Central Valley Physicians - Fall 2024

Serving Fresno, Madera, Kern and Kings Counties

Fall 2024

Marina Roytman, MD Inspire Health Hepatologist Professor, UCSF

INSIDE: Honoring the Legacy, Embracing the Future: CCFMG Becomes Inspire Health Fresno Sate Unveils Harm Reduction Vending Machine Fall 2024 CENTRAL VALLEY PHYSICIANS 1 CVP_Fall_24.indd 1

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JOIN OUR CULTURE OF CARE Build your future with UC Davis Health

Now Hiring — Primary Care Physicians and Anesthesiologists UC Davis Health is an extraordinary place to grow your career. You’ll experience being part of an academic medical center that’s committed to advancing pioneering research, promoting a sense of belonging through an inclusive work environment, and fostering continuous learning to develop health care leaders.

Join our team as we strive to provide world-class care in the Northern California region. Offering a competitive compensation and benefits package, flexible schedules, access to wellness programs, and more.

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VOLUME 9, NUMBER 2 • FALL 2024

Fresno State representatives (l to r) Kathy Yarmo, ASI President Faith Van Hoven and Alicia Nelson are joined by Lali Witrago from Anthem Blue Cross and FMMS President Jennifer Davies, MD in front of the new Wellness to Go vending machine at Fresno State.

{FEATURES} 14

ELECTION YEAR FINANCE

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INTRODUCING INSPIRE HEALTH

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ADDICTION MEDICINE UPDATES

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A CHSU GRADUATE BEATS THE ODDS TO ACHIEVE HER DREAM

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{DEPARTMENTS} 5 FROM THE EDITOR 7 FROM THE PRESIDENT 30 JOY OF MEDICINE – JOIN US 32 IN THE NEWS

PUT YOUR MEMBERSHIP TO WORK

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From the Executive Director

We’re thrilled to share some exciting updates in this edition as we embrace a season of growth and celebration.

We start by celebrating the rebranding of Central California Faculty Medical Group (CCFMG) as Inspire Health, marking a new chapter for this esteemed medical practice.

While the name has changed, Inspire Health continues CCFMG’s legacy of quality care, with a renewed focus on expanding access to STACY WOODS top-tier healthcare and meeting future needs while building on a solid foundation.

We were thrilled to participate in the ribbon cutting for the new Wellness to Go harm reduction vending machine at Fresno State.

Take a look at FMMS Docs on social media for additional coverage thanks to the newest member of our team, Marketing Coordinator, Abigail O’Bosky. Abigail joined us this summer and has already made a significant impact, boosting our social media presence and contributing to the planning of our fall programs. Her creativity and energy are sure to elevate our initiatives further.

Mark your calendars for November 15th, when we’ll host the Installation and Awards Gala, installing FMMS 2025 Officers, including Dr. Pamela Kammen as President and honoring two distinguished physicians with Lifetime Achievement and Community Service awards. It will be an evening dedicated to celebrating the remarkable contributions within our medical community.

Finally, this year’s Joy of Medicine Summit features new familyfriendly activities, including a chartered trip to Oakhurst’s Golden Chain Theater for the Holiday Extravaganza and a Friday night mixer with S’mores and hot chocolate by the fire, following a private ice-skating session. These additions promise to blend wellness with seasonal cheer for an unforgettable experience.

Stay in touch by following us on social media and making sure to open the digital newsletters for all the latest offerings.

PRESIDENT – Jennifer Davies, MD PRESIDENT ELECT – Pamela Kammen, MD VICE PRESIDENT – Greg Simpson, MD TREASURER – Jesus Rodriguez, MD PAST PRESIDENT – Marina Roytman, MD BOARD OF GOVERNORS Mark Alson, MD Nicole Calvillo, MD Karen Dahl, MD Richard Mendoza, MD John Mona, MD Anne Prentice, MD Jesus Rodriguez, MD Sonia Shah, MD Toussaint Streat, MD Benjamin Teitelbaum, MD Jai Uttam, MD CMA Trustee - Ranjit S. Rajpal CENTRAL VALLEY PHYSICIANS Editor – Farah Karipineni, MD Assistant Editor – Karen Dahl, MD Managing Editor – Stacy Woods EDITORIAL COMMITTEE Farah Karipineni, MD, Chair Don Gaede MD Karen Dahl, MD CREATIVE DIRECTOR prime42: DESIGN | MARKET | HOST prime42.com CONTRIBUTING WRITERS Richelle Kleiser, Marianna R. Aguilar, MA, LMFT, Fatima Yusuf, Chhaya Makhija, MD CENTRAL VALLEY PHYSICIANS is produced by Fresno Madera Medical Society PLEASE DIRECT ALL INQUIRIES AND SUBMISSIONS TO Central Valley Physicians 255 W Fallbrook Avenue Suite 104; Fresno, CA 93711 Phone: 559-224-4224 | Fax: 559-224-0276 Email address: swoods@fmms.org MEDICAL SOCIETY STAFF Executive Director – Stacy Woods Marketing Coordinator – Jonah Vigilia

Wishing you a season of growth!

Stacy Woods

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A message from our Editor > Farah Karipineni, MD

Staying Connected: Why Community Matters More Than Ever “Move to the Bay Area,” my mom always pleads. “It’s so hot in Fresno, and none of us are near you there!”

Indeed, I never realized that when I left my hometown for medical school 17 years ago, I would never be back. As crazy as it is, though, despite having no family in town, what my husband and I have found in Fresno is rare and precious-a true sense of community.

Building community is at the heart of a healthy society, and who better to champion healthy life habits than doctors?

Our social contacts, the structure of our neighborhoods, and our sense of belonging has as much of an impact on our longevity as the medications we prescribe, if not more. Yet with 15 minutes per patient encounter, it’s difficult to make a lasting impact on our patients’ health and lives with such little time to make real connections. This struggle can also impact the physician’s quality of life, personal and professional satisfaction.

But human connections are so important. It is said that Americans are the most isolated we’ve ever been.

Capitalistic, individualistic, materialistic values govern crucial things we seemingly have no control over-local politics, foreign policy, social welfare. These values decide what we eat, how we exercise, literally the air we breathe.

Reading The Blue Zones: Secrets for Living Longer , I realized how much of our health is determined by cultural impact, and how disadvantaged most Americans really are.

What can we do about it? Seeing the news, it can seem hopeless at times-unprecedented extremes in weather, endless war, divisive elections, vital shortages, economic uncertainties. But humankind has been through worse, and found the light at the end of the tunnel. So many of us are overworked, overtired, and stressed-how could we possibly

It is said that Americans are the most isolated we’ve ever been.

ABOUT THE AUTHOR Farah Karipineni, MD, MPH, is board certified in General Surgery and fellowship trained in Endocrine Surgery. She is currently practicing in Fresno as an Assistant Clinical Professor for UCSF. Dr. Karipineni earned her medical degree from University of California, Irvine School of Medicine. Her residency in General Surgery was completed at Albert Einstein Medical Center, and she completed her fellowship in Endocrine Surgery at Johns Hopkins School of Medicine.

Dr Karipineni has been published in journals including The American Surgeon, the International Journal of Surgery and the Journal of Surgical Education.

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add more to our plate? But building community is not just a social responsibility. It also helps us feel connected to the causes and people we care about, and elevates our wellbeing. It may not seem like much, but we should never underestimate the ripple effect of small but meaningful connections in our lives and others. The small things are the big things.

I have seen many doctors in our community doing just that, and changing the face of medicine in the process. Dr Chhaya Makhija, an endocrinologist and owner of Unified Endocrine, hosts Walk With a Doc, laughter sessions, cooking classes and a host of other transformative events. Dr Mohammad Shaikh, a Clovis surgeon, has created a bicycle bus to

schools in CUSD that gets neighborhood families riding together to school on a quarterly basis. Dr. Anshu Varma started a community group for local women’s physicians hosting a variety of events like Indian dancing, book clubs, and get-togethers.

So, as many of you already do, go to a new community gathering. Whether it’s art hop, homeless advocacy, a political event, a nature walk or a fitness class, try something different in and around Fresno. Support a local cause with one of our wonderful Valley organizations.

Get involved in local events. Meet new people. Feel connected. It will be good for the health of our community, and good for our own health, too.

I have seen many doctors in our community doing just that, and changing the face of medicine in the process. Dr Chhaya Makhija, an endocrinologist and owner of Unified Endocrine, hosts Walk With a Doc, laughter sessions, cooking classes and a host of other transformative events.

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A message from 2024 President > Jennifer N. Davies, MD

Reflecting on Progress and Planning Ahead I love this time of year. After being exhausted by the grueling heat of summer (and this one was particularly grueling), there is the glimpse of some reprieve- some windows opening in the morning to let in some fresh, cool air, and having bit less daylight with which to contend there can be a feeling of slowing down, and maybe more opportunity for quiet contemplation. For those of us with kids in school, it represents the return of some routine (and one less meal to plan). But while on one hand it may feel like a time to let up a little bit, it also can be jam-packed with responsibilities. For some like me, it means finally getting around to completing tax returns. At work, October can feel non-stop- trying to get in all the work that needs to be done before the holidays arrive when there will be fewer working hours in which to do it. It is a time of flux and

ABOUT THE AUTHOR Jennifer N. Davies, MD is a boardcertified Otolaryngologist at Central California Ear Nose and Throat and the 2024 President of the Fresno Madera Medical Society. Dr. Davies graduated from University of Southern California Keck School of Medicine in 2002 and completed a residency at the University of Texas Health Sciences Center at Houston McGovern Medical School.

Dr. Davies is a Fresno native and enjoys ballet and spending time with her husband Jonathan and their two teens.

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paradox, and a time to reflect on what you’ve accomplished so far and to prepare for what is left to be done. And autumn at FMMS is no different. Let me take a moment to share with you our accomplishments thus far and some things we are eagerly anticipating.

MEMBERSHIP It should go without saying that membership is important: we can’t do what we do without your membership investment to provide the services or the members to provide them for. And we have continued to grow, which is no easy feat. There are few other California Medical Societies that have continued to experience this kind of growth. We grew this year by another 185 members and have an all-time high membership of 1901. This year marked the inaugural graduating class of California Health Sciences University, and since we proudly provide free membership to medical students, this is where some of the growth occurred. But we also saw growth in active membership (which means not student or resident and not retired) from 716 to 732. This, too, represents an all-time high. It’s been a good year for membership, and we thank you for that.

LEGISLATIVE ADVOCACY To quote our esteemed colleague, Dr. Alex Sheriffs, who has made it his mission to increase representation and participation for both physicians and our local community in our legislative system, “Healthcare is always on the ballot”. In this election year, one of the top agenda

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items in California is Prop 35. This proposition seeks to dedicate funding to healthcare and increase MediCal reimbursements substantially. Passing Prop 35 would lock in already-present funding to be used only in healthcare.

It will expand access to healthcare for MediCal patients, increase mental health funding, and expand medical education in order to address provider shortages in our valley. If you are reading this prior to November 5, I hope that voting is at the top of your to-do list (and, please, vote yes on 35). But if this message reaches your eyes after the election, I do hope we are celebrating a victory on Prop 35, then moving on to the hard work of using its proceeds to build a stronger medical community with increased access to healthcare for our valley residents.

MEMBER BENEFITS FMMS provides numerous member benefits, and one of the things I think we do best is to provide varied and quality CME in our local environment.

There is no need to travel far to reap these benefits.

Already this year we have had CME offerings in Addiction Medicine and Geriatric Medicine and we just completed the 44th Annual Central Valley Cardiology Symposium. Still to come this year - Reducing Lead Poisoning in Pediatric Populations on November 1st and Joy of Medicine Summit December 6-7. It’s a bustling CME schedule, but we are always looking for new ways to fulfill your CME needs, so please keep us posted on what those are.

well. One tremendous resource in this regard is the Joy of Medicine program, a multi-faceted approach to physician wellness. It offers peer groups and social events to connect with colleagues. There are free and confidential resiliency consultations to help members cope with often overwhelming stresses. And then there is the Annual Joy of Medicine Summit, which takes place the first weekend of December at Tenaya Lodge, just outside Yosemite. It is a family-friendly event that provides both CME for you, speakers and activities for the family, amidst a worldclass winter wonderland in our backyard. Registration is currently open.

COMMUNITY ENGAGEMENT New in 2025, there will be a Health Fair to help support the Medical Society’s goal of increasing community engagement. We are in the planning phase, but the event is slated for Spring 2025, location to be announced. We hope to provide education to the community about a variety of health topics, food, entertainment, and a family-friendly and inclusive atmosphere. This is an opportunity to connect with our patient community in a direct fashion about ways to improve health. I am excited about the possibilities it brings and eager to work with you all in bringing the FMMS Health Fair to fruition.

In these final months of 2024, I know you will be busy in your lives with year-end preparations. But I hope you’ll also take some time reflect on your accomplishments.

This vibrant medical community which is in constant motion providing for valley residents, deserves some time for reflection and kudos. We need some time this fall to replenish the coffers, because in the blink of an eye we will be back hard at work.

If we want to provide quality healthcare to our patients, we need to take care of ourselves as well.

PHYSICIAN WELLNESS FMMS in recent years has placed physician wellness at the forefront. If we want to provide quality healthcare to our patients, we need to take care of ourselves as

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Enhanced referrals for WORLD-CLASS CARE, closer to home Convenience for referring providers From delicate robotic and catheter procedures to precision therapeutics, we’re proud to offer diagnostic and treatment options for adult and pediatric referring providers across Northern California and the Central Valley.

Your referred patients benefit from shorter drives, less traffic, affordable lodging, and more. We also offer robust telehealth and telemedicine options, for both initial consultations and follow up care.

Our physician referral liaisons are here to help navigate referrals and: ■

Facilitate access to our secure EMR system, PhysicianConnect

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Assist with UC Davis Health clinical trials and telemedicine

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Keep you abreast of new services, providers and research programs Arrange meetings and webinars, and share information about CME and events

Your local Physician Referral Liaison: Joaquin Muñoz | 916-701-7161 | joamunoz@ucdavis.edu Frank Ing, M.D., F.A.C.C., M.S.C.A.I. Chief, Division of Pediatric Cardiology Codirector, UC Davis Pediatric Heart Center Professor of Pediatrics Specialty: Pediatric Cardiology

referrals.ucdavis.edu Fall 2024

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Cordially invites you to the 2024

Installation & Awards Gala Lifetime Achievement Award Ranjit S. Rajpal, MD Community Service Award Jill Carson, MD Installation of Pamela Kammen, MD

Fresno Madera Medical Society President Friday, November 15, 2024

6:00 pm Social 7:00 pm Dinner, Awards & Installation Fort Washington Golf & Country Club 10272 N Millbrook Avenue Fresno, Ca Table of 8 $760 - Single Ticket $100 For tickets call 559-224-4224 or visit FMMS.org A portion of each ticket sold benefits Fresno Madera Medical Society Scholarship Foundation

Sponsored in part by

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Editorial > Alex Sherriffs, MD

Vote for Health!

BY ALEX SHERRIFFS, MD

Do you vote? Health is ALWAYS on the ballot.

Despite our years of education and prosocial predilections, doctors are no more likely, and by some studies even less likely to vote than the average citizen.

Health professionals have historically voted 12-23% less than the general population. To paraphrase Edmond Burke, all that is necessary for the triumph of evil is for good people to do nothing.

What is your healthcare worry? Access to care, scope of practice, AIDS, Women’s Health, pollution, opioid deaths, climate and health, gun safety, workforce development? The outcome of elections will affect every one of those issues. Voting does matter.

The Fresno Madera Medical Society Board has made a commitment to promote and support overcoming

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barriers to voting. Two non-partisan, easy to use links can confirm if you are registered, get you registered if you aren’t, and link you to absentee balloting if you want. vot-er.org vote.org Maybe you are even ready to take promoting voting to the next level. Work with your hospital or health care system to promote voting with information in their newsletters and posters in public spaces.

Is this ethical? It is a nonpartisan ask. You are not asking for a vote for anything. You are asking for a more informed and involved electorate. At vot-er.org you can order a lanyard with a QR code which links to the website.

If anyone asks, “What’s that?” offer them the code. “I vote because I care about this community. Here is a simple way to register to vote, and connect to your mail-in ballot if you want.”

Is voting itself a health issue? AMA recognizes voting as a social determinant of health! Studies confirm voting gives us a sense of purpose, agency, and connection to our community. Data confirms that voting and voting access or barriers to access correlate with health measures including self-reported poor mental health days, infant mortality, premature mortality, and access to care reflected in % uninsured. Check out the interactive tables and graphs at healthydemocracyhealthypeople.org. Healthy People 2030 includes a goal to increase voter participation. Increasing civic and voter participation are a health improvement plan!

Expect to hear more as we count down to Tuesday, November 5. Voting IS health.

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Addressing our most urgent health care priorities. Here’s how you can help.

The California Medical Association (CMA) is a proud supporter of Proposition 35, which will secure dedicated funding to keep hospitals, clinics and doctors’ offices open.

Why We Need Prop 35: Our health care system is in crisis. Hospitals are closing.

Emergency rooms are overcrowded. More than 40 hospitals have stopped offering labor and delivery services. Patients wait months to see a primary care doctor or specialist.

California has dramatically expanded health care coverage and services, but care for almost 15 million children, seniors, disabled and low-income families with Medi-Cal coverage is significantly underfunded. What’s more, continued challenges and divestment have made it increasingly hard to recruit and retain frontline health care workers.

CMA has joined a coalition of health care workers, community health centers, Planned Parenthood, health plans and emergency responders to pass Prop 35. And, Prop 35 is supported by both the California Democratic Party and the California Republican Party.

Prop 35 will secure ongoing revenue—without raising taxes—and dedicate these funds to protect and expand access to Medi-Cal. And most importantly, it will prevent the state from redirecting these revenues for non-health care purposes.

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Prop 35 will: +

Provide long-overdue rate increases for Medi-Cal providers and stabilize rates, to protect and expand access to care

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Secure ongoing funding—without raising taxes on individuals—to ensure that our health care system has the resources it needs

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Ensure health care funds aren’t redirected for non-health care purposes

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Fund more graduate medical education residency programs to address the physician shortage

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Fund loan repayments for physicians and allied health professionals

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Expand access to preventative health care to alleviate the burden on ERs

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Reduce wait times in emergency rooms and urgent care facilities

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Help hire more first responders and paramedics to reduce emergency response times

Bottom line: Prop 35 will improve health outcomes for millions of Californians.

Get Involved: The Prop 35 campaign has launched a new Action Center to activate supporters at voteyes35.com/take-action.

Physicians are trusted messengers across regional and partisan lines and are important advocates to ensure California votes Yes on 35 to protect and expand access to health care. Visit the Action Center now to: +

Share Your Story: In your own words, tell us why you support Prop 35.

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Follow Yes on Prop 35 on Facebook, Instagram, LinkedIn and X and share our messages with your followers.

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Post on Social Media: Share with your friends and family why you are voting #Yeson35.

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Order Campaign Swag: Request campaign materials for you to show your support. Sign up to receive campaign materials that you can share with friends, colleagues and patients.

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Email a Friend: Tell your friends and family why you support YES on 35!

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Download Materials: Get the latest campaign materials.

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Join the Coalition.

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Make a Donation: Make an individual donation at voteyes35.com/donate.

If you would like to make a group or medical staff donation, please email nskadsen@cmadocs.org.

Visit cmadocs.org/prop35 for more information.

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Editorial > Chris Fide

Election Year Finance

BY CHRISTOPHER T. FIDE, MBA

A

s the presidential election in November approaches, many investors express concerns with market exposure given the uncertain nature of the election outcome. How might the outcome impact my portfolio? The broader economy? In an attempt to provide some clarity, we explore the topic below and illuminate some historical trends and key considerations.

just over 13% during the most recent 17 “election years.”

Since 1954, there have only been two presidential calendar year election years in which market returns were negative.

Interestingly, the 3rd year of each presidential cycle tends to be far and away the best performing year in the election cycle (with returns nearly 2 ½ times the average of the other three years of the cycle).

HISTORICAL S&P 500 PERFORMANCE IN PRESIDENTIAL ELECTION YEARS

PERFORMANCE COMPARISON: REPUBLICAN VS. DEMOCRATIC PRESIDENTS

Historically, the stock market, represented by the S&P 500, has demonstrated varied performance during presidential election years. We define an “election year” as the 4th year of a sitting president’s term. Markets often experience increased volatility in election years due to uncertainty about future policies. The ability to withstand that volatility can lead to outsized returns. Despite higher volatility in election years, the S&P 500 has averaged significantly positive returns. Since 1954, election years offered the second-highest level of returns (over the 4-year election cycle). The S&P 500 has gained an average of

1606 Clovis Avenue Clovis, CA 93612 559-472-3656

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The performance of the stock market under Republican and Democratic administrations has been a topic of much analysis and debate. While it’s essential to note that many factors influence market performance, historical data provide some insights: • Over the past 70 years, the market has seen an average annual return of about 6% during Republican presidencies and nearly 10% during Democratic administrations.

• Republican policies often focus on tax cuts and deregulation, which can be favorable for businesses.

Christopher T. Fide, MBA

Jonathan B. Holt, CFP®

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Overall, the S&P 500 has shown positive returns in 16 out of the last 17 election years

Democratic policies may emphasize social programs and infrastructure spending, potentially stimulating economic growth.

KEY CONSIDERATIONS FOR INVESTORS 1.

2.

3.

4.

It’s crucial to maintain a long-term view. Short-term market fluctuations due to political events should not dictate your overall investment strategy.

A well-diversified portfolio can help mitigate risks associated with political and economic uncertainties.

Focus on the fundamentals of the economy and your investments. Regardless of the election outcome, sound economic policies, corporate earnings, and global economic conditions will drive future long-term market performance.

Consider the potential impact of proposed policies from each candidate on various sectors. For instance, infrastructure spending might benefit construction and

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5.

materials sectors, while tax policies could impact corporate profitability.

Keep abreast of policy developments and economic indicators, but avoid making impulsive decisions based on political events alone.

CONCLUSION While presidential elections can introduce a degree of uncertainty into the markets, historical data suggest that maintaining a long-term perspective and a diversified portfolio is the best strategy for navigating these periods. Whether the next president is Trump or Harris, focusing on economic fundamentals and strategic investment planning will help ensure your financial goals remain on track.

Advisory services are offered through Integrated Planning & Investments, an Investment Advisor in the State of California.

Despite the uncertainty of election years, the S&P 500 has averaged over 13% returns, proving that resilience in the market can lead to outsized gains

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Randall Stern, MD Inspire Health Vascular Surgeon Professor, UCSF & Leigh Ann O’Banion, MD Inspire Health Vascular Surgeon Associate Professor, UCSF

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H

ealthcare in the Central Valley has taken an inspired turn. Central California Faculty Medical Group is now Inspire Health Medical Group.

Being at the forefront of medical advancements through patient care, education, and research takes determination and grit—characteristics that are shared amongst Inspire Health Medical Group physicians, the communities they care for, and the healthcare partners they serve alongside.

For more than 45 years as Central California Faculty Medical Group, and now as Inspire Health Medical Group, they have worked with hospitals and healthcare facilities across the Central Valley to provide the highest quality care to patients close to home.

The reason for the new identity is simple: The great work they have done is only the foundation of what they hope to accomplish in the future. At the heart of the rebranding effort was a desire to celebrate our past and mission while adopting an identity that better reflects both the diversity of their patients, and who they are.

Following an extensive process which began with a host of strategic sessions and creative briefings, physician leadership felt that it was time to reinvent CCFMG as a premier multispecialty group; one that values and actively pursues medical excellence through not only education and research, but through the inspiration that comes from a desire to care for patients in the community.

The way in which patients of the Valley are cared for should resonate strongly with partners and the community. What’s in a name? Everything. Including the ability to be noticed, remembered, and better understood. A name, a brand – it holds the key to telling our communities what Inspire Health is truly all about.

Rebranding CCFMG allowed the opportunity to reintroduce and re-establish the organization in the minds of its patients, partners, and community at large.

Inspire Health believes this work is critical to the health

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of the Valley. These relationships, this ability to recruit physicians – it all works together to ensure that great patient care is available minutes, not hours away.

While Inspire Health looks to its future, it also draw inspiration from the past. In 1979 Steven Parks, MD, along with 37 other physicians banded together to form Central California Faculty Medical Group. They understood the need to recruit and retain high-quality medical specialists to the Valley to care for patients through the county hospital system and beyond.

“In 1976 when I was working at UCSF in their county hospital, San Francisco General, I was one of the people recruited to Fresno to start this medical education program. In fact, when I came down here, I was asked to come for two or three years to help get the program started, but I love it so much in Fresno I’ve stayed for over 33 years now,” said Dr. Parks in a video record about the history of the organization a year prior to his passing.

Over the course of more than 30 years, Dr. Parks made significant contributions to patient care and medical education. He was a driving force behind establishing a standardized system for trauma care in the Central Valley and was well known and respected across the nation for being a renowned trauma educator and surgeon. His legacy lives on not only through his work at Inspire Health, but through his daughter, Nancy Parks, MD, FACS, who today is an Inspire Health physician.

Like her father, she is a respected medical educator and surgeon caring for patients through Community Regional Medical Center’s Level I Trauma Center.

Through Dr. Steven Parks’ steadfast leadership, Inspire Health continued to expand care, partnerships, and teaching programs at the UCSF School of Medicine’s regional branch campus in Fresno. More specialties were added, more residency programs offered, and most importantly, more patients were cared for year after year.

Inspire Health physicians train and mentor nearly 300 residents and fellows through eight residency programs

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and more than 17 fellowship programs at UCSF Fresno every year. With the ever-expanding growth of the Valley, Inspire Health physicians see more than 500,000 patient visits every year, with that number growing each year as the population grows.

Today, Inspire Health Medical Group’s more than 300 physicians, 80 advanced practice providers and 300 support staff are proud to continue the legacy of expanding healthcare and medical education that began nearly 5 decades ago. Between July 2024 and July 2025, they are excited to welcome at least 50 new providers to their ranks in critically needed specialties such as infectious disease, endocrinology, psychiatry, and more.

And they continue to expand access to care in local communities with the upcoming opening of a family practice, pediatric practice, general surgery practice, and imaging services in Clovis in 2025.

Lourdes Del Rosso, MD Inspire Health Sleep Medicine Physician Professor, UCSF

The expansion of care does not stop with Inspire Health Medical Group practice sites and services. Many of our physicians continue to find new and innovative ways to provide access to care to patients across the Central Valley. Inspire Health physicians Leigh Ann O’Banion, MD, and Teresa Daniele, MD, started the CHAMPIONS program with the inaugural event at the 2022 Dinuba Raisin Festival. This program brings cardiovascular education, screenings, and care to rural communities in the Valley. The program also helps connect patients who do not have a primary care provider to ensure long term care is established. Through

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their outreach efforts, the CHAMPIONS program has helped more than 200 residents across communities like Dinuba, Visalia, Farmersville, and Sanger. Drs. Daniele and O’Banion are dedicated to continuing their work and getting CHAMPIONS into more communities across the Central Valley.

John Tran, MD, holds many titles—Inspire Health physician, UCSF Fresno Chief of Psychiatry, medical director of the Fresno County Department of Behavioral Health, system medical director of Community Medical Centers. Dr. Tran’s passion for access to care is evident through action. He spends most of his days working with local healthcare organizations to create systems and programs to expand behavioral and psychiatric care.

Through his affiliations with major healthcare entities, Dr. Tran works tirelessly to break down silos and create connections and pathways so that ultimately, patients can be connected with mental healthcare regardless of where they first arrive to seek treatment.

Inspire Health’s patients past, present and future, remain at the heart of why the organization was founded—to expand and encourage medical advancements right here in the Central Valley. These patients inspire the organization to keep moving forward, to keep diversifying for growth, and continue the great work that has taken place here in the Valley for more than 45 years.

At Inspire Health, the hope is to always remember that inspired doctors ensure inspired outcomes.

“We take pride in medical education because we have to teach the next generation of doctors who are talented thought-leaders who can not only deliver the best care, but also shape the future of medicine,” says Vipul Jain, MD, Inspire Health pulmonologist and Chief of Medicine with UCSF Fresno.

Many Inspire Health physicians find their home in the Central Valley for a variety of reasons. For some it is their interest in working with trainees through UCSF Fresno. It is through the mentorship, camaraderie, and

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expertise of Inspire Health physicians that nearly 50% of to Susanne Spano, MD, specializing in wilderness trainees that rotate through UCSF Fresno stay after they medicine and Sammy Siada, DO, and Kamell Eckrothgraduate to continue the legacy of caring for patients and Bernard, MD in transcarotid artery revascularization. training the next generation of healthcare professionals.

Patients can get the care they deserve with Inspire “What inspires me to be in the Valley is the Health providers without having to travel upwards organization I work for,” says Varsha Babu, MD, Inspire of three hours to access that same care in a larger Health endocrinologist. “Everyone comes together, and metropolitan area. because of this collaboration we learn from each other.

“I came to the Central Valley to practice because We actually help patients and it’s very rewarding. So, I I wanted to be in a place where I felt useful,” says should say I have found my home.”

Jeff Nahn, MD, Inspire Health emergency medicine Dr. Babu is the medical director of the Inspire specialist. In the 2022-2023 fiscal year, Inspire Health Health Medical Group – Endocrinology practice site emergency medicine providers saw more than 110,000 and specializes in thyroid cancer, pituitary and adrenal patient visits through the Community Regional Medical disorders, Polycystic ovary syndrome and women’s Center emergency department. That number continues health, and insulin pump management. to grow year over year as communities expand.

For others, they find their home in the Central The vision that Dr. Parks had more than 45 years Valley because of the opportunity to work in critically ago—the expansion of critically needed care for Central underserved communities where their expertise and care make the biggest impact. “Why did I choose [the] Central Valley? Well, I think the Central Valley chose me,” says Marian Roytman, MD, Inspire Health hepatologist. Prior to coming to the Valley, Dr. Roytman was caring for patients in Hawaii, however, upon seeing the extent of the disease pathology of patients in the Central Valley with liver disease, she knew Claire Gibson, MD Inspire Health Pediatrician where she was needed. She then Assistant Professor, UCSF joined Inspire Health to care for patients who desperately needed her expertise. Dr. Roytman is board certified in internal Valley patients through partnerships and medical medicine and cares for patients at the Inspire Health education—continues today as Inspire Health Medical Medical Group – Specialty Kashian practice site. Her Group. As the organization reflects on its history, they colleagues within that practice specialize in internal recognize the foundation that has been laid as they look medicine, gastroenterology, and infectious diseases. forward to expanding more service lines into the future.

Inspire Health physicians provide care in more Inspire Health Medical Group continues to dedicate its than 80 specialties and subspecialties. Providers cover efforts to continuing partnerships with the UCSF School every major medical specialty from internal medicine of Medicine, hospital and healthcare facility partners, and orthopaedic surgery to obstetrics and gynecology and are excited to explore more opportunities to expand and emergency medicine. They have subspecialized the access to care for Central Valley patients for decades providers such as Spencer Woolwine, MD, who to come. Welcome to more inspired care -- Inspire specializes in musculoskeletal oncology and Eyad Health Medical Group. Inspired doctors. Inspired Almasri, MD, in extracorporeal membrane oxygenation outcomes.

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Fresno State Launches Wellness to Go Vending Machine

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resno State celebrated the launch of its new “Wellness To Go” vending machine with a ribboncutting ceremony on October 8, marking the installation of the first vending machine of its kind serving students in Fresno County. Located on the first floor of the Resnick Student Union, the machine provides students with convenient access to wellness, hygiene, and harmreduction products, some of which are available for free or at low cost.

The vending machine serves as an extension of the Student Health and Counseling Center pharmacy, offering products such as Narcan nasal spray, fentanyl test strips, personal hygiene kits, COVID-19 tests, and various overthe-counter medications. While many items are provided at no cost, a few, such as pregnancy tests, are available for a minimal fee ($3.40). Since the machine became operational on September 16, more than 320 unique students have utilized its offerings, with 35 Narcan nasal sprays dispensed.

The initiative is in response to Assembly Bill 2482, which encourages California’s public colleges and universities to implement wellness vending machines on selected campuses. The machine’s location in the Resnick Student Union allows students to access health resources

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beyond the hours of the Student Health and Counseling Center pharmacy, with 40% of transactions occurring during times when the pharmacy is closed.

The ribbon cutting ceremony was held at noon on October 8, 2024 in the Resnick Student Union with remarks delivered

by Fresno State President Saúl Jiménez-Sandoval, ASI President Faith Van Hoven, and Vice President of Student Affairs Dr. Kent Willis. Dr. Janell Morillo, Associate Vice President of Student Health, Counseling, and Wellness, led the ribbon-cutting, with Jennifer Davies, MD, President of Fresno Madera Medical Society, and Lali Witrago from Anthem Blue Cross assisting.

President Jiménez-Sandoval expressed appreciation for the collaboration that made the project possible, highlighting funding from Anthem Blue Cross through the Central Valley Opioid Safety Coalition and the Fresno Madera Medical Society, with additional support from Associated Students Inc. for free products. The vending machine aims to improve health access and reduce harm for Fresno State students, reinforcing the university’s commitment to student wellness.

The machine is strategically located in the northwest corner of the Resnick Student Union, near the bronze Bulldog statue and Bank of America Welcome Center, making it easily accessible to students. The introduction of this vending machine is a significant step forward in promoting health and safety on campus, ensuring students have continuous access to essential health products.

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Health Professionals for Clean Air and Climate Action

Are you a health professional concerned about air pollution and climate change?

Climate change is already harming our health, from worsened ozone pollution due to warmer temperatures, to more frequent and intense wildfires producing dangerous particle pollution. Medical and health voices are critical to raising awareness of the overwhelming health burden caused by air pollution and climate change.

To take part in the American Lung Association’s growing Health Professionals for Clean Air and Climate Action community and sign up for our monthly newsletter, visit Lung.org/climatechangeshealth Fall 2024

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BY FATIMA YUSUF

CHSU Overdose Prevention Task Force President

A FANTASTIC AND FUN WAY TO GET UP-TO-DATE INFORMATION ON SUBSTANCE USE DISORDERS FROM LEADING PROFESSIONALS IN THE CENTRAL VALLEY - BRETT HUGHES, CHSU STUDENT

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Top row left to right: Andrew Insco (Class of 2027), Brett Hughes (Class of 2028), Dr. Rais Vohra, Dr. M. Shoaib Khan, Aicha Naouai (Class of 2027), Joshua Pham (Class of 2027) Bottom row left to right: Haley Bennett (Class of 2026), Eve Stark (Class of 2027), Negin Fadaee (Class of 2027), Shyenna Wongsavanh (Class of 2027).

O

n Saturday, July 13th, 2024, the Central Valley Opioid Safety Coalition, in collaboration with the California Health Sciences University College of Osteopathic Medicine’s Overdose Prevention Task Force (OPTF) and the Fresno Madera Medical Society (FMMS), hosted the second annual Addiction Medicine Updates continuing medical education (CME) program. Over 100 Central Valley providers attended the event, both virtually and in-person. Additional support for the event was provided by the California Department of Health Care Services.

Attendees received CME credits that can be applied to the recent DEA requirement which mandates practitioners renewing or newly applying for their DEA license complete eight hours of training related to the management of opioid and other substance use disorders.

Section 1262 of the Consolidated Appropriations Act of 2023 removed the federal regulation which required practitioners to apply for a special waiver to prescribe buprenorphine for the treatment of opioid use disorder (OUD). Now, in the same way a patient with diabetes can go to their primary care physician for

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insulin, a patient with OUD can go to that same doctor to receive buprenorphine.

In comparison to methadone (full mu-receptor agonist), buprenorphine is a partial mu-receptor agonist which demonstrates a ceiling effect; threshold beyond which increasing the dose does not produce an increased pharmacological response. Numerous studies have demonstrated the benefits of buprenorphine, including a lower propensity to cause respiratory depression and euphoria. Due to its favorable safety profile, providers can prescribe buprenorphine for patients to take home, unlike methadone, which typically requires closer monitoring.

In this year’s event, led by Drs. Rais Vohra and M. Shoaib Khan, MD, attendees were trained on the prevention and treatment of substance use disorders through didactic lectures and Q&A. The first half of the morning involved an in-depth discussion of how to initiate buprenorphine in the inpatient and outpatient settings. During the second half of the event Dr. Vohra reviewed how to manage patients with alcohol and stimulant use disorders, as these diseases often co-exist with OUD. Dr. Khan closed out the event with a discussion on the prevalence of substance use disorders in the

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pediatric population and approaches to managing this vulnerable age group.

Dr. Khan emphasized how four adverse childhood events in conjunction with a family history of substance use disorder can increase their risk of developing a substance use disorder. Adverse childhood events include both emotional and physical forms of abuse and neglect, as well as household challenges

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such as the incarceration of a loved one. By proactively identifying and addressing these factors, providers can significantly reduce rates of substance use disorders in our pediatric populations and promote healthier outcomes.

Attendee and OPTF Chair Brett Hughes (Class 2027) said attending the event was “a fantastic and fun way to get up-to-date information on substance use disorders from leading

professionals in the Central Valley. I enjoyed the opportunity to learn from the experience and expertise of Drs. Rais Vohra and Dr. M. Shoaib Khan.

Their candid and witty presentations will stick with me as I continue my medical journey. Great event!”

In-person attendees had the opportunity to visit exhibits prior to the start of the program to network with eight organizations local to the Central Valley, including California Bridge Substance Use Navigators, CRMC Bridge, MedMark Treatment Center, New Perceptions North, San Joaquin Valley Free Medical Clinic and Needle Exchange, Sierra Meadows, CHSUOverdose Prevention Task Force and the Zachary Horton Foundation. Each exhibitor shared how their services are treating substance use disorders in our community, from harm reduction initiatives, including needle exchange programs and naloxone distribution, to workshops addressing stigma within medical institutions.

Join us next year for a new edition of Addiction Medicine Updates, where our team will continue to cover advancements in the management of substance use disorders and empower Central Valley physicians to provide the optimal level of care.

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Joy of

5th Annual

Medicineit Summ

December 6-7, 2024 Tenaya Lodge, Fish Camp Join FMMS at the beautiful Tenaya Lodge for a powerful day of fellowship and hands-on educational sessions to help build resilience and bring joy back to the practice of medicine.

A wonderful weekend for the whole family!

Friday Night: Ice Skating & S’Mores Family Welcome Saturday: 4.0 CME Program 10:00 a.m. - 2:30 p.m.

Lunch with Significant other + Kid’s Activity Family Dinner followed by Golden Chain Theater’s Musical Variety Show

It’s A Wonderful Life 4.0 CME Synopsis: Numerous factors have contributed to physician burnout, moral injury, and disconnection from the privilege and wonder of being a healer. The good news is that there is light at the end of the tunnel. Working together, we can create a better tomorrow for ourselves and our patients. Nestled in the majestic setting of a winter resort in the Sierra National Forest, we will embark on a journey of storytelling, drawing, and generous listening that will reconnect us with reality-based hope for being healed and healing others with new-found enthusiasm and purpose.

Learning Objectives: At the end of this interactive workshop, attendees will be able to: -List the reasons for burnout and moral injury -Describe the positively adaptive behavior of being responsible to circumstances by changing from within -Explain and grow the relationships with self, others, and the divine that determine our joy and meaning as human beings and healers Faculty: John Chuck, MD Dr. Chuck is a Professor of Family Medicine and the Chief Wellness Officer at California Northstate University. He was formerly the Regional Chair of the Physician Health & Wellness Leaders Group for The Permanente Medical Group. Audiences for his wellness presentations have included the International Conference on Physician Health, the American College of Surgeons, the National Committee for Quality Assurance (NCQA), the American College of Obstetricians and Gynecologists (ACOG), the Veterans Administration, and academic faculty at UC Davis, UCSF, Stanford, and Yale.

Accreditation Statement: The Fresno Madera Medical Society is accredited by the California Medical Association to provide continuing medical education for physicians.

Credit Designation Statement: The Fresno Madera Medical Society designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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A CHSU Graduate Beats the Odds to Achieve Her Dream

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ust months ago, California Health Sciences University (CHSU) celebrated a milestone with the Commencement and Hooding Ceremony for its College of Osteopathic Medicine’s inaugural class of 2024. Among the graduates, Megan Fedeli, DO, stood out not only for her academic accomplishments but for her extraordinary journey from hardship to becoming a Doctor of Osteopathic Medicine.

Dr. Fedeli, one of sixty-six graduates, has overcome incredible challenges. At one point, she and her children were homeless and living out of their car. Her firsthand experience with the healthcare system during that time gave her a unique perspective.

“Living through the disparity in the healthcare system and knowing what it’s like to walk into a doctor’s office feeling out of place—it’s given me a lot of perspective, empathy, and compassion for the underserved,” Dr. Fedeli shared.

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Her journey has been marked by perseverance and an unwavering commitment to her dream. Juggling medical school, raising her six children, and supporting her disabled veteran husband, Mathew Larabee, MBA, Dr. Fedeli’s path was anything but easy. When she started her medical school journey during the COVID pandemic in 2020, she was already a mother of four. Remarkably, during her first year, she gave birth to twins, never missing a single day of class.

She credits her husband for being her biggest supporter. Despite the sacrifices both made, Mathew always encouraged her to pursue her dreams. “People thought I was superwoman because I didn’t miss a day of school after the twins were born, but in reality, I came to school for a break from the chaos,” Dr. Fedeli said, laughing.

In recognition of Mathew’s unwavering support, Dr. Fedeli secretly nominated him for the

prestigious Donna Jones Moritsugu Memorial Award, presented by the American Osteopathic Foundation.

This award honors spouses who exemplify the role of a professional’s partner, providing critical support to their partner and the osteopathic profession. Mathew was both surprised and deeply moved when he received the award, as well as being named CHSU’s Spouse of the Year during the Graduation Dinner and Awards ceremony.

Dr. Fedeli and her family have recently moved to Michigan, where she has begun her residency in Emergency Medicine at the University of Michigan Health in Ann Arbor. Despite the challenges she faced on her journey, her determination has led her to success.

After completing her residency, Dr. Fedeli hopes to return to the Central Valley, where she looks forward to addressing the healthcare needs of the community she calls home.

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CHSU-COM CHSU-COM Class Classof of2024 2024

100% 100% Match MatchRate Rate

66 66

Future FuturePhysicians Physicians

65% 65%

pursuing pursuingprimary primary care carecareers. careers.

35% 35%

ofofgraduates graduatesare are staying stayingininthe theCentral Central Valley Valleyfor fortheir their residency residencyprograms. programs.

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Joy of Medicine

Discover Wellness and Connection at the 5th Annual Joy of Medicine Summit

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he Fresno Madera Medical Society will host the 5th Annual Joy of Medicine Summit on December 6-7, 2024, at Tenaya Lodge, located at the entrance to Yosemite National Park. This inspiring event offers a full day of wellness activities, hands-on educational sessions, and opportunities to foster resilience—designed to help physicians reconnect with the joy of practicing medicine.

This summit is part of the larger Joy of Medicine program, an ongoing initiative by FMMS aimed at addressing physician burnout and enhancing wellbeing. The program includes services such as Resiliency Consultations, Connect the Docs social events, and other resources dedicated to supporting physicians in maintaining balance in their personal and professional lives.

This year’s keynote speaker is Dr. John Chuck, a family physician, wellness consultant, and former Kaiser Permanente leader. Dr. Chuck has spent over 30 years advocating for physician wellness and has held leadership roles in health promotion at Kaiser Permanente. He currently serves as Chair of the Joy of Medicine Advisory Board for the Sierra Sacramento Valley Medical Society.

His expertise and insights promise to bring valuable

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perspectives on overcoming the unique challenges physicians face.

In addition to thought-provoking presentations, participants can earn up to four hours of educational credit through engaging sessions. Physicians are encouraged to bring their families for a weekend of fun activities on both Friday and Saturday. The festivities begin on Friday evening with a Fireside S’mores and Ice-Skating Welcome, while Saturday offers kids’ lunch and activities so that spouses can join physicians for lunch and a special presentation. The day wraps up with a family dinner and an exciting evening enjoying A holiday musical variety show at the Golden Chain Theater in Oakhurst, with transportation via charter included.

Ticket options include from full-access passes with accommodations at Tenaya Lodge, to conference-only tickets for those looking for a flexible experience. Whether you are seeking professional development, personal renewal, or a chance to connect with fellow physicians, this summit provides the perfect environment to reflect, recharge, and rediscover the joy in medicine.

For more information and registration, visit FMMS’s official site.

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Joy of Medicine

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IN THE NEWS Saint Agnes Names Dr. Talal Arab as First Recipient of Alfred Valles, MD, Legacy Award This past spring Saint Agnes Medical Center honored Dr. Talal Arab with the inaugural Alfred Valles, MD, Legacy Award. This prestigious award, newly named in memory of Dr. Alfred Valles, celebrates physicians who embody excellence in patient care and collaboration with clinical teams.

Dr. Valles, a beloved physician and mentor at Saint Agnes, tragically passed away in October 2023. In tribute to his legacy, the Medical Executive Team and Senior Leadership renamed the hospital’s annual Champion in Care Award in his honor.

Dr. Arab was selected from 29 nominated physicians for his exceptional dedication to patient care. Nurses and clinicians recognized him for consistently going above and beyond, such as helping nurses administer medications and assisting with CPR during critical situations.

Chief Medical Officer Dr. John Evanko praised the event, stating, “It’s always an honor to be voted by your nurses and colleagues as the physician of the

year. Today’s ceremony not only honored Dr. Arab but also celebrated the lasting memory of Dr. Valles.”

Dr. Arab expressed his gratitude, noting, “To win an award among all our amazing colleagues here means a great deal to me.”

The Alfred Valles, MD, Legacy Award reflects Saint Agnes’ ongoing commitment to recognizing physicians who prioritize patient care and uphold the hospital’s core values.

Alex Sherriffs, MD Reappointed to San Joaquin Valley Air Pollution Control District Board Alex Sherriffs, MD, has been reappointed to serve another four-year term on the San Joaquin Valley Air Pollution Control District Board. Dr. Sherriffs, who has served on the board since 2011, brings extensive experience in both healthcare and environmental advocacy. A professor at UCSF Fresno and a physician with Central California Faculty Medical Group, Dr. Sherriffs has been a strong voice in addressing air quality issues, particularly in the San Joaquin Valley, where air pollution remains a significant public health concern.

In his role, Dr. Sherriffs works alongside other regional leaders to implement policies aimed at reducing emissions and improving air quality across the Valley. His reappointment ensures continued focus on health-driven environmental policy, with a goal of creating healthier communities for the region’s residents.

Dr. Sherriffs’ long-standing dedication to both

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public health and environmental advocacy makes him an invaluable member of the board as they navigate the challenges of reducing pollution in one of the nation’s most affected regions.

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IN THE NEWS Valley Fever Cases Surge in Fresno County: Health Officials Urge Caution During Awareness Month

The Fresno County Department of Public Health (FCDPH) is observing Valley Fever Awareness Month, issuing a timely reminder that Valley Fever remains a significant health challenge in our region. The disease, scientifically known as coccidioidomycosis or “cocci,” is caused by a fungus that thrives in the soil of certain areas in California and the southwestern United States. Inhalation of dust containing the fungal spores, particularly during dry and windy conditions, can lead to infection.

Recent data highlights a concerning rise in Valley fever cases in Fresno County. According to the California Department of Public Health (CDPH), 448 cases were reported in 2022. Alarmingly, preliminary figures for 2023 already show 626 cases. Between January 1 and July 30, 2024, there have been 540 reported cases, indicating that the trend is continuing to climb.

Western Fresno County, including communities such as Firebaugh, Mendota, Kerman, Coalinga, and Huron, is identified as a Valley fever endemic area. Residents and workers in these regions face an increased risk of infection.

While anyone exposed to the spores can contract Valley fever, certain groups are more vulnerable to severe illness. These include individuals who are Black or Filipino, people with diabetes, those aged 60 and above, pregnant women, and individuals with compromised immune systems.

Although many infected individuals may not exhibit symptoms, the fungus can invade the lungs, causing respiratory issues like coughing, difficulty breathing, fever, and fatigue. In rare cases, the infection can spread to other parts of the body, leading to severe health complications.

To reduce the risk of infection, FCDPH advises those living in endemic areas to avoid exposure

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to dust, especially during windy conditions.

Recommended preventive measures include: Staying indoors with windows and doors closed when dust levels are high.

Wearing a properly fitted N95 mask when engaging in activities that disturb dry soil, such as gardening or yard work.

Outdoor workers should use N95 masks in dusty environments, like construction zones.

Thoroughly cleaning any skin wounds with soap and water, particularly if they have come into contact with soil or dust.

Wetting the ground before digging to minimize dust.

For more information on Valley fever, visit the CDC’s website at www.cdc.gov/valley-fever.

About Valley Fever Awareness Month: Valley Fever Awareness Month aims to educate the public about the risks associated with this fungal disease and to promote preventive measures to reduce the incidence of infection. The FCDPH encourages all residents, particularly those in high-risk areas, to stay informed and take appropriate precautions.

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IN THE NEWS David McFadyen Named President and CEO of Trinity Health West Region Trinity Health has announced the appointment of David McFadyen, MBA, FACHE, as the new President and CEO of its West Region, effective July 1, 2024. McFadyen, who previously served as the President of Saint Alphonsus Regional Medical Center in Boise, Idaho, will now oversee five hospitals and medical groups across Idaho, Oregon, and California, including Saint Agnes Medical Center in Fresno. With over 9,700 employees and $2.1 billion in annual revenue, McFadyen’s leadership will shape the region’s continued growth and focus on patientcentered care.

McFadyen succeeds Odete C. Bolano, following a national search. His experience, particularly in expanding trauma, cardiovascular, and emergency programs, as well as his dedication to community

health, positions him to continue advancing Trinity Health’s mission.

He is committed to enhancing healthcare services across the region, aiming to improve access and care for underserved populations.

Trinity Health is recognized as one of the largest Catholic health care systems in the U.S., committed to community care and advancing healthcare innovation.

Saint Agnes Transfers Main Campus Urgent Care to Camarena Health Saint Agnes Medical Center is transitioning the ownership and management of its Main Campus Urgent Care to Camarena Health, effective July 1, 2024. This change marks a significant step in the ongoing collaboration between the two organizations, aiming to enhance access to healthcare in Fresno and Madera counties.

Camarena Health, a Federally Qualified Health Center (FQHC), operates more than 20 health center locations, including four urgent care centers in Madera County. The transition aligns with both organizations’ commitment to delivering high-quality healthcare services that prioritize patient well-being.

Dr. Gurvinder Kaur, President and Market Leader of Saint Agnes, emphasized the importance of sustainable healthcare options, noting, “We will continue to operate our other two urgent care centers and are thankful for the partnership with Camarena Health in improving access to care.”

Paulo Soares, CEO of Camarena Health, expressed enthusiasm for the expansion, stating, “This transition further enhances our commitment to delivering quality care and making a meaningful impact on the health and wellness of more individuals in our community.”

The Urgent Care is undergoing a brief closure

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from July 1 through July 10 and will reopen as Camarena Health Urgent Care on July 11. Initially, the new center will operate Thursday through Monday, from 10 a.m. to 7 p.m., with plans to expand to daily service with extended hours in the coming months.

Saint Agnes will continue managing its Northwest Urgent Care in Fresno and Magnolia Urgent Care in Clovis, while Camarena strengthens its presence in Fresno with this latest addition. The partnership aims to improve healthcare accessibility across the region.

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IN THE NEWS Recent Graduates Honored for Leadership Three exemplary physicians were recognized with leadership awards by the Fresno Madera Medical Society (FMMS) for their outstanding contributions during their residency programs in 2024.

Maria Barajas-McGahan, MD, a resident at Valley Children’s Hospital, was honored with the FMMS Leadership Award. Her exceptional commitment to pediatric care and leadership in ensuring quality treatment for children earned her this recognition, showcasing her dedication to improving the health of young patients in the region.

Jessica McFarland, MD, a graduate from UCSF Fresno, was awarded the prestigious Steven N. Parks Leadership Award, named in honor of Dr. Parks for his extraordinary contributions at Community Regional Medical Center. Dr. McFarland has been a leader in addressing healthcare disparities and will continue to serve the community as part of the Infectious Diseases division at UCSF Fresno.

Tyler Sullivan, DO, an Emergency Medicine resident at Saint Agnes Medical Center, was also awarded the FMMS Leadership Award for his exceptional leadership and dedication to patient care. Dr. Sullivan’s collaborative spirit and ability to take charge in high-pressure situations set him apart as a

leader among his peers.

These awards reflect the significant impact each physician has made during their residency, emphasizing their commitment to leadership, collaboration, and quality patient care.

Varsha Swamy, DO, a recent graduate of the inaugural class from California Health Sciences University College of Osteopathic Medicine (CHSU COM), was honored with a leadership award for her outstanding contributions during medical school. Dr. Swamy demonstrated exceptional leadership skills, dedication, and commitment throughout her journey at CHSU COM, which made her stand out among her peers in the school’s first-ever graduating class. This recognition highlights her ability to inspire others and her commitment to the osteopathic profession, setting a high standard for future CHSU graduates.

FMMS Welcomes Abigail O’Bosky as Marketing Coordinator

The Fresno Madera Medical Society (FMMS) is pleased to introduce Abigail O’Bosky, who joined the organization as Marketing Coordinator in July of this year. Abigail is a recent graduate of Fresno Pacific University, where she earned her Bachelor’s degree in Business Administration with an emphasis in Marketing. During her time at Fresno Pacific, Abigail interned at Cohen Communications, where she worked on promotional efforts for The Big Fresno Fair, gaining practical experience in event promotion, content creation, and social media management.

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coordinating events, including continuing medical education (CME) programs and social events, as well as overseeing email communications, managing the organization’s website, and enhancing social media presence. With her hands-on experience and excellent communication skills, we are thrilled to have her play a key role in driving FMMS’s outreach and engagement initiatives.

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Fresno Madera Med

PUT YOUR MEMBERSHIP TO WORK! When you join the Fresno Madera Medical Society, you join the California Medical Association as well.

Together FMMS-CMA can help with the success of your practice.

Your annual dues can be more than offset when using membership services and discounts, and you get personal assistance with practice management and payment recovery issues to improve your bottom line. Join the FMMS to be a better leader for your staff and patients, and to amplify your voice to influence policy and legislation. The FMMS brings together an active community of physicians in order to improve the larger community. Our mission is physician-driven, and we want to help you solve your biggest practice management issue. Join the FMMS today!

BENEFIT

CONTACT

Save up to 8% more.

Mercury Insurance Group (866) 602-5259 www.mercuryinsurance.com/cma

Member discounts on malpractice protection, risk management and practice management.

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Car Rentals

Save up to 25% on car rentals for business or personal travel.

Avis (800) 786-4262 www.cmanet.org/groupdiscounts

Classified Ads

Free classified ads in Central Valley Physicians Magazine

Resiliency Consultations

3 Free, anonymous resiliency consultations yearly through Joy of Medicine Program

Roubicek and Thacker 559-323-8484

CME Seminars

FMMS is an accredited provider for Continuing Medical Education providing free and low cost seminars for members.

FMMS: (559) 224-4224 www.fmms.org

Confidential Hotline

Confidential support and assistance to physicians affected by substance abuse, or an emotional or physical problem.

CMA: (650) 756-7787 https://www.cmadocs.org/confidential-line

Consultancy Services

Discount on hourly consulting fee for practice assessments, valuation, brokerage, partnerships, etc.

Practice & Liability Consultants (415) 764-4800 www.practiceconsultants.net

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CHP approved emblem provides physicians expemption from speeding laws when en route to an emergency

FMMS (559) 224-4224

Financial Services

Complimentary tax report with no upfront costs and personalized insights into your financial health.

Integrated Planning & Investments (559) 472-3656 www.integrated-plan.com

Insurance - Malpractice

Risk Management department to help promote patient safety, minimize risk and improve defensibility.

ProAssurance (844) 233-9648 https://riskmanagement.proassurance.com/

A cutom Benefits Program from a partner you can trust.

Lockton Affinity Nadia Cruth ncruth@LocktonAffinity.com

Automobile & Homeowners Insurance CAP Cooperative of American Physicians

Insurance 36

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CENTRAL VALLEY PHYSICIANS

FMMS: (559) 224-4224

Fall 2024

10/12/24 9:39 AM

Madera Medical Society

BENEFIT

CONTACT

Malpractice Insurance

Member discounts on malpractice protection, risk management and practice management.

Cooperative of American Physicians (CAP) (650) 543-2185 www.CAPphysicians.com

Medical IDs

Discounts on 24-hour emergency identification and family notification services.

MedicAlert Foundation (800) 253-7880 www.medicalert.org/cma

Magazine Subscriptions

Up to 89% off the cover price of hundreds of magazines for your home, office, and waiting and patient

Consumer Subscription Services (800) 289-6247 www.cmanet.org/magazines

Messaging App

Free secure messaging app for physician-to-physician/care team communication.

DocBookMD www.cmanet.org/docbookmd

Notary Services

Need a document notarized? Members can receive free Notary Services at the FMMS office.

FMMS 255 W Fallbrook Ave Suite 104 (559) 224-4224

Office Supplies

Save up to 80% on office supplies and more.

Staples Advantage (800) 786-4262 www.cmanet.org/staples

CMA’s 24-hour Physicians Confidential Assistance hotline. Free and will not result in any form of disciplinary action.

Completely Confidential Doctor - Doctor Assistance (650)756-7787

Practice Resources

Help for practices of all sizes: legal handbooks, practice mgmt. guides, patient education materials, etc.

CMA Resource Library www.cmanet.org/resource-library

Premier Valley Bank

Local bank offering comprehensive banking solutions that help make the job of managing finances easier

Premier Valley Bank www.premiervalleybank.com

Regency Investment Advisers

Financial advisors offering services in investment management, financial planning and retirement plans.

Chris Comstock (559) 438-2640 www.regencyinvests.com

Reimbursement Assistance

Get paid: members receive one-on-one assistance. We have recouped $millions from payors in the last 10 years.

FMMS: (559) 224-4224 CMA: (888) 401-5911

Security Prescription Pads

15% discount on tamper-resistant security prescription pads and printer paper.

RxSecurity (800) 667-9723 www.rxsecurity.com/cma-order

Discounts on website design packages, including mobile-friendly design.

Mayaco (209) 957-8629 www.mayaco.com/physicians

Physician Assistance

Website

For information on becoming an FMMS Annual Sponsor call 559-224-4224 Fall 2024

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O FF IC E S PAC E F O R S A LE 1275 E SPR UC E AVE , FRESNO, C A 9 3 7 2 0

Fortune Associates proudly presents this hard-to-find professional medical building for sale, a perfect opportunity for an owner/ user. It lies just north of Herndon Ave, in Fresno’s premier medical corridor. 1275 E. Spruce Ave was built by the Seller in 2004, featuring 12,912 sf in move-in condition with monument signage, ample surface & underground parking, tailored for a large medical practice.

Unique opportunities from the seller for medical group ownership include: 1) A traditional purchase or partial ownership.

2) Purchase and use remaining space along with an existing group

BRANDON LAMONICA Blamonica@FortuneAssociates.com (559) 490-2500 x114 DRE#01317857

JAMES BITTER Jbitter@FortuneAssociates.com (559) 490-2500 x122 DRE#02044628

470 E. Herndon Avenue, Suite 200, Fresno, CA 93720 All information, representations and projections indicated in this brochure are based on information supplied by the owner or sources deemed reliable and are not warranted by FORTUNE ASSOCIATES. DRE00746807

1275 E Spruce - Journal CVP_Fall_24.indd 38Ad.indd 8

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2:28 PM

Proposition 35: On the Ballot this November California’s health care system is in crisis. Emergency rooms are overcrowded. More than 40 hospitals have stopped offering labor and delivery services. Patients wait months to see a specialist. Care for 15 million Californians on Medi-Cal is significantly underfunded.

Proposition 35 will secure dedicated, ongoing funding—without raising taxes—to protect and expand patient access to Medi-Cal. Prop 35 will: +

Fund health care workforce education and loan repayments

+

Ensure funding goes to treating patients and prevent the state from redirecting funds for non-health care purposes

+

Secure resources for clinics, hospitals, emergency rooms, primary care, family planning, mental health providers, specialty care, first responders and paramedics

+

Ensure equitable access to care for the most vulnerable Californians

Prop 35 is supported by physicians, dentists, hospitals, Planned Parenthood, labor, nurses, first responders, the California Democratic and California Republican parties.

Learn more at cmadocs.org/prop35.

“CMA secured the largest Medi-Cal rate increase in California history, and Prop 35 will make that change permanent. Prop 35 represents the most important investment in California’s health care in our state’s history and will increase access to care well into the future.”

Donaldo Hernandez, M.D. Internist and Hospitalist Fall 2024

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Fresno Madera Medical Society 255 W. Fallbrook, Suite 104 Fresno, CA 93711

NON PROFIT ORG U.S. POSTAGE

PAID Permit No. 30 Fresno, CA

Leave the Heavy Lifting to Us! Get More From Your Medical Malpractice Coverage With a Partner Like CAP

You deserve exceptional medical malpractice coverage that you can rely on when you need it most.

The Cooperative of American Physicians (CAP) is committed to providing you―the independent practitioner―with outstanding coverage and practice management and risk management services to support your success.

Scan the QR code to see how much you can save on your medical malpractice coverage

Don’t settle for less. Find out what makes CAP different.

CAPphysicians.com

800-356-5672

MD@CAPphysicians.com

Medical professional liability coverage is provided to CAP members through the Mutual Protection Trust (MPT), an unincorporated interindemnity arrangement organized under Section 1280.7 of the California Insurance Code. Members pay assessments, based on risk classifications, for the amount necessary to pay claims and administrative costs. No assurance can be given as to the amount or frequency of assessments. Members also make an Initial Trust Deposit, which is refundable according to the terms of the MPT Agreement.

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