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Photo: Natalie Green of NYFotography
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in this issue ENGAGEMENT: ACADEMY, ADVOCACY, COMMUNITY AND FAMILY HOW ONE FAMILY PHYSICIAN IS DEALING WITH THE ELECTION RESULTS AND HOW CAFP HELPED WHY I ENGAGE IN MY LOCAL, STATE AND NATIONAL MEDICAL ORGANIZATIONS AND WHY YOU SHOULD, TOO PUTTING YOUR MONEY WHERE OUR MISSION IS!
Meet Your New President! Michelle S. Quiogue, MD, FAAFP
Request Request a a no-obligation no-obligation quote quote for for med-mal med-mal coverage coverage and and membership. membership.
You give your all to helping others live full, healthy lives. You go the extra mile to seek out answers and cures, knowing that sometimes even your best efforts aren’t enough. You’re a physician, and that’s how you do your job. At CAP, we salute your dedication and support you in every way we can — with protection to reduce the worry of professional liability lawsuits, but also with a host of value-added services to help manage your practice so you can focus on the highest quality professional care. Ask for a no-obligation quote and more information on CAP membership.
For Your Protection. For Your Success.
800.356.5672 CAPphysicians.com/quote
Leading the future of health care. ADULT & FAMILY MEDICINE PHYSICIAN OPPORTUNITIES Northern & Central California
The Permanente Medical Group, Inc. (TPMG) is one of the largest medical groups in the nation with over 9,000 physicians, 22 medical centers, numerous clinics throughout Northern and Central California and an over 65-year tradition of providing quality medical care. WE OFFER • Physician-led organization–career growth and leadership • Professional freedom • State-of-the-art facilities • Multi-specialty collaboration and integration • Technology driven • Mission driven, patient care-centered and one of the largest progressive medical groups in the nation! EXTRAORDINARY BENEFITS • Shareholder track • Unparalleled stability–70 years strong • Shared call • Moving allowance • No cost medical and dental • Home loan assistance (approval required) • Malpractice and tail insurance • Three retirement plans, including pension • Paid holidays, sick leave, education leave (with generous stipend)
FORGIVABLE LOAN PROGRAM $150,000-$200,000 (based on experience)
Nos apasiona nuestro trabajo.
En Kaiser Permanente, a nosostros los médicos nos encanta nuestro trabajo. Nuestra misión es servir a nuestros pacientes. Innovar, avanzar, ser inclusivos. Intégrate a nuestro equipo de atención de la salud, en apoyo a la comunidad.
LA SALUD PERMANENTE
At The Permanente Medical Group, Inc., we practice a multi-lingual, culturally inclusive approach to care that celebrates the diversity of our patients and physicians. By developing medical programs that are in tune with every aspect of our patients’ lives—from the language they speak to the heritage they embrace—we are actively investing in initiatives and services that reflect the diversity of our member community. Here, our bilingual physicians can act as true advocates for their patients, delivering care that’s as medically advanced as it is culturally sensitive.
FAMILY MEDICINE OPPORTUNITIES: Contact Aileen Ludlow at: Aileen.M.Ludlow@kp.org | (800) 777-4912 INTERNAL MEDICINE OPPORTUNITIES: Contact Bianca Davis at: Bianca.X.Davis@kp.org | (800) 777-4912 http://physiciancareers-ncal.kp.org
We are an EOE/AA/M/F/D/V Employer. VEVRAA Federal Contractor.
ϭϱϮϬ WĂĐŝĮĐ ǀĞŶƵĞ • San Francisco, California 94109 • www.familydocs.org Phone (415) 345-8667 • Fax (415) 345-8668 • E-mail: cafp@familydocs.org California
Officers and Board
Staff
President Lee Ralph, MD
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FAMILY PHYSICIAN s tron g
President-Elect Michelle Quiogue, MD Immediate Past President Jay W. Lee, MD, MPH Speaker Lisa Ward, MD, MPH Vice-Speaker Walter Mills, MD Secretary/Treasurer ĂǀŝĚ ĂnjnjŽ͕ D Executive Vice President ^ƵƐĂŶ ,ŽŐĞůĂŶĚ͕ Foundation President ŶƚŚŽŶLJ ŚŽŶŐ͕ D AAFP Delegates Jeff Luther, MD Carla Kakutani, MD AAFP Alternates ĂƌŽů ,ĂǀĞŶƐ͕ D Jay W. Lee, MD, MPH CMA Delegation ƐŚďLJ tŽůĨĞ͕ D ͕ DW ͕ DW, ; ŚĂŝƌͿ Mark Dressner, MD Sumana Reddy, MD <ĞǀŝŶ ZŽƐƐŝ͕ D Lauren Simon, MD, MPH &Ğůŝdž EƵŶĞnj͕ D ͕ DW,
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Quarterly pƵďůŝĐĂƚŝŽŶ ŽĨ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ of Family Physicians
Executive Vice President shogeland@familydocs.org
EĂƚŚĂŶ ,ŝƚnjĞŵĂŶ͕ D ͕ Editor ^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ͕ ͕ Managing Editor
ŽŶƌĂĚ ŵĞŶƚĂ
Director, Health Policy camenta@familydocs.org
Communications Committee: EĂƚŚĂŶ ,ŝƚnjĞŵĂŶ͕ D ͕ Chair
DŽƌŐĂŶ ůĞǀĞůĂŶĚ
Manager, FP-PAC and Membership mcleveland@familydocs.org
:Ğƌƌŝ ĂǀŝƐ͕ , W
Director, CME/CPD jdavis@familydocs.org
• :ƵůŝĂ ůĂŶŬ͕ D • EĂƚŚĂŶ ,ŝƚnjĞŵĂŶ͕ D • :ĞĨĨƌĞLJ >ƵƚŚĞƌ͕ D • :ĂLJ DŽŶŐŝĂƌĚŽ͕ D • DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D • ůďĞƌƚ ZĂLJ͕ D
ƌŝĂŶ ĞǀŝŶĞ
Manager, Finance bdevine@familydocs.org
The California Family Physician is published quarterly by the California Academy of Family Physicians. Opinions are those of the authors and not necessarily those of the members ĂŶĚ ƐƚĂī ŽĨ ƚŚĞ &W͘ EŽŶͲŵĞŵďĞƌ ƐƵďƐĐƌŝƉƟŽŶƐ ĂƌĞ Ψϯϱ ƉĞƌ LJĞĂƌ͘ Ăůů ϰϭϱͲϯϰϱͲϴϲϲϳ ƚŽ ƐƵďƐĐƌŝďĞ͘
ĚĂŵ &ƌĂŶĐŝƐ
Director, Government Affairs afrancis@familydocs.org
Shannon Goecke
Director, Membership and Marketing sgoecke@familydocs.org
Pamela Mann, MPH
Program Manager pmann@familydocs.org
Sonia Kantak, MPH
Manager, Medical Practice Affairs skantak@familydocs.org
ůŝnjĂďĞƚŚ >ƵŬƌŝĐŚ
Manager, Communications and Social Media elukrich@familydocs.org
pcipublishing.com Created by Publishing Concepts, Inc. David Brown, President • dbrown@pcipublishing.com For Advertising info contact Michelle Gilbert • 800.561.4686 ext 120 mgilbert@pcipublishing.com EDITION 22
^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ͕ ͕ & ,W Deputy Executive Vice President srodrigues@familydocs.org
Looking for a job? 'Ž ƚŽ ǁǁǁ͘ĨƉũŽďƐŽŶůŝŶĞ͘ĐŽŵ YƵĞƐƟŽŶƐ͍ Ăůů ϴϴϴͲϴϴϰͲϴϮϰϮ ĂŶĚ Ă , >d,Ğ Z Z^ ƌĞƉƌĞƐĞŶƚĂƟǀĞ ǁŝůů ŚĞůƉ LJŽƵ͘ 4
California Family Physician Spring 2017
California
Spring 2017
FAMILY PHYSICIAN s tron g
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Cal i for nia
features 16 Meet Your New President: Michelle Quiogue, MD, FAAFP 20 On Engagement … from Academy and Advocacy to Community and Family
CAFP Members Respond
22 How One Family Physician is Dealing with the Election Results and How CAFP Helped
Shannon Connolly, MD
23 Why I Engage in My Local, State and National Medical Organizations and Why You Should, Too
Alex Mroszczky-McDonald, MD
24 Generational Voices: What Engagement Means to Me
Jerry Abraham, MD, MPH; Bo Greaves, MD; and Merritt Matthews, MD
departments 6
Editorial
What Does Engagement Mean to You?
8
President’s Message
From Where I Sit: One Last Time!
Nathan Hitzeman, MD Lee Ralph, MD
10 Political Pulse
Threats and Opportunities Abound for CAFP
Carla Kakutani, MD
12 Legislative News
Family Physicians Strom the State Capitol for 2017 All Member Advocacy Meeting and Lobby Day
26 CAFP Foundation
Putting Your Money Where Our Mission Is!
28 Membership News
Engage with Your Local Colleagues
Shannon Goecke
30 EVP Forum
Are You Climbing the Engagement Ladder?
Susan Hogeland
Adam Francis
Anthony “Fatch” Chong, MD and Devesh Vashishtha
&Žƌ ƵƉĐŽŵŝŶŐ D ĂĐƟǀŝƟĞƐ ǀŝƐŝƚ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĐŵĞ California Family Family Physician Physician Spring Spring 2017 ϮϬϭϳ California
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editorial
Nathan Hitzeman, MD
Member Engagement What Does Engagement Mean to You?
/ ĨŝƌƐƚ ǁĞŶƚ ƚŽ Ă &W ĐŽŶĨĞƌĞŶĐĞ ĂďŽƵƚ Ă ĚĞĐĂĚĞ ĂŐŽ͘ / ůŽǀĞĚ ƚŚĞ ĐĂŵĂƌĂĚĞƌŝĞ ŽĨ ƚŚĞ ŵĞŵďĞƌƐ͘ / ůŽǀĞĚ ŚĞĂƌŝŶŐ ƵƉĚĂƚĞƐ ĨƌŽŵ ƚŚĞ &W ƐƚĂĨĨ ĂďŽƵƚ ǁŚĂƚ ǁĂƐ ŐŽŝŶŐ ŽŶ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐLJ ĂŶĚ ƉƌĂĐƚŝĐĞ ŵĂŶĂŐĞŵĞŶƚ͘ KǀĞƌ ƚŝŵĞ / ŐŽƚ ŝŶǀŽůǀĞĚ ŝŶ ƚŚĞ ŽŵŵƵŶŝĐĂƚŝŽŶƐ ŽŵŵŝƚƚĞĞ͘ /͛ǀĞ ďĞĞŶ ĂŵĂnjĞĚ ďLJ ƚŚĞ ĞŶŐĂŐŝŶŐ ůĞĂĚĞƌƐŚŝƉ ŝŶ ŽƵƌ ŽƌŐĂŶŝnjĂƚŝŽŶ͕ ƚŚĞ ƉŽůŝƐŚĞĚ ĂŶĚ ƉĂƐƐŝŽŶĂƚĞ ƐƉĞĂŬĞƌƐ͕ ĂŶĚ ƚŚĞ ĨĂĐƚ ƚŚĂƚ ͞ƚŚĞLJ ŐĞƚ ŵĞ͟ ʹ ƚŚĞLJ ƌĞĂůůLJ ǁĂůŬ ŝŶ ŵLJ ƐŚŽĞƐ͘ tĞ ĂƌĞ ĂůƐŽ ƚŚĞ ďŝŐŐĞƐƚ ƐŝŶŐůĞ ƐƉĞĐŝĂůƚLJ ŽƌŐĂŶŝnjĂƚŝŽŶ ŝŶ ƚŚĞ ƐƚĂƚĞ ǁŝƚŚ ŵŽƌĞ ƚŚĂŶ ϵ͕ϮϬϬ ŵĞŵďĞƌƐ͘ Recent years have seen drastic changes in health care ʹ ƐŽŵĞ ŐŽŽĚ͕ ƐŽŵĞ ďĂĚ͘ / ƚŚŽƵŐŚƚ ŝƚ ĐŽƵůĚŶ͛ƚ ŐĞƚ ŵƵĐŚ ǁŽƌƐĞ ĂĨƚĞƌ ƐĞĞŝŶŐ DĞĚŝͲ Ăů ƌĂƚĞƐ ĐƵƚ Žƌ ƚŚĞ D/ Z ůĂǁ ŝŶ ũĞŽƉĂƌĚLJ Žƌ ŝŶƐƵƌĞƌ ƉŚĂŶƚŽŵ ƉƌŽǀŝĚĞƌ ŶĞƚǁŽƌŬƐ Žƌ ƉŚĂƌŵĂĐĞƵƚŝĐĂů ĐŽŵƉĂŶLJ ƉƌŝĐĞͲŐŽƵŐŝŶŐ͖ ďƵƚ ƚŚŝƐ LJĞĂƌ͕ ǁŝƚŚ ŽƵƌ ĞƌƌĂƚŝĐ ĨĞĚĞƌĂů ŐŽǀĞƌŶŵĞŶƚ͕ /͛ŵ ůŽŽŬŝŶŐ ŽƵƚ ƚŚĞ ǁŝŶĚŽǁ ĞǀĞƌLJ ŵŽƌŶŝŶŐ ĨŽƌ Ă ŵƵƐŚƌŽŽŵ ĐůŽƵĚ͘ tŝůů ǁĞ ƐƵƌǀŝǀĞ ƚŚŝƐ͍ ƐŚĂŬĞͲƵƉ ŝƐ ŶŽƚ ĂůǁĂLJƐ Ă ďĂĚ ƚŚŝŶŐ ʹ ĂŶĚ /͛ŵ ŶŽƚ ƐĂLJŝŶŐ all of this is gloom and doom – but there has never been a better time to flex our membership muscles. Out of ĐƌŝƐĞƐ ĐŽŵĞ ŽƉƉŽƌƚƵŶŝƚŝĞƐ͕ ĂŶĚ ƚŚĞ ƐƚĂƚĞ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŝŶ ĂůŝĨŽƌŶŝĂ ŵĂLJ ƐŚŝĨƚ͕ ŶŽƚ ĚƌŝĨƚ͕ ŽǀĞƌ ƚŚĞ ŶĞdžƚ ĐŽƵƉůĞ LJĞĂƌƐ͘ >ƵŵƉ ĨĞĚĞƌĂů ƉĂLJŵĞŶƚƐ ƚŽ ƐƚĂƚĞƐ͕ ƐŝŶŐůĞ ƉĂLJĞƌ ŚĞĂůƚŚ ĐĂƌĞ ďĞŝŶŐ ƚĂůŬĞĚ ĂďŽƵƚ ĂŐĂŝŶ ;ŝƚ ŶĞĂƌůLJ ƉĂƐƐĞĚ ďĞĨŽƌĞ ŝŶ Ă ϮϬϬϰ ƌĞĨĞƌĞŶĚƵŵ ĂŶĚ ƚŚĞŶ ƵŶĚĞƌ 'ŽǀĞƌŶŽƌ ^ĐŚǁĂƌnjĞŶĞŐŐĞƌ͕ ǁŚŽ ǀĞƚŽĞĚ ŝƚͿ͕ ĂŶĚ ĂǀĂƌŝĐŝŽƵƐ ĚŝŶŽƐĂƵƌƐ ĨƌŽŵ ,ĞĂůƚŚ ĂƌĞ WĂƐƚ
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California Family Physician Spring 2017
“
CAFP is your sanctuary medical society. We will not demean or deport you. Our membership is diverse, accomplished, and proud.
“
ZĞŵĞŵďĞƌ ŵĞŵďĞƌ͍ /ƚ͛Ɛ ŵŽƌĞ ƚŚĂŶ ũƵƐƚ ĂŶ ƵƐƚŝŶ WŽǁĞƌƐ͛ ƌĞĨĞƌĞŶĐĞ Žƌ Ă ƚŚƌŽǁͲďĂĐŬ ƚŽ ƚŚŽƐĞ ĐŽŽů ƐƚƌĂƉƉLJ ũĂĐŬĞƚƐ ŝŶ ƚŚĞ ϴϬƐ͘ /ƐŶ͛ƚ ŝƚ ƚŝŵĞ LJŽƵ ĐŽŶŶĞĐƚĞĚ ǁŝƚŚ LJŽƵƌ ŝŶŶĞƌ ŵĞŵďĞƌͲĂŐĂŝŶ͍ dŚĂƚ ůŝƚƚůĞ ǀŽŝĐĞ ƚŚĂƚ ƚĞůůƐ LJŽƵ ƚŚĂƚ LJŽƵ ĂƌĞ ŵŽƌĞ ƚŚĂŶ ũƵƐƚ ŽŶĞ ĚŽĐƚŽƌ ƐƚĂŵƉŝŶŐ ŽƵƚ ĚŝƐĞĂƐĞ͕ ďƵƚ ƌĂƚŚĞƌ ƉĂƌƚ ŽĨ Ă ŐƌĞĂƚĞƌ ďĂĐŬďŽŶĞ ǀŝƚĂů ƚŽ ŽƵƌ ƐƚĂƚĞ͛Ɛ ŚĞĂůƚŚ͘ &ĂŵŝůLJ ŵĞĚŝĐŝŶĞ ŶĞĞĚƐ ƚŽ ĞdžĞƌĐŝƐĞ ŽƵƌ ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ͛Ɛ ĐŽƌĞ ĂŐĂŝŶ͕ ĂŶĚ ŶŽƚ ďĞĐŽŵĞ Ă ƐƵƉĞƌĨůƵŽƵƐ ĂƉƉĞŶĚĂŐĞ͘ zĞƐ͕ LJŽƵ ĂƌĞ Ă ĚŝĨĨĞƌĞŶƚ ŬŝŶĚ ŽĨ ŵĞŵďĞƌ͕ ĂŶ ŝŵƉŽƌƚĂŶƚ ŵĞŵďĞƌ͘ A CAFP member.
ƌŝƐŝŶŐ ĨƌŽŵ ƚŚĞ ƚĂƌ ƉŝƚƐ͕ ďĞŶƚ ŽŶ ƌĞƚƵƌŶŝŶŐ ƚŽ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ĂŶĚ ŝŶĨůĂƚĞĚ ƐƵďͲƐƉĞĐŝĂůƚLJ ƌĞŝŵďƵƌƐĞŵĞŶƚ͘ tŚŽ ǁŝůů ƌƵůĞ tĞƐƚĞƌŽƐ͍
&W ŝƐ LJŽƵƌ ƐĂŶĐƚƵĂƌLJ ŵĞĚŝĐĂů ƐŽĐŝĞƚLJ͘ tĞ ǁŝůů ŶŽƚ ĚĞŵĞĂŶ Žƌ ĚĞƉŽƌƚ LJŽƵ͘ KƵƌ ŵĞŵďĞƌƐŚŝƉ ŝƐ ĚŝǀĞƌƐĞ͕ ĂĐĐŽŵƉůŝƐŚĞĚ͕ ĂŶĚ ƉƌŽƵĚ͘ tĞ ŶĞĞĚ ƚŽ ĐŽŵĞ ƚŽŐĞƚŚĞƌ ŶŽǁ ŵŽƌĞ ƚŚĂŶ ĞǀĞƌ͘ KƵƌ ƉĂƚŝĞŶƚƐ ĂŶĚ ŽƵƌ ƐƚĂƚĞ͛Ɛ ŚĞĂůƚŚ ŝƐ ĐŽƵŶƚŝŶŐ ŽŶ ƵƐ͘ dĂůŬ ƚŽ LJŽƵƌ ĐŽůůĞĂŐƵĞƐ͕ ŐŽ ƚŽ &W ĐŚĂƉƚĞƌ͕ ĂĚǀŽĐĂĐLJ ĂŶĚ ĞĚƵĐĂƚŝŽŶĂů ĞǀĞŶƚƐ͘ ƌŽǁƐĞ ƚŚĞ &W ĞŵĂŝůƐ ĂŶĚ ƚǁĞĞƚƐ͘ ŽŶĂƚĞ ƚŽ ƚŚĞ ƉŽůŝƚŝĐĂů ĂĐƚŝŽŶ ĐŽŵŵŝƚƚĞĞ ;&WͲW Ϳ Žƌ ƚŽ ƚŚĞ ƚĂdžͲĚĞĚƵĐƚŝďůĞ &ŽƵŶĚĂƚŝŽŶ͕ ǁŚŽƐĞ ĨƵŶĚƐ ŐŽ ƚŽ ŵĞĚŝĐĂů student scholarships and other noble causes. Buy a CAFP dͲƐŚŝƌƚ Žƌ ŚŽŽĚŝĞ͊ /ŶĐůƵĚĞ ͞ &W͟ ŝŶ LJŽƵƌ ŵŽƌŶŝŶŐ ƐĞůĨͲ affirmation thoughts. ƐƚŝĨĨ ǁŝŶĚ ŝƐ ĐŽŵŝŶŐ ŽĨĨ ƚŚĞ ĚĞůƚĂ ƚŽŶŝŐŚƚ͘ /͛ŵ ƚƵƌŶŝŶŐ ƵƉ ŵLJ DĞŵďĞƌƐ KŶůLJ ũĂĐŬĞƚ ĐŽůůĂƌ͘ /͛ŵ Ă ŵĞŵďĞƌ͕ /͛ŵ ŝŵƉŽƌƚĂŶƚ͕ ĂŶĚ /͛ŵ ƉŝƐƐĞĚ͘
Family & Internal Medicine | Guaranteed Salary + Bonus | Relocation Allowance Sutter Pacific Medical Foundation (SPMF) has opportunities for BC/BE Family and Internal Medicine Physicians to join Sutter Medical Group of the Redwoods (SMGR), a growing multi-specialty group in beautiful Sonoma County. Please respond with your updated CV as well as the best time to contact you with details so we may discuss these options further.
Position Details: x Flexibility for work and life balance x Completely ambulatory. No inpatient work x Patient panel can be established within three to six months. Spanish speaking a plus! Benefits: x 1-2 years guaranteed income x Relocation allowance / Sign on bonus x Generous compensation and benefits, including paid CME, up to six weeks vacation, pension plan and 401(k) x Full-time position, .8 FTE to 1.0 FTE SMGR is a physician-owned, multi-specialty medical group that has served the City of Santa Rosa and surrounding areas for over 20 years. SMGR has been nationally recognized as a medical group that provides the highest quality and most complete health care possible. Accolades include: Top Performing Physician Group by the Integrated Healthcare Association CAPG Elite Status—the highest possible honor awarded by the California Association of Physician Groups (CAPG) professional organization Consumer Reports—Best in the Bay Area among 17 medical groups for “Overall Healthcare” and listed in the top 10 in the state out of over 170 medical groups Located 55 miles north of San Francisco and 30 miles east of the Pacific Ocean, Santa Rosa is a warm and friendly city of 170,000 within Sonoma County, population 500,000. You will enjoy a unique blend of culture with exceptional art, wine, food, and recreation. Amenities include 400 wineries in Sonoma County, 27 golf courses, hot air ballooning, hiking, spas, river sports, and world-class cuisine. Sonoma County also has a professional symphony, excellent public and private schools, fantastic weather, and some of the most affordable housing in the Bay Area. You would live and work where others only dream of visiting. Contact Isabelle von Tobel, Physician Recruiter, Sutter Medical Group of the Redwoods, Call (707) 521-8841 or email vontobi@sutterhealth.org
p r e s i d e n t ’s m e s s a g e
Lee Ralph, MD
From Where I Sit
One Last Time! KŶĞ LJĞĂƌ ĂŐŽ͕ / ďĞŐĂŶ Ă ĐĂŵƉĂŝŐŶ ƚŽ ƚƌLJ ĂŶĚ ŐĞƚ ŵLJ ĨĞůůŽǁ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƚŽ ďĞĐŽŵĞ ŵŽƌĞ ͞ĞŶŐĂŐĞĚ͟ ŝŶ ŚĞĂůƚŚ ĐĂƌĞ ĂĚǀŽĐĂĐLJ Ăƚ Ăůů ůĞǀĞůƐ͘ tŚĂƚ Ă ĚŝīĞƌĞŶĐĞ Ă LJĞĂƌ ŵĂŬĞƐ͊ ,ĂǀŝŶŐ ũƵƐƚ ƌĞƚƵƌŶĞĚ ĨƌŽŵ ĂŶ ŝŶƐƉŝƌĂƟŽŶĂů ǁĞĞŬĞŶĚ Ăƚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͕ / ǁĂƐ ŝŶ ĂǁĞ Ăƚ ƚŚĞ ƚƵƌŶŽƵƚ ĂŶĚ ĞŶƚŚƵƐŝĂƐŵ͘ tĞ ŚĂĚ Ă ƌĞĐŽƌĚ ŶƵŵďĞƌ ŽĨ ĂƩĞŶĚĞĞƐ ĂŶĚ >ŽďďLJ ĂLJ ƉĂƌƟĐŝƉĂŶƚƐ͘ tĞ ĨĞůƚ Ă ƌĞŶĞǁĞĚ ƐĞŶƐĞ ŽĨ ŝŵƉŽƌƚĂŶĐĞ ŝŶ ŽƵƌ ŵĞƐƐĂŐĞ ĂŶĚ Ăƚ ůĞŐŝƐůĂƟǀĞ ŵĞĞƟŶŐƐ͘ DĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƉŽƵƌĞĚ ƚŚĞŝƌ ƐŽƵůƐ ŽƵƚ ǁŝƚŚ ĐŽŵƉĞůůŝŶŐ ƐƚŽƌŝĞƐ ŽĨ ǁŚLJ health care is so important ƚŽ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͘ / ĐŽƵůĚ not have been prouder ƚŽ ďĞ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ƚŚŝƐ ŐƌŽƵƉ͊
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Ɛ ŵLJ ƉƌĞƐŝĚĞŶƟĂů LJĞĂƌ ƌĂƉŝĚůLJ ĐŽŵĞƐ ƚŽ ĂŶ ĞŶĚ͕ / ĐĂŶ͛ƚ ŚĞůƉ ďƵƚ ƐŵŝůĞ ŝŶǁĂƌĚůLJ ĂŶĚ ďĞ ƉůĞĂƐĞĚ ǁŝƚŚ Ăůů ƚŚĂƚ ŚĂƐ ďĞĞŶ ĂĐĐŽŵƉůŝƐŚĞĚ͗ Ă ƐƵĐĐĞƐƐĨƵů D D͕ ůŝŶŝĐĂů &ŽƌƵŵ͕ ŶŶƵĂů ŚĂƉƚĞƌ >ĞĂĚĞƌƐŚŝƉ &ŽƌƵŵ ŝŶ <ĂŶƐĂƐ ŝƚLJ͕ D Z ĂŶĚ KƉŝŽŝĚ Z D^ ĞĚƵĐĂƟŽŶĂů ƉƌŽŐƌĂŵƐ͕ &W ŽŶŐƌĞƐƐ ŽĨ ĞůĞŐĂƚĞƐ ĂŶĚ ƚŚĞ ĐĂŶĚŝĚĂĐLJ ŽĨ ŽƵƌ ŽǁŶ͕ :ĂĐŬ ŚŽƵ ĂƐ &W WƌĞƐŝĚĞŶƚͲ ůĞĐƚ͘ / ŚĂǀĞ ĞŶũŽLJĞĚ ƚŚĞ ĐĂŵĂƌĂĚĞƌŝĞ ŽĨ ƚŚĞ ĐĂĚĞŵLJ Ăƚ ďŽƚŚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ůĞǀĞůƐ ĂŶĚ Ăŵ ĞdžĐŝƚĞĚ ƚŽ ŵĂŝŶƚĂŝŶ ƚŚĞ ǁŽŶĚĞƌĨƵů ĨƌŝĞŶĚƐŚŝƉƐ / ŚĂǀĞ ŵĂĚĞ ŽǀĞƌ ƚŚĞ ƉĂƐƚ LJĞĂƌ͘ &ƌŽŵ ǁŚĞƌĞ / Ɛŝƚ ͙ ŽƵƌ Academy is stronger than ĞǀĞƌ͘ tĞ ĂƌĞ ĮŶĂŶĐŝĂůůLJ ƐĞĐƵƌĞ͕ ĐŽŶƟŶƵŝŶŐ ƚŽ ŐƌŽǁ ŝŶ ƐŝnjĞ ĂŶĚ ŝŶŇƵĞŶĐĞ ĂŶĚ ĂƩƌĂĐƟŶŐ ƐƚƵĚĞŶƚƐ and residents in record ŶƵŵďĞƌƐ͘ KďǀŝŽƵƐůLJ͕ ŽƵƌ ͞ŵĞƐƐĂŐĞ͟ ƌĞƐŽŶĂƚĞƐ ǁŝƚŚ ƚŚĞ ĨŽƵƌ ŐĞŶĞƌĂƟŽŶƐ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ tĞ ĂƌĞ ďůĞƐƐĞĚ ǁŝƚŚ ĂŶ ĂŵĂnjŝŶŐ leadership team including ^ƵƐĂŶ ,ŽŐĞůĂŶĚ͕ ^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ͕ :Ğƌƌŝ ĂǀŝƐ͕ ĚĂŵ &ƌĂŶĐŝƐ͕ ŽŶƌĂĚ ŵĞŶƚĂ ĂŶĚ ĂŶ ĞƋƵĂůůLJ ŽƵƚƐƚĂŶĚŝŶŐ ƐƚĂī͘ dŚĞLJ ĂƌĞ ĂŶ ƵŶǁĂǀĞƌŝŶŐ ƐŚŝƉ ƐƚĞĞƌŝŶŐ ƵƐ ƚŚƌŽƵŐŚ ƵŶĐŚĂƌƚĞĚ ǁĂƚĞƌƐ͘ dŚĞ ŶĞǁůLJͲĞůĞĐƚĞĚ &W ŽĸĐĞƌƐ ůĞĚ ďLJ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ǁŝůů ĐŽŶƟŶƵĞ ƚŽ ĐĂƌƌLJ ƚŚĞ ďĂŶŶĞƌ / ŝŶŚĞƌŝƚĞĚ ĨƌŽŵ :ĂLJ >ĞĞ ŽŶĞ ƐŚŽƌƚ LJĞĂƌ ĂŐŽ͘ / Ăŵ ĐŽŶĮĚĞŶƚ LJŽƵ ĂƌĞ ŝŶ ŐƌĞĂƚ ŚĂŶĚƐ ĂƐ ǁĞ ŐŽ ĨŽƌǁĂƌĚ ŝŶ ƚŚĞƐĞ ƚƵƌďƵůĞŶƚ ƟŵĞƐ͘ ŶĚ ƌĞŵĞŵďĞƌ͕ ŵLJ ŽƉƟŵŝƐƟĐ ĞŶƚŚƵƐŝĂƐŵ ǁĂƐ ŚŝŐŚůŝŐŚƚĞĚ ƌĞĐĞŶƚůLJ ǁŝƚŚ ƐĞǀĞƌĂů ƉŝĐƚƵƌĞƐ ŽĨ ƌĂŝŶďŽǁƐ͘ dŚĞ ĨƵƚƵƌĞ ŝƐ ďƌŝŐŚƚ ͙ ďƵƚ ŽŶůLJ ŝĨ ǁĞ ĂůůŽǁ ŝƚ ƚŽ ďĞ͊
As my presidential year rapidly comes to an end, I can’t help but smile inwardly and be pleased with all that has been accomplished.
EŽǁ ĐŽŵĞƐ ƚŚĞ ƚƌŝĐŬLJ ƉĂƌƚ͘ ,Žǁ ĚŽ ǁĞ ĐŽŶƟŶƵĞ ƚŽ ŚĂƌŶĞƐƐ ƚŚŝƐ ĞŶĞƌŐLJ ĂŶĚ ĞŶƚŚƵƐŝĂƐŵ ƚŽ ĐŽŶƟŶƵĞ ƚŚĞ ďĂƩůĞ ĨŽƌ ƚŚĞ ůŽŶŐ ƌƵŶ͍ EĞǁ ŝƐƐƵĞƐ ŽďǀŝŽƵƐůLJ ǁŝůů ĂƌŝƐĞ ĂƐ ƚŚĞ &ĞĚĞƌĂů ĂŶĚ ^ƚĂƚĞ ŚĞĂůƚŚ ĐĂƌĞ ĚĞďĂƚĞƐ ĐŽŶƟŶƵĞ͘ ^ƚĂLJŝŶŐ ƚƵŶĞĚͲŝŶ ƚŽ LJŽƵƌ ůŽĐĂů ĐŽŵŵƵŶŝƟĞƐ ĐĂŶ ŚĞůƉ ĂŶĐŚŽƌ LJŽƵ ĨŽƌ ƚŚĞ ďĂƩůĞƐ ƚŽ ĐŽŵĞ͘ ŽŶƟŶƵĞ ƚŽ ďĞ ĂĐƟǀĞ ŝŶ LJŽƵƌ ŵĞĚŝĐĂů ŐƌŽƵƉƐ͕ ůŽĐĂů ĐŚĂƉƚĞƌƐ͕ ƐĐŚŽŽůƐ ĂŶĚ ĞǀĞŶ ŵĞĚŝĐĂů ŵŝƐƐŝŽŶƐ͘ zŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ĂŶĚ ǀŽůƵŶƚĞĞƌŝƐŵ ĚŽ ŵĂƩĞƌ ĂŶĚ ǁŝůů ŵĂŬĞ LJŽƵƌ ůŝǀĞƐ ŵŽƌĞ ƉƵƌƉŽƐĞĨƵů ǁŚŝůĞ ŚĞůƉŝŶŐ ƚŽ ĐŽŵďĂƚ ďƵƌŶŽƵƚ͘
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California Family Physician Spring 2017
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&ƌŽŵ ǁŚĞƌĞ / ƐĂƚ ƵƉ on the podium looking ĚŽǁŶ Ăƚ ƚŚĞ ĐŽŶĨĞƌĞŶĐĞ ĂƩĞŶĚĞĞƐ͕ ŝŶ ƚŚĞ ^ĐĂŶĚĂů ZŽŽŵ ǁŝƚŚ /ŶƐƵƌĂŶĐĞ ŽŵŵŝƐƐŝŽŶĞƌ ĂǀŝĚ Jones and Senator Richard WĂŶ͕ ƐƚĂŶĚŝŶŐ ŶĞdžƚ ƚŽ ŽƵƌ ͞,ĞƌŽ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͟ ƌĞĐŝƉŝĞŶƚ͕ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĞſŶ͕ ĂŶĚ ŝŶ ƚŚĞ ŽĸĐĞƐ ŽĨ ƐƐĞŵďůLJǁŽŵĂŶ ^ŚŝƌůĞLJ tĞďĞƌ ĂŶĚ ƐƐĞŵďůLJŵĂŶ dŽĚĚ 'ůŽƌŝĂ͕ / ŚĂǀĞ ƚŽ ƐĂLJ ĞŶƚŚƵƐŝĂƐƟĐĂůůLJ͗ ͞ŵŝƐƐŝŽŶ ĂĐĐŽŵƉůŝƐŚĞĚ͕ ďƵƚ ŶŽƚ ĞŶƟƌĞůLJ ĮŶŝƐŚĞĚ͊͟
dŚĂŶŬ LJŽƵ Ăůů ĨŽƌ ĂůůŽǁŝŶŐ ŵĞ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƐĞƌǀĞ ĂƐ LJŽƵƌ ƉƌĞƐŝĚĞŶƚ ƚŚŝƐ ƉĂƐƚ LJĞĂƌ͘ /ƚ ŚĂƐ ďĞĞŶ ĂŶ ŚŽŶŽƌ ĂŶĚ Ă ƉůĞĂƐƵƌĞ͘ >Ğƚ͛Ɛ Ăůů ďĞĐŽŵĞ ƉĂƌƚ ŽĨ ƚŚĞ η&DZĞǀŽůƵƟŽŶ͊ Lee Ralph, MD, “President-eject”
What kind of Doctor Works in Corrections? The Kind Who Wants Off the HMO Treadmill.
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.
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Contact Merl O’Brien,MD, at: (916) 791-1300, ext.11111; or email CV to: sherry@med7atwork.com. EOE
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California Family Physician Spring 2017
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political pulse
Carla Kakutani, MD
Threats and Opportunities Abound for CAFP dŚĞ ĞůĞĐƟŽŶ ŽĨ EŽǀĞŵďĞƌ ϮϬϭϲ ĂŶĚ ŶĞǁ >ĞŐŝƐůĂƟǀĞ ^ĞƐƐŝŽŶ ŽĨ ϮϬϭϳͲϭϴ ŵĞĂŶ ƐŝŐŶŝĮĐĂŶƚ ĐŚĂŶŐĞ͕ ƚŚƌĞĂƚƐ ĂŶĚ ŽƉƉŽƌƚƵŶŝƟĞƐ ǁŚĞŶ ŝƚ ĐŽŵĞƐ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ ůĂǁ ĂŶĚ ƉŽůŝĐLJ͘ tŚŝůĞ &W ĂŶĚ &W ĚŽ ƚŚĞŝƌ ďĞƐƚ ƚŽ ƌĞƉƌĞƐĞŶƚ LJŽƵ͕ ŵĞ ĂŶĚ ŽƵƌ ĐŽůůĞĂŐƵĞƐ ŝŶ ďŽƚŚ ŽƵƌ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ĐĂƉŝƚĂůƐ͕ ƚŚĞƌĞ ŝƐ ŶŽ ďĞƩĞƌƐƵďƐƟƚƵƚĞ ƚŚĂŶ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŵĂŬŝŶŐ ŽƵƌ ǀŽŝĐĞƐ ŚĞĂƌĚ ĚŝƌĞĐƚůLJ ďLJ ĐŽŶƚĂĐƟŶŐ ŽƵƌ ůĞŐŝƐůĂƚŽƌƐ͘ /ƚ ŝƐ ǁŝƚŚ ƚŚĂƚ ŝŶ ŵŝŶĚ ƚŚĂƚ &W ďĞŐĂŶ ƉůĂŶŶŝŶŐ Ă &ĂŵŝůLJ DĞĚŝĐŝŶĞ tĞĞŬ ŽĨ ĐƟŽŶ ĞĂƌůŝĞƌ ƚŚŝƐ LJĞĂƌ͘ /ƚ ďĞŐĂŶ ǁŝƚŚ ƚŚĞ ƵŶĐĞƌƚĂŝŶƚLJ ĂƌŽƵŶĚ ǁŚĂƚ ŵŝŐŚƚ ƚƌĂŶƐƉŝƌĞ ĂƐ ŽŶŐƌĞƐƐ ůŽŽŬĞĚ ƋƵŝĐŬůLJ ƚŽ ƌĞƉĞĂů ĂŶĚ ƌĞƉůĂĐĞ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ; Ϳ͘ tŚŝůĞ ƚŚĞ ǁĂƐ ďLJ ŶŽ ŵĞĂŶƐ ƉĞƌĨĞĐƚ͕ ŵĂŶLJ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶ ƉƌŽǀŝƐŝŽŶƐ ĂŶĚ ƉƌŝŵĂƌLJ ĐĂƌĞͲƐƵƉƉŽƌƟǀĞ ƉƌŽŐƌĂŵƐ ǁĞƌĞ ĐƌĞĂƚĞĚ ďLJ ŝƚƐ ƉĂƐƐĂŐĞ͘ &W ůŽŽŬĞĚ ƚŽ ĞŶƐƵƌĞ that any replacement plan maintained vital policies such as the ďĂŶ ŽŶ ƉƌĞͲĞdžŝƐƟŶŐ ĐŽŶĚŝƟŽŶ ĞdžĐůƵƐŝŽŶƐ͕ ĞdžƉĂŶĚĞĚ ĐŽǀĞƌĂŐĞ ƚŽ ǀƵůŶĞƌĂďůĞ ƉŽƉƵůĂƟŽŶƐ͕ ƐƵƉƉŽƌƚ ĨŽƌ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ dĞĂĐŚŝŶŐ ,ĞĂůƚŚ ĞŶƚĞƌƐ͕ ŝŶĐƌĞĂƐĞĚ ƉĂLJŵĞŶƚ ĨŽƌ ƉƌŝŵĂƌLJ ĐĂƌĞ physicians and many others. dŚĞ ƉƌŽƐƉĞĐƚ ŽĨ ƌĂƉŝĚ ŶĂƟŽŶĂů ŚĞĂůƚŚ ĐĂƌĞ ĐŚĂŶŐĞ ǁĂƐ ƚŚĞŶ ĨŽůůŽǁĞĚ ďLJ Ă ƉƌŽƉŽƐĞĚ ϮϬϭϳͲϭϴ ďƵĚŐĞƚ ďLJ ĂůŝĨŽƌŶŝĂ 'ŽǀĞƌŶŽƌ :ĞƌƌLJ ƌŽǁŶ ƚŚĂƚ ƐĞĞŬƐ ƚŽ ĞůŝŵŝŶĂƚĞ ŶĞĂƌůLJ Ψϭ ďŝůůŝŽŶ ŝŶ ŽŶĞ ƟŵĞ ƐƉĞŶĚŝŶŐ ƉĂƐƐĞĚ ĂƐ ƉĂƌƚ ŽĨ ƚŚĞ ϮϬϭϲ ϭϳ ƵĚŐĞƚ ƚŚĂƚ ŚĂƐ LJĞƚ ƚŽ ďĞ ƐƉĞŶƚ͘ dŚŝƐ ŝŶĐůƵĚĞĚ ƌĞƐĐŝŶĚŝŶŐ ƚŚĞ ƚŚƌĞĞͲLJĞĂƌ ΨϭϬϬ ŵŝůůŝŽŶ ƚŚĂƚ ǁĂƐ ŝŶƚĞŶĚĞĚ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WŚLJƐŝĐŝĂŶ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͕ ǁŚŝĐŚ ĨƵŶĚƐ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ programs in underserved areas. The Governor also proposed ĚŝǀĞƌƟŶŐ ĨƵŶĚƐ ŐĞŶĞƌĂƚĞĚ ďLJ ƚŚĞ &WͲƐƵƉƉŽƌƚĞĚ ƚŽďĂĐĐŽ ƚĂdž ;WƌŽƉŽƐŝƟŽŶ ϱϲͿ ĂǁĂLJ ĨƌŽŵ DĞĚŝͲ Ăů ƉƌŽǀŝĚĞƌ ƉĂLJŵĞŶƚ ĂŶĚ ŝŶƚŽ ͞ŶĞǁ ŐƌŽǁƚŚ ŝŶ DĞĚŝ Ăů ĞdžƉĞŶĚŝƚƵƌĞƐ͘͟ dŽ ĞŶƐƵƌĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁĞƌĞ ǁĞůůͲƉƌĞƉĂƌĞĚ ƚŽ ĂĚǀŽĐĂƚĞ ŽŶ Ăůů ƚŚĞƐĞ ŝƐƐƵĞƐ͕ ƚŚĞ &W tĞĞŬ ŽĨ ĐƟŽŶ ;DĂƌĐŚ ϰͲϴͿ ďĞŐĂŶ ǁŝƚŚ ƚŚĞ ƚǁŽͲĚĂLJ &W ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ʹ ĨŽůůŽǁĞĚ ďLJ &ĂŵŝůLJ DĞĚŝĐŝŶĞ >ŽďďLJ ĂLJ͕ Ăƚ ǁŚŝĐŚ ŵŽƌĞ ƚŚĂŶ ϴϬ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŵĞƚ ŝŶ ŵŽƌĞ ƚŚĂŶ ϲϬ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ ƚŽ ƵƌŐĞ ƚŚĞŝƌ ƌĞũĞĐƟŽŶ ŽĨ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ĐƵƚ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ͘
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California Family Physician Spring 2017
ĂLJ &ŽƵƌ ŽĨ &W͛Ɛ tĞĞŬ ŽĨ ĐƟŽŶ ǁĂƐ ĚĞƐŝŐŶĞĚ ƚŽ ŵĂŬĞ ĂĚǀŽĐĂĐLJ ĞĂƐLJ ĂŶĚ ĐŽŶǀĞŶŝĞŶƚ͕ ĂůůŽǁŝŶŐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ŝŶŇƵĞŶĐĞ ŶĂƟŽŶĂů ƉŽůŝĐLJ ĨƌŽŵ ƚŚĞŝƌ ŚŽŵĞƐ Žƌ ŽĸĐĞƐ͘ tĞ ĂƐŬĞĚ ĨŽƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ĐĂůů ƚŚĞŝƌ ŽŶŐƌĞƐƐŝŽŶĂů ZĞƉƌĞƐĞŶƚĂƟǀĞƐ ĂŶĚ ůĞƚ ƚŚĞŵ ŬŶŽǁ ŶŽƚ ƚŽ ƐƵƉƉŽƌƚ Ă ƌĞƉůĂĐĞŵĞŶƚ ŽĨ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ; Ϳ ƵŶůĞƐƐ ŝƚ ŝŶĐůƵĚĞĚ ƚŚĞ ƐĂŵĞ Žƌ ŝŶĐƌĞĂƐĞĚ ůĞǀĞůƐ ŽĨ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ĐŽǀĞƌĂŐĞ͖ ŝŶƐƵƌĂŶĐĞ ƌĞĨŽƌŵƐ ĂŶĚ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶƐ ;ƐƵĐŚ ĂƐ ƚŚĞ ƉƌŽŚŝďŝƟŽŶ ŽŶ ĂŶŶƵĂů ĂŶĚ ůŝĨĞƟŵĞ ĐĂƉƐ ŽŶ ďĞŶĞĮƚƐ͕ ĐŽǀĞƌĂŐĞ ĨŽƌ ĞǀŝĚĞŶĐĞͲ ďĂƐĞĚ ĞƐƐĞŶƟĂů ƉƌŝŵĂƌLJ ĂŶĚ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞƐ ƐĞƌǀŝĐĞƐ ǁŝƚŚ ŶŽ ŽƵƚͲŽĨͲƉŽĐŬĞƚ ĐŽƐƚƐ͕ ĂŶĚ ƉƌŽƚĞĐƟŽŶ ĂŐĂŝŶƐƚ ĚŝƐĐƌŝŵŝŶĂƟŽŶ ŝŶ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ŵĂƌŬĞƚƉůĂĐĞƐ ƌĞŐĂƌĚůĞƐƐ ŽĨ ĂŐĞ͕ ƌĂĐĞ͕ ŐĞŶĚĞƌ or medical history) and investments in primary care (such as requiring health insurers to increase their overall investment in primary care services and prohibit the exclusion of primary ĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐ ĨƌŽŵ ĂŶLJ ŶĞƚǁŽƌŬͿ͘ &W ĂůƐŽ ƵƌŐĞĚ ĐĂůůĞƌƐ ƚŽ ƌĂŝƐĞ ĐŽŶĐĞƌŶƐ ƌĞŐĂƌĚŝŶŐ ŝŶĂĚĞƋƵĂƚĞůLJ ĨƵŶĚĞĚ ŚŝŐŚ ƌŝƐŬ ƉŽŽůƐ͕ ƉŽŽƌůLJ ƐƵƉƉŽƌƚĞĚ ŚĞĂůƚŚ ƐĂǀŝŶŐƐ ĨŽƌ ůŽǁͲŝŶĐŽŵĞ ĂůŝĨŽƌŶŝĂŶƐ͕ ĂŶĚ DĞĚŝĐĂŝĚ ďůŽĐŬ ŐƌĂŶƚƐ ƚŚĂƚ ǁŽƵůĚ ĚŝƐƉƌŽƉŽƌƟŽŶĂƚĞůLJ ĚŝƐĂĚǀĂŶƚĂŐĞ ĂůŝĨŽƌŶŝĂ ĂŶĚ ŝƚƐ ŵŽƐƚ ǀƵůŶĞƌĂďůĞ ƉŽƉƵůĂƟŽŶƐ͘ dŚĞ ĮŶĂů ĚĂLJ ŽĨ &W͛Ɛ tĞĞŬ ŽĨ ĐƟŽŶ ƵƌŐĞĚ &W ŵĞŵďĞƌƐ ƚŽ ƚĂŬĞ ƚŽ dǁŝƩĞƌ ĂŶĚ &ĂĐĞŬ ƵƐŝŶŐ ƚŚĞ ŚĂƐŚƚĂŐ ʹ η&ĂŵDĞĚϰWĂƟĞŶƚƐ ʹ ƚŽ ƐŚŽǁ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚ ŽƚŚĞƌƐ ǁŚLJ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂƌĞ ƚŚĞ ƚƌƵĞ ƉĂƟĞŶƚ ĐŚĂŵƉŝŽŶƐ ĂŶĚ ǁŚLJ ƚŚĞLJ ĮŐŚƚ ĨŽƌ ŚĞĂůƚŚ ĐĂƌĞ ƌĞĨŽƌŵ ƉƌŽƚĞĐƟŽŶƐ ǁŝƚŚ ŵĞƐƐĂŐĞƐ ƐƵĐŚ ĂƐ͗ ͞ZĞũĞĐƚ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉůĂŶ ƚŽ ĐƵƚ ǀŝƚĂů ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶ ƚƌĂŝŶŝŶŐ ĨƵŶĚŝŶŐ ηEŽ^ŽŶŐ ƌŽǁŶ Ƶƚ η&ĂŵDĞĚϰWĂƟĞŶƚƐ͟ ĂŶĚ ͞ ŽŶ͛ƚ ƌĞƉůĂĐĞ ƚŚĞ ǁŝƚŚŽƵƚ ĞŶƐƵƌŝŶŐ ƉĂƟĞŶƚƐ ĐĂŶ ŬĞĞƉ ƚŚĞŝƌ ĐŽǀĞƌĂŐĞ ĂŶĚ ƉƌŝŵĂƌLJ ĐĂƌĞ η&ĂŵDĞĚϰWĂƟĞŶƚƐ͘͟ tŚŝůĞ ŽŶůLJ ƟŵĞ ǁŝůů ƚĞůů ŚŽǁ ĞīĞĐƟǀĞ ŽƵƌ ĞīŽƌƚƐ ǁĞƌĞ͕ ƚŚĞ ĞŶƚŚƵƐŝĂƐŵ ĂŶĚ ƉĂƌƟĐŝƉĂƟŽŶ ďLJ ŽƵƌ ŵĞŵďĞƌƐ ŝŶ ŵĂŬŝŶŐ ƚŚĞŝƌ ǀŽŝĐĞƐ ŚĞĂƌĚ ŚĂƐ ďĞĞŶ ŝŶƐƉŝƌŝŶŐ͘ /Ĩ LJŽƵ ǁŽƵůĚ ůŝŬĞ ƚŽ ŐĞƚ ŵŽƌĞ ŝŶǀŽůǀĞĚ ŝŶ &W͛Ɛ ĂĚǀŽĐĂĐLJ ǁŽƌŬ͕ / ŐƌĞĂƚůLJ ĞŶĐŽƵƌĂŐĞ LJŽƵ ƚŽ ďĞĐŽŵĞ Ă <ĞLJ ŽŶƚĂĐƚ ĂŶĚ ũŽŝŶ ŽƵƌ 'ƌĂƐƐƌŽŽƚƐ ĚǀŽĐĂĐLJ dĞĂŵ ;ŚƩƉƐ͗ͬͬǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĂĚǀŽĐĂĐLJͬŬĞLJͲĐŽŶƚĂĐƚͿ͘ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ŝƐ ƚŚĞ ŚĂŝƌ ĨŽƌ ƚŚĞ &W >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ͘
Serve the patients who need you most. AltaMed has become the nation’s largest community health network by providing quality care to the patients who need it most. We currently operate more than 40 locations in Los Angeles and Orange counties. .P]PUN 7O`ZPJPHUZ ]VPJL PU KLJPZPVUZ [OH[ HɈLJ[ JHYL KLSP]LY` PZ one of the ways AltaMed has achieved our quality and satisfaction NVHSZ ( YLHSPZ[PJ WH[PLU[ ]VS\TL HUK L_JLSSLU[ Z\WWVY[ Z[HɈ YH[PV and are also important quality factors.
We also support Physicians with: 3VHU 9LWH`TLU[ 7YVNYHT 7LYMVYTHUJL )VU\Z 7YVNYHT 9LHZVUHISL VU JHSS [PTL
7HPK *4, KH`Z H `LHY MVY *4, L_WLUZLZ :[H[L VM [OL HY[ ,/9 Z`Z[LT
See how you can do more with yourr m medical career at www.AltaMed.org/Careers Send your CV to Careers@AltaMed.org
Equal Opportunity Employer
Department of Family
and Community Medicine Academic Recruitment The University of California, Davis, Department of Family and Community Medicine seeks a Health Sciences Assistant Clinical Professor. The position will be expected to contribute with distinction in the areas of clinical care, teaching, mentoring of trainees, and University and public service. Positioned in the heart of Northern California, Sacramento is a diverse farm-to-fork foodie and coffee town with a vibrant art scene, and is an easy drive from San Francisco, the Napa Valley, Tahoe, and Yosemite. We have everything—but you! Candidates wishing to learn more about this academic opportunity should review the full recruitment description at https:// recruit.ucdavis.edu/apply/JPF01151 If interested, candidates should submit their application, including a current CV and a cover letter with full contact information, and they should apply online using the above URL. Inquiries regarding this position may be directed to Search Committee Chair, Dr. Sarah Marshall at smarshall@ucdavis.edu or by calling (916) 734-6226. The positon will remain open until filled through June 30, 2017.
The University of California is an Affirmative Action/Equal Opportunity Employer with a strong institutional commitment to the achievement of diversity among its faculty, staff, and students.
California Family Physician Spring 2017
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legislative news
Adam Francis
Family Physicians Storm the State Capitol for 2017 All Member Advocacy Meeting and Lobby Day /Ŷ ĞĂƌůLJ DĂƌĐŚ͕ ŵŽƌĞ ƚŚĂŶ ϭϰϬ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů students from across the state converged on the Capitol for the CAFP ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ; D DͿ͘ dŚĞŝƌ ŐŽĂů͗ ĚŝƐĐƵƐƐ ŝŵƉŽƌƚĂŶƚ ƚŽƉŝĐƐ ŝŶ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ĂĚǀŽĐĂƚĞ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉĂƟĞŶƚƐ͘ dŚŝƐ LJĞĂƌ͛Ɛ D D ĨŽĐƵƐĞĚ ŽŶ ƉŚLJƐŝĐŝĂŶ ĂĚǀŽĐĂĐLJ ŝŶǀŽůǀĞŵĞŶƚ Ăƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ĨĞĚĞƌĂů ůĞǀĞů͘ &Ğǁ ŽƚŚĞƌ ƐƉĞĐŝĂůŝƐƚƐ ĮŐŚƚ ĞdžĐůƵƐŝǀĞůLJ ĨŽƌ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂŶĚ ƉĂƟĞŶƚƐ ƚŚĞ ǁĂLJ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĚŽ͘ /Ĩ ŶŽƚ LJŽƵ͕ ƚŚĞŶ ǁŚŽ͍ /Ĩ ŶŽƚ ŶŽǁ͕ ƚŚĞŶ ǁŚĞŶ͍ tŝƚŚ ƌĞĐŽƌĚ ďƌĞĂŬŝŶŐ ĂƩĞŶĚĂŶĐĞ Ăƚ ďŽƚŚ ƚŚĞ D D ĂƐ ǁĞůů ĂƐ &ĂŵŝůLJ DĞĚŝĐŝŶĞ >ŽďďLJ ĂLJ͕ ĂƩĞŶĚĞĞƐ ĂŶƐǁĞƌĞĚ ƚŚĞƐĞ ƋƵĞƐƟŽŶƐ ǁŝƚŚ Ă ƌĞƐŽƵŶĚŝŶŐ ͞tĞ Ăůů ǁŝůů ƚĂŬĞ ƵƉ ƚŚĞ ĐŚĂůůĞŶŐĞ ĂŶĚ ŽƵƌ ĂĚǀŽĐĂĐLJ ďĞŐŝŶƐ dK z͊͟ dŚĞ ϮϬϭϳ D D ǁĂƐ ĚĞƐŝŐŶĞĚ ƚŽ ŐŝǀĞ ĂƩĞŶĚĞĞƐ ƚŚĞ ƚŽŽůƐ ƚŚĞLJ ŶĞĞĚ ƚŽ ďĞĐŽŵĞ ƚŚĞ ůĞĂĚĞƌƐ ŽĨ ƚŚĞ ĨƵƚƵƌĞ ĂŶĚ ĞīĞĐƟǀĞ ĂĚǀŽĐĂƚĞƐ ĨŽƌ ƚŚĞŝƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŵƐĞůǀĞƐ͘ z KE ͗ dŚĞ ĐŽŶĨĞƌĞŶĐĞ ƐƚĂƌƚĞĚ ǁŝƚŚ &W͛Ɛ ŽƵƚŐŽŝŶŐ WƌĞƐŝĚĞŶƚ͕ >ĞĞ ZĂůƉŚ͕ D ĚĞŵŽŶƐƚƌĂƟŶŐ ƚŚĞ ďƌĞĂĚƚŚ ĂŶĚ ůĞŶŐƚŚ ŽĨ ŚŝƐ ĂĐƟǀŝƟĞƐ ŽŶ ďĞŚĂůĨ ŽĨ ƚŚĞ ĐĂĚĞŵLJ ŽǀĞƌ ƚŚĞ ƉĂƐƚ LJĞĂƌ ǁŝƚŚ ĂŶ ŝŶƐƉŝƌŝŶŐ WŽǁĞƌWŽŝŶƚ ĚŽĐƵŵĞŶƟŶŐ ŚŝƐ ŵĂŶLJ ƚƌĂǀĞůƐ͘ /ŶĐŽŵŝŶŐ WƌĞƐŝĚĞŶƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ĚĞƐĐƌŝďĞĚ ŚŽǁ &W ĂŶĚ ŚĞƌ ĐŽůůĞĂŐƵĞƐ ĂƌĞ ŚĞƌ ƐĞĐŽŶĚ ĨĂŵŝůLJ͕ ĨƌŽŵ ǁŚŝĐŚ ƐŚĞ ƚĂŬĞƐ ƌĞŶĞǁĂů ĂŶĚ ŝŶƐƉŝƌĂƟŽŶ͘ ƌƐ͘ ZĂůƉŚ ĂŶĚ YƵŝŽŐƵĞ ǁĞƌĞ ĨŽůůŽǁĞĚ ďLJ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ͕ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ŚĂŝƌ͕ >ĞŐŝƐůĂƟǀĞ ĚǀŽĐĂƚĞ :ŽĚŝ ,ŝĐŬƐ ĂŶĚ &W ŝƌĞĐƚŽƌ ŽĨ 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ ĚĂŵ &ƌĂŶĐŝƐ ǁŚŽ ƉƌŽǀŝĚĞĚ Ă ůĞŐŝƐůĂƟǀĞ ďƌŝĞĮŶŐ ŽŶ &W͛Ɛ ƐƵĐĐĞƐƐĨƵů ĞīŽƌƚ ůĂƐƚ LJĞĂƌ ƚŽ ƐĞĐƵƌĞ ΨϭϬϬ ŵŝůůŝŽŶ ƚŽ ƐƵƉƉŽƌƚ ƉƌŝŵĂƌLJ ĐĂƌĞ ƌĞƐŝĚĞŶĐLJ ƚƌĂŝŶŝŶŐ ĂŶĚ ŽƵƌ ŶĞĞĚ ƚŚŝƐ LJĞĂƌ ƚŽ ƉƌŽƚĞĐƚ ƚŚĂƚ ŵŽŶĞLJ ĨƌŽŵ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ďƵĚŐĞƚ ĐƵƚƐ͘ dŚĞLJ ĂůƐŽ ĚĞƚĂŝůĞĚ &W͛Ɛ ƐƵĐĐĞƐƐ ŝŶ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ƚŚĞ ƉĂƐƐĂŐĞ ŽĨ WƌŽƉŽƐŝƟŽŶ ϱϲ͕ Ă ƚŽďĂĐĐŽ ƚĂdž ŵĞĂƐƵƌĞ ƚŚĂƚ ŐĞŶĞƌĂƚĞƐ ŵŽƌĞ ƚŚĂŶ Ψϭ ďŝůůŝŽŶ ƚŽ ƐƵƉƉŽƌƚ DĞĚŝͲ Ăů ĂŶĚ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂŶĚ ĞŵĞƌŐĞŶĐLJ ŵĞĚŝĐŝŶĞ residency programs.
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California Family Physician Spring 2017
EĞǁ WŚLJƐŝĐŝĂŶ ŽĂƌĚ ŵĞŵďĞƌ ^ŚĂŶŶŽŶ ŽŶŶŽůůLJ͕ D ŽīĞƌĞĚ ĂŶ ŝŵƉĂƐƐŝŽŶĞĚ ĂĐĐŽƵŶƚ ŽĨ ŚŽǁ &W ŚĞůƉĞĚ ŚĞƌ ĐŚĂŶŶĞů ŚĞƌ ĐŽŶĐĞƌŶƐ ĂďŽƵƚ ĞīŽƌƚƐ ƚŽ ƌĞƉĞĂů ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ĚĞĨƵŶĚ WůĂŶŶĞĚ WĂƌĞŶƚŚŽŽĚ ŝŶƚŽ ĂĐƟŽŶ ʹ ƌĞƐƵůƟŶŐ ŝŶ Ă ŶĞǁ͕ ŽǀĞƌĂƌĐŚŝŶŐ ĐĂĚĞŵLJ ƉŽůŝĐLJ ƐƚĂƚĞŵĞŶƚ ŽŶ ŚĞĂůƚŚ ĐĂƌĞ ;^ĞĞ WĂŐĞ ϮϮͿ͘ dŚĞ D D dŽǁŶ ,Ăůů ƐĞƐƐŝŽŶ ĨĞĂƚƵƌĞĚ ƚǁŽ ƚŽƉŝĐĂů ŝƐƐƵĞƐ ʹ sĂůƵĞͲ ĂƐĞĚ WĂLJŵĞŶƚ ĂŶĚ ƚŚĞ DĞĚŝĐĂƌĞ ĐĐĞƐƐ ĂŶĚ ,/W ZĞĂƵƚŚŽƌŝnjĂƟŽŶ Đƚ ŽĨ ϮϬϭϱ ;D Z Ϳ ǁŝƚŚ ĞŶƚĞƌƐ ĨŽƌ DĞĚŝĐĂƌĞ ĂŶĚ DĞĚŝĐĂŝĚ ^ĞƌǀŝĐĞƐ ŝƐƚƌŝĐƚ /y DĞĚŝĐĂů ŝƌĞĐƚŽƌ ƐŚďLJ tŽůĨĞ͕ D ͕ DW,͕ DW ĂŶĚ >ĞĂŚ EĞǁŬŝƌŬ͕ : ͕ WƌŝŶĐŝƉĂů͕ >^E ŽŶƐƵůƟŶŐ ĂŶĚ ĨŽƌŵĞƌ &W ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐLJ ĂŶĚ ĂŶ ŽǀĞƌǀŝĞǁ ŽĨ ǁŽƌŬĨŽƌĐĞ ĚĞǀĞůŽƉŵĞŶƚ ƉƌŽŐƌĞƐƐ ŝŶ ƚŚĞ ƐƚĂƚĞ ǁŝƚŚ ŽŶƌĂĚ ŵĞŶƚĂ͕ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐLJ͘ dŽ ŬĞĞƉ ŝƚ ƌĞĂů͕ ƚŚĞ D D ĂůƐŽ ĨĞĂƚƵƌĞĚ Ă ƉĂŶĞů ŽĨ ĨŽƵƌ ůĞŐŝƐůĂƟǀĞ ƐƚĂīĞƌƐ ĨƌŽŵ ƚŚĞ ŽĸĐĞƐ ŽĨ ƐƐĞŵďůLJ ^ƉĞĂŬĞƌ ŶƚŚŽŶLJ ZĞŶĚŽŶ͕ ƐƐĞŵďůLJŵĞŵďĞƌ &ƌĂŶŬ ŝŐĞůŽǁ͕ ƐƐĞŵďůLJŵĞŵďĞƌ ZŽď ŽŶƚĂ ĂŶĚ ^ĞŶĂƚŽƌ ZŝĐŚĂƌĚ WĂŶ ǁŚŽ ĚĞƐĐƌŝďĞĚ ǁŚĂƚ ĐŽŶƐƟƚƵƚĞĚ ŵĞĂŶŝŶŐĨƵů ĐŽŶƐƟƚƵĞŶƚ ǀŝƐŝƚƐ ĨƌŽŵ ƚŚĞŝƌ ƉĞƌƐƉĞĐƟǀĞ͘ ƩĞŶĚĞĞƐ ŚĞĂƌĚ ǁŚĂƚ ŝƚ͛Ɛ ůŝŬĞ ƚŽ ďĞ ŽŶ ƚŚĞ ƌĞĐĞŝǀŝŶŐ ĞŶĚ ŽĨ ǀŝƐŝƚƐ͕ ĐĂůůƐ ĂŶĚ ĞŵĂŝůƐ ŝŶ Ă ůĞŐŝƐůĂƟǀĞ ŽĸĐĞ ĂŶĚ ƚŚĞŶ ŚĂĚ Ă ĐŚĂŶĐĞ ƚŽ ĂƉƉůLJ ƚŚĂƚ ŬŶŽǁůĞĚŐĞ ŝŶ ƉůĂŶŶŝŶŐ ƚŚĞŝƌ ŽǁŶ ǀŝƐŝƚƐ ŽŶ DŽŶĚĂLJ͘ z dtK͗ dŚĞ ƐĞĐŽŶĚ ĚĂLJ ŽĨ ƚŚĞ ĐŽŶĨĞƌĞŶĐĞ ĨĞĂƚƵƌĞĚ ƚǁŽ ĂǁĂƌĚ ƉƌĞƐĞŶƚĂƟŽŶƐ ĂŶĚ Ă ƐƵƌƉƌŝƐĞ ƌŽĂƐƚͬƚŽĂƐƚ ŽĨ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ͕ ĚĂŵ ;͞&ĞĂƌ ƚŚĞ ZĞĚ ĞĂƌĚ͟Ϳ &ƌĂŶĐŝƐ͕ ŝŶ ŚŽŶŽƌ ŽĨ ŚŝƐ ϭϬƚŚ ĂŶŶŝǀĞƌƐĂƌLJ ǁŝƚŚ ƚŚĞ ĐĂĚĞŵLJ͘ dŚĞ ϮϬϭϳ ,ĞƌŽ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ĂǁĂƌĚ ǁĞŶƚ ƚŽ dŝŵ DƵŶnjŝŶŐ͕ D ͕ ĨŽƌ ŚŝƐ ŐƌĞĂƚ ŝŶͲĚŝƐƚƌŝĐƚ ĂĚǀŽĐĂĐLJ ǁŝƚŚ ůĞŐŝƐůĂƚŽƌƐ ŽŶ ďĞŚĂůĨ ŽĨ ƉĂƟĞŶƚƐ ĂŶĚ ŚŝƐ ǁŽƌŬ ƚŽ ƐƵƉƉŽƌƚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ĂĐƌŽƐƐ ƚŚĞ ƐƚĂƚĞ͘ dŚĞ ƐĞĐŽŶĚ ĂǁĂƌĚ ƌĞĐŝƉŝĞŶƚ ǁĂƐ ^ĞŶĂƚĞ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĞſŶ͕ ǁŚŽ ƌĞĐĞŝǀĞĚ ƚŚĞ ϮϬϭϳ ŚĂŵƉŝŽŶ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ǁĂƌĚ ŝŶ ƌĞĐŽŐŶŝƟŽŶ ŽĨ ŚŝƐ ĐŽƵƌĂŐĞ
ĂŶĚ ĞŵƉĂƚŚLJ ĨŽƌ ƉĂƟĞŶƚƐ ĂŶĚ ŚŝƐ ĚĞĚŝĐĂƟŽŶ ƚŽ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂŶĚ ƉƵďůŝĐ ŚĞĂůƚŚ͘ ^ĞŶĂƚŽƌ ĚĞ >ĞſŶ ƉƌŽŵŝƐĞĚ ƚŽ ͞ĚŽƵďůĞ ĚŽǁŶ ŽŶ ůŝŌŝŶŐ ƉĞŽƉůĞ ƵƉ͟ ŝŶ ĂůŝĨŽƌŶŝĂ͕ ĚĞƐƉŝƚĞ ǁŚĂƚ ŵŝŐŚƚ ĐŽŵĞ ŽƵƚ ŽĨ tĂƐŚŝŶŐƚŽŶ͕ ĂŶĚ ĂƐƐƵƌĞĚ ƚŚŽƐĞ present that our state celebrates diversity ĂŶĚ ǁŽŶ͛ƚ ůĞƚ ƉĞŽƉůĞ ďĞ ďƵůůŝĞĚ͕ ĚĞŵĞĂŶĞĚ Žƌ ƚŽůĚ ƚŚĞLJ ĂƌĞ ŽƵƚƌŝŐŚƚ ĚŝƐƉĞŶƐĂďůĞ͘ ,Ğ ǁĂƐ ŐŝǀĞŶ ƐĞǀĞƌĂů ƐƚĂŶĚŝŶŐ ŽǀĂƟŽŶƐ͘ dŚĞ ĨƵŶ ĚŝĚŶ͛ƚ ƐƚŽƉ ƚŚĞƌĞ͕ ĞŝƚŚĞƌ͘ dĞƐƟŵŽŶLJ ǁĂƐ ŚĞĂƌĚ ďLJ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ŽŶ ĞŝŐŚƚ ƌĞƐŽůƵƟŽŶƐ ŽŶ ǁŚŝĐŚ ƚŚĞ ŽĂƌĚ ǁŝůů ĐŽŶƐŝĚĞƌ ĂĐƟŽŶ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ LJĞĂƌ ĂŶĚ ƌĞƉŽƌƚ ďĂĐŬ ƚŽ ƚŚĞ ϮϬϭϴ D D͘ ƩĞŶĚĞĞƐ ĂůƐŽ ƌĞĐĞŝǀĞĚ Ă ĨĞĚĞƌĂů ůĞŐŝƐůĂƟǀĞ ƵƉĚĂƚĞ ĨƌŽŵ &W /ŵŵĞĚŝĂƚĞ WĂƐƚ WƌĞƐŝĚĞŶƚ tĂŶĚĂ &ŝůĞƌ͕ D ǁŚŽ ĂůƐŽ ǁĂƐ ŐƌĂĐŝŽƵƐ ĞŶŽƵŐŚ ƚŽ ƉĂƌƟĐŝƉĂƚĞ ŝŶ &W͛Ɛ ƚƌĂŝŶŝŶŐ ŽŶ ͞,Žǁ ƚŽ DĞĞƚ ǁŝƚŚ zŽƵƌ >ĞŐŝƐůĂƚŽƌ͟ ƐĞƐƐŝŽŶ͕ ůĞĚ ďLJ &W ƐƚĂī͘ ƐĞĐŽŶĚ ƚƌĂŝŶŝŶŐ ƐĞƐƐŝŽŶ ǁĂƐ ůĞĚ ďLJ tĞŶĚLJ dĂLJůŽƌͲ dĂŶŝĞůŝĂŶ͕ ǁŚŽ ƉƌĞƐĞŶƚĞĚ ͞^ƵĐĐĞƐƐĨƵů ĚǀŽĐĂĐLJ ƚŚƌŽƵŐŚ dĞůůŝŶŐ zŽƵƌ ^ƚŽƌLJ͘͟ DĞŵďĞƌƐ ŚĂĚ ŵĂŶLJ ʹ ďŽƚŚ ŵĞĂŶŝŶŐĨƵů ĂŶĚ ĞŵŽƟŽŶĂů͘ &WͲW s Ed͗ D D ĂƩĞŶĚĞĞƐ ďƌŽŬĞ Ăůů ƉƌĞǀŝŽƵƐ ĨƵŶĚƌĂŝƐŝŶŐ ƌĞĐŽƌĚƐ͕ ĐŽŶƚƌŝďƵƟŶŐ ŵŽƌĞ ƚŽ ƚŚĞ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ WŽůŝƟĐĂů ĐƟŽŶ ŽŵŵŝƩĞĞ ;&WͲW Ϳ ƚŚĂŶ Ăƚ ĂŶLJ ŽƚŚĞƌ &W ŵĞĞƟŶŐ ĞǀĞƌ͊ DŽƌĞ ƚŚĂŶ ϵϬ ĐŽŶƚƌŝďƵƚŽƌƐ ƌĂŝƐĞĚ ŵŽƌĞ ƚŚĂŶ ΨϮϮ͕ϬϬϬ ĨŽƌ &WͲW ͕ ƚŚĞ ŽŶůLJ ƉŽůŝƟĐĂů ĂĐƟŽŶ ĐŽŵŵŝƩĞĞ ŝŶ ĂůŝĨŽƌŶŝĂ ƚŚĂƚ ŵĂŬĞƐ ĚŝƌĞĐƚ ĐŽŶƚƌŝďƵƟŽŶƐ ƚŽ ƉƌŽͲĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ƉƌŽͲƉĂƟĞŶƚ ƐƚĂƚĞ ůĞŐŝƐůĂƟǀĞ ĐĂŶĚŝĚĂƚĞƐ ĂŶĚ ƐĞůĞĐƚ ƐƚĂƚĞǁŝĚĞ ŽĸĐĞƐ͘ ǀĞŶ ƚŚŽƵŐŚ ƚŚĞLJ ĂƌĞ ƚŚĞ ŵŽƐƚ ĮƐĐĂůůLJ ĐŚĂůůĞŶŐĞĚ͕ ƚŚĞ ŵŽƌĞ ƚŚĂŶ ϯϬ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŝŶ ĂƩĞŶĚĂŶĐĞ ƐŚŽǁĞĚ ǁŚĂƚ ƚƌƵĞ ĂĚǀŽĐĂĐLJ ŝƐ ǁŚĞŶ ĞĂĐŚ ĂŶĚ ĞǀĞƌLJ ŽŶĞ ŽĨ ƚŚĞŵ ĐŽŶƚƌŝďƵƚĞĚ ƚŽ &WͲW ͕ ƉĂƌƚ ŽĨ Ă ĚŽŶĂƟŽŶ ŵĂƚĐŚ ŽīĞƌ ƐƉĞĂƌŚĞĂĚĞĚ ďLJ &WͲW ŽĂƌĚ DĞŵďĞƌ :ĞƌĞŵLJ &ŝƐŚ͕ D ͘ &WͲW ƚŚĂŶŬĞĚ ŝƚƐ ĚŽŶŽƌƐ ^ƵŶĚĂLJ ĞǀĞŶŝŶŐ ĚƵƌŝŶŐ ƚŚĞ ĮŌŚ ŶŶƵĂů &WͲW ŽŶŽƌ ZĞĐĞƉƟŽŶ͕ ǁŚŝĐŚ ĨĞĂƚƵƌĞĚ ƐƉĞĐŝĂů ůĞŐŝƐůĂƟǀĞ ŐƵĞƐƚƐ /ŶƐƵƌĂŶĐĞ ŽŵŵŝƐƐŝŽŶĞƌ ĂǀĞ :ŽŶĞƐ͕ ^ĞŶĂƚŽƌ ĂŶĚ ƉĞĚŝĂƚƌŝĐŝĂŶ ZŝĐŚĂƌĚ WĂŶ͕ D ͕ ƐƐĞŵďůLJŵĞŵďĞƌ :ŽƐĞ DĞĚŝŶĂ͕ ƐƐĞŵďůLJ DŝŶŽƌŝƚLJ >ĞĂĚĞƌ ŚĂĚ DĂLJĞƐ ĂŶĚ ƐƐĞŵďůLJŵĞŵďĞƌ <ĞǀŝŶ DĐ ĂƌƚLJ ;ďĞůŽǁͿ͘ /Ĩ LJŽƵ ŚĂǀĞ ŶŽƚ LJĞƚ ĐŽŶƚƌŝďƵƚĞĚ ƚŽ &WͲW ŝŶ ϮϬϭϳ͕ ƉůĞĂƐĞ ŐŽ ƚŽ ŽƵƌ ĚŽŶĂƟŽŶ ƉĂŐĞ ;ŚƩƉƐ͗ͬͬĨĂŵŝůLJĚŽĐƐ͘ƐĞĐƵƌĞ͘ĨŽƌĐĞ͘ĐŽŵͬƉĂĐͬͿ ƚŽ ĞŶƐƵƌĞ ƚŚĂƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĐĂŶ ĐŽŶƟŶƵĞ ŽƵƌ ŝŵƉŽƌƚĂŶƚ ĞůĞĐƚŽƌĂů ĂĚǀŽĐĂĐLJ͘
& D/>z D / /E >K z z͗ &ĂŵŝůLJ DĞĚŝĐŝŶĞ >ŽďďLJ ĂLJ ƚŽŽŬ ƉůĂĐĞ ŽŶ DŽŶĚĂLJ͕ DĂƌĐŚ ϲ ĂŶĚ Ă ƌĞĐŽƌĚ ƚƵƌŶŽƵƚ ŽĨ ŵŽƌĞ ƚŚĂŶ ϴϬ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ŵĞƚ ŝŶ ŵŽƌĞ ƚŚĂŶ ϲϬ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ ƚŽ ƵƌŐĞ ƚŚĞŝƌ ƌĞũĞĐƟŽŶ ŽĨ ƚŚĞ 'ŽǀĞƌŶŽƌ͛Ɛ ƉƌŽƉŽƐĞĚ ĐƵƚ ƚŽ ƚŚĞ ^ŽŶŐͲ ƌŽǁŶ WŚLJƐŝĐŝĂŶ dƌĂŝŶŝŶŐ WƌŽŐƌĂŵ͘ dŚĞLJ ďĂƌĞůLJ Įƚ ŝŶ ƚŚĞ ƉŚŽƚŽ͊ /ƚ ǁĂƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ĂŶĚ ĞdžĐŝƟŶŐ ǁĞĞŬĞŶĚ͊ tĞ ŝŶǀŝƚĞ ĂŶLJ ĂŶĚ Ăůů &W ŵĞŵďĞƌƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ĂĚǀĂŶĐŝŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉĂƟĞŶƚ ƉƌŽƚĞĐƟŽŶƐ ƚŽ ũŽŝŶ ƵƐ Ăƚ ŶĞdžƚ LJĞĂƌ͛Ɛ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ĂŶĚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ >ŽďďLJ ĂLJ͕ ƚĂŬŝŶŐ ƉůĂĐĞ DĂƌĐŚ ϭϬͲϭϮ͕ ϮϬϭϴ Ăƚ dŚĞ ŝƟnjĞŶ ,ŽƚĞů ŝŶ ^ĂĐƌĂŵĞŶƚŽ͘
WŚŽƚŽ ŝĚĞŶƟĮĐĂƟŽŶ͗
WĂŐĞ ϭϮ͗ &ƌŽŵ >ĞŌ ƚŽ ƌŝŐŚƚ͕ &WͲW ĐŽŶƚƌŝďƵƚŽƌƐ ĂƩĞŶĚĞĚ Ă ƐƉĞĐŝĂů ƌĞĐĞƉƟŽŶ ǁŝƚŚ ůĞŐŝƐůĂƚŽƌƐ ŽŶ ^ƵŶĚĂLJ ĞǀĞŶŝŶŐ͖ &W͛Ɛ ŚĂŵƉŝŽŶ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͕ ^ĞŶĂƚĞ WƌŽ dĞŵ <ĞǀŝŶ ĚĞ >ĠŽŶ͕ ŝƐ ŇĂŶŬĞĚ ďLJ :ĂLJ >ĞĞ͕ D ͕ DW,͖ >ĞĞ ZĂůƉŚ͕ D ͖ DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D ĂŶĚ >ŝƐĂ tĂƌĚ͕ D ͘ WĂŐĞ ϭϯ͗ DŽƌĞ ƚŚĂŶ ϴϬ &W ŵĞŵďĞƌƐ ƐƚŽƌŵĞĚ ƚŚĞ ĂƉŝƚŽů ŽŶ >ŽďďLJ ĂLJ͖ ĚĞůĞŐĂƟŽŶ ůĞĚ ďLJ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ DŝĐŚĞůůĞ YƵŝŽŐƵĞ ƐƚŽƉƐ ƚŽ pay homage to the California Golden Bear before heading to ĂƉŝƚŽů ĂƉƉŽŝŶƚŵĞŶƚƐ͖ dŝŵ DƵŶnjŝŶŐ ǁĂƐ ƉƌĞƐĞŶƚĞĚ ƚŚĞ ,ĞƌŽ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ǁĂƌĚ ďLJ &W WƌĞƐŝĚĞŶƚ >ĞĞ ZĂůƉŚ͘ California Family Physician Spring 2017
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All Member Advocacy Meeting Elects New CAFP Leaders ŽŶŐƌĂƚƵůĂƟŽŶƐ ƚŽ &W͛Ɛ ŶĞǁůLJ ĞůĞĐƚĞĚ ůĞĂĚĞƌƐ ĨŽƌ ϮϬϭϳͲϭϴ͗ WƌĞƐŝĚĞŶƚ͕ DŝĐŚĞůůĞ YƵŝŽŐƵĞ͕ D ͕ ĂŬĞƌƐĮĞůĚ͖ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ͕ >ŝƐĂ tĂƌĚ͕ D ͕ D^ĐW,͕ D^͕ ^ĂŶƚĂ ZŽƐĂ͖ ^ƉĞĂŬĞƌ͕ tĂůƚĞƌ DŝůůƐ͕ D ͕ DŽŶƚĞƌĞLJ͖ sŝĐĞ ^ƉĞĂŬĞƌ ĂǀŝĚ ĂnjnjŽ͕ D ͕ ^ĂŶ ŝĞŐŽ͖ ĂŶĚ ^ĞĐƌĞƚĂƌLJͲ dƌĞĂƐƵƌĞƌ ^ŚĂŶŶŽŶ ŽŶŶŽůůLJ͕ D ͕ >ŽƐ ŶŐĞůĞƐ͘ ĚĚŝƟŽŶĂůůLJ͕ :ĞīƌĞLJ >ƵƚŚĞƌ͕ D ǁĂƐ ĞůĞĐƚĞĚ &W ĞůĞŐĂƚĞ ϮϬϭϳͲϭϴ͖ ĂƌŽů ,ĂǀĞŶƐ ǁĂƐ ĞůĞĐƚĞĚ &W ĞůĞŐĂƚĞ ϮϬϭϳ͖ :ĂLJ t͘ >ĞĞ͕ D ͕ DW, ǁĂƐ ĞůĞĐƚĞĚ &W ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ϮϬϭϳͲϭϴ͖ ĂŶĚ >ĞĞ ZĂůƉŚ͕ D ǁĂƐ ĞůĞĐƚĞĚ &W ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ϮϬϭϳ͘ ^ƚĞǀĞŶ ,ĂƌƌŝƐ͕ D ǁĂƐ ĞůĞĐƚĞĚ ZƵƌĂů ŝƌĞĐƚŽƌ ŽŶ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ĂŶĚ dŽŶĂŶƚnjŝŶ ZŽĚƌŝŐƵĞnj͕ D ǁĂƐ ĞůĞĐƚĞĚ ƚŽ ƚŚĞ EŽŵŝŶĂƟŶŐ ŽŵŵŝƩĞĞ ϮϬϭϳͲϭϴ͘ ůů ƚĂŬĞ ŽĸĐĞ ŽŶ Ɖƌŝů ϴ͘
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
NAPA VALLEY WINE COUNTRY OUTPATIENT FP POSITIONS
WŚŽƚŽ ŝĚĞŶƟĮĐĂƟŽŶ͗
&W ŽĂƌĚ ŚĂŝƌ tĂŶĚĂ &ŝůĞƌ͕ D ͕ ƐƉŽŬĞ Ăƚ ƚŚĞ D D ĂŶĚ ĂŶƐǁĞƌĞĚ ƋƵĞƐƟŽŶƐ ĚƵƌŝŶŐ ƚŚĞ dŽǁŶ ,Ăůů͖ ^ĂƚƵƌĚĂLJ ŶŝŐŚƚ ĚŝŶĞͲĂƌŽƵŶĚ ĚŝŶŶĞƌƐ ǁĞƌĞ ƉŽƉƵůĂƌ ĂŐĂŝŶ ƚŚŝƐ LJĞĂƌ͖ ^ƚƵĚĞŶƚ ŵĞŵďĞƌ ĂŶŝĞůůĞ 'ůĂĞƐĞƌ ƌĞƉŽƌƚĞĚ ŽŶ ƚŚĞ ^ƚƵĚĞŶƚ ŽƵŶĐŝů͛Ɛ ƌŽůĞ ĂŶĚ ƌĞƐƉŽŶƐŝďŝůŝƟĞƐ͖ ĂŶĚ ƚŚĞ D D ƉĂƌƟĐŝƉĂŶƚƐ ĚŽŶŶĞĚ ŽƌĂŶŐĞ ďĞĂƌĚƐ ƚŽ ŚŽŶŽƌ ŽƵƌ ŽǁŶ ĚĂŵ ͞&ĞĂƌ ƚŚĞ ZĞĚ ĞĂƌĚ͟ &ƌĂŶĐŝƐ ŽŶ ŚŝƐ ϭϬƚŚ ĂŶŶŝǀĞƌƐĂƌLJ ǁŝƚŚ &W͘
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California Family Physician Spring 2017
Hospital supported outpatient FP positions in desirable growing community of 135,000 nestled in the Napa Wine Country 45 minutes to San Francisco associated with award winning 200 bed health system. Refer inpatients to Hospitalist program. New and modern clinic facilities. Excellent 5 year salary guarantee, signing bonus, production bonus, benefits and relocation. High income projection.
314-984-0624 donohueandassoc@aol.com
FOR SOME OF OUR MOST ELITE SOLDIERS, THE EXAMINATION ROOM IS THE FRONT LINE. Becoming a family medicine physician and officer on the U.S. Army health care team is an opportunity like no other. You will provide the highest quality health care to Soldiers, family members, retirees and others, as well as conduct medical research of military importance. With this elite team, you will be a leader – not just of Soldiers, but in family health care. See the benefits of being an Army medical professional at healthcare.goarmy.com/hb76 To learn more about the U.S. Army health care team, call 310-216-4433.
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Meet Your
New President … Michelle S. Quiogue, MD, FAAFP CAFP President, 2017-2018
ĂĂĐŚ ĐŚ LJĞĂĂƌ͕ƌ͕ ǁĞ ŝŶƚĞ ƚĞƌǀ ƌ ŝĞǁ ƚŚ ƚ Ğ &W͛Ɛ ŝŶĐŽŵŝŶŐ Ő Ɖƌ Ɖ ĞƐŝĚ ŝĚĞŶ ĞŶƚ͕ ƚ͕ Őŝǀ ŝǀŝŶ ŝ Ő ŝŶ Ő ŚĞ Ś ƌ Žƌƌ Śŝŵ Ă ĐŚĂ Ś ŶĐĞ ƚŽ Ž ƚĂůŬ Ăď ďŽƵƚ ǀŝƐŝŽŶ͕ ŚŽƉĞƐ͕ ĚƌĞĂŵƐ͕ ƌŽůůĞƐ ĂŶĚ Ě ƌĞĞƐƉŽŶ ƐƉŽŶƐŝ Ɛ ďŝ ďŝůŝůŝƟĞƐ͕ ĂŶĚ Ě ŐŝǀŝŶŐ LJŽ LJŽƵ Ă ƉĞĞŬ Ăƚ ƚŚĞ ĨĂ Ĩ ŵŝůLJ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ŚŽ ǁŝůů ǁŝ ŝůů ŚĞů ĞůƉ Ɖ ŐƵ ŐƵŝĚĞ LJŽƵƌ ĐĂĚĞŵLJ ĨŽƌ Ž ƚŚĞ ĐŽŵŝŶŐ LJĞ LJĞĂƌ ĞĂ ͘ tĞ ĂƌĞ ƉůĞĂĂƐĞĞĚ Ě ƚŽ ƚŽ ŝŶƚƌ ŝŶ ƚƌŽĚ ŽĚƵĐ ƵĐĞĞ ƌ ͘ DŝĐŚĞůůĞĞ YƵŝŽŐƵĞ͘ Why family medicine for you? / ǁĞ ǁĞŶƚ Ŷƚ ƚŽ ĂŶ ĞŝŐŚƚͲLJ ͲLJĞĞĂƌ ĐŽŶƟŶƵƵŵ ŵ ƉƌŽ ƌŽŐƌ ŐƌƌĂŵ Ăŵ Ăƚ ƌ ŽǁŶ hŶ hŶŝǀ ŝǀǀĞƌƐŝ ŝǀĞƌ ĞƌƐ ƚLJ ĚĞĞƐŝ ƐŝŐŶ ŝŐŶĞĚ ƚŽ ĚĞǀĞ ǀĞůŽ ůŽƉ ŚƵŵĂŶŝƐƟĐ ĚŽ ŽĐƚ ĐƚŽƌ ŽƌƐ Ɛ ƚŚ ŚƌŽ ƌŽƵŐ ƵŐŚ Ś Ă Ă ůŝůďĞƌĂĂů ĞĚ ĞĚƵĐ ƵĐĂƟ ĂƟ ƟŽŶ Ž ͖ / ĂƉ ĂƉƉůŝĞĚ ƚŽ ŵĞĚ ĞĚŝĐĂů ƐĐŚŽŽů Ăƚ Ăƚ ƚŚĞ ƐĂŵĞ ƟŵĞ ƚŚ ŚĂƚ Ă / ĂƉƉůŝĞĚ ĞĚ ƚŽ Ž ĐŽ ĐŽůůĞŐ ĞŐĞ͘ Ğ Ɛ Ă ϮϰͲ ϰͲLJĞĂƌƌͲŽ ͲŽůůĚ ŵĞĚ ƐƚƵ ƵĚĞ ĚĞŶƚ Ŷ ĚĞĐŝĚŝŶŐ ŽŶ Ă ĐĂƌ ĂƌĞĞƌ ƉĂƚŚ ĂŶĚ ŶĚ ĂƉ ƉƉ ƉůLJ ůLJŝŶ ŝŶŐŐ ĨŽƌ ĨŽ ƌ ĂĂ EĂĂƟŽ ƟŽŶĂů ,ĞĂůƚŚ ^Ğƌ Ğƌǀŝ ǀ ĐĞ ŽƌƉƐ ;E,^ Ϳ ƐĐŚŽůĂƌƐŚŝƉ ƚŽ ĚŽ Ž Ɖƌ ƉƌŝŵĂƌLJ LJ ĐĂƌĞĞ ĨŽƌ ƚŚĞĞ ƵŶĚĞƌƌƐĞ ĐĂ ƐĞƌǀ ƌǀĞĚ͕ / ůĞĂƌŶĞĚ ƚŚ ŚĂƚ ƚŚŽƐĞ ĂƌĐŚĞ Ś ƚLJƉĂů ŝĚĞĂƐ Ɛ / /ŚĂ ŚĂĚ Ě ĂƐ Ă ϭϳͲͲLJĞĂƌ ŽůĚ ĂƉƉ ƉƉůLJŝŶŐ ĨŽƌ ĐŽůůĞŐĞ ĂďŽƵƚ ǁŚĂƚƚ ŝƚ ŵĞĂŶƐ ƚŽ ďĞ Ă doctor – to help do p peopl p e as individuals and as memb mbers of families ĂŶĚ ĐŽ ĂŶĚ ĐŽŵŵƵŶŝƟ ƟĞƐ ĞƐ͕ ƚŽ Ž ĐĂƌ ĂƌĞ ĨŽƌ ƚŚĞŵ͕ ƚŽ ƚ ƐĞƌǀĞ ʹ ǁĞƌĞ ƌĞĞŇĞ Ň ĐƚĞĚ ďĞƐ Ğ ƚ ƚ ďLJ fam fa mily medicin ne. Who were the role models who inspired you to go into family medicine? /Ŷ Ŷ ĐŽů ŽůůĞ ůĞŐĞ ůĞ ŐĞ ĂŶĚ ŝŶ ŵĞ ŐĞ ŵĞĚŝ ĚŝĐĂ Ěŝ ĐĂůů ů ƐĐ ĐĂ ƐĐŚŽ ĐŚŽ ŚŽŽů Žů͕ / ǁĂƐ ƐƵ ƐƵƌƌŽƵŶĚĞĚ Ě ďLJ LJ ĨĂ ĨĂŵŝ ŵŝůLJLJ ĚŽ ŽĐƚ ĐƚŽƌ ŽƌƐ͘ Ɛ dŚĞ ŚĞLJ LJ ǁĞ ǁĞƌĞ ƌĞ ĞǀĞ ǀĞƌLJ ƌLJLJǁŚ ǁŚĞƌ Ğ Ğ Ͷ ŝŶ ĐůĂƐƐƌŽŽŵƐ͕ ŝŶ ƚŚ ƚŚĞ Ğ ĚĞ ĚĞĂŶ ĂŶ͛ƐƐ Žĸ ĸĐĞ Đ ͕ ŝŝŶ ĐŽŵ Ž ŵƵ ƵŶŝƚLJ ƚLJ ŚĞĂ ĞĂůƚ ůƚŚ ƚŚ ĐĐĞĞŶƚ ŶƚĞƌ ĞƌƐƐ͘ dŚĞLJ ǁĞƌĞ ůĞĂĂĚĞ Ě ƌƐ͕ ŵĞŶƚ Ŷ ŽƌƐ͕ ĂĚ ĚŵŝŶŝƐƚƌĂĂƚŽƌƐ͕ ĂĚǀŝ ǀ ƐŽ Ɛ ƌƐ͕ ƚĞĞĂĐĐŚĞ Ś ƌƐ ƌƐ͕ ͕ ƐĐĐŚŽ ŚŽůĂ ůĂƌƐ ƌƐ͕͕ ĂŶ ĂŶĚ Ě ĨƌƌŝĞ ŝĞŶĚƐ͘ / ĨĞůƚƚ Ă ƐĞŶƐĞĞ ŽĨ ŚŽŵĞĐŽŵŝŶŐ ĂŶĚ Ě ďĞ ďĞůŽ ůŽŶŐ ŶŐŝŶ ŝŶŐ Ő Ăŵ ŵŽŶ Ž Ő ĨĂŵŝ ŵŝůLJ ůLJ ĚŽĐƚŽƌƐ ƚŚĂƚ / ŶĞ ŶĞǀĞ ǀĞƌ ƌ Ƌ ŝƚƚĞ ĞdžƉĞƌŝĞŶĐĞĞĚ ƋƵ Ě ĞůƐĞ ƐĞǁŚ ǁŚĞƌ ĞƌĞ͘ Ğ ŶĐŽƵ ŽƵƌĂŐĞĚ ďLJ ĨĂĐƵůƚLJ ŵĞŶ ĞŶƚŽ ƚŽƌƐ ƌƐ ĂŶĚ ĐůĂƐ Đů Ă ƐŵĂƚƚĞƐ ĂůƐŽ ŝŶ ŶƚĞƌĞ ƌĞƐƚ ƐƚĞĚ ĞĚ ŝŶ Ŷ ĨĂ Ĩ ŵŝůLJ ŵĞĚ Ğ ŝĐŝŶĞ͕ / ũŽŝŶĞĚ ŽƵ ŽƵƌ ƌ &Ă &ĂŵŝůLJLJ DĞĚŝ DĞ Ě Đŝ ĐŝŶĞ /ŶƚĞƌĞƐ ĞƐƚ ƚ 'ƌ 'ƌŽƵ ŽƵƉ Ɖ ĂŶĚ ƚŚĞ ZŚŽĚĞ Ğ /Ɛ /ƐůĂ ůĂŶĚ ŶĚ &W &W͘͘ tŚ t ĞŶ Ŷ ŵLJ LJ ĨƌŝĞŶĚ Ŷ Ɛ ĂŶĚ ĂŶ Ě / ĮŶĂůůLJ ĂƩĞĞŶĚ ŶĚĞĚ ĞĚ ƚŚĞ ŚĞ EĂƟŽŶĂů ŽŶĨĞ ĨĞƌĞ ƌ ŶĐ ŶĐĞ Ğ ŝŶ <ĂŶ ĂŶƐĂ Ɛ Ɛ Ɛ ŝ ŝƚLJ ƚLJ͕ / ĨĞ Ĩ ůƚ ǁĞůĐĐŽŵĞĚ ŝŶƚŽ Ă ĐŽ Đ ŵŵƵŶ ƵŶŝƚƚLJ͕ LJ Ă ĨĂŵ ŵŝůŝůLJ͕ LJ͕ Ă ĐĂů ĂůůŝůŝŶŐ ŶŐ͘ tŚĂƚ ƉŝƋƵĞĚ LJŽƵƌ ŝŶƚĞƌĞƐƚ ŝŶŝƟĂůůLJ ŝŶ ďĞĐŽŵŝŶŐ ĂĐƟǀĞ ǁŝƚŚ LJŽƵƌ county and state AFP chapters? tŝƚŚ ƐƵĐŚ Ă Ɛŵ Ɛŵ ŵĂů Ăůů ů ĐŽ Đ ŵŵƵŶŝƚLJ LJ ĂŶ ĂŶĚ ŽŶ ŽŶ ŶůLJ ŽŶĞ ŶĞ ŵĞĚ ĞĚŝĐ ŝĐĂů Ăů ƐĐŚ ĐŚŽŽ Ž ů ŝŶ ZŚŽ Ś ĚĞ /ƐůĂ ůĂŶĚ ŶĚ͕ ͕ ŵLJ ŵLJ ƉĂƌ Ă ƟĐ ƟĐŝƉ ŝƉĂƟ ŝƉ ĂƟŽŶ ĂƟ ŽŶ ŝŶ Ŷ ŽƵ ŽƵƌ ƌ &Ăŵŝ ŵŝůLJ ůLJ DĞĚ ĞĚŝŝĐŝŶ ŝŶĞ Ğ /Ŷ / ƚĞƌĞ ƌĞƐƚ Ɛƚ 'ƌŽ ƌŽƵƉ ƵƉ ƋƵŝĐŬůLJ trran anslat ated into o se serv rvin rv ingg as the in h stu tude den nt boa oard rd member of the Rho hode /ƐůĂ /Ɛ ůĂŶĚ Ŷ &W͘ Ƶƌŝ ƌ ŶŐ ƌĞƐ ĞƐŝĚ ĞƐŝĚ ŝĚĞŶĐLJ Đ Ăƚ <Ă <ĂŝƐ ŝƐƐĞƌ Ğ ^ƵŶ ƵŶƐĞƚ͕ ŽƵƌ ƉƌŽ ƌŽŐƌ ŐƌĂŵ Ăŵ Ěŝƌ ŝƌĞĐƚŽƌ͕ ƚŚĞ ŝŶŝŵ ŵŝƚĂďůĞ ƌ͘ƌ͘ :ŝŵ ŝŵŵLJ ŵLJ ,Ăƌ ĂƌĂ͕ Ă ŝŶƚ ŶƚƌŽĚƵ ĚƵĐĐĞĚ ŵĞ ƚŽ ƚŚĞ &W͕ ďƵ ďƵƚ ƚ Ăƚ ƚŚĂƚ ƟŵĞ͕ ŵLJ ƉĂƌƟĐ ƟĐŝƉ ŝƉĂƟ ŝƉ ĂƟŽŶ ǁĂƐ ĂƟ Ă ůŝŵŝƚƚĞĚ ƚŽ Ž ĂƩĞŶĚŝŶŐŐ ĂŶŶ ŶŶƵĂ Ƶ ů ƐĐ ƐĐŝĞ ŝĞŶƟ ŶƟĮĐ ĂƐƐĞŵďůŝĞƐ ; ^ Ɛ ƐͿ͘͘ ŌĞ ŌĞƌ / ŵŽ ŵ ǀĞĚ ƚŽ Ž ĂŬ ĂŬĞĞƌƐĮĞůĚ ƚŽ Ž ĨƵů ƵůĮů Įůůů ŵLJLJ E,^ ,^ ƐĞƌǀŝĐĞ ĐŽŵŵŝƚƚŵĞ ŵĞŶƚ Ŷ ͕ ͕ // ŬĞ Ŷƚ ŬĞƉƚ Ɖ ŐŽŝŶŐ ƚŽ ^ ^ Ɛ Ɛ͘ /͛Ě ĐŽŵĞ Ğ ŚŽ ŚŽŵĞ ŵ ĞŶĞ ŶĞƌŐ ƌŐŝnj ŝnjĞĚ ĞĚ ďLJ ďĞŝŶŐ ƐƵƌƌŽƵŶĚĞ ďLJ ĚĞĚ Ě ďLJ ďLJ ŵLJ ƉĞŽƉůĞ͕ ŽŶ Ž ůLJ ƚŽ Ž ĮŶĚ ŶŽ Ž ĂĐƟ ƟǀĞ ĐŚĂƉƚƚĞƌ ŝŶ <ĞƌŶ ŽƵŶƚLJ͘ tŚĞŶ Ŷ // ůĞ ů Ō ŵLJ ŵ ŶŽŶͲƉƌŽĮƚ ĐŽŵ ŽŵŵƵ ŵ ŶŝƚLJ ŚĞĂ ĞĂůƚŚ Ś ĐĞŶƚ ŶƚĞƌ Ğƌ ĂŶĚ ƌĞũŽŝŶĞĚ <ĂŝƐĞĞƌ ƌ WĞ WĞƌŵ ƌŵĂŶ ĂŶĞŶ ĞŶƚĞ͕ / ŵŝƐƐĞĚ ƚŚĂƚ ƐĞĞŶƐ ŶƐĞĞ ŽĨ ĐŽŵ ŽŵŵƵ ŵƵŶŝ ŶŝƚLJ ƚLJ ĂŶĚ ƉƵƌƉŽƐĞ ĞŶŽƵŐŚ ŐŚ ƚŽ Ž ĚŽ ĚŽ ƐŽŵ ŽŵĞƚŚŝŶŐ ĂďŽƵƚ ŝƚ͘ ůů ŝƚ ƚŽŽŬ ǁĂƐ ĂƐŬ ƐŬŝŶ ŝŶŐ Ő ^ŚĞůůůLJ ĂŶĚ ^ƵƐĂŶ ŝĨ ƚŚĞƌĞ ƌĞ ǁĂƐ ĂŶLJ ŶLJƚŚ ƚŚŝŶ ŝŶŐ / ĐŽƵůĚ ĚŽ ƚŽ ƌĞƐƚĂƌƚ ƚŚĞ ůŽĐĂů ĐŚ Đ ĂƉ ƉƚĞ ƚ ƌ ƌ ĂŶĚ ƚŽ ŚĞůƉ ŽƵƚ Ăƚ Ăƚ ƚŚĞ ƐƚĂ ƚĂƚĞ ƚĞ ůĞǀ ĞǀĞů Ğů͘͘ dŚ dŚĞ Ğ ŶĞdžƚ ƚŚŝŶŐ / ŬŶĞǁ͕ / ǁĂƐ ĐŽƵŶƚLJ 16
California Family Physician Spring 2017
DŝĐŚĞůůĞ YƵŝŽŐƵĞ ĂŶĚ ŚĞƌ ŚƵƐďĂŶĚ :ĂƐŽŶ ^ƉĞƌďĞƌ ŵĞƚ ĂƐ ƵŶĚĞƌŐƌĂĚƐ Ăƚ ƌŽǁŶ hŶŝǀĞƌƐŝƚLJ͘
ĐŚ ƉƚĞ ĐŚĂƉ ƚ ƌ ƉƌĞƐŝĚĞŶƚ ĂŶĚ ƐĞƌǀŝŶŐ ŽŶ &W ĐŽŵŵŝƩĞĞƐ͘ ŶĚ ƚŚĞ ŵŽƌĞ / ĚŝĚ͕ Ěŝ Ě ƚŚĞ Ś ŵŽƌĞ ĞŶĞƌŐLJ ĂŶĚ ƉƵƌƉŽƐĞ / ŐŽƚ ďĂĐŬ ŝŶ ƌĞƚƵƌŶ͕ ĂŶĚ ƚŚĞ ŵŽƌĞ / ǁĂŶƚ ǁĂ Ŷ ĞĚ ƚŽ ĚŽ͘ /Ɛ ŶŽǁ ƚŚĞ ďĞƐƚ ƟŵĞ ĞǀĞƌ ƚŽ ďĞ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͕ ŝŶ LJŽƵƌ ĞƐƟŵĂƟŽŶ͍ / ŚŽƉĞ ƚŚĂƚ ĞǀĞƌLJ LJ ŐĞ ŐĞŶĞ ŶĞƌĂ ƌĂƟŽ ƟŽŶ ƚŚŝŶŬƐ ƚŚĂƚ ƚŚĞŝƌ ƟŵĞ ŝƐ ƚŚĞ ďĞƐƚ ƟŵĞ ƚŽ ďĞ Ă ĨĂŵŝůLJ ƉŚLJƐŝŝĐŝ ĐŝĂŶ ĂŶ͘ ͘/ ŚŽ ŚŽƉĞ Ɖ ƚŚŽƐĞ ǁŚŽ ĨŽƵŶĚĞĚ ŽƵƌ ƐƉĞĐŝĂůƚLJ ĚŝĚ͘ ŶĚ / ŚŽƉĞ ƚŚĞ ŵĞĚŝĐĂůů Ɛƚ ƐƚƵĚ ƵĚĞŶƚƐ ĂǁĂŝƟŶŐ ƚŚĞŝƌ DĂƚĐŚ ƌĞƐƵůƚƐ ƚŚŝŶŬ ƐŽ ŶŽǁ͘ ĂĐŚ ŽŶĞ ŽĨ ƵƐ ƉůĂ ůĂLJƐ LJ Ă ƌŽůĞ ŝŶ ĚĞĨĞŶĚŝŶŐ ĂŶĚ ƐƵƐƚĂŝŶŝŶŐ ŽƵƌ ƐƉĞĐŝĂůƚLJ ĚƵƌŝŶŐ ŽƵƌ ƟŵĞ͘ tĞ tĞ ĂƌĞ ůŝǀŝŶŐ ĂŶĚ ƉƌĂĐƟĐŝŶŐ Ăƚ Ă ƟŵĞ ǁŚĞŶ ƚŚĞ ĐĞŶƚƌĂů ƌŽůĞ ŽĨ ĨƌŽŶƚͲůŝŶ ŝŶĞ Ğ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐ ůŝŬĞ ĨĂŵŝůLJ Ě ĐƚŽƌƐ ŝŶ ƚŚĞŝƌ ůŽĐĂů ĐŽŵŵƵŶŝƟĞ ĚŽ ƟĞƐ Ɛ ĂŶĚ ƚŚĞ ŚĞĂůƚŚĐĂƌĞ ƐLJƐƚĞŵ ŝƐ ŵŽƌĞ Ğ ŝĚ Ğǀ ŝĚĞŶ ĞŶƚ ƚŚ ƚŚĂŶ ĞǀĞƌ͘ tĞ ŚĂǀĞ ƚŽ ƚĂ ƚĂŬĞ ŬĞ ƚŚĞ ŵŽŵĞŶƚƵŵ ĂŶĚ ƉƵƌƉŽƐĞ ŽĨ ƚŚĞ ƚŚ Ğ η& η&DZ DZĞǀ ĞǀŽů Ž ƵƟ ƵƟŽŶ Ž ĂŶĚ ĐŽŶƟŶƵĞ ƚŽ͕ Ž͕ ĂƐ ƚŚĞ ŵŽƩŽ ŽĨ ƚŚĞ EĂƟŽŶĂů ŽŶĨĞƌ Ž Ğ ĞŶ ĞŶĐĞ Đ ŽĨ Ĩ Ž ŽŶƐ Ŷ ƟƚƚƵĞŶĐLJ >ĞĂĚĞƌƐ Ɛ ;E ;E >Ϳ ƐĂLJƐ͕ ŝŶƐƉŝƌĞ͕ ĐƌĞĂƚĞ͕ ĂŶĚ ůĞĂĚ ŝŶ ŽƵƌ ƉƌĂĐƟĐ ůĞ ƟĐĞƐ ĞƐ ĂŶĚ ŝŶ ŽƵƌ ĐŽŵŵ ŵƵŶ ƵŶŝƟĞƐ͘
tŚĂƚ ŝƐ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ĐŚĂůůĞŶŐĞƐ ĐŽŶĨƌŽŶƟŶŐ &W͍ CAFP is the largest chapter of the AAFP and the largest single ƐƉĞĐŝĂůƚLJ ŽƌŐĂŶŝnjĂƟŽŶ ŝŶ ĂůŝĨŽƌŶŝĂ͘ ĞĐĂƵƐĞ ǁĞ ƌĞƉƌĞƐĞŶƚ ƐŽ ŵĂŶLJ ŵĞŵďĞƌƐ ĂĐƌŽƐƐ ƐƵĐŚ Ă ǀĂƐƚ ŐĞŽŐƌĂƉŚŝĐ ĂƌĞĂ͕ ĨƌŽŵ ƚŚĞ ĨƵůů ƌĂŶŐĞ ŽĨ ƉƌĂĐƟĐĞ ƚLJƉĞƐ ĂŶĚ ůŽĐĂƟŽŶƐ͕ ŝƚ ŝƐ ƚŚĂƚ ŵƵĐŚ ŵŽƌĞ ŝŵƉŽƌƚĂŶƚ ƚŽ ďƵŝůĚ ĂŶĚ ŵĂŝŶƚĂŝŶ ĐŽŶŶĞĐƟŽŶƐ ǁŝƚŚ ŽŶĞ ĂŶŽƚŚĞƌ͘ tĞ ŵƵƐƚ ƌĞŝŶĨŽƌĐĞ ŽƵƌ ĐŽŶŶĞĐƟŽŶƐ ĂŶĚ ƌĞůĂƟŽŶƐŚŝƉƐ ďLJ ĐŽŶƟŶƵŝŶŐ ƚŽ ůŝƐƚĞŶ ĂŶĚ ƚĂŬĞ ĂĐƟŽŶƐ ƚŚĂƚ ĂƌĞ ďŽƚŚ ƌĞůĞǀĂŶƚ ƚŽ ŽƵƌ ŵĞŵďĞƌƐ͛ ĚĂŝůLJ ůŝǀĞƐ ĂŶĚ ƚƌƵĞ ƚŽ ƚŚĞ ǀĂůƵĞƐ ŽĨ ŽƵƌ ŵŝƐƐŝŽŶ ƐƚĂƚĞŵĞŶƚ͘ dŚŝƐ ŝƐ ŚŽǁ ǁĞ ƐƵƐƚĂŝŶ ŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĂŶĚ ŝŶƐƉŝƌĞ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ͘ tŚĂƚ ŚĂƐ ďĞĞŶ ƚŚĞ ďĞƐƚ ƉĂƌƚ ŽĨ ďĞŝŶŐ ĂŶ ŽĸĐĞƌ ŝŶ &W ƐŽ ĨĂƌ͍ ĞŝŶŐ ŝŶǀŽůǀĞĚ ĂƐ ĂŶ ŽĸĐĞƌ ŽĨ &W ŚĂƐ ďĞĐŽŵĞ ŽŶĞ ŽĨ ŵLJ ƐŽƵƌĐĞƐ ŽĨ ƌĞŶĞǁĂďůĞ ĞŶĞƌŐLJ͘ ^ĞƌǀŝŶŐ ǁŝƚŚ ŵLJ &W ĐŽůůĞĂŐƵĞƐ ĂůǁĂLJƐ ƌĞĞŶĞƌŐŝnjĞƐ ŵĞ ĂŶĚ ƌĞŵŝŶĚƐ ŵĞ ǁŚLJ / ĚŽ ǁŚĂƚ / ĚŽ͘ Ɛ :ĂLJ >ĞĞ ůŝŬĞƐ ƚŽ ƐĂLJ͕ ŝĨ LJŽƵ͛ƌĞ ŶŽƚ Ăƚ ƚŚĞ ƚĂďůĞ͕ LJŽƵ͛ƌĞ ŽŶ ƚŚĞ ŵĞŶƵ͕ ĂŶĚ / ůŝŬĞ ƚŽ ďĞ Ăƚ ƚŚĞ ƚĂďůĞ͘ ĞŝŶŐ ĂŶ ŽĸĐĞƌ ŐŝǀĞƐ ŵĞ Ă ĐŚĂŶĐĞ ƚŽ ůĞĂƌŶ͕ ƐĞƌǀĞ ĂŶĚ make change for my profession and my professional community unlike any other. ,Žǁ ĚŽ LJŽƵ ďĂůĂŶĐĞ LJŽƵƌ ĨĂŵŝůLJ ŽĨ ƚǁŽ ŬŝĚƐ͕ Ă ŚƵƐďĂŶĚ͕ Ă ĨƵůůͲ ƟŵĞ ƉƌĂĐƟĐĞ͕ ĂŶĚ LJŽƵƌ ǀŽůƵŶƚĞĞƌ ǁŽƌŬ ǁŝƚŚ &W ĂŶĚ LJŽƵƌ ĐŽƵŶƚLJ chapter? / ŐŝǀĞ Ă ƚĂůŬ ŽŶ ǁŽƌŬͲůŝĨĞ ďĂůĂŶĐĞ ƚŚĂƚ ƵƐĞƐ ƚŚĞ ŵĞƚĂƉŚŽƌ ŽĨ Ă ŐůĂƐƐ ũĂƌ ŽĨ ƐƚŽŶĞƐ͘ zŽƵƌ ůĂƌŐĞ ƐƚŽŶĞƐ ĂƌĞ ƚŚĞ ĐŽƌĞ ǀĂůƵĞƐ ŽĨ LJŽƵƌ ŝĚĞŶƟƚLJ͘ zŽƵƌ ƉĞďďůĞƐ ĂƌĞ ƚŚĞ ĚƵƟĞƐ ĂŶĚ ĂĐƟǀŝƟĞƐ ƚŚĂƚ ĂƌĞ ŝŵƉŽƌƚĂŶƚ ƚŽ LJŽƵƌ ůŝĨĞ ďƵƚ ƚŚĂƚ ĐĂŶ ĐŚĂŶŐĞ ŽǀĞƌ ƟŵĞ͘ dŚĞ ƐĂŶĚ ŝƐ ƚŚĞ ĚĂŝůLJ Őƌŝƚ ŽĨ ůŝĨĞ ƚŚĂƚ ĐĂŶ ĞĂƐŝůLJ Įůů ƚŚĞ ũĂƌ ĂŶĚ ŽǀĞƌǁŚĞůŵ LJŽƵƌ ŽƚŚĞƌ ƐƚŽŶĞƐ ŝĨ LJŽƵ ĚŽŶ͛ƚ ĮƌƐƚ ĞǀĂůƵĂƚĞ ĂŶĚ ƉƌŝŽƌŝƟnjĞ͕ ĂŶĚ ĚŽ ƐŽ ĂŐĂŝŶ ĂŶĚ ĂŐĂŝŶ ĂƐ LJŽƵƌ ůŝĨĞ ĐŚĂŶŐĞƐ͘ zŽƵ ĐĂŶ ŽŶůLJ Įƚ ĞǀĞƌLJƚŚŝŶŐ ŝŶ ƚŚĞ ũĂƌ ŽĨ LJŽƵƌ ůŝĨĞ ŝĨ LJŽƵ ƉůĂĐĞ LJŽƵƌ ůĂƌŐĞ
ƐƚŽŶĞƐ ŝŶ ĮƌƐƚ͕ ƚŚĞŶ LJŽƵƌ ĐƵƌĂƚĞĚ ĂŶĚ ĐŚĂŶŐŝŶŐ ĐŽůůĞĐƟŽŶ ŽĨ ƉĞďďůĞƐ͖ ƚŚĞ ƐĂŶĚ ǁŝůů ŶĂƚƵƌĂůůLJ Įůů ŝŶ ĂŶLJ ĞŵƉƚLJ ƐƉĂĐĞ ƌĞŵĂŝŶŝŶŐ͘ /ƚ͛Ɛ ŽŶĞ ƚŚŝŶŐ ƚŽ ŐŝǀĞ ƚŚĂƚ ƚĂůŬ ƚŽ ĐŽůůĞĂŐƵĞƐ͖ ŝƚ͛Ɛ ĂŶŽƚŚĞƌ ƚŽ ƌĞĂůůLJ ƚĂŬĞ ŝƚƐ ůĞƐƐŽŶƐ ƚŽ ŚĞĂƌƚ͘ DLJ ƉĞƌƐŽŶĂů ǀĂůƵĞƐ ĂŶĚ Ă ƐĞůĨͲĂǁĂƌĞŶĞƐƐ ŽĨ ŵLJ ůŝŵŝƚĂƟŽŶƐ ĐŽŵďŝŶĞ ƚŽ ŝŶĨŽƌŵ ŚŽǁ / ĂůůŽĐĂƚĞ ŵLJ ůŝŵŝƚĞĚ ƟŵĞ ĂŶĚ ĞŶĞƌŐLJ͕ ĂƐ ǁĞůů ĂƐ ŚŽǁ / ůĞƚ ŐŽ ĂŶĚ ĚĞůĞŐĂƚĞ͘ /ƚ ŝƐ Ă ƐƚƌƵŐŐůĞ ƚŽ ůŝǀĞ Ă ůŝĨĞ ǁŝƚŚ ƉƵƌƉŽƐĞ ĂŶĚ ĨĂŝƚŚ͕ ďƵƚ / ŬŶŽǁ ƚŚĂƚ ŝƚ ĐĂŶŶŽƚ ďĞ ĚŽŶĞ ĂůŽŶĞ͘ / ĐŽŶƐĐŝŽƵƐůLJ ƐƵƌƌŽƵŶĚ ŵLJƐĞůĨ ǁŝƚŚ ƉĞŽƉůĞ ǁŚŽ ďĞůŝĞǀĞ ŝŶ ŵĞ ĞǀĞŶ ǁŚĞŶ / ĨĞĞů ƵŶĐĞƌƚĂŝŶ͕ ĂŶĚ / ƉƌĂĐƟĐĞ ŐƌĂƟƚƵĚĞ ĨŽƌ ƚŚŽƐĞ ǁŚŽƐĞ ƐƵƉƉŽƌƚ ĂŶĚ ƉƌĞƐĞŶĐĞ ĂůůŽǁ ŵĞ ƚŽ ĚŽ ǁŚĂƚ / ĚŽ͘ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵLJ ƐƉŽƵƐĞ͕ ǁŚŽ ĐĂƌĞƐ ĨŽƌ ŽƵƌ ĨĂŵŝůLJ ĂŶĚ ƐƵƉƉŽƌƚƐ ŵLJ ĂĐƟǀŝƐŵ͘ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵLJ ƉĂƌĞŶƚƐ͕ ǁŚŽ ŵŽǀĞĚ ƚŽ ŽƵƌ ƚŽǁŶ ƚŽ ďĞ ƚŚĞƌĞ ĨŽƌ ŵLJ ĐŚŝůĚƌĞŶ͘ / Ăŵ ŐƌĂƚĞĨƵů ƚŽ ŵLJ ƉĂƌƚŶĞƌƐ ĂŶĚ ĐŽůůĞĂŐƵĞƐ Ăƚ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ <ĞƌŶ ŽƵŶƚLJ ĨŽƌ ƐƵƉƉŽƌƟŶŐ ŵĞ ĂŶĚ ŵLJ ǁŽƌŬ ǁŝƚŚ ƚŚĞ ĐĂĚĞŵLJ ĂŶĚ ĐĂƌŝŶŐ ĨŽƌ ŵLJ ƉĂƟĞŶƚƐ ǁŚŝůĞ / Ăŵ ĂǁĂLJ ƐĞƌǀŝŶŐ ƚŚĞ ĐĂĚĞŵLJ͘ ŶĚ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ŵLJ ŐŝƌůƐ͕ ǁŚŽ ƌĞŵŝŶĚ ŵĞ ĞǀĞƌLJ ĚĂLJ ǁŚLJ / ĚŽ Ăůů ŽĨ ƚŚŝƐ͘ zŽƵ ĂůǁĂLJƐ ƐŝŐŶ LJŽƵƌ ĞŵĂŝůƐ ͞DĂLJ LJŽƵ ƚŚƌŝǀĞ ŝŶ ĐŽŵƉĂƐƐŝŽŶ ĂŶĚ joy”—how do you maintain what former President Jay Lee calls “the joy” of family medicine? / ƌĞŵŝŶĚ ŵLJƐĞůĨ ƚŽ ƉƌĂĐƟĐĞ ŐƌĂƟƚƵĚĞ ƚŽ ŵĂŶĂŐĞ ƐƚƌĞƐƐ͘ tŚĞŶ ƚŚĞ ĞŵŽƟŽŶĂů ƚŽůů ŽĨ ĨĂŵŝůLJ Žƌ ǁŽƌŬ ůŝĨĞ ďĞĐŽŵĞƐ ŽǀĞƌǁŚĞůŵŝŶŐ͕ / ĐĂŶ ŵĂŶĂŐĞ ĂŶĚ ŵŝƟŐĂƚĞ ƚŚĂƚ ďLJ ĐŽŶƐĐŝŽƵƐůLJ ĨŽĐƵƐŝŶŐ ŽŶ ǁŚŽ ĂŶĚ ǁŚĂƚ / Ăŵ ŐƌĂƚĞĨƵů ĨŽƌ ĂŶĚ ǁŚLJ͘ /ƚ ƐƚĂƌƚƐ ǁŝƚŚ ŐƌĂƟƚƵĚĞ ĨŽƌ ƚŚĞ ƉĞŽƉůĞ ŝŶ ŵLJ ƉƌĂĐƟĐĞ͕ ŵLJ ǁŽƌŬ ĨĂŵŝůLJ͘ /ƚ ŝŶĐůƵĚĞƐ Ă ŚĞĂůƚŚLJ ƐĞůĨͲĂǁĂƌĞŶĞƐƐ ŽĨ ŵLJ ŽǁŶ ůŝŵŝƚĂƟŽŶƐ ĂŶĚ ŵĂŬŝŶŐ ĐĂƌĞĨƵů ĐŚŽŝĐĞƐ ďĂƐĞĚ ŽŶ ƚŚĞŵ͘ 'ƌĂƟƚƵĚĞ ĂŶĚ ũŽLJ ƚŚƌŝǀĞ ŝŶ ƐŚĂƌŝŶŐ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͕ ǁŚŝůĞ ƐƚƌĞƐƐ ĂŶĚ ĨƌƵƐƚƌĂƟŽŶ ŐƌŽǁ ŝŶ ŝƐŽůĂƟŽŶ͘ / ĨŽƌĐĞ ŵLJƐĞůĨ ƚŽ ƌĞĂĐŚ ŽƵƚ ĂŶĚ ĐŽŶŶĞĐƚ ǁŝƚŚ ŵLJ ŽŶƟŶƵĞĚ ŽŶ ŶĞdžƚ ƉĂŐĞ х
ƌ͘ YƵŝŽŐƵĞ͛Ɛ ĚĂƵŐŚƚĞƌƐ >ƵĐŝ ĂŶĚ ŵŝ ŚĞůƉ ŬĞĞƉ ŚĞƌ ŐƌŽƵŶĚĞĚ ǁŚŝůĞ ƉƵƐŚŝŶŐ ŚĞƌ ƚŽ ďĞ ƚŚĞ ďĞƐƚ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ĐŽŵŵƵŶŝƚLJ ůĞĂĚĞƌ ƐŚĞ ĐĂŶ ďĞ͊ WŚŽƚŽƐ ďLJ Natalie Green of NYFotography California Family Physician Spring 2017
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ƉĂƌƚŶĞƌƐ ĂŶĚ ƐŚĂƌĞ ŶŽƚ ŽŶůLJ ŝŶ ƚŚĞŝƌ ũŽLJƐ͕ ďƵƚ ƚŚĞŝƌ ƐƚƌƵŐŐůĞƐ ĂƐ ǁĞůů͘ /ƚ ŝƐ Ăůů ĂďŽƵƚ ŝŶƚĞŶƟŽŶĂůŝƚLJ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͘ zŽƵ͛ǀĞ ŵĂĚĞ ŶŽ ƐĞĐƌĞƚ ŽĨ Ă ƌĞĐĞŶƚ ǀĞƌLJ ƐĞƌŝŽƵƐ ƚŚƌĞĂƚ ƚŽ LJŽƵƌ ŚĞĂůƚŚͶŝŶ ĨĂĐƚ͕ LJŽƵ ŚĂǀĞ ŐŝǀĞŶ ĂŶĚ ǁŝůů ŐŝǀĞ Ăƚ ŽƵƌ ůŝŶŝĐĂů &ŽƌƵŵ Ă ƉƌĞƐĞŶƚĂƟŽŶ ŽŶ ŝƚ͘ tŚĂƚ͛Ɛ ƚŚĞ ŵĞƐƐĂŐĞ LJŽƵ ǁŝƐŚ ƚŽ ĐŽŶǀĞLJ ĂŶĚ ǁŚLJ͍ tŚĞŶ ĚŽĐƚŽƌƐ ďĞĐŽŵĞ ƉĂƟĞŶƚƐ͕ ŝƚ͛Ɛ Ă ƐĐĂƌLJ͕ ƉŽƚĞŶƟĂůůLJ ŝƐŽůĂƟŶŐ ƌŽůĞ ƌĞǀĞƌƐĂů͘ ^Ž ŽŌĞŶ͕ ǁĞ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƐĞĞŬ ƚŽ ƐƉĂƌĞ ŽƚŚĞƌƐ ĨƌŽŵ ƚŚĞ ďƵƌĚĞŶ ŽĨ ŽƵƌ ƉĂŝŶ͕ ďƵƚ ŝŶ ĚŽŝŶŐ͕ ƐŽ ǁĞ ĂůƐŽ ĚĞƉƌŝǀĞ ƚŚĞŵ ŽĨ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ŐƌŽǁ ŝŶ ĐŽŵƉĂƐƐŝŽŶ͘ ^ĞĞŬ ŚĞůƉ ǁŚĞŶ LJŽƵ ŶĞĞĚ ŝƚ ĨƌŽŵ ƚŚŽƐĞ LJŽƵ ƚƌƵƐƚ͘ ƌĞĂƚĞ Ă ǁŝĚĞ ŶĞƚǁŽƌŬ ŽĨ ƐƵƉƉŽƌƚ ƚŽ ŵĞĞƚ ƚŚĞ ŝŶƚĞƌƐĞĐƟŽŶ ŽĨ LJŽƵƌ ƵŶŝƋƵĞ ŚĞĂůƚŚ ŶĞĞĚƐ ĂƐ Ă ƉŚLJƐŝĐŝĂŶͲƉĂƟĞŶƚ͘ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁŝƚŶĞƐƐ ƚŚĞ ƵƉƐ ĂŶĚ ĚŽǁŶƐ ŽĨ ůŝĨĞ ŝŶ ĐŽƵŶƚůĞƐƐ ǀĂƌŝĂƟŽŶ͕ ǁŚŝĐŚ ŵĂŬĞ ƵƐ ǀĂůƵĂďůĞ ƐƵƉƉŽƌƚ ĨŽƌ ŽŶĞ ĂŶŽƚŚĞƌ͘ <ŶŽǁ ƚŚĂƚ ũƵƐƚ ĂƐ ǁĞ ǁŽƵůĚ ŶĞǀĞƌ ƐŚƵƚ ƚŚĞ ĚŽŽƌ ŽŶ Ă ƉĂƟĞŶƚ ŝŶ ŶĞĞĚ͕ ŽƵƌ ĐŽůůĞĂŐƵĞƐ ǁŽŶ͛ƚ ƐŚƵƚ ƚŚĞ ĚŽŽƌ ŽŶ ƵƐ͘ 'Ž ďĞLJŽŶĚ LJŽƵƌ ǁŽƌŬ ĨĂŵŝůLJ ĂŶĚ ĚĞǀĞůŽƉ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ ĐĂĚĞŵLJ ŵĞŵďĞƌƐ͘ / ƌĞĂůůLJ ĚŝƐĐŽǀĞƌĞĚ ƚŚĞ ǀĂůƵĞ ŽĨ ŵĞŵďĞƌƐŚŝƉ ǁŚĞŶ͕ ĂŌĞƌ ŵLJ ĚŝĂŐŶŽƐŝƐ͕ / ĐŽŶŶĞĐƚĞĚ ǁŝƚŚ &W ŵĞŶƚŽƌƐ ĂŶĚ ĨƌŝĞŶĚƐ ǁŚŽ ŚĂĚ ŐŽŶĞ ĚŽǁŶ ƚŚŝƐ ƉĂƚŚ ďĞĨŽƌĞ ŵĞ͘ / ǁŝůů ŶĞǀĞƌ ĨŽƌŐĞƚ͕ ǁŚĞŶ ƚƌĞĂƚŵĞŶƚ ŵĂĚĞ ŵĞ ŵŝƐƐ ƚŚĞ D D / ǁŽƵůĚ ŚĂǀĞ ĐŽͲƉƌĞƐŝĚĞĚ ŽǀĞƌ ĂƐ sŝĐĞͲ^ƉĞĂŬĞƌ͕ ƚŚĞ ĞŶƟƌĞ ůĞĂĚĞƌƐŚŝƉ ŽĨ ƚŚĞ ĐĂĚĞŵLJ ĚLJĞĚ ƚŚĞŝƌ ŚĂŝƌ ƉŝŶŬ ĨŽƌ ŵĞ͘ /ŶƚĞŐƌĂƟŶŐ ŝůůŶĞƐƐ ĂŶĚ ƐƵƌǀŝǀŽƌƐŚŝƉ ŝŶƚŽ ŽŶĞ͛Ɛ ŝĚĞŶƟƚLJ ĂƐ Ă ƉŚLJƐŝĐŝĂŶ ŝƐ ŶŽƚ ĂŶ ĞĂƐLJ ƚĂƐŬ͕ ďƵƚ ŝƚ ĐĂŶ ƌĞǁĂƌĚ ǁŝƚŚ ŶĞǁ ĐŽŶŶĞĐƟŽŶƐ ĂŶĚ ŶĞǁ ƉĞƌƐƉĞĐƟǀĞƐ͕ ĂŶĚ ǁŝƚŚ Ă ŶĞǁ ĨĂĐĞƚ ƚŽ LJŽƵƌ ŝĚĞŶƟƚLJ ʹĂƐ ďŽƚŚ ŚĞĂůĞƌ ĂŶĚ ŚĞĂůĞĚ͘ tŚĂƚ ĚŽ LJŽƵ ƐĞĞ ĂƐ ƚŚĞ ďĞƐƚ ǁĂLJƐ &W ĐĂŶ ŚĞůƉ ŝƚƐ ŵĞŵďĞƌƐ maintain the joy? ŐĂŝŶ͕ ŝƚ͛Ɛ ĂďŽƵƚ ŝŶƚĞŶƟŽŶĂůŝƚLJ ĂŶĚ ĐŽŶŶĞĐƟŽŶ͘ /ƚ ŝƐ ƐŽ ĞĂƐLJ ĨŽƌ ƉĞŽƉůĞ ŝŶ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ƚŽ ǁĂůů ŽƵƌƐĞůǀĞƐ ŝŶ ďĞŚŝŶĚ ŬĞLJďŽĂƌĚƐ͕ ƐĐƌĞĞŶƐ ĂŶĚ ŽĸĐĞ ĚŽŽƌƐ͘ tĞ ŶĞĞĚ ƚŚĂƚ ŚƵŵĂŶ ĐŽŶŶĞĐƟŽŶ ǁŝƚŚ ŽƚŚĞƌƐ ǁŚŽ ŵĂLJ ďĞ ŐŽŝŶŐ ƚŚƌŽƵŐŚ ƐŝŵŝůĂƌ ĞdžƉĞƌŝĞŶĐĞƐ͘ tĞ ŶĞĞĚ ƚŽ ƌĞŵŝŶĚ ŽƵƌƐĞůǀĞƐ ŽĨ ŽƵƌ ƉůĂĐĞ ŝŶ ƚŚĞ ĨĂŵŝůLJ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ ƚŚĞ ƉŽǁĞƌ ŽĨ ŽƵƌ ƐƚŽƌŝĞƐ ĂŶĚ ƚŚĞ ƐƚƌĞŶŐƚŚ ŽĨ ŽƵƌ ǀŽŝĐĞƐ ƚŽ ĐĂƌƌLJ ƵƐ ĨŽƌǁĂƌĚ͘ ŶLJ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ďŽƚŚ ĨŽƌŵĂů ĂŶĚ ŝŶĨŽƌŵĂů͕ ŝŶ ƐĞƫŶŐƐ ůĂƌŐĞ ĂŶĚ ƐŵĂůů͕ ƚŚĂƚ &W ŚĂƐ ƚŽ ŐƌŽƵŶĚ ƵƐ ŝŶ ƚŚĂƚ͕ ƚŽ ƌĞŵŝŶĚ ƵƐ ŽĨ ƚŚĂƚ͕ ǁŝůů ŽŶůLJ ŚĞůƉ ƚŽ ŐƌŽǁ ƚŚĞ ũŽLJ ŽĨ family medicine. tŚĂƚ ŝƐ ƚŚĞ ďĞƐƚ ƉĂƌƚ ŽĨ ďĞŝŶŐ ĨĂĐƵůƚLJ ŽŶ &W ĞĚƵĐĂƟŽŶĂů ŝŶŝƟĂƟǀĞƐ͍ ĞƐŝĚĞƐ ĨĂĐŝůŝƚĂƟŶŐ ^ D^ ǁŽƌŬƐŚŽƉƐ͕ / ŚĂǀĞ ďĞĞŶ ƉƌŝǀŝůĞŐĞĚ ƚŽ ƉƌĞƐĞŶƚ ŽŶ ƚŚĞ ůĞƐƐ ĂĐĂĚĞŵŝĐ ďƵƚ ŶŽ ůĞƐƐ ŝŵƉŽƌƚĂŶƚ ƐŝĚĞ͕ ƚĂůŬŝŶŐ ĂďŽƵƚ ƉŚLJƐŝĐŝĂŶ ǁĞůůŶĞƐƐ ĂŶĚ ƉŚLJƐŝĐŝĂŶƐ ĂƐ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞ ƉŽǁĞƌ ŽĨ ƐƚŽƌLJƚĞůůŝŶŐ͘ /ƚ ŝƐ ĂůǁĂLJƐ Ă ůŝƩůĞ ĚĂƵŶƟŶŐ ƚŽ ĚŽ ƚŚĞƐĞ ŬŝŶĚƐ ŽĨ ƉƌĞƐĞŶƚĂƟŽŶƐ ĂŵŽŶŐ Ăůů ƚŚĞ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ĐůŝŶŝĐĂů ƵƉĚĂƚĞƐ͕ ďƵƚ ŝƚ ŚĂƐ ďĞĞŶ ƐŽ ŐƌĂƟĨLJŝŶŐ ƚŽ ĐŽŶŶĞĐƚ ǁŝƚŚ ĐŽůůĞĂŐƵĞƐ /͛ǀĞ ŶĞǀĞƌ ŵĞƚ ďĞĨŽƌĞ͕ ƵƉŽŶ ǁŚŽŵ ƐŽŵĞƚŚŝŶŐ / ƐŚĂƌĞĚ ŵĂĚĞ ĂŶ ŝŵƉĂĐƚ ƚŚĂƚ ƚŚĞLJ ǁŝůů ƚĂŬĞ ďĂĐŬ ƚŽ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ ǁŝƚŚ ƚŚĞŵ͘ tŚŽ ǁŽƵůĚ LJŽƵ ƐĂLJ ŚĂǀĞ ďĞĞŶ LJŽƵƌ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ŵĞŶƚŽƌƐ ǁŝƚŚŝŶ organized family medicine and why? / ŚĂǀĞ ďĞĞŶ ďůĞƐƐĞĚ ƚŽ ůĞĂƌŶ ĨƌŽŵ ƐŽ ŵĂŶLJ ĂŵĂnjŝŶŐ ĨĂŵŝůLJ ĚŽĐƚŽƌƐ ĂŶĚ ŽƌŐĂŶŝnjĂƟŽŶĂů ƐƚĂī͕ ĨƌŽŵ ƚŚŽƐĞ ǁŚŽ ůĂŝĚ ƚŚĞ ŐƌŽƵŶĚǁŽƌŬ ĨŽƌ ŽƵƌ ǁŽƌŬ ƚŽ ŵLJ ŐĞŶĞƌĂƟŽŶĂů ƉĞĞƌƐ ƚŽ ŝŶƐƉŝƌŝŶŐ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ĐŽŵŝŶŐ ŝŶƚŽ ƚŚŝƐ ǁŽƌŬ ǁŝƚŚ ĨƌĞƐŚ ĞLJĞƐ͘ Ɛ Ă ǁŽŵĂŶ͕ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƐƚƌŽŶŐ ĨĞŵĂůĞ ƌŽůĞ ŵŽĚĞůƐ ĂŶĚ ŵĞŶƚŽƌƐ ƚŚĂƚ / ŚĂǀĞ ŵĞƚ ĂŶĚ ǁŽƌŬĞĚ ǁŝƚŚ ŚĂƐ ďĞĞŶ ŵŽƌĞ ŝŵƉŽƌƚĂŶƚ ƚŚĂŶ / ĐĂŶ ĞdžƉƌĞƐƐ͕ ĨƌŽŵ ĂŵĂnjŝŶŐ &W
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California Family Physician Spring 2017
ƉƌŽĨĞƐƐŝŽŶĂů ƐƚĂī ůŝŬĞ ^ƵƐĂŶ ,ŽŐĞůĂŶĚ ĂŶĚ ^ŚĞůůLJ ZŽĚƌŝŐƵĞƐ ƚŽ ƉĂƐƚ ƉƌĞƐŝĚĞŶƚƐ ůŝŬĞ ĂƌŽů ,ĂǀĞŶƐ ĂŶĚ ĂƌůĂ <ĂŬƵƚĂŶŝ͘ / ĐĂŵĞ ƵƉ ŝŶ &W ǁŝƚŚ :ĂLJ >ĞĞ͕ ǁŚŽ͕ ĨƵŶŶŝůLJ ĞŶŽƵŐŚ͕ ǁĂƐ ŵLJ ƐƵďͲŝŶƚĞƌŶ ǁŚĞŶ / ǁĂƐ ĂŶ ŝŶƚĞƌŶ͕ ĂŶĚ / ĐĂŶŶŽƚ ŝŵĂŐŝŶĞ ƚŚŝƐ ũŽƵƌŶĞLJ ǁŝƚŚŽƵƚ Śŝŵ ĂƐ Ă ƐŽƵŶĚŝŶŐ ďŽĂƌĚ͘ ŶĚ / ŬŶŽǁ ƚŚĂƚ / ĐĂŶ ĐĂůů ŽŶ ŵLJ E > ĨĂŵŝůLJ ŽĨ ƉĂƐƐŝŽŶĂƚĞ ĚŽĐƚŽƌƐ ĂŶĚ ĨƌŝĞŶĚƐ ĂĐƌŽƐƐ ƚŚĞ ĐŽƵŶƚƌLJ ĚĞĚŝĐĂƚĞĚ ƚŽ ĞƋƵŝƚLJ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ ǁŚĞŶĞǀĞƌ / ŶĞĞĚ ƚŚĞŵ͘ tŚĂƚ͛Ɛ LJŽƵƌ ŵĞƐƐĂŐĞ ƚŽ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ŽĨ &WƐ ʹǁŚĂƚ ǁŝůů sustain them? dŚĞ ĐĂĚĞŵLJ ŝƐ Ă ǁĞĂůƚŚ ŽĨ ƐƚŽƌŝĞƐ ƚŚĂƚ LJŽƵ ƐŚŽƵůĚ ĞdžƉůŽƌĞ͘ /Ĩ LJŽƵ ĂƌĞ ƉĂƐƐŝŽŶĂƚĞ ĂďŽƵƚ ŚĞĂůƚŚ ĞƋƵŝƚLJ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ͕ ƚŚĞ ŚŝƐƚŽƌLJ ŽĨ ŽƵƌ ƐƉĞĐŝĂůƚLJ ŚĂƐ ŝŵƉŽƌƚĂŶƚ ůĞƐƐŽŶƐ͘ Ƶƚ ƚŚĂƚ ŶĂƌƌĂƟǀĞ ŝƐ ŝŶĐŽŵƉůĞƚĞ ǁŝƚŚŽƵƚ LJŽƵƌ ƐƚŽƌLJ͘ ƌŝŶŐ ǁŚĂƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ LJŽƵ͕ ƚŽ LJŽƵƌ ƉƌĂĐƟĐĞ͕ ƚŽ LJŽƵƌ ĐŽŵŵƵŶŝƚLJ͕ ĂŶĚ ŬŶŽǁ ƚŚĂƚ LJŽƵ ĐĂŶ ŚĂǀĞ Ă ƌŽůĞ ĂŶĚ ĂŶ ŝŵƉĂĐƚ ĨĂƌ ďĞLJŽŶĚ LJŽƵƌ ĞdžĂŵ ƌŽŽŵ ĂŶĚ LJŽƵƌ ŽĸĐĞ͘ KƵƌ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ĐĂĚĞŵŝĞƐ ŚĂǀĞ ĐŽŵĞ ƵƉ ǁŝƚŚ ƐůŽŐĂŶƐ ƚŚĂƚ ŐŽ ďĞLJŽŶĚ ŵĞƌĞ ŵĂƌŬĞƟŶŐ ŵĞƐƐĂŐĞƐ ĂŶĚ ƌĂƚŚĞƌ ĞŶĐĂƉƐƵůĂƚĞ ǁŚŽ ǁĞ ĂƌĞ͕ ǁŚĂƚ ǁĞ ĚŽ͕ ĂŶĚ ǁŚĂƚ ǁĞ ďĞůŝĞǀĞ͘ /ŶĚĞĞĚ͕ η&DZĞǀŽůƵƟŽŶ ŚĂƐ ŝƚƐ ƌŽŽƚƐ ŝŶ Ă ŵĞĞƟŶŐ ŽĨ ĂůŝĨŽƌŶŝĂ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ĂǁĂŬĞŶŝŶŐ ƚŽ ƚŚĞ ƉŽǁĞƌ ŽĨ ƚŚĞŝƌ ǀŽŝĐĞƐ ŝŶ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ĂŶĚ ŽƵƌ ŵŽǀĞŵĞŶƚ͘ tĞ ĂƌĞ ͞ƚŚĞ &ĂŵŝůLJ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘͟ dŽŐĞƚŚĞƌ͕ ǁĞ ͞/ŶƐƉŝƌĞ͘ ƌĞĂƚĞ͘ >ĞĂĚ͘͟ ĚĚ LJŽƵƌ ǀŽŝĐĞ͕ ƚĞůů LJŽƵƌ ƐƚŽƌLJ͕ ĂŶĚ ũŽŝŶ ƵƐ͘ tŚĞƌĞ ǁŝůů ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ďĞ ŝŶ ϭϬ LJĞĂƌƐ ĂŶĚ ǁŚĂƚ ƌŽůĞ ǁŝůů &W ŚĂǀĞ ƉůĂLJĞĚ ŝŶ ŝƚ͍ &ĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂƐ ƉƌĂĐƟĐĞĚ ŝŶ ĂůŝĨŽƌŶŝĂ ŝƐ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ tĞ ĂƌĞ ĚŝǀĞƌƐĞ͕ ĂůŽŶŐ ůŝŶĞƐ ŽĨ ƌĂĐĞ ĂŶĚ ĞƚŚŶŝĐŝƚLJ͕ ŐĞŶĚĞƌ͕ ƐĞdžƵĂů ŽƌŝĞŶƚĂƟŽŶ͕ ŐĞŶĞƌĂƟŽŶ͕ ƐŽĐŝŽĞĐŽŶŽŵŝĐ ĐůĂƐƐ ďĂĐŬŐƌŽƵŶĚ͕ ŝŵŵŝŐƌĂƟŽŶ ŚŝƐƚŽƌLJ͕ ƉƌĂĐƟĐĞ ƚLJƉĞ͕ ĂŶĚ ŐĞŽŐƌĂƉŚŝĐͬĚĞŵŽŐƌĂƉŚŝĐ ůŽĐĂƟŽŶ͕ ďŽƚŚ ŝŶ ƚĞƌŵƐ ŽĨ ŽƵƌ ĐŽŵŵƵŶŝƚLJ ŽĨ ƉƌĂĐƟƟŽŶĞƌƐ ĂŶĚ ƚŚŽƐĞ ǁŚŽ ǁĞ ƐĞƌǀĞ͘ tĞ ĂƌĞ ǁŚĂƚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ǁŝůů ůŽŽŬ ůŝŬĞ͕ ĂŶĚ ǁŚĞƌĞ ŝƚ ŝƐ ŐŽŝŶŐ͕ ĂŶĚ &W͛Ɛ ĂĐƟǀŝƐŵ͕ ůŽďďLJŝŶŐ͕ ĂŶĚ ĞdžĂŵƉůĞ ŽŶ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƟŽŶĂů ůĞǀĞů ǁŝůů ŚĂǀĞ ŶŽ ƐŵĂůů ƉĂƌƚ ŝŶ ƐŚĂƉŝŶŐ ƚŚĂƚ ĨƵƚƵƌĞ͘ zŽƵ ŚĂǀĞ ŵĂĚĞ ĚŝǀĞƌƐŝƚLJ ĂŶĚ ŝŶĐůƵƐŝŽŶ ĐĞŶƚƌĂů ƚŽ LJŽƵƌ ĂĐƟǀŝƐŵ ŝŶ ŵĞĚŝĐŝŶĞ ʹ ǁŚLJ ĂƌĞ ƚŚĞƐĞ ŝƐƐƵĞƐ ƐŽ ŝŵƉŽƌƚĂŶƚ ƚŽ LJŽƵ͍ Ɛ Ă ǁŽŵĂŶ ŽĨ ĐŽůŽƌ͕ ĂŶ ŝŵŵŝŐƌĂŶƚ ĂŶĚ ƚŚĞ ŵŽƚŚĞƌ ŽĨ ĚĂƵŐŚƚĞƌƐ ŽĨ ĐŽůŽƌ͕ / ĐĂŶŶŽƚ ƐĞƉĂƌĂƚĞ ŝƐƐƵĞƐ ŽĨ ĚŝǀĞƌƐŝƚLJ͕ ĞƋƵŝƚLJ͕ ũƵƐƟĐĞ ĂŶĚ ĂĐĐĞƐƐ ĨƌŽŵ ŵLJ ƉƌĂĐƟĐĞ ŽĨ ŵĞĚŝĐŝŶĞ͘ KƵƌ ƉƌŽĨĞƐƐŝŽŶ ŵƵƐƚ ƌĞŇĞĐƚ ĂŶĚ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͕ ĂŶĚ ǁĞ ŵƵƐƚ ƐĞƌǀĞ Ăůů ĐŽŵŵƵŶŝƟĞƐ ďĞƩĞƌ͘ dŚŝƐ ŝŶĐůƵĚĞƐ ĞǀĞƌLJƚŚŝŶŐ ĨƌŽŵ ƚĞĂĐŚŝŶŐ ĂďŽƵƚ ƚŚĞ ƐŽĐŝĂů ĚĞƚĞƌŵŝŶĂŶƚƐ ŽĨ ŚĞĂůƚŚ ŝŶ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ƌĞƐŝĚĞŶĐLJ ĂŶĚ D ƚŽ ƌĞͲĞŶǀŝƐŝŽŶŝŶŐ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶĂů ƉŝƉĞůŝŶĞ ƚŽ ŝŶĐƌĞĂƐĞ ƚŚĞ ŶƵŵďĞƌ ŽĨ ĚŽĐƚŽƌƐ ŽĨ ĐŽůŽƌ ƐĞƌǀŝŶŐ ĚŝǀĞƌƐĞ ĐŽŵŵƵŶŝƟĞƐ ƚŽ ĐĞŶƚĞƌŝŶŐ ƐŽĐŝĂů ũƵƐƟĐĞ ŝƐƐƵĞƐ ĂƐ ŝƐƐƵĞƐ ƚŽ ďĞ ĂĚĚƌĞƐƐĞĚ ďLJ ŽƌŐĂŶŝnjĞĚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ ŵŽƌĞ͘ dŚĞ ƉƌĂĐƟĐĞ ŽĨ ŵĞĚŝĐŝŶĞ ŝƐ ĐŚĂŶŐŝŶŐ ĂŶĚ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ ĂƌĞ ĐŚĂŶŐŝŶŐ ʹ ǁĞ ƐŝŵƉůLJ ĐĂŶŶŽƚ ĂīŽƌĚ ƚŽ ƐƚĂLJ ƐƟůů͘ /Ŷ ƚŚĞƐĞ ƵŶĐĞƌƚĂŝŶ ƉŽůŝƟĐĂů ƟŵĞƐ͕ ŚŽǁ ĚŽ LJŽƵ ƐƚĂLJ ĐĞŶƚĞƌĞĚ͍ ŐĂŝŶ͕ / ĐŽŵĞ ďĂĐŬ ƚŽ ŵLJ ũĂƌ ŽĨ ƐƚŽŶĞƐ͘ / ƌĞĂĸƌŵ ŵLJ ĐŽƌĞ ǀĂůƵĞƐ͕ ƐƵƌƌŽƵŶĚ ŵLJƐĞůĨ ǁŝƚŚ ƚŚŽƐĞ ǁŚŽ ƐŚĂƌĞ ƚŚĞŵ͕ ǁŚŽ ůŽǀĞ ŵĞ ĂŶĚ ǁŚŽŵ / ůŽǀĞ ŝŶ ƌĞƚƵƌŶ͘ / ĐƵƌĂƚĞ ŵLJ ĐŽůůĞĐƟŽŶ ŽĨ ƐŵĂůů ƐƚŽŶĞƐ͕ ĚŝƐĐĂƌĚŝŶŐ ƚŚŽƐĞ ǁŚŝĐŚ ŶŽ ůŽŶŐĞƌ Įƚ ĂŶĚ ƌĞƉůĂĐŝŶŐ ƚŚĞŵ ǁŝƚŚ ƚŚŽƐĞ ƚŚĂƚ ĚŽ͘ ŶĚ ǁŚĞŶ ƚŚĞ ƐĂŶĚ ƚŚƌĞĂƚĞŶƐ ƚŽ ŽǀĞƌǁŚĞůŵ͕ / ƌĞĂĐŚ ŽƵƚ͕ ĐŽŶŶĞĐƚ͕ ƚĞůů ŵLJ ƐƚŽƌLJ and listen to yours.
Physician Opportunityâ&#x20AC;&#x2122;s Santa Barbara, CA Seeking Family Medicine Physician (Bilingual-Spanish) at our Novato, California clinic location 32-40 hours per week doing Primary Care, generous benefits, including CME and Sabbatical Program.
Based in Santa Barbara, Sansum Clinic is the oldest and largest non-profit, multi-specialty group between San Francisco and Los Angeles with over 200 physicians and surgeons and a staff of healthcare professionals in over 30 specialized areas of medicine. Sansum Clinic has garnered recognition, accreditation and awards from national and state agencies.
Our current openings are Primary Care Urgent Care Pediatrician Geriatrician/Palliative Care
For More Information Contact: Shawneen Flanders-Clark Physician Recruiter sflander@sansumclinic.org 805-689-8256 www.sansumclinic.org
Benefits Marin Community Clinics is a Federally Qualified Health Center (FQHC), the largest in Marin County. We serve 35,000 patients annually. We offer a multi-clinic network with a wide array of primary care and specialty services. Our mission is to improve the health of our patients and community by providing high quality, cost-effective, culturally sensitive, patient-centered health care.
For more information visit:
www.marinclinics.org
Free Medical/Dental/Vision CME Stipend 1 MA Per Provider
Malpractice Insurance Disability Retirement: 401K & Profit Sharing
work here
Annual Leave Licensure/DEA Fees Board Exam Fee
play here California Family Physician Spring 2017
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On Engagement … from Academy and Advocacy to Community and Family
EŶŐĂŐĞŵĞŶƚ ŝƐ Ă ŵŽƌĞ ƚŚĂŶ ĐĂƐƵĂů Žƌ ƚŽŬĞŶ ŝŶǀŽůǀĞŵĞŶƚ͘ /ƚ ŝƐ ĨƵĞůĞĚ ďLJ ĐĂƌŝŶŐ͕ ĂďŽƵƚ ŵLJ ĨĂŵŝůLJ͕ ŵLJ ƉĂƚŝĞŶƚƐ͕ ŵLJ ĐŽŵŵƵŶŝƚLJ͕ ĚĞĂůŝŶŐ ǁŝƚŚ ƚŚĞ ŝƐƐƵĞƐ ƚŚĂƚ ĂĨĨĞĐƚ ƚŚĞŵ͘ /ƚ ƉƌŽŵƉƚƐ ŵĞ ƚŽ ůŽŽŬ ƵƉ ĨƌŽŵ ŵLJ ďƵƐLJ ƐĐŚĞĚƵůĞ͕ ƚŽ ĐŽŶŶĞĐƚ ƐŽ ƚŚĂƚ / ĨĞĞů ůĞƐƐ ŚĞůƉůĞƐƐ͕ ŝƐŽůĂƚĞĚ ĂŶĚ ĨĂƚŝŐƵĞĚ͘ ŶŐĂŐĞŵĞŶƚ ĐĂŶ ŵĞĂŶ ĚŽŶĂƚŝŶŐ ŝĨ /͛ŵ ƚŽŽ ďƵƐLJ ƚŽ ĂƚƚĞŶĚ ŵĞĞƚŝŶŐƐ͕ ďƵƚ ŝƚ ŶĞĞĚƐ ƚŽ ďĞ ŵŽƌĞ ƚŚĂŶ Ă ƚŽŬĞŶ͕ ĂŶ ĂŵŽƵŶƚ / ǁŽƵůĚ ŶĞĞĚ ƚŽ ĚŝƐĐƵƐƐ ǁŝƚŚ ŵLJ ĨĂŵŝůLJ͘ 'ŝǀĞŶ ŵLJ ƐĐŚĞĚƵůĞ͕ ƐŚŽǁŝŶŐ ƵƉ Ăƚ Ă ŵĞĞƚŝŶŐ ĚŽĞƐ ĐŽƵŶƚ͘ tŚŝůĞ ƚŚĞƌĞ͕ / ĐĂŶ ƵƐĞ ǁŚĂƚ ƐŬŝůůƐ / ŚĂǀĞ͕ ǁŚĞƚŚĞƌ ůŝƐƚĞŶŝŶŐ ƚŽ ůĞĂƌŶ ŵŽƌĞ͕ ƐŚĂƌŝŶŐ ĞdžƉĞƌŝĞŶĐĞƐ͕ ĞdžƉƌĞƐƐŝŶŐ ǁŝƚŚ ĂƌƚŝĐƵůĂƚĞ ǀŽŝĐĞ͕ ĐŽŶŶĞĐƚŝŶŐ ǁŝƚŚ ĂŶĚ ƐƵƉƉŽƌƚŝŶŐ ƚŚŽƐĞ ǁŚŽ ŚĂǀĞ ŐŽŽĚ ŝĚĞĂƐ ĂŶĚ ĂŶƐǁĞƌƐ͘ / ĨĞĞů ĞŶŐĂŐĞĚ Ăƚ ĐŚƵƌĐŚ ǁŚĞŶ / ǁŽƌŬ ǁŝƚŚ ŽƚŚĞƌƐ ŽŶ ƐŽŵĞƚŚŝŶŐ ƚĂŶŐŝďůĞ / ĐĂƌĞ ĂďŽƵƚ͖ ŝƚ ĚŽĞƐ ŶŽƚ ŚĂǀĞ ƚŽ ŵĞĂŶ ũƵƐƚ ƐĞƌǀŝŶŐ ŽŶ ƐŽŵĞ ĐŽŵŵŝƚƚĞĞ͘ / ĨĞĞů ĞŶŐĂŐĞĚ ǁŝƚŚ ƉĂƚŝĞŶƚƐ ǁŚĞŶ / ŚĂǀĞ ďĞĞŶ ĂďůĞ ƚŽ ŐŝǀĞ ŵLJ ĨƵůů ĂƚƚĞŶƚŝŽŶ͕ ƌĞĨůĞĐƚ ǁŚĂƚ / ŚĂǀĞ ŚĞĂƌĚ͕ ĂŶĚ ĐĂƌƌLJ ƚŚĞŝƌ ƐƚŽƌŝĞƐ ŝŶ ŵLJ ŚĞĂƌƚ͘ WŽůŝƚŝĐĂůůLJ / ĚŽ ƐŽŵĞƚŚŝŶŐ ŝŶƚĞŶƚŝŽŶĂů ǁŚĞŶ / ƐŝŐŶ ĂŶ ŽŶůŝŶĞ ƉĞƚŝƚŝŽŶ͕ ǀĂůƵĞ ƵŶĐůĞĂƌ ƚŽ ŵĞ͕ ďƵƚ / ĚŽŶ͛ƚ ĨĞĞů ĞŶŐĂŐĞĚ ďĞĐĂƵƐĞ ƚŚĞƌĞ ŝƐ ŶŽ ƌĞĂů ĐŽŶŶĞĐƚŝŽŶ͘ tŽƌŬŝŶŐ ŽŶ ƐŽŵĞƚŚŝŶŐ ŽǀĞƌ ƚŝŵĞ ǁŝƚŚ ŽƚŚĞƌ ƉĞŽƉůĞ ůĞƚƐ ŵĞ ŐĞƚ ƚŽ ŬŶŽǁ ĂŶĚ ƚƌƵƐƚ ƚŚĞŵ ĂŶĚ ǀŝĐĞ ǀĞƌƐĂ͘ ŶŐĂŐĞŵĞŶƚ ƐƚĂƌƚƐ ǁŝƚŚ ĐĂƌŝŶŐ͕ ĨƵĞůŝŶŐ ŵĞ ƚŽ ĚŽ ƐŽŵĞƚŚŝŶŐ ƚŚĂƚ ƚĂŬĞƐ Ă ďŝƚ ŽĨ ĞĨĨŽƌƚ͕ ǁŽƌŬŝŶŐ ǁŝƚŚ ŽƚŚĞƌƐ ŽŶ ƐŽŵĞƚŚŝŶŐ ĞĨĨĞĐƚŝǀĞ Žƌ Ăƚ ůĞĂƐƚ ǁŽƌƚŚ ĚŽŝŶŐ͕ ƚŚĂƚ ƚŚĞŶ ŐĞŶĞƌĂƚĞƐ Ă ƐĞŶƐĞ ŽĨ ĐŽŶŶĞĐƚŝŽŶ͕ ůŽLJĂůƚLJ ĂŶĚ ŵĞĂŶŝŶŐ͘ tŽƌŬŝŶŐ ŽŶ ƚŚĞ &W ŽĂƌĚ ŚĂƐ ďĞĞŶ ůŝŬĞ ƚŚĂƚ͘
Patricia Moore-Pickett, MD, Sacramento
ŶŐĂŐĞŵĞŶƚ͕ ĨŽƌ ŵĞ͕ ŵĞĂŶƐ ďĞŝŶŐ ŝŶǀŽůǀĞĚ ĂŶĚ ĐŽŵŵŝƩĞĚ ƚŽ ƐŽŵĞŽŶĞ Žƌ ƐŽŵĞƚŚŝŶŐ͘ zĞƐ͕ / Ăŵ ĐŽŵŵŝƩĞĚ ƚŽ ŵLJ ĐŽŵŵƵŶŝƚLJ͘ / Ăŵ ĞŶŐĂŐĞĚ ďLJ ƐĞƌǀŝŶŐ ŽŶ ƚŚƌĞĞ ďŽĂƌĚƐ ŽĨ ůŽĐĂů ŽƌŐĂŶŝnjĂƟŽŶƐ͕ ŝŶĐůƵĚŝŶŐ ŽŶĞ ƚŚĂƚ provides services to poor kids and another that serves ǀŝĐƟŵƐ ŽĨ ĚŽŵĞƐƟĐ ǀŝŽůĞŶĐĞ͘ / ƌĞĐĞŶƚůLJ ũŽŝŶĞĚ Ă ŐƌŽƵƉ ŽĨ ŵLJ ŶĞŝŐŚďŽƌƐ ƚŽ ďĞĐŽŵĞ ŵŽƌĞ ĞŶŐĂŐĞĚ ƉŽůŝƟĐĂůůLJ ŽŶ ŶĂƟŽŶĂů ŝƐƐƵĞƐ͘ / Ăŵ ĞŶŐĂŐĞĚ ǁŝƚŚ ƚŚŝƐ ĐĂĚĞŵLJ͘ / ŚĂǀĞ ďĞĞŶ Ă ŵĞŵďĞƌ ƐŝŶĐĞ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ ĂŶĚ Ăŵ Ă ƉĂƐƚ ƉƌĞƐŝĚĞŶƚ ŽĨ ƚŚĞ >ŽƐ ŶŐĞůĞƐ ĐŚĂƉƚĞƌ͘ / ŚĂǀĞ ƐĞƌǀĞĚ ŽŶ &W͛Ɛ EŽŵŝŶĂƟŶŐ ŽŵŵŝƩĞĞ ĂŶĚ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ŽŶ ƚŚĞ WƵďůŝĐ ,ĞĂůƚŚ ŽŵŵŝƩĞĞ Ăƚ ƚŚĞ &W͘ dŚĞ ĐĂĚĞŵLJ ŝƐ my home. / ďĞůŝĞǀĞ ŝƚ ŝƐ ƚŚĞ ĚƵƚLJ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ĂĚǀŽĐĂƚĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ / ƐƉĞĂŬ ƚŽ ĞůĞĐƚĞĚ ŽĸĐŝĂůƐ ĂŶĚ ŵĞĚŝĂ ŽŶ ďĞŚĂůĨ ŽĨ ŵLJ ƉĂƟĞŶƚƐ ĂŶĚ / ĂůǁĂLJƐ ĞŶĐŽƵƌĂŐĞ ŵLJ ĨĂŵŝůLJ ƚŽ ďĞĐŽŵĞ ĞŶŐĂŐĞĚ ƉƵďůŝĐůLJ ďLJ ǀŽƟŶŐ ĂŶĚ ůĞĂƌŶŝŶŐ ĂďŽƵƚ current issues.
Felix Aguilar, MD, Los Angeles
20
California Family Physician Spring 2017
ŶŐĂŐĞŵĞŶƚ ŝƐ Ă ĚLJŶĂŵŝĐ ƌĞĐŝƉƌŽĐĂů ƌĞůĂƟŽŶƐŚŝƉ ʹ ǁŚĞƚŚĞƌ ŝƚ ŝƐ ďĞƚǁĞĞŶ ŵĞ ĂŶĚ ŵLJ ƉĂƟĞŶƚ͕ ŵLJ ĐŽůůĞĂŐƵĞƐ͕ ŵLJ ĨĂŵŝůLJ͕ ŵLJ ŶĞŝŐŚďŽƌƐ͕ ƚŚĞ ĐŝƚLJ͕ ƐƚĂƚĞ Žƌ ŶĂƟŽŶ Žƌ ďĞLJŽŶĚ͘ ŶŐĂŐĞŵĞŶƚ ƌĞƋƵŝƌĞƐ ŽƉĞŶ ůŝŶĞƐ ŽĨ ĐŽŵŵƵŶŝĐĂƟŽŶ͕ ĨĂĐŝůŝƚĂƚĞĚ ďLJ ĞŵƉĂƚŚĞƟĐ ůŝƐƚĞŶŝŶŐ͕ ǁĞůůͲĐƌĂŌĞĚ ƋƵĞƐƟŽŶƐ͕ ƉĞƌƐƉĞĐƟǀĞƐ ďŽůƐƚĞƌĞĚ ďLJ ŝŶƐŝŐŚƚ ĂŶĚ ĞǀŝĚĞŶĐĞ͕ ĂŶĚ ƚŚĞ ŝŶĐƌĞĂƐŝŶŐůLJ ƌĂƌĞ ŚƵŵŝůŝƚLJ ƚŽ ĐŽŶĐĞĚĞ ǁŚĞŶ ĂƉƉƌŽƉƌŝĂƚĞ͘ ŶŐĂŐĞŵĞŶƚ ŝƐ ƚŚĞ ĐŽƌŶĞƌƐƚŽŶĞ ŽĨ ƉƌŽŐƌĞƐƐ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ƉůĂƞŽƌŵ ʹ ŝƚ ŝƐ ƚŚĞ ǀĞƌďĂů͕ ǁƌŝƩĞŶ ĂŶĚ ĚŝŐŝƚĂů ǀĞŚŝĐůĞ ƚŽ ĂĚǀĂŶĐĞ ĂŶĚ ďĞƩĞƌ ƚŚĞ ǁŽƌůĚ͘ ƚ ƚŚĞ ĞŶĚ ŽĨ ϮϬϭϲ͕ / ǁŽŬĞ ƵƉ͊ DLJ ĞLJĞƐ ĂƌĞ ƐƚĂƌƟŶŐ ƚŽ ƐĞĞ͖ ŵLJ ĞĂƌƐ ĂƌĞ ƐƚĂƌƟŶŐ ƚŽ ŚĞĂƌ ƚŚĞ ĐŽŶǀĞƌƐĂƟŽŶ Žƌ ƵŶĐĞƌƚĂŝŶƚLJ ĂŶĚ ĚŝƐĐŽƌĚ͕ ĂƌŽƵŶĚ ŵĞ ĂŶĚ ƚŚĞ ǁŚŝƐƉĞƌƐ ĂƌĞ ŶŽǁ Ă ĨƵůů ƌŽĂƌ͘ EŽǁ͕ / ĂƐƐĞƐƐ ŵLJ ƐŬŝůů ƐĞƚ ĂŶĚ ƚŚĞ ƌŽůĞ ŝŶ ǁŚŝĐŚ / ĐĂŶ ŽƉƟŵŝnjĞ ŵLJ ĞīŽƌƚƐ ƚŽ ďĞƩĞƌ ůŝǀĞƐ ƚŽĚĂLJ͕ ĂŶĚ ƐĂǀĞ ůŝǀĞƐ ƚŽŵŽƌƌŽǁ͘
<ƌŝƐƟŶ DĂƐƵŬĂǁĂ͕ D ͕ ZĞƐŝĚĞŶƚ͕ h > &DZW
͞dŚĞ ƉƵƌƉŽƐĞ ŽĨ ůŝĨĞ ŝƐ ŶŽƚ ƚŽ ďĞ ŚĂƉƉLJͶďƵƚ ƚŽ ŵĂƚƚĞƌ͕ ƚŽ ďĞ ƉƌŽĚƵĐƚŝǀĞ͕ ƚŽ ďĞ ƵƐĞĨƵů͕ ƚŽ ŚĂǀĞ ŝƚ ŵĂŬĞ ƐŽŵĞ ĚŝĨĨĞƌĞŶĐĞ ƚŚĂƚ LJŽƵ ůŝǀĞĚ Ăƚ Ăůů͘͟ / ƵƐĞĚ ƚŚŝƐ ƋƵŽƚĞ ďLJ :ĞǁŝƐŚ ǁƌŝƚĞƌ >ĞŽ ZŽƐƚĞŶ ŝŶ ŵLJ ŵĞĚŝĐĂů ƐĐŚŽŽů ĂĚŵŝƐƐŝŽŶ ĞƐƐĂLJ͘ /ƚ ŚĂƐ ƚƌƵůLJ ďĞĞŶ Ă ŐƵŝĚŝŶŐ ĨŽƌĐĞ ĨŽƌ ĞŶŐĂŐĞŵĞŶƚ ŝŶ ŵLJ ůŝĨĞ͘ tŚĞƌĞǀĞƌ / Ăŵ͕ / Ăŵ ƌĂƌĞůLJ Ă ƉĂƐƐŝǀĞ ďLJƐƚĂŶĚĞƌ ďƵƚ ƌĂƚŚĞƌ ĂŶ ĂĐƚŝǀĞ ƉĂƌƚŝĐŝƉĂŶƚ ŝŶ ŚĞůƉŝŶŐ ƚŽ ŵĂŬĞ ƚŚĞ ǁŽƌůĚ Ă ďĞƚƚĞƌ ƉůĂĐĞ ǁŚĞƚŚĞƌ ƉƌŽĨĞƐƐŝŽŶĂů ƚŚƌŽƵŐŚ &W ĂĚǀŽĐĂĐLJ͕ ďĞŝŶŐ ŽŶ ŵLJ dĞŵƉůĞ ďŽĂƌĚ ĂƐ ǁĞůů ĂƐ ĂŶŽƚŚĞƌ ƐŽĐŝĂů ĂŐĞŶĐLJ ďŽĂƌĚ͕ ǀŽůƵŶƚĞĞƌŝŶŐ ŝŶ Ă ǀĂƌŝĞƚLJ ŽĨ ǁĂLJƐ ƚŽ ƐĞƌǀĞ ŵLJ ĐŽŵŵƵŶŝƚLJ͕ ďĞŝŶŐ d, ĚĂĚ ŚĞůƉŝŶŐ ŝŶ ŵĂŶLJ Wd ĞǀĞŶƚƐ͕ Žƌ ďĞŝŶŐ ŝŶ ƐƚƵĚĞŶƚ ŐŽǀĞƌŶŵĞŶƚ ŝŶ ĐŽůůĞŐĞ͘ >ŝĨĞ ŝƐ ŵŽƌĞ ĨƵŶ͕ ƌŝĐŚĞƌ͕ ĂŶĚ ĨƵůĨŝůůŝŶŐ ǁŚĞŶ ĞŶŐĂŐĞĚ͘ / ǁŝůů ĐŽŶƚŝŶƵĞ ƚŽ ŵĂŬĞ ƐƵƌĞ ͞ƚŽ ŵĂƚƚĞƌ͘͟
Mark Dressner, MD
tŚĂƚ ĚŽĞƐ ĞŶŐĂŐĞŵĞŶƚ ŵĞĂŶ ƚŽ ŵĞ͍ /ƚ ŵĞĂŶƐ ĨƵůů͕ ƵŶĚŝǀŝĚĞĚ ĂƩĞŶƟŽŶ ƚŽ ƚŚĞ ƚĂƐŬ Ăƚ ŚĂŶĚ͘ zŽƵ ĂƌĞ ĨƵůůLJ ƉƌĞƐĞŶƚ ĂŶĚ ƵƐŝŶŐ Ăůů LJŽƵƌ ƐĞŶƐĞƐ ƚŽ ĂĐƚ Žƌ ĚŽ ƐŽŵĞƚŚŝŶŐ͘ dŽ ŵĞ͕ ƉŚLJƐŝĐŝĂŶ ĞŶŐĂŐĞŵĞŶƚ ƌĞƋƵŝƌĞƐ ƚǁŽ ĞƐƐĞŶƟĂů ŝŶŐƌĞĚŝĞŶƚƐ͘ KŶĞ ŝƐ ƉĂƐƐŝŽŶ ĂŶĚ ƚŚĞ ŽƚŚĞƌ ŝƐ ďĞŝŶŐ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ͘ ĞŝŶŐ ĂŶ ĞŶŐĂŐĞĚ physician is being the very best you can be and thinking beyond just being a ƉŚLJƐŝĐŝĂŶ͘ WĂƐƐŝŽŶ ŝƐ ĞƐƐĞŶƟĂů ƐŝŶĐĞ ǁĞ ŵƵƐƚ ƚŚŝŶŬ ŽĨ ŽƵƌ ǁŽƌŬ ĂƐ ƐŽŵĞƚŚŝŶŐ ǁĞ ůŽǀĞ ƚŽ ĚŽ͘ / Ăŵ ƉĂƐƐŝŽŶĂƚĞ ĂďŽƵƚ ǁŚĂƚ / ĚŽ ĂŶĚ ĚŽ ĞǀĞƌLJƚŚŝŶŐ ǁŝƚŚ ůŽǀĞ͕ ĂƐ ŝĨ / Ăŵ ƚĂŬŝŶŐ ĐĂƌĞ ŽĨ ŵLJ ŽǁŶ ĨĂŵŝůLJ ŵĞŵďĞƌƐ͘ ĞŝŶŐ ƉĂƐƐŝŽŶĂƚĞ ĂůƐŽ ŵĞĂŶƐ ǁĞ ĚŽŶ͛ƚ ŵĞŶƚĂůůLJ ĐůŽĐŬ ŝŶ ĂŶĚ ĐůŽĐŬ ŽƵƚ͘ tĞ ĂƌĞ ƉŚLJƐŝĐŝĂŶƐ Ϯϰͬϳ ͙ ŶŽƚ ŝŶ ƚŚĞ ƐĞŶƐĞ ƚŚĂƚ ǁĞ ŝŐŶŽƌĞ ƚŚĞ ŽƚŚĞƌ ŝŵƉŽƌƚĂŶƚ ĂƌĞĂƐ ŽĨ ŽƵƌ ůŝǀĞƐ ƐƵĐŚ ĂƐ ŽƵƌ ƐŝŐŶŝĮĐĂŶƚ ŽƚŚĞƌƐ͕ ŽƵƌ ĐŚŝůĚƌĞŶ͕ ŽƵƌ ĨĂŝƚŚ͕ ĂŶĚ ŽƵƌ ŚŽďďŝĞƐ͕ ďƵƚ ŝŶ ƚŚĞ ƐĞŶƐĞ ƚŚĂƚ ǁŚĞŶ ǁĞ ĂƌĞ ŶĞĞĚĞĚ͕ ǁĞ ƐƚĞƉ ƵƉ ƚŽ ďĞ ƚŚĞ ďĞƐƚ ǁĞ ĐĂŶ͘ DŝƐƐŝŽŶͲŽƌŝĞŶƚĂƟŽŶ ŝƐ ĂůƐŽ ĞƐƐĞŶƟĂů ƚŽ ĞŶŐĂŐĞŵĞŶƚ͘ tĞ ŵƵƐƚ ƚŚŝŶŬ ĂďŽƵƚ ƚŚĞ bigger mission of medicine and provide healing as members of our community. DĞĚŝĐŝŶĞ ŝƐ ĂďŽƵƚ ƚŚĞ ĐŽŵŵŽŶ ŐŽŽĚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚLJ͕ ĂŶĚ ǁŚĞŶ ǁĞ ĂƌĞ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ͕ ǁĞ ĚŽ ƚŚŝŶŐƐ ďĞLJŽŶĚ ĐĂƌŝŶŐ ĨŽƌ ƉĂƟĞŶƚƐ ŽŶ Ă ŽŶĞͲƚŽͲŽŶĞ ďĂƐŝƐ͘ tĞ ĂƌĞ ŝŶǀŽůǀĞĚ ŝŶ ĚĞĐŝƐŝŽŶ ŵĂŬŝŶŐ ĂŶĚ ƉƌŽĐĞƐƐ ŝŵƉƌŽǀĞŵĞŶƚ Ăƚ ƚŚĞ ĐůŝŶŝĐ ůĞǀĞů͕ ĐŽŵŵƵŶŝƚLJ ůĞǀĞů ĂŶĚ Ăƚ ƚŚĞ ƐŽĐŝĞƚĂů ůĞǀĞů͘ ŶĚ ƚŚĂƚ ŝƐ ǁŚLJ ŵĂŶLJ ŽĨ ƵƐ ƐƉĞŶĚ ƟŵĞ ďĞŝŶŐ ĐůŝŶŝĐ ůĞĂĚĞƌƐ͕ ĐŽŵŵƵŶŝƚLJ ůĞĂĚĞƌƐ ĂŶĚ ƉĂƐƐŝŽŶĂƚĞ ĂĚǀŽĐĂƚĞƐ ŽĨ ŚĞĂůƚŚ ŝŶ ŽƵƌ ƐŽĐŝĞƚLJ͘ tŚĞŶ ǁĞ ĚŽ ƚŚŝƐ͕ ǁĞ ĂƌĞ ĨƵůůLJ ĞŶŐĂŐĞĚ͘ / ƐƚƌŝǀĞ ƚŽ ŵĂŬĞ ƐƵƌĞ ƚŚŝƐ ĚĞƐĐƌŝďĞƐ ŵĞ ŝŶ ŵLJ ĐĂƌĞĞƌ͗ ƉĂƐƐŝŽŶĂƚĞ͕ ŵŝƐƐŝŽŶͲŽƌŝĞŶƚĞĚ ĂŶĚ ĨƵůůLJ ĞŶŐĂŐĞĚ͘
Jorge Galdamez, MD, Santa Ana
tŚĞŶ / ƚŚŝŶŬ ĂďŽƵƚ ĞŶŐĂŐĞŵĞŶƚ͕ my mind runs to the concept of ĐŽŵŵŝƚŵĞŶƚ͕ ƚŚĞ ƐĂŵĞ ƚLJƉĞ ŽĨ ĐŽŵŵŝƚŵĞŶƚ LJŽƵ ĨŝŶĚ ǁŚĞŶ Ă couple contemplates marriage. ŽŵŵŝƚƚŝŶŐ ƚŽ Ă ƉƌĂĐƚŝĐĞ͕ Ă ĨĂŵŝůLJ͕ a community or a cause has many of the same underpinnings. ŽŵŵŝƚŵĞŶƚ ƚĂŬĞƐ Ă ǁŝůůŝŶŐŶĞƐƐ to go above and beyond ĂŶĚ ƐƵďůŝŵĂƚĞ LJŽƵƌ ŽǁŶ ŶĞĞĚƐ ĨŽƌ the sake of others. /Ŷ ƉƌĂĐƚŝĐĞ͕ ŝƚ ĐĂŶ ŵĂŶŝĨĞƐƚ ĂƐ ǁŝůůŝŶŐŶĞƐƐ ƚŽ ďĞ ŽŶ ĐĂůů Žƌ ƉĞƌĨŽƌŵ ĂĚŵŝŶŝƐƚƌĂƚŝǀĞ ĚƵƚŝĞƐ͘ /Ŷ Ă ĐŽŵŵƵŶŝƚLJ͕ ĞŶŐĂŐĞŵĞŶƚ ĐĂŶ mean doing sports physicals at the local high school or joining ƚŚĞ ZŽƚĂƌLJ ůƵď͘ ŶĚ ǁĞ Ăůů ŬŶŽǁ the type of commitment it takes to sustain a marriage. A lack of engagement translates into a more fragile and tenuous relationship for all concerned.
^ƚĞǀĞŶ ,ĂƌƌŝƐŽŶ͕ D ͕ ^ĂůŝŶĂƐ
Ɛ Ă ƐƚƵĚĞŶƚ͕ ĂƩĞŶĚŝŶŐ ŽŶĞ ŽĨ ŵLJ ĮƌƐƚ ŽƌŐĂŶŝnjĞĚ ŵĞĚŝĐŝŶĞ ŵĞĞƟŶŐƐ͕ / ǁĂƐ ƐƚƌƵĐŬ ďLJ Ă ƉŚLJƐŝĐŝĂŶ ĨƌŽŵ ƌƵƌĂů ĂƐƚ dĞdžĂƐ͕ ǁŚŽ ƐƚŽŽĚ ƵƉ ĂŶĚ ĂĚŵŽŶŝƐŚĞĚ ƵƐ Ăůů ĨŽƌ ŶŽƚ ďĞŝŶŐ ŵŽƌĞ ĞŶŐĂŐĞĚ͘ ,Ğ ƐĂŝĚ ͞ƉŚLJƐŝĐŝĂŶƐ ƵƐĞĚ ƚŽ ďĞ ƚŚĞ ŵŽƐƚ ĂĐƟǀĞ ŵĞŵďĞƌƐ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚLJ͕ ƚŚĞLJ ǁĞƌĞ ŽŶ Ăůů ŽĨ ƚŚĞ ƐĐŚŽŽů ďŽĂƌĚƐ͕ ĂŶĚ ŶŽ ŽŶĞ ŝƐ ĚŽŝŶŐ ƚŚŝƐ ĂŶLJŵŽƌĞ͘͟ / ǁĞŶƚ to medical school largely because of the ĂďŝůŝƚLJ ƉŚLJƐŝĐŝĂŶƐ ŚĂǀĞ ƚŽ ĞīĞĐƚ ƐŽĐŝĂů ĐŚĂŶŐĞ͘ / ĐŚŽƐĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ůĂƌŐĞůLJ for the moral authority our profession LJŝĞůĚƐ ƐŚŽƵůĚ ǁĞ ƵƐĞ ŝƚ͘ ŶĚ ĞǀĞƌ ƐŝŶĐĞ͕ / ŚĂǀĞ ďĞĞŶ ŵŽƟǀĂƚĞĚ ƚŽ ĮŐƵƌĞ ŽƵƚ ŚŽǁ / ĐĂŶ ŐĞƚ ŵLJƐĞůĨ ŽŶ Ă ƐĐŚŽŽů ďŽĂƌĚ ĂŌĞƌ ƌĞƐŝĚĞŶĐLJ͊
Blair Cushing, DO, Resident, EĂƟǀŝĚĂĚ &DZW
California Family Physician Spring 2017
21
engagement
Shannon Connolly, MD
How One Family Physician is Dealing with the Election Results and How CAFP Helped Ɛ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ǁĞ ƐŚĂƌĞ Ă ƵŶŝƋƵĞ ƉĞƌƐƉĞĐƟǀĞ ŽŶ ƚŚĞ ŚĞĂůƚŚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͘ dŚƌŽƵŐŚ ŽƵƌ ǁŽƌŬ ŝŶ ŽƵƌ ĐůŝŶŝĐƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ͕ ǁĞ ǁŝƚŶĞƐƐ ƚŚĞ ůŝǀĞƐ ŽĨ ŽƵƌ ďĞĂƵƟĨƵůůLJ ĚŝǀĞƌƐĞ ƉĂƟĞŶƚƐ ƚŚƌŽƵŐŚ ƚŚĞ ůĞŶƐ ŽĨ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ LJĞƚ ǁĞ ŬŶŽǁ ƚŚĂƚ ŚĞĂůƚŚ ŝƐ ŝŶĨŽƌŵĞĚ ďLJ ƐŽ ŵƵĐŚ ŵŽƌĞ ƚŚĂŶ ŽƵƌ ďƌŝĞĨ ĐůŝŶŝĐĂů ŝŶƚĞƌĂĐƟŽŶƐ͘
ϯͿ
dŚĞ ƌĞĐĞŶƚ ƉƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ĐŚĂŶŐĞĚ Ă ůŽƚ ŽĨ ƚŚŝŶŐƐ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ hŶĐĞƌƚĂŝŶƚLJ ĂďŽƵŶĚƐ͗ ƵŶĐĞƌƚĂŝŶƚLJ ĂďŽƵƚ ƚŚĞ ĨƵƚƵƌĞ ŽĨ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ƚŚĞ ƉƌŽƚĞĐƟŽŶƐ ƚŚĂƚ ŝƚ ŽīĞƌƐ ĂŶĚ ƵŶĐĞƌƚĂŝŶƚLJ ĂďŽƵƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ĨĞĚĞƌĂů ƉƌŽŐƌĂŵƐ ƚŚĂƚ ĂůůŽǁ ƵƐ ƚŽ ďĞ Ă ůĂƐƚ ƌĞƐŽƌƚ ĨŽƌ ƉĂƟĞŶƚƐ ǁŚŽ ŚĂǀĞ ŶŽ ŽƚŚĞƌ ƐŽƵƌĐĞ ŽĨ ĐĂƌĞ͘ &Žƌ ƐŽŵĞ ŽĨ ƵƐ͕ ŝƚ ĞǀĞŶ ĐƌĞĂƚĞƐ ƵŶĐĞƌƚĂŝŶƚLJ ĂďŽƵƚ our jobs.
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Ɛ ĚŽĐƚŽƌƐ͕ ǁĞ ŽŌĞŶ ƌĞƐŝƐƚ ƚŚĞ ƚĞŵƉƚĂƟŽŶ ƚŽ ĐŚĂƌŐĞ ŚĞĂĚĮƌƐƚ ŝŶƚŽ ƉŽůŝƟĐĂů ĚŝƐĐŽƵƌƐĞ͕ ďƵƚ ǁĞ ŵƵƐƚ ĂĐŬŶŽǁůĞĚŐĞ ƚŚĂƚ ŵĞƌŝĐĂ ŝƐ ƵŶĚĞƌŐŽŝŶŐ Ă ĐƵůƚƵƌĂů ƐŚŝŌ ĂŶĚ ŝƚ ĞdžƚĞŶĚƐ ĨĂƌ ďĞLJŽŶĚ ŚĞĂůƚŚ ĐĂƌĞ͘ tĞ ĂƌĞ ŝŶ Ă ŶĞǁ ĞƌĂ ŝŶ ǁŚŝĐŚ ƚŚĞ ƉƌŽŐƌĞƐƐ ǁĞ ŵĂĚĞ ŝŶ ŵĂŬŝŶŐ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ ƐĂĨĞƌ ĨŽƌ ƉĞŽƉůĞ ŽĨ Ăůů ŝĚĞŶƟƟĞƐ ŝƐ ƵŶƌĂǀĞůŝŶŐ͘ ŶĚ ǁĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĂƚ ƚŚŝƐ ĂīĞĐƚƐ ƚŚĞ ŚĞĂůƚŚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƟĞƐ ǁĞ ƐĞƌǀĞ͘ ƵƌŝŶŐ ƟŵĞƐ ŽĨ ĐŚĂŶŐĞ͕ ŝƚ ŝƐ ŝŵƉŽƌƚĂŶƚ ƚŽ ƌĞƚƵƌŶ ƚŽ ƚŚĞ ĐŽƌĞ ŽĨ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ĞƚŚŽƐ͘ / Ăŵ ƉƌŽƵĚ ƚŚĂƚ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ĂĸƌŵƐ ƚŚĞ ǀĂůƵĞ ŽĨ ĐƌĞĂƟŶŐ ƐƉĂĐĞƐ ǁŚĞƌĞ ǁĞ ĐĂŶ ŐŝǀĞ ŽŶĞ ĂŶŽƚŚĞƌ ƚŚĞ ŐŝŌ ŽĨ ŝĚĞĂƐ ĂŶĚ ĐƌĞĂƟǀĞ ĚŝƐĐŽƵƌƐĞ ŽŶ ƚŚĞ ŝŶƚĞƌƐĞĐƟŽŶĂůŝƚLJ ŽĨ ŚĞĂůƚŚ ǁŝƚŚ ŵĂŶLJ ŽƚŚĞƌ ƐŽĐŝĂů ũƵƐƟĐĞ ŝƐƐƵĞƐ͘ dŚĞ &W ĂĐŬŶŽǁůĞĚŐĞƐ ƚŚĂƚ ǁĞ ĂƌĞ ŝŶ Ă ƉĞƌŝŽĚ ŽĨ ŇƵdž͕ ĂŶĚ ǁĞ ǁŝůů ďĞ ĂƐŬĞĚ ƚŽ ĐŽŶƐŝĚĞƌ ŶĞǁ ŝĚĞĂƐ ĂďŽƵƚ ŚĞĂůƚŚ ƉŽůŝĐLJ ĂŶĚ ƐŽĐŝĂů ũƵƐƟĐĞ ŝŶ ƚŚĞ ĐŽŵŝŶŐ LJĞĂƌƐ͘ /Ŷ ůŝŐŚƚ ŽĨ ƚŚŝƐ͕ ƚŚĞ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ƌĞĐĞŶƚůLJ ĂƉƉƌŽǀĞĚ Ă 'ĞŶĞƌĂů ^ƚĂƚĞŵĞŶƚ ŽŶ ,ĞĂůƚŚ WŽůŝĐLJ͕ ǁŚŝĐŚ ĚĞƐĐƌŝďĞƐ ŽƵƌ ƐĞǀĞŶ ĐŽƌĞ ƉƌŽĨĞƐƐŝŽŶĂů ǀĂůƵĞƐ͘ tŚŝůĞ ƚŚĞƐĞ ǀĂůƵĞƐ ĂƌĞ ďƌŽĂĚůLJ ĂƉƉůŝĐĂďůĞ ƚŽ Ăůů ŽĨ ƚŚĞ ǁŽƌŬ ƚŚĂƚ ǁĞ ĚŽ͕ ƚŚĞLJ ĂůƐŽ ƐĞƌǀĞ ƚŽ ŚŝŐŚůŝŐŚƚ ŚŽǁ ǁĞ ƐŚŽƵůĚ ƌĞƐƉŽŶĚ ƚŽ ƚŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ ŵŽƐƚ ǀƵůŶĞƌĂďůĞ ŵĞŵďĞƌƐ ŽĨ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ͘ ;dŚĞ ƐƚĂƚĞŵĞŶƚ ŝƐ ďĂƐĞĚ ŽŶ Ă ĚŽĐƵŵĞŶƚ ƚŚĂƚ ǁĂƐ ĐƌĞĂƚĞĚ ďLJ ƚŚĞ ĂŵďƌŝĚŐĞ ůůŝĂŶĐĞ ĨŽƌ ^ŽĐŝĂů :ƵƐƟĐĞ͕ ĂŶĚ ĂĚĂƉƚĞĚ ƚŽ ƚŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ &W͘Ϳ The seven core values are: 1) Health care is a human right. ůů ƉĞŽƉůĞ ƐŚŽƵůĚ ŚĂǀĞ ĂĐĐĞƐƐ ƚŽ ĞƐƐĞŶƟĂů͕ ĞīĞĐƟǀĞ ŚĞĂůƚŚ ĐĂƌĞ regardless of their ability to pay. The CAFP supports measures that ŝŵƉƌŽǀĞ ĂĐĐĞƐƐ ĂŶĚ ƋƵĂůŝƚLJ ŽĨ ĐĂƌĞ ĂŶĚ ǁŝůů ĂĚǀŽĐĂƚĞ ĨŽƌ ƌĞĨŽƌŵƐ ƚŚĂƚ ĂƉƉƌŽƉƌŝĂƚĞůLJ ǀĂůƵĞ ƉƌŝŵĂƌLJ ĂŶĚ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞ͘ ϮͿ tĞ ďĞůŝĞǀĞ ŝŶ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ŵĞĚŝĐŝŶĞ ĂŶĚ ƉƵďůŝĐ ŚĞĂůƚŚ ƉŽůŝĐLJ͘ &W ƌĞĂĸƌŵƐ ŝƚƐ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ƚŚĞ ƉƌŝŶĐŝƉůĞƐ ŽĨ ƐĐŝĞŶĐĞ͘ DĞĚŝĐĂů ƌĞƐĞĂƌĐŚ ŵƵƐƚ ďĞ ŶŽŶͲƉĂƌƟƐĂŶ͕ ƵŶďŝĂƐĞĚ͕ ĂŶĚ ďĂƐĞĚ ŽŶ ƚŚĞ ƐĐŝĞŶƟĮĐ ŵĞƚŚŽĚ͘ WƵďůŝĐ ŚĞĂůƚŚ ƉŽůŝĐLJ ŵƵƐƚ ďĞ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ĂŶĚ ĨƌĞĞ ĨƌŽŵ ƉŽůŝƟĐĂů ŵŽƟǀĂƟŽŶ͘ 22
California Family Physician Spring 2017
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DĞŶƚĂů ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ ĂƌĞ Ă ĨƵŶĚĂŵĞŶƚĂů ƉĂƌƚ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ͘ CAFP supports parity for mental health care and treatment for ƐƵďƐƚĂŶĐĞ ƵƐĞ ĚŝƐŽƌĚĞƌƐ͘ īŽƌƚƐ ƐŚŽƵůĚ ďĞ ŵĂĚĞ ƚŽ ƌĞĚƵĐĞ ƐƟŐŵĂ ĂŶĚ ƌĞŵŽǀĞ ďĂƌƌŝĞƌƐ ƚŽ ŵĞŶƚĂů ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ͘ ĚĚŝĐƟŽŶ ŝƐ Ă ĐŚƌŽŶŝĐ ĂŶĚ ĚĞďŝůŝƚĂƟŶŐ ĚŝƐĞĂƐĞ ƚŚĂƚ ƌĞƋƵŝƌĞƐ ĐŽŵƉĂƐƐŝŽŶ ĂŶĚ ƚƌĞĂƚŵĞŶƚ͕ ŶŽƚ ũƵĚŐŵĞŶƚ ĂŶĚ ƉƵŶŝƐŚŵĞŶƚ͘ tŽŵĞŶ͛Ɛ ŚĞĂůƚŚ ŵƵƐƚ ďĞ ƉƌŽƚĞĐƚĞĚ͘ &W ƌĞũĞĐƚƐ ǀŝŽůĞŶĐĞ ĂŐĂŝŶƐƚ ǁŽŵĞŶ ŝŶ Ăůů ĨŽƌŵƐ͘ &W ƐƵƉƉŽƌƚƐ ǁŽŵĞŶ͛Ɛ ĂĐĐĞƐƐ ƚŽ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ ǁŝƚŚŽƵƚ ĨĞĂƌ ŽĨ ŝŶƟŵŝĚĂƟŽŶ Žƌ ǀŝŽůĞŶĐĞ͘ dŚŝƐ ĐĂƌĞ ŵƵƐƚ ŝŶĐůƵĚĞ ƐĂĨĞ ĂŶĚ ĞīĞĐƟǀĞ ĐŽŶƚƌĂĐĞƉƟŽŶ ĂŶĚ ƌĞƉƌŽĚƵĐƟǀĞ ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ͘ &W ƐƵƉƉŽƌƚƐ ĞǀĞƌLJ ǁŽŵĂŶ͛Ɛ ƌŝŐŚƚ ƚŽ ƐĞůĨͲĚĞƚĞƌŵŝŶĂƟŽŶ͕ ǁŝƚŚŽƵƚ government interference in decisions that should be based solely ŽŶ ĂŶ ŝŶĚŝǀŝĚƵĂů ǁŽŵĂŶ͛Ɛ ǀĂůƵĞƐ ĂŶĚ ƐĂĨĞƚLJ ŝŶ ĐŽŶƐƵůƚĂƟŽŶ ǁŝƚŚ her physician. CAFP opposes policies designed to restrict access ƚŽ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƌĞƉƌŽĚƵĐƟǀĞ ŚĞĂůƚŚ ĐĂƌĞ ďLJ ƉůĂĐŝŶŐ ŵĞĚŝĐĂůůLJ unnecessary regulatory burdens on physicians. WĞŽƉůĞ ĚĞƐĞƌǀĞ ŚĞĂůƚŚ ĐĂƌĞ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͘ &ĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚƌĞĂƚ ŝŵŵŝŐƌĂŶƚƐ ĂŶĚ ƌĞĨƵŐĞĞƐ ĞǀĞƌLJ ĚĂLJ͘ DĂŶLJ ŝŶ ƚŚĞƐĞ ĐŽŵŵƵŶŝƟĞƐ ƐƚƌƵŐŐůĞ ƚŽ ŬĞĞƉ ƚŚĞŵƐĞůǀĞƐ ĂŶĚ ƚŚĞŝƌ ĨĂŵŝůŝĞƐ ŚĞĂůƚŚLJ ǁŝƚŚ ůŝŵŝƚĞĚ Žƌ ŶŽ ŝŶƐƵƌĂŶĐĞ ĐŽǀĞƌĂŐĞ͘ &W ďĞůŝĞǀĞƐ ĐŽŵŵƵŶŝƟĞƐ ĂƌĞ ƐĂĨĞƌ ĂŶĚ ŚĞĂůƚŚŝĞƌ ǁŚĞŶ Ăůů ŝŶĚŝǀŝĚƵĂůƐ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͕ ŚĂǀĞ ĂĐĐĞƐƐ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ƌĞũĞĐƚƐ ƉŽůŝĐLJ ƚŚĂƚ ƌĞƋƵŝƌĞƐ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ƌĞƉŽƌƚ ƵŶĚŽĐƵŵĞŶƚĞĚ ŝŶĚŝǀŝĚƵĂůƐ͕ ĂƐ ŝƚ ŝƐ ŶŽƚ ĐŽŶƐŝƐƚĞŶƚ ǁŝƚŚ ŽƵƌ ŵŝƐƐŝŽŶ ĂƐ ŚĞĂůƚŚ ĐĂƌĞ ƉƌŽǀŝĚĞƌƐ͘ dŚĞ ŶĞŐůĞĐƚ ĂŶĚ ŵŝƐƚƌĞĂƚŵĞŶƚ ŽĨ ŵĂƌŐŝŶĂůŝnjĞĚ ĐŽŵŵƵŶŝƟĞƐ ĂīĞĐƚƐ ŚĞĂůƚŚ ĂŶĚ ŵƵƐƚ ďĞ ŽƉƉŽƐĞĚ͘ &W ďĞůŝĞǀĞƐ ƚŚĂƚ ƚŚĞ ĞdžƉĞƌŝĞŶĐĞ ŽĨ ĚŝƐĐƌŝŵŝŶĂƟŽŶ ŶĞŐĂƟǀĞůLJ ĂīĞĐƚƐ ŚĞĂůƚŚ͘ ,ĂƚĞ ĐƌŝŵĞƐ ĂŶĚ ǀŝŽůĞŶĐĞ ĂŐĂŝŶƐƚ ƌĞůŝŐŝŽƵƐ͕ ƐĞdžƵĂů͕ ĂŶĚ ƌĂĐŝĂů ŵŝŶŽƌŝƟĞƐ ƉŽƐĞ ĚŝƌĞĐƚ ŚĂƌŵ ƚŽ ƉĂƟĞŶƚƐ͘ dŚĞƐĞ ƉƌŽďůĞŵƐ ĂƌĞ ĐŽŵƉŽƵŶĚĞĚ ďLJ ĚŝƐƉĂƌŝƟĞƐ ŝŶ ĂĐĐĞƐƐ ƚŽ ƋƵĂůŝƚLJ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ŽƉƉŽƐĞƐ ƉƌĞũƵĚŝĐĞ ŝŶ Ăůů ŚĞĂůƚŚ ĐĂƌĞ ƐĞƫŶŐƐ ĂŶĚ ĐŽŵŵƵŶŝƟĞƐ͘ ůů ƉĞŽƉůĞ͕ ƌĞŐĂƌĚůĞƐƐ ŽĨ ƚŚĞŝƌ ŐĞŶĚĞƌ ŝĚĞŶƟƚLJ Žƌ ƐĞdžƵĂů ŽƌŝĞŶƚĂƟŽŶ͕ ŵƵƐƚ ďĞ ƚƌĞĂƚĞĚ ǁŝƚŚ ĚŝŐŶŝƚLJ ĂŶĚ ƌĞƐƉĞĐƚ. >' dY ƉĂƟĞŶƚƐ ĨĂĐĞ ĐŚĂůůĞŶŐĞƐ ŝŶ ĂĐĐĞƐƐŝŶŐ ĐƵůƚƵƌĂůůLJ ĐŽŵƉĞƚĞŶƚ͕ ƐĂĨĞ͕ ĂŶĚ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ŚĞĂůƚŚ ĐĂƌĞ͘ &W ƐƵƉƉŽƌƚƐ ƚŚĞ ĞƋƵŝƚĂďůĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ƚŚĞ >' dY ƉŽƉƵůĂƟŽŶ ĂŶĚ ƐƚĂŶĚƐ ĂŐĂŝŶƐƚ ǀŝŽůĞŶĐĞ ƚŽǁĂƌĚ ĂŶĚ ǀŝĐƟŵŝnjĂƟŽŶ ŽĨ ƚŚĞƐĞ ŐƌŽƵƉƐ͘
/ Ăŵ ƉƌŽƵĚ ƚŽ ĐĂůů ƚŚĞƐĞ ǀĂůƵĞƐ ŵLJ ŽǁŶ͕ ĂŶĚ ƉƌŽƵĚ ƚŚĂƚ ŵLJ ƉƌŽĨĞƐƐŝŽŶĂů ŽƌŐĂŶŝnjĂƟŽŶ ƐƚĂŶĚƐ ƵŶĞƋƵŝǀŽĐĂůůLJ ďĞŚŝŶĚ ƚŚĞƐĞ ǁŽƌĚƐ͘ Ɛ ŽƵƌ ƉĂƟĞŶƚƐ ĐĂůů ƵƉŽŶ ƵƐ ƚŽ ďĞ ƚŚĞŝƌ ĂĚǀŽĐĂƚĞƐ ŝŶ ƚŚŝƐ ŶĞǁ ƉŽůŝƟĐĂů ĞƌĂ͕ ůĞƚ͛Ɛ ƵƐĞ ƚŚĞƐĞ ǀĂůƵĞƐ ƚŽ ŐƵŝĚĞ ƵƐ͘ dŚĞ ǁĂůůƐ ŽĨ ŽƵƌ ĐůŝŶŝĐƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ ĂƌĞ ŶŽ ůŽŶŐĞƌ ƚŚĞ ďŽƵŶĚĂƌŝĞƐ ŽĨ ƚŚĞ ƐĐŽƉĞ ŽĨ ŽƵƌ ǁŽƌŬ͘ tĞ ŵƵƐƚ ŶŽǁ ĞdžƚĞŶĚ ŽƵƌ ƌĞĂĐŚ ĞǀĞŶ ĨƵƌƚŚĞƌ͘ tĞ ŵƵƐƚ ƵƐĞ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ǀŽŝĐĞ ŝŶ ƚŚĞ ƐĞƌǀŝĐĞ ŽĨ ŽƵƌ ƉĂƟĞŶƚƐ͘ tĞ ĂƌĞ͕ ĂŌĞƌ Ăůů͕ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘
engagement
Alex Mroszczyk-McDonald, MD
Why I Engage in My Local, State and National Medical Organizations and Why You Should, Too Ɛ ĂŶ ƵŶĚĞƌŐƌĂĚ͕ / ƌĞĐĞŝǀĞĚ Ă ĐĞƌƟĮĐĂƚĞ ĚĞŐƌĞĞ ŝŶ ƉƵďůŝĐ ƉŽůŝĐLJ͕ ĂŶ ĂƌĞĂ ŽĨ ĐŽŶĐĞŶƚƌĂƟŽŶ ŝŶ ŵLJ ŚƵŵĂŶ ĚĞǀĞůŽƉŵĞŶƚ ŵĂũŽƌ͘ ĂƐĞĚ ŽŶ ŵLJ ĚĞƐŝƌĞ ƚŽ ŐŽ ƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů͕ / ĨŽĐƵƐĞĚ ŽŶ ŚĞĂůƚŚ ƉŽůŝĐLJ͘ / ŐŽƚ ŝŶƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů ĂŶĚ ƚŚĞ ƌĂƉŝĚ ƉĂĐĞ ŽĨ ƚĞƐƚƐ͕ ŐƌŽƐƐ ĂŶĂƚŽŵLJ͕ ƉŚLJƐŝŽůŽŐLJ͕ h^D> ĂŶĚ ĐůŝŶŝĐĂů ƌŽƚĂƟŽŶƐ ƐŽŽŶ ƚŽŽŬ ŽǀĞƌ ŵLJ ůŝĨĞ͘ / ůŽƐƚ ƚƌĂĐŬ ŽĨ ƚŚĞ ƌĞĂƐŽŶ / ǁĂŶƚĞĚ ƚŽ ŐŽ ŝŶƚŽ ŵĞĚŝĐŝŶĞ ͙ ƚŽ ŚĞůƉ ƉĞŽƉůĞ͘
Ăůů ƚŚĞ ƌĞƐƵůƚ ŽĨ ƉŽůŝĐLJ ĂŶĚ ƌƵůĞƐ ǁƌŝƩĞŶ ĂŶĚ ĞŶĂĐƚĞĚ ǁŝƚŚŽƵƚ ƐƵĸĐŝĞŶƚ ŝŶƉƵƚ Žƌ ĐŽŶƐŝĚĞƌĂƟŽŶ ĨƌŽŵ ĨƌŽŶƚůŝŶĞ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƚƌĞĂƚ ƉĂƟĞŶƚƐ ĞǀĞƌLJ day and see the direct result of that care.
,ĞĂůƚŚ͕ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ŚĞĂůƚŚ ƉŽůŝĐLJ ĐĂŶŶŽƚ ďĞ Ă ǀĂĐĐŝŶĞ ďĞĐĂƵƐĞ ǀŝƌƚƵĂůůLJ ĂŶLJ ůĂǁ͕ ƌĞŐƵůĂƟŽŶ Žƌ ƉŽůŝĐLJ ĐĂŶ ĂīĞĐƚ ŚƵŵĂŶ ŚĞĂůƚŚ͘ ,ĞĂůƚŚ ƐŚŽƵůĚ ďĞ ĐŽŶƐŝĚĞƌĞĚ ŝŶ ĞǀĞƌLJ ƉŽůŝĐLJ ĂŶĚ ŶĞĞĚƐ ƚŽ ďĞ Ă ŐƵŝĚŝŶŐ ƚĞŶĞƚ ŽĨ ůĞŐŝƐůĂƟǀĞ ƵƌŝŶŐ ŵLJ ƐĞĐŽŶĚ LJĞĂƌ ŽĨ ƌĞƐŝĚĞŶĐLJ / ŚĂĚ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ĂŐĞŶĚĂƐ͕ ŵĞĚŝĐĂů ĞĚƵĐĂƟŽŶ ĂŶĚ ĐůŝŶŝĐĂů ƉƌĂĐƟĐĞ͘ ůů ƉŽůŝĐLJ ƐŚŽƵůĚ ďĞ Ă ƚǁŽͲǁĞĞŬ ĞůĞĐƟǀĞ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐLJ ũŽŝŶƚůLJ ƐƉŽŶƐŽƌĞĚ ďLJ 'ĞŽƌŐĞ ǀŝĞǁĞĚ ĨƌŽŵ ƚŚĞ ůĞŶƐ ŽĨ ŚĞĂůƚŚ ƚŽ ĚĞƚĞƌŵŝŶĞ ǁŚĂƚ ĐŽŶƐĞƋƵĞŶĐĞƐ Žƌ ƵŶŝŶƚĞŶĚĞĚ ĐŽŶƐĞƋƵĞŶĐĞƐ ŵĂLJ ƌĞƐƵůƚ͘ EŽ ŵĂƩĞƌ ŚŽǁ ǁĞůů ĞĚƵĐĂƚĞĚ tĂƐŚŝŶŐƚŽŶ DĞĚŝĐĂů ^ĐŚŽŽů ĂŶĚ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ͘ /ƚ ǁĂƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ĂŶĚ ĞLJĞͲŽƉĞŶŝŶŐ ĞdžƉĞƌŝĞŶĐĞ͘ DLJ ƉĂƐƐŝŽŶĂƚĞ ŝŶƚĞƌĞƐƚ ŝŶ ƉŽůŝĐLJ͕ ĂŶĚ͕ ŵŽƌĞ ĂŶĚ ƚƌĂŝŶĞĚ ƉŚLJƐŝĐŝĂŶƐ ĂƌĞ͕ ƚŚĞLJ ĐĂŶŶŽƚ ŝŶ ŝƐŽůĂƟŽŶ ĞůŝŵŝŶĂƚĞ ŵĂŶLJ ŽĨ ƚŚĞ ƐƉĞĐŝĮĐĂůůLJ͕ ŚĞĂůƚŚ ƉŽůŝĐLJ͕ ĐĂŵĞ ŇŽŽĚŝŶŐ ďĂĐŬ͘ dŚĞ ĐůŝŶŝĐĂů ĞdžƉĞƌŝĞŶĐĞ ĂƐ Ă ƌŽŽƚ ĐĂƵƐĞƐ ŽĨ ƉŽŽƌ ŚĞĂůƚŚ ǁŝƚŚŝŶ ŽƵƌ ŶĂƟŽŶ͘ dŽ ŝŵƉƌŽǀĞ ƉĂƟĞŶƚ ŚĞĂůƚŚ medical student and resident made it clearer than ever that many of the ƉŚLJƐŝĐŝĂŶ ǁĞůůͲďĞŝŶŐ ĂŶĚ ƐĞĞ ƉƌŽŐƌĞƐƐ ǁŝƚŚŝŶ ƚŚĞ ŚĞĂůƚŚ ƐLJƐƚĞŵ͕ ƉŚLJƐŝĐŝĂŶƐ ĨƌŽŶƚůŝŶĞ ƐƚƌƵŐŐůĞƐ ǁĞ ĚĞĂů ǁŝƚŚ ĂƐ ĚŽĐƚŽƌƐ ǁŝůů ŶĞǀĞƌ ĐŚĂŶŐĞ ŝĨ ǁĞ ĚŽ ŶŽƚ ŵƵƐƚ ǁŽƌŬ ƚŽŐĞƚŚĞƌ ĂŶĚ ƚĂŬĞ ĂŶ ĂĐƟǀĞ͕ ƵƉƐƚƌĞĂŵ ƌŽůĞ͘ >ŽĐĂů͕ ƐƚĂƚĞ ĂŶĚ ƐƚĂŶĚ ƵƉ ĨŽƌ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ͕ ŽƵƌƐĞůǀĞƐ ĂŶĚ ŽƵƌ ƉĂƟĞŶƚƐ͘ ŶĂƟŽŶĂů ƌƵůĞƐ͕ ƌĞŐƵůĂƟŽŶƐ ĂŶĚ ƉŽůŝĐLJ ŵƵƐƚ ďĞ ƐŚĂƉĞĚ ǁŝƚŚ ĚŝƌĞĐƚ ŝŶƉƵƚ ĨƌŽŵ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƉĂƟĞŶƚƐ͕ ŶŽƚ ũƵƐƚ ƐƉĞĐŝĂů ŝŶƚĞƌĞƐƚƐ Žƌ ĂŶĞĐĚŽƚĞƐ͘ dŚŝƐ ĚĞƐŝƌĞ ƚŽ ͞ƐƚĂŶĚ ƵƉ͟ ĨƵĞůĞĚ ŵLJ ĂƉƉůŝĐĂƟŽŶ ƚŽ ƚŚĞ &W ƌĞƐŝĚĞŶƚ ĂŶĚ dŚĞƌĞ ŝƐ ŶŽ ƋƵŝĐŬ Įdž Žƌ ĞĂƐLJ ƐŽůƵƟŽŶ͕ ŚŽǁĞǀĞƌ͖ ŽŶůLJ ďLJ ǁŽƌŬŝŶŐ ƐƚƵĚĞŶƚ ĐŽƵŶĐŝůƐ ĂŶĚ ŵLJ ƐƵďƐĞƋƵĞŶƚ ĂƩĞŶĚĂŶĐĞ Ăƚ ƚŚĞ &W EĂƟŽŶĂů ƚŽŐĞƚŚĞƌ ĂŶĚ ŚĂǀŝŶŐ Ă ƐĞĂƚ Ăƚ ƚŚĞ ƚĂďůĞ ǁŝůů ǁĞ ƚƌƵůLJ ŝŵƉƌŽǀĞ ƚŚĞ ŚĞĂůƚŚ ŽŶĨĞƌĞŶĐĞ ĨŽƌ ZĞƐŝĚĞŶƚƐ ĂŶĚ DĞĚŝĐĂů ^ƚƵĚĞŶƚƐ͕ ĂƐ ǁĞůů ĂƐ ŵLJ ƉĂƌƟĐŝƉĂƟŽŶ ŽĨ ŽƵƌ ŶĂƟŽŶ͘ ŝŶ ƚŚĞ &D ZĞƐŝĚĞŶƚ ŽŶŐƌĞƐƐ͘ / ͞ĨŽƵŶĚ ŵLJ ƉĞŽƉůĞ͟ ĂŶĚ ƌĞĂůŝnjĞĚ ƚŚĂƚ ĂƐ ƉŚLJƐŝĐŝĂŶƐ ǁĞ ʹ ĂƐ ǁĞůů ĂƐ ŽƵƌ ƉĂƟĞŶƚƐ ʹ ĂƌĞ͕ Ăƚ ƟŵĞƐ͕ ƐŝŵƉůLJ ƉĂǁŶƐ ŝŶ ƚŚĞ ĐŽŵƉůĞdž ũƵŐŐĞƌŶĂƵƚ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŝŶ ƚŚĞ hŶŝƚĞĚ ^ƚĂƚĞƐ ƚŽĚĂLJ͘
INSPIRE greatness
&Žƌ ƚŚĞ ƉĂƐƚ ƚǁŽ Žƌ ŵŽƌĞ ĚĞĐĂĚĞƐ͕ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŚĂǀĞ ďĞĞŶ ͞ƚŽŽ ŶŝĐĞ͟ ĂŶĚ ŵƵĐŚ ŽĨ ƚŚĞ ͞ĂĚŵŝŶŝƐƚƌŝǀŝĂ͟ ĂŶĚ ĨĂĐƚŽƌƐ ĐĂƵƐŝŶŐ ƉŽŽƌ ƋƵĂůŝƚLJ ŽĨ ůŝĨĞ͕ ƉŽŽƌ ũŽď ƐĂƟƐĨĂĐƟŽŶ͕ ƉŽŽƌ ƉĂƟĞŶƚ ĐĂƌĞ ĂŶĚ ƐƵďƐĞƋƵĞŶƚ ďƵƌŶŽƵƚ ŝƐ ĚƵĞ ƚŽ ƚŚĞ ŚĂŶĚƐͲŽī ĂƉƉƌŽĂĐŚ ƚŽ ƉŽůŝĐLJ ŵĂŶLJ ĚŽĐƚŽƌƐ ŚĂǀĞ ƚĂŬĞŶ͘ ,ĞĂůƚŚ ĐĂƌĞ ŝŶ ƚŚĞ h^ ŚĂƐ ďĞĞŶ ŚŝũĂĐŬĞĚ ďLJ ďƵƌĞĂƵĐƌĂƚƐ͕ ůŽďďŝĞƐ ĂŶĚ ƉŽůŝƟĐŝĂŶƐ ǁŚŽ ƵŶĚĞƌƐƚĂŶĚ ǀŝƌƚƵĂůůLJ ŶŽƚŚŝŶŐ ĂďŽƵƚ ǁŚĂƚ ƉŚLJƐŝĐŝĂŶƐ ĚŽ ĂŶĚ ŚŽǁ ƚŚĞ ŚĞĂůƚŚ ŽĨ ŽƵƌ ŶĂƟŽŶ ĂŶĚ ŽƵƌ ƉŚLJƐŝĐŝĂŶ ǁŽƌŬĨŽƌĐĞ ŶĞĞĚƐ ƚŽ ďĞ ŝŵƉƌŽǀĞĚ͘ / Ăŵ ŽŶ ƚŚĞ ďŽĂƌĚ ŽĨ ŵLJ ĐŽƵŶƚLJ ŵĞĚŝĐĂů ƐŽĐŝĞƚLJ͕ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ &W͛Ɛ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĂŶĚ ĂĐƟǀĞ ĂƐ Ă ƌĞƐŝĚĞŶƚ ĂŶĚ ŶĞǁ ƉŚLJƐŝĐŝĂŶ Ăƚ ƚŚĞ American Academy of Family Physicians because / ďĞůŝĞǀĞ ǁĞ ŽǁĞ ŝƚ ƚŽ ŽƵƌƐĞůǀĞƐ͕ ŽƵƌ ĐŽůůĞĂŐƵĞƐ͕ ŽƵƌ ƉĂƟĞŶƚƐ ĂƐ ǁĞůů ĂƐ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƟŽŶ ƚŽ ďĞ ĂĐƟǀĞůLJ ĞŶŐĂŐĞĚ͘ WŚLJƐŝĐŝĂŶƐ͛ ǀŽŝĐĞƐ ŶĞĞĚ ƚŽ ĞĚƵĐĂƚĞ ƉŽůŝƟĐŝĂŶƐ͕ ŐƵŝĚĞ ƉŽůŝĐLJ ĂŶĚ ƐŚĂƉĞ ĚŝƐĐŽƵƌƐĞ ĂƐ ŝƚ ƉĞƌƚĂŝŶƐ ƚŽ ŚĞĂůƚŚ͘ dŚĞ h^ ŚĂƐ ƚŚĞ ŚŝŐŚĞƐƚ ŚĞĂůƚŚ ƐƉĞŶĚŝŶŐ ŽĨ ĂŶLJ ŝŶĚƵƐƚƌŝĂůŝnjĞĚ ŶĂƟŽŶ͕ ǁŝƚŚ ƚŚĞ ƉŽŽƌĞƐƚ ŚĞĂůƚŚ ŽƵƚĐŽŵĞƐ͘ DƵĐŚ ŽĨ ƚŚŝƐ ŝƐ ĚƵĞ ƚŽ ƵŶŝŶƚĞŶĚĞĚ ĐŽŶƐĞƋƵĞŶĐĞƐ͕ ĨƌĂŐŵĞŶƚĞĚ ĐĂƌĞ ĂŶĚ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ďƵƌĚĞŶ ŽŶ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ŚŽƐƉŝƚĂůƐ͕
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.
OUTPATIENT FAMILY MEDICINE PHYSICIANS Northern and Southern California (Folsom, Grass Valley, Merced, Redding, Sacramento, Santa Cruz, Stockton & Ventura)
Practice Highlights: • Autonomy with administrative and clinical support
• Salary guarantee period and excellent earning potential based on productivity model
• An established, growing medical group OR an independent single specialty group practice
• Attractive bonus structure
• Full-time and part-time practice options • A Medical Foundation aligned with one of the largest health systems in the nation and the largest hospital system in California
• Sunny California locations with easy access to San Francisco, Napa, 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 Spring 2017
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generational voices
tŝƚŚ ƚŚŝƐ ŝƐƐƵĞ͕ &W ŽīĞƌƐ ƚŚĞ ƐĞĐŽŶĚ ŝŶƐƚĂůůŵĞŶƚ ŽĨ ŝƚƐ ŶĞǁ ĨĞĂƚƵƌĞ͗ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ͘ &ŽƵƌ ŐĞŶĞƌĂƟŽŶƐ ĂƌĞ ĐƵƌƌĞŶƚůLJ ƌĞƉƌĞƐĞŶƚĞĚ ŝŶ &W͛Ɛ ŵĞŵďĞƌƐŚŝƉ ĂŶĚ ƚŚĞƐĞ ŐĞŶĞƌĂƟŽŶƐ ŚĂǀĞ ďŽƚŚ ǀĂƐƚ ĚŝīĞƌĞŶĐĞƐ ĂŶĚ ĂŵĂnjŝŶŐ ƐŝŵŝůĂƌŝƟĞƐ͘ dŚŝƐ ĨĞĂƚƵƌĞ ŐŝǀĞƐ ŵĞŵďĞƌƐ ŽĨ dŚĞ ^ŝůĞŶƚ 'ĞŶĞƌĂƟŽŶ͕ ŽŽŵĞƌƐ͕ 'ĞŶĞƌĂƟŽŶ y ĂŶĚ DŝůůĞŶŶŝĂů Ă ƉůĂĐĞ ƚŽ ŽīĞƌ ƚŚĞŝƌ ƚŚŽƵŐŚƚƐ ŽŶ ƚŚĞ ƚŚĞŵĞ ŽĨ ƚŚĞ ŵĂŐĂnjŝŶĞ Žƌ ƚŽƉŝĐƐ ŽĨ ŝŶƚĞƌĞƐƚ ƚŽ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͘ &Žƌ ƚŚŝƐ ŝƐƐƵĞ͕ ǁĞ ĂƐŬĞĚ ĂďŽƵƚ ĞŶŐĂŐĞŵĞŶƚ͘ tĂŶƚ ƚŽ ďĞ ƉĂƌƚ ŽĨ ŽƵƌ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ WƌŽũĞĐƚ͍ ^ĞŶĚ LJŽƵƌ ƌĞŇĞĐƟŽŶƐ ŽŶ ƚŚŝƐ ƚŽƉŝĐ Žƌ ŽŶ ŽƵƌ ^ƉƌŝŶŐ ƚŽƉŝĐ ŽĨ ůĞĂĚĞƌƐŚŝƉ͕ ƚŽ ĐĂĨƉΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ͘ tĂƚĐŚ ǁǁǁ͘ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ ĨŽƌ ŵŽƌĞ 'ĞŶĞƌĂƟŽŶĂů sŽŝĐĞƐ͘ :ĞƌƌLJ ďƌĂŚĂŵ͕ D ͕ DW,͕ DY (Millennial) dŚŝƐ ƉĂƐƚ ƉƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ǁĂƐ ƚŽƵŐŚ͘ dŚĞ ŝŶĂƵŐƵƌĂƟŽŶ ĞǀĞŶ ŵŽƌĞ ƐŽ͘ /͛ǀĞ ŶĞǀĞƌ ƐĞĞŶ ƚŚĞ ĐŽƵŶƚƌLJ ĚŝǀŝĚĞĚ and so many of my peers and loved ŽŶĞƐ ƐŽ ĚĞĞƉůLJ ǁŽƵŶĚĞĚ ĂŶĚ ďƌƵŝƐĞĚ ďLJ ŶĂƟŽŶĂů ƉŽůŝƟĐĂů ĞǀĞŶƚƐ͘ dŚĂŶŬĨƵůůLJ͕ / ŬŶŽǁ ƚŚĞ ƐƚŽƌLJ ĚŽĞƐŶ͛ƚ ŶĞĞĚ ƚŽ ĞŶĚ ŚĞƌĞ͘ ĞƐƉŝƚĞ ŽƵƌ ǁĞůůͲĨŽƵŶĚĞĚ ĨĞĂƌƐ ĂďŽƵƚ ƚŚĞ ŶĞǁ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ďĞĐŽŵŝŶŐ ƚƌƵĞ͕ ĨŽƌ ŵĞ ǁŚĂƚ ǁĂƐ ǁŽƌƐĞ ǁĂƐ ƚŚĞ ƐĞŶƐĞ ŽĨ ĚĞĨĞĂƚ / ƐĂǁ ĂŶĚ ĨĞůƚ ĂƌŽƵŶĚ ŵĞ͘ ůů ƚŚĞ ĨƌƵƐƚƌĂƟŽŶ ĞŶŐĞŶĚĞƌĞĚ Ă ŶĞǁ ƐĞŶƐĞ ŽĨ ĐŝǀŝĐ ĞŶŐĂŐĞŵĞŶƚ ĂŶĚ ƉŽůŝƟĐĂů ĂĐƟǀŝƐŵ͕ ŝŶĐůƵĚŝŶŐ ǁŽŵĞŶ͛Ɛ ŵĂƌĐŚĞƐ͕ ƌŽďƵƐƚ ĐĞůĞďƌĂƟŽŶƐ ŽĨ DĂƌƟŶ >ƵƚŚĞƌ <ŝŶŐ ĂLJ ĂŶĚ ůĂĐŬ ,ŝƐƚŽƌLJ DŽŶƚŚ͕ ĚĞŵŽŶƐƚƌĂƟŽŶƐ ŝŶ ƐƵƉƉŽƌƚ ŽĨ ŽƵƌ ŝŵŵŝŐƌĂŶƚ ďƌŽƚŚĞƌƐ ĂŶĚ ƐŝƐƚĞƌƐ͕ ƐĐŝĞŶƟƐƚƐ ƵƉ ŝŶ ĂƌŵƐ ƚŽ ƉƌŽƚĞĐƚ ŽƵƌ ƉůĂŶĞƚ ĂŶĚ ƐĐŝĞŶƟĮĐ ƉƌŽŐƌĞƐƐ͕ ĂŵŽŶŐ ŽƚŚĞƌƐ͘ :ŽŝŶŝŶŐ ƚŚĞ ďĂŶĚǁĂŐŽŶ͕ / Ăŵ ĞdžĐŝƚĞĚ ƚŽ ǁŽƌŬ ǁŝƚŚ ŵLJ ĨƌŝĞŶĚƐ ĂŶĚ ĐŽůůĞĂŐƵĞƐ ƚŽ ĨŽƌŵ Ă ŐƌĂƐƐƌŽŽƚƐ ŝŶŝƟĂƟǀĞ͕ ͞dŚĞ ^ŝŶŐůĞ WĂLJĞƌ ĐƟŽŶ EĞƚǁŽƌŬ ŽĨ ĂůŝĨŽƌŶŝĂ͟ Žƌ ^W E ĨŽƌ ƐŚŽƌƚ͘ tĞ ƚƵƌŶĞĚ ŽƵƌ ĂŶŐƵŝƐŚ ŝŶƚŽ ĂĐƟŽŶ ǁŝƚŚ ĐŽƩĂŐĞ ŵĞĞƟŶŐƐ ŝŶ ĂůŝĨŽƌŶŝĂ ƐƐĞŵďůLJ ŝƐƚƌŝĐƚƐ ŝŶ >ŽƐ ŶŐĞůĞƐ ĂŶĚ ĐƌĞĂƚĞĚ Ă ŐƌĂƐƐƌŽŽƚƐ ĂĐƟǀŝƐŵ ĐĂŵƉĂŝŐŶ ƚŽ ƐŚŽǁ ƐƵƉƉŽƌƚ ĨŽƌ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƌ Ăůů ǀŝĂ ƐŝŶŐůĞ ƉĂLJĞƌ͕ ƉƌŝŵĂƌŝůLJ ƚŚĞ ƉƵďůŝĐ ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ ŝŶ ĂůŝĨŽƌŶŝĂ͘ tĞ ŚĂĚ Ă ĐůĂƌŝŽŶ ĐĂůů͕ Ă ĐĂůů ƚŽ ĂĐƟŽŶ͘ KƵƌ ĐƌŝĞƐ ƚŽ ƌĂůůLJ ƚŽ protect and boldly expand access to and coverage of health care are ďĞŝŶŐ ŚĞĂƌĚ͘ DŽƌĞ ŝŵƉŽƌƚĂŶƚůLJ͕ ƚŚĞƐĞ ĞīŽƌƚƐ ĞŶĂďůĞĚ ĂŶĚ ĞŵƉŽǁĞƌĞĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ͕ ƐƚƵĚĞŶƚƐ͕ ƉĂƟĞŶƚƐ ĂŶĚ ŽƚŚĞƌ ĂůůŝĞƐ ƚŽ ƐŚŝŌ ĨƌƵƐƚƌĂƟŽŶƐ ǁŝƚŚ ƚŚĞ ŶĞǁ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ĂŶĚ ƚŚĞ ƐĞŶƐĞ ŽĨ ĚĞĨĞĂƚ ŝŶƚŽ ƉƌŽĚƵĐƟǀĞ ĂĐƟǀŝƐŵ͘ tĞ ŶŽǁ ŚĂǀĞ ďŝůůƐ ŝŶ ƚŚĞ ĂůŝĨŽƌŶŝĂ ^ƚĂƚĞ ƐƐĞŵďůLJ ĂŶĚ ĂůŝĨŽƌŶŝĂ ^ƚĂƚĞ ^ĞŶĂƚĞ͖ ǁĞ ďĞůŝĞǀĞ ƚŚŝƐ ŵŽǀĞŵĞŶƚ ǁŝůů ŽŶůLJ ĐŽŶƟŶƵĞ ƚŽ ŐƌŽǁ͘ dŚĞ ϮϬϭϲ WƌĞƐŝĚĞŶƟĂů ĞůĞĐƟŽŶ ƚĂƵŐŚƚ ƵƐ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ďĞŝŶŐ ĞŶŐĂŐĞĚ ĂŶĚ ƚŚĞ ĚĂŶŐĞƌ ŽĨ ĨĂůůŝŶŐ ĂƐůĞĞƉ Ăƚ ƚŚĞ ǁŚĞĞů͘ ĞƐƉŝƚĞ ƚŚĞ ŽƵƚĐŽŵĞ͕ / Ăŵ ƚŚĂŶŬĨƵů ƚŚĂƚ ǁŝƚŚ ŵLJ ĐŽůůĞĂŐƵĞƐ͕ ŵLJ ƉĞĞƌƐ͕ ŵLJ ĨƌŝĞŶĚƐ 24
California Family Physician Spring 2017
Jerry Abraham, MD, MPH; Bo Greaves, MD; and Merritt Matthews, MD
ĂŶĚ ŵLJ ůŽǀĞĚ ŽŶĞƐ /͛ŵ ĞŵďŽůĚĞŶĞĚ ƚŽ ƌŝƐĞ ƵƉ ĂŶĚ ƚĂŬĞ ĂĐƟŽŶ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ ŶĚ /͛ŵ ũƵƐƚ ƚŚĂŶŬĨƵů ƚŽ ŚĂǀĞ ďĞĞŶ Ă ƉĂƌƚ ŽĨ ŝƚ͘ >LJŵŽŶ ͞ Ž͟ 'ƌĞĂǀĞƐ͕ D ; ŽŽŵĞƌͿ / ĐĂŵĞ ŽĨ ĂŐĞ ŝŶ ƚŚĞ ϭϵϲϬƐ͘ dŚĂƚ decade transformed my vision of ŵĞƌŝĐĂ͘ /Ŷ ϭϵϲϭ͕ / ǁĂƐ Ă ǁŚŝƚĞ ϭϯͲLJĞĂƌͲŽůĚ ďŽLJ ŝŶ Ă ƐŵĂůů ĐĞŶƚƌĂů Pennsylvania city. Fed a cultural diet of Leave It to Beaver and Ozzie and Harriet͕ / ďĞůŝĞǀĞĚ ;Ăůů ŽĨ ƵƐ ŝŶ ŵLJ t ďƵďďůĞ ďĞůŝĞǀĞĚͿ ŽƵƌ ŶĂƟŽŶ ĐŽƵůĚ ĚŽ ŶŽ ǁƌŽŶŐ͘ :&< ǁĂƐ ŵLJ ŚĞƌŽ͘ dŚĞ ĨĂĐƚ ƚŚĂƚ ĨŽƌ ĨƌŝĐĂŶ ŵĞƌŝĐĂŶƐ͕ Žƌ >ĂƟŶŽƐ͕ Žƌ ŐĂLJƐ͕ Žƌ ǁŽŵĞŶ͕ Žƌ ĂŶLJŽŶĞ ĚŝīĞƌĞŶƚ͕ ƚŚĞ ŵĞƌŝĐĂŶ ĞdžƉĞƌŝĞŶĐĞ ǁĂƐ ŚĂƌƐŚ ĂŶĚ ƵŶĨĂŝƌ͕ ĞƐĐĂƉĞĚ ŵĞ͘ LJ ϭϵϲϴ͕ ƚŚĞƐĞ ŝŵĂŐĞƐ ďĞĐĂŵĞ ƐĞĂƌĞĚ ŝŶ ŵLJ ŵĞŵŽƌLJ ĂŶĚ ƐŚĂƉĞĚ ŵLJ ǀŝĞǁ ŽĨ ƚŚĞ ǁŽƌůĚ ƚŽĚĂLJ͗ ͻ DLJ ŚĞƌŽĞƐ ǁĞƌĞ ĂƐƐĂƐƐŝŶĂƚĞĚ͗ :&<͕ D><͕ DĂůĐŽŵ͕ ŽďďLJ͘ ͻ &ŝƌĞŚŽƐĞƐ͕ ƉŽůŝĐĞ ĚŽŐƐ ĂŶĚ ďŝůůLJ ĐůƵďƐ ƵƐĞĚ ǀŝĐŝŽƵƐůLJ ĂŐĂŝŶƐƚ ŵĞŶ͕ ǁŽŵĞŶ ĂŶĚ ĐŚŝůĚƌĞŶ ũƵƐƚ ƐĞĞŬŝŶŐ ƚŚĞ ƌŝŐŚƚ ƚŽ ǀŽƚĞ͕ Žƌ ƚŽ ĞĂƚ Ăƚ Ă lunch counter. ͻ zŽƵŶŐ ƉĞŽƉůĞ͕ ďůŽŽĚŝĞĚ Ăƚ ƚŚĞ ŚĂŶĚƐ ŽĨ ŚŝĐĂŐŽ ƉŽůŝĐĞ Ăƚ ƚŚĞ ĞŵŽĐƌĂƟĐ ĐŽŶǀĞŶƟŽŶ͕ ĮŐŚƟŶŐ ĂŐĂŝŶƐƚ Ă ƐĞŶƐĞůĞƐƐ͕ ďƌƵƚĂů ǁĂƌ͘ ͻ ƌŽĂĚ ƚƌŝƉ ƚŚƌŽƵŐŚ ƚŚĞ ^ŽƵƚŚ͕ ƐƟůů ǁŝƚŚ ďĂƚŚƌŽŽŵƐ ĨŽƌ tŚŝƚĞ ĂŶĚ ŽůŽƌĞĚ͕ ĂŶĚ ƉŽǀĞƌƚLJ ƵŶůŝŬĞ / ŚĂĚ ĞǀĞƌ ƐĞĞŶ͘ dŚŽƐĞ ĞdžƉĞƌŝĞŶĐĞƐ ŚĂǀĞ ĚƌŝǀĞŶ ŵĞ͕ ĞǀĞƌ ƐŝŶĐĞ͕ ƚŽ ĚŽ ǁŚĂƚ / ĐĂŶ ƚŽ ŚĞůƉ ŵŽǀĞ ƵƐ ƚŽǁĂƌĚ Ă ŵŽƌĞ ũƵƐƚ ĂŶĚ ĞƋƵŝƚĂďůĞ ƐŽĐŝĞƚLJ͘ ŝƐĐŽǀĞƌŝŶŐ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂĐƚƵĂůůLJ ĂůůŽǁĞĚ ŵĞ ƚŽ ďĞĐŽŵĞ Ă ƉŚLJƐŝĐŝĂŶ Ăƚ Ăůů͘ ŌĞƌ ĐŽůůĞŐĞ͕ ŝŶ ϭϵϳϬ͕ / ĞŶƚĞƌĞĚ ŵĞĚŝĐĂů ƐĐŚŽŽů͘ sŝĞƚŶĂŵ ƐƟůů ƌĂŐĞĚ ŽŶ͕ ĂŶĚ ŝŶũƵƐƟĐĞƐ ƉƌĞǀĂŝůĞĚ͘ Ƶƚ ŝƚ ƐĞĞŵĞĚ ůŝŬĞ ŵLJ ĨĞůůŽǁ ŵĞĚ ƐƚƵĚĞŶƚƐ ĚŝĚ ŶŽƚ ĐĂƌĞ͘ ^Ž͕ ĂŌĞƌ ŵLJ ĮƌƐƚ LJĞĂƌ͕ / ĚĞĐŝĚĞĚ / ĐŽƵůĚ ŶŽƚ ďĞ ƚƌƵĞ ƚŽ ŵLJ ǀĂůƵĞƐ͕ ĂŶĚ ďĞĐŽŵĞ Ă ƉŚLJƐŝĐŝĂŶ͘ / ůĞŌ͕ ŵĂƌƌŝĞĚ ĂŝƐLJ ĂŶĚ ŵŽǀĞĚ ƚŽ ĂůŝĨŽƌŶŝĂ͘ tĞ ǁŽƌŬĞĚ ĨŽƌ ƚŚĞ ŶĞdžƚ ĚĞĐĂĚĞ ƚŽ ŵŽǀĞ ŽƵƌ ƐŽĐŝĞƚLJ ƚŽǁĂƌĚ ũƵƐƟĐĞ͘ dŚĞŶ / ŵĞƚ Ă ŐƌŽƵƉ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ ĐŽŵŵƵŶŝƚLJ ĐůŝŶŝĐƐ͘ dŚĞLJ ǁĞƌĞ ĐĂƌŝŶŐ ĨŽƌ ƉĂƟĞŶƚƐ͕ ĂŶĚ ǁŽƌŬŝŶŐ ƚŽ ĮŐŚƚ ƉŽǀĞƌƚLJ͕ ƉŽŽƌ ĞĚƵĐĂƟŽŶ͕ ĚŝƐĐƌŝŵŝŶĂƟŽŶ͘ dŚĞLJ ǁĞƌĞ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƐƚŽŽĚ ĨŽƌ Ă ũƵƐƚ ƐŽĐŝĞƚLJ͘ zŽƵ ĐŽƵůĚ ĚŽ ďŽƚŚ͊ ^ŽŵĞŚŽǁ͕ / ŐŽƚ ďĂĐŬ ŝŶƚŽ ŵĞĚŝĐĂů ƐĐŚŽŽů͘ &ƌŽŵ ŵLJ ĮƌƐƚ ĂƉƉůŝĐĂƟŽŶ͕ / ŶĞĞĚĞĚ ƚŽ ďĞĐŽŵĞ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ Ɛ 'ĂLJůĞ ^ƚĞƉŚĞŶƐ ƐĂŝĚ͕ ͞&ĂŵŝůLJ DĞĚŝĐŝŶĞ ŝƐ ĐŽƵŶƚĞƌͲĐƵůƚƵƌĞ͘͟
tĞ ĂƌĞ ŐŝǀĞŶ Ă ƵŶŝƋƵĞ ƉŽƐŝƟŽŶ͘ WĞŽƉůĞ ŝŶǀŝƚĞ ƵƐ ŝŶƚŽ ƚŚĞŝƌ ůŝǀĞƐ͕ ƐŚĂƌĞ ƚŚĞŝƌ ƐƚŽƌŝĞƐ͕ ƚŚĞŝƌ ƚƌĂŐĞĚŝĞƐ͕ ũŽLJƐ ĂŶĚ ƐƚƌƵŐŐůĞƐ͘ dŚĞŝƌ ƌĞƐŝůŝĞŶĐĞ ĐĂŶ ŝŶƐƉŝƌĞ ƵƐ͕ ĂŶĚ ŝŶũƵƐƟĐĞƐ ƚŚĞLJ ĚĞĂů ǁŝƚŚ ĐĂŶ ĂĐƟǀĂƚĞ ƵƐ͘ tĞ ůĞĂƌŶ ĨƌŽŵ ŽƵƌ ƉĂƟĞŶƚƐ ƚŚĂƚ ǁĞůůŶĞƐƐ ŝƐ determined by so much more than medical care. / ǁĂƐ ŶŽƚ ƚŽƚĂůůLJ ƐƵƌƉƌŝƐĞĚ ƚŽ ůĞĂƌŶ Ă ĚĞĐĂĚĞ ĂŐŽ that the best predictor of life expectancy and ĐŚƌŽŶŝĐ ŝůůŶĞƐƐ ŝƐ ŶŽƚ ĨĂŵŝůLJ ŚŝƐƚŽƌLJ Žƌ ůĂď ƌĞƐƵůƚƐ͕ ďƵƚ ŝŶ ǁŚĂƚ njŝƉ ĐŽĚĞ LJŽƵ ůŝǀĞ͊ WŽǀĞƌƚLJ ĂŶĚ ĞĚƵĐĂƟŽŶ ĐŽŶƚƌŝďƵƚĞ ŝŵŵĞŶƐĞůLJ ƚŽ ŽŶĞ͛Ɛ ŚĞĂůƚŚ͘ ^Ž͕ ŝƚ ŝƐ ŶĂƚƵƌĂů ĨŽƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ďĞ ĂĐƟǀŝƐƚƐ ŝŶ ŽƵƌ ĐŽŵŵƵŶŝƚLJ͕ ŽƵƌ ŶĂƟŽŶ ĂŶĚ ŽƵƌ ǁŽƌůĚ͘ tĞ ĐĂƌĞ ĨŽƌ ŝŶĚŝǀŝĚƵĂů ƉĂƟĞŶƚƐ ĂŶĚ ĨĂŵŝůŝĞƐ͕ ĂŶĚ ĂĚǀŽĐĂƚĞ ĨŽƌ ƚŚĞŵ ĞǀĞƌLJ ĚĂLJ͘ Ƶƚ ŬŶŽǁŝŶŐ ǁŚĂƚ ǁĞ ĚŽ ĂďŽƵƚ ƚŚĞ ĨŽƌĐĞƐ ƚŚĂƚ ƐŚĂƉĞ ƚŚĞŝƌ ŚĞĂůƚŚ ƐŚŽƵůĚ ůĞĂĚ ƵƐ ĂůƐŽ ƚŽ ũŽŝŶ ŝŶ ĞīŽƌƚƐ ƚŽ ĮŐŚƚ ƉŽǀĞƌƚLJ͕ ŝŵƉƌŽǀĞ ĞĚƵĐĂƟŽŶ ůĞǀĞůƐ ĂŶĚ ďƵŝůĚ Ă ǁŽƌůĚ ƚŚĂƚ ůĞĂĚƐ ƚŽ ďĞƩĞƌ ŚĞĂůƚŚ͘ dŚĞƐĞ ĞīŽƌƚƐ ĂƌĞ ŶŽƚ͕ ŝŶ ŵLJ ǀŝĞǁ͕ ĂŶ ͞ĞdžƚƌĂ͘͟ ƵŝůĚŝŶŐ Ă healthier community is a central part of being a ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ ŶŐĂŐĞ ƚŽĚĂLJ͊
UCSF FRESNO FAMILY MEDICINE FACULTY OPPORTUNITY The UCSF Fresno Medical Education Program and Central California Faculty Medical Group (CCFMG) are recruiting for a physician to join the teaching faculty. The successful applicant must be board certified in Family Medicine, have a license to practice medicine in the United States, and be eligible to obtain a California medical license at the time of hire. This position provides an opportunity for teaching, clinical research, and community practice. Proficiency in OB optional. Administrative/leadership opportunities are available. A competitive salary is offered. The program is based in Fresno, California, which offers a high standard of living combined with a low cost of living. The result is a quality of life uniquely Californian, yet surprisingly affordable. Fresno is a vibrant, growing city located in Central California. There is much to see and do in Fresno and the city is ideally located for fast, convenient getaways to the scenic Central Coast as well as the majestic Sierra Nevada mountains. Fresno is the only major city in the country with close proximity to three national parks, including renowned Yosemite National Park.
PLEASE APPLY ONLINE AT: https://aprecruit.ucsf.edu/apply/JPF01168 Visit our websites: www.fresno.ucsf.edu | www.communitymedical.org
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.
Primary Care Opportunities in Southern California Loma Linda University Faculty Medical Group (LLUFMG), Department of Family Medicine, is seeking multiple Providers to join our team at the Highland Springs Medical Plaza. We are looking for Physicians, Nurse Practitioners and/or Physician Assistance to continue providing Loma Linda’s standard of quality Whole Person Care. Job Highlights: • New office with well-trained support staff • Virginia Mason flow model for maximum efficiency and all staff trained to work at the top of their license • Out-patient only, with option of In-patient rotations if desired • On-site subspecialty support
DĞƌƌŝƩ ^͘ DĂƩŚĞǁƐ͕ D ;^ŝůĞŶƚ 'ĞŶĞƌĂƟŽŶͿ ŶŐĂŐĞŵĞŶƚ͕ ƚŽ ŵĞ͕ ŵĞĂŶƐ ĐŽŵŵŝƫŶŐ ĂŶĚ ƉůĞĚŐŝŶŐ ŽŶĞ͛Ɛ ƚĂůĞŶƚƐ ĂŶĚ ĞīŽƌƚƐ ƚŽ ĨĂŵŝůLJ͕ ƌĞůĂƟŽŶƐŚŝƉƐ͕ ŽƌŐĂŶŝnjĂƟŽŶƐ͕ ĐŽŵŵƵŶŝƚLJ͕ ĐŚƵƌĐŚ͕ ĞƚĐ͘ /ƚ ĞŶƚĂŝůƐ ƉĞƌƐŝƐƚĞŶƚ ǁŽƌŬ ƚŽǁĂƌĚ ĐŽŵŵŽŶ ŐŽĂůƐ͕ ƐŚĂƌŝŶŐ ŝĚĞĂƐ͕ ƉƌĞƉĂƌŝŶŐ ĨŽƌ ĂŶĚ ƚĂŬŝŶŐ ůĞĂĚĞƌƐŚŝƉ ƌŽůĞƐ͕ ƉŽƐƐĞƐƐŝŶŐ ĂŶĚ ƵƉĚĂƟŶŐ ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞ ĞůĞŵĞŶƚƐ ŽĨ ƚŚĞ ƐƵďũĞĐƚ ŵĂƩĞƌ Ăƚ ŚĂŶĚ͘ ŶŐĂŐĞŵĞŶƚ ŵĞĂŶƐ ƐĂĐƌŝĮĐĞ ĂŶĚ ƐĞƌǀŝĐĞ͘
Highland Springs Medical Plaza offers comprehensive medical services in a 90,000 square foot facility. Residents of Beaumont and the surrounding areas have access to high quality care right in their own neighborhood. Loma Linda University Faculty Medical Group is affiliated with Loma Linda University Medical Center, Children’s Hospital and School of Medicine, with the mission to deliver whole-person care at a world-class level of clinical excellence. The Medical Center serves as the largest tertiary referral source in both Riverside and San Bernardino counties with a surrounding population approaching 4 million. These opportunities are not eligible for a J1 Waiver.
Interested candidates, please send your CV to: Mike Unterseher Director of Physician Recruitment recruitmd@llu.edu 800-328-1163 California Family Physician Spring 2017
25
CAFP foundation
Putting Your
Anthony “Fatch” Chong, MD and Devesh Vashishtha
Money Where Our Mission Is!
/ ǁĂŶƚ ƚŽ ƚŚĂŶŬ &W ŵĞŵďĞƌƐ ĨŽƌ LJŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ƚŽ ƚŚĞ &ŽƵŶĚĂƟŽŶ ůĂƐƚ LJĞĂƌ͘ zŽƵƌ ƐƵƉƉŽƌƚ ŝƐ ƚƌƵůLJ ĂŶ ŝŶǀĞƐƚŵĞŶƚ ŝŶ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ŽƵƌ ƐƉĞĐŝĂůƚLJ͘ /Ŷ ĨĂĐƚ͕ LJŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ŵĂŬĞ ƉŽƐƐŝďůĞ ƚŚĞ ŵŽƌĞ ƚŚĂŶ ΨϳϬ͕ϬϬϬ ƚŚĞ &ŽƵŶĚĂƟŽŶ ƐƉĞŶĚƐ ĞĂĐŚ LJĞĂƌ ŽŶ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚ ĂŶĚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶƚ ĂĐƟǀŝƟĞƐ͘
ϮϬϭϳ D D ^ĐŚŽůĂƌƐŚŝƉ ǁŝŶŶĞƌƐ Ğǀ sĂƐŚŝƐŚƚŚĂ͕ ůĂŝƌ ƵƐŚŝŶŐ͕ K͕ sŝǀŝĂŶ zĂŶŐ͕ ĂŶŝ 'ůĂĞƐĞƌ͕ ZĞďĞĐĐĂ ŝƚƌŽŶ ĂŶĚ sŝŶŚ >Ăŵ͘
zŽƵƌ ĐŽŶƚƌŝďƵƟŽŶƐ ŵĞĂŶ ǁĞ ĐĂŶ ƐƵƉƉŽƌƚ͗ ͻ ^ĐŚŽůĂƌƐŚŝƉƐ ĨŽƌ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƚŽ ĂƩĞŶĚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ; D DͿ ƚŽ ůĞĂƌŶ ĂďŽƵƚ ĂĚǀŽĐĂĐLJ ĂŶĚ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ůĞŐŝƐůĂƟǀĞ ĚŝƐĐƵƐƐŝŽŶƐ ĂŶĚ ƚŚĞ ZĞƐŝĚĞŶƚ WŽƐƚĞƌ ŽŶƚĞƐƚ Ăƚ ƚŚĞ ůŝŶŝĐĂů &ŽƌƵŵ͕ Ă ĐŽŶƚĞƐƚ ƚŚĂƚ ŚĞůƉƐ ƌĞƐŝĚĞŶƚƐ ŵĞĞƚ ƚŚĞŝƌ ƐĐŚŽůĂƌůLJ ǁŽƌŬ ƌĞƋƵŝƌĞŵĞŶƚƐ͘ ͻ ^ĐŚŽůĂƌƐŚŝƉƐ ĨŽƌ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ƚŽ ĂƩĞŶĚ ƚŚĞ EĂƟŽŶĂů ŽŶĨĞƌĞŶĐĞ ŽĨ ZĞƐŝĚĞŶƚƐ ĂŶĚ ^ƚƵĚĞŶƚƐ ;E Z^Ϳ ŝŶ <ĂŶƐĂƐ ŝƚLJ ĞĂĐŚ ƐƵŵŵĞƌ ;ƚŚŝƐ LJĞĂƌ ŽƵƌ ŽǁŶ ůĞdž DĐ ŽŶĂůĚ ŝƐ ƚŚĞ ƌĞƐŝĚĞŶƚ ĐŽͲĐŽŶǀĞŶĞƌ ŽĨ ƚŚĞ E Z^Ϳ ĂŶĚ ƚŚĞ EŽƌƚŚĞƌŶ ĂŶĚ ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ ƉƌŽĐĞĚƵƌĂů ǁŽƌŬƐŚŽƉƐ͕ ƉůĂŶŶĞĚ ĂŶĚ ŝŵƉůĞŵĞŶƚĞĚ ďLJ students – for students. ͻ KƵƌ &ƵƚƵƌĞ &ĂĐĞ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ƉƌŽŐƌĂŵƐ͕ ƉĂŝƌŝŶŐ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŚŝŐŚ ƐĐŚŽŽů ƐƚƵĚĞŶƚƐ ĨŽƌ Ă ƐŝdžͲǁĞĞŬ ŝŶƚƌŽĚƵĐƟŽŶ ƚŽ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ƚŚĞ ĚĂLJͲůŽŶŐ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ^Ƶŵŵŝƚ ĂŶĚ ƌĞƐŝĚĞŶĐLJ ĨĂŝƌ ĞĂĐŚ ĨĂůů͖ ŝŶ ϮϬϭϲ ǁĞ ŚĂĚ ŵŽƌĞ ƚŚĂŶ ϮϬϬ ĂƩĞŶĚĞĞƐ͘ ͻ ŶĚ͕ ĮŶĂůůLJ͕ ůĞĂĚĞƌƐŚŝƉ ĚĞǀĞůŽƉŵĞŶƚ ŽƉƉŽƌƚƵŶŝƟĞƐ ĨŽƌ ƐƚƵĚĞŶƚ and resident council members serving on the CAFP and CAFP &ŽƵŶĚĂƟŽŶ ŽĂƌĚƐ͘ dŽ ŝůůƵƐƚƌĂƚĞ ƚŚĞ ƐƵƉƉŽƌƚ LJŽƵƌ ĚŽůůĂƌƐ ƉƌŽǀŝĚĞ͕ / ƚŚŽƵŐŚƚ /͛Ě ŐŝǀĞ ƚŚŝƐ ĐŽůƵŵŶ ŽǀĞƌ ƚŽ ĞǀĞƐŚ ; ĞǀͿ sĂƐŚŝƐŚƚŚĂ͕ Ă ĨŽƵƌƚŚͲLJĞĂƌ ƐƚƵĚĞŶƚ Ăƚ h ^ ĂŶĚ Ă ϮϬϭϳ D D ƐĐŚŽůĂƌƐŚŝƉ ǁŝŶŶĞƌ͕ ƚŽ ƐŚĂƌĞ ŚŝƐ ƐƚŽƌLJ ŽĨ ƚŚĞ D D ǁĞĞŬĞŶĚ ĂŶĚ >ŽďďLJ ĂLJ͘ ͞tĞ ĂƌĞ ƉĂŐŝŶŐ ĨŽƌ ŵĞĚŝĐĂů ƉĞƌƐŽŶŶĞů͘ ŶLJ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ĂƌĞĂ ʹ ƉůĞĂƐĞ ĐŽŵĞ ƚŽ 'ĂƚĞ ϯ ŝŵŵĞĚŝĂƚĞůLJ͘ dŚĞƌĞ ŝƐ Ă ŵĞĚŝĐĂů ĞŵĞƌŐĞŶĐLJ͘͟ KƵƌ ƚƌŝƉ ƚŽ ƚŚĞ &W ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ; D DͿ ĂƉƉƌŽƉƌŝĂƚĞůLJ ďĞŐĂŶ ǁŝƚŚ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ƐĂǀŝŶŐ ƚŚĞ ĚĂLJ͗ ŝƚ ǁĂƐ ^ĂƚƵƌĚĂLJ ŵŽƌŶŝŶŐ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͖ ǁĞ ŚĂĚ ũƵƐƚ ƐƚĞƉƉĞĚ Žī ŽƵƌ ƉůĂŶĞ ĨƌŽŵ ^ĂŶ 26
California Family Physician Spring 2017
ŝĞŐŽ ǁŚĞŶ / ŚĞĂƌĚ ƚŚŝƐ ŵĞƐƐĂŐĞ ĐĂůůŝŶŐ ĨŽƌ ŚĞůƉ͘ dŚĞ ƌĞƐƚ ŽĨ ŵLJ ƚĞĂŵ ŚĂĚ ƉƌŽĐĞĞĚĞĚ ƚŽǁĂƌĚ ŐƌŽƵŶĚ ƚƌĂŶƐƉŽƌƚĂƟŽŶ ĂŶĚ ŵŝƐƐĞĚ ƚŚĞ ĂŶŶŽƵŶĐĞŵĞŶƚ͘ / ĐĂƵŐŚƚ ƵƉ ǁŝƚŚ ƌ͘ ĂǀĞ ĂnjnjŽ ĂŶĚ ŝŶĨŽƌŵĞĚ Śŝŵ ŽĨ ƚŚĞ ƐŝƚƵĂƟŽŶ ʹ ǁĞ ƌĂŶ ŽŶƚŽ ƚŚĞ ƉůĂŶĞ͕ ǁŚĞƌĞ ǁĞ ƐĂǁ ĂŶ ƵŶĐŽŶƐĐŝŽƵƐ LJŽƵŶŐ ŵĂŶ ƐůƵŵƉĞĚ ŽǀĞƌ ŝŶ ŚŝƐ ƐĞĂƚ͘ ƌ͘ ĂnjnjŽ ĞǀĂůƵĂƚĞĚ ĂŶĚ ŚĞůƉĞĚ ƐƚĂďŝůŝnjĞ ƚŚĞ ŵĂŶ͕ ǁŚŽ ǁĂƐ ĂǁĂŬĞ ďLJ ƚŚĞ ƟŵĞ ƚŚĞ ƉĂƌĂŵĞĚŝĐƐ ĐĂŵĞ͘ dŚĞ ƌĞƐƚ ŽĨ ŵLJ ǁĞĞŬĞŶĚ ǁŽƵůĚ ĨŽůůŽǁ ƚŚŝƐ ƐĂŵĞ ƚŚĞŵĞ͗ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƐĂǀŝŶŐ ƚŚĞ ĚĂLJ͘ tŚŝůĞ / ŚĂǀĞ ďĞĞŶ ƚŽ ƚŚĞ ĂƉŝƚŽů ŽŶ ƉƌŝŽƌ ůĞŐŝƐůĂƟǀĞ ƚƌŝƉƐ͕ ƚŚŝƐ ǁĂƐ ŵLJ ĮƌƐƚ ĞdžƉĞƌŝĞŶĐĞ ƚƌĂǀĞůŝŶŐ ĞdžĐůƵƐŝǀĞůLJ ǁŝƚŚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ĂŶĚ ŝƚ ǁĂƐ incredible. The CAFP is unique because our policies are driven by a ƵŶŝƚĞĚ ĨŽĐƵƐ ŽŶ ŝŶĐƌĞĂƐŝŶŐ ĂĐĐĞƐƐ ƚŽ ŚŝŐŚͲƋƵĂůŝƚLJ͕ ĞƋƵŝƚĂďůĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ĨŽƌ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͕ ŝƌƌĞƐƉĞĐƟǀĞ ŽĨ ĂŐĞ͕ ŐĞŶĚĞƌ͕ ƌĞůŝŐŝŽƵƐ ďĂĐŬŐƌŽƵŶĚ͕ ƐĞdžƵĂů ŽƌŝĞŶƚĂƟŽŶ Žƌ ŝŵŵŝŐƌĂƟŽŶ ƐƚĂƚƵƐ͘ / ĞŶũŽLJĞĚ ƚŚŝƐ ƚƌŝƉ ŝŶ ƉĂƌƟĐƵůĂƌ ďĞĐĂƵƐĞ / ĞdžƉĞƌŝĞŶĐĞĚ ƚŚŝƐ ƵŶŝƚĞĚ ǀŝƐŝŽŶ͕ ǁŚŝĐŚ ĂůůŽǁƐ ƚŚĞ &W ƚŽ ĨŽĐƵƐ ĞīĞĐƟǀĞůLJ ŽŶ ĐĞƌƚĂŝŶ ůĞŐŝƐůĂƟǀĞ ŐŽĂůƐ͕ ǁŝƚŚŽƵƚ ďĞŝŶŐ ďƵƌĚĞŶĞĚ ďLJ Ă ŵĞŵďĞƌƐŚŝƉ ǁŝƚŚ ĐŽŵƉĞƟŶŐ ŝŶƚĞƌĞƐƚƐ͘ KŶĞ ŽĨ ŵLJ ĨĂǀŽƌŝƚĞ ĞdžƉĞƌŝĞŶĐĞƐ ĨƌŽŵ ƚŚĞ ǁĞĞŬĞŶĚ ǁĂƐ ůŝƐƚĞŶŝŶŐ ƚŽ ƚĂůŬƐ ďLJ ƌ͘ tĂŶĚĂ &ŝůĞƌ͕ &W ŽĂƌĚ ŚĂŝƌ͕ ĂŶĚ ŽŶƌĂĚ ŵĞŶƚĂ͕ &W͛Ɛ ŝƌĞĐƚŽƌ ŽĨ ,ĞĂůƚŚ WŽůŝĐLJ͕ ĂŶĚ ƵŶĚĞƌƐƚĂŶĚŝŶŐ ƚŚĞ ĨƵůů ĐŽŵƉůĞdžŝƚLJ ŽĨ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂŶĚ ĞīŽƌƚƐ ƚŽ ƌĞƉĞĂů ŝƚ͘ / ǁĂƐ ŝŶƐƉŝƌĞĚ ďLJ ƌ͘ &ŝůĞƌ͛Ɛ ĞŵƉŚĂƐŝƐ ŽŶ ŝĚĞŶƟĨLJŝŶŐ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͗ ǁĞ ĨŽƌŵ ƚŚĞ ďĞĚƌŽĐŬ ŽĨ ƉƌŝŵĂƌLJ ĐĂƌĞ ŝŶ ƚŚĞ hŶŝƚĞĚ ^ƚĂƚĞƐ͕ ĂŶĚ ǁĞ ĞƐƉĞĐŝĂůůLJ ŚĂǀĞ ƚŚĞ ƉŽǁĞƌ ƚŽ ĐŚĂŶŐĞ ŵĞƌŝĐĂŶ ŚĞĂůƚŚ ĐĂƌĞ ƚŽ ďĞ ŵŽƌĞ ƉƵďůŝĐ ŚĞĂůƚŚͲ ĂŶĚ ƉƌĞǀĞŶƟŽŶͲ ŽƌŝĞŶƚĞĚ͘ /ŶĚĞĞĚ͕ ŵĞƌŝĐĂ ŝƐ ĨĂĐŝŶŐ ĂŶ ĞƉŝĚĞŵŝĐ ŽĨ ĐŚƌŽŶŝĐ ĚŝƐĞĂƐĞ͕ ĂŶĚ ĂƐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁĞ ĂƌĞ ďĞƐƚ ƉŽŝƐĞĚ ƚŽ ĂĚĚƌĞƐƐ ĐŚƌŽŶŝĐ ŚĞĂůƚŚ ŝƐƐƵĞƐ ĚƵƌŝŶŐ ĐůŝŶŝĐ ǀŝƐŝƚƐ͘ /Ŷ ƚŚĞ ŽŶŐŽŝŶŐ ŶĂƟŽŶĂů ĚŝƐĐƵƐƐŝŽŶ ĂďŽƵƚ ŚŽǁ ƚŽ ŝŵƉƌŽǀĞ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ͕ ŝƚ ŝƐ ĐƌŝƟĐĂů ƚŚĂƚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĐŽŶƟŶƵĞ ƚŽ ůĞĂĚ ƚŚĞ ǁĂLJ ĨŽƌǁĂƌĚ ƚŽ Ă ŚĞĂůƚŚĐĂƌĞ ƐLJƐƚĞŵ ƚŚĂƚ ŚĂƐ ƉƌŝŵĂƌLJ ĐĂƌĞ ĂƐ ŝƚƐ ĨŽƵŶĚĂƟŽŶ͘
KƵƌ ĨŽĐƵƐ ĚƵƌŝŶŐ ƚŚĞ D D ǁĂƐ ƚŚĞ ĮŐŚƚ ƚŽ ƉƌĞƐĞƌǀĞ ΨϭϬϬ ŵŝůůŝŽŶ ŝŶ ^ŽŶŐͲ ƌŽǁŶ ĨƵŶĚŝŶŐ for family medicine and other primary care ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ ŝŶ ĂůŝĨŽƌŶŝĂ͘ tĞ ŚĂĚ Ă ǁŽŶĚĞƌĨƵů ǁĞĞŬĞŶĚ ŽĨ ůĞŐŝƐůĂƟǀĞ ƚƌĂŝŶŝŶŐ ĂŶĚ ŶĞƚǁŽƌŬŝŶŐ͕ ĂŶĚ / ĨŽƵŶĚ ŵLJƐĞůĨ ƵƉůŝŌĞĚ ďLJ ƚŚĞ ƐƚƵĚĞŶƚƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĨĂĐƵůƚLJ / ŵĞƚ͘ KŶ ^ƵŶĚĂLJ͕ ǁĞ ŚĂĚ ƚŚĞ ƉƌŝǀŝůĞŐĞ ŽĨ ŚĞĂƌŝŶŐ ^ĞŶĂƚĞ WƌĞƐŝĚĞŶƚ WƌŽ dĞŵƉŽƌĞ <ĞǀŝŶ Ğ >ĞſŶ͕ ǁŚŽ ŝƐ ĐůĞĂƌůLJ ĂŶ ĂĚǀŽĐĂƚĞ ĨŽƌ ĂĐĐĞƐƐ ƚŽ ĂīŽƌĚĂďůĞ ŚĞĂůƚŚĐĂƌĞ ĨŽƌ Ăůů ĂůŝĨŽƌŶŝĂŶƐ͘ DĂŶLJ ŽĨ ƵƐ ŚĂǀĞ ďĞĞŶ ĚŝƐĂƉƉŽŝŶƚĞĚ ĂŶĚ ĂŶŐĞƌĞĚ ďLJ ƚŚĞ ĂŶƟͲ ŝŵŵŝŐƌĂŶƚ͕ ĂŶƟͲƐĐŝĞŶĐĞ ĂŶĚ džĞŶŽƉŚŽďŝĐ ĂĐƟŽŶƐ ŽĨ ƚŚĞ ĐƵƌƌĞŶƚ ZĞƉƵďůŝĐĂŶ ĚŵŝŶŝƐƚƌĂƟŽŶ͕ ĂŶĚ ŝƚ ǁĂƐ ƵƉůŝŌŝŶŐ ƚŽ ŚĞĂƌ ^ĞŶĂƚŽƌ Ğ >ĞſŶ͛Ɛ ƚŚĞŵĞ ŽĨ ƌĞƐŝƐƚĂŶĐĞ ƚŽ ƚŚĞ tŚŝƚĞ ,ŽƵƐĞ͘ KŶ ^ƵŶĚĂLJ ŶŝŐŚƚ͕ ǁĞ ŵĞƚ Ă ŶƵŵďĞƌ ŽĨ ůĞŐŝƐůĂƚŽƌƐ͕ ŝŶĐůƵĚŝŶŐ ^ĞŶĂƚŽƌ ZŝĐŚĂƌĚ WĂŶ͕ ǁŚŽ ŝƐ Ă ƉĞĚŝĂƚƌŝĐŝĂŶ ĂŶĚ ůĞŐŝƐůĂƟǀĞ ŚĞƌŽ ŝŶ ŚŝƐ ŽǁŶ ƌŝŐŚƚ͘ WĞƌŚĂƉƐ ƚŚĞ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ ƉĂƌƚ ŽĨ ŽƵƌ ƚƌŝƉ ǁĂƐ ƚŚĞ ĂĚǀŽĐĂĐLJ ĚĂLJ ŽŶ DŽŶĚĂLJ͘ KƵƌ ^ĂŶ ŝĞŐŽ ůŽďďLJŝŶŐ ƚĞĂŵ ĐŽŶƐŝƐƚĞĚ ŽĨ Ă ŵŝdž ŽĨ ƉŚLJƐŝĐŝĂŶƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ƐƚƵĚĞŶƚƐ͕ ĂŶĚ ǁĞ ŚĂĚ Ă ƋƵŝĐŬ ĐƌĂƐŚͲ ĐŽƵƌƐĞ ŝŶ dǁŝƩĞƌ ƵƐĂŐĞ ďĞĨŽƌĞ ǀŝƐŝƟŶŐ ůĞŐŝƐůĂƚŽƌƐ͛ ŽĸĐĞƐ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ ŝŶƐƚƌƵĐƟŽŶ ŽĨ ŵLJ ĨƌŝĞŶĚƐ ĨƌŽŵ <ĂŝƐĞƌ ^ĂŶ ŝĞŐŽ͕ / ƐƵĐĐĞƐƐĨƵůůLJ ƚǁĞĞƚĞĚ ^ĞŶĂƚŽƌ dŽŶŝ ƚŬŝŶƐ ĂŶĚ ǁĂƐ ŐƌĂĐŝŽƵƐůLJ ƐƵƌƉƌŝƐĞĚ ďLJ Ă ƌĞƚǁĞĞƚ ĨƌŽŵ ŚĞƌ ũƵƐƚ ŚŽƵƌƐ ůĂƚĞƌ͘ Ɛ Ă ƚĞĂŵ͕ ǁĞ ĨĞůů ŝŶƚŽ Ă ƌŚLJƚŚŵ ĂŶĚ ƐƉŽŬĞ ǁŝƚŚ ^ĂŶ ŝĞŐŽ ůĞŐŝƐůĂƚŽƌƐ ĂŶĚ ƐƚĂī ŵĞŵďĞƌƐ͕ ĞŵƉŚĂƐŝnjŝŶŐ ŚŽǁ ĐƌƵĐŝĂů ^ŽŶŐͲ ƌŽǁŶ ĨƵŶĚŝŶŐ ǁĂƐ ƚŽ ƉƌŽǀŝĚŝŶŐ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƌ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶƐ ĂĐƌŽƐƐ ĂůŝĨŽƌŶŝĂ͘ tĞ ǁĞƌĞ ƚŽƵĐŚĞĚ ďLJ ŚŽǁ ƐƵƉƉŽƌƟǀĞ ƚŚĞ ůĞŐŝƐůĂƚŽƌƐ ǁĞƌĞ͕ ĂŶĚ ǁĞ ǁĞƌĞ ƐƚƌƵĐŬ ǁŚĞŶ ƐƐĞŵďůLJŵĞŵďĞƌ ^ŚŝƌůĞLJ tĞďĞƌ ƉŽůŝƚĞůLJ ŵĞŶƟŽŶĞĚ ƚŚĂƚ ƐŚĞ ŚĂĚ ŚĞůƉĞĚ ĚƌĂŌ ƚŚĞ ŽƌŝŐŝŶĂů ^ŽŶŐͲ ƌŽǁŶ WƌŽŐƌĂŵ ůĞŐŝƐůĂƟŽŶ͘ /ƚ ŝƐ ĐůĞĂƌ ƚŚĞ &W ƉůĂLJƐ Ă ǀŝƚĂů ƌŽůĞ ŝŶ ĂĚǀŽĐĂƟŶŐ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͘ / ĐĂŶŶŽƚ think of a more important moment for medical ƐƚƵĚĞŶƚƐ͕ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ďĞ ĞŶŐĂŐĞĚ ŝŶ ŚĞĂůƚŚ ƉŽůŝĐLJ͕ ĂŶĚ ƚŽ ƐƚĂŶĚ ƵƉ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ͕ ŵĂŶLJ ŽĨ ǁŚŽŵ ĚŽ ŶŽƚ ŚĂǀĞ ƚŚĞ ƐĂŵĞ ƉŽůŝƟĐĂů ĐůŽƵƚ ƚŚĂƚ ǁĞ ĞŶũŽLJ ĂƐ ƉŚLJƐŝĐŝĂŶƐ͘ dŚĞ ƟŵĞ ƚŽ ƉƌŽƚĞĐƚ ŽƵƌ ƉĂƟĞŶƚƐ ŝƐ ŶŽǁ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ &W &ŽƵŶĚĂƟŽŶ ĨŽƌ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ďĞ ƉĂƌƚ ŽĨ ƚŚŝƐ ĂŵĂnjŝŶŐ ǁĞĞŬĞŶĚ͘
The Family Medicine Residency at San Joaquin General Hospital, French Camp California is seeking 2 full time faculty positions. The program is community based affiliated with UC Davis. French Camp is located in the beautiful Central Valley. Board certification in Family Medicine and California medical license is required for the positions. Preference for the Geriatric position candidates to have a CAQ in Geriatrics. Salary and benefits are above norms for the community. Excellent and robust teaching environment in a rural community. Please contact Anna Hernandez, Program Coordinator at 209-468-6428, ahernandez@sjgh.org
http://www.sanjoaquinfm.com/
Voted one of the “Best Places to Work in LA & Orange County”
HealthCare Partners has immediate fulltime and part-time opportunities for Family Medicine Physicians throughout Los Angeles and North Orange County. Ideal candidates will have at least one year of Family Medicine experience. H1B candidates are encouraged to apply. We offer organizational stability, career growth, excellent compensation and benefits for a truly balanced professional/personal lifestyle.
To see a full list of available positions and to apply online visit us at: www.joindavitamedicalgroup.com or email your CV to: ClinicianApplicants@healthcarepartners.com
ĂŶŝ 'ůĂĞƐĞƌ͕ h^ ͖ sŝǀ zĂŶŐ͕ h /͖ ůĂŝƌ ƵƐŚŝŶŐ͕ K͕ EĂƟǀŝĚĂĚ &DZW͖ sŝŶŚ >Ăŵ͕ ŚĂƌůĞƐ Ğǁͬ h > ͖ ĂŶĚ ZĞďĞĐĐĂ ŝƚƌŽŶ͕ h > ͘ California Family Physician Spring 2017
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Shannon Goecke
membership news
Engage with Your Local Colleagues / ǁƌŝƚĞ ƚŚŝƐ ƚŚĞ ĚĂLJ ĂŌĞƌ ƌĞƚƵƌŶŝŶŐ ĨƌŽŵ &W͛Ɛ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ; D DͿ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͘ D D ǁĂƐ ŵLJ ĮƌƐƚ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ŵĞĞƚ ĨĂĐĞͲƚŽͲĨĂĐĞ ǁŝƚŚ ŵĂŶLJ ŽĨ ƚŚĞ ŵĞŵďĞƌƐ /͛ǀĞ ĐŽŵĞ ƚŽ ŬŶŽǁ ĂŶĚ ĂĚŵŝƌĞ ǀŝĂ ƉŚŽŶĞ ĐĂůůƐ ĂŶĚ ĞŵĂŝůƐ ƐŝŶĐĞ / ũŽŝŶĞĚ ƚŚĞ &W ƚĞĂŵ ŝŶ Ɖƌŝů ϮϬϭϲ͘ D D ǁĂƐ ĂůƐŽ ŵĞĂŶŝŶŐĨƵů ƚŽ ŵĞ ĂƐ LJŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĚŝƌĞĐƚŽƌ͕ ǁŝƚŚ ƐŽ ŵĂŶLJ ŵĞŵďĞƌƐ͕ ĨƌŽŵ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƚŽ ƉŚLJƐŝĐŝĂŶƐ ǁŝƚŚ ŵŽƌĞ ƚŚĂŶ ϯϱ LJĞĂƌƐ ŽĨ &W ŵĞŵďĞƌƐŚŝƉ͕ ĂĚǀŽĐĂƟŶŐ ƚŽŐĞƚŚĞƌ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ƉĂƟĞŶƚƐ͘ KŶĞ ŽĨ ƚŚĞ ŵĂŶLJ ŚŝŐŚůŝŐŚƚƐ ŽĨ ŵLJ ǁĞĞŬĞŶĚ ǁĂƐ ƚŚĞ ĐŽƵŶƚLJ ĐŚĂƉƚĞƌ ĚŝŶŶĞƌ ǁĞ ŚĞůĚ ŽŶ ^ĂƚƵƌĚĂLJ ŶŝŐŚƚ͘ :ƵƐƚ Ă ĨĞǁ ǁĞĞŬƐ ƉƌŝŽƌ ƚŚĞ D D͕ ǁĞ ǁĞƌĞ ĂƐŬĞĚ ƚŽ ŚŽůĚ ĂŶ ŝŶĨŽƌŵĂů ŐĂƚŚĞƌŝŶŐ ĨŽƌ ĐŚĂƉƚĞƌƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ŵĞŵďĞƌ ĞŶŐĂŐĞŵĞŶƚ͘ Ɛ ƚŚĞ ϭϬ ƐĞĂƚƐ Ăƚ ƚŚĞ ƚĂďůĞ ĮůůĞĚ ƵƉ͕ ǁĞ ĂĚĚĞĚ ĮǀĞ ŵŽƌĞ͘ ƚ ĚŝŶŶĞƌ͕ ϭϵ ŽĨ ƵƐ ʹ ϭϳ ŵĞŵďĞƌƐ͕ &W 'ŽǀĞƌŶŵĞŶƚ ZĞůĂƟŽŶƐ ŝƌĞĐƚŽƌ ĚĂŵ &ƌĂŶĐŝƐ͕ ĂŶĚ / ʹ ĚŝǀĞĚ ŝŶƚŽ ŽƵƌ ŵĞĂůƐ ĂŶĚ Ă ŐƌĞĂƚ ĚŝƐĐƵƐƐŝŽŶ about engagement. &W͛Ɛ ĂŶŶƵĂů ĞǀĞŶƚƐ ƐƵĐŚ ĂƐ D D ĂŶĚ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ĂƌĞ ǁŽŶĚĞƌĨƵů͕ but your county chapter is another great place ƚŽ ĞŶŐĂŐĞ ǁŝƚŚ ĐŽůůĞĂŐƵĞƐ ĐůŽƐĞƌ ƚŽ ŚŽŵĞ͕ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ LJĞĂƌ͘ &W ŚĂƐ ĚŽnjĞŶƐ ŽĨ ĐŚĂƉƚĞƌƐ͕ ƌĂŶŐŝŶŐ ŝŶ ƐŝnjĞ ĨƌŽŵ ĨĞǁĞƌ ƚŚĂŶ ϱϬ ŵĞŵďĞƌƐ ƚŽ ŵŽƌĞ ƚŚĂŶ ϭ͕ϬϬϬ͘ ŚĂƉƚĞƌƐ ĂŶĚ ƚŚĞŝƌ ĂĐƟǀŝƟĞƐ ĂƌĞ ĂƐ ĚŝǀĞƌƐĞ ĂƐ ƚŚĞŝƌ ŵĞŵďĞƌƐ ĂŶĚ ĂůŝĨŽƌŶŝĂ͛Ɛ ŐĞŽŐƌĂƉŚŝĐ ƌĞŐŝŽŶƐ͘ ĐƟǀŝƟĞƐ ŝŶĐůƵĚĞ ŽīĞƌŝŶŐ ƉƌŽĨĞƐƐŝŽŶĂů ĞĚƵĐĂƟŽŶ ĂŶĚ ĚĞǀĞůŽƉŵĞŶƚ ĞǀĞŶƚƐ͕ ĞŶŐĂŐŝŶŐ ŝŶ ůĞŐŝƐůĂƟǀĞ ĂĚǀŽĐĂĐLJ͕ ĂǁĂƌĚŝŶŐ ƐĐŚŽůĂƌƐŚŝƉƐ ƚŽ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͕ ŽƌŐĂŶŝnjŝŶŐ social events and volunteering in the community. Our largest chapters – including >ŽƐ ŶŐĞůĞƐ͕ ^ĂŶ Diego, and KƌĂŶŐĞ ʹ ĂƌĞ ǀĞƌLJ ĂĐƟǀĞ ƚŚƌŽƵŐŚŽƵƚ ƚŚĞ LJĞĂƌ͘ tĞ ŚĂǀĞ ƐŽŵĞ ƚŚƌŝǀŝŶŐ ĐŚĂƉƚĞƌƐ ƵƉ ŶŽƌƚŚ͕ ƚŽŽ͕ ĂŶĚ ŵŽƌĞ ĂƌĞ LJĞƚ ƚŽ ĐŽŵĞ͘ dŚĞ North ĂLJ ŚĂƉƚĞƌ͕ ůĞĚ ďLJ ƉƌĞƐŝĚĞŶƚ WĂŶŶĂ >ŽƐƐLJ͕ D ͕ ŚĂƐ ĚŽŶĞ ƐŽŵĞ ǀĞƌLJ ŝŵƉƌĞƐƐŝǀĞ ǁŽƌŬ ŽŶ ƚŚĞ ƚŽƉŝĐ of physician happiness and burnout – a topic ǁŝƚŚ ǁŚŝĐŚ ŵĂŶLJ ƉŚLJƐŝĐŝĂŶƐ ĐĂŶ ŝĚĞŶƟĨLJ͘ /Ŷ ƚŚĞ ůĂƐƚ LJĞĂƌ͕ ƚŚĞ ĐŚĂƉƚĞƌ ŚĞůĚ ǀĞƌLJ ǁĞůůͲĂƩĞŶĚĞĚ ĞǀĞŶƚƐ ʹ ƚŚĞ ͞,ĂƉƉŝŶĞƐƐ ǀĞŶƚ͟ ĂŶĚ ƚŚĞ ͞ ƌĞĂŵ Job” – and prepared to conduct a comprehensive ƐƵƌǀĞLJ ŽĨ ŵĞŵďĞƌƐ ĂďŽƵƚ ǁŚĂƚ ǁŽƌŬ ůŝĨĞ ŝƐ ůŝŬĞ ŝŶ ĚŝīĞƌĞŶƚ ŽƌŐĂŶŝnjĂƟŽŶƐ ŝŶ ŽƌĚĞƌ ƚŽ ƐŚĂƉĞ ĨƵƚƵƌĞ ĞīŽƌƚƐ͘ ŌĞƌ ƚŚĞ ĞůĞĐƟŽŶ͕ ŚŽǁĞǀĞƌ͕ ŵĂŶLJ ŵĞŵďĞƌƐ͛ ƚŚŽƵŐŚƚƐ ƚƵƌŶĞĚ ƚŽ ŵŽƌĞ ƉŽůŝƟĐĂů 28
California Family Physician Spring 2017
ƚŽƉŝĐƐ͘ ^ŝŶĐĞ ƚŚĞŶ͕ ƚŚĞ ĐŚĂƉƚĞƌ ŚĞůƉĞĚ ƚŽ ĨŽƵŶĚ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶĂůƐ ĨŽƌ ƋƵĂůŝƚLJ ĂŶĚ ŽŵŵƵŶŝƚLJ ŶŐĂŐĞŵĞŶƚ ;,W Ϳ͕ ǁŚŝĐŚ ŚĂƐ ŚĞůĚ ƚŚƌĞĞ ǁĞůůͲĂƩĞŶĚĞĚ ŵĞĞƟŶŐƐ͖ ƐƉŽŬĞŶ Ăƚ ƚǁŽ ŽĂƌĚ ŽĨ ^ƵƉĞƌǀŝƐŽƌƐ ŵĞĞƟŶŐƐ͖ ƚĞƐƟĮĞĚ Ăƚ ƚŚĞ ^ĂŶƚĂ ZŽƐĂ ŝƚLJ ŽƵŶĐŝů DĞĞƟŶŐ͖ ŵĞƚ ǁŝƚŚ ƐƐĞŵďůLJŵĂŶ :ŝŵ tŽŽĚ ; ͲdƵƌůŽĐŬͿ͕ ŚĂŝƌ ŽĨ ƚŚĞ ƐƐĞŵďůLJ ,ĞĂůƚŚ ŽŵŵŝƩĞĞ͖ ĂŶĚ ŵĞƚ ǁŝƚŚ ƐƚĂī ŽĨ ^ĞŶĂƚŽƌ ŝĂŶĞ &ĞŝŶƐƚĞŝŶ ĂŶĚ ZĞƉƌĞƐĞŶƚĂƟǀĞ DŝŬĞ dŚŽŵƉƐŽŶ͘ DĂŶLJ ĐŚĂƉƚĞƌ ŵĞŵďĞƌƐ ĂƩĞŶĚĞĚ Ă ŵĂƐƐŝǀĞ dŽǁŶ ,Ăůů ŵĞĞƟŶŐ ŽŶ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĂƐ ǁĞůů͘ dŚĞ ĐŚĂƉƚĞƌ ƐƟůů ƉůĂŶƐ ŽŶ ƉƌŽŵŽƟŶŐ physician happiness and releasing its survey at a later date. ^ŽŵĞ ŽĨ ŽƵƌ ĐŚĂƉƚĞƌƐ ŝŶ ƚŚĞ ĞŶƚƌĂů sĂůůĞLJ ĂƌĞ ĂĐƟǀĞ ĂƐ ǁĞůů͘ dŚĞ Sacramento-El Dorado ĐŚĂƉƚĞƌ ŚŽůĚƐ Ă ĨĞǁ ĞĚƵĐĂƟŽŶĂů ĂŶĚ ƐŽĐŝĂů ĞǀĞŶƚƐ ĞǀĞƌLJ LJĞĂƌ͕ ĂŶĚ ĂůƐŽ ĂǁĂƌĚƐ ƐĐŚŽůĂƌƐŚŝƉƐ ƚŽ ƐƚƵĚĞŶƚ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͘ dŚĞ Fresno-Kings-Madera ĐŚĂƉƚĞƌ ŚĞůĚ Ă ǀĞƌLJ ǁĞůůͲĂƩĞŶĚĞĚ ĞĚƵĐĂƟŽŶĂů ƉƌŽŐƌĂŵ ŽŶ ƐĂĨĞ ƉƌĞƐĐƌŝďŝŶŐ ƉƌĂĐƟĐĞƐ͕ ĨĞĂƚƵƌŝŶŐ ƉƌĞƐĞŶƚĞƌƐ ZĂƵů LJĂůĂ͕ D ͕ ĐŚĂƉƚĞƌ ƉƌĞƐŝĚĞŶƚ͕ ĂŶĚ >ĞĞ ZĂůƉŚ͕ D ͕ &W WƌĞƐŝĚĞŶƚ͕ ŝŶ
Join the faculty of one of the nation’s premier Family Medicine Residency Programs
The Ventura FM Residency, affiliated with the UCLA School of Medicine, is seeking two full time faculty physicians to join a growing and robust program.
:ĂŶƵĂƌLJ ϮϬϭϳ͖ ƚŚĞ Kern ŚĂƉƚĞƌ ǁŝůů ŚŽůĚ ĂŶ ĞǀĞŶƚ ŝŶ DĂƌĐŚ ƚŽ ŚŽŶŽƌ /ŶƚĞƌŶĂƟŽŶĂů DĞĚŝĐĂů 'ƌĂĚƵĂƚĞƐ ;/D'ƐͿ ĂƐ ǁĞůů ĂƐ ƐŚŽǁ ƐƵƉƉŽƌƚ ĨŽƌ ƌ͘ ^ĂƌǁĂ ůĚŽŽƌŝ͕ ƚŚĞ ůŽŶŐͲƟŵĞ ĂŬĞƌƐĮĞůĚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ǁŚŽ ǁĂƐ ĚĞƚĂŝŶĞĚ Ăƚ ƚŚĞ >ŽƐ ŶŐĞůĞƐ /ŶƚĞƌŶĂƟŽŶĂů ŝƌƉŽƌƚ ŽŶ ŚĞƌ ǁĂLJ ŚŽŵĞ ĨƌŽŵ ŚĞƌ ĂŶŶƵĂů ƌĞůŝŐŝŽƵƐ ƉŝůŐƌŝŵĂŐĞ͕ ĂƐ Ă ƌĞƐƵůƚ ŽĨ ƚŚĞ ĮƌƐƚ džĞĐƵƟǀĞ KƌĚĞƌ ƚƌĂǀĞů ďĂŶ ďLJ WƌĞƐŝĚĞŶƚ dƌƵŵƉ͘ ƚ ŽƵƌ ĚŝŶŶĞƌ ĚƵƌŝŶŐ D D͕ ƌ͘ >ŽƐƐLJ ĂŶĚ ŚĞƌ EŽƌƚŚ ĂLJ ĐŽůůĞĂŐƵĞƐ͕ ƌƐ͘ dĂƌĂ ^ĐŽƩ͕ DĞůĂŶŝĞ ^ŽƵƚŚĂƌĚ ĂŶĚ dŽŶŝ ZĂŵŝƌĞnj͕ ƐŚĂƌĞĚ ƚŚĞŝƌ ŝŶƐŝŐŚƚƐ͘ tĞ ĂůƐŽ ŚĂĚ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĨƌŽŵ ƚŚĞ San Francisco Chapter, ǁŚŝĐŚ ŚĂƐ ďĞĞŶ ŝŶĂĐƟǀĞ ĂƐ ŽĨ ůĂƚĞ ďƵƚ ǁŝůů ďĞ ƚƌĂŶƐŝƟŽŶŝŶŐ ƚŽ ŶĞǁ ůĞĂĚĞƌƐŚŝƉ ĂŶĚ ƉůĂŶŶŝŶŐ Ă ŶĞǁ ƐůĂƚĞ ŽĨ ĂĐƟǀŝƟĞƐ ŝŶ ϮϬϭϳ͘ ;dŚĂŶŬ Ɛ ƚŽ ƌƐ͘ zĞǀĂ :ŽŚŶƐŽŶ ĂŶĚ DŝŬĞ WŽƩĞƌ͕ ǁŚŽ ŚĂǀĞ ůĞĚ ƚŚĞ ĐŚĂƉƚĞƌ ĨŽƌ ŵĂŶLJ LJĞĂƌƐ ĂŶĚ ǁŝůů ďĞ Ă ŐƌĞĂƚ ĂƐƐĞƚ ŝŶ ƚŚĞ ƚƌĂŶƐŝƟŽŶ ŽĨ ůĞĂĚĞƌƐŚŝƉ͘Ϳ tĞ ĂůƐŽ ŚĂĚ ƐĞǀĞƌĂů ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĨƌŽŵ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ Ăƚ <ĂŝƐĞƌ Permanente in Napa-Solano͕ ǁŚŽ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ŐĞŶĞƌĂƟŶŐ ŵŽƌĞ ĂĐƟǀŝƚLJ ŝŶ ƚŚĞŝƌ ĐŽƵŶƟĞƐ͕ƐŝŶĐĞ ŵƵĐŚ ŽĨ ƚŚĞ ĂĐƟǀŝƚLJ ŽĨ ƚŚĞ EŽƌƚŚ ĂLJ ĐŚĂƉƚĞƌ ŝƐ ĐŽŶĐĞŶƚƌĂƚĞĚ ŝŶ DĂƌŝŶ ĂŶĚ ^ŽŶŽŵĂ ĐŽƵŶƟĞƐ ʹ ƐƚĂLJ ƚƵŶĞĚ͊ /Ĩ LJŽƵ ĂƌĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ĮŶĚŝŶŐ ŽƵƚ ǁŚĂƚ LJŽƵƌ ĐŽƵŶƚLJ ĐŚĂƉƚĞƌ ŝƐ ƵƉ ƚŽ ůĂƚĞůLJ͕ LJŽƵ ĐĂŶ ĮŶĚ LJŽƵƌ ĐŚĂƉƚĞƌ ƉƌĞƐŝĚĞŶƚ͛Ɛ ŶĂŵĞ ĂŶĚ ĞŵĂŝů ĂĚĚƌĞƐƐ ŽŶ ƚŚĞ &W ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬ ůĞĂĚĞƌƐŚŝƉͬůŽĐĂůͲĐŽƵŶƚLJͲĐŚĂƉƚĞƌƐ͕ Žƌ ĐŽŶƚĂĐƚ ŵĞ Ăƚ ;ϰϭϱͿ ϯϰϱͲϴϲϲϳ Žƌ ƐŐŽĞĐŬĞΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐ͘ /Ĩ LJŽƵƌ ĐŽƵŶƚLJ ĐŚĂƉƚĞƌ ŝƐ ŶŽƚ ĂĐƟǀĞ ƌŝŐŚƚ ŶŽǁ͕ / ĞŶĐŽƵƌĂŐĞ LJŽƵ ƚŽ ĐŚĂŶŐĞ ƚŚĂƚ ďLJ ŐĞƫŶŐ ŝŶǀŽůǀĞĚ ŝŶ Ă ĐŚĂƉƚĞƌ ůĞĂĚĞƌƐŚŝƉ ƉŽƐŝƟŽŶ͘ &W ƐƚĂī ĐĂŶ ŽīĞƌ ƐŽŵĞ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ĂŶĚ ŽƚŚĞƌ ƐƵƉƉŽƌƚ ƚŽ ƐƵƉƉŽƌƚ LJŽƵƌ ĞīŽƌƚƐ͘ ŶŐĂŐŝŶŐ ǁŝƚŚ LJŽƵƌ ĐŽƵŶƚLJ ĐŚĂƉƚĞƌ ŝƐ Ă ŐƌĞĂƚ ǁĂLJ ƚŽ ŶĞƚǁŽƌŬ͕ ĚĞǀĞůŽƉ ƐŬŝůůƐ ĂŶĚ ĐŚĂŵƉŝŽŶ ƚŚĞ ƐƉĞĐŝĂůƚLJ͕ ďƵƚ ŽŶůLJ ŝĨ LJŽƵ͛ƌĞ Ă ĐƵƌƌĞŶƚ ŵĞŵďĞƌ͘ /Ĩ LJŽƵ ŚĂǀĞŶ͛ƚ LJĞƚ ƌĞŶĞǁĞĚ LJŽƵƌ ŵĞŵďĞƌƐŚŝƉ ĨŽƌ ϮϬϭϳ͕ ƉůĞĂƐĞ ƚĂŬĞ Ă ŵŽŵĞŶƚ ƚŽ ĚŽ ƚŚĂƚ ƚŽĚĂLJ͘ ZĞŶĞǁ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ĂĂĨƉ͘ŽƌŐͬĐŚĞĐŬŵLJĚƵĞƐ͕ or contact the CAFP for assistance. Thank you for your membership. Shannon Goecke is CAFP’s Director of DĞŵďĞƌƐŚŝƉ ĂŶĚ DĂƌŬĞƟŶŐ͘
For more information, visit venturafamilymed.org/jobs
GOLDEN OPPORTUNITIES GOLDEN VALLEY HEALTH CENTERS GVHC’s mission is to be the premium health care organization in the nation and for this we need caring and compassionate providers on our team.
PHYSICIAN OPPORTUNITIES: Family Medicine, Pediatrics, internal Medicine, Psychiatry and more.
HIGHLIGHTS OF GVHC AND WHAT WE HAVE TO OFFER: • • • • •
Guaranteed salary on a 3 tier scale based on experience. Sign on bonus and relocation assistance Quarterly bonuses based on productivity Cap Exempt and Offering Visa Sponsorship We participate in State and Federal Student Loan Repayment Programs and qualify to distribute the highest amount • 30 sites located in many communities throughout the central valley of California • In close proximity to San Francisco, many beaches and Yosemite National Park
PLEASE CONNECT WITH US: Joshua Skunca | jskunca@gvhc.org | 209-384-6489 Jacklyn Zimmerman | jzimmerman@gvhc.org | 209-384-6490
PLEASE VISIT US: www.gvhc.org
We
care for you.
California Family Physician Spring 2017
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evp forum
Susan Hogeland, CAE
Are You Climbing the
Engagement Ladder? DĞƌƌŝĂŵͲtĞďƐƚĞƌ ĚĞĮŶĞƐ ĞŶŐĂŐĞŵĞŶƚ ĂƐ ͞ƚŚĞ ĂĐƚ ŽĨ ĞŶŐĂŐŝŶŐ͟ Žƌ ͞ƚŚĞ ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ĞŶŐĂŐĞĚ͕͟ ͞ĞŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ͟ Žƌ ͞ƚŚĞ ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ŝŶ ŐĞĂƌ͘͟ / ůŝŬĞ Ăůů ŽĨ ƚŚŽƐĞ ĚĞƐĐƌŝƉƟŽŶƐ͘ dŚĞ ͞ƐƚĂƚĞ ŽĨ ďĞŝŶŐ ŝŶ ŐĞĂƌ͟ ĚĞĮŶŝƟŽŶ ƌĞĨĞƌƐ ŵŽƌĞ ƚŽ Ă ŵĞĐŚĂŶŝĐĂů ƉƌŽĐĞƐƐ͕ ďƵƚ ŝƚ͛Ɛ ƐƟůů ĂƉƉůŝĐĂďůĞ ʹ ǁŚĞŶ LJŽƵ͛ƌĞ ŝŶ ƐLJŶĐ ǁŝƚŚ LJŽƵƌ ƉƌŽĨĞƐƐŝŽŶĂů ĂƐƐŽĐŝĂƟŽŶ͕ ƚŚŝŶŐƐ ĚĞĮŶŝƚĞůLJ ĐĂŶ ƌƵŶ ŵŽƌĞ ƐŵŽŽƚŚůLJ͊ dŚĞ ĚĞĮŶŝƟŽŶ ƚŚĂƚ ƌĞƐŽŶĂƚĞƐ ŵŽƐƚ ĨŽƌ ŵĞ͕ ŚŽǁĞǀĞƌ͕ ĂŶĚ ƚŚĂƚ ƐƚĂī ĂŶĚ ůĞĂĚĞƌƐŚŝƉ ŚĞƌĞ Ăƚ ƚŚĞ ĐĂĚĞŵLJ ƐĞĞŬ ƚŽ ĂĐŚŝĞǀĞ͕ ŝƐ ͞ĞŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ͘͟ ŵŽƟŽŶĂů ŝŶǀŽůǀĞŵĞŶƚ Žƌ ĐŽŵŵŝƚŵĞŶƚ ŝƐ ƚŚĞ ŐŽůĚ ƐƚĂŶĚĂƌĚ ĨŽƌ ǁŚLJ ĂŶLJ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ǁŽƵůĚ ƉĂLJ ĚƵĞƐ ƚŽ ďĞůŽŶŐ ƚŽ &W ĂŶĚ &W͕ ŝ͘Ğ͕͘ ƚŚĞ ĐŽŶŶĞĐƟŽŶ ƌĞƐŽŶĂƚĞƐ ŶŽƚ ŽŶůLJ ǁŝƚŚ LJŽƵƌ ŚĞĂĚ͕ ďƵƚ ĂůƐŽ ǁŝƚŚ LJŽƵƌ ŚĞĂƌƚ͘ dŚĞ ŽƌŐĂŶŝnjĂƟŽŶƐ ƌĞŇĞĐƚ LJŽƵƌ ǀĂůƵĞƐ͕ ƚŚĞ ƌĞĂƐŽŶƐ LJŽƵ ďĞĐĂŵĞ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͕ ƉĂƌƟĐƵůĂƌůLJ LJŽƵƌ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ LJŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĐĂƌĞ ƚŚĂƚ LJŽƵ ƐŚĂƌĞ ǁŝƚŚ LJŽƵƌ ĨĞůůŽǁ &WƐ ͙ This is not to say that every single member of CAFP agrees on ĞǀĞƌLJ ŝƐƐƵĞ ǁŝƚŚ ĞǀĞƌLJ ŽƚŚĞƌ ŵĞŵďĞƌ ʹ ĚĞŵŽŐƌĂƉŚŝĐĂůůLJ͕ &W ƉƌŽďĂďůLJ ůŽŽŬƐ ůŝŬĞ ƚŚĞ ƉŽůŝƟĐĂů ƌĞƉƌĞƐĞŶƚĂƟŽŶ ŝŶ ŽƵƌ ƐƚĂƚĞ ĂƐ Ă ǁŚŽůĞ ʹ ŵŽƌĞ ůŝďĞƌĂů Ăƚ ƚŚĞ ĐŽĂƐƚ ĂŶĚ ŵŽƌĞ ĐŽŶƐĞƌǀĂƟǀĞ ŝŶ ƚŚĞ ŵŝĚĚůĞ͕ ĞĂƐƚ͕ ƚŽƉ ĂŶĚ ďŽƩŽŵ͘ Ƶƚ ǁŚĂƚĞǀĞƌ ŽƵƌ ŵĞŵďĞƌƐ͛ ƉĞƌƐŽŶĂů ƉŚŝůŽƐŽƉŚLJ Žƌ ďĞůŝĞĨƐ ĂďŽƵƚ ŚŽǁ ƚŚĞLJ ƐŚŽƵůĚ ďĞ ƉĂŝĚ ĂŶĚ ďLJ ǁŚŽŵ͕ ŝƚ ŝƐŶ͛ƚ ŽƵƚ ŽĨ ƚŚĞ ŽƌĚŝŶĂƌLJ ƚŽ ƐĞĞ &WƐ ƚĞĂƌ ƵƉ ĂƐ ƚŚĞLJ ƚĂůŬ ĂďŽƵƚ ƉĂƟĞŶƚƐ͕ Žƌ ĂŶ ĞƐƉĞĐŝĂůůLJ ŵĞĂŶŝŶŐĨƵů ĞŶĐŽƵŶƚĞƌ ƚŚĞLJ ŚĂĚ ďĂĐŬ ŝŶ ƚƌĂŝŶŝŶŐ͕ Žƌ ŚŽǁ ƚŚĞLJ ƌĂŶ ŝŶƚŽ ƐŽŵĞŽŶĞ ƚŚĞLJ ĚĞůŝǀĞƌĞĚ LJĞĂƌƐ ďĞĨŽƌĞ͕ Žƌ ĞǀĞŶ ŚŽǁ ƚŚĞLJ ĨĞĞů ĂďŽƵƚ ƉĂƌƟĐŝƉĂƟŶŐ ʹ ĞŶŐĂŐŝŶŐ ʹ ŝŶ ƚŚĞ ĂĐƟǀŝƟĞƐ ŽĨ ƚŚĞŝƌ ĂĐĂĚĞŵLJ͘ tŚĂƚ /^ ĂŶ ĞŶŐĂŐĞĚ ŵĞŵďĞƌ ŽĨ &W ĂŶĚͬŽƌ &W͍ ĞŐƌĞĞƐ ŽĨ ĞŶŐĂŐĞŵĞŶƚ ǀĂƌLJ͕ ŽĨ ĐŽƵƌƐĞ͘ ƌĞ LJŽƵ ĞŶŐĂŐĞĚ ǁŚĞŶ LJŽƵ ƉĂLJ LJŽƵƌ ĚƵĞƐ LJĞĂƌ ĂŌĞƌ LJĞĂƌ ďĞĐĂƵƐĞ LJŽƵ ďĞůŝĞǀĞ ŝŶ ƚŚĞ ŵŝƐƐŝŽŶ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͍ ďƐŽůƵƚĞůLJ͘ ƌĞ LJŽƵ ĞŶŐĂŐĞĚ ŝĨ ƉĞƌŝŽĚŝĐĂůůLJ you respond to our pleas that you contact your state legislator or ŽŶŐƌĞƐƐŝŽŶĂů ƌĞƉƌĞƐĞŶƚĂƟǀĞ ĂďŽƵƚ ĂŶ ŝƐƐƵĞ ŽĨ ŝŵƉŽƌƚĂŶĐĞ ƚŽ ƚŚĞ ƐƉĞĐŝĂůƚLJ͍ /ŶĚĞĞĚ͕ LJŽƵ ĂƌĞ͘ ƌĞ LJŽƵ ĞŶŐĂŐĞĚ ŝĨ LJŽƵ ƌĞŐƵůĂƌůLJ ƌĞĂĚ ĐĂĚĞŵLJ ŝŶ ĐƟŽŶ ; ŝ Ϳ Žƌ California Family Physician͍ ůŝĐŬ Ă ůŝŶŬ ŝŶ ŝ ǁŚĞŶ LJŽƵƌ ŝŶƚĞƌĞƐƚ ŝƐ ƉŝƋƵĞĚ͍ 'Ž ƚŽ ǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ ŽƌŐ͕ &W͛Ɛ ǁĞďƐŝƚĞ͕ ƚŽ ĐŚĞĐŬ ŽƵƚ ŽƵƌ D Z ƌĞƐŽƵƌĐĞƐ͕ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ůĂƚĞƐƚ ŝŶ ĞŶĚͲŽĨͲůŝĨĞ ĐĂƌĞ͕ ƉƵůů ŽƵƚ ƐŽŵĞ WĂƟĞŶƚ ĞŶƚĞƌĞĚ
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California Family Physician Spring 2017
DĞĚŝĐĂů ,ŽŵĞ ŝŶĨŽƌŵĂƟŽŶ Žƌ ƐŝŐŶ ƵƉ ĨŽƌ ĂŶ ŽĐĐĂƐŝŽŶĂů ǁĞďŝŶĂƌ ŽŶ Ă ƚŽƉŝĐ ŝŵƉŽƌƚĂŶƚ ƚŽ LJŽƵ͍ zĞƐ͕ LJŽƵ ĂƌĞ͘ dĂŬŝŶŐ ŝƚ ƵƉ Ă ŶŽƚĐŚ͕ ĂƌĞ LJŽƵ ĞŶŐĂŐĞĚ ǁŚĞŶ LJŽƵ ǀŽůƵŶƚĞĞƌ ƚŽ ƐĞƌǀĞ ŽŶ Ă &W ĐŽŵŵŝƩĞĞ Žƌ ĂŶ &W ĐŽŵŵŝƐƐŝŽŶ͍ hŚ ŚƵŚ͘ tŚĞŶ LJŽƵ ƐŝŐŶ ƵƉ ƚŽ ĂƩĞŶĚ ƚŚĞ ůů DĞŵďĞƌ ĚǀŽĐĂĐLJ DĞĞƟŶŐ ƚŽ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ĐĂĚĞŵLJ͛Ɛ ƚŽƉ ůĞŐŝƐůĂƟǀĞ ŝƐƐƵĞƐ E ƐƚĂLJ ŽǀĞƌ ƵŶƟů DŽŶĚĂLJ ĨŽƌ ŽƵƌ &ĂŵŝůLJ DĞĚŝĐŝŶĞ >ŽďďLJ ĂLJ ŝŶ ^ĂĐƌĂŵĞŶƚŽ͍ KŚ͕ LJĞƐ͘ tŚĂƚ ĂďŽƵƚ ǁŚĞŶ LJŽƵ ĞŶŐĂŐĞ ŝŶ ĂŶŽƚŚĞƌ ŽĨ ƚŚĞ ĐĂĚĞŵLJ͛Ɛ ďĞƐƚ ůĞĂƌŶŝŶŐ ĂŶĚ ƵůƟŵĂƚĞ ŶĞƚǁŽƌŬŝŶŐ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ͍ zŽƵ ĂƌĞ͘ tĞ ŵŽǀĞ ĨƌŽŵ ƚŚĞƌĞ ƚŽ ƐĞƌǀŝŶŐ ĂƐ ĐůŝŶŝĐĂů ĨĂĐƵůƚLJ ĨŽƌ ŽŶƟŶƵŝŶŐ WƌŽĨĞƐƐŝŽŶĂů ĞǀĞůŽƉŵĞŶƚ ƉƌŽŐƌĂŵƐ͕ ƌĞƉƌĞƐĞŶƟŶŐ &W Ăƚ ƚŚĞ &W͛Ɛ ŽŶŐƌĞƐƐ ŽĨ ĞůĞŐĂƚĞƐ Žƌ ƚŚĞ D ͛Ɛ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ͕ ƐĞƌǀŝŶŐ ŽŶ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ Žƌ ĂƐ Ă ĐŽƵŶƚLJ ĐŚĂƉƚĞƌ ŽĸĐĞƌ ĂŶĚ͕ ĨŽƌ ƚŚĞ ǀĞƌLJ ŵŽƐƚ ĚĞĚŝĐĂƚĞĚ͕ ĂƐ ĂŶ ŽĸĐĞƌ ŽĨ &W Žƌ &W͘ dŚĞƐĞ ĨŽůŬƐ ĚĞĮŶŝƚĞůLJ ĂƌĞ ĞŶŐĂŐĞĚ͊ WĞŽƉůĞ͛Ɛ ŽǀĞƌĂůů ƚƌƵƐƚ ŝŶ ŝŶƐƟƚƵƟŽŶƐ ŝƐ Ă ůŝƩůĞ ƌŽĐŬLJ ƚŚĞƐĞ ĚĂLJƐ͖ ƚŚĞ /ŶƚĞƌŶĞƚ ŽīĞƌƐ ŶĞǁ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂŶĚ ŝŶƐƚĂŶƚ ĂĐĐĞƐƐ ƚŽ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ;ŶŽƚ ŶĞĐĞƐƐĂƌŝůLJ ŬŶŽǁůĞĚŐĞ͕ ĂŶĚ ŝŶ ŵĂŶLJ ĐĂƐĞƐ͕ Ă ůŽƚ ŽĨ ĂůƚĞƌŶĂƟǀĞ ĨĂĐƚƐͿ ƚŚĂŶ ĞǀĞƌ ďĞĨŽƌĞ͘ /ƚ ƉŽƌƚĞŶĚƐ Ă ƉŽƚĞŶƟĂů ƚŚƌĞĂƚ ƚŽ ŽƌŐĂŶŝnjĂƟŽŶƐ ƚŚĂƚ ĚŽŶ͛ƚ ŝĚĞŶƟĨLJ ŝŶǀĞŶƟǀĞ ǁĂLJƐ ƚŽ ƌĞĂĐŚ out and touch their members. CAFP and AAFP are not immune ƚŽ ƚŚĞ ƚŚƌĞĂƚ͖ ƚŚĞ /ŶƚĞƌŶĞƚ ŵĂŬĞƐ ŝƚ ĨĞĂƐŝďůĞ ƚŽ ƌĞƐƉŽŶĚ ŝŶƐƚĂŶƚůLJ ĂŶĚ ƐŽŵĞƟŵĞƐ ŶŽƚ ƚŽŽ ŶŝĐĞůLJ ƚŽ ĂĐƟŽŶƐ ǁĞ ƚĂŬĞ͘ Ɛ ǁŝƚŚ ƉŽůŝƟĐƐ ŝŶ ƚŚĞ ƌĞƐƚ ŽĨ ƚŚĞ ĐŽƵŶƚƌLJ͕ ŵŽƟǀĞƐ ƐŽŵĞƟŵĞƐ ĂƌĞ ŝŵƉƵŐŶĞĚ ĂŶĚ ŐŽŽĚ ŝŶƚĞŶƟŽŶƐ ĚĞŶŝŐƌĂƚĞĚ͘ tŚŝůĞ ƉŽůŝƟĐƐ K ĚŝīĞƌ ĂŵŽŶŐ ŵĞŵďĞƌƐ͕ ŝƚ͛Ɛ ŚĂƌĚ ƚŽ ďĞůŝĞǀĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƌĞĂůůLJ ƚŚŝŶŬ ŝůůͲ ŝŶƚĞŶƚ ŝƐ Ăƚ ƚŚĞ ŚĞĂƌƚ ŽĨ ĂŶLJ ǁĞůůͲĐŽŶƐŝĚĞƌĞĚ ƉŽůŝĐLJ ĂĚŽƉƚĞĚ ďLJ LJŽƵƌ ĐĂĚĞŵŝĞƐ͘ dŚĂƚ ŚĂƐ ŶŽƚ ďĞĞŶ ŵLJ ĞdžƉĞƌŝĞŶĐĞ͕ Ăƚ ĂŶLJ ƌĂƚĞ͘ WĞƌƐŽŶĂůůLJ͕ / ůŽǀĞ ƚŽ ƐĞĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŐĞƚ ĞŵŽƟŽŶĂů ǁŚĞŶ ƚŚĞLJ ƐƉĞĂŬ ŽĨ ƚŚĞŝƌ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞŝƌ ĐŽůůĞĂŐƵĞƐ͘ ǀĞŶ ŚĞƌĞ ŽŶ ƚŚĞ ƐƚĂī͕ ǁĞ͛ƌĞ ŬŶŽǁŶ ƚŽ ƚĞĂƌ ƵƉ ŶŽǁ ĂŶĚ ĂŐĂŝŶ ǁŚĞŶ ǁĞ ƐƉĞĂŬ ŽĨ ƚŚĞ ŚŽŶŽƌ ŽĨ ǁŽƌŬŝŶŐ ĨŽƌ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ KǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ŝƚ͛Ɛ ĐůĞĂƌ ƚŚĂƚ ƚŚĞ ŵŽƌĞ ŝŶǀŽůǀĞŵĞŶƚ ŽƵƌ ŵĞŵďĞƌƐ ŚĂǀĞ ǁŝƚŚ ƵƐ͕ ƚŚĞ ďĞƩĞƌ ƚŚĞLJ ůŝŬĞ ƵƐ ʹ ŝƚ͛Ɛ ĨƵůĮůůŝŶŐ ĂŶĚ ƌĞǁĂƌĚŝŶŐ ƚŽ ƐƉĞŶĚ ƟŵĞ ǁŝƚŚ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĨƌŽŵ Ăůů ŽǀĞƌ ĂůŝĨŽƌŶŝĂ͘ ^Ž͕ ĚŽŶ͛ƚ ƉůĂLJ ŚĂƌĚ ƚŽ ŐĞƚ͕ ƉůĞĂƐĞ͘ ŶŐĂŐĞ͕ ĞŶŐĂŐĞ͕ ĞŶŐĂŐĞ͘ zŽƵ ĂƌĞ ŵŽƐƚ ǁĞůĐŽŵĞ͘
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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
“ For more than 20 years, MIEC has been a CAFP vvalued alued ppartner artner ooff tthe he C AFP aand nd aan n iinvaluable nvaluable members.” rresource esource ffor orr ttheir heir m embers.”
Toni Brayer, MD Board of Governors
MIEC has just announced $11 Million in dividends* to be distributed to policyholders in 2017
MIEC continues to support policyholders and their communities! MIEC has a dividend policy that is vastly superior to our competitors and we’ve never lost site of the medical associations who back our policyholders. Our mission: provide our policyholders and local medical communities with the exemplary service and support they deserve.
Added value: No profit motive and low overhead Q Local Claims office in Northern and Southern California Q Supports organized medicine in California Q
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_03.09.17
MIEC Owned by the policyholders we protect.