california family physician (winter 2015)
DESCRIPTION
This is CAFP's quarterly magazine, California Family Physician. In this issue we discuss moving from our successful #2014YearFP movement to focus on patient engagement.TRANSCRIPT
CaliforniaFAMILY PHYSICIAN
FAMILY MEDICINE AND PATIENTS WIN BIG IN 2014
2014 YEAR OF THE FAMILY PHYSICIAN YEARBOOK
COVERED CALIFORNIA PROVIDES SECOND OPEN ENROLLMENT PERIOD RESOURCES
#2014YEARFP IS OVER: WHAT’S NEXT?
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VOL. 66 NO.1Winter 2015
California Family Physician Winter 2015
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California Family Physician Winter 2015 3
Rheumatology News® Internal Medicine News® Family Practice News® present
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Professor Iain B. McInnis, PhD, FRCP, FRSE, FMedSciMuirhead Professor of MedicineUniversity of GlasgowScotland, UK
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4 California Family Physician Winter 2015
Associate Director,Communications and Publications
Manager, Medical Practice Affairs
Deputy Director,Government Affairs
Associate Director,Membership and Marketing
Executive Vice President
Director, CME/CPD
Executive Assistant
Senior Vice President
California Family Physician
President
President-Elect
Immediate Past President
Speaker
Vice-Speaker
Secretary/Treasurer
Executive Vice President
Foundation President
AAFP Delegates
AAFP Alternates
CMA Delegation
Workforce Development [email protected]
Student, Resident and Social Media Manager
Vice President Health Policy
Deputy Executive Vice President
Manager, Financial Services
EditorManaging Editor
Quarterly publication of the California Academy of Family Physicians
CaliforniaFAMILY PHYSICIAN
Chair
pcipublishing.com
Created by Publishing Concepts, Inc.
For Advertising info contact
EDITION 13
California Family Physician Winter 2015 5
12 Family Medicine and Patients Win Big in 2014 Adam Francis
18 Covered California Provides Second Open Enrollment Period Resources Catherine Direen
19 #2014YearFP Is Over: What’s Next? Ron Fong, MD, MPH
20 House Calls Circa 2014 Increase Physician and Patient Satisfaction Marion Leff, MD
22 Taking to the Streets Laura Murphy
26 Soda Tax Victory in Berkeley Stirs Public Health Conversation Lenard Lesser, MD, MSHS
6 Editorial Keeping Family Medicine Local Nathan Hitzeman, MD
8 President’s Message Making the Last Home Visit Del Morris, MD
9 PCMH Corner 2015 Has New Promise for Practice Transformation Leah Newkirk
10 Political Pulse Four New California Laws Affect Family Physicians Ashby Wolfe, MD, MPP, MPH
14 Students & Residents Family Medicine Summit was a Huge Success Cody Mitcheltree
16 Membership 2014 Year of the Family Physician Yearbook
30 EVP’s Forum Family Medicine Organizations Unify to Make Health Primary Susan Hogeland, cae
For the upcoming CME calendar go to www.familydocs.org
6 California Family Physician Winter 2015
EDITORIAL
Keeping Family Medicine Local
California Family Physician Winter 2015CalCalCalCalaCalCalalifoifoifoifoifoififornirnirnirnirnirnirn a Fa Fa Fa FFa Fa Famiamiamiaamiamiamilylylylylyly ly PhyPhyPhyPhyPhyPhyPhyP sicsicsicsicssicsicianianniannianianianniannn WinWinWinWinWinWinWinWinWinWinWinWinWinWinWinWinWinWiniWiiWiWiniWWiWWiWW terter 20201515 7777
8 California Family Physician Winter 2015
Making the Last Home Visit
PRESIDENT’S MESSAGE
California Family Physician Winter 2015 99
Leah Newkirk is CAFP’s Vice President of Health Policy.
PCMH CORNER
2015 Has New Promise for Practice Transformation
10 California Family Physician Winter 2015
AB 1886 (Eggman)
AB 2139 (Eggman)
Four New California Laws Affect Family Physicians
POLITICAL PULSE
California Family Physician Winter 2015 1111
SB 1457 (Evans)
SB 1266 (Huff)
Dr. Wolfe is Chair, CAFP Legislative Affairs Committee.
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12 California Family Physician Winter 2015
Family Medicine and Patients Win Big in 2014
CAFP s Mul faceted E ort eads to Mul million ollar Investment in Primary Care Residency Slots
he Resounding efeat of the rial awyer Sponsored AnMICRA Ini a ve Prop 46
r. Ashby Wolfe (le ) and CAFP sta er Adam Francis accept the AAFP 2014 eadership in State overnment Award.
California Family Physician Winter 2015 113
The Petaluma Health Center (PHC) has opportunities for experienced, innovative
physicians to join a dynamic team of twenty nine providers in Southern Sonoma County.
PHC is a Federally Qualified Health Center (FQHC) located in Petaluma, CA and
provides full spectrum comprehensive primary care including obstetrical care and
mental health services to over 20,000 patients. Our health center is a leading innovator
in integrative medicine, team based care, and technology. We are seeking bilingual
English/Spanish physicians with a minimum of three years’ experience to provide care
to a panel of patients. These positions allow for ample growth and leadership in a
multitude of areas related to improvement of the patient care experience. Options for
combined hospital medicine and obstetric call are available, as is the option of
outpatient call (telephone call) only.
The Hard Fought Elec on of Primary Care Champion Richard Pan M to the State Senate
Adam Francis is CAFP’s Deputy Director of Government Rela ons.
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14 California Family Physician Winter 2015
Cody Mitcheltree is CAFP’s Student, Resident and Social Media Manager.
Family Medicine Summit was a Huge Success
More than 30 programs were featured in this year’s Residency Fair.
STUDENTS AND RESIDENTS
California Family Physician Winter 2015
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16 California Family Physician Winter 2015
JANUARY: The Pioneer FEBRUARY: The Voice
MARCH: The Hero APR : The Ne t enera on
MAY: The Coach JUNE: The Ethicist
Ronald Fong, MD, MPH Marie-Elizabeth Ramos, MD
Jeremy Fish, MD Laura Doan, MD, MBAMa he Varallo, D
Lauren Simon, MD, MPH James Hornstein, MD
“As family physicians, are e telling stories? And if e are,
hat stories are e telling? e should never be pusillanimous in our stories as healers, teachers, spouses, parents, neighbors, or friends. For if e are, ho can e ever hope to be able to connect ith our pa ents and have them be vested in a rela onship for decades? Speak up; speak out.”
“Leadership is crea ng posi ve change in people's lives. This is either done by example, or by becoming the voice for those society does not care to hear. As a family doctor, I take pridein being a living example of healthy living for my pa ents. As a result, I successfully climbed Mount Shasta (14,12 . eleva on in June of 2014 to support the Breast Cancer Fund.”
“I consider teaching the next genera on of family physicians my greatest capacity to a ect popula on and pa ent health for many years to come. If more family physicians ere a are of the state ide Medical Educa on Net ork ho po erful and meaningful it can be hen e gather ourselves together and focus on a shared vision and purpose o It
ould be a game changer ”
To celebrate residency Match Day, e honored t o fourth-year medical student leaders. They served as student co-directors on the CAFP Board of Directors and are founders of CAFP’s Building Bridges campaign, hich connects students, residents and physi-cians to encourage collabora on on pro ects and advocacy e orts.
“My advice to gradua ng residents transi oning to prac ce is to
rite out your short-term and long-term personal and professional goals. Try to pick a prac ce model that ts your personality and goals. Save your list of goals and periodically reassess to see if you (and your prac ce choice are on track to achieve your goals or if your goals have changed. ”
“I am energized by the possibility of helping to shape a be er Americanhealth care system based on thevalues and beliefs family doctors have prac ced for decades. e should help partner ith our legislators to help them appreciate hat needs to change in our health care system and hat does not.”
CAFP regularly highlights the inspiring stories of our members ith the Member of the Month series. e celebrate the passion that drives them to success and share ho they have put their vast kno ledge and enthusiasm to ork on behalf of their pa ents, students and community. Take a moment and meet our standout 2014 honorees ho are using their voices and experience to advance the specialty:
2014 YEAR OF THE FAMILY PHYSICAN YEARBOOK
California Family Physician Winter 2015 1717
JULY: The Mentor AU UST: The Pragma st
SEPTEMBER: The Philanthropist CT BER: The Innovator
N VEMBER: The Trailblazer DECEMBER: The Captain
Asma Jafri, MD Daniel Pio, MD, MBA
Esther Danphuong N. Ho, MD Steven Lin, MD
Tarek Z. Mahdi, MD, CMD, FAAFP Karun Grossman, MD
“To achieve ork-life balance, havean understanding life partner
ho is illing to step in for you hen you are torn bet een family and professional needs. Also try to nego ate me hen you seek employment. Time for personal and professional development is usually not grantedin standard contracts. Develop a net ork of like-minded colleagues ho ill provide support and mentorship to you.”
“The best career experience I’ve gained so far is ge ng to kno some of the family medicine community. It has been fantas c. I love my program and my co-residents. Residency is tough. No ques on about it, but speakingabout my class speci cally, I kno that no ma er hat happens, eight outstanding family physicians have my back through anything. I am just star ng the journey ith these people and I kno amazing things are in store for all of them.”
“The most important quality a family physician should have is openness to hearing hat a pa ent’s true perspec ve is, to learning, to handling challenges, and to the countless opportuni es a family physician has to make adi erence.”
“I got involved in smartphone mobileapp development hen I as anintern in my family medicine residency program. I realized ho much I didn't kno aboutso many di erent things andho poorly some of those topics ere taught in medical school. So, I decided to do it myselfand do the research and come up ith these evidence-based tools that ill allo primary care physicians on the frontlines to access up to date informa on to help ith clinical decision making at the point of care.”
“Ini ally, going do n the road of the medical home transforma on as very hard, but no e actually have di erent physicians and groups visi ng our prac ce on a monthly basis just to look at ho e run the prac ce. It is re arding to see our physicians be very happy to explain to physicians and groups hat they are doing. I think the biggest achievement is atching the hole prac ce transform and really embracing it going for ard. ”
“The biggest opportunity for the specialty is crea ng a model of team-based care that succeeds in balancing all the roles on the team to provide pa ents
ith a seamless experience. e have to ork together to
de ne hat it means hen e ask each member of the team to provide care at the top of his or her ability. I am hopeful that solving this puzzle also ill provide the solu on to physician burn-out and help us provide excep onal care to hole communi es.”
MEMBERSHIP
18 California Family Physician Winter 2015
Addi onal Resource for Pa ents
Are you listed in the correct health plan directories?
Provider Directory Reference Guide
Catherine Direen is CAFP’s media consultant.
Covered California Provides Second Open Enrollment Period Resources
California Family Physician Winter 2015 1919
#2014YearFP Is Over: What’s Next?
Time
Time
Dr. Fong is director of the UC David Family Medicine Residincy Network.
20 California Family Physician Winter 2015
House Calls Circa 2014 Increase Physician and Patient Satisfaction
Marion Le , MD is the program director of the Su er Health FMRP in Sacramento, California.
California Family Physician Winter 2015California Family Physician Winter 2015 212121
22 California Family Physician Winter 2015
Taking to the Streets
California Family Physician Winter 2015 23
Laura Murphy is currently a third-year medical student at Western University College of Osteopathic Medicine in Pomona, CA. She is ac vely involved in extracurricular ac vi es, par cularly the family medicine interest group and student-run clinics. She also serves on the CAFP Founda on oard of Trustees.
Contact Us: Visit our website at www.vistacommunityclinic.org
Forward resume to [email protected] or fax resume to 760-414-3702
PHYSICIAN – FAMILY MEDICINE Vista Community Clinic
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Family Medicine Physicians. Requirements: California license, DEA license,
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24 California Family Physician Winter 2015
CONTACTMichelle Gilbert
1-800-561-4686 ext. 120
For Advertising
California Family Physician Winter 2015 2225
FAMILY PRACTICE PHYSICIANRURAL OUTPATIENT CLINICSTARTING SALARY: $240,408 ANNUALLY
Yukon-Kuskokwim Health Corporation (YKHC) is currently seeking a compassionate Family Practice Physician to join us in our Outpatient Clinics.
Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Delta Regional Hospital is a 50-bed general acute care medical facility. Fully accredited by JCAHO, services include adult med/surg, pediatrics, obstetrics, emergency room, as well as outpatient family medicine clinics, pharmacy, lab, and imaging.
YKHC applies Alaska Native/American Indian (under PL 93-638), EEO, and Veteran Preferences. Under federal and state laws, YKHC performs criminal history and background checks to ensure customers are protected.
Working Together to Achieve Excellent Health
For more information contact Seth Lidren – 907-543-6094
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Benefits/Additional Compensation: S $20,000 $ 0,000 A S
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Must be board eligible or board certified
26 California Family Physician Winter 2015
Soda Tax Victory in Berkeley Stirs Public Health Conversation
Con nued on pg. 28
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CAPG is the largest U.S. association of physician organizations committed to delivering accountable, capitated, clinically integrated care. Learn more at capg.org.
California Family Physician Winter 2015California Family Physician Winter 2015 272727
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28 California Family Physician Winter 2015
Dr. Lesser works at the Palo Alto Medical Foundation and is actively engaged in conversations around public health and obesity.
This article was originally published on the National Physicians Alliance website.
Join fellow healthcare professionals for this symposium featuring the world’s leading experts discussing the latest advances in diagnostic and therapeutic issues in patients with bipolar disorder, major depression, sleep disturbances, ADHD and schizophrenia.
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California Family Physician Winter 2015 292929
Clinica Sierra Vista has been serving the people of Kern, Fresno, and Inyo Counties for nearly 43 years. We are centrally located to California’s most popular attractions and are currently in search of Family Practice MD’s or DO’s to work in one of several clinic locations.
Clinica offers a challenging and rewarding environment, competitive wages, incentive programs, and a comprehensive benefit package. We provide malpractice/liability coverage and relocation expenses. Positions require CA licensure. Previous EHR experience and board certification are preferred.
For more information, please contact Tim Speece at (661) 302-8997 or Ruben Chavez at (559) 901-8524.
Come experience the finest California’s Central Valley has to offer at Clinica Sierra Vista.
www.clinicasierravista.org
Central CaliforniaFamily Practice MDs/DOs
MED7 has been providing urgent care services in the Greater Sacramento area since 1987
rgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. Board Certified or Board Eligible in family practice or emergency medicine.
All shifts 9am to 9pm. Full time is 13 shifts per month. We offer our full time physicians the following:full malpractice coverage, medical & dental coverage at no cost for the physician & any dependents, disability policy & we have a simple IRA you can contribute to with 3% matching. Part time is 6 to 8 shifts per month. There is no call. There is no tail coverage that needs to be purchased should you leave our employment. We have a single policy that continues on after you leave. If something were to arise here after you left our employment, you would be covered.
For more information about MED7and our clinics please visit
our website: www.med7.comWe offer an attractive compensation package.
Contact Merl O’Brien,MD, at:(916) 791-1300, ext.111;
or email CV to:[email protected].
FAMILY PRACTICE MD/DOOpen Door Community Health Centers in coastal Northern California is seeking 3 full-time Family Practice MD/DO’s for our clinics in Crescent City, Eureka and McKinleyville. We offer competitive salary and benefits, including health insurance, malpractice insurance, pension plan, vacation/holiday pay, CEU time/stipend, and loan repayment options. Requires CA license, Board Certification, DEA, EMR experience.
Visit www.opendoorhealth.com to learn about us, then come live, work and play on the stunning northern California Coast!
California Family Physician Winter 2015
Family Medicine Organizations Unify to Make Health Primary
Health Is Primary
Family Medicine for America’s Health
30 California Family Physician Winter 2015
EXECUTIVE VICE PRESIDENT’S FORUM
FMAH has seven ey strategies
California Family Physician Winter 2015 31
IMMEDIATE OPENINGS - CALIFORNIA
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32 California Family Physician Winter 2015
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CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION1520 PACIFIC AVESAN FRANCISCO, CA 94109 -2627
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