Fall 2024 Colorado Medicine

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COLORADO MEDICINE ADVOCATING EXCELLENCE IN THE PROFESSION OF MEDICINE

Experience magic in life, embrace the

PLUS Three pillars for physician flourishing Photos from the CMS Annual Meeting and Component Society events Preview of 2025 Colorado legislative session

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EXPERIENCE MAGIC IN LIFE, EMBRACE THE MAGIC OF MEDICINE Newly inaugurated CMS President Kim Warner, MD, reflects on magical moments from her life and career with humor and wisdom, recognizes with gratitude key people who have supported her journey, and outlines the goals of her presidency.

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10 THREE PILLARS FOR PHYSICIAN FLOURISHING CPHP Medical Director Emeritus Michael H. Gendel, MD, writes about the interconnectedness of health, wellness and wellbeing and how fostering all three cultivates a strong foundation for physicians and the profession.

12 PHOTOS: PHYSICIANS GATHER TO CONNECT AT FALL COMPONENT SOCIETY EVENTS Component societies around the state held events this fall to bring together their local community of physicians.

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11 THREE COLORADO HOSPITALS EARN AMA’S JOY IN MEDICINE AWARD UCHealth, CommonSpirit Mountain Region, and Denver Health have been recognized by the American Medical Association for their exceptional commitment to reducing physician burnout and promoting wellbeing.

24 FINAL WORD: ELECTION WORK SETS FOUNDATION FOR SESSION COMPAC Chair Sean Pauzauskie, MD, and Council on Legislation Chair Darlene Tad-y, MD, MBA, offer an analysis of the 2024 General Election and its impact on the 2025 Colorado General Assembly.

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CMS LEADERSHIP ELECTION RESULTS:

D E PA R TM E NT S

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Reflections: Pay it forward

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Reflections: Tell us about Anne

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Introspections: Navigating uncertainty, disillusionment, and despair

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Copic Comment: Grant funding to address fragmentation in health care

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2024 Copic Humanitarian Award-Colorado: William G. Wright, MD, MSPH, FAAFP

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Partner in Medicine spotlight: Physician wellness through travel: Curating dream vacations with Cruise Planners

BRIGITTA ROBINSON, MD, ELECTED PRESIDENTELECT, AMA DELEGATION RE-ELECTED Congratulations to newly elected president-elect, Brigitta Robinson, MD, and thank you to the re-elected Colorado Delegation to the AMA for your continued service.

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RUN FOR A CMS LEADERSHIP POSITION IN 2025 CMS encourages all physician members to consider running for a leadership position in 2025. The nomination period is open through Jan. 31, 2025, and the election takes place in August.

PHOTOS FROM THE CMS ANNUAL MEETING IN BRECKENRIDGE Physicians from around the state gathered in Breckenridge to meet and mingle with peers, learn and relax. See photos from the event.

CO LOR AD O M E D I CAL SOCI E T Y 7351 Lowry Boulevard, Suite 110 • Denver, Colorado 80230-6902 720.859.1001 • www.cms.org

OFFICERS, BOARD MEMBERS, AMA DELEGATES, and STAFF 2024-2025 OFFICERS

BOARD OF DIRECTORS

AMA DELEGATION

Kim Warner, MD President

Brittany Carver, DO Kamran Dastoury, MD Amy Duckro, DO, MPH Rachelle M. Klammer, MD Marc Labovich, MD Justin McCoy, DO Michael Moore, MD Rhonda Parker, DO Pritika Parmar, MSC Lynn Parry, MD Sean Pauzauskie, MD Leto Quarles, MD Davis Witt, MD Hap Young, MD

David Downs, MD, FACP Carolynn Francavilla, MD Mark Johnson, MD, MPH Jan Kief, MD Rachelle Klammer, MD A. "Lee" Morgan, MD Tamaan Osbourne-Roberts, MD Lynn Parry, MD Brigitta J. Robinson, MD Michael Volz, MD

Brigitta Robinson, MD President-elect Omar Mubarak, MD, MBA Immediate Past President Hap Young, MD Treasurer Dean Holzkamp Chief Executive Officer

AMA PAST PRESIDENT Jeremy A. Lazarus, MD

COLORADO MEDICAL SOCIETY STAFF Dean Holzkamp Chief Executive Officer Dean_Holzkamp@cms.org Kate Alfano Director of Communications and Marketing Kate_Alfano@cms.org Cindy Austin Outgoing Director of Membership Cindy_Austin@cms.org Mike Bintner Director of Membership Mike_Bintner@cms.org

Virginia "Ginny" Castleberry Executive Director Denver Medical Society Virginia_Castleberry@cms.org Cecilia Comerford-Ames Executive Director, Colorado Society of Eye Physicians and Surgeons Communications Manager Cecilia_Comerford@cms.org Dorcia Dunn Program Manager, Membership Dorcia_Dunn@cms.org Crystal Goodman Executive Director, Northern Colorado Medical Society Crystal_Goodman@cms.org

Mihal Sabar Director of Accounting Mihal_Sabar@cms.org Chet Seward Chief Strategy Officer Chet_Seward@cms.org Kim Vadas Director of Continuing Medical Education and Recognized Accreditor Programs Kim_Vadas@cms.org Debra Will Director of Business Development Debra_Will@cms.org

COLORADO MEDICINE (ISSN-0199-7343) is published quarterly as the official journal of the Colorado Medical Society, 7351 Lowry Boulevard, Suite 110, Denver, CO 80230-6902. Telephone 720-859-1001. Periodicals postage paid at Denver, Colo., and at additional mailing offices. POSTMASTER, send address changes to COLORADO MEDICINE, P. O. Box 17550, Denver, CO 80217-0550. Address all correspondence relating to subscriptions, advertising or address changes, manuscripts, organizational and other news items regarding the editorial content to the editorial and business office. Subscriptions are available for $36 per year, paid in advance.

COLORADO MEDICINE magazine is the official journal of the Colorado Medical Society, and as such is also authorized to carry general advertising. COLORADO MEDICINE is copyrighted 2006 by the Colorado Medical Society. All material subject to this copyright appearing in COLORADO MEDICINE may be photocopied for the non-commercial purpose of education and scientific advancement. Publication of any advertisement in COLORADO MEDICINE does not imply an endorsement or sponsorship by the Colorado Medical Society of the product or service advertised. Published articles represent the opinions of the authors and do not necessarily reflect the official policy of the Colorado Medical Society unless clearly specified. Guest editorials and letters to the editor are published at the sole discretion of the Colorado Medical Society on a space-available basis.

Dean Holzkamp, Executive Editor, and Kate Alfano, Managing Editor. Design by Scribner Creative.

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Brigitta Robinson, MD, elected president-elect AMA DELEGATION RE-ELECTED CMS members elected Brigitta Robinson, MD, president-elect during the August 2024 leadership election. She will be sworn in as president at the September 2025 Annual Meeting in Keystone. A longtime leader in organized medicine and current member of the Colorado Delegation to the American Medical Association, Robinson says there are I N S I D E

three things she will focus on as CMS president: Increasing membership in CMS and the AMA, decreasing the barriers for practicing medicine and improving mental health access. “While these are certainly national issues, I would like to focus on Colorado, and find solutions to lead the rest of the country by example.”

Also re-elected were the incumbent members of the Colorado delegation to the American Medical Association: David Downs, MD; Mark Johnson, MD, MPH; Rachelle Klammer, MD; and A. Lee Morgan, MD. ■

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Nomination period open: Run for a CMS leadership position in 2025 Have you thought about a leadership role in the Colorado Medical Society?

We encourage physicians and medical students of all walks of life, perspectives, backgrounds, practice settings, career stages and geographic locations to consider a leadership position now or in the future.

The nomination period for the 2025 election – during which members elect

the president-elect and members of the Colorado delegation to the American Medical Association – is open through Jan. 31, 2025. The election takes place the following August.

If you aren't ready to run for office, a first step to leadership is to get to know your medical society and a great way to do this is by attending a CMS or component society event or committee meeting

that fits one of your interests. Upcoming committee and council meetings are listed in each ASAP e-newsletter, and upcoming meetings and events can be found at cms.org/events. Don’t know where to star t? Contact us at membership@cms.org and we can help you find your path in CMS. ■

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Experience magic in life, embrace the ADAPTED FROM THE INAUGURAL ADDRESS OF THE 2024 COLORADO MEDICAL SOCIETY ANNUAL MEETING Kim Warner, MD

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At about 6 a.m., the sun started to rise right above the summit, and it was by far one of the most glorious moments in my life.

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ake a moment to recall your funniest and most disastrous medical story. Mine was my first cesarean section. It was my first night call on labor and delivery, which was also my first night of my intern year. I have very little recollection of the entire night except for these few minutes. My upper levels called an emergency C-section. I’m sure it was because the baby was not tolerating labor. My chief resident, deck doc and attending surgeon all scrubbed very quickly at the scrub sink and dripped water to the entrance of the operating room door. I finished scrubbing my hands and immediately slipped in the puddle of water that was left. Flat. On. My. Face. I also lost my right contact lens. I quickly re-scrubbed, gowned and gloved and made it to the table right as the head was being delivered. I was so sweaty from adrenaline and fear by this moment that I couldn’t see through my face shield as it was completely steamed up. Drenched in sweat, half blind and very nauseated, we finished the surgery, and I remember the chief resident asking if I would be comfortable presenting the case at morbidity and mortality conference the following week. I literally had no idea what had just happened.

I wrote this speech on the day my mentor and the woman who delivered my daughters died. We all remember that special mentor in our lives. Lynette Vialet was the epitome of strength and resilience.

She was a flight surgeon in the Air Force, one of the most respected physicians in our hospital, and a Jazzercise instructor.

She knew just what to do in every situation. She took incredible ownership of patients, and it was my honor to work with her. She was one of us. One of the best of us. She was magical.

I want to talk about karma and magic.

These concepts are so non-scientific and not evidence based, which sometimes makes me skeptical of them. For example, I’m not sure I believe in karma 100 percent, but I am one of those people that will trap spiders and most flying insects in our house under a glass and take them outside to release them. Maybe that buys me a little protection? Maybe what you give comes back to you.

I do believe in magic, however, and will share three major magical experiences from my life.

In 2001, approximately two weeks before the planes flew into the World Trade Center, I got to climb Kilimanjaro with my husband, Rick [May], and several of our friends. The sixth day on the mountain was summit day. You wake up before midnight in the dark, eat some oatmeal and start climbing up a narrow path to the summit. You’re in a single line with headlamps on and the mantra “pole, pole,” which means “slow, slow.” Any of you who know me know that my mantra has never been “pole, pole, slow, slow.” You wear everything you own to keep warm and for six hours continue to climb up in a single file line eating frozen Snickers bars in the dark and wondering if you’re actually ever going to summit. At about 6 a.m., the sun started to rise right above the summit, and it was by far one of the PAGE 6 ⊲

A little insight into me for those of you who don’t know me: We have all taken many types of personality tests, and in one I come up with red energy, which can be explained as “ready, fire and then aim.” I’m excellent at action (think crash cesarean section…except my first one) and problem-solving. My “area of opportunity” is patience. I’m also quite competitive. I would often say “second place is the first loser.” I have matured and now understand the issues with that statement; I’m sure it was quite traumatic to my daughters. Maybe I should say “the second mouse gets the cheese.” I like 70s rock, James Taylor and Bonnie Raitt.

I like running, hiking, skiing, winning. I like when people are on time. I like kindness, when people look you in the eye. I like beach vacations, scuba diving, family dinners, Thanksgiving, red wine and being warm. I really like cute shoes.

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But what is poignant about this is that in medicine we can’t lose 50 percent of the points. We must be 99.9 percent perfect. most glorious moments in my life. It signified the beauty in this world, the magic in this world, the peace, and the strength of human resilience.

My second most magical experience was scuba diving in Palau. To me diving is one of the most peaceful places where my mind finally doesn’t race and I’m not thinking about the checklist of things I have to do, or the next place I have to go, or the song that is running through my mind on a loop, but I can just be. You listen to your breath. About 15 minutes into our dive – which was glorious because we saw stingrays and eels, the most enormous grouper and the most fabulous coral – a boat seemed to be stopped above us. We looked up and it was a 30-foot whale shark hovering above our group.

Apparently, they like the bubbles. She – and I’m guessing it was a she because I have connections with women – stayed above us for about 20 minutes while we just knelt on the bottom of the ocean floor and watched her circle. This magnificent, enormous, gorgeous creature I believe was there because I needed to feel more connection and purpose at that time in my life. Magic.

Then I realize what physicians get to do daily for our jobs is one of the most magical things anybody can imagine.

Not a single moment or experience on a summit or in the ocean, but every day. I know you all feel this as well and that is why we keep doing what we’re doing. I was lucky enough to choose the absolute correct profession for me and I feel like what this world needed from me. What we get to do as physicians is unlike any other profession. In times of need people trust us with their lives. That is magical. For all of us. Even when you fall on your face and lose a contact lens. Magic.

I’m sure you’ve all heard the commencement address tennis great Roger Federer gave at this year’s 2024 Dar tmouth commencement. He said in the 1,526

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singles matches he played in his career, he won almost 80 percent of them…but he only won 54 percent of the points. His message was that it was only one point, one shot. I find that so admirable as I have never been able to successfully and consistently recover from small losses.

But what is poignant about this is that in medicine we can’t lose 50 percent of the points. We must be 99.9 percent perfect.

That is a lot of weight, a lot of stress and a lot of heaviness. And maybe a little magic.

I’ve been a member of the Colorado Medical Society since I was in medical school. This organization has provided camaraderie, relationships and, for me, a passion for advocacy. I want to make note that this is the first year in CMS history that there are women in both the president and president-elect roles! As Elenor Roosevelt said, “well behaved women rarely make history,” right, Brigitta [Robinson]?

The CMS team is world class, and I feel grateful to be given the opportunity to lead the society for the next year. Our value truly lies in our wellness programs, our commitment to increasing our diversity, equity and inclusion, and a connection with the component societies. But our true strength lies in our advocacy.

Our Council on Legislation did spectacular work this session. They are nimbler than the Council has ever been before.

The huge lift was the skillful negotiations around raising the damage limit on liability caps and maintaining general liability laws, preserving professional review and avoiding a costly ballot fight. This affects every physician in the state, and it was a well-strategized, Herculean effort.

Prior authorization reform, protecting the privacy of biological data, and indefinitely postponing naturopathic doctor formularies maintains the integrity of our practices and patient protection and safety.

My goal for this year is to make sure we work to increase our membership and that physicians’ impressions and the reputation of the Colorado Medical Society are expanded. Forty-three percent of nonmembers have a positive impression of CMS, 31 percent have a neutral impression and 10 percent have a negative impression. We need to be intentional about communicating the value of CMS to all our Colorado physicians and continue building relationships with our component societies. Our goal this year is to create a 2024-2025 strategic plan that is not just a refresh but a plan with meaningful results based on the objectives of advocacy, belonging, educating and engaging, and stewardship.

I am grateful to all CMS members for trusting me this year. To Omar [Mubarak], for being such a strategic partner. Shannon Groves, my government relations work spouse, and best teammate at the Capitol. My two best friends, Aimee and Shannon, whom I have known since my 20s and who have taught me what it is to be a great friend. My momma Valerie, my guiding force who taught me to love unconditionally. My twins, Skylar and Alex, who have grit, empathy and are hilarious.

My oldest daughter, Kiah, who is spectacularly intelligent and kind. My husband, Rick May, the kindest, smartest, strongest, most resilient person I’ve ever met.

Before I conclude, remember to always be nice to the people who have access to your toothbrush! Be the kind of person that when your feet hit the floor in the morning the devil says “oh crap, she’s up.” To paraphrase Audrey Hepburn: I believe in being strong especially when everything seems to be going wrong, and I believe in magic.

Let’s make some magic this year. ■

Let ’s make some magic t his year.

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Photos from the 2024 Colorado Medical Society Annual Meeting

Members of the Colorado Medical Society came together from across the state for the 2024 Annual Meeting, held this year in Breckenridge, Sept. 13-14. Against the vibrant backdrop of mountain scenery and fall colors, attendees enjoyed an agenda of social time, enriching education and plenty of free time to enjoy a getaway. The spirit of connection and community was a defining theme throughout the event, making for a memorable and impactful event. As we celebrate this year’s success, be sure to save the date for the 2025 Annual Meeting in Keystone, Sept. 12-13!

From right, incoming CMS President Kim Warner, MD, receives the presidential medallion, and outgoing CMS President Omar Mubarak, MD, MBA, receives the presidential certificate of service.

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1. From left, CMS President Omar Mubarak, MD, MBA , presents a cer tificate of appreciation to Chris Linares, MD, outgoing ADEMS representative on the CMS Board of Directors.

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2. Pritika Parmar, co-president of the CMS Medical Student Component, presents her first-place research on mucosal melanoma tumors.

3. Representatives from Touchstone Imaging speak with CMS members at the opening reception.

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4. CMS leaders at the welcome reception, from left: A. Lee Morgan, MD, chair of the Colorado Delegation to the AMA; Deb Parsons, MD, CMS past president; Dave Downs, MD, CMS past president and member of the AMA Delegation; Darlene Tad-y, MD, MBA, chair, CMS Council on Legislation; and Kamran Dastory, MD, CMS Board of Directors member.

5. Guests of incoming CMS President Kim Warner celebrate her swearing in.

6. Sen. Barbara Kirkmeyer, center, and Rep. Shannon Bird, right, received the CMS Defender of Medicine award for their work in the legislature. Joined by CMS contract lobbyist Jerry Johnson, left.

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7. From right, Sean Riley, MD, and Alan Kimura, MD, MPH, lead a panel discussion on artificial intelligence in medicine. Omar Mubarak, MD, MBA, left, moderates.

8. From left: A. Lee Morgan, MD, chair of the Colorado Delegation to the AMA; Brigitta Robinson, MD, member of the AMA Delegation and CMS President-elect; and Kamran Dastory, MD, CMS Board of Directors member.

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9. CMS leaders enjoy the president’s reception. From left: Scott Dhupar, MD, A. Lee Morgan, MD, and Michael Moore, MD. 10. Medical student members of CMS enjoy the president’s reception. From left: Olumide Fajolu, Jacob Rehring, Marlee Ackerson, Alexandra Danciutiu, Liz Jones, and Keana Kast. ■

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Health, wellness and wellbeing: Three pillars for physician flourishing Michael H. Gendel, MD, Medical Director Emeritus, Colorado Physician Health Program

As physicians, we often speak about health, wellness and wellbeing interchangeably, but these concepts – while interconnected – represent different dimensions of our professional and personal lives. When all three are recognized and nurtured, we are not only healthier as individuals but also provide better care to our patients. Ignoring any one of these can have profound effects on both physicians and the quality of patient care we provide.

Health is often viewed in a clinical light.

For us, it’s not just the absence of disease but maintaining our physical condition to meet the demands of long hours, mental strain and, at times, physical exhaustion.

Yet, many of us are quick to overlook our own health, perhaps under the assumption that caring for others should take precedence. However, when physicians neglect their health – whether it’s regular check-ups, sleep or proper nutrition – performance inevitably suffers. Even minor physical health issues, when left unchecked, can impair our ability to focus, diagnose and treat our patients effectively, ultimately compromising patient safety. Emotional or mental health is also important, from the stress and strain already mentioned, to acute distress related to a sick spouse or child, to symptoms of anxiety or depression that we initially may minimize but take their toll with time and neglect. All of these can impact practice, not to mention our wellbeing. It’s so important to talk with a spouse, friends or our doctors about these matters.

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Prioritizing our “state of flourishing” is not an act of self-interest, it is an essential part of practicing safe, effective medicine. tices and habits – an active, intentional process. It includes every thing from managing stress and preventing burnout to maintaining work-life balance. It also involves maintaining good functioning in our physical, mental, social, financial, spiritual, intellectual and professional aspects of our lives. In a profession as demanding as medicine, wellness practices are not indulgent; they are essential to sustaining longevity in the field. The growing focus on physician wellness programs is a response to a pressing need for systematic approaches to fostering sustainable careers. Physicians who invest in wellness are not only more resilient but more empathetic and present for their patients, contributing to a safer, more compassionate health care environment.

Wellbeing encompasses broader psychological, emotional and spiritual aspects of our lives. While health and wellness can be measured and managed, wellbeing is deeply subjective. A physician might be physically fit and maintain good wellness practices, yet still experience a lack of fulfillment or emotional exhaustion. Wellbeing is tied to meaning and purpose in both our professional and personal lives. Without wellbeing, physicians can become disconnected, not just from their work but from themselves and those they care for. Interestingly, studies have shown that doctors are often not accurate in judging their own wellbeing. One can take the Mayo Physician Wellbeing Index online for free – but there is no substitute

for asking for feedback from loved ones (or others that know you well) concerning how they view your state of wellbeing.

By fostering all three – health, wellness and wellbeing – we cultivate a strong foundation for ourselves and the profession. If we fail to attend to any of these pillars, we risk not only our personal deterioration but also the safety and quality of care we deliver to patients. Prioritizing our “state of flourishing” is not an act of self-interest, it is an essential part of practicing safe, effective medicine. At CPHP, we strongly recommend getting support if any of these three realms is challenged.

If you would like to discuss further your health, wellness or wellbeing, feel free to call the CMS/CPHP-sponsored Doc2Doc Wellbeing Consulting Program to speak to a physician peer at 720-810-9131.

It will take all of us to ensure that we, as physicians, have the support(s) we need.

As we continue this journey, let’s ensure we’re building and supporting systems that recognize the importance of all three, understanding that the wellbeing of our patients begins with our own. ■

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Three Colorado hospitals earn AMA’s Joy in Medicine Award

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Cecilia Comerford-Ames, CMS Communications Manager

Wellness is not a problem to be solved, rather a Three hospital systems in Colorado have been recognized by the American Medivalue to be integrated into everything we do. cal Association (AMA) for their exceptional commitment to reducing physician resources offered to physicians. “Our able solutions that promote professional burnout and promoting wellbeing. The commitment to physician wellbeing in fulfillment and reduce burnout. RecogJoy in Medicine Health System Recog- the CommonSpirit Mountain Region nition is based on a rigorous evaluation nition Award was granted to UCHealth, includes a 24-hour physician support of six core competencies: commitment, CommonSpirit Mountain Region, and line, peer coach training, individual assessment, leadership, efficiency of Denver Health in acknowledgment of coaching sessions and more,” she says. practice environments, teamwork and their significant efforts to foster a health- “Together, we are working to ensure we’re support systems. Each organization is ier work environment for physicians and being proactive about addressing burn- assigned an achievement level – bronze, clinical teams. out, stress and any other mental health silver, or gold – based on their investment concerns that may arise for our providers.” in physician wellbeing.

UCHealth earned the highest distinction in 2023, a two-year designation that Denver Health is monitoring trends in “We are proud to honor these health continues in 2024. Justin Ross, PsyD, burnout and working to increase well- organizations that are leading the charge Director of Workplace Wellness, reflects being in their workforce, and progress to redesign clinical systems and support on the organization’s approach: “I often remains ongoing, says Read Pierce, MD, the professional wellbeing of physicians,” use the phrase, ‘Wellness is not a prob- Chief Quality, Safety, and Transformation says AMA President Bruce A . Scott, lem to be solved, rather a value to be Officer. “Clinician burnout is a national MD. “Their bold visions are transforming integrated into everything we do.’” Ross challenge as well as one affecting Denver health care delivery and ensuring that continued, “I'm most proud that UCHealth Health. This recognition highlights effec- clinicians can provide high-quality care recognizes the importance of employee tive interventions deployed over the last in a supportive environment.” wellbeing and strives to integrate this as five years, including many that are still in a top institutional priority.” place today, as well as the organization’s As these Colorado hospitals continue commitment to further improvement. I’m to implement action plans that prioritize Both CommonSpirit Mountain Region and proud of the work our Provider Engage- physician wellbeing, they contribute to Denver Health received Bronze status in ment Commit tee has done to build a national movement aimed at resolving 2024, joining 62 health systems nation- relationships and listen to voices across the systemic drivers of burnout. Their wide that prioritize physician wellbeing as the organization about the key drivers of achievements serve as an inspiration part of their commitment to high-quality burnout at Denver Health and to create a to other health organizations striving to patient care. Speaking on this recognition, foundation to address those challenges improve physician satisfaction and create Shauna Gulley, MD, System Senior Vice throughout our health system.” healthier work environments for all cliniPresident for the Physician Enterprise at cal teams. ■ CommonSpirit Health, emphasizes the Physician burnout remains a critical chalessential nature of caregiver support: lenge in the health care sector, despite We are proud to “CommonSpirit physicians and advanced some progress following the COVID-19 honor these health practice providers do an incredible job pandemic. After reaching peak levels organizations that taking care of our patients every day with during the pandemic, burnout rates have are leading the compassion and expertise. We are not now dipped below 50 percent for the first charge to redesign immune, however, to workplace stress, time in four years. However, physicians clinical systems and it is essential that we properly care continue to experience significantly and support for each other and for ourselves. When higher burnout levels compared to other the professional our caregivers are happy and healthy, our U.S. workers, underscoring the imporwellbeing patients and communities are healthier tance of continued efforts to address the of physicians as a result.” root causes of work-related stress.

Diane Thompson, MD, Enterprise Medical Director for Wellbeing at CommonSpirit Health Mountain Region, echoes this sentiment, describing the proactive

The AMA’s Joy in Medicine Health System Recognition Program was launched in 2019 with the goal of inspiring health care organizations to develop sustainC O LO R A D O M E D I C I N E

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Physicians gather locally to celebrate and connect at fall component society events Our unified membership means every Colorado Medical Society member is also a member of your local component society. Components in the larger areas of the state are active, providing invaluable member benefits on a local level. A key member benefit are local, in-person events to build the local community for professional advancement and personal wellbeing.

• Northern Colorado Medical Society hosted a summer social in August at Spring Creek Gardens in Fort Collins and legislative night in September at Embassy Suites Loveland • Mesa County Medical Society held a wine tasting event in August at Sauvage Spectrum Estate Winery and Vineyard in Palisade • Boulder County Medical Society held an annual gala in October at Folsom Field in Boulder

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• The Metro Denver societies – Aurora-Adams County Medical Society, Arapahoe-Douglas-Elbert Medical Society, Denver Medical Society and Foothills Medical Society – held a combined annual meeting and social in October at Uncorked Kitchen and Wine Bar in Centennial • El Paso Count y Medical Societ y held their annual celebration in October at the Pinery At The Hill in Colorado Springs

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EPCMS President Nicholas Piantanida, MD, MBA, left, and EPCMS CEO Natalie Myers, MBA, right, present Vinh Chung, MD, center-left, and Adam Robinson, DO, center-right, the Inspiring Physicians of 2024 award, part of the Top Doctors Program with Colorado Springs Magazine.

Mackenzie Daly, MD (not pictured), also received the designation.

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AACMS member Jennifer Foster, MD, FAAP, learns to roll sushi at one of four interactive cooking demonstrations at Uncorked.

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EPCMS leader Brian Kilmartin, MD, center, receives a Horseshoe award presented by EPCMS President Nicholas Piantanida, MD, MBA, and EPCMS CEO Natalie Myers, MBA. This award recognizes a tremendous contribution made to the physician community.

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AACMS President Rachelle Klammer, MD, right, introduces new AACMS Board of Directors member Ozioma Gab-Ojukwu, MD.

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Vanguard Skin Specialists enjoy the photo booth at the EPCMS Annual Celebration. Back row, from left: Vinh Chung, MD; Benjamin Freemyer, MD; Michael Leslie, MD; and Shana O’Heron. Front row, from left: Leisle Chung, Vanguard CEO; Victoria Moss, MD; and Brayden Healey, DO.

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NCMS Board of Directors members Cory Carroll, MD, left, and Scott Dhupar, MD, right, enjoy Spring Creek Gardens with guests Shelly Carroll, center-left, and Maromi Dhupar-Sakurai, center-right.

From left: Ana Ramirez Berlioz, Fabi Fernandez, MD; BCMS Board of Directors member Jennifer Christensen, MD; BCMS Treasurer Helen Rho, MD; and BCMS President Leila Wing, MD, at Fulsom Field.

10. From right, new DMS President Kelly McAleese, MD; new DMS Board of Directors member Adriana Manygoats de Julio, MD; and guest Logan Johnson.

7.

DMS Board of Directors member Sami Diab, MD, center, and Liliane Diab MD, FAAFP, converse before the Denver Metro main program.

11. Component executives, from left at the Denver Metro event: EPCMS CEO Natalie Myers, MBA, ADEMS Executive Director Andrea Chase, DMS Executive Director Virginia “Ginny” Castleberry, Foothills CEO Stephen Boucher, and AACMS Executive Director Sara Lipnick.

8.

NCMS members, elected officials and candidates for elected office in northern Colorado gather for an evening of discussion on hot topics in health care policy.

12. From right: Dawnielle Endly, DO, and her guest Ryan Endly, join Jamie Surovik, MD, and her guest Eric Surovik for a pre-event reception at Uncorked Kitchen. ■

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R E F LE C TI O N S

Pay it forward Kylene DeSmith

Kylene DeSmith is a fourth-year medical student at the University of Colorado School of Medicine. Growing up in New Hampshire, she found her love of nature which ultimately drew her to Colorado for medical school. She graduated from Tufts University with a degree in biology and spent two years researching pediatric cancer in Boston at the institution where she was treated as a child for kidney cancer. She currently is applying to pediatric residency programs and hopes to accompany children and families through difficult times as a pediatric critical care physician or oncologist in the future.

When I applied to medical school, my essay centered around my experience as a pediatric cancer patient and the impact of humanistic medical care on myself and, more important, my family. I have always wanted to go into pediatrics, partially because of the privilege to care for the whole family unit. Last year, I was placed at the Veterans Affairs Medical Center for my second-year clinical clerkships.

Several friends commented on how different that environment was from pediatrics but this experience fostered growth more than I could have ever hoped.

In many ways, the patient population was the complete opposite from pediatrics. I learned quickly that most of my patients were alone; so many of their family members and friends had already died.

This experience allowed me to practice humanism in an even greater way. I became close to a patient admitted for a severe congestive heart failure exacerbation. While I certainly learned about the pathophysiology of the exacerbation, I was also blessed to learn about him as a person. We discussed the farm he grew up on in rural Mississippi, his childhood job delivering newspapers, his history as

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a musician, and his poor relationship with his son. Because of the progression of his heart failure, he was told he would need an LVAD or transplant. He was having a hard time with this decision; he wanted to pursue a transplant, but he had no one to take care of him or his dog during recovery. He ended up asking his cardiologist if I could help care for him. I was honored to be trusted with this responsibility, although I obviously could not accept.

This moment affirmed the true benefit of humanism within our largely scientific field of medicine.

sons as well. Later, he was admitted with severe dehydration and malnutrition from his chemotherapy while I was on another inpatient team. He requested to speak to palliative care and invited me to sit with him and his wife while they discussed, and ultimately decided to withdraw treatment and go home on hospice. To be invited to be included in such a difficult and personal discussion as this meant more to me than knowing the mechanism of action of his chemotherapy medication.

This was humanism in its finest moment.

These contrasting experiences illuminated Another patient who impacted me was how caring for a patient as an individual a man who was diagnosed with pancre- human and not just as a medical responatic cancer while on my inpatient team. sibility can improve communication, trust Contrary to my other patient, he was fortu- and, ultimately, patient experiences. We nate to have a support system of a wife have the opportunity and the privilege of and three sons. After he was discharged, becoming family. Despite sharing difficult I accompanied him and his wife to his news or apparent lack of ability to be a first oncology appointment. During the “healer” in the classical sense of the word, appointment I could tell that they were I know that these patients felt heard and confused by the oncologist’s medical had peace with their decisions. I know I language and explanations of treatment will remember these patients as two of my options. In between that appointment first where I was able to “pay it forward” for and his chemotherapy infusion, I spent an the care I received. ■ hour explaining everything to them and writing it down so they could teach their Reflective writing is an important component of the Universit y of Colorado School of Medicine curriculum. Beginning in the first semester, medical students write essays, stories or poetry that reflect what they have seen, heard and felt. The Reflections column was co-founded by Steven Lowenstein, MD, MPH, and Tess Jones, PhD. It is now co-edited by Dr. Lowenstein and Kathryn Rhine, PhD. It is dedicated to the memory of Henry Claman, MD, Distinguished Immunologist and Professor at the University of Colorado, and founder of the Arts and Humanities in Healthcare Program.

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R E F LE C TI O N S

Tell us about Anne Allison Broad

Allison Broad is a fourth-year medical student at the University of Colorado School of Medicine. Originally from Chicago, Ill., her path to medicine was shaped by her experience working as an emergency room scribe in a low-resource community hospital on Chicago’s south side. During medical school, she developed passions for firearm injury prevention and harm reduction strategies for patients with substance use disorders. She is applying to emergency medicine residency programs, hoping to train in a safety-net hospital where she can focus on urban and underserved populations. Outside of medicine, Allison enjoys outdoor activities, especially marathon and trail running, skiing, and camping.

“Would you be interested in admitting my patient with a new cancer diagnosis?” The text message from my internal medicine preceptor flashed across my phone. My heart sank briefly; I knew this encounter would be heavy. Yet, a determination to be there for a patient in need quickly set in. As I drove to the hospital, I focused on mentally preparing for the task at hand, while making a conscious effort to set aside my own personal experiences with cancer.

I first met Anne in the back corner of the emergency department. Despite her pain and fear, she welcomed me with a warm smile. I pulled up a chair next to her bed, eager to learn about the woman before me. Anne was not just a patient with cancer; she was a devoted mother, a proud grandmother, a former medical assistant, and a lifelong Denver sports fan.

Our conversations flowed easily, filled with laughter and meaningful exchanges.

While she talked more about her grandchildren than herself, she readily shared her fears about dying and her disbelief in the sheer size of her tumor, “the size of a grapefruit!”, she would remark to me.

One of the greatest gifts of medical school is the time that students are afforded with patients. This gift allowed me to build a meaningful relationship with Anne. Every other Wednesday af ternoon during chemotherapy, I would hear her jovial laugh echoing through the infusion room before I even spotted her. I sat beside her as she shared stories from the past two weeks: a granddaughter’s birthday

celebration, difficulties with insurance companies, new chemotherapy side effects. Every few months, I attended her oncology appointments, absorbing discussions that often left us with more questions than answers. I stayed late after visits to catch up with her daughters and address any lingering concerns.

of her medications – pervasive coldness, numbness, even loss of fingerprints.

Anne applauded this niche knowledge, assuming that these were concepts that I learned in medical school. Through Anne, it felt as if I was reliving the early days of my dad’s diagnosis, willing both time and their disease processes to slow down.

After months of chemotherapy and radiation, it was time for the complex operation to resect her tumor. During the surgery, I was guiding the laparoscope when the resident surgeon asked, “Can you tell the team about Anne?” This request took me by surprise, given the often cold and formal nature of the operating room. However, the team thought Anne seemed like a lovely person, and they were curious to learn more about her. As I shared her stories, I noticed the joy of the surgical team in hearing about her life. I saw the beauty in sharing tidbits of Anne’s life with the surgeons as they methodically worked to remove her cancer. The energy in the operating room immediately shifted: it seemed as if we all had a deepened appreciation of Anne’s life and the work we were doing to cure the woman in front of us.

In the last few months of my dad’s life, he underwent surgery to remove a mass in his brain that impacted his ability to speak.

I remember walking through the hospital garden during his surgery, knowing the formal steps that were occurring in the operating room two floors above – the time out, incision, burr holes, resection, closure. I hoped that someone in that operating room spoke up to ask the room about my dad, just as the resident did during Anne’s surgery. I hoped the surgeons knew he was an avid biker, a die-hard Chicago White Sox fan, a loving father, brother, son and friend. I needed them to understand that his life had meaning beyond his tumors.

Throughout my time with Anne, I struggled to avoid overlaying my dad’s cancer journey with hers. Not from medical school, but through personal experience, I knew which second-, third-, and fourth-line chemotherapy options would be offered to Anne when her cancer unfortunately metastasized after her operation. I innately knew the side effects

I think of Anne often, and I wonder if anyone on my dad’s medical team thinks of him as well. I reflect on why this matters to me, whether his medical team remembers him or not. But somehow, it makes all the difference. Patients deserve to be known, and who they are should hold value in their medical care. I hope to cultivate a practice where, before diving into the medical details, we prioritize the question, “Tell us about Anne.” ■

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I NTR O S P E C TI O N S

Navigating uncertainty, disillusionment, and despair Dawson Myers

Critical reflective writing holds a prominent place in the Medical Humanities curriculum at Rocky Vista University. Students engage in critical reflection to explore their own assumptions and biases and to understand how their values impact their practice and professional identity. This submission is selected and edited by Nicole Michels, PhD, Chair of the Department of Medical Humanities, Alexis Horst, MA, Writing Center Manager, and Hope Ruskaup, MFA, Writing Center Coordinator.

Dawson Myers is a second-year medical student at Rocky Vista University College of Osteopathic Medicine, where he is part of the Academic Medicine and Leadership track. Dawson is committed to health literacy and preventive medicine, striving to make a lasting impact on underserved populations. With a strong foundation in research, leadership, and a dedication to holistic care, Dawson seeks to make meaningful contributions to the field of osteopathic medicine.

As a medical student engrossed in the complexities of the American health care system, I find myself grappling with feelings of uncertainty, disillusionment, and despair. The uncertainty of whether I’ll match into my desired specialty weighs heavily on me, as I will soon navigate rotations and study for board exams.

After witnessing the inefficiencies and inequalities in patient care, I sometimes feel a sense of disillusionment, questioning whether I’m entering a profession that aligns with my values.

In moments of intense stress and selfdoubt, the overwhelming workload and high expectations can lead to a sense of despair, making me wonder if I’ll continue to find balance in my future career as a physician. Seeking solutions rather than accepting the hurdles of health care, I am optimistic for future change and ultimately improved patient care.

THE ROOTS OF UNCERTAINTY Uncertainty is a pervasive aspect of medical training. As students, we are constantly faced with the unknown – from mastering vast amounts of medical knowledge to making critical decisions in clinical rotations. Beyond the academic and clinical uncertainties lies a deeper, 16

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systemic unknown that stems from the evolving nature of health care: rapid technological advancements and shifting virtual models of health care delivery.

Prior to medical school, I served as a clinical research coordinator (CRC) collaborating on Phase 1/2 oncology trials. I still remember a woman in her early 40s, newly diagnosed with metastatic breast cancer, whose hope was infectious. As I explained the novel immunotherapy trial she might qualify for, I could feel the weight of uncertainty. We were both clinging to the promise of something new, knowing that scientific breakthroughs often come with no guarantees. Every patient interaction is a fragile reminder of the potential and the limits of our current scientific understanding.

Further, innovations such as artificial intelligence, telemedicine, and personalized medicine promise to revolutionize patient care, yet also introduce new complexities. During one trial, we began using an AI-based tool to help organize patient notes. While it streamlined the paperwork, I remember feeling disconnected from the data, as it only showed laboratory values without patient history.

Without looking at the patient chart, I

struggled to see the story behind the numbers. It was fast and efficient, but I couldn’t shake the thought: how would a physician from an older generation navigate this? What about the patients who weren’t comfortable using these digital platforms? I feared we might be moving too fast, leaving crucial voices unheard.

The shifting landscape of care from bedside to remote video calls brings to light the personal connection we have with patients. Shadowing a family medicine provider using telemedicine, I recall struggling to grasp the nuances of a patient’s concerns through a screen.

Non-verbal cues, such as facial expressions and body language, felt distant.

The distance between us, both physically and emotionally, was palpable.

The screen created an invisible barrier, and I worried that the patient might not feel fully understood or heard. I found myself grappling with whether this form of care – despite its convenience – could ever truly replace the nuances of in-person interactions. I wondered: could we adequately provide comfort and assurance through a digital medium, or were we sacrificing something deeper in the rush toward technological innovation?

In that moment, I felt like we were losing

some of that connection, and it made me question whether technological progress might come at the cost of empathy.

I often ponder, will the art of healing and empathy persist with the advancement of technology? As technology continues to evolve, I worry that the art of healing could become secondary to the science of efficiency. Will patients become just another data point, their treatment guided by algorithms and virtual systems? The rise of telemedicine and AI presents a future where medicine could become a sterile, transactional process, and the complexities of human emotion and suffering are overshadowed by technology’s drive for speed and accuracy. I fear we may lose the delicate balance between scientific advancement and the empathy required for true healing.

THE WEIGHT OF DISILLUSIONMENT Disillusionment of ten sets in as we confront the stark realities of the health care system. The ideals that draw many of us to medicine – compassion, service, and healing – can seem distant in a system riddled with inefficiencies, inequities, and bureaucratic hurdles.

As a CRC, my role entailed providing technical support to principal investigators, analyzing protocol requirements, and implementing quality assurance measures. Personally, witnessing physicians struggle with paper work and administrative tasks at the expense of patient interactions was disillusioning. A mentor of mine once said, “Some days, I feel more like a clerk than a doctor.” This stark reality raises questions about the system’s priorities and the true meaning of patient-centered care. When physicians are overburdened with clerical tasks, they may not have the time or energy to engage deeply with their patients, leading to a risk of eroding trust. Patients may feel rushed, less heard, or even reduced to a set of data points. This raises the concern: if doctors feel like clerks, do patients start feeling like numbers rather than individuals?

At the core of medicine is the patient.

Disparities in access, quality of care, and health outcomes are pervasive, particularly among marginalized and underserved populations. During a rotation in

an urban clinic, I witnessed firsthand the impact of social determinants of health and systemic imbalances on patients’ lives. One patient, a single mother struggling to make ends meet, confided in me that she had to choose between paying for her medication and buying groceries for her children. Hearing this mother’s story, I felt an overwhelming sense of frustration. It wasn’t just about her health; it was about the system that forced her into impossible choices. As I listened, I realized that all the clinical knowledge in the world couldn’t address the realities of her life. I couldn’t help but wonder: how many more patients face these choices every day, unseen and unheard? The experience deepened my disillusionment, making me question whether the health care system was truly designed to heal – or simply to enhance the bottom line.

THE DESPAIR OF BURNOUT The demanding nature of medical training often pushes us to the brink, fostering an environment where burnout becomes inevitable for many. Caring for patients also comes with profound emotional challenges. Witnessing suffering, death, and the limitations of medical interventions can be particularly draining.

During a summer internship in pediatric hematology/oncology, I was faced with one of the most harrowing experiences of my training. One young patient, who had undergone months of aggressive treatment and countless bone marrow biopsies, succumbed to a terminal illness.

Despite the medical team’s best efforts, the disease progressed relentlessly.

Standing by, feeling helpless as the young patient’s condition deteriorated, I was struck by the stark reality that sometimes, medicine isn’t enough. This wasn’t just an academic failure or a medical challenge – it was a deeply emotional experience that weighed heavily on me. Watching the family’s grief as they said their final goodbyes to their child was devastating. It left me questioning my ability to cope with the emotional demands of this profession.

After that emotionally taxing week, I confided in a few colleagues about how I was feeling. Their responses, though well-meaning, reinforced an internalized stigma: “We’ve all been there,” or “It’s part

of the process.” These dismissals only deepened my sense of isolation. I felt like I was drowning, yet too ashamed to reach out for a lifeline, knowing the culture of medicine often discourages vulnerability.

The worst part was the realization that this was just the “price of admission” for a career in medicine – that burnout and despair were simply part of the journey, an unspoken reality for health care providers.

SEEKING SOLUTIONS, FINDING HOPE Despite the uncertainties, disillusionment, and despair, there is hope. As a future physician, I have the potential to advocate for a better health care system and change the current narrative.

Addressing burnout and promoting wellness among medical students and health care professionals is crucial. Institutions should continue to prioritize mental health support, provide resources for stress management, and foster a culture that values work-life balance.

Peer support programs via mentorship can help build resilience and mitigate despair. As a current peer mentor, I walk humbly alongside my mentees, guiding them and answering questions about my experiences. Sharing my perspective, recommendations, and resources, I encourage them to strive for success.

The key to being a mentor is finding my “why,” defining my purpose and values to help bridge the gap in experience for my mentee(s).

E m p h a s i z i n g e m p a t h y, c o m m u n i cation, and cultural competence in medical education can strengthen the patient-physician relationship and improve patient outcomes. Despite the systemic challenges, maintaining a focus on compassionate, patient-centered care is essential. By staying true to the core values of medicine, I can find fulfillment and purpose in my work.

As a future physician, I possess the power to drive positive change and uphold the ideals that inspired my journey into medicine: the patient. I am determined to influence the landscape of health care delivery and advocate not only for myself but, more important, for my patients. ■

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Grant funding to address fragmentation in health care Gerald Zarlengo, MD, Chairman & CEO, Copic Insurance Company

CELEBRATING 40 YEARS OF SUPPORTING HEALTH CARE As Copic celebrates its 40th anniversary this year, one of the accomplishments that continues to represent how we put our mission into action is the Copic Medical Foundation. The Foundation is part of the legacy of our first external, non-physician board member, Harold “Hal” Williamson – reflecting his passion for giving back to the community in real and meaningful ways.

Today, the Foundation’s efforts extend across multiple states, and have impacted the lives of many. Since 1991, we’ve provided more than $12 million in funding to improve patient care and medical outcomes.

GRANT FUNDING THROUGH THE COPIC MEDICAL FOUNDATION As part of our larger commitment to patient safety, our 2025 focus for grant funding is reducing fragmentation across care settings. A top concern in the field of patient safety, breakdowns in care from a fragmented health care s y s tem can lead to readmissions, missed diagnoses, medication errors, delayed treatment, duplicative testing 18

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and procedures, and reduction in quality of care leading to general patient and provider dissatisfaction.

We’re excited to fund approaches that take on these safety concerns. For the Foundation’s grant funding, contributing to a solution means supporting scalable or replicable solutions, focusing on the testing of new ideas or growing existing solutions, and then seeing avenues for larger application. This will be our last grant cycle focused on reducing fragmentation across care settings. The Foundation will evaluate and revise our focus area for the 2026 grant cycle, to be posted in fall 2025.

2025 Funding Cycle – We are accepting applications for grant funding from Nov. 1, 2024 through Jan. 15, 2025 for our 2025 cycle of grant funding.

WHAT WE FUND:

• Programs and initiatives that

improve patient safety and quality of care through systems changes and improvements

• Pilot programs designed to reduce medical errors

• Development and implementation of tools to improve care delivery

MINIMUM CRITERIA TO BE CONSIDERED:

• Approach or program demonstrates potential for uptake or replication by the health care community

• Organization is designated as a 501(c) (3) organization or has an identified fiduciary

Deadlines and applications – Grant applications are due Jan. 15, 2024 by 5 p.m. Visit our website at www.copicfoundation.org to review requirements and submit an application.

If you have any questions, please email mhintze@copic.com. Applicants can expect to hear from us regarding potential support by March 31, 2025.

PAST GRANT RECIPIENTS IN COLORADO 2021 | Mile High Health Alliance’s “Orange Flag” Project: This project used historic, predictive and real-time data to inform emergency department personnel of a patient’s high utilization of emergency services to aid in care coordination.

2021-2022 | Children’s Hospital Colorado Foundation’s ImPACT Navigation Hub: A centralized resource hub to coordinate the transition of young adult patients with pediatric onset conditions to adult care.

2022 | West Mountain Regional Health A l l i a n ce’s C o m m u n i t y R e s o u r ce Network West Mountain: A social information exchange platform in western Colorado, designed to facilitate a care coordination effort to support individuals experiencing homelessness with coordination by hospitals, health and behavioral health providers, community organizations and government agencies.

2023 | Metropolitan State University of Denver: A EMT and nursing interprofessional education pilot and launch focusing on interprofessional education to reduce fragmentation and improve patient outcomes.

GRANTEE SUMMIT In May 2025, the Copic Medical Foundation will host our 4th annual Grantee Summit which brings together past and current grantees as well as community partners. The event is structured so that attendees can connect, share learnings, and explore opportunities for collaboration related to the grant focus area of “reducing fragmentation across care settings.”

We look at the Grantee Summit as an initiative that supports our goal to be a catalyst in improving the quality of health care delivery by reducing adverse outcomes and supporting innovation. Our hope is for grantees to leave this event with new ideas, new partners and new perspectives which will support their efforts to move their work forward at a greater scale with increased impact on improving patient safety. ■

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N E W S

2024 Copic Humanitarian Award-Colorado: William G. Wright, MD, MSPH, FAAFP William Wright, MD, MSPH, FAAFP, left, receives the Humanitarian Award from Copic Senior Vice President of Public Affairs Beverly Razon.

Copic and the Colorado Medical Society (CMS) are proud to announce that William Wright, MD, MSPH, FAAFP, is the 2024 recipient of the Copic Humanitarian Award. Dr. Wright is a family medicine physician recognized for his dedication to physician peer support and commitment to the needs of others.

Dr. Wright has been dedicated to the Colorado medical community for more than 42 years. He joined the board of the Colorado Physician Health Program (CPHP) in 2014 to support the organization’s mission of promoting the health, wellbeing, and professional conduct of physicians and other health care professionals in Colorado. He has served in various leadership roles, including secretary, vice chair, and chair.

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Dr. Wright has made significant contributions to physician health over the past decade as an advocate, mentor, educator and leader. He was instrumental in launching initiatives to improve mental health and wellness within the medical community, including creating the Doc2Doc Wellbeing Consulting Program in partnership with CMS. This program offers immediate support to health care professionals facing burnout, stress and other challenges.

Dr. Wright’s leadership has also helped CPHP navigate a rapidly changing health care landscape, the pandemic, and other challenges. Through it all, he offered perspective, sound advice and compassionate support.

Beyond his commitment to physician health, Dr. Wright volunteers his time and expertise to numerous organizations.

He has served as a board member for the Colorado Medical Board, Colorado Institute for Value in Healthcare, and The Colorado Trust. These organizations have benefited from Dr. Wright’s passion and his extensive experience in regulatory affairs, leadership, management and medical philanthropy.

Through Copic’s generous award, the Humanitarian Award winner can designate a $10,000 donation a health care-related nonprofit organization within their community. Dr. Wright has designated CPHP as that recipient. ■

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Physician wellness through travel: Curating dream vacations with Cruise Planners Jan Kief, MD, Cruise Planners - Kief family

FIJI

For physicians juggling demanding careers and family responsibilities, finding time to unwind can seem like a distant dream. But travel isn’t just a luxury – it’s a key component of wellness. This is where a personal connection with a trusted travel advisor can make all the difference, working with one person that truly gives you peace of mind, listens, and makes travel seamless, safe and wonderful. With an eye for detail and an understanding of busy schedules, Cruise Planners - Kief family, a physician-run travel agency for over 15 years, brings the world to your fingertips with seamless, stress-free vacation planning.

THE POWER OF EXPERT GUIDANCE IN A CROWDED DIGITAL WORLD In today's fast-paced, information-rich world, it’s easy to feel overwhelmed by the options available online. That’s why we like to say, “the internet is for looking, and travel advisors are for booking.”

Having traveled over 90 countries and all seven continents, we can make great suggestions based on our knowledge and experience. We listen, understand, and can plan a customized, hassle-free experience – an approach particularly beneficial to time-strapped physicians.

With our deep network of connections in the travel industry, we can deliver top-tier experiences without the stress of planning. From luxurious small-ship cruises to exclusive land tours, we’re able AUSTRALIA

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COLOMBIA

to recommend destinations and experiences that blend adventure, relaxation and cultural immersion.

LUXURY DESTINATIONS FOR THE ULTIMATE ESCAPE Luxur y travel, with its emphasis on personalized, authentic experiences, is especially appealing to physicians seeking a meaningful escape. For those looking to balance adventure and tranquility, we highlight destinations like Antarctica, Iceland and the Galapagos for expedition cruises, where travelers can experience nature in its most pristine form. French Polynesia’s Bora Bora and Tahiti offer stunning marine life and a peaceful cultural retreat. Other top destinations are Japan, Croatia and Italy.

Europe remains a favorite with beautiful river cruises, exploration of the Mediterranean, incredible Norway, beautiful capital cities and history, countryside and wonderful people and cuisine. For those who enjoy wildlife and scenic landscapes, Africa’s safaris and the majestic wilderness of Australia and New Zealand are top picks.

FAMILY-FRIENDLY GETAWAYS: FUN FOR ALL AGES Families looking for vacations that are engaging for multi-generations can rely on Cruise Planners to recommend unforgettable experiences. Time spent CROATIA

with the entire family is so important and there are great opportunities for family-friendly cruises, which of ten feature kids’ programs and activities that allow everyone to enjoy their time.

Adventures by Disney, Tauck Bridges and more offer immersive, educational journeys designed specifically for families. One standout option is the Paul Gauguin cruise ship, renowned for its youth program created by the family of Jacques Cousteau.

For families looking to combine festive cheer with travel, European holiday markets offer a magical experience that brings people of all ages together, while still maintaining a relaxed pace.

WELLNESS ON VACATION: PRIORITIZING RELAXATION AND SELF-CARE Given the nature of the medical profession, physicians understand the importance of balancing activity and relaxation.

It is easy to build wellness components into each trip, whether it’s a serene spa day, a workout session, or unwinding on a beautiful beach. Fitness and nature enthusiasts alike can find joy in cruises that offer wellness facilities, fitness classes, and guided excursions into breathtaking natural settings.

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The oppor tunit y to relax while also immersing ourselves in different cultures was transformative.

Another memorable trip planned was a group trip for 75 on a cultural cruise in the Caribbean. This allowed the group personal time to connect with their suitemate and experience beautiful islands with friends and family. Another great trip we planned for a family was a river cruise, followed by trains around Switzerland, ending with the Olympics in Paris.

NAVIGATING TRAVEL CHALLENGES WITH CONFIDENCE As travel advisor professionals we understand that travel disruptions and delays as well as natural disasters can happen. We offer trip protection to every client. It often provides concierge services for advice, flight monitoring,

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CURATING THE PERFECT GETAWAY: TIMING IS KEY The key to a great vacation is timing. Some need to coordinate vacations with school breaks or holidays. Others may have the flexibility to travel during the “shoulder seasons” – spring or fall – when there are fewer crowds and often better value.

Others plan around specific events, such as Japan’s cherry blossom season, tulip time in the Netherlands, or Africa’s great migration. We know as travel advisors the best times based on destination, hemisphere, or country you wish to see and what you are looking for there.

Cruise Planners - Kief family are here to curate your land or cruise vacations anywhere in the world and to listen and help create the trip of a lifetime for you.

We know the ships from eight- to 6,000person capacity and land options from private to group to expedition travel for all abilities. We are proud to partner with TCS World Travel, Royal Caribbean and Celebrity Cruise, and others to help be of support to the Colorado Medical Society and its members.

For physicians and their families, wellness travel should be a seamless, rejuvenating experience. By working with trusted professionals like Cruise Planners - Kief family, planning that dream vacation no longer feels like just another item on the to-do list. It becomes a reality to rest, reconnect and experience the world. ■

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Election work sets foundation for session Sean Pauzauskie, MD, COMPAC chair, and Darlene Tad-y, MD, MBA, Council on Legislation chair The 2024 general election brought interesting developments for physician supporters in the statehouse, with nearly all COMPAC-endorsed candidates winning their bids for election or re-election as of press time. This strong showing is set to influence health care policy in practical and collaborative ways during the 2025 legislative session. The COMPAC endorsement process connected incoming legislators with physicians so that they understand what medicine’s priorities are and have relationships with local physicians to consult when questions arise.

With a significant number of freshmen legislators joining both chambers, our advocacy team anticipates these new members will bring fresh perspectives, opening the door for greater cooperation on health-related issues.

KEY RACES, LEADERSHIP CHANGES, AND BALLOT MEASURES Among the most closely watched races

were four House districts – HD 16, 19, 43 and 50 – where outcomes were tight, and Republicans needed to win three to prevent a Democratic supermajority. (As of press time, only one race was called – HD 43 for Democrat Bob Marshall.) In the Senate, races in SD 5, 12, 13 and 16 were key, with Republican Marc Catlin’s win in SD 5 potentially preventing Democrats from achieving supermajority status.

Additionally, a significant ballot measure passed, preserving abortion access in the state constitution. This measure is expected to catalyze new discussions and legislative proposals surrounding reproductive health care in the 2025 session.

Changes in legislative leadership are expected to impact the tone and approach of health care advocacy. The Senate will welcome a new president, while new chairs in both the House and Senate Health Committees will play pivotal roles in guiding health care legislation. We remain

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optimistic that these leadership roles will be filled by legislators with a history of support for the medical community. New health care advocates in the legislature, including Representatives-elect Lindsay Gilcrest, Gretchen Rydin, Rebekah Stewart, and Senators-elect Judy Amabile and Lindsey Daugherty, are anticipated to champion key health care issues, creating new opportunities for progress.

LEGISLATIVE PRIORITIES FOR 2025 Once again, health care is expected to be an important issue at the state capitol in 2025. CMS anticipates legislation on access-to-care issues, Medicaid RAC audits, pharmacy benefit managers, bans on non-compete clauses for physicians, and possibly hospital facility fees. There will be a focus on enabling batching of bills for out-of-network services so that similar claims can be dispensed in one arbitration.

CMS will also guard against inappropriate scope of practice expansions and efforts to destabilize the liability climate. As the session progresses, additional health-related bills will undoubtedly emerge.

A projected $900 million shortfall in the state budget presents a significant hurdle, particularly in securing funding for Medicaid programs. Gov. Polis’ proposed Medicaid budget next year calls for $23 million in physician and other service rate cuts.

Overcoming these financial challenges will require strong, targeted advocacy to ensure that health care remains a legislative focus.

PHYSICIAN ENGAGEMENT For physicians, engaging directly with legislators remains the most effective way to influence policy. Meeting with lawmakers, testifying in committees, and advocating for affordable, quality care will be critical this session. Legislators need to hear directly from physicians, especially on issues impacting patient care and practice operations. By building and strengthening these relationships, physicians can play a key role in shaping the future of health care in Colorado. Stay engaged by reading our Policy Pulse, responding to our Action Alerts, and letting us know if you would be interested in testifying. ■

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COLORADO PHYSICIAN OR MEDICAL STUDENT CALLS 720-810-9131.

24/7 line answered by a Masters-Level Licensed Clinician (LCSW, LPC) to assess the clinical need of the caller, including life-threatening situations.

CONFIDENTIALITY IS REVIEWED AND PEER SUPPORT SERVICES ARE INITIATED. Only in circumstances where an individual is a threat to self or others or as outlined in the Medical Practice Act would confidentiality be breached. Doc2Doc Wellbeing Consulting has the same reporting obligation as all licensed Colorado physicians.

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If CPHP traditional comprehensive evaluation services are a best fit based upon caller’s presentation OR if more help is needed at the end of three free Doc2Doc Wellbeing Consulting sessions, CPHP’s process will commence to ensure client has appropriate treatment supports in place.