To learn more visit www.mcmsonline.com
PRESIDENT’S PAGE: In this month’s editorial, Dr. Miriam Anand shares a tiny slice of MCMS history: our involvement in health-related outreach and grassroots efforts in our communities and MCMS’ plans for the future through our philanthropic, public health, mentorship, and education committees. Page 14
PUBLIC HEALTH: Dr. Melanie Tayor, a Medical Epidemiologist with the Arizona Department of Public Health, provides an overview on the increase of Syphillis cases in Maricopa County, and the importance of community education focusing on symptom recognition. Page 20
Volume 60 • October 2014
round-up Providing news and information for the medical community since 1955.
2014 ACT KIDS HEALTH FAIR: MCMS MCMS members members Dr. Dr. Jennifer Jennifer Hartmark-Hill Hartmark-Hill (left) (left) and and Alona Alona Sukinha Sukinha shared shared their their smiles, and donated their skills and time to ensure this child achieves a brighter smiles, and donated their skills and time to ensure this child achieves a brighter future future through through preventive preventive health health services services at at the the 23rd 23rd annual annual health health fair. fair. Page Page 36 36
OPEN LETTER FROM THE MCMS PRESIDENT: In the coming weeks the
PHILANTHROPY: Philanthropic efforts
MCMS will be mailing ballots to members on updating outdated bylaws. Evey vote is important. Learn more – then vote! Page 13
are a wonderful way to promote unity of purpose, have some fun, broaden points of view, learn some new skills and get people to know each other as partners in a cause. Page 31
MEMBER PROFILE: Kelly Hsu, MD
A PHYSICIAN’S PERSPECTIVE:
has long understood the importance of community in the practice of medicine. Page 24
Giving back of your skills and time as volunteers is as important as it is rewarding. Page 40
COMMUNITY – HANDS WORKING TOGETHER FOR THE GREATER GOOD: A first year medical student defines what community means to her. Page 42
VOLUNTEERING – EDUCATING THE MIND AND HEART: Medical students that volunteer at community health fairs learn to not only educate their minds, but also to educate their hearts. Page 43
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round-up
october 2014
the community issue
11 13 14
mcms position statement
20 24 31 36 40
public health
42
community: a medical student’s perspective
43 48
volunteering: a medical student’s perspective
Official Society statement: New Times article.
open letter from the mcms president Call to action: Operating under outdated bylaws.
president’s page MCMS in the community: Yesterday, today and tomorrow.
Syphilis in Arizona.
member profile: kelly hsu, md Healing a community – A tradition passed on.
philanthropy Give sagaciously.
community: act kids health fair Giving back: The 2014 ACT Kids Health Fair.
volunteering: a physician’s perspective Community health fairs: Opportunities for “Altruism-in-Action.”
Hands working together to work for the greater good.
Educating the mind and the heart.
statement of ownership
In every issue In Memoriam ....................................................................................................................................................................7 Letters to the Editor ..........................................................................................................................................................8 Patient Education Handout..............................................................................................................................................17 Healthcare Happenings ..................................................................................................................................................28 Marketplace ....................................................................................................................................................................44
4 • Round-up • October 2014 • A monthly publication of the MCMS
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round-up:
published by the:
providing news and information for physicians and the healthcare community since 1955 Round-up Staff
MCMS 2014 Officers
Editor-in-Chief Miriam K. Anand, MD
President Miriam K. Anand, MD
Editor Jay Conyers, PhD
President-Elect Ryan Stratford, MD
Advertising, Design and Production Candice Scheibel Advertising To obtain information on advertising in Round-up, contact MCMS. phone: 602-252-2015 advertising@mcmsonline.com
Vice President Elizabeth McConnell, MD Secretary Kelly Hsu, MD Treasurer Mark R. Wallace, MD Immediate Past-President Daniel Lieberman, MD Board of Censors Nathan Laufer, MD, Chair
Postmaster Send address changes to: Round-up, 326 E. Coronado Rd., Phoenix, AZ 85004 mcmsonline.com
Daniel Lieberman, MD Michael R. Mills, MD, MPH Ryan Stratford, MD Thomas E. McCauley, MD James R. Meador, Jr., MD Anthony T. Yeung, MD
facebook.com/MedicalSociety twitter.com/MedicalSociety linkedin/MaricopaCountyMedical Society
Board of Directors 2012-2014 Tanja Gunsberger, DO Jennifer Hartmark-Hill, MD
Periodicals postage paid at Phoenix, Arizona.
Susan Whitely, MD
Volume 60, No. 10, October 2014.
Adam M. Brodsky, MD
Round-up (USPS 020-150) is published 12 times per year by the Maricopa County Medical Society, 326 E. Coronado, Phoenix, AZ 85004.
John L. Couvaras, MD
To subscribe to Round-up Magazine please send a check for one-year subscription of $36 to Round-up Magazine, 326 E. Coronado Rd., Phoenix, AZ 85004 or visit mcmsonline.com/subscribe.
2014-2016
2013-2015
Steven R. Kassman, MD Robert J. Standerfer, MD
Lee Ann Kelley, MD Richard Manch, MD May Mohty, MD Anita Murcko, MD
6 • Round-up • October 2014 • A monthly publication of the MCMS
Round-up is a publication of the Maricopa County Medical Society (MCMS). Submissions, including advertisements, are welcome for review and approval by our editorial staff at roundup@mcmsonline.com. All solicited and unsolicited written materials and photos submitted to Round-up will be treated as unconditionally and irrevocably assigned to and the property of MCMS and may be used at MCMS’ sole discretion for publication and copyright purposes and use in any publication, website or brochure. MCMS accepts no responsibility for the loss of or damage to material submitted, including photographs or artwork. Submissions will not be returned. The opinions expressed in Round-up are those of the individual authors and not necessarily of MCMS. Round-up reserves the right to refuse certain submissions and advertising and is not liable for the authors’ or advertisers’ claims and/or errors. Round-up considers its sources reliable and verifies as much data as possible, but is not responsible for inaccuracies or content. Readers rely on this information at their own risk and are advised to seek independent legal, financial or other independent advice regarding the content of any submission. No part of this magazine may be reproduced or transmitted in any form or by any means without written permission by the publisher. All rights are reserved.
Cover photo and ACT Kids Health Fair photos (pages 3639) provided by Mike Paulson of Paulson Photo/Graphic. Providing quality photography services to the central Arizona healthcare community since 1985. Learn more by visiting www.paulson.com, email photo@paulson.com or call 602-230-1550.
in memoriam
Honoring those we lost. The members of the Maricopa County Medical Society are the organization's greatest asset, an assemblage of the finest physicians and healthcare providers. On this page we pay homage to a long-time member who recently passed away. You will be missed.
Jon Paul Rubach, MD Dr. Jon Paul Rubach, 70, passed away in his home September 7, 2014. He was born June 5, 1944 in Buffalo, New York to Martha and John Rubach. Dr. Rubach was a graduate of Bishop Timon High School, Siena College, University of Notre Dame Law School, and the SUNY Buffalo School of Medicine. In 1976 he moved to Mesa, Arizona where he established his practice, Desert Oncology, specializing in Oncology and Hematology. He served as Chief of Staff at Desert Samaritan and also as Desert Samaritan's representative to the American Medical Association. Throughout his adult life, Dr. Rubach loved his weekly golf outings with close friends. He was an avid supporter and assistant coach for his children’s sports teams (soccer and baseball) and enjoyed family vacations to San Diego, California as often as possible. He is preceded in death by his parents. He is survived by his wife, Kathleen, his children, Kristin (Robert), Jon (Sarah), and Matthew (Jessica), stepsons, Andrew (Iris), Brian (Jennifer), and Patrick (Jessica), ex-wife Margaret, 14 grandchildren, sister Susan (Martial), and brother Michael (Patricia). Dr. Rubach was a Maricopa County Medical Society member from 1976-2010.
A monthly publication of the MCMS • October 2014 • Round-up • 7
letters to the editor
Robert Gianguzzi, MS, MPA, FACCA President, CVRG Solutions LLC – Heart & Vascular Services Consulting Round-up Subscriber since 2011
Dr. Conyers: I read your article “Is Bigger Better” [Round-up, September 2014] and how you compare Arizona medical societies to Texas medical societies. One thing I wanted to mention is that both California and Texas have statutes where hospitals cannot directly employ or salary physicians (only through approved Medical Foundations) and you can hear Dr. [Miriam] Anand’s plight of employed MDs vs. private practice MDs in her President’s Page articles. I always wondered how these states formed these foundations (maybe it was through their societies like the MCMS and others taking the counties by storm to better unite) to be sure that medical governance vs. hospital governance were in place to better secure MD careers, job satisfaction, and independent practice vs. physicians running scared to hospitals etc. as an employment bail out? Do you have a perspective or opinion as to my inquiry? Do you think this could be one of the reasons that Texas physicians are so better aligned with county society participation and increased membership? ru
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8 • Round-up • October 2014 • A monthly publication of the MCMS
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letters to the editor
Frank Joseph Fara, MD Banner Northwest Valley OBGYN MCMS member since 1986
Dr. Paul Jarrett: I’ve always been meaning to write to you to let you know how much your editorials mean to me. I, like you, am older, still in practice, and I, like you, deplore what medicine is slowly becoming. I’m an OBGYN in Surprise and am still delivering babies at age 64. I also happen to be a hypertensive diabetic, and a patient in need of regular care. When I moved to Surprise to practice, I needed a doctor (oops: primary care provider: don’t want to be politically incorrect) and my friends and coworker referred me to a local doc. “You’ll love him” they said. I made my appointment, came 20 minutes early (we old people tend to do that), filled out the requisite paperwork, then waited in the exam room. Twenty minutes later, he entered, put down his laptop, then proceeded to take a cursory history, all the while with his posterior facing me as he typed. After the history, he did not ask me to disrobe, nor did he so much as take my pulse or blood pressure, nor listen to my heart. DRE? Forget about it. He then ordered a boatload of tests, shook my hand (his first physical contact with me), and was gone. “Hmmm,” I thought. Maybe he is just nervous, a young doc seeing an older doc for the first time. I did my testing, then saw him a second time three months later to review the results. Once again, I got to look at his posterior as he read from the computer, and, once again, he made no effort to examine me physically. And five minutes later he was gone. My response to his nontreatment: “You’re fired.” I dropped him a note (handwritten, on real paper) to let him know why I was leaving his care, but never heard from him again (nor did he ever send me any of his patients in consultation). I was able to find a real doctor just a block from his office a young woman, well trained, and one who did everything he did not and have been pleased with her care, and her caring, ever since.
Then I read your Viewpoint [Round-up, August 2014] only yesterday, and felt I had to respond. If you will forgive my sarcasm: You silly, silly old man. Why would anyone be so inefficient so as to perform a physical exam when there are all the wonderful tests we have available to us. Why do a pelvic exam, when we can order an ultrasound (and code up for it)? Why listen to a heart when we can order an EKG or an echo? Digital rectal exam? Eeeew; just get a PSA and be done with it. This is, after all, the 21st Century. Get with the (computer) program. Why, even psychiatrists are doing therapy over Skype. You silly, silly old man. Again, forgive my sarcasm, but this is not how any of us were trained. As I believe you would, I reject any suggestion that this Brave New World is in anyway better, more efficient, or more caring. Unfortunately, I fear that we dinosaurs are destined to swallowed up by the masses shouting “evidence-based” while categorically discounting any suggestion of the value of “experience-based” medicine. I seems as though our younger colleagues (and some of our older peers) feel that they have re-discovered medicine, and those of us in our generation are soon to be relegated to the mists of history. Dr. Jarrett, I am saddened and frustrated, and not just a little bit ashamed at how poorly I have performed as a mentor to these younger docs, though I try to teach them every single day. And someday soon, you and I will be just patients, and not doctors, in a system that treats us as bits, and bytes, and wRVUs, and not the humans we used to be. I don’t know if you have the answer, short of eliminating them all and starting again from scratch. Myself, I will look forward to my imminent retirement, and spend my remaining years as a curmudgeon, howling at the moon. Thanks for your ear, and all the best to you, sir. ru
A monthly publication of the MCMS • October 2014 • Round-up • 9
mcms position statement: news coverage
Official Society Statement: New Times Article Miriam K. Anand, MD
On September 10, 2014, the New Times published an article, written by Ray Stern, titled, “Weeded Out: How the U of A Fired Pot Researcher Sue Sisley After a State Senator Complained.” In that article, Suzanne Sisley, MD, who has served as Secretary on the Board of Directors of the Maricopa County Medical Society (the “Society”) since 2011, made specific reference to Sara Presler, who was employed as the Society’s Executive Director from December 7, 2012, until her voluntary resignation on November 1, 2013.
Dr. Sisley was not authorized to speak on behalf of the Society, and any comments made or opinions expressed by her in the New Times article, or in any other venue or forum, represent solely her personal opinion and not that of the Society or any of its officers, directors or members. Nor does the Society endorse the comments made by Dr. Sisley in the September 10th New Times article. Dr. Sisley was removed from the Board of Directors on October 22, 2014. ru
The Maricopa County Medical Society publishes Position Statements to address potentially controversial news in medicine, represent the Society’s stance on medical related topics or comments made about the Society, and express definitive recommendations on treatment or course of action to guide present and future decisions. The Society’s Position Statement is initially reviewed by the Public Relations Committee and, if acceptable, sent to the Executive Committee and the Board of Directors, respectively, for final review and approval. Position Statements will be published in the Round-up Magazine and electronically distributed.
A monthly publication of the MCMS • October 2014 • Round-up • 11
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open letter from the mcms president
Call to Action: Operating Under Outdated Bylaws Dear Members, WE NEED YOUR HELP. The Society has been operating under bylaws that were last revised in 1992. Needless to say, they are very outdated. The reason for the lack of more recent updates is the cumbersome nature of requirements specified in our current bylaws to make amendments. Exactly how cumbersome? For starters, we have to publish to the membership any proposed amendments a least ten days before a regularly scheduled meeting of the Society, open to all active members. Then at that meeting the proposed amendments must be discussed and subsequently must be approved by a majority of those attending this meeting. Assuming that goes well, we then have to mail out ballots to all active members, within two weeks of the meeting, in the same exact manner in which we elect our officers – the whole separate mailings and proxy process that you get from us each October. In this mailing, we would have to provide “for” and “against” arguments for each proposed amendment. Ballots are then counted exactly two weeks from they day in which they are mailed out. Sounds easy enough, right? Well, unless we receive ballots back from at least half of all active members, and of those at least half approve of such amendments, then the proposed amendments fail. For the record, our active membership is close to 1,600, and for at least the last five years, we have received ballots (for our annual elections) from
only about 300 members. This means that we would need to more than triple the response, which is a tall task, especially given the limited time that members have. So what’s the solution? We would like to amend the bylaws to allow the Board of the Directors to be able to make certain amendments as the necessity arises. Many non-profit organizations like ours now operate this way, providing the Board with the flexibility to modernize their organization as necessary. With that in mind, the Board of Directors is proposing that the membership consider the following amendment to our bylaws: • Amendments to these bylaws may be proposed by the Board of Directors or by five Active members of the Society. • The proposed amendment should be provided to the Board at least 10 days prior to a regular meeting of the Board of Directors. The bylaws may be amended by a 2/3 vote of a quorum of Directors at a Board meeting provided that: a) No amendment shall be made to these bylaws which would cause the Society to cease to qualify as an exempt entity under Section 501 (c) (6) of the Internal Revenue Code; and, b) The amendment does not affect the voting rights of the directors. An amendment that does affect the voting rights of
directors further requires a simple majority of votes of the general membership. The proposed amendment shall be published to the membership at least 10 days before a regular or special meeting of the Society. At the meeting, the proposed amendment(s) shall be discussed and may be amended by a majority of those present and voting. The amendment will then be submitted to general membership to vote. c) The amendments be consistent with the Articles of Incorporation. The Society’s Board Meeting for December will be a Special Meeting for any member to attend. The meeting will be held at 6 pm on Monday, December 8, 2014 in the Society conference room, located at 326 E. Coronado Rd., Phoenix, AZ 85004. After the meeting, we will mail ballots to all active members no later than December 22, 2014 and will begin counting the returned ballots on January 5, 2015. Unless we receive ballots back from at least half of the active membership, no votes will count. As stated above, we need to receive your ballot WITHIN TWO WEEKS of you receiving it. We understand that you are likely busy, but please take the time to vote and submit your ballot in the postage paid envelope. If you have any questions or concerns about this process, please feel free to reach me at manand@mcmsonline.com. Miriam Anand, MD
A monthly publication of the MCMS • October 2014 • Round-up • 13
president’s page
MCMS in the Community: Yesterday, Today, and Tomorrow Miriam K. Anand, MD
T
his year, I have devoted many of my editorials to focusing on the changes that have occurred and continue to occur in medicine. In 2005, our publication, Round-up Magazine, celebrated its 50th year. In honor of that anniversary, editions published that year featured stories and pictures about the Maricopa County Medical Society (MCMS) and its activities from 1955 on. It struck me at the time that the MCMS efforts were initially more community focused then than they are today, a point that Dr. Paul Jarrett had raised earlier this year in a letter to the editor. In the 1950’s, for example, Dr. Jarrett headed the Society Safety Committee, which advocated for the addition of seat belts to automobiles and other vehicle safety measures. The MCMS also began efforts to get the community vaccinated against polio. In the 1960’s, MCMS held the Sabin Oral Sunday program during which the oral polio vaccine was administered over two Sundays at 60 clinics. It was estimated that over 80% of Maricopa County citizens, c.600,000 people, were vaccinated and 700 physician members had participated in the event. The event was so successful that it was featured in a 1962 edition of Life magazine and was used as a model for other vaccination drives around the country. The 1960’s also found the Society involved in efforts to gather emergency medical supplies as part of Community Disaster Planning during a time when the threat of nuclear war was at an all time high. Additionally, MCMS was influencing the future of the community by convening a confer-
ence attended by hundreds who were interested in pursuing a career in medicine. The Society also began the GEMS course, which was intended to teach parents and babysitters about child safety in the home and overall. This course continued into the 1980’s through the work of the Maricopa County Society Alliance, whose members are spouses of physician members. In 1971, MCMS founded and directed the Community Organization for Drug Abuse Control (CODAC), the activities of which were recognized and praised by President Richard Nixon in his speech that year at the annual meeting of the American Medical Association. The 1970’s also found Dr. Leland Fairbanks becoming active against second-hand tobacco smoke. His continued efforts have allowed us all to breathe easier in most public areas of the state today. The tide starts to turn in the late 1960’s as the focus begins to shift towards addressing the cost of healthcare and increasing federal regulations impacting the practice of medicine. In 1969, for example, MCMS incorporated the Arizona Foundation for Medical Care to offer a competitive, fee-for-service healthcare delivery system to employees in Maricopa County in response to the dawn of managed care. The 1970’s sees medical malpractice take center stage in Arizona. The Arizona Medical Association (ArMA) and MCMS worked with Dr. Jack Brooks to form the Mutual Insurance Company of Arizona (MICA) to provide liability insurance (which continues today under the leadership of
14 • Round-up • October 2014 • A monthly publication of the MCMS
president’s page
“Unfortunately, the focus of the Society had shifted away from community efforts in recent years compared to prior decades in part due to the reasons outlined. We are actively trying to change this, however, and would like to return to a place where MCMS is able to have a strong positive impact on our community. We have formed committees with the goal of accomplishing this through mentorship, education, philanthropy and public health, to name a few. Our efforts thus far have been more limited than we would have hoped, due in large part to needing more manpower. Therefore, our call to action is for you to consider volunteering for one of our committees. It’s an opportunity to make a difference in our community, connect with colleagues, and to achieve that goal of having a positive impact in the lives of others.” — Miriam Anand, MD
Dr. James Carland). It is at this time that physicians must turn attention to fighting for their rights and for the profession. From this point forward, the focus shifts from efforts aimed at directly improving community health and safety to preventing the decline of healthcare by addressing issues that threaten our ability to provide quality care. The Society still continued to be involved in community efforts. In the early 1990’s MCMS began participating in the Arizona Coalition for Tomorrow Annual Kids Health Fair to provide health examinations to children who qualified for the Head Start program. We continue to be active with this program today. In 1991, we partnered with the Phoenix Police Department to spread the importance of wearing helmets while biking or skateboarding. The Wilson Wellness Center was created through a coordinated effort between MCMS and the Wilson School District in 1996. Physicians could volunteer their time to provide medical care to underprivileged children at the clinic. Unfortunately,
this program was dissolved after a few years due to regulations and restrictions on medical care. The obstacles imposed by managed care, liability, state and federal regulations continued to increase. Thereafter it seems that the greater challenge for organizations such as ours was in playing defense against numerous changes that further threaten the practice of medicine and the care we provide to patients. The energy expended on these efforts detracted from the ability to focus to the same extent on community efforts. Declining membership in organizations such as ours and the Maricopa County Medical Alliance hasn’t helped. Most of us chose a career in medicine because we wanted to help people. As a matter of fact, so many applicants give this as the reason they wish to attend medical school, that I was advised to find a more creative way to express this message when applying to medical school. One of the joys in practicing medicine is the satisfaction of knowing
president’s page
that you made a difference in someone’s life. Unfortunately, this seems to have become much more complicated. I was recently at the grocery store when an unfortunate woman more vertically challenged than I asked if I could get something from the top shelf for her, which I gladly did. As I pushed my cart away, it occurred to me how nice it was to help someone without requiring a referral, prior authorization, adequate documentation, or meeting meaningful use requirements. If only the joy of helping our patients wasn’t diluted by the red tape and regulations that seem to intrude ever more pervasively in our daily practices, perhaps we would have more time and energy to give back.
tees with the goal of accomplishing this through mentorship, education, philanthropy and public health, to name a few. Our efforts thus far have been more limited than we would have hoped, due in large part to needing more manpower. Therefore, our call to action is for you to consider volunteering for one of our committees. It’s an opportunity to make a difference in our community, connect with colleagues, and to achieve that goal of having a positive impact in the lives of others. ru
Unfortunately, the focus of the Society had shifted away from community efforts in recent years compared to prior decades in part due to the reasons outlined above. We are actively trying to change this, however, and would like to return to a place where MCMS is able to have a strong positive impact on our community. We have formed commit-
Dr. Miriam Anand is an Allergy and Immunology specialist practicing in Tempe. She is the Maricopa County Medical Society’s 120th President, and has been a MCMS member since 1998. Contact her by email to manand@mcmsonline.com.
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16 • Round-up • October 2014 • A monthly publication of the MCMS
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How to help people with mental illness. What can I do if I suspect a loved one or someone I know has mental illness? It is estimated that approximately 1 in 5 Americans suffer from mental illness in a given year, so you may know someone who either has a mental illness or has a family member, friend or coworker with mental illness. Living with someone who is emotionally unstable can be stressful and it can be difficult to know how to get your friend or loved one help. Some may be afraid to get help because of the worry that they will be negatively judged if others find out that they or someone they love has mental illness. Additionally, there may be the fear that the mentally ill loved one may become angry and lash out at those trying to help him or her. It may be especially hard to know what to do if you are concerned about a friend or a coworker with mental illness. What is mental illness and what are the warning signs? Mental illness can vary from mild to severe and there are different types of conditions. Sometimes the symptoms may be a reaction to something that happens in a person's life, such as a deep depression from the loss of a loved one. Other times the symptoms may be more severe, as in someone who hears voices that are telling her/him to believe things that are not true. Much like other medical conditions, there can be genetic and biological causes for mental illness, so the person usually cannot control the symptoms without help. While we hear a lot in the news about people with mental illness attempting to hurt others, most often those with mental illness are more likely to try to hurt themselves. Mental illness can interfere with a person's ability to deal with life's ordinary demands and routines. Some who are mentally ill may resort to substance abuse as a way to try to cope or self-medicate. This can make things worse, as it can cause the person's behavior to be even more unpredictable. Some warning signs of mental illness include social withdrawal and isolation, change in eating or sleeping habits or change in personal hygiene habits. There may also be extreme changes in mood, such as deep depression or exaggerated happiness, angry outbursts, or feelings of fear and anxiety that seem out of the ordinary given the circumstances. Warning signs may vary for different age groups. For more information on the warning signs for each age group, visit the following website: www.mentalhealthamerica.net/recognizing-warning-signs How to get help There are different levels of help available, depending on the nature of the problem. These include support groups, one on one counseling, group counseling or inpatient treatment. The appropriate type of treatment depends on the situation. There are a number of different resources available to learn more about mental illness and the types of help available and many are listed on the back of this handout. Unfortunately, it may be difficult to get help for a legal adult unless he is a threat to himself or others (see below). Adults must often be willing to seek help or treatment. Parents or legal guardians can have more control in getting their child into treatment, although the child or adolescent may still be resistant to following through with recommended therapy.
The Arizona Department of Health Services has a Behavioral Health Division (www.azdhs.gov) and useful information to determine where and how to get help can be found at the following webpages: • Flowchart to help determine referral to treatment based on insurance status, county, or tribal affiliation: www.azdhs.gov/bhs/pdf/AccessingBHsystem.pdf • Flowchart to help guide where to get help depending on how quickly the person needs help and your relationship to the person: www.azdhs.gov/bhs/pdf/WhatToDoWhenConcernedFlowchart.pdf • To help a friend, visit this site: www.azdhs.gov/bhs/pdf/FriendResources.pdf • To help a coworker, visit this site: www.azdhs.gov/bhs/pdf/WorkplaceResources.pdf • To find a local psychiatrist, please contact the MCMS physician referral line at 602-252-2844. What can I do if I suspect that my loved one may try to hurt himself or others? If there is reason to believe that there is immediate danger, call 911. If you believe that there is no immediate danger, but that the person is in need of mental health assistance right away, call the 24/7 national hotline at 1-800-273-SUICIDE or 1-800-273-TALK. For Maricopa County, you can also call 1-800-631-1314. “Put your mask on first”. Why it’s important to take care of yourself as well as your loved one. You cannot control how willing your friend or loved one will be to accept treatment or how he or she will respond to it. Having a loved one or friend with mental illness can be very stressful and can cause you to burn out or suffer health consequences. You can still be supportive in a way that protects your own mental health and well being. You need to take care of yourself first in order to be available to help your loved one or friend. You should try to seek support from family, friends, or religious organizations. If this is not available or not adequate, join a support group. Visit the following websites to find out more about local support groups: • http://mhaarizona.org/help-support/support-groups/ • http://www.nami.org/Template.cfm?Section=Your_Local_Nami&Template=/ CustomSource/AffiliateFinder.cfm&State=AZ Therapy and counseling can also be very helpful for you learn to set the appropriate boundaries and manage stress. Be sure to take time out for activities that you enjoy. The following website is intended to help those with mental illness live well, but provides good advice for everyone facing stress: www.mentalhealthamerica.net/live-your-life-well Other important resources: Mental Health America • www.mentalhealthamerica.net Mental Health America in Arizona • www.mhaarizona.org • 480-982-5305 Substance Abuse and Mental Health Services Administration • www.samhsa.gov • 800-789-2647 National Alliance for the Mentally Ill • www.nami.org • Local chapter: 602-244-8166 American Psychiatric Association • www.psychiatry.org/mental-health/key-topics/finding-help American Academy of Child and Adolescent Psychiatry • www.aacap.org National Institute of Mental Health • www.nimh.nih.gov/index.shtml
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public health
Syphilis in Arizona Melanie Taylor MD, MPH
Analyses of national and surveillance data from urban areas demonstrate overlapping epidemics of HIV and syphilis, with higher rates of each infection among men who have sex with men (MSM) as compared to men who have sex with women. Men diagnosed with syphilis have higher HIV incidence rates than men not infected with syphilis, thus syphilis is a sentinel public health event among those not yet infected with HIV. Genital ulcers, (the hallmark of primary syphilis), are an anatomic risk factor for HIV acquisition and transmission to sex partners. Syphilis cases have increased dramatically in Maricopa and Pima County during 2013-2014 (figure S3, page 21) with cases more than doubling in Pima County. Similar to national surveillance, syphilis cases in Maricopa and Pima County are most often being diagnosed and reported among men who have sex with men, many of whom are co-infected or codiagnosed with HIV. Cases in women are also increasing in Maricopa County and projections suggest an increase in congenital syphilis cases for 2014 (figure S4, page 22).
Exhibit 1: Community education posters produced by the Pima County Health Department.
20 • Round-up • October 2014 • A monthly publication of the MCMS
public health
Syphilis is a preventable and curable disease. Increased awareness of this infection by both patients and medical providers can lead to earlier diagnosis, treatment and partner referral services. Providers offering STD testing to men who have sex with men should be aware of the overlapping epidemics of syphilis and HIV and test their patients accordingly. HIV providers should consider the acquisition of syphilis among HIV-infected patients as a possible HIV transmission event even among those with undetectable HIV viral loads due to the lack of correlation of plasma and genital viral loads. Syphilis is a sexually transmitted infection that can be acquired through oral, vaginal, and anal sex. The characteristic primary lesion called a “chancre” occurs 1-3 weeks after exposure. Patients with a primary syphilis chancre are highly infectious; however these lesions frequently occur without symptoms and may go unnoticed when they occur in the oral cavity, vaginal canal, or rectal area. Primary syphilis lesions will heal without treatment; however the etiological bacterial agent, treponema pallidum, a spirochete, disseminates. The secondary stage of syphilis frequently manifests 14-90 days after the primary stage and is
most often characterized by a scaling rash on the palms and soles of the feet. Other manifestations of the secondary stage include body rash, wart-like lesions in the genital area (condyloma latum), hair loss, and mucous patches in the mouth. The manifestations of secondary syphilis will similarly heal without treatment. Patients then enter the latent or asymptomatic stages (early latent if infected less than one year and late latent if infected greater than one year) of the infection where continued damage to various organ systems (neurologic, cardiovascular) can occur if left untreated. Diagnosis of syphilis relies on traditional methods including the use of the rapid plasma reagin (RPR) as the initial screening test followed by a treponemal test (TP-PA, or FTS-ABS) among patients with a positive RPR screen. Newer methods employ the use of the treponemal EIA as the initial screening test following by the RPR (as a confirmatory test) among patients with a positive EIA. The diagnosis of syphilis relies on a positive screening and confirmatory test. Long-acting penicillin remains the treatment of choice for syphilis infection. Patients with primary, secondary, and
A monthly publication of the MCMS • October 2014 • Round-up • 21
public health
early latent syphilis (less than one year duration of infection) should receive a one-time injection of 2.4MU of benzathine penicillin. Syphilis patients with late latent infection or infection of unknown duration should receive 3 injections of 2.4 million units of benzathine penicillin spaced one week apart (one injection per week for 3 weeks). Repeat RPR testing should be performed at 3, 6, and 12 months following treatment to ensure appropriate treatment response. Doxycycline is a treatment alternative for patients allergic to penicillin but is not recommended for pregnant women. Community education (Exhibit 1, page 20) focusing on symptom recognition can lead patients with syphilis to present for medical care. However, patients with the characteristic secondary syphilis “rash” can be misdiagnosed as having allergic or other-cause skin rashes. Patients with primary syphilis lesions can be misdiagnosed as having genital herpes. We encourage medical providers to review medical images of primary and secondary syphilis and to include a sexual history for each of their primary care patients. Cases of syphilis in Maricopa and Pima County have reported anonymous sexual partners, drug use, and the use of inter-
net and mobile phone apps to meet sexual partners. Patients should be aware that these activities put them at risk for STDs including syphilis and HIV. Syphilis can be transmitted to infants during pregnancy and delivery. Pregnant women with syphilis experience adverse birth outcomes that can include stillbirth, premature delivery, low-birth weight, congenital malformations, and perinatal death. The World Health Organization estimates over 1.5 million births are affected by syphilis annually worldwide. Although the United States is a low morbidity country for congenital syphilis, Maricopa County has experienced high rates of mother-to –child transmission of syphilis. In fact, for the years 2003, 2004, and 2005, Maricopa County had the highest congenital syphilis rates in the nation. Although rates have declined during subsequent years, an increase in infants born with syphilis is projected for the year 2014 due to the increase in number of syphilis cases diagnosed among women in Maricopa County. The Maricopa County Department of Public Health has in place a board order requesting syphilis testing at two intervals in pregnancy including: 1.) at the first prenatal visit 2.) at delivery. It is also recommended that during the
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public health
third trimester a syphilis test be performed. Thus, hospitals and prenatal care providers are expected to comply with the recommendation for syphilis screening at multiple intervals during pregnancy. Maricopa and Pima County operate the only two publically funded STD clinics in the state. Services available at the Maricopa County STD clinic include testing for syphilis, chlamydia, gonorrhea, and HIV as well as treatment for chlamydia, gonorrhea, and syphilis. Rectal testing for chlamydia and gonorrhea is available for patients with exposure at this anatomic site. Confidential partner services are provided for patients infected with one or more of these infections to decrease community transmission. Information on Maricopa County services as well as hours of operation, and communicable disease reporting forms are available at www.STDaz.com. Information on STD services in Pima County can be found at www.pima.gov/health. ru
Melanie Taylor MD, MPH is a medical epidemiologist in the Division of STD Prevention at the National Center for HIV, Hepatitis, STD and TB Prevention of the Centers for Disease Control and Prevention. She is assigned to the Arizona Department of Health Services and the Maricopa County Department of Public Health. She also serves as the medical epidemiologist liaison to the National STD Program of the Indian Health Service. She is a Captain in the United States Public Health Service. Dr. Taylor received her Bachelor of Science and Doctor of Medicine degrees at Emory University in Atlanta, Georgia. She completed her internal medicine residency, infectious disease fellowship and Masters of Public Health at the University of Washington in Seattle, Washington. Email her at melanietaylor@mail.maricopa.gov or call 602-372-2544.
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A monthly publication of the MCMS • October 2014 • Round-up • 23
member profile
Healing a Community – A Tradition Passed On
Physician Profile: Kelly Hsu, MD Jay Conyers, PhD
Kelly Hsu, MD has long understood the importance of community in the practice of medicine. She can thank her mother for that, and today she carries on the family tradition of bringing traditional Chinese medicine to an area of the world where it was all but absent until President Nixon made a visit to mainland China in 1972.
Kelly Hsu, MD Dr. Hsu received her undergraduate degree from The Johns Hopkins University in 1978 and formal acupuncture clinical training from the Chinese Acupuncture Hospital and Veteran’s Hospital in Taipei, Taiwan. Upon returning to the United States, She took and passed the California Acupuncture licensure examination in 1981. Realizing the importance of combining Eastern and Western medicine, Dr. Hsu pursued her medical degrees from the University of Cincinnati College of Medicine. After completion of her residency in Physical Medicine and Rehabilitation in 1993, she and her family moved from Cincinnati, Ohio to Phoenix where she started her private practice in Medical Acupuncture in Chandler, Arizona. She joined the MCMS in 2010 and currently serves on the MCMS Board of Directors. Contact her at 480-899-9400 or dhsphoenix@aol.com.
Prior to then, the practice of acupuncture was largely isolated within the Asian communities throughout the U.S. Soon after Nixon’s historic visit, Dr. Hsu found herself working at Washington Acupuncture, the nation’s first legal acupuncture clinic. It was her first job and happened to be at the very place where her mother – a professionally trained acupuncturist herself – was in charge of the outpatient clinic. “I took out my first acupuncture needle when I was only 16,” says Hsu, “and I knew then that it was something that I wanted to do.” At that time, more than 250 patients were treated each day at the Washington, D.C. clinic. People – mostly of non-Asian descent – would travel from as far away as Philadelphia. Every patient was registered and triaged by an MD, and then treated by an acupuncturist. “My mom was not an MD, but she was bilingual, so she was basically the liaison between the MD and all of her Asian colleagues, who were acupuncturists,” says Hsu. Her mother was truly the glue that held the “community” together, and it inspired Hsu to pursue a similar career path.
Going Back to Her Roots Hsu continued to moonlight at the clinic while she attended college at Johns Hopkins University, and knew that acupuncture was in her future. “I knew all 360 meridian points in Mandarin by the time I finished college,” Hsu recalls, “and so my parents sent me back to Taiwan to learn from their teacher, Dr. Wu Whei-Ping. He was an acupuncture master at the time, and presidents and dignitaries from all over the world would travel to Taiwan to see him.”
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member profile
After completing her training at the Taipei Chinese Veteran’s Hospital, Hsu returned to the States. She took – and passed – the California acupuncture licensing exam (in Mandarin, no less). Hsu then landed in New Haven, CT, where she practiced acupuncture for three years while her husband – Dr. Charles Schron, whom she met while an undergrad at Johns Hopkins – was finishing his fellowship in gastroenterology. Schron and Hsu left New Haven and settled in Cincinnati. In her new surroundings, Hsu saw the opportunity to advance her training and enrolled in medical school at the University of Cincinnati. She was desperate to find a specialty that intersected acupuncture and western medicine. Rehabilitation medicine seemed to be the perfect fit. At that time, only a few hundred physicians were working in that nebulous space where western and eastern medicine meet, but Hsu saw it as an opportunity to find her niche and carry on the work that her mother instilled in her years before. Shortly after Hsu finished up her residency, she and her husband relocated to Chandler, where Schron founded Southeast Valley GI Consultants. Initially, Hsu rented space from her husband so that she could see patients part time, but before long she was setting up shop in various locations around the valley. Friday clinics at a Biltmore location were later followed by Thursday clinics at Camelview Physical Therapy. “When I started working with Camelview, I felt that I was finally back in rehabilitation medicine, combining physical therapy with rehabilitation and acupuncture, all at the same time,” admits Hsu.
Her Big Year In 2002 life changed for Hsu. She found herself switching roles, going from the doctor to the patient. She was diagnosed with breast cancer and endured chemotherapy and radiation, but post-cancer treatment left her with significant bone pain. “Arimidex left me in severe pain, so much so that I could barely stand up and walk at times.” Hsu recalls “Acupuncture worked for me and gave me the strength to work again.” During that same year, Hsu set out to fill a void that existed throughout the Asian community. Having become involved in community outreach for the local Asian community since her arrival in Arizona in 1993, Hsu was convinced after a friend’s husband passed away from liver can-
cer that more resources were needed. “I had been taking my kids to a Chinese linguistic school since they were 3 years old, and I got to know about 150 families over the years through the school.” Hsu continues, “In getting to know these families, I realized that their medical knowledge – despite many of them possessing advanced degrees – was very poor, especially amongst the women. The husband of one of my friends at the school died from liver cancer. He didn’t even know his undiagnosed hepatitis B put him at risk for liver cancer until it was too late.”
Kelly Hsu, MD at an Hepatitis B Outreach Event
At that time, treatment options for hepatitis B were not widely known throughout the Asian community, despite the fact that more than 80% of Taiwanese men had been exposed to the disease. “Fortunately, Taiwan has all but wiped out the disease through vaccinations in the last 20 years, but other Asian countries haven’t followed suit,” says Hsu. Around the time of her friend’s passing, Hsu’s husband, Dr. Schron, had a Vietnamese patient die of liver cancer, yet was unaware that he was hepatitis B positive until it was too late. So in 2002, Hsu founded Asian Pacific Community in Action (APCA) and received 501(c)(3) status that same year. At the time, state and local health departments had no idea of the health status of Asians throughout the community. Hsu convinced several drug companies to fund an initial pilot study to determine whether or not Maricopa County’s Asian population mirrored the CDC’s data. “The CDC had shown that 1 in 10 in the Asian communities carried the hepatitis B virus,” recounts Hsu, “and we were sure it was similar here. It took us two years to prove, but once we did, the state health department funded APCA for five years to provide outreach, education, and some screening for hepatitis B. That was a huge win for us.”
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member profile
While the ADHS support has since run out, APCA now focuses on raising money for other health initiatives, and they’ve proven to be pretty darn good at it. “Our main thing is to get patients access to health services, such as health literacy,” explains Hsu. “We’re the only non-profit organization that can now provide health information translation in 40 Asian languages and dialects, and all of our translators are trained in ethical and privacy issues.” APCA strives to ensure that all Arizonans have equal access to care, not only the Asian community. They’re strong advocates for patients’ rights and provide empowerment support to low-income limited English residents. “We’re also helping Asian women understand the importance of mammograms for early breast cancer screening, and we’re addressing domestic violence issues within the community,” Hsu proudly explains.
ness and provide resources and a voice to those impacted by domestic violence was a perfect fit for a grant from the HopeLine from Verizon program. We believe the answer to the widespread culture of denial around domestic violence in our society is more engagement, and it’s people like Dr. Hsu and organizations like APCA that are leading the way.” Hsu’s involvement in the Maricopa County Medical Society (MCMS) can largely be traced back to Dr. Anthony Yeung, a former President of the Society and current member of the Society’s Board of Censors. While she initially joined the Society upon her arrival in Arizona in 1993, she left for a number of years until Yeung convinced her to return. Since re-enrolling in membership five years ago, she’s become actively involved in the Society and joined its Board of Directors in 2012.
“Kelly is very active in the Asian community, contributAPCA’s efforts to address the prevalence of domestic ing her time, money, and organizational skills for specific violence throughout the Asian community have already public health issues involving immigrant Asians without health insurance,” Dr. gained recognition, Yeung explains. “She is but much work is to a great asset as a leader still be done. A 2000 in the Maricopa County report commissioned Medical Society, espejointly by the cially in her role as the National Institute of newly appointed and Justice and the CDC soon to be elected secrevealed that as retary.” much as 41-61% of Asian women have Yeung continues, “I experienced sexual have known and and/or physical vioadmired Kelly for her Kelly Hsu, MD at the 2014 ACT Kids Health Fair lence on at least one leadership skills and occasions. These personal involvement rates were shockingly in areas of public health higher that those in that truly exemplifies what physicians should stand for. Whites (21.3%), African Americans (26.3), and even Kelly deserves any accolades that can come her way in Hispanics (21.2%). Hsu was aware of these numbers, and set recognition of her contributions to the patients and physiout to address the problem here in the local Asian communicians in our medical community.” ty. So she approached Verizon Wireless after hearing about their efforts to support local efforts addressing the problem. “Our community is a better, healthier and safer place thanks to Dr. Hsu and the work of APCA,” says Jenny Weaver, public relations manager for Verizon’s Southwest region. She adds, “Dr. Hsu works tirelessly to empower health equity, and to shine a light on issues that otherwise go unnoticed or unspoken. The organization’s work to raise aware-
Bringing New Ideas to Our Community Hsu’s community activism drew her to the Society’s Public Health Committee when she first joined the Board. Claiming to know little about public health (which isn’t true), she relied upon the insight of others, at least initially. She was intrigued by how successful San Francisco’s hepatitis B screening initiative was, and set out to blueprint
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member profile
K Kelly Hsu, MD: A tireless advocate and d dedicated volunteer. Lloyd Asata L Executive Director, APCA E
Kelly Hsu, MD is the founder and current board member of the Asian Pacific Community in Action (APCA). Since 1999, she has been educating Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) communities and their medical providers in Maricopa County about the many health issues and challenges faced by this community. She has also been educating government officials and policymakers about the myth of Asian Americans as the healthy and wealthy “model minority”. Through her efforts, APCA was incorporated as a non-profit agency in 2002 and has grown rapidly into a multi-service community health organization that addresses several key health disparities in the AA and NHPI community: including meaningful access to culturally competent healthcare, and chronic diseases such as hepatitis B, breast and cervical cancer and diabetes. Dr. Hsu is a tireless advocate and dedicated volunteer. She is passionate about improving the health and well being of all Arizonans, especially historically bypassed AA and NHPI communities. She volunteers much of her spare time to educate community members and empowering them to improve their health. Since APCA's founding in 2002, she has been working to end hepatitis B's negative impact on our community. Because of her efforts, thousands have been screened or vaccinated and are now receiving life-saving treatment. Through her leadership and guidance, APCA has grown and now serves over 8,000 community members a year.
their success and translate it here. So Hsu convinced the Society to emulate San Francisco’s Honor Roll program, where physicians and providers were encouraged to pledge to screen their patients for the disease. Now, she and Drs. John Galgiani and Richard Manch, Society members and world-renowned experts in Valley Fever and Liver disease, respectively, utilize the Honor Roll program to educate Arizona physicians on the importance of screening their patients for conditions unique to our region. “The Honor Roll program tries now to educate physicians about the importance of screening their high-risk patients for hepatitis B and C as well as Valley Fever,” Hsu explains, adding, “Our doctors here are trained from all over the world, yet they rarely see Valley Fever and hepatitis B patients where they are trained, and even fewer Asians. Our Honor Roll program aims to fill that ‘physician education’ void here locally.” Not surprisingly, Hsu has recently found new endeavors to pursue, although her activities are still rooted in community. When doctors at the Ironwood Cancer and Research Center earlier this year asked her to spend part of her time providing acupuncture at their Integrative Services program, she jumped at the opportunity. “My own experience with breast cancer made me more qualified to help cancer patients,” Hsu proudly admits, “and I help out by using acupuncture where appropriate, counseling patients on how to deal with their pain, and attending the metastatic and breast cancer support groups to see how I can better connect with those in need.” In her spare time, Hsu takes care of her mother and keeps up with her two daughters, one a recent Wellesley College graduate and the other a current student there. It’s still up in the air whether or not they’ll follow in their mother’s footsteps, but our community can only hope. ru
J Conyers, PhD is the Executive Jay Director for the Maricopa County D Medical Society (MCMS) and CEO M oof the MCMS Business Services. C Contact him by email to jconyeers@mcmsonline.com or call 6022251-2361.
A monthly publication of the MCMS • October 2014 • Round-up • 27
healthcare happenings
University of Arizona - Phoenix Breaks Ground on New Downtown Project
a 220,000-square foot outpatient and research facility, is scheduled to be completed in 2015.
Construction began Oct. 16 on the 10-story Biosciences Partnership Building; the latest development in downtown Phoenix. University of Arizona President Ann Weaver Hart and Phoenix Mayor Greg Stanton tilled the soil ceremoniously marking the beginning of the 2-year design and construction for the 245,000-square foot research building on the Phoenix Biomedical Campus.
The funding for the Biosciences Partnership Building comes from the Stimulus Plan for Economic and Educational Development bonds approved by the legislature in 2008 that paid for construction of the Health Sciences Education Building and related campus improvements. Research focus areas include neurosciences, healthcare outcomes, cancer and precision medicine. ru
As announced earlier this year by the university and the City of Phoenix, plans are in place to construct the 10story, 245,000-square-foot research building just north of the Health Sciences Education Building on the downtown campus. The building is the latest development in the steady expansion of the downtown Phoenix Biomedical Campus and expanding academic medical center. Construction continues on The University of Arizona Cancer Center at Dignity Health St. Joseph’s. The cancer center,
Dr. Richard L. Averitte, Jr. Honored at the One Community Local Heroes Awards On October 17, One Community hosted their Fourth Annual Spotlight on Success, Local Heroes Awards. Over 700 attendees watched twelve LGBT and allied business and community leaders receive honors for their commitment to diversity and inclusion. One of the recipients was MCMS member Richard Averitte, Jr., MD.
Dr. Averitte, CEO and Founder of Affiliated Dermatology, was one of the first business owners to sign the UNITY Pledge - a commitment to elevate the conversation about diversity, inclusion and equality in business in our communities and throughout Arizona. ru Dr. Richard Heuser to Debut Textbook at the American Heart Assoc. Scientific Sessions in Nov. 15–19 Dr. Richard Heuser’s sixth textbook entitled Renal Denervation: A New Approach to Treatment of Resistant Hypertension, published by Springer, will debut at the annual American Heart Association Scientific Sessions on November 15 - 19, 2014, in Chicago, Illinois. This will be the first comprehensive textbook describing this new exciting therapy for difficult to control hypertension. Written by world-renowned leaders in the field, Renal Denervation will be of immediate use to cardiologists, nephrologists and urologists as well as allied health professionals, device companies and anyone working in this field. As with his other five cardiovascular textbooks, Dr. Heuser donates all of the royalties for the sales of his book to The Johns Hopkins Hospital where he received his training. ru Arizona Geriatrics Society to Host Fall Symposium The Arizona Geriatrics Society is pleased to announce its signature event – the 26th Annual Fall Symposium, New Frontiers in Geriatrics: From Prevention to Intervention & Beyond – which will be held Friday-Saturday, November 14-15, 2014 at the Desert Willow Conference Center in Phoenix.
28 • Round-up • October 2014 • A monthly publication of the MCMS
healthcare happenings
The 2014 Symposium returns to its traditional format with general sessions the first day and concurrent sessions on the second, generally targeting prescribers in one track and nonprescribers in the other. All sessions will provide attendees with numerous opportunities to traverse New Frontiers in Geriatrics; ground-breaking treatments and prevention strategies will be reviewed. Speakers will present the latest on topics as diverse as medical marijuana, suicide, hearing loss, nursing home and hospital innovations, and fall prevention. Additionally, formal and informal networking times will enable attendees to learn from our sponsors and exhibitors, as well as each other. This two-day event will be a learning experience for all members of the interprofessional team caring for older Arizonans – representatives from every healthcare discipline will discover the most current practices that can be readily applied in their clinical setting. For more information or to register, visit www.arizonageriatrics.org or call the AzGS office at 602-265-0211. ru Midwestern University’s Bright Lights Shining Stars Held October 20 Community leaders joined together on October 20 to recognize and honor individuals for their commitment to helping others at the annual Bright Lights, Shining Stars gala. Jay Conyers, PhD, MCMS Executive Director/CEO, and Adam Brodsky, MD, Board of Directors, represented the Society and its membership. The black-tie-optional event, which raises over $100,000 annually in scholarship funds for students in all
of Midwestern’s colleges, also featured an outdoor reception, formal dinner, live entertainment, and a silent auction. Five Spirit of Service scholarships were awarded at the gala to students representing three Midwestern University colleges for the 2012-2013 academic year. The Spirit of Service scholarship program recognizes outstanding Midwestern University students based on community service, leadership abilities, academic standing, and financial need. ru Surgeon Brandon Gough, MD, Completed 525-mile bike tour
Classic Bicycle Tour, an eight-day ride beginning Sept. 13 and ending Sept. 30, 2014, benefiting the Arthritis Foundation. Funds raised from the tour allow the Arthritis Foundation to continue supporting cutting edge research and public health programs aimed at helping arthritis patients. For more information on how to participate in the 2015 CCCBT and support the work of the Arthritis Foundation, visit www.California CoastClassic.org. ru
Do you know of any Healthcare Happenings? Share it with Round-up readers! Call: 602-252-2015 Email: mcms@mcmsonline.com
Local orthopaedic surgeon, MCMS member and avid bicyclist Brandon Gough, MD of Hedley Orthopaedic Institute has seen first hand the debilitating emotional and physical impact of arthritis. For the second year in a row, he put his passion into action and embarked on The California Coast
Letters and electronic correspondence will become the property of Round-up, which assumes permission to publish and edit as necessary. Please refer to page 6 for our usage statement.
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philanthropy
Philanthropy: Give Sagaciously Elizabeth McConnell, MD
“We gave at the Office!” That old expression tells the story of how physicians may feel when faced with a request to make contributions to charities and philanthropic organizations. This after having have spent their youth preparing and their entire adult lives constantly working and sacrificing time that could otherwise be spent with families and avocations in order to serve and provide care to the community. It is often thought that physicians have an obligation to give back to their communities. Engagement in philanthropy can have distinct rewards including tangible results meeting personal and professional objectives, and channel that sense of giving that physicians already bring to their work.
The rewards of philanthropy can be numerous and personal, bringing hope, belonging, achievement, grace, camaraderie, recognition, satisfaction and a sense of giving back to the community. Physicians often take on leadership roles in philanthropic activity, which then inspires others to widen the impact of the work. As leaders, physicians are also uniquely positioned to take advantage of philanthropic activities to promote their specialties, their practices and their interests by choosing to sponsor events and gain name recognition for themselves and their pet cause.
Sponsorship opportunities abound. Walk, run, climb or cheer them on at a plethora of events to support the fight against disease and promoting healthy lifestyles. There is the Colon Cancer Alliance “Undy 5000,” the American “We make a living by what we get, Lung Association’s “Lung Force Walk,” the “Race for the we make a life by what we give.” Cure” for Breast Cancer, the American Cancer Society — Winston Churchill “Making Strides of Arizona,” the
By definition, philanthropy is the broader community involvement that seeks to actually solve the problems of the community – to cure diseases and contend with the root causes of social problems. Charity can relieve the pains of humanity but it is philanthropy that has the greater impact. Focusing on basic solutions can bring more sustaining results. For example, food aid to impoverished regions can alleviate malnutrition, but investing in educating women and helping them set up businesses can create viable economic structures that will support families and build future generations.
Huntington’s Disease Society’s “Team Hope Walk,” the American Diabetes Association “Step Out: Walk to Stop Diabetes,” the Mountain Park Health Center’s “More Than a Race” 5K, the Cystic Foundation’s “Arizona Stairclimb and Firefighter Challenge,” and “Take a Hike for BAG IT.”
A monthly publication of the MCMS • October 2014 • Round-up • 31
philanthropy
If you love the night life, you can step out with the American Heart Association at the “Phoenix Heart Ball,” toast at the Duet Partners in “Health and Aging Cabaret,” go styling at the United Cerebral Palsy of Central Arizona’s “Champions in Life Night/Fashion Without Limits,” foxtrot at the National Kidney Foundation of Arizona’s “Dancing with the Stars” or choose from a calendar full of glittering black tie occasions. If you prefer, tee up at your choice of golf tournaments such as the Arizona Myeloma Network Charity Golf Tournament, the National Kidney Foundation of Arizona “Phoenix Golf Classic,” the “Scramble 4 Skin Cancer,” or even take back the night at the “Sounds of Autism Night Golf Tournament.” Or, if you choose another competitive sport, shop ‘til you drop at a live or silent auction, a favorite fundraising event.
Your support by sponsoring or attending charitable events is a great way to contribute, but as a leader of your practice you can also share in the rewards of participation with your staff by getting them involved as a team for an event or as volunteers to plan or work on one. This is a wonderful way to promote unity of purpose, have some fun, and get people to know each other as partners in a cause – even learning about their talents and strengths in a new way. This is also a great way to get staff’s families involved and model community consciousness in children. With so many choices, the question emerges of how to select viable organizations to support. Fortunately there are many tools now readily available to evaluate charitable organizations on the Internet. The American Institute of Philanthropy, www.charitywatch.org, offers a Charity Rating Guide and
Watchdog Report. Some information is free and more is available with a $50 donation. Criteria include whether the organization is eligible to receive taxdeductible contributions and its transparency and willingness to provide documents like annual reports, complete audited financial statements, and Internal Revenue Service (IRS) form 990 including applicable schedules. Also analyzed is the percentage spent on charitable programs (60% being satisfactory, 75% highly efficient) with the remaining funds designated to fundraising and administration, and what the organizational costs are to raise $100 ($35 or less considered to be reasonable). GuideStar, www.guidestar.org, offers free charity reviews including financials, people and governance, program impact, contact information and contributor reviews. More advanced services are available for up to $2500 annual subscriptions. One hint offered by GuideStar is look at the highest paid employees and their compensation compared to total revenue. A favorite site, Charity Navigator, www.charitynavigator.org, is 100% free due to the tasteful ads that appear on the page. Organizations are scored according to measures in these three areas of performance: financial health, accountability and transparency and soon to be available, results reporting. This site even includes an interactive world map to enable the user to select highly rated international aid charitable organizations. The world map brings up the quandary of how one defines the scope of community. Do we zoom into the city or county where we live and work, or is a community a spe-
32 • Round-up • October 2014 • A monthly publication of the MCMS
philanthropy
cialty, an alma mater, a faith community, or country of origin? Many times a natural disaster, a terrorist act, an epidemic or political turmoil brings our focus to a specific region far from our homes. Our community is dynamic.
You may be motivated by intellectual interest, an opportunity to promote your business, humanitarianism or the conviction that taking action by offering your resources to others in need can bring a sense of inner peace and contentment. You may believe that devoting yourself to community bene-
fits you by improving the context in which you exist, or you may feel an obligation to give back out of gratitude. Whatever attracts you to philanthropic action; we are most rewarded when we focus our efforts with clarity and intention.
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A monthly publication of the MCMS • October 2014 • Round-up • 33
philanthropy
Let’s go through the process of analyzing one of my favorite organizations, BAG IT. It is a small organization based in Tucson. Their mission is to provide information and education to newly diagnosed individuals with cancer and their families to help them cope with their diagnosis, and empower them to become active members of the treatment team. The helplessness of being a “victim” begins to diminish with this type of support. The slogan for BAG IT is “Fight the Fear.” First step is always to go to the organization’s website to understand its mission, scope, and history. BAG IT is governed by a Board of Directors and Medical Advisory Board, and offers their annual report on the website. Here is what we find exploring the sites mentioned above: one site does not list BAG IT since it is so small, and another site does give information but does not rate it also due to size criteria as any organization with revenue less than $1 million is unrated. We do find out that contributions are tax deductible, and that it is an independent and unaffiliated 501(c)(3)organization. We are also provided access to BAG IT’s latest IRS form 990. Next step is analysis of the 990. The 990 shows total revenues and expenses compared to the prior year. It reveals salaries of the highest compensated individuals of the organization, as well as detailed functional expenses with both administrative and programmatic
details. Income sources disclosed as grants, program service revenue, investment income or other sources are shown. Additional specific fundraising event information is also included. With all this information freely available, researching an organization before planning your philanthropic portfolio is essential. Do your homework, but also keep in mind that if your favorite is not rated by the “charity raters” it may either be too small or otherwise falls below the radar. There are other ways to evaluate an organization and if they are transparent they may be very happy to share their most recent IRS form 990. So go where your heart leads you, but give sagaciously. The certainty is that philanthropy brings more into our lives than the time and money we devote – thereby guaranteeing a positive return on investment. Not only does the act of helping others create a sense of well-being, purpose in life and inner satisfaction, it can also broaden our knowledge and experience. Supporting causes can help keep us become more informed about issues of social injustice. By researching a charity we tend to research the issues connected to that organization and as a result become more educated, broadening our points of view and informing our opinions. We approach the world around us from a more balanced and informed standpoint. ru
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34 • Round-up • October 2014 • A monthly publication of the MCMS
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community: act kids health fair
Giving Back: The 2014 ACT Kids Health Fair Round-up Staff
T
he Arizona Coalition for Tomorrow (ACT) is a not-for profit organization of concerned citizens committed to improving the health and education readiness for at-risk children eligible for Valley Head Start Programs. In 2010, ACT broadened its reach to include the community at large. Working with businesses, government and educational leaders and partnering with organizations like Maricopa County Medical Society (MCMS), ACT organizes its annual health fair volunteer event to provide preventative health screenings and immunizations; such as dental, eye, hearing and asthma screenings, lead testing, TB tests, physicals, blood tests, immunizations, vision screenings and nutrition information. They also provide transportation to and from the children’s neighborhoods, establish and update medical records, and arrange continuing care, as need. To date, over 20,000 children have been screened. Since the ACT Kids Health Fair’s inception, MCMS has worked to enlist and organize its physician, student, fellow and resident members to volunteer, and each year our physicians have answered the call to help by enthusiastically participating in this wonderful community event. Many volunteers return year after year with the goal of giving back to the communities they serve and emphasizing the importance of regular health screenings and immunizations. Booths are staffed by residents and medical students performing the exams with seasoned physicians giving guidance and supervision. This mentorship and hands-on experience has been a huge hit with the medical students, as well as our physicians as they can pass on their wisdom and be involved in the teaching process, all while giving of their
Frederick Kogan, PhD, MD
medical skills to the children. It is not necessary to be a primary care physician or pediatrician – all specialties are welcome. For 23 years the ACT Kids Health Fair has served as a unique example of how public and private organizations in the greater Phoenix area have come together to ensure atrisk children achieve a brighter future by giving children access to preventive health services. To learn more about the Arizona Coalition of Tomorrow and how to volunteer for the 2015 health fair, visit www.actkidsheatlhfair.org. ru Turn to pages 38-39 for a photo album of the event.
36 • Round-up • October 2014 • A monthly publication of the MCMS
community: act kids heatlh fair 2014 ACT Kids Health Fair Volunteers The Maricopa County Medical Society would like to thank the following MCMS members – physicians and medical students – for donating their smiles, skills, kindness and time to ensure each child achieves a brighter future by giving him/her access to preventive health services. We sincerely appreciate your time and effort. Michael Brady, DO
Emily Law
Family Medicine MCMS member since 2006
Medical Student University of Arizona College of Medicine – Phoenix
Philip Cheung Medical Student University of Arizona College of Medicine – Phoenix, Class of 2017
Tsan Lee, MD
Sarika Desai, DO
Teagan Lukacs
Paul Petelin Sr., MD
Internal Medicine MCMS member since 2012
Medical Student, AT Still University College of Osteopathic Medicine, Class of 2018
General Surgery MCMS member since 1974
Leeland Fairbanks, MD Family Medicine MCMS member since 1981
Marvin Goldstein, MD Internal Medicine MCMS member since 1972
Hudson V. Grumbling, MD Internal Medicine MCMS member since 1974
Jennifer Hartmark-Hill, MD Family Medicine MCMS member since 2012
Kelly Hsu, MD Physical Medicine & Rehabilitation and Acupuncture MCMS member since 2010
Ken Johnson Medical Student University of Arizona College of Medicine – Phoenix
Frederick Kogan, MD, PhD Gastroenterology MCMS member since 2004
Pediatrics MCMS member since 2011
Catheryn Salibay Gastroenterology MCMS member since 1999
Medical Student, AT Still University College of Osteopathic Medicine, Class of 2018
May Mohty, MD
Zuma Speakman
Michael Mills, MD, MPH
Pediatrics MCMS member since 2001
Ralph Mohty Medical Student, University of Arizona College of Medicine – Phoenix, Class of 2018
Joseph Moseley
Medical Student, AT Still University College of Osteopathic Medicine, Class of 2018
Alona Sukhina Medical Student University of Arizona College of Medicine – Phoenix, Class of 2018
Medical Student, University of Arizona College of Medicine – Phoenix, Class of 2017
Raegan Vanderput, MD
Eric Ossowski, MD
Kathryn Weber
Family Medicine and Geriatric Medicine MCMS member since 2013
Medical Student AT Still University College of Osteopathic Medicine, Class of 2018
Jaime Perkins Medical Student, University of Arizona College of Medicine – Phoenix, Class of 2017
Pediatrics MCMS member since 2008
Kelsey Wilhelm Medical Student, University of Arizona College of Medicine – Phoenix
A monthly publication of the MCMS • October 2014 • Round-up • 37
community: act kids health fair
Medical Volunteer Responsibilities
Maria Gonzalez-Landestoy, MD
Physician’s Role – Some portions of children’s exam can only be performed under the supervision of a physician. Physicians are assigned an exam area and an assistant. All paperwork and releases are collected beforehand by the Head Start staff so that the physician can concentrate on what they do best – treating the patient. Physical Exams include: Head, neck, cardio, pulmonary, spine, abdomen and history. All diagnosis and treatments on all physical exams are printed on the physical forms. Physicians ONLY sign off on the physical portion of the form. A note is made on the form if the child needs further NON-emergency medical attention and Head Start will follow up. Two physicians are assigned to be “Super Docs” for emergency attention and prescriptions.
Kimberly Weidenbach and Jennifer Heim, MD (right)
Sarada Panchanathan, MD (left)
Medical Students – Students are assigned to perform height, weight and blood pressure checks. Some students form “study groups” to observe the physicians “in action”; others may be assigned to shadow a physician if there are enough volunteers. Residents – Residents are automatically assigned to a physician to assist with screenings and other services, and may be assigned to perform height, weight and blood pressure checks. Second year (and beyond) residents can provide a physical with no supervising physician. For more information about the ACT Kids Health Fair, please contact them at: E-mail:
actkidshealthfair@cox.net
Phone:
602-370-7049
Fax:
480-419-3890
Office:
21001 N. Tatum Blvd., #1630-403 Phoenix, AZ 85050-4242
Raegan Vanderput, MD (left) and Brett Larsen
38 • Round-up • October 2014 • A monthly publication of the MCMS
community: act kids heatlh fair
“The meaning of life is to find your gift. The purpose of life is to give it away.�
Paul Petelin, Sr., MD
— Pablo Picasso Dawn Barcellona, MD
Kathleen Brady, FNP (left) and Michael Brady, DO
Florence Sanchez (left) and Marvin Goldstein, MD
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A monthly publication of the MCMS • October 2014 • Round-up • 39
volunteering: a physician’s perspective
Community Health Fairs:
Opportunities for “Altruism-in-Action” Jennifer Hartmark-Hill, MD, FAAFP
Do you remember the reasons you went into medicine? Are they the same rewards that bring you joy and meaning today? Gandhi taught that we need to be the change we wish to see in the world. When we first began our journey as future physicians, we all wanted to make a difference, not just for patients with insurance, but for everyone. As medical students, we dreamed of a lifetime dedicated to “helping others.” We had visions of bringing comfort and healing to those less fortunate, whether due to chronic illness or injury. We saw the chance to protect patients from modifiable risks or progression of disease. We pictured ourselves as champions of equity and education in order to combat adverse social determinants of health.
Fast-forward to the present. Do words like “productivity” and “billing and coding” weigh on you? We didn’t go into medicine for the money, so then why do insurance companies and others get to determine how we serve patients? Fortunately, the trend is a return to the knowledge that patient-centeredness and quality of care are more important that quantity. While change may be slow, and there are many unknowns about the future of medicine, one fact has remained the same since we first entered medical training: our communities need us. Many of our county’s citizens have minimal resources, so their access to health screening can be limited to free health fairs. Sadly, this includes countless numbers of children in Maricopa County.
40 • Round-up • October 2014 • A monthly publication of the MCMS
volunteering: a physician’s perspective
This is why the giving back of our skills, care and time as volunteer physicians is so important. Spending a morning or afternoon serving as physicians at community health fairs costs us nothing, other than our time. That being said, a few hours once a year is very little compared to the value we provide. We make it possible for much needed vaccinations to be given, physical exams to be provided and recommendations for preventive medicine. Volunteering is also an exercise in gratitude for how fortunate we are to be members of the medical profession. Getting involved with community health fairs is also fun and energizing. That was certainly the experience at the ACT Kids Health Fair. The pediatric patients who came through the health fair stations were interactive and happy (in a few cases, we received big smiles after some creativity—the kids got to listen to their own hearts with our stethoscopes and the “talking� popsicle sticks with drawn-on faces were also big hits!). Another enjoyable component was the opportunity to work with the medical students who volunteered for the ACT Kids Health Fair event. In addition to the refreshing reward of serving patients, without thought of compensation, is the privilege of role-modeling our love of patient care to future generations of doctors—a pretty great twofor-one!
Overall, the ACT Kids Health Fair event was impressively well-organized. Areas with music and games infused an up-beat vibe throughout the gymnasium stations. It was fun to see so many colleagues show up to help, many of whom are also MCMS members. There was plenty to do for everyone, including non-medical volunteers. If Saturdays are family time for you, consider signing up with family members and friends for a very meaningful and memorable way to spend time together! For so many good reasons, please make the choice to volunteer your medical skills at one or more community health fairs in the year ahead, such as the ACT Kids Health Fair. Re-energize your joy for patient care — spend a Saturday being “altruism in action!� ru Jennifer Hartmark-Hill, MD is the Director of the Capstones Course and The Program for Narrative Medicine & Medical Humanities at the U of A College of Medicine – Phoenix. She completed her residency training at the Mayo Clinic – Arizona and a Faculty Development Fellowship through the University of Arizona, College of Medicine. She is a Board member of MCMS and the Arizona Medical Association. Contact her by email at jhartmarkhill@email.arizona.edu.
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A monthly publication of the MCMS • October 2014 • Round-up • 41
community: a medical student’s perspective
Hands Working Together for the Greater Good Teagan Lukacs
A
s a first year osteopathic medical student and a new resident of Maricopa County (and the Southwest in general), my community has changed drastically in the past few months. While challenging at times, I have found it gratifying to become part of the academic community within A.T. Still University School of Medicine in Arizona as many of my colleagues share my career and life goals involving medical care in underserved areas of the world. It provides a sense of belonging to be surrounded by people who share my passion. As medical students at ATSU, we spend only one year didactically learning at our campus in Arizona and the next three years working and learning at community health centers around the country. It is critical for us, as future physicians, to understand the communities we will be entering into and the lifestyles of our patients to provide commendable medical care. Last month I attended the ACT Kids Health Fair to gain a better understanding of my new community in Arizona. Community, to me, is defined as a group of people who share a common goal. In medicine, this joint objective is usually health. However, there can be disconnect between the perceptions of the care provided and the care received; care should be aligned with a patient’s lifestyle and should be feasible in their environment. I was impressed by the interactions the attending physicians had with the parents and kids at the ACT Kids Health Fair. They were able to give quality care in a manner that was appropriate to each patient. I realized it is not enough to simply understand a community. We need to also be involved, reiterating the fact that physicians and patients belong to the same group that is continually striving for health. Working outside of the
office can remind patients that we all play a role in achieving this and that we are all equally important members. It also allows us, as healthcare professionals, to continue growing and learning. When I arrive at the Lutheran Family Community Health Center next year, I will not only be working in Brooklyn, I will be living there. I will be part of the community. I have learned about the patient population at this health center but I don’t fully understand the community yet. And I won’t until I am there, experiencing firsthand what they value and how I can best serve them as a future physician. Community health events can help bridge this gap between understanding and belonging while also bringing together people who have similar goals. This facilitates partnership, including family and various healthcare professionals, and encourages collaboration. Although communities consist of diverse cultures, they are able to provide a sense of belonging and comfort through the shared value and responsibility to seek health. I am amazed by how much I’ve learned in the first three months of school – about myself, my profession, and my community, and I’m excited to continue growing. ru
42 • Round-up • October 2014 • A monthly publication of the MCMS
Teagan Lukacs is a medical student at T A Still University with a Masters in A.T. Biomedical Sciences and Public Health, B Global Health concentration, from Tufts G University, Boston. U Email her at tlukacs@atsu.edu. E
volunteering: a medical student’s perspective
Educating the Mind and the Heart Alona Sukhina
A
s medical students at the University of Arizona College of MedicinePhoenix, we have the humbling opportunity to be taught by world-renowned scientists and gifted, accomplished physicians about the intricate balance of the human body, and the diseases that result when that balance is perturbed. Not only are we able to obtain that knowledge from lectures and textbooks, but we are also regularly given opportunities to apply our knowledge by practicing medicine along-side experienced physicians in the community. Working with patients, especially children, provides us with unique challenges and lessons that we would not otherwise appreciate in a classroom. When Dr. Jennifer Hartmark-Hill and I encountered our first patient at the ACT Kids Health Fair, I was excited to immediately use every one of my head-to-toe exam skills, from testing eye coordination to examining edema. However, I quickly realized that before I would be able to even approach our patient, I needed to learn how to convince a small child that my poking, prodding, cold stethoscope and bright penlight would not cause her any harm, but may even be fun! I quickly introduced my stethoscope by letting her first listen to my heart, her mother’s and finally her own. I also demonstrated how my pupils changed sizes with the penlight, adding another opportunity for a fun learning experience.
Soon enough, the shy, sniffling little girl who came to our booth was excitedly examining, playing with and learning from the very tools that frightened her a moment ago. We were able to not only successfully complete our examination, but also help teach our patient that big people in white coats don’t only have to bring strange pokes and painful shots, but can teach fun things about the human body. The ACT Kids Health Fair provided me with the opportunity to not only use many of diagnostic skills learned in the classroom, but also demonstrated that adding education and some fun to the visit will only improve the doctor-patient relationship as well as help emphasize the great importance of treating the patient as a whole, not just a series of examinations and diseases. ru
Born in Moldova, a small Eastern European country, Alona Sukhina grew up in Tucson. She graduated from the University of Arizona in 2013 with degrees in Physiology and Molecular and Cellular Biology, and is a first year medical student at the University of Arizona, College of Medicine Phoenix. Email her at asukhina@email.arizona.edu.
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marketplace
Providing the physician community top quality employment law advice at affordable prices. Stacy Gabriel Andrew Ashworth Barrie Stachel
Services include: • Preventative employment law advice and counseling. • Draft employment contracts, agreements and personnel policies. • Defend/pursue employment-related claims on be behalf of individuals and companies. • Conduct C neutral personnel in investigations. • Employment Em law training. • Representing R parties in business di disputes.
Ph Phone: (480) 368-2790 ww www.gabrielashworth.com
REAL ESTATE MEDICAL OFFICE SUITES TEMPE-MESA AREA Medical office suites for lease in beautiful garden office complex. Newly remodeled 1200 and/or 1800 sq. ft. suites. Includes covered doctor parking. Excellent location with easy access to 101 & 60 freeways & close to Desert Samaritan & Tempe St. Luke’s Hospitals. Best rates in area 602-625-6298.
SHARED OFFICE SPACE FOR LEASE IRONWOOD SQUARE Close to Scottsdale Healthcare Shea. Beautifully furnished large waiting area. Three furnished exam rooms and practitioner office available. Short or long-term basis. Perfect for satellite office or main practice. Call (please leave message) or text physician directly at 480-688-9252.
SURPRISE MEDICAL PLAZA Surprise Medical Plaza has up to 6,476 SF shell space which can be custom designed to meet your needs. It is anchored by Banner Health Women’s Center, Primary Care Center and Affiliated Dermatology. Contact Tracy Altemus, CCIM, 602-443-4030 at Ensemble Real Estate Solutions.
SALES PRICE REDUCTION AT PIERPONT COMMONS Excellent owner-user opportunity near Banner Gateway/MD Anderson Hospital. Built out Medical Building is 19,455 SF with excellent inventory of exams rooms, PT, imaging and former Treatment Center. Tremendous opportunity for multi-specialty medical practice. Contact Tracy Altemus, CCIM, 602-443-4030 or Marina Hammersmith, CCIM, 602-9548414 at Ensemble Real Estate Solutions.
44 • Round-up • October 2014 • A monthly publication of the MCMS
REAL ESTATE FOR SALE Family Practice Physician retiring. Beautiful office building on Ray Rd. in Chandler. Ideal for 1-2 docs or satellite. Practice also available for purchase, if interested. Contact rjpadelford@cox.net
Broadway East Medical Center FOR SALE – OWNER/USER OPPORTUNITY 20,489 SF Single Story Medical Office Building priced at $2,495,000. Stable historical occupancy and no deferred maintenance. Anchored by two busy primary care practices and a great mix of specialists. Located at Broadway and Sossaman in Mesa near three major East Valley hospitals with easy access from US-60. Up to 5,982 SF available for owner/ user. Contact Marina Hammersmith, CCIM, or Tracy Altemus, CCIM, at 602/277-8558 at Ensemble Real Estate Solutions.
DESERT VALLEY MEDICAL PLAZA 4045 E Bell Medical space available across from Paradise Valley Hospital in a newly refurbished medical building. Excellent mix of primary care and specialty practices in addition to radiology and pharmacy services already in the building. Contact Tracy Altemus, CCIM, 602-443-4022 or Autumn Storm, 602-385-2854 at Ensemble Real Estate Solutions.
marketplace REAL ESTATE
Beautiful Spacious Medical Office Building 367 E. Virginia Ave. Phoenix, AZ Interested in sharing office expenses/space with another physician?
PRACTICE FOR SALE ESTABLISHED PRACTICE FOR SALE 1,830 sq. feet, 4 exam rooms, front desk, waiting room and separate Dr.’s office. Includes CLIA lab in clinic, e-MDs version 8.0 EMR, new DELL server 2012, and new PCs 2014, Microsoft Office 2013, EKG, PFT and Vitals integrated to EMR, radio soud system in waiting room and hallway. TV in waiting room. Plenty parking space. Call 480-686-1635 or email akidane@akcrfr.com to inquire or for more information.
This property is perfect! Building is centrally located between St. Joseph’s Hospital and Banner Good Samaritan. Features • Convenient new parking lot • Fully built out space ±3,360 SF • Eight exam rooms and four offices • Great for Owner/User Call 602-256-6303 for more information.
MED. EQUIPMENT AFFORDABLE MEDICAL EQUIPMENT Low priced, high quality new & used equipment for: PHYSICIAN OFFICES, HOSPITAL RADIOLOGY We buy, sell, consign, service, and finance your CAPITAL MEDICAL EQUIPMENT NEEDS. GLOBAL MEDICAL SOLUTIONS Contact: Don Creedon TEL. (480) 874-0333 FAX (480) 626-4366 Member AIUM www.igogms.com
Established Central Phoenix private proctology practice in need of physician to take over from retiring surgeon. This busy practice, with a national patient base, performs over 500 OP procedures annually. All procedures are done in a facility adjacent to the medical office, in which the practice has ownership. Applicants need to be board certified in general surgery, and obtain privileges at a local hospital. Dr. Thomas will train replacement in laser techniques. There is an opportunity to buy ownership in the facility. More details by logging in to laserhemorrhoid.com.
Interested physicians contact Dr. Peter Thomas at thomasp@ laserhemorrhoid.com
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marketplace
MORTGAGE SERVICES
Professional Program • 5% down up to 1 MILLION loan amount • NO MORTGAGE INSURANCE • Eligible borrowers include: Resident or Practicing Physicians, Attorneys, Oral Surgeons, Dentists and CPAs Warren Potter BBVA Compass, Mortgage Banking Officer - NMLS# 221747 warren.potter@bbva.com
Advertise Here! Looking for targeted traffic and exposure to your product, service or company? Call 602-252-2015 or email roundup@mcmsonline.com
Branch: 7335 E Doubletree Ranch Rd, Scottsdale, AZ, 85258 Direct: 480-356-1507 B Mobile: 480-694-6444 B Fax: 205-524-1859
EMPLOYMENT SEEKING PROVIDERS TO JOIN WOMEN’S HEALTHCARE GROUP Located in downtown Phoenix, Arizona Gynecology Consultants is looking for like minded established providers to join our practice and participate in the cost sharing benefits of working within a group. Our practices focus is women’s healthcare (no obstetrics). We provide unique specialty care for women of all ages. While remaining independent, providers will be able to work in one of our recently renovated office spaces, work with friendly/trained staff, utilize the electronic medical record system, Athena Health, and bill under our existing insurance contracts. If interested please email or call Kris Calligan at 480-516-3429 or kcalligan@azgyn.com
46 • Round-up • October 2014 • A monthly publication of the MCMS
LOCUM TENUM DOCTOR NEEDED Weekend shift for an urgent care, 8 am to 4 pm, $90/hr. Please call 480-792-1025 or fax your resume to 480-792-1026. FULL TIME MEDICAL DIRECTOR FOR DYNAMIC CHARITY CLINIC Job description available at www.stvincentdepaul.net Link at bottom of page “careers.” For more information contact Janice Ertl, Clinic Director, at 602261-6880 or jertl@svdp-phx-az.org.
PHYSICIANS - FT & PT Occ Med clinics in Phx & Tucson. Excellent hours, CME, salary, benefits. Fax CV to Heather @ 602-773-0287 or e-mail h.wahl@mbiaz.com
When you need a primary care physician or specialist
It’s good to have options It has to be someone you and your family will feel comfortable with. Someone with the right credentials. Someone you can trust. The Maricopa County Medical Society offers a FREE telephone and web-based physician referral service that Whether you need a routine check-up or require highly-specialized care, call us.
Referral specialities include, but are not limited to: Cardiology Dermatology Family Medicine Gastroenterology
Call: 602-252-2844 Click: mcmsonline.com Connect: mcms@mcmsonline.com
Internal Medicine ObGYN Ophthalmology Orthopedic Surgery Psychiatry Urology If you are a MCMS member and not receiving patient referrals, call the membership line at 602-252-2015 to get signed up today!
Keeping Arizona families healthy for 122 years, and counting.
48 • Round-up • October 2014 • A monthly publication of the MCMS
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Healthcare Trust of America, Inc. (NYSE: HTA) is committed to providing our tenants and physicians with best in class service. Our on the ground property management, engineering, and leasing teams are focused on establishing long term relationships with our tenants. Headquartered in Scottsdale, HTA is proud to be the leading owner of medical office buildings in Arizona. FOR LEASING INFORMATION PLEASE CONTACT:
KATIE KELLEY Leasing Manager, South/Southwest | 480.998.3478 | katiekelley@htareit.com RACHAEL KIMSEY Senior Leasing Associate | 480.998.3478 | rachaelkimsey@htareit.com
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