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2013, Issue 1

January—March 2013

Missouri Society of the American College of Osteopathic Family Physicians

Missouri Osteopathic Family Physician Board of Governors Justin D. Puckett, DO President Kevin M. Presley, DO President-Elect C. Mark Rose, DO Vice President W. Joshua Cox, DO, FACOFP Secretary Henry D. Petry, DO, FACOFP Treasurer Bruce R. Williams, DO, FACOFP Immediate Past President Laura K. Hempstead, DO, FACOFP James A. DiRenna, Jr., DO, FAAFP Erica L. Waddington, DO Alan W. Brewer, DO, FACOFP Rochelle V. Vale, DO Kiana D. Boughton, DO John J. Dougherty, DO, FACOFP Michael R. Brown, DO

PO Box 105077 Jefferson City, MO 65110 Phone: 573-634-4667 Fax: 573-634-5635 E-mail:

Attend 2013 Osteopathic Medicine Awareness Day Plan now to attend the 2013 Missouri Osteopathic Medicine Awareness Day on April 17 at the state Capitol in Jefferson City! If you have ever wondered how to make an impact and enjoy the fellowship of colleagues from around the state, this is your opportunity. Missouri Osteopathic Medicine Awareness Day will begin upon arriving at the Central Office, 1423 Randy Lane, Jefferson City, Missouri. From there you will be shuttled to the Missouri Capitol where you will participate in a healthcare forum with some of your elected senators and representatives. You will then view the

workings of the legislature from both the Senate and House Galleries. Finally you will be shuttled back to the Central Office for a BBQ lunch. This is a wonderful opportunity to talk with your legislators about issues facing you, your practice and the profession. Also the D.O.c.-A-Day program is an energizing process where you go the seat of our lawmaking bodies to exert influence on key legislation. Physician members who participate speak with firsthand, front-line experience about the impact legislation will have on their ability to deliver appropriate,



timely, quality healthcare. Your involvement in the advocacy process is crucial to realize success on our priority issues. To RSVP for both events, email Brad Bates at Now is the time to be involved and make a difference!

Society Family Physicians Honored during the 2013 Winter Scientific Seminar

In Memoriam 2013 Memorial Award William Cox, DO

2013 Life Memberships James Bowers, DO Joseph Gialde, DO Thomas Spooner, DO, FACOFP

2013 Family Physician of the Year James A. DiRenna, Jr. DO, FAAFP

Family Medicine Resident Scholarship Winners Brittany Else, DO Carey Vaughan, DO Stephanie Huhn, DO

Missouri Osteopathic Family Physician

Membership News

Member Notables

The Board would like to remind you that the Society is transitioning to a joint membership dues billing program through our national organization, the ACOFP (American College of Osteopathic Family Physicians). This means that you will receive a bill from the ACOFP for both your national and state dues. Remember that you must join the Society during 2013 in order to maintain member pricing at the 2014 Winter Scientific Seminar.

Society Board Member, John J. Dougherty, DO, FACOFP, FAOASM, is a participant in the inaugural class of the ACOFP’s Physician Leadership Institute (PLI). The PLI is a rigorous, twelve month applied academic program with concentrations in Advocacy and Political Leadership, Administration and Organization Leadership, and Academic Leadership.

Statistics from the recent Winter Scientific Seminar show that the biggest challenge facing family

physicians is dealing with government regulations, insurance companies and the uncertainty of the future with the Affordable Care Act. Your dues enables the Society to act on your behalf on those important issues so you can practice medicine! Join Today! Already a member? Thank you for your commitment to family medicine! MSACOFP is seeking volunteers to be more involved by serving on one of our committees. Visit to learn about the roles of each committee. Volunteer today!

DOCARE International recently honored Society member Gautam J. Desai, DO, MSU-COM Class of 1996, as the recipient of the Robert A. Klobnak Award. The Robert A.

Klobnak Award is presented each year in recognition of an individual’s outstanding accomplishments within DOCARE International, a medical outreach organization dedicated to providing healthcare to indigent and isolated people in remote areas around the world. Desai, associate professor of family medicine at Kansas City University of Medicine and Biosciences-College of Osteopathic Medicine, received the 2012 award for his exceptional and tireless work in helping the medically underserved, most particularly in Central America.

Campus Corner MSACOFP Mission Statement The mission of the MSACOFP is to preserve and promote the distinct philosophy and practice of osteopathic family medicine by advancing quality education, leadership, and responsible advocacy.

Victoria Zbikowski, third year medical student at KCUMB-COM is currently serving as the 2012-2013 ACOFP Board of Governors’ Student Academic Member. Along with pursuing her DO degree, she is a dualdegree student pursuing an M.A. in bioethics. She has been involved with the ACOFP since her first year of medical school when she attended the spring 2011 Na-

tional Convention and served as the Vice President of the ACOFP student chapter at KCUMB-COM during her second year. She attended the Young Leaders of ACOFP Conference in January 2012 and the 2013 ACOFP National Convention. Her other activities include volunteering at a local hospice, and as an Osteopathic Clinical Skills Tutoring Assistant. KCUMB-COM Missouri Osteopathic Student Association (MOSA) launched a Rural Health-

care Initiative. With the assistance of Society Past President Elisa E. H. Vinyard, DO, KCUMB-COM MOSA members and affiliates offered free healthcare services to Missouri residents in need. The first Rural Healthcare Initiative was held on March 23, 2013 at The Show-Me Resources Fair, sponsored by the non-profit organization Community Action Partnership in Cameron, Missouri. Physicians and medical students provided free health screenings, consultation, and education.

What has your Society been up to lately?

ACOFP Governor Larry Anderson, DO, FACOFP, dist. installs the 2013 Society Officers.

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On January 24—27, 2013, the Society held a very successful Winter Scientific Seminar. One hundred sixty three healthcare professionals attended including physicians from Texas, New Jersey, and Oklahoma. The Obesity Medical Training Course presented in cooperation with the American Society of Bariatric

Physicians attracted an additional 32 participants including nurse practitioners and nurses. Society delegates traveled to the ACOFP Annual Convention and Scientific Seminars in March of 2013 to represent Missouri at the ACOFP Congress of Delegates. Missouri put forth a resolution to end discrimination against osteo-

pathic physicians. While many state laws already address this issue, there is no federal law which ends this practice. Thank you to recent Society D.O.c.A-Day participants Joseph Yasso, DO, FACOFP, Phillip Accardo, DO, FACOFP, Dennis Morrison, DO, and John Dougherty, DO, FACOFP.

2013, Issue 1 Missouri Osteopathic Family Physician

President’s Report—Justin D. Puckett, DO

News Notes

It's an exciting time to be an Osteopathic Family Physician! While there are many unknowns about the future of healthcare in this country, we can at least be happy that the value of family physicians is being recognized and rewarded. The care you provide is cost effective, meaningful, and life changing. As we move forward over the next few months and years, know your Society is keeping an eye on the happenings and will continue to advocate for you at the local, state and national governmental levels as well as with insurers, agencies, and with our national college.

Family medicine was again the largest matched specialty among osteopathic medical students, according to the 2013 osteopathic match results released Feb. 11 by the National Matching Services. Family medicine matches rose 11% and internal medicine increased 9% over last year, continuing the osteopathic tradition of commitment to providing primary care. In a news release on the 2013 AOA match results, AOA President Ray E. Stowers, DO, commented, “As the nation faces a looming shortage of primary care physicians, it is wonderful to see a growing number of new physicians helping to ensure patients will have access to primary care.” The AOA's 2012 Osteopathic Medical Profession Report indicates that about half of DOs practice in primary care areas like family medicine and internal medicine. There are currently more than 20,000 osteopathic medical students across the country, compared to more than 15,000 students enrolled five years ago.

Your board has been having ongoing conversations regarding our strategic plan. We will continue to offer one of the most cost effective, and relevant Continuing Medical Education programs close to home. We are

excited about the larger venue at the Westin Crown Center for next year’s conference. We will continue to advocate for our profession. We will continue to engage our college, insuring our voice is heard. We all share optimism, but with great caution, about the upcoming changes to our graduate medical education programs, and we will advocate to insure what is uniquely osteopathic continues to be available to DO students. As your board looks for better ways to serve our members, please don't hesitate to share your ideas. We look forward to your input in our strategic planning, and always, we have opportunities for you to get involved with our committees. Please contact me if you have any thoughts, ideas, or questions. I look forward to serving you this coming year!

Justin D. Puckett, DO President

Need information and resources about the Patient Centered Medical Home? Visit The Patient-Centered Primary Care Collaborative

Updates from the American College of Osteopathic Family Physicians More than 40 specialty physician groups have joined the Association of American Medical Colleges (AAMC) in an advertising campaign urging Congress to fight cuts to federal funding that supports doctor training at America’s teaching hospitals. As the nation faces a projected shortage of 90,000 doctors by 2020—from primary care physicians to surgeons to specialists for children—the groups maintain that these funding cuts would exacerbate the physician shortage and ultimately jeopard-

ize patient access to care. Among the organizations participating in the campaign are the American Academy of Family Physicians, the American College of Physicians, the American College of Osteopathic Family Physicians, the American College of Osteopathic Internists, the Society of General Internal Medicine, the Medical Group Management Association, and the American Association of Colleges of Osteopathic Medicine.

The Osteopathic Continuous Certification process began in January of 2013. There are new requirements for DOs to demonstrate practice performance assessment and improvement through a series of chart extractions, an online OCC education unit, passing an online test for the unit and then final chart extractions. The ACOFP is offering modules to assist with the OCC process. In addition they have provided an OCC Checklist which is available on the Society website

Remember that the ACOFP offers DO OMT and DO Reflexes iPhone apps. The DO Reflexes app provides an easily searchable diagnostic tool that helps identify the anatomic location of certain reflexes, and includes information about treatment procedures and dosages. The DO OMT app includes 122 videos demonstrating procedures for effective diagnosis and treatment of somatic dysfunction throughout the body. Page 3

Missouri Society of the American College of Osteopathic Family Physicians

Missouri Osteopathic Family Physician

Mark Your Calendar!

The 2014 Winter Scientific Seminar will be held on Thursday, January 30, 2014—Sunday, February 2, 2014 at the Westin Crown Center in Kansas City, Missouri. The new location will feature an expanded exhibit hall and a larger CME Hall which allows for more table seating during lectures. In addition, the amenities surrounding the Westin Hotel are outstanding. They include Crown Center which features 60 unique places to shop, eat, and fun places to be entertained. Bring the family for the weekend

this year! You can enjoy outdoor ice skating at the Ice Terrace plus the Discovery Center’s LEGOLAND. All of this is within walking distance of the hotel. For more information go to The committee is already hard at work planning the seminar. In addition to the 25 hours of focused family medicine continuing medical education, they are working to bring you more opportunities to network, share information with colleagues, and enjoy the camaraderie of your fellow osteopathic family physicians. Thank you to this year’s Winter Scientific Seminar planning committee: Kevin Presley, DO—CHAIR

Advocacy Updates 2013 MAOPS State Legislative Agenda Tort Reform: In the summer of 2012, the Missouri Supreme Court threw a major monkey wrench into Missouri’s healthcare environment by declaring the caps on noneconomic damages to be unconstitutional. (Note: The Kansas Supreme Court later ruled that the same cap in their state is constitutional.) This is the first time in 20 years that Missouri has not had a ceiling to limit the noneconomic damages that a jury could award. If left unchecked the economic consequences of this ruling will severely damage healthcare in Missouri—as juries award more it will trigger insurance premiums to increase drastically. The result of increased costs will encourage physicians to leave the state and thus healthcare and access will deteriorate. MAOPS and MSACOFP, along with other healthcare agencies, are aggressively working on a solution. Prescription Drug Monitoring: Missouri is the only remaining state in the nation not to have any legislation in regards to the monitoring of prescription drugs in the class 2-4 narcotics.

Justin Puckett, DO—President W. Joshua Cox, DO, FACOFP Nickolas Gillette, DO James Bowers, DO Henry Petry, DO, FACOFP C. Mark Rose, DO Michael Brown, DO Rochelle Vale, DO Robert Schneider, DO Carey Vaughan, DO

Scan the QR Code to visit us on the Web!

The MSACOFP is a network of osteopathic family physicians dedicated to providing the finest family medical care in Missouri. The MSACOFP actively works to defend, preserve, promote and protect the rights and interests of the osteopathic family physician. The MSACOFP plays a crucial role in helping the osteopathic family physician succeed through its community, continuing medical education opportunities and advocacy.

We need your voice! You can support advocacy for family medicine through contributions to MOPAC and by participating in D.O.c.-A-Day.

In 2012, this bill became entangled in the discussion of how long is appropriate for prescription records to be monitored and kept before being disposed. This issue promises to have supporters on both sides. Prompt Credentialing: This bill nearly passed in the 2012 session. This is an important issue as it will set a timetable on insurance companies to credential new providers. At times, providers are waiting six months to a year before they are allowed to join a network. This is not only creating a financial hardship for those providers who are waiting, but also limiting access to care for a large number of Missourians. Nurses: The nurse practitioners have been aggressive in the past few legislative years. In 2012, they put forth a bill asking for the collaborative practice to be removed. This bill was battled from the start, and never made it out of committee. It is certain that they are still looking at the removal of the collaborative practice in the 2013 session.

Any Willing Provider: This bill has already been filed and waiting to be assigned to committee. The bill simply states that a physician who is willing to accept the basic terms and payment structure offered to other physicians may join the network. Affordable Care Act: Since the Supreme Court ruling and the presidential election, the conversation on the Affordable Care Act has changed from ‘should it be repealed’ to ‘what is the best step to make this work’. The main discussion is the Health Insurance Exchanges (HIX). All states have the option of either setting up and running their own HIX or have the federal government run one for them. While there is a group that wants nothing to do with exchanges, the other side is stating that since we have to have one, let’s have Missourians run it rather than the federal government. Want to know more? If you are a Society and MAOPS member, contact Brad Bates at to sign up for the weekly email legislative update.

MO Family Physician 2013-Q1  

MO Family Physician Newsletter Q1 2013

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