Summer 2015

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California

FAMILY PHYSICIAN VO OLL . 66 NO. 3 S mmer 20 15 Sum

Dr. Steve Green named 2015 Family Physician of the Year!

FAMILY MEDICINE CLINICAL FORUM WAS A HUGE SUCCESS!

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CAFP CA FP HONOR ORSS FOU OURR FA FAMI MILY LY MED EDIC ICIN INEE LEADE DERS

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VOLUNTEERS PROVIDE CRITCAL MEDICAL EDUCAT A ION IN HAITI

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NEW NE W UCI STUUDE DENNTT-RRUN CLI L NI NICC FOCUSES ON UNDE UN DDEERSER E VEED PO POPPULA LAT ATION IN ORAN ANGE GEE COU OUNNTY

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CALIFORNIA PHYSICIANS DESERVE Your Guide: Awarding more than 35,000 CME certificates in 2014* Your Guard: Resolving 89%* of claims without indemnity payments Your Advocate: Largest contributor to the No On 46 coalition

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Family Practice NewsÂŽ Internal Medicine NewsÂŽ Rheumatology NewsÂŽ present

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PERSPECTIVES IN RHEUMATIC DISEASES A SEPTEMBER 18-19, 2015 THE COSMOPOLITAN, LAS VEGAS CHAIR Daniel E. Furst, MD David Geffen School of Medicine University of California, Los Angeles (UCLA) CO-CHAIRS Brian Mandell, MD, PhD The Cleveland Clinic, Ohio Professor Iain McInnes, FRCP, PhD, FRSE University of Glasgow, Scotland, UK FACULTY Madelaine A. Feldman, MD Coalition of State Rheumatology Organizations (CSRO) Richard Furie, MD Hofstra North Shore-LIJ School of Medicine Kenneth B. Gordon, MD Northwestern University Feinberg School of Medicine Jennifer Grossman, MD University of California, Los Angeles

FEATURING Rheumatologic Reflections: Rheumatology & Primary Care Breakouts Stump The Professors: Clinical Cases PROGRAM HIGHLIGHTS: 4 ,-eoporosis Management 4 ,-eoarthritis Challenges 4 New Developments in Small Molecules and Biologics 4 Pregnancy in Rheumatic Disease 4 * -e on Spondyloarthritides 4 Tilting at W%( '%&&, A Rational Approach to Fibromyalgia 4 o-morbidities in Routine Care in Inflammatory Arthritis 4 .*., Diagnosis and Treatment 4 ,)+% ,%, New Developments 4 , Parsing Out Optimal Management of Disease 4 Vasculitis Mimics 4 ("lammatory Lung Disease and PAH 4 &!+oder' What to Do 4 ).- A Conversation for Primary Care and Rheumatology

Kristin Highland, MD The Cleveland Clinic E. Michael Lewiecki, MD University of New Mexico School of Medicine Philip J. Mease, MD University of Washington Medical Center Najia Shakoor, MD Rush University Medical Center Brian Walitt, MD, MPH National Center for Complementary and Integrative Health NIH 7/1/2015 to 8/31/2015

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President :ĂLJ t͘ >ĞĞ͕ D ͕ DW,

ĹŻĹŻĹ?Ć?ŽŜ Ä‚ĆľÄžĆŒ

President-Elect >ĞĞ ZĂůƉŚ͕ D

Associate Director, Communications and Publications

Ä‚Ä?Ä‚ĆľÄžĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Immediate Past President Ğů DĹ˝ĆŒĆŒĹ?Ć?Í• D

ĚĂž &ĆŒÄ‚ĹśÄ?Ĺ?Ć?

Speaker DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D

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

Vice-Speaker >Ĺ?Ć?Ä‚ tÄ‚ĆŒÄšÍ• D Secretary/Treasurer tÄ‚ĹŻĆšÄžĆŒ DĹ?ĹŻĹŻĆ?Í• D Executive Vice President ^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕ Foundation President ŜƚŚŽŜLJ ĹšŽŜĹ?Í• D AAFP Delegates :ÄžĨĨ >ĆľĆšĹšÄžĆŒÍ• D Ä‚ĆŒĹŻÄ‚ <ĂŏƾƚĂŜĹ?Í• D AAFP Alternates Ä‚ĆŒŽů ,ĂǀĞŜĆ?Í• D :ĂLJ t͘ >ĞĞ͕ D Í• DW,

California FAMILY PHYSICIAN

Ä?ĹšĹ?ŜĂLJĂ EÄ‚ĆŒÄ‚Ç‡Ä‚ĹśÄ‚Ĺś

Deputy Director, Government Affairs

Workforce Development Manager anarayanan@familydocs.org

Quarterly publication of the California Academy of Family Physicians

ŽĚLJ DĹ?ĆšÄ?ĹšÄžĹŻĆšĆŒÄžÄž

EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Editor ĹŻĹŻĹ?Ć?ŽŜ Ä‚ĆľÄžĆŒÍ• Managing Editor

Ä?ĹľĹ?ĆšÄ?ĹšÄžĹŻĆšĆŒÄžÄžÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

ŽžžƾŜĹ?Ä?Ä‚ĆšĹ?ŽŜĆ? ŽžžĹ?ƚƚĞĞ͗ EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Í• Chair

Manager, Information, Technology and Foundation Programs

^ĆľĆ?Ä‚Ĺś ,Ĺ˝Ĺ?ĞůĂŜĚ͕

>ĞĂŚ EÄžÇ ĹŹĹ?ĆŒĹŹ Vice PresidentÍ• Health Policy ĹŻĹśÄžÇ ĹŹĹ?ĆŒĹŹÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Ć?ŚŽĹ?ĞůĂŜĚΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

^ŚĞůůLJ ZĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?Í• Í• & ,W Deputy Executive Vice President

:ÄžĆŒĆŒĹ? Ä‚Ç€Ĺ?Ć?Í• , W

Ć?ĆŒĹ˝ÄšĆŒĹ?Ĺ?ƾĞĆ?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Íť :ƾůĹ?Ä‚ ĹŻÄ‚ŜŏÍ• D Íť EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D Íť :ÄžĨĨĆŒÄžÇ‡ >ĆľĆšĹšÄžĆŒÍ• D Íť :ĂLJ DŽŜĹ?Ĺ?Ä‚ĆŒÄšĹ˝Í• D

ŊĚĂǀĹ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

<ĞůůLJ 'ŽŽÄšĆ‰Ä‚Ć?ĆšÄžĆŒ

Íť DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D Íť ĹŻÄ?ÄžĆŒĆš ZĂLJ͕ D

DÄ‚ĆŒĹ?Ä‚ :ÄžŜŜĹ?ĹśĹ?Ć?

ĹŹĹ?ŽŽÄšĆ‰Ä‚Ć?ĆšÄžĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

žŊÄžŜŜĹ?ĹśĹ?Ć?ΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

^ŽŜĹ?Ä‚ <ĂŜƚĂŏ

Executive Vice President

Director, CME/CPD

Manager, Membership

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

Manager, Financial Services

Manager, Medicall Practice Affairs

Ć?ŏĂŜƚĂŏΛĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ?

Ä?ĹŹÄžÄ‚ĆŒÎ›ĨÄ‚ĹľĹ?ůLJĚŽÄ?Ć?Í˜Ĺ˝ĆŒĹ? ZĹ?Ä?ŚĂ ^Ä‚ĆŒÄ‚Ć?Ç Ä‚Ćš

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

Program Support Coordinator

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

CMA Delegation Ć?ĹšÄ?LJ tŽůĨĞ͕ D Í• DWWÍ• DW, EĂƚŚĂŜ ,Ĺ?ĆšÇŒÄžĹľÄ‚ĹśÍ• D DĹ?Ä?ŚĞůůĞ YĆľĹ?Ĺ˝Ĺ?ƾĞ͕ D ^ƾžÄ‚Ĺś ZĞĚĚLJ͕ D <ĞǀĹ?Ĺś ZĹ˝Ć?Ć?Ĺ?Í• D WÄ‚ĆšĆŒĹ?Ä?Ĺ?Ä‚ ^Ä‚žƾůÄžĆ?ŽŜÍ• D

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>ŽŽŏĹ?ĹśĹ? ĨŽĆŒ Ä‚ ĹŠĹ˝Ä?Í? 'Ĺ˝ ƚŽ Ç Ç Ç Í˜ĨƉŊŽÄ?Ć?ŽŜůĹ?ĹśÄžÍ˜Ä?Žž Ç ĹšÄžĆŒÄž LJŽƾ Ä?ĂŜ͗ Íť Ć?ÄžÄ‚ĆŒÄ?Ĺš ĹŠĹ˝Ä?Ć? ĨŽĆŒ ĨĆŒÄžÄž Íť ƉŽĆ?Ćš Ä‚ ĆŒÄ Ć?ĆľĹľÄ Íť Ä?Äž Ç€Ĺ?Ć?Ĺ?Ä?ĹŻÄž ƚŽ ÄžĹľĆ‰ĹŻĹ˝Ç‡ÄžĆŒĆ? Íť ĆŒÄžÄ?ÄžĹ?ǀĞ ÄžͲžÄ‚Ĺ?ĹŻ Ä‚ĹŻÄžĆŒĆšĆ? ŽĨ ĹśÄžÇ ĹŠĹ˝Ä? ƉŽĆ?Ć&#x;ĹśĹ?Ć? YƾĞĆ?Ć&#x;ŽŜĆ?Í? Ä‚ĹŻĹŻ ϴϴϴͲϴϴϰͲϴώϰώĂŜĚ Ä‚ , >d,Äž Z Z^ ĆŒÄžĆ‰ĆŒÄžĆ?ĞŜƚĂĆ&#x;ǀĞ Ç Ĺ?ĹŻĹŻ ŚĞůƉ LJŽƾ͘

4

California Family Physician Summer 2015

12 Family Medicine Clinical Forum Was a Huge Success! 16 CAFP Honors Four Family Medicine Leaders

Maria Jennings Shelly Rodrigues, CAE, FACEHP

20 Volunteers Provide Critical Medical Education in Haiti 24 New UCI Student-Run Clinic Focuses on Underserved Population in Orange County

David Cutler, MD Baotran Vo, MD and Karina Melgar, MD

28 Volunteering: My Experience at the Gender Health Center

Charlene Hauser, MD

6

Editorial

Family Docs Volunteerinig, the Underserved, and ¾-inch Reducers

Nathan Hitzeman, MD

8

President’s Message

CAFP Salutes Members Who Volunteer to Make Health Primary

Jay W. Lee, MD, MPH

9

PCMH Corner

What’s in the Medicare Access and CHIP Reauthorization Act for PCMH?

10 Political Pulse

The SGR is Dead! The SGR is Dead! Long Live MACRA!

30 EVP’s Forum

Volunteering Here at Home – For Your Academy

Leah Newkirk Carla Kakutani, MD Susan Hogeland, CAE

California Family Physician Fall ϮϬϭϰ

5

EDITORIAL

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Family Docs Volunteering, the Underserved, and ¾-inch Reducers / ƵƐƵĂůůLJ ĞŶũŽLJ ƐƟŵƵůĂƟŶŐ ƚŚĞ ĞĐŽŶŽŵLJ Ăƚ ,ŽŵĞ ĞƉŽƚ ʹ ďƵLJŝŶŐ ƚŽŽůƐ͕ ůŽĂĚŝŶŐ ďĂŐƐ ŽĨ ƐŽŝů ŽŶƚŽ Ă ŇĂƚ͕ ĂƐƐĞƐƐŝŶŐ ƚŚĞ ƐƚƌĂŝŐŚƚŶĞƐƐ ŽĨ Ă ǁŽŽĚ ƉůĂŶŬ͕ ƚĂŬŝŶŐ ĐĂƌĞ ŽĨ ďƵƐŝŶĞƐƐ͊ KŶ ŽŶĞ ƉĂƌƟĐƵůĂƌ ĚĂLJ͕ ŵLJ ǁŝĨĞ ǁĂŶƚĞĚ Ă ĐĞƌƚĂŝŶ ĐŽŶŶĞĐƚŽƌ ĨŽƌ ŽƵƌ ƐƉƌŝŶŬůĞƌ ƐLJƐƚĞŵ͕ ƐƉĞĐŝĮĐĂůůLJ Ă ŽŶĞ ŝŶĐŚ ƚŽ ƚŚƌĞĞͲƋƵĂƌƚĞƌͲŝŶĐŚ ƌĞĚƵĐĞƌ ǁŝƚŚ Ă ϰϱ ĚĞŐƌĞĞ ĂŶŐůĞ͘ DLJ ůĞĂƐƚ ĨĂǀŽƌŝƚĞ ƐĞĐƟŽŶƐ ŽĨ ƚŚĞ ƐƚŽƌĞ ĂƌĞ ůŝŐŚƚ ďƵůďƐ ĂŶĚ ƉůƵŵďŝŶŐ͘ /ƚ ŝƐ ŝŶĨŽƌŵĂƟŽŶ ŽǀĞƌůŽĂĚ ǁŝƚŚ ŚƵŶĚƌĞĚƐ ŽĨ ŝƚĞŵƐ ƚŚĂƚ ůŽŽŬ ĂůŝŬĞ ʹ ŽŌĞŶ ǁŝƚŚ ĐƌŽƐƐ ĐŽŶƚĂŵŝŶĂƟŽŶ ďLJ ƐůŽƉƉLJ ĐŽŶƚƌĂĐƚŽƌƐ͕ ƵŶǁŝƫŶŐ ĐƵƐƚŽŵĞƌƐ Žƌ ŵĂLJďĞ ĞǀĞŶ ƚŚĞ ŐĂƌĚĞŶ ŐŶŽŵĞƐ͘ /ŵĂŐŝŶĞ ƚŚĞ ƉůƵŵďŝŶŐ ƐĞĐƟŽŶ ŝŶ ĂŶŽƚŚĞƌ ĐŽƵŶƚƌLJ ǁŝƚŚ ŽǀĞƌŚĞĂĚ ĂŶŶŽƵŶĐĞŵĞŶƚƐ ŝŶ Ă ĨŽƌĞŝŐŶ ůĂŶŐƵĂŐĞ͘

tŚĞŶ ŵŽŶĞLJ ĂŶĚ ďŝŐ ƐƉĞĐŝĂů ŝŶƚĞƌĞƐƚƐ ĂƌĞ ƌĞŵŽǀĞĚ ĨƌŽŵ ƚŚĞ ĞƋƵĂƟŽŶ͕ ǁĞ ĮŶĚ ŽƵƌƐĞůǀĞƐ ƌĞƚƵƌŶĞĚ ƚŽ Ă ĐĞƌƚĂŝŶ ĚĞŶ ŽĨ ŵĞĚŝĐŝŶĞ ǁŚŝĐŚ ůƵƌĞĚ ƵƐ ŝŶ ƚŚĞ ĮƌƐƚ ƉůĂĐĞ͘ 'ƌĂƚĞĨƵů ƉĂƟĞŶƚƐ͕ ŵŽƌĞ ƟŵĞ ƚŽ ůĂLJ ŚĂŶĚƐ ŽŶ ĂĐŚŝŶŐ ƐŚŽƵůĚĞƌƐ ĂŶĚ ĚŝĂďĞƟĐ ƵůĐĞƌƐ ƌĂƚŚĞƌ ƚŚĂŶ ƉĞƐŬLJ ŬĞLJďŽĂƌĚƐ͕ ĂŶ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƚĞĂĐŚ ĂŶĚ Ă ƐĞŶƐĞ ŽĨ ĐŽŶŶĞĐƟŶŐ ǁŝƚŚ Ă ĐŽŵŵƵŶŝƚLJ ďĞLJŽŶĚ ƚŚĞ ǁĞůůͲ ƚŽͲĚŽ Žƌ ǁŽƌƌŝĞĚ ǁĞůů͘

ȃ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ Ȭ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ǯȄ

/ŵĂŐŝŶĞ ŽŶ ƚŽƉ ŽĨ ƚŚĂƚ LJŽƵ ŚĂǀĞ ƐŽŵĞ ŚĞĂůƚŚ ŝƐƐƵĞƐ ĂŶĚ ĐĂŶ͛ƚ ŵĂŬĞ ŝƚ ƚŽ ĂŝƐůĞ Ϯϲ͘ DŝůůŝŽŶƐ ŽĨ ĂůŝĨŽƌŶŝĂŶƐ ŚĂǀĞ ďĞĐŽŵĞ ŝŶƐƵƌĞĚ͕ ďƵƚ ƚŚĞLJ ĂƌĞ ƐƟůů ͞ƵŶĚĞƌŝŶƐƵƌĞĚ͟ Žƌ ͞ƵŶĚĞƌƐĞƌǀĞĚ͘͟ ƵƌƌĞŶƚ ŝŶƐƟƚƵƟŽŶƐ ŝŶĐƌĞĂƐŝŶŐůLJ ůĂĐŬ ƚŚĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ŝŶĨƌĂƐƚƌƵĐƚƵƌĞ ĂŶĚ ĐƵůƚƵƌĂů ĐŽŵƉĞƚĞŶĐLJ ƚŽ ŚĂŶĚůĞ ƚŚĞ ŝŶŇƵdž͘

tĞ ŚĂǀĞ ƚŚĞ ůŽǁĞƐƚ DĞĚŝĐĂŝĚ ƌĞŝŵďƵƌƐĞŵĞŶƚ ŝŶ ƚŚĞ ĐŽƵŶƚƌLJ͘ hŶĚŽĐƵŵĞŶƚĞĚ ŝŶĚŝǀŝĚƵĂůƐ ĐĂŶ ŐĞƚ ĚƌŝǀĞƌƐ͛ ůŝĐĞŶƐĞƐ ďƵƚ ŶŽƚ ďĂƐŝĐ ŚĞĂůƚŚ ƐĞƌǀŝĐĞƐ͘ ,ĞĂůƚŚ ƉůĂŶƐ ŚĂǀĞ ĞǀĞƌͲĐŚĂŶŐŝŶŐ ĂŶĚ ŽŌĞŶ ŝŶĂĚĞƋƵĂƚĞ ůŝƐƚƐ ŽĨ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ƉƌŽǀŝĚĞƌ ŶĞƚǁŽƌŬƐ͘ /ƚ ďĞŐƐ ƚŚĞ ƋƵĞƐƟŽŶ ͞tĞ WůƵƐ tŚŽ͍͟ /ƚ ŝƐ ƚŚĞ ,ŽŵĞ ĞƉŽƚ ƉůƵŵďŝŶŐ ƐĞĐƟŽŶ ŽŶ ƐƚĞƌŽŝĚƐ͊ /͛ŵ ŚĂƉƉLJ ŵŽƌĞ ƉĞŽƉůĞ ĂƌĞ ŐĞƫŶŐ ŝŶƐƵƌĞĚ͕ ďƵƚ ďƵƌĞĂƵĐƌĂĐLJ ďĞŐĞƚƐ ďƵƌĞĂƵĐƌĂĐLJ͕ ĂŶĚ / Ăŵ ŶŽƚ ĐŽƵŶƟŶŐ ŽŶ ƚŚĞ ƐLJƐƚĞŵ ďĞĐŽŵŝŶŐ ĞĂƐŝĞƌ ƚŽ ŶĂǀŝŐĂƚĞ ĂŶLJƟŵĞ ƐŽŽŶ͘

/Ŷ ƚĂůŬŝŶŐ ǁŝƚŚ ůŽĐĂů ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ƌĞĐĞŶƚůLJ͕ / ǁĂƐ ƐƵƌƉƌŝƐĞĚ ƚŽ ŚĞĂƌ ƐŽŵĞ ƌĞƉŽƌƚ ůŝƩůĞ ĚƌŽƉ ŝŶ ƉĂƟĞŶƚ ůŽĂĚƐ ŝŶ ƚŚĞ ƐƚƵĚĞŶƚ ĐůŝŶŝĐƐ ĚĞƐƉŝƚĞ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ĞdžƉĂŶƐŝŽŶ͘ ͞ ůŽƚ ŽĨ ƉĂƟĞŶƚƐ ũƵƐƚ ƉƌĞĨĞƌ ƚŽ ŬĞĞƉ ĐŽŵŝŶŐ ƚŽ ƚŚĞ ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐƐ ďĞĐĂƵƐĞ ǁĞ ƉƌŽǀŝĚĞ ŵŽƌĞ ĐƵůƚƵƌĂůůLJ ƐĞŶƐŝƟǀĞ ĂŶĚ ĂƉƉƌŽƉƌŝĂƚĞ ĐĂƌĞ͕͟ ƐĂŝĚ ŽŶĞ ƐƚƵĚĞŶƚ͘ tŚŝůĞ /͛ŵ ŚĂƉƉLJ ƚŚĂƚ ƚŚĞ ƐƚƵĚĞŶƚƐ ĂƌĞ ƐƚĂLJŝŶŐ ďƵƐLJ͕ ƚŚĂƚ ŝƐ Ă ƐĂĚ ĐŽŵŵĞŶƚĂƌLJ ŽŶ ŽƵƌ ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ͘ ƌĞŶ͛ƚ ǁĞ Ăůů ƐƵƉƉŽƐĞĚ ƚŽ ƚŚƌŝǀĞ͍

hŶĨŽƌƚƵŶĂƚĞůLJ͕ ƚŚĞƐĞ ƉƵƌĞƐƚ ŽĨ ƚŚĞ ƉƵƌĞ ĨŽƌŵƐ ŽĨ ŚƵŵĂŶ ŬŝŶĚŶĞƐƐ ĂƌĞ ŽŌĞŶ ƵŶĚĞƌ ƐĐƌƵƟŶLJ͘ ͞tŚĂƚ ŝĨ Ă ƐƚƵĚĞŶƚ ƚƌŝƉƐ ĂŶĚ ŚƵƌƚƐ ŚĞƌƐĞůĨ ŝŶ ĐůŝŶŝĐ͍ tŚŽ ŝƐ ƌĞƐƉŽŶƐŝďůĞ͍͟ ĂƐŬ ƵŶŝǀĞƌƐŝƚLJ ĂĚŵŝŶŝƐƚƌĂƚŽƌƐ Ăƚ ůĞĂƐƚ ŽŶĐĞ Ă LJĞĂƌ͘ ͞tŚŽ ĞdžĂĐƚůLJ ŝƐ ǀŽůƵŶƚĞĞƌŝŶŐ ĂŶĚ ŚĂǀĞ ƚŚĞLJ ŚĂĚ ƚŚĞŝƌ ŵĂŶĚĂƚŽƌLJ ŽƌŝĞŶƚĂƟŽŶƐ͕ ďĂĐŬŐƌŽƵŶĚ ĐŚĞĐŬƐ͕ ĂŶĚ ƚŚĞŝƌ ǀĂƌŝĐĞůůĂ ƟƚĞƌƐ ŵŽŶŝƚŽƌĞĚ Ăƚ ůĞĂƐƚ ϮϬ ƟŵĞƐ͊͟ dŚŽƐĞ ŽĨ ƵƐ ŝŶ ůĞĂĚĞƌƐŚŝƉ ƉŽƐŝƟŽŶƐ Ăƚ ƚŚĞƐĞ ĐůŝŶŝĐƐ ǁĂůŬ Ă ĮŶĞ ůŝŶĞ ŽĨ ƉůĂĐĂƟŽŶ ĂŶĚ ŽďĨƵƐĐĂƟŽŶ͘ /ƚ ŝƐ ĞĂƐŝĞƌ ƚŽ ďĞŐ ĨŽƌŐŝǀĞŶĞƐƐ ƚŚĂŶ ĂƐŬ ƉĞƌŵŝƐƐŝŽŶ͘ 'Ğƚ ƚŚĞ ƌŝŐŚƚ ĐĂƌĞ ƚŽ ƚŚĞ ƉĂƟĞŶƚ ŝŶ ĂŶLJ ƌĞĂƐŽŶĂďůĞ ǁĂLJ ƉŽƐƐŝďůĞ͘ ŌĞƌ Ăůů͕ ŝƐŶ͛ƚ ƚŚĞ ƉĂƟĞŶƚ ƚŚĞ ĐĞŶƚĞƌ ŽĨ ƚŚĞ WĂƟĞŶƚ ĞŶƚĞƌĞĚ DĞĚŝĐĂů ,ŽŵĞ͍

/ Ăŵ Ă ĨĂŵŝůLJ ĚŽĐƚŽƌ ĂŶĚ ƐŽ ĂƌĞ LJŽƵ͘ / ĚĞůŝŐŚƚ ŝŶ ƚŚĞ ŵĂŶLJ ƉĂƌƚƐ ŽĨ ŵLJ ƉĂƟĞŶƚƐ ĂŶĚ / ƚĂŬĞ ƚŚĞ ƟŵĞ ƚŽ ĞdžƉůĂŝŶ ǁŚĂƚ ĞĂĐŚ dŚŝƐ ŝƐƐƵĞ ŽĨ California Family Physician ŝƐ ĂďŽƵƚ ǀŽůƵŶƚĞĞƌŝƐŵ͘ ŽŶĞ ĚŽĞƐ ĂŶĚ ŚŽǁ ǁĞ ĐĂŶ ďĞƐƚ Įdž ŝƚ͕ Žƌ Ăƚ ůĞĂƐƚ ĐŽƉĞ ǁŝƚŚ DĂŶLJ ŽĨ LJŽƵ ŚĂǀĞ ŚĂĚ ŝƚ ǁŝƚŚ ƚŚĞ ďŝŐ ďŽdž ƐƚŽƌĞƐ ĂŶĚ ĐƌĂƉƉLJ ŝƚ͘ 'ŽŽĚ ǁŚŽůĞ ƉĂƟĞŶƚ ĐĂƌĞ ŝƐ ǁŚĂƚ ǁĞ ůĞĂƌŶĞĚ ĂƐ ĨĂŵŝůLJ ƐĞƌǀŝĐĞ ĂŶĚ ƉůƵŵďŝŶŐ ĮƫŶŐƐ͘ tŚĂƚ ĚŽ ǁĞ ĚŽ͍ tĞ ŐŽ ƐƵƉƉŽƌƚ ƉŚLJƐŝĐŝĂŶƐ͘ /ƚ͛Ɛ ŽƵƌ ĐĂůůŝŶŐ͘ / ŚĂǀĞ ŵLJ ƚŚƌĞĞͲƋƵĂƌƚĞƌͲŝŶĐŚ ƚŚĞ ͞ŵŽŵ ĂŶĚ ƉŽƉ͟ ǀŽůƵŶƚĞĞƌ ĐůŝŶŝĐƐ Žƌ ŵĂLJďĞ ƐĞƌǀĞ ĂďƌŽĂĚ͘ ƌĞĚƵĐĞƌ ŶŽǁ͕ ďƵƚ ŵĂŶLJ ĚŽŶ͛ƚ͘ tĞ ŚĂǀĞ ŵƵĐŚ ǁŽƌŬ ƚŽ ĚŽ͊

6

California Family Physician Summer 2015

Hyatt Regency Orange County Anaheim, California Sept. 30 – Oct. 3, 2015

Top Row: Campbell, Conway, Crawford, Diehl, Esselstyn, Goldhamer, Goldner, Greger, Hever, Howard, Karlsen Bottom Row: Lacagnina, Li, McDougall, Ornish, Pollard, Sarno, Sidhartha, Stoll, Turner-McGrievy, Turpin, Williams

Save $100! Register online using discount code: AAFP100 Visit pbnhc.com and register to be part of this medical education event many have described as “life-changing!”

24 AAFP Prescribed™ Credits

Educate and inform. Join the leading names in preventive, nutritional medicine for the 3rd Annual International Plant-Based Nutrition Healthcare Conference. Enjoy nine delicious meals, and earn valuable Continuing Medical Education credits: This program is approved for 24 AMA PRA Category 1™ and 24 AAFP Prescribed™ credits.

Who should attend? As family practice docs, we are at the top of the list. We are looked to by our patients for guidance on not only how to treat their conditions, but, more importantly, how to use lifestyle as a therapeutic intervention. And, when it comes to lifestyle, food trumps all. We owe it to ourselves, to our families and to our patients to learn about and be able to “prescribe” a prevention and treatment protocol that has only positive side effects.

We’re in the midst of a seismic shift in healthcare. Regarding our #1 killer, heart disease, medications to control risk factors, coronary stents and bypass surgery have had tremendous impact on cardiovascular mortality. But these are temporizing measures, not intended to cure. Can we prevent and reverse heart disease and other chronic disease? To a large extent, we can, by putting far more emphasis on lifestyle— particularly dietary lifestyle. — Kim Williams, MD, president American College of Cardiology / conference faculty

©2015 The Plantrician Project. All Rights Reserved.

pbnhc.com

PRESIDENT’S MESSAGE

¢ȱ ǯȱ ǰȱ ǰȱ

CAFP Salutes Members Who Volunteer to Make Health Primary DLJ ůŝĨĞ ŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ǁĂƐ ďŽƌŶ ŝŶ Ă ĚĞĐŝƐŝŽŶ ĚƵƌŝŶŐ ƚŚĞ ŵŝĚͲϭϵϵϬƐ ƚŽ ďĞĐŽŵĞ Ă ŵĞĚŝĐĂů ǀŽůƵŶƚĞĞƌ ĨŽƌ Ă ŶŽŶͲ ŐŽǀĞƌŶŵĞŶƚĂů ŽƌŐĂŶŝnjĂƚŝŽŶ ƐĞƌǀŝŶŐ ƚŚĞ ŚĞĂůƚŚ ŶĞĞĚƐ ŽĨ Ă ƉŽƐƚͲǁĂƌ ƌƵƌĂů ĐŽŵŵƵŶŝƚLJ ŝŶ ŶŽƌƚŚĞƌŶ ů ^ĂůǀĂĚŽƌ͘ 'ƌŽǁŝŶŐ ƵƉ ŝŶ ƐƵďƵƌďĂŶ >ŽƐ ŶŐĞůĞƐ͕ / ǁĂƐ ĂǁĂƌĞ ƚŚĂƚ ƚŚĞ ^ĂůǀĂĚŽƌĂŶ Đŝǀŝů ǁĂƌ ŚĂĚ ďĞĞŶ ŽŶŐŽŝŶŐ ĂůƚŚŽƵŐŚ / ĚŝĚ ŶŽƚ ĞŶƚŝƌĞůLJ ƵŶĚĞƌƐƚĂŶĚ ǁŚLJ͘ / ǁĂƐ ĚĞƚĞƌŵŝŶĞĚ ƚŽ ůĞĂƌŶ ŵŽƌĞ ĂŶĚ ďĞŐĂŶ ƌĞĂĚŝŶŐ ǁŝƚŚ ƚŚĞ ŚŽƉĞ ŽĨ ďĞƚƚĞƌ ƉƌĞƉĂƌŝŶŐ ŵLJƐĞůĨ ĨŽƌ ƚŚĞ ĞdžƉĞƌŝĞŶĐĞ͘ ZĞĂĚŝŶŐ ĂďŽƵƚ ǁĂƌ ŝƐ ŽŶĞ ƚŚŝŶŐ͖ ŝƚ͛Ɛ ĂŶŽƚŚĞƌ ƚŽ ƐĞĞ ŝƚƐ ĞĨĨĞĐƚƐ ĨŝƌƐƚŚĂŶĚ͘ hƉŽŶ ĂƌƌŝǀŝŶŐ͕ ǁŚĂƚ / ǁŝƚŶĞƐƐĞĚ ǁĂƐ Ă ŶĂƚŝŽŶ ƌĞĐŽǀĞƌŝŶŐ ĨƌŽŵ LJĞĂƌƐ ŽĨ ĐŽŶĨůŝĐƚ ƌĞƐƵůƚŝŶŐ ŝŶ Ă ĨƌĂŐŵĞŶƚĞĚ ĐŝǀŝĐ ŝŶĨƌĂƐƚƌƵĐƚƵƌĞ͕ ŵŽƌĞ ŶŽƚŝĐĞĂďůĞ ĚƌŝǀŝŶŐ ĨƵƌƚŚĞƌ ĂǁĂLJ ĨƌŽŵ ƚŚĞ ĐĂƉŝƚĂů ǁŚĞƌĞ ƌŽĂĚƐ ŚĂĚ ďĞĞŶ ďĂĚůLJ ĚĂŵĂŐĞĚ ďLJ ďŽŵďŝŶŐ ĂŶĚ ǁĂůůƐ ǁĞƌĞ ƌŝĚĚůĞĚ ǁŝƚŚ ďƵůůĞƚƐ͘ zĞƚ͕ ŝŶ ƐƉŝƚĞ ŽĨ ƚŚĞ ĚĞǀĂƐƚĂƚŝŽŶ͕ / ƐĂǁ ƌĞƐŝůŝĞŶĐLJ ĂŶĚ Ă ƐĞŶƐĞ ŽĨ ŚŽƉĞ ŝŶ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ǁŚĞƌĞ / ůŝǀĞĚ ĂŶĚ ǁŽƌŬĞĚ ũƵƐƚ ŽƵƚƐŝĚĞ ŚĂůĂƚĞŶĂŶŐŽ͘ / ŚĞůƉĞĚ ŽƌŐĂŶŝnjĞ Ă ƉŽƚĂďůĞ ǁĂƚĞƌ ƉƌŽũĞĐƚ͕ ƚĂƵŐŚƚ ĨŝƌƐƚ ĂŝĚ ƐŬŝůůƐ ĂŶĚ ƐƵƉƉŽƌƚĞĚ ůŽĐĂů ^ĂůǀĂĚŽƌĂŶ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞŝƌ ŵŽďŝůĞ ĐůŝŶŝĐ͘ / ǁŽƌŬĞĚ Ăƚ ƚŚĞ ŝŶƚĞƌĨĂĐĞ ŽĨ ƉƵďůŝĐ ŚĞĂůƚŚ ĂŶĚ ŵĞĚŝĐŝŶĞ͕ ĂŶĚ / ĨĞůƚ Ăƚ ŚŽŵĞ͘ DŽƌĞ ŝŵƉŽƌƚĂŶƚůLJ͕ / ĨĞůƚ ƉĂƌƚ ŽĨ Ă ĐŽŵŵƵŶŝƚLJ͘ dŚĞ ŵŽƐƚ ĚŝĨĨŝĐƵůƚ ƚŚŝŶŐ ĨŽƌ ŵĞ ƚŽ ĚŽ ĂĨƚĞƌ ďĞĐŽŵŝŶŐ ƉĂƌƚ ŽĨ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ĨŽƌ Ă LJĞĂƌ ǁĂƐ ƚŽ ƐĂLJ ŐŽŽĚďLJĞ͘

ƌĞĐĂƉƚƵƌĞ ƚŚĂƚ ũŽLJ ŝŶ ŽƵƌ ĞǀĞƌLJĚĂLJ ǁŽƌŬ ĂƐ ĨĂŵŝůLJ ĚŽĐƐ ŝŶ ƚŽĚĂLJ͛Ɛ ĐŽŵƉůĞdž͕ ĨƌĂŐŵĞŶƚĞĚ ŚĞĂůƚŚ ĐĂƌĞ ĞŶǀŝƌŽŶŵĞŶƚ͘ /ƚ ƐƚĂƌƚƐ ǁŝƚŚ Ă ƐĞŶƐĞ ŽĨ ƉƵƌƉŽƐĞ ĂŶĚ ŵŝƐƐŝŽŶ͘ tŚĞŶ ǁĂƐ ƚŚĞ ůĂƐƚ ƚŝŵĞ LJŽƵ ƌĞĂĚ LJŽƵƌ ƉĞƌƐŽŶĂů ƐƚĂƚĞŵĞŶƚ ĨŽƌ ŵĞĚŝĐĂů ƐĐŚŽŽů Žƌ ƌĞƐŝĚĞŶĐLJ͍ ,ĂǀĞ LJŽƵ ďĞĐŽŵĞ ƚŚĞ ƉŚLJƐŝĐŝĂŶ LJŽƵ ǁƌŽƚĞ ĂďŽƵƚ͍ tŚLJ Žƌ ǁŚLJ ŶŽƚ͍ tŚĂƚ ĐĂŶ ǁĞ ĚŽ ĂƐ Ă ĐŽŵŵƵŶŝƚLJ ƚŽ ŝŶƐƉŝƌĞ ĂŶĚ ƐƵƉƉŽƌƚ ŽŶĞ ĂŶŽƚŚĞƌ ƚŽ ďĞĐŽŵĞ ƚŚĞ ƉŚLJƐŝĐŝĂŶƐ ŽƵƌ ƉĂƚŝĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƚŝĞƐ ŶĞĞĚ ƵƐ ƚŽ ďĞ͍ ŶĚ ŚŽǁ ĚŽ ǁĞ ďĞĐŽŵĞ ƚŚĞ ƉŚLJƐŝĐŝĂŶ ůĞĂĚĞƌƐ ŽƵƌ ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ ĂŶĚ ŶĂƚŝŽŶ ŶĞĞĚ ƵƐ ƚŽ ďĞ͍

ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ě ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ¢ ȱ ȱ ȱ ȱ ¢ǯ

dŚĂƚ ĞƚŚŽƐ ŽĨ ǀŽůƵŶƚĞĞƌŝƐŵ ĂŶĚ ƐƉŝƌŝƚ ŽĨ ǁĂŶƚŝŶŐ ƚŽ ŵĂŬĞ Ă ĚŝĨĨĞƌĞŶĐĞ ŝƐ ǁŚĂƚ ĚƌŝǀĞƐ ŵĞ ƚŽ ďĞ ƚŚĞ ĨĂŵŝůLJ ĚŽĐ ĂŶĚ ƉŚLJƐŝĐŝĂŶ ůĞĂĚĞƌ / Ăŵ ƚŽĚĂLJ͘ dŚŝƐ ŝƐ ǁŚĂƚ ŐŝǀĞƐ ŵĞ ũŽLJ ŝŶ ŵLJ ǁŽƌŬ͘ / ƐƵƐƉĞĐƚ ƚŚŝƐ ŝƐ ǁŚĂƚ ŐŝǀĞƐ LJŽƵ ũŽLJ͕ ƚŽŽ͘ dŚĞ ŽƉƉŽƌƚƵŶŝƚLJ͕ ĂŶĚ ƚŚĞ ĐŚĂůůĞŶŐĞ͕ ďĞĨŽƌĞ ƵƐ ŝƐ ŚŽǁ ƚŽ

8

California Family Physician Summer 2015

Ɛ ^ƚĞǀĞ :ŽďƐ ŵĂLJ ŚĂǀĞ ƐĂŝĚ ŝĨ ŚĞ ǁĞƌĞ Ă ĨĂŵŝůLJ ĚŽĐ͗ ͞dŚĞƌĞ͛Ɛ ǁŽƌŬ ĂŶĚ ƚŚĞƌĞ͛Ɛ LJŽƵƌ ůŝĨĞ ǁŽƌŬ͘ dŚĞ ŬŝŶĚ ŽĨ ǁŽƌŬ ƚŚĂƚ ŚĂƐ LJŽƵƌ ĨŝŶŐĞƌƉƌŝŶƚƐ Ăůů ŽǀĞƌ ŝƚ͘ dŚĞ ŬŝŶĚ ŽĨ ǁŽƌŬ ƚŚĂƚ LJŽƵ͛Ě ŶĞǀĞƌ ĐŽŵƉƌŽŵŝƐĞ ŽŶ͘ dŚĂƚ LJŽƵ͛Ě ƐĂĐƌŝĨŝĐĞ Ă ǁĞĞŬĞŶĚ ĨŽƌ͘ zŽƵ ĐĂŶ ĚŽ ƚŚĂƚ ŬŝŶĚ ŽĨ ǁŽƌŬ ŝŶ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘ WĞŽƉůĞ ĚŽŶ͛ƚ ĐŽŵĞ ŚĞƌĞ ƚŽ ƉůĂLJ ŝƚ ƐĂĨĞ͘ dŚĞLJ ĐŽŵĞ ŚĞƌĞ ƚŽ Ɛǁŝŵ ŝŶ ƚŚĞ ĚĞĞƉ ĞŶĚ͘ dŚĞLJ ǁĂŶƚ ƚŚĞŝƌ ǁŽƌŬ ƚŽ ĂĚĚ ƵƉ ƚŽ ƐŽŵĞƚŚŝŶŐ͘ ^ŽŵĞƚŚŝŶŐ ďŝŐ͘ ^ŽŵĞƚŚŝŶŐ ƚŚĂƚ ĐŽƵůĚŶ͛ƚ ŚĂƉƉĞŶ ĂŶLJǁŚĞƌĞ ĞůƐĞ͘ tĞůĐŽŵĞ ƚŽ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞǀŽůƵƚŝŽŶ͘͟

/Ŷ ƚŚŝƐ ŝƐƐƵĞ ŽĨ ĂůŝĨŽƌŶŝĂ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ͕ LJŽƵ ǁŝůů ƌĞĂĚ ƚŚĞ ŝŶƐƉŝƌŝŶŐ ƐƚŽƌŝĞƐ ŽĨ ŽƵƌ ĐŽůůĞĂŐƵĞƐ ĂŶĚ ĨƌŝĞŶĚƐ ǁŚŽ ǀŽůƵŶƚĞĞƌ͘ &ƌŽŵ ŵĂŶĂŐŝŶŐ Ă ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐ ƚŽ ƉƌŽǀŝĚŝŶŐ ĐĂƌĞ ĨŽƌ ƚƌĂŶƐŐĞŶĚĞƌ ƉĂƚŝĞŶƚƐ ƚŽ ǁŽƌŬŝŶŐ ŽƵƚƐŝĚĞ ŽƵƌ ďŽƌĚĞƌƐ͕ ĨĂŵŝůLJ ĚŽĐƐ ĂƌĞ ƚŚĞƌĞ ĨŽƌ ŽƵƌ ƉĂƚŝĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƚŝĞƐ͘ WůĞĂƐĞ ũŽŝŶ ŵĞ ŝŶ ƐĂůƵƚŝŶŐ Ăůů ŽĨ ŽƵƌ ŵĞŵďĞƌƐ ǁŚŽ ǀŽůƵŶƚĞĞƌ ƚŚĞŝƌ ƚŝŵĞ ĂŶĚ ƚŚĞŝƌ ƚĂůĞŶƚ ƚŽ ŵĂŬĞ ŚĞĂůƚŚ ƉƌŝŵĂƌLJ͊ /Ĩ LJŽƵ͛Ě ůŝŬĞ ƚŽ ƐŚĂƌĞ LJŽƵƌ ƐƚŽƌLJ ĂďŽƵƚ ǀŽůƵŶƚĞĞƌŝŶŐ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ &W ǀŝĂ ĞŵĂŝů ;ĐĂĨƉΛĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͿ Žƌ ƉŽƐƚ Ă ĐŽŵŵĞŶƚ ŽŶ ŽƵƌ &ĂĐĞŬ ƉĂŐĞ ;ĨĂĐĞŬ͘ĐŽŵͬĨĂŵŝůLJĚŽĐƐͿ͘

ȱ ȱ

PCMH CORNER

What’s in the Medicare Access and CHIP Reauthorization Act for PCMH? /Ŷ Ɖƌŝů͕ WƌĞƐŝĚĞŶƚ KďĂŵĂ ƐŝŐŶĞĚ ƚŚĞ DĞĚŝĐĂƌĞ ĐĐĞƐƐ ĂŶĚ ,/W ZĞĂƵƚŚŽƌŝnjĂƟŽŶ Đƚ ;D Z Ϳ ŝŶƚŽ ůĂǁ ĂŶĚ ƌĞƉĞĂůĞĚ ƚŚĞ ƚƌŽƵďůĞĚ ^ƵƐƚĂŝŶĂďůĞ 'ƌŽǁƚŚ ZĂƚĞ ;^'ZͿ ĨŽƌŵƵůĂ͘ &W ĐĞůĞďƌĂƚĞƐ ƚŚĞ ĞŶĚ ŽĨ ƚŚĞ ^'Z ĂŶĚ ƚŚĞ ĂǀŽŝĚĂŶĐĞ ŽĨ Ă Ϯϭ ƉĞƌĐĞŶƚ ƉĂLJŵĞŶƚ ĐƵƚ ŝŶ ƚŚĞ DĞĚŝĐĂƌĞ ƉƌŽŐƌĂŵ͘ ĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƐŚŽƵůĚ ďĞĐŽŵĞ ĨĂŵŝůŝĂƌ ǁŝƚŚ ƚŚĞ ŽƚŚĞƌ ĐŽŶƚĞŶƚ ŽĨ ƚŚŝƐ ůĂǁ͕ ŚŽǁĞǀĞƌ͕ ĂƐ D Z ĂĐĐĞůĞƌĂƚĞƐ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵ ĂŶĚ ĐƌĞĂƚĞƐ ůŽŶŐͲƚĞƌŵ ŝŶĐĞŶƟǀĞƐ ƚŽ ƚƌĂŶƐŝƟŽŶ ƚŽ Ă WĂƟĞŶƚ ĞŶƚĞƌĞĚ DĞĚŝĐĂů ,ŽŵĞ ;W D,Ϳ Žƌ ŽƚŚĞƌ ůƚĞƌŶĂƟǀĞ WĂLJŵĞŶƚ DŽĚĞů͘ /Ŷ ŵĂŶLJ ǁĂLJƐ͕ D Z ĨŽƌŵĂůŝnjĞƐ ƚŚĞ ĂŶŶŽƵŶĐĞŵĞŶƚ ŵĂĚĞ ďLJ ^ĞĐƌĞƚĂƌLJ ŽĨ ,ĞĂůƚŚ ĂŶĚ ,ƵŵĂŶ ^ĞƌǀŝĐĞƐ ;,,^Ϳ͕ ^LJůǀŝĂ ƵƌǁĞůů ŝŶ :ĂŶƵĂƌLJ ƚŚĂƚ DĞĚŝĐĂƌĞ ǁŝůů ŝŶĐƌĞĂƐŝŶŐůLJ ƟĞ ƉĂLJŵĞŶƚ ƚŽ ǀĂůƵĞ ŝŶƐƚĞĂĚ ŽĨ ǀŽůƵŵĞ͘ hŶĚĞƌ D Z ͕ ǁĞ ǁŝůů ƐĞĞ ƉĂLJŵĞŶƚ ƵƉĚĂƚĞƐ ďĞƚǁĞĞŶ :ƵŶĞ ϮϬϭϱ ĂŶĚ ĞĐĞŵďĞƌ ϮϬϭϵ͘ EŽ ĨƵƌƚŚĞƌ ƉĂLJŵĞŶƚ ƵƉĚĂƚĞƐ ĂƌĞ ƐĐŚĞĚƵůĞĚ ďĞƚǁĞĞŶ :ĂŶƵĂƌLJ ϮϬϮϬ ĂŶĚ ĞĐĞŵďĞƌ ϮϬϮϱ͖ ďĂƐĞ ƌĂƚĞƐ ǁŝůů ďĞ ĞƋƵŝǀĂůĞŶƚ ƚŽ ϮϬϭϵ ůĞǀĞůƐ͘ /ŶƐƚĞĂĚ͕ ƉŚLJƐŝĐŝĂŶƐ ǁŝůů ĐŚŽŽƐĞ ĨƌŽŵ ƚǁŽ ƉĂLJŵĞŶƚ ƚƌĂĐŬƐ ǁŝƚŚ ĂĚĚŝƟŽŶĂů ƉĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ͗ ƚŚĞ DĞƌŝƚͲ ĂƐĞĚ /ŶĐĞŶƟǀĞ WĂLJŵĞŶƚ ^LJƐƚĞŵ ;D/W^Ϳ Žƌ ůƚĞƌŶĂƟǀĞ WĂLJŵĞŶƚ DŽĚĞů ; WDͿ͘ ĂůŝĨŽƌŶŝĂ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ƐŚŽƵůĚ ĐŽŶƐŝĚĞƌ ǁŚŝĐŚ ŽĨ ƚŚĞ ƚǁŽ ƉĂLJŵĞŶƚ ƉĂƚŚǁĂLJƐ ƚŽ ƉƵƌƐƵĞ͘ /ƚ ŝƐ Ă ŵŽŵĞŶƚ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ƚƌĂŶƐŝƟŽŶ ƚŽ W D,͕ ǁŚŝĐŚ ǁŝůů ƋƵĂůŝĨLJ ĂƐ ĂŶ WD ƵŶĚĞƌ D Z ͘ WƌĂĐƟĐĞƐ ƚŚĂƚ ĂƌĞ W D,Ɛ Žƌ ǁŝůů ďĞ ŝŶ ϮϬϮϬ ǁŝůů ďĞŶĞĮƚ ĨƌŽŵ ŚŝŐŚĞƌ ƉĂLJŵĞŶƚ ŝŶ ƚŚĞ DĞĚŝĐĂƌĞ ƉƌŽŐƌĂŵ͕ ĂŶĚ ƚŚĞ ƉĂLJ ĚŝīĞƌĞŶƟĂů ŝŶĐƌĞĂƐĞƐ ĞdžƉŽŶĞŶƟĂůůLJ ŽǀĞƌ ƟŵĞ͘ dhe DeritͲ ased /ncenƟǀe Payment System ;D/PSͿ D/W^ ŝƐ Ă ƉĂLJͲĨŽƌͲƉĞƌĨŽƌŵĂŶĐĞ ƉƌŽŐƌĂŵ ƚŚĂƚ ŵĂŝŶƚĂŝŶƐ ĨĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞ ĂƐ Ă ďĂƐĞ͘ D/W^ ǁŝůů ĐŽŶƐŽůŝĚĂƚĞ ĞdžŝƐƟŶŐ ǀĂůƵĞͲďĂƐĞĚ ƉĂLJŵĞŶƚ ŵŽĚĞůƐ͗ WŚLJƐŝĐŝĂŶ YƵĂůŝƚLJ ZĞƉŽƌƟŶŐ ^LJƐƚĞŵ͕ sĂůƵĞ ĂƐĞĚ DŽĚŝĮĞƌ ĂŶĚ DĞĂŶŝŶŐĨƵů hƐĞ ŽĨ ůĞĐƚƌŽŶŝĐ ,ĞĂůƚŚ ZĞĐŽƌĚƐ ŝŶƚŽ ŽŶĞ ƉƌŽŐƌĂŵ͘ ^ĞƉĂƌĂƚĞ ƉĂLJŵĞŶƚ ŝŵƉůŝĐĂƟŽŶƐ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ ĞĂĐŚ ƉƌŽŐƌĂŵ ǁŝůů ƐƵŶƐĞƚ Ăƚ ƚŚĞ ĞŶĚ ŽĨ ϮϬϭϴ͘ D/W^ ǁŝůů ĂƉƉůLJ ƚŽ ƐĞƌǀŝĐĞƐ ĨƵƌŶŝƐŚĞĚ ŽŶ Žƌ ĂŌĞƌ :ĂŶƵĂƌLJ ϭ͕ ϮϬϭϵ͘ WĞƌĨŽƌŵĂŶĐĞͲďĂƐĞĚ ďŽŶƵƐ ƉĂLJŵĞŶƚƐ ǁŝůů ƌĂŶŐĞ ĨƌŽŵ ĨŽƵƌ ƚŽ ŶŝŶĞ ƉĞƌĐĞŶƚ ǁŝƚŚŝŶ D/W^͘ ůŝŐŝďůĞ ƉƌŽĨĞƐƐŝŽŶĂůƐ ǁŝůů ĞdžĐůƵĚĞ ƚŚŽƐĞ ǁŚŽ ƉĂƌƟĐŝƉĂƚĞ ŝŶ Ă ƋƵĂůŝĨLJŝŶŐ WD͕ ĚĞƐĐƌŝďĞĚ ďĞůŽǁ͕ ĂŶĚ ƚŚŽƐĞ ǁŚŽ ĚŽ ŶŽƚ ĞdžĐĞĞĚ Ă ǀŽůƵŵĞ ƚŚƌĞƐŚŽůĚ ŽĨ DĞĚŝĐĂƌĞ ƉĂƟĞŶƚƐ͕ ĂƐ ĚĞƚĞƌŵŝŶĞĚ ďLJ ,,^͘ &ŽƵƌ ƉĞƌĨŽƌŵĂŶĐĞ ĐĂƚĞŐŽƌŝĞƐ ǁŝůů ďĞ ƵƐĞĚ ƚŽ ŵĂŬĞ ƵƉ ƚŚĞ ĐŽŵƉŽƐŝƚĞ ƉĞƌĨŽƌŵĂŶĐĞ ƐĐŽƌĞ ƚŽ ĚĞƚĞƌŵŝŶĞ ƉĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ͗ YƵĂůŝƚLJ͕ ZĞƐŽƵƌĐĞ hƐĞ͕ ůŝŶŝĐĂů WƌĂĐƟĐĞ /ŵƉƌŽǀĞŵĞŶƚ ĐƟǀŝƟĞƐ ĂŶĚ DĞĂŶŝŶŐĨƵů hƐĞ ŽĨ Ă ĞƌƟĮĞĚ ůĞĐƚƌŽŶŝĐ ,ĞĂůƚŚ ZĞĐŽƌĚ ; ,ZͿ͘ LJ EŽǀĞŵďĞƌ ϭ ŽĨ ƚŚĞ LJĞĂƌ ƉƌŝŽƌ ƚŽ ƚŚĞ ĮƌƐƚ ĚĂLJ ŽĨ ƚŚĞ D/W^ ƉĞƌĨŽƌŵĂŶĐĞ ƉĞƌŝŽĚ͕ ,,^ ǁŝůů ƉƵďůŝƐŚ Ă ůŝƐƚ ŽĨ ƋƵĂůŝƚLJ ŵĞĂƐƵƌĞƐ ŝŶ

ƚŚĞ &ĞĚĞƌĂů ZĞŐŝƐƚĞƌ͘ ƌĞĚŝƚ ǁŝůů ďĞ ŐŝǀĞŶ ƚŽ ĞůŝŐŝďůĞ ƉƌŽĨĞƐƐŝŽŶĂůƐ ŝĨ ƚŚĞŝƌ ƋƵĂůŝƚLJ ĂŶĚ ƌĞƐŽƵƌĐĞ ƵƐĞ ƉĞƌĨŽƌŵĂŶĐĞ ŵĞĂƐƵƌĞƐ ĂƌĞ ƐĞĞŶ ƚŽ ŝŵƉƌŽǀĞ ĨƌŽŵ LJĞĂƌ ƚŽ LJĞĂƌ͘ WĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ ǁŝůů ďĞ ŵĂĚĞ ǁŚĞŶ ĐŽŵƉĂƌŝŶŐ ƚŚĞ ĐŽŵƉŽƐŝƚĞ ƉĞƌĨŽƌŵĂŶĐĞ ƐĐŽƌĞ ƚŽ Ă ĐĞƌƚĂŝŶ ƚŚƌĞƐŚŽůĚ ůĞǀĞů͘ EĞŐĂƟǀĞ ƉĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ ĨŽƌ ƚŚŽƐĞ ǁŚŽ ĨĂůů ďĞůŽǁ ƚŚƌĞƐŚŽůĚ ǁŝůů ďĞ ĐĂƉƉĞĚ Ăƚ ĨŽƵƌ ƉĞƌĐĞŶƚ ŝŶ ϮϬϭϵ͕ ĮǀĞ ƉĞƌĐĞŶƚ ŝŶ ϮϬϮϬ͕ ƐĞǀĞŶ ƉĞƌĐĞŶƚ ŝŶ ϮϬϮϭ ĂŶĚ ŶŝŶĞ ƉĞƌĐĞŶƚ ŝŶ ϮϬϮϮ͘ ŐŐƌĞŐĂƚĞ ƉŽƐŝƟǀĞ ƉĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ ĨŽƌ ƚŚŽƐĞ ǁŚŽ ĨĂůů ďĞLJŽŶĚ ƚŚĞ ƚŚƌĞƐŚŽůĚ ǁŝůů ďĞ ĐĂƉƉĞĚ Ăƚ ΨϱϬϬ ŵŝůůŝŽŶ ƉĞƌ LJĞĂƌ ƵŶƟů ϮϬϮϰ͘ WĂLJŵĞŶƚ ĂĚũƵƐƚŵĞŶƚƐ ǁŝůů ďĞ ĚŽŶĞ ŽŶ Ă ůŝŶĞĂƌ ƐĐĂůĞ͖ ƚŚĞ ĐůŽƐĞƌ ĂŶ ĞůŝŐŝďůĞ ƉƌŽĨĞƐƐŝŽŶĂů ŝƐ ƚŽ ƚŚƌĞƐŚŽůĚ͕ ƚŚĞ ŵŽƌĞ Žƌ ůĞƐƐ ŚĞ Žƌ ƐŚĞ ǁŝůů ƌĞĐĞŝǀĞ͘ AlternaƟǀe Payment Dodel ;APDͿ WƌŽĨĞƐƐŝŽŶĂůƐ ƉĂƌƟĐŝƉĂƟŶŐ ŝŶ ĂŶ WD͕ ǁŝůů ƌĞĐĞŝǀĞ ďŽŶƵƐĞƐ ĐĂƉƉĞĚ Ăƚ ĮǀĞ ƉĞƌĐĞŶƚ ĞĂĐŚ LJĞĂƌ ďLJ ĂĚŚĞƌŝŶŐ ƚŽ ƉŚLJƐŝĐŝĂŶͲƌĞǀŝĞǁĞĚ ƋƵĂůŝƚLJ ŵĞĂƐƵƌĞƐ͘ WDƐ ǁŝůů ŝŶĐůƵĚĞ W D,͕ ĂŶLJ ŵŽĚĞů ƵŶĚĞƌ ƚŚĞ ĞŶƚĞƌ ĨŽƌ DĞĚŝĐĂƌĞ ĂŶĚ DĞĚŝĐĂŝĚ /ŶŶŽǀĂƟŽŶ ĞŶƚĞƌ͕ ĐĐŽƵŶƚĂďůĞ ĂƌĞ KƌŐĂŶŝnjĂƟŽŶƐ ĂŶĚ ƐĞůĞĐƚĞĚ DĞĚŝĐĂƌĞ ĚĞŵŽŶƐƚƌĂƟŽŶƐ͘ Technical Assistance D Z ĂůƐŽ ƌĞƋƵŝƌĞƐ ,,^ ƚŽ ĚŝƐƚƌŝďƵƚĞ ΨϭϬϬ ŵŝůůŝŽŶ ŝŶ ƚĞĐŚŶŝĐĂů ĂƐƐŝƐƚĂŶĐĞ ƚŽ ƐŵĂůů ƉƌĂĐƟĐĞƐ ĂƩĞŵƉƟŶŐ ƚŽ ƚƌĂŶƐŝƟŽŶ ƚŽ D/W^ Žƌ WDƐ͘ ΨϮϬ ŵŝůůŝŽŶ ǁŝůů ďĞ ĚŝƐƚƌŝďƵƚĞĚ ĂŶŶƵĂůůLJ ďĞƚǁĞĞŶ ϮϬϭϲ ĂŶĚ ϮϬϮϬ͘ ^ŵĂůů ƉƌĂĐƟĐĞƐ ĂƌĞ ĚĞĮŶĞĚ ĂƐ ƚŚŽƐĞ ǁŝƚŚ ϭϱ Žƌ ĨĞǁĞƌ ƉƌŽĨĞƐƐŝŽŶĂůƐ͘ WƌŝŽƌŝƚLJ ƚŽ ƌĞĐĞŝǀĞ ĨƵŶĚƐ ǁŝůů ďĞ ŐŝǀĞŶ ƚŽ ƚŚŽƐĞ ŝŶ ƌƵƌĂů ĂƌĞĂƐ͕ ŚĞĂůƚŚ ƉƌŽĨĞƐƐŝŽŶĂů ƐŚŽƌƚĂŐĞ ĂƌĞĂƐ͕ ŵĞĚŝĐĂůůLJ ƵŶĚĞƌƐĞƌǀĞĚ ĂƌĞĂƐ ĂŶĚ ƚŚŽƐĞ ǁŝƚŚ ůŽǁ ĐŽŵƉŽƐŝƚĞ ƐĐŽƌĞƐ͘ /ƚ ŝƐ ǁŽƌƚŚ ŶŽƟŶŐ ƚŚĂƚ ŽƚŚĞƌ ƐŽƵƌĐĞƐ ŽĨ ĨƵŶĚŝŶŐ ĨŽƌ ƚĞĐŚŶŝĐĂů ĂƐƐŝƐƚĂŶĐĞ ǁŝůů ďĞ ŵĂĚĞ ĂǀĂŝůĂďůĞ ĂůŵŽƐƚ ƐŝŵƵůƚĂŶĞŽƵƐůLJ ĨŽƌ ƉƌĂĐƟĐĞƐ ǁŝƐŚŝŶŐ ƚŽ ƚƌĂŶƐĨŽƌŵ͘ dŚĞ D^ /ŶŶŽǀĂƟŽŶ ĞŶƚĞƌ͛Ɛ dƌĂŶƐĨŽƌŵŝŶŐ ůŝŶŝĐĂů WƌĂĐƟĐĞƐ /ŶŝƟĂƟǀĞ ŵĂŬĞƐ ΨϴϰϬ ŵŝůůŝŽŶ ĂǀĂŝůĂďůĞ ďĞƚǁĞĞŶ ϮϬϭϱ ĂŶĚ ϮϬϭϵ ƚŽ ƐƵƉƉŽƌƚ ϭϱϬ͕ϬϬϬ ƉƌĂĐƟĐĞƐ ĚĞǀĞůŽƉ ƚŚĞŝƌ ƋƵĂůŝƚLJ ŝŵƉƌŽǀĞŵĞŶƚ ƐƚƌĂƚĞŐŝĞƐ͘ ĂůŝĨŽƌŶŝĂ͛Ɛ ĞƉĂƌƚŵĞŶƚ ŽĨ ,ĞĂůƚŚ ĂƌĞ ^ĞƌǀŝĐĞƐ ŝƐ ƉůĂŶŶŝŶŐ ƚŽ ŽīĞƌ ƚĞĐŚŶŝĐĂů ĂƐƐŝƐƚĂŶĐĞ ƚŽ ƉƌĂĐƟĐĞƐ ŝŶ ŝƚƐ ,ĞĂůƚŚ ,ŽŵĞƐ ĨŽƌ ŽŵƉůĞdž WĂƟĞŶƚƐ ƉƌŽũĞĐƚ͘ WůĞŶƚLJ ŽĨ ƉŝĞĐĞƐ ĂƌĞ ƐƟůů ŵŝƐƐŝŶŐ ŚĞƌĞ͘ &W ǁŝůů ĂĚǀŽĐĂƚĞ ĨŽƌ ĂůŝĨŽƌŶŝĂ͛Ɛ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ŝŶ ƚŚĞ ƌĞŐƵůĂƚŽƌLJ ƉƌŽĐĞƐƐ ƚŚĂƚ ǁŝůů ĂĚĚ ŵŽƌĞ ƐƚƌƵĐƚƵƌĞ ƚŽ ƚŚĞ ĐŽƌĞ ƉĂLJŵĞŶƚ ƉƌŽŐƌĂŵƐ ĐƌĞĂƚĞĚ ďLJ D Z ͘ tĞ ŝŶǀŝƚĞ LJŽƵ ƚŽ ǀŝƐŝƚ &W͛Ɛ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵ ǁĞďƉĂŐĞ Ăƚ ŚƩƉ͗ͬ​ͬǁǁǁ͘ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬƉĂLJŵĞŶƚͲƌĞĨŽƌŵ͕ ůĞĂƌŶ ŵŽƌĞ ĂďŽƵƚ D Z ͕ ƌĞĂĚ ŽƵƌ ƉĂLJŵĞŶƚ ƌĞĨŽƌŵ ƉƌŝŵĞƌ ĂŶĚ ůĞĂƌŶ ŵŽƌĞ͘ Leah Newkirk is CAFP’s Vice President of Health Policy. California Family Physician Summer 2015

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POLITICAL PULSE

The SGR is Dead! The SGR is Dead! Long Live MACRA! /ƚ ƐĞĞŵƐ ŽŶůLJ ĨŝƚƚŝŶŐ ƚŚĂƚƚ ŵLJ LJ Ĩŝ ĨŝƌƐ ƌƐƚƚ ĨĞ ĨĞǁ ĨĞǁ ǁ ŵŽ ŵŽ ŵ Ŷƚ ŶƚŚƐ ŶƚŚƐ Ś ĂƐ ƚŚ ƚŚĞ ƚŚĞ Ğ ŶĞ ŶĞǁ ŶĞǁ ǁ ŚĂŝ Ś Ăŝƌ ƌ ŽĨ & &W͛ W͛ƐƐ >Ğ >ĞŐŝ Ő Ɛů Ɛ Ăƚƚŝǀ ŝǀĞĞ Ĩ ĨĂ ĨĂŝƌ ŝƌƐ ŝƌ Ɛ Ž Žŵŵ Ž ŵ ŝƚ ŝƚƚĞ ƚĞĞ ƚĞ ĞĞ ŚĂ ŚĂǀĞ ǀĞ ŝŶǀ Ŷ ŽůǀĞ ǀĞĚ ǀĞ Ě ƐŽ ŵĂŶLJ ŶĞǁ ŝƐƐƵĞƐ ŽŶ ƚŚĞĞ ůĞŐ ĞŐŝƐ ŝƐůĂ ŝƐ ůĂƚŝ ůĂ ƚŝǀĞ ƚŝ ǀĞ ĚŽĐ ŽĐŬĞ ŬĞƚƚ͘ DĂŬ ŬĞ ĂŬŬĞ ŶŽ Ŷ ŵŝƐ ŝƐƚĂ ŝƐ ƚĂĂŬĞ ŬĞ͖ ŵĂŶLJ ŽĨ ƚŚĞ ŽůĚ ƚŚƌĞĂƚƐ ƚŽ ƉĂƚ ĂƚŝĞ ŝ Ŷƚ ƐĂĨĨĞƚ ĞƚLJLJ Ɛƚƚŝůŝůůů ĞdždžŝƐƚ ŝƐƚ͕ ŝŶĐ ŝƐ ƚ͕ ĐůƵ ůƵĚŝ ĚŝŝŶ ŶŐŐ ŝŶĂƉƉƌŽƉƌŝĂƚĞ ĞdžƉĂŶƐŝŽŶ ŽĨĨ ŵŝĚ ŝĚůĞ ůĞǀĞ ůĞ ǀĞĞů Ɖƌ ƉƌŽǀ ŽǀŝĚ Žǀ ŝ Ğƌƌ ƐĐŽ ŝĚ Đ ƉĞ ŽĨ ƉƌĂĐƚŝĐĞ ĂŶĚ ƐŚĞŶĂŶŝŐĂŶƐƐ ďLJ ƚƌ ƚƌŝĂ ŝĂů ů ů ůĂ ŝĂ ů ǁLJĞƌƐ͘ Ƶƚ ǁĞ ŚĂ ůĂ ŚĂǀĞ ǀĞ ƐĞĞŶ ĞĞĞŶ ƐŽŵĞ ƉƌĞƚƚLJ LJ ŵĂũŽ ũŽƌƌ ƐƵ ƵĐĐ ĐĐĞƐ ĞƐƐĞ ƐĞƐ ƐĞ Ɛ ƌĞ ƌ ĐĞ ƌĞ ĐĞŶƚ ŶƚůLJ ůLJ ƚŚĂ ŚĂƚƚ ŚĂĂǀĞ ǀĞ ďĞĞŶ ĂĐŚŝĞǀ ĞǀĞĞĚ Ğǀ ŽŶůLJ ƚŚƌƌŽƵ ŽƵŐŚ ŐŚ LJĞĂĂƌƐ ŽĨ Ĩ ĂŐ ĂŐŐƌ ŐƌĞƐ Őƌ ĞƐƐŝ ƐŝǀĞ ǀĞ ĂĚǀ ĚǀŽĐ Ěǀ ŽĐĂĐ ŽĐ ĂĐLJ ĂĐ LJ ď LJ ďLJ & ďLJ &W W͕ & &W W ĂŶ ĂŶĚ Ě ŵĂŶLJ ŶLJ &Ăŵ ĂŵŝůŝůLJ LJ WŚ LJ WŚLJƐ LJƐŝĐ ŝĐŝĂ ŝĂŶ Ŷ <Ğ <ĞLJ LJ Ž ŽŶƚ ŶƚĂĐ ĂĐƚƐ ƚƐ ĂĐƌŽƐ ŽƐƐƐ ƚŚ ƚŚĞ ĐŽ Đ ƵŶ ĐŽ Ƶ ƚƌ ƚƌLJ͘ LJ͘ KƵƌ ďŝŐŐĞƐƚ ƌĞĐĞŶƚ ƐƵĐĐĞƐƐ ǁĂƐ ĨŝŶĂůůLJ ƌĞƉĞĂůŝŶŐ ĂŶĚ ƌĞƉůĂĐŝŶŐ ƚŚĞ ĨůĂǁĞĚ ^ƵƐƚĂŝŶĂďůĞ 'ƌŽǁƚŚ ZĂƚĞ ;^'ZͿ ĨŽƌŵƵůĂ ǁŚŝĐŚ ŚĂĚ ƚŚƌĞĂƚĞŶĞĚ DĞĚŝĐĂƌĞ ƉŚLJƐŝĐŝĂŶƐ ǁŝƚŚ ŵĂƐƐŝǀĞ ƉĂLJŵĞŶƚ ĐƵƚƐ LJĞĂƌ ĂĨƚĞƌ LJĞĂƌ͘ dŚƌŽƵŐŚ ŽƵƌ ĂĚǀŽĐĂĐLJ͕ ŽŶŐƌĞƐƐ ƉĂƐƐĞĚ ĂŶĚ ƚŚĞ WƌĞƐŝĚĞŶƚ ƐŝŐŶĞĚ ,Z Ϯ͕ ƚŚĞ DĞĚŝĐĂƌĞ ĐĐĞƐƐ ĂŶĚ ŚŝůĚƌĞŶ͛Ɛ ,ĞĂůƚŚ /ŶƐƵƌĂŶĐĞ WƌŽŐƌĂŵ ZĞĂƵƚŚŽƌŝnjĂƚŝŽŶ Đƚ ;D Z Ϳ͘ &W ĂŶĚ &W ƚŚĂŶŬ ƚŚĞ ƚŚŽƵƐĂŶĚƐ ŽĨ ŵĞŵďĞƌƐ ǁŚŽ ƚŽŽŬ ĂĐƚŝŽŶ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ŵĂŶLJ LJĞĂƌƐ ƚŽ ƉƌŽƚĞĐƚ DĞĚŝĐĂƌĞ ƉĂƚŝĞŶƚƐ͛ ĂĐĐĞƐƐ ƚŽ ĐĂƌĞ ĂŶĚ ƉŚLJƐŝĐŝĂŶ ƉĂLJŵĞŶƚ͘ tŝƚŚ Ă ŽŶŐƌĞƐƐ ŵŽƌĞ ĚŝǀŝĚĞĚ ƚŚĂŶ Ăƚ ĂŶLJ ƚŝŵĞ ŝŶ ƌĞĐĞŶƚ ŚŝƐƚŽƌLJ͕ LJŽƵƌ ŐƌĂƐƐƌŽŽƚƐ ƐƵƉƉŽƌƚ ĨŽƌĐĞĚ Ă ĐŽŵƉƌŽŵŝƐĞ ĂŶĚ ƉƵƚ ĂŶ ĞŶĚ ƚŽ ƚŚŝƐ ƵŶƐƵƐƚĂŝŶĂďůĞ ĨŽƌŵƵůĂ͘ /Ŷ ŝƚƐ ƉůĂĐĞ͕ ,Z Ϯ ǁŝůů ĂŶŶƵĂůůLJ ƵƉĚĂƚĞ DĞĚŝĐĂƌĞ ƉĂLJŵĞŶƚ ďLJ Ϭ͘ϱ ƉĞƌĐĞŶƚ ĨŽƌ ĨŝǀĞ LJĞĂƌƐ ĂŶĚ ŵŽǀĞ ƚŚĞ ƉƌŽŐƌĂŵ ƚŽǁĂƌĚ Ă ǀĂůƵĞͲ ďĂƐĞĚ ƉĂLJŵĞŶƚ ƐLJƐƚĞŵ͕ ǁŚŝůĞ ĂůƐŽ ĐŽŶƐŽůŝĚĂƚŝŶŐ ĂŶĚ ŝŵƉƌŽǀŝŶŐ ŝŶĐĞŶƚŝǀĞ ƉƌŽŐƌĂŵƐ͘ tŚŝůĞ ŶŽƚ Ă ƉĞƌĨĞĐƚ ƐŽůƵƚŝŽŶ͕ ,Z Ϯ ƌĞƐŽůǀĞƐ ƐŽŵĞ ŽĨ ŽƵƌ ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ͛Ɛ ŵŽƐƚ ƉƌĞƐƐŝŶŐ ŝƐƐƵĞƐ͘ WůĞĂƐĞ ƌĞĂĚ ƚŚĞ W D, ŽƌŶĞƌ ŝŶ ƚŚŝƐ ŝƐƐƵĞ ŽĨ ĂůŝĨŽƌŶŝĂ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ĨŽƌ ŵŽƌĞ ĚĞƚĂŝůƐ ŽŶ ǁŚĂƚ D Z ǁŝůů ŵĞĂŶ ĨŽƌ LJŽƵƌ ƉƌĂĐƚŝĐĞ ĂŶĚ DĞĚŝĐĂƌĞ ƉĂƚŝĞŶƚƐ ŝŶ ƚŚĞ ĨƵƚƵƌĞ͘ ƐŝĚĞ ĨƌŽŵ ƉĂLJŵĞŶƚ͕ ƐĞǀĞƌĂů ŽƚŚĞƌ ŽĨ &W͛Ɛ ŵĂũŽƌ ƉƌŝŽƌŝƚŝĞƐ ǁĞƌĞ ĂĚĚƌĞƐƐĞĚ ŝŶ ,Z Ϯ͘ dŚĞ ŶĞǁ ůĂǁ ĞdžƚĞŶĚƐ ƚŚĞ ŚŝůĚƌĞŶ͛Ɛ ,ĞĂůƚŚ /ŶƐƵƌĂŶĐĞ WƌŽŐƌĂŵ ; ,/WͿ ĨŽƌ ƚǁŽ LJĞĂƌƐ͘ ,/W ƉƌŽǀŝĚĞƐ ŝŶƐƵƌĂŶĐĞ ĐŽǀĞƌĂŐĞ ĨŽƌ ŵŽƌĞ ƚŚĂŶ ĞŝŐŚƚ ŵŝůůŝŽŶ ĐŚŝůĚƌĞŶ ĂŶĚ ƉƌĞŐŶĂŶƚ ǁŽŵĞŶ ŝŶ ĨĂŵŝůŝĞƐ ƚŚĂƚ ĞĂƌŶ ŝŶĐŽŵĞ ƐůŝŐŚƚůLJ ĂďŽǀĞ DĞĚŝĐĂŝĚ ĞůŝŐŝďŝůŝƚLJ ůĞǀĞůƐ͘ Ɛ ƉĂƌƚ ŽĨ ŽƵƌ ĂĚǀŽĐĂĐLJ ĞĨĨŽƌƚƐ͕ &W ƚĞĂŵĞĚ ƵƉ ǁŝƚŚ &W ƚŽ ƌĞĂĐŚ

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California Family Physician Summer 2015

ŽƵƚ ƚ ƚŽ ƚ ƚŽ Ž ŽŶ ŽŶŐƌ ŐƌĞƐ Őƌ Ğ Ɛŵ ĞƐ ƐŵĂŶ ƐŵĂ ĂŶ ŽƵŐ ŽƵ ƵŐ >ĂĂDĂ DĂůĨ ůĨĂ ;Z ʹ ZĞĚĚŝŶ ŶŐŐͿͿ ƚƚŽ ŶŐ Ž ƐƵƉ ƵƉƉŽ ƉŽ Ɖ Žƌƚ ƌ ĂŶ Ŷ ĞdžƚƚĞŶ ŶƐƐŝŝŽ ŽŶ Ŷ ŝŶ Ŷ ƚŚ ƚŚĞ dĞĂĐŚŝŝŶ ƚŚ ŶŐŐ ,ĞĂůƚŚ ĞŶƚĞƌ ;d, , Ϳ ƉƌŝŵĂ ƌŝŵĂĂƌƌLJLJ ĐĂƌĞ ƌĞƐŝĚ ŝĚ ĚĞŶ ĞŶĐLJ Đ ŐƌĂ ƌĂŶƚ ŶƚƐƐ Ɖƌ ƉƌŽŐƌĂ ƌĂŵ͘ dŚĞ d, ƉƌŽ ƌĂ ƌŽŐƌ Ő Ăŵ ĞdžƉ Őƌ džƉĂŶ Ă ĚƐ ƌĞƐŝĚĞŶĐLJLJ ƚƌ ƚƌĂĂŝ ĂŝŶŝŶŐ ŝŶ ĐŽŵŵƵŶ Ƶ ŝƚLJLJͲďĂƐĞĚ ƐĞ ƐĞƚƚ ƚƚŝŶ ƚƚ ƚŝŶ ŝ ŐƐ͕ ŐƐ͕ ŝŶĐůƵĚ ŐƐ ƵĚŝŶŐ Ő Ɛŝdž Ɛŝ dž Ɖƌ ƉƌŽŐ ŽŐƌĂ ƌĂĂŵƐ ŵƐ ŝŶ Ă ĂůŝůŝĨŽ ĨŽƌŶ ƌŶŝĂ ŝĂ͘ ŝĂ Ă͘ ZĞ ZĞƐŝ Ɛ ĚĞĞŶƚƐ Ăƌ ĂƌĞ Ğ ƚƌ ƚƌĂŝ ƚƌ ĂŝŶĞ ŶĞĚ ŝŶ ŶĞ ŝŶ ĨĂŵŝŝůLJ ĂŶĚ ĂŶ Ě ŝŶ ŝŶƚĞ ƚĞƌŶ ƌŶ ŶĂů Ăů ŵĞĚ ĞĚŝĐ ŝĐŝŶ ŝŶĞĞ͕ ƉĞĚ ĞĚŝĂ ŝĂƚƌ ŝĂ ƚƌŝĐ ŝĐƐƐ͕ Ɛ͕ ŽďƐƐƚĞ ƚĞƚƚƌŝĐ ƚƌŝĐĐƐ Ɛ ĂŶ Ă Ě ŐLJ ĂŶ Ő ŶĞ ŐLJ ŶĞĐŽ ĐŽůŽŐLJ ŐLJLJ͕ ƉƐLJĐ ƉƐ LJĐŚŝĂƚ ĂƚƌLJ Ăƚ ƌLJLJ ĂŶ ŶĚ Ě ŐĞŶ Ğ Ğƌ ĞƌĂů Ăů ĂŶĚ ƉĞĚ ĞĚŝĂĂƚƌ ƚƌŝŝĐ ŝĐ ĚĞŶƚŝƐƐƚ ƐƚƌLJ ƚŚƌƌŽƵ Ž ŐŚ ƚŚŝ ŚŝƐƐ ƉƌƌŽŐ ŽŐƌĂ ƌĂŵ ƌĂ ŵ͘ ŽŶŐƌ ŽŶ ŶŐƌ ŐƌĞƐ ĞƐƐŵ ƐŵĂŶ Ɛŵ ĂŶ >ĂD DĂůĨĂ ĂůĨĂ ŚĂƐ ĂƐ Ă ƐƵĐ ƵĐĐĞ ĐĞĞƐƐ ƐƐĨƵ ĨƵůů d, ŝŶ ŝ ŚŝƐƐ ĚŝƐƚ Ěŝ Ɛƚƌŝ ƌŝĐƚ Đƚƚ ƚŚĂ Ś ƚ ĐŽ ŽƵů ƵůĚ Ě ŚĂ ŚĂǀĞ ǀĞ ĨĂĐ ĂĐĞĚ ĞĚ ĐůŽƐƵ ƵƌĞ ŝĨ Ĩ ƚŚ ŚĞ Ɖ ƉƌŽŐŐƌĂŵ ǁĞ ǁĞƌĞ ƌĞ ŶŽƚƚ ĐŽ ŶŽ ĐŽŶƚ ŶƚŝŶ ŝŶƵĞĚ͘​͘ dŚĂ Ś ŶŬƐ ƚŽ Ž ŚŝƐƐ ĂŶĚ ŽƵƌ ĞĨĨ ĨĨŽƌƚƐ ƚŽ ƌĂůůLJ ϱϬ ŽƚŚĞƌ ĐŽŶŐƌĞƐƐŝŽŶĂů ƌĞƉƌĞƐĞŶƚĂƚŝǀĞƐ ƚŽ ĂƐŬ ůĞĂĚĞƌƐŚŝƉ ƚŽ ŝŶĐůƵĚĞ d, ĨƵŶĚŝŶŐ ŝŶ ,Z Ϯ͕ ŚƵŶĚƌĞĚƐ ŽĨ ŵŝůůŝŽŶƐ ŽĨ ĚŽůůĂƌƐ ƚŚĂƚ ǁŽƵůĚ ŚĂǀĞ ĞdžƉŝƌĞĚ ƚŚŝƐ LJĞĂƌ ǁĂƐ ƌĞŶĞǁĞĚ͕ ŝŶĐůƵĚŝŶŐ ŵŽŶĞLJ ĨŽƌ ŽŵŵƵŶŝƚLJ ,ĞĂůƚŚ ĞŶƚĞƌƐ ĂŶĚ ƚŚĞ EĂƚŝŽŶĂů ,ĞĂůƚŚ ^ĞƌǀŝĐĞ ŽƌƉƐ͘ /Ĩ LJŽƵ ǁŽƵůĚ ůŝŬĞ ƚŽ ůĞĂƌŶ ŵŽƌĞ ĂďŽƵƚ ŽƵƌ ĂĚǀŽĐĂĐLJ ĞĨĨŽƌƚƐ Ăƚ ƚŚĞ ƐƚĂƚĞ ĂŶĚ ŶĂƚŝŽŶĂů ůĞǀĞů͕ Žƌ ŝĨ LJŽƵ ǁŽƵůĚ ůŝŬĞ ƚŽ ŐĞƚ ŝŶǀŽůǀĞĚ͕ ƉůĞĂƐĞ ƐŝŐŶ ƵƉ ƚŽ ďĞ Ă <ĞLJ ŽŶƚĂĐƚ ďLJ ŐŽŝŶŐ ƚŽ ǁǁǁ͘ ĨĂŵŝůLJĚŽĐƐ͘ŽƌŐͬĂĚǀŽĐĂĐLJͬŬĞLJͲĐŽŶƚĂĐƚ͘ Dr. Kakutani is Chair, CAFP Legislative Affairs Committee.

ĂůŝĨŽƌŶŝĂ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ƌĞĐĞŝǀĞĚ &W͛Ɛ >ĂƌŐĞ ŚĂƉƚĞƌ ǁĂƌĚ ĨƌŽŵ &ĂŵDĞĚͲW Ăƚ ƚŚĞ ŶŶƵĂů ŚĂƉƚĞƌ >ĞĂĚĞƌƐŚŝƉ &ŽƌƵŵ ĂŶĚ EĂƟŽŶĂů ĂƵĐƵƐ ŽĨ ^ƉĞĐŝĂů ŽŶƐƟƚƵĞŶĐŝĞƐ ŝŶ <ĂŶƐĂƐ ŝƚLJ ŽŶ DĂLJ ϭ͕ ƉƌĞƐĞŶƚĞĚ ďLJ WƌĞƐŝĚĞŶƚͲ ĞůĞĐƚ tĂŶĚĂ &ŝůĞƌ͕ D ͘ ĂĐŬ ƌŽǁ͗ <ĂƌĞĞŶ ƐƉŝŶŽ͕ D ͕ D^͕ zƵƐŚƵ ͞:ĂĐŬ͟ ŚŽƵ͕ D ͕ >ĞĞ ZĂůƉŚ͕ D ͕ :ĂLJ t͘ >ĞĞ͕ D ͕ DW,͕ ^ĐŽƩ EĂƐƐ͕ D ͕ DW ͘ &ƌŽŶƚ ƌŽǁ͗ ^ŚĂŶŝ DƵŚĂŵŵĂĚ͕ D ͕ ĂŝƚŚŶĞƐƐ ͞ ĂƐĞLJ͟ ZŽĚƌŝŐƵĞnj͕ D ͕ D^W,͘

California Family Physician Summer S mmer 2015 Su

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MEMBERSHIP

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Family Medicine Clinical Forum Was a Huge Success! DŽƌĞ ƚŚĂŶ ϮϱϬ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ͕ ŵĞĚŝĐĂů ƌĞƐŝĚĞŶƚƐ ĂŶĚ ĐůŝŶŝĐŝĂŶƐ ĨůŽĐŬĞĚ ƚŽ ^ĂŶ &ƌĂŶĐŝƐĐŽ ĨŽƌ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ;&ŽƌƵŵͿ͘ dŚĞ &ŽƌƵŵ ŝƐ ŽƵƌ ůĂƌŐĞƐƚ ĐůŝŶŝĐĂů ŵĞĞƚŝŶŐ ŽĨ ƚŚĞ LJĞĂƌ͘ dŚŝƐ ƚǁŽͲĚĂLJ ĐŽŶĨĞƌĞŶĐĞ ĨĞĂƚƵƌĞĚ Ϯϱ ŝŶƚĞƌĂĐƚŝǀĞ ƐĞƐƐŝŽŶƐ͕ ĨŽƵƌ ŽƉƚŝŽŶĂů ǁŽƌŬƐŚŽƉƐ ĂŶĚ ƚǁŽ ŬĞLJŶŽƚĞ ƐƉĞĂŬĞƌƐ͘ ƌ͘ ZŽďďŝĞ WĞĂƌů͕ ƚŚĞ ĞdžĞĐƵƚŝǀĞ ĚŝƌĞĐƚŽƌ ĂŶĚ K ŽĨ dŚĞ WĞƌŵĂŶĞŶƚĞ DĞĚŝĐĂů 'ƌŽƵƉ͕ ŐĂǀĞ ƚŚĞ ŵŽƌŶŝŶŐ ŬĞLJŶŽƚĞ ŽŶ ƚŚĞ ĨƵƚƵƌĞ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ŝŶ ĂŶ ĨĨŽƌĚĂďůĞ ĂƌĞ Đƚ ǁŽƌůĚ͘ WƵůŝƚnjĞƌ WƌŝnjĞͲǁŝŶŶŝŶŐ ƉůĂLJǁƌŝŐŚƚ DĂƌŐĂƌĞƚ ĚƐŽŶ ŐĂǀĞ ĂŶ ĂĨƚĞƌŶŽŽŶ ŬĞLJŶŽƚĞ ŝŶ ǁŚŝĐŚ ƐŚĞ ƉƌĞǀŝĞǁĞĚ ŚĞƌ ŶĞǁ ǁŽƌĚ͕ ͞ŝŶŐŽ͕͟ ĂŶĚ ŝŶƐƉŝƌĞĚ ĂƚƚĞŶĚĞĞƐ ƚŽ ĨŽĐƵƐ ůĞƐƐ ŽŶ ŽƵƚĐŽŵĞƐ ĂŶĚ ŵŽƌĞ ŽŶ ůŝǀŝŶŐ ŝŶ ƚŚĞ ƉƌĞƐĞŶƚ ƚŽ ĞŶŐĂŐĞ ƚŚĞŝƌ ƉĂƚŝĞŶƚƐ͘ &ĞĞĚďĂĐŬ ĨƌŽŵ ƚŚĞ ŵĞĞƚŝŶŐ ǁĂƐ ŽǀĞƌǁŚĞůŵŝŶŐůLJ ƉŽƐŝƚŝǀĞ͘ KŶĞ ĂƚƚĞŶĚĞĞ ĚĞƐĐƌŝďĞĚ ƚŚĞ ŵĞĞƚŝŶŐ ĂƐ͕ ͞ ŐƌĞĂƚ ƉůĂĐĞ ƚŽ ŵĞĞƚ ĐŽůůĞĂŐƵĞƐ͕ ŶĞƚǁŽƌŬ͕ ĐŽůůĂďŽƌĂƚĞ ĂŶĚ ŚĂǀĞ ĨƵŶ͊ /ƚ͛Ɛ Ăůů ĂďŽƵƚ ƚĞĂŵǁŽƌŬ ĂŶĚ ĐŽůůĂďŽƌĂƚŝŽŶ ĂŶĚ ŝƐ Ă ƉůĂĐĞ ǁŚĞƌĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĐĂŶ ƚƌƵůLJ ƚŚƌŝǀĞ͘͟ ĂĐŚ LJĞĂƌ͕ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ ŚŽƐƚƐ ŝƚƐ ^ŝůĞŶƚ ƵĐƚŝŽŶ ŝŶ ĐŽŶũƵŶĐƚŝŽŶ ǁŝƚŚ ƚŚĞ ĐĂĚĞŵLJ͛Ɛ ĂŶŶƵĂů ĐŽŶƚŝŶƵŝŶŐ ĞĚƵĐĂƚŝŽŶ ŵĞĞƚŝŶŐ͘ dŚŝƐ LJĞĂƌ͛Ɛ ĂƵĐƚŝŽŶ ǁĂƐ ĞdžƚƌĂ ƐƉĞĐŝĂů͕ ĂƐ ŝƚ ǁĂƐ ƉĂƌƚ ŽĨ ƚŚĞ ŝŶĂƵŐƵƌĂů &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ĂŶĚ ŵĂƌŬĞĚ

dŚĞ &ŽƌƵŵ ŬŝĐŬĞĚ ŽĨĨ ǁŝƚŚ Ă ŬĞLJŶŽƚĞ ĂĚĚƌĞƐƐ ĨƌŽŵ ƌ͘ ZŽďďŝĞ WĞĂƌů͊

12

California Family Physician Summer 2015

ƚŚĞ ϭϬƚŚ ĂŶŶƵĂů ^ŝůĞŶƚ ƵĐƚŝŽŶ͘ tĞ ƚŚƵƐ ƐĞƚ ƚŚĞ ĂƉƉƌŽƉƌŝĂƚĞ ĨƵŶĚƌĂŝƐŝŶŐ ŐŽĂů ŽĨ ΨϭϬ͕ϬϬϬ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ ŐĞŶĞƌŽƵƐ ƐƵƉƉŽƌƚ ŽĨ &ŽƌƵŵ ĂƚƚĞŶĚĞĞƐ ĂŶĚ ĐĂĚĞŵLJ ŵĞŵďĞƌƐ͕ ƚŚĞ &ŽƵŶĚĂƚŝŽŶ ƌĂŝƐĞĚ ŵŽƌĞ ƚŚĂŶ ΨϭϮ͕ϬϬϬ͊ tĞ ǁŚŽůĞŚĞĂƌƚĞĚůLJ ĂƉƉƌĞĐŝĂƚĞ ĞĂĐŚ ĐŽŶƚƌŝďƵƚŝŽŶ ďĞĐĂƵƐĞ ŝƚ ŵĂŬĞƐ ƚŚĞ ǁŽƌŬ ŽĨ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ ƉŽƐƐŝďůĞ͘ dŚŝƐ ŝŶĐůƵĚĞƐ ĨƵŶĚŝŶŐ ƚƌĂǀĞů ƐĐŚŽůĂƌƐŚŝƉƐ ĨŽƌ ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ͕ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ ^ĐŚŽůĂƌƐ WƌŽŐƌĂŵ͕ ^ƚƵĚĞŶƚ ZĞƐĞĂƌĐŚ 'ƌĂŶƚ WƌŽŐƌĂŵ ĂŶĚ ƚŚĞ ĂǁĂƌĚͲǁŝŶŶŝŶŐ ƉƌŝŵĂƌLJ ĐĂƌĞ ǁŽƌŬĨŽƌĐĞ ƉƌŽŐƌĂŵ͕ &ƵƚƵƌĞ &ĂĐĞƐ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͘ dŚĞ &ŽƵŶĚĂƚŝŽŶ ĂůƐŽ ŚĞůĚ ŝƚƐ ĨŝƌƐƚͲĞǀĞƌ ĐŽŶĐĞƌƚ ƚŽ ĐĞůĞďƌĂƚĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ŐŝǀĞ &ŽƌƵŵ ĂƚƚĞŶĚĞĞƐ ƚŚĞ ĐŚĂŶĐĞ ƚŽ ƵŶǁŝŶĚ ĂŶĚ ĞŶũŽLJ ƚŚĞŵƐĞůǀĞƐ͘ ƚƚĞŶĚĞĞƐ ǁĞƌĞ ƚƌĞĂƚĞĚ ƚŽ ƚŚĞ ƐŽƵŶĚƐ ŽĨ WĞƚƚLJ dŚĞĨƚ͕ Ă dŽŵ WĞƚƚLJ ƚƌŝďƵƚĞ ďĂŶĚ ǁŝĚĞůLJ ƌĞĐŽŐŶŝnjĞĚ ĂƐ ƚŚĞ ƚŽƉ ƚƌŝďƵƚĞ ďĂŶĚ ŝŶ ƚŚĞ ĂLJ ƌĞĂ͘ WůĞĂƐĞ ŵĂƌŬ LJŽƵƌ ĐĂůĞŶĚĂƌƐ ĨŽƌ ƚŚĞ ϮϬϭϲ &ŽƌƵŵ ŽŶ Ɖƌŝů ϭϲͲϭϳ͕ ϮϬϭϲ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ Ăƚ ƚŚĞ tĞƐƚŝŶ ^ƚ͘ &ƌĂŶĐŝƐ ,ŽƚĞů͘ ^ĂŵĞ ůŽĐĂƚŝŽŶ͕ ŶĞǁ ĐŽŶƚĞŶƚ͊ Maria Jennings is CAFP’s Membership and Marketing Manager.

&ŽƌƵŵ ĂƚƚĞŶĚĞĞƐ ǁĞƌĞ ƚƌĞĂƚĞĚ ƚŽ Ă ĐŽŶĐĞƌƚ ƚŽ ĐŽŵƉůĞƚĞ ĚĂLJ ŽŶĞ ƉƌŽĐĞĞĚŝŶŐƐ ĂŶĚ ĐĞůĞďƌĂƚĞ ƚŚĞ ǁŽƌŬ ŽĨ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ͘

ŽŶƚŝŶƵĞĚ ŽŶ ƉĂŐĞ ϭϰ х

&W ŽĂƌĚ DĞŵďĞƌ͕ :ĂĐŬ ŚŽƵ͕ D ƵƐĞƐ ƚŚĞ ͞&D &ŽƌĐĞ͟ ƚŽ ƐǁĞĂƌ ŝŶ ƌ͘ :ĂLJ t͘ >ĞĞ ĂƐ ƚŚĞ ŶĞǁ &W WƌĞƐŝĚĞŶƚ͘

&Žƌ ƚŚĞ ƐĞĐŽŶĚ LJĞĂƌ ŝŶ Ă ƌŽǁ &W ŚĞůĚ ŝƚƐ ƉŽƐƚĞƌ ƐĞƐƐŝŽŶ ĨŽƌ ĂůŝĨŽƌŶŝĂ ŵĞĚŝĐĂů ƌĞƐŝĚĞŶƚƐ͘

DĂƌŐƌĞƚ ĚƐŽŶ ĚĞůŝǀĞƌƐ ĂŶ ŝŶƐƉŝƌŝŶŐ ĂĨƚĞƌŶŽŽŶ ŬĞLJŶŽƚĞ ĂĚĚƌĞƐƐ͘

Top Reasons Physicians Join MedLion 1. No coding, no claims. 2. Less paperwork, more autonomy. 3. Seamless integration with practice at no cost. 4. Guaranteed $50 per patient per month. 5. Being able to enjoy practicing medicine again.

MedLion is the nation’s largest DPC group. Join us today!

MedLion Direct Primary Care Is Expanding Its Provider Network Please contact Samantha at info@medlion.com or call 855.211.3223 to become a MedLion provider.

www.MedLion.com California Family Physician Summer 2015

13

WORLD HEP HEPATITIS ATI TIT IT D DAY A | JU AY JULY 28, 2015 Stopping a Silent Epidemic in California

PLEASE JOIN US To view the United States Preventive Services Task Force hepatitis C screening guidelines, visit: www.uspreventiveservicestaskforce.org

750,000

CALIFORNIANS

Are living with Hepatitis C and a majority of them are Baby Boomers (people born between 1945-1965) according to the CA Department of Public Health.

90-95%

Of people receiving antiviral treatment are cured according to HCVguidleines.org

50%+

Among Hepatitis C-infected baby boomers, 50% or more already have advanced liver disease according to Conference on Retroviruses and Opportunistic Infections 2015 informaiton.

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75%

According to the Centers for Disease Control, up to 75 percent of Americans who are infected with Hepatitis C do not know it.

>12X

According to the Centers for Diesease Control, the mortality rate of HCV-infeted people is 12 times higherand life span is 15 years shorter than the general population

All health care professionals are invited to join the Hepatitis C Clinician Honor Roll! Honor Roll members pledge to screen patients following the USPSTF guidelines and to work to improve the care of persons with Hepatitis C. For more information: http://bit.ly/1FiNFvc, cafp@familydocs.org or tbroder@nvhr.org

For more information, contact your local recruiter or visit airforce.com.

Kathleen M. Morton, TSgt, USAF Air Force Health Professions Recruiter Office: 562-624-6387 kathleen.morton@us.af.mil Š2013 Paid for by the U.S. Air Force. All rights reserved.

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AWARDS

CAFP Honors Four Family Medicine Leaders ĂĐŚ LJĞĂƌ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ; &WͿ ĂŶĚ ŝƚƐ &ŽƵŶĚĂƚŝŽŶ ; &WͲ&Ϳ ŚŽŶŽƌ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ƌĞƉƌĞƐĞŶƚ ƚŚĞ ǀĞƌLJ ďĞƐƚ ŽĨ ƚŚĞ ƐƉĞĐŝĂůƚLJ͘ &W ƉƌĞƐĞŶƚĞĚ ĨŽƵƌ ĂǁĂƌĚƐ Ăƚ ƚŚŝƐ LJĞĂƌ͛Ɛ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ŽŶ Ɖƌŝů Ϯϱ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ͘ ŽŶŐƌĂƚƵůĂƚŝŽŶƐ ĂŶĚ ƚŚĂŶŬ LJŽƵ ƚŽ ƚŚĞƐĞ ĂŵĂnjŝŶŐ ůĞĂĚĞƌƐ͊ 2015 Family Physician of the Year dŚŝƐ ƉƌĞƐƚŝŐŝŽƵƐ ĂǁĂƌĚ ŝƐ ŐŝǀĞŶ ƚŽ ĂŶ ŝŶĚŝǀŝĚƵĂů ǁŚŽ ĞdžŚŝďŝƚƐ ƚŚĞ ĨŝŶĞƐƚ ƋƵĂůŝƚŝĞƐ ŽĨ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶƐ ĂŶĚ ǁŚŽ ŐŽĞƐ ĂďŽǀĞ ĂŶĚ ďĞLJŽŶĚ ŝŶ ƐĞƌǀŝĐĞ ƚŽ ƉĂƚŝĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƚLJ͘ ƌ͘ ^ƚĞǀĞ 'ƌĞĞŶ ŚĂƐ ďĞĞŶ ŝŶ ƉƌĂĐƚŝĐĞ ŝŶ ^ĂŶ ŝĞŐŽ ƐŝŶĐĞ ϭϵϴϴ͘ KǀĞƌ ƚŚĞ ĐŽƵƌƐĞ ŽĨ ƚŚĞ ƉĂƐƚ Ϯϲ LJĞĂƌƐ͕ ŚĞ ŚĂƐ ďĞĞŶ Ă ƋƵŝŶƚĞƐƐĞŶƚŝĂů ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͕ Ăƚ ƚŝŵĞƐ ƚĂŬŝŶŐ ĐĂƌĞ ŽĨ ĨŽƵƌ ŐĞŶĞƌĂƚŝŽŶƐ ŽĨ ƉĂƚŝĞŶƚƐ ǁŝƚŚŝŶ Ă ĨĂŵŝůLJ͘ ,Ğ ŚĂƐ ďƵŝůƚ ƐƚƌŽŶŐ ďŽŶĚƐ ǁŝƚŚ ŚŝƐ ƉĂƚŝĞŶƚƐ ĂŶĚ ƚŚĞ ŵĂŶLJ ĨĂŵŝůŝĞƐ ŚĞ ŚĂƐ ƐĞƌǀĞĚ͘ /ƚ ǁĂƐ͕ ƚŚĞƌĞĨŽƌĞ͕ Ă ǀĞƌLJ ĚŝĨĨŝĐƵůƚ ĚĞĐŝƐŝŽŶ ƚŽ ŚĂŶĚ ŽĨĨ ŚŝƐ ƉƌĂĐƚŝĐĞ ƚŚŝƐ LJĞĂƌ ƐŽ ŚĞ ĐŽƵůĚ ƐĞƌǀĞ ĂƐ ŵĞĚŝĐĂů ĚŝƌĞĐƚŽƌ ŽĨ ŚŝƐ ŵĞĚŝĐĂů ŐƌŽƵƉ͕ ŽǀĞƌƐĞĞŝŶŐ ϰϵϬ ƉŚLJƐŝĐŝĂŶƐ͘ ƌ͘ 'ƌĞĞŶ ŝƐ Ă ůĞĂĚĞƌ͘ dŚƌŽƵŐŚŽƵƚ ŚŝƐ ƚŝŵĞ ĂƐ Ă ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͕ ŚĞ ŚĂƐ ƌĞƉƌĞƐĞŶƚĞĚ ƚŚĞ ƐƉĞĐŝĂůƚLJ Ăƚ ŵĂŶLJ ůĞǀĞůƐ͘ ,Ğ ǁĂƐ ƚŚĞ ĐŚĂŝƌ ŽĨ ^Z^D' ĞƉĂƌƚŵĞŶƚ ŽĨ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ĨƌŽŵ ϭϵϵϮ ƚŽ ϮϬϭϯ ďĞĨŽƌĞ ďĞŝŶŐ ĂƉƉŽŝŶƚĞĚ DĞĚŝĐĂů ŝƌĞĐƚŽƌ ŽĨ ŚŝƐ

ĞŶƚŝƌĞ ŵƵůƚŝͲƐƉĞĐŝĂůƚLJ ŵĞĚŝĐĂů ŐƌŽƵƉ͘ ,Ğ ŚĂƐ ďĞĞŶ ĂŶ ĂĐƚŝǀĞ ŵĞŵďĞƌ ŽĨ ƚŚĞ &W WŽůŝƚŝĐĂů ĐƚŝŽŶ ŽŵŵŝƚƚĞĞ͕ &WͲW ͕ ĂŶĚ >ĞŐŝƐůĂƚŝǀĞ ĨĨĂŝƌƐ ŽŵŵŝƚƚĞĞ͘ ,Ğ ĂůƐŽ ŚĂƐ ƐĞƌǀĞĚ ĂƐ ƉƌĞƐŝĚĞŶƚ ŽĨ Kd, ƚŚĞ ^ĂŶ ŝĞŐŽ ŽƵŶƚLJ ŚĂƉƚĞƌ ĂŶĚ &W͘ ƌ͘ 'ƌĞĞŶ ŝƐ ĂůƐŽ Ă ƌŽůĞ ŵŽĚĞů ŽĨ ŚĞĂůƚŚ ĂŶĚ ĨŝƚŶĞƐƐ ǁŝƚŚ ŚŝƐ ĞdžƚĞŶƐŝǀĞ ƐǁŝŵŵŝŶŐ ďĂĐŬŐƌŽƵŶĚ͘ ,ŝƐ ƐǁŝŵƐ ŚĂǀĞ ŝŶĐůƵĚĞĚ ƚŚĞ ^ĂŶ &ƌĂŶĐŝƐĐŽ ĂLJ͕ ĂƚĂůŝŶĂ ŚĂŶŶĞů͕ >ĂŬĞ dĂŚŽĞ͕ DĂƵŝ ŚĂŶŶĞů ĂŶĚ ƚŚĞ ŶŐůŝƐŚ ŚĂŶŶĞů͘ DŽƐƚ ƌĞĐĞŶƚůLJ͕ ŚĞ ĐŝƌĐƵŵŶĂǀŝŐĂƚĞĚ DĂŶŚĂƚƚĂŶ͘ ŶĚ ĚŝĚ ǁĞ ŵĞŶƚŝŽŶ ŚĞ ĚŽĞƐ Ăůů ŽĨ ƚŚĞƐĞ ŝŶƚĞŶƐĞ ƐǁŝŵƐ t/d,Khd Ă ǁĞƚƐƵŝƚ͍ /Ĩ ƚŚĂƚ ǁĞƌĞ ŶŽƚ ĞŶŽƵŐŚ͕ ƌ͘ 'ƌĞĞŶ ĂŶĚ ŚŝƐ ǁŝĨĞ ^ƵƐĂŶ ĂůƐŽ ĐŽŵƉĞƚĞ ŝŶ ĞǀĞŶƚƐ ǁŝƚŚ ƚŚĞ ^ĂŶ ŝĞŐŽ ZŽǁŝŶŐ ůƵď͘ ŵŽŶŐ ƚŚĞ ĂŵĂnjŝŶŐ ƋƵĂůŝƚŝĞƐ ƚŚĂƚ ŚĂǀĞ ŵĂĚĞ ƌ͘ 'ƌĞĞŶ ĂŶ ŝŶĐƌĞĚŝďůĞ ƌŽůĞ ŵŽĚĞů ĂŶĚ ŵĞŶƚŽƌ ĨŽƌ ƐŽ ŵĂŶLJ ŽĨ ŚŝƐ ĐŽůůĞĂŐƵĞƐ͕ ƉĂƚŝĞŶƚƐ͕ ĨƌŝĞŶĚƐ ĂŶĚ ĨĂŵŝůLJ ŝƐ ŚŝƐ ĂďŝůŝƚLJ ƚŽ ƉƌŽǀŝĚĞ ĐŽŶƐŝƐƚĞŶƚ ůĞĂĚĞƌƐŚŝƉ ĂŶĚ ĚĞĚŝĐĂƚŝŽŶ ƚŽ ŝŵƉƌŽǀŝŶŐ ƚŚĞ ƐƉĞĐŝĂůƚLJ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ ŵĂŶ ǁŝƚŚ ďŽƵŶĚůĞƐƐ ĞŶĞƌŐLJ͕ ŽŶĞ ƚŚŝŶŐ ŝƐ ĐůĞĂƌ͗ ƌ͘ ^ƚĞǀĞ 'ƌĞĞŶ ŝƐ ŝŶ ŚŝƐ ƉƌŝŵĞ ĂŶĚ ǁŝůů ĐŽŶƚŝŶƵĞ ƚŽ ůĞĂĚ ĂŶĚ ŝŶƐƉŝƌĞ ƚŚŽƐĞ ĂƌŽƵŶĚ Śŝŵ͘ &Žƌ ƚŚĞƐĞ ƌĞĂƐŽŶƐ ĂŶĚ ŵŽƌĞ͕ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ŝƐ ƉůĞĂƐĞĚ ƚŽ ŶĂŵĞ ƌ͘ ^ƚĞǀĞ 'ƌĞĞŶ ĂƐ ƚŚĞ ϮϬϭϱ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ŽĨ ƚŚĞ zĞĂƌ͊

ƌ͘ 'ƌĞĞŶ ƌĞĐĞŝǀĞĚ ŚŝƐ ĂǁĂƌĚ ĨŽƌ ϮϬϭϱ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ ŽĨ ƚŚĞ zĞĂƌ ĨƌŽŵ /ŵŵĞĚŝĂƚĞͲWĂƐƚ WƌĞƐŝĚĞŶƚ ƌ͘ Ğů DŽƌƌŝƐ͘ 16

California Family Physician Summer 2015

ƌ͘ ZĞŝůůLJ ƌĞĐĞŝǀŝŶŐ ŚĞƌ ĂǁĂƌĚ Ăƚ ƚŚĞ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ͘

2015 Barbara Harris Award for Educational Excellence dŚŝƐ LJĞĂƌ͛Ɛ ǁĂƌĚ ĨŽƌ ĚƵĐĂƚŝŽŶĂů džĐĞůůĞŶĐĞ ŝƐ ƉƌĞƐĞŶƚĞĚ ƚŽ :Ž DĂƌŝĞ ZĞŝůůLJ͕ D ͕ ƐƐŽĐŝĂƚĞ WƌŽĨĞƐƐŽƌ ŽĨ ůŝŶŝĐĂů &ĂŵŝůLJ DĞĚŝĐŝŶĞ Ăƚ ƚŚĞ <ĞĐŬ ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ ŽĨ ƚŚĞ hŶŝǀĞƌƐŝƚLJ ŽĨ ^ŽƵƚŚĞƌŶ ĂůŝĨŽƌŶŝĂ ;h^ Ϳ͕ ƐƐŽĐŝĂƚĞ ŝƌĞĐƚŽƌ ŽĨ /ŶƚƌŽĚƵĐƚŝŽŶ ƚŽ ůŝŶŝĐĂů DĞĚŝĐŝŶĞ͕ ŽƌĞ &ĂĐƵůƚLJ Ăƚ ƚŚĞ h^ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ZĞƐŝĚĞŶĐLJ ĂŶĚ <ĞĐŬ ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ ŽĨ h^ &ĂŵŝůLJ DĞĚŝĐŝŶĞ /ŶƚĞƌĞƐƚ 'ƌŽƵƉ ůĞĂĚĞƌ͘ ƌ͘ ZĞŝůůLJ ŵĞŶƚŽƌƐ h^ ƐƚƵĚĞŶƚƐ ĂƉƉůLJŝŶŐ ĨŽƌ ƚŚĞ >ŽƐ ŶŐĞůĞƐ ůďĞƌƚ ^ĐŚǁĞŝƚnjĞƌ &ĞůůŽǁƐ ;> ^&Ϳ͘ dŚĞ ^ĐŚǁĞŝƚnjĞƌ &ĞůůŽǁƐŚŝƉ ĞŶĐŽƵƌĂŐĞƐ ĂŶĚ ƐƵƉƉŽƌƚƐ ŐƌĂĚƵĂƚĞ ƐƚƵĚĞŶƚƐ ĨƌŽŵ ŵƵůƚŝƉůĞ ĚŝƐĐŝƉůŝŶĞƐ ƚŽ ďĞ ͞>ĞĂĚĞƌƐ ŝŶ ^ĞƌǀŝĐĞ͘͟ dŚĞ ĨĞůůŽǁƐ ǁŽƌŬ ŝŶ ƵŶĚĞƌƐĞƌǀĞĚ ĐŽŵŵƵŶŝƚŝĞƐ ƚŚƌŽƵŐŚŽƵƚ ŐƌĞĂƚĞƌ >ŽƐ ŶŐĞůĞƐ͘ ƌ͘ ZĞŝůůLJ ŚĂƐ ďĞĞŶ ŝŶǀŽůǀĞĚ ǁŝƚŚ ƚŚĞ ƉƌŽŐƌĂŵ ƐŝŶĐĞ ŝƚƐ ŝŶĐĞƉƚŝŽŶ͕ ƐƵƉƉŽƌƚŝŶŐ ĂŶĚ ĞŶĐŽƵƌĂŐŝŶŐ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĨƌŽŵ h^ ƚŽ ĂƉƉůLJ ĂŶĚ ďĞŝŶŐ ŝŶǀŽůǀĞĚ ŝŶ ƚŚĞ ƌĞĐƌƵŝƚŵĞŶƚ ĂŶĚ ƐĞůĞĐƚŝŽŶ ƉƌŽĐĞƐƐ͘ ^ŚĞ ĂůƐŽ ĐƵƌƌĞŶƚůLJ ƐŝƚƐ ŽŶ ƚŚĞ ĚǀŝƐŽƌLJ ŽƵŶĐŝů͘

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Ɛ Ă ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƉƌŽŐƌĂŵ ĚŝƌĞĐƚŽƌ͕ ƌ͘ ZĞŝůůLJ ĞdžŚŝďŝƚƐ ĂŶ ŝŶĐƌĞĚŝďůĞ ůĞǀĞů ŽĨ ĚĞĚŝĐĂƚŝŽŶ ƚŽ ŵĞŶƚŽƌŝŶŐ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƐƵƉƉŽƌƚŝŶŐ ƚŚĞŝƌ ŝŶƚĞƌĞƐƚ ŝŶ ŐŽŝŶŐ ŝŶƚŽ ƉƌŝŵĂƌLJ ĐĂƌĞ͕ ĞƐƉĞĐŝĂůůLJ ƚŚŽƐĞ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ǁŽƌŬŝŶŐ ŝŶ ƵŶĚĞƌƐĞƌǀĞĚ ĐŽŵŵƵŶŝƚŝĞƐ͘ tŚĞŶ Ă ŶĞǁ ƌĞƐĞĂƌĐŚ ĐŽŵƉŽŶĞŶƚ ǁĂƐ ĂĚĚĞĚ ƚŽ ƚŚĞ ĐƵƌƌŝĐƵůƵŵ Ăƚ <ĞĐŬ ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ ŽĨ h^ ͕ ƌ͘ ZĞŝůůLJ ƐƵƉƉŽƌƚĞĚ ĐŽŵŵƵŶŝƚLJͲďĂƐĞĚ ƌĞƐĞĂƌĐŚ ƚŽ ŵĞĞƚ ƚŚĞ ƌĞƋƵŝƌĞŵĞŶƚ͘ ,Ğƌ ĚĞĚŝĐĂƚŝŽŶ ƚŽ ƚĞĂĐŚŝŶŐ ĂŶĚ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ŵĞŶƚŽƌŝŶŐ ŚĂǀĞ ďĞŶĞĨŝƚĞĚ ŚƵŶĚƌĞĚƐ ŽĨ ƐƚƵĚĞŶƚƐ ĂŶĚ ƚŚĞ ǀĂƌŝŽƵƐ ĐŽŵŵƵŶŝƚŝĞƐ ƚŚĞLJ ƐĞƌǀĞ͕ ŵĂŬŝŶŐ ƵƐ ƉƌŽƵĚ ƚŽ ƐĞůĞĐƚ ƌ͘ :Ž DĂƌŝĞ ZĞŝůůLJ ĂƐ ŽƵƌ ϮϬϭϱ ĚƵĐĂƚŽƌ ŽĨ ƚŚĞ zĞĂƌ͘ ConƟnued on next paŐe х California Family Physician Summer 2015

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2015 Preceptor of the Year dŚĞ &W &ŽƵŶĚĂƚŝŽŶ͛Ɛ ϮϬϭϱ WƌĞĐĞƉƚŽƌ ŽĨ ƚŚĞ zĞĂƌ ŝƐ ^ƚĞǀĞŶ >ŝŶ͕ D ͕ ^ƚĂŶĨŽƌĚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ͕ ^ƚĂŶĨŽƌĚ hŶŝǀĞƌƐŝƚLJ͕ ĂŶĚ ĐůŝŶŝĐĂů ŝŶƐƚƌƵĐƚŽƌ͕ 'ĞŶĞƌĂů DĞĚŝĐŝŶĞ͕ Ăƚ ^ƚĂŶĨŽƌĚ ^ĐŚŽŽů ŽĨ DĞĚŝĐŝŶĞ͘ ƌ͘ >ŝŶ ĂůƐŽ ĐŽŶĐĞŝǀĞĚ ĂŶĚ ĚŝƌĞĐƚƐ ƚŚĞ K͛ ŽŶŶŽƌͲ^ƚĂŶĨŽƌĚ >ĞĂĚĞƌƐ ŝŶ ĚƵĐĂƚŝŽŶ ZĞƐŝĚĞŶĐLJ WƌŽŐƌĂŵ ;K^> ZͿ ĞĚƵĐĂƚŝŽŶĂů ƐĐŚŽůĂƌƐŚŝƉ ƉĂƚŚǁĂLJ ĂŶĚ ^ƚĂŶĨŽƌĚ͛Ɛ ŶĞǁ ĂŶĚ ĞdžĐŝƚŝŶŐ ^,/ > ƉƌŽŐƌĂŵ ;^ƚĂŶĨŽƌĚ ,ĞĂůƚŚĐĂƌĞ /ŶŶŽǀĂƚŝŽŶƐ ĂŶĚ džƉĞƌŝĞŶƚŝĂů >ĞĂƌŶŝŶŐ ŝƌĞĐƚŝǀĞͿ͘ ƚ ^ƚĂŶĨŽƌĚ͕ ŽďƐĞƌǀŝŶŐ ƚŚĂƚ ƚŚĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ĚŝƐĐŝƉůŝŶĞƐ ǁĞƌĞ ĚĞͲĞŵƉŚĂƐŝnjĞĚ ĂŶĚ Ăƚ ƚŝŵĞƐ ĂĐƚŝǀĞůLJ ĚŝƐĐŽƵƌĂŐĞĚ ĂƐ ĐĂƌĞĞƌ ƚƌĂũĞĐƚŽƌŝĞƐ͕ ƌ͘ >ŝŶ ŚĂĚ Ă ǀŝƐŝŽŶ ĨŽƌ ŚŝŵƐĞůĨ ĂŶĚ ĨŽƌ Ă ŚĞĂůƚŚ ĐĂƌĞ ƐLJƐƚĞŵ ƚŚĂƚ ŚĂĚ Ăƚ ŝƚƐ ĨŽƵŶĚĂƚŝŽŶ Ă ƐƚƌŽŶŐ ƉƌŝŵĂƌLJ ĐĂƌĞ ďĂƐĞ ŝŶ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͘ &Ăƌ ĨƌŽŵ ďĞŝŶŐ ĚŝƐĐŽƵƌĂŐĞĚ ǁŚĞŶ ŽƚŚĞƌƐ ƚŽůĚ Śŝŵ ŚĞ ǁŽƵůĚ ďĞ ďĞƚƚĞƌ ŽĨĨ ŝŶ Ă ƐƵďƐƉĞĐŝĂůƚLJ͕ ŚĞ ƐƚƌĞŶŐƚŚĞŶĞĚ ŚŝƐ ƌĞƐŽůǀĞ ĂŶĚ ĐƌĞĂƚŝǀŝƚLJ͘ ,Ğ ƚĞŶĂĐŝŽƵƐůLJ ƐƚĂLJĞĚ ŚŝƐ ĐŽƵƌƐĞ ǁŝƚŚ ĞƋƵĂŶŝŵŝƚLJ͕ ƉƌŽĨĞƐƐŝŽŶĂůŝƐŵ͕ ďĂůĂŶĐĞ ĂŶĚ ƵŶǁĂǀĞƌŝŶŐ ĐŽŶǀŝĐƚŝŽŶ͘ ƌ͘ >ŝŶ͛Ɛ ůĞŐĂĐLJ ŝƐ ĂůƌĞĂĚLJ ŚƵŐĞ͗ ƚŚĞ ƚŚŽƵƐĂŶĚƐ ŽĨ ůŽǁ ŝŶĐŽŵĞ ĂŶĚ ůŽǁ ŶŐůŝƐŚ ƉƌŽĨŝĐŝĞŶĐLJ ƐŝĂŶ ĂŶĚ WĂĐŝĨŝĐ /ƐůĂŶĚĞƌ ƉĂƚŝĞŶƚƐ ŝŶ ĂƐƚ ^ĂŶ :ŽƐĞ ƌĞĐĞŝǀĞĚ ĨƌĞĞ ŚĞƉĂƚŝƚŝƐ ƚĞƐƚŝŶŐ͕ ǀĂĐĐŝŶĂƚŝŽŶ͕ ƚƌĞĂƚŵĞŶƚ ĂŶĚ ĞĚƵĐĂƚŝŽŶ͖ ƚŚŽƵƐĂŶĚƐ ŵŽƌĞ ǁŝůů ĚŽ ƐŽ ďĞĐĂƵƐĞ ŚĞ ĐƌĞĂƚĞĚ Ă ƐƵƐƚĂŝŶĂďůĞ ƉƌŽŐƌĂŵ͘ ,Ğ ŚĂƐ ůŝƐƚĞŶĞĚ ƚŽ͕ ĚŝĂŐŶŽƐĞĚ ĂŶĚ ƚƌĞĂƚĞĚ ƚŚŽƵƐĂŶĚƐ ŽĨ ƉĂƚŝĞŶƚƐ ŝŶ ĐůŝŶŝĐ͕ ƚĂƵŐŚƚ ĂŶĚ ŵĞŶƚŽƌĞĚ ŚƵŶĚƌĞĚƐ ŽĨ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ŝŶƐƉŝƌĞĚ ĚŽnjĞŶƐ ŽĨ ĨĂĐƵůƚLJ͘ ,ŝƐ ŶŽŵŝŶĂƚŽƌƐ ďĞůŝĞǀĞ ŚĞ ǁŝůů ĐŚĂŶŐĞ ƚŚĞ ǁŽƌůĚ ĂƐ ĂŶ ĞdžƚƌĂŽƌĚŝŶĂƌLJ ƉƌĞĐĞƉƚŽƌ͘ ,ŝƐ ŝŶƚĞŶƐĞ ĐŽŵŵŝƚŵĞŶƚ ƚŽ ƐĞƌǀŝĐĞ͕ ŚŝƐ ĐŽŵƉĂƐƐŝŽŶ ĨŽƌ ƉĂƚŝĞŶƚƐ͕ ƉŚĞŶŽŵĞŶĂů ŵĞĚŝĐĂů ŬŶŽǁůĞĚŐĞ͕ ƐƵƉĞƌď ũƵĚŐŵĞŶƚ ĂŶĚ ŝŶƚĞƌƉĞƌƐŽŶĂů ƐŬŝůůƐ ĚŝƐƚŝŶŐƵŝƐŚ Śŝŵ ĂƐ Ă ƐƵƉĞƌƐƚĂƌ͘ dŚĞ &W &ŽƵŶĚĂƚŝŽŶ ĐŽŶĐƵƌƐ ĂŶĚ ŝƐ ƉůĞĂƐĞĚ ƚŽ ƉƌĞƐĞŶƚ ƚŚĞ ϮϬϭϱ WƌĞĐĞƉƚŽƌ ŽĨ ƚŚĞ zĞĂƌ ǁĂƌĚ ƚŽ ƌ͘ ^ƚĞǀĞŶ >ŝŶ͘

2015 CAFP Resident of the Year /Ŷ ϮϬϭϬ͕ ƚŚĞ &W &ŽƵŶĚĂƚŝŽŶ ďĞƐƚŽǁĞĚ ŝƚƐ ĨŝƌƐƚ ZĞƐŝĚĞŶƚ ŽĨ ƚŚĞ zĞĂƌ ǁĂƌĚ ƚŽ Ă ƌĞƐŝĚĞŶƚ ǁŚŽ ƌĞƉƌĞƐĞŶƚƐ ƚŚĞ ĨŝŶĞƐƚ ĐŚĂƌĂĐƚĞƌŝƐƚŝĐƐ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ͕ ŝŶĐůƵĚŝŶŐ Ă ĐŽŵŵŝƚŵĞŶƚ ƚŽ ůĞĂĚĞƌƐŚŝƉ͕ ĐŽŵŵƵŶŝĐĂƚŝŽŶ͕ ŵĞŶƚŽƌƐŚŝƉ ĂŶĚ ĂĚǀŽĐĂĐLJ͘ dŚĞ &W &ŽƵŶĚĂƚŝŽŶ ŝƐ ƉůĞĂƐĞĚ ƚŽ ƌĞĐŽŐŶŝnjĞ ĂƌŽŶ ĚĞůƐƚĞŝŶ͕ D ͕ D ͕ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ ^ĂŶ ŝĞŐŽ W'zͲϯ͕ ĂƐ ƚŚĞ ϮϬϭϱ ZĞƐŝĚĞŶƚ ŽĨ ƚŚĞ zĞĂƌ͘ ƵƌƌĞŶƚůLJ ŚŝĞĨ ZĞƐŝĚĞŶƚ Ăƚ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ ^ĂŶ ŝĞŐŽ͕ ƌ͘ ĚĞůƐƚĞŝŶ ǁĂƐ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ ĨŝƌƐƚ ĐůĂƐƐ ŽĨ ƌĞƐŝĚĞŶƚƐ Ăƚ ƚŚĞ ƉƌŽŐƌĂŵ ŝŶ ϮϬϭϮ͘ ,Ğ ŚĂƐ ĐŽŶƐŝƐƚĞŶƚůLJ ĚŝƐƉůĂLJĞĚ ĞdžĐĞƉƚŝŽŶĂů ůĞĂĚĞƌƐŚŝƉ ƋƵĂůŝƚŝĞƐ ĂŶĚ ďĞĞŶ Ă ĨĂďƵůŽƵƐ ƌŽůĞ ŵŽĚĞů ĂŶĚ ŵĞŶƚŽƌ ƚŽ ĨĞůůŽǁ ƌĞƐŝĚĞŶƚƐ ĂŶĚ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ͘ ,Ğ ƉƵƚ ƚŚĞƐĞ ƐŬŝůůƐ ƚŽ ƵƐĞ ƐĞƌǀŝŶŐ ĂƐ ŽͲ ŚĂŝƌ ŽĨ &W͛Ɛ ZĞƐŝĚĞŶƚ ŽƵŶĐŝů ĂŶĚ ŚĞůƉŝŶŐ ůĂƵŶĐŚ ƚŚĞ ͞ ƵŝůĚŝŶŐ ƌŝĚŐĞƐ͟ ĐĂŵƉĂŝŐŶ͕ ǁŚŝĐŚ ƐĞĞŬƐ ƚŽ ŝŶĐƌĞĂƐĞ ĐŽŵŵƵŶŝĐĂƚŝŽŶ ĂŶĚ ĐŽůůĂďŽƌĂƚŝŽŶ ďĞƚǁĞĞŶ &W ĐŽƵŶƚLJ ĐŚĂƉƚĞƌƐ͕ ŵĞĚŝĐĂů ƐĐŚŽŽůƐ ĂŶĚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶĐLJ ƉƌŽŐƌĂŵƐ͘ Ɛ ŚĞ ĨŝŶŝƐŚĞƐ ŚŝƐ ƌĞƐŝĚĞŶĐLJ ƚƌĂŝŶŝŶŐ͕ ǁĞ ĐĂŶ͛ƚ ǁĂŝƚ ƚŽ ƐĞĞ Śŝŵ ĨůŽƵƌŝƐŚ ĂƐ Ă ƉƌĂĐƚŝĐŝŶŐ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ͘ ŽŶŐƌĂƚƵůĂƚŝŽŶƐ ƚŽ ĂƌŽŶ ĚĞůƐƚĞŝŶ͕ D ͕ D ϮϬϭϱ &W &ŽƵŶĚĂƚŝŽŶ ZĞƐŝĚĞŶƚ ŽĨ ƚŚĞ zĞĂƌ͊ ƌ͘ ĚĞůƐƚĞŝŶ ƌĞĐĞŝǀŝŶŐ ŚŝƐ ĂǁĂƌĚ Ăƚ ƚŚĞ ϮϬϭϱ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ͘

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California Family Physician Summer 2015

STAY ON THE ROAD TO

ICD-10

OCT 1, 2015

STEPS TO HELP YOU TRANSITION The ICD-10 transition will affect every part of your practice, from software upgrades, to patient registration and referrals, to clinical documentation and billing. CMS can help you prepare. Visit www.cms.gov/ICD10 to find out how to: •

Make a Plan—Look at the codes you use, develop a budget, and prepare your staff

•

Train Your Staff—Find options and resources to help your staff get ready for the transition

•

Update Your Processes—Review your policies, procedures, forms, and templates

•

Talk to Your Vendors and Payers—Talk to your software vendors, clearinghouses, and billing services

•

Test Your Systems and Processes—Test within your practice and with your vendors and payers

Now is the time to get ready. www.cms.gov/ICD10

Official CMS Industry Resources for the ICD-10 Transition

www.cms.gov/ICD10

ȱ ǰȱ

Volunteers Provide Critical Medical Education in Haiti

dŚĞ ĐůŝŶŝĐ ŝƐ ůŽĐĂƚĞĚ ŝŶ ƚŚĞ ƐŵĂůů ĐŝƚLJ ŽĨ WĞƚŝƚ 'ŽĂǀĞ͘

dŚĞ ĞǀŽůƵƟŽŶ ŽĨ ƚŚĞ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ͕ >ŽƐ ŶŐĞůĞƐ ;h > Ϳ ĂŶĚ ƚŚĞ ƌ͘ ,ĞŶƌŝ 'ĞƌĂƌĚ ĞƐŐƌĂŶŐĞƐ ;,' Ϳ &ŽƵŶĚĂƟŽŶ ,ĂŝƟ WƌŽũĞĐƚ ĨƌŽŵ ĚŝƐĂƐƚĞƌ ƌĞůŝĞĨ ƚŽ ĨŽƐƚĞƌŝŶŐ ƐƵƐƚĂŝŶĂďůĞ ůŽĐĂů ƌĞƐŽƵƌĐĞƐ ĐŽŶƟŶƵĞĚ ŝŶ ϮϬϭϱ͘ KƵƌ ƚĞĂŵ ŽĨ ŶŝŶĞ ǀŽůƵŶƚĞĞƌƐ ;ŽŶĞ ĨĂŵŝůLJ ƉŚLJƐŝĐŝĂŶ ;ŵĞͿ͕ ŽŶĞ ƉĞĚŝĂƚƌŝĐŝĂŶ͕ ŽŶĞ ŶƵƌƐĞ ƉƌĂĐƟƟŽŶĞƌ͕ ŽŶĞ ƉƐLJĐŚŽůŽŐŝƐƚͬŶƵƌƐĞ͕ ŽŶĞ ƉŚŽƚŽŐƌĂƉŚĞƌ͕ Ă ƚĞůĞĐŽŵŵƵŶŝĐĂƟŽŶƐ ĞdžƉĞƌƚ͕ ƚǁŽ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ͕ ŽŶĞ ƉƌĞͲŵĞĚŝĐĂů ƐƚƵĚĞŶƚͿ ĞŵďĂƌŬĞĚ ŽŶ Ă ŽŶĞͲǁĞĞŬ ƚƌŝƉ ƚŽ WĞƟƚ 'ŽĂǀĞ͕ ,ĂŝƟ ŝŶ ůĂƚĞ DĂƌĐŚ͘ ,ĂŝƟ ƌĞŵĂŝŶƐ ƚŚĞ ƉŽŽƌĞƐƚ ĐŽƵŶƚƌLJ ŝŶ ƚŚĞ ǁĞƐƚĞƌŶ ŚĞŵŝƐƉŚĞƌĞ ŵŽƐƚůLJ ĚƵĞ ƚŽ ĨĂĐƚŽƌƐ ƌĞůĂƚĞĚ ƚŽ ŝƚƐ ƐůĂǀĞ ƌĞǀŽůƚ ĨƌŽŵ &ƌĂŶĐĞ ŽǀĞƌ ϮϬϬ LJĞĂƌƐ ĂŐŽ͘ dŚĞ ƉĞƌƐŝƐƚĞŶƚ ƉŽǀĞƌƚLJ͕ ĚŝƐĞĂƐĞ ĂŶĚ ƵƌďĂŶ ǀŝŽůĞŶĐĞ ƌĞƐƵůƚ ŝŶ ŽŶŐŽŝŶŐ h^ ^ƚĂƚĞ ĞƉĂƌƚŵĞŶƚ ĂŶĚ ĞŶƚĞƌƐ ĨŽƌ ŝƐĞĂƐĞ ŽŶƚƌŽů ǁĂƌŶŝŶŐƐ ŽŶ ƚŚĞ ƌŝƐŬƐ ŽĨ ƚƌĂǀĞů ƚŚĞƌĞ͘ EĞǀĞƌƚŚĞůĞƐƐ͕ ĂƉƉƌŽdžŝŵĂƚĞůLJ ϭϬ͕ϬϬϬ ĨŽƌĞŝŐŶ ŶŽŶͲŐŽǀĞƌŶŵĞŶƚĂů ŽƌŐĂŶŝnjĂƟŽŶƐ ;E'KƐͿ ĂƌĞ Ăƚ ǁŽƌŬ ŝŶ ,ĂŝƟ ƚƌLJŝŶŐ ƚŽ ŝŵƉƌŽǀĞ ůŝǀĞƐ ƚŚĞƌĞ͘ tĞ ŚĂĚ ŐĂŝŶĞĚ h > /ŶƐƟƚƵƟŽŶĂů ZĞǀŝĞǁ ŽĂƌĚ ĂƉƉƌŽǀĂů ĨŽƌ Ă ĚĞƌŵĂƚŽůŽŐLJ ƐƚƵĚLJ ŝŶǀŽůǀŝŶŐ ƚĞůĞŵĞĚŝĐŝŶĞ͘ dŚĞ ƚǁŽ ŐŽĂůƐ ǁĞƌĞ ƚŽ ĚŽĐƵŵĞŶƚ ƚŚĞ ƉƌĞǀĂůĞŶĐĞ ŽĨ ƐŬŝŶ ĚŝƐĞĂƐĞƐ ŝŶ Ă ƉƌŝŵĂƌLJ ĐĂƌĞ ƐĞƫŶŐ ŝŶ ƌƵƌĂů ,ĂŝƟ ĂŶĚ ƚŽ ĚĞŵŽŶƐƚƌĂƚĞ ƚŚĞ ĨĞĂƐŝďŝůŝƚLJ ŽĨ Ă ͞ƐƚŽƌĞ ĂŶĚ ĨŽƌǁĂƌĚ͟ ƚĞůĞĚĞƌŵĂƚŽůŽŐLJ ƉůĂƞŽƌŵ ƚŽ ĂŶĂůLJnjĞ ƚŚĞƐĞ ĐĂƐĞƐ ďLJ ĚĞƌŵĂƚŽůŽŐŝƐƚƐ ŝŶ ƚŚĞ h^͘ tĞ ĂƌƌŝǀĞĚ ŝŶ WŽƌƚ ĂƵ WƌŝŶĐĞ ŵŝĚͲĚĂLJ ŽŶ ^ĂƚƵƌĚĂLJ͕ DĂƌĐŚ Ϯϭ͘ ZĞĐĞŶƚ ĂƌƟĐůĞƐ ŝŶ ŵĞƌŝĐĂŶ ŶĞǁƐƉĂƉĞƌƐ ŚĂĚ ďĞĞŶ ĐƌŝƟĐĂů ŽĨ ,ĂŝƟĂŶ ŐŽǀĞƌŶŵĞŶƚ ĐŽƌƌƵƉƟŽŶ͕ ƉŽůŝƟĐĂů ƉĂƌĂůLJƐŝƐ ĨƌŽŵ ĨĞƵĚŝŶŐ ĨĂĐƟŽŶƐ ;ǁŚĂƚ ĞůƐĞ ŝƐ ŶĞǁ ŝŶ ĚĞŵŽĐƌĂƟĐ ŐŽǀĞƌŶŵĞŶƚ͍Ϳ ĂŶĚ ǀŝŽůĞŶƚ ĂŶƟͲŐŽǀĞƌŶŵĞŶƚ ĚĞŵŽŶƐƚƌĂƟŽŶƐ͘ ^Ž ǁĞ ŚĂĚ ƐƚƌŽŶŐůLJ ĐŽŶƐŝĚĞƌĞĚ ĐĂŶĐĞůůŝŶŐ ŽƵƌ ƚƌŝƉ͘ 20

California Family Physician Summer 2015

tŚĂƚ ǁĞ ĨŽƵŶĚ ŝŶƐƚĞĂĚ ǁĂƐ Ă ƉůĞƚŚŽƌĂ ŽĨ ĐĂŵƉĂŝŐŶ ƉŽƐƚĞƌƐ ƉƵƚ ƵƉ ĂƌŽƵŶĚ ƚŚĞ ĐŝƚLJ ŝŶ ĂŶƟĐŝƉĂƟŽŶ ŽĨ ƚŚĞ ƌĞĐĞŶƚůLJ ĂŶŶŽƵŶĐĞĚ ĞůĞĐƟŽŶƐ͘ dŚĞ ĐŝƚLJ ǁĂƐ ĂůƐŽ ĐůĞĂŶĞƌ ƚŚĂŶ ǁĞ ŚĂĚ ƐĞĞŶ ŝƚ ŝŶ ƚŚĞ ƉĂƐƚ ĮǀĞ LJĞĂƌƐ͕ ƚŚĞ ƌŽĂĚƐ ǁĞƌĞ ŝŶ ďĞƩĞƌ ƌĞƉĂŝƌ ĂŶĚ ƚŚĞ ƚƌĂĸĐ ŇŽǁĞĚ ŵŽƌĞ ƐŵŽŽƚŚůLJ͘ ůů ŝŶ Ăůů͕ ƚŚƌĞĞ ŚŽƵƌƐ ĂŌĞƌ ůĞĂǀŝŶŐ ƚŚĞ ĂŝƌƉŽƌƚ ǁĞ ĂƌƌŝǀĞĚ ŝŶ WĞƟƚ 'ŽĂǀĞ ǁŝƚŚ ƚŚĞ ĨĞĞůŝŶŐ ƚŚĂƚ ƚŚŝŶŐƐ ŝŶ ,ĂŝƟ ǁĞƌĞ ĚĞĮŶŝƚĞůLJ ŝŵƉƌŽǀŝŶŐ͘ KŶ ^ƵŶĚĂLJ͕ ǁĞ ǁĞŶƚ ƚŽ ƚŚĞ ,' ůŝŶŝĐ ŝŶ WĞƟƚ 'ŽĂǀĞ ƚŽ ŽƌŐĂŶŝnjĞ ŽƵƌ ĂĐƟǀŝƟĞƐ͘ tĞ ŚĂĚ ĂŶ ŝŶƚĂŬĞ ĂƌĞĂ ƉƌĞƉĂƌĞĚ ǁŝƚŚ ĐŽŶƐĞŶƚ ĨŽƌŵƐ ƚƌĂŶƐůĂƚĞĚ ŝŶƚŽ ƌĞŽůĞ͘ džĂŵŝŶĂƟŽŶ ĐƵďŝĐůĞƐ ǁĞƌĞ ƐĞƚ ƵƉ ǁŝƚŚ ƉƌŝǀĂĐLJ ƐĐƌĞĞŶƐ ŝŶ ƚŚĞ ƐŝŶŐůĞ ůĂƌŐĞ ƌŽŽŵ ǁŝƚŚ ĞŶŽƵŐŚ ŶĂƚƵƌĂů ůŝŐŚƚ ŽƉƟŵĂů ĨŽƌ ƉŚŽƚŽŐƌĂƉŚLJ͘ ^ƵƌŐŝĐĂů ƐƵƉƉůŝĞƐ ǁĞƌĞ ƵŶƉĂĐŬĞĚ ĨŽƌ ƉĞƌĨŽƌŵŝŶŐ ďŝŽƉƐŝĞƐ ŽŶ ƐƵƐƉŝĐŝŽƵƐ ůĞƐŝŽŶƐ Žƌ ŝŶ ƵŶĐĞƌƚĂŝŶ ĐĂƐĞƐ͘ ŽŵƉƵƚĞƌƐ͕ ŝWŚŽŶĞ ĐĂŵĞƌĂƐ͕ ƚŚĞ ĚŝĞƐĞů ĞůĞĐƚƌŝĐŝƚLJ ŐĞŶĞƌĂƚŽƌ ĂŶĚ /ŶƚĞƌŶĞƚ ƌŽƵƚĞƌ ǁĞƌĞ Ăůů ƚĞƐƚĞĚ ĨŽƌ ƵƉůŽĂĚŝŶŐ ĐĂƐĞƐ ĂŶĚ ƉŚŽƚŽŐƌĂƉŚƐ ƚŽ Ă ĐůŽƵĚ ƉůĂƞŽƌŵ ĨŽƌ ƌĞǀŝĞǁ ďLJ ŽƵƌ ĚĞƌŵĂƚŽůŽŐŝƐƚƐ͘ DŽŶĚĂLJ ǁĂƐ ŽƵƌ ĮƌƐƚ ĚĂLJ ƐĞĞŝŶŐ ƉĂƟĞŶƚƐ͘ DŽƌĞ ƚŚĂŶ ϱϬ ƉĂƟĞŶƚƐ ĂƌƌŝǀĞĚ ďLJ ϵ Ăŵ ƚŽ ĞŶƌŽůů ŝŶ ŽƵƌ ƐƚƵĚLJ͕ ďƵƚ ǁĞ ůŝŵŝƚĞĚ ŽƵƌ ŝŶƚĂŬĞ ƚŽ Ϯϱ͕ ŶŽƚ ŬŶŽǁŝŶŐ ŚŽǁ ůŽŶŐ ŝƚ ǁŽƵůĚ ƚĂŬĞ ƚŽ ĐŽŵƉůĞƚĞ ƚŚĞ ĞŶƌŽůůŵĞŶƚ͕ ŵĞĚŝĐĂů ĐĂƌĞ ĂŶĚ ƚĞůĞĐŽŵŵƵŶŝĐĂƟŽŶƐ ĨŽƌ ĞĂĐŚ ƐƚƵĚLJ ƐƵďũĞĐƚ͘ tĞ ĂůƐŽ ŝŶƐƚƌƵĐƚĞĚ ƚŚĞ ,ĂŝƟĂŶ ĐůŝŶŝĐ ƐƚĂī ŽŶ ŚŽǁ ƚŽ ƵƐĞ ŝWŚŽŶĞƐ ĂŶĚ ƉĞƌĨŽƌŵ ƉƵŶĐŚ ďŝŽƉƐŝĞƐ͘ dŚŝƐ ŵĂLJ ƐĞĞŵ ůŝŬĞ ƉƌĞƩLJ ďĂƐŝĐ ƐƚƵī͕ ďƵƚ ǁŝƚŚ ŽŶůLJ Ϯϱ ĚĞƌŵĂƚŽůŽŐŝƐƚƐ ĨŽƌ ϭϬ ŵŝůůŝŽŶ ƉĞŽƉůĞ ĂŶĚ ƉĂƚŚŽůŽŐLJ ƐĞƌǀŝĐĞƐ ůŝŵŝƚĞĚ ĂůŵŽƐƚ ĞdžĐůƵƐŝǀĞůLJ ƚŽ ĂĐĂĚĞŵŝĐ ĐĞŶƚĞƌƐ͕ Ă ƐŬŝŶ ďŝŽƉƐLJ ǁĂƐ ĂŶ ĂůŵŽƐƚ ƵŶŚĞĂƌĚ ŽĨ ůƵdžƵƌLJ͘ dŚĞ ĚŝĸĐƵůƚLJ ŽĨ ĐŽŶĚƵĐƟŶŐ ƚĞůĞĚĞƌŵĂƚŽůŽŐLJ ŝŶ ƚŚŝƐ ĞŶǀŝƌŽŶŵĞŶƚ ĂŶĚ ƚŚĞ ǀĂůƵĞ ŝƚ ŚĞůĚ ĨŽƌ ƉĂƟĞŶƚƐ ĐĂŶŶŽƚ ďĞ ŽǀĞƌƐƚĂƚĞĚ͘ DŽƐƚ

ŽĨ ƚŚĞ ƉĂĆ&#x;ĞŜƚĆ? Ç Äž Ć?Ä‚Ç ĹŻĹ?ǀĞĚ Ĺ?Ĺś ƾƊÄžĆŒ Ć‰Ĺ˝Ç€ÄžĆŒĆšÇ‡Í˜ /Ćš Ĺ?Ć? Ä‚ Ä?ĆľĆŒÄšÄžĹś ŽŜ ƚŚĞž ĹŠĆľĆ?Ćš ƚŽ Ĺ?Ğƚ ƚŚĞ ĆšĆŒÄ‚ĹśĆ?Ć‰Ĺ˝ĆŒĆšÄ‚Ć&#x;ŽŜ ƚŽ Ć?ĞĞŏ žĞĚĹ?Ä?Ä‚ĹŻ Ä?Ä‚ĆŒÄžÍ˜ ^ƉĞÄ?Ĺ?ĂůƚLJ Ä?Ä‚ĆŒÄž Ĺ?Ć? Ĺ?ÄžĹśÄžĆŒÄ‚ĹŻĹŻÇ‡ ŜŽĆš ĂǀĂĹ?ĹŻÄ‚Ä?ůĞ͕ ĂŜĚ Ä?ĹšĆŒŽŜĹ?Ä? ÄšĹ?Ć?ĞĂĆ?ÄžĆ? Ĺ?ÄžĹśÄžĆŒÄ‚ĹŻĹŻÇ‡ Ĺ?Ĺ˝ ƾŜĆšĆŒÄžÄ‚ĆšÄžÄšÍ˜ ŜĚ ƚŚĞ Ĺ?ŜĨĆŒÄžĆ‹ĆľÄžĹśĆš ĂŜĚ Ĺ?ĆŒĆŒÄžĹ?ƾůÄ‚ĆŒ Ć?ƾƉƉůLJ ŽĨ žƾŜĹ?Ä?Ĺ?ƉĂů ĞůĞÄ?ĆšĆŒĹ?Ä?Ä‚ĹŻ Ć‰Ĺ˝Ç ÄžĆŒ žĂŏĞĆ? /ĹśĆšÄžĆŒĹśÄžĆš Ä‚Ä?Ä?ÄžĆ?Ć? Ä‚ Ä?ŽŜĆ?ƚĂŜƚ Ä?ŚĂůůĞŜĹ?Ğ͘ dĹšÄžĆŒÄž Ĺ?Ć? Ĺ?ĆŒÄžÄ‚Ćš Ä‚Ć‰Ć‰ĆŒÄžÄ?Ĺ?Ä‚Ć&#x;ŽŜ ĨŽĆŒ ƚŚĞ ƉŽƚĞŜĆ&#x;Ä‚ĹŻ ŽĨ ĆšĆŒÄžÄ‚Ć&#x;ĹśĹ? Ä?ĹšĆŒŽŜĹ?Ä? Ć?ĹŹĹ?Ĺś Ä?ŽŜÄšĹ?Ć&#x;ŽŜĆ? ĆľĆ?Ĺ?ĹśĹ? žŽÄšÄžĆŒĹś ƚĞůĞÄ?ŽžžƾŜĹ?Ä?Ä‚Ć&#x;ŽŜĆ?͘ dŚĞ ƚĞÄ?ĹšŜŽůŽĹ?LJ ƚŽ Ä‚Ä?ĹšĹ?ĞǀĞ ƚŚĹ?Ć? Ĺ?Ć? Ĺ?ÄžĹśÄžĆŒÄ‚ĹŻĹŻÇ‡ Ä?ĞLJŽŜÄš ƚŚĞ Ć?Ä?ŽƉĞ ŽĨ ƚŚĞ ,Ä‚Ĺ?Ć&#x;Ä‚Ĺś ŚĞĂůƚŚ Ä?Ä‚ĆŒÄž Ć?LJĆ?ƚĞž Ç ĹšÄžĆŒÄž ƚŚĞ Ä‚Ç€ÄžĆŒÄ‚Ĺ?Äž Ä‚ŜŜƾÄ‚ĹŻ ĞdžƉĞŜĚĹ?ĆšĆľĆŒÄž Ć‰ÄžĆŒ Ć‰ÄžĆŒĆ?ŽŜ Ĺ?Ć? ĹŻÄžĆ?Ć? ƚŚĂŜ ΨϭϏϏ͘ tÄž ĆľĆ?ĞĚ Ĺ?WĹšŽŜÄžĆ? ƚŽ ƚĂŏĞ ƉĹ?Ä?ĆšĆľĆŒÄžĆ? ĂŜĚ Ä?ĆľĆŒĆŒÄžĹśĆš ĂƉƉĆ? ƚŽ ĞĚĹ?Ćš ƚŚĞž ĨŽĆŒ Ć?Ĺ?njĞ Ç ĹšĹ?ĹŻÄž ĂĚĚĹ?ĹśĹ? ƾŜĹ?ƋƾĞ Ä?ŽĚĞĚ Ĺ?ĚĞŜĆ&#x;ÄŽÄžĆŒĆ?͘ WÄ‚Ć&#x;ĞŜƚ ĚĂƚĂ Ç Ĺ˝ĆľĹŻÄš Ä?Äž Ä?ŽůůÄžÄ?ƚĞĚ ŽŜ Ć?ĆšÄ‚ĹśÄšÄ‚ĆŒÄšĹ?njĞĚ ĨŽĆŒĹľĆ? ĂŜĚ Ć?Ä?Ä‚ŜŜĞĚ Ĺ?ŜƚŽ ŽƾĆŒ ůĂƉƚŽƉĆ?͘ dŚĞŜ͕ ĆľĆ?Ĺ?ĹśĹ? ƚŚĞ Ä?ĹŻĹ?ĹśĹ?Ä?Í›Ć? ÄšĹ?ÄžĆ?Ğů Ĺ?ÄžĹśÄžĆŒÄ‚ĆšĹ˝ĆŒ Ć‰Ĺ˝Ç ÄžĆŒĹ?ĹśĹ? Ä‚ žŽÄšÄžž͏ĆŒŽƾĆšÄžĆŒ Ç Äž Ç Ĺ˝ĆľĹŻÄš ƉĂĆ&#x;ĞŜƚůLJ ƾƉůŽĂĚ ƚŚĞ Ä?Ä‚Ć?Äž ĚĞĆ?Ä?ĆŒĹ?ƉĆ&#x;ŽŜĆ? ĂŜĚ ƉŚŽƚŽĆ? ƚŽ Ä‚ ,ĞĂůƚŚ /ĹśĆ?ĆľĆŒÄ‚ĹśÄ?Äž WĹ˝ĆŒĆšÄ‚Ä?Ĺ?ĹŻĹ?ƚLJ ĂŜĚ Ä?Ä?ŽƾŜƚĂÄ?Ĺ?ĹŻĹ?ƚLJ Ä?ĆšͲ Ć?ÄžÄ?ĆľĆŒÄž 'ŽŽĹ?ĹŻÄž Ĺ˝Ä? Ć‰ĹŻÄ‚ĆžĹ˝ĆŒĹľÍ˜

When is a child’s bruise from an accident or something more?

California physicians, nurses and social workers are invited to take a free CME/ CE course on recognizing and reporting child abuse and neglect.

Visit: http://www.imq.org/education/caprrc.aspx

ConĆ&#x;nued on next paĹ?e Ń…

Primary Care Physicians & NPs needed! Work for an inn i ovative lead eader ead e maak akin akin ing a diÄ›erenÂŒe ÂŒe in ‹eažtifžll o onom n a nom ožnt¢ǯ eo™le  Â‘o o  ork att

love  Â‘at t‘ t‘e¢ e¢ doǡ d

See “Careersâ€? @ www.srhealthcenters.org or email oniÂŒa a am moÂœÇą

monicar@srhealthcenters.org

FAMILY MEDICINE/INTERNAL MEDICINE

Vista Community Clinic located in North San Diego County Seeking: Full-time, part-time and per diem Family Medicine Physicians. Requirements: California license, DEA license, CPR certiďŹ cation and board certiďŹ ed in family medicine. Bilingual English/Spanish preferred. Contact c Us: Visitt our website at a ww www.vistacommunityclinic.org r Forward resume to hr@vistacommunityc t linic.org r or fax resume to 760-414-3702 California Family Physician Summer 2015

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ƚ ƚŚĞ ŚŽŵĞ ǁŚĞƌĞ ǁĞ ƐƚĂLJĞĚ͕ ƚŚĞƌĞ ǁĂƐ ŽŌĞŶ ĞůĞĐƚƌŝĐŝƚLJ ĨƌŽŵ ƚŚĞ ŐĞŶĞƌĂƚŽƌ Ăƚ ŶŝŐŚƚ ƚŽ ƉŽǁĞƌ ĞůĞĐƚƌŝĐ ĨĂŶƐ͕ ƉƌŽǀŝĚŝŶŐ ƐŽŵĞ ĐŽŵĨŽƌƚ ŝŶ ƚŚĞ ƐƟŇŝŶŐ ŚĞĂƚ ĂŶĚ ŚƵŵŝĚŝƚLJ͕ ǁŚŝůĞ ǁĞ ĐŽŶƟŶƵĞĚ ǁŽƌŬ ŽŶ ƚŚĞ /ŶƚĞƌŶĞƚ͘ ƵƌŝŶŐ ƚŚĞ ĨƌĞƋƵĞŶƚ ĨĂŝůƵƌĞƐ ŽĨ ƚŚĞƐĞ ƐLJƐƚĞŵƐ͕ ƚŚĞ ŝŶĐƌĞĂƐĞĚ ƉƌĞƐĞŶĐĞ ŽĨ ŵŽƐƋƵŝƚŽƐ ŵĂĚĞ ƵƐ Ăůů ĂǁĂƌĞ ŽĨ ƚŚĞ ĐŽŶƐƚĂŶƚ ƚŚƌĞĂƚ ŽĨ ŵĂůĂƌŝĂ͕ ĚĞŶŐƵĞ͕ ĐŚŝŬƵŶŐƵŶLJĂ ĂŶĚ ŽƚŚĞƌ ĚŝƐĞĂƐĞƐ͘ dŚĞ ĮŶĂů ĐŚŽƌĞƐ ŽĨ ŽƵƌ ŵŝƐƐŝŽŶ ǁĞƌĞ ƚŽ ĞƐƚĂďůŝƐŚ Ă ůĞŐĂĐLJ ĨŽƌ ƚŚŝƐ LJĞĂƌ͛Ɛ ŵŝƐƐŝŽŶ͘ tĞ ƐŚĂƌĞĚ ůĞŌŽǀĞƌ ƐƵƌŐŝĐĂů ƐƵƉƉůŝĞƐ ǁŝƚŚ ƚŚĞ ,ĂŝƟĂŶ ĐůŝŶŝĐ ƐƚĂī ƐŽ ƚŚĞLJ ĐŽƵůĚ ƉĞƌĨŽƌŵ ďŝŽƉƐŝĞƐ͘ tĞ ŝŶƐƚƌƵĐƚĞĚ ƚŚĞŵ ŽŶ ŝWŚŽŶĞ ĂƉƉƐ ƚŽ ĞĚŝƚ ƉŝĐƚƵƌĞƐ ĨŽƌ ƵƉůŽĂĚŝŶŐ ǀŝĂ ĞŵĂŝů ƚŽ ŽďƚĂŝŶ ĚĞƌŵĂƚŽůŽŐLJ ĐŽŶƐƵůƚĂƟŽŶ͘ tĞ ŵĂƉƉĞĚ ƚŚĞ ůŽĐĂƟŽŶ ŽĨ Ăůů ƚŚĞ ƌĞŐŝŽŶĂů ƉƌŝŵĂƌLJ ĐĂƌĞ ŵĞĚŝĐĂů ĨĂĐŝůŝƟĞƐ ƵƐŝŶŐ 'W^ ĐŽŽƌĚŝŶĂƚĞƐ ĨŽƌ ĨƵƚƵƌĞ ŵŝƐƐŝŽŶƐ͘

ƌ͘ ƵƚůĞƌ ĂŶĚ ƚŚĞ ŵŝƐƐŝŽŶ ƚĞĂŵ ǁŽƌŬ ĂůŽŶŐƐŝĚĞ ƚŚĞ ,ĂŝƟĂŶ ĐůŝŶŝĐ ƐƚĂī ƚŽ ƉƌŽǀŝĚĞ ĚĞƐƉĞƌĂƚĞůLJ ŶĞĞĚĞĚ ĐĂƌĞ͘

DĞĂŶǁŚŝůĞ͕ ďĂĐŬ ŝŶ ƚŚĞ h^ ͕ ŽƵƌ ĐŽŶƐƵůƟŶŐ ĚĞƌŵĂƚŽůŽŐŝƐƚƐ ǁŽƵůĚ ĂĐĐĞƐƐ ƚŚĞ 'ŽŽŐůĞ ŽĐƐ ŽŶ ŽƵƌ ƐĞĐƵƌĞ ƐŝƚĞ͕ ƌĞǀŝĞǁ ƚŚĞ ĐĂƐĞƐ ĂŶĚ ĞŶƚĞƌ ƚŚĞŝƌ ĚŝĂŐŶŽƐƟĐ ŝŵƉƌĞƐƐŝŽŶƐ ĂŶĚ ƚƌĞĂƚŵĞŶƚ ƌĞĐŽŵŵĞŶĚĂƟŽŶƐ͘ tĞ ǁŽƵůĚ ƌĞǀŝĞǁ ƚŚĞƐĞ ĮŶĚŝŶŐƐ ĂŶĚ ƉĂƐƐ ƚŚĞŵ ŽŶ ƚŽ ƚŚĞ ,ĂŝƟĂŶ ĐůŝŶŝĐ ƐƚĂī ĨŽƌ ĐŽŶƚĂĐƟŶŐ ƚŚĞ ƉĂƟĞŶƚƐ ǁŝƚŚ ĂŶLJ ŝŶĚŝĐĂƚĞĚ ĐŚĂŶŐĞƐ ŝŶ ƚŚĞƌĂƉLJ͘ /Ĩ Ăůů ƚŚŝƐ ƐŽƵŶĚƐ ƐŽŵĞǁŚĂƚ ĐŽŵƉůĞdž ĂŶĚ ƌĞƐŽƵƌĐĞͲŝŶƚĞŶƐŝǀĞ͕ ƚŚĞŶ LJŽƵ ĐĂŶ ƵŶĚĞƌƐƚĂŶĚ ǁŚLJ ŶŽ ŵŽƌĞ ƚŚĂŶ Ă ŚĂŶĚĨƵů ŽĨ ƐƵĐŚ ƚĞůĞĚĞƌŵĂƚŽůŽŐLJ ĐĂƐĞƐ ŚĂǀĞ ďĞĞŶ ƉƌĞǀŝŽƵƐůLJ ƌĞƉŽƌƚĞĚ ĨƌŽŵ ƉŽǀĞƌƚLJͲƐƚƌŝĐŬĞŶ ,ĂŝƟ͘ /Ŷ ƚŚĞ ĐŽƵƌƐĞ ŽĨ ŽƵƌ ǁĞĞŬ ǁĞ ĞŶƌŽůůĞĚ͕ ĞdžĂŵŝŶĞĚ͕ ƉŚŽƚŽŐƌĂƉŚĞĚ ĂŶĚ ĐŽŶƐƵůƚĞĚ ŽŶ ϭϬϮ ƉĂƟĞŶƚƐ͘ tĞ ĂƌĞ ŶŽǁ ĂŶĂůLJnjŝŶŐ ƚŚŽƐĞ ƌĞƐƵůƚƐ͘ ĞLJŽŶĚ ƚŚĞ ĐůŝŶŝĐ ǁĂůůƐ͕ ŝƚ ǁĂƐ ĂůƐŽ ŐƌĂƟĨLJŝŶŐ ƚŽ ƐĞĞ ŚŽǁ ŵƵĐŚ ,ĂŝƟ ŚĂĚ ƉƌŽŐƌĞƐƐĞĚ ƐŝŶĐĞ ŽƵƌ ĮƌƐƚ ŵŝƐƐŝŽŶ ƚŚĞƌĞ ĂŌĞƌ ƚŚĞ ĚĞǀĂƐƚĂƟŶŐ ĞĂƌƚŚƋƵĂŬĞ ŝŶ ϮϬϭϬ ǁŚŝĐŚ ŬŝůůĞĚ ĂďŽƵƚ Ă ƋƵĂƌƚĞƌ ŽĨ Ă ŵŝůůŝŽŶ ƉĞŽƉůĞ ĂŶĚ ůĞŌ ϭ͘ϱ ŵŝůůŝŽŶ ŚŽŵĞůĞƐƐ͘ /Ŷ ƚŚĞ ƚŽǁŶ ŽĨ WĞƟƚ 'ŽĂǀĞ͕ ŶĞǁ ĐŽŶƐƚƌƵĐƟŽŶ ǁĂƐ ĞǀŝĚĞŶƚ͕ ƚŚĞ ƌŽĂĚƐ ǁĞƌĞ ŐĞŶĞƌĂůůLJ ĐůĞĂƌ ŽĨ ĚĞďƌŝƐ ĂŶĚ ǁĂƐƚĞ͕ ĂŶĚ ƚŚĞƌĞ ǁĂƐ ŵƵĐŚ ŐƌĞĂƚĞƌ ƚƌĂŶƐƉŽƌƚĂƟŽŶ ŽĨ ďŽƚŚ ƉĞŽƉůĞ ĂŶĚ ŐŽŽĚƐ ƚŚĂŶ ǁĞ ŚĂĚ ƐĞĞŶ ďĞĨŽƌĞ͘ DŽƐƚ ƉĞŽƉůĞ ǁĞƌĞ ĐŽŶǀŝŶĐĞĚ ƚŚĂƚ ůŝǀŝŶŐ ĐŽŶĚŝƟŽŶƐ ŚĂĚ ŐĞŶĞƌĂůůLJ ŝŵƉƌŽǀĞĚ ƚŽ Ă ůĞǀĞů ĂďŽǀĞ Ăƚ ǁŚŝĐŚ ƚŚĞLJ ŚĂĚ ďĞĞŶ ƉƌŝŽƌ ƚŽ ƚŚĞ ĞĂƌƚŚƋƵĂŬĞ͘ Ƶƚ ,ĂŝƟ ŝƐ ƐƟůů Ăƚ ƚŚĞ ďŽƩŽŵ ŽĨ ƚŚĞ ƐŽĐŝŽĞĐŽŶŽŵŝĐ ůĂĚĚĞƌ ŽĨ ƚŚĞ tĞƐƚĞƌŶ ,ĞŵŝƐƉŚĞƌĞ͕ ǁŚĞƌĞ ŝƚ ŚĂƐ ƌĞƐŝĚĞĚ ĨŽƌ ĚĞĐĂĚĞƐ͘ dŚĞ ŽŶĞ ŽďǀŝŽƵƐ ĞdžĐĞƉƟŽŶ ƚŽ ƚŚŝƐ ĂĚǀĂŶĐĞ ǁĂƐ ƚŚĞ ĂďƐĞŶĐĞ ŽĨ ƌĞůŝĂďůĞ ĞůĞĐƚƌŝĐŝƚLJ͘ tĞ ƌĂŶ ƚŚĞ ŐĞŶĞƌĂƚŽƌ Ăƚ ƚŚĞ ĐůŝŶŝĐ ƚŽ ŐĞƚ ĞůĞĐƚƌŝĐŝƚLJ ĨŽƌ /ŶƚĞƌŶĞƚ ĐŽŶŶĞĐƟŽŶ͘ KƵƌ ĚĂƚĂ ƚƌĂŶƐŵŝƐƐŝŽŶƐ ǁĞƌĞ ŽŌĞŶ ĞdžƚƌĞŵĞůLJ ƐůŽǁ͘ tĞ ĨŽƵŶĚ ƚŚĂƚ ƚŚĞ ĐůŝŶŝĐ ƐƚĂī ǁŽƵůĚ ƉůƵŐ ŝŶ ŶƵŵĞƌŽƵƐ ĐĞůůƉŚŽŶĞƐ ƚŽ ƌĞĐŚĂƌŐĞ ƚŚĞŵ ƐŝŶĐĞ ƚŚĞLJ ůĂĐŬĞĚ ĞůĞĐƚƌŝĐŝƚLJ Ăƚ ŚŽŵĞ͘ 22

California Family Physician Summer 2015

Ɛ ǁĞ ĚĞƉĂƌƚĞĚ ,ĂŝƟ ŽŶ ^ĂƚƵƌĚĂLJ͕ DĂƌĐŚ Ϯϴ͕ ŽƵƌ ŐƌŽƵƉ ĞŶũŽLJĞĚ Ă ƐĂƟƐĮĞĚ ĨĞĞůŝŶŐ ŽĨ ĂĐĐŽŵƉůŝƐŚŵĞŶƚ͘ tĞ ŚĂĚ ƉƌŽǀŝĚĞĚ ŶĞĞĚĞĚ ĂŶĚ ǀĂůƵĞĚ ĐĂƌĞ ƚŽ ĂŶ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶ͘ tĞ ŚĂĚ ĨƵƌŶŝƐŚĞĚ ƐƵƐƚĂŝŶĂďůĞ ƐĞƌǀŝĐĞƐ ƚŽ ƚŚĞ ,' &ŽƵŶĚĂƟŽŶ ĨŽƌ ŝƚƐ ŽŶŐŽŝŶŐ ŵŝƐƐŝŽŶ ŽĨ ƉƌŽǀŝĚŝŶŐ ŚĞĂůƚŚ ĐĂƌĞ ĂŶĚ ĞĚƵĐĂƟŽŶ ƚŽ ƚŚĞ ƉĞŽƉůĞ ŽĨ WĞƟƚ 'ŽĂǀĞ͘ ŶĚ ǁĞ ĐŽůůĞĐƚĞĚ ǀĂůƵĂďůĞ ĚĂƚĂ ŽŶ ƚŚĞ ƉƌĞǀĂůĞŶĐĞ ŽĨ ƐŬŝŶ ĚŝƐĞĂƐĞƐ ŝŶ ƌƵƌĂů ,ĂŝƟ ĂŶĚ ƚŚĞ ĨĞĂƐŝďŝůŝƚLJ ŽĨ ĐŽŶĚƵĐƟŶŐ ƚĞůĞĚĞƌŵĂƚŽůŽŐLJ ŝŶ ƚŚŝƐ ĐŚĂůůĞŶŐŝŶŐ ƐĞƫŶŐ͘ Dr. Cutler is a family physician and an Assistant Clinical Professor at the Geīen School of Medicine at hCLA. He is acƟve in the hCLA program in Global Health and has led yearly missions to HaiƟ providing medical care and educaƟon at a rural primary care clinic.

dŚĞ ŵĞĚŝĐĂů ƚĞĂŵ ĐŽŶĚƵĐƚƐ ĞĚƵĐĂƟŽŶĂů ǁŽƌŬƐŚŽƉƐ ĨŽƌ ůŽĐĂů ,' ůŝŶŝĐ ƐƚĂī͘

REGISTER BY 8/31/15 AND SAVE UP TO $100 EARN UP TO 13.25 AAFP PRESCRIBED CREDITS

SKIN DISEASE EDUCATION FOUNDATION PRESENTS

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OCTOBER 23-24, 2015 ISLAND HOTEL NEWPORT BEACH, CA SEMINAR DIRECTORS: Sheila F. Friedlander, MD Professor of Clinical Medicine, Pediatrics and Dermatology University of California, San Diego Maria Hordinsky, MD Professor and Chair, Department of Dermatology University of Minnesota, Minneapolis Jointly provided by

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New UCI Student-Run Clinic Focuses on Underserved Population in Orange County ŐƌŽƵƉ ŽĨ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ͕ /ƌǀŝŶĞ ;h /Ϳ ƵŶĚĞƌŐƌĂĚƵĂƚĞ ƐƚƵĚĞŶƚƐ ŚĂƐ ŽƉĞŶĞĚ Ă ŶĞǁ͕ ĨƌĞĞ ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐ ŝŶ 'ĂƌĚĞŶ 'ƌŽǀĞ ǁŝƚŚ ƚŚĞ ƐƵƉƉŽƌƚ ŽĨ ƚŚĞ ƐƐŽĐŝĂƚĞĚ ^ƚƵĚĞŶƚƐ ŽĨ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ͕ /ƌǀŝŶĞ ; ^h /Ϳ͘ ǀĞƌLJ ^ĂƚƵƌĚĂLJ ŵŽƌŶŝŶŐ͕ ƵŶĚĞƌŐƌĂĚƵĂƚĞ ƐƚƵĚĞŶƚƐ͕ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ůŽĐĂů ƉƌĂĐƚŝĐŝŶŐ ƉŚLJƐŝĐŝĂŶƐ ĚŽŶĂƚĞ ƚŚĞŝƌ ƚŝŵĞ ĂŶĚ ƐĞƌǀŝĐĞ ƚŽ ůŽǁ ŝŶĐŽŵĞ͕ ƵŶŝŶƐƵƌĞĚ ĂĚƵůƚƐ ŝŶ ƚŚĞ ƌĞŐŝŽŶ͘ ĞƐƉŝƚĞ ŚĞĂůƚŚ ĐĂƌĞ ƌĞĨŽƌŵ͕ ŝŶŶƵŵĞƌĂďůĞ ƉĞŽƉůĞ Ɛƚŝůů ĂƌĞ ǁŝƚŚŽƵƚ ĂĐĐĞƐƐ ƚŽ ĐĂƌĞ͘ dŚŽƐĞ ŽĨ ƵƐ ǁŽƌŬŝŶŐ ĚĞĞƉ ŝŶ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ĂƉƉƌĞĐŝĂƚĞ ƚŚĞ ĚĞƉƚŚ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ĚŝƐƉĂƌŝƚŝĞƐ͘ >ĞƐƚŽŶŶĂĐ &ƌĞĞ ůŝŶŝĐ ŶĞƚǁŽƌŬ ŚĂƐ ďĞĞŶ ƉƌŽǀŝĚŝŶŐ ĨƌĞĞ ŵĞĚŝĐĂů ĂŶĚ ĚĞŶƚĂů ĐĂƌĞ ƚŽ KƌĂŶŐĞ ŽƵŶƚLJ͛Ɛ ƵŶĚĞƌƐĞƌǀĞĚ ĨĂŵŝůŝĞƐ ƐŝŶĐĞ ϭϵϳϵ͘ dŚĞ ŶĞĞĚ ŝƐ ůĂƌŐĞ͕ ŚŽǁĞǀĞƌ͕ ĂŶĚ ƚŚĞ ƐLJƐƚĞŵ ŝƐ Ɛƚŝůů ƵŶĂďůĞ ƚŽ ĐĂƌĞ ĨŽƌ Ăůů ƚŚĞ ƉĂƚŝĞŶƚƐ ŝŶ ŶĞĞĚ͘ dŚĞ ^h / ƐƚƵĚĞŶƚƐ ũŽŝŶĞĚ ĨŽƌĐĞƐ ǁŝƚŚ ƚŚŝƐ ĞdžŝƐƚŝŶŐ ŶĞƚǁŽƌŬ ƚŽ ŽƉĞŶ Ă ƐĞƉĂƌĂƚĞ ĐůŝŶŝĐ ƚŽ ƚƌĞĂƚ ƉĂƚŝĞŶƚƐ ǁŚŽ ĐĂŶŶŽƚ ďĞ ĂĐĐŽŵŵŽĚĂƚĞĚ ďLJ ƚŚĞ ĞdžŝƐƚŝŶŐ ŶĞƚǁŽƌŬ͘ KƵƌ ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐ ŝƐ Ă ͞ƐĂƚĞůůŝƚĞ͟ ĐůŝŶŝĐ ŽĨ ƚŚĞ >ĞƐƚŽŶŶĂĐ &ƌĞĞ ůŝŶŝĐ͘ &ƵƌƚŚĞƌŵŽƌĞ͕ ƚŚŝƐ ƐƚƵĚĞŶƚ ĐůŝŶŝĐ ŚŽƉĞƐ ƚŽ ĞĚƵĐĂƚĞ ĂŶĚ ƚƌĂŝŶ ƚŚĞ ŶĞdžƚ ŐĞŶĞƌĂƚŝŽŶ ŽĨ ĐŽŵŵƵŶŝƚLJͲĐŽŶƐĐŝŽƵƐ ŚĞĂůƚŚ

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24

California Family Physician Summer 2015

dŚĞ h / ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐ ŽĸĐŝĂůůLJ ŽƉĞŶĞĚ ŽŶ ĞĐĞŵďĞƌ ϭϯ͕ ϮϬϭϰ ǁŝƚŚ Ă ƌŝďďŽŶ dŚĞ h / ƐƚƵĚĞŶƚ ƌƵŶ ĐůŝŶŝĐ ŽĸĐŝĂůůLJ ŽƉĞŶĞĚ ŽŶ ĞĐĞŵďĞƌ ϭϯ ϮϬϭϰ ǁŝƚŚ Ă ƌŝďďŽŶ ĐƵƫŶŐ ĐĞƌĞŵŽŶLJ͘

ƉƌŽĨĞƐƐŝŽŶĂůƐ ǁŚŽ ǁŝůů ĐŽŶƚŝŶƵĞ ƚŽ ďĞ ƚŚĞ ĐĂƚĂůLJƐƚ ĨŽƌ ƉŽƐŝƚŝǀĞ ĐŚĂŶŐĞ ŝŶ ƚŚŝƐ ƵŶĚĞƌƐĞƌǀĞĚ ĐŽŵŵƵŶŝƚLJ͘ dŚĞ ĐůŝŶŝĐ͛Ɛ ŵŝƐƐŝŽŶ ŝƐ ƚŽ ƉƌŽǀŝĚĞ ƉĂƚŝĞŶƚͲĐĞŶƚĞƌĞĚ ŚĞĂůƚŚ ĐĂƌĞ ĨŽƌ ƚŚĞ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƚŝŽŶ ǁŝƚŚŝŶ KƌĂŶŐĞ ŽƵŶƚLJ͕ ǁŝƚŚ ĂŶ ĞŵƉŚĂƐŝƐ ŽŶ ĞĚƵĐĂƚŝŶŐ ĨƵƚƵƌĞ ŚĞĂůƚŚ ĐĂƌĞ ƉƌŽĨĞƐƐŝŽŶĂůƐ͕ ĂŶĚ ƚŽ ŝŶĐƌĞĂƐĞ ĂǁĂƌĞŶĞƐƐ ŽĨ ŚĞĂůƚŚ ĐĂƌĞ ĚŝƐƉĂƌŝƚŝĞƐ͘ dŚĞ ĐůŝŶŝĐ ƐƚƌŝǀĞƐ ĨŽƌ ĞƋƵĂů ĂĐĐĞƐƐ ĂŶĚ ŚĂƐ ƚƌĂŝŶĞĚ ďŝůŝŶŐƵĂů ǀŽůƵŶƚĞĞƌƐ ŽĨ ĐŽŵŵŽŶ ůĂŶŐƵĂŐĞƐ ŽĨ ƚŚĞ ĂƌĞĂ͕ ƉĂƌƚŝĐƵůĂƌůLJ ƚŚĞ ŚŝŐŚůLJͲ ƌĞƉƌĞƐĞŶƚĞĚ sŝĞƚŶĂŵĞƐĞ ĂŶĚ ^ƉĂŶŝƐŚ ƐƉĞĂŬŝŶŐ ƌĞƐŝĚĞŶƚƐ͘ dŚĞ ƐƚƵĚĞŶƚƐ ŚĂǀĞ ŵĂŶLJ ŝĚĞĂƐ ƚŽ ŝŵƉƌŽǀĞ ƚŚĞ ĐŽŵŵƵŶŝƚLJ ĂŶĚ ĂƌĞ ǁŽƌŬŝŶŐ ŚĂƌĚ ƚŽ ďƌŝŶŐ ƚŚĞƐĞ ŝĚĞĂƐ ƚŽ ůŝŐŚƚ͘ dŚĞ ĐůŝŶŝĐ ƉƌŽũĞĐƚ ƐƚĂƌƚĞĚ ǁŝƚŚ Ă ŐƌŽƵƉ ŽĨ ƵŶĚĞƌŐƌĂĚƵĂƚĞ ƐƚƵĚĞŶƚƐ ĂŶĚ ŶŽǁ ŚĂƐ ŐƌŽǁŶ ŝŶƚŽ Ă ůĂƌŐĞ ďŽĚLJ ŽĨ h / ƵŶĚĞƌŐƌĂĚƵĂƚĞƐ͕ ^h / ƐƚƵĚĞŶƚ ďŽĚLJ͕ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĨƌŽŵ ďŽƚŚ h / ĂŶĚ tĞƐƚĞƌŶ hŶŝǀĞƌƐŝƚLJ͕ tŚŝƚƚŝĞƌ ůĂǁ ƐƚƵĚĞŶƚƐ͕ ŶƵƌƐŝŶŐ ƐƚƵĚĞŶƚƐ͕ ĂŶĚ ƚŚĞ ůŝƐƚ ĐŽŶƚŝŶƵĞƐ ƚŽ ŐƌŽǁ͘ ƵƌƌĞŶƚ ƉƌĞĐĞƉƚŽƌƐ ĂƌĞ ůŝĐĞŶƐĞĚ ĐŽŵŵƵŶŝƚLJ

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(2) Physicians – (1) Professional Director (min. 3yrs exp. req.) (1) Urgent Care Physician. Positions are full time for Clovis facility. Current CA MD or DO license required; Board Certified; Current DEA; ACLS required; EMR exp. pref.; Excellent benefits package; Hiring in accord. w/ Indian Pref. Act. Please send CV to CVIH HR, 2740 Herndon Ave., Clovis, CA 93611 or email to hr@cvih.org Central Valley Indian Health, Inc.

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ACHIEVE extraordinary outcomes When you're part of Dignity Health, you'll be able to do more than just care for your patients. You’ll have the opportunity to develop and participate in health, education and wellness programs that will help improve the lives of people throughout your community...and beyond. If you want to achieve extraordinary outcomes, join us today.

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

Practice Highlights Include: 0 % $ $ () " ( # " '%*& * )% continued growth or an independent single specialty group practice 0 " '. * ' $) & ' % $ - "" $) earning potential based on productivity model 0 *' " %*$ ) %$ ( " $ , ) the one of the largest health systems in the nation and the largest hospital system in California 0 ') # *"" # $ " - " %&&%')*$ ) ( 0 $ %. ) ( (*$$. " %'$ ' ( $ (( )% $ ' $ ( % & ! % %( $ " ( $ $ % Please contact/send your CV to: Physician Recruitment providers@dignityhealth.org 888-599-7787 www.dignityhealth.org/physician-careers

California Family Physician Summer 2015

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ĂƚƚĞŶĚŝŶŐ ƉŚLJƐŝĐŝĂŶƐ ĨƌŽŵ ƵŶŝǀĞƌƐŝƚŝĞƐ͕ <ĂŝƐĞƌ WĞƌŵĂŶĞŶƚĞ͕ ůŽĐĂů ĨĞĚĞƌĂůůLJ ƋƵĂůŝĨŝĞĚ ŚĞĂůƚŚ ĐĞŶƚĞƌƐ ĂŶĚ ƚŚŽƐĞ ŝŶ ƉƌŝǀĂƚĞ ƉƌĂĐƚŝĐĞ͘ dŚĞ ƐƚƵĚĞŶƚƐ ĨŽƌŵĞĚ Ă ĐůŝŶŝĐ ďŽĂƌĚ ĂŶĚ ŵĂŬĞ ĚĞĐŝƐŝŽŶƐ ŽŶ ƌĞĐƌƵŝƚŵĞŶƚ͕ ĨƵŶĚƌĂŝƐŝŶŐ ĂŶĚ ĐůŝŶŝĐ ŽƉĞƌĂƚŝŽŶƐ ƚŽ ŽƉƚŝŵŝnjĞ ƚŚĞ ĐůŝŶŝĐ ;ǁŝƚŚŝŶ ƚŚĞ ĐŽŶĨŝŶĞƐ ŽĨ ƚŚĞ >ĞƐƚŽŶŶĂĐ ůŝŶŝĐ ůŝĐĞŶƐĞͿ͘ dŚĞ ďŽĂƌĚ ĚĞƐŝŐŶƐ ŶĞǁ ƉƌŽŐƌĂŵƐ ƚŽ ĞĚƵĐĂƚĞ ƚŚĞ ƉƵďůŝĐ͕ ǁŽƌŬƐ ŽŶ ƉƌŽƉŽƐĂůƐ ƚŽ ĂĐƋƵŝƌĞ ŐƌĂŶƚƐ ĂŶĚ ƌĞƐĞĂƌĐŚĞƐ ƉŽƚĞŶƚŝĂů ĐůŝŶŝĐ ŝŵƉƌŽǀĞŵĞŶƚƐ͘ DĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂƌĞ ŐŝǀĞŶ ĂŶ ĂŵĂnjŝŶŐ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ŐĂŝŶ ŝŶǀĂůƵĂďůĞ ĐůŝŶŝĐ ĞdžƉĞƌŝĞŶĐĞ ĂŶĚ ƉĂƚŝĞŶƚ ĐŽŵŵƵŶŝĐĂƚŝŽŶ ƐŬŝůůƐ ĂŶĚ ƚŚĞ ĐůŝŶŝĐ ŝƐ ŵĞĞƚŝŶŐ ƚŚĞ ŶĞĞĚƐ ŽĨ ĂŶ ƵŶĚĞƌƐĞƌǀĞĚ ĐŽŵŵƵŶŝƚLJ͘ KƵƌ ƐƚƵĚĞŶƚƐ ĐĂŶ͛ƚ ƐƚŽƉ ƚĂůŬŝŶŐ ĂďŽƵƚ ŚŽǁ ŵƵĐŚ ƚŚĞLJ ůĞĂƌŶ ĨƌŽŵ ĞĂĐŚ ĐůŝŶŝĐ ƐĞƐƐŝŽŶ͕ ĨƌŽŵ ƚŚĞ ƵŶĚĞƌŐƌĂĚƵĂƚĞ ŝŶƚĞƌƉƌĞƚĞƌ ƐƚƵĚĞŶƚƐ ůĞĂƌŶŝŶŐ ŶĞǁ ŵĞĚŝĐĂů ƚĞƌŵƐ ƚŽ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ůĞĂƌŶŝŶŐ ƉŚLJƐŝĐĂů ĞdžĂŵ ƐŬŝůůƐ͘ KƵƌ ƐƚƵĚĞŶƚ ǀŽůƵŶƚĞĞƌƐ ƐĞĞ ƉĂƚŚŽůŽŐLJ ĨŝƌƐƚŚĂŶĚ͕ ƐƵĐŚ ĂƐ ĚŝĂŐŶŽƐŝŶŐ ĂŶĚ ƚƌĞĂƚŝŶŐ ĚŝĂďĞƚĞƐ Žƌ ĂƐƐĞƐƐŝŶŐ ƚƵŵŽƌƐ͕ ƚƌĞĂƚŝŶŐ ŝŶĨĞĐƚŝŽŶƐ ĂŶĚ ĐŚƌŽŶŝĐ ƚŚLJƌŽŝĚ ŝƐƐƵĞƐ͘

Ɛ ƚŚĞ ĐůŝŶŝĐ ŝƐ Ɛƚŝůů ŝŶ ŝƚƐ ŝŶĨĂŶĐLJ͕ ƐƵƉƉŽƌƚ ĂŶĚ ĞŶĐŽƵƌĂŐĞŵĞŶƚ ĨƌŽŵ ƚŚĞ ŵĞĚŝĐĂů ĐŽŵŵƵŶŝƚLJ ĂƌĞ ŽĨ ŐƌĞĂƚ ƐŝŐŶŝĨŝĐĂŶĐĞ ŝŶ ŵĂŝŶƚĂŝŶŝŶŐ ŝƚƐ ŐƌŽǁƚŚ ĂŶĚ ƐƵĐĐĞƐƐ͘ ƵƌƌĞŶƚůLJ͕ ƚŚĞ ƐƚƵĚĞŶƚƐ ĂƌĞ ŝŶ ŶĞĞĚ ŽĨ ŵŽƌĞ ůŝĐĞŶƐĞĚ ƉŚLJƐŝĐŝĂŶƐ ƚŽ ƉƌĞĐĞƉƚ ƚŚĞŝƌ ǁĞĞŬůLJ ĐůŝŶŝĐƐ ĂŶĚ ƚĞĂĐŚ͘ ŽŶĂƚŝŽŶƐ ŽĨ ĐůŝŶŝĐ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ŵĞĚŝĐĂů ƐƵƉƉůŝĞƐ͕ ǁŽƌĚͲŽĨͲŵŽƵƚŚ ĂĚǀĞƌƚŝƐŝŶŐ͕ ƉĂƚŝĞŶƚ ƌĞĨĞƌƌĂů ĂŶĚ ĨƵŶĚŝŶŐ ĂƌĞ ĂůƐŽ ŚĞůƉŝŶŐ ƚŚĞ ĐůŝŶŝĐ ŐĞƚ ŽĨĨ ƚŽ ŐŽŽĚ ƐƚĂƌƚ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƚŝŽŶ͕ ĂďŽƵƚ ƚŚĞ h / ƐƚƵĚĞŶƚͲƌƵŶ ĐůŝŶŝĐ ǀŝƐŝƚ͗ ŚƚƚƉƐ͗ͬ​ͬĐůƵďƐ͘ƵĐŝ͘ĞĚƵͬĨƌĞĞĐůŝŶŝĐͬ͘ Dr. Baotran Vo is the Assistant Clinical Professor for family medicine at the hniversity of California, Irvine School of Medicine. Dr. Karina Melgar completed her Family Medicine residency at Long Beach Memorial and is the current Orange County Kaiser Permanente Community Fellow, a position that focuses on delivering care for underserved patients while working with community health leaders to improve healthcare delivery and outreach.

BEST KEPT SECRET IN ALASKA! Maniilaq Health Center in Kotzebue, Alaska is looking for BC/BE Family Medicine Physicians who have a sense of adventure and a desire to practice primary care medicine. We are a tribally-owned, JC-accredited, Critical Access Hospital, with 12 inpatient beds, a 5-bed ER, two L&D rooms, and an Outpatient Clinic. J-1s welcome.

AMAZING COMMUNITY AND CULTURE READY TO WELCOME YOU & YOUR FAMILY!

EXCELLENT COMPENSATION AND BENEFITS!

FT/PT/LOCUMS/COMPRESSED & FLEX SCHEDULES AVAILABLE.

Send CV and questions to tiffany.dealmeida@maniilaq.org or call 206-304-4552 to learn more www.maniilaq.org

3rd Year Resident Rotations Available Transportation and housing provided.

For Advertising CONTACT

Michelle Gilbert

mgilbert@pcipublishing.com

1-800-561-4686

ext. 120

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California Family Physician Summer 2015

The Petaluma Health Center (PHC) has opportunities for experienced, innovative physicians to join a dynamic team of twenty nine providers in Southern Sonoma County. PHC is a Federally Qualified Health Center (FQHC) located in Petaluma, CA and provides full spectrum comprehensive primary care including obstetrical care and mental health services to over 20,000 patients. Our health center is a leading innovator in integrative medicine, team based care, and technology. We are seeking bilingual English/Spanish physicians with a minimum of three years’ experience to provide care to a panel of patients. These positions allow for ample growth and leadership in a multitude of areas related to improvement of the patient care experience. Options for combined hospital medicine and obstetric call are available, as is the option of outpatient call (telephone call) only.

Join our Family Practice Team in California!

Join Us in Caring for Our Community Clinica Sierra Vista is seeking dedicated physicians who are passionate about our mission. We are proud to provide high quality and comprehensive primary and prevention health care services to the underserved populations of Kern, Fresno, and Inyo counties. Become part of our team and play an important role in improving the health of our patients and community. Clinica Sierra Vista offers a competitive salary package including Signing Bonuses, Pay for Performance, Mortgage Assistance programs, and is a H1-B Cap Exempt Entity. Qualified applicants must be board certified or eligible in Family Practice, Pediatrics, Internal Medicine, or Obstetrics and Gynecology, and have an unrestricted CA medical license.

www.clinicasierravista.org | Jason Bailey - 559-832-0013

Redlands, California: Physician needed to join our Family Practice team full-time. We are adding an additional provider to our team. The schedule will be Monday through Friday, from 8am to 5pm. There is no night or weekend call. We currently have an Internal Medicine provider at the practice and would like to have a Family Medicine provider as well. There are also two Nurse Practitioners on the team. Redlands is just 10 miles east of downtown San Bernardino. We are open to candidates that are looking at part-time and full-time opportunities. Please apply for immediate consideration. To learn more about these or other Hospital Medicine opportunities, contact Valerie Patterson at 954.377.2963, Valerie_Patterson@teamhealth.com or visit www.myhmcareer.com. California Family Physician Summer 2015

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Volunteering: My Experience at the Gender Health Center Ɛ / ǁƌŝƚĞ ƚŚŝƐ͕ / Ăŵ ϮϮ ǁĞĞŬƐ ƉƌĞŐŶĂŶƚ͘ ǀĞƌLJŽŶĞ ǁĂŶƚƐ ƚŽ ŬŶŽǁ͕ Ăŵ / ŚĂǀŝŶŐ Ă ďŽLJ Žƌ Ă Őŝƌů͍ &Žƌ ďĞƩĞƌ Žƌ ǁŽƌƐĞ͕ ŐĞŶĚĞƌ ƌŽůĞƐ ĂƌĞ Ăůů ƉĞƌǀĂƐŝǀĞ ŝŶ ŽƵƌ ƐŽĐŝĞƚLJ͘ ŌĞƌ ǀŽůƵŶƚĞĞƌŝŶŐ Ăƚ ƚŚĞ 'ĞŶĚĞƌ ,ĞĂůƚŚ ĞŶƚĞƌ ;', Ϳ͕ / ŚĂǀĞ ďĞĐŽŵĞ ƐŽŵĞǁŚĂƚ ŽĨ ĂŶ ĞdžƉĞƌƚ ŽŶ ƚŚĞ ƚŽƉŝĐ ĂŶĚ Ăŵ ƐĞŶƐŝƟǀĞ ƚŽ ƚŚŽƐĞ ǁŚŽ ƐƚƌƵŐŐůĞ ǁŝƚŚ ƚŚĞŝƌ ŐĞŶĚĞƌ ŝĚĞŶƟƚLJ͘ dŚĞ ', ƉƌŽǀŝĚĞƐ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ŵĞŶƚĂů ŚĞĂůƚŚ ĂŶĚ ƐŽĐŝĂů ǁŽƌŬ ƐĞƌǀŝĐĞƐ ĨŽƌ ĐůŝĞŶƚƐ ŝŶ ƚŚĞ ^ĂĐƌĂŵĞŶƚŽ ƌĞŐŝŽŶ͕ ǁŚŝůĞ ĂůƐŽ ŽīĞƌŝŶŐ Ă ƐƉĞĐŝĂůŝnjĞĚ ŚŽƌŵŽŶĞ ƚƌĞĂƚŵĞŶƚ ĐůŝŶŝĐ ĨŽƌ ƚƌĂŶƐŐĞŶĚĞƌ ĐůŝĞŶƚƐ͘ dŚĞ ŚŽƌŵŽŶĞ ĐůŝŶŝĐ ŝƐ Ă hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ͕ ĂǀŝƐ ƐƚƵĚĞŶƚͲƌƵŶ͕ ĨƌĞĞ ĐůŝŶŝĐ͘ Ɛ ŽŶĞ ŽĨ ƚŚĞ ƉƌĞĐĞƉƚŽƌƐ͕ / ĞŶũŽLJ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉƌŽǀŝĚĞ ĐĂƌĞ ĨŽƌ Ă ŵĂƌŐŝŶĂůŝnjĞĚ͕ ƵŶĚĞƌƐĞƌǀĞĚ ƉŽƉƵůĂƟŽŶ͕ ǁŝƚŚ ƚŚĞ ĂĚĚĞĚ ďĞŶĞĮƚ ŽĨ ůĞĂƌŶŝŶŐ ĨƌŽŵ͕ ĂŶĚ ƚĞĂĐŚŝŶŐ ŶƵƌƐĞ ƉƌĂĐƟƟŽŶĞƌ͕ ƉŚLJƐŝĐŝĂŶ ĂƐƐŝƐƚĂŶƚƐ͕ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƌĞƐŝĚĞŶƚƐ͘ dƌĂŶƐŐĞŶĚĞƌ ƉĂƟĞŶƚƐ ǁŝƚŚ 'ĞŶĚĞƌ LJƐƉŚŽƌŝĂ͕ Žƌ ƚŚĞ ĨĞĞůŝŶŐ ƚŚĂƚ ƚŚĞŝƌ ŐĞŶĚĞƌ ŝĚĞŶƟƚLJ ĚŽĞƐ ŶŽƚ ŵĂƚĐŚ ƚŚĞ ŐĞŶĚĞƌ ƚŚĞLJ ǁĞƌĞ ĂƐƐŝŐŶĞĚ Ăƚ ďŝƌƚŚ͕ ŚĂǀĞ ĂŶ ĞdžƚƌĞŵĞůLJ ŚŝŐŚ ƌĂƚĞ ŽĨ ĂƩĞŵƉƚĞĚ ƐƵŝĐŝĚĞ ;хϰϬ ƉĞƌĐĞŶƚ ĐŽŵƉĂƌĞĚ ƚŽ ƚŚĞ ŶĂƟŽŶĂů ĂǀĞƌĂŐĞ ŽĨ фϱ ƉĞƌĐĞŶƚͿ͘ dŚŝƐ ƌĂƚĞ ŵĂLJ ƌĞĂĐŚ ĂůŵŽƐƚ ϲϬ ƉĞƌĐĞŶƚ ŝĨ ƚŚĞLJ ŚĂǀĞ ĞǀĞƌ ďĞĞŶ ƌĞũĞĐƚĞĚ ďLJ Ă ŚĞĂůƚŚĐĂƌĞ ƉƌŽǀŝĚĞƌ͘ ƚ ƚŚĞ ', ͕ ǁĞ ĂƌĞ ĂďůĞ ƚŽ ƉƌŽǀŝĚĞ ŚŽƌŵŽŶĞ ƚƌĞĂƚŵĞŶƚ ĂŶĚ ŵĂŶĂŐĞŵĞŶƚ ĂƐ ƉĂƌƚ ŽĨ Ă ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ƉƌĂĐƟĐĞ͘ dŚĞ ĐĂƚĐŚŵĞŶƚ ŽĨ ŽƵƌ ƉĂƟĞŶƚƐ ƐƉĞĂŬƐ ƚŽ ƚŚĞ ŐƌĞĂƚ ŶĞĞĚ ĨŽƌ ŽƵƌ ƐĞƌǀŝĐĞƐ͘ tĞ ŚĂǀĞ ƉĂƟĞŶƚƐ ƚƌĂǀĞůŝŶŐ ĨƌŽŵ ĂƐ ĨĂƌ ĂǁĂLJ ĂƐ ZĞĚĚŝŶŐ͕ EĞǀĂĚĂ ĂŶĚ ƚŚĞ ĚŝƐƚĂŶƚ ĞŶĚƐ ŽĨ ƚŚĞ ĞŶƚƌĂů sĂůůĞLJ ƚŽ ĂĐĐĞƐƐ ĐĂƌĞ͘ dŚĞLJ ŵĂLJ ďĞ ŚŽŵĞůĞƐƐ Žƌ ƵŶĞŵƉůŽLJĞĚ͕ ĂŶĚ ŽŌĞŶ ĂƌĞ ĚĞĂůŝŶŐ ǁŝƚŚ ƐĞǀĞƌĞ ĚĞƉƌĞƐƐŝŽŶ͕ ĂŶdžŝĞƚLJ ĂŶĚ ĂďƵƐŝǀĞ ŚŽŵĞ ƐŝƚƵĂƟŽŶƐ͘ WƌŽǀŝĚŝŶŐ ĂƉƉƌŽƉƌŝĂƚĞ ŚŽƌŵŽŶĞ ƚƌĂŶƐŝƟŽŶ ǁŝƚŚ ƉƌĞƐĐƌŝƉƟŽŶƐ ĨŽƌ ĞŝƚŚĞƌ ĞƐƚƌĂĚŝŽů ĂŶĚ ƐƉŝƌŽŶŽůĂĐƚŽŶĞ Žƌ ƚĞƐƚŽƐƚĞƌŽŶĞ ŝƐ Ă ďĂƐŝĐ ƐƚĞƉ ƚŽǁĂƌĚ ŚĞůƉŝŶŐ ƚŚĞŵ ƌĞƚƵƌŶ ƚŽ ĨƵŶĐƟŽŶĂůŝƚLJ ŝŶ ƚŚĞŝƌ ůŝǀĞƐ ʹ ĂŶĚ ŝƚ ĚŽĞƐŶ͛ƚ ƌĞƋƵŝƌĞ ĐƵŵďĞƌƐŽŵĞ ďĂƌƌŝĞƌƐ ĂŶĚ ƌĞĚ ƚĂƉĞ͘ tĞ ďĂƐĞ ŽƵƌ ƚƌĞĂƚŵĞŶƚ ŽŶ Ă ĐŽŵďŝŶĂƟŽŶ ŽĨ ĞĂƐŝůLJ ĂǀĂŝůĂďůĞ ƉƌŽƚŽĐŽůƐ ĨƌŽŵ ƚŚĞ ŶĚŽĐƌŝŶĞ ^ŽĐŝĞƚLJ ϮϬϬϵ ŐƵŝĚĞůŝŶĞƐ ĂŶĚ hŶŝǀĞƌƐŝƚLJ ŽĨ ĂůŝĨŽƌŶŝĂ͕ ^ĂŶ &ƌĂŶĐŝƐĐŽ ;h ^&Ϳ ĞŶƚĞƌ ĨŽƌ dƌĂŶƐŐĞŶĚĞƌ džĐĞůůĞŶĐĞ͘ >ĞĂƌŶŝŶŐ ƚŚĞ ŵĞĚŝĐŝŶĞ ŚĂƐ ďĞĞŶ ĞĂƐLJ͕ ǁŝƚŚ ďĂƐŝĐ ŵĞĚŝĐĂƟŽŶ ƟƚƌĂƟŽŶ ŐĞĂƌĞĚ ƚŽǁĂƌĚ ƉĂƟĞŶƚ ĐůŝŶŝĐĂů ŐŽĂůƐ ĂŶĚ ƌŽƵƟŶĞ ĨŽůůŽǁͲƵƉ ůĂďƐ͕ ũƵƐƚ ĂƐ LJŽƵ ǁŽƵůĚ ĚŽ ĨŽƌ Ă ƉĂƟĞŶƚ ǁŝƚŚ ĚŝĂďĞƚĞƐ͘ dŚĞ h ^& ĞŶƚĞƌ ĨŽƌ dƌĂŶƐŐĞŶĚĞƌ džĐĞůůĞŶĐĞ ŚĂƐ ŐƌĞĂƚ ŝŶĨŽƌŵĂƟŽŶ ƌĞŐĂƌĚŝŶŐ ŵĞĚŝĐĂƟŽŶ͕ ƐĐƌĞĞŶŝŶŐ͕ ƐƵƌŐĞƌŝĞƐ ʹũƵƐƚ ĂďŽƵƚ ĞǀĞƌLJƚŚŝŶŐ LJŽƵ ĐŽƵůĚ ŶĞĞĚ͊ tĞ ƐƚĂƌƚ ǁŝƚŚ ĂŶ ŝŶĨŽƌŵĞĚ ĐŽŶƐĞŶƚ ĨŽƌŵ ƚŚĂƚ ƐĞƌǀĞƐ ĂƐ ƚŚĞ ďĂƐŝƐ 28

California Family Physician Summer 2015

ĨŽƌ ĚŝƐĐƵƐƐŝŽŶ ĂďŽƵƚ ƚŚĞ ƚƌĞĂƚŵĞŶƚ͘ tŚĂƚ ƚLJƉĞƐ ŽĨ ĐŚĂŶŐĞƐ ĂƌĞ LJŽƵ ;ƚŚĞ ƉĂƟĞŶƚͿ ůŽŽŬŝŶŐ ĨŽƌ͍ Ž LJŽƵ ƐŵŽŬĞ͍ tŚĂƚ ŝƐ LJŽƵƌ ĨĂŵŝůLJ ŚŝƐƚŽƌLJ͍ dŚĞƌĞ ĂƌĞ ǀĞƌLJ ĨĞǁ ĐŽŶƚƌĂŝŶĚŝĐĂƟŽŶƐ ƚŽ ŚŽƌŵŽŶĞ ƚƌĞĂƚŵĞŶƚ ǁŚŝůĞ ƚŚĞ ďĞŶĞĮƚƐ ĨŽƌ ŝŵƉƌŽǀŝŶŐ ƋƵĂůŝƚLJ ŽĨ ůŝĨĞ ĂƌĞ ĐůĞĂƌ͘ dŚŝƐ ŝƐ Ă ĨĂŶƚĂƐƟĐ ŽƉƉŽƌƚƵŶŝƚLJ ƚŽ ƉƌĂĐƟĐĞ ƚŚĞ ͞Ăƌƚ͟ ŽĨ ŵĞĚŝĐŝŶĞ͕ ĂƐ ƉĂƟĞŶƚƐ ĞĂĐŚ ŚĂǀĞ ĚŝīĞƌĞŶƚ ƉĞƌƐŽŶĂů ŐŽĂůƐ ƚŚĞLJ ŚŽƉĞ ƚŽ ĂĐŚŝĞǀĞ ĂŶĚ ƚŚĞƌĞ ŝƐ ŶŽ ŽŶĞ ƌŝŐŚƚ ƚƌĞĂƚŵĞŶƚ ƉůĂŶ ƚŽ ĨŽůůŽǁ ĨŽƌ ĞǀĞƌLJŽŶĞ͘ ĂƌŝŶŐ ĨŽƌ ƚƌĂŶƐŐĞŶĚĞƌ ƉĂƟĞŶƚƐ ŚĂƐ ďĞĞŶ ŽŶĞ ŽĨ ƚŚĞ ŵŽƐƚ ƌĞǁĂƌĚŝŶŐ ƉĂƌƚƐ ŽĨ ŵLJ ƉƌŝŵĂƌLJ ĐĂƌĞ ĐĂƌĞĞƌ͘ /ƚ ŝƐ ĂŵĂnjŝŶŐ ƚŽ ŚĞůƉ ƉĂƟĞŶƚƐ ƚƌĂŶƐŝƟŽŶ ĂŶĚ ǁĂƚĐŚ ƚŚĞŵ ďĞĐŽŵĞ ŵŽƌĞ ĐŽŶĮĚĞŶƚ͕ ƉƌŽĚƵĐƟǀĞ ĂŶĚ ĞŶŐĂŐĞĚ ŝŶ ƚŚĞ ǁŽƌůĚ ĂƌŽƵŶĚ ƚŚĞŵ͘ /͛ǀĞ ƐĞĞŶ

ȱ ȱ ȱ ě ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ ȱ ȱ ¢ȱ ȱ ȱ Ĵ ȱ ȱ ȱ ȱ ǯȱ ȱ ȱ ȱ ȱ ȱ ȱȃ ȱ Ȅȱ ȱ ȱ ǯ ¢ ǯ ǯ ƚŚĞŵ ŐŽ ďĂĐŬ ƚŽ ƐĐŚŽŽů͕ ŐĞƚ ƉƌŽŵŽƟŽŶƐ ĂŶĚ ƋƵŝƚ ƐŵŽŬŝŶŐ ĨĂƐƚĞƌ ƚŚĂŶ LJŽƵ ĐŽƵůĚ ďĞůŝĞǀĞ ;ĞƐƉĞĐŝĂůůLJ ǁŚĞŶ ŵŽƟǀĂƚĞĚ ƚŽ ƐƚĂƌƚ ĞƐƚƌĂĚŝŽůͿ͘ dŚĞ ƚƌĂŶƐĨŽƌŵĂƟŽŶ ŝƐ ĐůĞĂƌ ĨƌŽŵ ƚŚĞ ŵŽŵĞŶƚ LJŽƵ ƐĂLJ ƚŚĞ ǁŽƌĚƐ͕ ͞zĞƐ͕ / ĐĂŶ ŚĞůƉ LJŽƵ͘ >Ğƚ͛Ɛ ŐĞƚ ƐƚĂƌƚĞĚ͘͟ dŚĞ ƌĞůŝĞĨ ŝŶ ƚŚĞ ƉĂƟĞŶƚ͛Ɛ ĞLJĞƐ ŝƐ ƉƌŝĐĞůĞƐƐ͊ tŚĞƚŚĞƌ LJŽƵ ŬŶŽǁ ŝƚ Žƌ ŶŽƚ͕ LJŽƵ ĂůƌĞĂĚLJ ŚĂǀĞ ƚŚĞƐĞ ƉĂƟĞŶƚƐ ŝŶ LJŽƵƌ ƉƌĂĐƟĐĞ͘ DĂŬĞ LJŽƵƌ ĐůŝŶŝĐ ŽƉĞŶ ĂŶĚ ǁĞůĐŽŵŝŶŐ͕ ǁŝƚŚŽƵƚ ũƵĚŐŵĞŶƚ Žƌ ĨĞĂƌ͘ >ĞĂƌŶ ŚŽǁ ƚŽ ƉƌŽǀŝĚĞ ƚƌƵĞ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƉƌŝŵĂƌLJ ĐĂƌĞ ĨŽƌ ƚŚĞƐĞ ƉĂƟĞŶƚƐ ďLJ ĂƩĞŶĚŝŶŐ ƚŽ >> ŽĨ ƚŚĞŝƌ ŚĞĂůƚŚ ĐĂƌĞ ŶĞĞĚƐ ĂŶĚ ĞŶũŽLJ ƚŚĞ ƐĂŵĞ ƌĞǁĂƌĚƐ / ŚĂǀĞ ŐĂŝŶĞĚ ƚŚƌŽƵŐŚ ŵLJ ǀŽůƵŶƚĞĞƌŝƐŵ Ăƚ ƚŚĞ 'ĞŶĚĞƌ ,ĞĂůƚŚ ĞŶƚĞƌ͘ Dr. Charlene Hauser is a family medicine physician with SuƩer Medical Group in Grass Valley, CA. She volunteers as clinical faculty at the hniversity of California, Davis, Gender Health Center.

UNITED INDIAN HEALTH SERVICES, INC. (UIHS) KƵr sision͗ HealthLJ ŵind, ďodLJ and sƉirit Ĩor ŐeneraƟons oĨ oƵr ŵerican Indian oŵŵƵnitLJ.

MED7 has been providing urgent care services in the Greater Sacramento area since 1987 rgent care clinics are located in Roseville, Carmichael, Folsom & North Sacramento. Board Certified or Board Eligible in family practice or emergency medicine. 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. There is no call. There is no tail coverage that needs to be purchased should you leave our employment. We have a single policy that continues on after you leave. If something were to arise here after you left our employment, you would be covered. For more information about MED7 and our clinics please visit our website: www.med7.com We offer an attractive compensation package. Contact Merl O’Brien,MD, at: (916) 791-1300, ext.111; or email CV to: sherry@med7atwork.com.

United Indian Health Services, Inc. is a non - ƉroĮt driďal KrŐaninjaƟon coŵƉrised oĨ a consorƟƵŵ oĨ nine local driďesͬZancherias.

Come join us in the natural beauty that only the North Coast has to offer. UIHS is a triďal health ƉroŐraŵ ǁhich ǁas orŐaninjed in ϭϵϳϬ ďLJ Indians oĨ the local coŵŵƵnitLJ to deliver health care services ǁithin oƵr reŐion.

Employment Opportunities: WƌŽǀŝĚĞƌ (ϯ ƉŽƐŝƟŽŶƐ) DĞĚŝĐĂů DŝŶŝŵƵŵ YƵĂůŝĮĐĂƟŽŶƐ: x DƵƐƚ ƉŽƐƐĞƐƐ Ă ǀĂůŝĚ WŚLJƐŝĐŝĂŶ͛Ɛ >ŝĐĞŶƐĞ x DƵƐƚ ŚĂǀĞ ƉĂƐƐĞĚ ƚŚĞ &ĂŵŝůLJ WƌĂĐƟĐĞ WŚLJƐŝĐŝĂŶ ĞƌƟĮĐĂƟŽŶ x DƵƐƚ ďĞ ŽĂƌĚ ĞƌƟĮĞĚ͕ ƉƌĞĨĞƌƌĞĚ

te coŵŵit oƵrselves to creaƟnŐ healthLJ ǁorŬinŐ condiƟons that sƵƉƉort a sense oĨ family within the orŐaninjaƟon and allow oƵr staī to Ɖrovide ƋƵality care.

CŽŵƉĞƟƟǀĞ SĂůĂƌŝĞƐ ĞŶĞĮƚ WĂĐŬĂŐĞƐ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ Žƌ ƚŽ ŽďƚĂŝŶ ĂŶ ĂƉƉůŝĐĂƟŽŶ ƉĂĐŬĞƚ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ h/,^ Ăƚ ϭϲϬϬ tĞĞŽƚ tĂLJ͕ ƌĐĂƚĂ͕ Ă ϵϱϱϮϭ Žƌ ďLJ ĐĂůůŝŶŐ ;ϳϬϳͿ ϴϮϱ-ϱϬϬϬ Žƌ ďLJ ǀŝƐŝƟŶŐ ŽƵƌ ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ƵŝŚƐ͘ŽƌŐ͘

California Family Physician Summer 2015

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ȱ ǰȱ ȱ

EXECUTIVE VICE PRESIDENT’S FORUM

Volunteering Here at Home – For Your Academy &ƌŽŵ ƟŵĞ ƚŽ ƟŵĞ ŝŶ ƉƌĞǀŝŽƵƐ ŝƐƐƵĞƐ ŽĨ California Family Physician͕ ǁĞ ŚĂǀĞ ĞdžƚŽůůĞĚ ŽƵƌ ǁŽŶĚĞƌĨƵů ŵĞŵďĞƌƐ ǁŚŽ ǀŽůƵŶƚĞĞƌ ƚŽ ƚƌĂǀĞů ƚŽ ĚŝƐƚĂŶƚ ĂŶĚ ŽŌĞŶ ƵŶƐĂĨĞ ƉůĂĐĞƐ ƚŽ ƉƌŽǀŝĚĞ ŵĞĚŝĐĂů ĐĂƌĞ ƚŽ ƚŚŽƐĞ ŝŶ ŶĞĞĚ͘ /Ŷ ƚŚŝƐ ŝƐƐƵĞ͕ ǁĞ ĂŐĂŝŶ ƌĞĐŽŐŶŝnjĞ ƐƵĐŚ ŵĞŵďĞƌƐ ďĞĐĂƵƐĞ ƚŚĞ ŐŽŽĚ ǁŽƌŬ ĐŽŶƟŶƵĞƐ ĂŶĚ͕ ŝŶĚĞĞĚ͕ ŝƐ ŽĨ ŐƌĞĂƚ ŝŶƚĞƌĞƐƚ ƚŽ ŵĞĚŝĐĂů ƐƚƵĚĞŶƚƐ ĂŶĚ ƌĞƐŝĚĞŶƚƐ ʹ ŽƵƌ ĨƵƚƵƌĞ ŐĞŶĞƌĂƟŽŶƐ ŽĨ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƉŚLJƐŝĐŝĂŶƐ͘ tĞ ĂƌĞ ƉƌŽƵĚ ŽĨ LJŽƵ ĂŶĚ ĂƉƉƌĞĐŝĂƟǀĞ ŽĨ LJŽƵƌ ĞīŽƌƚƐ͘ / ǁĂŶƚĞĚ ƚŽ ƚĂŬĞ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚLJ͕ ŚŽǁĞǀĞƌ͕ ĂůƐŽ ƚŽ ƌĞĐŽŐŶŝnjĞ ĂŶĚ ƐĂLJ ŚŽǁ ĂƉƉƌĞĐŝĂƟǀĞ ǁĞ ʹ LJŽƵƌ ĐĂĚĞŵLJ ƐƚĂī ʹ ĂƌĞ ŽĨ ƚŚŽƐĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ƉŚLJƐŝĐŝĂŶƐ ǁŚŽ ǀŽůƵŶƚĞĞƌ ƚŽ ƐĞƌǀĞ ŝŶ ĂŶŽƚŚĞƌ ǁĂLJ ʹ ĂƐ LJŽƵƌ ĐŽŵŵŝƩĞĞ ŵĞŵďĞƌƐ͕ ďŽĂƌĚ ŵĞŵďĞƌƐ͕ ůĞĂĚĞƌƐ͕ ƚĞƐƟĮĞƌƐ͕ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ƚŽ ƐƵĐŚ ĚŝǀĞƌƐĞ ďŽĚŝĞƐ ĂƐ ƚŚĞ DĞĚŝĐĂƌĞ ĂƌƌŝĞƌ ĚǀŝƐŽƌLJ ŽŵŵŝƩĞĞ ĂŶĚ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĞƉĂƌƚŵĞŶƚ ŽĨ ,ĞĂůƚŚ /ŵŵƵŶŝnjĂƟŽŶ ŽĂůŝƟŽŶ͕ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ƚŽ ƚŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵLJ ŽĨ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶƐ ; &WͿ EĂƟŽŶĂů ĂƵĐƵƐ ŽĨ ŽŶƐƟƚƵĞŶĐLJ >ĞĂĚĞƌƐ ;E >Ϳ ĂŶĚ ŵŽƌĞ͘ / ƐŚŽƵůĚ ĂĚĚ͕ ƐŽŵĞ ŽĨ ƚŚĞƐĞ ĨŽůŬƐ >^K ŐŽ ŽŶ ŵĞĚŝĐĂů ŵŝƐƐŝŽŶƐ͘ ůŽƚ ŽĨ ƐĞůŇĞƐƐŶĞƐƐ ŝƐ ĞǀŝĚĞŶƚ ĂŵŽŶŐ ĐĂĚĞŵLJ ǀŽůƵŶƚĞĞƌƐ͘ ĞƐƉŝƚĞ ǁŚĂƚ LJŽƵ ŵŝŐŚƚ ƚŚŝŶŬ͕ ƐŝƫŶŐ ŝŶ ǁŝŶĚŽǁůĞƐƐ ĂŶĚ ƵƐƵĂůůLJ ƵŶďĞůŝĞǀĂďůLJ ĐŽůĚ ŚŽƚĞů ŵĞĞƟŶŐ ƌŽŽŵƐ ĨŽƌ ŚŽƵƌƐ ŽŶ ĞŶĚ ŚĂƐŚŝŶŐ ŽƵƚ ŝŵƉŽƌƚĂŶƚ ŚĞĂůƚŚ ƉŽůŝĐLJ ĂŶĚ ŽƌŐĂŶŝnjĂƟŽŶĂů ŝƐƐƵĞƐ ŝƐ ŶŽƚ Ăůů ŝƚ͛Ɛ ĐƌĂĐŬĞĚ ƵƉ ƚŽ ďĞ ŝŶ ƚĞƌŵƐ ŽĨ ĨƵŶ͘ dŚĞƐĞ ĨŽůŬƐ͕ ĨƌŽŵ LJŽƵƌ ƉƌĞƐŝĚĞŶƚƐ͕ ƉĂƐƚ ƉƌĞƐŝĚĞŶƚƐ ĂŶĚ ƉƌĞƐŝĚĞŶƚƐͲĞůĞĐƚ ŽŶ ĚŽǁŶ ĂƌĞ ƐĂĐƌŝĮĐŝŶŐ ƟŵĞ ƚŚĞLJ ŽƚŚĞƌǁŝƐĞ ŵŝŐŚƚ ŚĂǀĞ ƐƉĞŶƚ ĐĂƌŝŶŐ ĨŽƌ ƉĂƟĞŶƚƐ͕ ďĞŝŶŐ ǁŝƚŚ ƚŚĞŝƌ ůŽǀĞĚ ŽŶĞƐ͕ ŐŽŝŶŐ ĨŽƌ Ă ƌƵŶ Žƌ ũƵƐƚ ƐŝƫŶŐ ĂŶĚ ƌĞĂĚŝŶŐ Ă ŶŽǀĞů ;ŚŽǁ ŶŽǀĞů͊Ϳ͘ 'ƌĂŶƚĞĚ͕ ŵŽƐƚ ŽĨ ƚŚĞŵ ĚĞƌŝǀĞ ƚƌĞŵĞŶĚŽƵƐ ƐĂƟƐĨĂĐƟŽŶ ĨƌŽŵ ƚŚŝƐ ǁŽƌŬ͘ dŚĞLJ ĂƌĞ͕ ůĞƚ͛Ɛ ĨĂĐĞ ŝƚ͕ ƉŽůŝĐLJ ǁŽŶŬƐ ĂŶĚ ƉŽůŝƟĐĂů ũƵŶŬŝĞƐ ĂŶĚ ƚŚĞLJ ǁĞĂƌ ƚŚĞ ŵŽŶŝŬĞƌƐ ƉƌŽƵĚůLJ͘ ^Ž͕ ǁŚŝůĞ ŝƚ͛Ɛ ŶŽƚ ƵŶƌĞǁĂƌĚŝŶŐ͕ ŝƚ ŝƐ ďŽƚŚ ŚĂƌĚ ǁŽƌŬ ĂŶĚ Ă ƐĂĐƌŝĮĐĞ͘ DĞĞƟŶŐƐ ƐƵĐŚ ĂƐ &W͛Ɛ ƌĞĐĞŶƚ E > ĂƌĞ Ă ĐŚĂƉƚĞƌ ĞdžĞĐƵƟǀĞ͛Ɛ ŚƵŶƟŶŐ ŐƌŽƵŶĚ ĨŽƌ ƉŽƚĞŶƟĂů ŶĞǁ ƚĂůĞŶƚ͘ ƚ ƚŚĞ ŵĞĞƟŶŐ ŝŶ ůĂƚĞ Ɖƌŝů͕ ǁĞ ǁĞƌĞ ĚĞůŝŐŚƚĞĚ ƚŽ ŚĞůƉ DĂƌŝĞͲ ůŝnjĂďĞƚŚ ZĂŵĂƐ͕ D ƐƵĐĐĞƐƐĨƵůůLJ ǁŝŶ ĞůĞĐƟŽŶ ƚŽ ƚŚĞ &W ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ĂƐ ƚŚĞ EĞǁ WŚLJƐŝĐŝĂŶ ŝƌĞĐƚŽƌ͕ ďĞŐŝŶŶŝŶŐ ŝŶ ^ĞƉƚĞŵďĞƌ͘ DŝŶŽƌŝƚLJ ƌĞƉƌĞƐĞŶƚĂƟǀĞ ^ŚĂŶŝ DƵŚĂŵŵĂĚ͕ D ŽĨ &ƌĞƐŶŽ ĂůƐŽ ŚĂĚ Ă ŐƌĞĂƚ ŽƵƟŶŐ Ăƚ E >͕ ǁŝŶŶŝŶŐ ĞůĞĐƟŽŶ ĂƐ ĐŽͲĐŽŶǀĞŶĞƌ ŽĨ ŚĞƌ ĐĂƵĐƵƐ ĂŶĚ ůƚĞƌŶĂƚĞ ĞůĞŐĂƚĞ ƚŽ ƚŚĞ &W ŽŶŐƌĞƐƐ ĨƌŽŵ E >͘ ĂůŝĨŽƌŶŝĂŶ ĂŶĚ &W ŽĂƌĚ ŵĞŵďĞƌ :ĂĐŬ ŚŽƵ͕ D ĂŶĚ

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California Family Physician Summer 2015

&W WƌĞƐŝĚĞŶƚ :ĂLJ t͘ >ĞĞ͕ D ͕ DW, ĂůƐŽ ĐƵƚ ƚŚĞŝƌ ƚĞĞƚŚ Ăƚ E >͘ KƵƌ ŽƚŚĞƌ ƌĞƉƌĞƐĞŶƚĂƟǀĞƐ ĂŶĚ ĂƩĞŶĚĞĞƐ ǁĞƌĞ ǁŝŶŶĞƌƐ͕ ƚŽŽ͕ ĂƐ ƚŚĞLJ ŚĞůƉĞĚ ƐŚĞƉŚĞƌĚ ŝŵƉŽƌƚĂŶƚ ƌĞƐŽůƵƟŽŶƐ ƚŚƌŽƵŐŚ E > ĂŶĚ ƐƵƉƉŽƌƚĞĚ ŽƵƌ ĐĂŶĚŝĚĂƚĞƐ ;ŽƚŚĞƌƐ ƌĂŶ͕ ďƵƚ ŶŽƚ ƐƵĐĐĞƐƐĨƵůůLJ ʹ ƚŚŝƐ ƟŵĞ͊Ϳ͘ E > ƌĞƉƐ ƚĞŶĚ ƚŽ ďĞ ŽƵƌ ŶĞǁďŝĞƐ͕ ďƵƚ ǁŚĂƚ ĂďŽƵƚ ŽƵƌ ƐƚĂůǁĂƌƚƐ͍ &W WĂƐƚ WƌĞƐŝĚĞŶƚ EŽƌŵĂŶ ZŽƐĞŶ ŚĂƐ ďĞĞŶ ĂƩĞŶĚŝŶŐ DĞĚŝĐĂƌĞ ĂƌƌŝĞƌ ĚǀŝƐŽƌLJ ŽŵŵŝƩĞĞ ŵĞĞƟŶŐƐ ƚǁŝĐĞ ĂŶŶƵĂůůLJ ŽŶ LJŽƵƌ ďĞŚĂůĨ ĨŽƌ ĂƐ ůŽŶŐ ĂƐ / ĐĂŶ ƌĞŵĞŵďĞƌ ʹ ĂŶĚ ŚĞ ƐƚĂƌƚĞĚ ĚŽŝŶŐ ƚŚĂƚ ĂŌĞƌ ŚĞ ƐĞƌǀĞĚ ŽŶ ƚŚĞ ďŽĂƌĚ͕ ĂƐ ĂŶ ŽĸĐĞƌ ĂŶĚ ƚŚĞŶ ĂƐ ƉƌĞƐŝĚĞŶƚ͘ zŽƵ ŬŶŽǁ ƚŚŽƐĞ ŵĞĞƟŶŐƐ ŚĂǀĞ ƚŽ ďĞ ƐĐŝŶƟůůĂƟŶŐ͕ ďƵƚ EŽƌŵĂŶ ŝƐ ƚŚĞƌĞ ĞǀĞƌLJ ƟŵĞ ĂŶĚ ƐƵďŵŝƚƐ Ă ƌĞƉŽƌƚ ƚŽ ƚŚĞ &W ŽĂƌĚ ĂďŽƵƚ ǁŚĂƚ ƚƌĂŶƐƉŝƌĞĚ͘ >ĂƌƌLJ ĂƌĚŝĐŬ͕ D ŚĂƐ ďĞĞŶ Ă ŵĞŵďĞƌ ŽĨ ŽƵƌ DĞĚŝĐĂů WƌĂĐƟĐĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ĨŽƌ LJĞĂƌƐ͕ ďƵƚ ŚĞ ƌĞĐĞŶƚůLJ ƚŽŽŬ ŽǀĞƌ ĨƌŽŵ :Ğī >ƵƚŚĞƌ͕ D ;Ă ƉĂƐƚ ƉƌĞƐŝĚĞŶƚͿ ĂƐ &W͛Ɛ ƌĞƉƌĞƐĞŶƚĂƟǀĞ ƚŽ ƚŚĞ ĂůŝĨŽƌŶŝĂ ĞƉĂƌƚŵĞŶƚ ŽĨ WƵďůŝĐ ,ĞĂůƚŚ /ŵŵƵŶŝnjĂƟŽŶ ŽĂůŝƟŽŶ͘ ,Ğ͕ ƚŽŽ͕ ĂƩĞŶĚƐ ƚŚĞ ŵĞĞƟŶŐƐ ĨĂŝƚŚĨƵůůLJ ĂŶĚ ƐƵďŵŝƚƐ ǁƌŝƩĞŶ ƌĞƉŽƌƚƐ ƚŽ ƚŚĞ ĐĂĚĞŵLJ͕ ĂƐ ĚŝĚ :Ğī͘ ŽŶ͛ƚ ŐĞƚ ŵĞ ƐƚĂƌƚĞĚ ŽŶ ĂƌůĂ <ĂŬƵƚĂŶŝ͕ D ͕ ĂŶŽƚŚĞƌ &W ƉĂƐƚ ƉƌĞƐŝĚĞŶƚ͕ ĞůĞŐĂƚĞ ƚŽ &W͛Ɛ ŽŶŐƌĞƐƐ͕ ŚĞĂĚ ŽĨ ŽƵƌ &ĂŵŝůLJ WŚLJƐŝĐŝĂŶ WŽůŝƟĐĂů ĐƟŽŶ ŽŵŵŝƩĞĞ ;&WͲW Ϳ͕ ďŽĂƌĚ ŵĞŵďĞƌ ŽĨ &W͛Ɛ ƉŽůŝƟĐĂů ĂĐƟŽŶ ĐŽŵŵŝƩĞĞ͕ &ĂŵDĞĚW ĂŶĚ͕ ũƵƐƚ ƌĞĐĞŶƚůLJ͕ ŶĞǁ ĐŚĂŝƌ ŽĨ ŽƵƌ >ĞŐŝƐůĂƟǀĞ īĂŝƌƐ ŽŵŵŝƩĞĞ ;ƐŚĞ ƐĂLJƐ ƚĞŵƉŽƌĂƌLJ ĐŚĂŝƌͿ͘ ĂƌůĂ ƚĞƐƟĮĞƐ ĨƌĞƋƵĞŶƚůLJ ŽŶ ďĞŚĂůĨ ŽĨ ĐĂĚĞŵLJ ƉŽƐŝƟŽŶƐ Ăƚ ƚŚĞ ^ƚĂƚĞ ĂƉŝƚŽů ĂŶĚ ĂůƐŽ ƐĐŚĞĚƵůĞƐ ƌĞŐƵůĂƌ ͞ĐŽīĞĞƐ͟ ǁŝƚŚ ůĞŐŝƐůĂƚŽƌƐ ƐŽ ƚŚĞLJ ŐĞƚ ƚŽ ŬŶŽǁ ƚŚĞ ĐĂĚĞŵLJ ĂŶĚ ǁĞ ŐĞƚ ƚŽ ŬŶŽǁ ƚŚĞŵ͘ dŚĞ ŵĞŵďĞƌƐ ŽĨ ŽƵƌ ŽŵŵŝƩĞĞ ŽŶ ŽŶƟŶƵŝŶŐ WƌŽĨĞƐƐŝŽŶĂů ĞǀĞůŽƉŵĞŶƚ Śŝƚ ƚŚĞ ďĂůů ŽƵƚ ŽĨ ƚŚĞ ƉĂƌŬ Ăƚ ŽƵƌ ƌĞĐĞŶƚ &ĂŵŝůLJ DĞĚŝĐŝŶĞ ůŝŶŝĐĂů &ŽƌƵŵ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ ;ůŝŬĞ WƌŝŶĐĞ ʹ ƚŚĞ ŵĞĞƟŶŐ ĨŽƌŵĞƌůLJ ŬŶŽǁŶ ĂƐ ƚŚĞ ŶŶƵĂů ^ĐŝĞŶƟĮĐ ƐƐĞŵďůLJͿ͘ EŽƚ ŽŶůLJ ĚŝĚ ŵĞŵďĞƌƐ ŚĞůƉ ĚĞǀĞůŽƉ Ă ƚĞƌƌŝĮĐ ĐƵƌƌŝĐƵůƵŵ ĂŶĚ ƐĞƚ ƚŚĞ ůĞĂƌŶŝŶŐ ŽďũĞĐƟǀĞƐ ĂŶĚ ƚŚĞŵĞ ĨŽƌ ƚŚĞ ŵĞĞƟŶŐ͕ ŵĂŶLJ ŽĨ ƚŚĞŵ ǁĞƌĞ ŽƵƚƐƚĂŶĚŝŶŐ ĨĂĐƵůƚLJ ĂƐ ǁĞůů͘ dŚŝƐ ĂƌƟĐůĞ ŝƐ ƚŽŽ ƐŚŽƌƚ ĨŽƌ ŵĞ ƚŽ ŵĞŶƟŽŶ Ăůů ŽĨ ƚŚĞ ƐƚĂƌƐ ĂŶĚ ĐŽŶƚƌŝďƵƚŽƌƐ ƚŽ ƚŚĞ ƐƵĐĐĞƐƐ ŽĨ LJŽƵƌ ĐĂĚĞŵLJ͘ dŽ ĞĂĐŚ ŽĨ LJŽƵ͕ ǁĞ ĂƌĞ ŐƌĂƚĞĨƵů͕ ŐƌĂƚĞĨƵů͕ ŐƌĂƚĞĨƵů ĂŶĚ ǁĞ ƚŚĂŶŬ LJŽƵ ĨƌŽŵ ƚŚĞ ďŽƩŽŵƐ ŽĨ ŽƵƌ ŚĞĂƌƚƐ ĨŽƌ Ăůů LJŽƵ ĚŽ ƚŽ ĂĚǀĂŶĐĞ ĨĂŵŝůLJ ŵĞĚŝĐŝŶĞ ĂŶĚ ŝŵƉƌŽǀĞ ĐĂƌĞ ĨŽƌ ƉĂƟĞŶƚƐ ŝŶ ĂůŝĨŽƌŶŝĂ͘

$50,000 Signing Bonus. Healthcare is changing. Are you ready for a change? Consider Corizon Health - the nation’s leader in Correctional Healthcare. Join our team of professionals and experience the many rewards of working with an organization that truly values its healthcare providers. We currently have opportunities for

Site Medical Director - Fresno County Jail - $50,000 Signing Bonus Staff Physician - Fresno County Jail - $25,000 Signing Bonus We offer: ΄ Excellent compensation, including malpractice coverage ΄ No overheads, no billing issues ΄ Minimal on-call ΄ Medical/dental benefits, 401K ΄ Full time, part time, PRN and locums Corizon Heath offers the opportunity to practice medicine without the normal practice worries! Work with industry leaders in an emerging clinical specialty with complex challenges pathological challenges and opportunities for career advancement.

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

Presorted Standard U.S. POSTAGE PAID

Little Rock, AR Permit No. 2437

MIEC Belongs to Our Policyholders!

Toni Brayer, MD Board of Governors

Keeping true to our mission MIEC has never lost sight of its original mission, always putting policyholders (doctors like you) first. For 40 years, MIEC has been steadfast in our protection of California physicians with conscientious Underwriting, excellent Claims management and hands-on Loss Prevention services; we’ve partnered with policyholders to keep premiums low. Added value: Q No profit motive and low overhead Q Dividends for an average savings of 25% on 2015 premiums for California physicians* 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 California Family Physician Summer 2015 32 CalFamPhy_ad_04.06.15

MIEC Owned by the policyholders we protect.

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