daintry Ray Kathleen Smith Gillian Stewart Gina Tran Karen Wendland Missy Whiddon
FUND
Beginning Balance
Ending Balance
ENDOWED CMSF Endowment
$322,117
$337,953
We Care Network Endowment
$284,225
Ronald G. Pickett Scholarship Endowment
$66,608
$66,608
$59,190
$85,911
26 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Salaries & Benefits Supplies & Other Expenses Professional Fees Total Operational Costs
305,906 73,207 35,153 414,266
Auction Expense Donations, Recognition & Scholarships Patient Assistance Fund Expense Other Expenses
64,523 63,319 21,744 149,587
Total Operational & Other Expenses
563,853
$301,927
UNENDOWED CMSF Scholarship Fund
32,710 416,898 130,442 71,287 651,337
CMS FOUNDATION ANNUAL REPORT: 2015-2016
EXECUTIVE DIRECTOR’S MESSAGE
Dear Friends of Capital Medical Society Foundation: This annual report is a reflection of your partnership with us. Without those who donate services and resources, the weight of serious diagnoses for low-income, uninsured residents of this community and the burden of medical school debt would be much heavier. You are the partners that enable the mission of Capital Medical Society to prosper. Capital Medical Society Foundation’s performance is rooted in the vision of its Board of Directors and the quality of its staff. Under the leadership of a seasoned Board that has historical perspective and focus on its mission, 2015-16 has been a strong year. We have grown our staff, strengthened our We Care Network, made improvements to our IT infrastructure, and planned for future opportunities to fulfill our mission. It has been a great year. The Capital Medical Society Foundation staff is a family and ambassadors for Capital Medical Society and the We Care Network. As the staff has become more seasoned, their case management skills have continued to be honed and their advocacy on behalf of the patients they serve increased. The opportunity to have Rosemary Evans rejoin our staff in March as the Jean McCully We Care Network Program Coordinator has enabled us to fine tune our efforts in meeting the challenges of a growing number of patients. It is truly a privilege to work with such a dedicated and compassionate staff and referring and donating providers.
With additional grant funding opportunities, Capital Medical Society Foundation is attempting to meet the needs of the underserved in Tallahassee’s “Promise Zone” by coordinating basic dental services to a target population in 11 contiguous census tracts of the defined Leon County Promise Zone. The demographics for the Promise Zone include communities that have an overall poverty rate over 51%, and unemployment rate of 30% for those 16 years and older, high school graduation rates of 15% of residents 25 and older and high long-term housing vacancy rates. According to the Kaiser Family Foundation, “oral health is an important factor in overall health for people of all ages, yet millions of adults lack access to affordable and regular dental care. Untreated oral health conditions can lead to pain and tooth loss that can lower the quality of life as well as jeopardized employment. Research has also identified associations between poor oral health and other chronic diseases, such as diabetes, heart and lung diseases, and stroke.” Capital Medical Society Foundation hopes to have an impact on the health outcomes of this target population. Capital Medical Society Foundation’s community of volunteer providers, donors, grantors, CMSF committees, and staff have strategically helped Capital Medical Society Foundation 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.” With a priority of promoting education, Capital Medical Society Foundation continues to provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies by providing scholarship support to students. Awarding $47,000 to eight medical students will help
defray the cost of their medical education and hopefully, help address the growing demand for physicians in Florida. This year’s recipients were outstanding and “hope to make us proud.” Each year, the task of narrowing the field of qualified applicants becomes more of a challenge for the Scholarship Committee. Gifts to Capital Medical Society Foundation enable the organization to address operational and community needs. Funding from donations improved access to health care through modest grants to Elder Care’s In-Home Services Program and Lighthouse of the Big Bend. In addition, renovations were made to Capital Medical Society Foundation’s building to make room for more offices within its footprint. A restricted gift to Capital Medical Society Foundation enabled us to enhance our online giving page on the upgraded Capital Medical Society website, making online giving easier. In addition to program delivery and fund-raising, Capital Medical Society Foundation successfully disseminated Sovereign Immunity contracts to We Care Network providers per the Florida Department of Health’s new rule under the outstanding leadership of Shannon Boyle, Communications and Event Coordinator. Capital Medical Society Foundation’s Board of Directors, committees, and staff are proud of their roles in improving access to health care through delivery of program services and supporting medical education. We have the privilege of partnering with you in this endeavor. We are grateful to you, our partners. We look forward to another great year! With gratitude,
Pam Wilson
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