MMS Spring 2019 Quarterly

Volume 23, Number 1

Spring 2019

Jimmie Mancell, M.D. 2019 Board President

Tackling Student Debt, Physician Burnout

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Editorial Thomas C. Gettelfinger, M.D. Managing Editor Allison Cook 2019 Board of Directors President Jimmie Mancell, M.D.

Inside This Issue Volume 23, Number 1

Spring 2019

President-Elect Danielle Hinton Hassel, M.D. Vice President Justin Monroe, M.D. Secretary Christopher M. Pokabla, M.D. Treasurer David L. Cannon, M.D. Immediate Past President Autry J. Parker, M.D. Board Members W. Clay Jackson, M.D., DipTh Walter Rayford, PhD, M.D., MBA Paul Tackett, M.D. Lisa S. Usdan, M.D. Lindi Vanderwalde, M.D. Raymond R. Walker, M.D. Andrew Watson, M.D. Catherine Womack, M.D. JoAnn Phillips Wood, M.D. Ex-Officio Board Members LaTonya Washington, M.D., President of Bluff City Medical Society

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Editorial President’s Letter Benefits Membership Hospital Updates Spotlight Feature: President’s Gala Legislation Finance Community Research Practice In Training Bulletin

Karen Adams, President of MidSouth MGMA

Cover: 2019 Board President, Jimmie Mancell, M.D.

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The Memphis Medical Society Quarterly

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Editorial

Two Books Why do we want stories anyway?

I just finished a book that I had been interested in for a long time, and have started another.

They could hardly be more different, one from the other.

The first is an autobiography, A Searcher’s Life, written by my medical school classmate, Jack Templeton, published in 1999. It was limited in press run. I suppose a vanity project.

We entered medical school together, though he took time out—once to repeat second year, another to do research—so he graduated two years behind. Jack’s father was from east Tennessee, giving me a semblance of mutual experience, though he grew up on the East Coast. By age 10, he had traveled by himself on a train to visit his relatives in Tennessee.

Summer after junior year in high school he traveled with a few friends to Europe, basically by themselves; he went to Yale for college, joined a prestigious club, and came to medical school with a plan: medical missionary work.

He wrote in detail about medical school and residency. Comparables to my own training I have long forgotten.

But to fast forward, Jack had an extremely productive career as faculty at The University of Pennsylvania under Everett Koops. He married a fellow physician and raised two children. There were bumps along the way, held up at gunpoint in Philadelphia, while ministering to the poor, a malpractice suit in his specialty, operating on children with congenital defects, in that a case of rectal atresia.

Jack left medicine to take over his family charity, the Templeton Foundation, one responsible among other things, for the Templeton Prize in Religion, a prize of great reputation.

Spring 2019

He died a few years ago, but his story, mainly told for his family, was a revelation to me: to read his journey, to form parallels and divergences, to see misstep and triumph.

He was a great man.

The second book I alluded to, Sapiens, A Brief History of Humankind, talks the big picture.

Surprising to me were the other species that eventually disappeared: Homo erectus, Homo rudolfensis, Homo neanderthalensis.

The book identifies the important role that stories, even gossip, play—mutual stories that forge group identity, that keep us working for the same goal.

Software as important as hardware, if you will. Stories helped our species, Homo sapiens, literally the wise man, to prevail.

Maybe this should encourage all of us, that is, each of us, to put pen to paper, voice to text, or touch to screen as I do now, to tell our story, to tell our stories.

So what’s your story?

Thomas C. Gettelfinger, M.D.

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President’s Letter

Dear colleagues, I am humbled to have been chosen by the nominating committee to serve as our 2019 President and honored to do so with our current board of directors and past presidents. Our Memphis Medical Society has many accomplishments of which to be proud, and more to achieve.

142 years! Think about it...

One of the oldest foundational pillars of the Memphis medical community. Thirty-five years before the presence of the University of Tennessee medical units in the city, thirty-six years before Baptist hospital opened and forty-two years before Methodist, who just recently celebrated their centennial anniversary. The Memphis Medical Society is a staple and revered institution in the Memphis community and remains the largest medical society in the state. It’s name has only changed three times since its founding, most recently becoming the Memphis Medical Society again in 2002.

When the five appointed physicians got together in 1876 and formed the objectives of the Society, a common theme transcended these objectives: SERVICE This is what I believe is our purpose: to serve and advocate on behalf of our patients, to serve our colleagues, and to serve our community.

This year, more than one-third of the state legislature is new. It is imperative we engage in organized medicine to advocate on behalf of our patients and colleagues.

Spring 2019

Important conversations include sharing our experiences and concerns regarding hastily passed prescribing restrictions. I have heard stories from patients and colleagues who do not receive their appropriate medications to control their pain due to pharmacies’ misinterpretations of the requirements and some are developing additional requirements outside of the statute. We understand the opioid crisis too well in our state and country, but in certain aspects feel the pendulum may have swung too rapidly the other direction.

In addition, the moratorium on scope of practice will soon expire. I anticipate members of the general assembly will expect us to come with real solutions and recommendations and develop a consensus. I strongly encourage all of you to join us on the bus to Nashville March 26 for our Day on the Hill to represent our priorities.

Secondly, where we have common goals we need to collaborate with our respective healthcare systems and allied heath providers, as well as their representative associations, to be a larger and louder voice to the legislature.

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Q

President’s Letter

Focusing on serving our colleagues as a Society, including residents and medical students must be a priority. An early introduction to the Society and assisting them in meeting and achieving their goals will lead to long-term membership and gratification, if not in our Society, certainly in those across the state, as greater than 50% remain in the states where they train.

One of the areas we have investigated and launched a solution, includes exploring creative finance solutions, which would enable employers to match young physicians’ contributions to pay off their educational debt early, similar to a retirement plan.

Another area which has become a public health issue and one that urgently demands action, is physician burnout. This year we will launch “Thrive” our physician well-being hotline where our colleagues can confidentially seek assistance, which will include support for proactive mental health assistance at no initial cost. We will need to continue to focus our efforts on combating the underlying causes of burnout, including a major course correction to reduce physicians burden of documentation and loss of control.

In some surveys, as much as 40% of physicians say they have felt a sense of burnout. We need to help our colleagues and each other recognize the issues which may cause burnout, such as unrealistic workloads, lack of appropriate rewards, loss of a sense of positive connection with others in the workplace, bureaucratic tasks, working too many hours or loss of values. By paying attention to early signs of these issues, we can more quickly correct them if they occur, and more importantly, prevent them from occurring again.

Remember you can teach a canary in a coal mine to meditate, but he is still going to die!

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As a Society, and with our health system partners, we should consider how we restore a sense of positive connection among our colleagues. Other institutions such as the Mayo Clinic have incorporated physician wellness initiatives among their physicians.

Similarly, we are discussing a quarterly venue to socialize and improve camaraderie among our physicians. This first event will be May 15. Watch your emails for the RSVP opportunity.

Furthermore, we should consider appointing a chief wellness officer in the society to help tailor successful solutions. We have to begin caring for the caregivers!

Lastly, I would like for us to reflect on how our Society serves our community. I commonly hear from colleagues about medical mission trips abroad, in which I too have participated and believe are important, but rarely hear of “mission trips”we should be having to improve the health in our own, local communities.

Our Society should be more front-facing as it pertains to improving the lives of our community and I challenge each of us to consider how to achieve this purpose, whether through established relationships such as Church Health or in partnership with our healthcare systems or other sources.

In closing, I am honored to be your president.

I look forward to working with, and more importantly, FOR you to continue our past successes and focus on our future opportunities. There’s no better and more critical time to be a part of this organization.

Best regards,

Jimmie Mancell, M.D. President, Memphis Medical Society

The Memphis Medical Society Quarterly

Spring 2019

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Q

Benefits

Your Benefits New! Student Loan Repayment Solution for Employers and Members The Memphis Medical Society has partnered with BenefitEd to provide a range of benefits that allow healthcare employers to address the rising costs of higher education.

One of the exciting new offerings is the ability for employers to match their employees’ student loan payments within the company’s existing budget. “We know the cost of medical school and further education is high,” says MMS’s chief executive officer Clint Cummins. “Many physicians and their healthcare colleagues graduate with so much debt that it may hinder their ability to pursue other important personal and professional dreams. Our new matching repayment program is one way we can alleviate some of this long-term stress on our physicians.”

Through the partnership with BenefitEd, The Memphis Medical Society can offer Employee Choice, a program that gives employees control over where the company’s matching funds are applied, such as retirement savings, student loan repayment, 529 plan contributions or all three. The key for the employer is that this can be done with little adjustment to their benefits budget.

“We see this as a win-win for both employers and employees,” Cummins says. “The employer maintains their existing benefits budget, and can promote this program as a recruiting tool, while the employee is able to choose where the matching funds are delivered, allowing them to better achieve their financial goals.”

While currently focusing on the healthcare community, The Memphis Medical Society hopes to grow this program throughout other industries in Memphis. “The ability to use already budgeted money to reduce student loan debt increases retention, strengthens recruitment and builds a stronger workforce overall,” Cummins says. “We are excited to offer this opportunity.”

For more information on this partnership, contact Clint Cummins, CEO of The Memphis Medical Society at 901.761.0200 or ccummins@mdmemphis.org.

Memphis Medical Society Offers BenefitEd Your way to a better benefits package for your employees.

From student loan repayment to college savings, BenefitEd provides a full range of education benefits programs to help progressive employers create a more engaged and productive workforce.

Our Products By supporting your employees’ educational achievements and goals, you are rewarding the best and creating a competitive recruitment advantage. With BenefitEd, you have flexibility in choosing the right plan for your company. That includes Employee Choice, a patent-pending program exclusive to BenefitEd that gives your employees the option to use their matching dollars wherever those payments will benefit them most.

Employee Choice Exclusively from BenefitEd, Employee Choice is a patent-pending program that gives your employees control over where your matching funds go—retirement savings, student loan repayment, or both—without adjusting your benefits budget.

Employer-Assisted Student Loan Repayment

Employer-Assisted College Savings

Payroll Deduction

Help employees pay down student loan debt with direct contributions or matching programs to reward loyalty, ease recruitment and reduce employee financial stress.

Help your employees save for future education—their own or their family’s— by supplementing 529 college savings contributions, encouraging financial planning, and helping them achieve their educational goals.

If you’re not ready to offer a matching program, you can still provide your employees with the ability to pay down their student loans or save for education through simple, convenient payroll deduction.

Contact Clint Cummins, ccummins@mdmemphis.org, 901-707-8277 Learn more at YouBenefitEd.com BenefitEd is a joint venture between

and

Ameritas and the bison design are registered service marks of Ameritas Life, affiliate Ameritas Holding Company or Ameritas Mutual Holding Company. © 2018 Ameritas Mutual Holding Company.

GR7267 MMS

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The Memphis Medical Society Quarterly

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Membership

Membership News Welcome our newest members Penny A. Asbell, M.D. Opthalmology, UCH-Hamilton Eye Institute

Ikechukwu Uzoma Emereuwaonu, M.D. Family Medicine, Clinica Medicos

Rickey R. Carson, M.D. General Practice, Clinica Medicos

Geirge O. Maish, M.D. Surgery, UT Regional One Physicians Trauma Surgery

Harris L. Cohen. M.D. Radiology, Methodist LeBonheur Healthcare

Lisa M. Myers, M.D. Endocrinology, Diabetes & Metabolism Endocrinology and Diabetes Specialists

Sheena L. Dover, M.D. Family Medicine, Clinica Medicos

Deborah S. Roquiz, M.D. Family Medicine, Clinica Medicos

Mark W. Eakes, M.D. Family Medicine, Clinica Medicos

Member Highlights Accolades in and out of the office Lisa Usdan, M.D., FACE, was elected President of the Southern States Chapter of American Association of Clinical Endocrinologists. Founded in 1991, AACE is a professional community of physicians specializing in endocrinology, diabetes, and metabolism committed to enhancing the ability of its members to provide the highest quality of patient care.

Phillip Langsdon, M.D., was the special guest speaker at The California Society of Facial Plastic Surgery Winter Symposium

Methodist Le Bonheur Healthcare (MLH) unveiled the name for its Transplant Institute currently under construction in Shorb Tower at Methodist University Hospital. It will now be called the James D. Eason Transplant Institute – named in honor of long-time Memphis transplant surgeon James Eason, M.D., who serves as program director of the institute. Eason also serves as University of Tennessee Health Science Center Chief of Transplantation, and he holds the UTHSC Endowed Chair of Excellence in Transplant Surgery.

Semmes Murphey Clinic, PC, has rolled out patient check-in Clearwave Kiosks for a smoother, paperless check-in process.

Spring 2019

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Q

Hospital Updates

Brendan McDonough

After surviving the Yarnell Hill Wildfire in Arizona and an unfathomable loss of 19 of his fellow firefighters in 2013, Granite Mountain Hotshot Brendan McDonough suffered from deep depression and Post-Traumatic Stress. McDonough shared his story of struggle and redemption during the fifth annual Dennis H. Jones Living Well Network Mental Health Breakfast, held February 26 at the Hilton Memphis. More than 700 community members attended the event, including dozens of first responders.

Baptist Memorial Health Care has begun a partnership with New York Institute of Technology College of Osteopathic Medicine at Arkansas State University, located in Jonesboro, to train future doctors. The agreement, which begins immediately, identifies up to 25 NYITCOM medical student positions that will be dedicated specifically to students who want to train at Baptist Memorial Health Care facilities during medical school. In subsequent years the program can increase up to 50 students in the Baptist-NYITCOM cohort. Students selected to participate in the program will have some designated opportunities through the Baptist Memorial Health Care system during their first and second year, and participants will execute their year three and year four clerkships at one of Baptist’s 22 hospitals.

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McDonough was on the verge of becoming a heroin addict when he, for the sake of his young daughter, decided to turn his life around. He enlisted in the Granite Mountain Hotshots, a team of elite firefighters based in Prescott, Arizona.

On June 30, 2013, while McDonough served as lookout, the Hotshots confronted a freak 3,000 degree inferno in nearby Yarnell, Arizona. The relentless firestorm ultimately trapped his hotshot brothers, tragically killing all 19 of them within minutes. Nationwide, it was the greatest loss of firefighter lives since the 9/11 attacks.

Following McDonough’s remarks and a question and answer session, event attendees participated in breakout sessions on topics including Post-Traumatic Stress Disorder, becoming a trauma informed community and the importance of self-care.

Upon completion of their medical education, students will be encouraged to apply to one of Baptist Memorial Health Care’s affiliated residency programs.

Baptist currently hosts residents and fellows in family medicine, internal medicine, radiology, obstetrics and gynecology, surgery, neurology, neurosurgery, orthopedic surgery, ophthalmology, otolaryngology, pathology and pulmonary medicine.

“We are so excited to launch this partnership because it will bring tremendous benefit to students, families and communities throughout the Mid-South,” said Jason Little, president and CEO of Baptist Memorial Health Care. “There is a significant shortage of physicians, particularly primary care, in Tennessee, Mississippi and Arkansas. This shortage poses a grave health risk, particularly to people in under-served rural and urban communities. We believe this BaptistNYITCOM program will help alleviate this shortage by giving more of our best and brightest students the opportunity to study and practice medicine in their home communities.”

The Memphis Medical Society Quarterly

Q Regional One Health has opened a retail pharmacy inside the Cash Saver grocery in South Memphis. The Cash Saver store is located in the same shopping center with Regional One Health’s South Third Primary Care office.

“Regional One Health is excited to collaborate with Cash Saver to provide this new service. Our organizations share a common goal of providing access to important services in this community, and we look forward to providing convenient access to individuals who live, work and shop in the community,” said Tish Towns, chief administrative officer and senior vice president at Regional One Health.

The full-service pharmacy is available to both patients and non-patients of the health system. This location offers evening and Saturday hours for added convenience.

Saint Francis Healthcare continues to expand the robotics program to offer new surgical options that can help improve outcomes and reduce recovery times for some surgical procedures.

Saint Francis Hospital - Memphis offers the first Mako Robotic-Arm Assisted total knee replacement technology to Memphis and the surrounding communities. This latest advancement in joint replacement surgery transforms the way total knee replacement are performed by enabling surgeons to provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy.

Using a virtual 3D model, the Mako System allows surgeons to create each patient’s surgical plan before entering the operating room and during surgery, the surgeon can validate that plan and make any necessary adjustments while guiding the robotic-arm to execute the plan.

Spring 2019

Hospital Updates

“The experience of re-opening this store as a Cash Saver in South Memphis has been the most rewarding of my career,” said Rick James, owner of Cash Saver.

“And now seeing Regional One Health bring the pharmacy back, along with the value of their health care expertise is fantastic. Our customers have been very excited about the prospect of a pharmacy in Southgate Shopping Center, and we’re pleased to partner with Regional One Health to make it a reality.”

Brandon Slaughter and Terrel Chapman, lead pharmacist

Saint Francis Memphis has also added the Mazor X Robotic Guidance system for spinal surgery to the robotics program. The Mazor X is indicated for precise positioning of surgical instruments or spinal implants during general spine surgery and is designed to provide a stable and precise environment that allows for pre- and intra-operative planning and robotic-guided execution of multiple trajectories.

At Saint Francis Hospital-Bartlett, spine surgeons are utilizing the O-arm® Multidimensional Imaging System, which combines the technology of a CT scan with virtual navigation. The system provides surgeons with three-dimensional, high quality images before, during and after surgical procedures. When the O-arm Surgical Imaging System is coupled with StealthStation Navigation®, surgeons can better pinpoint the precise location of implant hardware. This technology functions similar to a GPS and allows the surgeon to see exact placement of surgical instrumentation throughout the procedure.

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Spotlight

Member Spotlight Methodist Le Bonheur Healthcare First to offer the Eluvia ™ Drug-Eluting Vascular Stent The Eluvia DrugEluting Stent elevates the care we can provide patients who suffer from peripheral arterial disease (PAD).

Methodist Le Bonheur Healthcare is the first healthcare organization in the greater Memphis area to offer this newest technology, which is the latest advancement to treat blocked Claro Diaz, M.D., Interventional arteries in Cardiologist patients with PAD. The first procedure was at Methodist North Hospital.

When a stent or balloon is used during intervention to open an artery, the artery heals by forming a new lining. In some cases too many cells that form the lining are made, which results in restenosis. The Eluvia Drug-Eluting Stent is an innovative way to deliver a sustained release of medication over a period of one year to help prevent the artery from narrowing.

The Eluvia Drug-Eluting Stent went through extensive and thorough testing, and I am impressed by the results, which showed an 88 percent primary patency rate, or likelihood that a vessel will remain open, and a 70 percent reduction in need for repeat procedures in diabetic patients when compared to other drug-eluting stents.

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This is an exciting, new development that transforms treatment for patients with PAD. The Eluvia Drug-Eluting Stent gives us the technological advancement to provide medication on an ongoing basis when the body needs it most. It was recently approved by the FDA. “I am really excited to be able to offer this advanced technology to my patients. This new stent can help me improve the results my patients’ experiences,” says Diaz.

PAD affects approximately 8.5 million Americans over the age of 40. The most common symptom of PAD is muscle cramping in the hips, thighs or calves while walking, climbing stairs or exercising. Physicians are more likely to see patients who have atypical symptoms including fatigue in the legs, or an ache in the hip or thigh pain.

Less than 50 percent of patients have the classic symptoms such as a charley horse in the leg while walking and that pain goes away when you stop walking.

For both men and women the prevalence of the disease increases with age. If plaque buildup is the cause of peripheral arterial disease, patients may be at risk of developing critical limb ischemia, stroke or heart attack. The Eluvia Drug-Eluting Stent is a breakthrough as it helps keep arteries open and blood flowing to vitally important areas of the body.

Physicians can diagnose a narrowing of the peripheral arteries leading to the legs, stomach, arms and head by listening through a stethoscope for bruit, an abnormal sound in blood flow, by examining the nail beds, and by feeling the pulse in the feet and legs.

The ideal candidates to receive the Eluvia Drug-Eluting Stent are diabetics who have high restenosis with medium to long blockages.

The Memphis Medical Society Quarterly

We know w you’ve got a choice of healthcare providers to refer your patients.. That’s why we work so hard to make the patient experience with us as ple easing as possible. We listen carefully y. We answer questions. And we simp i lify the whole process, from getting a an appointment to following up after the patient is home. We strive to do more than keep patients well, but keep patients happy, too. So let us help you keep p patients healthy.

V isi t s f m p.c om to le arn mor e or r e f er a pa tien t to day.

Spring 2019

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Q

Feature

President’s Gala A Re-Imagined Annual Meeting This year’s Annual Meeting was transformed into President’s Gala. Relocating from Holiday Inn University of Memphis to FedEx Event Center at Shelby Farms allowed for a more interactive environment for guests. The physician-filled band Copacetic 901 played throughout the evening, even getting guests on the dance floor.

The condensed program featured outgoing president, Autry Parker M.D., introducing 2019 board president, Jimmie Mancell, M.D. Dr. Mancell spoke on several of his initiatives for the coming year, including increased social events to encourage members to socialize and combat burnout.

“As a Society, and with our health system partners, we should consider how we restore a sense of positive connection among our colleagues,” he said.

As these are planned, details will be on mdmemphis.org and in emails.

The event was well attended, including a large group of residents and students. Event sponsors provided swag bags filled with goodies as a parting thank you to guests as they were leaving.

We are already looking forward to next year so mark your calendars for January 25, 2020!

An In Memoriam area paid tribute to those members who passed in 2018.

Kathy Lu and Jordi Puente-Espel

Scott Morris, M.D., with Church Health Center and Jimmie Mancell, M.D.

Presenting Sponsors: First Tennessee Medical Private Banking

The new venue afforded guests an opportunity to mingle before the program.

Past President, John Dorian, M.D.

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The Memphis Medical Society Quarterly

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Feature

2019 President Jimmie Mancell, M.D., with Copacetic 901 kept the event lively and fun Neal Beckford, M.D., and David Cannon, 2018 President, Autry Parker, M.D. with their soul and jazz tunes.

M.D., speaking with Jimmie Mancell, M.D.

Walter Rayford, M.D., and Lanetta Anderson, M.D.

Sponsor Desoto Floors with Jimmie Mancell, M.D.

TMA President, Russ Miller, came from Nashville for the event.

Jimmie Mancell, M.D., shares his goals for Bo Allen, West Tennessee President for First Members enjoyed dancing to the live music Tennessee Medical Private Banking. throughout the evening. the Society in 2019.

Jimmie Mancell, M.D., with 50-year members CPT Mythia Conley, Jimmie Mancell, M.D., Stuart Poley, M.D. and F. Hammond Cole, M.D. Maureen Smithers, M.D., SSG Sean Delice.

Spring 2019

Event Sponsor, SVMIC, with Jimmie Mancell, M.D.

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Feature

2019 Board of Directors The 142nd Board of The Memphis Medical Society Left to right: Jennings Dooley, Student Chapter President; David Cannon, M.D., Treasurer; Lindi Vanderwalde, M.D., Board Member; Lisa Usdan, M.D., Board Member; Justin Monroe, M.D., Vice President; Autry Parker, M.D., Past President; Jimmie Mancell, M.D., President; Catherine Womack, M.D., Board Member; Walter Rayford, MBA, Ph.D., M.D., Board Member; Christopher Pokabla, M.D., Secretary; Danielle Hassel, President Elect; LaTonya Washington, M.D., Bluff City Medical Society President.

Not pictured: Chris Fleming, M.D., AMA Delegation; Lee Berkenstock, M.D., AMA Delegation; James Ensor, M.D., TMA Board of Trustees; Karen Adams, Mid-South MGMA President; JoAnn Wood, M.D., Board Member; Raymond Walker, M.D., Board Member; Andrew Watson, M.D., Board Member; Clay Jackson, M.D., DipTh, Board Member; Paul Tackett, M.D., Board Member.

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The Memphis Medical Society Quarterly

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Feature

President’s Gala Sponsors PRESENTED BY:

THANK YOU!

Spring 2019

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The Memphis Medical Society Quarterly

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Legislative

TMA Most Influential Recent survey finds TMA most influential advocacy organization in Tennessee A new survey shows that the Tennessee Medical Association is widely regarded among Tennessee policymakers and political insiders as one of the most valuable and trusted advocacy organizations on Capitol Hill.

Capitol Resources, LLC, a multi-state government relations firm with offices in Tennessee, conducted an anonymous survey from July through October 2018 to find out where lawmakers prefer to turn for information and which advocacy organizations and other sources are considered most trustworthy.

TMA rated highest (86%) among 25 other statewide organizations and associations as being influential in shaping public policy at either a high or moderate level. TMA also earned the most responses (49.7%) for being regularly or often studied, cited, or utilized by policy insiders. A majority of respondents (63%) indicated they regularly or often see or hear TMA’s name in connection with state or local policy issues, second only to the Beacon Center of Tennessee (67%).

The 223 survey respondents included state legislators and their staff, elected and appointed executive branch leaders and their staff, education officials from colleges and universities from across the state, municipal and local government leaders and registered lobbyists and organizations.

TMA is a nonprofit advocacy organization, serving more than 9,600 members with legislative, legal/regulatory and insurance advocacy, physician leadership training and other programs. The association offers a variety of ways for doctors to connect with their elected officials through its grassroots network, including Doctor of the Day on Capitol Hill during the legislative session.

TMA expects at least 300 physicians to participate in its biggest advocacy event of the year, Day on the Hill, on Tuesday, March 26. Doctors from around the state visit Nashville to meet with lawmakers, attend committee hearings, and advocate for their profession and patients.

Memphis Medical Society members can ride a free bus from the MMS office to Nashville and back. Transportation is sponsored by Triumph Bank. The day will include all meals, and a full agenda of meetings with legislators.

Join us!

Spring 2019

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give back

& volunteer at Church Health

Whether you volunteer once a week or once a year, your time and talent matter.

“Church Health has such a

me a great way to give back.�

Dr. Orin Davidson Volunteer since 2000

We need primary and specialty medical providers like you to care for those most in-need. Volunteer either in our Crosstown Concourse

Contact Rebekah Heacock to learn about opportunities for individual providers and practices.

901-701-2108 heacockr@churchhealth.org

NOW HIRING! Full-Time Family Physician Visit ChurchHealth.org/jobs for details!

ChurchHealth.org/Volunteer

Q

Finance

Financial Q&A Protecting your investment portfolio Q. After watching my retirement portfolio decline over 10% in the 4th quarter of 2018, I’m starting to get anxious about the volatility in the stock market. I’m 10 years away from retirement and have a good financial plan in place to reach my goals, but the thought of a major downturn in the market is stressful.

Is there anything extra I can do to protect my investment portfolio?

A. Financial markets experience many ups and downs over a long-term time horizon, so it is essential to understand how to manage your emotions during volatile times. Start by focusing on your long-term goals and don’t abandon your financial plan. Continue to monitor the progress of your investments, but don’t over emphasize short-term performance. During turbulent times, try not to panic or make emotional decisions. Be patient and separate your money from your moods. History shows that declines are inevitable, normally shortlived, and a natural part of the market cycle.

In general terms, the best strategy for the long-term investor is to construct a portfolio with a diversified asset allocation strategy that includes offensive (stocks) and defensive (bonds) investments and is based on a tolerance for risk and need for return. I frequently advise clients that time in the market matters most. While past performance is not a guarantee of future results, prudent investors have historically been rewarded for staying the course.

A well-crafted financial plan is key to accomplishing your retirement goals, but implementation is not the final step. It is also important to regularly monitor your plan’s progress. Lastly, I encourage you to seek the advice of a qualified financial advisor. They should be able to assist in the monitoring process, and they can make recommendations to adjust your plan if you experience a major life changing event.

William B. Howard, Jr, ChFC, CFP

William Howard & Co. Financial Advisors, Inc. Fee only Financial Planning and Investment Advisory Services

William B. Howard, Jr., ChFC, CFP International Place II 6410 Poplar Ave., Suite 330 Memphis, TN 38119 Telephone: (901) 761-5068 Facsimile: (901) 761-2217

Spring 2019

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Q

Community

Community Work Members giving back to the community

Nearly 150 men and women in the Memphis community received free foot and nail care from Campbell Clinic physicians as part of the orthopaedic clinic's annual Soles4Souls event, held at the Memphis Union Mission's Opportunity Center in association with the national program, Our Hearts to Your Soles.

Shoes were provided by Red Wing Shoes and additional support was provided by clinical fellows, orthopaedic residents, research nurses and employees from The Campbell Foundation, plus Campbell Clinic physician assistants and medical students from the University of Tennessee Health Science Center. Campbell Clinic and Campbell Foundation employees collected and donated more than 500 pairs of socks for this year’s effort from a "Socktober" drive earlier this fall.

The Our Hearts to Your Soles program was founded in 2004 by high school student Matthew Conti and his father Dr. Stephen Conti, an orthopaedic surgeon at Allegheny General Hospital near Pittsburgh. Supporters of the program believe that proper foot health is important to an overall health maintenance program.

The annual Soles4Souls event involved Campbell Clinic physicians and physician assistants, plus clinical fellows, orthopaedic residents, research nurses and employees from The Campbell Foundation.

Medical students from The University of Tennessee Health Science Center help fit foot care recipients for new pairs of Red Wing boots at the annual Soles4Souls event.

Another mission of The Campbell Foundation is the Center of Excellence for Cerebral Palsy Care and the International Medical Mission. The sixth-annual Footprints in Motion event, presented by Silverleafe Capital Partners, seeks to raise funds to provide orthopaedic care to patients in our local community and across the globe. This event not only funds a medical mission to Costa Rica, but also helps to provided integrated, multidisciplinary care for the numberous children in our region who are born with cerebral palsy.

In you are interested in attending or supporting this event, contact Karen Watson at kwatson@campbellfoundation.org, or 901-759-3233.

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The Memphis Medical Society Quarterly

Hiring g in H lth Healthcare?

da Need Healthcaare Job?

We staff We offfer emp-to-hire, Director of Operations, CEO, Direct hire, Te ositions and Medical Coder, RN, CRNA Permanent po and many others Part timee jobs

901-761-0200 MedTemps is accredited by The Joint Commissiion, and is a division of The Memphis Medical Socieety y

Learn more at www.mdmemph his.org 24

The Memphis Medical Society Quarterly

Q

Research

Current Research Physician Burnout is Rampant and Needs Addressing

Research upon research cites physician burnout as a serious health concern. In some results, as much as 63% of physicians say they have felt a sense of burnout. Burnout not only can harm the physician but also his or her patients. The residual effects on our healthcare system are immeasurable.

We also know that threats to a physician’s professional and social lives can be impacted due to hesitation in seeking care.

In response to this growing concern, Memphis Medical Foundation is launching Thrive, our physician wellness initiative. It will also include a hotline that physicians can confidentially call to seek assistance.

The Society has already recruited a team of psychologists for referrals. If you know a highly trained psychologist who would be a good referring provider, please give us a call. Thank you to our friends at Tennessee Medical Foundation for their assistance with and trailblazing of this program.

Another facet of Thrive programming will be quarterly social gatherings for members. The focus will be to connect and talk with colleagues about issues other than work. The first event will be May 15th. See below for details.

The hotline number will be published soon.

Let’s focus on getting help and support to those who care for others!

First Thrive Event Join Us on May 15 For a New Event SAVE THE DATE! Wind down with us on Wednesday, May 15, at the Mercedes Benz Dealership from 5:30 p.m. until 8:00 p.m. Eat, drink and be merry with your colleagues, while engaging in non-work talk. Let’s get to know each other better so that we can all look out for each other. No one is above burnout, and we need our organized medicine family more than ever these days.

This is the first of quarterly events where our members can gather to check in on each other. Relax in a social environment, and enjoy getting to know other members better. Stress relief and companionship have been shown to alleviate physician burnout. We are all in this together, so let’s show up and support each other.

The Thrive Physician Wellness Initiative is in partnership with The Memphis Medical Society and the Memphis Medical Foundation. For more information, visit mdmemphis.org.

Spring 2019

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Q

Practice

Practice Development Finally, a scientific, evidence-based approach for marketing practices and hospitals

by Alan Flippin For over 25 years, practices have tried a myriad of techniques to market their practices and services.

Although there have been some success stories, the process has not evolved much over this time period. We’re still “reinventing the wheel.” It doesn’t have to be that way. Whether you or your group is doing something, nothing or somewhere in between, scientific “evidence based” marketing is ON FIRE across the country. The formula is not new to physicians and other scientists. It applies fact-based research, testing and adjustments for optimum results. Richard K. Thomas, Ph.D., renowned author and expert in data analysis and marketing techniques for healthcare, says “Techniques are now available for accurately predicting the future health problems based on scientific data and the expert analysis of data on the demand for health services.” The flowchart below depicting the scientific/evidence-based approach to healthcare marketing can serve as a guide to developing an effective marketing strategy.

More good news! This process integrates seamlessly into your current marketing efforts. It tremendously enhances effectiveness and optimizes costs spent on promotional activities. Finally an answer to the marketing dilemma. Good science is always the best answer.

For more information on how to integrate scientific/evidence-based marketing into your current efforts, contact Alan Flippin, MBA,CMDS – CEO of ADF Medical 901-490-2330 or alanflippin@gmail.com.

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The Memphis Medical Society Quarterly

Q

Training

In Training Member meet-ups engage residents with members SAVE THE DATE! Take a break and socialize with your colleagues and practicing physicians.

April 4th at Carolina Watershed Dinner and beverages included.

No cost for members 5:30 p.m. until 8:00 p.m.

141 E Carolina Ave, Memphis, TN 38126

RSVP by scanning this code with your smart phone’s camera or visit, mdmemphis.org

WE WANT TO HEAR FROM YOU! The MidSouth MGMA Invites MEDICAL PRACTICE MANAGERS To Join Our Organization in 2019.

We invite you to attend our next executive-level educational luncheon.

MAY 16

REGULATORY ENFORCEMENT UPDATE – SETTLEMENTS & FRAUD HOT TOPICS

If you have ideas or suggestions for The Quarterly, please email info@mdmemphis.org.

We are always looking for updates, achievements and stories of our members.

Denise Burke, Attorney, Waller Law Firm SAME TIME: 11:30am NEW LOCATION:

Chickasaw Country Club 3395 Galloway Ave, Memphis

REGISTER NOW FOR THE TMGMA SPRING CONFERENCE

Volume 22, Number 3

Fall 2018

Volume 21, Number 2

IN SERVICE TO OTHERS

Summer 2018

Member Spotlight:

Members Serving Our Country Through Medicine

Marion Boyd Gillespie, M.D., MSc, FACS

State Air Surgeon, Cassandra Howard, M.D.

Feature: A House of Doctors

APRIL 3-5, 2019 IN CHATTANOOGA PLEASE RSVP AT MIDSOUTHMGMA.ORG

27

The Memphis Medical Society Quarterly

Q The mission of the Memphis Medical Society is to unite the physicians of Memphis and Shelby County into an organization to promote the highest quality of medical practice and the health of our citizens.

Bulletin

Bulletin Society updates and events March

Memoriam

5

Board Meeting

15

Match Day

26

Day on the Hill

Charles H. Brown, M.D. June 25,1945—February 8, 2019

2

Board Meeting

4

Member Meet-Up

Thomas Kyle Creson, Jr., M.D. February 25, 1931—February 25, 2019

April

May The Memphis Medical Society 1067 Cresthaven Road Memphis, TN 38119 901-761-0200 Fax: 901-374-9574 CEO/Executive Vice President Clint Cummins Executive Assistant Janice Cooper Director, Communications & Marketing Allison Cook Business Development Cailyn Bautista Lillard Finance Director Leah Lumm

7

Board Meeting

15

Thrive Member Event

18

House of Delegates

REMINDER! Professional Privilege Tax Due June 1 Tennessee law requires every physician with an active license from the Tennessee Board of Medical Examiners (BME) or Board of Osteopathic Examination (BOE) is required to pay a professional privilege tax by June 1 of each year to the State of Tennessee Department of Revenue. Physicians may not receive a reminder from the licensing board and only those who have previously signed up for e-mail reminders will receive them from the Department of Revenue.

To electronically file the professional privilege tax return, you must have either your Social Security Number or your professional privilege tax account number. A licensee may begin paying the tax due on June 1, 2019 beginning January 1, 2019. Visit: https://tntap.tn.gov/eservices

MedTemps Director, Healthcare Staffing Neither the Society nor TMA know if a member has paid the tax or Freda Reed a license is retired.

MedTemps Administrative Coordinator Katie Yaun

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If you encounter issues or need help paying online, contact Electronic Commerce Unit at 866-368-6374.

The Memphis Medical Society Quarterly

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Jeff McIlvain Vice President Medical Private Banking ph: 901-681-2555 email: jmcilvain@ftb.com

©2019 First Tennessee Bank National Association operating as First Tennessee Bank and Capital Bank. Member FDIC.

1067 Cresthaven Road Memphis, TN 38119

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