Detroit Medical

Wayne County Medical Society of Southeast Michigan

Volume C, Number 2 • MARCH/APRIL 2011 • $5.00 U.S.www.wcmssm.org

The Year of rabbiT CommenCes

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Change The game

The Year of rabbiT CommenCes

aCos

Change The game

Detroit MeDical News 1 MarcH/aPril 2011

Detroit Medical NewsAdam R. Jablonowski Executive Director arj@msms.orgPaul S. Natinsky Managing Editor pauln@natinskypublishing.com

Display aDvertising Gretchen Christensen 2779 Aero Park Dr. Traverse city, MI 49686 888-822-3102 Fax: 989-892-3525 gretchenchris@villagepress.comeDitOrial BOarD Joseph J. Weiss, MD Editor josephjweiss@cs.comAllen Silbergleit, MD Sr. Associate Editor silberga@trinity-health.orgSusan Hershberg Adelman, MD Editor Emeritus susanadelman@hotmail.comVictor Bloom, MD Associate Editor vbloom@comcast.netGilbert B. Bluhm, MD Associate Editor gbbluhm@sbcglobal.comNed Chalat, MD Associate Editor chalatnj@aol.comMartin Daitch, MD Associate EditorHenry Domzalski, MD Associate EditorGeorge Hill, MD Associate EditorDaniel Michael, MD Associate Editor dmichael@voyager.netKathryn Moseley, MD Associate Editor kathrynmoseley@sprintmail.comWCMssM OFFiCers Cheryl Gibson Fountain, MD PresidentJames Sondheimer, MD President-ElectJ. Mark Tuthill, MD SecretaryBOarD OF trUsteesHassan Amirikia, MD Treasurer Edmund Barbour, MDChris Bush, MDAnne-Mare Ice, MDFederico Mariona, MDGeorge Shade Jr, MDRichard Smith, MD Chair

MsMs DireCtOrs FrOM Wayne CO. Mohammed Arsiwala, MDKelly Caverzagie, MDCheryl Gibson Fountain, MDEdward Jankowski, MDLonnie Joe, MDTheodore Jones, MDBarbara Lucas, MDH. Michael Marsh, MBBSDaniel Michael, MD President George Shade Jr, MDNarinder Sherma, MDRichard Smith, MD Immediate Past PresidentWCMs allianCe Clara V. Sumeghy, MS, CT Co-PresidentGirija Viswanath Co-President

Features & Departments

MARCH/APRIL 2011

The Detroit Medical News (ISSN 0098-471X) is published 6 times a year by the Wayne County Medical Society of Southeast

Michigan, 3031 W. Grand Blvd, #645, Detroit, MI 48202; monthly. Periodical rate postage paid at Detroit, Michigan, and additional

mailing offices. Subscription rate, $50 per year; single copies, $5. Subscription included with society dues. The Wayne County

Medical Society of Southeast Michigan is not responsible for statements or opinions published in the Detroit Medical News, as these

express the views and opinions of the authors. The Wayne County Medical Society of Southeast Michigan reserves the right to reduce,

revise or reject any manuscript submitted for publication. Articles and photos published in the The Detroit Medical News become

the property of the Society and may be reproduced or reprinted only after written permission has been granted. The Wayne County

Medical Society of Southeast Michigan further reserves the right to accept or reject advertising. Editorial Board shall have charge of

the publication under the supervision of the WCMSSM Council and the Board of Trustees (Article X, Section 2, WCMSSM bylaws).

Acceptance of advertising does not imply endorsement of the product or service. All communications relative to articles, news and

advertising should be addressed to: Editor, Detroit Medical News, 3031W. Grand Blvd., Detroit, MI 48202. Phone: (313) 874-

1360. POSTMASTER: Send address changes to Detroit Medical News, 3031 W. Grand Blvd., #645, Detroit, MI 48202

Wayne County Medical Society of Southeast Michigan

WINNER

DIamoND aWaRDssilver Level

For Excellence in magazine Publishing20

07

WINNER

DIamoND aWaRDssilver Level

For Excellence in magazine Publishing20

06

Detroit Medical

The Award-Winning Magazine of the Wayne County Medical Society of Southeast Michigan

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Correction: An advertisement in the January/February issue of the Detroit Medical News for St. John Hospital & Medical Center’s Continuing Medical Education Seminar on Hot Topics in Pediatrics on April 6, 2011 advertised an incorrect location. The advertisement in this issue on page 17 has the correct location of Providence Park Hospital, 48701 Grand River Avenue, Novi, MI 48374

2 President’s Report Executive Council Meeting By Cheryl Gibson Fountain, MD

4 Editor’s Column We Serve Also By Joseph Weiss, MD

6 In My Opinion Careful Please By Allan Dobzyniak, MD

Feature Stories 8 Chinese New Year 10 ACOs Will Change the Game 12 2011 Candidate Bios

16 Classifieds

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President’s ReportPresident’s Report

executive Council MeetingBY CherYl GiBsON FOuNtAiN, MD

se Mi Medical societies leadership Meeting – We meet quarterly to discuss issues of mutual interest. Invited participants are the officers of the allopathic and osteopathic medical societies and the Detroit Medical Society. We have later in our agenda an initial effort to work together on a problem for many of our members – retroactive recoupment of payment by insurers.

Chinese new year Dinner – As Dr. Beals will report, this was yet again another successful event with over 200 in attendance. The money raised will be used for elder abuse prevention education. The Foundation is proposing an educational seminar at the MSMS Annual Scientific Meeting in October on this topic.

Medical staff Meeting – In continuing with visits to hospital medical staff meetings, I spoke briefly at Oakwood Heritage Hospital on January 18 about membership and the issues effecting physicians, especially the SGR problem that has been plaguing us since 1997.

Office Managers seminar – This jointly sponsored (WCMSSM and OCMS) meeting for office managers was held in Birmingham on January 19. Subjects covered included dealing with patient bad debt and reimbursement issues primarily related to Blue Shield.

M-Ceita – The Michigan Center for Effective Information Technology Adoption assists providers throughout the entire adoption process from selecting and adopting an EHR to meaningfully using it to improve the quality of care delivered to their patients. Their meeting with physicians (six in attendance) in Farmington Hills on January 25 was summarized nicely in Dr. Joe Weiss’ column in our February 14, DMN E-edition that you can read on our website at http://www.wcmssm.org/dmn/2k11/e-edition/dmnfebruary142011.htm

tri-County Osteopathic inaugural gala – For several years, the President-Elect of WCMSSM attends this Inaugural. This year in addition to Dr. Sondheimer and his wife, Dr. Smith and I were able to participate as well. This could be a model for us in a possible future relation with adjacent medical societies.

MOasH – The Michigan Organization on Adolescent Sexual Health was founded to provide statewide leadership on adolescent sexual health through education, advocacy, capacity building and creative partnership. Dr Herb Smitherman and I serve on MOASH’s Board of Directors. Brochures are available with more information and a request for support.

MsMs new legislators reception – MSMS hosted this reception on February 16. Our members there included Drs. Smith, Michael, Sandler, Bush, Barone and me. Legislators from around the state were present as well as some of our Wayne County House and Senate members.

Other meetings attended: I also participated in and represented our membership and MSMS on the Michigan Hospital Association Physician Alignment Committee and the Physician Provider Contract Advisory Committee, Blue Cross Blue Shield

UpComing EvEnts:Rhoades Lecture, Peter Coggan, M.D., “Too Many Medical Schools -An Approaching Crisis,” Detroit Yacht Club, Belle Isle, 6:00 p.m., Friday, April 8, 2011

MSMS House of Delegate Annual Meeting, Radisson Hotel, Kalamazoo, April 29 – May 1, 2011

WCMS Foundation Golf Classic – Plum Hollow, Noon, May 9, 2011

WCMS Foundation President’s Gala – Dearborn Inn, 6:00 p.m., May 18, 2011

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Editor’s ColumnEditor’s Column

BY JOseph Weiss, MD

We alsO serve

Serving Michigan’s Health Care Community

Since 1994

p hysicians are not spectators in the back and forth volleys of the Federal Courts in declaring the

Affordable Care Act valid, then invalid, again valid and now, once again, invalid.

Recently, an obviously ill 27 year old man hobbled into my rheumatology office. He was pale, thin, and limped badly. His girlfriend, who accompanied him, supported his statement that he had been well until 4 months ago when he had sudden onset of fatigue and joint aching. She added that he was experiencing drenching night sweats that soaked both his pajamas and the bed sheets.

I aspirated 30 cc of synovial fluid from his right knee, 25 cc from his left knee, and 8 cc from his left ankle. Possible diagnoses included auto immune arthritis,, lymphoma, sarcoidosis, reactive arthritis, and infections such as AIDs.

However, he had no insurance and no money. The only laboratory test he could afford was a white blood count, but no differential ( the count was 14,400).

Likely, most readers of this column can relate a similar story of a patient with no insurance or personal funds who was too sick to be sent away but not so ill as to be told to “ go downtown ( to Receiving Hospital) where someone would admit you to the hospital.”

Times arise when a physician must care for a patient. But the doctor’s problem compounds when even the minimum

of care requires the help of other physicians, laboratory technology or hospital facilities such as operating rooms and CT scanners. To render care may take money no matter how capable and experienced the initial physician.

Some members of the medical community may believe that coverage as made mandatory under the Affordable Care Act, is unconstitutional. But those individuals who take that attitude should tell the rest of us who see e a patients without health insurance and no funds, how to render that patient proper care. Uncompensated care, no matter how well intended, cannot replace the options and opportunities that health insurance, even if mandatory, can provide.

Detroit MeDical News 5 MarcH/aPril 2011 Detroit MeDical News 5

Doctors’ Day Is Around The Corner!

March 30 is Doctors’ Day, a special celebration recognizing the tireless efforts of physicians around the nation.

The first Doctors’ Day observance was held on March 30, 1933, by the Barrow County Alliance, in Winder, Georgia. The idea of setting aside a day to honor physicians was conceived by Eudora Brown Almond, wife of Dr. Charles B. Almond, and the recognition occurred on the anniversary of the first administration of anesthesia by Dr. Crawford W. Long in Barrow County, Georgia, in 1842. The Alliance immediately adopted the following resolution:

“WHEREAS the Alliance to the Barrow County Medical Society wishes to pay lasting tribute to the Doctors, therefore, be it

RESOLVED by the Alliance to the Barrow County Medical that March 30, the day that famous Georgian Dr. Crawford W. Long first used ether anesthesia in surgery, be adopted as ‘Doctors Day,’ the object to be the well-being and honor of the profession, its observance demanding some act of kindness, gift or tribute in remembrance of the Doctors.”

This first observance included the mailing of cards to the physicians and their wives, flowers placed on graves of deceased doctors, including Dr. Long, and a formal dinner in the home of Dr. and Mrs. William T. Randolph. Since then, Doctors’ Day has become an integral part of the celebration of medicine. Through the years the red carnation has been used as the symbol of Doctors’ Day.

Information obtained from Southern Medical Association website.

In My Opinion

Using examples of a small minority of uninsured patients with unfortunate health issues is not

an argument for Obamacare as the vehicle for access to appropriate health care, with choice of providers at affordable cost. Worse though is to dispense with important constitutional questions in a largely emotional context. The consequences to present and future citizens of our republic is profound, extending far beyond health care. Also, remember that coverage for the uninsured in the new health care reform law, does not begin until 2014 and even then without accomplishing nearly 100 percent coverage. About 50 percent of these or 15 million to 20 million people will end up in state Medicaid programs, systems already massively under-funded and broken, to say the least. Actuaries for Indiana have priced this as an additional $2.6 to $3 billion to taxpayers in that state, and this does not even include the additional administrative costs. The health care reform law is a hypocritically delayed, non-solution, at tremendous additional cost. It features massive growth of government, huge tax increases, dismantling of a huge portion of the private sector, and hiring of thousands of new public sector employees to staff multitudes of new departments with all the “ efficiency “ ( tongue in cheek ) of technocrats.

a moderately priced, relatively small federal program or individual state initiatives could have offered the poor, uninsured, and truly needy access to health care without the huge megalith we got.

Positive health care reform could have been done without constitutional challenge or crisis and without challenging the very core of United States’ exceptionalism. Health savings accounts could have been expanded. Consumers could have been permitted to purchase insurance across state lines increasing competition. The tax deductibility of health care spending could have been extended from employers to individuals. Benefit mandates in the bill even force consumers to buy what many do not need. Subsidies to purchase private insurance or other new approaches could have been established instead of herding millions of people into a disastrous Medicaid system.

Health care could be more affordable without the mandates as shown by the now more than 700 exemptions granted by Health and Human Services Secretary Kathleen Sebelius. Instead of the predictable escalation of costs in an open-ended entitlement, health savings accounts and additional options for consumer choice would create individual awareness and thoughtfulness regarding health care needs and cost.

The ability of individuals to retain personal dignity by making their own health care choices is in sharp contrast to a paternalistic nanny state able to level punishments if its rules diminishing the pride of individuality are not followed. you bet the Constitution is important.

CareFUl pleaseBy AllAN DOBZYNiAK, MD

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Feature StoryFeature Story

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A sumptuous feast, silent auction and serpentine dance bedazzled attendees at the WCMS Foundation 7th Annual Chinese New Year Celebration Jan. 30 at the Golden Harvest Restaurant in Warren.

The nine-course meal and traditional “dragon dance” were preceded by presentations to honorees Joanne and Edward Deed, Millie and Robert Pastor and Michael Brennan, MD (posthumously).

Edward Deeb is president and chief executive officer of the Michigan Food & Beverage Association. He serves on various committees for community organizations including Unite Way for Southeast Michigan, the Salvation Army and Boys and Girls Clubs of Southeast Michigan.

Millie Pastor is owner and principal of Pastor Interiors, Inc., Bloomfield Hills. She is a past president of the American Lung Association and the Women’s Committee for Project HOPE.

Dr. Brennan passed way last fall. Among his numerous career contributions were included the introduction and implementation of hospice and related concepts to health care as well as significant developments in cancer treatment and research.

The Chinese New Year Celebration benefitted efforts at senior abuse prevention.

tHe ‘year OF tHe raBBit’ gets OFF tO rUnning start

Feature StoryFeature Story

By pAul NAtiNsKY

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aCOs Will ‘CHange tHe gaMe,’ WitH Or WitHOUt reFOrM

They give hospital executives sleepless nights, leave physicians scratching their heads and no one even knows what they’ll eventually look like. But without a doubt,

accountable care organizations are coming to a health system near you, Medical Advantage Group President & CEO Larry Schwartz told physicians and guests at the Feb. 3 GCMS Dinner Business Meeting.

One definition describes ACOs this way: “an organization of providers that takes collective responsibility for improving patient care.” What exactly that means in terms of structure, membership, payment methodology and service delivery is not entirely clear.

In the Patient Protection and Affordable Care Act (the main federal health care reform bill), ACOs will be established Jan. 1, 2012 as part of Medicare’s Shared

Savings Program. The skeletal outline of ACO structure so far calls for three-year contracts with the Department of Health and Human Services in which ACO providers must provide care for at least 5,000 Medicare beneficiaries, must be “patient centric,” use evidence-based medicine and provide reporting on quality and cost measures, among other provisions.

The act specifies that the ACO must be made up of health care professionals in a group practice, networks of practices, hospitals working with physicians and “others that the Secretary (of HHS) approves.”

While the ACO concept outlined in the health care reform law is short on specifics, a key element of the ACO provisions of the PPACA is a sharing of “savings” achieved by the organization’s activities. This is paired with the reform law’s proscription on reimbursement for hospital readmissions. Schwartz said that unless hospitals can “give

an ironclad reason” why a patient is readmitted within 30 days of being discharged, no reimbursement will be paid to the hospital for that patient. With readmission rates as high as 26 percent this could end up being a real problem for hospitals. But if hospitals group with other providers to form ACOs, they can share in savings achieved by the group and mitigate some of these losses.

Still, said Schwartz, hospitals “are scared to death” of this arrangement and will be feeling forced to form ACOs; a pressure that could result in hospitals pushing physicians and physicians groups to join. Schwartz said physicians should be out front in the formation of these groups, but should not feel time pressure to join. Rather, they should evaluate the benefits and pitfalls of such opportunities and participate in their leadership and design.

“(In anticipation of the need to form ACOs), (t)here is a great flurry of (Physician Hospital Organization) activity—every hospital is forming one,” said Robert Jackson, MD, medical director, Oakwood Primary Care Physicians, in his commentary following Schwartz’s presentation.

While court challenges to the new health care reform law have populated recent headlines, Schwartz said the “payment reform” embodied by the ACO concept is likely to move forward regardless of the fate of other aspects of reform. He cited the long history of adopted innovation through federal programs, including HMO-enabling legislation in the 1970s, the conversion to Diagnosis Related Groups to replace the expensive “cost-plus” Medicare reimbursement system in the 1980s, the Resource-Based Relative Value Scale designed to give primary care a boost in the 1990s, the Health Insurance Portability and Accountability Act dealing largely with privacy measures in the 2000s and now the PPACA with its emphasis on ACOs.

If Medicare payment methods change, all payors will eventually emulate the new method, said Schwartz. “History tells us this.”

Schwartz, who has worked as a hospital CEO, said hospital executives focus on “the preservation and growth of assets.” He said hospitals understand that they have to get costs under control. However, “it’s hard to turn an aircraft carrier around.”

Schwartz said hospitals are feeling the squeeze, have dialed up competition with one another and will increase pressure on physicians.

“There isn’t anyone you do business with that doesn’t want to be the last man standing,” he said. Likely the result will be fewer hospitals and smaller hospitals.“Health care has become hospital-centric. It needs to change. It needs to be patient-centric,” said Dr. Jackson.

Dr. Jackson told a joke that emphasized the point. He spoke of two hunters being chased by a bear. One said he was going to run to the nearest tree and climb; the other said he was just going to run as fast as he could. The first hunter said, “are you crazy, you can’t outrun a bear.” The second said, “I don’t have to; I just have to outrun you.”

“Consequences for hospitals will be very bad and they’ll be acting out,” said Schwartz. “Don’t let the institutions that are afraid themselves right now divide and conquer. “Primary care physicians will never lose leverage; keep using it. People

will threaten you, but you will never lose it. Don’t be in a hurry.”

In his parting comments, Schwartz urged physicians to support and work cooperatively with those of their ranks who work in hospital administration. He also said that more physicians need to serve in health system CEO roles, not just as heads of medical staffs. And doctors need to stop ostracizing those who do occupy executive roles.

Detroit MeDical News 11 MarcH/aPril 2011

2011 CanDiDate BiOsmohammEd ali arsiwalaWhy he is running: I am running for president of Wayne county medical society because I want to continue to serve and enhance the mission of organized medicine and strong advocacy for our patients. To uphold, preserve the right’s of the physician and the practice of medicine.

Dr. Mohammed Arsiwala is announcing his candidacy for President of Wayne County Medical Society. He has been involved in organized medicine for the past six years. Dr. Arsiwala currently serves on the board of Michigan State Medical Society with a strong dedication and run of three years and has been an active member of the society for the past seven years. With the Michigan State Medical Society he sits on the Legislative and Regulatory Committee where he is an avid patient advocate actively involved with legislature to protect the Rights of patients and the practice of medicine. Dr. Arsiwala served as Young Physician’s chair of Wayne County and Michigan State Medical Society and sits on the board of MDPAC (Doctoral of Medicine, Political Action Committee) as Secretary and Treasurer.

Over the past ten years Dr. Arsiwala has personally built “Michigan Urgent Care” which is a corporation of Urgent Cares that spread throughout south east Michigan with the mission to excel at providing for the healthcare needs of the community through quality and efficient patient-centered care. Operating in a manner that ensures at all times regulatory compliance patient satisfaction and quality medical services. Dr Arsiwala also enjoys his time volunteering at Saint Vincent DePaul medical center providing care to the community. Dr Arsiwala is the husband to Mabel Arsiwala and the proud father of four wonderful Children Akbar, Mohsin, Stephanie and Amanda.

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ali moiin mdI am a candidate for the office of WCMSSM President. If I am elected I would want to achieve three goals during my tenure as President-elect and President.

(1) I would like to further our involvement with legislators and other elected officials. We must develop more influence on our elected officials - as their friends, as donors to their campaigns and as a source of advice through the medical society. On the other hand, our lack of involvement will lead to legislations that are anti-doctor; and, as evidenced recently, even the possibility of tax increases limited to physicians. I have been personally successful in passing legislative bills and changing regulations by being a friend, donor and advisor. We must educate patients, government agencies, and public that physicians are best qualified to perform surgeries and to diagnose diseases. This will also help ensure that our reimbursements will not decrease.

(2) To enroll more young physicians into our Society so that WCMSSM continues to thrive for many more years. I strongly believe that recruitment of young physicians is only possible through their knowledge of our successful Society. To achieve this goal, I would propose a twice yearly membership drive directed toward young physicians so that they can be familiarized with our organization and become interested in joining WCMSSM.

(3) To focus on offering continuing medical education through our WCMSSM and MSMS. We need to have courses that would bring our membership of all ages to the “computer age.” With mandate of EMR, WCMSSM should promote educating its members in new information technology to help members become more efficient and improve productivity.

As an active member of WCMSSM and MSMS for several years, I have been involved in many committees and educational activities. As WCMSSM President, I will work closely with the other officers to achieve our goals and define new agendas for this year. I believe that I have the background, energy and the will to become an effective president for WCMSSM.

• Undergraduate and Graduate Degrees- University of California, Santa Barbara· Medical Degree- University of California, Davis· Internship Medicine UCSF and Dermatology Residency WSU· Past Chief of Dermatology, Harper University Hospital· Member of Board of Medicine, State of Michigan 2000-2004· Past CME Chair, Michigan Dermatology Society· Chairman WCMSSM Legislative committee 2008-present· Active member WCMSSM Legal committee 2003-present· MSMS annual meeting planning committee for 2005-present· Michigan Dermatological Executive Board· WCMSSM Executive Board· WCMSSM delegate to MSMS· Board of directors Detroit Institute of Arts for 2007-present· Board of Trusties Detroit Opera House for 2004-present· Board of Visitors Honors College Wayne State University 2007-present

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patriCia wilkErson- UddybaCk, md, FaCEpDear colleagues;I am Vice President of Medical Affairs for Harper University Hospital and Hutzel Women’s Hospital. Prior to that I practiced emergency medicine in the DMC for the past 14 years. I completed a combined residency in Emergency Medicine and Pediatrics at Detroit Receiving Hospital and Children’s Hospital of Michigan. I am an Assistant Clinical Professor of Emergency Medicine at Wayne State University. I serve on various committees within the hospital and maintain membership in different professional organizations.

I have served as Chair of the WCMS Task Force Against Violence since 2006 and a member since 1997. I have been the course director for two educational conferences on Domestic Violence in my role as chair of this committee and served as a lecturer at engagements which address the issue of domestic violence. I recently attended the AMA Advocacy Conference in Washington, DC as the representative for the WCMS Young Physicians to urge our legislators to support issues critical to physicians in Michigan.

I believe everyone has something to offer to improve the condition of our community and we all must do what we can, when we can to try and make a difference.Thank you for your consideration

J. mark tUthill, mdFollowing residency and fellowship training at the University of Vermont College of Medicine, I created the department’s division of pathology informatics. I am currently Division Head of Pathology Informatics at Henry Ford Hospital.

Active in organized medicine throughout my career, I have served on committees for national organizations including the College of American Pathologists (CAP), the Association of Clinical Pathologists (ASCP), and the Association of Pathology Informatics. I am currently a member of the ASCP’s instructional technology committee, designing a digital library of the association’s archives as well as a member of the State of Michigan’s Health Information Technology (MiHIN) workgroup. I have been an active in the WCMS for the last five years as a delegate and currently server as Secretary. These experiences have given me broad exposure to organized medicine. I believe that participation in organized medicine is an important component of medical practice, with major impact on patient care.

I am excited to continue to serve in the office of Secretary for WCMSSM. If elected, I would enthusiastically work to further the mission and goals of the Society. I appreciate your vote!

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gEorgE h shadE Jr., m.d., FaCog, FaCpEDr. George H. Shade Jr. is an Executive Vice President, Chief Quality and Safety Officer (CQO) for the Detroit Medical Center (DMC). Prior to this position, he served as the Specialist in Chief for Obstetrics and Gynecology in the DMC. He has also held numerous, often concomitant, leadership positions at Sinai-Grace Hospital, the largest hospital in the Detroit Medical Center healthcare system. These jobs included: Vice President Medical Affairs, Senior Medical Advisor and Chief of the Department of Obstetrics and Gynecology. He is also a former member of the Board of Directors at Sinai-Grace Hospital in Northwest Detroit.

Prior to his return to the Detroit Medical Center, he was the Interim Chief Medical Officer (CMO) for St John Health. He also held several key positions with this healthcare system including: Chairman of the St John Health Leadership Committee, member of the Board of Directors for St John Health, Chief of Obstetrics and Gynecology at St John Detroit Riverview Hospital and Residency Program Director.

With respect to his educational background; Dr. Shade is a product of the Detroit Public School System and graduated Magna Cum Laude. He received his Bachelor of Science (BS) degree from Wayne State University where he graduated with honors. He was granted his Medical Doctor (M.D.) degree from Wayne State University School of Medicine where he also graduated with honors. He completed his residency training in the specialty of Obstetrics and Gynecology in the Wayne State University –Detroit Medical Center Affiliated Hospitals Program where he once again graduated with honors. He is Board Certified in his specialty of Obstetrics and Gynecology by the American Board of Medical Specialties and is a Diplomat of the American Board of Obstetrics and Gynecology. He holds a license in the State of Michigan and has practiced and taught in the Detroit Metropolitan Area since graduation from residency training.

Academically; Dr. Shade is a member of the faculty at Wayne State University School of Medicine and holds the rank of Associate Professor. He is also an adjuvant Associate Professor on the faculty of Michigan State University COM. He is also on the consulting faculty for the University of Medicine and Health Sciences-St Kitts. He has published several articles in professional peer review journals, co-authored a chapter in the first and second edition of a major medical textbook which recently won an international publisher’s award. Dr. George Shade has lectured at local and national meetings, presented posters at local, national and international meetings and appeared as a guest on both radio and television talk shows.

In the span of his professional career; Dr. Shade has received numerous awards for excellence in the practice of Medicine. He most recently was presented with the CREOG (Council on Resident Education in Obstetrics and Gynecology) Award by the American College of Obstetricians and Gynecologists for a lifetime of excellence in educating and training young physicians. He has been listed for 2 successive years in the Consumer’s Research Guide to “The Best Obstetricians and Gynecologists in America”. He has been named several years in a row as

birEn a. shah, mdMy name is Biren A. Shah and would like to be your next Board of Trustees Member. I completed my fellowship in breast imaging at Henry Ford Hospital in 2008, general radiology residency at William Beaumont Hospital in 2001. I graduated from the University of Michigan (class of 1992) and Sackler School of Medicine (class of 1996). I am a staff radiologist at Henry Ford Hospital and Health Network and Site Director of New Center One Breast Center. I am also a Clinical Assistant Professor at Wayne State University School of Medicine and have interest in radiology residency education and research. His academic areas of interest are in breast imaging research and resident education, with many publications, including a textbook (Breast Imaging Review: A Quick Guide to Essential Diagnoses, Springer, 1st edition). He is a Junior Manuscript Reviewer for Academic Radiology and Manuscript Reviewer for American Journal of Radiology.

I have been actively involved in MSMS and Wayne County Medical Society since 1998. I am a past Chairperson of the WCMS Young Physician’s Committee, past MSMS YPS AMA Delegate to the AMA-YPS House of Delegates, Council Member on the Executive Council of WCMS, and prior Committee member on Membership and Recruitment of MSMS. In the past I have served as Chairperson of the Resident and Fellow Section (RFS) of MSMS, served as the MSMS-RFS Representative on the Board of Directors of MSMS, Chairperson of the Young Physician Section (YPS) of MSMS, and served as the MSMS-YPS Representative on the Board of Directors of MSMS.

He is currently the Treasurer on the Board of Trustees of the Michigan Radiological Society, past President of the Saginaw Valley Section of the Michigan Radiological Society, and serves on numerous committees on the Michigan Radiological Society. He is a consultant on the Radiological Devices Panel of the Medical Devices Advisory Committee, Center for Devices and Radiological Health of the Food and Drug Administration. He is also serves on the Clinical Advisory Board of Delphinus Medical Technologies.

In the past I have served as Chairperson of the Resident and Fellow Section (RFS) of the MSMS and have served as the MSMS-RFS Representative on the Board of Directors of MSMS. I have been married to my wife Dee for 10 years and we have a 6 year-old son, Aren, and a 2 year-old son, Deven. I am avid fan of the Detroit Lions and enjoy swimming in my spare time.

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one of the “Top Docs” in the Detroit Metropolitan Area by Hour Detroit Magazine. He is listed in several editions of Marquis’ Who’s Who including: Who’s Who in Medicine, Who’s Who in Science and Engineering, Who’s Who in America and Who’s Who in the World. He is also listed in the Cambridge Who’s Who and the Metropolitan Registry for Health Profession Executives and Leaders.

George Shade is very active in organized medicine. He was appointed to the State of Michigan Board of Medicine by former Governor Jennifer Granholm and currently serves as the Chairman of the Board of Medicine. He is the immediate past-president of the Wayne County Medical Society of Southeastern Michigan (WCMSSM) and now serves on the Executive Council and Board of Directors for that organization. He is a member of the Michigan State Medical Society (MSMS) and serves on the Board of Directors for that society.

His life is made rich and complete by his marriage to Carlotta A. Shade, their two children, Carla and Ryan, his sister and a wonderful extended family of relatives and dear friends. He has a wide range of hobbies and interests that keep his life in balance.

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Hot Topics in Pediatrics at the ParkWednesday, April 6, 2011 – 7:30 a.m. - 3:00 p.m.

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SYMPOSIUMCurrent Trends in the Management of Diabetes Mellitis

Bernard Degnan, M.D., Director, Pediatric Endocrinology, st. John Hospital and medical Center, Detroit, mI

Headaches in ChildrenIqbal Allarakhia, M.D., Director, Pediatric Neurology, st. John Hospital and medical Center, Detroit, mI

Chronic Sinusitis and Rhinitis – 2011 UpdateRussell A. Faust, Ph.D, M.D., F.A.A.P., Chief, Pediatric otolaryngology, Pediatric ENT Center, Providence Park Hospital, Novi, mI

Office Approach to Anemia in ChildrenHadi Sawaf, M.D., Director, Pediatric Hematology oncology, st. John Hospital and medical Center, Detroit, mI

Use and Abuse of AntibioticsM.C. Thirumoorthi, M.D., Director, Pediatric Infectious Disease, st. John Hospital and medical Center, Detroit, mI

Advances in Cranio Facial ReconstructionMark Hnatiuk, M.D., Director, Craniofacial Institute, Providence Park Hospital, Novi, mI

Congential Chest Wall AnomaliesMarc L. Cullen, M.D., M.P.H., F.A.C.S., Division Chief – Pediatric surgery, st. John Hospital and medical Center, Detroit, mI

Gerd in ChildrenHernando J. Lyons, M.D., Director, Pediatric Gastroenterology, st. John Hospital and medical Center, Detroit, mI

ACCREDITATIONSt. John Hospital and Medical Center is accredited by the Michigan State Medical Society Committee on CME Accreditation to provide continuing medical

education for physicians. St. John Hospital designates this educational activity for a maximum of 5.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Training

MeDiCal spaCe FOr lease: 1,100 square feet with three exam rooms available immediately. Located on North Woodward just north of I-696. Suite is fully plumbed with cabinets. Presenttenants include general practitioners and other medical professionals. Will divide and finish to suit. Contact: (248) 548-0880 or jeffrey@brodskyrealty.com.

priMe BUilDing availaBle: Up to 4,400 square feet with 10' high ceilings and ten exam rooms available immediately on 9 Mile Road in Oak Park; just blocks from downtown Ferndale.Suites are fully plumbed with cabinets. Convenient location offers easy client access and high visibility. Will divide. Call (248) 548-0880 or contact jeffrey@brodskyrealty.com.

Elite Medical Billing ..............5Health Law Partners ...........15GE Medical Protective ....... IFCMichigan Health Council ....16Physicians Insurance Agency .9PNC Bank ............................3

St. John .............................IBCThe Doctors Company ....... BCTrubalance Healthcare ........13UofM Sch. of Public Health ...7Wachler & Associates ...........5

FOR MORE INFORMATION CONTACT: 313-343-3877This symposium will be held at Providence Park Hospital, 47601 Grand River avenue, Novi, mI 48374

Conferences held in Rooms a, B, & C located in the Heart Institute.

Business For Sale

neeD an anestHesiOlOgist two days a week for conscious sedation at THE PAIN CENTER. This a good fit for a retired anesthesiologist or anyone else. Very good income. Please call Amy (586) 757-4000.

experienCeD aCCent MODiFiCatiOn trainer offers intensive, individualized programs to improve pronunciation and gain confidence. Private or group. Flexible arrangements. 12 weeks/2hrs weekly. Pre/post evaluations. Practice DVD/text. Competitive rates. Sydney@YourAccentTrainer.com or call Sydney Skully: (313) 268-5708 Confidential.

Successful dermatology practice for sale. Located in northern Michigan. The practice has averaged 1.2MM in collections over the last four years. Owner’s discretionary income well over national average. 26,000 patient files with 14,000 active patients seen in the last 2 years. 4-month waiting list.Well-trained workforce to remain. Physician will stay on for transition. Practice offered at $550,000. For information, contact Terry Flanagan at 1-877-988-0911 or terry@practicebrokers.com.