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VOLUME 74, NUMBER 2 • JUNE 2026

6 A MESSAGE FROM EXECUTIVE DIRECTOR

28 LIFTETIME PHYSICIAN AWARD

8 A MESSAGE FROM OUR PRESIDENT

36 HEALTH PLAN 30 YEARS OF PARTNERSHIP

12 LEGISLATIVE ADVOCACY DAY

38 RESIDENTS REPORT

16 IN THE NEWS

44 PRACTICE MANAGEMENT

22 YOUNG PHYSICIAN AWARD

46 PUBLIC HEALTH

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PRESIDENT Sujeeth Punnam, MD PRESIDENT ELECT Stephen Tsang, MD TREASURER Sanjeev Goswami, MD BOARD MEMBERS Maggie Park, MD, Alain Flores, MD, Manreet Basra, MD, Kinnari Parikh, MD, Bhagya Nakka, MD, Sunny Philip, MD, Rahuljit Bajwa, MD, Neelesh Bangalore, MD and Dheeraj Nandanoor, MD

MEDICAL SOCIETY STAFF EXECUTIVE DIRECTOR Lisa Richmond MEMBERSHIP COORDINATOR Jessica Peluso

SAN JOAQUIN PHYSICIAN MAGAZINE EDITOR Lisa Richmond EDITORIAL COMMITTEE Lisa Richmond, Sujeeth Punnam, MD MANAGING EDITOR Lisa Richmond

COMMITTEE CHAIRPERSONS CMA AFFAIRS COMMITTEE James Halderman, MD CMA TRUSTEE Ramin Manshadi, MD DECISION MEDICINE Kwabena Adubofour, MD MEDICAL EDUCATION PROGRAMS Kelly Savage, DO

CREATIVE DIRECTOR Sherry Lavone Design CONTRIBUTING WRITERS Sujeeth Punnam, MD, Jo Ann Kirby, Angela Egbuchulam, MSW, ACSW, Danielle Cox, MSW THE SAN JOAQUIN PHYSICIAN MAGAZINE is produced by the San Joaquin Medical Society

SCHOLARSHIP LOAN FUND Alexander Fodor, MD SUGGESTIONS, story ideas are welcome and will be reviewed CMA HOUSE OF DELEGATES REPRESENTATIVES

by the Editorial Committee.

Aisha Chaudhry, MD, Dheeraj Nandanoor, MD, James R. Halderman, MD, Raissa Hill, DO,

PLEASE DIRECT ALL INQUIRIES AND SUBMISSIONS TO:

Richelle Marasigan, DO, Sujeeth Punnam, MD,

San Joaquin Physician Magazine

Ripudaman Munjal, MD,

3031 W. March Lane, Suite 222W

Stephen Tsang, MD, Alberto Del Pilar, MD

Stockton, CA 95219 Phone: (209) 952-5299 Fax: (209) 952-5298 E-mail Address: lisa@sjcms.org MEDICAL SOCIETY OFFICE HOURS: Monday through Friday 8:00am - 4:00pm

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N

ANNUA L

2

D

SYMPOSIUM Clinical Updates in Metabolic Disease, Sleep Medicine, and Lifestyle Interventions for the Primary Care Team Earn CME while connecting with colleagues across our medical community.

E SAV THE TE DA Saturday

September 19 2026 7:30am–1:00pm

Hilton Stockton

2323 Grand Canal Blvd Stockton, CA 95207

Agenda • Case-Based Challenges in Diabetes Management Tarandeep Kaur, MD – Endocrinology, Diabetes & Metabolism, Dignity Health Medical Group

• Metabolic Dysfunction-Associated Steatotic Liver Disease in Practice: Risk Stratification & Management Gurtej Malhi, MD – Gastroenterology, Dignity Health Medical Group

• Sleep Disorders & Breathing Updates Sanjeev Goswami, MD – Pulmonary, Critical Care & Sleep Medicine, Stockton Pulmonary Doctors & Gurinder Singh, MD – Pulmonary,

Accreditation • Physicians, Advanced Practice Providers, and Fellows welcome • More details coming soon!

Planning Committee • Sujeeth Punnam, MD, Chair • Manreet Basra, MD • Stephen Tsang, MD • Sanjeev Goswami, MD

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Critical Care & Sleep Medicine, San Joaquin General Hospital

• Prescribing Vitality: Modern Lifestyle Metrics in Coronary Care Jignesh Patel, MD – Interventional Cardiology, The Permanente Medical Group

• Obesity as Chronic Disease: A Modern Framework for Management Dheeraj Nandanoor, MD – Internal Medicine, Synergy Med

• Bariatric Surgery: The Forgotten Solution for Morbid Obesity Tarig Samarkandy, MD, FACS, FASMBS – General/Bariatrics, Minimally Invasive & Robotic Surgery, Sutter Gould Medical Group

• AI in Medicine: Towards One-to-Many Autonomous Care Ashish Atreja, MD, MPH – Professor, Stanford Medicine / Founder, Genserve.AI

SAN JOAQUIN PHYSICIAN 5

EXECUTIVE DIRECTOR’S REPORT

STRENGTHENING OUR PHYSICIAN COMMUNITY As I recently attended the Hill Physicians Medical Group Town Hall, I had the opportunity to speak with both current members and nonmembers about the San Joaquin Medical Society. A few nonmembers asked an important question: What does the medical society have to offer?

LISA RICHMOND

Before listing the many benefits of membership, my response is always the same: It depends on what is important to you. Our members join for many reasons — leadership opportunities, networking and social engagement, practice support, personal benefits, and statewide advocacy that helps protect the profession of medicine. At SJMS, we truly believe there is something for everyone, and we welcome the opportunity to share more about how membership can support you personally and professionally.

Many of our members also enjoy giving back through our pipeline programs, Bridge to Medicine and Decision Medicine. In April, our dedicated committee reviewed 115 applications, interviewed 42 outstanding students, and ultimately selected the 24-member Class of 2026. A heartfelt thank you to Drs. George Khoury, Hyma Jasti, Kinnari Parikh, Kwabena Adubofour, Marina Castillo, Stephen Tsang, and Vanessa Armendariz (DM ’05) for their time, enthusiasm, and commitment throughout this intensive process. We are already looking forward to an exciting summer program!

We are now seeking physician volunteers to host one of our 24 exceptional students for a “Day in the Life” shadowing experience on Wednesday, July 15 and/or Wednesday, July 22, from 8:30 a.m. to 3:30 p.m. in your office or practice setting. To sign up, please visit tinyurl.com/DMMentors or email Lisa@sjcms.org. This experience is incredibly meaningful for students, many of whom have never had the opportunity to connect with a physician in a real-world clinical setting.

One of the highlights of each spring is the selection of our Young Physician and Lifetime Achievement Award recipients. This year, SJMS is proud to honor family medicine physician Anureet Gill of Dignity Health Medical Group and retired radiation oncologist Henry Wong at our Annual Membership Dinner in June. We know you will enjoy learning more about these passionate and dedicated physicians in this issue’s feature stories.

Finally, please save the date for the 2nd Annual Healthcare Symposium on Saturday, September 19, titled Clinical Updates in Metabolic Disease, Sleep Medicine, and Lifestyle Interventions for the Primary Care Team. Details are enclosed, and we look forward to building on the momentum of last year’s successful event.

Wishing you a wonderful summer,

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A message from our President > Sujeeth Punnam, MD

A Message from the President Wellness and Advocacy: A Call to Lead Forward

As I come to an end to my term as the President of this esteemed medical society, I would like to delve on 2 important topics that are of utmost importance to us, the physicians in today’s day and age. Physician Wellness and Advocacy.

Physician Wellness: Reclaiming Balance in a Profession Under Strain

Physician wellness is no longer a “nice to have”—it is a professional imperative.

Across the country, physicians are navigating unprecedented levels of burnout, administrative burden and workforce instability. These pressures don’t just affect clinicians; they ripple outward to patient care, organizational culture, and the longterm sustainability of the healthcare system.

The State of Physician Wellness Today

Burnout among physicians has reached levels that demand urgent attention.

Surveys consistently show high rates of emotional exhaustion, depersonalization, and reduced sense of accomplishment. Contributing factors include: ABOUT THE AUTHOR Sujeeth Punnam, MD is the current president of the San Joaquin Medical Society and practices interventional cardiology at Sutter Gould Medical Group

• Administrative overload — Excessive documentation, prior authorizations, and regulatory requirements consume hours that could be spent with patients or recovering outside of work.

• Workforce shortages — Fewer clinicians managing higher patient volumes intensify stress and reduce time for selfcare.

• Moral injury — Physicians often feel unable to provide the care they know patients need due to systemic barriers.

• Erosion of autonomy — Increasing corporate consolidation and productivity metrics can leave physicians feeling disconnected from their purpose.

These pressures are not signs of individual weakness—they are symptoms of a

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system misaligned with the realities of modern medical practice.

• Peer networks

Why Physician Wellness Matters for the Profession

• Mentorship programs

Physician wellness is directly tied to:

• Quality of care — Burnout is associated with increased medical errors, lower patient satisfaction, and reduced adherence to best practices.

• Retention and recruitment — A healthy workforce is essential to addressing shortages and maintaining continuity of care.

• Social and professional gatherings • Forums for shared advocacy

5. Advocating for Policy Change

Physician wellness is shaped by state and national policy. Medical societies can champion reforms that address: • Workforce shortages

• Organizational stability — High turnover and disengagement carry enormous financial and operational costs.

• Liability pressures

• Professional identity — Wellness supports the sense of meaning, purpose, and pride that draws people to medicine in the first place.

• Public health infrastructure

When physicians thrive, the entire healthcare ecosystem benefits.

Building a Culture That Supports Wellness

Improving physician wellness requires more than individual resilience training. It demands systemlevel change. Key strategies include:

1. Reducing Administrative Burden

Streamlining documentation, optimizing EHR workflows, and reforming prior authorization processes can restore valuable time and reduce frustration.

2. Protecting Time for Meaningful Work

Physicians consistently report that direct patient care is the most fulfilling part of their job. Organizations can support wellness by: • Increasing teambased care • Delegating nonclinical tasks • Ensuring protected time for teaching, research, or leadership

3. Prioritizing Mental Health Support

Confidential counseling, peer support programs, and stigmafree access to mental health services are essential. Licensing and credentialing bodies must also ensure that mental health disclosures do not penalize physicians seeking help.

4. Strengthening Community and Connection

Isolation fuels burnout. Medical societies can play a powerful role by creating:

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• Payment models

• Administrative simplification Advocacy is not separate from wellness—it is a tool to reshape the environment in which physicians practice.

The Role of Medical Societies in Leading the Way Medical societies are uniquely positioned to drive meaningful change. They can:

• Elevate physician wellness as a core organizational priority • Provide education, resources, and leadership training • Facilitate collaboration across specialties and practice settings • Serve as a unified voice in legislative and regulatory arenas Most importantly, they can create a culture where physicians feel heard, supported, and valued.

A Call to Action

Physician wellness is not a trend—it is a movement. It requires commitment from individuals, organizations, and the broader healthcare system. As a profession, we must: • Advocate for environments that allow physicians to practice medicine the way it was meant to be practiced • Support one another through the challenges of modern healthcare • Recognize that caring for ourselves is inseparable from caring for our patients

SAN JOAQUIN PHYSICIAN 9

The path forward is not easy, but it is essential. By prioritizing wellness, we protect not only our own health but the integrity and future of our profession.

Strengthening Our Voice:

with physician priorities.

• Commitment to unity — We stressed that organized medicine is strongest when decisions are made collaboratively and transparently.

In recent months, our medical society has taken deliberate and thoughtful steps to ensure that physician voices are represented accurately and responsibly in statewide political advocacy. One of the most significant developments has been our engagement with the California Medical Association (CMA) regarding its early endorsement of Congressman Eric Swalwell in the California governor’s race.

CMA leadership responded with openness and professionalism.

After reviewing the concerns raised by our society and others, CMA ultimately withdrew the endorsement. This outcome reflects the strength of organized medicine when its constituent societies work together in good faith.

Our goal has been clear: to ensure that any political endorsement made in the name of organized medicine reflects the priorities, values, and concerns of practicing physicians across the state. After extensive dialogue, analysis, and member feedback, we worked closely with CMA leadership to support the withdrawal of that endorsement.

The withdrawal of the endorsement is not an endorsement of any other candidate, nor is it a rejection of Congressman Swalwell’s public service. Instead, it is a reaffirmation of a core principle: political advocacy on behalf of physicians must be grounded in broad member engagement and clear alignment with healthcare priorities.

Why This Issue Matters to Physicians

This moment also provides an opportunity for CMA and medical societies to strengthen endorsement processes by:

Political endorsements made by medical organizations carry weight. They signal to policymakers, the public, and our own members which candidates are aligned with the needs of the medical profession. When an endorsement is issued prematurely, without broad consultation, or without sufficient clarity on a candidate’s positions on healthcare policy, it risks misrepresenting the profession’s collective stance.

Physicians across California raised concerns that the initial endorsement did not adequately reflect the diversity of viewpoints within the medical community. Many felt that the process lacked transparency and that the candidate’s positions on key issues—such as healthcare access, physician workforce stability, liability reform, and public health infrastructure—required deeper evaluation.

Our society’s leadership listened. And we acted.

Our Collaborative Approach With CMA

Rather than issuing public criticism or escalating tensions, we chose a constructive path: direct engagement with CMA leadership. Our approach centered on three principles: • Respectful dialogue — We emphasized that our concerns were procedural and representational, not personal or partisan.

Moving Forward

• Ensuring transparent criteria for evaluating candidates • Creating structured opportunities for member input • Prioritizing policy alignment over political momentum • Maintaining neutrality until adequate information is available Our society remains committed to working with CMA to refine these processes so that future endorsements reflect the collective voice of California physicians.

A Unified Path Ahead

As physicians, our advocacy must always be guided by what best serves our patients, our profession, and the health of our communities. By engaging constructively with CMA and ensuring that endorsements are made thoughtfully and inclusively, we strengthen the credibility and impact of organized medicine.

We thank our members for their engagement, their feedback, and their commitment to principled advocacy. Your voices made this outcome possible, and they will continue to shape our work in the months ahead.

• Evidencebased advocacy — We presented member feedback and concerns about the endorsement’s timing and alignment

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ANNUAL MEMBERSHIP DINNER honoring our

2026 Lifetime Achievement Award Recipient

HenryY.T. Wong, MD and

Young Physician Award Recipient

Anureet Gill, MD SUNDAY, JUNE 7, 2026 Cocktail Hour 6:00pm Dinner 7:00pm

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SUMMER 2026

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Hundreds of physicians, medical students

MOBILIZE AT THE CAPITOL

to drive CMA’s 2026 priorities CMA’s 52nd Legislative Advocacy Day convened more than 400 physicians, medical students and residents from across the state to deliver CMA’s legislative priorities directly to lawmakers—bringing frontline clinical experience into policy conversations. “This event demonstrates the power of organized medicine coming together as one,” said CMA Council on Legislation Chair Catherine Gutfreund, M.D. “We thank you for advocating on behalf of our profession, our colleagues and our patients.”

Advocacy Amid Growing Challenges

Speakers underscored the increasingly complex policy environment facing physicians and patients.

“Access and affordability are, by far, the biggest challenges,” said Senate President pro Tempore Monique Limón. “And I don’t think that as a state alone we can solve them.”

Limón pointed to federal cuts already having real-world consequences. >>

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SAN JOAQUIN PHYSICIAN 13

“We are losing about $1.2 million a day from H.R. 1 cuts…What that looks like on the ground is that people are losing coverage,” she said. “And losing coverage means you have the potential to get more sick.”

that are needed in the legislative arena right now,” he said. “There isn’t any reason why you can’t be that state senator or that assemblymember.”

CMA President René Bravo, M.D., warned of mounting threats to health care and the need for continued “ Access and affordability are, physician advocacy.

by far, the biggest challenges,”

Advancing CMA’s 2026 Priorities

“No one saw H.R. 1 During legislative meetings, said Monique Limón. “And I coming,” he said. “None attendees advocated for don’t think that as a state alone of us thought we would CMA-sponsored legislation be dealing with a series of aimed at improving patient we can solve them.” legislative challenges that safety, strengthening would undermine some of physician practices and the basic foundations of science and public trust in health addressing emerging threats in health care including: care. But I’m proud to say that we have stood up and E-bike safety (AB 2346): Addressing a sharp rise in represented the interests of our patients with honor and severe injuries—particularly among youth—through integrity, and we must continue to do that.” commonsense safety standards and consumer transparency

The Power of Physician Voices There was one clear message from every speaker: physician engagement is one of the most effective tools in shaping policy.

Automatic downcoding (AB 2431): Protecting physician practices and patient access by prohibiting insurers “ No one saw H.R. 1 coming,” from reducing payments said René Bravo. “None of us without appropriate clinical review thought we would be dealing

with a series of legislative challenges that would undermine some of the basic foundations of science and public trust in health care.”

“At CMA’s Legislative Advocacy Day, the most powerful advocacy tool we have is the people in this room,” said CMA Senior Vice President of Government Relations and Political Operations Stuart Thompson.

Dr. Bravo echoed that message, encouraging attendees, especially students and early-career physicians, to see advocacy as an extension of their professional responsibility.

“Our voices are important, not just because we know health care, but because we have critical thinking skills

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AI deepfakes in health care (SB 1146): Cracking down on deceptive use of AI to impersonate physicians and spread medical misinformation

Attendees also urged legislators to oppose a dangerous expansion of naturopathic scope of practice (SB 1333), citing concerns about patient safety and insufficient clinical training.

From the Clinic to the Capitol Advocacy Day ensures lawmakers hear directly from those delivering care—an essential step to informed

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policymaking. For many attendees, the experience reinforced the importance of physician engagement beyond the exam room.

See You Next Year!

Thank you to everyone who took out of their busy schedules to advocate for physicians and California patients. We hope to see you next year for CMA’s 53rd Annual Legislative Advocacy Day!

“Public service is an important part of being a physician.

Your advocacy today will help elected officials “ At CMA’s Legislative Advocacy make informed decisions Day, the most powerful advocacy about critical health care issues,” said Dr. Bravo. tool we have is the people in this

room,” said Stuart Thompson.

With legislative and regulatory decisions continuing to shape the future of health care, CMA’s annual lobby day remains a key opportunity for physicians to elevate their voices—and advocate for the patients and communities they serve.

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In The News

IN THE

NEWS

Providing staff, physicians, and patients with relevant & up to date information

PHC to convene statewide GME summit to address physician workforce challenges Physicians for a Healthy California (PHC) will host a statewide Graduate Medical Education (GME) Leadership Summit this summer, convening experts and stakeholders to address California’s most pressing physician workforce challenges.

The virtual event, titled Building California’s GME Ecosystem — Together, will take place on Tuesday, July 21, 2026, from 9 a.m. to 12 p.m.

The summit will bring together CalMedForce and CalMedForce+ awardees alongside GME thought leaders from across the state, creating space for meaningful dialogue and collaboration across the physician training continuum.

Through a mix of discussion and peer exchange, participants will explore practical solutions to key challenges facing GME, including long-term funding sustainability, persistent workforce shortages, and the need to recruit and retain physicians in rural and underserved communities.

The summit is designed not only to share ideas, but also to surface strategies that can be implemented and scaled across California.

The event will also mark the launch of a new statewide GME Learning Collaborative. Attendees will play an active role in shaping the initiative by identifying priorities, strengthening partnerships and helping build a more coordinated, long-term approach to supporting California’s physician workforce.

For more information, visit phcdocs.org/gme-summit.

Questions? Contact Kristy MaKieve at kmakieve@phcdocs. org.

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Fetal Spina Bifida Repair UC Davis Health: First-ever in-utero stem cell therapy for fetal spina bifida repair is safe, study finds A UC Davis Health research team has safely performed the world’s first spina bifida treatment combining fetal surgery with stem cells, according to results from Phase 1 of an ongoing clinical trial. These results have been published in The Lancet.

The study tested whether adding a layer of human placenta-derived stem cells to standard fetal surgery could be done safely. Spina bifida, also known as myelomeningocele, occurs when spinal tissue fails to fuse properly during early pregnancy. The birth defect can lead to lifelong cognitive, mobility, urinary and bowel disabilities.

“We are excited to report great safety,” said principal investigator Diana Farmer. “The future is exciting for cell and gene therapy before birth.”

The CuRe trial is now enrolling up to 35 patients in its Phase 1/2a study.

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CuRe Trial This podcast series hosted by Barbara Hunyady, JD, CPHRM, covers the medical malpractice insurance concerns on the minds of residents, fellows, and other early-in-career doctors. These six episodes cover topics such as when and how to get malpractice insurance, how premiums are determined, what happens when you’re in a lawsuit, how to limit personal asset exposure, and how to avoid being sued in the first place. Episodes are available on Spotify, Apple Podcasts, and iHeartRadio. Visit RiskManagement.ProAssurance.com/Resident-Rundown.

Central Valley Vein and Wound healthcare network.

Central Valley Vein and Wound Center continues to work alongside referring providers to support comprehensive patient care in San Joaquin County.

Central Valley Vein and Wound Expands Stockton Location Ahead of One-Year Milestone Central Valley Vein and Wound Center led by Dr. Fong announces the expansion of its Stockton location, increasing its footprint to approximately double its original size. The expansion comes as the center approaches its one-year anniversary serving the Stockton community.

Since opening, the Stockton team has treated hundreds of patients with chronic wounds and vascular conditions, with a focus on improving healing outcomes and reducing the risk of amputation. The growth reflects increased demand for specialized wound and vascular care in the region.

The organization expressed appreciation for the support and collaboration of the San Joaquin Medical Society and the broader local medical community, which have contributed to the center’s development and integration into the area’s

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Tina Burch Doctors Hospital Manteca CEO/CNO Tina Burch Celebrates 35 Years of Service When Tina Burch started at Doctors Hospital of Manteca in August 1991, she was still completing her associate degree in nursing at San Joaquin Delta College in Stockton.

Today, Burch has risen all the way from nurse tech to the top

SAN JOAQUIN PHYSICIAN 17

In The News

IN THE

NEWS

Providing staff, physicians, and patients with relevant & up to date information

leadership position at the 73-bed acute care hospital, where she has served in the combined role of CEO and CNO since September 2024.

In August, she will receive her 35 years’ service award.

Burch’s remarkable career trajectory has given her a unique insight into the challenges facing healthcare, hospital leaders, and how to work collaboratively with her medical staff.

“As CEO and CNO, I am tasked with balancing strategic leadership with clinical oversight,” said Burch. “This dual role helps me to foster a culture of collaboration and open communication between our administrative, ancillary, and clinical teams to help ensure safe, quality patient care to the communities that we serve.”

Burch’s career at DHM has been marked by a willingness to take on leadership roles that have kept her challenged and engaged while furthering her education. She obtained both her bachelor’s and master’s degrees in nursing while working full-time.

“I am proud to serve the community that I grew up in and to lead Doctors Hospital of Manteca through exciting and challenging healthcare changes. This community has an outstanding medical staff, and I am excited to continue to work closely with them,” Burch said.

St. Joseph's Breaks Ground on Tower Expansion St. Joseph’s Medical Center Breaks Ground on New Tower In April, hospital leaders, community partners, elected officials and caregivers gathered to celebrate a major milestone for the future of healthcare in the San Joaquin Valley at a groundbreaking ceremony kicking off the start of construction on St. Joseph’s new state-of-the-art patient tower expansion.

Once complete, the new, nearly 200-thousand square foot, 5-story Cortopassi Tower will add 144 beds, including 120 general acute care beds and 24 intensive care unit (ICU) beds, enhancing the hospital’s capacity to serve patients with complex and specialized medical needs.

The multi-phase expansion will modernize the hospital’s facilities and infrastructure. It will feature a new 10-room surgical suite and a significantly expanded emergency

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We Help You Get Paid CMA’s reimbursement experts have recouped over $43 million from payors on behalf of member physicians in the past 15 years.

PRACTICE MANAGEMENT ASSISTANCE

California Medical Association (CMA) practice management experts provide free one-on-one assistance to members and their staff on a host of practice operation issues. These include reimbursement, contract-related issues, and other practice management topics, such as new law implementation, guidance to help your practice run more efficiently—including direct assistance streamlining workflows, optimizing patient scheduling, and managing the revenue cycle. Assistance ranges from coaching and education to direct intervention with payors or regulators. Access to CMA’s practice management experts is a members’ only benefit.

DIRECT PAYOR INTERVENTION

CMA has recouped over $43 million from payors on behalf of CMA member physicians in the past 15 years. This represents actual physician reimbursements that would have likely gone unpaid without CMA intervention.

CONTRACTING

CMA provides a number of contracting resources to help members thoughtfully consider whether and when to enter into contractual agreements, how to prepare for negotiations, how to make the business case as to why the payor wants your practice in its network, and understanding your rights and options when a payor is making a material contract change.

EDUCATION

CMA offers timely, high-quality education programs for physicians and their staff. From interactive in-person seminars to live and on-demand webinars, CMA provides the information needed to help run a successful medical practice.

PRACTICE MANAGEMENT NEWSLETTER

CMA Practice Resources—known as CPR—is a monthly email bulletin that keeps practices up to date on critical payor and health industry changes and how they directly impact the business of a physician practice.

“The value that CMA brings to physician practices cannot be overstated. Membership is not a cost to my practice – it is an investment. I couldn’t run my practice without it.”

–Tom McKenzie, M.D., member since 1991

NEED HELP? Contact CMA’s Reimbursement Help Line at (800) 786-4262 or economicservices@cmadocs.org

Visit cmadocs.org/ces to learn more!

SUMMER 2026

Rev. January 2025

SAN JOAQUIN PHYSICIAN 19

In The News

IN THE

NEWS

Providing staff, physicians, and patients with relevant & up to date information

eight double rooms, two private isolation rooms, and an interactive playroom, all designed specifically for children and their families.

“With the region’s sole dedicated pediatric unit now in our community, children can access specialized care close to home,” states David Ziolkowski, President & CEO of St. Joseph’s Medical Center.

“This not only benefits our young patients but also provides crucial emotional and financial support for their families, allowing them to stay together during treatment.”

St. Joseph’s Medical Center Named One of America’s 250 Best Hospitals for 2026 by Healthgrades St. Joseph’s Medical Center announced today that it has been named one of America’s 250 Best Hospitals by Healthgrades, the number one site Americans use when searching for a doctor or hospital. This achievement reflects St. Joseph’s Medical Center commitment to clinical excellence and top-tier patient care, placing the organization in the top 5% of U.S. hospitals for overall clinical performance for the third year in a row.

St. Joseph’s expanded Pediatric Unit’s interactive playroom department, increasing capacity from 66 to 82 beds. The project will also include upgraded seismic safety features, a new parking structure, and two additional helipads to significantly enhance capacity and improve response times for critical patient transports, particularly those requiring immediate trauma or specialized care.

St. Joseph’s Medical Center Unveils $17 Million Expansion of San Joaquin County’s Only Dedicated Pediatric Unit St. Joseph’s Medical Center proudly unveiled the expansion and full renovation of its pediatric unit—marking a significant milestone for the community as the only dedicated pediatric unit in San Joaquin County. The newly renovated Antone E. & Marie F. Raymus Foundation Pediatric Unit now offers 18 pediatric beds, an increase from the original 13, including

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In addition to this distinction for overall clinical care, St. Joseph’s Medical Center has been recognized for its exceptional patient outcomes in key service areas, including Cardiac Care, Critical Care, Coronary Interventional Procedures, Carotid Procedures, Treatment of Bowel Obstruction, and Treatment for Sepsis. These accolades further underscore St. Joseph’s Medical Center dedication to delivering the highest quality care to every patient, year after year.

SUMMER 2026

Deana Brooks has been named Chief Executive Officer of Hospice of San Joaquin She brings more than 25 years of healthcare operations experience and a deep commitment to compassionate patient Deana Brooks centered care. Brooks previously served as Chief Administrative Officer for three years, where she strengthened operations, supported clinical teams, and advanced the organization’s mission of delivering high-quality end-of-life care.

Prior to that, she spent 25 years with Fresenius Medical Care, holding multiple leadership roles and building expertise in healthcare delivery and organizational growth.

Brooks holds a Master of Social Work (MSW), shaping her empathetic and holistic leadership approach. As the county’s longest-standing nonprofit hospice, Hospice of San Joaquin is known for compassionate care and community trust.

“I’m honored to serve as CEO and to continue the work we do. I am committed to upholding our mission to honor life by keeping patients and their caregivers at the center of everything we do.”

Community celebrates ribbon cutting for surgery center in Stockton On Wednesday, May 27, Adventist Health leaders, surgeons, and clinical staff welcomed the community to celebrate the opening of the new Trinity Surgery Center, located at 10200 Trinity Parkway in Stockton. This outpatient surgery center provides joint replacement and advanced robotic procedures, in a convenient, accessible location closer to our Stockton community. The event also included facility tours and opportunities to speak with care teams about the center’s capabilities.

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Adventist Health Women’s health clinic opening in Lodi anticipated this July Comprehensive women’s health care is coming to the heart of Lodi with the opening of a new medical office across the street from Adventist Health Lodi Memorial’s hospital campus. The clinic will be staffed by physicians Molly Campbell, MD, and Jacqualin Miller, DO, who provide expert, compassionate care for women in all stages of life. In the final stages of construction, the office is located at 840 S. Fairmont Avenue in Lodi and is expected to begin welcoming patients on July 1.

Office Space Available for Lease Office space available now to be leased for medical/dental/ medically relevant professional office. The space is 1367 square feet for immediate occupancy in the established Medical Doctor’s Complex, Weber Ranch Professional Park at East March Lane, with 7 rooms and waiting area. Call now (209) 951-8830.

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earns Young Physician Award She wears many hats with grace and dedication

BY JO ANN KIRBY

Dr. Anureet Gill has many roles in life but one that the San Joaquin Medical Society’s Young Physician of the Year Award recipient finds especially rewarding is when she can convince her patients to practice preventative health.

“I want to see my patients do better in their everyday life and prevent them from getting diseases in the first place,” she said. “It’s so rewarding when they listen. Women especially put their own health on the back burner for so long. Women are so busy taking care of their loved ones and juggling careers, they put themselves last.”

She knows firsthand what that can be like.

As a primary care physician, she also not only spends 80 percent of her work hours seeing patients but serves as a medical director at Dignity Health. She and her husband, Dr. Rahuljit Bajwa, a cardiologist, have two children. “She’s always there to taken them to their piano recitals, swim meets, Indian dance classes and a myriad of other social commitments that our young children have,” he said. “She is extremely responsible and is able to wear so many different hats that it amazes me every day.” Dr. Gill, he says, seamlessly balances full-time physician responsibilities with her mom duties and doing it with a smile that lights up the room. >>

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She gives back to her community by volunteering her time at clinics and immunization drives, serves on the board of her neighborhood swim team, mentors young people, teaches Indian folk dancing and makes time for early morning workouts.

Dr. Manreet Basra, who met Dr. Gill during medical school in 2000, calls her a compassionate and empathetic physician who is a selfless friend. Dr. Gill grew up in India as the daughter of two teachers.

“ I want to see my patients do better in their everyday life and prevent them from getting diseases in the first place.”

She always had a passion for medicine, playing doctor and having her siblings and friends pretend to be her patients. “In 10th grade, I really fell in love with science and the application of science,” she said. “Then I chose the medical path.”

Dr. Gill graduated from SFRD Institute of Medical Sciences & Research in Amritsar, India, before coming to the United States to complete a family medicine

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residency program at the University of Wyoming. Not That led her to come to Stockton to see her best friend. only did she meet her best friend in medical school, she “She came to visit me and my family after we had also met her husband there. A fun fact: she has always moved here,” Dr. Basra said. “We recommended that she been very athletic. “During our med school sports and her husband keep an open mind for interviewing in tournament, she was voted best athlete,” her husband said. and around Stockton.”

He asked her out and they have been the best of friends Dr. Gill said that she and her family have a strong social who will celebrate their 20th support system of friends wedding anniversary this year. from medical school who are “ Women are so busy taking Dr. Basra nominated her also from India. for the SJMS honor, citing “The biggest challenge in care of their loved ones and her dedication to improving recruiting is where we are juggling careers, they put medical care by recruiting located, but that can also be more physicians in highly our biggest asset,” she said. themselves last.” sought-after specialties and “St. Joseph’s is growing and her commitment to retaining talent that is already here. that creates more opportunities. “We are becoming more Her finesse in the role could partly stem from her own competitive.” experience. “We’ve been all over the country,” she said of In her current role as medical director, she oversees the places she and her husband have lived during their primary and specialty care for the Stockton market. “I am residencies and trainings. “We were looking for a place always very vocal about what I like and what I don’t like where we could both get jobs.” because I want to do right by our physicians in making

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changes and improving,” she said. “We have hired a lot of physicians for Dignity Health since I took on this role, bringing in the best physicians so we can serve the community.”

Her proud husband said the Young Physician Award is an honor that is well deserved. “She continues to have full time clinical responsibilities and is a much beloved family physician for the

“ Having your best friend as your partner gives you wings. He’s been my backbone since day one.” community,” he said. “There are many folks who started seeking her and eventually had their whole families transfer care to Anureet.”

The couple are balancing two cultures as they raise their son and daughter. Dr. Gill is also keeping connected to her Indian heritage by teaching dance to youth. “I have about 16 to 20 students that I teach the Indian dance form of Bhangra to every Sunday and then they dance it for Diwali,” she said of the Indian festival of lights. Dr. Gill is a talented dancer and speaks with pride that her daughter is following in her footsteps. “I do it more for fun but she’s doing it competitively,” she said.

Helping her balance all her roles is her husband.

“You know having your best friend as your partner gives you wings. He’s been my backbone since day one.”

Dr. Gill said her own mother was the guide for showing what it takes to be a working mom. “Being a mom and a full-time working mom is what I learned from her. I look up to her and want to be her,” she said.

She said she was completely surprised and didn’t know how to react when she learned she was the recipient of the Young Physician Award. Her family, including her parents, will be attending the dinner along with her dear friends. The award will be presented to her June 7 at the San Joaquin Medical Society’s annual membership dinner, which also will honor Dr. Henry Wong as the 2026 Lifetime Achievement Award Recipient.

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Dr. Wong’s Noble Mission to

GIVE BACK Retired radiation oncologist makes meaningful impact

BY JO ANN KIRBY

San Joaquin Medical Society’s 2026 Lifetime Achievement Award honors a man whose mission to save lives has evolved into a desire to make a tangible effort to lift others up so that they make a seemingly impossible future possible.

Dr. Henry Wong, a retired radiation oncologist, immigrated alone at the age of 13 from a rural village in China to Canada where he would live with his paternal grandfather. At that age, toiling in his grandfather’s hand laundry washing shop, he could never imagine the future he would achieve. “I was washing clothes with bar soap on a washboard,” he said, of the grueling job. Later in high school, he would also work weekends at Chinese restaurants. “Like a lot of immigrants, I thought that I would quit school and working in restaurants would be my future,” he said.

“Luckily, I had a friend a couple of years older than me who encouraged me to go to college. He told me I was smart and school was easy.”

A college dean gave him a shot at enrolling if he could pass an entrance exam. “Once that door was open, he ran through it, eared top marks and eventually got into medical school,” said Felix Wong, one of Dr. Wong’s three sons. “When someone gave him an opportunity, he made the absolute most of it — and that’s exactly what he’s spent decades doing for others.” >>

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In college, he thought maybe his future included space.

He studied aerospace engineering at the University of Toronto, earning a bachelor’s and master’s degree before becoming a doctoral candidate in hypersonic aerodynamics at Princeton University. Medicine sparked his interest and he earned his M.D. at McMaster University Medical School in Ontario. That decision led him to his future wife Sylvia, who was studying at McMaster University.

Henry and Slyvia Wong made a great couple. They set their sights on raising three sons who attended top universities including Stanford, Georgetown and Berkeley. Their sons became very successful in their careers, with their parents as impressive role models.

one of Coldwell Banker’s top realtors, recognized as the worldwide number one sales associate for the most closed listings, most closed buyer-controlled sales, and most closed escrows among 45,000 sales associated throughout 4,000 offices globally. Dr. Wong radiates joy when he thinks about his wife’s accomplishments. “Billy Crystal was the emcee and he said “Lalalala, the number one in the world, from California,” he said, of the award’s ceremony.

“We thought it must be someone from Beverly Hills. But then he said her name.”

“I came to North America with just $5 in my pocket. We’re going to give it all away to repay society for what they’ve given us.”

He was recruited to Stockton after serving an internship, residency and fellowships at University of Southern California Medical Center. Sylvia eventually became

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She started her own brokerage firm and was a trailblazer.

Dr. Wong became chief of radiation oncology at St. Joseph’s Medical Center and medical director of its cancer institute. “Our sons are very successful, and we asked them if they wanted our money or if we could give it away,” said Dr. Wong, noting that his wife had a rule that they save 35 percent of their income. “Our sons said give

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it away.” Slyvia passed away unexpectedly at their Morada home of a massive stroke in 2024, but Henry continues the foundation’s work and their philanthropic passion. “It’s not easy, I miss her all the time,” he said.

The Dr. Henry & Slyvia Wong Foundation’s website, wong.foundation.com, outlines their mission, philanthropy and results. “We focus on three areas: education, healthcare and children” Dr. Fong said. It’s the work of the foundation that fulfills Dr. Wong’s sense of purposes. “I think the proudest moment of my life is when we established the Dr. Henry and Slyvia Wong Forum in Medicine at McMaster University,” he said. “Dr. Harvey Alter was the speaker at our first forum in 2004 and spoke about discovering hepatitis C in the blood. He would go on to win a Nobel Prize for that work. That was the closest

I ever got to a Nobel.”

You can’t walk the halls of the St. Joseph’s Medical Center without seeing the Wong name. “The philanthropic impact of Dr. Henry Wong and his late wife marks St. Joseph’s Medical Center across the campus,” Julie Eckardt-Cantrell, vice president and chief philanthropy officer for St. Joseph’s Foundation of San Joaquin.

“When someone gave him an opportunity, he made the absolute most of it — and that’s exactly what he’s spent decades doing for others.”

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Together, they established scholarships, hosted clinical summits for San Joaquin County nurses, and supported significant build projects: the Patient Pavilion Tower, opened in 2010, and an expansion of the emergency department. Their investment also helped grow St. Joseph’s Graduate Medical Education program. Most recently, in memory of Sylvia, Dr. Wong and his children committed a leadership gift to

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St. Joseph’s Foundation of San Joaquin’s Deep Roots, New Growth Campaign. This pledge supports the Medical Center’s Expansion, aiming to improve care quality, secure regional access to clinical talent, address community health needs, and solidify St. Joseph’s as a healthcare destination.

Dr. Robin Wong nominated Dr. Wong for the Lifetime Achievement Award and cited his volunteer efforts – not just his financial contributions — mentioning his work

as a volunteer at community health fairs such as Su Salud, bringing cancer screening to the uninsured and medically underserved. He has also been active in the Rotary Club of Stockton, Chinese Benevolent Association and the Chinese Language School of Stockton. In fact, the Chinese Benevolent Association honored him as it’s 2010 Stockton Citizen of the Year. Three years later, he would retire after spending nearly four decades at St. Joseph’s.

“Dr. Henry Wong is highly deserving of being honored with the Lifetime Achievement Award not only for his exceptional medical skills but also for his profound compassion and extraordinary generosity,” EckardtCantrell said. “While an adept and compassionate Radiation Oncologist, his kindness and selflessness are even more remarkable.”

Dr. Wong and his late wife embody a profound philosophy of “paying back what they have been given,” which has translated into extensive philanthropic efforts that have profoundly benefited St. Joseph’s Medical Center and the wider community, she said.

The Wongs' philanthropy extends

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to scholarships on three continents — including nursing scholarships at San Joaquin Delta College. “We provide scholarships in the United States because I live here, Canada because I went to school there and China because I was born there,” Dr. Wong said.

He shows no chance of slowing down.

“His ability to dream big—and to genuinely mean it. He’s always been drawn to grand things: ambitious architecture, feats of engineering,” his son Felix Wong said. “Just recently we were in Hong Kong together, and he was excited about a day trip to Macau specifically because it meant crossing the Hong Kong-Zhuhai-Macau Bridge, the longest sea bridge in the world. That kind of enthusiasm, at his age, for a bridge, is quintessentially him.”

That same instinct shows up in his philanthropy, his son said. “He doesn’t make small, tentative gestures. When he gives, he gives at a scale designed to actually move the needle,” Felix said.

All three of his sons, their partners and his four grandchildren will be by his side when he received the Physician of the Year honor. “We wouldn’t miss it,” Felix said. “My mother would have been so proud. She was his partner in everything, and I have no doubt she’s proud of him wherever she is.”

For a young teen who left a small village in China’s Guangdong province, which didn’t have electricity or running water, Dr. Wong’s story is an amazing testament to that ability to dream big.

“I came to North America with just $5 in my pocket,” he said. “We’re going to give it all away to repay society for what they’ve given us.”

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“He doesn’t make small, tentative gestures. When he gives, he gives at a scale designed to actually move the needle.”

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Expanded pediatric care, here at home.

Our enhanced Pediatric Unit is now open.

St. Joseph’s Medical Center is proud to announce the opening of our newly renovated and expanded Antone E. & Marie F. Raymus Foundation Pediatric Unit—the only pediatric unit in San Joaquin County. This $17 million expansion, made possible by generous donors, enhances our ability to provide high-quality, around-the-clock care for children here at home. And because we believe the environment plays a crucial role in healing, our 7,000-square-foot unit is designed with children and their families at heart: • 18 comfortable beds, including eight double rooms and two private rooms • Spacious rooms with accommodations for parents to stay overnight • Colorful, child-friendly decor to foster a positive and comforting atmosphere • An interactive playroom filled with games, toys and activities From critical neonatal care to comprehensive inpatient services, our highly skilled team is here to support our youngest patients and their families when they need it most. Learn more at dignityhealth.org/stockton/pediatrics.

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Health Plan Marks 30 Years of Partnership Supporting Communities and Expanding Access to Care Health Plan of San Joaquin/Mountain Valley Health progress followed, including achieving National Plan (“Health Plan”) marks its 30th anniversary this Committee for Quality Assurance (NCQA) accreditation year, recognizing three decades of partnership with local in 2015, ref lecting a commitment to quality and providers, community organizations, and healthcare accountability. leaders to improve access to care for residents across the In recent years, Health Plan has expanded its reach region. into Alpine and El Dorado Since its founding in 1996, counties as Mountain Valley “Reaching 30 years marks a profound Health Plan has grown Health Plan and launched a milestone that reflects decades of alongside the communities Dual Eligible Special Needs expansion, innovation, and unwavering it serves and the evolution Plan (D-SNP), designed to commitment to equitable, high-quality of California’s Medi-Cal better coordinate care for care,” said Lizeth Granados. program. What began as a individuals eligible for both locally established health Medi-Cal and Medicare. plan serving approximately 40,000 members in San “Reaching 30 years marks a profound milestone that Joaquin County now supports nearly 400,000 members ref lects decades of expansion, innovation, and unwavering across Alpine, El Dorado, San Joaquin, and Stanislaus commitment to equitable, high‑quality care,” said Health counties.

Plan’s Chief Executive Throughout that growth, Officer, Lizeth Granados.

“We remain steadfast in our dedication to Health Plan has remained “We remain steadfast in our expanding our support as a trusted local rooted in its mission dedication to expanding partner so individuals and families can to support accessible, our support as a trusted remain confidently connected to the care community-based care and local partner so individuals and services that empower them to thrive,” strengthen connections and families can remain said Lizeth Granados. between members and local confidently connected to providers. the care and services that A significant milestone came in 2014 with the empower them to thrive.” expansion into Stanislaus County, increasing access to care for thousands of additional residents. Continued

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A Legacy of Community-Focused Care

our provider network, and work collaboratively to improve health outcomes across the communities we serve.”

Health Plan’s work extends beyond traditional healthcare, As Health Plan ref lects on 30 years of service, the supporting programs and partnerships that address the organization remains focused on strengthening provider real-life factors that impact health—such as food access, partnerships, improving the member and investing in housing stability, preventive care, and chronic disease community-based solutions that promote long-term management. health and well-being.

Through ongoing collaboration with providers, Health Plan recognizes the community-based vital role local providers play organizations, and local “Over the past three decades, we’ve seen in delivering coordinated, agencies, Health Plan how our steadfast dedication to the health high-quality care and continues to help remove of our communities drives meaningful advancing the health of the barriers and improve access and lasting improvement,” said Lakshmi communities we collectively to culturally responsive, Dhanvanthari. serve. timely care.

Throughout the year, “Over the past three Health Plan will highlight stories of community impact, decades, we’ve seen how our steadfast dedication to the recognize valued partnerships, and share resources to help health of our communities drives meaningful and lasting members stay informed and connected to care. improvement,” said Health Plan’s Chief Medical Officer, To learn more about Health Plan, visit Dr. Lakshmi Dhanvanthari. “That dedication continues www.hpsj-mvhp.org. to guide how we invest in impactful programs, support

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RESID

ENTS' REPORT A PLACE FOR ALL NEWS HIGHLIGHTING RESIDENTS AND GRADUATE MEDICAL EDUCATION

The Resident’s Report is dedicated to all the good news related to our hard-working residents training at San Joaquin General Hospital and St. Joseph’s Medical Center.

Please email your submissions, written in third person with accompanying photo to Lisa@sjcms.org.

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SJMC Residents Lead the Way: Mentorship and Opportunity for Aspiring Physicians In an effort to provide further mentorship to aspiring firstgeneration physicians, St Joseph’s Medical Center resident physicians hosted the first-ever Pathways to Medicine event on Saturday, February 28th. Dr. Breeana Hernandez, an Internal Medicine 2nd year resident who grew up in Stockton, introduced multiple routes of achieving a career in medicine including options of traditional allopathic schools, medical schools outside of the US,

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and osteopathic medical schools—all of which have their own benefits and tradeoffs but may still achieve the same career goals. This was followed by an inspiring presentation by Dr. Vanessa Armendariz, a homegrown physician (now core faculty in the SJMC Family Medicine Program) who had fulfilled her promise to her mentor Dr. Adubofour in returning to the Stockton area.

Over fifteen resident physicians from various specialties including Internal

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Medicine, Family Medicine, Neurology, and Emergency Medicine subsequently volunteered their time to pair up with thirty local high school and college students aspiring to become the doctors of our future. Mentees included past participants

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of the San Joaquin Medical Society’s Decision Medicine Program, community college students at Delta College, as well as those from the University of the Pacific.

“I’m the first physician in my family and it was difficult navigating through the complexities of the pre-med process. I wish I had more mentors to guide me

through the stressful ups and downs,” says Dr. Clarissa Chan, one of the coordinators of this event. “Not only will this help improve the health of our community, but we’re hoping to foster a culture of mentorship. I’m positive that our bright and compassionate mentees will pay it forward.”

San Joaquin General Hospital’s Internal Medicine Residency Program congratulates Drs. Rayudu, Shafaq and Ibrahim Drs. Sharon Rayudu and Fareshta Shafaq represented the SJGH IM program at the 2026 National American College of Physicians Conference in San Francisco, presenting

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case reports titled “A Case of Rapidly Progressive Leg Swelling in a Middle-Aged Woman” and “Beyond Spasms: Life-Threatening Respiratory Compromise in GAD65-Positive Stiff Person Syndrome,” respectively.

Congratulations!

Dr. Ahmed Ibrahim has been selected as recipient of the Young Investigator Award at the 23rd Annual NCSCG GI Symposium scheduled for May 15-17 2026 for his submission titled “Safety of Screening Colonoscopy in Patients with Cirrhosis: A Real-World Analysis from the TriNetX Database”.

The award committee states: “Your abstract submission was ranked highly by the Abstract and Award Committee, among several high caliber abstracts submitted, and was one of the top selections for this award.”

San Joaquin General Hospital Research Day 2026 On March 25, 2026, San Joaquin General Hospital hosted its 6th Annual Research Day. Keynote speaker Dr. Avinash Ramchandani presented a case-based review of traumatic brain injury, covering identification, severity, acute treatment, recovery, and long-term management.

SJGH Research Day highlights the research efforts of medical students and residents in local residency programs. There were 35 presentations with a mix of research projects and case reports.

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Prizes were awarded in the following categories: Best Case Report Quick Shot Poster Kathy Lau, Touro University Medical Student “Mycoplasma endocarditis occurring in the setting of a pulmonary graft conduit” Best Research Quick Shot Poster David Yang, Touro University Medical Student “Novel dual action peptide therapeutic in attenuation of pulmonary fibrosis” Best Case Report Podium Presentation Muskan Awan – SJGH Internal Medicine Resident Best Research Podium Presentation Sirjen Kaur, Touro University Medical Student “De-implementing low-value computerized clinical decision support alerts”

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Stockton families start here.

From the time patients find out they’re expecting, they dream of the first moment holding their baby. And St. Joseph’s Medical Center’s Family Birth Center is here to help make that first “hello” as special as their new bundle of joy. We have a team of experts ready to guide patients throughout their journey—from our 24/7 onsite laborists, to our specially trained doctors, nurses and lactation specialists who can support them during their stay and after they go home. And with our Level III NICU, babies who require a little extra TLC get the specialized care they need— all under the same roof. Get to know more about us by taking a virtual or in-person tour. Learn more at dignityhealth.org/stockton/maternity.

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Practice News and Resources Free to SJMS/CMA Members!

The Office Managers Forum empowers physicians and their practice manager staff with valuable tools via expert led education sessions from industry professionals who are committed to delivering quality healthcare. This quarterly forum is normally held on the second Wednesday of March, June, September and December at Papapavlo's in Stockton.

Registration is required!

If you don’t receive an invitation via E-Mail, please email Jessica@sjcms.org

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June 10th, 2026: 11:00AM to 1:00PM

receivable

Getting Paid: A physicians practice’s guide to taking charge of your accounts

This presentation outlines the make-up of, and challenges associated with, the effective management of accounts receivable (A/R) in the physician practice. Presented by one of CMA’s experienced practice management experts, the presentation will cover areas that significantly impact a practice’s A/R and suggestions on how to address those A/R challenges.

Mark Lane, Associate Director in the CMA’s Center for Economic Services, began his career as a claims processor for plans such as Blue Shield and Health Net. Over the next 18 years, his experiences in claim operations, customer service, provider relations and contracting have allowed him to get a unique vantage point on the relationship between physicians and payors. Having experienced the physician-payor relationship from both ends, Mark is able to understand the needs and positions of the respective sides, making him an ideal candidate to educate providers on overcoming the everchanging challenges of the healthcare landscape.

September 9th, 2026: 11:00AM to 1:00PM

Annual OSHA Staff Training This workshop provides up-to-date changes and practice requirements to meet the Annual OSHA mandates.

Topics include: Bloodborn Pathogens, Aerosol Transmissable Disease Guidelines, Violence in the Workplace, as well as several OSHA related topics.

Carrie Champness, RN, BSN Safety Compliance Specialist- Carrie has been an OSHA compliance specialist for over 35 years and provides up-to-date information about changes and practice requirements to meet all OSHA mandates

Referral and Authorization form. Physicians will need to submit referrals and authorizations through TRICARE’s online referral management system available via the Availity provider portal. Referrals and authorizations can also still be submitted via fax to (866) 852-1893.

If physicians have issues submitting referrals and authorizations through the online referral management tool, please contact TriWest via the chat feature in Availity or at 888-TRIWEST (874-9378).

Reminder: Shortened DMHC complaint filing window takes effect July 1 A key deadline is fast approaching for physicians dealing with unresolved payment disputes. Beginning July 1, 2026, the California Department of Managed Health Care (DMHC) will reduce the lookback period for provider complaints from four years to 30 months. Once this change takes effect, physicians will no longer be able to file complaints for older claims that fall outside the new timeframe.

Physicians with claims that will exceed the 30-month filing window as of July 1, 2026, should submit complaints before that date to preserve eligibility.

Provider Complaint Portal Eligibility

The DMHC Provider Complaint Portal is an important enforcement tool when payors fail to appropriately resolve disputes through the required provider dispute resolution process. Complaints can address issues including, but not limited to, underpayment, delayed payment, inappropriate denials, or failure to respond within required timelines.

To qualify for the DMHC provider complaint process, all of the following must apply: • The claim must involve a health plan, medical group, or IPA contracted with a health plan licensed under the Knox-Keene Act and for a product regulated by DMHC • The services must have been rendered within the lookback period.

• The physician must have first filed a provider dispute resolution with the responsible payor, and the payor must have either: • Issued a written determination, or • Failed to respond within 45 working days of receiving the appeal

CMA PRACTICE RESOURCES

TRICARE West now requiring Availity for referrals and authorizations Effective April 30, 2026, The TRICARE West (TriWest Healthcare Alliance) is no longer accepting the Alternative

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CMA Can Help You Get Paid

Physicians are reminded that members have access to CMA’s practice management experts for free one-onone assistance on practice operational issues, including billing and payment problems. Need assistance? Contact CMA’s reimbursement helpline at (888) 401-5911 or economicservices@cmadocs.org.

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Public Health

Update

Black Infant Health

EMPOWERING PREGNANT AND MOTHERING AFRICAN-AMERICAN WOMEN ANGELA EGBUCHULAM, MSW, ACSW – BIH COORDINATOR AND DANIELLE COX, MSW – MENTAL HEALTH PROFESSIONAL

Established in 1989 through the passage of Senate Bill (SB) 165, Budget Act (Alquist, Chapter 93, Statues of 1988) the Black Infant Health (BIH) program in California seeks to “improve Black infant and maternal health in California and decrease Black : White health disparities for women and infants.” Starting with 4 pilot sites, the BIH program has since expanded to 17 local health jurisdictions.

Focusing on the four key governing aspects of culturally relevant, client-centered, strength-based, and cognitive skill-building, the BIH program offers both group intervention and 1:1 support to pregnant and postpartum Black women. To enroll in the BIH program, participants need to identify as Black, be 16 years of age or older, and be pregnant or up to 6 months postpartum.

Participants may receive services through BIH until their baby is 1 year of age.

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From 2018 – 2020 the maternal mortality rate for Black birthing people in California stood at 45.8 per 100,000 compared to Asian birthing people at 15.0, Hispanic birthing people at 14.8, and white birthing people at 12.6. In 2020, the infant mortality rate for Black infants in California stood at 9.27 per 1,000 compared to Asian infants at 2.33, Hispanic infants at 4.00, multi-race infants at 5.23, Pacific Islander infants at 6.25 and White infants at 3.06. To accomplish its primary goal, the BIH program focuses on using group intervention (20 weeks of evidence-based curriculum) and 1:1 support (case management) to reduce stress, foster social support, and empower women/birthing people to advocate for themselves and build healthier lives for themselves and their families.

LOCAL PROGRAM The BIH program in San Joaquin County has been around since the program’s inception as one of the four pilot counties to implement the program. BIH in San Joaquin County has served over 1000 participants and due to the work being done, was given a proclamation on January 28, 2025, from the San Joaquin County Board of Supervisors that recognized the third week of February as Black Infant Health Week. The County Board of Supervisors recognized that Black birthing people, at all income levels and social statuses, experience worse birth outcomes than any other ethnic groups and that from 2019 – 2021 the San Joaquin County Black Infant Mortality Rate was 11.51 per 1000 compared to the State of California rate at 8.51 per 1000. This recognition has made it possible for the BIH program to bring additional awareness to the community and bring in community

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partners and program participants.

Starting in September 2025, BIH in San Joaquin County has entered into a partnership between San Joaquin County Public Health Services – Maternal, Child, and Adolescent Health and Mary Magdolene Community Services. This partnership increases the visibility of the BIH program in the county to increase program reach within the community. The San Joaquin BIH Program staff consists of the BIH Program Coordinator, Program Manager, Public Health Nurse, Mental Health Provider, Community Outreach Liaison, Group Facilitators, Family Health Advocate, Data Entry Lead, and Child Watch. Impact When babies are born too early, they are less likely to make it to their first birthday and are more likely to experience chronic illnesses as adults. Mothers of preterm babies may experience longer hospital stays after birth and could face health challenges after birth. “Black women/birthing people are three to four times more likely to die from pregnancy-related causes than are women of other racial/ethnic groups and Black infants are twice as likely to die than white infants or any other racial/ ethnic groups before their first birthday.” The BIH program hopes to reduce the impact that Black birthing people feel by using its model and focusing on contributing factors such as chronic stress, limited access to services, racial inequities, and disempowered communities.

In BIH group sessions and case management, BIH participants work with BIH staff to identify their strengths, increase their social supports, gain health education on prenatal/postpartum and newborn care, and receive referrals to community providers as a way to reduce the health disparities being seen in the served communities. Through this, BIH participants build resilience, feel empowered, reduce the feelings of isolation, and develop stress reduction strategies.

Through the efforts of the BIH program in San Joaquin County, there has been a significant decrease seen in Black infant mortality rates. Between 2019 and 2021, data showed the infant

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mortality rate for Black infants in San Joaquin County was 11.51 per 1000 births. Recent data from 2021 through 2023 has shown that the Black infant mortality rate has decreased to 6.14 per 1000 births.

SUCCESS STORIES For BIH, the participants are the heartbeat of the program.

They engage in activities, build relationships, and gain skills and knowledge that support them through pregnancy and motherhood.

“I have learned how to cope, how to provide for my needs as well as my son’s, as well as how to advocate for myself and my son’s needs. I can’t wait to start postpartum group classes.” Mercede Ford, current BIH program participant.

FUTURE GOALS Moving forward the San Joaquin County BIH Program aims to continue to see a decrease in maternal and infant mortality rates as well as the health disparities seen among Black birthing people and Black infants. The hope is to continue to bring awareness to community agencies and build partnerships with medical providers in order to increase the reach that the BIH program has within the community. The work being done in the BIH program is essential to bring equitable care to Black women/birthing people in our community.

Referrals to the BIH Program can be made by calling (209)953-7074 or (209)513-4835.

REFERENCES: Black Infant Health Policy and Procedure Manual, 2023 California Department of Public Health, https://www.cdph.ca.gov/ Programs/CFH/DMCAH/surveillance/Pages/Infant-Mortality. aspx

SUMMER 2026

SUMMER 2026

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Partnering with you for your minimally invasive spine surgery referral needs Richard Price, M.D.

Enhanced referrals, closer to home The multidisciplinary UC Davis Spine Center offers endoscopic, minimally invasive, robotic- and augmented reality-assisted surgical options for both routine and complex spinal conditions.

Your referred patients benefit from the academic expertise of nationally ranked UC Davis Medical Center, plus care closer to home and lodging on our Sacramento campus. We recently increased our surgical capacity thanks to the opening of our new 48X Complex — one of the nation’s largest outpatient surgical centers of its kind, with 14 surgical rooms, advanced imaging and more.

Our physician referral liaisons are here to help navigate referrals and: ■

Facilitate access to our secure EMR system, PhysicianConnect

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Assist with clinical trials, telemedicine, and more

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Keep you abreast of new services and providers

Connect with your local Physician Referral Liaison: Joaquin Muñoz 916-701-7161 joamunoz@health.ucdavis.edu 50 SAN JOAQUIN PHYSICIAN

referrals.ucdavis.edu SUMMER 2026

Protect your practice

from patient data breaches, ransom attacks, hacking, and other cyber threats.

San Joaquin Medical Society has partnered with Crown Enterprises for over 10 years for their strategic IT expertise.

Now, Crown has created the Cyber Risk Initiative to identify vulnerabilities your practice may have, and provide an actionable plan so you can safeguard your operations and patient data.

Get clarity before a crisis with your custom Cyber Risk Roadmap. Start today. ce-technology.com/cyber-risk-initiative SUMMER 2026

SAN JOAQUIN PHYSICIAN 51

San Joaquin Medical Society 3031 W. March Lane, Suite 222W Stockton, California 95219-6568

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Creating Equitable Access to Quality Healthcare Now serving members who qualify for Medicare Advantage D-SNP

Through partnership with our network of dedicated providers and community support services, we can continue to address health disparities

Are you contracted with Health Plan? Join us in our mission to improve wellness! Complete a Provider Contract Request form today.

together, ensuring access to quality care for the unique and diverse members we serve.

1-888-936-PLAN (7526) | www.hpsj.com/our-network