Summer 2016

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CAFP is pleased to announce the candidacy of Jack Chou, MD for AAFP President-Elect

CAFP HONORS FAMILY MEDICINE LEADERS

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GETTING TO KNOW YOUR AAFP PRESDIENT-ELECT CANDIDATE: JACK CHOU, MD

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CAFP LAUNCHES END-OF-LIFE CONVERSATIONS PROJECT

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CAFP SECURES $100 MILLION IN PRIMARY CARE RESIDENCY FUNDING!

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Rheumatology NewsÂŽ Internal Medicine NewsÂŽ Family Practice NewsÂŽ present

9

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ANNUAL

PERSPECTIVES IN RHEUMATIC DISEASES S THIS CONFERENCE IS FOR YOU: Rheumatologists, Family Physicians, Internal Medicine Specialists, Nurse Practitioners, Physician Assistants, Nurses and Pharmacists CHAIR Daniel E. Furst, MD David Geffen School of Medicine at UCLA CO-CHAIRS Brian Mandell, MD, PhD The Cleveland Clinic Professor Iain McInnes, FRCP, PhD, FRSE, FMedSci University of Glasgow FACULTY Leonard H. Calabrese, DO Cleveland Clinic Foundation Daniel J. Clauw, MD University of Michigan Health System Joseph S. Eastern, MD Seton Hall University School of Health and Medical Sciences Jon T. Giles, MD, MPH Columbia University, College of Physicians and Surgeons Kenneth B. Gordon, MD Northwestern University Feinberg School of Medicine Michelle Petri, MD, MPH Johns Hopkins University School of Medicine Michael Pimentel, MD David Geffen School of Medicine at UCLA Robert F. Spiera, MD Weill Cornell Medical College Ruth Ann Vleugels, MD, MPH Harvard Medical School

EARN UP 14.0 TO CME/ CREDI CE TS

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Rheumatologic Reflections: Rheumatology & Primary Care Breakouts Stump The Professors: Clinical Cases PROGRAM HIGHLIGHTS: F %30@8,?oid Arthritis (RA): New Developments in Pathogenesis-lead Treatment F % -Associated Interstitial Lung Disease F !,9,2492 Pain in Rheumatic Diseases F Comorbidities and Lipid Management F Pattern Recognition and the Diagnosis of Arthritis F Viral Causes of Rheumatic Syndromes F Practical Approach to Shared Care for Psoriatic Arthritis F 88@9:2094.4?y and Side Effects in RA F @;@>: Diagnosis and Treatment F $>:riasis: New & Emerging Developments F %elated Issues in the Rheumatic Patient F onnective Autoimmune Diseases F $>:riatic Arthritis F &.70=oderma F Treating Gout F Polymyalgia Rheumatica F &649 %eactions to Drugs F !,9,2492 Your Practice F 7494.,7 Case Conundrums and More ACCREDITATION AND DESIGNATION STATEMENTS Physicians This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Rutgers, The State University of New Jersey and Global Academy for Medical Education. Rutgers, The State University of New Jersey is accredited by the ACCME to provide continuing medical education for physicians. Rutgers, The State University of New Jersey designates this live activity for a maximum of 14.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAFP Credit This Live activity, 9th Perspectives in Rheumatic Diseases presented by Family Practice News, Rheumatology News & Internal Medicine News, with a beginning date of 09/16/2016, has been reviewed and is acceptable for up to 14 Prescribed credits by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

7/1/2016

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Physician Assistant

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Pharmacist

$275

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This activity is awarded 14.0 contact hours. (60 minute CH) 13.0 Pharmacotherapeutic Credits.

Resident

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Nurses should only claim those contact hours actually spent participating in the activity.

Industry

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Pharmacists Rutgers, The State University of New Jersey is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. These knowledge-based activities (ACPE # 0374-0000-16-004-L01-P, 0374-0000-16-006-L01-P 0374-0000-16-008-L01-P) qualify for 14.0 contact hours (1.4 CEUs) of continuing pharmacy education credit. Pharmacists should only claim those contact hours actually spent in the activity. FACULTY DISCLOSURE All relevant financial relationships with any commercial interests and/or manufacturers must be disclosed to participants at the beginning of each activity. SPECIAL NEEDS We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us better serve you. Please contact Global Academy for Medical Education at least 3 weeks in advance at 240.221.4404 or n.rillo@globalacademycme.com.

APPROVED FOR AMA PRA CATEGORY 1 CREDITSTM, AAFP PRESCRIBED CREDITS, NURSING & PHARMACY CONTACT HOURS

Jointly provided by

in affiliation with

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President >ĞĞ ZĂůƉŚ͕ D

^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕

President-Elect DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D Immediate Past President :ĂLJ t͘ >ĞĞ͕ D Í• DW, Speaker >Ĺ?Ć?Ä‚ tÄ‚ĆŒÄšÍ• D Í• DW, Vice-Speaker tÄ‚ĹŻĆšÄžĆŒ DĹ?ĹŻĹŻĆ?Í• D Secretary/Treasurer Ä‚Ç€Ĺ?Äš Ä‚ÇŒÇŒĹ˝Í• D Executive Vice President ^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕

Executive Vice President

Ć?ŚŽĹ?ĞůĂŜĚΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ^ŚĂŜŜŽŜ 'ŽĞÄ?ĹŹÄž

Director, Membership and Marketing

Ć?Ĺ?ŽĞÄ?ŏĞΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? :ÄžĆŒĆŒĹ? Ä‚Ç€Ĺ?Ć?Í• , W

Director, CME/CPD

ŊĚĂǀĹ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ĆŒĹ?Ä‚Ĺś ĞǀĹ?ŜĞ

Manager, Finance

Ä?ĚĞǀĹ?ŜĞΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ĚĂž &ĆŒÄ‚ĹśÄ?Ĺ?Ć?

California FAMILY PHYSICIAN

LJŜƚŚĹ?Ä‚ <ÄžÄ‚ĆŒÍ• D Ĺ?ǀ͕ , W Senior Vice President

Quarterly publication of the California Academy of Family Physicians

Ä?ĹŹÄžÄ‚ĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Editor

>ĞĂŚ EÄžÇ ĹŹĹ?ĆŒĹŹ Vice PresidentÍ• Health Policy ĹŻĹśÄžÇ ĹŹĹ?ĆŒĹŹÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ^ŚĞůůLJ ZĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?Í• Í• & ,W Deputy Executive Vice President

Ć?ĆŒĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ZĹ?Ä?ŚĂ ^Ä‚ĆŒÄ‚Ć?Ç Ä‚Ćš

Manager, Medical Student and Residency Relations

ĆŒĆ?Ä‚ĆŒÄ‚Ć?Ç Ä‚ĆšÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

ŽžžƾŜĹ?Ä?Ä‚ĆšĹ?ŽŜĆ? ŽžžĹ?ƚƚĞĞ͗ EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Chair Íť :ƾůĹ?Ä‚ ĹŻÄ‚ŜŏÍ• D Íť EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Íť :ÄžĨĨĆŒÄžÇ‡ >ĆľĆšĹšÄžĆŒÍ• D Íť :ĂLJ DŽŜĹ?Ĺ?Ä‚ĆŒÄšĹ˝Í• D Íť DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D Íť ĹŻÄ?ÄžĆŒĆš ZĂLJ͕ D

Director, Government Affairs

Ä‚ĨĆŒÄ‚ĹśÄ?Ĺ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Foundation President ŜƚŚŽŜLJ ĹšŽŜĹ?Í• D

^ŽŜĹ?Ä‚ <ĂŜƚĂŏ

AAFP Delegates :ÄžĨĨ >ĆľĆšĹšÄžĆŒÍ• D Ä‚ĆŒĹŻÄ‚ <ĂŏƾƚĂŜĹ?Í• D

Ć?ŏĂŜƚĂŏΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Manager, Medicall Practice Affairs

dŚĞ California Family Physician Ĺ?Ć? ƉƾÄ?ĹŻĹ?Ć?ŚĞĚ Ć‹ĆľÄ‚ĆŒĆšÄžĆŒĹŻÇ‡ Ä?LJ ƚŚĞ Ä‚ĹŻĹ?ĨŽĆŒĹśĹ?Ä‚ Ä?ĂĚĞžLJ ŽĨ &Ä‚ĹľĹ?ůLJ WŚLJĆ?Ĺ?Ä?Ĺ?Ä‚ĹśĆ?͘ KƉĹ?ĹśĹ?ŽŜĆ? Ä‚ĆŒÄž ƚŚŽĆ?Äž ŽĨ ƚŚĞ Ä‚ĆľĆšĹšĹ˝ĆŒĆ? ĂŜĚ ŜŽĆš ŜĞÄ?ÄžĆ?Ć?Ä‚ĆŒĹ?ůLJ ƚŚŽĆ?Äž ŽĨ ƚŚĞ žĞžÄ?ÄžĆŒĆ? ĂŜĚ Ć?ƚĂč ŽĨ ƚŚĞ &W͘ EŽŜͲžÄžĹľÄ?ÄžĆŒ Ć?ĆľÄ?Ć?Ä?ĆŒĹ?ƉĆ&#x;ŽŜĆ? Ä‚ĆŒÄž ΨϯϹ Ć‰ÄžĆŒ Ç‡ÄžÄ‚ĆŒÍ˜ Ä‚ĹŻĹŻ ϰϭϹͲϯϰϹͲϴϲϲϳ ƚŽ Ć?ĆľÄ?Ć?Ä?ĆŒĹ?Ä?Ğ͘

AAFP Alternates Ä‚ĆŒŽů ,ĂǀĞŜĆ?Í• D :ĂLJ t͘ >ĞĞ͕ D Í• DW, CMA Delegation Ć?ĹšÄ?LJ tŽůĨĞ͕ D Í• DW,Í• DWW :ĂLJ t͘ >ĞĞ͕ D Í• DW, DÄ‚ĆŒĹ?Äž ZĂžĂĆ?Í• D DÄ‚ĆŒĹŹ ĆŒÄžĆ?Ć?ĹśÄžĆŒÍ• D sÄ‚Ĺś EĹ?ƾLJĞŜ͕ K &ĞůĹ?dž EƾŜĞnj͕ D Í• DW,

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California Family Physician Summer 2016

16 Getting to Know Your AAFP President-Elect Candidate: Jack Chou, MD 18 2016 Family Medicine Clinical Forum Was a Huge Success! 20 CAFP Launches End-of-Life Conversations Project 23 End-of-Life Option Comes to California

Steve Heilig, MPH

24 Family Physicians Weigh In: “End-of-Life and Palliative Care Important to Me.” 26 Advance Directives: Maintenance of Certification Part IV Improvement Activity Designed for Family Physicians and Practice Teams 28 CAFP Secures $100 Million in Primary Care Residency Funding!

6

Editorial

Every End is a New Beginning

8

President’s Message

From Where I Sit: Family Medicine Future Is Bright

10 Political Pulse

We’re in for a Ballot Initiative Bonanza

12 Awards

CAFP Honors Family Medicine Leaders

30 EVP’s Forum

End-of-Life Hits Home for Me: Eunice Got Her Wishes

Adam Francis

Nathan Hitzeman, MD Lee Ralph, MD Carla Kakutani, MD

Susan Hogeland, CAE

For upcominŐ CD acƟǀiƟes ǀisit familydocs͘orŐͬcme California California Family Family Physician Physician Summer Fall 2016 ϮϬϭϰ

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EDITORIAL

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Every End is a New Beginning KŶ Ă ƌĞĐĞŶƚ ĨĂŵŝůLJ ǀĂĐĂƟŽŶ ƚŽ /ŶĚŽŶĞƐŝĂ͕ ŚĂůĨǁĂLJ ŽǀĞƌ ƚŚĞ WĂĐŝĮĐ KĐĞĂŶ͕ ĂŶĚ Ăůů ƚŚĞ ǁĂLJ ŝŶƚŽ Ă ĐŽŵƉůŝŵĞŶƚĂƌLJ ůŝďĂƟŽŶ͕ / ĚĞĐŝĚĞĚ ƚŽ ǁĂƚĐŚ ƚŚĞ ZĞǀĞŶĂŶƚ ǁŝƚŚ >ĞŽŶĂƌĚŽ ŝ ĂƉƌŝŽ͘ dǁŽ ŚŽƵƌƐ ŽĨ ĨƌŽƐƚďŝƚĞͲĚĞĨLJŝŶŐ ƐƵƌǀŝǀĂů ĂŶĚ ŐŽƌLJ ŵƵƐŬĞƚͲĂƌƌŽǁͲ ŬŶŝĨĞ ĮŐŚƚƐ ůĂƚĞƌ͕ / ŵĂƌǀĞůĞĚ Ăƚ ŚŽǁ ŵƵĐŚ ŵŽƌĞ ĐŝǀŝůŝnjĞĚ ƚŚĞ ǁŽƌůĚ ŚĂĚ ďĞĐŽŵĞ͘ Ɛ Ă ĨƵƌ ƚƌĂĚĞƌ ŽŶ ƚŚĞ ĞĚŐĞ ŽĨ ƚŚĞ ŵĂƉ ŝŶ ƚŚĞ ϭϴϬϬƐ͕ ŐĞƫŶŐ ŵĂŝŵĞĚ ďLJ Ă ŐƌŝnjnjůLJ ǁĂƐ Ă ƌĞĂů ĐŽŶĐĞƌŶ͘ Ɛ Ă ŵŝĚĚůĞͲĂŐĞĚ ĨĂŵŝůLJ ĚŽĐ ũƵŐŐůŝŶŐ Ă ũŽď͕ ĨĂŵŝůLJ͕ ŬĞLJďŽĂƌĚ͕ ĂŶĚ ƉĞƐŬLJ ĐƌĂďŐƌĂƐƐ ŝŶ ŵLJ ůĂǁŶ͕ / ǁŝůů ƉƌŽďĂďůLJ ŐŽ ŽƵƚ ǁŝƚŚ ůĞƐƐ ŽĨ Ă ďĂŶŐ͘ ,ĞĂƌƚ ĚŝƐĞĂƐĞ͕ ŬŝĚŶĞLJ ĨĂŝůƵƌĞ͕ ƐƚƌŽŬĞ͕ Žƌ ĚŝĂďĞƟĐ ĐŽŵƉůŝĐĂƟŽŶƐ ǁŝůů ďĞ ŵLJ tĂƚĞƌůŽŽ͘ /Ŷ ĨƌŽŶƚ ŽĨ ƚŚĞ ďŝŐ ƐĐƌĞĞŶ͕ ǁĞ ŽŌĞŶ ĐƌŝŶŐĞ Ăƚ ƐĐĞŶĞƐ ŽĨ Đŝǀŝů ǁĂƌ ĂŵƉƵƚĂƟŽŶƐ Žƌ ĞǀŝƐĐĞƌĂƟŽŶƐ ĚƵƌŝŶŐ ƐǁŽƌĚĮŐŚƚƐ ŝŶ tĞƐƚĞƌŽƐ͕ ďƵƚ ƚŚŝŶŬ ĂďŽƵƚ LJŽƵƌ ƌĞĐĞŶƚ ƐƚƌŽůůƐ ƚŚƌŽƵŐŚ ŽƵƌ ŵŽĚĞƌŶ ĚĂLJ ŵĞƌŐĞŶĐLJ ĞƉĂƌƚŵĞŶƚƐ ĂŶĚ / hƐ͘ ŝĂůLJƐŝƐ ĐŽŵƉůŝĐĂƟŽŶƐ͕ ƌĞƉĞĂƚ ƐŵĂůů ďŽǁĞů ŽďƐƚƌƵĐƟŽŶƐ͕ ƚƌĂŶƐƉůĂŶƚ ƌĞũĞĐƟŽŶƐ͕ ƐƉŝŶĂů ĐŽůƵŵŶƐ ĐŽůůĂƉƐŝŶŐ ƵŶĚĞƌ ƚŚĞ ƐƚƌĞƐƐ ŽĨ ƌĞĨƌĂĐƚŽƌLJ ŵƵůƟƉůĞ ŵLJĞůŽŵĂ͕ ĂŶĚ ƉĂƟĞŶƚƐ ƉĞƌƉĞƚƵĂůůLJ ĚƌŽǁŶŝŶŐ ŽĨ ŚĞĂƌƚ ĂŶĚ ŬŝĚŶĞLJ ĨĂŝůƵƌĞ͘

ȱ ȱ ȱ ȱ ȱ ǰȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǯ

dŚĞ ŵĞĚŝĐĂů ĮĞůĚ ĐĂŶ ǁŽƌŬ ŵŝƌĂĐůĞƐ͕ ĂŶĚ ƚŚĞ ŵĞĚŝĐĂů ĮĞůĚ ĐĂŶ ƉƌŽůŽŶŐ ůŝĨĞ Ăƚ ƚŚĞ ĐŽƐƚ ŽĨ ŐƌĞĂƚ ƐƵīĞƌŝŶŐ͘ <ŶŽǁŝŶŐ ǁŚĞŶ ƚŽ ƐĂLJ ĞŶŽƵŐŚ ŝƐ ĞŶŽƵŐŚ͕ ĂŶĚ ǁŚĞŶ ƚŽ ĂůůŽǁ Ă ŶĂƚƵƌĂů ĚĞĂƚŚ͕ ŚĂƐ ďĞĞŶ ŽŶ ƚŚĞ ƌĂĚĂƌ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĨŽƌ LJĞĂƌƐ͘ tĞ ĂƌĞ ƚŚĞ ŽŶĞƐ ŚĂǀŝŶŐ ƚŚĞƐĞ ĚŽǁŶͲŝŶƚŽͲ ĞĂƌƚŚ ĐŽŶǀĞƌƐĂƟŽŶƐ ǁŝƚŚ ŽƵƌ ƉĂƟĞŶƚƐ͕ ŽŌĞŶ ƌƵŶŶŝŶŐ ĐŽƵŶƚĞƌ ƚŽ ƚŚĞ ŶĞdžƚ ĐƵƫŶŐͲĞĚŐĞ ƚƌĞĂƚŵĞŶƚ ƚŽƵƚĞĚ ďLJ ƐƵďƐƉĞĐŝĂůƚLJ ĐŽůůĞĂŐƵĞƐ͘ tĞ ƐĞĞ ŶŽƚ ũƵƐƚ ƚŚĞ ǁŚŽůĞ ƉĂƟĞŶƚ͕ ďƵƚ ƚŚĞ ǁŚŽůĞ ŽĨ ƚŚĞŝƌ ĞdžƉĞƌŝĞŶĐĞƐ ĂŶĚ ǀĂůƵĞƐ ĂŶĚ ĞǀĞŶ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ͕ ǁŚŽ ǁĞ ŽŌĞŶ ĐĂƌĞ ĨŽƌ ĂƐ ǁĞůů͘ /ƚ ŝƐ ǁŚĂƚ ŽƵƌ &W ƉƌĞƐŝĚĞŶƚ :ĂLJ >ĞĞ ĐĂůůƐ ƚŚĞ ͞ƌĞůĂƟŽŶĂů ĞdžƉĞƌŝĞŶĐĞ͘͟

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California Family Physician Summer 2016

^Ž ŚŽǁ ƐŚŽƵůĚ ǁĞ ƌĞůĂƚĞ ƚŽ ƚŚĞ ŶĞǁ ŶĚ ŽĨ >ŝĨĞ ĂƌĞ Đƚ͍ /Ĩ LJŽƵ͛ƌĞ ůŝŬĞ ŵĞ͕ LJŽƵ ŵĂLJ ďĞ ůĞƐƐ ŝŵƉƌĞƐƐĞĚ ďLJ ǁŚĂƚ ŝƚ ĂĐƚƵĂůůLJ ĚŽĞƐ ƚŚĂŶ ďLJ ƚŚĞ ĂƩĞŶƟŽŶ ŝƚ ŐĞŶĞƌĂƚĞƐ ĨŽƌ ĂŶ ŝŵƉŽƌƚĂŶƚ ŝƐƐƵĞ͘ tŝƚŚ ŐƌĞĂƚ ƉĂůůŝĂƟǀĞ ĐĂƌĞ ĂǀĂŝůĂďůĞ ĂŶĚ ŝŶĐƌĞĂƐĞĚ ĞŵƉŚĂƐŝƐ ŽŶ ƚĞĂŵƐ͕ ŶĞĂƌͲŚŽƐƉŝĐĞ ĐĂƌĞ͕ ĂŶĚ ŚŽƐƉŝĐĞ ĐĂƌĞ͕ / ƚŚŝŶŬ ĨĞǁ ƉĂƟĞŶƚƐ ǁŝůů ƌĞĂůůLJ ŶĞĞĚ ƚŽ ƌĞƐŽƌƚ ƚŽ ƌĞƋƵĞƐƟŶŐ ůĞƚŚĂů ƉƌĞƐĐƌŝƉƟŽŶƐ͘ Ƶƚ / ĂƉƉƌĞĐŝĂƚĞ ƚŚĞ ƚŚŽƵŐŚƞƵů ƌĞŇĞĐƟŽŶƐ ŽĨ 'ŽǀĞƌŶŽƌ ƌŽǁŶ ;ŶŽƚ Ă ƐƉƌŝŶŐ ĐŚŝĐŬĞŶ ŚŝŵƐĞůĨͿ ǁŚŽ͕ ǁŚĞŶ ƐŝŐŶŝŶŐ ƚŚĞ ůĞŐŝƐůĂƟŽŶ͕ ƐĂŝĚ ƐŽŵĞƚŚŝŶŐ ƚŽ ƚŚĞ ĞīĞĐƚ ƚŚĂƚ ŚĞ ǁŽƵůĚ ŶŽƚ ŬŶŽǁ ǁŚĂƚ ŚĞ ǁŽƵůĚ ĚŽ ǁŚĞŶ ĨĂĐĞĚ ǁŝƚŚ Ă ĚŝĂŐŶŽƐŝƐ ŝŶǀŽůǀŝŶŐ ŐƌĞĂƚ ƐƵīĞƌŝŶŐ ďƵƚ ƚŚĂƚ ŚĞ ǁŽƵůĚŶ͛ƚ ǁĂŶƚ ƚŽ ĚĞŶLJ ƐŽŵĞŽŶĞ ƚŚŝƐ ŽƉƟŽŶ͘ dŚĞƌĞ ŚĂƐ ŶĞǀĞƌ ďĞĞŶ Ă ďĞƩĞƌ ƟŵĞ ĨŽƌ ŶƵĂŶĐĞĚ ƐŚĂƌĞĚͲĚĞĐŝƐŝŽŶͲŵĂŬŝŶŐ͘ LJ ŶĂƚƵƌĞ͕ ŚƵŵĂŶ ďĞŝŶŐƐ ĚŽ ŶŽƚ ǁĂŶƚ ƚŽ ƚŚŝŶŬ ĂďŽƵƚ ǁŽƌƐĞͲ ĐĂƐĞ ƐĐĞŶĂƌŝŽƐ Žƌ ĂĚǀĂŶĐĞĚ ƉůĂŶŶŝŶŐ͕ ĞƐƉĞĐŝĂůůLJ ǁŚĞŶ ĂƉƉƐ ĂƌĞ ŶŽƚ ƉƌĞǀĂůĞŶƚ ĨŽƌ ƚŚĂƚ LJĞƚ͘ ^Ž ƚĂŬŝŶŐ ƟŵĞ ƚŽ ŚĂǀĞ ƚŚĞƐĞ ĚŝƐĐƵƐƐŝŽŶƐ͕ ǁŚĞƚŚĞƌ ƵŶĚĞƌ ƚŚĞ ĂƵƐƉŝĐĞƐ ŽĨ ƚŚĞ DĞĚŝĐĂƌĞ tĞůůŶĞƐƐ ǀŝƐŝƚ Žƌ ũƵƐƚ ĂŶLJ ŽƉƉŽƌƚƵŶĞ ŵŽŵĞŶƚ͕ ŵĂLJ ďĞ ǁĞůů ǁŽƌƚŚ ŝƚ͘ KĨ ĐŽƵƌƐĞ͕ ŝƚ ŝƐ Ăƚ ƚŚŝƐ ƟŵĞ ŽĨ ŐƌĞĂƚĞƐƚ ŶĞĞĚ ĨŽƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƚŚĂƚ ĨƵŶĚŝŶŐ ĨŽƌ ŵĂŶLJ ƌĞƐŝĚĞŶĐLJ ƉŽƐŝƟŽŶƐ ŝŶ ƚŚĞ ƐƚĂƚĞ ŚĂŶŐƐ ŝŶ ƚŚĞ ďĂůĂŶĐĞ͘ &W ĂŶĚ &ƌŝĞŶĚƐ ĂƌĞ ǁŽƌŬŝŶŐ ŽŶ ƚŚĂƚ͊

/ ĐĂŶ͛ƚ ŚĞůƉ ďƵƚ ƌĞŵĞŵďĞƌ Ă ĨĂǀŽƌŝƚĞ ^ƚĞǀĞ DĂƌƟŶ ŵŽǀŝĞ ŽĨ ŵLJ ĨĂƚŚĞƌ ĂŶĚ ŵŝŶĞ ƐŽŵĞ LJĞĂƌƐ ĂŐŽ͗ ͞dŚĞ DĂŶ ǁŝƚŚ dǁŽ ƌĂŝŶƐ͘͟ /Ŷ ŝƚ͕ Ă ĚŝƐĞŵďŽĚŝĞĚ ďƌĂŝŶ ĐŽƵůĚ ďĞ ŬĞƉƚ ĂůŝǀĞ ŝŶ ƐŽŵĞ ŚŽƚ ƉŝŶŬ ƉƌŽƚŽƉůĂƐŵ ŝŶ Ă ũĂƌ͘ tĞ ŵĂLJ ƐŽŵĞĚĂLJ ŚĂǀĞ ƚŚĞ ŽƉƟŽŶ ŽĨ ďĞŝŶŐ ŬĞƉƚ ĂůŝǀĞ ĂƐ Ă ĚŝƐĞŵďŽĚŝĞĚ ďƌĂŝŶ͕ ƉĞƌŚĂƉƐ ĞǀĞŶ ǁŝƚŚ ƚŚĞ ŽƉƟŽŶ ŽĨ EĞƞůŝdž ŝŶ ƚŚĞ ƉƌŽƚŽƉůĂƐŵ ;ŝŵĂŐŝŶĞ ƚŚĞ ƌĞǀŝƐĞĚ WK>^d ĨŽƌŵ͊Ϳ͕ ďƵƚ ŵĞĂŶǁŚŝůĞ͕ ůĞƚ͛Ɛ ƚƌLJ ƚŽ ŚĞůƉ ŝŶƚĞƌĂĐƟǀĞ ŵĞĚŝĐŝŶĞ ĐĂƚĐŚ ƵƉ ǁŝƚŚ ƚĞĐŚŶŽůŽŐŝĐĂů ŵĞĚŝĐŝŶĞ͘ >Ğƚ͛Ɛ ďƌĞĂƚŚĞ ŶĞǁ ůŝĨĞ ŝŶƚŽ ƚŚĞ ĞŶĚͲŽĨͲůŝĨĞ ŝƐƐƵĞ͘ ŶĚƐ ĂƌĞ ũƵƐƚ ďĞŐŝŶŶŝŶŐƐ͘

Explore new possibilities Adventist Health offers a variety of employment opportunities with full- and part-time physician careers throughout the West Coast in California, Washington, Oregon and Hawaii .

PHYJOBS AH ORG s s PHYSICIANCAREERS AH ORG

INSPIRE greatness

At Dignity Health, we lead by example. By always striving to give our personal best-and encouraging our patients and colleagues to do the same-we're able to achieve and do more than we ever imagined. If you're ready to inspire greatness in yourself and others, join us today.

The Family Medicine Residency at KDHCD is currently seeking

2 positions

Associate Program Director and

Core Faculty Interested applicants should submit a CV to: Patti Egan – Medical Recruiter Email: eganp@medamerica.com Phone: 510-350-2789 www.cepamerica.com/careers

OUTPATIENT FAMILY MEDICINE PHYSICIANS Northern and Southern California (Grass Valley, Inland Empire, Redding, Sacramento, Santa Cruz, Stockton, Ventura & Woodland)

Practice Highlights: 3 ,+'&'%0 .!+ %!&!*+) +!- & clinical support

3 $ )0 , ) &+ ( )!' & / $$ &+ )&!& potential based on productivity model

3 & *+ $!* )'.!& % ! $ )',( & independent single specialty group practice

3 ++) +!- '&,* *+), +,)

3 ,$$ +!% & ( )+ +!% () +! '(+!'&* 3 ! $ ',& +!'& $! & .!+ '& ' + largest health systems in the nation and the largest hospital system in California

3 ,&&0 $! ')&! $' +!'&* with easy access to & ) & !* ' ( Lake Tahoe, Los Angeles and San Diego

Please contact/send your CV to: Physician Recruitment providers@dignityhealth.org | 888-599-7787 www.dignityhealth.org/physician-careers

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Hello humankindness California Family Physician Summer 2016

7

PRESIDENT’S MESSAGE

ȱ ǰȱ

From Where I Sit: Family Medicine Future Is Bright / ƌĞĐĞŶƚůLJ ƌĞƚƵƌŶĞĚ ĨƌŽŵ ƚŚĞ &W͛Ɛ ŶŶƵĂů ŚĂƉƚĞƌ >ĞĂĚĞƌƐŚŝƉ &ŽƌƵŵͬEĂƟŽŶĂů ŽŶĨĞƌĞŶĐĞ ŽĨ ŽŶƐƟƚƵĞŶĐLJ >ĞĂĚĞƌƐ ; >&ͬE >Ϳ ŝŶ <ĂŶƐĂƐ ŝƚLJ͘ tŚŝůĞ ƚŚĞƌĞ͕ / ŚĂĚ ƐĞǀĞƌĂů ŝŶƚĞƌĞƐƟŶŐ ŽďƐĞƌǀĂƟŽŶƐ͗ ͻ tŚĂƚ ĂŶ ĂŵĂnjŝŶŐ ŐƌŽƵƉ ŽĨ LJŽƵŶŐ͕ ŝŶƐƉŝƌŝŶŐ ĂŶĚ ĞŶĞƌŐĞƟĐ ůĞĂĚĞƌƐ͊ ͻ ,Žǁ ƉŽůŝƐŚĞĚ ƐŽ ŵĂŶLJ ĂƩĞŶĚĞĞƐ ǁĞƌĞ Ăƚ ƉƵďůŝĐ ƐƉĞĂŬŝŶŐ͊ ͻ Ŷ ĂƐƚŽƵŶĚŝŶŐ ŶƵŵďĞƌ ŽĨ ƐŽůŽ ĂŶĚ ƐŵĂůů ŐƌŽƵƉ ƌƵƌĂů ƉŚLJƐŝĐŝĂŶƐ ƉĂƌƟĐŝƉĂƚĞĚ ŝŶ ƚŚĞ ŚĂƉƚĞƌ WƌĞƐŝĚĞŶƚ ĂŶĚ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ ůƵŶĐŚĞŽŶ ŵĞĞƟŶŐ͘ ͻ ,Žǁ ŐĞŶƵŝŶĞůLJ ͞ŚĂƉƉLJ͟ ĞǀĞƌLJŽŶĞ ƐĞĞŵĞĚ ͙ ĮŶĂůůLJ͕ ŚĞƌĞ ǁĂƐ ƚŚĞ ͞ũŽLJ͟ ƚŚĂƚ ŵĂŶLJ ŽĨ ƵƐ ĂƌĞ ŵŝƐƐŝŶŐ ŝŶ ŽƵƌ ĚĂŝůLJ ƉƌĂĐƟĐĞ͘ ͻ ,Žǁ ǁĞůů ƌĞƉƌĞƐĞŶƚĞĚ ĂůŝĨŽƌŶŝĂ ǁĂƐ ǁŝƚŚ ŽƵƌ ĚĞůĞŐĂƟŽŶ͗ :ĂĐŬ ŚŽƵ ŵĂŬŝŶŐ ƚŚĞ ĐĂŵƉĂŝŐŶ ƌŽƵŶĚƐ ĨŽƌ &W WƌĞƐŝĚĞŶƚͲĞůĞĐƚ͕ :ĂLJ >ĞĞ ƐĞĞŵŝŶŐ ƚŽ ŬŶŽǁ ĞǀĞƌLJŽŶĞ ĨƌŽŵ ďŽƚŚ E > ĂŶĚ >&͕ DĂƌŝĞ ZĂŵĂƐ ĂƐ &W ŽĂƌĚ ŵĞŵďĞƌ ĨŽƌ EĞǁ WŚLJƐŝĐŝĂŶƐ͕ ^ŚĂŶŝ DƵŚĂŵŵĂĚ ĂƐ ŽŶĞ ŽĨ ƚŚĞ E > ŽŶǀĞŶĞƌƐ͕ ũƵƐƚ ƚŽ ŶĂŵĞ Ă ĨĞǁ ŽĨ ŽƵƌ ĂƩĞŶĚĞĞƐ͘

ŝŶĐƌĞĂƐŝŶŐ ƚĂƐŬƐ͘ W ZƐ ǁĞƌĞ ůŝŶĞĚ ƵƉ͕ ƐĞǀĞƌĂů ƌĞƋƵĞƐƚƐ ĨŽƌ ƉĞĞƌͲƚŽͲƉĞĞƌ ƌĞǀŝĞǁƐ ŝŶ ŽƌĚĞƌ ƚŽ ŐĞƚ ŶĞĐĞƐƐĂƌLJ ĂĚǀĂŶĐĞĚ ŝŵĂŐŝŶŐ ƐƚƵĚŝĞƐ ĨŽƌ ŝůů ĂŶĚ ŚƵƌƟŶŐ ƉĂƟĞŶƚƐ ǁĞƌĞ ǁĂŝƟŶŐ͕ Ă ĨĞǁ ƚƌŝĂŐĞ ƋƵĞƐƟŽŶƐ ĨŽƌ ƐŽŵĞ ŶƵƌƐŝŶŐ ŚŽŵĞͬĂƐƐŝƐƚĞĚ ůŝǀŝŶŐ ƉĂƟĞŶƚƐ ŶĞĞĚĞĚ ƌĞƐƉŽŶƐĞƐ͕ ĂŶĚ͕ LJĞƐ͕ / ĨĂĐĞĚ LJĞƚ ĂŶŽƚŚĞƌ ĚĂLJ ǁŝƚŚ ϰ͕ϬϬϬ ,Z ͞ĐůŝĐŬƐ͊͟ tĞ ũƵƐƚ ƌĞĐĞŶƚůLJ ďĞĐĂŵĞ ƉĂƌƚ ŽĨ ƚŚĞ W/ ŐƌŽƵƉŝĞ ĐůĂŶ͊ zĞƚ ĂŶŽƚŚĞƌ ,Z ƚƌĂŶƐŝƟŽŶ͖ ƉůĞĂƐĞ ŵĂŬĞ ŝƚ ŵLJ ůĂƐƚ͊ / ŚĂǀĞ ŶŽƚ LJĞƚ ƐƵĐĐƵŵďĞĚ ƚŽ ƚŚĞ ^ĂƚƵƌĚĂLJ ͞ W/ ͟ ĚĂƚĞ ŶŝŐŚƚƐ ƚŚĂƚ ŵĂŶLJ ŶĞǁƐůĞƩĞƌƐ ĂƌĞ ĚĞƐĐƌŝďŝŶŐ ƌĞůĂƟŶŐ ƚŽ ƚŚĞ ŶĞĂƌůLJ ϰϬ ĞdžƚƌĂ ŚŽƵƌƐ Ă ŵŽŶƚŚ ƉŚLJƐŝĐŝĂŶƐ ƐƉĞŶĚ ĐŚĂƌƟŶŐ Ăƚ ŚŽŵĞ ŝŶ ŽƌĚĞƌ ƚŽ ŬĞĞƉ ƵƉ ǁŝƚŚ ƚŚĞŝƌ ƉƌĂĐƟĐĞ ĚĞŵĂŶĚƐ͘ /ŵĂŐŝŶĞ ƚŚĂƚ͖ ĂŶ ĞŶƟƌĞ ĞdžƚƌĂ ǁŽƌŬ ǁĞĞŬ ƌĞůĞŐĂƚĞĚ ƚŽ ŽƵƌ ͞ĨƌĞĞ͟ ƟŵĞ Ăƚ ŚŽŵĞ͊ dŚŝƐ ŝƐ ůƵĚŝĐƌŽƵƐ ĂŶĚ ŶĞĞĚƐ ƚŽ ĐŚĂŶŐĞ͘ ĂŶ LJŽƵ ƐĞŶƐĞ ŵLJ ďůŽŽĚ ƉƌĞƐƐƵƌĞ ƌŝƐŝŶŐ͍

Ƶƚ ƐƵĚĚĞŶůLJ͕ ŵLJ ŵŽƌŶŝŶŐ ƚƵƌŶƐ ĂƐ / ďĞŐŝŶ ĚŝƌĞĐƚ ƉĂƟĞŶƚ ĐĂƌĞ͘ / ŐĞƚ Ă ůŽƵĚ ͞ŚĞůůŽ͟ ĂŶĚ Ă ƉĂƌƟŶŐ ŚƵŐ ĨƌŽŵ 'ĞŽƌŐŝĂ͕ Ă ĐŚĂƌŵŝŶŐ ϴϴͲLJĞĂƌͲŽůĚ ǁŽŵĂŶ ǁŝƚŚ WĂƌŬŝŶƐŽŶ͛Ɛ ŝƐĞĂƐĞ ĂŶĚ ƐĞǀĞƌĞ ƉĞƌŝƉŚĞƌĂů ǀĂƐĐƵůĂƌ ĚŝƐĞĂƐĞ͘ / ŝŶũĞĐƚ Ă ƚĞŶŶŝƐ ƉůĂLJĞƌ͛Ɛ ƐŚŽƵůĚĞƌ ǁŝƚŚ ƐŽŵĞ ƐƚĞƌŽŝĚ ĂŶĚ ŐĞƚ ĂŶ ŝŵŵĞĚŝĂƚĞ ƐŚŽĐŬĞĚ ůŽŽŬ ǁŚĞŶ ŚĞ ƌĞĂůŝnjĞƐ ŚĞ ĐĂŶ ŵŽǀĞ ŚŝƐ ƐŚŽƵůĚĞƌ ǁŝƚŚŽƵƚ ƉĂŝŶ ĨŽƌ ƚŚĞ ĮƌƐƚ ƟŵĞ ŝŶ ĨŽƵƌ ǁĞĞŬƐ͘ / ĂŶdžŝŽƵƐůLJ ƌĞǀŝĞǁ ƚŚĞ ĚĞƌŵĂƚŽͲ &ƌŽŵ ǁŚĞƌĞ / Ɛŝƚ͕ ƚŚĞ ĨƵƚƵƌĞ ŝƐ ǀĞƌLJ ďƌŝŐŚƚ ĨŽƌ ƚŚĞ ůĞĂĚĞƌƐŚŝƉ ƉŝƉĞůŝŶĞ ƉĂƚŚŽůŽŐLJ ƌĞƉŽƌƚ ŽŶ ŵLJ ƉĂƟĞŶƚ ŚĞƌĞ ĨŽƌ Ă ƐƵƚƵƌĞ ƌĞŵŽǀĂů ĨŽƌ Ă ŝŶ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘ ůĂƌŐĞ ďĂƐĂů ĐĞůů ĐĂƌĐŝŶŽŵĂ ŽŶ ŚŝƐ ďĂĐŬ͖ ŚĞ ŝŶƐŝƐƚĞĚ / ĚŽ ƚŚĞ ƌĞŵŽǀĂů ƌĂƚŚĞƌ ƚŚĂŶ ƚŚĞ ĚĞƌŵĂƚŽůŽŐŝƐƚ Žƌ ƉůĂƐƟĐ ƐƵƌŐĞŽŶ͕ ďĞĐĂƵƐĞ ŚĞ dŚŝƐ ƚƌŝƉ ƌĞŝŶĨŽƌĐĞĚ ŵLJ ƉĞƌĐĞƉƟŽŶ ƚŚĂƚ &W ŝƐ ďůĞƐƐĞĚ ǁŝƚŚ ĂŶ ͞ƚƌƵƐƚƐ͟ ŵĞ͘ dŚĂŶŬĨƵůůLJ͕ ŝƚ ŚĂƐ ĐůĞĂƌ ŵĂƌŐŝŶƐ ĂŶĚ ƚŚĞ Ɛŝdž Đŵ ŝŶĐŝƐŝŽŶ ĂŵĂnjŝŶŐ ůĞĂĚĞƌƐŚŝƉ ƚĞĂŵ͘ / ƌĞĂůŝnjĞĚ ƚŚĂƚ ĚƵƌŝŶŐ ŵLJ ĚĞĐĂĚĞ ŽŶ ŚĂƐ ŚĞĂůĞĚ ďĞĂƵƟĨƵůůLJ͊ / ŐůĂŶĐĞ Ăƚ ĂŶ ĞŵĂŝů ĨƌŽŵ Ă ƌĞůŝĞǀĞĚ ŵŽƚŚĞƌ ƚŚĞ ŽĂƌĚ͕ / ŚĂǀĞ ƋƵŝĞƚůLJ ďĞĞŶ ŵĞŶƚŽƌĞĚ ĂŶĚ ƚĂƵŐŚƚ ƚŽ ďĞĐŽŵĞ Ă ƚŚĂŶŬŝŶŐ ŵĞ ĨŽƌ ŚĞůƉŝŶŐ ĂƌƌĂŶŐĞ Ă ƉƌŽŵƉƚ ŽƌƚŚŽƉĞĚŝĐ ƐƵƌŐŝĐĂů ŵŽƌĞ ĞīĞĐƟǀĞ ůĞĂĚĞƌ͘ / ŐŝǀĞ ŵƵĐŚ ŽĨ ƚŚŝƐ ĐƌĞĚŝƚ ƚŽ ŽƵƌ džĞĐƵƟǀĞ ƌĞĨĞƌƌĂů ĨŽƌ ŚĞƌ ƐŽŶ ǁŚŽ ǁŝůů ďĞ ŚŽŵĞ ƐŽŽŶ ĨƌŽŵ ĐŽůůĞŐĞ ĂŶĚ ŶĞĞĚƐ sŝĐĞ WƌĞƐŝĚĞŶƚ͕ ^ƵƐĂŶ ,ŽŐĞůĂŶĚ ĂŶĚ ĞƉƵƚLJ džĞĐƵƟǀĞ sŝĐĞ ĂŶ ĞdžƉĞĚŝƚĞĚ ƐƵƌŐĞƌLJ͘ tĞůů͕ LJŽƵ Ăůů ŬŶŽǁ ŚŽǁ ƚŚĞ ƌĞƐƚ ŽĨ ƚŚĞ ĚĂLJ WƌĞƐŝĚĞŶƚ͕ ^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ͘ ^Ž ŝƚ ǁĂƐ ĂŶ ĞdžƚƌĂ ƐƉĞĐŝĂů ƚƌĞĂƚ ƚŚĂƚ ĂŶĚ ƐƚŽƌLJ ŐŽĞƐ͘ zŽƵ ůŝǀĞ ƚŚĞƐĞ ĚĂLJƐ ũƵƐƚ ůŝŬĞ / ĚŽ͘ Ɛ / ƌĞŇĞĐƚ ŽŶ / ǁĂƐ ĂƐŬĞĚ ƚŽ ƉƌĞƐĞŶƚ ^ƵƐĂŶ ǁŝƚŚ Ă ƐƉĞĐŝĂů ƌĞĐŽŐŶŝƟŽŶ ĂǁĂƌĚ ƚŚŝƐ ĚĂLJ / ĐĂŶ͛ƚ ŚĞůƉ ďƵƚ ƌĞĂůŝnjĞ ƚŚĂƚ ƚŚĞ ŵŽŵĞŶƚƐ ŽĨ ͞ũŽLJ͟ ĂŶĚ ĨŽƌ ŚĞƌ Ϯϱ LJĞĂƌƐ ŽĨ ƐĞƌǀŝĐĞ ĂŶĚ ĚĞĚŝĐĂƟŽŶ ƚŽ ŽƵƌ ĐĂĚĞŵLJ͘ / ƚŽŽŬ ͞ĨƵůĮůůŵĞŶƚ͟ ƐƟůů ŽƵƚǁĞŝŐŚ ƚŚĞ ŵĂŶLJ ͞ŚĂƐƐůĞƐ͟ ǁĞ ĨĂĐĞ ĂƐ ĨĂŵŝůLJ ŐƌĞĂƚ ƉƌŝĚĞ ĐŽĂdžŝŶŐ ŚĞƌ ƚŽ ĐŽŵĞ ƚŽ ƚŚĞ ƉŽĚŝƵŵ ŝŶ ĨƌŽŶƚ ŽĨ ƚŚĞ ĨƵůů ƉŚLJƐŝĐŝĂŶƐ͘ / ŵƵƐƚ ƉĂƵƐĞ ƚŽ ƌĞŵŝŶĚ ŵLJƐĞůĨ ƚŚĂƚ / Ăŵ ƌĞĂůůLJ ůƵĐŬLJ ƚŽ ĂƵĚŝĞŶĐĞ ĂŶĚ ŐƌĂĐŝŽƵƐůLJ ĂĐĐĞƉƚ ƚŚŝƐ ĂĐŬŶŽǁůĞĚŐĞŵĞŶƚ͊ dŚŽƐĞ ƐĞƌǀĞ ƚŚŽƐĞ ŝŶ ŵLJ ĐŽŵŵƵŶŝƚLJ ǁŚŽ ƉůĂĐĞ ƚŚĞŝƌ ĨĂŝƚŚ ĂŶĚ ƚƌƵƐƚ ŝŶ ŵLJ ŽĨ LJŽƵ ǁŚŽ ŬŶŽǁ ^ƵƐĂŶ ǁĞůů ǁŝůů ĂƉƉƌĞĐŝĂƚĞ ŚĞƌ ƌĞůƵĐƚĂŶĐĞ ƚŽ ďĞ ĂďŝůŝƟĞƐ ĂƐ Ă ŚĞĂůĞƌ͕ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ ƉůĂĐĞĚ ŝŶ ƚŚĞ ƐƉŽƚůŝŐŚƚ͊ &ƌŽŵ ǁŚĞƌĞ / Ɛŝƚ ͙ ďĞŝŶŐ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ŝƐ ƐƟůů ŽŶĞ ŽĨ ƚŚĞ / ƌĞƚƵƌŶĞĚ ŚŽŵĞ ƚŽ ^ĂŶ ŝĞŐŽ ĂŶĚ ŐŽƚ ƚŽ ƐƉĞŶĚ ŽŶĞ ƌĞůĂdžŝŶŐ ĚĂLJ ŶŽďůĞƐƚ͕ ŵŽƐƚ ĐŽŵƉĂƐƐŝŽŶĂƚĞ ĂŶĚ ĞŶĚĞĂƌŝŶŐ ƉƌŽĨĞƐƐŝŽŶƐ ƚŚĂƚ / ǁŝƚŚ ŵLJ ĨĂŵŝůLJ ďĞĨŽƌĞ ƌĂĐŝŶŐ ŝŶ ĞĂƌůLJ DŽŶĚĂLJ ŵŽƌŶŝŶŐ ƚŽ ƐĞĞ ŬŶŽǁ͊ >Ğƚ͛Ɛ ĂůǁĂLJƐ ƚƌLJ ƚŽ ƌĞŵĞŵďĞƌ ƚŚĞ ůŝƩůĞ ͞ũŽLJƐ͟ ĂŶĚ ǀŝĐƚŽƌŝĞƐ ǁŚĂƚ ĐŚĂŽƐ / ŚĂĚ ůĞŌ Ăƚ ƚŚĞ ŽĸĐĞ ƉƌŝŽƌ ƚŽ ŵLJ ƌĂƉŝĚ ĚĞƉĂƌƚƵƌĞ͘ ǁĞ ŐĞƚ ĞǀĞƌLJ ĚĂLJ͕ ĂŶĚ ŶŽƚ ůĞƚ ƚŚĞŵ ďĞ ĞĐůŝƉƐĞĚ ďLJ ĞǀĞƌͲŝŶĐƌĞĂƐŝŶŐ >Ž ĂŶĚ ďĞŚŽůĚ͕ / ĨŽƵŶĚ ƚŚĞ ƵƐƵĂů ĂƐƐŽƌƚŵĞŶƚ ŽĨ ŵƵŶĚĂŶĞ͕ ĞǀĞƌ ŵƵŶĚĂŶĞ ƚĂƐŬƐ͊ 8

California Family Physician Summer 2016

Family Physicians and PAs tĹ˝ĆŒĹŹinĹ? dĹ˝Ĺ?ĞƚhÄžĆŒ in dÄžam PĆŒacĆ&#x;cÄž >earn Dore About AddinĹ? a PA to zour PracĆ&#x;ceÍŠ EÄžÇ >ÄžĹ?islaĆ&#x;Ĺ˝n in ώϏϭϲ DÄžans tĹ˝ĆŒĹŹinĹ? Ç iĆšh PAs ,as EÄžÇ€ÄžĆŒ ĞĞn asiÄžĆŒÍŠ Ĺ˝cĆľmÄžnĆšaĆ&#x;Ĺ˝n ZĞƋƾiĆŒÄžmÄžnĆšs AĆŒÄž Now Customizable and Streamlined.

Sutter Pacific Medical Foundation (SPMF) has an opportunity for a BC/BE Family Medicine physician to join Sutter Medical Group of the Redwoods (SMGR), a growing multi-specialty group in beautiful Sonoma County. Spanish speaking a plus! Benefits: t 1-2 years guaranteed income t Relocation allowance t Sign on bonus negotiable t Option for shareholder track after two years of employment t Generous compensation and benefits, including paid CME, up to six weeks’ vacation, pension plan and 401(k) Modalities: s 'OOD OPPORTUNITY FOR WORK LIFE BALANCE s #OMPLETELY AMBULATORY .O INPATIENT WORK s 0ATIENT PANEL CAN BE ESTABLISHED WITHIN three to six months

dĞĂžĆ? žĂLJ ĹśĹ˝Ç ÄšÄžÄ?Ĺ?ĚĞ Ĺ?Ĩ žĞĚĹ?Ä?Ä‚ĹŻ ĆŒÄžÄ?Ĺ˝ĆŒÄš ĆŒÄžÇ€Ĺ?ÄžÇ ĹľÄžÄžĆ&#x;ĹśĹ?Ć?Í• Ä?ĹšÄ‚ĆŒĆš ĆŒÄžÇ€Ĺ?ÄžÇ Ĺ˝ĆŒ Ä‚ Ä?ŽžÄ?Ĺ?ŜĂĆ&#x;ŽŜ ŽĨ Ä?ŽƚŚ Ä‚ĆŒÄž Ä?ÄžĆ?Ćš Ć?ĆľĹ?ƚĞĚ ĨŽĆŒ ƚŚĞĹ?ĆŒ Ć‰Ä‚ĆŒĆ&#x;Ä?ƾůÄ‚ĆŒ Ć?ĞƍŜĹ? ĂŜĚ ĆšÄžÄ‚ĹľÍ˜ Ć? ŽĨ :Ä‚ŜƾÄ‚ĆŒÇ‡ ώϏϭϲÍ• ƉŚLJĆ?Ĺ?Ä?Ĺ?Ä‚ĹśĆ? žĂLJ Ä?ĹšŽŽĆ?Äž ƚŽ Ä?ŽƾŜĆšÄžĆŒĆ?Ĺ?Ĺ?Ĺś Ä‚ ĹľĹ?ĹśĹ?žƾž ŽĨ ĎŽĎŹĐš ŽĨ // žĞĚĹ?Ä?Ä‚ĹŻ ĆŒÄžÄ?Ĺ˝ĆŒÄšĆ? ÍžĆŒÄžÄšĆľÄ?ĞĚ ĨĆŒŽž Ď­ĎŹĎŹĐš Ć‰ĆŒÄžÇ€Ĺ?ŽƾĆ?ůLJͿ Ç ĹšÄžĹś ƚŚĞ W ŚĂĆ? Ä?ŽžĆ‰ĹŻÄžĆšÄžÄš Ä‚ ŽŜĆšĆŒŽůůĞĚ ^ĆľÄ?Ć?ƚĂŜÄ?ÄžĆ? ĚƾÄ?Ä‚Ć&#x;ŽŜ ŽƾĆŒĆ?Ğ͕ Ć?ĆľÄ?Ĺš Ä‚Ć? W Í›Ć?͘

Post a Job at www.capanet.org CONTACT US California Academy of PAs ĎŽĎŻĎ­Ď´ S. FairÇ€iew St.Í• Santa AnaÍ• CA ϾώϳϏϰͲϰϾϯϴ PhÍ— ͞ϳϭϰͿ ϰώϳͲϏϯώϭ Fadž͗ ͞ϳϭϰͿ ϰώϳͲϏϯώϰ www.capanet.org

SMGR is a 105+ member physician-owned, multi-specialty medical group that has served the City of Santa Rosa and surrounding areas FOR OVER YEARS 3-'2 HAS BEEN NATIONALLY recognized as a medical group that provides the highest quality and most complete health CARE POSSIBLE Located 55 miles north of San Francisco and MILES EAST OF THE 0ACIFIC /CEAN 3ANTA 2OSA is a warm and friendly city of 170,000 within 3ONOMA #OUNTY POPULATION 9OU WILL enjoy a unique blend of culture with exceptional ART WINE FOOD AND RECREATION !MENITIES include 400 wineries in Sonoma County, 27 golf courses, hot air ballooning, hiking, spas, RIVER SPORTS AND WORLD CLASS CUISINE 3ONOMA County also has a professional symphony, excellent public and private schools, fantastic weather, and some of the most affordable HOUSING IN THE "AY !REA 9OU WOULD LIVE AND WORK WHERE OTHERS ONLY DREAM OF VISITING Contact: Isabelle von Tobel

707.521.8841

ONE DONATION. Many Recipients. Donate to your AAFP Foundation with a Dues Check-Off contribution and help do the good work of Family Medicine.

Choose from two wo e easy ways to donate $50 or more: s #HECK THE DONATION BOX ON YOUR !!&0 $UES 3TATEMENT s 4O DONATE ONLINE VISIT AAFPFOUNDATION ORG DUESCHECKOFF

vontobi@sutterhealth.org

Your contribution is tax-deductible. Donate today. www.aafpfoundation.org California Family Physician Summer 2016

9

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POLITICAL PULSE

We’re in for a Ballot Initiative Bonanza ĂůŝĨŽƌŶŝĂŶƐ ĂƌĞ ďůĞƐƐĞĚ ;ƚŚŽƵŐŚ ƐŽŵ ŽŵĞ ŵŝ ŽŵĞ ŵŝŐŚ ŐŚƚ ƚ ƐĂ ƐĂLJ ƐĂ LJ ĐƵ LJ ĐƵƌƐ ƌƐĞĚ ƌƐ ĞĚͿͿ ǁŝŝƚŚ ĞĚ ƚ ƚŚĞĞ Ăď ƚŚ Ăďŝůŝůŝƚ ŝƚLJLJ ƚŽ ƚŽ ƉĂƌ ĂƌƟĐ ƟĐŝƉ ŝƉĂƚ ĂƚĞĞ ŝŶ ŝŶ Ěŝƌ ŝƌĞĐ ĞĐƚƚ ĚĞĞŵŽ ĞĐ ŵŽĐƌ ĐƌĂĐ ĂĐLJLJ ƚŚ ŚƌŽ ŽƵŐ ƵŐŚ Ś ŽƵ ŽƵƌ ƌ ďĂůůŽƚ ŝŶŝƟĂƟǀĞ ƐLJƐƚĞŵ͘ ůů LJŽ LJŽƵ Ƶ ŶĞ ŶĞĞĚ ĞĚ ƚŽ ƋƵ ƋƵĂů ĂůŝĨ ŝĨLJ LJ ĂŶ ĂŶ ŝŶŝ ŶŝƟ ƟĂƟǀĞ ĨŽ ĨŽƌƌ ƚŚĞ ƐƚĂƚĞǁŝĚĞ ďĂůůŽƚ ĂƌĞ ƚŚĞ ƐŝŐŶĂƚƵƌĞƐ ŽĨ Ă ĐŽƵƉůĞ ŚƵŶĚƌĞĚ ƚŚŽƵƐĂŶĚ ŽĨ LJŽƵƌ ĐůŽƐĞƐƚ ĨƌŝĞŶĚƐ͘ dŚĞ ŶƵŵďĞƌ ŽĨ ƐŝŐŶĂƚƵƌĞƐ ŝƐ ďĂƐĞĚ ŽŶ ƚŚĞ ƉƌĞǀŝŽƵƐ ĞůĞĐƟŽŶ͛Ɛ ǀŽƚĞ ƚŽƚĂů͘ dŚĞ ůĂƐƚ ĞůĞĐƟŽŶ͛Ɛ ǀŽƚĞ ƚŽƚĂů ǁĂƐ ĂďLJƐŵĂůůLJ ůŽǁ͕ ƐŽ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƐŝŐŶĂƚƵƌĞƐ ŶĞĞĚĞĚ ƚŽ ƉůĂĐĞ ĂŶ ŝŶŝƟĂƟǀĞ ŽŶ ƚŚŝƐ EŽǀĞŵďĞƌ͛Ɛ ďĂůůŽƚ ŝƐ ƚŚĞ ůŽǁĞƐƚ ŝƚ͛Ɛ ďĞĞŶ ŝŶ ŵŽƌĞ ƚŚĂŶ ϯϬ LJĞĂƌƐ͘ ĂůŝĨŽƌŶŝĂŶƐ ĐŽƵůĚ ƐĞĞ ĂƐ ŵĂŶLJ ĂƐ 18 ŝŶŝƟĂƟǀĞƐ͕ ƐĞǀĞƌĂů ŽĨ ǁŚŝĐŚ ĂƌĞ ƌĞůĂƚĞĚ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ͘

/ƚ ŝƐ Ɛ ĞƐƐƟŵ ƟŵĂƚ ĂƚĞĚ ĞĚ ƚŚĂ ŚĂƚ ƚ ƚŚ ƚŚĞ ƚŚ Ğ ŝŶ ŝŶ ŶŝƟ ŝƟĂƟ ĂƟ ƟǀĞĞ ǁŽƵ ŽƵůĚ ůĚ ĐŽŶ ŶƟ ƟŶ ŶƵĞĞ ƚŽ Ž Ɖƌ ƉŽ ŽǀǀŝĚ ŝĚĞĞ ΨϮ ďŝůŝůůŝůŝŽŶ ŽŶ ĂŶŶ ŶŶƵĂ ƵĂůůůůůůLJLJ ƚŽ ƵĂ ƚ ŝŵƉ ŵƉƌŽ ƌŽǀĞ ƌŽ ǀĞ ĂĐĐ ĐĐĞƐ Ğ Ɛ ƚŽ ĐĂƌ Ă Ğ ĨŽ Žƌ ƌ ůŽ ůŽǁ ǁͲŝŶ ǁͲŝŶ ŝŶĐŽ ĐŽŵĞ ĐŚŝůŝůĚƌ ĐŚ ĚƌĞŶ ĞŶ ĂŶĚ ƚŚĞ ŚĞŝƌ ĨĂŵŝůŝĞƐ͘ dŚĞ ƐĂůĞƐ ƚĂdž ĐŽŵƉŽ ŽŶĞŶƚƚ ŽĨ WƌŽƉŽƐŝƟ ŝƟŽŶ ϯϬ Ϭ ǁŽƵůĚ ůĚ ŶŽƚ ď ďĞ ĞdžƚĞŶĚ ĚĞĚ Ě͘ CAFP PosiƟon͗ Support

&W ŚĂƐ ĚĞĐůŝŶĞĚ ƚŽ ĂĚŽƉƚ Ă ƉŽƐŝƟŽŶ ŽŶ ƐĞǀĞƌĂů ŝŶŝƟĂƟǀĞƐ ĂŶĚ ŚĂƐ ŶŽƚ LJĞƚ ƌĞǀŝĞǁĞĚ ŽƚŚĞƌƐ ďĞĐĂƵƐĞ ŽĨ ƚŚĞŝƌ ƋƵĂůŝĮĐĂƟŽŶ ƐƚĂƚƵƐ Žƌ ƚŚĞ ŶĞĞĚ ĨŽƌ ĨƵƌƚŚĞƌ ŝŶĨŽƌŵĂƟŽŶ͘ ^ŽŵĞ ŽĨ ƚŚĞƐĞ ŝŶĐůƵĚĞ͗ ͻ ruŐ Price Zelief /niƟaƟǀe͗ dŚŝƐ ƉƌŽƉŽƐŝƟŽŶ ǁŽƵůĚ ƉƌŽŚŝďŝƚ ƐƚĂƚĞ ĂŐĞŶĐŝĞƐ ĨƌŽŵ ƉĂLJŝŶŐ ŵŽƌĞ ĨŽƌ Ă &W͛Ɛ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ƌĞǀŝĞǁƐ Ăůů ďĂůůŽƚ ŝŶŝƟĂƟǀĞƐ ƉƌĞƐĐƌŝƉƟŽŶ ĚƌƵŐ ƚŚĂŶ ƚŚĞ ůŽǁĞƐƚ ƉƌŝĐĞ ƉĂŝĚ ĨŽƌ ƚŚĞ ĂŶĚ ŵĂŬĞƐ ƉŽƐŝƟŽŶ ƌĞĐŽŵŵĞŶĚĂƟŽŶƐ ƚŽ ƚŚĞ &W ŽĂƌĚ͕ ƐĂŵĞ ĚƌƵŐ ďLJ ƚŚĞ ĞƉĂƌƚŵĞŶƚ ŽĨ sĞƚĞƌĂŶƐ īĂŝƌƐ͘ ǁŚŝĐŚ ƚŚĞŶ ĂƉƉƌŽǀĞƐ Žƌ ŵŽĚŝĮĞƐ ƚŚŽƐĞ ƌĞĐŽŵŵĞŶĚĂƟŽŶƐ͘ Ɛ &W ĚĞĐůŝŶĞĚ ƚŽ ĂĚŽƉƚ Ă ƉŽƐŝƟŽŶ ŽŶ ƚŚŝƐ ŝŶŝƟĂƟǀĞ ĚƵĞ ŽĨ ƚŚŝƐ ǁƌŝƟŶŐ͕ &W ŚĂƐ ƚĂŬĞŶ ƚŚĞ ĨŽůůŽǁŝŶŐ ƉŽƐŝƟŽŶƐ͕ ǁŝƚŚ ƚŽ Ă ůĂĐŬ ŽĨ &W ƉŽůŝĐLJ ĂŶĚ ƚŚĞ ƉŽƚĞŶƟĂů ƵŶŝŶƚĞŶĚĞĚ ŵŽƌĞ ŽŶ ƚĂƉ ĨƌŽŵ ƚŚĞ :ƵůLJ ŽĂƌĚ ŵĞĞƟŶŐ͗ ĐŽŶƐĞƋƵĞŶĐĞƐ ŽĨ ƚŚĞ ŵĞĂƐƵƌĞ͘ /ƚ ŝƐ ƵŶĐůĞĂƌ ƚŚĂƚ ƚŚĞ ŐŽĂů ŽĨ ƚŚĞ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ďĞ ĂĐŚŝĞǀĞĚ ďLJ ƚŚĞ ƉƌŽƉŽƐĞĚ California ,ealthcare͕ Zesearch and Preǀention ƐŽůƵƟŽŶ͘ Tobacco Tax Act ͻ Control, Regulate and Tax Adult Use of Marijuana dŚĞ ƉƌŽƉŽƐŝƟŽŶ ǁŽƵůĚ ŝŶĐƌĞĂƐĞ ƚŚĞ ĐŝŐĂƌĞƩĞ ƚĂdž ƚŽ ΨϮ͘ϬϬ ƉĞƌ /niƟaƟǀe͗ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ůĞŐĂůŝnjĞ͕ ƌĞŐƵůĂƚĞ ĂŶĚ ƚĂdž ƉĂĐŬ͘ dŚĞ ƌĞǀĞŶƵĞ ǁŽƵůĚ ďĞ ƵƐĞĚ ƚŽ ŝŶĐƌĞĂƐĞ ĂĐĐĞƐƐ ƚŽ ŚĞĂůƚŚ ŵĂƌŝũƵĂŶĂ ĂŶĚ ŚĞŵƉ ŝŶ ĂůŝĨŽƌŶŝĂ͘ Ɛ ŽĨ ƚŚŝƐ ǁƌŝƟŶŐ͕ ŝƚ ĐĂƌĞ ĂŶĚ ĨƵŶĚ ƚŽďĂĐĐŽ ƉƌĞǀĞŶƟŽŶ ƉƌŽŐƌĂŵƐ͕ ƚŽďĂĐĐŽͲƌĞůĂƚĞĚ ŚĂƐ ŶŽƚ LJĞƚ ƋƵĂůŝĮĞĚ ĨŽƌ ƚŚĞ EŽǀĞŵďĞƌ ϮϬϭϲ ďĂůůŽƚ͘ ĚŝƐĞĂƐĞ ƌĞƐĞĂƌĐŚ ĂŶĚ ůĂǁ ĞŶĨŽƌĐĞŵĞŶƚ͘ DŽƐƚ ŶŽƚĂďůLJ͕ ƉĂƌƚ ŽĨ ͻ MulƟlingual EducaƟon Act͗ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ĂůůŽǁ ƚŚĞ ĨƵŶĚŝŶŐ ǁŽƵůĚ ďĞ ƵƐĞĚ ƚŽ ƌĂŝƐĞ DĞĚͲ Ăů ƉƌŽǀŝĚĞƌ ƉĂLJŵĞŶƚ ŶŽŶͲ ŶŐůŝƐŚ ůĂŶŐƵĂŐĞƐ ƚŽ ďĞ ƵƐĞĚ ŝŶ ƉƵďůŝĐ ĞĚƵĐĂƟŽŶĂů ƚŽ DĞĚŝĐĂƌĞ ůĞǀĞůƐ ĂŶĚ ŝŶǀĞƐƚ ΨϰϬ ŵŝůůŝŽŶ ŝŶ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂŶĚ ŝŶƐƚƌƵĐƟŽŶ͕ ĞƐƐĞŶƟĂůůLJ ƌĞƉĞĂůŝŶŐ ƉƌŽǀŝƐŝŽŶƐ ŽĨ ĞŵĞƌŐĞŶĐLJ ƉŚLJƐŝĐŝĂŶ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘ WƌŽƉŽƐŝƟŽŶ ϮϮϳ ;ϭϵϵϴͿ͘ dŚĞ ŐŽĂů ŝƐ ƚŽ ĞŵƉŽǁĞƌ ƉĂƌĞŶƚƐ CAFP PosiƟon͗ Support ʹ CAFP ǁill be heavily involved in ƚŽ ĐŚŽŽƐĞ Ă ůĂŶŐƵĂŐĞ ĂĐƋƵŝƐŝƟŽŶ ƉƌŽŐƌĂŵ ƚŚĂƚ ďĞƐƚ ƐƵŝƚƐ supporƟng this proposiƟon and asks all of our members to ũoin ƚŚĞŝƌ ĐŚŝůĚ͘ &W ĚĞĐůŝŶĞĚ ƚŽ ĂĚŽƉƚ Ă ƉŽƐŝƟŽŶ ĚƵĞ ƚŽ Ă the Įght against the ǁell-funded tobacco companies, ǁhich ůĂĐŬ ŽĨ &W ƉŽůŝĐLJ͘ oppose the iniƟaƟve͘ ͻ Condoms in Pornographic Films /niƟaƟǀe͗ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ƌĞƋƵŝƌĞ ƚŚĞ ƵƐĞ ŽĨ ĐŽŶĚŽŵƐ ŝŶ Ăůů ƉŽƌŶŽŐƌĂƉŚŝĐ DediͲCal ,ospital Zeimbursement /nitiatiǀe ĮůŵƐ ƉƌŽĚƵĐĞĚ ŝŶ ĂůŝĨŽƌŶŝĂ ƚŚĂƚ ĨĞĂƚƵƌĞ ƐĞdžƵĂů dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ŵĂŬĞ ƉĞƌŵĂŶĞŶƚ Ă ƚĞŵƉŽƌĂƌLJ ƉƌŽŐƌĂŵ ŝŶƚĞƌĐŽƵƌƐĞ͘ &W ŝƐ ŐĂƚŚĞƌŝŶŐ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ŽŶ ƚŚŝƐ ĐƌĞĂƚĞĚ ŝŶ ϮϬϬϵ ƚŚĂƚ ĚƌĂǁƐ ĚŽǁŶ ĨĞĚĞƌĂů ĨƵŶĚƐ ĨŽƌ DĞĚŝͲ Ăů ďLJ ŝŶŝƟĂƟǀĞ ďĞĨŽƌĞ ĐŽŶƐŝĚĞƌŝŶŐ ǁŚĞƚŚĞƌ ƚŽ ĂĚŽƉƚ Ă ƉŽƐŝƟŽŶ͘ ƉůĂĐŝŶŐ Ă ĨĞĞ ŽŶ ŚŽƐƉŝƚĂůƐ͘ /ƚ ŚĂƐ ŐĂƌŶĞƌĞĚ ŶĞĂƌůLJ ΨϮ ďŝůůŝŽŶ Ă ͻ Public sote on onds /niƟaƟǀe͗ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ LJĞĂƌ ĨŽƌ DĞĚŝͲ Ăů͘ ^ŽŵĞ ŽĨ ƚŚŝƐ ƌĞǀĞŶƵĞ ŚĂƐ ďĞĞŶ ĚŝǀĞƌƚĞĚ ƚŽ ƌĞƋƵŝƌĞ ǀŽƚĞƌ ĂƉƉƌŽǀĂů ĨŽƌ ĂŶLJ ďŽŶĚͲĨƵŶĚĞĚ ƉƌŽũĞĐƚ ƚŚĞ ^ƚĂƚĞ͛Ɛ 'ĞŶĞƌĂů &ƵŶĚ͘ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ƉƌŽŚŝďŝƚ ĚŝǀĞƌƟŶŐ ƚŚĂƚ ĐŽƐƚ ŵŽƌĞ ƚŚĂŶ ΨϮ ďŝůůŝŽŶ͘ &W ĚĞĐůŝŶĞĚ ƚŽ ĂĚŽƉƚ Ă ƚŚĞ ĨƵŶĚƐ ĂŶĚ ŽŶůLJ ĂůůŽǁ ĐŚĂŶŐĞƐ ƚŽ ƚŚĞ ƉƌŽŐƌĂŵ ƵƉŽŶ Ă ƚǁŽͲ ƉŽƐŝƟŽŶ ĚƵĞ ƚŽ Ă ůĂĐŬ ŽĨ &W ƉŽůŝĐLJ͘ ƚŚŝƌĚƐ ǀŽƚĞ ŽĨ ƚŚĞ >ĞŐŝƐůĂƚƵƌĞ͘ CAFP PosiƟon͗ Support &W͛Ɛ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ǁŝůů ƌĞǀŝĞǁ ƚŚĞ ƌĞŵĂŝŶŝŶŐ ŝŶŝƟĂƟǀĞƐ ŽŶĐĞ ƚŚĞLJ ŚĂǀĞ ƋƵĂůŝĮĞĚ͘ WůĞĂƐĞ ƐƚĂLJ ƚƵŶĞĚ ĨŽƌ &W California Children’s Education and Health Care ĞůĞĐƟŽŶ ĂůĞƌƚƐ ĂƐ EŽǀĞŵďĞƌ ĂƉƉƌŽĂĐŚĞƐ ƚŽ ĞŶƐƵƌĞ LJŽƵ ŚĂǀĞ Protection Act Ăůů ƚŚĞ ŝŶĨŽƌŵĂƟŽŶ LJŽƵ ŶĞĞĚ ƚŽ ŵĂŬĞ ĂŶ ŝŶĨŽƌŵĞĚ ĐŚŽŝĐĞ ĂŶĚ dŚŝƐ ŝŶŝƟĂƟǀĞ ǁŽƵůĚ ĞdžƚĞŶĚ ƚŚĞ ĐƵƌƌĞŶƚ ŝŶĐŽŵĞ ƚĂdž ůĞǀĞůƐ ŚƩƉ͗ͬƌĞŐŝƐƚĞƌƚŽǀŽƚĞ͘ĐĂ͘ŐŽǀͬ ĂƉƉƌŽǀĞĚ ƵŶĚĞƌ WƌŽƉŽƐŝƟŽŶ ϯϬ ;ϮϬϭϮͿ ƚŽ ƉƌĞǀĞŶƚ ďŝůůŝŽŶƐ ŽĨ ĚŽůůĂƌƐ ŝŶ ĐƵƚƐ ĨŽƌ ƉƵďůŝĐ ĞĚƵĐĂƟŽŶ ĂŶĚ ŚĞĂůƚŚ ĐĂƌĞ ƐĞƌǀŝĐĞƐ͘ Dr͘ <akutani is Chair, CAFP >egislaƟve Aīairs CommiƩee͘ 10

California Family Physician Summer 2016

Excellent Physician Opportunities Enjoy Work - Life Balance in the Gateway to the Sierras

• Short distance to hiking in 2 National Parks • Numerous lakes • Biking, Fishing, Hunting, Golf, as well as other outdoor activities available

• Close to International airport • Excellent schools • Low cost of living • High Quality Medical Care

Now Seeking: Family Medicine • Internal Medicine Competitive compensation, signing bonus, annual physician bonus, malpractice coverage.

Please send CV to CVIH HR: 2740 Herndon Ave., Clovis, CA 93611 or email to hr@cvih.org

Central Valley Indian Health, Inc.

UCSF FRESNO CHIEF/VICE CHAIR OF FAMILY MEDICINE

FAMILY MEDICINE PHYSICIAN Join the largest FQHC on California’s north coast. Competitive compensation and bonus package. Scholars and Loan Repayment candidates encouraged. www.opendoorhealth.com

Hiring in accordance with Indian Pref. Act.

The UCSF Fresno Medical Education Program and the Central California Faculty Medical Group (CCFMG) are currently recruiting for an experienced academic physician at the Associate or Full Professor level to lead its Family and Community Medicine program and serve as Vice-Chair in the UCSF Department of Family and Community Medicine. Responsibilities include department leadership, teaching residents and students, clinical research and participation in community practice. The program is based at Community Regional Medical Center including a new ambulatory facility with a Family Health Center. Other rural hospital and FQHC sites also participate in the program. Applicants must be board certified in Family Medicine and should have an established record of teaching and clinical excellence. Research experience is desirable. Faculty appointment with UCSF will be commensurate with the applicant’s background and accomplishments.

PLEASE APPLY ONLINE AT: https://aprecruit.ucsf.edu/apply/JPF00778 Visit our websites: www.fresno.ucsf.edu and www.communitymedical.com UC San Francisco seeks candidates whose experience, teaching, research, or community service that has prepared them to contribute to our commitment to diversity and excellence. The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

California Family Physician Summer 2016

11

AWARDS

CAFP Honors Family Medicine Leaders Each year the Academy and FoundaƟon honor family physicians ǁho represent the ǀery best of the specialty͘ CAFP presented this year’s aǁards at the 2016 Family Medicine Clinical Forum in San Francisco͘ CongratulaƟons and thanŬ you to these incredible leaders͊ ^ĞǀĞƌĂů ĐŽůůĞĂŐƵĞƐ ƐĞŶƚ ůĞƩĞƌƐ ŽĨ ƐƵƉƉŽƌƚ ĨŽƌ ƌ͘ >ƵƚŚĞƌ͕ ŝŶĐůƵĚŝŶŐ ^ƵĞ DĞůǀŝŶ͕ K͕ ǁŚŽ ƌĞĐĂůůĞĚ Ă ƉĂƟĞŶƚ ƐŚĂƌŝŶŐ ŚĞƌ ĞdžƉĞƌŝĞŶĐĞ ŽĨ ďĞŝŶŐ ĐĂƌĞĚ ĨŽƌ ďLJ Śŝŵ͘ ^ŚĞ ŚĂĚ ƐĞǀĞƌĞ ŐĂƐƚƌŽƉĂƌĞƐŝƐ ĂŶĚ ŶĞĞĚĞĚ ƚŽ ǀŝƐŝƚ ƚŚĞ ŽĸĐĞ ĨƌĞƋƵĞŶƚůLJ ĨŽƌ /s ŵĞĚŝĐĂƟŽŶ͘ KŶ ŽŶĞ ĞƉŝƐŽĚĞ͕ ǁŚŝůĞ ƐŚĞ ǁĂƐ ǀŽŵŝƟŶŐ͕ / ƚŽůĚ ŚĞƌ / ǁĂƐ ŐŽŝŶŐ ƚŽ ƐƚĞƉ ŽƵƚ ŽĨ ƚŚĞ ƌŽŽŵ ƚŽ ŐĞƚ ƚŚĞ ŶƵƌƐĞ ƐŽ ǁĞ ĐŽƵůĚ ŐĞƚ ƚŚĞ /s ŐŽŝŶŐ͘ ^ŚĞ ƌĞƐƉŽŶĚĞĚ ǁŝƚŚ Ă ƐŵŝůĞ ĂŶĚ ƐĂŝĚ͕ ͞ ƌ͘ >ƵƚŚĞƌ ĂůǁĂLJƐ ƐƚĂLJƐ ǁŝƚŚ ŵĞ ĂŶĚ ŚŽůĚƐ ƚŚĞ ďĂƐŝŶ͘͟ :Ğī ŚĂƐ Ă ƐƉĞĐŝĂů ŐŝŌ ŽĨ ŐƌĂĐĞĨƵůůLJ ĮŶĚŝŶŐ ƚŚĞ ƐƉĞĐŝĂů ƐĂĐƌĞĚ ;ŚĞĂůŝŶŐͿ ƐƉĂĐĞ ďĞƚǁĞĞŶ ƚŚĞ ĚŽĐƚŽƌ ĂŶĚ ƚŚĞ ƉĂƟĞŶƚ͘ Ɛ Ă ůĞĂĚĞƌ ŝŶ ǀĂĐĐŝŶĞ ĂĚǀŽĐĂĐLJ ǁŚŽ ĞĚƵĐĂƚĞƐ ƉĂƌĞŶƚƐ ĂďŽƵƚ ǀĂĐĐŝŶĞ ƐĂĨĞƚLJ ĂŶĚ ĞŶĐŽƵƌĂŐĞƐ ŵŽƌĞ ĨĂŵŝůŝĞƐ ƚŽ ǀĂĐĐŝŶĂƚĞ ƚŚĞŝƌ ĐŚŝůĚƌĞŶ ĂŐĂŝŶƐƚ ƉƌĞǀĞŶƚĂďůĞ ĚŝƐĞĂƐĞƐ͕ ƌ͘ >ƵƚŚĞƌ ĂůƐŽ ƌĞƉƌĞƐĞŶƚƐ &W ŽŶ ƚŚĞ ĂůŝĨŽƌŶŝĂ /ŵŵƵŶŝnjĂƟŽŶ ŽŵŵŝƩĞĞ͘ /Ŷ ĂĚĚŝƟŽŶ͕ ŚŝƐ ĐůŝŶŝĐĂů ŝŶƚĞƌĞƐƚƐ ŝŶĐůƵĚĞ ƉƵďůŝĐ ŚĞĂůƚŚ͕ ĂƐƚŚŵĂ ĂŶĚ ĂůůĞƌŐŝĞƐ ĂŶĚ ƐƵƉƉŽƌƟŶŐ ƉĂƟĞŶƚ ǁĞŝŐŚƚ ůŽƐƐ͘

2016 Family Physician of the Year Award

:eīrey >uther, M

CAFP’s Family Physician of the Year ŚŽŶŽƌ ŝƐ ĂǁĂƌĚĞĚ ĂŶŶƵĂůůLJ ƚŽ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ĞŵďŽĚŝĞƐ ƚŚĞ ĮŶĞƐƚ ĐŚĂƌĂĐƚĞƌŝƐƟĐƐ ŽĨ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƐƉĞĐŝĂůƚLJ ĂŶĚ ŝƐ ŝŶǀŽůǀĞĚ ŝŶ ĂĐƟǀŝƟĞƐ ƚŚĂƚ ĞŶŚĂŶĐĞ ƚŚĞ ƋƵĂůŝƚLJ ŽĨ ůŝĨĞ ŝŶ ĐŽŵŵƵŶŝƟĞƐ͘ ZĞĐŽŐŶŝnjĞĚ ďLJ ĐŽůůĞĂŐƵĞƐ ĂƐ Ă ĐŽŵƉĂƐƐŝŽŶĂƚĞ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ĚĞůŝǀĞƌƐ ƐƚĂƚĞͲŽĨͲƚŚĞͲĂƌƚ ŵĞĚŝĐĂů ĐĂƌĞ͕ ƌ͘ >ƵƚŚĞƌ ƐĞƌǀĞƐ ĂƐ ĂŶ ŝŶƐƉŝƌĂƟŽŶ ƚŽ ůŽŶŐƟŵĞ ƉŚLJƐŝĐŝĂŶ ĐŽůůĞĂŐƵĞƐ ĂƐ ǁĞůů ĂƐ LJŽƵŶŐĞƌ ƉŚLJƐŝĐŝĂŶƐ͘ ƌ͘ >ƵƚŚĞƌ ƉƌĂĐƟĐĞƐ ĂƐ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ DĞŵŽƌŝĂů ĂƌĞ DĞĚŝĐĂů 'ƌŽƵƉ ŝŶ ƚŚĞ DĞŵŽƌŝĂů ĂƌĞ ,ĞĂůƚŚ ^LJƐƚĞŵ͘ ,Ğ ĂůƐŽ ŝƐ ĚŝƌĞĐƚŽƌ ŽĨ ƚŚĞ DĞŵŽƌŝĂů ĂƌĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ͕ ƚƌĂŝŶŝŶŐ ŶĞǁ ƉŚLJƐŝĐŝĂŶƐ ĞŶƚĞƌŝŶŐ ƚŚĞ ƐƉĞĐŝĂůƚLJ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ ƉĂƐƚ &W ƉƌĞƐŝĚĞŶƚ ĂŶĚ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ͕ ŚĞ ƉƌŽǀŝĚĞƐ ůĞĂĚĞƌƐŚŝƉ ĂŶĚ ƉŚLJƐŝĐŝĂŶ ĞĚƵĐĂƟŽŶ ůŽĐĂůůLJ ĂŶĚ ƐƚĂƚĞǁŝĚĞ͘ ,Ğ ĂůƐŽ ƌĞƉƌĞƐĞŶƚƐ &W Ăƚ ƚŚĞ ŶĂƟŽŶĂů ůĞǀĞů ƚŚƌŽƵŐŚ ǁŽƌŬ ǁŝƚŚ ƚŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ͘ ͞&ƌŽŵ ƚŚĞ ĞdžĂŵ ƌŽŽŵ ƚŽ ƚŚĞ ƐƚĂƚĞ >ĞŐŝƐůĂƚƵƌĞ͕ ƌ͘ >ƵƚŚĞƌ ƐŚŽǁƐ ǁŚĂƚ Ă ĚĞĚŝĐĂƚĞĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ĐĂŶ ĂĐĐŽŵƉůŝƐŚ͕͟ ƐĂŝĚ &W /ŵŵĞĚŝĂƚĞ WĂƐƚ WƌĞƐŝĚĞŶƚ :ĂLJ >ĞĞ͕ D ͕ DW,͘ ͞,Ğ ƉƌŽǀŝĚĞƐ ŽƵƚƐƚĂŶĚŝŶŐ ĚŝƌĞĐƚ ĐĂƌĞ ĂŶĚ ĂůƐŽ ƉƵƌƐƵĞƐ ŚĞĂůƚŚ ƉŽůŝĐLJ ƐŽůƵƟŽŶƐ ƚŚĂƚ ĂīĞĐƚ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĐĂƌĞ͘ &ƌŽŵ ƐƵƉƉŽƌƟŶŐ ŚĞĂůƚŚ ĐĂƌĞ ƌĞĨŽƌŵ ƚŚĂƚ ĞdžƉĂŶĚĞĚ ĐŽǀĞƌĂŐĞ ƚŽ ŵŝůůŝŽŶƐ ŽĨ ĂůŝĨŽƌŶŝĂŶƐ ƚŽ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůŝĞƐ͛ ǁŝĚĞƌ ƵƐĞ ŽĨ ĐŚŝůĚŚŽŽĚ ǀĂĐĐŝŶĞƐ͕ ƌ͘ >ƵƚŚĞƌ ŝƐ Ă ƚƌƵĞ ƉĂƟĞŶƚ ĂĚǀŽĐĂƚĞ͘͟

12

California Family Physician Summer 2016

/ Ăŵ ĂƉƉůLJŝŶŐ ƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů ƌŝŐŚƚ ŶŽǁ ĂŶĚ ǁŚŝůĞ ŝƚ ŝƐ ŶŽƚ ƐŽůĞůLJ ďĞĐĂƵƐĞ ŽĨ ŵLJ ĨĂƚŚĞƌ͕ / ĐĂŶŶŽƚ ĚĞŶLJ ƚŚĞ ƉŽƐŝƟǀĞ ŝŶŇƵĞŶĐĞ ŚĞ ŚĂƐ ŚĂĚ ŽŶ ƚŚŝƐ ĚĞĐŝƐŝŽŶ͘ &Žƌ ŵLJ ĞŶƟƌĞ ůŝĨĞ ŚĞ ŚĂƐ ĚĞŵŽŶƐƚƌĂƚĞĚ ŚŽǁ ƚŽ ďĞ Ă ĚĞĚŝĐĂƚĞĚ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ĐĂƌŝŶŐ ĨĂƚŚĞƌ͘ Ɛ ŽĨ ŶŽǁ͕ /͛ŵ ŶŽƚ ƐƵƌĞ ǁŚĂƚ ŵĞĚŝĐĂů ƐƉĞĐŝĂůƚLJ / ǁĂŶƚ ƚŽ ĞŶƚĞƌ ďƵƚ / ŬŶŽǁ ŵLJ ĨĂƚŚĞƌ ŚĞůƉĞĚ ŐŝǀĞ ŵĞ ƚŚĞ ŵŽƌĂů ŐƌŽƵŶĚŝŶŐ ĂŶĚ ǁŽƌŬ ĞƚŚŝĐ ƚŽ ĞŶƐƵƌĞ / ǁŝůů ďĞ ƌĞĂĚLJ ĨŽƌ ŵLJ ĐĂƌĞĞƌ ǁŚĞŶ / ŐĞƚ ƚŚĞƌĞ͘ – :acob >uther, oston hniversity graduate, May ϮϬϭϲ

ƉƌĞƐĞŶƚĞĚ ďLJ ƚŚĞ DĞĚŝĐĂů ^ƚƵĚĞŶƚ ĂŶĚ ZĞƐŝĚĞŶƚ >ĞĂĚĞƌƐŚŝƉ ŽƵŶĐŝůƐ͘ dŚĞ ϮϬϭϲ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶƚ ŽĨ ƚŚĞ zĞĂƌ ŝƐ ůĞdž DƌŽƐnjĐnjLJŬͲ DĐ ŽŶĂůĚ͕ D ͘

2016 FM Resident of the Year

Alex MrosnjcnjyŬͲMc onald, M /Ŷ ϮϬϭϬ͕ ƚŚĞ &W &ŽƵŶĚĂƟŽŶ ďĞƐƚŽǁĞĚ ŝƚƐ ĮƌƐƚ Resident of the Year Aǁard ƚŽ Ă ƌĞƐŝĚĞŶƚ ǁŚŽ ƌĞƉƌĞƐĞŶƚƐ ƚŚĞ ĮŶĞƐƚ ĐŚĂƌĂĐƚĞƌŝƐƟĐƐ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ŝŶĐůƵĚŝŶŐ Ă ĐŽŵŵŝƚŵĞŶƚ ƚŽ ůĞĂĚĞƌƐŚŝƉ͕ ĐŽŵŵƵŶŝĐĂƟŽŶ͕ ŵĞŶƚŽƌƐŚŝƉ ĂŶĚ ĂĚǀŽĐĂĐLJ͘ dŚĞ ǁŝŶŶĞƌ ŽĨ ƚŚŝƐ ĂǁĂƌĚ ŝƐ ƐĞůĞĐƚĞĚ ďLJ ƚŚĞ &W &ŽƵŶĚĂƟŽŶ͕ ǁŝƚŚ ŝŶƉƵƚ ĨƌŽŵ ƚŚĞ DĞĚŝĐĂů ^ƚƵĚĞŶƚ ĂŶĚ ZĞƐŝĚĞŶƚ īĂŝƌƐ ŽŵŵŝƩĞĞ ďĂƐĞĚ ŽŶ ŶŽŵŝŶĂƟŽŶƐ

ƌ͘ DƌŽƐnjĐnjLJŬͲDĐ ŽŶĂůĚ ŝƐ ĐŽŵƉůĞƟŶŐ ŚŝƐ ƌĞƐŝĚĞŶĐLJ Ăƚ <ĂŝƐĞƌ &ŽŶƚĂŶĂ ĂŶĚ ŚĂƐ ďĞĞŶ ĂĐĐĞƉƚĞĚ ŝŶƚŽ ƚŚĞ ^ƉŽƌƚƐ DĞĚŝĐŝŶĞ &ĞůůŽǁƐŚŝƉ ƚŚĞƌĞ ĨŽƌ ƚŚĞ &Ăůů͘ ,Ğ ŝƐ Ă ŵĞŵďĞƌ ŽĨ &W͛Ɛ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ƌĞƉƌĞƐĞŶƚƐ ƚŚĞ &W ĂƐ ĂŶ ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ƚŽ ƚŚĞ D ͘ /Ŷ ϮϬϭϭ͕ ƉƌŽ ƚƌŝĂƚŚůĞƚĞ ĂŶĚ ƉŚLJƐŝĐŝĂŶ ůĞdž ǁĂƐ Śŝƚ ďLJ Ă ƉŝĐŬƵƉ ƚƌƵĐŬ ǁŚŝůĞ ŽŶ Ă ďŝŬĞ ƚƌĂŝŶŝŶŐ ƌŝĚĞ ĂŶĚ ƐƵīĞƌĞĚ ƚǁŽ ďƌŽŬĞŶ ůĞŐƐ͘ ůĞdž ǁĂƐ ŽƉĞƌĂƚĞĚ ŽŶ ĨŽƌ Ɛŝdž ŚŽƵƌƐ Ăƚ ƵŬĞ hŶŝǀĞƌƐŝƚLJ DĞĚŝĐĂů ĞŶƚĞƌ ĂŶĚ ǁĂƐ ƚŽůĚ ŚĞ ŵŝŐŚƚ ŶĞǀĞƌ ƌƵŶ ĂŐĂŝŶ͘ tŚĞŶ LJŽƵ ŵĞĞƚ ůĞdž͕ ǁŚĂƚ ŝƐ ŝŵŵĞĚŝĂƚĞůLJ ŽďǀŝŽƵƐ ŝƐ ƚŚĂƚ ŚĞ ŚĂƐ ƚƌĞŵĞŶĚŽƵƐ ĨŽĐƵƐ ĂŶĚ ƉĂƐƐŝŽŶ ĨŽƌ ĐŚĂŶŐĞ͘ ,ŝƐ ƌĞĐŽǀĞƌLJ ĐƵůŵŝŶĂƚĞĚ ŝŶ ƌƵŶŶŝŶŐ ƚŚĞ >ŽƐ ŶŐĞůĞƐ DĂƌĂƚŚŽŶ ĂŶĚ ŝƐ ŶŽƚŚŝŶŐ ƐŚŽƌƚ ŽĨ ŝŶƐƉŝƌŝŶŐ͘ ůĞdž ŵŝƐƐĞĚ ƚŚĞ ƉƌĞƐĞŶƚĂƟŽŶ ŽĨ ƚŚĞ ĂǁĂƌĚ ĚƵƌŝŶŐ ƚŚĞ ϮϬϭϲ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ďĞĐĂƵƐĞ ŚĞ ǁĂƐ ŝŶ ŽƐƚŽŶ ƉƌĞƉĂƌŝŶŐ ƚŽ ƌƵŶ ƚŚĞ ŽƐƚŽŶ DĂƌĂƚŚŽŶ͘ dŚĂƚ ƐĂŵĞ ĨŽĐƵƐ ĂŶĚ ĞŶĞƌŐLJ ŝƐ ƐŽŵĞƚŚŝŶŐ ƚŚĂƚ ŚĞ ďƌŝŶŐƐ ƚŽ ŚŝƐ ƉĂƟĞŶƚ ĐĂƌĞ ĂŶĚ ŚŝƐ ŐƌŽǁŝŶŐ ůĞĂĚĞƌƐŚŝƉ ǁŽƌŬ͘ ůĞdž ƌĞƉƌĞƐĞŶƚƐ ƚŚĞ ĮŶĞƐƚ ŽĨ ŽƵƌ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ůĞĂĚĞƌƐ ĂŶĚ ŝƐ ĚĞƐĞƌǀŝŶŐ ŽĨ ƚŚŝƐ ƉƌĞƐƟŐŝŽƵƐ ĂǁĂƌĚ͘ ŽŶŐƌĂƚƵůĂƟŽŶƐ͕ ƌ͘ DƌŽƐnjĐnjLJŬͲDĐ ŽŶĂůĚ͘

The arbara Harris Aǁard for EducaƟonal Excellence ǁĂƐ ĞƐƚĂďůŝƐŚĞĚ ŝŶ ϭϵϴϰ ƚŽ ŚŽŶŽƌ ƚŚĞ ůĂƚĞ DƐ͘ ,ĂƌƌŝƐ͕ Ă ĨŽƌŵĞƌ džĞĐƵƟǀĞ ŝƌĞĐƚŽƌ ŽĨ &W͘ dŚĞ ĂǁĂƌĚ ǁĂƐ ƌĞŶĂŵĞĚ͕ ǁŝƚŚ ĂŶ ĞŶŚĂŶĐĞĚ ĨŽĐƵƐ͕ ŝŶ ϭϵϵϲ ƚŽ ƌĞĐŽŐŶŝnjĞ ĞĚƵĐĂƟŽŶĂů ĞdžĐĞůůĞŶĐĞ ŝŶ ƚŚĞ ĮĞůĚ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ &W &ŽƵŶĚĂƟŽŶ͛Ɛ ĂƌďĂƌĂ ,ĂƌƌŝƐ ǁĂƌĚ ĨŽƌ džĐĞůůĞŶĐĞ ŝŶ ĚƵĐĂƟŽŶ ŚĂƐ ďĞĞŶ ƉƌĞƐĞŶƚĞĚ ƚŽ Ϯϳ ŝŶĐƌĞĚŝďůĞ ƚĞĂĐŚĞƌƐ͘ dŚĞ ĂǁĂƌĚ ŝƐ ƉƌĞƐĞŶƚĞĚ ƚŽ ĂŶ ŝŶĚŝǀŝĚƵĂů ǁŽƌŬŝŶŐ ŝŶ ĂůŝĨŽƌŶŝĂ ǁŚŽ ĚĞŵŽŶƐƚƌĂƚĞƐ ĞdžĐĞůůĞŶĐĞ ŝŶ ĂĚǀĂŶĐĞƐ ŝŶ ĞĚƵĐĂƟŽŶ ŝŶ ƚŚĞ ĮĞůĚ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͖ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƚĞĂĐŚŝŶŐ ŝŶ ŵĞĚŝĐĂů ƐĐŚŽŽůƐ͕ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂŶĚͬŽƌ ƉŽƐƚͲŐƌĂĚƵĂƚĞ D ͘ dŚĞ ůŝƐƚ ŽĨ ǁŝŶŶĞƌƐ ŽĨ ƚŚŝƐ ĂǁĂƌĚ ŝƐ ůŽŶŐ ĂŶĚ ŶŽƚĞǁŽƌƚŚLJ͊ 'ŝůďĞƌƚŽ 'ƌĂŶĂĚŽƐ͕ D ũŽŝŶƐ ƚŚŝƐ ŐƌŽƵƉ͘ 'ŝůďĞƌƚŽ ŝƐ ĐůŝŶŝĐĂů ĂƐƐŽĐŝĂƚĞ ƉƌŽĨĞƐƐŽƌ͕ ĚĞƉĂƌƚŵĞŶƚ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ h > ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ͘ ,Ğ ŝƐ ĂůƐŽ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ ĚǀŝƐŽƌLJ ŽĂƌĚ ĨŽƌ ƚŚĞ WZ/D Ͳh > ƉƌŽŐƌĂŵ͘ ƌ͘ 'ƌĂŶĂĚŽƐ͕ Ă ŚƵŵďůĞ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŐŝǀĞƐ ŽĨ ŚŝŵƐĞůĨ ǁŝƚŚ ŶŽ ĞdžƉĞĐƚĂƟŽŶ ĨŽƌ ĂĐŬŶŽǁůĞĚŐĞŵĞŶƚ͕ ŝƐ ŵŽƐƚ ĚĞƐĞƌǀŝŶŐ ŽĨ ƚŚĞ ĚƵĐĂƟŽŶĂů džĐĞůůĞŶĐĞ ĂǁĂƌĚ͘ 'ŝǀĞŶ ƚŚĞ ŐƌŽǁŝŶŐ ĞĐŽŶŽŵŝĐ ŝŶĞƋƵŝƚLJ ŝŶ ƚŚŝƐ ŶĂƟŽŶ͕ ŝƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ƌĞĐŽŐŶŝnjĞ ŵĞĚŝĐĂů ůĞĂĚĞƌƐ ǁŚŽ ŶŽƚ ŽŶůLJ ĞdžĞŵƉůŝĨLJ ĞdžĐĞůůĞŶĐĞ ǁŝƚŚŝŶ ƚŚĞ ƚƌĂĚŝƟŽŶĂů ďŽƵŶĚƐ ŽĨ ŵĞĚŝĐŝŶĞ ďƵƚ ǁŚŽ ĚĞŵŽŶƐƚƌĂƚĞ ĞdžĐĞůůĞŶĐĞ ŝŶ ƚĞĂĐŚŝŶŐ ĂŶĚ ǁŽƌŬ ŝŶ ƌĞůĂƚĞĚ ƐŽĐŝĂů͕ ĞĐŽŶŽŵŝĐ͕ ĂŶĚ ĞŶǀŝƌŽŶŵĞŶƚĂů ĂƌĞŶĂƐ͘ tĞ ĂƌĞ ƚŽůĚ ƚŚĞƌĞ ŝƐ ŶŽ ƉƌŽŐƌĂŵ ƚŚĂƚ ďĞƩĞƌ ƚLJƉŝĮĞƐ ƌ͘ 'ƌĂŶĂĚŽƐ ĚĞĚŝĐĂƟŽŶ ƚŽ ƐƚƵĚĞŶƚ ĞĚƵĐĂƟŽŶ ƚŚĂŶ ƚŚĞ ^ƵŵŵĞƌ hƌďĂŶ WƌĞĐĞƉƚŽƌƐŚŝƉ͘ dŚŝƐ ŝƐ ĂŶ ĂǁĂƌĚͲǁŝŶŶŝŶŐ͕ ŵƵůƟͲůĞǀĞů ƟĞƌĞĚ ŵĞŶƚŽƌƐŚŝƉ ƉƌŽŐƌĂŵ͘ ,Ğ ŚĂƐ ďĞĞŶ ĐŽͲĚŝƌĞĐƚŽƌ ĨŽƌ ƚŚĞ ƉĂƐƚ ϭϴ LJĞĂƌƐ ĂŶĚ ŚĂƐ ĚĞǀĞůŽƉĞĚ ŝƚ ŝŶƚŽ ƚŚĞ ƉƌŽŐƌĂŵ ŝƚ ŝƐ ƚŽĚĂLJ ͙ ŚŝƐ ďĂďLJ͘ ǀĞƌLJ LJĞĂƌ ŚĞ ŝƐ ĐŽŶƐƵŵĞĚ ǁŝƚŚ ƚŚĞ ĞdžƚĞŶƐŝǀĞ ƉůĂŶŶŝŶŐ ĂŶĚ ĨƵŶĚƌĂŝƐŝŶŐ

2016 Barbara Harris Award for dƵcaƟonal džcellence

Gilberto Granados, MD ĨŽƌ ƚŚŝƐ ŝŶƚĞŶƐŝǀĞ ƐŝdžͲǁĞĞŬ ƐƵŵŵĞƌ ƉƌŽŐƌĂŵ ͘​͘​͘ Ă ƉƌŽŐƌĂŵ ƚŚĂƚ ŚĂƐ ƌĞĂĐŚĞĚ ŚƵŶĚƌĞĚƐ ŽĨ ĨƵƚƵƌĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ dŚĞ &ŽƵŶĚĂƟŽŶ ƌĞĐĞŝǀĞĚ Ă ďĂŐ ĨƵůů ŽĨ ůĞƩĞƌƐ – Ăůů ĞdžƚŽůůŝŶŐ ƚŚĞ ǀŝƌƚƵĞƐ ŽĨ Ă ŚƵŵďůĞ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŐŽĞƐ ĂďŽƵƚ ŚŝƐ ĚĂLJ ƚĞĂĐŚŝŶŐ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͕ ŵĞŶƚŽƌŝŶŐ ĂŶĚ ƉƌĞĐĞƉƟŶŐ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ͕ ĂĚǀŽĐĂƟŶŐ ƚŽ ĂĚĚƌĞƐƐ ŚĞĂůƚŚ ĚŝƐƉĂƌŝƟĞƐ͕ ĂŶĚ ĮŐŚƟŶŐ ĨŽƌ ƚŚĞ ƵŶĚĞƌƐĞƌǀĞĚ ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ŚĞ ĐĂůůƐ ŚŽŵĞ͘ /ƚ ŝƐ ŽƵƌ ŚŽŶŽƌ ƚŽ ƉƌĞƐĞŶƚ ƚŚĞ ϮϬϭϲ ĂƌďĂƌĂ ,ĂƌƌŝƐ ǁĂƌĚ ĨŽƌ ĚƵĐĂƟŽŶĂů džĐĞůůĞŶĐĞ ƚŽ 'ŝůďĞƌƚŽ 'ƌĂŶĂĚŽƐ͘ ŽŶƟŶƵĞĚ ŽŶ ŶĞdžƚ ƉĂŐĞ х California Family Physician Summer 2016

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dŚŝƐ LJĞĂƌ͛Ɛ ǁŝŶŶĞƌ ŽĨ ƚŚĞ California Academy of Family Physicians ͞2016 Hero of Family Medicine Aǁard͟ ǁĂƐ ƉƌĞƐĞŶƚĞĚ ŝŶ DĂƌĐŚ Ăƚ ƚŚĞ Ăůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ƚŽ >ĂƵƌĞŶ ^ŝŵŽŶ͕ D ͕ DW,͘ >ĂƵƌĞŶ ^ŝŵŽŶ ŝƐ ĂŶ ƐƐŽĐŝĂƚĞ WƌŽĨĞƐƐŽƌ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ĂŶĚ ƐƐŝƐƚĂŶƚ ŝƌĞĐƚŽƌ ŽĨ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ Ăƚ ƚŚĞ >ŽŵĂ >ŝŶĚĂͲ /ŶůĂŶĚ ŵƉŝƌĞ ŽŶƐŽƌƟƵŵ ĨŽƌ ,ĞĂůƚŚĐĂƌĞ ĚƵĐĂƟŽŶ ĂŶĚ ŝƌĞĐƚŽƌ ŽĨ WƌŝŵĂƌLJ ĂƌĞ ^ƉŽƌƚƐ DĞĚŝĐŝŶĞ Ăƚ >ŽŵĂ >ŝŶĚĂ hŶŝǀĞƌƐŝƚLJ͘ ƐŝĚĞ ĨƌŽŵ ďĞŝŶŐ Ă ƐƵƉĞƌď ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͕ ƐŚĞ ŝƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ůĞĂĚĞƌ ĂŶĚ ĂŶ ĞdžĐĞůůĞŶƚ ƚĞĂĐŚĞƌ͘ /Ŷ ϮϬϭϰ͕ ƌ͘ ^ŝŵŽŶ ǁĂƐ ŶĂŵĞĚ ƚŚĞ ĚƵĐĂƚŽƌ ŽĨ ƚŚĞ zĞĂƌ ďLJ &W͕ ƌĞĐĞŝǀŝŶŐ ƚŚĞ ϮϬϭϰ ĂƌďĂƌĂ ,ĂƌƌŝƐ ǁĂƌĚ ĨŽƌ ĚƵĐĂƟŽŶĂů džĐĞůůĞŶĐĞ͘ ^ŝŶĐĞ &W >ŽďďLJ ĂLJ ǁĂƐ ďĞŐƵŶ ŝŶ ϮϬϬϴ͕ ƌ͘ ^ŝŵŽŶ ŚĂƐ ŶŽƚ ŽŶůLJ ƐƚĞĂĚĨĂƐƚůLJ ĂƩĞŶĚĞĚ ŚĞƌƐĞůĨ͕ ƐŚĞ ŚĂƐ ďƌŽƵŐŚƚ ǁŝƚŚ ŚĞƌ ƚŚĞ ůĂƌŐĞƐƚ ĚĞůĞŐĂƟŽŶ ŽĨ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĂĐƟǀĞ ƉŚLJƐŝĐŝĂŶƐ͕ ĂƐ LJŽƵ ĐĂŶ ƐĞĞ ĞǀĞŶ ƚŽĚĂLJ͘ ŽĐƚŽƌ ^ŝŵŽŶ ŚĂƐ ŐŝǀĞŶ ƐŽ ŵƵĐŚ ŽĨ ŚĞƌƐĞůĨ ĂŶĚ ŚĞƌ ƉĞƌƐŽŶĂů ƟŵĞ ƚŽ ĂĚǀĂŶĐĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͛Ɛ ůĞŐŝƐůĂƟǀĞ ĂŐĞŶĚĂ͘ ^ŚĞ ŚĂƐ ďĞĞŶ ŝŶƚĞŐƌĂů ƚŽ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͛Ɛ ĂĚǀŽĐĂĐLJ ĞīŽƌƚƐ ŝŶ ƚŚĞ /ŶůĂŶĚ ŵƉŝƌĞ͕ ĞƐƚĂďůŝƐŚŝŶŐ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ ĞǀĞƌLJ ^ƚĂƚĞ ^ĞŶĂƚŽƌ ĂŶĚ ƐƐĞŵďůLJŵĞŵďĞƌ ŚŽůĚŝŶŐ ŽĸĐĞ ŝŶ ƚŚĞ ƌĞŐŝŽŶ͕ ŝŶǀŝƟŶŐ ƚŚĞŵ ƚŽ ƚŽƵƌ ŚĞƌ ƉƌŽŐƌĂŵ ĂŶĚ ƚŚŽƐĞ ŝŶ ƚŚĞ ƌĞŐŝŽŶ͘ ^ŚĞ ŚĂƐ ĂůƐŽ ďƌŽƵŐŚƚ ƌĞƐŝĚĞŶƚƐ ƚŽ ůŽĐĂů ůĞŐŝƐůĂƚŽƌ ĞǀĞŶƚƐ ŽŶ ďĞŚĂůĨ ŽĨ &W ĂŶĚ &WͲW ͘ /Ŷ ĂĚĚŝƟŽŶ ƚŽ Ăůů ŽĨ ƚŚŝƐ͕ ƌ͘ ^ŝŵŽŶ ƐĞƌǀĞƐ ĂƐ ĐŚĂŝƌ ŽĨ ƚŚĞ DĞĚŝĐĂů ^ƚƵĚĞŶƚ ĂŶĚ ZĞƐŝĚĞŶƚ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ƌĞŐŝŽŶĂů ůĞĂĚĞƌ ĨŽƌ ƚŚĞ &W ZĞƐŝĚĞŶĐLJ EĞƚǁŽƌŬ͘ ^ŚĞ ŝƐ ĂůƐŽ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ &W &ŽƵŶĚĂƟŽŶ ŽĂƌĚ

2016 Hero of Family Medicine Award

>auren Simon, MD, MPH

ŽĨ dƌƵƐƚĞĞƐ͘ /Ŷ ƚŚĞƐĞ ƌŽůĞƐ͕ ƐŚĞ ŚĞůƉƐ ƉůĂŶ ƚŚĞ ĂŶŶƵĂů &ĂŵŝůLJ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ ĂŶĚ ƉƌŽĐĞĚƵƌĂů ǁŽƌŬƐŚŽƉƐ͕ ŝŶƚƌŽĚƵĐŝŶŐ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƚŽ ƚŚĞ ƐƉĞĐŝĂůƚLJ ĂŶĚ ĞŶŐĂŐŝŶŐ ƌĞƐŝĚĞŶƚƐ ŝŶ ƐĐŚŽůĂƌůLJ ĂĐƟǀŝƚLJ ƚŚƌŽƵŐŚ ůŽĐĂů ĂŶĚ ƐƚĂƚĞǁŝĚĞ ƌĞƐĞĂƌĐŚ ĐŽŶĨĞƌĞŶĐĞƐ͘ ƌ͘ ^ŝŵŽŶ ĐŽŶƐŝƐƚĞŶƚůLJ ĮŐŚƚƐ ƚŽ ĚĞǀĞůŽƉ ƚŚĞ ƉŝƉĞůŝŶĞ ŽĨ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ /ƚ ǁŽƵůĚ ďĞ ŚĂƌĚ ƚŽ ĮŶĚ ĂŶ ĞdžĂŵƉůĞ ŽĨ ƐŽŵĞŽŶĞ ŵŽƌĞ ĚĞƐĞƌǀŝŶŐ ŽĨ ƚŚŝƐ ĂǁĂƌĚ͘ ƌ͘ ^ŝŵŽŶ͛Ɛ ĞīŽƌƚƐ ƚŽ ŐƌŽǁ ĂŶĚ ƐƚƌĞŶŐƚŚĞŶ ƚŚĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ĐŽŵŵƵŶŝƚLJ ƚŚƌŽƵŐŚ ĞĚƵĐĂƟŽŶ͕ ĂĚǀŽĐĂĐLJ ĂŶĚ ůĞĂĚĞƌƐŚŝƉ ŵĂŬĞ ŚĞƌ Ă ƚƌƵĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĐŚĂŵƉŝŽŶ ĂŶĚ ŽƵƌ ϮϬϭϲ ,ĞƌŽ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘ ŽŶŐƌĂƚƵůĂƟŽŶƐ͕ >ĂƵƌĞŶ͘

MED7 has been providing urgent care services in the Greater Sacramento area since 1987

Urgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. All shifts 9am to 9pm. Full time is 13 shifts per month. We offer our full time physicians the following: full malpractice coverage, medical & dental coverage at no cost for the physician & any dependents, disability policy & we have a simple IRA you can contribute to with 3% matching. Part time is 6 to 8 shifts per month. For more information about MED7 and our clinics please visit our website: www.med7.com We offer an attractive compensation package. Contact Merl O’Brien,MD, at: (916) 791-1300, ext.111; or email CV to: sherry@med7atwork.com.

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California Family Physician Summer 2016

Colloquium 2016 Building Successful Alternative Payment Models September 28–30, 2016 Hyatt Regency on Capitol Hill, Washington, DC Learn to succeed in risk-based coordinated care

Register by July 29 and save!

capgcolloquium.com California Family Physician Summer 2016

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Getting to Know Your AAFP President-Elect Candidate: Jack Chou, MD &W ŝƐ ƉƌŽƵĚ ƚŽ ƐƵƉƉŽƌƚ :ĂĐŬ ŚŽƵ͕ D ͕ ĐĂŶĚŝĚĂƚĞ ĨŽƌ &W WƌĞƐŝĚĞŶƚͲ ůĞĐƚ͊ ƌ͘ ŚŽƵ ŚĂƐ ŚĂĚ ƚŚĞ ŐƌĞĂƚ ŚŽŶŽƌ ŽĨ ƐĞƌǀŝŶŐ LJŽƵ ŽŶ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ĨŽƌ ŶĞĂƌůLJ ƚŚƌĞĞ LJĞĂƌƐ ŶŽǁ͕ ǁŽƌŬŝŶŐ ŽŶ ďĞŚĂůĨ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ƐĞĞŬŝŶŐ ƌĞůŝĞĨ ĨƌŽŵ ƉĂLJĞƌƐ ĂŶĚ ƌĞŐƵůĂƚŽƌƐ ĂŶĚ ŝŶĐƌĞĂƐŝŶŐ ƌĞƐƉĞĐƚ ĨŽƌ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂƐ ƚŚĞ ƚƌƵƐƚĞĚ ƐŽƵƌĐĞ ĨŽƌ ŵĞƌŝĐĂ͛Ɛ ŚĞĂůƚŚ͘ zŽƵƌ ĞdžƉƌĞƐƐŝŽŶ ŽĨ ƐƵƉƉŽƌƚ ĨŽƌ ƌ͘ ŚŽƵ͛Ɛ ĐĂŶĚŝĚĂĐLJ ƚŽ LJŽƵƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĨƌŝĞŶĚƐ ĂŶĚ ĐŽůůĞĂŐƵĞƐ ĂƌŽƵŶĚ ƚŚĞ ĐŽƵŶƚƌLJ ǁŽƵůĚ ďĞ ŵŽƐƚ ĂƉƉƌĞĐŝĂƚĞĚ͊ Why are you running? /͛ǀĞ ďĞĞŶ ŝŶǀŽůǀĞĚ ŝŶ ŽƌŐĂŶŝnjĞĚ ŵĞĚŝĐŝŶĞ ƐŝŶĐĞ ƌĞƐŝĚĞŶĐLJ͕ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ Ăƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ůĞǀĞůƐ͘ /͛ŵ ĨŽƌƚƵŶĂƚĞ ƚŽ ŚĂǀĞ ƌŝƐĞŶ ƚŚƌŽƵŐŚ ƚŚĞ ƌĂŶŬƐ ŽĨ ŽƌŐĂŶŝnjĞĚ ŵĞĚŝĐŝŶĞ ůĞĂĚĞƌƐŚŝƉ ƌĞƉƌĞƐĞŶƟŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ŵLJ ƐƚĂƚĞ ĐŚĂƉƚĞƌ͕ ĂƐ ǁĞůů ĂƐ ƚŚĞ ƐƚĂƚĞ ŵĞĚŝĐĂů ƐŽĐŝĞƚLJ͘ / ŚĂǀĞ ƉĂƌƟĐŝƉĂƚĞĚ ŝŶ ƚŚĞ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ŽĨ ŽƵƌ ŽƌŐĂŶŝnjĂƟŽŶ ŝŶƚŽ Ă ƌĞĐŽŐŶŝnjĞĚ ĨŽƌĐĞ ŝŶ ĂĚǀŽĐĂĐLJ ĂŶĚ ŝŶ ŵĞŶƚŽƌŝŶŐ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ůĞĂĚĞƌƐ͘ tĞ ŚĂǀĞ ǁŽƌŬĞĚ ŚĂƌĚ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ĚĞĐĂĚĞ ĂƐ ƚŚĞ ďŽůĚ ĐŚĂŵƉŝŽŶ ĨŽƌ ŵĞĚŝĐŝŶĞ ŝŶ ŵĞƌŝĐĂ ĂŶĚ ǁĞ ĂƌĞ Ăƚ ƚŚĞ ĐƵƫŶŐ ĞĚŐĞ ŽĨ ƚŚĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞǀŽůƵƟŽŶ͘ tĞ ŶĞĞĚ ƚŽ ŝŶƐƉŝƌĞ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ĐŽŶƟŶƵĞ ŽƵƌ ƉƵƐŚ ĨŽƌ ƚŚĞ ŐŽĂů ŽĨ Ă ƉƌŝŵĂƌLJ ĐĂƌĞͲďĂƐĞĚ ŚĞĂůƚŚ ĐĂƌĞ ĚĞůŝǀĞƌLJ ƐLJƐƚĞŵ͘ / ƚŚŝŶŬ /͛ŵ ƚŚĞ ƉĞƌƐŽŶ ĨŽƌ ƚŚĞ ũŽď͊ Aren’t you too young for the job? ĞŝŶŐ LJŽƵŶŐ ĚŽĞƐ ŶŽƚ ŵĞĂŶ Ă ůĂĐŬ ŽĨ ĞdžƉĞƌŝĞŶĐĞ͘ / ǁĂƐ ĨŽƌƚƵŶĂƚĞ ƚŽ ďĞ ĞůĞĐƚĞĚ ƚŚĞ LJŽƵŶŐĞƐƚ WƌĞƐŝĚĞŶƚ ŽĨ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ŝŶ ϮϬϭϬ͘ KǀĞƌ ƚŚĞ ƉĂƐƚ ĚĞĐĂĚĞ͕ /͛ǀĞ ďĞĞŶ ŝŶ ĐŚĂƌŐĞ ŽĨ Ă ďƵƐLJ ƉƌĂĐƟĐĞ ǁŝƚŚ ϮϮ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƚǁŽ ŵŝĚůĞǀĞů ĐůŝŶŝĐŝĂŶƐ͘ /͛ǀĞ ďĞĞŶ ŝŶǀŽůǀĞĚ ŝŶ ůĞŐŝƐůĂƟǀĞ ĂĚǀŽĐĂĐLJ ĨŽƌ ƚŚĞ ůĂƐƚ ϭϱ LJĞĂƌƐ ĂŶĚ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ĚŽnjĞŶ LJĞĂƌƐ͕ /͛ǀĞ ŚĞůƉĞĚ ƚƌĂŶƐĨŽƌŵ ŵLJ ŚĞĂůƚŚ ĚĞůŝǀĞƌLJ ƐLJƐƚĞŵ ƚŽ ďĞĐŽŵĞ ĮƌƐƚ ŝŶ ŶĂƟŽŶĂů ƌĂŶŬŝŶŐ ĂŵŽŶŐ Ăůů DĞĚŝĐĂƌĞ ŚĞĂůƚŚ ƉůĂŶƐ͘ &Žƌ ƚŚĞ ƉĂƐƚ Ɛŝdž LJĞĂƌƐ͕ /͛ǀĞ ǁŽƌŬĞĚ ƚŽ ŚĞůƉ ŵLJ ĐŽůůĞĂŐƵĞƐ ƐƵĐĐĞƐƐĨƵůůLJ ĂĚĂƉƚ ƚŽ ĞůĞĐƚƌŽŶŝĐ ŚĞĂůƚŚ ƌĞĐŽƌĚƐ ǁŚŝůĞ ƐƵƐƚĂŝŶŝŶŐ ƉĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ůŝĨĞ ďĂůĂŶĐĞ͘ /Ĩ /͛ŵ ĨŽƌƚƵŶĂƚĞ ĞŶŽƵŐŚ ƚŽ ďĞ ĞůĞĐƚĞĚ ĂƐ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ͕ / ǁŽƵůĚ ďĞ ŽůĚĞƌ ƚŚĂŶ dĞĚĚLJ ZŽŽƐĞǀĞůƚ ĂŶĚ :ŽŚŶ &͘ <ĞŶŶĞĚLJ ǁŚĞŶ ƚŚĞLJ ǁĞƌĞ ŝŶĂƵŐƵƌĂƚĞĚ͘ ŶĚ /͛Ě ƐĂLJ ƚŚĂƚ͛Ɛ ƐŽŵĞ ƉƌĞƩLJ ŐŽŽĚ ĐŽŵƉĂŶLJ͘ What is your leadership philosophy? / ďĞůŝĞǀĞ ŝŶ ůĞĂĚŝŶŐ ĨƌŽŵ ǁŝƚŚŝŶ͘ ŵĞŶƚŽƌ ƚŽůĚ ŵĞ ŽŶĐĞ ƚŚĂƚ ͞ǁĞ ƐŚŽƵůĚ ďĞ ĨŽĐƵƐŝŶŐ ŽŶ ĚŽŝŶŐ ƚŚĞ ďĞƐƚ ǁĞ ĐĂŶ ĂŶĚ ǁŚĞƌĞǀĞƌ ǁĞ ĐĂŶ ƚŽ ŚĞůƉ ŽƚŚĞƌƐ͘ ŶĚ ŝĨ ŽƚŚĞƌƐ ĐŚŽŽƐĞ ƚŽ ďĞƐƚŽǁ ƚŚĞ ŵĂŶƚůĞ ŽĨ ůĞĂĚĞƌƐŚŝƉ ŽŶ ƵƐ͕ ƚŚĞŶ ŝƚ ƐŚŽƵůĚ ďĞ ĂŶ ŚŽŶŽƌ ƚŽ ƚĂŬĞ ƵƉ ƚŚĂƚ ŵĂŶƚůĞ͘ tĞ ƐŚŽƵůĚ ŶŽƚ ďĞ ĞdžƉĞĐƚĞĚ ƚŽ ďĞ ĂŶŽŝŶƚĞĚ ƚŽ Ă ůĞĂĚĞƌƐŚŝƉ ƉŽƐŝƟŽŶ ƵŶůĞƐƐ ŽƵƌ ƉĞĞƌƐ ƌĞĐŽŐŶŝnjĞ ƚŚĞ ŐŽŽĚ ǁŽƌŬ͘ Ƶƚ ǁŚĞŶ ŝƚ ŚĂƉƉĞŶƐ͕ ďĞ ƌĞĂĚLJ ƚŽ ůĞĂƉ ŝŶ ǁŝƚŚ LJŽƵƌ ǁŚŽůĞ ŚĞĂƌƚ ĂŶĚ ƐŽƵů͘͟ / ŚĂǀĞ ůŝǀĞĚ ďLJ ƚŚŽƐĞ ǁŽƌĚƐ ĨŽƌ ŵŽƌĞ ƚŚĂŶ ϭϱ LJĞĂƌƐ͘ /͛ǀĞ ďĞĞŶ ĞĂŐĞƌ ƚŽ ƚĂŬĞ ŽŶ ƚĂƐŬƐ ƚŚĂƚ ŽƚŚĞƌƐ ƐŚLJ ĂǁĂLJ ĨƌŽŵ͘ DĂŶLJ ƟŵĞƐ͕ ƚŚĞ ƚĂƐŬƐ ǁĞƌĞ ĚŝĸĐƵůƚ͕ ďƵƚ / ŬĞƉƚ ŵLJ ĨŽĐƵƐ ŽŶ ŚĞůƉŝŶŐ ŵLJ ĐŽůůĞĂŐƵĞƐ ĂŶĚ ǁŽƌŬŝŶŐ ƚŽŐĞƚŚĞƌ ƚŽǁĂƌĚ Ă ŐƌĞĂƚĞƌ ŐŽŽĚ 16

California Family Physician Summer 2016

Coming to Krlando? :oin us Monday, September 1Ďľ, at the AAFP aĹŒer Candidates Hospitality nightÍŠ >et us ĹŹnoÇ if you’d liĹŹe to Ç€olunteer to help elect :acĹŹÍŠ Contact cafpΛfamilydocs͘org

ĨŽĆŒ ƉĂĆ&#x;ĞŜƚĆ?͘ / ŚŽƉĞ ƚŽ Ĺ?ĹśĆ?ƉĹ?ĆŒÄž Ĺ˝ĆšĹšÄžĆŒĆ? ƚŽ ĚŽ ƚŚĞ Ć?ĂžĞ͕ Ä?ÄžÄ?Ä‚ĆľĆ?Äž Ç Äž Ä‚ĆŒÄž Ä‚ĹŻĹŻ Ĺ?Ĺś Ĺ?Ćš ƚŽĹ?ÄžĆšĹšÄžĆŒÍ˜ tÄžÍ›ĆŒÄž Ä‚ĹŻĹŻ Ĺ?Ĺś Ĺ?Ćš ƚŽ žĂŏĞ ŚĞĂůƚŚ Ä?Ä‚ĆŒÄž Ä?ÄžĆŠÄžĆŒ ĨŽĆŒ ŽƾĆŒ ƉĂĆ&#x;ĞŜƚĆ? ĂŜĚ ŽƾĆŒ Ä?ŽžžƾŜĹ?Ć&#x;ÄžĆ?͘ You haÇ€e young ĹŹidsÍ– hoÇ do you juggle this Ç orĹŹ and your family? DĂŜLJ Ĺ?Ĺś ƚŚĞ Ä?ĂĚĞžLJ ĹŻÄžÄ‚ÄšÄžĆŒĆ?ĹšĹ?Ɖ ĹŹĹśĹ˝Ç ĆšĹšÄ‚Ćš žLJ ĹŹĹ?ÄšĆ? Ä‚ĆŒÄž Ĺ?ĆŒĹ˝Ç Ĺ?ĹśĹ? ƾƉ Ä‚ĆŒŽƾŜÄš ĨÄ‚ĹľĹ?ůLJ žĞĚĹ?Ä?Ĺ?ĹśÄžÍ˜ / Ĺ˝ĹŒÄžĹś ĆšĆŒÄ‚Ç€ÄžĹŻ Ç Ĺ?ƚŚ žLJ ĹŹĹ?ÄšĆ? ƚŽ Ć?ƚĂƚĞ ĂŜĚ ŜĂĆ&#x;ŽŜÄ‚ĹŻ žĞĞĆ&#x;ĹśĹ?Ć? ĂŜĚ͕ ĆŒÄžÄ?ĞŜƚůLJ͕ ŽƾĆŒ &W Ĺ˝Ä‚ĆŒÄš ŚĂĹ?ĆŒÍ• ĆŒÍ˜ Ĺ˝Ä? tÄžĆŒĹ?Ĺ?Ŝ͕ ĞǀĞŜ ŊŽŏĞĚ ƚŚĂƚ ŚĞ ĹŹĹśÄžÇ ĹľÇ‡ ĆšÇ Ĺ?Ĺś Ĺ?Ĺ?ĆŒĹŻĆ? Ä?ÄžĨŽĆŒÄž ƚŚĞLJ Ç ÄžĆŒÄž Ä?Ĺ˝ĆŒĹśÍ˜ /͛ž Ä?ĹŻÄžĆ?Ć?ĞĚ Ç Ĺ?ƚŚ Ä‚ Ç€ÄžĆŒÇ‡ Ć?ĆľĆ‰Ć‰Ĺ˝ĆŒĆ&#x;ǀĞ Ç Ĺ?ĨĞ͕ ĂŜĚ /͛ž Ĺ?ĆŒÄ‚ĆšÄžĨƾů ĨŽĆŒ ĹšÄžĆŒ Ć?ĆľĆ‰Ć‰Ĺ˝ĆŒĆš ŽĨ ŜŽĆš ĹŠĆľĆ?Ćš žĞ Ć‰ÄžĆŒĆ?ŽŜĂůůLJ͕ Ä?ƾƚ ŽĨ ĹšÄžĆŒ Ć?Ä‚Ä?ĆŒĹ?ÄŽÄ?ÄžĆ? Ĺ?Ĺś Ć?ƚĞƉƉĹ?ĹśĹ? ƾƉ ƚŽ Ä?Ä‚ĆŒÄž ĨŽĆŒ ŽƾĆŒ Ä?ĹšĹ?ĹŻÄšĆŒÄžĹśÍ˜ DLJ Ĺ?Ĺ?ĆŒĹŻĆ? Ä‚ĆŒÄž ĹśĹ˝Ç Ĺ?Ĺś ƚŚĹ?ĆŒÄš Ĺ?ĆŒÄ‚ÄšÄž ĂŜĚ žLJ Ć?ŽŜ Ĺ?Ć? Ĺ?Ĺś ĹŹĹ?ĹśÄšÄžĆŒĹ?Ä‚ĆŒĆšÄžĹś – ƚŚĞLJ ŚĂǀĞ Ä?ÄžÄ?ŽžÄž Ç€ÄžĆŒÇ‡ Ĺ?ŽŽÄš ĆšĆŒÄ‚Ç€ÄžĹŻÄžĆŒĆ?͘ tŚĞŜ /͛ž Ĺ?Ĺś ĆšĹ˝Ç ĹśÍ• žLJ Ç Ĺ?ĨÄž Ä‚Ć?ĹŹĆ? ƚŚĂƚ / Ä?Äž ĹšŽžÄž Ĺ?Ĺś Ć&#x;žĞ ĨŽĆŒ ÄšĹ?ŜŜÄžĆŒÍ• ĂŜĚ /͛ž Ĺ?ĹŻÄ‚Äš ƚŽ Ä?ŽžĆ‰ĹŻÇ‡ Ç Ĺ?ƚŚ ƚŚĂƚ ĆŒÄžĆ‹ĆľÄžĆ?ĆšÍ˜ / Ä?ĞůĹ?ĞǀĞ ƉƾƍŜĹ? Ç Ĺ˝ĆŒĹŹ ŽŜ ƉĂƾĆ?Äž ĂŜĚ ŚĂǀĹ?ĹśĹ? ÄšĹ?ŜŜÄžĆŒ Ç Ĺ?ƚŚ žLJ ĨÄ‚ĹľĹ?ůLJ ŚĂĆ? žĂĚĞ žĞ Ä‚ Ä?ÄžĆŠÄžĆŒ ŚƾĆ?Ä?ĂŜĚ ĂŜĚ ĨÄ‚ĆšĹšÄžĆŒÍ˜ What do you liĹŹe to do for fun? / ůŽǀĞ ƚŽ ĆšĆŒÄ‚Ç€ÄžĹŻÍ• ĂŜĚ Ĺ˝Ç€ÄžĆŒ ƚŚĞ ƉĂĆ?Ćš Ď­ĎŹ Ç‡ÄžÄ‚ĆŒĆ?Í• /͛ǀĞ ĆšĆŒÄ‚Ç€ÄžĹŻĹŻÄžÄš ƚŽ Ä‚ĹŻĹŻ Ä?Ĺ˝ĆŒĹśÄžĆŒĆ? ŽĨ ƚŚĞ hĹśĹ?ƚĞĚ ^ƚĂƚĞĆ? ĂŜĚ Ĺ?ĆšĆ? ĆšÄžĆŒĆŒĹ?ĆšĹ˝ĆŒĹ?ÄžĆ?͘ / ŚĂǀĞ ÄžŜŊŽÇ‡ÄžÄš žĞĞĆ&#x;ĹśĹ? ƉĞŽƉůĞ ĂŜĚ ĹŻÄžÄ‚ĆŒĹśĹ?ĹśĹ? Ä‚Ä?ŽƾĆš ƚŚĞĹ?ĆŒ ĹŻĹ?ǀĞĆ?͘ ƾƚ Ç ĹšÄ‚Ćš / Ç Ĺ˝ĆľĹŻÄš ĆŒÄžÄ‚ĹŻĹŻÇ‡ ĹŻĹ?ĹŹÄž ƚŽ ĚŽ Ĺ?Ć? ƚŽ Ĺ?Ğƚ Ä?Ä‚Ä?ĹŹ ƚŽ Ĺ?ŽůĨ͘ / Ĺ?ĂǀĞ ƚŚĂƚ ƾƉ Ç ĹšÄžĹś / ŚĂĚ ƚŽ ĚĞÄ?Ĺ?ĚĞ Ä?ÄžĆšÇ ÄžÄžĹś ŏĞĞƉĹ?ĹśĹ? ƚŚĞ ŚŽÄ?Ä?LJ Ĺ˝ĆŒ ŏĞĞƉĹ?ĹśĹ? žLJ Ç Ĺ?ĨÄž ŚĂƉƉLJ Ç Ĺ?ƚŚ ĆšÇ Ĺ˝ ĹśÄžÇ Ä?Ĺ˝ĆŒĹś ĚĂƾĹ?ĹšĆšÄžĆŒĆ?͘ EĹ˝Ç ĆšĹšÄ‚Ćš ƚŚĞLJ͛ǀĞ Ĺ?ĆŒĹ˝Ç Ĺś ƾƉ Ä‚ Ä?Ĺ?ƚ͕ / Ä?ŽƾĹ?Śƚ Ć?ŽžÄž ŊƾŜĹ?Ĺ˝ĆŒ Ä?ĹŻĆľÄ?Ć? ĂŜĚ ĆšŽŽŏ ƚŚĞž ƚŽ ƚŚĞ ÄšĆŒĹ?Ç€Ĺ?ĹśĹ? ĆŒÄ‚ĹśĹ?Ğ͘ tĹ?ƚŚ ĆšĹšĆŒÄžÄž ĹŹĹ?ÄšĆ? Ä‚Ć? ĨƾĆšĆľĆŒÄž Ĺ?ŽůĨÄžĆŒĆ?Í• Ĺ?ƚ͛ůů Ä?Äž ĞĂĆ?LJ ƚŽ Ĺ?Ğƚ Ä‚ ƚĞĞ Ć&#x;žĞ ĨŽĆŒ Ä‚ ĨŽƾĆŒĆ?ŽžÄžÍ˜ Where do you liĹŹe to Ç€acaĆ&#x;on? tÄž ĆľĆ?ĞĚ ƚŽ Ĺ?Ĺ˝ ƚŽ ,Ä‚Ç Ä‚Ĺ?Ĺ? ÄžÇ€ÄžĆŒÇ‡ Ç‡ÄžÄ‚ĆŒ ĨŽĆŒ ǀĂÄ?Ä‚Ć&#x;ŽŜÍ• Ä?ƾƚ Ĺ?Ĺś ƚŚĞ ĹŻÄ‚Ć?Ćš Ä?ŽƾƉůĞ ŽĨ Ç‡ÄžÄ‚ĆŒĆ?Í• žLJ ĨÄ‚ĹľĹ?ůLJ ŚĂĆ? Ä?ÄžĹ?ƾŜ ƚĂŏĹ?ĹśĹ? Ä?ĆŒĆľĹ?Ć?ÄžĆ?͘ DLJ ĨÄ‚ĹľĹ?ůLJ ŚĂĆ? ĹŻÄžÄ‚ĆŒĹśÄžÄš ƚŚĂƚ Ĺ?Ĩ / Ä‚Ĺľ ŽŜ Ä‚ Ä?ĆŒĆľĹ?Ć?Ğ͕ / Ä‚Ĺľ Ä?ŽžĆ‰ĹŻÄžĆšÄžĹŻÇ‡ ÄšĹ?Ć?Ä?ŽŜŜÄžÄ?ƚĞĚ ĨĆŒŽž žLJ ĞůĞÄ?ĆšĆŒŽŜĹ?Ä? Ĺ?Ä‚ÄšĹ?ĞƚĆ?͘ ŜĚ ƚŚĞLJ Ä‚ĆŒÄž Ä‚Ä?Ć?ŽůƾƚĞůLJ ĆŒĹ?Ĺ?Śƚ Ĺ?Ĺś Ĺ?ĞƍŜĹ? žĞ Ä‚Ç Ä‚Ç‡ ĨĆŒŽž ƚŚĞĆ?Äž ƚŚĹ?ĹśĹ?Ć?Í• Ć?Ĺ?ĹśÄ?Äž ƚŚĂƚ Ä‚ĹŻĹŻĹ˝Ç Ć? žĞ ƚŽ ĆŒÄžÄ?ŽŜŜÄžÄ?Ćš Ç Ĺ?ƚŚ žLJ ĨÄ‚ĹľĹ?ůLJ͕ ƾŜĹ?ĹśĆšÄžĆŒĆŒĆľĆ‰ĆšÄžÄšÍ˜ If you become the President-elect, are you going to giÇ€e up paĆ&#x;ent care? /Ćš Ĺ?Ć?Ŝ͛ƚ ĞĂĆ?LJ Ä?ÄžĹ?ĹśĹ? Ä‚ ĨƾůůͲĆ&#x;žĞ Ć‰ĆŒÄ‚Ä?Ć&#x;Ä?Ĺ?ĹśĹ? ƉŚLJĆ?Ĺ?Ä?Ĺ?Ä‚Ĺś Ĺ?Ĺś Ä?ĹšÄ‚ĆŒĹ?Äž ŽĨ Ä‚ Ä?ĆľĆ?LJ Ć‰ĆŒÄ‚Ä?Ć&#x;Ä?Ğ͕ Ä‚Ć? Ç ÄžĹŻĹŻ Ä‚Ć? Ä?ÄžĹ?ĹśĹ? Ä‚ Ć‰Ä‚ĆŒĆšͲĆ&#x;žĞ ŚŽĆ?ƉĹ?ƚĂůĹ?Ć?ĆšÍ˜ KŜĞ ƚŚĹ?ĹśĹ? ƚŚĂƚ žLJ ŜƾĆŒĆ?Äž ÄšĹ?Äš Ç Ĺ?ƚŚŽƾĆš žLJ ĹŹĹśĹ˝Ç ĹŻÄžÄšĹ?Äž ĹŻÄ‚Ć?Ćš Ç‡ÄžÄ‚ĆŒ Ç Ä‚Ć? ƚŽ ƉŽĆ?Ćš žLJ Ä‚Ä?Ä?ŽžĆ‰ĹŻĹ?Ć?ŚžĞŜƚĆ? ĂŜĚ ĹśÄžÇ Ć? Ĺ?ƚĞžĆ? ŽŜ ƚŚĞ ŽĸÄ?Äž Ä?ƾůůÄžĆ&#x;Ĺś Ä?Ĺ˝Ä‚ĆŒÄšÍ˜ KÇ€ÄžĆŒ ƚŚĞ ƉĂĆ?Ćš Ç‡ÄžÄ‚ĆŒÍ• žĂŜLJ ŽĨ žLJ ƉĂĆ&#x;ĞŜƚĆ? Ä?ŽŜĹ?ĆŒÄ‚ĆšƾůĂƚĞĚ žĞ ŽŜ ƚŚĞĆ?Äž

Ä‚Ä?ĹšĹ?ĞǀĞžĞŜƚĆ? ĂŜĚ Ć?ŽžÄž ĞǀĞŜ Ä‚Ć?ŏĞĚ Ĺ?Ĩ / Ç Ä‚Ć? Ĺ?Ĺ˝Ĺ?ĹśĹ? ƚŽ ůĞĂǀĞ žLJ Ć‰ĆŒÄ‚Ä?Ć&#x;Ä?Ğ͘ / ĆšŽůÄš ƚŚĞž ƚŚĂƚ / ŚĂǀĞ ŜŽ Ĺ?ŜƚĞŜĆ&#x;ŽŜ ŽĨ ůĞĂǀĹ?ĹśĹ? ĆšĹšÄžĹľÍ˜ /͛ž ĨŽĆŒĆšƾŜĂƚĞ ƚŽ ŚĂǀĞ Ĺ?ĆŒÄžÄ‚Ćš Ć‰Ä‚ĆŒĆšĹśÄžĆŒĆ? Ç ĹšĹ˝ Ä‚ĆŒÄž Ä‚Ä?ĹŻÄž ƚŽ Ć?ĆľĆ‰Ć‰Ĺ˝ĆŒĆš žĞ ĂŜĚ žLJ ƉĂĆ&#x;ĞŜƚĆ? ĆšĹšĆŒŽƾĹ?Ĺš žLJ ÄžĹśÄšÄžÄ‚Ç€Ĺ˝ĆŒĆ?͘ DLJ Ć?ĆľÄ?Ä?ÄžĆ?Ć? Ĺ?Ć? ĆšĆŒƾůLJ Ä‚ ĆŒÄžĆ?ƾůĆš ŽĨ Ĺ?ĆŒÄžÄ‚Ćš ĆšÄžÄ‚ĹľÇ Ĺ˝ĆŒĹŹÍ• ĂŜĚ / ĞdžƉĞÄ?Ćš ƚŽ Ä?ŽŜĆ&#x;ŜƾÄž ƚŽ Ç Ĺ˝ĆŒĹŹ Ĺ?Ĺś ƚŚĞ Ć?ĂžĞ Ä?ĂƉĂÄ?Ĺ?ƚLJ ĨŽĆŒ žLJ ƉĂĆ&#x;ĞŜƚĆ?͘

Academic FP Program Director – Las Vegas, NV HCA MountainView Hospital is seeking qualified candidates for our new Family Medicine Residency Program. The Program Director provides leadership and general administration and establishes the strategic direction of the program and is responsible for the standards, quality and reputation of the Family Medicine Residency Program. The Program Director is expected to integrate the Family Medicine Residency Program with physician practices and hospital clinical services in a manner that enhances value and quality, and that promotes an optimal environment for professional practice and graduate medical education.

QUALIFICATIONS t 3FRVJTJUF TQFDJBMUZ FYQFSUJTF BOE EPDVNFOUFE FEVDBUJPOBM BOE administrative expertise acceptable to the review committee. t $VSSFOU DFSUJGJDBUJPO JO UIF TQFDJBMUZ CZ UIF "NFSJDBO #PBSE PG Family Medicine. t $VSSFOU NFEJDBM MJDFOTVSF BOE BQQSPQSJBUF NFEJDBM TUBGG appointment. t "DUJWF JOWPMWFNFOU JO UIF DBSF PG QBUJFOUT 1SJPS UP BTTVNJOH UIJT position, a minimum of two years full-time professional activity in family medicine, as well as teaching experience in a family medicine residency is required.

For more information, please forward your cover letter and CV. Randy Mitchell HCA Physician Services Group 615.943.7854 Randall.Mitchell@HCAHealthcare.com California Family Physician Summer 2016

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2016 Family Medicine Clinical Forum Was a Huge Success! ŵƉŽǁĞƌŝŶŐ͕ dƌĂŶƐĨŽƌŵĂƟǀĞ͕ ZĞĂƐƐƵƌŝŶŐ͕ WƌŽƵĚ͕ WƌŽŐƌĞƐƐŝǀĞ͕ ZĞĨƌĞƐŚŝŶŐ͕ ŶĞƌŐŝnjŝŶŐ͕ ŶůŝŐŚƚĞŶŝŶŐ ͘​͘​͘ dŚĞ ϮϬϭϲ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ǁƌĂƉƉĞĚ ƵƉ ĂŶĚ ƚŚĞƐĞ ĂƌĞ ũƵƐƚ ƐŽŵĞ ŽĨ ƚŚĞ ĚĞƐĐƌŝƉƟŽŶƐ ŽĨ ƚŚĞŝƌ ĞdžƉĞƌŝĞŶĐĞ ĨƌŽŵ ƚŚĞ ŵŽƌĞ ƚŚĂŶ ϯϮϱ ĂƩĞŶĚĞĞƐ Ăƚ ƚŚŝƐ LJĞĂƌ͛Ɛ ĐŽŶĨĞƌĞŶĐĞ͘ dŚĞ ĐŽŶĨĞƌĞŶĐĞ ďƌŽŬĞ ĂƩĞŶĚĂŶĐĞ ƌĞĐŽƌĚƐ ĂŶĚ ŽīĞƌĞĚ ĂƩĞŶĚĞĞƐ Ă ĐŚŽŝĐĞ ŽĨ ŵŽƌĞ ƚŚĂŶ Ϯϴ ĐŽŶƟŶƵŝŶŐ ŵĞĚŝĐĂů ĞĚƵĐĂƟŽŶ ĐƌĞĚŝƚƐ͕ ƚǁŽ ŬĞLJŶŽƚĞ ƐƉĞĂŬĞƌƐ͕ dĂďůĞ dĂůŬ ĚŝƐĐƵƐƐŝŽŶƐ ĐŽǀĞƌŝŶŐ ǀĂůƵĞͲďĂƐĞĚ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵ͕ ŵĞŶƚŽƌŝŶŐ ĂŶĚ ŶĞǁ ƉŚLJƐŝĐŝĂŶ ƐƵƉƉŽƌƚ͕ ƚŚĞ ůĂƵŶĐŚ ŽĨ &W͛Ɛ ŶĚͲŽĨͲ>ŝĨĞ ŽŶǀĞƌƐĂƟŽŶƐ ƉƌŽũĞĐƚ͕ ZĞƐŝĚĞŶƚƐ͛ WŽƐƚĞƌ ĐŽŶƚĞƐƚ͕ ƚŚƌĞĞ ^ DƐ ƐĞƐƐŝŽŶƐ ĂŶĚ Ă ƵƉƌĞŶŽƌƉŚĞŶĞ ǁŽƌŬƐŚŽƉ͘ /Ŷ ĂĚĚŝƟŽŶ͕ &W͛Ɛ ŶĞǁ ŽĸĐĞƌƐ ǁĞƌĞ ŝŶƐƚĂůůĞĚ ďLJ &W ŽĂƌĚ ŚĂŝƌ ZŽďĞƌƚ tĞƌŐŝŶ͕ D ͘ >ĞĞ ZĂůƉŚ͕ D ͕ &W͛Ɛ ŶĞǁůLJ ƐǁŽƌŶͲ ŝŶ ƉƌĞƐŝĚĞŶƚ ŐĂǀĞ ŚŝƐ ƌĞŵĂƌŬƐ ĂŶĚ ƌĞĐŽŐŶŝnjĞĚ džĞĐƵƟǀĞ sŝĐĞ WƌĞƐŝĚĞŶƚ ^ƵƐĂŶ ,ŽŐĞůĂŶĚ ĨŽƌ ŚĞƌ Ϯϱ LJĞĂƌƐ Ăƚ ƚŚĞ ŚĞůŵ ŽĨ ƚŚĞ

ĐĂĚĞŵLJ͘ KƵƚŐŽŝŶŐ WƌĞƐŝĚĞŶƚ :ĂLJ >ĞĞ͕ D ͕ DW, ƌĞĐĞŝǀĞĚ Ă ƐƚĂŶĚŝŶŐ ŽǀĂƟŽŶ ĨŽƌ ŚŝƐ ŝŶĐƌĞĚŝďůĞ LJĞĂƌ͘ ƌ͘ tĞƌŐŝŶ ĂůƐŽ ĐŽŶĨĞƌƌĞĚ &W &ĞůůŽǁƐŚŝƉ ŽŶ ĮǀĞ &W ŵĞŵďĞƌƐ͘ &W ĂŶĚ &W &ŽƵŶĚĂƟŽŶ ǁĂƌĚƐ ǁĞƌĞ ƉƌĞƐĞŶƚĞĚ ƚŽ͗ ůĞdž DƌŽƐnjĐnjLJŬͲDĐ ŽŶĂůĚ͕ ϮϬϭϲ ZĞƐŝĚĞŶƚ ŽĨ ƚŚĞ zĞĂƌ ;ǁŚŽ ŵŝƐƐĞĚ ƚŚĞ ĞǀĞŶƚ͕ ďƵƚ ĮŶŝƐŚĞĚ ƚŚĞ ŽƐƚŽŶ DĂƌĂƚŚŽŶͿ 'ŝůďĞƌƚŽ 'ƌĂŶĂĚŽƐ͕ D ͕ ϮϬϭϲ ĚƵĐĂƚŽƌ ŽĨ ƚŚĞ zĞĂƌ ĂŶĚ :ĞīƌĞLJ >ƵƚŚĞƌ͕ D ͕ ϮϬϭϲ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ŽĨ ƚŚĞ zĞĂƌ͘ &ŝŶĂůůLJ͕ ĂƩĞŶĚĞĞƐ ĞŶũŽLJĞĚ ĂŶ Ăůů ŵĞŵďĞƌ ƌĞĐĞƉƟŽŶ͕ ƚŚĞ &ŽƵŶĚĂƟŽŶ ƵĐƟŽŶ ƚŚĂƚ ƌĂŝƐĞĚ ŵŽƌĞ ƚŚĂŶ Ψϳ͕ϬϬϬ ƚŽ ƐƵƉƉŽƌƚ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ ĂĐƟǀŝƟĞƐ ĂŶĚ ŵŝŶŐůĞĚ Ăƚ Ă ůĂƌŐĞ ĞdžŚŝďŝƚ ƉƌŽŐƌĂŵ͘ DĂƌŬ LJŽƵƌ ĐĂůĞŶĚĂƌ ŶŽǁ ƚŽ ĂƩĞŶĚ ŶĞdžƚ LJĞĂƌ͛Ɛ &ŽƌƵŵ͗ April 8-ϵ, 201ϳ at the Hilton San Francisco Union SƋuare͊

CongratulaƟons to CAFP’s Eeǁly Elected Kĸcers &W ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ĂƌŽů ,ĂǀĞŶƐ͕ D ͖ &W ĞůĞŐĂƚĞ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ͖ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D ͖ ^ƉĞĂŬĞƌ >ŝƐĂ tĂƌĚ͕ D ͕ DW,͖ ĂŶĚ ^ĞĐƌĞƚĂƌLJͬdƌĞĂƐƵƌĞƌ ĂǀŝĚ ĂnjnjŽ͕ D ͘ sŝĐĞ ^ƉĞĂŬĞƌ tĂůƚ DŝůůƐ͕ D ŝƐ ŶŽƚ ƉŝĐƚƵƌĞĚ͘ 18

California Family Physician Summer 2016

NOW HIRING - CIVILIAN FAMILY MEDICINE PHYSICIAN AT CAMP PENDLETON CALIFORNIA AND SAN DIEGO CALIFORNIA LOCATION FAMILY PHYSICIAN OUTPATIENT CLINIC POSITION. The FULL TIME FACULTY POSITION AT CAMP PENDLETON NAVAL HOSPITAL. An established Navy Family Medicine Residency Family Physician position at San Diego, California will be assigned to program is seeking a qualified teacher to become part of the faculty in this 13/13/13 program. This position offers a highly competitive salary without productivity requirements and robust federal benefits including a pension plan. We prefer that applicants are currently practicing obstetrical care but this can be discussed on a case-by-case basis. Teaching requirements include inpatient adult and pediatric medicine and obstetrics and precepting of residents in their continuity clinic. We offer protected teaching time and opportunities for scholarly activity. Prior military experience is not required.

the Directorate for Branch Clinics (DBC), Naval Medical Center, San Diego. The position may be located at any of the Health Clinics, including the following: Naval Air Station North Island, Naval Station San Diego, Miramar, Tricare Outpatient Clinic Chula Vista, or the Naval Training Command. The mission at Naval Medical Center San Diego is to prepare to deploy in support of operational forces, deliver quality health services, and shape the future of military medicine through education, training and research. In this position you will provide the full range of Family Practice care, including the evaluation and treatment of beneficiaries and their families.

A qualified candidate will become a core faculty member and work collaboratively within a team of 12 other Family Medicine faculty physicians. We proudly serve the military population in our area. Our clinic population is primarily composed of family members of active duty Marines and Sailors. We also have a large number of retirees from all services.

To learn more about our positions, please visit https://www.usajobs.gov/GetJob/PrintPreview/440490400 for Camp Pendleton, California location and https://don-physician.usajobs.gov/GetJob/ViewDetails/421845000/ for San Diego, California location

As a Faculty member, you will be assigned your own panel of clinic patients. In addition to clinic precepting and inpatient supervision, faculty members are encouraged to perform and precept procedures such as vasectomy, colposcopy, minor skin procedures, exercise stress testing, joint injection and obstetrical ultrasound based on current competency. We have opportunities for the practice of operative obstetrics for a qualified and trained individual.

To apply to our position, email your complete resume including beginning and ending dates, month and year, detail description of duties performed, etc., for each experience directly to

medjobs@navy.mil, and insert the Vacancy Identification Number (VIN) followed by CFP (i.e. 1716230CFP) in your subject line for location(s) of interest The POSITION TITLE, SERIES, GRADE, LOCATION AND VIN are listed PHYSICIAN FAMILY PRACTICE, GP-0602-15, CAMP PENDLETON, CA, VIN 1716230 PHYSICIAN FAMILY PRACTICE, GP-0602-15, SAN DIEGO, CA, VIN 1558133 Department of the Navy offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays and a 401K-type retirement plan. More information can be found by visiting http://www.secnav.navy.mil/donhr/Benefits/Pages/Default.aspx For additional information of how to apply, contact Sheryl Brockington at (215) 697-0389. For additional information regarding the position at Camp Pendleton, California, contact CAPT Gregory Jones at (760) 719-3132.

California Family Physician Summer 2016

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CAFP Launches End-of-Life Conversations Project ƉĞƌĨĞĐƚ ƐƚŽƌŵ ŽĨ ƉƵďůŝĐ͕ ůĞŐŝƐůĂƚŝǀĞ͕ ĐŽŵŵƵŶŝĐĂƚŝŽŶ͕ ĞĚƵĐĂƚŝŽŶĂů ĂŶĚ ĐůŝŶŝĐĂů ĐŽŶĐĞƌŶƐ ŚĂƐ ĐŽŵĞ ƚŽŐĞƚŚĞƌ ĂŶĚ LJŽƵƌ ĐĂĚĞŵLJ ŝƐ ƉƌŝŵĞĚ ƚŽ ĂĚĚƌĞƐƐ ĞĂĐŚ ŽĨ ƚŚĞƐĞ ĂƌĞĂƐ͘ dŚĞ &W ĂŶĚ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ ŚĂǀĞ ĚĞƐŝŐŶĞĚ ĂŶĚ ĂƌĞ ŝŵƉůĞŵĞŶƚŝŶŐ Ă ďƌŽĂĚ ŝŶŝƚŝĂƚŝǀĞ ŚŝŐŚůŝŐŚƚŝŶŐ ƚŚĞ ŵĂŶLJ ĂƐƉĞĐƚƐ ŽĨ ĞŶĚͲŽĨͲůŝĨĞ ĐĂƌĞ͕ ĂĚǀĂŶĐĞ ĐĂƌĞ ƉůĂŶŶŝŶŐ ĂŶĚ ƚŚĞ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ďĞƚǁĞĞŶ ĂŶĚ ĂŵŽŶŐ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƚŚĞŝƌ ƚĞĂŵƐ͕ ƉĂƚŝĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ĂŶĚ ĐĂƌĞŐŝǀĞƌƐ͘ dŚĞ ƉƌŽũĞĐƚ ŝŶĐůƵĚĞƐ ĞĚƵĐĂƚŝŽŶ ĂŶĚ ŽƵƚƌĞĂĐŚ ƚĂƌŐĞƚŝŶŐ ŝŶƚĞŐƌĂƚŝŶŐ ĞŶĚͲŽĨͲůŝĨĞ͕ ĂĚǀĂŶĐĞ ĐĂƌĞ ƉůĂŶŶŝŶŐ ĂŶĚ ƉĂůůŝĂƚŝǀĞ ĐĂƌĞ ŝŶƚŽ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉƌĂĐƚŝĐĞƐ͘ KƵƌ ŐŽĂů ŝƐ ƚŽ ŝŶĐƌĞĂƐĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉƌŽǀŝĚĞƌƐ͛ ĨĂŵŝůŝĂƌŝƚLJ ǁŝƚŚ ĂĚǀĂŶĐĞ ĐĂƌĞ ƉůĂŶŶŝŶŐ ĂŶĚ ƉĂůůŝĂƚŝǀĞ ĐĂƌĞ ƐĞƌǀŝĐĞƐ ĂŶĚ ƚŚĞŝƌ ĐŽŵĨŽƌƚ ǁŝƚŚ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ĂƌŽƵŶĚ ƉƌŽŐŶŽƐŝƐ ĂŶĚ ĂĚǀĂŶĐĞĚ ĐĂƌĞ ƉůĂŶŶŝŶŐ͘ tĞ ŚĂǀĞ ĐƌĞĂƚĞĚ Ă ǁŝĚĞ ĂƌƌĂLJ ŽĨ ĞĚƵĐĂƚŝŽŶĂů ĂĐƚŝǀŝƚŝĞƐ ƚŽ ƐƵƉƉŽƌƚ LJŽƵ͕ LJŽƵƌ ƉƌĂĐƚŝĐĞ ƚĞĂŵƐ ĂŶĚ ŽĨĨŝĐĞƐ͕ ĂŶĚ ƉĂƚŝĞŶƚ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ŝŶ ƚŚŝƐ ĂƌĞĂ͘ dŚĞ ŝŶŝƚŝĂƚŝǀĞ ŝŶĐůƵĚĞƐ ůŝǀĞ ƉƌŽŐƌĂŵŵŝŶŐ͕ ƉĂŶĞů ĚŝƐĐƵƐƐŝŽŶƐ͕ ĞŶĚƵƌŝŶŐ ŵŽŶŽŐƌĂƉŚƐ͕ ǁĞďŝŶĂƌƐ͕ ƐůŝĚĞ ĚĞĐŬƐ ĨŽƌ ŽƚŚĞƌƐ ƚŽ ƵƐĞ ŝŶ ĞĚƵĐĂƚŝŶŐ ƉĞĞƌƐ͕ ĂŶĚ Ă DĂŝŶƚĞŶĂŶĐĞ ŽĨ ĞƌƚŝĨŝĐĂƚŝŽŶ WĂƌƚ /s ŵŽĚƵůĞ ŽŶ ĂĚǀĂŶĐĞĚ ĐĂƌĞ ĚŝƌĞĐƚŝǀĞƐ͘ dŚĞ &W͛Ɛ ǁĞďƐŝƚĞ ŚŽƐƚƐ ƚŚĞƐĞ ĞĚƵĐĂƚŝŽŶĂů ƉƌŽũĞĐƚƐ͗ Ă ƐĞƌŝĞƐ ŽĨ ůŝŶŬƐ ĨŽƌ ĐŽŵŵƵŶŝƚLJ͕ ĐůŝŶŝĐĂů ĂŶĚ ƉƌĂĐƚŝĐĞ ƌĞƐŽƵƌĐĞƐ͖ ŶĞǁƐ ĂŶĚ ŵĞĚŝĂ͖ ĂŶĚ Ă ƐĞƌŝĞƐ ŽĨ ƉŽĚĐĂƐƚƐ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉƌŝŵĂƌLJ ĐĂƌĞ ůŝƐƚĞŶĞƌƐ ƚŚĂƚ ŚŝŐŚůŝŐŚƚ Ă ƌĂŶŐĞ ŽĨ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ŽŶ ƚŚĞ ƚŽƉŝĐƐ͘ WůĞĂƐĞ ǀŝƐŝƚ ǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĞŽů͘ EĞǁ ƚŽŽůƐ͕ ƌĞƐŽƵƌĐĞƐ ĂŶĚ ĞĚƵĐĂƚŝŽŶĂů ƉŝĞĐĞƐ ǁŝůů ďĞ ĂĚĚĞĚ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ LJĞĂƌ͘

New Options at the End of Life ĂůŝĨŽƌŶŝĂ͛Ɛ ŶĞǁ ŶĚ ŽĨ >ŝĨĞ KƉƚŝŽŶ Đƚ ǁĞŶƚ ŝŶƚŽ ĞĨĨĞĐƚ ŽŶ :ƵŶĞ ϵ͕ ϮϬϭϲ͕ ĂŶĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƚĂƚĞ ŵĂLJ ƌĞĐĞŝǀĞ ŝŶƋƵŝƌŝĞƐ ĨƌŽŵ ƉĂƚŝĞŶƚƐ ĂďŽƵƚ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐƐ͘ dŚĞ ůĂǁ ĂůůŽǁƐ YƵĂůŝĨŝĞĚ WĂƚŝĞŶƚƐ ƚŽ ƌĞƋƵĞƐƚ ĂŶĚ ƌĞĐĞŝǀĞ Ă ƉƌĞƐĐƌŝƉƚŝŽŶ ĨŽƌ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐƐ͘ dŚĞ ůĂǁ ŝŶĐůƵĚĞƐ Ă ƉƌŽŵŝŶĞŶƚ ƌŽůĞ ĨŽƌ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ƉƌŽĐĞƐƐ͕ ĂƐ ǁĞůů ĂƐ ƐŝŐŶŝĨŝĐĂŶƚ ƌĞƋƵŝƌĞŵĞŶƚƐ ĂŶĚ ƉƌŽƚĞĐƚŝŽŶƐ͘ &W ĞŶĐŽƵƌĂŐĞƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ůĂǁ ĂŶĚ ƉƌĞƉĂƌĞ ĨŽƌ ĐŽŶǀĞƌƐĂƚŝŽŶƐ ǁŝƚŚ ƉĂƚŝĞŶƚƐ͘ A QualiĮed PaƟent Ŷ ĂĚƵůƚ ǁŝƚŚ ƚŚĞ ĐĂƉĂĐŝƚLJ ƚŽ ŵĂŬĞ ŵĞĚŝĐĂů ĚĞĐŝƐŝŽŶƐ ŵĂLJ ƌĞƋƵĞƐƚ ĂŶĚ ƌĞĐĞŝǀĞ Ă ƉƌĞƐĐƌŝƉƚŝŽŶ ĨŽƌ ĂŶ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ ŝĨ ŚĞ Žƌ ƐŚĞ ŚĂƐ Ă ƚĞƌŵŝŶĂů ĚŝƐĞĂƐĞ͕ ŝƐ Ă ĂůŝĨŽƌŶŝĂ ƌĞƐŝĚĞŶƚ ĂŶĚ ŚĂƐ ƚŚĞ ĂďŝůŝƚLJ ƚŽ ŝŶŐĞƐƚ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ ǁŝƚŚŽƵƚ ĂƐƐŝƐƚĂŶĐĞ͘ dŚĞ ŝŶĚŝǀŝĚƵĂů ŵƵƐƚ ŵĂŬĞ ƚǁŽ ŽƌĂů ƌĞƋƵĞƐƚƐ͕ Ă ŵŝŶŝŵƵŵ ŽĨ ϭϱ ĚĂLJƐ ĂƉĂƌƚ͕ ĂŶĚ Ă ǁƌŝƚƚĞŶ ƌĞƋƵĞƐƚ ŝŶ Ă ƐƉĞĐŝĨŝĞĚ ĨŽƌŵ ĚŝƌĞĐƚůLJ ƚŽ ŚŝƐ Žƌ ŚĞƌ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ͘ dŚĞ ƌĞƋƵĞƐƚ ŵƵƐƚ ďĞ ƐŝŐŶĞĚ ĂŶĚ ĚĂƚĞĚ͕ ŝŶ ƚŚĞ ƉƌĞƐĞŶĐĞ ŽĨ ƚǁŽ ǁŝƚŶĞƐƐĞƐ͕ ǁŚŽ ŵĂŬĞ ĐĞƌƚĂŝŶ ĂƚƚĞƐƚĂƚŝŽŶƐ͘ AƩending and ConsulƟng Physicians dǁŽ ƉŚLJƐŝĐŝĂŶƐ ŵƵƐƚ ƌĞƐƉŽŶĚ ƚŽ ĞĂĐŚ ƌĞƋƵĞƐƚ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ŝƐ ĚĞĨŝŶĞĚ ďLJ ƚŚĞ Đƚ ĂƐ ͞ƚŚĞ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŚĂƐ ƉƌŝŵĂƌLJ ƌĞƐƉŽŶƐŝďŝůŝƚLJ ĨŽƌ ƚŚĞ ŚĞĂůƚŚ ĐĂƌĞ ŽĨ ƚŚĞ ŝŶĚŝǀŝĚƵĂů ĂŶĚ ƚƌĞĂƚŵĞŶƚ ŽĨ ƚŚĞ ŝŶĚŝǀŝĚƵĂů͛Ɛ ƚĞƌŵŝŶĂů ĚŝƐĞĂƐĞ͘͟ dŚĞ ŽŶƐƵůƚŝŶŐ WŚLJƐŝĐŝĂŶ ŝƐ ĚĞĨŝŶĞĚ ďLJ ƚŚĞ Đƚ ĂƐ ͞Ă ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŝƐ ŝŶĚĞƉĞŶĚĞŶƚ ĨƌŽŵ ƚŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ĂŶĚ ǁŚŽ ŝƐ ƋƵĂůŝĨŝĞĚ ďLJ ƐƉĞĐŝĂůƚLJ Žƌ ĞdžƉĞƌŝĞŶĐĞ ƚŽ ŵĂŬĞ Ă 20

California Family Physician Summer 2016

ƉƌŽĨĞƐƐŝŽŶĂů ĚŝĂŐŶŽƐŝƐ ĂŶĚ ƉƌŽŐŶŽƐŝƐ ƌĞŐĂƌĚŝŶŐ ĂŶ ŝŶĚŝǀŝĚƵĂů͛Ɛ ƚĞƌŵŝŶĂů ĚŝƐĞĂƐĞ͘͟ The Process dŚĞ ƚƚĞŶĚŝŶŐ ĂŶĚ ŽŶƐƵůƚŝŶŐ WŚLJƐŝĐŝĂŶƐ ŵƵƐƚ ƚĂŬĞ ŵƵůƚŝƉůĞ ƐƚĞƉƐ ĂŶĚ &W ƌĞĐŽŵŵĞŶĚƐ ƌĞǀŝĞǁŝŶŐ ƚŚĞ ĚĞƚĂŝůƐ ŽĨ ƚŚŝƐ ƉƌŽĐĞƐƐ ŝŶ ŽƵƌ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͛Ɛ 'ƵŝĚĞ ƚŽ ƚŚĞ ŶĚͲŽĨͲ>ŝĨĞ KƉƚŝŽŶ Đƚ͘ ,ĞƌĞ ŝƐ Ă ƐƵŵŵĂƌLJ͗ ϭ͘ ĞƚĞƌŵŝŶĞ ǁŚĞƚŚĞƌ ƚŚĞ ƉĂƚŝĞŶƚ ŝƐ ƋƵĂůŝĨŝĞĚ͘ /Ĩ ƚŚĞƌĞ ĂƌĞ ŝŶĚŝĐĂƚŝŽŶƐ ŽĨ Ă ŵĞŶƚĂů ĚŝƐŽƌĚĞƌ͕ ƌĞĨĞƌ ƚŚĞ ŝŶĚŝǀŝĚƵĂů ƚŽ Ă ŵĞŶƚĂů ŚĞĂůƚŚ ƐƉĞĐŝĂůŝƐƚ ĨŽƌ ĂŶ ĂƐƐĞƐƐŵĞŶƚ͘ Ϯ͘ /ŶĨŽƌŵ ƚŚĞ ƉĂƚŝĞŶƚ ŽĨ ŚŝƐ Žƌ ŚĞƌ ŵĞĚŝĐĂů ĚŝĂŐŶŽƐŝƐ ĂŶĚ ƉƌŽŐŶŽƐŝƐ͕ ƚŚĞ ƉŽƚĞŶƚŝĂů ƌŝƐŬƐ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ŝŶŐĞƐƚŝŶŐ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ͕ ƚŚĞ ƉƌŽďĂďůĞ ƌĞƐƵůƚ ŽĨ ŝŶŐĞƐƚŝŶŐ ƚŚĞ ĚƌƵŐ͕ ƚŚĞ ƉŽƐƐŝďŝůŝƚLJ ƚŚĂƚ ƚŚĞ ƉĂƚŝĞŶƚ ŵĂLJ ĐŚŽŽƐĞ ƚŽ ŽďƚĂŝŶ ƚŚĞ ĚƌƵŐ ďƵƚ ŶŽƚ ƚĂŬĞ ŝƚ ĂŶĚ ƚŚĞ ĨĞĂƐŝďůĞ ĂůƚĞƌŶĂƚŝǀĞƐ Žƌ ĂĚĚŝƚŝŽŶĂů ƚƌĞĂƚŵĞŶƚ ŽƉƚŝŽŶƐ͕ ŝŶĐůƵĚŝŶŐ ĐŽŵĨŽƌƚ ĐĂƌĞ͕ ŚŽƐƉŝĐĞ ĐĂƌĞ͕ ƉĂůůŝĂƚŝǀĞ ĐĂƌĞ ĂŶĚ ƉĂŝŶ ĐŽŶƚƌŽů͘ ϯ͘ ZĞĨĞƌ ƚŚĞ ƉĂƚŝĞŶƚ ƚŽ Ă ŽŶƐƵůƚŝŶŐ WŚLJƐŝĐŝĂŶ͘ dŚĞ ŽŶƐƵůƚŝŶŐ WŚLJƐŝĐŝĂŶ ŵƵƐƚ ĞdžĂŵŝŶĞ ƚŚĞ ƉĂƚŝĞŶƚ ĂŶĚ ĐŽŶĨŝƌŵ ƚŚĞ ĚŝĂŐŶŽƐŝƐ ĂŶĚ ƉƌŽŐŶŽƐŝƐ ĂŶĚ ƚŚĂƚ ƚŚĞ ƉĂƚŝĞŶƚ ŚĂƐ ƚŚĞ ĐĂƉĂĐŝƚLJ ƚŽ ŵĂŬĞ ŝŶĨŽƌŵĞĚ ŵĞĚŝĐĂů ĚĞĐŝƐŝŽŶƐ ĂŶĚ ŝƐ ĂĐƚŝŶŐ ǀŽůƵŶƚĂƌŝůLJ͘ dŚĞ ŽŶƐƵůƚŝŶŐ WŚLJƐŝĐŝĂŶ ŵƵƐƚ ĚŽĐƵŵĞŶƚ ƚŚĞƐĞ ĨŝŶĚŝŶŐƐ ĂŶĚ ƐƵďŵŝƚ ƚŚĞŵ͕ ĂůŽŶŐ ǁŝƚŚ Ă ĐŽŵƉůŝĂŶĐĞ ĨŽƌŵ͕ ƚŽ ƚŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ͘ ϰ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ŵƵƐƚ ĐŽƵŶƐĞů ƚŚĞ ƉĂƚŝĞŶƚ ĂďŽƵƚ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ;ĂͿ ŚĂǀŝŶŐ ĂŶŽƚŚĞƌ ƉĞƌƐŽŶ

REGISTER BY 9/4/16 & SAVE UP TO $100 SKIN DISEASE EDUCATION FOUNDATION PRESENTS

1 2 TH AN N U AL

A CONTINUING ME D IC AL ED U C A T IO N C O N F ER EN C E This Conference is For You Dermatologists, Pediatricians, Family Physicians, Ob.Gyns, Nurse Practitioners, Physician Assistants & Nurses

EARN UP TO 13.25 CME/CE CREDITS October 14-15, a , Newport Beach, CA SEMINAR DIRECTORS Sheila F. Friedlander, MD Professor of Dermatology and Pediatrics University of California, San Diego School of Medicine and Fellowship Program Director Pediatric and Adolescent Dermatology Rady Children’s Hospital, San Diego, CA

Maria Hordinsky, MD Professor and Chair, Department of Dermatology University of Minnesota, Minneapolis

Jointly provided by

GLOBALACADEMYCME.COM/DERMATOLOGY California Family Physician Summer 2016

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ƉƌĞƐĞŶƚ ǁŚĞŶ ŚĞ Žƌ ƐŚĞ ŝŶŐĞƐƚƐ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ͖ ;ďͿ ƉĞŶĂůƚŝĞƐ͘ dŚĞ ŶĞǁ ůĂǁ ƐƉĞĐŝĨŝĞƐ ƚŚĂƚ ƉƌŽǀŝĚĞƌƐ ĐĂŶ ƌĞĨƵƐĞ ƚŽ ŶŽƚ ŝŶŐĞƐƚŝŶŐ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ ŝŶ Ă ƉƵďůŝĐ ƉůĂĐĞ͖ ;ĐͿ ƉĂƌƚŝĐŝƉĂƚĞ ŝŶ ĂĐƚŝǀŝƚŝĞƐ ĂƵƚŚŽƌŝnjĞĚ ƵŶĚĞƌ ƚŚĞ ůĂǁ͕ ƚŽ ŝŶĨŽƌŵ ŶŽƚŝĨLJŝŶŐ ƚŚĞ ŶĞdžƚ ŽĨ ŬŝŶ ŽĨ ŚŝƐ Žƌ ŚĞƌ ƌĞƋƵĞƐƚ ĨŽƌ ĂŶ ĂŝĚͲ Ă ƉĂƚŝĞŶƚ ƌĞŐĂƌĚŝŶŐ ŚŝƐ Žƌ ŚĞƌ ƌŝŐŚƚƐ ƵŶĚĞƌ ƚŚĞ ůĂǁ ĂŶĚ ƚŽ ŝŶͲĚLJŝŶŐ ĚƌƵŐ͖ ;ĚͿ ƉĂƌƚŝĐŝƉĂƚŝŶŐ ŝŶ Ă ŚŽƐƉŝĐĞ ƉƌŽŐƌĂŵ͖ ĂŶĚ ƌĞĨĞƌ ĂŶ ŝŶĚŝǀŝĚƵĂů ƚŽ Ă ƉŚLJƐŝĐŝĂŶ ǁŚŽ ƉĂƌƚŝĐŝƉĂƚĞƐ ŝŶ ĂĐƚŝǀŝƚŝĞƐ ;ĞͿ ŵĂŝŶƚĂŝŶŝŶŐ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ ŝŶ Ă ƐĂĨĞ ĂŶĚ ƐĞĐƵƌĞ ĂƵƚŚŽƌŝnjĞĚ ƵŶĚĞƌ ƚŚĞ ůĂǁ͘ ůŽĐĂƚŝŽŶ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ŵƵƐƚ ŝŶĨŽƌŵ ƚŚĞ ƉĂƚŝĞŶƚ ƚŚĂƚ ŚĞ Žƌ ƐŚĞ ŵĂLJ ǁŝƚŚĚƌĂǁ Žƌ ƌĞƐĐŝŶĚ ƚŚĞ ƌĞƋƵĞƐƚ ĨŽƌ sŝƐŝƚ &W͛Ɛ ŶĚͲŽĨͲ>ŝĨĞ ŽŶǀĞƌƐĂƚŝŽŶƐ ǁĞďƐŝƚĞ Ăƚ ŚƚƚƉ͗ͬ​ͬǁǁǁ͘ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ Ăƚ ĂŶLJ ƚŝŵĞ ĂŶĚ ŽĨĨĞƌ ƚŚĞ ƉĂƚŝĞŶƚ ĂŶ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĞŽů ĨŽƌ ĂĚĚŝƚŝŽŶĂů ŝŶĨŽƌŵĂƚŝŽŶ ĂŶĚ ƌĞƐŽƵƌĐĞƐ͘ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ǁŝƚŚĚƌĂǁ Žƌ ƌĞƐĐŝŶĚ ďĞĨŽƌĞ ƉƌĞƐĐƌŝďŝŶŐ ƚŚĞ ĚƌƵŐ͘ ϱ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ŵƵƐƚ ŐŝǀĞ ƚŚĞ ƉĂƚŝĞŶƚ ƚŚĞ &ŝŶĂů ƚƚĞƐƚĂƚŝŽŶ Attention n Health Ca are Provide ers ĨŽƌŵ͕ ǁŝƚŚ ƚŚĞ ŝŶƐƚƌƵĐƚŝŽŶ ƚŚĂƚ ƚŚĞ Outpatiient Opportuniitiies with h Great Pay! ĨŽƌŵ ďĞ ĨŝůůĞĚ ŽƵƚ ĂŶĚ ĞdžĞĐƵƚĞĚ ďLJ ƚŚĞ ƉĂƚŝĞŶƚ ǁŝƚŚŝŶ ϰϴ ŚŽƵƌƐ ƉƌŝŽƌ ƚŽ ƚŚĞ ƉĂƚŝĞŶƚ ƚĂŬŝŶŐ ƚŚĞ ĂŝĚͲŝŶͲ STG International is seeking Primary Care Physicians, Nurse Practitioners and ĚLJŝŶŐ ĚƌƵŐ͘ Physician Assistants to work at the Veterans Affairs Community Based Outpatient ϲ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ ĐĂŶ ƚŚĞŶ Clinics. These are great opportunities to provide health care to our Veterans. Our ƉƌĞƐĐƌŝďĞ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ͘ clinics are open Monday through Friday during regular business hours, no ϳ͘ dŚĞ ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ nights, no on-call! We will consider full-time or part-time health care providers. ŵƵƐƚ ĐŽŵƉůLJ ǁŝƚŚ ƐŝŐŶŝĨŝĐĂŶƚ Positions open in Lancaster and Oxnard. ĚŽĐƵŵĞŶƚĂƚŝŽŶ ĂŶĚ ƌĞƉŽƌƚŝŶŐ ƌĞƋƵŝƌĞŵĞŶƚƐ͕ ŝŶĐůƵĚŝŶŐ͕ ǁŝƚŚŝŶ ϯϬ Requirements ĚĂLJƐ ŽĨ ƚŚĞ ƉĂƚŝĞŶƚ͛Ɛ ĚĞĂƚŚ ĨƌŽŵ UÊ >À`ÊViÀÌ v i`Ê ÀÊi } L iÊ Êv> ÞÊ ÀÊ ÌiÀ > Ê i` V iÊ­« Þà V > ÃÊ Þ® ĂŶLJ ĐĂƵƐĞ͕ ƐƵďŵŝƚƚŝŶŐ ƚŚĞ UÊ VÌ ÛiÊÕ ÀiÃÌÀ VÌi`Ê i` V> Ê Vi ÃiÊ Ê ƚƚĞŶĚŝŶŐ WŚLJƐŝĐŝĂŶ &ŽůůŽǁͲ UÊ 1-ÊV Ì âi Ê ÀÊ«iÀ > i ÌÊÀià `i Ì hƉ &Žƌŵ͘ UÊ L iÊÌ Ê«>ÃÃÊ>ÊL>V }À Õ `ÊÃiVÕÀ ÌÞÊV i>À> Vi ProtecƟons dŚĞ Đƚ ƉƌŽǀŝĚĞƐ ďƌŽĂĚ ƉƌŽƚĞĐƚŝŽŶƐ We Offer ĨŽƌ ƉŚLJƐŝĐŝĂŶƐ ĨƌŽŵ Đŝǀŝů Žƌ ĐƌŝŵŝŶĂů Great Salary/Negotiable, Full Benefits Package, Paid Vacation, Federal ůŝĂďŝůŝƚLJ͕ ĐĞŶƐƵƌĞ͕ ĚŝƐĐŝƉůŝŶĞ͕ ƐƵƐƉĞŶƐŝŽŶ͕ Holidays, 401k with company match, Relocation Pay, Paid Malpractice ůŽƐƐ ŽĨ ůŝĐĞŶƐĞ͕ ůŽƐƐ ŽĨ ƉƌŝǀŝůĞŐĞƐ͕ ­ «i Ã>Ì Ê«>V >}iÊ>«« iÃÊÌ ÊvÕ Ì iÊ« Ã Ì °® ůŽƐƐ ŽĨ ŵĞŵďĞƌƐŚŝƉ Žƌ ŽƚŚĞƌ ƉĞŶĂůƚLJ ĨŽƌ ƉĂƌƚŝĐŝƉĂƚŝŶŐ ŝŶ ŐŽŽĚ ĨĂŝƚŚ To Apply ĐŽŵƉůŝĂŶĐĞ ǁŝƚŚ ƚŚĞ ůĂǁ KZ ĨŽƌ ƌĞĨƵƐŝŶŐ ƚŽ ƉĂƌƚŝĐŝƉĂƚĞ͘ Visit: www.stginternational.com dŚĞ Đƚ ƉƌŽŚŝďŝƚƐ Ă ƉƌŽǀŝƐŝŽŶ ŝŶ Ă ĐŽŶƚƌĂĐƚ͕ ǁŝůů Žƌ ŽƚŚĞƌ ĂŐƌĞĞŵĞŶƚ ĨƌŽŵ ďĞŝŶŐ ĐŽŶĚŝƚŝŽŶĞĚ ƵƉŽŶ Žƌ ĂĨĨĞĐƚĞĚ ďLJ Ă ƌĞƋƵĞƐƚ ĨŽƌ ĂŶ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ͕ ŝŶĐůƵĚŝŶŐ Ă ĐŽŶƚƌĂĐƚ ĨŽƌ ŚĞĂůƚŚ Žƌ ůŝĨĞ ŝŶƐƵƌĂŶĐĞ͘ dŚĞ Đƚ ƉƌŽƚĞĐƚƐ ƉĞŽƉůĞ ǁŚŽ ĂƌĞ ƉƌĞƐĞŶƚ Žƌ ƉƌĞƉĂƌĞ ƚŚĞ ĂŝĚͲŝŶͲĚLJŝŶŐ ĚƌƵŐ͕ ƐŽ ůŽŶŐ ĂƐ ƚŚĞLJ ĚŽ ŶŽƚ ĂƐƐŝƐƚ ǁŝƚŚ ƚŚĞ ŝŶŐĞƐƚŝŽŶ ŽĨ ƚŚĞ ĚƌƵŐ͘ dŚĞ Đƚ ŵĂŬĞƐ ŝƚ Ă ĨĞůŽŶLJ ƚŽ ĂůƚĞƌ Žƌ ĨŽƌŐĞ Ă ƌĞƋƵĞƐƚ Žƌ ĚĞƐƚƌŽLJ Ă ǁŝƚŚĚƌĂǁĂů Žƌ ƌĞƐĐŝƐƐŝŽŶ͕ ŚŽǁĞǀĞƌ͘ WƌŽǀŝĚĞƌƐ ŵĂLJ ŽƉƚ ŽƵƚ ŽĨ ƉĂƌƚŝĐŝƉĂƚŝŶŐ ǁŝƚŚŽƵƚ ƌŝƐŬ ŽĨ ůŝĂďŝůŝƚLJ Žƌ ŽƚŚĞƌ

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California Family Physician Summer 2016

Contact: Tony Valenti via Email: Anthony.Valenti@stginternational.com Call: 703-578-6030 ext. 317 Fax: 703-578-4530 EOE/Minorities/Females/Veteran/Disabilities

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End-of-Life Option Comes to California ĂůŝĨŽƌŶŝĂ͛Ɛ ƉĂƟĞŶƚƐ ŚĂǀĞ ũƵƐƚ ďĞĞŶ ŐƌĂŶƚĞĚ Ă ƌŝŐŚƚ ŶŽďŽĚLJ ŚŽƉĞƐ ĞǀĞƌ ƚŽ ŚĂǀĞ ƚŽ ƵƐĞ – ƚŚĞ ŽƉƟŽŶ ŽĨ ͞ƉƌĞƐĐƌŝƉƟŽŶ ĚƌƵŐͲĂƐƐŝƐƚĞĚ ǁŝƚŚ ƉŚLJƐŝĐŝĂŶͲĂŝĚ ŝŶ͟ ;W Ϳ͘ dŚĞ ĂůŝĨŽƌŶŝĂ ŶĚͲŽĨͲ>ŝĨĞ KƉƟŽŶ Đƚ ŐƌĂŶƟŶŐ ƚŚŝƐ ĮŶĂů ŝŶƚĞƌǀĞŶƟŽŶ͕ ǁŚŝĐŚ ďĞĐĂŵĞ ůĂǁ ŝŶ ĞĂƌůLJ :ƵŶĞ͕ ǁĂƐ ůŽŶŐ ŝŶ ĐŽŵŝŶŐ ĂŶĚ ŚĂƌĚͲĨŽƵŐŚƚ͕ ďŽƚŚ ǁŝƚŚŝŶ ƚŚĞ ŵĞĚŝĐĂů ƉƌŽĨĞƐƐŝŽŶ ĂŶĚ ƉŽůŝƟĐĂůůLJ͘ WŚLJƐŝĐŝĂŶƐ ĂƐ ĂŶ ŽƌŐĂŶŝnjĞĚ ƉƌŽĨĞƐƐŝŽŶ ǁĞƌĞ ůŽŶŐ ŽƉƉŽƐĞĚ ƚŽ ůĞŐĂůŝnjŝŶŐ W ĂŶĚ ƚŚƵƐ͕ ƵŶƟů ƚŚŝƐ LJĞĂƌ͕ ƚŚĞ ĂůŝĨŽƌŶŝĂ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ĚĞĨĞĂƚĞĚ ĂŶLJ ĂƩĞŵƉƚƐ ƚŽ ƉĞƌŵŝƚ ŝƚ͘ Ƶƚ ũƵƐƚ ůĂƐƚ LJĞĂƌ͕ ƉƌĞƐĞŶƚĞĚ ďLJ ƚŚĞ ^ĂŶ &ƌĂŶĐŝƐĐŽ DĞĚŝĐĂů ^ŽĐŝĞƚLJ ǁŝƚŚ ƐƚƌŽŶŐ ƐƵƌǀĞLJ ĞǀŝĚĞŶĐĞ ƚŚĂƚ ŶŽƚ ŽŶůLJ ŚĂĚ Ă ŵĂũŽƌŝƚLJ ŽĨ ƉŚLJƐŝĐŝĂŶƐ ďĞĐŽŵĞ ͞ƉƌŽͲĐŚŽŝĐĞ͟ ŽŶ ƚŚŝƐ ŝƐƐƵĞ͕ ďƵƚ ĂůƐŽ ƚŚĂƚ ĐĂƌĞĨƵůůLJ ĚĞǀĞůŽƉĞĚ ůĂǁƐ ŝŶ ŽƚŚĞƌ ƐƚĂƚĞƐ ǁĞƌĞ ǁŽƌŬŝŶŐ ǁŝƚŚŽƵƚ ĂďƵƐĞƐ͕ ƚŚĞ D ͛Ɛ ůĞĂĚĞƌƐŚŝƉ ƐƚƌŽŶŐůLJ ǀŽƚĞĚ ƚŽ ƚĂŬĞ Ă ŶĞƵƚƌĂů ƉŽƐŝƟŽŶ ŽŶ ƚŚĞ ďŝůů ĂŶĚ ĂůůŽǁĞĚ ŝƚ ƚŽ ĂĚǀĂŶĐĞ Ăƚ ůĂƐƚ͕ ǁŚŝůĞ ĂůƐŽ ŽīĞƌŝŶŐ ƐŽůŝĚ ĂŵĞŶĚŵĞŶƚƐ ƚŽ ƚŚĞ ŐƵŝĚĞůŝŶĞƐ ŝŶ ƚŚĞ ďŝůů͘ &W ǁĂƐ ŶĞƵƚƌĂů ĂƐ ǁĞůů͘ 'ŽǀĞƌŶŽƌ :ĞƌƌLJ ƌŽǁŶ ƐŝŐŶĞĚ ƚŚĞ ďŝůů ŝŶ KĐƚŽďĞƌ͕ ƐƚĂƟŶŐ͕ ͞/ ĚŽ ŶŽƚ ŬŶŽǁ ǁŚĂƚ / ǁŽƵůĚ ĚŽ ŝĨ / ǁĞƌĞ ĚLJŝŶŐ ŝŶ ƉƌŽůŽŶŐĞĚ ĂŶĚ ĞdžĐƌƵĐŝĂƟŶŐ ƉĂŝŶ͘ / Ăŵ ĐĞƌƚĂŝŶ͕ ŚŽǁĞǀĞƌ͕ ƚŚĂƚ ŝƚ ǁŽƵůĚ ďĞ Ă ĐŽŵĨŽƌƚ ƚŽ ďĞ ĂďůĞ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ŽƉƟŽŶƐ ĂīŽƌĚĞĚ ďLJ ƚŚŝƐ ďŝůů͘ ŶĚ / ǁŽƵůĚŶ͛ƚ ĚĞŶLJ ƚŚĂƚ ƌŝŐŚƚ ƚŽ ŽƚŚĞƌƐ͘͟

&Žƌ ƉŚLJƐŝĐŝĂŶƐ͕ ŝƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ŶŽƚĞ ƚŚĂƚ ŶĞǁ D^ ĐŽĚĞƐ ĞdžŝƐƚ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞ ƐŽŵĞƟŵĞƐ ƟŵĞͲĐŽŶƐƵŵŝŶŐ ƉĂƟĞŶƚ ĚŝƐĐƵƐƐŝŽŶƐ ƌĞŐĂƌĚŝŶŐ ƚŚĞƐĞ ĐŽŵƉůĞdž ĂŶĚ ŽŌĞŶ ĞŵŽƟŽŶĂů ŝƐƐƵĞƐ͘ /ƚ ǁŝůů ĂůƐŽ ďĞ ŶĞĐĞƐƐĂƌLJ ƚŽ ŬŶŽǁ ǁŚĂƚ ŽŶĞ͛Ɛ ŚĞĂůƚŚ ƐLJƐƚĞŵ ĂŶĚͬŽƌ ŚŽƐƉŝƚĂů ƉŽůŝĐLJ ŝƐ ƌĞŐĂƌĚŝŶŐ W – ĂŶĚ ƐŽŵĞ ĂƌĞ ƐƟůů ĚĞƚĞƌŵŝŶŝŶŐ ƚŚĂƚ͘ &ĞĚĞƌĂů ůĂǁ ƐƟůů ƉƌŽŚŝďŝƚƐ ƚŚĞ ƉƌĂĐƟĐĞ͕ ƐŽ ƉŚLJƐŝĐŝĂŶƐ ƉƌĂĐƟĐŝŶŐ ŝŶ͕ ĨŽƌ ĞdžĂŵƉůĞ͕ ƚŚĞ sĞƚĞƌĂŶƐ͛ ĚŵŝŶŝƐƚƌĂƟŽŶ͕ ǁŝůů ŶŽƚ ďĞ ĂďůĞ ƚŽ ǁƌŝƚĞ ƐƵĐŚ ƉƌĞƐĐƌŝƉƟŽŶƐ͘ ĂůŝĨŽƌŶŝĂ ^ƚĂƚĞ ŝŶƐƟƚƵƟŽŶƐ ƐƵĐŚ ĂƐ ƚŚĞ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ ĂƌĞ ƵŶĚĞƌ ƐƚĂƚĞ ůĂǁ ĂŶĚ ĂƌĞ ĚĞǀĞůŽƉŝŶŐ ƚŚĞŝƌ ŽǁŶ ƉŽůŝĐŝĞƐ͕ ďƵƚ ƐŽŵĞ ƌĞƐƚƌŝĐƟŽŶƐ ĂƌĞ ůŝŬĞůLJ ƚŽ ĂƉƉůLJ͕ ƐƵĐŚ ĂƐ ŶŽ W ŵĞĚŝĐĂƟŽŶ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ĂůůŽǁĞĚ ŽŶƐŝƚĞ͕ ĞƚĐ͘ ZĞůŝŐŝŽƵƐ ŝŶƐƟƚƵƟŽŶƐ ǁŝůů ǀĂƌLJ ŝŶ ĂƉƉƌŽĂĐŚ͘ /ƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ŬŶŽǁ LJŽƵƌ ŝŶƐƟƚƵƟŽŶͲƐƉĞĐŝĮĐ ƉŽůŝĐŝĞƐ͕ ĂŶĚ ĂƐ Ă ĐŽƌŽůůĂƌLJ ƚŽ ƚŚĂƚ͕ ƉƌŽǀŝĚĞ ŝŶĨŽƌŵĞĚ ĐŽŶƐĞŶƚ ƚŽ ƉĂƟĞŶƚƐ ĞĂƌůLJ ŝŶ ƚŚĞŝƌ ĞŶĚͲŽĨͲůŝĨĞ ƉůĂŶŶŝŶŐ ƌĞŐĂƌĚŝŶŐ ǁŚĂƚ ŵŝŐŚƚ ďĞ ĂůůŽǁĞĚ ďŽƚŚ ďLJ ŝŶƐƟƚƵƟŽŶĂů ƉŽůŝĐLJ ĂŶĚ LJŽƵƌ ŽǁŶ ĞƚŚŝĐĂů ƉƌĞĨĞƌĞŶĐĞƐ͘

ȱ ȱ ¢ ȱ ȱ ǰȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ǰȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ Ȃ ȱ ȱǯǯǯ

dŚĞ ĞŶĚͲŽĨͲůŝĨĞ ŽƉƟŽŶ ŝƐ ůŝŵŝƚĞĚ ƚŽ ĂůŝĨŽƌŶŝĂ ƌĞƐŝĚĞŶƚ ƉĂƟĞŶƚƐ ǁŝƚŚ Ă ƚĞƌŵŝŶĂů ŝůůŶĞƐƐ͕ ĐŽŵƉĞƚĞŶĐLJ ƚŽ ŵĂŬĞ ƐƵĐŚ Ă ĚƵƌĂďůĞ ƌĞƋƵĞƐƚ͕ ĂŶĚ ĂďŝůŝƚLJ ƚŽ ƐĞůĨͲŝŶŐĞƐƚ ƚŚĞ ůĞƚŚĂů ŵĞĚŝĐĂƟŽŶƐ͘ ƐĞĐŽŶĚ ĐŽŶƐƵůƟŶŐ ƉŚLJƐŝĐŝĂŶ ŵƵƐƚ ĐŽŶĮƌŵ ƚŚĞƐĞ ƌĞƋƵŝƌĞŵĞŶƚƐ͕ ĂŶĚ ŵŽƌĞ ƉƌŽĐĞĚƵƌĂů ŐƵŝĚĞůŝŶĞƐ ĂŶĚ ĚŽĐƵŵĞŶƚĂƟŽŶ ƌĞƋƵŝƌĞŵĞŶƚƐ ĂƉƉůLJ͘ ŶLJ ƉŚLJƐŝĐŝĂŶ ŵĂLJ ŽƉƚ ŽƵƚ ŽĨ ƉĂƌƟĐŝƉĂƟŶŐ ŝŶ W ͘ &Žƌ ďŽƚŚ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƉĂƟĞŶƚƐ͕ ǁŚĂƚ ŝƐ ĐƌƵĐŝĂů ŶŽǁ ŝƐ ƚŚĂƚ ƚŚĞ ŚĞĂůƚŚ ĐĂƌĞ͕ ůĞŐĂů ĂŶĚ ŽƚŚĞƌ ƉƌŽĨĞƐƐŝŽŶƐ ĐŽŶƟŶƵĞ ƚŽ ǁŽƌŬ ŽŶ ĞǀĞƌLJŽŶĞ͛Ɛ ďĞŚĂůĨ ƐŽ ƚŚĂƚ ƚŚĞ ďĞƐƚ ƉŽƐƐŝďůĞ ĐĂƌĞ ŝƐ ĂǀĂŝůĂďůĞ ƚŽ Ăůů͖ ƚŚĂƚ ŚŽƐƉŝƚĂůƐ ĂŶĚ ŚĞĂůƚŚ ƐLJƐƚĞŵƐ ĞƐƚĂďůŝƐŚ ƐŽƵŶĚ ƉŽůŝĐŝĞƐ ƌĞŐĂƌĚŝŶŐ ƚŚŝƐ ƉƌĂĐƟĐĞ͖ ƚŚĂƚ ĞĂĐŚ ŽĨ ƵƐ ĞŶĐŽƵƌĂŐĞƐ ƉĂƟĞŶƚƐ ƚŽ ĚŽĐƵŵĞŶƚ ƚŚĞŝƌ ǁŝƐŚĞƐ ĨŽƌ ĐĂƌĞ ŶĞĂƌ ƚŚĞ ĞŶĚ ŽĨ ůŝĨĞ ƵƐŝŶŐ ĂĚǀĂŶĐĞ ŚĞĂůƚŚ ĐĂƌĞ ĚŝƌĞĐƟǀĞƐ͕ ůŝǀŝŶŐ ǁŝůůƐ͕ ĂŶĚ WŚLJƐŝĐŝĂŶ KƌĚĞƌƐ ĨŽƌ >ŝĨĞͲ ^ƵƐƚĂŝŶŝŶŐ dƌĞĂƚŵĞŶƚ ;WK>^dͿ ĨŽƌŵƐ͖ ĂŶĚ ƚŚĂƚ ĂĐĐĞƐƐ ƚŽ ŐŽŽĚ ƉĂůůŝĂƟǀĞ ĂŶĚ ŚŽƐƉŝĐĞ ĐĂƌĞ ďĞ ĞdžƉĂŶĚĞĚ͘

KŶ Ă ĐŽŶĐůƵĚŝŶŐ ĞƚŚŝĐĂů ŶŽƚĞ͕ ƚŚĞ ƉƌŝŵĂƌLJ ĚŝĐƚƵŵ͕ ͞&ŝƌƐƚ͕ ĚŽ ŶŽ ŚĂƌŵ͕͟ ŚĂƐ ůŽŶŐ ďĞĞŶ ĐŝƚĞĚ ĂƐ Ă ƉƌŽŚŝďŝƟŽŶ ŽŶ W ͘ ,ŽǁĞǀĞƌ͕ ƚŚĞ ĐŽŶĐĞƉƚ ŽĨ ͞ŚĂƌŵ͟ ŚĂƐ ĞǀŽůǀĞĚ ĚƌĂŵĂƟĐĂůůLJ ĂƐ ŵĞĚŝĐŝŶĞ ŚĂƐ ĚĞǀĞůŽƉĞĚ ƚŚĞ ĂďŝůŝƚLJ ƚŽ ĞdžƚĞŶĚ ůŝĨĞ ĂƐ ĚĞĂƚŚ ŝŶĞdžŽƌĂďůLJ ĂƉƉƌŽĂĐŚĞƐ͘ dŚĞ ĞdžƉůŽƐŝŽŶ ŽĨ ƚŚĞ ,/s ĞƉŝĚĞŵŝĐ ďƌŽƵŐŚƚ ƌĞĂůŝƟĞƐ ŽĨ ƐƵīĞƌŝŶŐ ĂŶĚ ƐĞůĨͲĚĞƚĞƌŵŝŶĂƟŽŶ ƚŽ ƚŚĞ ĨŽƌĞĨƌŽŶƚ͕ ƌĞͲƐŚĂƉŝŶŐ ŵŽĚĞƌŶ ŵĞĚŝĐĂů ĂŶĚ ƐŽĐŝĞƚĂů ŽƉŝŶŝŽŶ͘ >ĞŐĂůŝnjĂƟŽŶ ŽĨ W ŝŶ ƐŽŵĞ ƐƚĂƚĞƐ ŚĂƐ ƉƌŽǀŝĚĞĚ Ă ͞ůĂďŽƌĂƚŽƌLJ͟ ĨŽƌ ƐƚƵĚLJŝŶŐ W ƉŽůŝĐLJ͕ ĂŶĚ ŚĂƐ ĚĞŵŽŶƐƚƌĂƚĞĚ ƚŚĂƚ ŶŽƚ ŽŶůLJ ĐĂŶ ĂďƵƐĞƐ ďĞ ƉƌĞǀĞŶƚĞĚ͕ ďƵƚ ĞŶĚͲŽĨͲ ůŝĨĞ ĐĂƌĞ ĐĂŶ ĂůƐŽ ďĞ ŝŵƉƌŽǀĞĚ ďLJ ŵĂŬŝŶŐ W ͕ ĂŶĚ ƚŚĞ ĚŝƐĐƵƐƐŝŽŶƐ ĂŶĚ ŝŶĐƌĞĂƐĞĚ ĂƩĞŶƟŽŶ ƚŽ ƉĂƟĞŶƚ ŶĞĞĚƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ŝƚ͕ ĂǀĂŝůĂďůĞ͘ /Ŷ ĨĂĐƚ͕ ĞdžƉĞƌŝĞŶĐĞĚ ĐůŝŶŝĐŝĂŶƐ ŚĂǀĞ ĨŽƵŶĚ ƚŚĂƚ ůŝǀĞƐ ĐĂŶ ĂĐƚƵĂůůLJ ďĞ ĞdžƚĞŶĚĞĚ͕ ǁŝƚŚ ĚĞĐƌĞĂƐĞĚ ƐƵīĞƌŝŶŐ͕ ǁŝƚŚ ůĞŐĂů W ĂƐ Ă ůĂƐƚ ƌĞƐŽƌƚ͘ /Ŷ ƚŚŝƐ ŵĂŶŶĞƌ͕ ƚŚĞ ĂĐƚƵĂů ƵƐĞ ŽĨ ůĞŐĂů W ŵĂLJ ďĞ ůŝŵŝƚĞĚ ƚŽ Ă ƌĞůĂƟǀĞůLJ ƐŵĂůů ŶƵŵďĞƌ ŽĨ ƉĂƟĞŶƚƐ͕ ďƵƚ ĐĂŶ ďĞŶĞĮƚ ŵĂŶLJ ŵŽƌĞ ƚŚĂŶ ǁŝůů ĮŶĂůůLJ ĐŚŽŽƐĞ ŝƚ͘

Steve Heilig, MPH is a longƟme health policy advocate ǁith the San Francisco Medical Society, co-editor of the Cambridge Quarterly of Healthcare Ethics, hospital clinical ethics consultant, and former hospice ǁorker and director͘ California Family Physician Summer 2016

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Family Physicians Weigh In: “End-of-Life and Palliative Care Important to Me.” ͞dŚĞ ƉƵďůŝĐ ĂŶĚ ƉŽůŝĐLJŵĂŬĞƌƐ ŵƵƐƚ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ĐƌŝƟĐĂů ƌŽůĞ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ Ăƚ ƚŚĞ ĞŶĚͲ ŽĨͲůŝĨĞ͘ ĞƐƉŝƚĞ ƚŚĞ ĨƌĂŐŵĞŶƚĂƟŽŶ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŽǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ƚŚĞƌĞ ƐƟůů ŝƐ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ďƵŝůĚ ĂŶ ͞ŽůĚ ƐĐŚŽŽů͟ ƐƚƌŽŶŐ ƉĂƟĞŶƚͲƉŚLJƐŝĐŝĂŶ ƌĞůĂƟŽŶƐŚŝƉ ƚŚĂƚ ŵĂLJ ŝŶĐůƵĚĞ ĐĂƌĞ ĂĐƌŽƐƐ ŐĞŶĞƌĂƟŽŶƐ͘ EŽ ƐƉĞĐŝĂůƚLJ ŽƚŚĞƌ ƚŚĂŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ŝƐ ĂďůĞ ƚŽ ĚĞůŝǀĞƌ ƚŚĂƚ ƌĞůĂƟŽŶĂů ĞdžƉĞƌŝĞŶĐĞ ĨŽƌ ƚŚĞ ƉĂƟĞŶƚƐ ǁŚŽŵ ƚŚĞLJ ƐĞƌǀĞ ŝŶ ƚŽĚĂLJ͛Ɛ ǁŽƌůĚ ŽĨ ƚƌĂŶƐĂĐƟŽŶĂů ŵĞĚŝĐŝŶĞ͘ dŚĂƚ ďĞŝŶŐ ƐĂŝĚ͕ ǁĞ ǁŽƵůĚŶ͛ƚ ďĞ ĂďůĞ ƚŽ ĚĞůŝǀĞƌ ƚŚŝƐ ŚŝŐŚ ůĞǀĞů ŽĨ ƉĞƌƐŽŶĂůŝnjĞĚ ĐĂƌĞ ǁŝƚŚŽƵƚ ƚŚĞ ƐƵƉƉŽƌƚ ŽĨ Ă ĐĂƌĞ ƚĞĂŵ ƚŚĂƚ ŝŶĐůƵĚĞƐ ŶƵƌƐĞƐ͕ ĐĂƐĞ ŵĂŶĂŐĞƌƐ͕ ĨƌŽŶƚ ŽĸĐĞ ƐƚĂī ĂŶĚ ŽƚŚĞƌƐ͘ ,ĂǀŝŶŐ Ă ƉĞƌƐŽŶĂů ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŝƐ ĚĞǀŽƚĞĚ ƚŽ ĐŽĂĐŚŝŶŐ LJŽƵ ƚŚƌŽƵŐŚ Ăůů ƐƚĂŐĞƐ ŽĨ ůŝĨĞ ŝƐ ƚŚĞ ŬĞLJ ƚŽ ŽƉƟŵŝnjŝŶŐ ŚĞĂůƚŚ͘ /ŶǀĂƌŝĂďůLJ͕ ǁĞ Ăůů ƌĞĂĐŚ Ă ƉŽŝŶƚ ŝŶ ŽƵƌ ůŝǀĞƐ ƚŚĂƚ ƌĞƋƵŝƌĞƐ ƵƐ ƚŽ ƚƌĂŶƐŝƟŽŶ ĨƌŽŵ ƚŚĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ĚŝƐĞĂƐĞ ƚŽ

Ă ƐŚĂƌƉĞƌ ĨŽĐƵƐ ŽŶ ƉƌĞƉĂƌŝŶŐ ĨŽƌ ƚŚĞ ĞŶĚͲŽĨͲ ůŝĨĞ͘ tŚŽ ďĞƩĞƌ ƚŽ ĐŽĂĐŚ LJŽƵ ƚŚƌŽƵŐŚ ƚŚĂƚ ƚƌĂŶƐŝƟŽŶ ƚŚĂŶ LJŽƵƌ ƉĞƌƐŽŶĂů ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͍ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂƌĞ ƌĞĂĚLJ ƚŽ ƐĞƌǀĞ Ăůů ŽĨ LJŽƵƌ ŶĞĞĚƐ ĨƌŽŵ ĐƌĂĚůĞͲƚŽͲŐƌĂǀĞ͘͟ ʹ :ay W͘ >ee, MD, MPH, FAAFP ͞ Ɛ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ǁĞ ŵƵƐƚ ƚĂŬĞ ŽƵƌ ŝŶŇƵĞŶĐĞ ŽŶ ƉƵďůŝĐ ƉĞƌĐĞƉƟŽŶƐ ƐĞƌŝŽƵƐůLJ͘ tĞ ŚĞůƉ ƐŚĂƉĞ ŚŽǁ ƉĞŽƉůĞ ƚŚŝŶŬ ĂďŽƵƚ ůŝǀŝŶŐ ǁŝƚŚ ĐŚƌŽŶŝĐ ĚŝƐĞĂƐĞ͕ ƚĞƌŵŝŶĂů ŝůůŶĞƐƐ ĂŶĚ ĚŝƐĂďŝůŝƚLJ͘ tĞ Ăůů ŶĞĞĚ ĚŝīĞƌĞŶƚ ƚLJƉĞƐ ŽĨ ƐƵƉƉŽƌƚ Ăƚ ƟŵĞƐ ŝŶ ŽƵƌ ůŝǀĞƐ͘ tĞ Ăůů ŐĞƚ ŚĞůƉ ƚŽ ŵĂŬĞ ŝŵƉŽƌƚĂŶƚ ĚĞĐŝƐŝŽŶƐ͘ ĂĐŚ ƉĞƌƐŽŶ ŚĂƐ ŚŽƉĞƐ͕ ŶĞĞĚƐ ĂŶĚ ĨĞĂƌƐ͘ tŝƚŚ ƐƵƉƉŽƌƚ ĂŶĚ ĐĂƌŝŶŐ͕ ƉĞŽƉůĞ ĐĂŶ ůŝǀĞ ŐŽŽĚ ĂŶĚ ŵĞĂŶŝŶŐĨƵů ůŝǀĞƐ Ăƚ Ăůů ƐƚĂŐĞƐ͘ ǀĞŶ ǁŝƚŚ ƐŝŐŶŝĮĐĂŶƚ ĨƵŶĐƟŽŶĂů ůŝŵŝƚĂƟŽŶƐ͕ ƚŚĞLJ ĐĂŶ ƌĞŵĂŝŶ ŝŶ ƚŚĞŝƌ ŚŽŵĞƐ ĂŶĚ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ͘ Ɛ ƉĞŽƉůĞ ŶĞĂƌ

ƚŚĞ ĞŶĚ ŽĨ ƚŚĞŝƌ ůŝǀĞƐ͕ ŽƵƌ ŐŽĂů ŝƐ ƚŽ ŚĞůƉ ƚŚĞŵ ĐŽŶƟŶƵĞ ƚŽ ůŝǀĞ ǁĞůů ǁŝƚŚ ƚŚĞŝƌ ĚŝƐĞĂƐĞƐ Žƌ ĚŝƐĂďŝůŝƟĞƐ͖ ƚŽ ŚĞůƉ ĂĐĐĞƐƐ ƌĞƐŽƵƌĐĞƐ͖ ŵĂŶĂŐĞ ƐLJŵƉƚŽŵƐ͖ ĂŶĚ ǁŚĞŶ ƚŚĞ ƟŵĞ ĐŽŵĞƐ͕ ƚŽ ƉĂƐƐ ŐĞŶƚůLJ͘ ŶĚͲŽĨͲůŝĨĞ ŝƐ Ă ƚƌĂŶƐĨŽƌŵĂƟǀĞ ƟŵĞ ŽĨ ĚĞĞƉ ĐŽŶŶĞĐƟŽŶ͕ ƌĞŇĞĐƟŽŶ ĂŶĚ ĂƉƉƌĞĐŝĂƟŽŶ͘ dƌĂǀĞůŝŶŐ ŽŶ ƚŚŝƐ ũŽƵƌŶĞLJ ǁŝƚŚ ŽƵƌ ƉĂƟĞŶƚƐ ŝƐ Ă ƉƌŝǀŝůĞŐĞ͕ ĂŶĚ ĂŶ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ĚƌĂǁ ŶĞĂƌ͘ Ɛ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ŶŽ ŵĂƩĞƌ ǁŚĂƚ ŚĂƉƉĞŶƐ͕ ǁĞ ĂƌĞ ŚĞƌĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ǁŚĞŶ ƚŚĞLJ ŶĞĞĚ ƵƐ͘͟ ʹ Clarissa <ripŬe, MD, FAAFP ͞Hoǁ much Ɵme have I got, Chris͍​͍ / Ăŵ ůŽŽŬŝŶŐ ĂĐƌŽƐƐ Ăƚ ŵLJ LJŽƵŶŐ ϱϬͲLJĞĂƌͲŽůĚ ƉĂƟĞŶƚ͘ ,Ğ ǁĂƐ ĚŝĂŐŶŽƐĞĚ ǁŝƚŚ ^ƚĂŐĞ /s ƐŵĂůů ĐĞůů ĐĂŶĐĞƌ ŽĨ ƚŚĞ ůƵŶŐƐ ǁŝƚŚ ĞdžƚĞŶƐŝǀĞ ůLJŵƉŚ ŶŽĚĞ ŝŶǀŽůǀĞŵĞŶƚ Ă LJĞĂƌ ĂŐŽ͘ / ŬŶŽǁ Śŝŵ ǁĞůů ĞŶŽƵŐŚ ƚŽ ƌĞĂůŝnjĞ ƚŚĂƚ ŚĞ ŝƐ ƚŚŝŶŬŝŶŐ ŽĨ ŚŝƐ ǁŝĨĞ ĂŶĚ ƚǁŽ LJŽƵŶŐ

Mountain Valleys Health Centers, Inc. is a great place to work and rural north eastern California is a great place to live. Whether raising a family, relaxing in seclusion or working your own ranch the communities we live in and serve are a great place to enjoy a little slower pace and a much higher quality of life. Mountain Valleys Health Centers offer numerous attractive employment opportunities for health care professionals. If you are a dedicated, mission driven health care professional or want to be part of the staff of a mission driven corporation, please consider joining our team. MVHC is currently recruiting for a full scope Family Practice physician which includes being on staff at the local rural hospital and, preferably, performing OB.

We offer generous compensation packages including: )XOO 0HGLFDO %HQHILWV 3DFNDJH 5HWLUHPHQW 3ODQ &RQWLQXLQJ (GXFDWLRQ 372 +ROLGD\V 1+6& /RDQ 5HSD\PHQW )7&$ 0DOSUDFWLFH ,QVXUDQFH

Interested Candidates Please Contact: Mountain Valleys Health Centers 'DYH -RQHV &(2 530-294-5114 djones@mtnvalleyhc.org 24

California Family Physician Summer 2016

ĐŚŝůĚƌĞŶ ĂƐ ŚĞ ƐƚĂƌĞƐ Ăƚ ƚŚĞ d ƐĐĂŶ ĂŶĚ ƚĞĂƌƐ ǁĞůů ƵƉ ŝŶ ŚŝƐ ĞLJĞƐ͘ ǀĞŶ ĂƐ ǁĞ ŐŽ ŽǀĞƌ ĂĐƟǀĞ ƚƌĞĂƚŵĞŶƚ ŽƉƟŽŶƐ͕ ǁĞ ďĞŐŝŶ ƚŽ ƚĂůŬ ĂďŽƵƚ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ŝƐƐƵĞ ŽĨ Ăůů – ŚŽǁ ŚĞ ǁĂŶƚƐ ƚŽ ƐƉĞŶĚ ƚŚĞ ƉƌĞĐŝŽƵƐ͕ ůŝŵŝƚĞĚ ƟŵĞ ŚĞ ŚĂƐ ůĞŌ ŝŶ ƚŚŝƐ ůŝĨĞ͘ tĞ ƉƌŽǀŝĚĞ ŵĂŶLJ ŬŝŶĚƐ ŽĨ ƐĞƌǀŝĐĞƐ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ďƵƚ ŽŶĞ ŽĨ ƚŚĞ ŵŽƐƚ ĐƌŝƟĐĂů ĂŶĚ ĞƐƐĞŶƟĂů ƐŬŝůůƐ ŝƐ ĞŶĚ ŽĨ ůŝĨĞ ƉůĂŶŶŝŶŐ ǁŝƚŚ ŽƵƌ ƉĂƟĞŶƚƐ͘ tĞ ƚƌLJ ƚŽ ƵŶĚĞƌƐƚĂŶĚ ŽƵƌ ƉĂƟĞŶƚ͛Ɛ ǀĂůƵĞƐ ĂŶĚ ƉƌŝŽƌŝƟĞƐ ƐŽ ǁĞ ĐĂŶ ĚĞǀĞůŽƉ Ă ŵƵƚƵĂůůLJ ĂŐƌĞĞĂďůĞ ŵĂŶĂŐĞŵĞŶƚ ƉůĂŶ͕ ďƵƚ ǁĞ ŵƵƐƚ ĂůƐŽ ďĞ ĂǁĂƌĞ ƚŚĂƚ ƚŚĞ ŚƵŵĂŶ ďĞŝŶŐ ĐŽŵŝŶŐ ƚŽ ŐƌŝƉƐ ǁŝƚŚ ŚŝƐ Žƌ ŚĞƌ ŵŽƌƚĂůŝƚLJ ŝŶ ĨƌŽŶƚ ŽĨ ƵƐ ŶĞĞĚƐ ƐƵƉƉŽƌƚ͕ ŐƵŝĚĂŶĐĞ ĂŶĚ ƌĞĂƐƐƵƌĂŶĐĞ͘͟ – Chris Flores, MD

Ă ĚLJŝŶŐ ƉĂƟĞŶƚ ĐĂŵĞ ƵƉ ƚŽ ŵĞ ĂŶĚ ĂƐŬĞĚ ŝĨ / ǁŽƵůĚ ƐŚĂƌĞ ǁŝƚŚ Ăůů ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ƚŚŝŶŐ ŚĞ ŚĂĚ ŚĞĂƌĚ ĨƌŽŵ ŵĞ͗ ^<Ͳd >>Ͳ ^<͘ dŚĞ ^< ŝƐ ŝŵƉŽƌƚĂŶƚ͗ ůŝƐƚĞŶ ĐĂƌĞĨƵůůLJ ƚŽ ƚŚĞ ĐŽŶĐĞƌŶƐ ŽĨ ĚLJŝŶŐ ƉĂƟĞŶƚƐ –ĐŽŶĐĞƌŶƐ ƐƵĐŚ ĂƐ ĨĞĂƌ ŽĨ ƉĂŝŶ͕ ĨĞĂƌ ŽĨ ůŽƐƐ ŽĨ ĂƵƚŽŶŽŵLJ Žƌ ĂďĂŶĚŽŶŵĞŶƚ͕ ĨĞĂƌ ŽĨ ĚLJŝŶŐ ĂŶĚ ůĞĂǀŝŶŐ ůŽǀĞĚ ŽŶĞƐ͕ ĨĞĂƌ ŽĨ ĮŶĂŶĐŝĂů ďƵƌĚĞŶ͕ ƚŚĞ ŐĂŵƵƚ͘ dŚĞ d >> ŝƐ ĐƌƵĐŝĂů͗ ĚŝƐĐƵƐƐ Ăůů ƚŚĞ ůĞŐĂů ŽƉƟŽŶƐ ĂǀĂŝůĂďůĞ –ŵĂŬĞ ŝƚ LJŽƵƌ ƉŽŝŶƚ ƚŽ ŬŶŽǁ Ăůů ĂďŽƵƚ ƉĂůůŝĂƟǀĞ ĐĂƌĞ͕ ŚŽƐƉŝĐĞ͕ ŚŽŵĞ ŚĞĂůƚŚ͕ ƚƌĞĂƚŵĞŶƚ ŝŶ LJŽƵƌ ĂƌĞĂ – ĚŽ ŶŽƚ ĮůƚĞƌ ďĂƐĞĚ

ŽŶ ƉŚLJƐŝĐŝĂŶ ďŝĂƐ͘ DŽƐƚ ŝŵƉŽƌƚĂŶƚůLJ͕ ŶĞǀĞƌ ƉƌĞƐƵŵĞ ƚŽ ŬŶŽǁ ƚŚĞ ĂŶƐǁĞƌ ƚŽ ƚŚĞ ƐĞĐŽŶĚ ^<͗ Ğ ĐƵƌŝŽƵƐ ĂďŽƵƚ ǁŚĂƚ Ă ƉĂƟĞŶƚ ĚĞĮŶĞƐ ĂƐ ŚŝƐ Žƌ ŚĞƌ ŽǁŶ ĚĞƐŝƌĞƐ Ăƚ ƚŚĞ ĞŶĚ ŽĨ ůŝĨĞ ĂŶĚ ŚŽǁ ƚŚŽƐĞ ĚĞƐŝƌĞƐ ĐŽƵůĚ ĐŚĂŶŐĞ ǁŝƚŚ ƟŵĞ͘ / ŚĂĚ Ă ƉĂƟĞŶƚ ǁŚŽ ƌĞŵŝŶĚĞĚ ŵĞ ƚŽ ŬĞĞƉ ůŝŶĞƐ ŽĨ ĐŽŵŵƵŶŝĐĂƟŽŶ ŽƉĞŶ͘ dŚĞ ƉĂƟĞŶƚ ŝƐ ŶŽƚ ƐƵƌĞ ǁŚĞƚŚĞƌ ŚĞ ǁŽƵůĚ ǁĂŶƚ ƚŽ ƵƐĞ ŵĞĚŝĐĂů ĂŝĚͲŝŶͲĚLJŝŶŐ͕ ďƵƚ ŚĞ ŬŶĞǁ ŚĞ ǁĂƐ ƌĞůŝĞǀĞĚ ƚŽ ŬŶŽǁ ŚĞ ŵŝŐŚƚ ŚĂǀĞ ƚŚĞ ĐŚŽŝĐĞ ŝĨ ŚĞ ůŝǀĞƐ ƵŶƟů ƚŚĞ ŝŵƉůĞŵĞŶƚĂƟŽŶ ŽĨ ƚŚĞ ůĂǁ ĂŶĚ ďĞLJŽŶĚ͘͟ – Catherine Sonquist Forest, MD, MPH

͞ ĂƌůŝĞƌ ƚŚŝƐ LJĞĂƌ͕ / ǁĂƐ ŐŝǀŝŶŐ Ă ƚĂůŬ ŽŶ ƚŚĞ ŶĚͲŽĨͲ>ŝĨĞ KƉƟŽŶ >Ăǁ ŝŵƉůĞŵĞŶƚĂƟŽŶ ĂŶĚ

Faculty soices of Family Physicians͗ >isten Today to ͞The TalŬ͟ Ease the diĸcult conǀersaƟons around prognosis and end-of-life care by listening to felloǁ family physicians’ stories about ǁhat it is liŬe to haǀe the conǀersaƟon͘ >earn from your colleagues hoǁ to communicate eīecƟǀely and compassionately ǁith paƟents about their treatment opƟons, including possible medical interǀenƟons and palliaƟǀe care͘ CAFP is dedicated to ensuring that both family physicians and paƟents feel comfortable discussing these diĸcult topics and hopes to conƟnue gathering physician ǀoices͘ We’re pleased to announce the aǀailability of a neǁ podcast focused on end-of-life care and conǀersaƟons͗ The TalŬ͘ The TalŬ, produced by Deirdre Kennedy, features family physicians, palliaƟǀe care specialists, an ethicist and others ǁho describe their experiences ǁith paƟents at the endof-life͘ The TalŬ includes four segments͗ PalliaƟǀe Care, Adǀance Care Planning and Adǀance DirecƟǀes, PaƟent and Family CommunicaƟon, and California’s End-of->ife KpƟons Act͘ >ooŬ for The TalŬ on iTunes or ǁǁǁ͘familydocs͘orgͬeolͬpodcast͘

John Muir Health’s Family Medicine Residency Program, Walnut Creek, CA

John Muir Health is a nationally-recognized healthcare system that offers a full range of outpatient and inpatient services. We are proud to be launching our UCSF-Affiliated John Muir Health Family Medicine Residency Program in the San Francisco East Bay area. We are seeking a faculty member to help develop an innovative, dynamic, 8-8-8 unopposed, community-based program that is attentive to underserved patient populations. The successful candidate must be a board-certified family physician who is committed to educating future family physicians and passionate about excellence in education and clinical services. The selected individual will be responsible for administrative leadership support, direct clinical care and precepting. Contact: Lynn Eddleman, Residency Program Coordinator p: (925) 941-2674 f: (925) 296-9015 lynn.eddleman@johnmuirhealth.com

California Family Physician Summer 2016

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Advance Directives: Maintenance of Certification Part IV Improvement Activity Designed for Family Physicians and Practice Teams tŽƌŬŝŶŐ ǁŝƚŚ ŽƵƌ ĞĚƵĐĂƟŽŶĂů ƉĂƌƚŶĞƌ͕ /ŶƚĞƌƐƚĂƚĞ WŽƐƚŐƌĂĚƵĂƚĞ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ;/WD Ϳ͕ ǁĞ ŚĂǀĞ ĚĞƐŝŐŶĞĚ͕ ďƵŝůƚ ĂŶĚ ůĂƵŶĐŚĞĚ ĂŶ ŵĞƌŝĐĂŶ ŽĂƌĚ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ; &DͿ DĂŝŶƚĞŶĂŶĐĞ ŽĨ ĞƌƟĮĐĂƟŽŶ WĂƌƚ /s ŵŽĚƵůĞ͘ dŚĞ ŵŽĚƵůĞ͕ ͞ ĚǀĂŶĐĞ ŝƌĞĐƟǀĞƐ͗ ǀĞƌLJ ĚǀĂŶĐĞ ĂƌĞ WůĂŶ ĞŐŝŶƐ ǁŝƚŚ Ă ŽŶǀĞƌƐĂƟŽŶ͕͟ ŝƐ ƚŚĞ ĮƌƐƚ ŽĨ ŝƚƐ ŬŝŶĚ ĂŶĚ ŝƐ ĐĞƌƟĮĞĚ ĨŽƌ &D ĂŶĚ Ϯϯ ŽƚŚĞƌ ďŽĂƌĚƐ͛ ĐƌĞĚŝƚ͘ WŚLJƐŝĐŝĂŶƐ ĂŶĚ ƚĞĂŵ ŵĞŵďĞƌƐ ǁŚŽ ĐŽŵƉůĞƚĞ ƚŚĞ ŵŽĚƵůĞ ǁŝůů ĂůƐŽ ĞĂƌŶ ϯϬ &W WƌĞƐĐƌŝďĞĚ D ĐƌĞĚŝƚƐ͘ dŚĞ ŵŽĚƵůĞ ĨŽĐƵƐĞƐ ŽŶ LJŽƵƌ ƉĂƟĞŶƚ ƉŽƉƵůĂƟŽŶ ĂŐĞƐ ϱϬͲϲϰ ǁŝƚŚ ĐŚƌŽŶŝĐ ĚŝƐĞĂƐĞ ;ŵĞƚĂƐƚĂƟĐ ĐĂŶĐĞƌ͕ ĐŚƌŽŶŝĐ ŬŝĚŶĞLJ ĚŝƐĞĂƐĞ ƐƚĂŐĞƐ ϰ ĂŶĚ ϱ͕ ^ƚĂŐĞ /s ŚĞĂƌƚ ĨĂŝůƵƌĞ͕ ĂŶĚ ĂĚǀĂŶĐĞĚ KW Ϳ ĂƐ ǁĞůů ĂƐ Ăůů ƉĂƟĞŶƚƐ ĂŐĞĚ ϲϱ ĂŶĚ ŽůĚĞƌ͘ dǁŽ ĐůŝŶŝĐĂů ŵĞĂƐƵƌĞƐ ĂƌĞ ŚŝŐŚůŝŐŚƚĞĚ ŝŶ ƚŚĞ ŵŽĚƵůĞ͗ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ ƚǁŽ ƚĂƌŐĞƚ ĂŐĞ ŐƌŽƵƉƐ ǁŚŽ ŚĂǀĞ ĚŽĐƵŵĞŶƚĞĚ ĂĚǀĂŶĐĞ ĐĂƌĞ ƉůĂŶŶŝŶŐ ĐŽŶǀĞƌƐĂƟŽŶƐ Žƌ ĚŽĐƵŵĞŶƚĞĚ ĂĚǀĂŶĐĞĚ ĚŝƌĞĐƟǀĞƐ ŝŶ ƚŚĞŝƌ ŵĞĚŝĐĂů ƌĞĐŽƌĚ͘ dŚĞ ŶĞǁ / ͲϭϬ Wd ĐŽĚĞƐ ĨŽƌ DĞĚŝĐĂƌĞ ƐƵƉƉŽƌƚ ƉĂLJŵĞŶƚ ĨŽƌ ƚŚŝƐ ĚŽĐƵŵĞŶƚĞĚ ǁŽƌŬ͕ ƐŽ LJŽƵ ǁŝůů ďĞ ƉĂŝĚ ƚŽ ŚĂǀĞ ƚŚĞƐĞ ĐŽŶǀĞƌƐĂƟŽŶƐ͘ hƉŽŶ ĐŽŵƉůĞƟŽŶ ŽĨ ƚŚĞ ƉƌŽũĞĐƚ͕ ƉŚLJƐŝĐŝĂŶƐ ǁŝůů ĞĂƌŶ ϯϬ ĐƌĞĚŝƚƐ ĨƌŽŵ &D ĨŽƌ ŵĞĞƟŶŐ DK WĂƌƚ /s ƌĞƋƵŝƌĞŵĞŶƚƐ͘ ϯϬ &W WƌĞƐĐƌŝďĞĚ Žƌ AMA PRA Category ϭTM D ͬ ĐƌĞĚŝƚƐ ĂůƐŽ ĂƌĞ ĂǀĂŝůĂďůĞ ĨŽƌ ƚŚĞ ƉƌŽũĞĐƚ͘ zŽƵ ĂŶĚ LJŽƵƌ ƚĞĂŵ ǁŝůů ĞdžƉĞƌŝĞŶĐĞ ƉĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ƐĂƟƐĨĂĐƟŽŶ ĂƐ LJŽƵ ŝŵƉƌŽǀĞ ĐĂƌĞ ĨŽƌ LJŽƵƌ ƉĂƟĞŶƚƐ͘ WƌĂĐƟĐĞƐ ƌĞŐŝƐƚĞƌŝŶŐ ďLJ :ƵůLJ ϭϱ ǁŝůů ďĞ ĞŶƌŽůůĞĚ ĂƵƚŽŵĂƟĐĂůůLJ ŝŶ Ă ĐŽůůĂďŽƌĂƟǀĞ ĨĞĂƚƵƌŝŶŐ ƉĞƌŝŽĚŝĐ ǁĞďŝŶĂƌƐ ƚŽ ƐƵƉƉŽƌƚ LJŽƵƌ ŝŵƉƌŽǀĞŵĞŶƚ͘ ůů ƉƌĂĐƟĐĞƐ ĂŶĚ ƐƉĞĐŝĂůƟĞƐ ĂƌĞ ǁĞůĐŽŵĞ ĂŶĚ ǁĞ ĞŶĐŽƵƌĂŐĞ LJŽƵ ƚŽ ƉĂƌƟĐŝƉĂƚĞ ĂƐ Ă ƚĞĂŵ͊

y committing to improǀing care processes in this improǀement project, you ǁill͗ ϭ͘ ŽŶǀĞŶĞ LJŽƵƌ ƉƌĂĐƚŝĐĞ ƚĞĂŵ ĂŶĚ ĞŶƌŽůů ŝŶ ƚŚĞ ŝŵƉƌŽǀĞŵĞŶƚ ƉƌŽũĞĐƚ͘ Ϯ͘ ZĞǀŝĞǁ ĚĂƚĂ ĨƌŽŵ Ă ŵŝŶŝŵƵŵ ŽĨ Ϯϱ ƉĂƚŝĞŶƚƐ ŝŶ LJŽƵƌ ƉƌĂĐƚŝĐĞ͘ hƐĞ ,Z ƋƵĞƌŝĞƐ͕ ĐŚĂƌƚ ƉƵůůƐ Žƌ ŐĂƚŚĞƌ ĚĂƚĂ ĂƐ LJŽƵ ƐĞĞ LJŽƵƌ ƉĂƚŝĞŶƚƐ͘ ^ĞůĞĐƚ ƚŚĞ ĨŽĐƵƐ ŽĨ LJŽƵƌ ƉƌŽũĞĐƚ – LJŽƵƌ ƉƌŽũĞĐƚ Ăŝŵ – ƚŚĞŶ ĞdžƉůŽƌĞ LJŽƵƌ ĐƵƌƌĞŶƚ ĐĂƌĞ ƉƌŽĐĞƐƐĞƐ ĂŶĚ ĚĞǀĞůŽƉ ĂŶ ŝŵƉƌŽǀĞŵĞŶƚ ƉůĂŶ ƚŽ ƚĞƐƚ ǁŝƚŚ LJŽƵƌ ƚĞĂŵ͘ /ŵƉƌŽǀĞ ƚŚĞ ĚĞůŝǀĞƌLJ ŽĨ ĐĂƌĞ͘ WƌĂĐƚŝĐĂů ƚŽŽůƐ ǁŝůů ϯ͘ ƐƵƉƉŽƌƚ ŵĞĂƐƵƌĞŵĞŶƚ ĂŶĚ ĂƐƐĞƐƐŵĞŶƚ ŽĨ ƚŚĞ ƌĞƐƵůƚƐ ŽĨ LJŽƵƌ ŝŵƉƌŽǀĞŵĞŶƚ ĞĨĨŽƌƚƐ͘ hƉŽŶ ĐŽŵƉůĞƚŝŽŶ ŽĨ ƚǁŽ ŝŵƉƌŽǀĞŵĞŶƚ ϰ͘ ĐLJĐůĞƐ͕ ƌĞĨůĞĐƚ ŽŶ ƚŚĞ ĐŚĂŶŐĞƐ LJŽƵ ĂŶĚ LJŽƵƌ ƚĞĂŵ ŚĂǀĞ ŝŵƉůĞŵĞŶƚĞĚ ƐŽ ƚŚĞ ĞĨĨŽƌƚ ĐĂŶ ďĞ ƐƵƐƚĂŝŶĞĚ ĂŶĚ ƐƉƌĞĂĚ͘ What do ǁe promise you and your team? ͻ Ŷ ĞĂƐLJͲƚŽͲƵƐĞ ŽŶůŝŶĞ ƉůĂƚĨŽƌŵ ͻ dŽŽůƐ ĂŶĚ ƌĞƐŽƵƌĐĞƐ ƚŽ ŐƵŝĚĞ LJŽƵƌ ǁŽƌŬ ͻ &W ĂŶĚ /WD ƐƚĂĨĨ ĂƐƐŝƐƚĂŶĐĞ tĞďŝŶĂƌƐ ĂŶĚ ĐŽŶĨĞƌĞŶĐĞ ĐĂůůƐ ŽŶ ƋƵĂůŝƚLJ ͻ ŝŵƉƌŽǀĞŵĞŶƚ ĂŶĚ ĞŶĚͲŽĨͲůŝĨĞ ƚŽƉŝĐƐ Please consider enrolling today at advancedirectivesMKC͘org͘ If you have any Ƌuestions please contact Shelly Rodrigues ;srodriguesΛfamilydocs͘ orgͿ or Pam <ittleson ;pkittlesonΛipmameded͘orgͿ͘

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California Family Physician Summer 2016

FAMILY MEDICINE/PEDIATRIC MEDICINE

Vista Community Clinic With locations in Vista/No San Diego County, Lake Elsinore/So Riverside County and La Habra/Orange County Seeking: Full-time, part-time and per diem Family Medicine Physicians and Pediatricians. Requirements: California license, DEA license, CPR certification and board certified in family medicine. Bilingual English/Spanish preferred.

Contact Us: Visit our website at www.vistacommunityclinic.org Forward resume to hr@vistacommunityclinic.org or fax resume to 760-414-3702

THE STRENGTH TO HEAL and stand by those who stand up for me. Learn n the latest treatments and play an impo mportant role in the care of Sold mp oldiers ol and th heir famil ilies. As a physician on the U.S. Army Reserve health care team, you’ll continue to practtice in yourr comm munity and serve when ne eeded. You’ll work with the most advanced techn nollogy and disting guish you urse rself while rs e wo orking g with dedicated proffessio onalss. You’lll make a difference. To learn more about the U.S. Army health care team, call 310-216-4433 or visit healthcare.goarmy.com/eb19.

©2013. Paid aid d for o by the h Uni Unitted St S ate es Army. All A rights reserved.

California Family Physician Summer 2016

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CAFP Secures $100 Million in Primary Care Residency Funding Ɛ / ǁƌŝƚĞ ƚŚŝƐ͕ ƚŚĞ >ĞŐŝƐůĂƚƵƌĞ ŝƐ ǀŽƟŶŐ ŝŶ ĨĂǀŽƌ ŽĨ͕ ĂŶĚ ƚŚĞ 'ŽǀĞƌŶŽƌ ŝŶƚĞŶĚƐ ƚŽ ƐŝŐŶ͕ ƚŚĞ ϮϬϭϲͲϭϳ ^ƚĂƚĞ ƵĚŐĞƚ͘ ŽŶƚĂŝŶĞĚ ŝŶ ƚŚĞ ƵĚŐĞƚ ŝƐ ĂŶ ƵŶƉƌĞĐĞĚĞŶƚĞĚ ΨϭϬϬ D/>>/KE ƐƚĂƚĞ ĂƉƉƌŽƉƌŝĂƟŽŶ ĨŽƌ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ tŽƌŬĨŽƌĐĞ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͕ ǁŚŝĐŚ ĂůůŽĐĂƚĞƐ ŐƌĂŶƚƐ ƚŽ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ŝŶ ĂůŝĨŽƌŶŝĂ ƚŚĂƚ ƉƌŽǀŝĚĞ ĐĂƌĞ ĨŽƌ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶƐ ĂŶĚ ĞdžƉĂŶĚ ƚŚĞ ĞƚŚŶŝĐ ĚŝǀĞƌƐŝƚLJ ŽĨ ŽƵƌ ƉŚLJƐŝĐŝĂŶ ǁŽƌŬĨŽƌĐĞ͘ &Žƌ LJĞĂƌƐ͕ &W ŚĂƐ ƐŽƵŐŚƚ ƚŽ ƐƚĂďŝůŝnjĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĨƵŶĚŝŶŐ͘ dŚŝƐ ŶĞĞĚ ǁĂƐ ŶĞǀĞƌ ŵŽƌĞ ĂĐƵƚĞ ƚŚĂŶ ŝŶ ϮϬϭϲ͕ ǁŚĞŶ ŽƵƌ ƉƌŽŐƌĂŵƐ ĨĂĐĞĚ ƚĞŶƐ ŽĨ ŵŝůůŝŽŶƐ ŽĨ ĚŽůůĂƌƐ ŝŶ ĨƵŶĚŝŶŐ ĐƵƚƐ͘ Ɛ Ă ƌĞƐƵůƚ ŽĨ ƚŚĞ ĚĞĚŝĐĂƚĞĚ ĞīŽƌƚ ŽĨ &W͛Ɛ ŐŽǀĞƌŶŵĞŶƚ ƌĞůĂƟŽŶƐ ƚĞĂŵ͕ >ŽďďLJ ĂLJ ƉĂƌƟĐŝƉĂŶƚƐ͕ <ĞLJ ŽŶƚĂĐƚƐ ĂŶĚ͕ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚůLJ͕ ŽƵƌ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͕ ƚŚŝƐ ĂƉƉƌŽƉƌŝĂƟŽŶ ǁŝůů ďĂĐŬĮůů ƚŚŽƐĞ ĐƵƚƐ͕ ĂƉƉƌŽƉƌŝĂƚĞ ĨƵŶĚŝŶŐ ĨŽƌ ŶĞǁ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ŝŶ ĂƌĞĂƐ ŽĨ ƵŶŵĞƚ ŶĞĞĚ ĂŶĚ ĞdžƉĂŶĚ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ Ăƚ ĞdžŝƐƟŶŐ ƉƌŽŐƌĂŵƐ͘ &ƵŶĚƐ ĂƌĞ ĂůƐŽ ĚĞĚŝĐĂƚĞĚ ƚŽ ƐƵƉƉŽƌƟŶŐ ƚŚĞ ƐƚĂƚĞ͛Ɛ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌƐ͘ ĂůŝĨŽƌŶŝĂ ŝƐ ŽŶĞ ŽĨ ŽŶůLJ Ă ŚĂŶĚĨƵů ŽĨ ƐƚĂƚĞƐ ƚŚĂƚ ƉƌŽǀŝĚĞ ŶŽ ĮŶĂŶĐŝĂů ƐƵƉƉŽƌƚ ƚŚƌŽƵŐŚ DĞĚŝĐĂŝĚ ĨŽƌ 'ƌĂĚƵĂƚĞ DĞĚŝĐĂů ĚƵĐĂƟŽŶ͘ dŚŝƐ ĨŽƌĐĞƐ ƚŚĞ ŵĞĚŝĐĂů ĐŽŵŵƵŶŝƚLJ ƚŽ ƌĞůLJ ŽŶ ĨĞĚĞƌĂů ĨƵŶĚŝŶŐ͕ ƉƌŝǀĂƚĞ ŐƌĂŶƚƐ ĂŶĚ Ă ƐŵĂůů ĨĞĞ ŽŶ ŚŽƐƉŝƚĂůƐ͕ ǁŚŝĐŚ ůĞĂĚƐ ƚŽ Ă ǀŽůĂƟůĞ ĨƵŶĚŝŶŐ ĞŶǀŝƌŽŶŵĞŶƚ ĨŽƌ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘ ^ĞǀĞƌĂů ĨĞĚĞƌĂů ĂŶĚ ƉƌŝǀĂƚĞ ĨŽƵŶĚĂƟŽŶ ŐƌĂŶƚƐ ƚŚĂƚ ƐƵƉƉŽƌƚ ĂůŝĨŽƌŶŝĂ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƚƌĂŝŶŝŶŐ ŚĂǀĞ ƌĞĐĞŶƚůLJ ĞdžƉŝƌĞĚ Žƌ ĂƌĞ ƐĞƚ ƚŽ ĞdžƉŝƌĞ͗

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California Family Physician Summer 2016

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ΨϮϭ ŵŝůůŝŽŶ ĂůŝĨŽƌŶŝĂ ŶĚŽǁŵĞŶƚ ŐƌĂŶƚ Ψϰ ŵŝůůŝŽŶ ĂůŝĨŽƌŶŝĂ ,ĞĂůƚŚ ĂƚĂ ĂŶĚ WůĂŶŶŝŶŐ &ƵŶĚ ĂƉƉƌŽƉƌŝĂƟŽŶ Ψϭϴ ŵŝůůŝŽŶ ŝŶ ,ĞĂůƚŚ ZĞƐŽƵƌĐĞƐ ĂŶĚ ^ĞƌǀŝĐĞƐ ĚŵŝŶŝƐƚƌĂƟŽŶ ĨƵŶĚŝŶŐ ĨŽƌ ƚŚĞ WƌŝŵĂƌLJ ĂƌĞ ZĞƐŝĚĞŶĐLJ džƉĂŶƐŝŽŶ ƉƌŽŐƌĂŵ

ĚĚŝƟŽŶĂůůLJ͕ ŵŽƌĞ ƚŚĂŶ Ψϭϱ ŵŝůůŝŽŶ ĨƌŽŵ ƚŚĞ ĨĞĚĞƌĂů dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌ ƉƌŽŐƌĂŵ ŝƐ ƐĞƚ ƚŽ ĞdžƉŝƌĞ ŝŶ ϮϬϭϳ͘ dŚŝƐ ĂĚĚƐ ƵƉ ƚŽ ŵŽƌĞ ƚŚĂŶ ΨϲϬ ŵŝůůŝŽŶ ŝŶ ĐƵƚƐ͘ /Ĩ ƚŚĞ ^ƚĂƚĞ ŚĂĚ ŶŽƚ ƐƚĞƉƉĞĚ ŝŶ ƚŽ ďĂĐŬĮůů ƚŚĞ ĨƵŶĚŝŶŐ͕ ŵŽƌĞ ƚŚĂŶ ϭϱϬ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƐůŽƚƐ ;ŽƵƚ ŽĨ Ă ƚŽƚĂů ŽĨ ϯϲϴͿ ǁĞƌĞ Ăƚ ƌŝƐŬ͘ &W ůĂƵŶĐŚĞĚ ĂŶ ĂůůͲŽƵƚ ĂĚǀŽĐĂĐLJ ĞīŽƌƚ ĞĂƌůŝĞƌ ƚŚŝƐ LJĞĂƌ ƚŽ ĐŽŶǀŝŶĐĞ ůĞŐŝƐůĂƚŽƌƐ ƚŽ ĂƉƉƌŽƉƌŝĂƚĞ ΨϭϬϬ ŵŝůůŝŽŶ ƚŽ ŶŽƚ ŽŶůLJ ŵĂŝŶƚĂŝŶ ĐƵƌƌĞŶƚ ĨƵŶĚŝŶŐ ůĞǀĞůƐ͕ ďƵƚ ŝŶĐƌĞĂƐĞ ƚŚĞ ŝŶǀĞƐƚŵĞŶƚ ĂŶĚ ĮŶĂůůLJ ĂĚĚƌĞƐƐ ĂůŝĨŽƌŶŝĂ͛Ɛ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƐŚŽƌƚĂŐĞ͘ /Ŷ DĂƌĐŚ͕ &W ŚĞůĚ ŝƚƐ ĂŶŶƵĂů ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ĂŶĚ >ŽďďLJ ĂLJ͘ dŚĞ ŶƵŵďĞƌ ŽŶĞ ŝƐƐƵĞ ĚŝƐĐƵƐƐĞĚ Ăƚ ƚŚĞ ŵĞĞƟŶŐ ƚŚŝƐ LJĞĂƌ ǁĂƐ ĞŶƐƵƌŝŶŐ ĂĚĞƋƵĂƚĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ĨƵŶĚŝŶŐ͘ &W ƉƌĞƐĞŶƚĞĚ ĨŽƵƌ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ŚĂŵƉŝŽŶ ĂǁĂƌĚƐ ƚŽ ůĞŐŝƐůĂƚŽƌƐ ǁŚŽ ŚĂǀĞ ďĞĞŶ ŬĞLJ ĂĚǀŽĐĂƚĞƐ ĨŽƌ ƌĞƐŝĚĞŶĐLJ ĨƵŶĚŝŶŐ͘ DŽƌĞ ƚŚĂŶ ϲϬ &W ŵĞŵďĞƌƐ ƐƉŽŬĞ ǁŝƚŚ ƚŚĞŝƌ ůĞŐŝƐůĂƚŽƌƐ ŽŶ >ŽďďLJ

ĂLJ ĂďŽƵƚ ƚŚĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ŝŶ ƚŚĞŝƌ ĚŝƐƚƌŝĐƚƐ ĂŶĚ ĂďŽƵƚ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞŝƌ ĐŽŵŵƵŶŝƟĞƐ͘ dŚƌŽƵŐŚŽƵƚ ƚŚĞ ƐƉƌŝŶŐ͕ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ŝŶǀŝƚĞĚ ůĞŐŝƐůĂƚŽƌƐ ƚŽ ƚŽƵƌ ƚŚĞŝƌ ƉƌŽŐƌĂŵ Žƌ ŚĞĂƌ Ă ƉƌĞƐĞŶƚĂƟŽŶ ŝŶ ƚŚĞŝƌ ĚŝƐƚƌŝĐƚ ŽĸĐĞ͘ h ^& ŵĞƚ ǁŝƚŚ ƐƐĞŵďůLJŵĞŵďĞƌ WŚŝů dŝŶŐ ĂŶĚ ^ĞŶĂƚŽƌ DĂƌŬ >ĞŶŽ͕ ƚŚĞ >ŽŵĂ >ŝŶĚĂͲ/ŶůĂŶĚ ŵƉŝƌĞ ŽŶƐŽƌƟƵŵ ĨŽƌ ,ĞĂůƚŚĐĂƌĞ ĚƵĐĂƟŽŶ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ ŵĞƚ ǁŝƚŚ ƐƐĞŵďůLJŵĞŵďĞƌ DĂƌĐ ^ƚĞŝŶŽƌƚŚ ;ůĞŌ ƉŚŽƚŽͿ͕ ^ĐƌŝƉƉƐ DĞƌĐLJ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ ŵĞƚ ǁŝƚŚ ƐƐĞŵďůLJŵĞŵďĞƌ >ŽƌĞŶĂ 'ŽŶnjĂůĞnj ĂŶĚ <ĂŝƐĞƌ ^ĂŶ ŝĞŐŽ ŵĞƚ ǁŝƚŚ ƐƐĞŵďůLJŵĞŵďĞƌ ƌŝĂŶ DĂŝĞŶƐĐŚĞŝŶ͕ ĂŵŽŶŐ ŽƚŚĞƌƐ͘ /Ŷ Ɖƌŝů͕ &W ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ŚĞĂĚĞĚ ƚŽ tĂƐŚŝŶŐƚŽŶ ͘ ͘ ĨŽƌ &W͛Ɛ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ŽŶŐƌĞƐƐŝŽŶĂů ŽŶĨĞƌĞŶĐĞ͕ ǁŚĞƌĞ ǁĞ ƵƌŐĞĚ ZĞƉƌĞƐĞŶƚĂƟǀĞƐ ĂŶĚ ^ĞŶĂƚŽƌƐ ƚŽ ĞdžƚĞŶĚ ƚŚĞ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌƐ ƉƌŽŐƌĂŵ ƚŚĂƚ ďƌŽƵŐŚƚ ŵŽƌĞ ƚŚĂŶ Ψϭϱ ŵŝůůŝŽŶ ŝŶ ĨƵŶĚŝŶŐ ƚŽ ĂůŝĨŽƌŶŝĂ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘

Do you know What, When and How to Report Child Abuse?

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&W >ĞŐŝƐůĂƟǀĞ ĚǀŽĐĂƚĞ :ŽĚŝ ,ŝĐŬƐ ;ƚŽƉ ƉŚŽƚŽͿ ĂŶĚ DĂŶĂŐĞƌ ŽĨ tŽƌŬĨŽƌĐĞ ĞǀĞůŽƉŵĞŶƚ ďŚŝŶĂLJĂ EĂƌĂLJĂŶĂŶ ;ƌŝŐŚƚ ƉŚŽƚŽͿ͕ ǁŚŽ ƌĞĐĞŶƚůLJ ůĞŌ &W ƚŽ ďĞŐŝŶ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ƚĞƐƟĮĞĚ Ăƚ ďƵĚŐĞƚ ĐŽŵŵŝƩĞĞ ŚĞĂƌŝŶŐƐ ƚŽ ƐƵƉƉŽƌƚ ŝŶǀĞƐƟŶŐ ŝŶ ^ŽŶŐͲ ƌŽǁŶ͘ /Ŷ ƚŚĞ ǁĞĞŬ ďĞĨŽƌĞ ƚŚĞ ^ƚĂƚĞ ƵĚŐĞƚ ǁĂƐ ĚƵĞ͕ &W͛Ɛ ŐŽǀĞƌŶŵĞŶƚ ƌĞůĂƟŽŶƐ ƚĞĂŵ ƉĂƌƚŶĞƌĞĚ ǁŝƚŚ ƚŚĞ ĂůŝĨŽƌŶŝĂ WƌŝŵĂƌLJ ĂƌĞ ƐƐŽĐŝĂƟŽŶ ĂŶĚ ƚŚĞ ĂůŝĨŽƌŶŝĂ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ƚŽ ŶĞŐŽƟĂƚĞ ƐƵĐĐĞƐƐĨƵůůLJ ǁŝƚŚ ƚŚĞ KĸĐĞ ŽĨ ^ƚĂƚĞǁŝĚĞ ,ĞĂůƚŚ WůĂŶŶŝŶŐ ĂŶĚ ĞǀĞůŽƉŵĞŶƚ͕ ůĞŐŝƐůĂƟǀĞ ďƵĚŐĞƚ ƐƚĂī͕ ƚŚĞ ĞƉĂƌƚŵĞŶƚ ŽĨ &ŝŶĂŶĐĞ ĂŶĚ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ŽĸĐĞ ƚŽ ĂůůŽĐĂƚĞ ƚŚŝƐ Ă ŚŝƐƚŽƌŝĐ ĂŵŽƵŶƚ ŽĨ 'ĞŶĞƌĂů &ƵŶĚ ŵŽŶĞLJ – ΨϭϬϬ ŵŝůůŝŽŶ ŽǀĞƌ Ă ƉĞƌŝŽĚ ŽĨ Ɛŝdž LJĞĂƌƐ – ŝŶƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ tŽƌŬĨŽƌĐĞ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͘ &W ůŽŽŬƐ ĨŽƌǁĂƌĚ ƚŽ ǁŽƌŬŝŶŐ ǁŝƚŚ ŽƵƌ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ƚŽ ŚĞůƉ ƚŚĞŵ ŶĂǀŝŐĂƚĞ ƚŚĞ ŶĞǁůLJ ĂǀĂŝůĂďŝůŝƚLJ ĨƵŶĚŝŶŐ ŽƉƉŽƌƚƵŶŝƟĞƐ͊ Adam Francis is CAFP’s CAFP Director of Government RelaƟons͘

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Developed by the Child Abuse Prevention Center

1.25 AMA PRA Category 1 Credits™ (CME) x

1.25 CE credits

x

Available 24/7

Sign up NOW at: http://www.imq.org/education/caprrc.aspx California Family Physician Summer 2016

29

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EXECUTIVE VICE PRESIDENT’S FORUM

End-of-Life Hits Home for Me: Eunice Got Her Wishes dŚŝƐ ĂƌƟĐůĞ ŝƐ ƉĞƌƐŽŶĂů – ƚŚĞ ƌŽůůŽƵƚ ŽĨ ƚŚĞ ŶĞǁ &W ĞŶĚͲŽĨͲůŝĨĞ ƉŽĚĐĂƐƚƐ ĂŶĚ ƌĞƐŽƵƌĐĞ ĐĞŶƚĞƌ ŽŶ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ĐĂŵĞ ĐůŽƐĞ ŽŶ ƚŚĞ ŚĞĞůƐ ŽĨ ŵLJ ϵϲͲLJĞĂƌͲŽůĚ ŵŽƚŚĞƌ͛Ɛ ĚĞĂƚŚ ŝŶ ĞĂƌůLJ DĂƌĐŚ͘ ^Ž͕ ĞŶĚͲŽĨͲůŝĨĞ – ŚĞƌƐ ĂŶĚ ŵŝŶĞ – ŝƐ ŵƵĐŚ ŽŶ ŵLJ ŵŝŶĚ͘ dŚĞ ĞŶĚ ŽĨ ŵLJ ŵŽŵ͛Ɛ ůŝĨĞ ǁĂƐ ĂůŵŽƐƚ ǁŚĂƚ ƐŚĞ ǁĂŶƚĞĚ ŝƚ ƚŽ ďĞ͘ ^ŚĞ ǁĂƐ ŝŶ ŚĞƌ ŽǁŶ ŚŽŵĞ ƵŶƟů ŚĞƌ ůĂƐƚ ƐĞǀĞŶ ǁĞĞŬƐ͘ EĞǀĞƌ ŵŝŶĚ ƚŚĂƚ ŚĞƌ ŚŽŵĞ ǁĂƐ ƚŚƌĞĞ ƐƚŽƌŝĞƐ͕ ŶŽƚ Ăƚ Ăůů ĞůĚĞƌͲĨƌŝĞŶĚůLJ͕ ĂŶĚ ƐŚĞ ŶĞŐŽƟĂƚĞĚ ŝƚ ǁŚŝůĞ ƚĞƚŚĞƌĞĚ ďLJ Ă ϱϬͲĨŽŽƚ ůŽŶŐ ƉůĂƐƟĐ ƚƵďĞ ƚŽ ĂŶ ŽdžLJŐĞŶ ŵĂĐŚŝŶĞ͖ ƐŚĞ ŵĂŶĂŐĞĚ͘ dŚĂƚ ƚƵďĞ ǁĂƐ ĂůŝǀĞ ĂŶĚ ǁƌĂƉƉĞĚ ŝƚƐĞůĨ ĂƌŽƵŶĚ ŵLJ ĂŶŬůĞƐ ůŝŬĞ Ă ƉLJƚŚŽŶ ĞǀĞƌLJ ƟŵĞ / ǀŝƐŝƚĞĚ͘ ^ŽŵĞŚŽǁ͕ ƚŚŽƵŐŚ͕ ŵLJ ŵŽŵ ŶĞǀĞƌ ƚƌŝƉƉĞĚ ŽŶ ƚŚĞ ĚĂƌŶĞĚ ƚŚŝŶŐ͘ ^ŚĞ ŇƵŶŐ ŝƚ ĂƌŽƵŶĚ ĂŶĚ ďĞŚŝŶĚ ŚĞƌ ůŝŬĞ ƚŚĞ ŵŝŶŬ ƐƚŽůĞ ƐŚĞ ĂůǁĂLJƐ ƉŝŶĞĚ ĨŽƌ͘ DLJ ŵŽŵ ĞĂƌŶĞĚ ŚĞƌ ŽdžLJŐĞŶ ƐƚƌŝƉĞƐ ƚŚĞ ŽůĚͲĨĂƐŚŝŽŶĞĚ ǁĂLJ – ůŝŬĞ ƐŽ ŵĂŶLJ ŽĨ ŚĞƌ ƉĞĞƌƐ͕ ƐŚĞ ƐŵŽŬĞĚ ƌŝŐŚƚ ƵƉ ƵŶƟů ŚĞƌ ƚƌŝƉůĞ ďLJƉĂƐƐ Ăƚ ϲϳ͕ Ăƚ ǁŚŝĐŚ ƟŵĞ ƐŚĞ ǁĞŶƚ ĐŽůĚ ƚƵƌŬĞLJ͘ EĞǀĞƌ ĂŶ ĞdžĞƌĐŝƐĞƌ͕ ĨŽůůŽǁŝŶŐ ďLJƉĂƐƐ ƐƵƌŐĞƌLJ ƐŚĞ ǁĂƐ ƚŽůĚ ƚŽ ǁĂůŬ ƚŚƌĞĞ ŵŝůĞƐ Ă ĚĂLJ͕ ĂŶĚ ǁĂůŬ ƐŚĞ ĚŝĚ – ĂƌŽƵŶĚ ƚŚĞ ůŽĐĂů ŵĂůů Ăƚ ƌĞŵĂƌŬĂďůĞ ƐƉĞĞĚ͘ / ďĂƌĞůLJ ĐŽƵůĚ ŬĞĞƉ ƵƉ͘ ŶĚ͕ ǁŚĞŶ ƐŚĞ ǁĞŶƚ ŽŶ ŽdžLJŐĞŶ ŵĂŶLJ LJĞĂƌƐ ůĂƚĞƌ͕ ƐŚĞ ďŽƌƌŽǁĞĚ Ă ƐŚŽƉƉŝŶŐ ĐĂƌƚ͕ ƉůƵŶŬĞĚ ƚŚĞ ƉŽƌƚĂďůĞ ŽdžLJŐĞŶ ŵĂĐŚŝŶĞ ŝŶ ŝƚ ĂŶĚ Śŝƚ ƚŚĞ ƌĂĐĞǁĂLJ͘ ^ŚĞ ǁĂƐ ĂƉƉĂůůĞĚ Ăƚ ŵLJ ƐƵŐŐĞƐƟŽŶ ƐŚĞ ǁĂůŬ ŽƵƚƐŝĚĞ ƐŽŵĞƟŵĞ ĂŶĚ ĞŶũŽLJ ƚŚĞ ĨƌĞƐŚ Ăŝƌ͘ tŚĂƚ͍ ŶĚ ůĞƚ ƚŚĞ EĞďƌĂƐŬĂ ǁŝŶĚ ŵĞƐƐ ƵƉ ŚĞƌ ŚĂŝƌ͍ dŚĞ ƵŶƉůĞĂƐĂŶƚ ĚŝƐĐƵƐƐŝŽŶ ƐŽŵĞ ĐŚŝůĚƌĞŶ ŚĂǀĞ ǁŝƚŚ ƚŚĞŝƌ ĞůĚĞƌůLJ ƉĂƌĞŶƚƐ ĂďŽƵƚ ǁŚĞŶ ƚŽ ŐŝǀĞ ƵƉ ĚƌŝǀŝŶŐ ĚŝĚŶ͛ƚ ŚĂǀĞ ƚŽ ŚĂƉƉĞŶ͘ DLJ ŵŽŵ ĂŶŶŽƵŶĐĞĚ ƐŚĞ ǁĂƐ ŐŝǀŝŶŐ ƵƉ ŚĞƌ ĐĂƌ ĂŶĚ ůŝĐĞŶƐĞ ǁŚĞŶ ƐŚĞ ƚƵƌŶĞĚ ϵϬ – ĂŶĚ ƐŚĞ ĚŝĚ͘ tĞůů ďĞĨŽƌĞ ƚŚĂƚ͕ ǁĞ ŚĂĚ ƚŚĞ ĞŶĚͲŽĨͲůŝĨĞ ǁŝƐŚĞƐ ĚŝƐĐƵƐƐŝŽŶ ĂŶĚ ƐŚĞ ŵĂĚĞ ŚĞƌ ĚĞƐŝƌĞƐ ŬŶŽǁŶ ǁŝƚŚ ůŝƩůĞ ƐĞŶƟŵĞŶƚĂůŝƚLJ͘ ǀĞƌLJƚŚŝŶŐ ǁĂƐ ĐŽĚŝĮĞĚ ǁŝƚŚ ƚŚĞ ĂƉƉƌŽƉƌŝĂƚĞ ůĞŐĂů ĚŽĐƵŵĞŶƚƐ ĂŶĚ ŽǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ǁĞ ŚĂĚ ŵĂŶLJ ĚŝƐĐƵƐƐŝŽŶƐ ĂďŽƵƚ ĨƌŝĞŶĚƐ ǁŚŽ ŚĂĚ ďĞĞŶ ŵŽƌĞ ͞ĂĐƟǀŝƐƚ͟ ŝŶ ƚŚĞŝƌ ĞŶĚͲŽĨͲůŝĨĞ ĂĐƟŽŶƐ͕ ĂŶĚ͕ ǁŚŝůĞ ƐŚĞ ĚŝĚ ŶŽƚ ǁĂŶƚ ƚŽ ŐŽ ƚŚĞƌĞ͕ ƐŚĞ ǁĂƐ ĞƋƵĂůůLJ ĐůĞĂƌ ĂďŽƵƚ ŶŽƚ ǁĂŶƟŶŐ ůŝĨĞ ƐƵƉƉŽƌƚ͘ ŌĞƌ ŵLJ ŵŽŵ ŐĂǀĞ ƵƉ ĚƌŝǀŝŶŐ͕ ƚŚĞ ŵĂůů͕ Ăƚ ůĞĂƐƚ ŚĞƌ ĨƌŝĞŶĚƐ ĨƌŽŵ ƚŚĞ ŵĂůů͕ ĐĂŵĞ ƚŽ ŚĞƌ͘ ^ŚĞ ǁĂƐ ŶĞǀĞƌ ůŽŶĞůLJ ĂŶĚ ƐŚĞ ǁĂƐŶ͛ƚ ĚĞƉƌĞƐƐĞĚ ƵŶƟů ŚĞƌ ĐŚƌŽŶŝĐ ǀĞƌƟŐŽ ŐŽƚ ƌĞĂůůLJ ďĂĚ ŝŶ ŚĞƌ ůĂƐƚ LJĞĂƌ͘ dŚĞŶ͕ LJŽƵ ŬŶŽǁ ƚŚĞ Ěƌŝůů͗ ƐŚĞ ƌĞƐŝƐƚĞĚ ƚŚĞ ŝĚĞĂ ŽĨ ŚĞůƉ Ăƚ ŚŽŵĞ ĞǀĞŶ ĂŌĞƌ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ƐĂŝĚ ƐŚĞ ƐŚŽƵůĚ ŶŽƚ ďĞ ĂůŽŶĞ ;͞ŚĞ͛Ɛ ŶŽƚ Dz ƉŚLJƐŝĐŝĂŶ͟Ϳ ĂŶĚ ĮƌĞĚ ƚŚĞ ĐĂƌĞ ǁŽƌŬĞƌ / ŚŝƌĞĚ ƚŚĞ ŵŝŶƵƚĞ / ůĞŌ ƚŽǁŶ͘ ,Ğƌ ŚŽƵƐĞĐůĞĂŶŝŶŐ ĂŶĚ ĚŝƐŚǁĂƐŚŝŶŐ ŶŽ ůŽŶŐĞƌ ǁĞƌĞ ŵĞƟĐƵůŽƵƐ ĂŶĚ ŚĞƌ ŵĞŵŽƌLJ ďĞŐĂŶ ƚŽ ƐůŝƉ – ƐŚĞ ĐŽƵůĚ ƌĞĐĂůů ŝŶ ŝŶƟŵĂƚĞ ĚĞƚĂŝů ĞǀĞŶƚƐ ŽĨ ϴϬ LJĞĂƌƐ ĂŐŽ͕ ďƵƚ ƌĞƉĞĂƚĞĚ ŚĞƌƐĞůĨ ĂŶĚ ĨŽƌŐŽƚ ǁŚĂƚ ŵŝŐŚƚ ďĞ ŚĂƉƉĞŶŝŶŐ ƚŚĂƚ ĚĂLJ͘ 30

California Family Physician Physician Summer Summer 2016 2016

LJ ƚŚĞŶ͕ ƐŚĞ ǁĂƐ ŽŶ ϭϬ Žƌ ŵŽƌĞ ŵĞĚŝĐĂƟŽŶƐ ĨŽƌ ĂŝůŵĞŶƚƐ ƌĂŶŐŝŶŐ ĨƌŽŵ ŚŝŐŚ ďůŽŽĚ ƉƌĞƐƐƵƌĞ ƚŽ ůĞŐ ĐƌĂŵƉƐ ƚŽ KW ͘ ^ŚĞ ŚĂĚ ƚŽ ĐƌƵƐŚ Ăůů ŚĞƌ ƉŝůůƐ ĂŶĚ ƚĂŬĞ ƚŚĞŵ ŝŶ ĂƉƉůĞƐĂƵĐĞ ƚŽ ĂǀŽŝĚ ĐŚŽŬŝŶŐ͘ ^ŚĞ ƌĞŐƵůĂƌůLJ ĐŚŽŬĞĚ ŽŶ ĨŽŽĚ͕ ŶŽ ŵĂƩĞƌ ŚŽǁ ƐŵĂůů Žƌ ƐŽŌ͕ ĂŶĚ ŝƚ ǁĂƐ ƐĐĂƌLJ ďĞĐĂƵƐĞ ƐŚĞ͛Ě ƌƵŶ ƚŽ ƚŚĞ ďĂƚŚƌŽŽŵ ƚŽ ĐŚŽŬĞ ƚŚĞƌĞ – ǁŚĞƌĞ Ă ůŽƚ ŽĨ ĐŚŽŬŝŶŐ ǀŝĐƟŵƐ ĂƌĞ ĨŽƵŶĚ ĚĞĂĚ͕ / Ăŵ ƚŽůĚ͘ ^ŚĞ ĐŽŶƐĞŶƚĞĚ ƚŽ ǁĞĂƌŝŶŐ Ă >ŝĨĞ >ŝŶĞ ǁƌŝƐƚ ďĂŶĚ ĂŶĚ ŝŶ ƚŚĞ ůĂƐƚ ŶŝŶĞ ŵŽŶƚŚƐ͕ ďĞĐĂŵĞ Ă ͞ĨƌĞƋƵĞŶƚ ŇLJĞƌ͟ – >ŝĨĞ >ŝŶĞ ĐĂůůƐ͕ ϵϭϭ ĐĂůůƐ ĂŶĚ ǀŝƐŝƚƐ ĂŶĚ Ă ĨĞǁ ƚƌŝƉƐ ƚŽ ƚŚĞ Z͕ ďƵƚ ŶŽ ĂĚŵŝƐƐŝŽŶƐ ďĞĐĂƵƐĞ ƐŚĞ ŚĂĚŶ͛ƚ ďƌŽƵŐŚƚ ŚĞƌ ŵĂŬĞͲƵƉ ĂŶĚ ĚŝĚŶ͛ƚ ǁĂŶƚ ƚŽ ďĞ ƐĞĞŶ ǁŝƚŚŽƵƚ ŝƚ͘ /͛ŵ ŶŽƚ ŵĂŬŝŶŐ ƚŚŝƐ ƵƉ͘ ŌĞƌ ŽŶĞ Z ƚƌŝƉ͕ ƚŚĞ ŚŽƐƉŝƚĂů ƌĞƉŽƌƚĞĚ ŚĞƌ ƚŽ ƚŚĞ ^ƚĂƚĞ ŽĨ EĞďƌĂƐŬĂ ĂƐ Ă ǀƵůŶĞƌĂďůĞ ĂĚƵůƚ͘ / ǁĂƐ ŵŽƌƟĮĞĚ͘ / ƚƌŝĞĚ ƚŽ ŚĂŶĚůĞ ƚŚŝŶŐƐ ůŽŶŐ ĚŝƐƚĂŶĐĞ ǁŝƚŚ ŵƵĐŚ ŚĞůƉ ĨƌŽŵ ŚĞƌ ŵĂŶLJ ǁŽŶĚĞƌĨƵů ůŽĐĂů ĨƌŝĞŶĚƐ͕ ďƵƚ ŚĞƌ ĨĂůůƐ ďĞĐĂŵĞ ŵŽƌĞ ĨƌĞƋƵĞŶƚ͘ ^ŚĞ ĚŝĚŶ͛ƚ ƚƌŝƉ Žƌ ƐƚƵŵďůĞ͕ ƐŚĞ ũƵƐƚ ǁĞŶƚ ĚŽǁŶ ŝŶ Ă ŚĞĂƉ ĂƐ Ă ĐŽŶƐĞƋƵĞŶĐĞ ŽĨ ƚŚĞ ǀĞƌƟŐŽ͘ &ŽƌƚƵŶĂƚĞůLJ͕ ŶŽ ďŽŶĞƐ ďƌŽŬĞ͕ Ă ŵĂũŽƌ ŵŝƌĂĐůĞ ďĞĐĂƵƐĞ͕ Ăƚ ϴϱ ƉŽƵŶĚƐ ĂŶĚ ŽƐƚĞŽƉŽƌŽƟĐ͕ ƚŚĞLJ ƐŚŽƵůĚ ŚĂǀĞ͘ dŚĞ ĐŽŵŵƵŶŝƚLJ ŚŽƐƉŝƚĂů ŚĂĚ Ă ĚŽĐƚŽƌ ĂŶĚ ŶƵƌƐĞ ǁŚŽ ŚĂĚ ƐƚĂƌƚĞĚ Ă ŚŽŵĞ ŚĞĂůƚŚ ǀŝƐŝƚ ƐĞƌǀŝĐĞ͘ dŚĂƚ ǁĂƐ Ă ƚƌĞŵĞŶĚŽƵƐ ŐŝŌ – ŝƚ ŬĞƉƚ ŚĞƌ ŚŽŵĞ ůŽŶŐĞƌ ĂŶĚ ƐŚĞ ĨĞůƚ ǁĞůů ĐĂƌĞĚ ĨŽƌ͘ KƵƌ ƌĞůĂƟŽŶƐŚŝƉ ďĞĐĂŵĞ ĨƌĂƵŐŚƚ͕ ĞǀĞŶ ĐŽŶƚĞŶƟŽƵƐ͕ ďĞĐĂƵƐĞ ƐŚĞ ƚŚŽƵŐŚƚ / ǁĂƐ ƚƌLJŝŶŐ ƚŽ ƚĂŬĞ ĂǁĂLJ ŚĞƌ ŝŶĚĞƉĞŶĚĞŶĐĞ͕ ĂŶĚ / ǁĂƐ͘ ůƚŚŽƵŐŚ ƐŚĞ ŚĂĚ ĂŐƌĞĞĚ ŶŽƚ ƚŽ͕ ƐŚĞ ĐŽŶƟŶƵĞĚ ƚŽ ƵƐĞ ƚŚĞ ƐƚĞĞƉ ĂŶĚ ŶĂƌƌŽǁ ƐƚĂŝƌƐ͘ >Ğƚ͛Ɛ ĐƵƚ ƚŽ ƚŚĞ ĐŚĂƐĞ – ĂŶŽƚŚĞƌ ĨĂůů ŝŶ ƚŚĞ ŬŝƚĐŚĞŶ ǁŝƚŚ Ă ďŽǁů ŽĨ ĐŚŝĐŬĞŶ ŶŽŽĚůĞ ƐŽƵƉ ŝŶ ŚĞƌ ŚĂŶĚ – ƐŚĞ ĐůĞĂŶĞĚ ƵƉ ƚŚĞ ŵĞƐƐ ďĞĨŽƌĞ ŚĞĂĚŝŶŐ ƚŽ ŚĞƌ ƌĞĐůŝŶĞƌ͘ ^ŚĞ ĐŽƵůĚŶ͛ƚ ŐĞƚ ƵƉ ŝŶ ƚŚĞ ŵŽƌŶŝŶŐ͘ >ŝĨĞ >ŝŶĞ͘ ŵďƵůĂŶĐĞ͘ Z͘ ǀĂůƵĂƟŽŶ͘ ZĞŚĂď ĐĞŶƚĞƌ͘ ^ŚĞ ĚĞĐůŝŶĞĚ ŝŵŵĞĚŝĂƚĞůLJ͘ dŚĞ ŚŽŵĞ ŚĞĂůƚŚ ĚŽĐ ƌĞŵŝŶĚĞĚ ŵĞ ƚŚĂƚ ϱϬ ƉĞƌĐĞŶƚ ŽĨ ĨŽůŬƐ ŚĞƌ ĂŐĞ ĂĚŵŝƩĞĚ ƚŽ ƌĞŚĂď ĐĞŶƚĞƌƐͬĂƐƐŝƐƚĞĚ ůŝǀŝŶŐ ĨĂĐŝůŝƟĞƐ ĚŝĞĚ ǁŝƚŚŝŶ ƚŚĞ ĮƌƐƚ LJĞĂƌ͘ dŚĂƚ ǁĂƐ ŚĞƌ ŝŶƚĞŶƚ ĂŶĚ ƐŚĞ ǁĂƐ ƌĞĂĚLJ͘ ƚ ƚŚĞ ĞŶĚ͕ ƚŚĞ ƌĞŚĂď ĐĞŶƚĞƌ ƐĞŶƚ ŚĞƌ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ĂŶĚ ƚŚĂƚ ŝƐ ǁŚĞƌĞ ƐŚĞ ĚŝĞĚ͕ ďƵƚ ǁŝƚŚŝŶ Ϯϰ ŚŽƵƌƐ ĂŶĚ ǁŝƚŚ ŝŶƚĞƌǀĞŶƟŽŶƐ ŽŶůLJ ƚŽ ŬĞĞƉ ŚĞƌ ĐŽŵĨŽƌƚĂďůĞ͘ /͛ŵ ĐĞƌƚĂŝŶ ŵLJ ŵŽŵ ǁĞŶƚ ŽƵƚ ǁŝƚŚ ŶŽ ƉĂŝŶ͕ ĂƐ ĐŽŵĨŽƌƚĂďůĞ ĂƐ ƐŚĞ ĐŽƵůĚ ďĞ ŵĂĚĞ͕ ĂŶĚ ǁŝƚŚ ǀĞƌLJ ŬŝŶĚ ĂŶĚ ĐĂƌŝŶŐ ŚĞĂůƚŚ ƉƌŽĨĞƐƐŝŽŶĂůƐ Ăƚ ŚĞƌ ƐŝĚĞ ƚŽ ĞŶƐƵƌĞ ƚŚĂƚ ŝƐ ǁŚĂƚ ǁŽƵůĚ ŚĂƉƉĞŶ͘ / ǁĂƐ ƚŚĞƌĞ͕ ƚŽŽ͕ ũƵƐƚ ƚŽ ďĞ ƐƵƌĞ ƐŚĞ ŐŽƚ ǁŚĂƚ ƐŚĞ ǁĂŶƚĞĚ ĂŶĚ ŶŽ ŵŽƌĞ͘ EŽǁ /͛ŵ ůŽŽŬŝŶŐ ĨŽƌ ŵLJ ŽǁŶ ĂĚǀŽĐĂƚĞ – ƐŽŵĞŽŶĞ ĂďŽƵƚ ϯϬͲϰϬ LJĞĂƌƐ LJŽƵŶŐĞƌ ƚŚĂŶ / ǁŚŽŵ / ĐĂŶ ƚƌƵƐƚ ƚŽ ƐĂLJ ͞EŽ͕ ƐŚĞ ŝƐ EZ͕ ƚŚĂƚ͛Ɛ ǁŚĂƚ ƐŚĞ ǁĂŶƚƐ͕͟ ǁŚĞŶ ƚŚĞ ƟŵĞ ŝƐ ƌŝŐŚƚ͘

Healthcare is changing. Sign-on Bonus Are you ready for a change? Consider Corizon Health - the nation’s leader in Correctional Healthcare. Join our team of professionals and experience the many rewards of working with an organization that truly values its healthcare providers.

We currently have opportunities available for Site Medical Directors. ΄ 5RZM]^ 4^aaRPcW^]MZ 7MPWZWch͜ 5RZM]^͜ 42 ΄ 7aRb]^ 4^d]ch <MWZ͜ 7aRb]^ 42 Qualifications of a Corizon Health Medical Director: ΄ ΄ ΄ ΄

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Over 500 facilities in 29 states. 35 years of innovation and expertise.

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CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION 1520 PACIFIC AVE SAN FRANCISCO, CA 94109 -2627

Presorted Standard U.S. POSTAGE PAID

Little Rock, AR Permit No. 2437

MIEC Belongs to Our Policyholders!

Toni Brayer, MD Board of Governors

Over the last 20 years MIEC policyholders have saved an average of 25% on premiums due to our Dividend Program*

Keeping true to our mission MIEC has never lost sight of its original mission, always putting policyholders (doctors like you) first. For over 40 years, MIEC has been steadfast in our protection of California physicians with conscientious Underwriting, excellent Claims management and hands-on California Dividends as % of premiums Loss Prevention services; we’ve partnered with policyholders ($1m/$3m limits) to keep premiums low. Added value: Q No profit motive and low overhead Q Supports Organized medicine in Califonria

MIEC Average Dividend MPL Industry Average Dividend

For more information or to apply: Q www.miec.com Q Call

800.227.4527 Q Email questions to underwriting@miec.com * On premiums at $1/3 million limits. Future dividends cannot be guaranteed.

MIEC 6250 Claremont Avenue, Oakland, California 94618 s 800-227-4527 s www.miec.com CalFamPhy_ad_06.21.16

No Profits No Dividends

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MIEC Owned by the policyholders we protect.

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