Knoxville Medicine Summer/Fall 2023 Magazine

Vol u m e L X X X , N o. 2 • Su mmer/ Fal l 2 02 3

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Ser v in g t h e G rea t er Met ropolit a n Kno x vi l l e A r e a

at Sea

Aboard the Royal Caribbean Wonder February 18 - 25, 2024 7 Night Physician Well-Being CME

Itinerary: Day 1 - Depart from Cape Canaveral, Florida Day 2 - Perfect Day Cococay, Bahamas Day 3 - At Sea Day 4 - Charlotte Amalie, St. Thomas Day 5 - Philipsburg, St. Maarten Day 6 - At Sea Day 7 - At Sea Day 8 - Arrive back in Cape Canaveral, Florida

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PRESIDENT'S MESSAGE

Academy Officers Brian Daley, MD PRESIDENT

David Harris, MD PRESIDENT ELECT

Melissa Chiles, MD SECRETARY

Jeff Gilbert, MD TREASURER

Jeff Ollis, MD

IMMEDIATE PAST PRESIDENT

Kimberly Weaver, PhD CEO

Board of Trustees Greg Curtin, MD Matt Doppelt, DO Carley Fowler, MD Rosalind Cadigan, MD Patrick McConville, MD Darinka Mileusnic-Polchan, MD

Ex- Officio Board Members Mark Browne, MD Richard Briggs, MD Debbie Christiansen, MD Randal Dabbs, MD Richard DePersio, MD Keith Gray, MD Robert Page, MD Donna Brunson -KAMA

Publisher Kim Weaver, PhD

Editor Jonathan Weaver

Production/Advertising David Caudill

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KNOXVILLE ACADEMY OF MEDICINE

Aequanimitas…

The Oslerian view of medicine starts and ends with a focus on the patient. Initially aimed at the then practice of medical education, such a paradigm changed training from a lecture to hands-on care. It is the way we learned and teach today. Even with the expansion of medicine from Osler’s days of the nineteenth century, we strive to apply this focus on the patient. We swear an oath to this.

Unfortunately, in our instantaneous Twitter (apparently now X) world, any thought or notion, infobit, gossip or untruth, however inane is promulgated intra-galactically. Medicine in all forms is under attack from every angle – financial, diversity, equality and equity as well as deprofessionalization. We have egotists or publicity hounds pushing “medicine” out into the cyberworld, and by seeing the number of views, it is eaten up by virtually hundreds of thousands {https://www.mdlinx.com/article/a-viraltiktok-doctor-lost-her-medical-license-afterbotching-surgeries-heres-how-can-you-usethe/1c6fuRFKgVPAhyZeobHDhz}. There is no arbiter of veracity, scientific merit, or professional decorum afforded to the twenty second show so long as people watch it.

How do we combat this? Organizations like KAM, TMA and many of our medical societies are trying to keep the focus on patients. KAM through its Project Access shows exactly how to do this. Providing care, to patients, and to patients who are resource limited, is the ultimate path to patient-centered equitable care. Even though the millions of dollars of care provided

by KAPA is well known, it doesn’t make even

the Academy offices at (865) 531-2766. The magazine is published four times per year by the Knoxville Academy of Medicine (KAM). All rights reserved. This publication or any part thereof may not be reproduced without the expressed written consent of the KAM. The appearance of advertising in KAM publications is not a KAM guarantee/endorsement of the product or the claims made for the product by the manufacturer.

The fact that an advertisement for a product, service, or company has appeared in a KAM publication shall not be referred to in collateral advertising. The KAM reserves the right to accept or reject any advertising in the publication.

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KAM

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the mundane evening news. Similar programs across the state and country are likewise ‘not newsworthy.”

Going back to Osler, especially in his famous speech to medical school graduates in in 1889, we must demonstrate aequanimitas – an approach often criticized of late if it is carried to extremes of robotic unemotional care. Rather, my interpretation of Osler is that we must remain calm and unswayed by our emotions to make the best decision for the patient or “equanimity” and able to control our own feelings about events/diagnosis/prognosis called “impeturbabilty” to generate a shared and patient centered decision process. We cannot be influenced by all the outside noise and allow that to direct our efforts away from putting our patients first. It is the same with the social and societal pressure we see today on medicine – we must approach our responses with an even emotional keel and be able to address issues without ego.

Everyday every east Tennessee physician does great things for their patients. We do our best in an intolerable environment with roadblocks everywhere. We might grumble and we certainly complain, but like Sisyphus push the rock up the hill every day – not for us but for our patients. We don’t expect public acclaim but act with aequanimity, that is not to gratify our own feelings, but to remain calm and solely focused that our patients stay at the center of medicine. For us we follow Polonius’s words to his son Laertes in Hamlet – “to thine own self be true”. That is our reward. That is who we are.

- Brian J. Daley, MD, MBA, FACS

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Featuring some of today’s most prominent speakers on physician well-being!

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ACADEMY NEWS Legislative Update In April, the 188th meeting of the Tennessee Medical Association House of Delegates was held. More than 150 physician delegates from across the state of Tennessee participated in this event in which organizational policies and legislative agendas for the association were discussed and voted upon. Once again, Region 7 delegates from Knox, Blount, Roane, Anderson, Scott, Campbell, Union, Loudon, Monroe, and Morgan made up one of the largest delegations in attendance as they represented the physicians of our area. Thirty different resolutions were presented for consideration by the delegates ranging from physician well-being to gun violence and trigger law clarifications. Many thanks to Region 7 delegates who gave of their time to participate to improve the profession of medicine and advocate for our patients. If you would like to be a future Region 7 delegate, contact Kimberly Weaver at kweaver@ knoxvillemedicine.org.

Care within Their Scope of Training and the Accepted Standard of Medical Care for Their Specialty • Proposal to Move TMA House of Delegates to a Fall Date –Referred to TMA Board • State Ban on the Sale of High-Capacity Firearm Magazines • Promoting Use of 988 Suicide and Crisis Lifeline Number • Collaborative Practice Agreements for Physician Assistants • Climate Change and Health – Referred to the TMA Board • Reducing Firearm Related Deaths and Improving Public Policy Regarding Firearm Safety in Tennessee • Protection of Access to Contraception and Expanding Access to Emergency Contraception • Organ Donation • Prescribing Buprenorphine Products Off-Label for Chronic Pain Management –Referred to the TMA Board • Resident & Fellow Retention • Improving Telehealth Education in Medical Training • Reducing Contact Sexual Violence in Tennessee • Resolution to Ensure Adherence to Federal EMTALA Standards Among Tennessee EMS Providers –Referred to the TMA Board • Health Care Needs of Transgender Tennesseans • Age-Restricted Access to Smartphones • Abortion as an Essential Component of Health Care • Transparency in Use of Specialty Titles in Healthcare Advertising 6/19/ • Mifepristone is an Essential Medication for Management of Miscarriage • Expanding Access to Physician-Led Care in Shortage Areas by Exploring and Supporting Financial Incentives

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Below you will find a list of Resolutions discussed at this year's House of Delegates.

• Folate Supplementation of Non-Cereal Staple Flour • TMA Resolution on Establishing a Physician Wellness Committee • 2023 Resolution to Increase State Tobacco Tax • Resolution to Support Adult and Pediatric Vaccination RecomCard_June2017.indd 1 Committee on Immunization Pracmendations by the Advisory tices • Resolution to Improve Women’s Healthcare and Foster Care System • Resolution Opposing Criminalization of Physicians Providing

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KAM KNOXVILLE ACADEMY OF MEDICINE

New Members

A big welcome to our newest members! We are excited that you have decided to join KAM.

First Column: Davis P. Berry, MD; Tina M. Dudney, MD. Second Column: Jessica Ivey, MD; William McAlexander, MD. Third Column: Guy L. Smoak, MD; Lynee Wolfe, MD.

DAVIS P. BERRY, MD GENERAL SURGERY University Trauma & Acute Care Surgeons 1932 Alcoa Hwy., Ste C-270 Knoxville, TN 37920 ___________________________________

WILLIAM W. MCALEXANDER, MD CARDIO/VASCULAR SURGERY Tennova Turkey Creek Medical Center 10800 Parkside Dr., Ste 331 Knoxville, TN 37934 ___________________________________

TINA M. DUDNEY, MD PULMONOLOGY UT Sleep Disorders Center 1928 Alcoa Hwy., Ste B-303 Knoxville, TN 37920 ___________________________________

GUY L. SMOAK, MD FAMILY MEDICINE Summit Medical Group Middlebrook 8635 Middlebrook Pike Knoxville, TN 37923 ___________________________________

JESSICA M. IVEY, MD INTERNAL MEDICINE Summit Medical Group Parkwest 9333 Park West Blvd.

Knoxville, TN 37923

LYNEE WOLFE, MD MATERNAL FETAL MEDICINE High Risk Obstetrical Consultants 1930 Alcoa Hwy., Ste A-435 Knoxville, TN 37920

New Resident Members Charles Adams IV, MD Zaid Ahmad, MD Sophia Ahmed, DO Aladen Amro, DO Brandon Balderston, DO Sarah E. Baxley, MD Thomas P. Bell, MD Louis W. Benton, MD Charles T. Blue, MD Cody J. Bly, DO Christian J. Bolton, MD Maria G. Brandel, DO Whitney H. Brinkley, DO Daren Chen, MD

Weng Leong Choy, MD Ricky K. Curry, DO Jacob L. Daniel, DO Christie-Anne Estrada, MD Logan James Evans, MD Nathan T. Gaylor, MD Kevin R. Gurrala, DO Walter T. Hambrick, MD Christopher J. Harper, MD Anna E. Harrison, MD Meghan E. Hovell, MD Bita Imam, DO Matthew Joyner, MD Tatsuhiro Kato, MD

Andrew W. Killion, MD Andrew D. Kropilak, MD Forrest M. Kwong, MD Jared T. Laymon, MD Jacob Letson, MD John L. Mottern, DO Anthony M. Padgett, MD Megan L. Pannell, DO Chris Pearce, MD Alan Philip-George, MD Joseph J. Raffel, MD Omar A. Ramos, MD Kirk C. Reeves, DO Tucker J. Roof, MD

Keaton A. Rummel, MD Jon H. Scarborough, DO Andrew D. Skipper, MD Rachael L. Smith, MD Taylor J. Smith, DO Lilyan T. Starkey, MD Kim C. Stewart, DO Shelley M. Stiltner, MD Melissa R. Tincher, MD Lauren E. Wade, MD Stefan A. Weston, DO Jacob M. Williams, MD Jesse C. Woodall, DO Rachel A. Woods, MD

KAMA Corner

By: Jen Ollis, KAMA President

The Knoxville Academy of Medical Alliance is busy preparing to make our 2023 - 2024 year starting in September a success! Several committees were hard throughout the summer to make our KAMA year amazing for our community-at-large and our members.

• Our Health Promotions team is always working for our community, and they are working on several projects.

• Sheila Barnett, Robyn Doiron, and many other KAMA members led a project to support the Vine Health Center's Health Fair in August.

They set up stations to teach students and their families about bullying, nutrition, medication safety, and dental care.

• Juliann Chavez coordinates and directs our volunteers in preparing healthy meals for the guests at Ronald McDonald House.

• Kirstin Kropilak, Mary Weiss, and their committee have begun planning the fan-favorite fundraising event - Doc Rock for Health - scheduled for January 27, 2024. We invite you now to join us; it's worth a drive. This event is our featured fundraising event for the year. Stay connected here.

• Donna Brunson is leading the Philanthropic Board through this year's grant requests and strategically planning additional micro-fundraising opportunities to support KAMA's overall giving impact.

• Liz Ellington (Membership Engagement Chair), Judy Akers, and many other KAMA members are planning our second annual UT Tailgate and Stadium Tour, a fun way to connect potential members to KAMA's social side.

• Our Member Engagement committee's social coordinators, Nancy Sewell and Lili Vincent, are keeping us connected and engaged over the summer gathering for Lunch Bunch and Book Club.

• KAMA once again worked with our spouses' organization, the Knoxville Academy of Medicine, to host our annual picnic.

• Nancy Sewell and Daniela Rathfoot are jumping in to learn our new Wild Apricot system and keep our organization up-to-date as our Communications Director and Director-Elect.

As the KAMA President for the 2023 - 2024 year, I'm focused on KAMA yesterday, today, and tomorrow. I'm very excited to continue building and innovating our projects of yesterday - keeping them fresh for today, engaging in new projects relevant to KAMA today while honoring those that came before us, and exploring new ideas for KAMA's tomorrow!

KNOXVILLE MED CINE | 5

ACADEMY NEWS Doc Rock For Health Donation To KAPA Many thanks to the Knoxville Academy of Medicine Alliance for their donation of $4200 to KAPA! Each year, KAMA holds the Doc Rock For Health fundraiser in which “doctor bands” compete, while also raising much needed donations for local healthcare charities. Once again, KAPA was honored to have been one of the health care charities supported through this great event. Thank you KAMA for supporting KAPA and the physicians of the Knoxville Academy of Medicine Foundation!

Over 1 million Encounters and Going Strong!!!!

The leadership Knoxville Area Project Access, or KAPA as we refer to it here at KAM, just recently announced that they had coordinated more than 1 million patient encounters since KAPA’s inception in 2006. KAPA is a program led by the physicians of the Knoxville Academy of Medicine Foundation for East Tennesseans who are low-income and have no other access to care through either an employer-sponsored plan or a government-sponsored health plan, such as TennCare or the Affordable Care Act Federal Marketplace. Since THE KAPA volunteer physicians began seeing patients more than 17 years ago, over $400 million dollars in care has been donated through this program. Knoxville Academy of MediKAPA cine physicians should be proud of what has been accomplished through their KAPA program. There are approximately 100 Project Access programs across the country however, we are fortunate to operate one of the largest in the United States. Through KAPA, qualified patients can receive primary care, specialty care, hospital inpatient and outpatient services, behavioral health care, and pharmacy assistance. Additionally, since 2017, KAPA case managers have also assisted patients with the social determinates of health such as food insecurities, safe housing, transportation, and other social services needed to improve healthcare outcomes.

Coming Soon – The KAPA Kitchen! We are pleased to announce that KAPA has received a grant from the American Heart Association toward the launch of an emergency food pantry for those patients with food insecurities. Even though KAPA case managers have been able to arrange for food pantry assistance for patients with nutrition needs, sometimes it may take several days to connect those patients with a full service food pantry. Since many of our patients have an immediate need, we will be operating an emergency food pantry to supply those patients with enough food until a regular food source has been established with the patient. Through this grant from the American Heart Association, KAPA will be able to purchase commercial refrigerators and freezers so that we can promote eating “heart healthy” food for our patients. Additionally, KAPA staff is also providing diabetes coaching for our patients on restricted diets reinforce healthy eating to improve A1C levels.

If you would like to contribute or volunteer to help out in the development of the KAPA Kitchen, contact Rob Patrick, KAPA Executive Director at rpatrick@knoxvillemedicine.org or call (865) 531-2766 Ext. 2500.

KAPA

A Program of the Knoxville Academy of Medicine Foundation

Kitchen

Food Pantry

Calendar of Events

NOVEMBER

Legislative Dinner, KAM Conference Center, 6:30 pm 2 9,10 Fall OSHA Seminars, KAM Conference Center

DECEMBER 8

Cocktails and Candy Canes Conference Center, 6:30 pm

1825

VIPs at Sea - CME Cruise

FEBRUARY For information on these and all upcoming events, visit knoxvillemedicine.org

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PRESIDENT'S MESSAGE

KAM KNOXVILLE ACADEMY OF MEDICINE

KAM

ient Satisfaction

pitals and the government. Such ratings, and the folks who use the ratings, are not face to face just filled out my umpteenth survey this KNOXVILLE ACADEMY OF MEDICINE with the patient. The surveys are not timely, and h on a recent store purchase. We get asked Day at days thefrom Smokies 2023 they are often used to decide remuneration. We t everything these hotel stays, powerless many of the things thatand good times. 89 attendees watched the Smokies e flights, to how our restaurant meal was.

KAM's annual Day at the Smokiesfeel on Sunday wasbecause a success!

Beautiful weather impact our patients, and their responses, ademia, this is the new research tool that is Baseball team play from the Garza Law Terrace thanks to our sponsor SVMIC! are system-related and beyond our convenient, and low-cost. ability to change. all have a feeling that we We all agree communication ffecting a beneficial change is the key and could be improved n we respond, and having by all practitioners. A former voices heard. IS this really mayor of New York City, Ed ase?

Koch, was known for walking veryone should read the the streets and asking “How’m I point in the December doin’?” It was personal, actionissue of JAMA about Paable, and very much point of Satisfaction Instruments. care. It encourages communicaMA 328(22): 2209-10). In tion and conversation at the person level. For it spells out the exact reasons such surthe sake of our patients, and for our sake, let’s are not only not efficacious in determining not worry about the surveys, but rather how proving care but detrimental to physicians. we’re seen in that moment by that patient. We ing Edward Demming himself – such ratneed to act to make changes at the individual “build fear, demolishes teamwork and level and ask “How’m I doin’? shes rivalry and politics “(ibid). ’s not so much the asking patients for their - Brian J. Daley, MD, MBA, FACS ons, but rather the way it is asked, and importantly, the way it is used by our hos-

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