dmj_march2013

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Get Involved

I n t h i s i s s u e :

On Parkland Hospital - Dallas County Judge Clay Jenkins

Project Access Dallas - Top Providers, Volunteers, FAQs, and Legacy

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About the Cover PhotoThe first Tuesday of every month during the Texas legislative session, DCMS members travel to Austin to advocate on behalf of patients. pictured: Lee Ann Pearse, MD; DCMS staff member Anna Acuña; Drs. Kim Rice, Sue Bornstein, Robert E. Jackson (Harris CMS), Sarah Helfand, Dee Whittlesey, Angela Gardner, Sidney Gicheru, Deborah Fuller

43 President’s Page Take a First Tuesday

44 2012 DCMS Foundation Annual Fund Donors

45 F i rst Tuesday Photos

47 How to Wri te a Resolut ion for TMA

51 The New Scarcity Jim Walton, DO, MBA

52 Legis lat ive Update Tracy Casto

55 Project Access Dal las 2012 Top Providers

57 Project Access Dal las FAQ

58 Project Access Dal las Volunteers

64 On Parkland Hospital Dallas County Judge Clay Jenkins

Dallas County Medical SocietyPO Box 4680, Dallas, TX 75208-0680Phone: 214-948-3622, FAX: 214-946-5805www.dallas-cms.orgEmail: [email protected]

DCMS Communications CommitteeRoger S. Khetan, MD ............................................. Cha i r Gene Beisert, MDSuzanne Corrigan, MDSeemal R. Desai, MD Gordon Green, MDRobert Gross, MD Steven R. Hays, MDC. Turner Lewis III, MDDavid Scott Miller, MDClifford Moy, MD

DCMS Board of DirectorsCynthia Sherry, MD ......................................... PresidentJeffrey E. Janis, MD .................................President-ElectJim Walton, DO ...............................Secretary/TreasurerRichard W. Snyder II, MD ........ Immediate Past PresidentMark A. Casanova, MDWendy M. Chung, MDChristopher A. Hebert, MDMichelle Ho, MDTodd A. Pollock, MDKim M. Rice, MDHampton Richards, MDErin Roe, MDChristian Royer, MD

DCMS StaffMichael J. Darrouzet .................. Chief Executive OfficerLauren N. Cowling ............................... Managing EditorSteven Harrell ............................. Asst. Managing EditorBearett Wolverton ...............................Advertising Sales

Articles represent the opinions of the authors and do not necessarily reflect the official policy of the Dallas County Medical Society or the institution with which the author is affiliated. Advertisements do not imply sponsorship by or endorsement of DCMS. ©2013 DCMS

According to Tex. Gov’t. Code Ann. §305.027, all articles in Dallas Medical Journal that mention DCMS’ stance on state legislation are defined as “legislative advertising.” The law requires disclosure of the name and address of the person who contracts with the printer to publish leg-islative advertising in the DMJ: Michael J. Darrouzet, Ex-ecutive Vice President/CEO, DCMS, PO Box 4680, Dallas, TX 75208-0680.

Dallas Medical Journal(ISSN 0011-586X) is published monthly by the Dallas County Medical Society, 140 E. 12th St, Dallas, TX 75203.

Subscription rates$12 per year for members; $36, nonmembers; $50, overseas. Periodicals postage paid at Dallas, TX 75260.

PostmasterSend address changes to:Dallas Medical Journal, PO Box 4680 Dallas, TX 75208-0680.

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As I write this month’s President’s Page, the Legislature has completed the first month of its 180-day session. Texas physicians have a number of legislative priorities, and I encourage each of you to let your legislators know how these issues affect you and your patients. A great way to do this is to participate in First Tuesdays at the Capitol — they’re fun and create an impact by showing physician support across specialties, helping

legislators understand our issues, and learning the subtleties, nuances and downstream consequences of healthcare-related bills.

The physician-patient relationship is one issue worthy of our careful scrutiny, particularly in view of today’s increasing prevalence of physician employment models. Physicians must take steps to ensure that independent medical judgment is preserved for physicians and dedicated to patients’ best interests, and that competing interests do not distract physicians from appropriate, evidence-based treatments. We must strongly support provisions that ensure corporate entities cannot direct medical decision-making; similarly, we must support provisions that prohibit retaliation against physicians who advocate for patients in this setting. Patients entrust their lives and health to their doctors’ skill, experience and concern. In turn, we bear the duty of upholding patient primacy. (Go to www.ama-assn.org/go/employment for extensive information and a white paper on contractual considerations when entering an employment situation.)

I recently have been reading a collection of short stories and essays by Richard Selzer, MD, titled “Confessions of a Knife,” which delves deeply into the nature of physician-patient relationships. Although first published in 1979, these essays remain poignant and relevant 30 years later. Dr. Selzer draws upon his experiences as a surgeon in sharing with readers an emotional side of medicine. Whether he’s describing an exploratory laparotomy revealing tragic aortogastric fistula secondary to widely infiltrative pancreatic carcinoma or the inelegant excision of an ingrown toenail fragment, Dr. Selzer uses such stories to explore the many facets of the human mind and soul to uncover significance in some of the most lowly events. The following quote encapsulates his view of professionalism:

I must confess that the priestliness of my profession has ever been impressed on me. In the beginning there are vows, taken with all solemnity. Then there is the endless harsh novitiate of training, much fatigue, much sacrifice. At last one emerges as celebrant, standing close to the truth lying curtained in the Ark of the body. Not surplice and cassock but mask and gown are your regalia. You hold no chalice, but a knife. There is no wine, no water. There are only the facts of blood and flesh.

We may sometimes be hard pressed to perceive of our daily work as “priestly,” but Dr. Selzer’s reflections are reminders of patients’ and society’s lofty view of our role in their lives. With today’s growing population that is also growing sicker and with the emphasis on population health management, it is more important than ever that we maintain the sanctity of the physician-patient relationship. We must do our part to protect it with the full strength of our laws upholding it. Patients will be the ultimate beneficiaries of laws that support independent judgment for physicians in employment relationships. Physicians must be at liberty to have honest conversations with patients and to provide medically appropriate care. Ensuring that physicians are at the helm of healthcare teams will be key to fair and appropriate future utilization of healthcare services and expenditures. If we abdicate our leadership role to a higher concern for the bottom line, we will have failed in our most fundamental promise.

Also during this legislative session, we must pay close attention to an area closely related to physician-patient relationships — our civil justice system. Texas physicians have benefitted from the 2003 liability reforms, which provided protections on emergency services and limits on noneconomic damages. We must maintain these gains by opposing efforts that would weaken these reforms or disempower the Texas Medical Board. If we do not engage in careful surveillance, the recurring challenges could erode this safety net we enjoy and could have a profound downstream impact on patients’ access to physicians in Texas.

I encourage all of you to pay attention during this legislative session to discussions regarding efforts that could harm the physician-patient relationship, such as efforts aimed to curtail physicians’ responsibility for recommending and applying appropriate, science-based treatments, or to curtail due process rights or prevent candid conversations with patients.

I encourage you to go to Austin and do your part in First Tuesdays. Be part of the “White Coat Invasion” on March 5, April 2 and May 7. For registration information, contact Tracy Casto, DCMS director of public affairs and advocacy, at [email protected], or go to www.texmed.org/firsttuesdays.

Cynthia Sherry, MD

Take a First Tuesday...to Address Medicine’s Issues in Austin

DCMS Foundation General FundGeorgianna Leete in memory of Robert North, MD

James Bertram Montgomery, MD, in memory of Elgin Willis Ware Jr., MDErnest Poulos, MD, in memory of John T. Binion, MDErnest Poulos, MD, in memory of Nancy Boehning

Ernest Poulos, MD, in memory of Martine G. Tirmenstine, MDGeorge W. Wharton, MD, in memory of Phillip E. Williams III, MD

Board of DirectorsSteven Ray Hays, MD

Executive CommitteeH. Gordon Green, MD, MPH, in honor of Richard W. Snyder II, MD

H. Gordon Green, MD, MPH, in honor of Frederick James Bonte, MDRichard W. Snyder II, MD

Jane Farrar Admire, MDRobert K. Bass, MD

J. Michael Brennan, MDAlan L. Brodsky, MD

James G. Brooks Jr., MDAllan Joel Chernov, MD

Brian M. Cohen, MDStephen Karl Donica, MD

Fred Harry Dunn, MDWilliam Burton Fears, MD

Ivan Figueroa, MDJaclyn Lee Ann Ganacias, MD

Murray Gordon, MDRobert D. Gross, MD

DonorsWendy Schlessel Harpham, MDShelton George Hopkins, MD

Jeffrey Edward Janis, MDErin Purtell Kane, MD

Roger Sunil Khetan, MDTerry William Latson, MD

Harriette Lutz Livingston, MDMaureen Theresa Luby, MD

Jimmy Kien-Teh Lu, MDPaul Stanley Michaelson, MD

Charles Dale Mitchell, MDPresley Martin Mock, MD

Thomas Willingham Newsome, MDLee Roy Radford, MD

Murray C. Rice, MDHampton B. Richards, MD

George Walker Sandusky, MDDonald Wayne Seldin, MDJohn Stanley Smale, MD

Troy R. Smith, Jr. MDRattapol Srisinroongruang, MD

Lisa Louise Swanson, MDAnn Marie Trowbridge, MD

Tich Ngoc Truong, MDMaria Ann Turnage, MD

Charles Wesley Waldrop Jr., MDMarshall Lee Wong, MD

Pablo L. Xiques, MD

Paul Raymond Cary, MDElliot Joel Ginchansky, MDThomas G. Johnson, MD

Ronald Kapusta, MD

Miscellaneous DonationsCarey G. King, Jr., MD

James Paul Knochel, MDAneesa S. Majid, MD

Luis Guillermo Michelsen, MDErnest Poulos, MD

Charles M. Preston, MDC. Victoria Rase Shinn, MDBobby Louis Temple, MD

Paul Arthur Tobolowsky, MD

DirectorsLeigh E. Nguyen, MD

Allen Robert Schneider, DOTerilyn R. Scott-Winful, MD

Cynthia Sherry, MDJames William Walton, DO

BenefactorsAlexandra Dresel, MD

Stephanie Hurn Elmore, MDRoss Leland Finkelman, MD

Martin Giesecke, MDRobert W. Haley, MDChristian Royer, MD

William R. Weaver, MDSteve Winn

Project Access DallasMaureen Luby, MD

Tich Ngoc Truong, MD

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• 4 5

Drs. Les Secrest, Steven Hays, Angela Gardner, Deborah Fuller, Sue Bornstein, Kim Rice, Heather Owen; Freshman State Rep. Jason Villalba (R-Dallas); and Drs. John Gill, Dee

Whittlesey, Robert Suter, Lee Ann Pearse, and Sarah Helfand

First Tuesdaysat the Capitol

More than 230 TMA physicians, medical students and TMA Alliance members talked with their legislators during the first First Tuesday at the Capitol for the 83rd legislative session. The day started at 7:15 a.m. with TMA lobbyists outlining key issues and messaging. After meeting with their legislators and staffers, the physicians attended a news conference at the Capitol at which TMA and Border Health Caucus physicians asked state leaders to reverse funding cuts that harm access to care for thousands of Texas’ dual-eligible patients.

Drs. Steven Hays and Sidney Gicheru

Drs. Les Secrest and Angela Gardner discuss strategy before a legislative meeting.

State Sen. Jane Nelson (R-Flower Mound) presents a resolution to physicians after recogonizing them from the Senate floor.

Power Up Your Practice.Contact the professionals behind the professionals.

Accountant (CPA) / Tax ServicesPaula Allgood, CPA……Beaird Harris & Co, P.C.972.503.1040……[email protected]

Lori A. Eads, CPA……Bland, Garvey, Eads, Medlock + Deppe, P.C.972.231.2503……[email protected]

Design / Build Medical & Dental ContractorGrady Herzog……Structures & Interiors Inc.817.329.4241……[email protected]

Electronic Medical RecordsLeslie Warren……EMR Advisory Group972.898.5671……[email protected]

Employee BenefitsAmy Rickman……Lockton Dunning Benefits940.384.2720……[email protected]

Financing / BankingGary West……BB&T469.791.4502……[email protected]

Financial / Estate / Insurance PlanningMark A. Trewitt, CFP®, CLU, ChFC, AEPIntegrated Financial Solutions Group972.312.1337……[email protected]

Healthcare FurnishingsLisa Locke……bkm Total Office of Texas, LLC214.902.7215……[email protected]

Healthcare Interior DesignerLaura Ginsberg……Medical Space Design, Inc.972.566.6771……[email protected]

Legal ServicesMichael H. Saks……Wright, Ginsberg, Brusilow, PC972.788.1600……[email protected]

W. Darrell Armer*……Looper, Reed & McGraw, PC214.922.8923……[email protected]*Board Certified-Health Law by The Texas Board of Legal Specialization

Marketing / Public RelationsBarbara Steckler……Concepts in Medical Marketing972.490.7636……[email protected]

Medical Malpractice / Commercial InsuranceJames Patterson, CIC, AAI……Agapé Healthcare PartnersMetro 817.329.4200……[email protected]

OSHA ComplianceJessica James469.360.1367……[email protected]

Personnel RecruitmentJan Harris, CPC……J. Harris Co. Personnel Services Inc.214.369.9545……[email protected]

Practice Management / Billing / ConsultingDavid Loomis……The Health Group972.792.5700……[email protected]

Promotional Products / Wearables / Filing SystemsNance Lindstrom……Safeguard Business Systems& Promotional Products972.596.8282……[email protected]

Real Estate (Healthcare)M.W. (Hugh) Resnick……Pizel & Assoc. Commercial Real Estate 972.404.0008……[email protected]

TelecommunicationsCharlie Hubbard, PMP……HUBCO Communications, Inc.469.293.3081……[email protected]

www.doctorsrefer ra lserv ice .com


March 22 is the deadline to offer a resolution for the TMA House of Delegates to consider at its annual meeting in May in San Antonio. Contact Tracy Casto at [email protected] to submit a resolution. A delegate or alternate delegate can propose an idea or a change to TMA policy; a nondelegate must submit the resolution through a delegate or alternate delegate.

The DCMS delegation to TMA will meet May 1 to discuss resolutions submitted by DCMS members and physicians across the state. If the delegation agrees with a resolution, the delegate or alternate delegate will present it as a DCMS resolution during TexMed. The alternate may present and speak to the resolution at reference committee hearings but cannot speak on the floor of the house unless he or she is credentialed as a delegate. If the resolution sponsor is an alternate delegate and if the caucus decides not to take the resolution to TMA, the alternate delegate must persuade a voting member or a section to submit it.

Although resolutions may deal with complex issues, most begin simply when a TMA member recognizes a problem and offers a solution. Resolutions express the background of the problem in “whereas” clauses, and specify a specific position or course of action in one or more “resolved” statement(s).

Before you start writing, make sure your proposal offers a new or different idea. Resolutions calling for policy/action similar to what exists stand little chance for adoption. Review TMA’s Policy Compendium and AMA’s Policy Compendium, if AMA action is requested, to determine whether existing policy addresses the topic. The resolution should cite relevant TMA policy to facilitate independent review by delegates. If the resolution asks for AMA action, relevant AMA policy must be included. To search for relevant TMA policy, go to www.policy.texmed.org; to search for relevant AMA policy, go to www.ama-assn.org and type “policyfinder” in the search box.

To ensure the best chances for adoption of a resolution, keep in

mind the following recomendations:• Make sure the resolution title reflects the action for which the

resolution calls. • Indicate whether you, as an individual voting member, or your

county society is submitting the resolution. • Make sure the “Whereas” statements in the resolution clearly

define the need for the action you are seeking in the “Resolved” statement. The quality of your “Whereas” clauses can determine whether a resolution passes.

• Because the House adopts only the “Resolved” portion of a resolution, and only the “Resolved” statements become association policy statements or directives, each “Resolved” statement must be a definitive statement that can stand alone. Too many “Resolved” clauses can cause a resolution to be referred or defeated.

• Include a fiscal note when appropriate; TMA staff can help you develop fiscal information. If a resolution requires funds that are not included in the current year’s budget, the TMA staff will add a fiscal note indicating the financial implications of the recommendations in the resolution.

What’s on Your Mind?Write a Resolution for the TMA House of Delegates

by Tracy Casto, director of public affairs and advocacy

Example of a resolution:Subject: Health Savings Accounts for Medicare BeneficiariesIntroduced by: Dallas County Medical SocietyReferred to: (Speaker and vice speaker will refer to a reference committee) Whereas, Medicare beneficiaries have large deductibles and copayments; and

Whereas, Medicare often does not pay for medical expenses for uncovered medications, durable medical equipment or services; and

Whereas, Medicare funding likely will be reduced by trillions of dollars over the next two decades; and

Whereas, Medicare beneficiaries face large and increasing medical expenses that Medicare will not pay; therefore be it

RESOLVED, That the Texas Medical Association adopt as policy that Medicare beneficiaries be permitted to make tax-free contributions to health savings accounts; and be it further

RESOLVED, That TMA urges Congress to change federal laws to permit Medicare beneficiaries to make tax-free contributions to health savings accounts; and be it further

RESOLVED, That our Texas Delegation to the American Medical Association take this resolution to the AMA House of Delegates for consideration.

Relevant TMA Policy:120.001 Health Care Reform: The Texas Medical Association voted to weigh heavily in its evaluation of healthcare reform proposals the following concepts:

• Establish tax credits for deposits to individual Health Savings Accounts from which individuals would use their own money to pay small medical expenses without penalty;

• Allow private insurers to repackage Medicare benefits and establish diverse policies tailored to the different needs of Medicare beneficiaries;

• Give the elderly and future elderly and their employers tax incentives to self-insure through Health Savings Accounts.

Relevant AMA Policy:H-330.912 Appropriate Medical Coverage for Medicare Beneficiaries: Our AMA will continue to stress that regulations should move in the direction of free market choice of plans. (BOT Rep. 16, A-99; reaffirmed CMS Rep. 5, A-09)


4 8 • F e b r u a r y 2 0 1 3 • D a l l a s M e d i c a l J o u r n a l

Lunch, door pr ize s for the adu l ts and ac t i v i t ie s f or the k ids !

Park ing and admis s ion are f re e .

En joy the spr ing f lowers w i th your co l le ague s and f ami l ie s .

RSVP by Friday, April 12.

Saturday, April 2011 a.m. — 2 p.m.

The Da l las Arbore t um and Bo tan ica l Gardens8525 Garland Road, Dallas

Compliments of the DCMS Circle of Friends.

DCMS Spring Celebration Picnic

Fa x t h i s f o r m t o 214.946. 5805, o r c o n t a c t C a r a J ag g e rs a t 214. 413. 1423, o r c a r a@ d a l l a s- cms . o r g .

DCMS Members and their family are invited to attend the

DCMS Member Immediate Family Members

Phone E-mail

(Names and ages of children)

8440 Walnut Hill Lane, Suite 100Dallas, Texas 75231-4472

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Late HIV DIAGNOSIS

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People who don’t know about their HIV infection are more likely to transmit it to others.

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For information about Circle of Friends, contact Bearett Wolverton, Business Development Manager,

at [email protected] or call 214-413-1456.

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CIRCLE OF FRIENDS

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Saying goodbye is difficult. We all learn to do it — some more gracefully than others. This month we are saying goodbye to Project Access Dallas. Many of the staff members have moved on, and our clinic partners are finding new ways to connect sick patients to care. Along with our disappointment and sadness, we have discovered renewed interest in the question of DCMS’ leadership in this important area of Dallas’ healthcare environment.

I have been reading a book by Seth Godin (“The Icarus Deception”), given to me by a 20-something entrepreneur who is working to encourage communities to recycle their scrap metal. In Godin’s writing I have found a fresh and challenging argument for this new economy in which we find ourselves … “the connection economy.” Godin says, “The connection economy functions on a steady diet of new, real and important. The connection economy builds a new asset, one that we can measure and value now for the first time. Suddenly, it’s not the building or the rules or the packaging that matters; it’s the bridges between people that generate value, and those bridges are built by art.”

Applying Godin’s words to our “new normal” without Project Access Dallas, many of us might admit that the sadness we feel in the loss of Project Access Dallas

is the perceived loss of connection. Through PAD we connected people who had needs to individuals and organizations that could help address those needs. With the end of PAD, we have the opportunity to step back and think of the program’s value and the next steps forward.

As a result of this time of reflection, DCMS leadership is proposing a Blue Ribbon Task Force for the Indigent, calling for the creation of a transformative blueprint to address the shortcomings of the current model of health care for the indigent/underserved in Dallas County. The task force will ask stakeholders (leaders from government, business, physician community, municipalities, and hospitals), led by DCMS President Cynthia Sherry, MD, to evaluate the shortcomings of the proposed plans for transforming health care through the Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver.

Godin reminds us that we may have forgotten a key lesson in the mythological story of Daedalus and Icarus. Daedalus, the father, warned his son, Icarus, not to fly too high (close to the sun, where the heat would melt the wax on his wings) and not to fly too low (close to the sea, where the water would ruin the lift in his wings).

Some of us could interpret the demise of PAD as a consequence of flying too high, reinforcing one side of the myth where we are reminded of the dangers of standing up and attempting to make a difference. But what if settling for too little is more dangerous? What if settling for something lower and less significant in the future poses a greater problem? In the face of this idea, I propose we apply Godin’s ideas: “It’s far more dangerous to fly too low than too high, because it feels safe to fly low. We settle for low expectations and small dreams, and guarantee ourselves less than we are capable of. By flying too low, we shortchange not only ourselves but also those who depend on us or might benefit from our work.”

Join me in supporting the Blue Ribbon Task Force for the Indigent of Dallas County. As you go about your daily work of seeing patients, talk to those who have influence in business, government and healthcare delivery about this issue, and ask them to participate with us in this vital work. And let it never be said that we flew too low.

The new, third kind of scarcity is the emotional labor of art. The risk

involved in digging deep to connect and surprise, the patience required to build trust, the guts necessary to say,

‘I made this’— these are all scarce and valuable. And they scale.

Seth Godin, “The Icarus Deception”

THE NEW SCARCITYBy Jim Walton, DO, MBA, Medical Director of Project Access Dallas

5 2 • m a r c h 2 0 1 3 • D a l l a s M e d i c a l J o u r n a l

Legislative Updateby Tracy Casto, director of public affairs and advocacy

TMA’s AGENDAExpand Coverage, Reform Medicaid

TMA is calling on the Legislature and Congress to jointly devise a benefits plan that fits the needs of childless adults, with copays and deductibles that put some responsibility on the patient. To bring Texas physicians back to Medicaid, lawmakers also must improve payment rates, cut administrative bureaucracy, and rein in overzealous fraud investigators. With only 31 percent of Texas physicians accepting Medicaid patients, health care will be tough to find.

The Medicaid budget passed the Legislature that passed last session is about $4.5 billion short because, to help balance the state budget, legislators did not fund the last 4 months of Medicaid for the current biennium. So, $4.5 billion must come off the top of the next biennium budget to fully fund the Medicaid can lawmakers kicked down the road last session. Some legislators may contend that they’ve boosted Medicaid dollars because of these funds spent to make last session’s budget “whole.”

With Gov. Perry’s refusal of federal funding for expanded Medicaid services, the state is giving up $80 billion to $90 billion over the next 5 years. TMA leaders have met with the governor and continue to talk with legislators about providing coverage for this patient population. Dallas County Commissioners Court is urging the state to extend Medicaid benefits to impoverished adults under the Affordable Care Act, and Medicaid expansion advocates hope other urban counties will follow suit.

Despite the firm opposition of the state’s Republican leadership and concerns that the existing Medicaid provider network could not support the new patients — an additional 1.5 million Texans (133,000 in Dallas County) — the number of Medicaid expansion advocates who believe the state shouldn’t turn down federal funding is growing. The Texas Hospital Association and the Texas Catholic Conference are among the groups pushing for expansion.

“People from the business, faith and healthcare communities are coming together to ask that we find a way to draw down these federal dollars, and I think it’s imperative that we do,” Dallas County Judge Clay Jenkins told The Texas Tribune. “If we don’t take it, our federal tax dollars will pay to cover this population everywhere else in the country, and our local tax dollars will pay to cover it here. That puts us at a healthcare disadvantage because we have the nation’s highest uninsured rate already, and it puts us at a competitive disadvantage because we’re paying federal taxes to cover everybody else, but we’re not getting our fair share.”

If Texas expanded Medicaid coverage to impoverished adults in 2014, the state could receive an additional $100 billion in federal dollars over 10 years, helping to offset spending by local governments. Medicaid expansion could help pay for care for individuals whose care otherwise ultimately would be paid for by taxpayers and private market health insurance payers. The state would pay $15 billion during that time, which opponents of the expansion, including state Republican leaders, argue is too much.

A governor’s spokesman said Perry is unlikely to change his mind. He has said that the current Medicaid system is unsustainable for the state and would be for counties, as well. For the governor to consider the federal funding, he has said that counties should have to pay the entire cost of the program, without state tax dollars.

Reverse the dual-eligible cuts Texas Medicaid slashed program funds at the direction

of the 2011 Legislature, creating a medical emergency for hundreds of thousands of dual-eligible patients and their physicians. In January 2012, Texas Medicaid stopped paying the patients’ $140 Medicare deductible and the coinsurance. The coinsurance had been an 80/20 split, with Medicare paying 80 percent of the patient’s physician bill and in most cases, Medicaid paying 20 percent. The Texas Health and Human Services Commission has restored coverage of the Medicare deductible for dual-eligible patients, but the 20-percent coinsurance cut remains.

Ensure an adequate healthcare workforceTexas needs continued and stable state support for

physician education and training to cultivate Texas physicians, ensuring access to health care for all Texans. Legislators have voiced support for increased funding for graduate medical education and for the Physician Education Loan Repayment Program.

TMA also wants legislators to:• Support new graduate medical education programs in

the specialties that best reflect the state’s healthcare needs.• Create 10 percent more residency slots.• Sponsor research to identify and promote innovations in

training primary care residents for practice in Texas.

Protect the patient-physician relationship Patients must trust that their physician is not motivated

or distracted by competing interests. TMA supports strong statutory provisions that protect independent medical judgment for physicians and prohibit retaliation for patient advocacy in all employment relationships. This includes opposing legislation that prevents physicians from speaking honestly and candidly with their patients or from providing medically appropriate care. TMA wants to strengthen state laws to strengthen statutory provisions to protect physicians’ due process rights.

Provide appropriate state funding for physician servicesState leaders must realize that cutting physicians’

payments is not an effective way to control healthcare costs and often increases the cost of care. To this end, TMA is working to ensure that all Texans have access to preventive, routine and emergent care, which is possible only if Medicaid and Children’s Health Insurance Program payments for physicians are competitive.

TMA hopes to gain increased funding for cost-effective, community-based mental healthcare and substance abuse treatment. Les Secrest, MD, a Dallas psychiatrist and chair of TMA’s Council on Legislation, in February testified before the Senate Finance Committee in support of increased mental health funding. His testimony put a face on Texans with mental health disorders, the Texans who care for them, and the state’s delivery system.

“No one signs up for these disorders,” he said. “We work in a system that needs more care managers and more hospital resources. Lack of these resources causes all parts of the medical delivery system to become inefficient.”

Senator Jane Nelson (R-Flower Mound), chair of the Senate Health and Human Services Committeee, says that mental health is a high priority for the budget workgroup she chairs. She wants to put new monies into mental health, and is requesting new ideas and solutions to maximize those funds.

With March 8 as the bill filing deadline for this legislative session, constituents and legislators alike are shopping bills for sponsors and supporters. TMA is working with Medicine’s allies in the Capitol to back bills including those regarding Medicaid funding, public health issues and medical education.

v i s i t u s o n l i n e a t w w w . d a l l a s - c m s . o r g • M a r c h 2 0 1 3 • 5 3 • 5 3

Invest in prevention Evidence-based wellness and public health programs must

be implemented that complement physician efforts to keep women and babies healthy, and reduce obesity, tobacco use, chronic disease, and cancer. To this end, TMA supports fully funding the Texas Women’s Health Program, increasing physical activity and health education requirements in schools, and streamlining efforts to vaccinate people who work with high-risk populations, such as employees in childcare facilities.

TMA is working with the American Heart Association, Texas Restaurant Association, March of Dimes, and American Cancer Society on legislation that would require public workplaces, venues and restaurants to have an indoor smoke-free policy. Rep. Myra Crownover (R-Denton), a long-time champion for a statewide smoking ban in workplaces, plans to file a statewide non-smoking bill this session. .

THE SESSION BY THE NUMBERSStop the Presses! Agreed-to SB 406 expands relationship between physicians and nurses

For years, scope of practice legislation has been a contentious issue between advocates for physicians and nurses. During months of discussions in 2012 and 2013, the TMA and the Texas Academy of Family Physicians held firm against the advance practice registered nurses’ and physician assistants’ call for independent practice and prescribing authority. Senator Nelson filed SB 406, which seeks to improve access to health care — without compromising patient safety — by making it easier for physicians, advanced practice registered nurses, and physician assistants to work together to deliver services. The legislation firmly establishes a “physician-led medical team” and expands prescriptive authority for advanced practice nurses and physician assistants.

The bill recognizes that independent diagnosing and prescribing are the practice of medicine. It establishes a model in which a physician has both the authority and responsibility to supervise, allowing members of the healthcare team to practice to their level of education and training, according to TMA President Michael E. Speer, MD. Ultimately, the physician is held accountable for healthcare services provided to patients.

Among the provisions of the bill:• The number of advanced practice nurses a physician can

supervise increases from four to seven.• Physicians can delegate authority to APNs to prescribe

Schedule II controlled substances in hospitals and hospice settings. (Nurses want to include community mental health settings.)

• Physicians must conduct and document quality assurance meetings, which will replace site-based proxies for quality assurance (time-on-site variations, mileage limitations, mandated numbers of chart review). Physicians initially must meet with their APRNs/PAs at least monthly.

SB 303 updates Texas Advanced Directives Act

Sen. Robert Deuell, MD (R-Greenville), filed SB 303, which amends the 1997 Texas Advanced Directives Act. The Act provided a framework for resolving disagreements when care providers consider treatment medically futile but patients or their families do not want to give up hope. The rarely used Act has been considered the best in the nation and a model for other states. It allows patients to make their care preferences known before they need care and to protect them from discomfort, pain and suffering as a result of excessive medical intervention in the dying process. The bill protects physicians against forcing them to violate their religious beliefs, moral conscience and professional ethics.

SB 303 has come under attack from right-to-life and disability groups, and is the subject of much misinformation. Senator Deuell worked with TMA, Texas Hospital Association, Texas Alliance for Life, Baptist Life Commission, and the Texas Catholic Conference in coming up with the bill.

HB 620 addresses ‘Silent PPOs’ Lack of regulatory oversight in the preferred provider

organization industry has resulted in the proliferation of “rental network PPOs” or “lease network PPOs” that buy, sell and lease physician agreements and contract rates to payers. When the physician discount is shared without the physician’s authorization or consent, the arrangement is referred to as a “silent PPO.”

HB 620 sheds light on this activity and regulates entities that engage in this practice. The bill regulates certain healthcare provider network contract arrangements, and establishes fair and transparent insurance markets for patients, employers and physicians.

SB 186 seeks to protect against West Nile VirusSB 186 by Sen. John Carona (R-Dallas) will help public

health officials prevent West Nile Virus by allowing officials to inspect, investigate and spray properties that are abandoned or uninhabited. This action would reduce the need for much more costly aerial spraying if WNV reappears this summer.

The bill was proposed by the Dallas County Health and Human Services Department and unanimously approved by the Dallas County Commissioners Court. Dallas County was the epicenter of the country for West Nile Virus in Summer 2012 when it experienced 398 human cases, with 19 resulting in death.

HB 1032 reduces red tape and regulations Senator John Zerwas, MD (R-Simonton), filed HB 1032 in

an effort to cut through red tape, regulations and other unproductive elements that do not improve quality and interfere with physicians’ ability to practice medicine efficiently and effectively. The bill creates the use of standardized authorization request forms for medical services and prescription drugs that would simplify the administrative process for patients and injured workers.

HB 1310 benefits primary care physiciansState Rep. Angie Chen Button (R-Dallas) filed TMA’s vaccine

tax-exemption bill that allows a physician practice to exclude from its total revenue the actual cost paid for a vaccine. The exemption would cost the state about $1.5 million to $2 million and could save the average pediatrics group practice $3,000 to $4,000 annually on its franchise tax.

SB 8 addresses waste, fraud and abuse in MedicaidSenator Nelson filed this bill, which includes provision of a

data analysis division that can track anomalies in utilization of service and claims. TMA has offered clarifications on the bill regarding what is considered an “anomaly” and how “waste” is defined.

SB 253 deals with newborn screeningsThe main issue of this bill, filed by Senator Deuell, has to

do with pulse oximetry related to congenital heart defects. TMA will support versions that do not cite a specific test but instead say that newborns should be screened for critical heart defects. This prevents issues that could arise if the standard of care changes in the next 2 years. TMA is working with pediatricians and cardiologists who disagree on the bill, plus the March of Dimes and American Heart Association.

And what’s a session without a few scope bills? At the request of physical therapists, Rep. Craig Eiland

(D-Galveston) filed HB 1039, which gives PTs direct access to patients, without working from a physician’s referral or diagnosis. SB 312 allows audiologists to use laryngoscopes, which ENTs use and bill under a surgical code. The bill extends to audiologists the ability to diagnose and provide vestibular therapy for balance issues.

For complete bill texts and to follow bills throughout the session, go to Texas Legislature Online at www.capitol.state.tx.us.


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Howard Weiner, MD

Charles R. Chung, MD

Charles Harris, MD

C. Bradley Bowman, MD

David A. Minna, MD

Michael S. Harris, MD

Brent A. Patterson, MDFrank C. Morrone, MD

David Lief, DPM

Duane A. Barnett, MD Deno B. Barroga, MD

Chrisette M. Dharma, MD

Dennis E. Newton, MD

Tom Ballard, OD

J. Kent Hamilton, MD

Richard M. Roberts, MD

Kurt J. Kitziger, MDSapna V. Jaiswal, MD Jonathan D. Leffert, MD

Wendy C. Parnell, MD

2012TOP PROVIDERS PAD recognizes these volunteers for their commitment

and support in 2012. These top PAD providers for 2012 were determined by the number of patients seen and number of appointments. We thank them for joining us in caring for our community.

Dan B. French, MD

NOT PICTURED: Elizabeth T. Dolan, MD; Rebecca Ponder, OD; Stuart R. Stone, MD

Heather Winslow, MD

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FAQPADproject access dallas

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FREQUENTLY ASKED QUESTIONS----------------------------------------------------------------------------------------------------------------------------------------------------

What options are available for physicians who are seeing PAD patients?Physicians can provide care with PAD’s resource support until March 31, 2013. We have

contacted all primary and specialty care physicians who have seen a PAD patient in the last 12 months to see if they can continue care past that date.

What is being done to ensure that patients will receive adequate care after Project Access Dallas closes?

If a primary care physician is unable to continue care after March 31, we are attempting to find a new medical home for the patient. If a specialty care physician is unable to continue care, we notify that patient’s medical home so another specialty care volunteer can be arranged to treat that patient. Since Jan. 31, PAD no longer accepts specialty physician care referrals. As of mid-February, the PAD staff had assisted most patients in obtaining specialty physician care referrals. However, 129 specialty physician care referrals are pending. To address these remaining referrals, PAD is accessing physician volunteers and resources, particularly from the University of Texas Southwestern Medical Center and Parkland Hospital, plus specialty clinic nights provided by charitable clinics.

Additionally, we are attempting to locate support for PAD patients who need costly medications. PAD staff members and Community Health Navigators are submitting applications for a pharmacy assistance program for those patients. The CHN team is confirming that all 114 patients who are receiving full-time navigation have a medical home and have scheduled a medication consultation with their physician. CHN continues to receive episodic referrals for transportation, translation and medication copay assistance.

How are the charitable clinics affected by the discontinuation of Project Access Dallas?All our charitable clinic partners have agreed to continue serving as the medical home

for the PAD patients assigned to their clinic — that’s 2,288 patients! Almost all of those clinics have agreed to accept more PAD patients who have lost their medical homes as a result of the closing of the program.

Will DCMS continue caring for the working poor of Dallas County?DCMS is working with several other entities to develop a plan for improving healthcare

delivery for the uninsured and underserved working poor of Dallas County. We anticipate that a multistakeholder task force will be convened in the coming months to develop a plan.

Although Project Access Dallas will cease operations on March 31, DMCS is committed to finding healthcare solutions for the uninsured and underserved patients of Dallas County. Many questions have arisen regarding care of PAD patients after the program’s conclusion. Following are answers to some common questions.



Project Access Dallas thanks our medical volunteers for giving their time and their talent to serve the needs

of the working poor in Dallas County. Dennis Abbas, MD

Mina Abbassi-Ghanavati, MDRobert Abbate, DO

Abier Abdelnaby, MDRamzi Abdulrahman, MD

Shawn Abel, MDHenia Abid, DO

Osama Aboul Fettouh, MDReeni Abraham, MD

Muhanned Abu-Hijleh, MDJose Aceves, MD

Ashish Acharya, MDGary Ackerman, MDHeather Adair, MDJeffry Adcock, MDTayo Addo, MD

Adebola Adesanya, MDSoumya Adhikari, MD

Carl Adkins, MDNidhi Agarwal, MD

Raymon Aggarwal, MDNalini Aggarwal, MDMark Agostini, MD

Deepak Agrawal, MDMarco Aguirre, MD

Vincent Aguirre, MDVivian Agumadu, PA

Zahid Ahmad, MDTasneem Ahmed, DOMahmood Akhavi, MDMahmood Alasmi, MDFord Albritton IV, MD

Preston Alexander, MDDrew Alexander, MDJames Alexander, MD

Sadia Ali, MDDeeba Ali, MDFarida Ali, MDMalik Ali, DO

Amina Allaudin, MDMarcus Allen, MD

Kimulique Allen, MDHenry Allen, MDAudrey Allen, PA

Michael Allison, MDCarol Alonso, MD

Saleh Alqahtani, MDMichael Alvares, MDNaiara Alvarez, MDRebeca Alvarez, MDWassila Amari, MD

James Amatruda, MDBardia Amirlak, MD

Rajiv Anand, MDRobert Andersen, MDJohn Andersen, MDPaul Anderson, MDAmy Anderson, MD

Robert Anderson, MDCarol Anderson, MDLarry Anderson, MD

Matthew Anderson, MDRon Anderson, MD

Richard Anderson, MDJ. Valerie Andrews, MDThomas Andrews, MD

Oscar Andujo, MDMohammad Ansari, MDThomas Anthony, MDKimberly Aparicio, MD

Madeline Aponte Lopez, MDKristine Appel, MDVictor Aquino, MD

Farshid Araghizadeh, MDRebecca Arant, MD

Carlos Arauz-Pacheco, MDArnaldo Arbini, MD

Ryan Archie, MDThuy-Dung Ardaman

Juan Arenas, MDKeith Argenbright, MD

Frank Arko III, MDSusan Arnold, MDBrett Arnoldo, MDGaurav Arora, MDYull Arriaga, MD

Sami Arslanlar, MDAkilan Arumugham, MDVijayasree Arvind, MD

Steven Arze, MDThaddeus Ashmore, MDCarolyn Ashworth, MDMassimo Asolati, MD

Manish Assar, MDAlireza Atef-Zafarmand, MD

James Atkins, MDFrederick Atkinson Jr., MD

Eric Aubel, MDDavid Auerbach, MD

Sherrill Auman Jr., MDRaphael Aybar, MD

Stephanie Aymond, MDBilal Aziz, MD

Namrata Babaria, MDRobert Bachoo, MDSusan Bacsik, DO

Mohamed Badawy, MDJohn Bagwell, MDDonna Bailey, MDRalph Baine, MD

Christopher Baird, MDDouglas Baker, MDKaren Baker, MD

Jonathan Baker, MDLinda Baker, MDJyoti Balani, MDGlen Balch, MD

Sunil Balgobin, MDDavid Balis, MDTom Ballard, OD

Carmen Ballestas, MDRahul Banerjee, MD

Subhash Banerjee, MDPooja Banerjee, MDJennifer Bang, MD

Matthew Banks, MDBharati Bansal, MD

Catherine Barden, MDAinslie Barnard, PAAliessa Barnes, MDDuane Barnett, MDSamuel Barnett, MD

Patrick Barr, MDRichard Barrera, MDDeno Barroga, MD

Brad Barth, MDTheresa Barton, MD

Renuka Basavaraju, MDRobert Bash Jr., MD

Paul Bassel, MDKatrina Bassel, MDAngela Bates, MD

Sukhpreet (Pete) Batra, MDRichard Batz Jr., MDMichel Baum, MD

Barbara Baxter, MDSwathi Bayya, MDLaura Beard, MDRobert Beard, MD

Cynthia Beauchamp, MD

Anthony Beaverson, MDPhilip Becker, MD

Grant Beckham, MDMarian Bednar, MD

Sara Beers, MDJoseph Behan, MDLeonard Behr, MDPeter Beitsch, MD

Melody Bellinghausen, DONicholaos Bellos, MD

Elie Benaim, MDRui Benevides II, MD

Fernando Benitez, MDNicole Benjamin, PA

Jerry Bennett, MDArthur Benzick, MDRafic Berbarie, MDPatricia Bergen, MD

Paul Bergstresser, MDAlan Berk, MD

Martin Berk, MDChristopher Berry, MD

Jarett Berry, MDJoseph Beshay, MDVictor Beshay, MDEric Beshires, MD

Sara Best, MDBrian Bethea, MD

Christopher Bettacchi, MDChester Beyer Jr., MDKamal Bharucha, MD

Seema Bhat, MDShubha Bhat, MDAmol Bhatki, MD

Kavita Bhavan, MDRavi Bhoja, MD

Michael Biavati, MDAshkan Bidgoli, DOShaad Bidiwala, MDSamuel Bierner, MDAmby Bindra, MD

John Birch, MDJ. Bird, MD

Kristen Bishop, MDMichael Black, MD

Christopher Black, MDKatherine Blakeley, MDCatherine Blakeney, MD

Shannon Blalock, MDApril Bleich, MD

Sheldon Blend, MDChristopher Blewett, MD

Bruce Blome, MDPreston Blomquist, MD

Steven Bloom, MDRichard Bluestein, MD

Sarah Blumenschein, MDTiffany Bogan, MD

Michael Bolesta, MDErin Bolivar, MD

David Boltan, MDLindsay Boltan, MD

David Bond, MDFrederick Bonte, MDDavid Bookout, MD

William Boone Jr., DOTimothy Booth, MDSita Boppana, MD

Muriel Boreham, MDTodd Boren, MD

Joseph Borrelli Jr., MDW. Bourland Jr., MD

Christina Bourland, MDCindy Bowens, MDBruce Bowers, MD

Daniel Bowers, MDR. Bowman, MDC. Bowman, MD

Katherine Boyd, DOJessamy Boyd, MD

Katrina Bradford, MDKaren Bradshaw, MD

John Brady, MDWesley Brady, MDDavid Bragg, MD

Dan Brajtbord, MDAnne Brancaccio, MDTimothy Brannon, MD

Steven Bray, MDAmy Brenski, MDPeter Bressler, MD

John Bret, MDCecelia Brewington, MD

M. Brickner, MDEmmanouil Brilakis, MD

Luc Brion, MDRonald Bristow, MDCraig Brockman, MD

Jenifer Broderick-Thomas, MDA. Compton Broders III, MD

Alan Brodsky, MDGreta Brodsky, MDJohn Brooks, MD

Donald Brotherman, MDMarc Brown, MD

Kathryn Brown, MDKendall Brown, MDHerschel Brown, MDRandal Brown, MD

Jeffrey Browning, MDTravis Browning, MDRebecca Broyles, MD

Robert Bruce, MDWilliam Bruck, MDAnton Brucks, MDBrian Bruel, MD

James Brugarolas, MDMorris Bryant, MDDavid Bryant, DORichard Buch, MD

George Buchanan, MDRobert Bucholz, MDNitin Budhwar, MDScott Bundy, MDLiza Bunting, MD

Stephen Burgher Sr., MDWayne Burkhead Jr., MD

Sudeep Burman, MDJames Burner, MDKaren Burnett, MDA. Jay Burns, MD

Dennis Burns, MDDebra Burns, MDErza Burstein, MDErik Burton, MD

Matthew Bush, MDNicol Bush, MD

Jason Busigo, MDLawrence Butcher, MDStephanie Byerly, MDJeffrey Cadeddu, MD

Nina Cahan, MDWilliam Caire, MDRon Calhoun, MD

Craig Callewart, MDWilliam Calley, MD

Lauri Campagna, MDRafael Canadas-Zizzias, MD

Daniel Canchola, MDStephen Cannon, MD


Carolyn Cannon-Mccullough, MDMyrna Carag-West, MD

Ted Carelock, MDMichael Carley, MDMary Carlile, MDMary Carlin, MDKendall Carll, MD

Angela Carollo, MDTroy Caron, DOBruce Carr, MD

Kelley Carrick, MDJ Carroll, MD

Gregory Carter, MDMichela Caruso, MD

Paul Cary, MDMark Casanova, MD

Kristen Casenave, MDBrian Casey, MDLisa Casey, MD

Catherine Casteel, DPMHarvey Castro, MDTravis Caudill, MDWilliam Caudill, MD

Mary Ellen Cavalier, MDH. Cavanagh, MD, PHDDominick Cavuoti, DOEvangeline Cayton, MDElizabeth Chacko, DOMandeep Chadha, MDRipa Chakravorty, MD

Lina Chalak, MDJulie Champine, MD

Danny Chan, MDTeresa Chan, MD

Becky Chandler, MDPreston Chandler, MD

Deborah Chan-Fung, MDCharles Chang, MD

Shelly-Ann Chang, MDAlice Chang, MD

Nandini Channabasappa, MDJames Chapman, MDHuntly Chapman, MD

Nalinda Charnsangavej, MDJayshri Chasmawala, DO

David Chason, MDShailendra Chavda, MD

Don Cheatum, MDJorge Cheirif, MD

Lakshmi Chekuri, MDRichard Chen, MDClifford Chen, MDEdward Chen, MDKenneth Chen, MDWeina Chen, MD

Jonathan Cheng, MDMatthew Cherno, MDEdson Cheung, MDSamir Chhaya, MDCynthia Chi, MDHsi Chiao, MDKelly Chin, MD

Shilpa Chitnis, MDKwok Chiu, MD

Hsienchang Chiu, MDDuke Choi, MDHenry Choi, MD

Benjamin Chong, MDTae Chong, MD

Deborah Chong, MDRamsey Choucair, MDSultan Chowdhary, MD

Hak Choy, MDMargaret Christensen, MD

Wendy Chuang, MDChristopher Chumley, MD

Andrew Chung, MDCharles Chung, MDWendy Chung, MDPaul Chung, MDJoel Ciarochi, MDChris Clark, MD

Gregory Clark, MDJames Clark III, MD

Leslie Cler, MDR. Click Jr., MD

Jenny Clifford, MDMarcie Coben, MDClay Cockerell, MDAmy Coffey, MD

Stewart Coffman, MDSteven Cohen, MD

Jack Cohen, DOEvan Cohn, MD

Richard Coker, MDBridgette Coker, MDJayne Coleman, MDLaura Collins, MD

Robert Collins Jr., MDLeesa Condry, MD

Nicole Conselman, MDJill Conway, PA

Charles Cook, MDH. Cook, MD

Daniel Cooper, MDSandy Cope-Yokoyama, MD

Lawson Copley, MDMarco Coppola, DOScott Corcoran, MDCindy Corpier, MD

Marlene Corton, MDMelissa Costner, MD

Carl Couch, MDArdith Courtney, DO

John Cox, DOMatthew Cox, MD

Rody Cox, MDJames Cox, MD

Katherine Coyner, MDQuanita Crable, MDMargaret Craig, MD

Laura Craigmiles, DORandall Crim, MDCarol Croft, MD

Michael Cronholm, MDUel Crosby, MD

Samuel Crowley, MDPonciano Cruz Jr., MD

Norma Cump, MDTrang Cung, DOAnna Curry, MD

George Curry, MDThomas Curry III, MD

Amy Curtis, MDJohn Cush, MD

Jennifer Cuthbert, MDR. Garret Cynar, MDHemant Dand, MDJames Daniels, MDCarl Danzig, MDTuoc Dao, MD

David Darrigan, DORobert Darrow, MDShounak Das, MDSandeep Das, MD

Tony Das, MDNeeraja Dasari, MD

Jodi Dashe, MDPramesh Dave, MD

Owen Davenport, MDIngemar Davidson, MD

Laura Davidson, MDQuanetta Davis, PA

Dan Davis, MDJeffrey Davis, MDSarah Davis, MDMichael Day, MD

Armando De Fex, MDM. Teresa De La Morena, MD

James De Lemos, MDJean De Leon, MD

Guillermo De Leon, MDOscar De Leon, MD

Brendan De Marco, MDLuciana De Oliveira, MDRalph Deberardinis, MD

Meelie Debroy, MDJacqueline Decker Karpel, PA

Roberto Dela Cruz Jr., MDJames Delaney PA

Suzanne Dellaria, MDLarua DeMoya, MDWilliam Denam, DO

Jennifer Denning, MDJeremy Denning, MD

Ira Denton, MDSanjeevani Deolapure, MD

Howard Derrick III, MDDev Desai, MD

Seemal Desai, MDAllan Devilleneuve, MDRichard Dewey Jr., MD

Archana Dhar, MDShashi Dharma, MD

Chrisette Dharma, MDNorman Diamond, MD

Sharmila Dias, MDThomas Diaz, MDBryan Dickson, MDJohn Dietschy, MD

Roderick Diggs Jr., MDThomas Diliberti, MDJeanne Dillenbeck, MD

John Dimaio, MDVasiliki Dimas, MDRobert Dimeff, MD

Quynh Chi Dinh, MDJames Dirting, MD

William Dittman, MDHuy Do, MD

Alison Dobbie, MDWilliam Dockery III, MD

Elizabeth Dolan, MDBart Dolmatch, MD

Stephen Donica, MDJoan Donley, MDKevin Doody, MD

Amanda Doughty, FNPLinda Douning Olivo, MD

Jonathan Dowell, MDMichael Dowling, MD, PHD

J. Downs, MDJessie Deam Doyal, MD

Mark Drazner, MDMolly Droge, MD

Rosemary Dubiel, DOPhilip Duchamp, MD

Suzanne Dugopolski, MDRobert Duhaney, MD

Tara Dullye, MDBarbara Durso, MDPeter Dysert II, MD

John Early, MDAlexander Eastman, MD

Valentine Ebuh, MDScott Eckert, MDJohn Edlin, MD

Alaina Edmunds, MDJennifer Edwards, MDStephen Edwards, PAAbram Eisenstein, MD

Waleed El-Feky, MDPaul Ellenbogen, MD

Teresa Elliott, MDJeffrey Elliott, MDPaul Ellis III, MDMalathi Ellis, MDJames Ellis, DO

Bruce Elliston, MDAlison Elmquist, MD

Ahmad Elsharydah, MDJacqueline Emmons, MD

Ronya Emory, MDGraham Emslie, MD

Natalie Engelman, PA-CWilliam Engle, MDBecky Ennis, MD

Kathleen Erdman, MDWilliam Erdman, MDJulian Escobar, MD

Roberto Estrada, MDAaron Estrera, MDDavid Euhus, MD

Rebecca Euwer, MDCarolyn Evans, MD

W. P. (Phil) Evans III, MDWalter Evans II, MDRachael Evans, DOPatricia Evans, MDRebecca Evans, MDLaurie Even, AUDDavid Ewalt, MDGene Ewing, MDPhilip Ewing, MD

Maynard Ewton Jr., MDDennis Factor, MD

Warren Fagadau, MDKarana Fairley, MD

Yijun Fan, MDXinqing Fan, MD

Yisheng Fang, MDRochelle Farley, DOWayne Farley Jr., DO

Derek Farley, DORamin Farzaneh-Far, MD

Susan Favour, MDMichael Fawcett, MD

Yomi Fayiga, MDBrian Feagins, MDTrudy Fedorko, DO

M. Nicholas Feliciano, MDKim-Ngan Fellman, MD

Mary Beth Felty, MDSing-Yi Feng, MD

Andrew Feranchak, MDCaroline Ferris, MD

Joshua Fine, MDRobert Fine, MD

Ross Finkelman, MDMaureen Finnegan, MD

Jason Fisch, MDAnne Fischer, MD

Gary Fish, MDJohn Fitz, MD

John Fitzgerald, MDDavid Fixler, MD

Ari Fleishman, MDSean Fleming, MDGlenn Flores, MDRobert Foglia, MDTed Fogwell, MD

Yolando Fong, MDMichael Fontes, MD

Caryn Michelle Forbes, MDJoseph Forbess, MD

Lisa Forbess, MD

Danielle Ford, MDKenneth Ford III, MD

Steve Fordan, MDE. Forsyth Jr., MDJeri Foshee, MD

Steven Foster, MDMaurilia Foster, NPDaniel Foster, MDWilliam Foster, MD

Michelle Fowers, MDRaymond Fowler, MD

David Francis, MDJonathan Franklin, MD

Danika Franks, MDDan French, MD

Eugene Frenkel, MDPeter Frenkel, MD

Corinne Fribley, MDThomas Froehlich, MD

Elliot Frohman, MDSteve Frost, MDLaura Frye, MD

Franklin Fuda II, DODeborah Fuller, MDDwain Fuller, MDDana Fuller, MD

Clifford Fullerton, MDJames Fulmer, MD

Vincent Gabriel, MDMelisa Gagrica, MD

Alexander Gaidarski, MDAmanda Galloway, MDShari Gamarnik, MDVanthaya Gan, MD

Christine Garcia, MDJose Enrique Garcia, MD

Joseph Garcia, MDNilda Garcia, MD

Alfredo Garcia, MDSandeep Garg, MD

Abhimanyu Garg, MDPatricio Gargollo, MD

Leslie Garner, MDLisa Garner, MD

Thomas Garrad, PA-CChristopher Garrison, MD

Dan Garwood, MDShanna Garza, MDAimee Garza, MD

Irina Gasanova, MDStephen Gasper, MD

Jyothsna Gattineni, MDLarry Gentilello, MDRobert Genzel, MD

Jim George, MDThomas Geppert, MD

Quin Gerard, MDDavid Gerber, MD

Yonas Getachew, MDSeema Ghaffar, MD

Kirat Ghosh, MDCandace Gibbin, MDRima Gidwani, MD

Marty Giesecke, MDSteven Gilbert, MDNathan Gilbert, MDJoshua Gilchrist, MD

James Gill, MDKevin Gill, MD

Alexandra Gillespie, MDJohn Gilmore, MDJim Gilmore, MDNora Gimpel, MD

Charles Ginsburg, MDCarlos Girod, MDDonald Glass, MDRobert Glatz, MDCraig Glazer, MDChris Glover, MDDavid Godat, MD

Kenneth Godsey, MDAnuj Goel, MD

Brian Gogel, MDSefik Gokaslan, MDMarc Goldman, MD

Robert Goldsteen, DOJerald Goldstein, MD

Joseph L. Goldstein, MDDaniel Goodenberger, MD

Grady Goodwin, MDWendy Goodwin, MDMurray Gordon, MD

Lauren Gore, MDCollin Goto, MDAlisa Gotte, MD

Frank Gottschalk, MDSally Goudreau, MDChampa Gowda, MD

Alexander Gozman, MDPhillip Graehl, MD

Audrey Graham, MDLafaine Grant, MD


Reese Graves, MDJulia Graves, MDLarry Gray, MD

De Shawndranique Gray, MDGloria Gray, FNP-CJames Gray, MD

Vincent Graziano, MDBenjamin Greenberg, MD

C. Greenfield, MDKathryn Greenway, MD

Laura Greer, MDLinda Gregory, DONancy Greilich, MDPhilip Greilich, MDLandis Griffeth, MDJames Griffin, MD

James Griffin III, MDWilliam Griffith, MDClarice Grimes, MDMisti Grimson, MDEllen Grishman, MD

Robert Gross, MD, MBAPerry Gross, MD

Erik Grossman, MDStanley Grossman, MDDavinder Grover, MD

Rebecca Gruchalla, MD, PHDThomas Grugle, MDScott Grundy, MD

Ugis Gruntmanis, MDSarah Gualano, MDDax Guenther, MD

Ricardo Guerra Jr., MDChad Guetersloh, MD

Fatma Gul, MDKristine Guleserian, MDTawanda Gumbo, MDRobert Gunby Jr., MD

Thomas Gunning III, MDSandeep Gupta, MD

Samir Gupta, MDShaili Gupta, MD

Punkeet Gupta, MDEve Guth, MD

Brandon Guthery, MDNatalia Gutierrez, MDOren Guttman, MDPaul Hackett, MD

Samuel Haddock Jr., MDNicholas Haddock, MD

Robert Hagood, MDStacey Hail, MD

Jeffrey Haithcock, MDLinda Halbrook, MD

Richard Haldeman, MDClinton Haley, MD

John Haley, MDRobert Haley, MDBarbara Haley, MDCarlton Haley, MDKatherine Hall, MDCatherine Hall, MDChristiana Hall, MD

Amy Haller, MDRonald Haller, MDEthan Halm, MD

Lisa Halvorson, MDMelissa Ham, MD

Farrukh Hamid, MDCherine Hamid, MDRita Hamilton, DOW. Hamilton, MD

John Hamilton, MDMary Hammack, MD

Brenda Hampton, MDRobert Hancock, DOStacey Hanley, MDGreg Hansen, DO

Martha Hardee, MDStephen Harder, MD

Rebecca Hardesty, PA-CMadeline Harford, MD

Amy Harker-Murray, MDPaul Harker-Murray, MD

Donald Harper, MDJohn Harrington, MDCharles Harris, MDMichael Harris, MD

Emmanuel Harrison, MDClanton Harrison III, MD

John Hart Jr., MDWilliam Hartman, DOWilliam Harvey, MD

Said Hashemipour, MDLuann Hassan, MD

Kimmo Hatanpaa, MDSumitha Hathiramani, MD

Leslie Havemann, MDMelissa Hawkins, PA

Lorrie Hayes, MDDavid Haymes, MDShane Haynes, MD

Steven Hays, MDYu-Guang He, MDSandra Heard, MDEmily Hebert, MD

Marjaneh Hedayat, MDSaghar Hedayati, MD

H. A. Tillmann Hein, MDLisa Heistein, MD

Daragh Heitzman, MDSarah Helfand, MDSana Hemani, DO

David Hemsell, MDHalim Hennes, MDMagda Hennes, MDDesmond Henry, MD

R. Henry, MDKatherine Henson, FNP

Pierre Herding, MDWilliam Herlihy, MD

Cathy Hernandez, MDJennifer Hernandez, MD

John Herndon III, MDEmily Herndon, MDMonica Herrera, PAJohn Herring, MD

Steven Herzog, MDGeorge Hewell, MDCynthia Heyne, MD

Roy Heyne, MDJ. Hieber, MD

D. Michael Highbaugh, MDFrancis Hill, MDGary Hill, MD

Joseph Hill, MD, PHDRichard Hinton, MD

Joseph Hise, MDMichelle Ho, MDChristine Ho, MD

Binh Ho, MDKhanh Hoang, MDHelen Hobbs, MDW. Hodges, MD

Timea Hodics, MDSteven Hoffman, MDBarbara Hoffman, MD

Sandra Hofmann, MD, PHDR. Hogan, MD

Joyce Hohn, MDSarah Holder, DOAlisa Holland, MD

Robert Holland, MDPriscilla Hollander, MDElizabeth Holper, MD

Roxane Holt, MDShelby Holt, MD

Clifton Hooser, MDShelton Hopkins, MD

Claire Horn, MDBrad Hornberger, PA

Robyn Horsager-Boehrer, MDMarilyn Horton, MD

Jay Horton, MDGary Hoss, MD

Srikanth Hosur, MDWilbur (Dub) Howard, MD

Donna Howard, FNPTemple Howell-Stampley, MD

Ronald Hoxworth, MDConnie Hsia, MDChris Hsiao, MDAlice Hsu, MDRandy Hua, OD

Chou-Long Huang, MDCraig Huang, MD

Theresa Huang, MDPhilip Huber Jr., MD

Anne Hudak, MDAshton Hudson, MD

Mitchell Huebner, MDSergio Huerta, MD

Randall Hughes, MDLawrence Hum, MDJohn Humphrey, MD

John Hunt, MDMichael Hunte, MDMichael Huo, MD

Jefferson Hurley, MDGeorge Hurst, MDJodie Hurwitz, MDAbiha Husain, DOZiad Husseini, MD

Michele Hutchison, MDJames Huth, MD

John Hyatt Jr., MDThomas A. Hyslop, MDSusan Iannaccone, MD

Ahamed Idris, MDPeter Igarashi, MD

Catherine Ikemba, MDBenjamin Im, MD

Didem Inanoglu, MDJula Inrig, MD

Robert Inzer, MDS. Isaacs, MD

Brandon Isaacson, MDArsalla Islam, MD

Ginger Isom-Batz, MDRobert Israel, MDKamel Itani, MDRoy Ivy III, MD

Sandhya Iyer, MDGregory Jackson, MD

Linda Jackson, ODJincy Jacob, MD

Heidi Jacobe, MDAhmed Jafri, MD

Naseem Jagani, MDMamta Jain, MDTulika Jain, MD

Sapna Jaiswal, MDMambarath Jaleel, MD

Naznin Jamal, MDJeffrey Janis, MD

Nolan Jenevein, MDWilliam Jernberg, MDLenelle Jerome, FNP-CMichael Jessen, MD

Qing Jia, MDJose Joglar, MD

Jeanne Jogler, MDTheodore Johns, MDSteven Johnson, DO

Douglas Johnson, MDChristine Johnson, MDNichole Johnson, MD

Frederick Johnson, DOMark Johnson, MD

Romaine Johnson, MDRaymond Johnson, MDRichisa Johnson, MD

Sarah Johnson-Welch, MDWalter Johnston, MD

Charles Johnston II, MDStephanie Jones, MDGregory Jones, MD

Alan Jones, MDSydney Jones, MDBrian Jones, MD

Freddie Jones, MDJodi Jones, MDR. Jones, MD

William Jones, DOKirk Jordan, MD

Dakeya Jordan, DORichard Joseph, MDShelby Joseph, MDShellie Josephs, MD

Girish Joshi, MDJanna Journeycake, MD

Tya-Mae Julien, MDManjula Julka, MDAmy Juraszek, MDKhadija Kabani, DOWareef Kabbani, MDKevin Kadesky, MDJeffrey Kahn, MDRaj Kakarla, MD

Vijay Kalidindi, MDAmy Kalina, DOJeffrey Kam, MDAmin Kamali, DO

Jennifer Kampas, MDColin Kane, MDErin Kane, MD

Ghana Kang, MDSunjun Kang, MD

Subhasri Kannan, MDDennis Kao, MD

Norman Kaplan, MDRichard Kaplan, MD

Patricia Kaplan, CCCA AUDNagarajani Kapu, MD

Payal Kapur, MDNitin Karandikar, MDCatherine Karni, MD

Lori Karol, MDDavid Karp, MDSirisha Karri, MD

Melanie Kaspar, MDBeth Kassanoff, MD

Galit Kastner Ungar, MDDarryl Kawalsky, MD

Alan Kaye, MDMark Kazewych, MDFarhana Kazi, MD

Felicia Kearney, FNPRafal Kedzierski, MDGordon Keehn, MDGregory Keelen, DOSiobhan Kehoe, MDMichael Kellam, MD

Nancy Kelly, MDJeffrey Kenkel, MD

Alexander Kennedy, MD

Julie Kennedy, MDIrwin Kerber, MDRaj Keriwala, MDFrank Kern, MDJoshua Kern, MD

Elizabeth Kerner, MDJeffrey Kerr, MD

Corey Kershaw, MDPrabhakar Kesava, MDElizabeth Keyes, MD

Tarif Khair, MDShamim Khambati, MD

Bilal Khan, MDMohammad Khan, MD

Ahtaram Khan, MDRabia Khan, MDDavid Khan, MDMuna Khan, MDSaadat Khan, MDSaleem Khan, MDGaurav Khatri, MDImran Khawaja, MD

Michael Khazzam, MDAmit Khera, MD

Talat Kheshgi, MDAnita Khetan, MDRainer Khetan, MDRoger Khetan, MDKimberly Kho, MD

Kevin Kia, MDDavid Kilgore, MDKenneth Killen, MDBenjamin Kim, MD

Jong Kim, MDKevin Kim, MDLinda King, MDKaren King, DO

Cheryl Kinney, MDJudith Kirby, MD

Randall Kirby, MDStephen Kircher, MDAlexander Kirk, MD

Lynne Anne Kirk, MDHaskell (Gill) Kirkpatrick III, MD

Melissa Kirkwood, MDKurt Kitziger, MDKevin Klein, MD

Kurt Kleinschmidt, MDDawn Klemow, MDSteven Klemow, MDLaura Klesse, MD

Margaret Knapp, MDSusan Knapton, MDWendy Kniffen, PA-C

Sally Knox, MDJoshua Koch, MDJustin Koch, MD

Padmavathi Koduri, MDAndrew Koh, MD

Kenneth Kollmeyer, MDJun Kong, MD

Jessica Konvicka, PABielose Konwe, MDKaranjit Kooner, MDKorgun Koral, MDRobert Kotas, MD

Harry Kourlis Jr., MDWilliam Kovacs, MDKaren Kowalske, MDPatricia Krakos, MDHerbert Kresh, MD

William Krippner Jr., MDSumant Krishnan, MD

Ruth Krishnan, MDCrystal Kronenberger, MD

Jo Ellen Krueger, MDTheodore Krum, MD

Jai Kumar, MDGrace Kumar, MD

Mithilesh Kumar, MDUdhay Kumar, MD

Elizabeth Kummer, MDAysha Kunju, MDY-Chen Kuo, MD

Joe Kutz, MDRobert Kwon, MD

Hyo Kwon, MDJeannie Kwon, MDMarc Labat, MDMicki Lacker, NP

Thomas Lacour, MDElizabeth Lagomarsino, MD

Wen Lai, MDDaniel Laidley, MDAlison Laidley, MD

W. Pennock Laird, MDTracy Laird, MD

William Laird II, MDCyrus Lambert, MDRahele Lameh, MDJeffrey Lamont, MDKristen Lampe, MD


Michael Landay, MDMichael Landgarten, MD

Mary Alexander Landry, PA-CB. Lane, MD

Lawrence Lankford, MDJohn LaNoue Jr., MDSharon Larkin, MDAnne Larson, MDHamid Latifi, MDKaren Latour, MD

Steve Lau, MDMay Lau, MD

Michael Laughlin, MDLawrence Lavery, DPM

John Lavery, MDYolanda Lawson, MD

Binh-Minh Le, MDLu Le, MD

Brian Le, MDJoseph Leach Jr., MD

Steven Leach, MDPatrick Leavey, MD

Gayle Lebovic Andy Lee, MDSandy Lee, MDDale Lee, MD

Jessica Lee, MDJiwon Lee, MD

Kenneth Lee, MDMichael Lee, MDWilliam Lee, MD

Won Lee, MDJonathan Leffert, MD

Ann Leitch, MDGary Lemack, MD

Dorothy Lemecha, DOYuri Lemeshev, MD

Matthew Lemler, MDDavid Lensch, MD

Randolph Lester, MDFolashade Lester, MDKenneth Leveno, MDBrian Levenson, MDCharles Levin, MD

Benjamin Levine, MDBeth Levine, MDFiona Levy, MDDeri Lewis, MD

Hsiao (Jenny) Li, MDJulia Liaci, MD

Lawrence Liang, MDRobert Liao, MDValerie Liao, MD

Warren Lichliter, MDZelig Lieberman, MD

David Lief, DPMJames Lilly, MD

Johanna Limsenben, MDScott Lin, MDChun Lin, MD

Fangming Lin, MDDavid Linguist, MDPeggy Linguist, MDIldiko Lingvay, MDJeffrey Link, MD

Richard Linsky, MDEron Linver, MD

George Lister, MDVijayavalli Little, MDXercerla Littles, MDChristine Liu, MDGeorge Liu, DPM

Yinghui (Carol) Liu, MDEdward Livingston, MD

Jessica Lloyd, MDJulie Lo, MD

Matthew Lo, MDDaniel Lockard, MD

Susanne Lockhart, MDPeter Loeb, MD

Charles Loehr, MDAlan London, MDDaniel Long, MDCarl Long III, MD

Robert Lonian, MDShelley Loomstein, PA

Jorge Lopez, MDYair Lotan, MD

Sandra Lozano, MDXiaohui Lu, MD

Christopher Lu, MDJames Luby, MD

Peter Luckett, MDPercy Luecke Jr., MD

Lisa Luke, MDWilliam Lumry, MD

Linda Lutz, MDBoyd Lyles, MDMark Lyons, MD

Naim Maalouf, MDAmy Macaluso, MD

Christopher Madden, MDWillis Maddrey, MDPaul Madeley, MD

Antra Mahaldar, MDElizabeth Maher, MDJoseph Maher, MDLynn Mahony, MD

Hetendra Makanbhai, MDMarjorie Ann Malbas, MD

Jepsin Maliyil, MDDamien Mallat, MDPeter Malouf, DO

Pradeep Mammen, MDRichard Manes, MD

John Mang, MDNicole Mangum, PHD

John Mansour, MDRandy Marcel, MDJohn Marcucci, MDPeter Marcus, MDLinda Margraf, MDVitaly Margulis, MDDavid Markham, MDMedardo Maroto, MDBradley Marple, MD

Otto Marquez-Kerguelen, MDJorge Marrero, MDJohn Marshall, MD

Michael Marshall, MDAlan Martin, MD

John Martin Jr., MDLisa Martinez, MDDee Martinez, MD

Joseph Martinez, MDTanya Martinez-Fernandez, MD

Javier Marull, MDAndrew Masica, MD

Karen Matevosyan, MDDana Mathews, MD

Pamela Matijevich, PASina Matin, MD

Susan Matulevicius, MDI-Fan Mau, MD

Malea Maynard, MDMarlyn Mayo, MD

William McCaleb, MDTimothy McCavit, MD

John McClay, MDLaura McClendon, MDHugh McClung IV, MDRonald McCollum, MD

Eddie McCord, MDSteven McCord, MDMedford McCoy, MD

Rosemary McCoy, MDGeorge McCracken Jr., MD

Robert McCrea, MDAudra McCreight, MDJames McCulley, MD

Donald McCurnin, MDJeffrey McDaniel, MDFrank McDonald, MD

Halliday McDonald, MDMillicent McDonald, MDWarren McFarland, MD

Mary McGarry, MDTamara McGregor, MDDarren McGuire, MDJohn McHenry, MD

Donald McKay Jr., MDSusan McKinney, MDGail McLaughlan, MDJohn McMenamy, MD

Adrienne McMillan, MDKimberly McMillin, MD

Lawrence McNally, MD, PAJennifer McNeill, MDMichael McPhaul, MDRobert Meador Jr., MDStephen Megison, MD

Amit Mehta, MDJoseph Meier, MD

Marcelyn Meister, PA-CJames Meler, MD

Gavin Melmed, MDDavid Meltzer, MD

Dianne Mendelsohn, MDEdward Mendelson, ODMichelle Mendez, MD

Nikolas Mendrygal, MDJin Meng, MD

David Mercier, MDSonya Merrill, MD

James Merritt III, MDJeffery Metzger, MD

Thiyagarajan Meyappan, MDRichard Meyer, MDAdrian Meyer, MDDan Meyer, MD

Jeffrey Meyer, MDLawrence Meyerson, MD

Eva Meyrat, MDKimberly Mezera, MD

Bruce Mickey, MDBenton Middleman, MD

Angela Mihalic, MDSara Milchgrub, MDMichele Miles, MDDarryl Miles, MD

Marjorie Milici, MDMark Miller, MD

Jennifer Miller, MDLance Miller, DOAdam Miller, MDDavid Miller, MDShane Miller, MD

Michael Milner, MDJoseph Minei, MD

Robert Minkes, MDDavid Minna, MDJohn Minna, MD

Joseph Mishkin, MDJere Mitchell, MD

Mack Mitchell Jr., MDShubhada Mithilesh, MD

James Mitlyng, MDShashi Mittal, MDVineeta Mittal, MDArjun Mittra, MDMark Mlcak, MD

Presley Mock, MDBijal Modi, MD

Seema Modi, MDPradeep Modur, MD

Orson Moe, MDTodd Moen, MDAlok Mohan, MD

David Moikeha, MDSam Molai, MD

Kyle Molberg, MDAmy Moldrem, MD

Kyle Molen, MDJuan Molina, MD

Narinder Monga, MDAshish Monga, MD

George Moninger, MDJames Montgomery, MD

Everett Moody, MDWilliam Moore, MD

Al Moore, MDPaul Moore, MD

Daniel Moore, MDSudha Mootha, MD

Venkateswara Mootha, MDAnn Mootz, MD

Brady Mootz II, MDPablo Mora Mora, MD

Brett Moran, MDElizabeth Moran, MD

Allen Morey, MDSherri Morgan, MD

Howard Morgan, MDKevin Morrill, MDSusan Morris, MD

Michael Morriss, MDFrank Morrone, MDMaria Morse, MD

Elysia Moschos, MDJason Moshier, MD

Jason Mull, MDErica Muller, MD

Mary Mullican, MDJanice Mullins, DO

Matthew Mulloy, MDKimberly Mulson, MD

Jose Muniz, MDJames Muns, MD

Madhavi Muppidi, MDSrikanth Muppidi, MDGerald Murphy Jr., MDJoseph Murphy, MDSusan Murphy, MDGayle Murray, MD

Sunshine Murray, MDDavid Musselman, MD

John Myers, MDLarry Myers, MDEdgar Nace, MD

Richard Naftalis, MDRajasree Nair, MDKrishnan Nair, MDDaniel Nale, MDVijaya Nama, MD

Swati Namburi, MDVidya Nandipati, MD

Syed Naqvi, MDRoxana Narat, MDRama Narla, MDRao Naseem, MD

Dawood Nasir, MDLorien Nassi, MD

Sharon Nations, MD

Rebekah Naylor, MDArax Nazarian, DO

Shameem Nazeer, MDWilliam Neaville, MD

Lucien Nedzi, MDArvind Neelakantan, MD

Francisco Neira, MDAlecia Nero, MD

Shawna Nesbitt, MDJo-Ann Nesiama, MDRebecca Nessel, MDPaul Neubach, MD

Mark Newcomer, MDKeith Newman, MD

Christopher Newton, MDStephanie Newton, FNPDennis Newton III, MD

Ana Nguyen, MDAnthony Nguyen, DO

Lisa Nguyen, DOLeigh Nguyen, MDLynn Nguyen, MD

Phuong Nguyen, MDAnh Nguyen, MD

Benjamin Nguyen, MDJanice Nhan, DO

Donald Nicholas Jr., MDFarhad Niroomand, MD

Raymond Nkwantabisa, MDJohn Noack, MD

Leslie Noble, ACNPCarl Noe, MD

James Norcross, MDWilliam Norcross, MD

Tara Norris, MDJames Norwood, MDPedro Nosnik, MD

Roberta Novakovic, MDAlan Nugent, MD

Fiemu Nwariaku, MDTeekam Ochani, MD

Anthony O’Connell, MDEllen O’Connell, MD

Jon Oden, MDElizabeth Odstrcil, MD

Karen Oehler, MDBabatunde Ogunnaike, MD

Scott Oishi, MDPamela Okada, MDGodwin Okojie, PA

Osehotue Okojie, MDShirley O’Leary, NP-CTheresa Olfson, MD

Wanderley Oliveira, MDDwight Oliver, MDPatrick Olomu, MD

Catherine Olsen, DOCraig Olson, MDBen Olsson, DOAnees Omar, MD

Hythem Omar, MDBarry O’Neal, MDNesrin Onur, MD

Mildred Opondo, MDAngela Orlino, MD

Jeffrey Ortstadt, MDPadraig O’Suilleabhain, MD

James Otto, MDElesyia Outlaw, MDJohn Overbeck, MDStuart Owen, MDDavid Owen, MD

Heather Owen, MDGlenn Owen, MD

Robert Owens, MDOrhan Oz, MD

Stephen Ozanne, MDJames Pak, MDAnna Pak, MD

Charles Pak, MDNatalia Palacio, MD

Mythili Paladugu, MDElizabeth Palmarozzi, DO

Biff Palmer, MDDavid Palmer, MD

Geetha Pandian, MDRajiv Pandit, MD

Sandeep Pandove, MDAmit Pandya, MD

Mahmood Panjwani, MDGeeta Paranjape, MD

Biren Parikh, MDJoseph Park, DOAndrew Park, MD

Thomas Parker III, MDRyan Parker, MD

Robert Parkey, MDRobert Parks Jr., MDWendy Parnell, MD

Howard Parness, MDAnu Partap, MD


Anna Parton, NPSirous Partovi, MDJuan Pascual, MD

Amy Pass, MDMichael Passanante, MDMuhammad Patel, MD

Helen Patel, MDMahendra Patel, MD

Ankit Patel, MDAshish Patel, MDHetal Patel, MD

Kalpesh Patel, MDNova Patel, MDParag Patel, MDReina Patel, DOSatin Patel, MDVishal Patel, MDAjay Pathak, MD

Brent Patterson, MDTena Patterson, MD

Matt Pattillo, MDMary Paulk, MDPaul Payne, MD

Margaret Pearle, MDEric Pearlman, MD

Lee Ann Pearse, MDMary Pearson, MDJohn Pease, MD

Elizabeth Pelletier, PAMatthias Peltz, MD

Rene Pena, MDMichael Pendola, MDJeffrey Penfield, MDFangyu Peng, MD

Yan Peng, MDYolande Pengetnze, MD

John Pennant, MDPaul Pepe, MD, MPHBeverly Perez, DOCarlos Perez, MD

Julio Perez Fontan, MDP. Perry, MD

Kimberly Persley, MDRonald Peshock, MD

Joel Pessa, MDMark Peters, MDBrian Peters, MD

Katharine Petersen, MDValerie Peterson, MD

Gail Peterson, MDWilliam Peterson, MD

David Pettett, MDLarry Pettit, DO

Andrew Phan, MDAmy Phelan, MDKay Philips, MD

William Phillips, MD, DDSJoseph Phillips Jr., MDCharles Phillips, MDNancy Phillips, MDLeslie Pidgeon, DOMarc Pieniek, MDAva Pierce, MD

Chris Pierotti, MDJohn Pillow, MD

Paul Pin, MDJames Pinckney II, MD

Karen Pinto, MDBradley Pirtle, DO

David Pistenmaa, MDShawnta Pittman-Hobbs, MD

David Podeszwa, MDDaniel Podolsky, MDHarlan Pollock, MDTodd Pollock, MD

Rebecca Ponder, ODLeslie Porter, MDTom Postma, MD

Craig Powell, MD, PHDJerry Powell Jr., MD

Raghavendra Prasad, MDEdward Prejean III, MD

John Preskitt, MDGlenn Pride Jr., MD

Marcia Pritchard, MDJeffrey Pruitt, MDSridhar Pudu, MD

Jay Pudupakkam, MDAnkit Punatar, MD

Kit Purdy, MDPhillip Purdy, MD

Nancy Puzziferri, MDJames Pyron, MD

Stephanie Quarles, MDMary Quiceno, MD

Raymond Quigley, MDHenry Quinones, MDJennifer Rabaglia, MDElizabeth Race, MDSuzanne Racz, PA-C

Lee Radford, MDSusan Raff, MD

Adnan Rafique, MDDina Rahhal, MD

Robert Rahimi, MDPervaiz Rahman, MD

David Rahn, MDJack Raisanen, MDGanesh Raj, MDKalyani Raja, MD

Harikrishna Raja, MDNilum Rajora, MD

Claudio Ramaciotti, MDKalpana Ramakrishna, MD

Lakshmi Raman, MDVictor Ramon, MDShelley Ramos, MD

Bruno Ramos Flores, MDMaria Ramos-Roman, MD

Michael Ramsay, MDRyan Randles, MD

Kenneth Raney III, MDShobha Rao, MDRoshni Rao, MDUma Rao, MD

Alan Raphael, MDPeter Rappa, MDPhilip Raskin, MDKarl Rathjen, MD

Maheshika Ratnayake, MDGargi Raval, MD

Catherine Raver, MDAhmed Raza, MDAhmad Raza, MD

Roy Rea, MDDon Read, MD

Rosalyn Reades, MDLee Reagor, MD

Claire Reddick, MDSuman Reddy, MDVirginia Reddy, MD

Jason Reed, MDMelanie Reed, MD

Chet Rees, MDErin Reese, MD

Bradford Reeves, MDRobert Rege, MD

Diana Reggiardo, MDRobert Reilly Jr., MD

Andreas Reimold, MDSharon Reimold, MDCharles Reinert, MDJami Reissig, MPA-CThomas Renard, MD

Hector Reyes, MDChanhaeng Rhee, MDRamona Rhodes, MD

Norman Rice, MDKim Rice, MD

Gregg Rice, MDJohn Richard III, MD

Hampton Richards, MDBenjamin Richards III, MDCharles Richardson, MDDebra Richardson, MD

Kim Rickert, MDWilliam Ring, MDKathy Rinnert, MDHomero Rivas, MD

Julio Rivera, MDAntonio Rivera, MDWilfredo Rivera, MD

Yadira Rivera-Sanchez, MDShelley Roaten Jr., MD

L. Roberts, MDTana Roberts, MD

Richard Roberts, MDAlbert Roberts Jr., MD

Scott Roberts, MDEllis Robertson, MD

William Robertson, MDKiran Robertson, MDLaura Robinson, PA-CAmber Robinson, DOVivyenne Roche, MD

Rosemary Roderick-Roseberry, MDTanya Rodgers, MD

Adriana Rodriguez, MDGustavo Rodriguez, MD

Norberto Rodriguez-Baez, MDRoberto Rodriguez-Ruesga, MD

Martha Rodriguez-Ruiz, DOErin Roe, MD

Claus Roehrborn, MDJoel Roffman, MDNicole Rogers, MDDonza Rogers, MDDora Rogers, MD

Beverly Rogers, MDDavid Rogers, MD

Thomas Rogers, MDVanessa Rogers, MD

Zora Rogers, MDAnand Rohatgi, MD

Rod Rohrich, MDRebecca Rojas, MDPeter Roland, MDRay Rollins, DO

Nancy Rollins, MDGary Roloson, MD

Enid Romanelli, MDLynn Roppolo, MDMyron Rosen, MDRobin Rosen, MDRobert Rosen, MD

Frances Rosenbaum, MDRoger Rosenberg, MD

Randall Rosenblatt, MDCharles Rosenfeld, MDDavid Rosenstein, MDJulio Rosenstock, MD

J. Rosenthal, MDShayzreen Roshanravan, MD

Renee Rossi, MDBrett Roth, MD

Michael Rothkopf, MDKaren Roush, MD

L. Routh, MDShai Rozen, MD

Arnold Rubenfield, MDMelissa Rubenstein, MD

Howard Rubin, MDCraig Rubin, MD

David Ruiz Bello, MDMichael Ruk, MD

Timothy Rupp, MDMichael Russo, MD

Charles Rutherford, MDCynthia Rutherford, MD

John Rutherford, MDMatthew Ryan, MDAssad Saad, MDJohn Saad, MD

James Sackett, MDHesham Sadek, MD

Jane Sadler, MDArthur Sagalowsky, MD

Rana Said, MDJoseph Sailors, MD

Michel Saint-Cyr, MDKhashayar Sakhaee, MD

Karen Saland, MDKenneth Saland, MDAngel Salazar, MDAdrian Salazar, MD

Gilberto Salazar, MDLuis Saldana, MDWilliam Salter, MDColleen Sam, MD

Kamalanathan Sambandam, MDJoseph Sample Jr., MD

Duke Samson, MDRobert Samuelson, MD

Pablo Sanchez, MDRinarani Sanghavi, MDWilliam Santangelo, MD

Patricia Santiago-Munoz, MDPamela Santone, DO

Shehnaz Sarmast, MDRavindra Sarode, MDVenetia Sarode, MDMeghana Sathe, MDAshoke Sathy, MD

Clark Saunders, MDTimothy Saunders, MDRashmin Savani, MDDaniel Savino, MDKirti Saxena, MD

Ramesh Saxena, MDStephanie Sbong, MD

Pier Scaglioni, MDJoseph Schaffer, MDMary Schenkel, NPJoan Schiller, MD

David Schindel, MDTammi Schlichtemeier, MD

Allen Schneider, DOJay Schneider, MD

Joseph Schneider, MDThomas Schott, MD

Richard Schubert, MDWilliam Schucany, MDBarbara Schultz, MD

Tom Schulz, MDArmond Schwartz Jr., MD

Barry Schwarz, MDMargaret Schwarz, MDRoderich Schwarz, MDDonald Schwarz, MD

Daniel Scott, MDHarold Scott, MDKelly Scott, MDSusan Scott, MD

William Scott, MDMatthew Scott, MD

Terilyn Scott-Winful, MD

Leslie Secrest, MDMarjan Seddighzadeh, MDRichard Seggerman, MD

Luis Seguias, MDLori Seibert, MDJack Seidel, MD

Mouin Seikaly, MDStephen Sellers, DO

Mhammad Semrin, MDDorothy Sendelbach, MD

Youcef Sennour, MDDan Sepdham, MD

Charles Sessions, MDAnthony Setiawan, MDStephanie Setliff, MD

Shahriar Setoudeh-Maram, MDShahid Shafi, MD

Harivadan Shah, MDDhiren Shah, MDAmit Shah, MDAnjali Shah, MDMonal Shah, MDNisarg Shah, MD

Daniel Shaheen, ODHassan Shahidi, DO

Amer Shakil, MDSadat Shamim, MD

Donna Shannon, MDGabriel Shapiro, MD

Nima Sharifi, MDKapil Sharma, MD

Mahesh Sharma, MDManisha Sharma, MD

Rohit Sharma, MDShiv Sharma, MDCarey Sharp, MD

Jessica Sharry, MDPhilip Shaul, MDMary Shaw, MD

Maeve Sheehan, MDPaul Sheeran, MD

Michael Sheffield, MDEugene Sheffield, MDJeanne Sheffield, MD

Yu-Min Shen, MDLaquita Shepherd, MD

Cynthia Sherry, MDDorothy Sherwood, MD

Rashmi Shetgiri, MDChen Shi, MD

Sarika Shivnani, MDStephen Shivvers, MD

Pardeep Shori, DOJoyce Shotwell, MD

Matthew Shuford, MDBill Shumate Jr., MDAlison Sibley, MD

Zafreen Siddiqui, MDJane Siegel, MD

Mark Siegelman, MDPaul Siemers, MD

Sigurdur Sigurdsson, MDErin Silav, MD

Stuart Simon, MDWalter Simon, MD

Robert Simonson, DOMichael Sims, MD

Gina Sims, MDRobert Sims, MDGary Sinclair, MDAmit Singal, MDMike Singer, MDDeepa Sirsi, MD

Julide Sisman, MDKerri Sistrunk, MDWalter Skinner, MD

Michael Skinner, MDGary Skrivanek, MDCharles Slack, MDRobert Slagle, MDDavid Slater, MD

Elizabeth Slaymaker, MDMatt Sloan Jr., MDLouis Sloan, MDTamra Slone, MD

Michael Smerud, MDRandlow Smith Jr., MDWeldon Smith Jr., MDJennifer Smith, MDChene Smith, MDLiesl Smith, MD

Oluwatosin Smith, MDEric Smith, MD

Demetria Smith, MDAllison Smith, MDTroy Smith Jr., MDWesley Smith, MD

Warren Snodgrass, MDWynne Snoots, MD

William Snyder III, MDRichard Snyder II, MD

Mie Mie Sohn-Mcgowan, MD


Paul Sokal, MDMatthew Sokol, MD

Saul Sokol, MDW. Sory, MD

Paul Southern Jr., MDStefanie Spaeth, MDThomas Spain, MDAnn Spangler, MDDave Spear, MD

John Spieker, MDJoseph Spigel, MDJack Spitzberg, MD

Ramano Sprueil, MDJ. Sreenarasimhaiah, MDPranavi Sreeramoju, MDKarthik Srinivasan, MD

Geetanjali Srivastava, MDDivya Srivastava, MD

Peter Stack, MDRonney Stadler, MDDavid Stager, MD

Charlotte Starghill, MDAdam Starr, MD

Peter Stastny, MDA. Staub, MD

Eric Steen, MDMartha Stegner, MDEdward Stehel, MD

Elizabeth Stehel, MDMatthew Steidl, PA-CJoel Steinberg, MD

Michel Stephan, MDJacqueline Stephen, MD

Jeff Stephens, MDJill Stephenson, MDWilliam Stevens, MD

Elizabeth Stevenson-Gargiulo, DORobert Stewart, MD

Carlyle Stewart, MD, MPHMichael Stewart, MDCristina Stiles, MDMatthew Stoll, MDStuart Stone, MDLouis Stool, MD

Bradley Strout, MDKristy Stucka, MDJill Studley, MD

Daniel Sucato, MDDaniel Suez, MD

Robert Sugerman, MDSumitha Sukumar, MDMelanie Sulistio, MDBrian Sullivan, MDPaul Sullivan, MDBaran Sumer, MD

Kathryn Sumpter, MDKirtana Sunderajan, MD

Terri Suresh, ACNPRichard Suss, MDRobert Suter, DO

Laurie Sutor, MD, MBASharad Swami, MDMark Swancutt, MDSusan Swanson, MDLisa Swanson, MD

Prabhakar Swaroop, MDRaymond Swienton, MDThomas Swygert, MD

Asif Syed, MDJames Syler Jr., MD

Maurice Syrquin, MDM. Szuszkiewicz-Garcia, MD

William Tallmadge, ACNPJohn Tan, MD

Natalia Tan, PACharles Tandy, MD

Alexander Tanjuakio, FNPGrace Tannin, MD

Weike Tao, MDLori Tappen, PA-C

Cristina Tarango, MDTania Tarjan, MDLaura Tasa, MD

Berge Tasian, MDChad Tate, MDJoel Taurog, MD

Walton Taylor, MDWayne Taylor, MD

Jeff Taylor, MDMyiesha Taylor, MDRobert Taylor, MD

Roosevelt Taylor Jr., MDShane Taylor, DO

Charlotte Taylor, ODLisa Taylor-Kennedy, MD

Prabhav Tella, MDRobert Tenery Jr., MD

John Tenny, MDLulu Tenorio, MD

Sumeet Teotia, MDLance Terada, MD

Alexander Tessnow, MD

Shirley Tetteh, MDErwin Thal, MD

Bharath Thankavel, MDAnam Tharoo, MDJames Theisen, MD

Mahesh Thiagarajah, MDBryan Thibodeau, MDMark Thieberg, MDDwain Thiele, MDMaura Thielen, MDMilton Thomas, MDEmilia Thomas, MDJames Thomas, MDRobin Thomas, MDTina Thomas, NP

Robert Thompson, MDJeffrey Thompson, MDMandy Thompson, MDJennifer Thompson, DOMarita Thompson, MDMayra Thompson, MDSteven Thornton, MDWilliam Thornton, MDJames Thornton, MD

Katherine Thornton, MDJohn Thottakara, MDAmitha Thudi, MD

Jeffrey Thurston, MDMark Till, MD

Elisabeth Tilleros, MDGlenn Tillery, MD

Felicia Tillman, MDCarlos Timaran, MD

Robert Timmerman, MDLeslie Tingle, MD

Arash Tirandaz, MDBen Tittle, MD

Rachel Tobey, MDJohn Tong, MD

William Tongier, MDAli Toofanian, MDSeth Toomay, MD

Anthony Toppins, MDFernando Torres, MDRobert Torti II, MDGabor Toth, MDRobert Toto, MDHien Tran, MD

Maclong Tran, MDPhuong Tran, MD

Nhu Tran, DOSara Tranchina, MD

Erika Trapp, MDDon Treichler, MD

Jodie Trello-Rishel, MDClayton Trimmer, DO

Jaya Trivedi, MDKavita Trivedi, DOKetan Trivedi, MDCraig Troop, MD

Matthew Trovato, MDAnn Trowbridge, MDJohn Truelson, MD

Mauricio Trujillo, MDAlan Trumbly, DOTam Truong, MD

Andrew Trussler, MDEden Tsegay, NP

Sharon Tucker, MDMelissa Tucker, MDShannan Tujios, MDPaitoon Tulanon, MDArmine Tumyan, MD

Gary Tunell, MDAslan Turer, MD

William Turner Jr., MDDiane Twickler, MD

Kiran Ubhayakar, MDPablo Uceda, MD

Rafael Ufret-Vincenty, MDDavid Uhrbrock, MDMichael Ulissey, MDSeckin Ulualp, MD

Ronald Underwood, MDMercedes Uribe, MDTimothy Valek, MD

Rawson Valentine, MDPeter Van Buren, MD

Jeffrey Van Dermark, MDThomas Van Dinter, MD

Marvin Van Hal, MDPaul Van Ness, MD

Travis Vandergriff, MDKathleen Vandiver, MDMichael Vanpelt, DPMDeepa Varshney, MDVasantha Vasan, MD

Joseph Vaughan Jr., MDMiguel Vazquez, MD

Anitha Veerasamy, MDKaren Velazquez, MD

Ruben Velez, MD

Larissa Velez, MDDaniel Veltkamp, MD

Jennifer Veltkamp, MDNarasimharao Vemula, MD

Roopa Vemulapalli, MDSteven Verity, MDUdit Verma, MD

Avesh Verma, MDSteven Vernino, MD

Kim Vernon, MDBelinda Vicioso, MD

Robert Viere, MDMiguel Villamil, MDJoseph Viroslav, MD

Cathy Vo, MDWanpen Vongpatanasin, MD

Gayathri Vontivillu, MDMadhuri Vusirikala, MD

Lewis Waber, MDSuzanne Wada, MDJill Waggoner, MDJames Wagner, MDClifford Wai, MDMichael Wait, MD

Linda Waki Ho, MDKathryn Waldrep, MD

Brent Walker, DOBrandy Walker, MD

Jean Wall, MDGenevieve Wallace, MD

Angela Wallace, MDDavid Waller, MD

Richard Wallner, MDEllen Walraven, MD

Raymond Walsh, MDDeryk Walsh, MD

Jennifer Walsh, MDMargaret Walter, DOLeslie Walters, MDJames Walton, DOJohn Walton, DO

Rhonda Walton, MDDavid Wang, MDHao Wang, MD

Serena Wang, MDYu-Chi Wang, MDScott Wang, MDAthol Ware, MD

Worthy Warnack Jr., MDJohn Warner, MD

Indulekha Warrier, MDDavid Watkins, MDKelli Watkins, MD

Cheletta Watkins, MDMark Watson, MD

Denton Watumull, MDLori Watumull, MD

Paul Wax, MDMegan Way, MDSarah Way, MD

Roberto Wayhs, MDDavid Weakley Jr., MD

Devri Weakley, MDPaul Weatherall, MD

Seaborn Weathers, MDDenise Weber, MD

Winston Webster, MDArthur Weinberg, MD

Debra Weinberger, MDHoward Weiner, MD

Gregory Weisbruch, MDJonathan Weissler, MD

Patrick Weix, MDBabu Welch, MD

Miranda Wellington, MDClaudia Werner, MD

Don West, MDRobert Westerberg, MDHenrik Westergaard, MDJohn Westkaemper, MD

Matthew Westmoreland, MDLawrence Whaley, MDRobert Whitaker, MDCharles White III, MDJonathan White, MD

Perrin White, MDWendy White, MD

Warren Whitlow, MDJess Whitson, MD

Anthony Whittemore, MDCharles Whitten, MDLouis Whitworth, MD

Jonathan Wickiser, MDJoyclyn Wicks, MDRobert Wiebe, MD

Jane Wigginton, MDCynthia Wilder, MD

Courtney Wilemon, MDLalan Wilfong, MD

Jennifer Wilkerson, MDJoan Wilkin, DO

Duwayne Willett, MD

Tearani Williams, MDJoseph Williams II, MDMitchell Williams, DPM

James Willson, MDAmy Wilson, MDEllen Wilson, MDJean Wilson, MD

Kathleen Wilson, MDPhilip Wilson, MD

Jennifer Wimberly, MDRobert Wimberly, MD

Naomi Winick, MDThomas Winkler, MDHeather Winslow, MDRichard Winslow, MD

F. Winter Jr., MDJohn Wiprud, MDScott Wise, MD

Michael Witt, MDBryan Wohlfeld, MD

Leon Wolf, MDGil Wolfe, MD

Joshua Wolovits, MDLaura Wolovits, MDKyle Womack, MDKevan Wong, MD

Richard Wood, MDMegan Wood, MD

T. Wood, MDAndrea Woodroof, MDStacey Woodruff, MD

Amy Woods, MDJay Woody, MD

Randall Wooley, MDGeorge Wooming, MD

Tyler Wooten, MDLarry Word, MDRuth Word, MD

Kevin Worley, MDDaniel Worrel, MD

Josiah Wrensford, MDTracey Wright, MDRichard Wu, MD

Myra Wyckoff, MDRalph Wynn, MD

Christine Wyrick, MDJames Wyrick, MD

Scott Wysowski, PA-CHong Xiao, MD

Matthew Yaeger, MDKimberly Yamanouchi, MD

Kim Yancey, MDChien Yang, MDMary Yang, MD

Ky Yarborough, PA-CFranklin Yau, MDTonia Yee, MD

Zerrin Yetkin, MDMin Yi, DOSu Yin, MD

Kyung Yoo, MDHooby Yoon, DOAdam Yopp, MD

Ahmer Younas, MDLucia Young, DOAmy Young, MDGary Young, MD

Wengui Yu, MD, PHDLudmila Zadworna, MDAli Zamanian Yazdi, MDMichael Zaretsky, MD

Nina Zatikyan, MDThomas Zellers, MD

Ilana Zeltser, MDNestor (Nick) Zenarosa, MD

Rachel Zent, MDJames Zerner, MD

Alfredo Zevallos, MDBing Zheng, NP-C

Xin (Joseph) Zhou, MDMark Zibilich, MD

Heather Zidow, MDJeffrey Zigman, MD

Gwendolyn Zilinskas, MMSJennifer Zimmer, MD

Philippe Zimmern, MDAndrew Zinn, MD

William Zinser, MD

It is a tried but true statement that “extraordinary times call for extraordinary measures.” Those measures are taken by a few people of purpose who band together to change the trajectory of history for the common good. Most people face these times without the contemporaneous knowledge of their full significance. There are extraordinary times of personal impact that affect us in a profound way without attracting historical significance, and there are rarer times when we find ourselves part of a greater struggle. At times we are tested on a greater stage, with stakes that far surpass our personal interest and which will have a greater impact on our world.

For my father, that time was Dec. 16, 1944, through Jan. 25, 1945, in the Ardennes forest. For the Kennedy administration, those times played out over 14 days in October 1962 staring down a nuclear war. Some 13 months later, the widow and children of President Kennedy would have their time as a nation grieved. Parkland would play a central role in that extraordinary time in history, and now, nearly 50 years later, Parkland Hospital is in the midst of her most extraordinary challenge.

We find ourselves inextricably intertwined in Parkland’s extraordinary challenge with the full knowledge that this is a shared time. I came here tonight because I realized, perhaps later than I should have, the power of words. And that if I don’t tell you what my thoughts and beliefs are regarding Parkland, others will color that narrative in a way that does not capture the immense gratitude and deep appreciation I have both personally and as the highest elected officer in Dallas County for you, your teams, and your shared sacrifice.

I know how uplifting words of appreciation can be in times of trial. I felt them in a simple “thank you” from a stranger at the grocery store or on the street during the West Nile Virus crisis.

Part of my inspiration to reach out to you was brought about by Dr. Rick Snyder’s President’s Page in the July issue of the Dallas Medical Journal titled, “Ich bin ein Parklander.” Rick’s words eloquently captured a shared view of this institution:

Parkland is not just a place, a hospital or a system. It is not merely a building, with brick and mortar. It is the spirit of the much broader Dallas medical community that is embodied in all those who have ever served under its roof, physicians and non-physicians alike. Parkland has left an indelible mark on the medical community and patients of Dallas.

According to DCMS records, 40 percent of all physicians in Dallas County trained on some level at Parkland. To a larger extent, Parkland is the medical community of Dallas, not just those physicians who serve within the Dallas County Hospital District system proper. It was at Parkland that our compassion and respect for human dignity and life was forged. It was through the Parkland experience that our sense of integrity, collaboration, leadership, and excellence were given birth.

These gifts are not only taught by those mentors we call professors and attendings. They are especially demonstrated in the lab techs and orderlies, transporters and janitors, administrators and nurses. But, most of all, they were taught to us by the patients themselves. Parkland is a medical jewel for the citizens of Dallas where miracles happen every day. The patients themselves are the ultimate teachers.Within Parkland is a unique symbiotic relationship where the patients are the teachers and the caregivers are the students.

When I signed up to run for county judge, I did not understand the extent of our shared challenge, or even that it would be shared by me; nor did I know that the most important role I would play as county judge is to do my small part to save Parkland and help her thrive. I am sure Chairwoman Debbie Branson did not accept her initial appointment with that full knowledge because much of her initial information in accepting the appointment was provided by me. I told her the Board of Managers’ greatest challenges were building a facility on-time and on-budget, public relations, and perhaps some systematic changes that the Board of Managers, the C suite, or the staff might deem advisable.

I misunderstood the situation because I could not know what I did not know. When you made the decision to go into medicine and to serve the under-represented at Parkland, you didn’t know about the impact of CMS, CAP, DSHS, DOJ, and, for that matter, DMN. You did it to serve the patients, and serve them you have!

We share a deep love for these United States and a devotion to her. Similarly, there is a love and devotion to Parkland that runs deep in our community. You can see it in the faces of the families she has served and hear it in the voices of the 40 percent of our Dallas County Medical Society members who trained here.

Patriotism, in the words of Adlai E. Stevenson, “is not [the] short, frenzied outbursts of emotion, but the tranquil and steady dedication of a lifetime.” Patriotism, while extremely noble and virtuous, is less rare than heroism in pursuit of patriotic ideals.

Heroism is defined as an act of great courage, especially as exhibited in fulfilling a higher purpose or attaining a noble end. As Calvin Coolidge said, “Heroism is not only in the [person], but in the occasion.” This is the time for heroes. This is a time for heroism. For over 100 years, Parkland has been a pillar of strength for the people of North Texas and beyond. The last year and a half have been Parkland’s hour of need.

Hard choices were made and careers were impacted. For those people who have separated from Parkland over the last year and a half, I hope their legacy will not be defined by these tumultuous times and the decisions and actions that created them. That would be an unfair portrayal of dedicated professionals who furthered public health and whose contributions are greater than our temporal situation. We will be forever linked to the next CMS inspection and immediate future that follows. For this is not just Parkland’s hour of need, it is your finest hour. Over the last 18 months, you have repeatedly fought for Parkland, for each other, and for your patients and, as JCAHO made clear — you are winning!

There is strong physician engagement at Parkland, a sense of ownership among the nurses who have benefitted from promotion from within. Mission critical cohesion at all levels of leadership is being fostered, and CAP plan efforts are becoming ingrained and internally driven. Telling, JCAHO found three National Best Practices.

Parkland will survive and thrive. You know it and I know it! That will happen because of you and the employees of this great institution. You are our community heroes. As a person and a Parkland patient and on behalf of the 2.4 million residents of Dallas County, thank you for your shared sacrifice to Parkland and public health, your courage and devotion to your patients, and your support for Parkland and for each other.

On Parkland Hospital Judge Clay Jenkins, given to physicians at Parkland on Dec. 20, 2012

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