As your local health insurance partner, Wellmark Blue Cross and Blue Shield has been working side-by-side with the medical field for over 80 years. Our roots are as strong as our mutual desire to keep all Iowans healthy. We value working with physicians to promote preventive care and keeping patient costs down, while being committed to increasing access to quality health care for all. These are just some of the reasons why more providers choose to be part of the Wellmark network.
MISSION:
To advance the practice of medicine through advocacy, education, and engagement with physicians throughout Iowa to ensure the highest quality of care for the patients they serve.
VISION:
To be the leading voice in medicine to make Iowa a premier destination for physicians to live, work, and serve their communities.
CONTACT US:
Iowa Medicine
515 E. Locust St., Ste. 400 Des Moines, IA 50309 Phone: 515.223.1401
PRESIDENT: Alison Lynch, MD
CEO: Steven W. Churchill, MNA
EXECUTIVE EDITOR: Sara Opie
ART DIRECTOR: Kelsey Wolfe
TO ADVERTISE:
Contact Heather Lee Phone: 515.421.4776
Email: hlee@iowamedical.org
SUBSCRIPTIONS:
Annual Subscription $45
IOWA MEDICINE, JOURNAL OF THE IOWA MEDICAL SOCIETY (ISSN 0746-8709), is published quarterly by the Iowa Medical Society, 515 E. Locust St., Ste. 400, Des Moines, IA 50309.
Periodicals postage paid at Des Moines, Iowa and at additional mailing offices.
POSTMASTER:
Send address changes to Iowa Medicine, 515 E. Locust St., Ste. 400, Des Moines, IA 50309.
EDITORIAL CONTENT:
The Iowa Medical Society is unable to assume responsibility for the accuracy of submitted material. Editorial inquiries should be directed to the Executive Editor, Iowa Medicine, 515 E. Locust St., Ste. 400, Des Moines, IA 50309.
Copyright 2025-2026
Iowa Medical Society: Opinions expressed by authors do not necessarily represent the official policy of the Iowa Medical Society. Iowa Medicine does not assume responsibility for those opinions. Products and services advertised in Iowa Medicine are neither endorsed nor guaranteed by the Iowa Medical Society unless specifically noted.
A SENSE OF COMMUNITY IS CORE TO MEMBER SATISFACTION
TSTEVEN W. CHURCHILL, MNA Iowa Medical Society CEO
he results from our annual Iowa Medical Society (IMS) membership survey are in. Along with advocacy, one of the primary reasons physicians join IMS is a sense of community. They value the feeling of fellowship with others as a result of sharing common attitudes, interests, and goals.
This ties directly into IMS’s mission to advance the practice of medicine through advocacy, education, and engagement with physicians throughout Iowa to ensure the highest quality of care for the patients they serve.
Engagement is a tool to strengthen our community of Iowa physicians, residents, and medical students. However, our form of engagement as a community has evolved since IMS was founded 175 years ago. In 1850, physicians came together within their hometowns to meet in-person to share ideas to improve the practice of medicine in their communities.
A COMMON THREAD
One common thread among all physicians is a passion for their profession and a deep commitment to serve patients under their care. For physicians, it’s not just a job, but truly a calling and a way of life.
During these challenging and sometimes uncertain times in the house of medicine, the need for a sense of community is important. It is often cathartic, can be inspiring, and allows physicians to achieve together what they cannot accomplish independently.
To help ensure that physicians, residents, and medical students can engage the medical community at every step in their careers, IMS has developed several initiatives to make it easy to engage with one another throughout their journey in medicine.
WE’RE MAKING IT EASY TO CONNECT WITH ONE ANOTHER
We recently launched virtual forums for three core sectors to engage medical students, residents-in-training, and early career physicians. Each sector will be led by a group of volunteer thought-leaders who will start the conversation by posting content targeted toward their audience to encourage member engagement.
We have also launched an engagement steering committee to create opportunities for inperson events in the Des Moines metro area. We will also begin to target communities that once had active county medical societies with the goal of holding an annual meeting in each area.
Social media is an easy form of engagement, so we are launching IMS DocTok to engage members on social media by sharing short, submitted videos on various topics. IMS has formed a closed LinkedIn group to host a virtual community for members from across the state to connect and share topics important to them.
We are also launching Leadership Roundtable Groups to create collaborative peer groups for leaders in health care within the state to share their opinions and ideas on things impacting their practice. We hope these groups increase group member satisfaction and help build relationships between leaders. We will have three different roundtables at this time, focusing on Iowa’s independent clinics, large systems, and Iowa’s county and specialty society leaders.
Thank you for your membership and for being a part of the IMS community. I urge you to scan the QR Code and learn more about how you can help IMS advance its mission. ■
Scan the QR code to learn more
Children’s Nebraska: Fighting Cancer Together
When a child is diagnosed with cancer, every moment matters. Children’s Nebraska Hematology/Oncology walks alongside families with expert care, innovative treatments and a team that never gives up hope.
September is Childhood Cancer Awareness Month, a time to honor children and families facing this difficult journey and to recognize the life-changing impact of early, specialized care. At Children’s Nebraska, we are proud to be a place where families find more than treatment. They find support, compassion and a team that never stops fighting for brighter tomorrows.
Why Providers Trust Children’s Nebraska
When a child is facing cancer or a blood disorder, providers need a partner they can trust. Children’s Nebraska offers the only pediatric-focused program in Nebraska dedicated entirely to hematology and oncology. Our pediatric specialists are nationally recognized, research-driven and deeply experienced in treating everything from the most common to the rarest forms of childhood cancer. Our team brings together oncologists, hematologists, nurses and support staff who understand what kids and families need most.
As a member of the Children’s Oncology Group, we provide access to advanced clinical trials and the newest therapies. Our Pediatric Infusion Center offers outpatient treatment in a welcoming, kid-friendly space, making visits easier on families. We offer specialized therapies, including chemotherapy, blood transfusions and hydration treatment, all guided by the needs of each individual child.
Comprehensive Care Clinics
From social workers and child life specialists to psychologists and educators, we surround families with a team that supports the whole child physically, emotionally and academically. We provide families with the teams and resources to thrive today and years to come.
Neurofibromatosis Clinic
Children’s offers the only comprehensive Neurofibromatosis (NF) Clinic in the region. NF is a genetic disorder that affects the nervous system and can lead to tumors. Because
the condition can impact many parts of the body, our clinic includes a multidisciplinary team of skilled pediatric providers across many specialties.
Comprehensive Bleeding Disorders Clinic
This clinic cares for children with hemophilia, Von Willebrand disease, clotting factor deficiencies and other platelet disorders. Families meet with multiple specialists in one visit, reducing the need for additional appointments and providing complete, coordinated care.
Children’s Survivorship Clinic
We provide specialized follow-up care for childhood cancer and bone marrow transplant survivors. Whether it’s understanding how your child’s cancer treatment affects their future medical care or providing ongoing school support, the Children’s multidisciplinary team at the Survivorship Clinic is here to support your child and your family in the years ahead.
Health care providers are essential to ending the HIV epidemic in Iowa. The best first step you can take? Offering routine HIV screening as part of your practice.
Diagnosing HIV quickly and linking people to treatment immediately are crucial to reducing HIV transmissions and improving health outcomes for all.
Testing for HIV empowers patients, no matter their status. For people living with HIV, diagnosis is the first step in connecting to HIV resources and care. For people who do not have HIV, testing can begin an ongoing conversation about their prevention needs.
Scan our QR code to learn more or visit stophiviowa.org/providers Testing is the gateway to HIV prevention & treatment— and you hold the key.
ADVOCACY IN THE INTERIM
LSETH BROWN, JD Director of Government Relations
ast session IMS championed many historic policies despite great uncertainty throughout the session due to many state and federal changes. These successes come as policymakers prioritized major initiatives to combat Iowa’s physician workforce shortage crisis. Highlights include: increased funding of $150 million for general medical education (GME) residency slots (once approved federally), doubled funding to $8 million and streamlined Iowa’s health care loan repayment programs, advanced increased unbundled Medicaid rates for maternal health reimbursement codes, invested $1 million for cancer research, and passed the most robust prior authorization reform package to pass the Iowa Legislature in recent memory.
Despite this year being an off-election year, the IMPAC Board continues to work hard to support pro-physician candidates in what we expect to be an active 2026 election. When the IMPAC Board convened in May, it had a goal to raise $50,000 by October 1, 2025. I am pleased to announce we have surpassed that
goal over a month early, having raised more than $50,000 by the end of August. We are grateful to our contributors so far in 2025. This effort, coupled with strong grassroots advocacy, gives us the political heft we need to be heard during next year’s elections and the upcoming legislative session.
The work does not stop, however. Significant changes from the federal government following the passage of H.R. 1 and carryover bills from last session that impede access to care require continued focus. IMS plans to continue to build the momentum from last session as we look ahead.
2026 IMS LEGISLATIVE PRIORITIES
The IMS Committee on Legislation (COL) meets over the legislative interim to develop priority recommendations for the upcoming legislative session. Following the establishment of initial recommendations by the COL, the IMS Board of Directors votes to approve the priorities.
On September 12, the Committee convened to draft IMS’s legislative agenda for the 2026 Iowa Legislative Session. The Board will approve legislative priorities in December, check the website iowamedical.org/advocacy then to see what IMS will advocate for in the upcoming session.
IMS fights on the frontlines for physicians at the Capitol but recognizes the importance of work throughout the interim. The more physician
engagement we have in the interim, the more successful we will be during session.
POLICY FORUM
IMS conducted its Fall 2025 Policy Forum on September 19 in Des Moines. The Policy Forum serves as the official process by which IMS establishes and amends policy. Policy Forums are held twice annually, in the Spring and Fall, with the 20 elected members of the IMS Board of Directors comprising the membership of the Policy Forum. Policy Forums are preceded by Testimony Forums, virtually enabled forums within which IMS members have the opportunity to offer testimony in support of, or in opposition to, the Policy Request Statements (PRSs) that are under consideration by upcoming Policy Forums.
In total, eight Policy Request Statements (PRSs) were submitted by members during the required ‘Call to Action’ period from July 31 to August 14. Read more about the process and the adopted policies on the IMS website: iowamedical.org/advocacy/ policy-forum
Feel free to email me (sbrown@iowamedical.org) for more information and sign up for action alerts on the IMS website for the latest campaigns: iowamedical.org/ action-center ■
ENGAGE
ADVOCATE WAYS TO AND SIX
CONTACT YOUR LEGISLATORS
Relationships are built in the off season. To make a significant impact, reach out to your state legislators to invite them to coffee or tour your practice site. Find out who represents you and how to effectively advocate using the tools on the IMS Advocacy page.
ATTEND PHYSICIAN DAY ON THE HILL Register and attend Physician Day on the Hill (PDOTH) on Tuesday, February 17, 2026. This IMS organized event is a great opportunity to speak with your legislators about the issues that matter most to you.
SIGN UP FOR IMS ACTION ALERTS
This is an easy way to get timely email updates on key legislative priorities.
SIGN UP FOR TEXT ALERTS
When signing up for Action Alerts on the IMS Action Center, check the box to provide your mobile phone number and instantly be notified via text message when your advocacy efforts are needed most!
CHECK THE IMS ADVOCACY WEBSITE
Check out the updated Advocacy webpage and check it often. This is the home base for all things physician advocacy.
JOIN THE IMS INSIDERS
Want to hear the latest rumblings from the statehouse? IMS is creating a shortlist of active members from across the state to receive the latest intel from the Capitol and be the first line of defense to contact lawmakers on the most pressing health care issues. Email Seth at sbrown@iowamedical. org to join the list.
WHAT DRIVES MARTA VAN BEEK, MD, MPH?
This article has been corrected from the print edition that was published on October 2, 2025
MSARA OPIE Director of Communications and Marketing
arta Van Beek, MD, MPH is a board-certified dermatologist and Mohs micrographic surgeon who practices at the University of Iowa Hospitals and Clinics. She’s also only the third Iowan to serve on the Board of Trustees of the American Medical Association (AMA), one of the most influential roles in American medicine.
But if you ask her about this rarified air, she’ll quickly brush it aside. For Dr. Van Beek, her national leadership is not about titles, it’s about purpose.
“We have a lot of work to do to improve the health care delivery process and the patient care experience.”
FROM FRUSTRATION TO INFLUENCE
Dr. Van Beek’s journey into public policy began not in a boardroom, but in an exam room as a young physician repeatedly asking: “Who made that decision, and why?”
The answers she received often left her dissatisfied — and determined.
“I wanted to be in the room when decisions were made about patient care, to offer a perspective from someone who actually sees patients,” said Van Beek.
Her first steps into organized medicine came through IMS, and her national specialty societies, serving as a delegate to the AMA. She later spent seven years on the AMA Council on Legislation, serving as chair in 2024. She also served as secretary-treasurer of the American Academy of Dermatology (AAD), where she helped implement DataDerm™, the world’s largest dermatology registry — now with more than 16 million unique patients and over 60 million documented visits.
A CLEAR FOCUS FOR THE PHYSICIAN VOICE
Now as an AMA Trustee, Dr. Van Beek’s focus is clear: preserving physician-led care and restoring the viability of medical practice.
Dr. Van Beek is committed to working on behalf of patients to have a choice in the care delivered and received rather than be determined or denied by an insurance company.
PRIORITIES ARE PARAMOUNT
“We also need to restore the physician payment process, which has not kept up with inflation,” said Dr. Van Beek. “When small physician practices are no longer viable because payment has not kept up with inflation, the system is broken. Congress and the public inappropriately refer
to it “physician payment” when those payments also have to cover salaries for nurses, medical assistants, custodians, schedulers, and pay the electric bill for the office.”
Other top priorities include tackling the rural health care shortage, strengthening the physician pipeline, and scope of practice that present major obstacles.
“The enormous administrative hurdles that physicians have to actually jump over to get their patients the right care are driving physician burnout and discouraging people from going into the field of medicine.”
Dr. Van Beek talks about the good traction nationally and at the state level for trying to remove or put some transparency in the process of prior authorizations. She credits much of that progress to AMA measurement, research, and publications.
THE DRIVE TO DO MORE
How does a practicing physician find time to do the immense amount of homework and take on a significant national board role outside of her daily routine?
“I have a really spectacular husband. I also have supportive, adult children, so that helps,” she said. “I make the time because the work is really important.”
“The more change that I can make as an AMA board member, the easier my day job is in caring for patients.” ■
Dr. Van Beek and IMS American Medical Association delegates in Chicago for the AMA’s annual House of Delegates meeting
IMS held an event in Iowa City celebrating Dr. Van Beek’s election
Get the information you need to support your patients.
Stronger digital connections can transform healthcare — improving patient outcomes, saving time for providers, and minimizing costs across the healthcare system. As the designated health information exchange in Iowa, CyncHealth has invested in digital infrastructure that drives healthcare forward. And we’re just getting started.
GET CONNECTED.
See how CyncHealth could support your work at cynchealth.org/iowa.
INVESTING IN THE FUTURE: Supporting Global Health Opportunities for Iowa’s Medical Students
ADAVID A. CONNETT, DO, FACOFP. DIST.
Dean, College of Osteopathic Medicine Professor of Family Medicine
s physicians committed to the advancement of health care in Iowa and beyond, we understand that our future depends not only on medical knowledge but on cultivating compassionate, globally minded leaders. Through the Iowa Medical Society (IMS) Foundation, we now have the opportunity to invest directly in that future—by supporting student scholarships for global health experiences and other transformative educational opportunities.
Each year, a growing number of Iowa medical students express a desire to engage in global health. Whether addressing maternal health in rural clinics, tackling infectious disease outbreaks, or working with underserved populations abroad, these students return with broadened perspectives and a renewed commitment to service. These formative experiences shape not only the physician they will become, but the kind of health care leader our communities will need.
However, these opportunities often come with significant financial barriers. Travel, lodging, clinical supplies, and lost income from summer employment can make these experiences unattainable for many. This is where the IMS Foundation plays a crucial role. By raising funds specifically designated for student scholarships—especially those focused on global health, rural outreach, and public service— the Foundation ensures equity of access for all students, regardless of background.
The impact of this effort is twofold. First, we are empowering the next generation of physicians to engage in culturally competent, community-oriented care. Second, we are reinforcing Iowa’s standing as a state that invests in physician development with purpose and integrity. These scholarships also enhance the reputation of our medical schools—Des Moines University and the University of Iowa—by demonstrating a shared commitment to developing well-rounded, service-oriented physicians.
The success of our collective advocacy efforts—most notably the historic $150 million allocation for graduate medical education secured through bipartisan support—has shown what is possible when IMS, our academic institutions,
and the broader physician community work together.
Now, we must apply that same collaborative energy to supporting medical students through targeted philanthropy.
To our colleagues across the state: we invite you to contribute to this mission. Every gift, regardless of size, makes a difference. Donations to the IMS Foundation directly support scholarships for students who seek to expand their horizons and return better prepared to serve patients in Iowa and beyond.
By investing in global health education today, we are planting seeds of empathy, innovation, and leadership for tomorrow. Let us ensure that every aspiring physician in Iowa has the opportunity to see the world— and return home with a deeper understanding of how to heal it. ■
Learn more about Jonathan’s experience and his fellow Global Health Scholars on page 16
Learn more and donate today
Jonathan Kertich, OMS 4, Des Moines University student and IMSF Global Health Scholar during his rotation in Lima, Peru
Images from the University of Iowa White Coat Ceremony on August 15, 2025.
Photos by Liz Martin, UI Health Care
CHECK
Images from the Des Moines University White Coat Ceremony on September 19, 2025. Courtesy of Des Moines University Medicine and Health Sciences
● To better remember complex medical information.
● To share details with family members or caregivers who could not attend.
● To support treatment adherence and follow-up care.
Recording Devices
● A proud parent wants a picture of their newborn in the nursery.
● A surgeon wants to document the course of a procedure.
● A parent wants a child’s treatment record for a divorce action.
Know Your State Laws on Patient Recording
● In most states, only one person involved in the conversation needs to consent to the recording. This means a patient can legally record their interaction with a provider without informing them if the patient is part of the conversation.
● In contrast, 12 states—including California, Florida, Illinois, Massachusetts, Michigan, Montana, Nevada, Pennsylvania, and Washington—require all parties involved in a conversation to consent to being recorded. In these states, a patient must obtain the provider’s permission before recording, or they may face legal consequences.
● Even in one-party consent states, healthcare practices operating on private property may establish their own policies restricting or regulating recordings. These policies can include signage, consent forms, or verbal agreements to protect patient and staff privacy.
● If a patient records a visit, HIPAA does not apply, as the patient is not a covered entity. However, if a provider records the interaction, the recording becomes Protected Health Information (PHI) and must be secured in compliance with HIPAA regulations.
Best Practices for Providers
● Maintain professionalism in all patient interactions, as any conversation could be recorded.
● If a patient asks to record, consider it a sign of engagement. It may help them better understand and follow medical advice.
● Ensure that recordings do not capture other patients or staff without consent—especially in shared spaces like delivery rooms or waiting areas.
● Your organization should have written policies addressing: ○ HIPAA compliance for provider-initiated recordings.
○ Use of photography, video, and audio devices in clinical settings. This may include delivery room, ER, and other areas.
○ Staff training on how to respond to patient recording requests.
Physician Opportunities
Physician-Led Medicine with Partnership Track Opportunity
Join our collegial teams within Iowa’s largest physician-owned, multi-specialty clinic. Seeking physicians for the following specialties:
• Anesthesiology
• Cardiology - INT/EP
• Dermatology/Mohs
• Endocrinology
• Family Medicine
• Gastroenterology
• General Surgery
• Internal Medicine
• Neurology
• OB/GYN
• OphthalmologyMedical Retina
• Ortho Hand
• Otolaryngology
• Pediatrics
• Plastic Surgery
• Radiation Oncology
• Rheumatology
• Urology
Enjoy work-life balance in a family-friendly community with small-town charm and big-city amenities nearby. Affiliated with a Baldrige and Magnet® recognized hospital. Large established referral network. Offering top-tier compensation and benefits.
For more information, contact Jessica Ott physicianjobs@mountainmedgroup.com
A world view
GLOBAL HEALTH SCHOLAR WINNERS
Iand new perspective on health care
SARA OPIE Director of Marketing and Communications
t’s our annual showcase of a few of the Iowa Medical Society Foundation (IMSF) global health scholarship recipients. Here is an edited snapshot of the rich and rewarding experiences these medical students had as part of their global health program travels. From Thessaloniki, Greece to Nkoaranga, Tanzania, the students truly traveled the world to make an impact and medical memories. Funding for the program comes in part from IMSF.
For more information, a full list of the 2025 awardees, members of the IMSF Board of Directors, and additional photos, visit the IMS website at iowamedical.org
Ann Holmes
Thessaloniki, Greece
“I spent a month rotating through various departments including Obstetrics and Gynecology, Pediatrics, Internal Medicine, and Emergency Medicine at Papageorgiou General Hospital in Thessaloniki, Greece. This 800-bed hospital cares for a wide range of patients from Thessaloniki and the greater Macedonian region. Thessaloniki has a population of about one million people and the staff at Papageorgiou General care for individuals of all socioeconomic backgrounds with an emphasis on providing care for those who face financial barriers.
Most of my time with the Obstetrics and Gynecology Department was spent in the operating room. I scrubbed in and assisted in various gynecologic surgical cases, including a total abdominal hysterectomy and a vaginal prolapse repair, colporrhaphy. I also spent a week with the Pediatrics Department where I worked in the Emergency Room, seeing various classical Pediatric emergencies. I also spent time with the interdisciplinary team rounding on the Pediatric patients in the hospital ward where I was able to perform physical exams, assist with laboratory interpretation, and assist with various procedures, ex. bladder straight cath. Finally, I spent my final two weeks with the Emergency Medicine Department and Internal Medicine Department respectively. During this time, I was working alongside Internal Medicine Residents to triage, interview, examine, stabilize, and begin a basic medical workup for patients in the Emergency Room which would see nearly 800 patients per day.
This experience helped broaden my worldview and understanding of international medicine. I met physicians, nurses, patients, residents, medical students, master studies students, and patient families from backgrounds and cultures different from my own. These rich and meaningful interactions taught me so much about medicine, human interaction, and myself. I also believe that through the observations I made and interactions I had with patients, I gained skills in caring for individuals of diverse backgrounds which aligns with my goal to become a physician who provides culturally sensitive, individualized patientcentered care.”
Ann Holmes, Global Health Scholar, in Thessaloniki, Greece
Brooke Turek Nkoaranga, Tanzania
“I was based in a hospital that served a predominantly rural and underserved population. Many patients had limited access to reliable transportation, essential medications, and specialized care. These demographic factors had a significant impact on my clinical experience. Patients often presented with advanced stages of illness due to delays in seeking care stemming from distance and financial constraints.
During my rotation, I worked across multiple departments to gain a broad understanding of the Tanzanian health care system, but my primary focus was on palliative care. Our team—comprised of a physician, nurse, and social worker—would travel to rural areas to visit patients in their homes. These patients were living with chronic and often complex conditions such as HIV, cancer, diabetes, and hypertension.
Camila Payan
Bogotá, Colombia
“Returning to Colombia for a month-long clinical rotation in obstetrics and gynecology felt like coming full circle. Born in Colombia but raised in the Midwest, I saw this experience at Juan N. Corpas in Bogotá as an opportunity to reconnect with my roots— not only culturally, but professionally and personally as a future physician.
Returning to Colombia for a month-long clinical rotation in obstetrics and gynecology felt like coming full circle.
- Camila Payan
As I return to the U.S. to complete my medical training, I carry with me renewed perspectives on global health, a deeper sense of cultural humility, and a strengthened commitment to serve diverse communities. This rotation didn’t just broaden my clinical knowledge—it enriched my identity and reaffirmed my purpose as a future physician.”
I achieved my goals of learning about health care delivery in a low-resource setting. I also learned how social/cultural factors impact care. This was an incredible experience and has left me eager to learn more in the future.”
One of the most valuable aspectsof my rotation was the opportunity to work closely with local students and attendings. I assisted in deliveries, participated in prenatal and postpartum care, and observed a wide range of procedures. What struck me most was realizing how scarce even basic resources could be—and how many patients had limited or no access to prenatal care. Many arrived at the hospital late in their pregnancies, some for their very first visit.
Devin Moffat
Lima, Peru
“The hospital resided in the heart of the Miraflores district in Lima, Peru. It was a densely populated area frequented by people from all over the world. We mainly helped people who were Peruvian natives but also travelers from all over the world who fell ill for one reason or another.
I worked at the hospital “Jose Casimiro Ulloa” which is a renowned emergency hospital that deals strictly with emergencies. I did an emergency medicine rotation and spent time floating between urgent care, adult and pediatric emergency rooms, and the trauma bay. Because I speak Spanish, I was allowed to take the lead in doing patient histories and physicals (with supervision) and perform minor procedures.
I gained a deeper understanding of health care in a different place than the U.S. I improved my medical and non-medical Spanish by conversing with the people and gained a profound appreciation for the cultural distinctiveness of Peru. I also made a few good friends along the way.”
The Iowa Medical Society Foundation (IMSF) is a voluntary organization that uses personal donations from physicians and friends of medicine to advance the work of the Iowa Medical Society through education and leadership opportunities for current and future physicians in Iowa.
To learn more or donate, scan the QR code below.
Brooke Turek and fellow medical students in Nkoaranga, Tanzania
Photo taken by Devin Moffat in Lima, Peru
Ramya Vemulapalli
London, UK
“South London faces significant sexual health challenges, including high HIV prevalence— particularly in Lambeth, Southwark, and Lewisham— alongside elevated rates of STIs like chlamydia, gonorrhea, and syphilis. Late HIV diagnosis remains common, especially among Black communities and MSM—populations specifically targeted by Naz (a sexual health charity)— reflecting ongoing health inequities and stigma.
A large part of my experience included talking with local community members about HIV testing, the importance of regular HIV testing, and offering rapid tests. One outreach included visiting an inclusive mosque to establish a relationship with community members who would allow us to offer services like rapid HIV testing in the future. I also worked on producing, recording, and editing a podcast for Naz about sexual health and sex education, including discussing sex from a cultural aspect.
I collaborated with local NGOs, government agencies, and health organizations to understand their roles, challenges, and strategies in addressing public health issues. I worked mostly with Naz but was exposed to other sexual health organizations including Turning Point and SASH.”
McKenna Major Kampala, Uganda
“This summer I assisted Dr. Julie Gudenkauf with research at Makerere University - John Hopkins University (MU-JHU) in Kampala, Uganda. This country is very interesting
Throughout the summer I picked up on underserved health needs in Kampala and how they compare to the US. For example, people here almost accept that they will get malaria annually, almost as I view getting a cold back in the US. It is interesting that Malarone is cheap here and yet it costs me hundreds of dollars in the US.”
Jonathan Kertich Lima, Peru
demographically because the median age is 16 years old and there is a relatively high prevalence of people living with HIV. One of the biggest health challenges I noticed was the lack of resources and doctors’ appointments. Many patients came to us with health care concerns unrelated to our study. One wanted us to check out a lesion on their arm, another to evaluate blood pressure, and others had mental health concerns.
Some mornings would be spent creating patient files with all the questionnaires, lab sheets, informed consent, and other paperwork for each participant. Other mornings would be spent doing data entry into REDCAPS. After lunch I would go to the Youth Clinic to assist with the Ultrasound Procedure where we would collect videos, images, and the velocity of flow within the common carotid, internal c arotid, and external carotid arteries bilaterally.
“¡Qué chévere! is a common Peruvian phrase that translates to “how cool.” And it best summarizes my experience in the second month of 2025, primarily as a medical student at the Jose Casemiro Ulloa Hospital in Miraflores, Lima, Peru.
The most memorable patient and subject of my presentation on quilotórax, was a middle-aged man brought into the hospital after multiple gunshots to the chest. He underwent emergent clamshell thoracotomy followed by pneumonectomy. However, his postoperative course was complicated by chylothorax, a collection of chyle, a typically whitish fluid mostly made up of fats, in the space between the lung and the chest wall.
My experience in Peru was a journey of professional growth, cultural immersion, and personal discovery. It challenged me to adapt, communicate, and connect in new ways, strengthening both my medical skills and my confidence. Just as I adapted in Peru, I am confident that I will continue to grow, learn, and thrive in every new environment I step into—whether in the operating room or beyond.” ■
Photo taken by Ramya Vemulapalli during her time in London, United Kingdom
Jonathan Kertich enjoying his time in Lima, Peru
McKenna Major outside Makerere University - John Hopkins University in Kampala, Uganda
S
YOGESH SHAH MD, MPH, FAAFM Medical Director of Broadlawns Memory Clinic
ubtle changes in memory and thinking are often attributed to normal aging. However, these changes can sometimes indicate something more concerning. Research shows that approximately 10–12% of Americans age 60 and older are living with mild cognitive impairment (MCI).
MCI is characterized by measurable cognitive decline—noticed by the individual and often by family or friends—that does not yet interfere significantly with daily function. While not every case of MCI progresses, these individuals carry a substantially higher risk for dementia. Longitudinal studies suggest that 10–15% of patients with MCI will convert to dementia each year.
For clinicians, this highlights the importance of timely recognition, evaluation, and counseling. Identifying MCI creates an opportunity to address reversible contributors, optimize brain health, and engage patients and families in planning and emerging treatment options.
Role of Primary Care Providers (PCPs)
Primary care providers (PCPs) are often the first point of contact for individuals experiencing early symptoms of Alzheimer’s. Most Americans (over 50%) report that they would first discuss symptoms of MCI with their PCP, compared to 42% who would consult a spouse and 29% who would approach a specialist. Reflecting this trend, 62% of PCPs report fielding weekly questions from patients about symptoms consistent with MCI.
Importance of Annual Wellness
Visits (AWVs)
Annual Wellness Visits (AWVs), covered by Medicare, play a pivotal role in detecting cognitive impairment. Unfortunately, only 2.4% of Medicare beneficiaries
Addressing Concerns About Memory and Cognition
When a patient or caregiver expresses concerns about memory or cognitive issues, clinicians should not dismiss these as normal aging. . A comprehensive evaluation, including a physical exam and review of medical history, may identify alternative causes like sleep disturbances, depression, hearing loss, medication side effects, or substance abuse. Routine laboratory tests can uncover treatable issues such as vitamin B12 deficiency or thyroid disorders. Imaging studies like MRI or CT scans can reveal structural abnormalities, including lesions, strokes, or normal pressure hydrocephalus.
Financial Benefits of AWVs
Understanding Dementia and Alzheimer’s Disease (AD)
who are eventually diagnosed with Alzheimer’s or related conditions receive a formal cognitive assessment during these visits. AWVs focus on creating personalized prevention plans and include a requirement to detect cognitive impairment.
Cognitive Assessment Tools
While no single test is considered the gold standard for diagnosing cognitive impairment, validated tools like Mini-Cog, AD8, Montreal Cognitive Assessment (MoCA), and Saint Louis University Mental Status (SLUMS) test are commonly used for MCI screening. Emerging blood biomarker tests also offer new opportunities for detecting Alzheimer’s pathology.
The financial benefits of AWVs are substantial. AWVs combined with cognitive assessments are reimbursed by Medicare at approximately $200-$300 per visit, and additional revenue is generated from follow-up visits, imaging, and specialist referrals. Early dementia intervention through AWVs can reduce emergency room visits and hospital stays, achieving a 10-20% reduction in hospitalizations. In Iowa, where dementia-related hospital costs total approximately $50M per year, a 10% reduction translates to $5M in savings. patient care, emphasizing the importance of early detection and intervention in cognitive health.
Conclusion
Timely recognition and management of MCI can significantly shape patient outcomes—creating opportunities for early intervention, risk-factor modification, and proactive care planning. PCPs are uniquely positioned to lead this effort. By incorporating brief cognitive screening tools into routine visits and responding to concerns raised by patients or families, PCPs can identify individuals at risk earlier in the disease course. This not only improves quality of life and patient engagement but also ensures that families are better prepared for the future. ■
Dementia is a broad term for a decline in cognitive functions such as memory, language, and reasoning, which can significantly interfere with daily life. Alzheimer’s disease (AD) is the most common cause of dementia. The progression of AD can be categorized into five stages:
1. Preclinical AD: Evidence of pathology without symptoms.
2. MCI due to AD: Mild cognitive impairment with underlying AD pathology.
3. Mild AD Dementia: Early stage of AD with noticeable cognitive decline.
4. Moderate AD Dementia: More pronounced cognitive and functional impairments.
5. Severe AD Dementia: Significant cognitive and functional decline.
The MCI and mild dementia stages are critical windows for intervention.
To read the full report of Operation I.O.W.A. Phase II—visit the Newsroom at iowamedical.org or scan the QR code
STRENGTHENING IOWA’S PHYSICIAN PIPELINE
EARLY, MID, AND LATE-CAREER STRATEGIES TO KEEP PHYSICIANS CLOSE TO HOME
ISETH BROWN, JD
RYAN ROBERTS, MJ Director of Government Relations
owa has long prided itself on being a great place to affordably live and successfully work. Yet, like much of the nation, the state faces a growing challenge: how to recruit, retain, and support physicians at every stage of their careers and keep them in Iowa.
Phase II of Operation I.O.W.A., a multi-stakeholder initiative championed by the Iowa Medical Society (IMS) and partners across the health care spectrum, brought together physicians, educators,
Policy Analyst and Grant Initiatives Manager
policymakers, and community leaders to answer an ongoing yet pressing question: What specific, tangible steps can we take to ensure Iowa has the physicians it needs now and in the future?
The results from the July meeting, drawn from three breakout groups, offer a more in-depth roadmap of tactics that start early in the education pipeline and extend into the late stages of a physician’s career.
1. Building the Early Pipeline
Participants identified mentorship as an important tool for building the pipeline. The group discussed creating a statewide list of physicians willing to mentor students and visit high schools and developing “toolkits” for mentor-mentee relationships at every stage, from pre-med to residency.
“If we can attract more medical students, starting at a very early age, and encourage them to go to medical school in Iowa, we will dramatically improve the odds that they will build their careers here as well,” said Alison Lynch, MD, President, IMS.
Expanding residency opportunities and exposing medical students to rural Iowa as part of their training were identified as continued priorities. The group urged continued support for and implementation of new residency slot funding, as well as housing or relocation support for rural trainees.
The group also emphasized increased recruiting for early physician career pipelines, such as collaborating with student organizations, working directly with high school counselors and undergraduate advisors to develop interest in the medical field, and increasing outreach to community colleges and underrepresented regions.
2. Improvingthe Practice Environment
Even when physicians choose Iowa, retention can be undermined by burnout, lack of leadership opportunities, or an environment that doesn’t meet personal and family needs.
The second breakout group prioritized improving reimbursement rates and competition among health care payors, leadership development, and comprehensive recruitment practices. The vision: a system where physicians are recognized not only as caregivers but active decision-makers in shaping health care policy and practice culture.
Inadequate reimbursement rates have long deterred physician recruitment and retention in the state. Participants called for advocacy to improve Medicaid rates and education to promote competition in Iowa’s private health insurance market.
Other ideas included embedding leadership training into medical school and residency, advocating for increased physician involvement in decision making to improve work environments, and encouraging health systems to provide flexible scheduling and fair compensation.
Dynamic and nationally competitive recruitment practices mean considering more than just salary. “We’re talking about comprehensive offerings that might include childcare, housing assistance, spousal career support, or flexible leave policies,” Dr. Lynch said. “These things can make the difference between a physician staying in Iowa for two years or 20.”
3.
Keeping
Later-
Stage Physicians Engaged Iowa’s physician workforce will also benefit from the experience of latecareer and even retired doctors. But the barriers remain, from cumbersome licensing requirements to inflexible practice models.
The third breakout group recommended eliminating unnecessary administrative burden, making continued practice more attractive and rewarding, and creating easier transitions between career stages
Some proposed strategies included streamlining credentialing through a statewide process, reducing continuing medical education requirements for experienced physicians, developing “returnto-practice” refresher courses, and offering flexible, part-time, or telemedicine options to those looking to scale back without leaving medicine entirely.
“It’s important that we find ways to support later-career physicians, so we can continue benefiting from the decades of experience and wisdom they bring to the
field,” said Robert Kruse, MD, MPH, State Medical Director and Division Director of Public Health at the Iowa Department of Health and Human Services and an Operation I.O.W.A. participant. “Let’s get creative and offer meaningful roles, such as mentorship, teaching, or community outreach. We know from our research that many of these later-career physicians would gladly keep contributing.”
A Long-Term, Varying Life-Stage Approach
One clear outcome is that Iowa’s physician workforce strategy must be comprehensive, coordinated, and sustained. From inspiring high school students to pursue medicine, to supporting young doctors during their most stressful training years, to valuing and retaining experienced physicians, the approach must address the entire career lifecycle
As Dr. Lynch said, “This isn’t just about filling positions, it’s about building a health care culture in Iowa where physicians are empowered at every stage of their journey.”
Operation I.O.W.A.’s Phase II next steps will include refining these recommendations, building coalitions to advance them, and securing the resources to turn vision into action. While the final tactics will be shaped in the months ahead, the report leaves no doubt about the urgency and the opportunity to keep Iowa physicians close to home. ■
-
SUPPORTING IOWA’S FUTURE PHYSICIANS
The Iowa Medical Society Foundation uses donations from physicians and friends of medicine to inspire, facilitate, and expand the educational and philanthropic endeavors of the Iowa Medical Society. From sponsoring medical student white coats and student travel opportunties to attend meetings of the AMA and experience Global Heath Studies, IMSF supports our students during milestone events and encourages them to engage in the house of medicine.
But it doesn’t stop there - the Foundation supports physicians as they begin their work and the medical community at large via:
Public health initiatives
CME and professional development programs
Other unique leadership opportunities
Don’t forget to check out our Member App!
Take advantage of all the features of our new app!
Benefits are:
+ Comment on important forum topics
+ Register for great events
+ Pay your membership dues
+ Update your contact information
Search your App Store or Google Play for MemberPlus to download the app. You will use your email and IMS password to log in.
If you have any issues visit www.iowamedical.org/membership to view the trouble shooting guide.
“My journey to Vietnam proved to
Phuoc Nguyen, DO
JENNIFER S. BEATY, MD, FACS, FASCRS
Associate Dean of Graduate Medical Education, Designated Institutional Official, Des Moines University
WHAT INSPIRED YOU TO BECOME A PHYSICIAN?
Idecided to become a physician after witnessing the profound impact my father, Larry Beaty, MD, a dedicated family medicine physician, had on his patients and our community. Growing up, I admired the way he combined compassion, knowledge, and service to make a difference in people’s lives. I see medicine not only as a career, but as a calling.
HOW DID YOU END UP AT DES MOINES UNIVERSITY IN YOUR CURRENT CAPACITY?
I moved back to Iowa to be near my family. I joined Des Moines University to teach surgery skills and became the Associate Dean of Graduate Medical Education. I practiced colon and rectal surgery in Omaha, NE, in private practice with academic affiliations with Creighton University and the University of Nebraska. I was a program director
of the colon and rectal fellowship and taught medical students, residents, and fellows.
WHY ARE YOU A MEMBER OF IMS?
I am a legacy member of IMS. As an Iowa resident, I want to ensure high-quality health care for myself, my family, and all Iowans. The camaraderie can’t be beat!
WHY SHOULD MORE DOCTORS COME TO IOWA TO PRACTICE?
There are many compelling reasons for more physicians to consider practicing in Iowa:
+ Critical need: Iowa ranks 44th in physicians per capita and nearly every county is a designated primary care Health Professional Shortage Area.
Strong incentives: The Rural Iowa Primary Care Loan Repayment Program offers up to $200,000 over five years for clinicians committing to underserved rural areas.
ENOS LOWE, MD
(1804-1880)
BACKGROUND
Dr. Lowe was born in Guilford County, North Carolina on May 5, 1804. He was elected the first president of the Iowa State Medical and Chirurgical Society at the organization meeting June 19, 1850.
MEDICAL EDUCATION
A graduate of Ohio Medical College in Cincinnati, Dr. Lowe first practiced in Greencastle, Indiana, where he served a term in the Indiana State Legislature. He then relocated to Burlington, Iowa, and soon became identified with political and economic affairs, becoming widely known and influential in many ways.
COMMUNITY CONTRIBUTIONS
Having been appointed a receiver of public monies of the US Land Office in Iowa City, he was appointed to the same position in Council Bluffs. Moving there, Dr. Lowe became one of the company who platted the city of Omaha and was one of its first inhabitants. He was largely responsible for the development of the Nebraska Capitol Building, the bridge which spans the Missouri River, and the location of the Union Pacific Railroad through the city.
During the Civil War Dr. Lowe served in the army as a surgeon,
+ Training retention: Recent legislation has expanded residency slots (115 per year for four years), increasing the likelihood that doctors trained in Iowa stay to practice
+ Community connection: Practicing in small towns often means deep patient relationships and significant community engagement, leading to more rewarding experiences
WHAT IS YOUR BEST ADVICE FOR NEW PHYSICIANS?
Stay humble, keep learning, and always listen—both to your patients and your colleagues. Medicine is as much about compassion and communication as it is about clinical skill. Remember: every patient is a person first. Treat them with empathy and dignity, and you’ll not only be a better doctor. But, also, a trusted healer. ■
as well as his son, who rose to military distinction and became well known as “General Lowe.”
Dr. Lowe also served as the first president of the Omaha Medical Society in 1866.
YOUR MEMBERSHIP KEEPS THE PHYSICIAN VOICE FROM VANISHING!
IPETER TONUI, MD Chair, IMS Board of Directors Trauma Surgery, The Iowa Clinic
t’s likely that maintaining your IMS membership may not always be at the top of your to-do list, so I wanted to take a few minutes to remind you of the importance of your membership and the positive ways it can impact you, your practice, and your patients.
THE IMPACT OF ADVOCACY
In just the past three years since I joined the IMS Board of Directors, I have been privileged to see IMS partner with Iowa legislators to pass the Iowa Medical Malpractice Tort Reform bill in 2023, which capped noneconomic damages at $2m for hospitals and at $1m for clinics and physicians, secure passage of the Prior Authorization Reform bill in 2025, and successfully lobby Iowa’s Governor and legislature to pass a Healthcare Workforce Expansion package in 2025 to expand residency slots, strengthen recruitment and retention programs, and address maternal health deserts. In serving on the Board, it has been gratifying to see Board members speak thoughtfully and passionately about topics as diverse as disaster preparedness, access to reproductive health services, vaccination policy, and some of the complexities of health care in the LGBTQ community.
Your membership helps to ensure that the voice of the Iowa physician workforce is strong and influential, and that IMS’s government relations team has the tools needed to continue to advocate at the state and federal levels on behalf of the almost 6,000 member physicians and future physicians.
A few other ways your voice can be heard is by serving on one of IMS’s committees (for more information visit iowamedical. org/committees), taking part in IMS’s annual member survey, or submitting a policy request to IMS’s Policy Forum.
MEMBERSHIP ADVANTAGES
Beyond advocacy, IMS member benefits offer physicians the opportunity to expand their inner circle by networking; get involved with one of IMS’s committees, attend in-person events (not only in Des Moines and Iowa City, IMS holds events
IT’S LIKELY THAT
MAINTAINING YOUR IMS MEMBERSHIP MAY NOT ALWAYS BE AT THE TOP OF YOUR TO-DO LIST
across the state), or earn CME at educational trainings either inperson or virtual. Opportunities to network and connect peer to peer are increasingly hard to come by but can have such a positive impact on you professionally
and personally. I have learned the value of this from my time on IMS’s Board of Directors and visiting with physicians and health care leaders from across the state.
Many Iowa employers support their physicians’ membership in the Iowa Medical Society through IMS’s 100% group dues program or reimburse physicians for their annual membership dues. If your employer supports your membership in one of these ways, I hope you are taking full advantage of this opportunity to be involved. The first step for any member physician is to go to iowamedical.org and create a login using your email address. Visit your info hub page to gain access to member exclusive forums, the IMS member directory, and upcoming events.
IMS has launched a membership ad campaign to encourage new members to join the medical society and promote our advocacy efforts at the statehouse
RENEWAL SEASON STARTS SOON
Starting November 1, you will be able to renew your IMS membership for 2026 online, by mail, or by calling 515-421-4776. If you have any questions about your membership or want more information, please reach out to IMS’s Membership team, Heather Lee hlee@iowamedical. org or Grace Fleming gfleming@ iowamedical.org ■
JOIN ME AND OUR PEERS ON THE NEW IMS MEMBERS-ONLY LINKEDIN GROUP
It is my pleasure to announce a new way to stay connected with fellow Iowa Medical Society members — the IMS MembersOnly LinkedIn Group!
This closed group is a dedicated space for IMS physicians, residents, and medical students to:
+ Ask questions, share insights, and connect with peers
+ Get early access to IMS updates, events, and advocacy alerts
+ Learn from and support one another across the state
As a valued IMS member, I invite you to join today and help build a strong, engaged physician community.
Here are a few topics that we’ll be opening for discussion:
CLINICAL AND PROFESSIONAL INSIGHT
+ The case that changed meshare a turning point patient story
+ If I could redesign residency … what would I do?
+ AI in reality – what’s actually helping to make work better?
PEER CONNECTION
+ What’s trending? What’s your biggest time drain right now? How do you handle inbox overload? Would you go into medicine again?
+ What’s a system change (small or big) that’s improved your daily workload?
+ Hot take in health care: weigh in on news, policy, or trends
PERSONAL GROWTH AND WELLNESS
+ One thing that helped my burnout
+ Wins of the week
+ Physician parent circle –parenting while practicing and support among peers
LEADERSHIP AND ADVOCACY
+ What needs to change in Iowa health care and how we start
+ Leadership in unexpected places
Send your request to join now — we’ll approve you quickly and we can start the conversation! Let’s connect and support each other. ■
Scan this QR code to join the LinkedIn group and be a part of the conversation
EDUCATION AND EVENTS
EDUCATION
+ Student Webinar Series: Volunteerism
Wednesday, October 8 12:00 pm
+ Iowa Maternal Health ECHO: Substance Use in Pregnancy: Symptoms, Screening, and Referral Thursday, October 23 12:00 pm
+ CE Webinar: Public Health & Advocacy
Tuesday, November 4 12:00 pm
+ Student Webinar Series: Leadership Tuesday, November 11 12:00 pm
+ Iowa Maternal Health ECHO: Caring for Vulnerable Patients Thursday, November 20 12:00 pm
+ Iowa Maternal Health ECHO: High Risk Pregnancies in Rural Iowa Thursday, December 18 12:00 pm
EVENTS
+ Council Bluffs Blitz Wednesday, October 15
+ Waterloo Blitz Thursday, November 6
+ Physician Day on the Hill Tuesday, February 17, 2026
+ IMS President’s Dinner Thursday, April 17, 2026
NEW IN NORTH LIBERTY INCREDIBLE FOR IOWA
Now Open!
University of Iowa Health Care is now closer than ever. Our new state-of-the-art campus offers emergency care, orthopedics, sports medicine, and more, alongside services like a drive-thru pharmacy, lab, and diagnostic imaging. It’s the excellence we’re known for, right in the heart of North Liberty. Because we’re here to make all of Iowa better.
