cap scan - july 2014

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and donated by FSU Men’s Basketball Head Coach, Leonard Hamilton! A special presentation was made to our former Executive Director (and newly retired), Sue Conte. On behalf of the CMS Board of Governors, CMS Foundation Board of Directors, and the CMS Services Board of Directors, Dr. Alfredo Paredes, Dr. Tracey Hellgren, and Dr. Frank Skilling presented Ms. Conte with a plaque and a monetary gift in appreciation for her service to CMS. Betsy Barfield was with us again to take photos at the event – and she captured great photos (see pages 4-7). All attendees should have received an email from CMS with a link to download all of the photos from the event. JULY EDITION, VOLUME 2014, NO. 7 CAPITAL MEDICAL SOCIETY 2014 MEETINGS CALENDAR SEPTEMBER 3, 2014 @ 6:00 PM CMS Meet the Candidates Reception 6:00 pm Goodwood Museum & Gardens Carriage House SEPTEMBER 16, 2014 @ 6:00 PM* “Telemedicine” Dean Watson, M.D. & Lauren Faison Maguire Center for Lifelong Learning at Westminster Oaks OCTOBER 21, 2014 @ 6:00 PM* “Domestic Violence and Human Trafficking” - 2 Hour Required CME Suzanne Harrison, M.D. & Wendi Adelson, J.D. Maguire Center for Lifelong Learning at Westminster Oaks *INDICATES IT IS A CMS MEMBERSHIP & CME MEETING FOR MORE INFORMATION, SEE PAGE 3 CMS FAMILY FUN NIGHT By Shannon Boyle, CMS Communications and Marketing Coordinator This year’s Family Night was an all-around fun fest! More than 100 doctors and their families attended the event on May 29th at the FSU University Center Club Ballroom. We give special thanks to Dr. Tracey Hellgren for her help with planning this fun- filled event and to our volunteers, Jeanne Kimball and Lucy Westfall, for all of their help at the event. The guests enjoyed delicious hotdogs, tacos, and ice cream sundaes along with all of the activities – face painting, a balloon artist, photo booth, a magician (provided by Hancock Bank), and a coloring station (provided by SunTrust) – and lots of giveaways from our sponsors. We even had a drawing to win a basketball autographed CMS THANK YOU SPONSORS TITLE SPONSOR SUPPORTING SPONSOR SunTrust EVENT SPONSORS Holy Comforter Episcopal School Patients First TITLE SPONSOR, HANCOCK BANK – JASON BORGER, ABBY SMITH, CAROL LEON, ROB ROBINSON, DIANA CURETON, CHIP CICCHETTI, AND BRENT GARRISON. SUPPORTING SPONSOR, SUNTRUST – CHARLES HOPKINS, KAREN WATTS, LEIGH GRAHAM, AND JILL ADKINS. EVENT SPONSOR, HOLY COMFORTER EPISCOPAL SCHOOL VANESSA CULPEPPER (FAR LEFT) AND NENA MARTINEZ (FAR RIGHT) WITH NISHI AND NIRMAY BHANDERI. EVENT SPONSOR, PATIENTS FIRST – DR. TRACEY HELLGREN (SECOND FROM RIGHT) WITH HER DAUGHTERS, EMMA AND HANNAH BRYSON, AND OUR NEW CMS EXECUTIVE DIRECTOR, PAM WILSON (FAR LEFT).

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Page 1: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 1

and donated by FSU Men’s Basketball

Head Coach, Leonard Hamilton!

A special presentation was made to our

former Executive Director (and newly

retired), Sue Conte. On behalf of the CMS

Board of Governors, CMS Foundation Board

of Directors, and the CMS Services Board of

Directors, Dr. Alfredo Paredes, Dr. Tracey

Hellgren, and Dr. Frank Skilling presented

Ms. Conte with a plaque and a monetary gift

in appreciation for her service to CMS.

Betsy Barfield was with us again to take photos

at the event – and she captured great photos

(see pages 4-7). All attendees should have

received an email from CMS with a link to

download all of the photos from the event.

JULY EDITION, VOLUME 2014, NO. 7

CAPITAL MEDICAL SOCIETY 2014 MEETINGS CALENDAR

SEPTEMBER 3, 2014 @ 6:00 PMCMS Meet the Candidates Reception6:00 pmGoodwood Museum & Gardens Carriage House

SEPTEMBER 16, 2014 @ 6:00 PM*“Telemedicine” Dean Watson, M.D. & Lauren FaisonMaguire Center for Lifelong Learning at Westminster Oaks

OCTOBER 21, 2014 @ 6:00 PM*“Domestic Violence and Human Trafficking” - 2 Hour Required CMESuzanne Harrison, M.D. & Wendi Adelson, J.D.Maguire Center for Lifelong Learning at Westminster Oaks

*INDICATES IT IS A CMS MEMBERSHIP & CME MEETING FOR MORE INFORMATION, SEE PAGE 3

CMS FAMILY FUN NIGHTBy Shannon Boyle, CMS Communications and Marketing Coordinator

This year’s Family Night was an all-around

fun fest! More than 100 doctors and their

families attended the event on May 29th at

the FSU University Center Club Ballroom.

We give special thanks to Dr. Tracey

Hellgren for her help with planning this fun-

filled event and to our volunteers, Jeanne

Kimball and Lucy Westfall, for all of their

help at the event.

The guests enjoyed delicious hotdogs,

tacos, and ice cream sundaes along with all

of the activities – face painting, a balloon

artist, photo booth, a magician (provided

by Hancock Bank), and a coloring station

(provided by SunTrust) – and lots of

giveaways from our sponsors. We even had

a drawing to win a basketball autographed CMS

THANK YOU SPONSORS

TITLE SPONSOR

SUPPORTING SPONSOR

SunTrust

EVENT SPONSORS

Holy Comforter Episcopal School

Patients First

TITLE SPONSOR, HANCOCK BANK – JASON BORGER, ABBY SMITH, CAROL LEON, ROB ROBINSON, DIANA CURETON, CHIP CICCHETTI, AND BRENT GARRISON.

SUPPORTING SPONSOR, SUNTRUST – CHARLES HOPKINS, KAREN WATTS, LEIGH GRAHAM, AND JILL ADKINS.

EVENT SPONSOR, HOLY COMFORTER EPISCOPAL SCHOOL – VANESSA CULPEPPER (FAR LEFT) AND NENA MARTINEZ (FAR RIGHT) WITH NISHI AND NIRMAY BHANDERI.

EVENT SPONSOR, PATIENTS FIRST – DR. TRACEY HELLGREN (SECOND FROM RIGHT) WITH HER DAUGHTERS, EMMA AND HANNAH BRYSON, AND OUR NEW CMS EXECUTIVE DIRECTOR, PAM WILSON (FAR LEFT).

Page 2: Cap Scan - July 2014

AMER RASSAM, M.D. – 1ST

RAYMOND SHASHATY, M.D. – 1ST

LARRY DEEB, M.D. – 2ND

LYNN JONES, M.D. – 2ND

RODRIGO AGBUNAG, M.D. – 4TH

J. DANIELL RACKLEY, M.D. – 5TH

STEPHEN CREMIN, M.D. – 8TH

ROBERT CAMPBELL, M.D. – 12TH

STEVE JORDAN, M.D. – 12TH

JUAN MARTINEZ-SERRA, M.D. – 12TH

RODOLFO OVIEDO, M.D. – 12TH

J. RICHARD TAYLOR, M.D. – 12TH

CHARLES NEWELL, M.D. – 13TH

CAREY DELLOCK, M.D. – 14TH

DANIEL CONRAD, M.D. – 17TH

J. DANIEL DAVIS, JR., M.D. – 17TH

DAVID KAHN, M.D. – 17TH

BRENCE SELL, M.D. – 17TH

AMULYA KONDA, M.D. – 19TH

THOMAS PEELE, JR., M.D. – 19TH

ANDRES RODRIGUEZ, M.D. – 19TH

JUDITH LEWIS, M.D. – 20TH

ROBERT THORNBERRY, M.D. – 20TH

WALTER BUNNELL, III, M.D. – 22ND

WILLIAM DIXON, M.D. – 22ND

ABBAS ABBEY, M.D. – 23RD

RICARDO GONZALEZ-ROTHI, M.D. – 23RD

VIRALKUMAR BHANDERI, M.D. – 24TH

DAVID GUTTMAN, M.D. – 24TH

PARESH PATEL, M.D. – 24TH

SHEETAL DEO, M.D. – 25TH

NIRAJ PANDIT, M.D. – 27TH

TRACEY HELLGREN, M.D. – 30TH

JOHN KATOPODIS, M.D. – 30TH

ADRIAN ROBERTS, M.D. – 30TH

JOSEPH SOTO, M.D. – 31ST

HAPPY BIRTHDAY!{JULY BIRTHDAYS}

HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!

MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT

OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218

www.capmed.org

BOARD OF GOVERNORSAlfredo Paredes, M.D., PresidentJoshua Somerset, M.D., President ElectJ. Daniell Rackley, M.D., Secretary/TreasurerNancy Loeffler, M.D., Immediate Past-PresidentRobert Chapman, M.D.Garrett Chumney, M.D. Tracey Hellgren, M.D.Zan Batchelor, CMS Alliance PresidentVikki McKinnie, M.D.Hector Mejia, M.D.Margaret Havens Neal, M.D.Philip Sharp, M.D.Timothy Sweeney, M.D.Ernesto Umaña, M.D.Pam Wilson, Executive DirectorFamily Medicine ResidentsWilliam Carlson, M.D./Anna Hackenberg, M.D. Internal Medicine ResidentsChris Rosadzinski, M.D./Prerna Satyanarayana, M.D.

PUBLICATIONEDITORCharles E. Moore, M.D.,

GRAPHIC DESIGNLynne Takacs

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Dr. Charles Moore at

[email protected] and Shannon Boyle at [email protected]. All articles submitted will be reviewed by your peers prior to publishing.

Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medi-cal Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.

If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you.

CMS Family Fun Night 1July Birthdays 2Welcome New CMS Members 32014 CMS Meetings Calendar 3A Message from the CMS Executive Director 8Calling All Members for CME Programs 9CMS Lunch & Learn 11Reflections from the Editor 12Viewpoint 14Medical/Legal 16CMS Membership Meeting Minutes 18TMH Family Medicine Residency Program 20Physician Resources 22Access to Care Award 24CMS Foundation 26CMS Foundation: We Care Network 27

MANAGING EDITORShannon Boyle

IN T

HIS

IS

SU

E:

DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT [email protected]!

Page 3: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3

WELCOME NEW MEMBERS

SEPTEMBER 3, 2014

CMS MEET THE CANDIDATES RECEPTION6:00 PM | GOODWOOD CARRIAGE HOUSE

SEPTEMBER 16, 2014

“TELEMEDICINE” DEAN WATSON, M.D.

AND LAUREN FAISON6:00 PM | MAGUIRE CENTER

FOR LIFELONG LEARNING AT WESTMINSTER OAKS

OCTOBER 21, 2014

“DOMESTIC VIOLENCE AND HUMAN TRAFFICKING” - 2 HR REQ. CMESUZANNE HARRISON, M.D. AND

WENDI ADELSON, J.D.6:00 PM | MAGUIRE CENTER

FOR LIFELONG LEARNING AT WESTMINSTER OAKS

NOVEMBER 18, 2014“WOMEN’S HEALTH”

DAVID DIXON, D.O. & STEPHANIE LEE, M.D.6:00 PM | MAGUIRE CENTER

FOR LIFELONG LEARNING AT WESTMINSTER OAKS

DECEMBER 4, 2014CMS FOUNDATION HOLIDAY AUCTION6:30 PM | FSU UNIVERSITY CENTER

CLUB

2014 MEETINGS CALENDAR

CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING

NEW MEMBERS:JOHN A. HOLT, M.D.Medical School: University of TennesseeInternship/Residency: St. Louis UniversitySpecialty: NeonatologyPractice: TMH/Pediatrix (NICU)

JEREMY A. SUNSERI, M.D.Medical School: University of UtahInternship: Providence Sacred Heart Transitional ResidencyResidency: Brown University/Rhode Island HospitalFellowship: Dermatology Associates of Tallahassee, PA (2015)Specialty: DermatologyPractice: Dermatology Associates of Tallahassee, PA

JOAN WORTHINGTON, D.O. Medical School: West Virginia School of Osteopathic MedicineInternship: Doctors Hospital of Stark County, Massillon, OhioResidency: Aultman Hospital Family Practice, Canton, OhioSpecialty: Family MedicinePractice: Florida State University Health and Wellness Priority Clinic

CMS Members, CMS Alliance Members, and Members of the Leon County Dental Association are cordially invited to attend

Capital Medical Society’s “Meet The Candidates” Reception-This event is not a fundraiser. It is an opportunity to interact with local candidates.-

Wednesday, September 3, 20146:00 pm – 7:30 pm

Goodwood Museum & Gardens Carriage House1600 Miccosukee Road

We have invited all of the local candidates who have registered. Candidates making it through the primary will attend. CMS will keep you informed of the attendees.

Invitations will be sent via email in July.

If you are the spouse of a CMS member and are interested

in becoming involved with the CMS Alliance, please contact

Zan Batchelor, CMS Alliance President, at (850) 212-0244.

Page 4: Cap Scan - July 2014

4 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FAMILY FUN NIGHT

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 5

CMS FAMILY FUN NIGHT

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6 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FAMILY FUN NIGHT

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7

CMS FAMILY FUN NIGHT

Page 8: Cap Scan - July 2014

8 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

PUT CMS IN THE PALM OF YOUR HAND

DOWNLOAD OUR FREE APP TODAY. RSVP to events and meetings with ease. Contact us via email or phone with the press of a button. Check the CMS Calendar or find contact information for your colleagues.

Scan the QR Code below with your Smart Phone or iPad to

instantly download our App:

Or search “Capital Medical Society” in the App store.

The Family Night event was a wonderful

way to begin my new position with CMS.

It was a heartwarming time to celebrate

the family of Capital Medical Society

and to get to know many of you and your

spouses, children, and grandchildren. Our

membership is a family and the times we

have to share in the family side of life together are special indeed!

Thank you to Dr. Hellgren and the Social Committee for planning

such a fun-filled, family-focused event!

I feel privileged that you chose me as your Executive Director and

grateful to those of you who made this a smooth transition. Sue

Conte, my predecessor, has not only provided a strong foundation

on which to build, but has established a culture of excellence and

teamwork. Karen Wendland had predicted that Sue would take

CMS to the next, higher level of achievements. She has done that

and has offered she will not be a stranger as a volunteer at We

Care Network after she retires. Having her expertise through the

transition phase has been wonderfully helpful. I wish her all of

the best in this next chapter of her life: lazy days by the river, more

time for her book club, and the right balance of volunteering.

Rose Marie Worley, We Care Network Program Coordinator,

has been a treasure to work with as we move towards a new R.N.

Program Coordinator model for the We Care Network’s case

management leadership. She has shown incredible commitment

and dedication to the We Care Network, its physicians, dentists,

patients, and staff. I am deeply appreciative of her good work and

commitment to excellence in service, training, grant-writing, and

relationship-building within the healthcare community. We will

all miss her as she follows Sue into retirement, but are grateful for

her commitment to transition us well.

Drs. Paredes, Mahoney, Hellgren, and Skilling have provided

incredible support and guidance as we moved through budget

approvals and preparation for the FMA Conference. Thank

you to the directors of all three Boards for their leadership and

investment of their limited time to make your Medical Society so

successful and relevant to its membership.

With an abundance of experience and skill, Rosalie, Shannon,

and Kay, as well as, the dedicated We Care staff, Rose Marie,

Roshanda, Nikki, Chakita, and Devon Marrett who joined the

team in June and will be an asset, CMS continues to meet the

needs of its members and its patients seamlessly. They are a

very capable team that truly has a passion for what they do and

sense of humor that keeps life in perspective! I am thankful to

past leaders: Mollie Hill, who has become a dear friend, is an

incredible relationship builder, and knows how to bring people

together to get things done; Karen Wendland has paved the way

so well for those of us who would follow her.

I am so appreciative of the warm welcome from each member

of CMS. I am enjoying meeting new people, as well as seeing

old friends. My hope is that each of you will continue to find

strong and growing value in your Medical Society membership

and in your participation in the We Care Network. The CMS

staff and I will be focusing on the established principles of this

skillfully run organization and creatively moving forward to

further the strategic vision that has already been set by the work

of previous leaders.

Enjoy your summer!Pam Wilson

FROM THE EXECUTIVE DIRECTOR

PAM WILSON

FROM THE EXECUTIVE DIRECTOR

CMS

Page 9: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9

Each year, the Capital Medical Society Continuing Medical Education (CME) Committee makes it a priority to select high quality CME programs for our members and other healthcare providers. The Committee meets twice a year and carefully plans the upcoming programs – focusing on avoiding duplication (based on programs given in the past three years) and finding topics with broad appeal whenever possible. We carefully review the CME proposals submitted by our members and select a total of five or six each year.

If you have ever thought about giving a talk, please submit your proposal to our CME Committee using the guidelines described below. The CME Committee is focused on highlighting the training and expertise that exists here at home and wants our CMS physicians to give our CME programs. As potential speakers, the CME Committee also looks to our newly arrived physicians who bring interesting perspectives from their post graduate training.

After each CME program, we give participants an evaluation form to complete, so that we can capture your feedback and use your suggestions to plan future meetings.

If you have comments or suggestions, please contact Pam Wilson at the CMS office (877-9018).

HOW DO I SUBMIT A PROPOSAL TO GIVE A CME PROGRAM?

Submit the following, in writing, to the attention of Rosalie Carlin at the CMS office by July 21st for the 2015 CME programs.1.Topic2.Course objective(s)3.Brief outline

You can fax it to 878-0218 or e-mail it to Rosalie Carlin at [email protected] or Pam Wilson at [email protected].

HAVE YOU THOUGHT ABOUT GIVING A CME PROGRAM?

CALLING ALL MEMBERS:

WE THANK OUR CME COMMITTEE:Christie Alexander, M.D., Co-Chair

Garrett Chumney, M.D., Co-Chair

Jonathan Appelbaum, M.D.

Kenneth Brummel-Smith, M.D.

Rosalie Carlin

David Dixon, D.O.

Suzanne Harrison, M.D.

Tracey Hellgren, M.D.

Narayanan Krishnamoorthy, M.D.

Winston Ortiz, M.D.

Celeste Paquette, M.D.

Sandeep Rahangdale, M.D.

Lorna Stewart, M.D.

Pam Wilson

• Chronic Pain Management in the Opioid Dependent Patient – Joseph Pagano, M.D., Program Director, TMH Chronic Pain Management Clinic

• Dietary Supplements for Clini-cal Applications – Phillip Treadwell, PharmD and Ruth DeBusk, PhD, RD

• Prevention of Medical Errors – Scott Sellinger, M.D. and Jesse Suber, Esq., Henry, Buchanan, Hudson, Su-ber & Carter, P.A.

2011

• Just the Facts: Healthcare Chang-es in 2011 – Zach Finn, Project Direc-tor, Big Bend RHIO; Karl Altenburger, M.D., Past FMA President; Madelyn Butler, M.D., FMA President

• Zoonotics – Lisa Ann Conti, DVM, MPH, Diplomat ACVPM, CEHP, CPM, Director, Division of Environmental Health, State of Florida Department of Health

• Asset Protection for Physicians – Randal C. Fairbanks, Esq., Fairbanks & McGillin, P.L.

CME TOPICS & SPEAKERS FOR THE PAST THREE YEARSWe thank the following physicians who have prepared and presented CME programs for CMS.

2012• NCEP IV: What We Expect and How We Will Need to Change – J. Orson Smith, M.D., TMH Lipid Center

• Overview of Opiate Dependence & Prescription Drug Abuse – Daniel P. Logan, M.D., University of Florida College of Medicine, and Jeffrey T. Ferraro, M.D., TMH Outpatient Re-covery Center

• Alcohol and the Heart – William Dixon, M.D., Tallahassee Cardiology Associates, P.A.

CME PROGRAMS

CMS

CONTINUED ON PAGE 10

Page 10: Cap Scan - July 2014

10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

• The Uses of Botulinum Toxin – Winston R. Ortiz, M.D., Tallahassee Neurological Clinic

• Domestic Violence – Suzanne Harrison, M.D., FSU College of Medicine

2013

• Influenza at the Human-Animal Interface: A Source of Epidemic and Pandemic Influenza – Carina Blackmore, MS Vet. Med., Ph.D., State Public Health Veterinarian, State Environmental Epidemiologist

• Eating Disorders: From Latency to Geriatrics – Mathew Nguyen, M.D., UF Health & Amelia Davis, M.D., UF Health

• Atrial Fibrillation Continuum of Care – Farhat Khairallah, M.D., Southern Medical Group

• Prevention of Medical Errors – Scott Sellinger, M.D., Southeastern Urological Center, P.A., and Jesse Suber, Esq., Henry, Buchanan, Hudson, Suber & Carter, P.A.

• Cancer Genetics: The Fast-Moving Field of Genetic Testing and its Impact on Clinical Practice – L. Kristin Parsley, M.D., FAAP, FACMG, Assistant Professor, Specialist in Clinical Genetics and Pediatrics, FSU COM Department of Clinic Sciences; Medical Director, Tallahassee Memorial Clinical Genetics Center

2014

• Advances in Concussion Treatment – Scott Burkhart, PsyD, Tallahassee Orthopedic Clinic, and Jake VanLandingham, PhD, FSU College of Medicine

• Rational Drug Prescribing in Elders – Kenneth Brummel-Smith, M.D., Charlotte Edwards Maguire, M.D., Chair and Professor, Department of Geriatrics, FSU College of Medicine

CME PROGRAMS

“CME...FOR THE PAST THREE YEARS” CONTINUED FROM PAGE 9

CMS

Page 11: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11

LUNCH & LEARNA SERVICE FOR ALL CMS MEMBER OFFICES! On May 21st, Pamela King, HIE Outreach Coordinator, and Mary Schrenker, EHR Incentive Program Coordinator, from the Agency for Health Care Administration, gave an excellent program on “AHCA’s Health Information Exchange Services: EHR Incentive Program/Meaningful Use”. You can reach Ms. King at (850) 412-3762 or [email protected] or Ms. Schrenker at (850) 412-3787 or [email protected].

Florida Doctors Insurance Company (FLDIC) sponsored the May 21st Lunch and Learn. Dennis Wilson was in attendance as a representative of FLDIC. You can reach Mr. Wilson at (800) 352-3627 ext. 246 or [email protected].

This seminar was held at the Capital Health Plan on Governor’s Square Blvd – and we thank them for providing this lovely venue.

OUR SPONSOR FOR THE LUNCH & LEARN, FLORIDA DOCTORS INSURANCE COMPANY – DENNIS WILSON.

MARK YOUR CALENDARS FOR THE

LUNCH & LEARN SEMINARS FOR

FALL 2014 WEDNESDAY, SEPT. 17, 2014

MANAGING STRESS IN THE MEDICAL PRACTICE

Hear about managing stress including managing difficult patients.

Speaker: Tracey Morse, Ph.D., Licensed Psychologist

Sponsor: Tallahassee State Bank

WEDNESDAY, OCTOBER 22, 2014

MEDICAL RECORDS: HANDLING SUBPOENAS; CHARGING FOR COPIES

Hear about the costs for reproduction of medical records and responding to medical records subpoenas.

Speakers: Allison Dudley, J.D., Florida Board of Medicine Executive Director, and Lontejuana

Cooper, PhD, RHIA, CPM, FAMU Health Informatics and Information Management Program

Sponsor: Centennial Bank

WEDNESDAY, NOVEMBER 19, 2014

LOCAL SOLUTIONS TO HIPAA SECURE COMMUNICATIONS

Do the new Transition of Care and Meaningful Use requirements that are required for all offices, regardless of size, have you confused? Do you know how Interfacing, DIRECT Protocols, HISP, HealtheWay, and HIE apply to those requirements? We’ll show you how our set of Care Coordination tools tame these new standards while providing you with a simple HIPAA compliant replacement to phone/fax/mail paper communications. Beyond this, there will be helpful tips for those striving for meaningful use compliance.

Speaker: Zach Finn, HIESponsor: Tallahassee State Bank

TIME: 12 NOON TO 1:30 PM (SEMINARS START AT 12:30 PM)

PLACE: CHP AUDITORIUM, 2ND FL., 1491 GOVERNORS SQ. BLVD.

$10 PER SEMINAR/PER PERSON. YOU CAN REGISTER FOR ALL SEMINARS,

OR ONE AT A TIME!

TO REGISTER OR FOR MORE INFORMATION, CALL ROSALIE CARLIN AT 877-9018.OUR SPEAKERS FOR THE LUNCH & LEARN, (L-R) PAMELA KING AND MARY SCHRENKER.

CMS

LUNCH AND LEARN

Page 12: Cap Scan - July 2014

12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

As Editor of Cap Scan a part of my job is to rally and send

forth my legion of Whisperers, Secret Agents, and Informers

into every nook and niche of the CMS establishment. We

must know the worst in order to balance it with the best,

and so come to some fair judgment about that which we are

forced to write. It is all Shannon’s fault, who insists that these

pages contain something monthly. Regarding which I noticed

that last month’s issue contained a very lovely photo of her

standing with other handsome ladies, and a lucky, debonair

gentleman, whom the Golden Gala photographer obviously

could not resist. Oh yes, and the photo on that issue’s front

page, introducing us to Ms. Pam Wilson, our new Executive

Director, quite struck me as the very image of exactly the sort

of lady any physician would be happy to follow. This may be

an ‘Omage to an Outgoing, but surely I can be allowed these

few phrases to welcome Ms. Wilson.

Mein Gott! She even speaks German, with all those declensions

and things.

Where was I? Of course. I had, as already said, sent forth

my usual assortment of listening Ears, bolstered in this case

(for I knew it would be hard work) by a few Footpads and

Skuldudgeons, to discover if there might be any meritable

curiosities, curious aberrancies, or waywardness’s that could

be used to provide a balanced homage, weighed against her

straightforward excellence, of our former, now retired, CMS

Director, Ms. Sue Conte. What was the best that these minions

were able to gather?

I hate to disappoint our readership, but little could be

unearthed.

In an interview with my most impeccably trustworthy source,

whose name cannot be divulged but who shared a room with

her at the recent FMA meeting, I asked if Ms. Conte sang in

the shower? No, she did not. Well, how was she to live with

so tooth to jowl? Just fine. Did she gnash her teeth? No. Any

bruxism by night? No. Snore? No, etc.

“AN OMAGE” By Charles Moore, M.D.

“What!” said I, “was there no imperfection whatsoever?”

“No, not really.”

“Not really? What’s this ‘really’ business? You imply something.

You must tell me. I am, after all, the Editor of Cap Scan!”

And so, by such excruciating means, the beans were spilt. Our

former CMS Director was a very light sleeper. Very little could

be noiselessly attempted when she had lain down for a little

nap or sleep. An eye would open, and Ms. Conte would be

instantly aware of everything going on about her.

“No harm in that,” I had to admit, “and in fact a rather

valuable asset to possess when you are Executive Director of

this Society. But go on. What else?

“Well…” my source was very reluctant, “…she would tell me

sometimes that I was too neat.”

It all poured forth after that. To summarize, Ms. Conte, a

strong woman of firm opinions, informed my source that she

was “too neat.” It soon became clear that Ms. Conte, after the

use of a towel, does NOT fold it neatly, as did my informer.

She would let it hang as it might, willy-nilly. And there you

have it. Who would have guessed? She dishevels her towels!

As alluded to above, it is wise in to estimate the virtues

and achievements of individuals against their failings and

peccadillos.

So much for F and P. Let me now elaborate, indeed pay

homage, to the remarkable achievements of Ms. Conte on

behalf of our medical community, all the more admirable

given the (relatively) short tenure of her term as our Executive

Director. She brought us, quite simply, into the 21st century.

She came, as you remember, to us from a position of great

responsibility and authority at Capital Health Plan. As a result,

for sure, she knew the ropes, certainly from one end of the

rope. But how well I remember being touched when she first

arrived and I met with her in her office, hearing her tell me

REFLECTIONS FROM THE EDITOR

CONTINUED ON NEXT PAGE

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13

REFLECTIONS FROM THE EDITOR

that she was happy, finally, to be working directly for and with

physicians for the sake of patients themselves rather than by

way of insurance as an intermediary. It felt very good to have

her so intimately now “on our side.”

And she has been, in spades. Or, more accurately, by way

of all the technological improvements she has mobilized

to assist our practices in this very transitional age of bytes,

Sites, oversights, and sleights of hand. Along these lines her

accomplishments in our behalf have included a redesigned

Website, interactive and user-friendly, which can be updated as

needed by our own staff. A Smart Phone App, so you can read

Cap Scan while waiting those long minutes to see even your

own doctor. An upgrade to Cap Scan’s look, slick, colorful,

suitable almost for even the most distinguished coffee tables

out Golden Eagle Way. A new membership database system

containing information on each of us, what our backgrounds

have been, how neat we are, whether we fold our towels, and

other subversive information that even Edward Snowden

knows nothing about. And what is more, this information,

so carefully kept on all of our 600 plus members, integrates

with our book-keeping system. Then there is the Smart Phone

paging system. And, perhaps more importantly, even if they

have little to do with our transition into the 21st century, our

“We Care” association with The United Way and the fact that

the CMS auction last year broke all records: over $65,000!

This, within two years only, is a record of achievement for which

we and our patients can feel most grateful, and Ms. Conte, we

can all hope, bask in the pride of a job certainly well done.

And so we wish her a very happy retirement, if she can bear

it. I mean all that lolling around, getting waited on my her

equally talented husband, Gary; all that rocking on the front

porch of her river front home; boating up and down the St.

Marks, struggling not to overeat junk food; walking three

miles every morning, and scratching her dog “Pepsi” behind

the ear. But how good, too, the leisure to better visit her Mom,

who resides in Westminster, to whom she is so devoted.

And given the gift of time, who knows, she may now learn to neatly

fold her towel, and have a sweet nap without thinking she has to be

so ever alert, one eye open, just to keep a sharp eye on US! CMS

Page 14: Cap Scan - July 2014

14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Another caution is that while we want to help our patients, there

is a big difference between having a medical impairment and

being disabled. Almost all patients have some sort of impairment

(that’s why they are seeing a doctor to begin with) but that may

or may not rise to the level of the Social Security’s definition

of disability. Private disability insurance policies and the VA

have much easier standards for what is considered disability,

not necessarily meeting the level required by the Social Security

Administration. Being 100% disabled according to the VA may

not meet the Social Security system’s criteria.

For me the definition of SSA disability is very simple: Is

your level of function so limited that, based on your age

and training, it is unreasonable to expect you to be gainfully

employed on a regular basis, to the point where your fellow

citizens’ tax money must be used to support you?

I would like to add a few comments to the informative and

well written article by Barbara Denby Abrams, M.D., J.D.

that appeared in the June Cap Scan. I have been doing

disability reviews for Social Security Disability since 1993,

and have seen many, many letters from treating physicians

on behalf of their patients.

While these letters may help the claimant’s case it is absolutely

imperative that the doctor’s medical records support the

conclusions of the letter. If, for instance, you state that your

patient cannot walk more than a certain distance, your records

must give objective findings to support that conclusion.

Without clearly supportive medical records you not only will

not help your patient’s claim, but you will cast doubt about your

credibility and professionalism. The most glaring examples

are doctor’s letters submitted by the claimant’s attorney that

bear little or no resemblance to the objective evidence. Frankly,

these all too often appear to be testimonial letters, the doctor

possibly even paid to write them.

VIEWPOINT

Editor’s Note: The following was received from Dr. David Guttman in response to an article pertaining to

applications for disability benefits. We appreciate Dr. Guttman’s further amplification, derived from his own

long experience.

CMS

Page 15: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15

VIEWPOINT

TMS (Transcranial Magnetic Stimulation) for Depression Comes to TallahasseeBy John Bailey, D.O.

TMS Patient Care in Tallahassee now provides state-of-the-

art technology for the treatment of depression. TMS has

been FDA approved for major depression since 2009 and

available in 34 practices in Florida for patient care. Patients

now no longer have to drive out of town to participate in this

therapy with the opening of TMS Patient Care (TMSPC) in

Tallahassee. TMSPC is accepting referrals for evaluation of

the suitability of this therapy for patients who have Major

Depression, and have not responded to one or more anti-

depressant medications with

adequate dosage, treatment times,

and adherence to pharmaceutical

regimen.

TMS is an effective and safe

therapy for depression, with

response rates in almost 60%

of patients, and remission rates

close to 40%. Unlike ECT

[ElectroConvulsive Therapy],

TMS can be delivered in an

out-patient setting, with no systemic-side effects and no

anesthesia. The treatment is conducted over a six week time

span, in daily sessions, five days weekly, of approximately 45

minutes each. TMS Therapy is a form of neuromodulation

that delivers highly-focused MRI-strength magnetic pulses

to stimulate nerve cells in an area of the brain linked to

depression. This wonderful new tool is truly a breakthrough

in psychiatry.

TMS science has been developing for the past 40 years, and

is an outgrowth of the use of powerful magnetic coils used

in Magnetic Resonance Imaging. The Neuronetics coil used

at the TMS Patient Care facility in Tallahassee creates up

to a 1.5 Tesla magnetic field, and

induces neuronal depolarization

to a depth of 2-3 cm in the left

dorsolateral prefrontal cortex of

the brain. Research into the use

of TMS in conditions other than

depression is ongoing currently.

The TMS treatment team includes

psychiatrists John Bailey, D.O.,

Ellen Berkowitz, M.D., and Faisal

Munasifi, M.D. Questions about

the procedure can be directed to these physicians, or to the

TMSPC facility, at (850) 765-2460 or www.tmspatientcare.

com. CMS

“JOIN” THE CAPITAL MEDICAL SOCIETY GROUP PAGE ON LINKED IN.WE WILL ADD INFORMATION THAT WILL BE OF INTEREST TO OUR MEMBERS.

Page 16: Cap Scan - July 2014

16 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Because liability never takes a holiday, your vacation plans

should include medical coverage arrangements for your

practice, particularly when you use locum tenens. The

following tips will help reduce risks in your practice and

promote the safety of your patients as you plan your vacation:

• Review managed care contracts for relevant coverage

requirements. Some managed care contracts contain

very specific language on this topic and many contain

indemnification clauses that could expose you to the

liability of the covering physician (as well as breach of

contract).

• Whenever possible, make secondary coverage

arrangements. Confirm coverage arrangements via

e-mail or fax with the locum tenens who are covering

your practice in order to avoid misunderstandings,

possible uncertainty of dates or time frame, and exposure

to abandonment.

• Ensure that the practice coverage arrangements include

an understanding about patient billing practices in

conjunction with any managed care contracts or plans.

• Choose covering physicians who share your medical

specialty and have privileges at the same hospitals that

you do.

• Determine if covering physicians carry professional

liability coverage and the limits of such coverage. While

asking these questions could be awkward, you may

be required to ask under certain managed care plans,

provider agreements, and hospital bylaws.

• Before leaving on vacation, prepare a list of patients who

are hospitalized or are in the midst of diagnostic work-

up, or who have special medical problems or needs.

Give this information to the covering physicians and

document any specific advice you provide.

• Inform the attending physicians or hospitalists of any

hospitalized patients you are following about your

coverage arrangements, and document the hospital chart

to reflect these conversations.

• Advise your patients of the coverage arrangements and

give them the covering physicians’ names.

• Make each hospital where you have on-call

responsibilities aware of the dates of your unavailability

and the identity and phone numbers of the covering

physicians. Give similar notice to your answering service

and office staff.

Upon returning from vacation, promptly confer with all

covering physicians. Document what you were told by the

covering physicians about any significant developments in

patients’ clinical course or treatment while you were away.

Run down the patient list that you prepared before you left

for vacation. Peruse all correspondence, phone messages,

and lab reports. Review written follow-up orders and

appointments or diagnostic studies scheduled by the covering

physicians to ensure nothing is forgotten. Promptly deal with

any patient who may have experienced an untoward event or

medical complication while you were away.

Depending on your medical specialty and practice

environment, set aside time on your first day back to catch

up, review and prioritize correspondence, review and return

telephone messages, and attend to matters that require your

INCLUDING RISK MANAGEMENT IN YOUR VACATION PLANNING ALLOWS YOU TO RELAX By Cliff Rapp, Vice President, Southeast Region, Department of Patient Safety, The Doctors Company

MEDICAL/LEGAL

CONTINUED ON NEXT PAGE

Page 17: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 17

MEDICAL/LEGAL

immediate attention. This investment of time may seem like

a luxury, but it will facilitate a smooth transition. Doing so

could also prevent an inadvertent break in the continuity of

care attributed to oversight or delay, rather than to an absence

from the practice.

Consider implementing these fundamental loss prevention

measures for even brief periods when you are unavailable,

such as observance of religious holidays, attending

medical conferences, personal illness, or a long weekend.

Unfortunately, vulnerability to claims is not diminished on

these occasions.

These agents are experts on the products and services MagMutual offers in Florida:

MagMutual.com

Defending southeast physicians for more than 30 years

We invest our financial strength in you• The best Florida attorneys

• Florida peer physician claims review

• Industry leading Patient Safety

• Doctor2Doctor® peer support

• Consistent dividends*

• Owners Circle® rewards program

Medical malpractice insurance for Florida physicians

* Dividend payments are declared at the discretion of the MAG Mutual Insurance Company Board of Directors. Since inception, MAG Mutual Insurance Company has distributed more than $136 million in dividends to our policyholders.

Insurance products and services are issued and underwritten by MAG Mutual Insurance Company and its affiliates.

Staige Hoffman MagMutual

800-741-0611

Rob RemigFisher Brown Bottrell Insurance

850-444-7606

Contributed by The Doctors Company. For more patient safety

articles and practice tips, visit www.thedoctors.com/patientsafety.

Cliff Rapp, BS Ed, LHRM, FL AHCA, HCRM, is vice president

of Patient Safety at The Doctors Company. He is a licensed

healthcare risk manager (LHRM) with more than 35 years of

experience in the insurance industry, specializing in professional

liability, medical and dental malpractice claims, loss prevention,

and risk management. CMS

HAVE YOU “LIKED US” ON FACEBOOK?STAY UP-TO-DATE WITH CAPITAL MEDICAL SOCIETY’S NEWS & EVENTS BY ADDING US TO YOUR NEWS FEED TODAY!

Page 18: Cap Scan - July 2014

18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

MINUTES CMS MEMBERSHIP MEETINGMay 20, 2014

Maguire Center for Lifelong Learning at Westminster Oaks

THE MISSION OF THE CAPITAL MEDICAL SOCIETY IS TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT.

I. BUSINESS MEETING – CAPITAL MEDICAL SOCIETY

A. WELCOME – Dr. Alfredo Paredes, President, called

the meeting to order at 6:30 pm. He welcomed our

CMS members, guests, and sponsors.

B. WESTMINSTER OAKS – Dr. Paredes thanked

Westminster Oaks for use of their beautiful facility and

Mr. Don Wilson, Executive Director at Westminster

Oaks, spoke to the members about the facility and

introduced Dr. Charlotte Maguire, who was in

attendance. Dr. Maguire’s generosity provided the

Maguire Center for Westminster Oaks.

C. SPONSORS – Dr. Paredes welcomed and thanked

our sponsors for the evening:

SUPPORTING SPONSOR:

JANSSEN PHARMACEUTICALS – Tracy Blandino,

Shaina Jackson, and Ryan Weaver

MEETING SPONSORS:

BRISTOL-MYERS SQUIBB – Cynara Miller and Debra

Placilla

MAG MUTUAL INSURANCE AGENCY – Meredith

Hines

TALLAHASSEE STATE BANK/SYNOVUS – Mary

Colonese and Sharon Weeden

D. INTRODUCTION OF NEW EXECUTIVE DIRECTOR

– Dr. Paredes introduced the new CMS Executive

Director, Pam Wilson. Ms. Wilson comes to us with

more than 10 years of experience in the Tallahassee

medical community. Her first day at CMS was May 12.

E. NEW CMS MEMBERS – Dr. Paredes asked any new

members at their first CMS meeting to stand and be

recognized. Dr. Elizabeth Dickens, TMH Physician

Partners - Quincy, was in attendance.

F. PROFESSIONALS RESOURCE NETWORK, INC.

(PRN) – Dr. Paredes introduced Penelope Ziegler,

M.D., Medical Director and Chief Executive Officer

of the PRN. Dr. Ziegler gave a brief overview of the

PRN and its program for healthcare professionals.

SUPPORTING SPONSOR, JANSSEN PHARMACEUTICALS – (L-R) SHAINA JACKSON, TRACY BLANDINO, AND RYAN WEAVER.

MEETING SPONSOR, BRISTOL-MYERS SQUIBB – (L-R) DEBRA PLACILLA AND CYNARA MILLER.

(L-R) MEETING SPONSOR, MAGMUTUAL – MEREDITH HINES; NATOSHA CANTY, M.D.; AND STANLEY GWOCK, M.D.

CMS MEMBERSHIP MEETING MINUTES

CONTINUED ON NEXT PAGE

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19

II. CME PROGRAM – This was a 1 Hour Category One Program

TOPIC: Rational Drug Prescribing in Elders

SPEAKER: Kenneth Brummel-Smith, M.D., Charlotte Edwards Maguire, M.D., Chair

and Professor, Department of Geriatrics, FSU College of Medicine

Dr. Brummel-Smith gave a very informative presentation and was able to answer many

questions asked by the members related to the topic.

CME Proof of Attendance Forms were sent to participants who attended the entire

CME program and filled out an evaluation form.

III. UPCOMING EVENTS – Mark Your Calendars

Dr. Paredes announced upcoming events:

MAY 29, 2014

DOCTOR/FAMILY FUN NIGHT

Members and their families are invited for a fun-filled evening

6:00 pm

University Center Club at Florida State University

SEPTEMBER 3, 2014

MEET THE CANDIDATES

6:00 pm

Goodwood Museum Carriage House

IV. ADJOURN – Dr. Paredes thanked the speakers for their presentations. He adjourned

the meeting at 8:00 pm.

PLEASE THANK OUR SPONSORS

FOR THE

MAY 20TH CMS

MEMBERSHIP MEETING

SUPPORTING

SPONSOR

MEETING SPONSORS

MEETING SPONSOR, TALLAHASSEE STATE BANK/SYNOVUS – (L-R) SHARON WEEDEN AND MARY COLONESE.

OUR SPEAKER FOR THE EVENING, KENNETH BRUMMEL-SMITH, M.D.

(L-R) RUSS JACKSON, PROFESSIONALS RESOURCE NETWORK (PRN); PENELOPE ZIEGLER, M.D., OUR GUEST SPEAKER FROM PRN; AND CHARLOTTE MAGUIRE, M.D.

CMS MEMBERSHIP MEETING MINUTES

CMS

Page 20: Cap Scan - July 2014

20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM

RESIDENCY CLASS OF 2017By Donald Zorn, M.D., Program Director, Tallahassee Memorial Family Medicine Residency

We are pleased to welcome another talented and diverse group of residents. Seven have strong Florida ties, three have small

town roots with intentions to return, and for the 10th straight year we welcome a graduate of the FSU College of Medicine.

Three more come to us from the University of the West Indies (UWI), which has consistently sent us highly trained physicians

in the British educational tradition.

Leah Anderson hails from rural Itawamba, Mississippi, and is committed to full service rural practice. She is

expecting her second child any day now.

Marian Babalola was born in Nigeria but educated in the US. She comes to us from Jacksonville, where,

(alas!) she developed an affinity for the Orange and Blue.

Jannice Beckford was an elementary school teacher who went on to graduate from the Jamaica campus of

UWI. She has had post graduate posts in anesthesia, urgent care and emergency medicine, and can sing.

Gary Brown is also a graduate of UWI’s Jamaica campus. He comes to us on loan from the US Navy. We

have already discovered that he is an excellent athlete, as he almost tipped the balance in the annual faculty-

resident softball game.

DP Choudhury comes from the Bahamas, recently living in Ft. Lauderdale. He once was a nationally ranked

tennis player and has hit with Serena Williams at times.

Sasha Gittens is a graduate of the UWI campus in Barbados, which has sent us several outstanding graduates,

including current faculty member, Dr. Gina Hope. For the past 4 years she has been one of 6 physicians

practicing at the Randal Phillips Polyclinic in Bridgetown, Barbados.

Todd Hewitt practiced chiropractic for 12 years in Pasadena before seeking his medical degree, has a delightful

3 year old girl, and played on the US National Rugby Team.

TMH FAMILY MEDICINE RESIDENCY PROGRAM

CONTINUED ON NEXT PAGE

Page 21: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 21

Nam Huynh was born in Cantho, Vietnam, and moved to the US at age 9. He literally worked his way

through all phases of his education, has owned and run his own small business, and is soon to be married.

Megan McNeil hails from Starkville, MS, and had a career as a chemist before plunging into medicine. She is

competitive in triathlons, crossfit, and unfortunately (for the faculty team), softball.

Aaron Ward has recently been living in Jasper, FL, and working in the TMH Emergency Department. He has

been a flight paramedic, and formerly served as a paramedic in Saudi Arabia. His wife is a physical therapist

and they have three fine young sons.

Mitch Whitehead grew up in Cottondale, FL, just north of Marianna. He has an undergraduate degree

in Classics from FSU, and at the College of Medicine was a Family Medicine Scholar. His interest in our

program was cemented when he and one of our other residents were almost arrested trying to retrieve needed

medicines from a hospitalized patient’s home.

Please help us welcome these fine young physicians to our amazing medical community. All of us at the Family Medicine

Residency are grateful to the physicians of Tallahassee for all your assistance over the past 41 years.

TMH FAMILY MEDICINE RESIDENCY PROGRAM

CMS

ON BEHALF OF THE CAPITAL MEDICAL SOCIETY FOUNDATION BOARD, PAM WILSON, CMS EXECUTIVE DIRECTOR, PRESENTED BIG BEND HOSPICE FOUNDATION AND THE BIG BEND HOSPICE GRIEF AND LOSS TEAM WITH A CHECK ON JUNE 24, 2014 FOR A $5,000 GRANT TO SUPPORT FIVE TIME-LIMITED GROUPS (SIX SESSIONS EACH) OF PROFESSIONALLY FACILITATED BEREAVEMENT CARE, FOR FIFTY INDIVIDUALS IN LEON COUNTY WHO HAVE LOST A LOVED ONE. PICTURED: (L-R) MICHAEL EURICH, PAM MASON, MELANIE LACHMAN, PAM MEZZINA, PAM WILSON, AND WENDY VARGO.

Page 22: Cap Scan - July 2014

22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

PHYSICIAN RESOURCES

THE PROFESSIONALS RESOURCE NETWORK (PRN)By Penelope P. Ziegler, M.D., Medical Director, Professionals Resource Network, Inc.

The Professionals Resource Network (PRN) is Florida’s

program that addresses the issues of healthcare professionals

who have illnesses and other health problems that could

impair their ability to practice with skill and safety. Founded

in 1980 as the Committee for Impaired Physicians of the

Florida Medical Association, PRN now works with all

licensed or certified healthcare professionals, applicants

and students, except nurses and other practitioners licensed

through the Board of Nursing, who have their own program,

Intervention Program for Nurses (IPN). PRN assists

professionals who have substance use disorders, psychiatric

illnesses, behavioral disturbances, boundary violations,

cognitive impairments and physical disabilities.

Our mission, as articulated by our Board of Directors, is to

protect the citizens of Florida by identifying, referring for

evaluation and treatment, and monitoring practitioners who

may be impaired, and in the process, to preserve the careers

and lives of healthcare professionals who need assistance. Now

an independent, 501(c)(3) organization, PRN has a full time

medical director, professional staff and a 22-member Board of

Directors composed of allopathic and osteopathic physicians

and concerned citizens who oversee the program’s operations,

financial and legislative affairs and research activities.

PRN serves as a consultant on impairment to the Department

of Health, Division of Medical Quality Assurance (as

legislated in Chapter 456.076 of the Florida Statutes), and

works with 30 different Boards and Councils to ensure that

licensees who are identified as being in need of treatment

and monitoring are safe to practice. We also work with

medical schools and other professional training programs

to provide education about impairment, information for

students and services to individual students who may be in

need of treatment and monitoring.

Referrals to PRN come from many different sources, including:

• Self-referral: a professional or student may contact our

program directly to request services.

• Referral from a treatment provider: a therapist, counselor,

physician, psychiatrist or treatment program may refer

a professional or student who is receiving care for a

potentially impairing condition, either by contacting

PRN directly or by having the individual call us.

• Employer/ school referral: often a practitioner’s employer

or school refers an individual to us due to concerns about

possible impairment.

• Health care organization referral

• Family member/friend/concerned colleague referral

• Attorney referral

• Referral from Department of Health/ Licensing Board:

PRN receives referrals of applicants for licensure who

report a history of problems in the past or in other

jurisdictions; licensees about whom an investigation

has been opened; licensees facing disciplinary action;

and licensees who have already been disciplined in

another state. Veterinarians, who are licensed by the

Department of Business and Professional Regulation,

are also referred to PRN via the Department of Health

as specified in Florida Statute 474.221.

Once a practitioner has agreed to work with PRN, the first step

in the process involves obtaining an evaluation performed by

a professional with expertise in the area in which the person

is experiencing difficulty. PRN has a group of evaluators

in Florida and around the U.S. who have been credentialed

and trained in doing this specialized type of comprehensive

forensic assessment. The evaluator makes diagnoses,

treatment recommendations, monitoring recommendations

and a statement about the individual’s ability to practice with

skill and safety.

If treatment is indicated and monitoring is recommended,

PRN then proceeds to develop a contract with the practitioner.

Several types of contract are available, including a contract

for substance use disorders, a contract for psychiatric illness,

a contract for co-occurring substance use and psychiatric

disorders, a behavioral contract, a boundary violation CONTINUED ON NEXT PAGE

Page 23: Cap Scan - July 2014

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23

PHYSICIAN RESOURCES

contract, a pain management contract and

a physical/cognitive disabilities contract.

Contracts are individualized to meet the

needs of each practitioner, and vary in length

from one year to licensure-long. However, the

average length of a substance use disorder

contract is five years.

Many PRN participants work with us to

develop a treatment and monitoring plan, and

are compliant with that plan, experiencing no

relapses or complications. Some participants

do experience complications and require

additional intervention, but the majority

of practitioners are able to return to work

and resume their careers. Unfortunately, a

few individuals, because of the severity of

their illness or refusal to work with PRN,

are unable to qualify for PRN advocacy and

are felt to constitute a danger to the citizens

of Florida. In those cases, PRN must report

them to their respective licensure Boards to

insure protection of the public.

In addition to PRN’s work with individual

practitioners, we provide education

and information to Florida healthcare

professionals and students in professional

education and training programs. This

outreach effort includes presentations to

county medical societies, hospitals and other

healthcare facilities, schools of medicine,

dentistry, pharmacy and other institutions.

PRN’s Medical Director and Associate

Medical Director are also active in state

and national organizations that study and

promote wellness and recovery for healthcare

professionals and conduct research into

various aspects of professional health. PRN

is currently conducting research on medical

students involving all eight of Florida’s

medical schools, and is participating in multi-

state studies on long-term outcomes for

addicted professionals who have completed

monitoring programs.

Research studies of professionals’ health

programs such as PRN show that education,

early intervention, effective treatment and

monitoring provide the most effective route

to preventing impairment-related injuries

to patients and also preserving the careers

and skills of practitioners with potentially

impairing illnesses. Unlike punitive,

disciplinary approaches, which tend to foster

secrecy and to hide unsafe practitioners, PRN

promotes wellness, prevention and support for

doing the right thing to get help for healthcare

professionals.

Professionals Resource Network (PRN) 1-800-888-8776 www.flprn.org

Penelope P. Ziegler, M.D., Medical Director P.O. Box 1020Fernandina Beach, FL 32035904-277-8004 [email protected]

Martha E. Brown, M.D., Associate Medical

Director

For questions relating to the administration of

PRN, please contact: Tish Conwell 800-888-

8776 x225 [email protected].

For questions relating to referrals, participants

and compliance please contact: Delena

Torrence 800-888-8776 x 216 or via email at

[email protected].

PRN BOARD OF DIRECTORS:

George R. Wilson, M.D. CHAIR

Gerold L. Schiebler, M.D. IMMEDIATE PAST CHAIR

Karl M. Altenburger, M.D. VICE CHAIR

Ronald F. Giffler, M.D. TREASURER

James Patrick O’Leary, M.D. SECRETARY

Ann Anderson, R.N.

James Andriole, D.O.

Madelyn Butler, M.D.

John S. Curran, M.D.

H. Frank Farmer, M.D.

Robert J. George, D.O.

Mark S. Gold, M.D.

E. Rawson Griffin, M.D.

Lynn Hankes, M.D.

W. Alan Harmon, M.D.

Stuart Markowitz, M.D.

David E. Milov, M.D.

Robert C. Nuss, M.D.

N. Henry Pevsner, M.D.

Marguerite R. Poreda, M.D.

Rita Seymore

Robert T. Watson, M.D.

CMS

Page 24: Cap Scan - July 2014

24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

NAOMI SALZ FLOCK, M.D. RECEIVED THE FSU COLLEGE OF MEDICINE’S 2014 ACCESS TO CARE AWARD, WHICH IS GIVEN ANNUALLY IN HONOR OF ROBIN MCDOUGALLBy Doug Carlson, Director of Public Affairs and Communications, FSU College of Medicine

The award is given to the graduating student who has

demonstrated a strong interest in providing access to health

care for underserved populations and who has volunteered

at clinics or on international medical missions for the

underserved. The award is sponsored by the Capital Medical

Society Foundation, and honors the past coordinator of the

We Care Network, which provides access to health care for

low-income and uninsured individuals in Leon, Jefferson,

Wakulla, and Gadsden counties.

In nominating Dr. Flock for the award, a classmate wrote

that her dedication to increasing access to care could be seen

in nearly all of Naomi’s medical school experiences.

A sampling of those activities includes:

• Volunteering at Refuge House, working with individuals

who have been affected by domestic violence and

sexual assault.

• Working with Project Prevent, volunteering at migrant

health fairs and serving as a Florida Academy of Family

Physicians student representative – all during the first

year of med school.

• Serving as president of the Family Medicine Interest

Group and volunteering during Cover the Uninsured

week activities.

• Traveling to Panama with FSUCares to provide medical

care for a small village with no other access to physicians

and medicine.

• Multiple trips to Nicaragua with the Students Interested

in Global Health interest group.

• Spending three weeks in Immokalee during the third

year of medical school, where she volunteered with

multiple social service agencies and encouraged three

local high school students to consider going to medical

school so they could return and serve their community.

• Completing an MPH during her fourth year of med

school with the hope that it will aid her ability to

implement changes in her community.

Dr. Flock, who graduated May 17, has joined the family

medicine residency program at New Hanover Medical

Center in Wilmington, N.C. She participated in the couples’

match with husband and classmate Jens Flock, who will be

in the general surgery residency program at New Hanover.

Upon graduation from residency, Dr. Flock intends to work

in a medically underserved community and hopes to serve on

a family medicine residency program faculty.

“She hopes to use her qualifications to touch as many lives

as possible – both her future patients and future physicians in

training,” said classmate Alexandra Mannix, who nominated

Dr. Flock for the Access to Care Award. CMS

ACCESS TO CARE AWARD

(L-R) KIMBERLY DRISCOLL, PH.D., ASSISTANT PROFESSOR OF BEHAVIORAL SCIENCES AND SOCIAL MEDICINE AT FSU COLLEGE OF MEDICINE, PRESENTED NAOMI SALZ FLOCK, M.D. WITH THE ACCESS TO CARE AWARD. PHOTO COURTESY OF BILL LAX/FSU PHOTO SERVICES

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 25

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26 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

The mission of the Capital Medical Society Foundation is to support the charitable efforts of physicians and others, increase access to healthcare, promote education and

serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.

DONATE TO THE CMS FOUNDATION

REASONS TO DONATEYou can make a donation to the CMS Foundation in

memory of someone who has passed away or you

can make a donation in honor of someone, such as

a fellow physician you hold in high esteem or has

taken care of you or your family. CMS will send a

letter to those you honor.

ENDOWMENT FUNDSCMS Foundation has created three endowment funds

in order to establish long-term financial stability to

meet our mission. You can donate at any time to one

of the CMS Foundation’s Endowment Funds.

1) The General Endowment Fund

2) The We Care Network Endowment Fund

3) The Scholarship Endowment Fund

Checks should be made payable to the CMS

Foundation and indicate on the “For line” to which

Fund you would like to donate. Bring your check to

the CMS Office or mail it: Capital Medical Society ~

1204 Miccosukee Road ~ Tallahassee, FL 32308.

How to Buy Dr. Williams’ More Simpler TimesBy Shannon Boyle We are very grateful to Dr.

Charles Williams that he has

decided to donate to the We

Care Network, proceeds from the

sales of his new book and sequel,

More Simpler Times. The cost is $20 per book. You can buy copies of the book at:• The CMS office – 1204 Miccosukee Road• The Gift Shop at Capital Regional Medical Center• The Gift Shop at Tallahassee Memorial Hospital • Tallahassee Nurseries – 2911 Thomasville Road• My Favorite Things – 1410 Market Street, B2• Feathered Pony Boutique – 2522 Capital Circle NE, #3

CHECKS SHOULD BE MADE OUT TO: CMS FOUNDATION.

THIS MEANS YOU ARE MAKING A TAX-DEDUCTIBLE

DONATION TO YOUR CMS FOUNDATION.

CMS FOUNDATION

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 27

TO OUR CMS MEMBERS AND WE CARE PARTNERS WHO SAW NEW PATIENTS FOR THE

WE CARE NETWORK IN MAY 2014. YOUR GENEROSITY AND SUPPORT OF THE WE CARE

NETWORK MAKES A DIFFERENCE.

PLEASE CONTACT ROSE MARIE WORLEY AT [email protected] OR 201-0130, IF YOU ARE A WE CARE VOLUNTEER AND YOU PROVIDED VOLUNTEER SPECIALTY CARE

IN THE MONTH OF MAY 2014 AND YOUR NAME IS OMITTED.

THANK YOU!

Received 101 referrals,

with 40 patients new to

the program

Scheduled 114 appointments

with volunteer physicians

and dentists

$59,747 in donated

care was reported by

We Care volunteers

DURING THE MONTH OF MAY, THE WE CARE NETWORK:

CMS FOUNDATION: WE CARE NETWORK

PHYSICIANSAaron Appiah, M.D.Patrice Bidwell, M.D.Robert Bradford, M.D.Tim Broeseker, M.D.Viet Bui, M.D.Carlos Campo, M.D.Stephen Carr, M.D.Michael Cavallaro, M.D.C. Raymond Cottrell, M.D.J. Daniel Davis, Jr., M.D.David Dolson, M.D.David Durden, M.D.Philbert Ford, M.DSpencer Gilleon, M.D.Kristin Harmon, M.D.Celeste Hart, M.D.Gina Hope, M.D.Iman Imanirad, M.D.Amit Jain, M.D.Carey Linker, M.D.Maribel Lockwood, M.D.Gordon Low, M.D.Kurt Luhmann, M.D.Michael Mangan, M.D.Chukwuma Okoroji, M.D.Praful Patel, M.D.Michael Pentaleri, M.D.Stephen Richardson, M.D.Adrian Roberts, M.D.Andres Rodriguez, M.D.

Laurence Rosenberg, M.D.Jeannine Silberman, M.D.Robert Snider, M.D.Timothy Sweeney, M.D.John Thabes, M.D.James Trimble, M.D.David Vermess, M.D.William Yaakob, M.D.Jessica Yoon, M.D.Richard Zorn, M.D.

DENTISTSEric Amundson, D.D.S.Brian Beck, D.M.D.Ransey Boyd, D.M.D.Steven Bryan, D.M.D. M. Darrh Bryant, D.M.D.Susan Byrne, D.M.D.David Cardman, D.M.D.Walter Colón, D.M.D.Ben Grooters, D.D.S.Michael Hartley, D.M.D.William McFatter, D.D.S.E. Lynn McLarty, D.D.S.Jim McSoley, D.M.D.Frank Swerdzewski, D.D.S.James Sykes, D.M.D.Jay Walton, D.D.S.Lawrence Weaver, D.D.S.Ed Zapert, D.M.D.

FACILITIESAffordable DenturesAnesthesiology AssociatesBeachton Denture ClinicCapital Regional Medical CenterDermatology AssociatesDesloge Home OxygenLeon County Dental ClinicPathology AssociatesRadiology AssociatesSeven Hills Surgery CenterSoutheastern Surgery CenterTallahassee Diagnostic ImagingTallahassee Endoscopy CenterTallahassee Health ImagingTallahassee Memorial HealthCareTallahassee Orthopedic and Sports Physical TherapyTallahassee Outpatient Surgery CenterTMH Family Medicine Residency ProgramWomen’s Imaging Center

WE THANK OUR REFERRING PROVIDERS FROM MAY 2014:

Eboni Allen, ARNP

Anne Ananga, ARNP

Ricardo Ayala, M.D.

Shelby Blank, M.D.

Faith Blocker, ARNP

Elizabeth Borger, ARNP

Jonna Bradley, ARNP

Daniel Breivogel, ARNP

Kendall Campbell, M.D.

David Cardman, D.M.D.

Armand Cognetta, Jr., M.D.

Marilyn Cox, M.D.

Lysmar Dinguis, M.D.

Susan Dunbar, ARNP

Judy Griffin, ARNP

Ben Grooters, D.D.S.

Kristin Harmon, M.D.

Karl Hempel, M.D.

Hantz Hercule, M.D.

Sara Hinson, ARNP

Susan Horton, ARNP

Iman Imanirad, M.D.

Amit Jain, M.D.

Julie Kelch, M.D.

Bill Kepper, M.D.

Howard Kessler, M.D.

Marjorie Kirsch, M.D.

Elaine Larkins, ARNP

Charles Maitland, M.D.

William McFatter, D.D.S.

Anthony McGuire, D.M.D.

Donald Michel, M.D.

Kelley Miller, ARNP

Neighborhood Medical Center

T. Adam Oliver, M.D.

Rose Origa, ARNP

Timothy Paulk, M.D.

Temple Robinson, M.D.

Jose Rodriguez, M.D.

Gary Rolle, M.D.

Alanna Steaple, ARNP

Seth Stern, M.D.

Nina Sumlar, M.D.

Tallahassee VA Clinic

Tamara-Kay Tibby, D.M.D.

TMH Family Medicine Residency

Program

Marianne Towler, ARNP

Quandra Whaley, ARNP

Richard Zorn, M.D.

Page 28: Cap Scan - July 2014

Cap Scan Newsletter1204 Miccosukee RoadTallahassee, FL 32308

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