Louisiana Family Doctor - LAFP
Louisiana Family Doctor - LAFP
Louisiana Family Doctor - LAFP
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<strong>Louisiana</strong><br />
Summer 2002 An Official Publication of the <strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians Volume 15, Number 2<br />
July 18-21, 2002<br />
Sandestin Hilton Beach &<br />
Golf Resort<br />
Destin, Florida<br />
(Pages 11-14)<br />
Picture<br />
yourself<br />
here<br />
This and future issues of <strong>Louisiana</strong>’s <strong>Family</strong> <strong>Doctor</strong> will be<br />
available on <strong>LAFP</strong>’s website, www.lafp.org, effective July 1,<br />
2002! Email us at academy@lafp.org if you would prefer to<br />
receive only the electronic copy of the magazine, via the<br />
website.
Summer 2002<br />
Published by<br />
<strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians<br />
919 Tara Boulevard<br />
Baton Rouge, LA 70806<br />
Telephone: 225-923-3313<br />
Fax: 225-923-2909<br />
academy@lafp.org<br />
Website: www.lafp.org<br />
Richard Streiffer, MD, Editor<br />
Sonora Norman, Production/Design<br />
OFFICERS<br />
Michael Marcello, MD<br />
President<br />
Marguerite Picou, MD<br />
President-Elect<br />
Derek Anderson, MD<br />
Vice President<br />
Richard Streiffer, MD<br />
Secretary<br />
Michael Oler, MD<br />
Treasurer<br />
John Luke, MD<br />
Speaker, General Assembly<br />
Roger Zoorob, MD, MPH<br />
Vice Speaker, General Assembly<br />
Harold “Skip” Ishler Jr., MD<br />
Immediate Past President<br />
Donnie Batie, MD & Dennis LaRavia, MD<br />
Delegates to AAFP<br />
Robert Lahasky, MD & Edward Martin, MD<br />
Alternate Delegates to AAFP<br />
Michael Harper, MD<br />
Chair, Education Committee<br />
Michael Oler, MD<br />
Chair, Operations Committee<br />
Derek Anderson, MD<br />
Chair, Physician Advocacy Committee<br />
Camille Pitre, MD<br />
Chair, Public Issues Committee<br />
Roger Zoorob, MD, MPH<br />
Chair, <strong>LAFP</strong> Foundation<br />
Research Committee<br />
<strong>LAFP</strong> STAFF<br />
Sonora S. Norman, Interim Director<br />
Cathy Stanley, Administrative Assistant<br />
Frances Termini, Admin. Accounting Clerk<br />
In This Issue<br />
Around the Department ·············································································· 15<br />
Consultant Directory ··················································································· 17<br />
Editor’s Notes ······························································································· 5<br />
55th Annual Assembly—Agenda & Registration Brochure ····················· 11-14<br />
Foundation Silent Auction Donor Form ······················································· 16<br />
Membership Report ······················································································ 4<br />
Membership Anniversaries ········································································· 16<br />
Partners ·······················································································Back Cover<br />
President’s Message ···················································································· 3<br />
Residents’ Corner ······················································································· 19<br />
Tar Wars 2002<br />
Advertisements<br />
Patient Education Conference ······································································ 8<br />
Annual Clinical Focus ··················································································· 9<br />
Pharmacia Corporation ················································································ 9<br />
LAAMICO ··································································································· 18<br />
Aventis Pharmaceuticals ············································································ 20<br />
Medical Job Fair of <strong>Louisiana</strong> ····································································· 21<br />
Pharmaceutical Specialties ········································································ 22<br />
Schering/Key Pharmaceuticals ··································································· 22<br />
Guest Ar t ic les<br />
Mission Statement<br />
The mission of the <strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians is to promote<br />
and support <strong>Louisiana</strong>’s family physicians in providing excellent health care<br />
and to provide its members with continuing medical education opportunities.<br />
Bioterriorism ································································································· 6<br />
<strong>Louisiana</strong>’s <strong>Family</strong> <strong>Doctor</strong> is the official quarterly publicat ion of the <strong>Louisiana</strong><br />
Academy of <strong>Family</strong> Physicians (<strong>LAFP</strong>). It serves as t he primary communication<br />
vehicle to <strong>LAFP</strong> members.<br />
No material in <strong>Louisiana</strong>’s <strong>Family</strong> <strong>Doctor</strong> is to be construed as<br />
represent ing t he policies or views of the Academy. The editors reserve<br />
the right to review and t o rej ect comment ary and advertising deemed<br />
inappropriate. Advert isers and agencies must indemnify and hold the <strong>LAFP</strong><br />
harmless of any expense arising from claims or actions against the <strong>LAFP</strong><br />
because of the publication of the contents of an advertiser.<br />
No part of this publication may be reproduced or t ransmitted in any form<br />
or by any means, elect ronic or mechanical, including photocopy, recording<br />
or any information storage and retrieval systems, without permission from<br />
the Editor.<br />
Subscriptions are free to members of the <strong>Louisiana</strong> Academy of <strong>Family</strong><br />
Physicians. Subscription rate for non-members is $35 per year. To<br />
subscribe or for advertising rates and information call 225-923-3313.<br />
Editorial Deadlines: February 15, May 15, August 15, November 15
P R E S I D E N T ’ S M E S S A G E<br />
n recognizing this is my last column<br />
to my fellow family physicians<br />
across <strong>Louisiana</strong>, there are<br />
four points of information that I<br />
want to address. First, please<br />
consider attending our annual<br />
<strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians<br />
Assembly in Destin, Florida, July<br />
18-21, 2002. This conference will be<br />
in a wonderful location with our academy<br />
office planning to make your stay<br />
a good one with CME hours, excellent<br />
relaxation and family enjoyment. This<br />
annual conference is offered complimentary<br />
to all medical student members,<br />
as they are surely encouraged<br />
to attend. There will also be some<br />
nostalgia for some of us older members,<br />
as many of our past assemblies<br />
were held in Destin in the early<br />
1980’s. The academy will be holding<br />
its General Assembly session, and<br />
one of the resolutions on the floor<br />
will be to reconsider the requirement<br />
that only four hours of CME every<br />
three years must be obtained by attending<br />
a <strong>Louisiana</strong> Academy of <strong>Family</strong><br />
Physicians or <strong>LAFP</strong> Foundation<br />
sponsored CME event. The intent of<br />
this requirement is to allow members<br />
to be exposed to the activities of the<br />
State Academy and to encourage participation<br />
in the State Academy, even<br />
if it is on a very limited basis once<br />
every three years. The assembly will<br />
discuss the pros and cons of this issue<br />
as it regards our Academy members.<br />
Secondly, I am excited to report<br />
what I see are historical trends of cooperativeness<br />
across our state in family<br />
medicine. There are collaborative<br />
discussions between LSU Health Science<br />
Center in New Orleans, the Tulane<br />
Medical Center <strong>Family</strong> and Community<br />
Medicine Department and involvement<br />
also with the LSU <strong>Family</strong><br />
Medicine Department in Shreveport.<br />
These centers are making efforts to<br />
have the issues of family medicine<br />
heard, as well as to promote the need<br />
for more family docs in many rural<br />
areas of our state. The growth of<br />
family medicine can be a huge solution<br />
towards alleviating many health<br />
care shortages and issues that continue<br />
to retard the health of so many<br />
of our citizens in the state. The Academy<br />
office along with these <strong>Family</strong><br />
Medicine Departments will continue<br />
to work in a collaborative manner to<br />
make our issues heard at the legislative<br />
level in Baton Rouge.<br />
Thirdly, I have strong sense of<br />
optimism that we now have one of<br />
our own, well trained and dedicated<br />
family docs who has been appointed<br />
as head of the <strong>Family</strong> Medicine Department<br />
at LSU’s Health Science<br />
Center in New Orleans, Kim Edward<br />
LeBlanc, MD, PhD. Kim is the kind of<br />
individual that can energize medical<br />
students and continue to raise family<br />
medicine’s clout at the medical<br />
school, all for the betterment of our<br />
students, and for the issues that are<br />
important to all practicing family<br />
physicians. Congratulations to Dr.<br />
LeBlanc on his appointment and best<br />
of success for his department. Part of<br />
his focus will be the development of a<br />
new rural family medicine tract for<br />
medical students to pursue in their<br />
medical school training.<br />
Any finally, now principally<br />
speaking, in Dr. Victor Frankl’s book,<br />
A Man’s Search for Meaning, this German<br />
Physician, who was forced to<br />
treat fellow prisoners in a Nazi Death<br />
Camp during WWII, describes his<br />
struggle to find value in the loss of so<br />
many lives in his own family and<br />
those around him.<br />
Frankl’s main thesis is that people<br />
can waste their lives, often unhappily<br />
and frustratingly on the trivia<br />
of everyday experiences, unless they<br />
have a clear vision of what is important<br />
to them as individuals. The corollary<br />
here is, as family docs we have<br />
to once again be surprised by the<br />
Michael Marcello, MD<br />
miracles in our practices. We have to<br />
once again be energized by how many<br />
miracles result from our hard work<br />
and consistent efforts, while being<br />
driven by the compelling vision of<br />
family medicine. If we as family docs<br />
will stop and take comfort and joy in<br />
the labor of our endeavors, I think we<br />
will once again find those miracles<br />
that encouraged us to be family docs<br />
from the very beginning.<br />
Thanks for allowing me to serve this<br />
past year.<br />
Make plans to attend<br />
<strong>LAFP</strong>’s<br />
Board of Directors<br />
Luncheon & Meeting<br />
Thursday, July 18, 2002<br />
12:45—2:30 pm<br />
Sandestin Hilton<br />
(Held in conjunction with<br />
<strong>LAFP</strong>’s 55th Annual Assembly)<br />
Join your colleagues who<br />
have already registered to attend<br />
the 55th Annual Assembly<br />
in Destin.<br />
See page 10 for a list of Assembly<br />
Registrants as of June 3, 2002.<br />
3
M E M B E R S H I P R E P O R T<br />
Welcome to the following members who have recently joined, transferred or upgraded their <strong>LAFP</strong><br />
membership.<br />
RESIDENT TO ACTIVE<br />
Michelle Elizabeth Carley, MD, Metairie<br />
Stephen Matthew Cary, MD, Alexandria<br />
Vincent D. Mallory, MD, Alexandria<br />
RESIDENTS<br />
Ochsner Clinic<br />
Farrell B Johnson, MD<br />
LSU-Shreveport<br />
Daniel F. Umoh, MD<br />
Alina Zacharia, MD<br />
RELOCATIONS<br />
TRANSFER-to-LA<br />
Joel Alexandre, MD—Florida, Oakdale<br />
Tony Dang, MD—Michigan, Chalmette<br />
Brad Gaspard, MD—Alabama, Baton Rouge<br />
Fred Gaupp, MD—Colorado, Mandeville<br />
Jane Hartline, MD—Texas, Shreveport<br />
Aaron Lirette, MD—Tennessee, Oakdale<br />
Clinton Netherland, MD—Arkansas, Bastrop<br />
Jimmy Randles, MD—Texas, Columbia<br />
Ravi Vadlamudi, MD—Wisconsin, New Orleans<br />
TRANSFER-from-LA.<br />
Suzanne Breslow, MD—Texas<br />
Kenna Stephenson, MD—Texas<br />
STUDENTS<br />
LSU-New Orleans<br />
John F Steen, Jr<br />
LSU-Shreveport<br />
Philip Cole<br />
Satheavy Lay<br />
Seth P Womack<br />
Tulane<br />
Jeremy S Swindle<br />
N Augusta Schroeder<br />
In Memoriam<br />
Eddie Benson Scoggin, MD<br />
1935- March 12, 2002<br />
Bogalusa, <strong>Louisiana</strong><br />
2 0 0 2 G E N E R A L A S S E M B L Y<br />
Notice: Mandatory CME Requirement will<br />
be discussed during the General Assembly.<br />
Motion from the November 3, 2001 Board of Directors<br />
Meeting:<br />
Require <strong>LAFP</strong> Active and Supporting members to obtain<br />
four (4) hours of AAFP Prescribed credit from <strong>LAFP</strong> or<br />
<strong>LAFP</strong> Foundation sponsored CME every 3 years. The motion<br />
was seconded and passed.<br />
4
E D I T O R ’ S N O T E S<br />
I do love being a family doctor. It’s just not always easy these<br />
days.<br />
One of the reasons that it’s not easy, as I said the last column,<br />
is that so few in positions of power and influence seem to<br />
really understand and value the important role and function of<br />
the family doctor. Why is that Why, 30 years after our discipline’s<br />
triumphant politically-driven creation from general<br />
practice, the oldest tradition in all of medicine, is the role of<br />
the family physician not at the center place of the US health<br />
system, as it is in so much of the industrialized world<br />
There’s not a single explanation, of course, and I do not pretend<br />
to fully understand all of the sociological and political<br />
complexities that fully underlie the question. But I know that<br />
it is true, and that each of us needs to share some responsibility<br />
in improving our discipline’s position. Why Simply because<br />
a strong primary care base with a commitment to preventively<br />
oriented care stands to improve the health status of our patients,<br />
our state and our country. And that is why most of us<br />
remain dedicated to being physicians.<br />
Do you have the facts at hand that support the need for this<br />
Are you well versed with talking points about <strong>Family</strong> Medicine<br />
so that when you see your local legislator in the grocery or a<br />
civic leader at a cocktail party, you can make a point or two<br />
We need to use every opportunity that we can to make the<br />
point that family physicians care for the country, and that we<br />
need the support of policy makers to help assure a strong and<br />
vibrant <strong>Family</strong> Medicine. So, here are a few talking points to<br />
use:<br />
• While the U.S. spends more money per capita than any<br />
other country, we do not have the best health when compared<br />
to other industrialized countries. The U.S. ranks<br />
12th of 13 countries overall for 16 health indicators<br />
(JAMA July 26, 2000 Starfield)<br />
15th of 25 industrialized countries according to the<br />
World Health Organization (WHO 2000)<br />
• According to Starfield, our poor health status is attributable<br />
to these key factors:<br />
a failure to build a strong primary care infrastructure<br />
a high degree of income inequity in the country, and<br />
errors and adverse effects of health care including cascade<br />
effect<br />
• <strong>Louisiana</strong> has a great need for additional primary care<br />
physicians, exacerbated in part by our rural nature (63% of<br />
our parishes are rural).<br />
In 1997, <strong>Louisiana</strong> had 1,107 non-Federal family physicians<br />
in direct patient care. With a State population<br />
that year of 4,333,000, this means that <strong>Louisiana</strong> had<br />
3,914 civilians for each non-Federal FP in direct patient<br />
care. Only eleven<br />
states had ratios that<br />
were higher (worse).<br />
Further, less than<br />
1/3 of all physicians Richard Streiffer, MD<br />
in <strong>Louisiana</strong> are dedicated<br />
to primary<br />
care practice in any<br />
discipline (FM, General<br />
Internal Medicine and General Peds).<br />
Yet, evidence exists that shows that 5 of 7 top ranking<br />
countries have a strong primary care infrastructure<br />
(typically 50% of the physicians are PCPs). And, in<br />
states with higher PCP-to-population ratios, health outcomes<br />
are better. (Starfield)<br />
<strong>Louisiana</strong> ranks second in the country in the percent of<br />
the population lacking access to primary care (<strong>Louisiana</strong><br />
Department of Health and Hospitals, 1999 data).<br />
Of our 64 parishes, currently, 25 qualify in whole as<br />
Health Professional Shortage Areas (HPSAs) and 29 as<br />
partial HPSAs. Only 10 parishes in the state do not contain<br />
any shortage areas.<br />
<strong>Family</strong> physicians disproportionately care for patients in<br />
areas of need. A study by the AAFP Policy Center in<br />
Washington, DC, found that if all family physicians were<br />
withdrawn from the 3082 counties/parishes in the US,<br />
an additional 1033 counties/parishes would become primary<br />
care HPSA's - a 43% increase. In contrast, if all<br />
internists, pediatricians, and obstetricians/<br />
gynecologists were taken out of the nation's counties/<br />
parishes, only another 176 would become shortage areas<br />
- a 6% increase.<br />
The AAFP estimates that withdrawing of family physicians<br />
from <strong>Louisiana</strong> would create 22 new full HPSA parishes<br />
in addition to those 25 now so designated.<br />
Studies have shown that <strong>Family</strong> physicians are eight<br />
times more likely to settle and practice in rural areas<br />
than other physicians. Hence, training an adequate<br />
number of family physicians <strong>LAFP</strong> Foundation<br />
for rural practice is a critical<br />
part of any solution to the issue of access <strong>Louisiana</strong>.<br />
Board of Directors Meeting<br />
Thursday, July 18, 2002<br />
2:45—4:45 pm<br />
Sandestin Hilton<br />
• Many of <strong>Louisiana</strong>’s health indicators, based on preventable<br />
and detectable disease, are shocking and cost <strong>Louisiana</strong><br />
and the Federal government (Held in conjunction money: with<br />
We have the sixth <strong>LAFP</strong>’s highest 55th rate Annual of obesity Assembly) in the country,<br />
contributing to high rates and complications from<br />
disease and For health more care information utilization. contact We rank Judyth at or near<br />
the top of the Demarest nation in diabetes, at the <strong>LAFP</strong> cancer, Headquarters heart disease<br />
and infant mortality.<br />
We are 48th in the nation for women over 50 who have<br />
(Continued on page 9)<br />
5
G U E S T A R T I C L E<br />
Developing a Bioterrorism Response Plan<br />
William R. Brandon, MD, MPH<br />
Abstract<br />
One of the aftermaths of the tragedy<br />
of September 11 th is a newfound emphasis<br />
on preparedness for further<br />
attacks, especially bioterrorism. Although<br />
most efforts have been concentrated<br />
in the governmental response,<br />
it is important that individual<br />
practicing physicians are also prepared.<br />
Hopefully, these newfound<br />
skills will not have to be used, but<br />
physicians in private practice, or<br />
working at community hospitals,<br />
should be prepared.<br />
Developing an Emergency Plan<br />
Each physician’s office and<br />
medical facility should have an Emergency<br />
Action Plan in place. It should<br />
be in writing and easily accessible to<br />
key staff. While this article focuses on<br />
bioterrorism, this plan should be able<br />
to be used for any natural disaster<br />
including fire, flood, or chemical spill.<br />
Hospitals will be expected to<br />
provide the majority of first aid, decontamination,<br />
and antidote therapy<br />
to disaster victims. Physicians’ offices<br />
may have to serve as triage areas or<br />
overflow care sites. Even if a particular<br />
office is not called on to do direct<br />
care, they may need to provide additional<br />
emergency supplies.<br />
Often, additional mobile care<br />
sites need to be put in place. Individual<br />
offices should consider assembling<br />
emergency kits that could be used at<br />
these sites. These kits should include<br />
water, first aid supplies, shortwave<br />
radios, flashlights, batteries, heavyduty<br />
gloves, food, and sanitation supplies.<br />
Prior to developing an office<br />
emergency action plan, local and<br />
state governmental agencies should<br />
be consulted.They will likely be able<br />
to provide guidance in developing a<br />
plan. Often individual physicians may<br />
be asked to serve on the community<br />
response team.<br />
Once an emergency plan is developed,<br />
it is important that each office<br />
rehearses their individual roles in<br />
case of an emergency. Several things<br />
can be expected to happen at times<br />
of disaster. Among these are: sudden<br />
influx of patients, loss of communication,<br />
supply shortages, medication<br />
shortages, and internal damage to the<br />
medical facility. Where possible,<br />
processes to avert or help remediate<br />
these situations should be involved in<br />
the plan.<br />
According to the OSHA Watch<br />
Newsletter of November/December<br />
2001 (see Suggested Reading) less<br />
than 20% of US hospitals currently<br />
have emergency plans in place to<br />
treat victims of chemical or biological<br />
weapon incidents. It is anticipated<br />
that even fewer private physician’s<br />
offices have such plan in place. It is<br />
paramount that medical facilities address<br />
this important issue.<br />
OSHA Requirements for an Emergency<br />
Action Plan<br />
The following should be included<br />
in your action plan<br />
1. Emergency escape procedures<br />
and emergency escape route assignments.<br />
2. Procedures for employees to follow<br />
who remain to operate critical<br />
facility operations (before<br />
they, too, evacuate).<br />
3. Procedures to account for all employees<br />
after emergency evacuation<br />
have been completed.<br />
4. Rescue and medical duties for<br />
those employees who are to perform<br />
them.<br />
5. The preferred means of reporting<br />
fires and other emergencies.<br />
6. Names of regular job titles of persons<br />
or departments who can be<br />
contacted for further information<br />
or explanation of duties under the<br />
plan.<br />
7. A description of the employee<br />
alarm system.<br />
8. The types of evacuation to be<br />
used in emergency circumstances.<br />
9. The designation and training of a<br />
sufficient number of persons to<br />
assist in the safe and orderly<br />
emergency evacuation of employees.<br />
10. A review of the plan with each<br />
covered employee at the following<br />
times:<br />
— Initially, when the plan is developed<br />
— Whenever the employee’s responsibilities<br />
under the plan change<br />
— Upon initial assignment for new<br />
employees<br />
— Whenever the plan is changed<br />
How to Beef Up Your Current<br />
Disaster Plan<br />
Here are ten ways physicians can<br />
improve their disaster/bioterrorism<br />
plan.<br />
1. Obtain local contact numbers<br />
2. Develop simplified registration<br />
process to handle large influx<br />
of patients<br />
3. Designate an office emergency<br />
manager<br />
4. Develop backup communication<br />
mechanism along with a phone<br />
tree<br />
5. Develop triage plan<br />
6. Review inventory<br />
7. Develop evacuation plan for each<br />
building<br />
8. Inquire about community support<br />
for family members of support<br />
staff<br />
9. Do in-service training on recognizing<br />
common signs and symptoms<br />
of biological agents<br />
10. Rehearse the plan and revise as<br />
needed<br />
There are other important functions<br />
physicians and their office staff<br />
must perform to handle potential biological<br />
exposure. Among these are:<br />
1. Dealing with a suspicious package<br />
arriving at the office<br />
2. What to do when receiving an<br />
anthrax threat by mail<br />
3. Examining a patient you think<br />
may have the signs or symptoms<br />
of a biological agent exposure<br />
6
Dealing with a suspicious package<br />
The following characteristics of a<br />
package should alert office staff that it<br />
might be suspicious. All staff that handle<br />
mail should be aware of these “red<br />
flags” and know how to deal with such<br />
packages.<br />
1. Restrictive markings such as<br />
“personal”<br />
2. Excessive postage<br />
3. Mailed from a foreign country<br />
4. No return address<br />
5. Postmark does not match return<br />
address<br />
6. Addressed to a title only, or<br />
wrong title with name<br />
7. Lopsided, rigid, or bulky packaging<br />
8. Strange odor<br />
9. Oil stains on wrapping<br />
How to Deal With the Suspicious<br />
Package<br />
1. Do not handle the package<br />
2. Isolate the package and cordon<br />
off the exposed are<br />
3. Everyone who touches the mail<br />
must vigorously wash their<br />
hands with soap and water<br />
4. Notify the local authorities<br />
5. List all people who contacted the<br />
package with contact information<br />
6. Have staff remove clothes and<br />
place in plastic bags<br />
7. Keep clothes for examination by<br />
law enforcement<br />
8. Have staff take a shower as soon<br />
as possible<br />
There are four clinical presentations<br />
for anthrax: gastrointestinal, cutaneous,<br />
inhalational, and meningeal. Cutaneous<br />
and Inhalation are the two<br />
most common bioterrorism presentations.<br />
Small pox: Eruptive fever with a<br />
vesiculo-pustular rash<br />
Botulism: Acute bilateral descending<br />
flaccid paralysis<br />
Plague: ARDF and pneumonia with<br />
gastrointestinal symptoms and hemoptysis<br />
Pre-Exposure Vaccines<br />
Anthrax vaccine is available for military<br />
personnel. The government is considering<br />
more widespread vaccination.<br />
Small pox vaccine is available for lab<br />
workers, but the current vaccine has<br />
significant side effects. Research is<br />
underway to improve the vaccine. A<br />
vaccine available for the plague but<br />
does not help with pneumonic plague.<br />
Post-Exposure Prophylaxis<br />
Anthrax: Doxycycline 100 mg BID or<br />
Ciprofloxacin 500 mg BID may be used<br />
for suspected exposure and then discontinued<br />
once screening tests are<br />
negative. If WBC, CXR, or chest CT<br />
are abnormal, OR patient is moderately/severely<br />
ill then begin antimicrobial<br />
treatment (2 or or more drugs). If<br />
above tests are normal and patient<br />
mildly ill; initiate/continue prophylaxis,<br />
awaiting blood culture results.<br />
Small pox: Small pox vaccine, if given<br />
within 5 days after exposure.<br />
Botulism: Antitoxin available from the<br />
Centers of Disease Control and Prevention<br />
Plague: Doxycycline 100 mg BID for 7<br />
days<br />
5. Daniel Lucey, MD, MPH. Fifth annual<br />
Clinical Infectious Disease<br />
Symposium, New York City, March,<br />
2002}<br />
Conclusion<br />
It is a sad state of affairs that all<br />
physicians, regardless of their practice<br />
site, must be prepared to help with a<br />
bioterrorism attack at a moments notice.<br />
The work done in preparing for<br />
this can also be used to deal with the<br />
more likely natural disasters physicians<br />
may be called on to help with. By utilizing<br />
the steps outlined in this article,<br />
practicing physicians hopefully will<br />
feel more prepared to meet this challenge.<br />
Suggested Reading<br />
1. OSHA Watch Newsletter Vol. 3,<br />
No. 6 November/December<br />
2001<br />
2. Chemical and Biological Terrorism<br />
and Warfare: The Role of the<br />
Health Professional. A Continuing<br />
Education Program for<br />
Biotech Medical Management<br />
Association Douglas Bricker<br />
PHD DABT<br />
3. <strong>Louisiana</strong> Morbidity Report Special<br />
Edition Volume 12 Number<br />
6 November-December 2001<br />
4. Key Resources on Bioterrorism<br />
and Disaster Preparedness,<br />
http://www.aafp.org/<br />
btresponse/<br />
Dr. Brandon is an <strong>LAFP</strong> member and<br />
Senior Staff Physician at Ochsner Clinic<br />
<strong>Family</strong> Medicine Department, New Orleans,<br />
La.<br />
Examining a Patient Who May Have<br />
Been Exposed to a Biological Agent<br />
The four most likely biological<br />
agents are anthrax, small pox, botulism,<br />
and plague.<br />
Common clinical symptoms:<br />
Anthrax: Acute respiratory distress<br />
and a fever (ARDF), chest x-ray showing<br />
widened mediastinum and no evidence<br />
of pneumonia and no history of<br />
trauma or chronic disease<br />
Resources Available for Practicing<br />
Physicians<br />
1. CDC Public Health Emergency<br />
www.bt.cdc.gov<br />
2. American Hospital Association Disaster<br />
Readiness www.aha.org/<br />
Emergency/EMIndex.asp<br />
3. Video by Dr. Jeffrey Kaplan Director<br />
of CDC explaining topics presented<br />
in this article available at<br />
www.cdc.gov/od/oc/media/<br />
index.htm<br />
4. Key Resources on Bioterrorism and<br />
Disaster Preparedness www.aafp.<br />
org/btresponse<br />
7
Classified Advertising Rates<br />
Classified advertising (Help Wanted, Physician<br />
Available, Practice for Sale, etc.) is available at<br />
the following rates:<br />
50 words or less $25.00<br />
51-100 words $50.00<br />
101-150 words $75.00<br />
151-200 words $100.00<br />
For more information<br />
Contact the <strong>LAFP</strong><br />
(800) 375-5237 or (225) 923-3313.<br />
National Congress of<br />
Special Constituencies<br />
April 24-27, 2002<br />
Kansas City, Missouri<br />
Comments from the <strong>LAFP</strong><br />
Woman Representative<br />
I enjoyed attending the conference.<br />
It was a great learning experience. It<br />
is nice to know that the academy<br />
wants to know what our concerns are<br />
to set future agendas. Through the<br />
resolution writing I was able to voice<br />
my concern about an issue that was<br />
very important to me. I also found<br />
out that many others were concerned<br />
about this issue as well. Knowing the<br />
resolution was adopted during the<br />
conference assures me that the<br />
academy will pursue this issue. I was<br />
able to meet family physicians from<br />
all over the United States. Hearing<br />
what problems they are facing and<br />
their solutions was very informative.<br />
I was able to meet leaders in the<br />
academy and discuss my concerns<br />
with them. Attending the breakout<br />
sessions for the ALF was also informative<br />
and allowed me to get CME<br />
credits.<br />
Kasey Chenevert, MD<br />
Baton Rouge, La.<br />
8
“Talking Points” (Continued from page 5)<br />
obtained mammograms within two years<br />
We are amongst the worst one third of the<br />
states for adults not exercising.<br />
We continue to disproportionally spend on institutional<br />
settings like hospitals and nursing<br />
homes. In 1997, <strong>Louisiana</strong> had the second highest<br />
per capita state government expenditure for<br />
hospitals in the country.<br />
High levels of disparity in cardiovascular and<br />
cancer mortality exist between races.<br />
Friends - without a shift towards more prevention and<br />
early treatment, without access to basic health care<br />
services that we all provide as family docs, without a<br />
pipeline to producing enough of us to fill the needs of<br />
the rural and underserved parts of our state, <strong>Louisiana</strong><br />
will have little opportunity to reduce these disturbing<br />
trends. <strong>Family</strong> physicians are critical to that goal.<br />
Tell everyone you know.<br />
Pharmacia Corporation<br />
is pleased to support<br />
our friends at the<br />
<strong>Louisiana</strong> Academy<br />
of <strong>Family</strong> Physicians.<br />
Membership Report<br />
as of March 31, 2002<br />
9
Annual Assembly<br />
Registrants<br />
President<br />
President-Elect<br />
Vice President<br />
Secretary<br />
Speaker/GA<br />
Vice Speaker/GA<br />
AAFP Delegate<br />
AAFP Alt. Delegate<br />
District 2<br />
Director<br />
Alternate<br />
District 3B<br />
Director<br />
Alternate<br />
District 5<br />
Alternate<br />
District 6A<br />
Director<br />
Alternate<br />
District 8<br />
Director<br />
Alternate<br />
Resident<br />
Nominations<br />
Marguerite Picou, MD,Natchitoches<br />
Richard Streiffer, MD, New Orleans<br />
Derek Anderson, MD, Baton Rouge<br />
Roger Zoorob, MD, New Orleans<br />
Daniel Jens, MD, New Orleans<br />
Open for Nominations<br />
E. Edward Martin, Jr., MD, Covington<br />
Harold Ishler, Jr., MD, Baton Rouge<br />
District Officers<br />
Roger Zoorob, MD, New Orleans<br />
Daniel Jens, MD, New Orleans<br />
Paul Rachal, MD, New Roads<br />
Open for Nomination<br />
Robert Parker, MD, Monroe<br />
Derek Anderson, MD, Baton Rouge<br />
John Frachie, MD, Gonzales<br />
Michael Madden, MD, Alexandria<br />
Bryan Picou, MD, Natchitoches<br />
Resident & Student Members<br />
Student—Tulane (non-voting)<br />
Student—LSUNO (non-voting)<br />
Student—LSUSP (Non-voting)<br />
Sandra Parker, MD<br />
Open for nominations<br />
Open for nominations<br />
Open for nominations<br />
Elections will be held at the General Assembly, in<br />
conjunction with the Annual Assembly, on Saturday,<br />
July 20, 2002, Destin, Florida.<br />
The following physicians have already registered<br />
for <strong>LAFP</strong>’s 2002 Annual Assembly. If you would<br />
like to register, please give us a call at 225-923-<br />
3313 or 800-375-5237, or fax the registration form<br />
on pages 11 & 12 to 225-923-2909. You may also<br />
obtain additional information by visiting our website<br />
at http://www.lafp.org. Won’t you join your colleagues<br />
Allen, Gregory, MD, Ponchatoula<br />
Allen, Merlin, MD, Ponchatoula<br />
Anderson, Derek, MD, Baton Rouge<br />
Batie, Donnie, MD, Baton Rouge<br />
Behrens, Cindy, MD, Pace<br />
Bella, Tim, MD, Baton Rouge<br />
Bertucci, Bryan, MD, Chalmette<br />
Biggs, Otis, MD, Leesville<br />
Blereau, Robert, MD, Morgan City<br />
Bonilla, Edwin, MD, DeRidder<br />
Boyer, Sylvia, MD, Lake Charles<br />
Beuttner, Craig, MD, Northport, Ala.<br />
Dawson, Mark, MD, Rayne<br />
Dollar, Mark, MD, West Monroe<br />
Fort, III, Arthur, MD, Shreveport<br />
Gravois, Wayne, MD, Zachary<br />
Grimball, Roger, MD, Sulphur<br />
Harris, Robert, MD, Bernice<br />
Harvey, Jr.,, Henry, MD, Baton Rouge<br />
Heidenreich, Jack, MD, Raceland<br />
Horton, Charles , MD, Berryville, Ark.<br />
Ishler, Harold, MD, Baton Rouge<br />
Jens, Daniel , MD, Metairie<br />
Kemmerly, Kenneth, MD, New Orleans<br />
Kirby, Dean, MD, Ruston<br />
Krier, Brian, MD, Monroe<br />
LaHaye, Nick, MD, Ville Platte<br />
Landry, Nathan, MD, Lafayette<br />
Lapite, Oladapo, MD, Monroe<br />
LeBeau, Thomas, MD, Lake Charles<br />
LeBlanc, Brian, MD, New Roads<br />
Luke, John, MD, Lecompte<br />
Madden, Michael, MD, Alexandria<br />
Malkovich, Eleanor, , Lake Charles<br />
Marcello, Michael, MD, Mathews<br />
Marlow, Robert, MD, Huntsville, Ala.<br />
Marx, James, MD, Clinton<br />
McGuinness, John, MD, Mobile, Ala.<br />
McLain, Elizabeth, MD, Eunice<br />
Moore, Robert, MD, Alexandria<br />
Morgan, Cara, MD, Houma<br />
Nicewander, Kurt, MD, New Orleans<br />
Nieto, Sandy, MD, Mandeville<br />
O'Neal, Keane, MD, Lake Charles<br />
Parker, Sandra, MD, Mangham<br />
Picou, Bryan, MD, Natchitoches<br />
Picou, Marguerite, MD, Natchitoches<br />
Pilgrim, Randal, MD, Lafayette<br />
Pistorius, Michael, MD, Minden<br />
Pittman, Marcus, MD, Covington<br />
Rachal, Paul , MD, New Roads<br />
Richert, Allen, MD, Sulphur<br />
Scott, Benson, MD, West Monroe<br />
Streiffer, Richard, MD, New Orleans<br />
Tassin, Jr., John, MD, Ville Platte<br />
Tran, Andy, MD, Monroe<br />
Waddill, James, MD, Baton Rouge<br />
Waldo, Stephen, MD, Hammond<br />
Yongue, Marelle, MD, Lafayette<br />
Zoorob, Roger, MD, MPH, Kenner<br />
As of May 30, 2002<br />
10
55Th Annual Assembly & Exhibition<br />
Meeting Agenda<br />
July 18-21, 2002, Destin, Florida<br />
Sandestin Hilton Beach & Golf Resort<br />
Wednesday, July 17, 2002<br />
3:00 pm—7:00 pm Registration Desk Open<br />
(Physicians & Exhibitors)<br />
Thursday, July 18, 2002<br />
6:30 am—12:45 pm Registration Desk Open<br />
7:00—7:45 am Continental Breakfast with Exhibitors<br />
7:45—7:55 am Welcome, Announcements & Introductions<br />
Michael Marcello, MD, <strong>LAFP</strong> President<br />
7:55—8:55 am Balancing the Risks & Benefits of Arthritis<br />
Treatment—Charles Cefalu, MD<br />
8:55—9:55 am Acute Pain Management—Inpatient and<br />
Outpa tient—Michael Jennings, MD<br />
9:55—10:35 am Break with Exhibitors<br />
10:35—11:35 am Non-Invasive Evaluation and Treatment of<br />
Bladder Control Problems in Primary Care<br />
Charles Cefalu, MD<br />
11:35 am—12:35 pm Cardiac Stress Testing—Michael Madden, MD<br />
12:45 pm—2:30 pm <strong>LAFP</strong> Board of Directors Meeting<br />
2:45—4:45 pm <strong>LAFP</strong> Foundation Board of Directors Meeting<br />
5:00—6:30 pm <strong>LAFP</strong> Foundation Research Committee Meeting<br />
Friday, July 19, 2002<br />
6:30 am—12:45 pm Registration Desk Open<br />
7:00—7:45 am Continental Breakfast<br />
7:50—7:55 am Announcements & Introductions<br />
7:55—8:55 am Impaired Physicians Program—Gary Olbrich, MD<br />
8:55—9:55 am Chronic Pain—Michael Jennings, MD<br />
9:55—10:30 am Break with Exhibitors<br />
10:30—10:35 am Announcements & Introductions<br />
10:35—11:35 am Medical Compounding-Doug Boudreaux, PharmD<br />
11:35—12:35 pm PDA’s & Drug to Drug Interactions—Are PDAs the<br />
Answer to Managing This Overwhelming Amount<br />
of Information —Michael Bottorff, PharmD<br />
2:00—4:00 pm <strong>Louisiana</strong> Clerkship Preceptor Workshop<br />
Presented jointly by faculty from LSU and<br />
Tulane <strong>Family</strong> Medicine<br />
Prospective and current preceptors are welcome.<br />
Saturday, July 20, 2002<br />
6:30 am—5:30 pm Registration Desk Open<br />
7:00—7:30 am Continental Breakfast with Exhibitors<br />
7:30—10:00 am General Assembly—Membership Meeting<br />
10:00—10:30 am Break with Exhibitors<br />
10:30—10:35 am Announcements & Introductions<br />
10:35—11:35 am New Drug Update—Tom Frank, PharmD, BCPS<br />
11:35—12:35 pm Children’s Bone & Calcium Health<br />
Richard Kreipe, MD<br />
12:45—2:30 pm Awards & Installation Luncheon<br />
2:30—3:15 pm Dessert with Exhibitors—Grand Prize Drawing<br />
Winner Must Be Present<br />
3:15—3:20 pm Announcements & Introductions<br />
3:20—4:20 pm Congenital Heart Failure: Early Recognition<br />
and<br />
Treatment—Kathy Hebert, MD<br />
4:20—5:20 pm New Advances in Treating Type 2 Diabetes<br />
Ziab Mamish, MD<br />
7:00—10:00 pm President’s “Beach” Party—<strong>Family</strong> Fun Night<br />
Sunday, July 21, 2002<br />
6:30 am—12:00 pm Registration Desk Open<br />
7:00 am Continental Breakfast<br />
7:15—7:20 am Announcements & Introductions<br />
7:20—8:20 am CyroSurgery—Robert Moore, MD<br />
8:20—9:20 am Managing Erectile Dysfunction: Considerations<br />
for Primary Care—George Carr, MD<br />
9:20—9:45 am Coffee Break<br />
9:45—9:50 am Announcements & Introductions<br />
9:50—10:50 am Infectious Disease Update—Susan McLellan, MD<br />
10:50—11:50 am Pediatric Rashes—Robin English, MD<br />
11:50—12:00 pm Farewell Remarks<br />
Mark your 2003 Calendar<br />
8th Annual Winter Conference<br />
March 1-4, 2003, Beaver Run Resort,<br />
Breckenridge, Colorado<br />
Speakers and/or topics are subject to change without notice.<br />
11
Program Information<br />
Registration<br />
Registration fee covers CME offerings, syllabus, and daily<br />
continental breakfasts and coffee breaks, as well as one complimentary<br />
ticket to the Awards and Installation Luncheon and<br />
President’ s Party. Additional tickets and Guest Registrations<br />
can be purchased at a nominal charge. See Registration Form for<br />
pricing.<br />
Cancellation Policy<br />
Refunds, less a $75 administrative charge, will be given on<br />
receipt of written cancellations received prior to June 17,<br />
2002.<br />
Accommodations<br />
Sandestin Hilton<br />
To make reservations contact the Sandestin Hilton at 800-367-<br />
1271 and identify yourself as an <strong>LAFP</strong> Physician Attendee or<br />
give them our “group code” AFP.<br />
Rates are available from July 17-20, 2002. Any dates outside of<br />
the room block dates are subject to availability. All rooms in<br />
the <strong>LAFP</strong> block will be held until June 7, 2002 or until all the<br />
rooms in the block are reserved, whichever may occur first.<br />
King/Double Junior Suite or King Executive Suite $190<br />
nightly. When making your reservation be sure to indicate<br />
whether you want a Junior Suite (East Tower Room with Bunk<br />
Beds) or an Executive Suite (King Bed-West Tower without Bunk<br />
Beds). A Resort Fee of $10 per day (subject to change), plus tax<br />
will be added to the above rates.<br />
Online Reservations: You may also make your reservation<br />
online by visiting Sandestin’s website at<br />
www.sandestinbeachhilton.com/reservations<br />
1. Select option number 1 for real-time reservations 2. After<br />
completing dates & preferences go to the “Special Accounts”<br />
section. 3. Enter AFP, <strong>LAFP</strong>’s Group Code, in the Group Code<br />
field . You may encounter problems making reservations with<br />
dates that fall outside of our room block. In that case, you will<br />
have to phone in your reservation. Also, please contact Sonora<br />
Norman at the <strong>LAFP</strong> office (800) 375-5237, if you are unable reserve<br />
a room at the Hilton.<br />
Sandestin Resort<br />
Contact the Sandestin Resort at (800) 320-8115 and identify<br />
yourself as an <strong>LAFP</strong> meeting attendee. We have negotiated a<br />
variety of rooms, including hotel, studio, and 1 and 2 bedroom<br />
condos, ranging in price from $170–$387 per night. Our room<br />
block drops on June 3, 2002.<br />
Embassy Suites<br />
Single/Double or King Suite —$169<br />
Contact the Embassy Suites at (850) 337-7000 and identify yourself<br />
as an <strong>LAFP</strong> meeting attendee. Our room block drops on June<br />
17, 2002.<br />
Special Events<br />
President’s “Beach” Party<br />
Saturday, July 20, 7:00-10:00 pm<br />
You won’t want to miss this indoor event, which will offer<br />
food, entertainment (live band, clown, face painting, balloon<br />
sculpting, etc) and a chance to spend time with family and<br />
friends, having fun “on the beach”. Registrants receive one<br />
complimentary ticket to this event. Additional tickets may be<br />
purchased for family and friends. Ticket prices are, Adult (12<br />
and over) $40, Child (Age 4-11) $20. Children 3 and under are<br />
free. Attire: Hawaiian Shirts, Leis, etc.<br />
Awards and Installation Luncheon<br />
Saturday, July 20, 12:45-2:30 pm<br />
Join us at the Installation & Awards Luncheon as outgoing<br />
President, <strong>Doctor</strong> Michael Marcello gives his official farewell.<br />
New officers will be installed followed by the inaugural<br />
address of incoming president, <strong>Doctor</strong> Marguerite Picou. This<br />
function also spotlights our <strong>Family</strong> Physician of the Year, 2002<br />
Partners, and 25-50 Year Members. Full meeting registrants<br />
receive one complimentary ticket to this event. Daily<br />
Registrants and others wishing to attend can purchase tickets<br />
by utilizing the Extra Ticket section of the Registration Form.<br />
Ticket prices are, Adult (12 and over) $30, Child (Age 4-11)<br />
$15. Children 3 and under are free. Attire: Business Casual<br />
Accreditation<br />
The <strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians is accredited by<br />
the <strong>Louisiana</strong> State Medical Society to provide continuing<br />
medical education for physicians.<br />
The <strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians designates this<br />
educational activity for a maximum of 16 hours in Category 1<br />
credit towards t he AMA Physician Recognition Award. Each<br />
physician should claim only those hours of credit t hat he/ she<br />
actually spent in the educational activity.<br />
This program has been reviewed and is acceptable for 16<br />
Prescribed hours by the American Academy of <strong>Family</strong><br />
Physicians. AAFP Prescribed credit is accepted by the AMA as<br />
equivalent to AMA PRA Category 1 for the AMA Physicians’<br />
Recognition Award.<br />
Objectives<br />
This activity is designed for the specialty of family medicine,<br />
but may also be of educational interest to the specialties of<br />
internal medicine, pediatrics and other primary care fields. It<br />
is designed to introduce providers to the latest infor-mation,<br />
techniques and technology applicable to office-based patient<br />
care through didactic lectures and interactive discussions.<br />
Upon completion of this activity, participants should have a<br />
working and applicable comprehension of these topics. Specific<br />
objectives for each topic will be included in the participant<br />
syllabus.<br />
This meeting also provides the opportunity for residents,<br />
students, educators and physicians to intereact.<br />
12
Registration Form<br />
Destin, Florida, July 18-21, 2002<br />
Need More Information: Contact the <strong>LAFP</strong> by mail at 919 Tara Boulevard, Baton Rouge, <strong>Louisiana</strong> 70806, by phone<br />
800-375-5237, or 225-923-3313, by FAX 225-923-2909, or by email at academy@lafp.org.<br />
Please Print:<br />
Name: ______________________________________________________________________________<br />
Mailing Address: ______________________________________________________________________<br />
City: __________________________________ State: _____________________ Zip: _______________<br />
Phone: _____________________ Fax: __________________ Email: ____________________________<br />
Spouse/Guest Name: __________________________________________________________________<br />
Children’s Names(s) and Age(s) if attending: ________________________________________________<br />
How did you hear about this meeting_______________________________________________________<br />
AAFP, Magazine, Website (CMESearch, etc), <strong>LAFP</strong> Mailing, <strong>LAFP</strong> Fax…...<br />
Please complete the following information by entering a check mark or number where indicated.<br />
This information will aid the <strong>LAFP</strong> in giving accurate counts for meal and social functions.<br />
Thursday, July 18, 2002<br />
Continental Breakfast (7:00-7:30 am)<br />
______<br />
Friday, July 19, 2002<br />
Continental Breakfast (7:00-7:30 am)<br />
<strong>Louisiana</strong> Clerkship Preceptor Workshop (2:00-4:00 pm) — Current & future preceptors are welcome.<br />
______<br />
______<br />
Saturday, July 20, 2002<br />
Continental Breakfast (7:00-7:30 am)<br />
General Assembly (7:30-10:00 am) (Business Meeting for Membership)<br />
Awards & Installation Luncheon (12:45 pm—2:30 pm) — 1 ticket included with full meeting registration.<br />
President’s Party (7:00-10:00 pm) — 1 ticket included with full meeting registration.<br />
______<br />
______<br />
______<br />
______<br />
Sunday, July 21, 2002<br />
Continental Breakfast (7:00-7:30 am)<br />
______<br />
Please Complete Reverse<br />
13
REGISTRATION FEES<br />
(NOTE: *Daily registration fees do not include tickets to the<br />
Installation & Awards Luncheon or President’s Party) *THU *FRI *SAT *SUN FULL TOTAL<br />
<strong>LAFP</strong>/AAFP MEMBER<br />
(Member ID #__________________________________________)<br />
Registration Fee $125 $125 $125 $125 $450 $_______________<br />
<strong>LAFP</strong>/AAFP FAMILY PRACTICE RESIDENT & LIFE MEMBERS<br />
(Member ID #__________________________________________)<br />
Registration Fee $75 $75 $75 $75 $200 $_______________<br />
<strong>LAFP</strong> STUDENT MEMBERS (Member ID#___________________)<br />
(Registration Fee is complimentary, however, pre-registration is required :<br />
Registration not include tickets to Installation Luncheon or President’s Party.)<br />
$ -0- .<br />
ALLIED HEALTH/PHYSICIAN ASSISTANTS<br />
(Copy of License must be attached)<br />
Registration Fee $150 $150 $150 $150 $475 $_______________<br />
NON-MEMBER<br />
Specialty (_____________________________________________)<br />
Registration Fee $150 $150 $150 $150 $475 $_______________<br />
GUEST REGISTRATION & EXTRA TICKETS<br />
Guest Registration (Includes all Continental Breakfasts, Installation & Awards<br />
Luncheon and President’s Party)<br />
$100 $_______________<br />
Installation & Awards Luncheon (Saturday, July 20) Adults (Age 12 and Up) $30 $_______________<br />
Child (Age 4-11 $15 $_______________<br />
President’s Party (Saturday, July 20) Adults (Age 12 and Up) $40 _______________<br />
Child (Age 4-11) $20 $_______________<br />
Child (Age 3 and under) N/C #_______________<br />
SPECIAL CONTRIBUTIONS<br />
I would like to sponsor the cost for (#_____) student(s) attendance at the social<br />
functions held in conjunction with our meeting. I would like to make a donation to the<br />
<strong>LAFP</strong> Foundation for:<br />
____ Tar Wars ____ Center of Excellence ____ Jean Aitken Fund<br />
$50 each $_______________<br />
$_______________<br />
TOTAL AMOUNT DUE <strong>LAFP</strong><br />
$______________<br />
PAYMENT MODE<br />
___ Check enclosed payable to <strong>LAFP</strong> OR ___ I prefer to use a credit card: ___ Visa ___ MasterCard<br />
Check #_________________<br />
___ American Express ___ Discover Card<br />
Card Number: _________________________________________________________ Expiration Date: _______________<br />
Card Holder’s Name: _______________________________________ Signature: _______________________________________<br />
14<br />
//Summer
A R O U N D T H E D E P A R T M E N T<br />
Tulane University School of<br />
Medicine, Department<br />
of <strong>Family</strong> and<br />
Community Medicine<br />
Rick Streiffer, MD<br />
Professor & Chairman<br />
Winkie King–Senior Program<br />
Coordinator, Predoctoral Education<br />
Tulane <strong>Family</strong> Medicine is especially<br />
proud of the Match Day 2002 results.<br />
Ten of the graduating class of 145 will<br />
enter <strong>Family</strong> Practice Residency programs<br />
this July. Those Tulane Students,<br />
their new residencies, and their<br />
preceptors during their <strong>Family</strong> Medicine<br />
Clerkship,follow:<br />
Aran Degenhardt (matched at<br />
Beth Israel Medical Center, New<br />
York, NY) and Daniel Pace<br />
(matched at Univ Of Arkansas<br />
Medical Ctr. Jonesboro, AR, both<br />
precepted with Dr. Mark Dawson<br />
of Rayne, La);<br />
Christine Eisele (matched at U.C.<br />
San Francisco, San Francisco, CA,<br />
precepted with Drs. Madden and<br />
Zeller and faculty at the Alexandria,<br />
La FP Residency);<br />
Sonya Foster-Merrow (matched<br />
at Lancaster General Hospital,<br />
Lancaster, PA, precepted with Dr.<br />
Bill Brandon and faculty at<br />
Ochsner in New Orleans East);<br />
Christopher Fernandez (matched<br />
at Scripps Memorial Hospital, La<br />
Jolla, CA, precepted with Dr. Alix<br />
Bouchette in Gretna, La);<br />
Anjali Niyogi (matched at East<br />
Jefferson General, Metairie, LA,<br />
precepted with Dr.Calvin Ennis in<br />
Pascagoula, MS);<br />
Cormac O'Connor and Donnelly<br />
Wilkes (both matched at Naval<br />
Hospital Program Camp Pendleton,<br />
CA, and precepted with Dr.<br />
Harry Rowe and faculty at the<br />
Pensacola Naval Hospital);<br />
Christine Knab (matched at York<br />
Hospital, York, PA, and precepted<br />
with Drs. Marguerite and Bryan<br />
Picou in Natchitoches, La) and<br />
Alpheaus Wise (matched at University<br />
Hospital-Columbia, Columbia,<br />
MO, and precepted with Dr.<br />
Christian Mayorga in Kenner,<br />
La).<br />
The Tulane <strong>Family</strong> Medicine Interest<br />
Group has elected its officers for the<br />
coming academic year. They are<br />
President, BJ Williams; Vice-<br />
President, Jen Baars ; Secretary,<br />
Jessica Galandak; Treasurer, Cara<br />
Kawahara. New president B.J. Williams<br />
hopes to attend the annual <strong>LAFP</strong><br />
meeting in Destin this summer in addition<br />
to coordinating the registrations<br />
for the Tulane students at the AAFP’s<br />
July meeting in Kansas City for students<br />
and residents. During a recent<br />
planning session with our advising faculty,<br />
the students explored “domestic<br />
violence education” as their public<br />
service theme for the year.<br />
Tulane and LSU <strong>Family</strong> Medicine Departments<br />
will hold a joint workshop<br />
on precepting and office based<br />
teaching at the July <strong>LAFP</strong> meeting in<br />
Destin, Florida. The workshop is<br />
scheduled for Friday, July 19 th in the<br />
afternoon. Current and prospective<br />
preceptors are invited to attend.<br />
The program will run for 2 hours.<br />
We recently welcomed a new faculty<br />
member to our department, Ravi Vadlamudi,<br />
MD. Ravi received his medical<br />
degree from Michigan State University<br />
and completed his family medicine<br />
residency last year at the University<br />
of Wisconsin. He most recently<br />
(May 2002) received a Masters in Public<br />
Health and Tropical Medicine from<br />
Tulane University. In addition to full<br />
time clinical activities, Ravi will be<br />
precepting and lecturing our third year<br />
medical students.<br />
Pam Wiseman, MD, Assistant Professor,<br />
a faculty fellow in the Michigan<br />
State University Primary Care Research<br />
Fellowship program, will present<br />
the results of her fellowship research<br />
at Michigan State this June.<br />
The title of her presentation is<br />
“Counting Steps: Using the Digiwalker<br />
to Measure Physical Activity in Children.”<br />
This research was conducted<br />
at the Butler Elementary School based<br />
clinic here in the New Orleans area,<br />
where she serves as the Medical Director.<br />
James Theis, MD, Assistant Professor<br />
was awarded the top <strong>Family</strong> Medicine<br />
Teacher Award at the student's annual<br />
Owl Club banquet. This is the second<br />
year that Jim has received this honor,<br />
bestowed by the students in the third<br />
year class. Dr. Theis conducts clerkship<br />
curriculum segments on Dermatology,<br />
Substance abuse, and evidencybased<br />
treatment of respiratory infections.<br />
The students really enjoy the<br />
hands-on opportunity to learn stitching<br />
and biopsy techniques. Dr. Theis also<br />
co-directs the International rotation<br />
for seniors, and presented a recent<br />
informational session on taking an<br />
elective abroad to the Community<br />
Medicine Interest Group in April.<br />
Rick Streiffer, MD, Chairman, was<br />
named in the current issue of the Ladies<br />
Home Journal, as one of the<br />
“Best <strong>Doctor</strong>s for Families - Coast to<br />
Coast”. But, we already knew that!<br />
Clerkship preceptor and Tulane public<br />
health doctorate recipient, Joe<br />
Breault, MD, ScD, with the Ocshner<br />
Foundation, was also named in that<br />
LHJ article.<br />
In an ongoing effort to improve the<br />
scholarly and research skills of faculty<br />
in the department, the Research Division<br />
of <strong>Family</strong> and Community Medicine<br />
holds an Evidence Based Medicine<br />
(EBM) Journal Club the second Thursday<br />
each month. Five EBM Journal<br />
Club meetings have been held since<br />
December 2001. Each month, a different<br />
general topic is covered, usually<br />
centered on reading the literature<br />
with a more critical eye to the quality<br />
of the evidence presented in the article<br />
is discussed. Last May 9, Dr. Rob<br />
Chasuk, of the Baton Rouge General<br />
<strong>Family</strong> Medicine Residency, who is also<br />
collaborating in our department’s research<br />
program, led the discussion.<br />
For more information, contact Dr.<br />
Meriwether at 504-988-4700.<br />
Just a reminder to all of you, if you<br />
couldn’t make our <strong>Family</strong> Practice Update<br />
2002 in late May, you will have<br />
another opportunity this coming November<br />
2002. As we reported last<br />
time we will run our Update 2002 two<br />
times this year and the Tulane <strong>Family</strong><br />
Medicine preceptors may use their discount<br />
voucher if they haven’t already.<br />
More on that later….<br />
With the close of our academic year<br />
we would like to take this opportunity<br />
to thank all of the <strong>Family</strong> Docs who<br />
have precepted, lectured and supported<br />
our <strong>Family</strong> Medicine Clerkship<br />
this past year. Please don’t hesitate<br />
to contact us if we can reciprocate in<br />
anyway.<br />
15
DONOR FORM<br />
It’s never too late to contribute an item for the <strong>LAFP</strong> Foundation Silent Auction. Anyone can donate (office staff, pharmaceutical<br />
companies, etc.) and items can range from crafts and collectibles to goodie baskets, and vacation getaways. Use your<br />
imagination and help make our 9th Annual Silent Auction, which will be held during <strong>LAFP</strong>’s Annual Assembly, July 18-21,<br />
2002, a successful one. Note: Donations to the auction may be considered tax deductible charitable contributions.<br />
PLEASE PRINT:<br />
Name:<br />
Address: ________________________________ City: ________________________ State: _______________ Zip:<br />
Telephone: (home): ______________________________________ Telephone (office):<br />
Fax: ___________________________________ Email:<br />
DONATED BY:<br />
ESTIMATED VALUE: $_________ (It is important to assign a value. The value of your item may be tax deductible. You will<br />
receive a<br />
receipt for the amount indicated on the form.)<br />
ITEM DONATED: (Detailed description, please include any restrictions or time limits)<br />
GENERAL INFORMATION<br />
Please complete and return this form to the <strong>LAFP</strong> Foundation, 919 Tara Blvd., Baton Rouge, <strong>Louisiana</strong> 70806, by July 1,<br />
2002. Use one sheet per donation. It would be appreciated if you could bring the items to the <strong>LAFP</strong> Registration Desk at the<br />
Hilton Hotel prior to 1:00 pm on Thursday, July 18. You can also deliver the items(s) to our office prior to July 1st if you<br />
prefer. If you need to discuss pick-up or shipping please give us a call at (225) 923-3313 or (800) 375-5237.<br />
The following individuals have supported our Academy for the past 25-50 years. These long time members will be<br />
honored during our 55th Annual Assembly at our Installation & Awards Luncheon scheduled for Saturday, July 20,<br />
2002, Destin, Florida.<br />
Fifty Years<br />
Forty-Five Years<br />
Forty Years<br />
Thirty-Five Years<br />
Thirty Years<br />
Twenty-Five Years<br />
16
Consultant Directory<br />
Allergy & Immunology<br />
James M. Kidd, III, M.D.<br />
8017 Picardy Ave.<br />
Baton Rouge, LA 70809<br />
Phone: 225-769-4432<br />
Fax: 225-768-7642<br />
Allergy, Asthma, Clinical Immunology<br />
Richard H. Kent, MD, FACAAI<br />
2912 Warren St.<br />
Lake Charles LA 70601<br />
Phone: 337-478-8074<br />
Fax: 337-478-8089<br />
Orthopaedic Surgery<br />
Thibodaux Orthopaedic and Sports Medicine Clinic<br />
Neil J. Maki, MD<br />
Michael A. LaSalle, MD<br />
525 St. Mary Street<br />
Thibodaux LA 70301<br />
Phone: 985-446-6284<br />
Fax: 985-447-1754<br />
Baton Rouge Orthopaedic Clinic<br />
Barry M. Rills, M.D<br />
Larry G. Ferachi, M.D.<br />
A. Brent Bankston, M.D.<br />
8595 Picardy, Suite 320<br />
Baton Rouge, LA 70809<br />
Phone: 225-924-2424<br />
Fax: 225-924-5653<br />
Orthopedic Surgery<br />
M. Angela Mayeaux, MD<br />
401 N. College, Suite 2<br />
Lafayette, LA 70506<br />
Phone: 337-235-1600<br />
Fax: 337-235-1604<br />
Gerald R. Gehringer Award and <strong>Family</strong> Physician<br />
Award Recipient: Congratulations to recent graduate,<br />
Reagan E. Elikins, MD, of LSU, New Orleans on being<br />
named the 2002 Gerald R. Gehringer Award Winner.<br />
Christopher Fernandez del Riego, MD Tulane Medical<br />
School graduate was the recipient of the Scott Gregory<br />
Kramer, M.D. <strong>Family</strong> Medicine Award. Congratulations<br />
Dr. Kramer!<br />
<strong>Family</strong> Practitioner members of the American Geriatrics<br />
Society descended on Capital Hill last week during the<br />
American Geriatrics Society Annual Scientific Assembly<br />
Meeting held in Washington, DC to lobby for several major<br />
pieces of legislation relative to providing primary care to<br />
the elderly.<br />
One legislative issue involved the repeal of the 5.4% cut in<br />
Medicare reimbursement and the other involved a case<br />
management code that would reimburse family physicians<br />
for the time and/or complexity of an elderly patient office<br />
visit. Last week's congressional meetings were held in follow-up<br />
to testimony given at a recent Senate Committee<br />
on Aging Hearing in DC (Chaired by John Breaux, D-LA)<br />
during which Charles A. Cefalu, M.D., M.S., Professor<br />
and Associate Chairman for Geriatric Program Development<br />
in the Department of <strong>Family</strong> Medicine at LSUHSC in NO, LA<br />
testified relative to these two pieces of legislation.<br />
Rick Streiffer, MD, Chairman, Tulane University, Department<br />
of <strong>Family</strong> and Community Medicine, and Joe<br />
Breault, MD, ScD, Ocshner Foundation were named in<br />
the current issue of the Ladies Home Journal, as one of the<br />
“Best <strong>Doctor</strong>s for Families - Coast to Coast”.<br />
If you have recently won an award, are involved in your community, volunteer in<br />
your spare time, etc...let us know! Send us information about your<br />
accomplishments and we will get the news out in a future issue of the <strong>Louisiana</strong><br />
<strong>Family</strong> <strong>Doctor</strong>. This is your opportunity to let your peers know that you are a<br />
“Member On the Move.” Send to: <strong>LAFP</strong> • Members on the Move, 919 Tara Blvd. •<br />
Baton Rouge, LA 70806, fax: 225-923-2909 • email: academy@lafp.org<br />
17
R E S I D E N T S ’ C O R N E R<br />
LSUHSC-Kenner<br />
Residency Program<br />
Roger J. Zoorob, MD, MPH,<br />
Program Director<br />
Our class of third-year residents will<br />
hold a graduation ceremony on June<br />
27 th at the City Entergy Club in New<br />
Orleans. Congratulations to the<br />
graduates: Sanjna Malpani, Malini<br />
Kumar, Harry Chen, Chris Naquin,<br />
Bert Tillery, Sidney Marchand and<br />
Victor Weaver.<br />
Our new first-years will enter the<br />
program during orientation week,<br />
June 24-28, 2002. We welcome Ross<br />
Fremin, Sadia Yahya, Iliaben Patel,<br />
Coleman Pratt, Thanh Vo, and Lorrie<br />
Brenckle. We also welcome Hung<br />
Nguyen who will be joining our<br />
LSUSHC program as a second-year<br />
resident.<br />
Drs. Ernest James and Sarat Raman,<br />
first-year residents, will be attending<br />
the NCFPR Seminar in Kansas City,<br />
MO at the beginning of August.<br />
Vanessa Holmes, our residency coordinator,<br />
will accompany them. Dr.<br />
Roger Zoorob and Dr. Kevin Hayes<br />
will attending a residency fair at the<br />
<strong>Family</strong> Medicine Interest Group at the<br />
University of Mississippi in Jackson on<br />
September 9 th .<br />
LSUHSC’s annual <strong>Family</strong> Practice Update,<br />
directed by Dr. Roger Zoorob,<br />
was held during the week of April 15 th<br />
at the Royal Sonesta Hotel in the<br />
French Quarter. Approximately 180<br />
physicians participated. Speakers<br />
included almost all of our faculty:<br />
Drs. Roger Zoorob, Gina Mangun-Mire,<br />
Michele Larzelere, James Campbell,<br />
Mohamad Sidani, Vincent Morelli,<br />
Ronald Gagne and Charles Cefalu.<br />
LSUHSC-Shreveport<br />
Residency Program<br />
Kim J. Hunter, Coordinator<br />
The department of <strong>Family</strong> Practice is<br />
proud to announce two recent additions<br />
to our program. Kim J. Hunter<br />
joined us as Residency Coordinator on<br />
December 1, 2001. Kim comes from<br />
within the LSUHSC system and previously<br />
was the Executive Assistant Director<br />
of Environmental Services.<br />
She has been with the LSUHSC family<br />
for five years. Connie Bunton joined<br />
us as Residency secretary in November<br />
2001. She hails from Colorado.<br />
We are very pleased to have both of<br />
these ladies in our program.<br />
Dr. Edward J. Mayeaux, Jr., who is<br />
our Associate Program Director, is<br />
now Professor of <strong>Family</strong> Medicine and<br />
professor of Clinical Obstetrics and<br />
Gynecology. He has also been<br />
elected for a two-year term to serve<br />
on the board of American Society for<br />
Colposcopy Cervical Pathology.<br />
Dr. John Bart Pope has been selected<br />
to serve a 3 year term as the LSUHSC<br />
respesentative member to the <strong>Louisiana</strong><br />
Medicaid Pharmacy and Therapeutics<br />
Committee. He also was recently<br />
appointed by the American<br />
Academy of <strong>Family</strong> Practice to serve<br />
as a representative to the Competencies<br />
and Standards Task Group of the<br />
National Colorectal Cancer Roundtable<br />
sponsored by the American Cancer<br />
Society.<br />
The department continues to grow.<br />
Congratulations goes out to Dr's Ken<br />
and Atossa Stanley. Atossa is a 3rd<br />
year and she gave birth to a health<br />
girl in February. Dr. Eric and Shanna<br />
Dupree followed suit in April with the<br />
birth of their son. Mr. Jay and Chief<br />
resident, Dr. Amy Hammons will complete<br />
the cycle with the anticipated<br />
birth of their child later this month.<br />
Dr. and Mrs. Randy Richter eldest<br />
daughter, Melanie was united in marriage<br />
to Kiley Hooper on March 22,<br />
2002. Dr. Kevin McGann, 3rd year<br />
and Dr. Philip Isherwood, 3rd year<br />
both announced engagements this<br />
year. Dr. McGann will tie the knot in<br />
August and Dr. Isherwood will follow<br />
suit in October. CONGRATULATIONS<br />
TO EACH OF THEM.<br />
Our residents have been actively involved<br />
in the “Tar Wars” efforts.<br />
With the support from AHEC our residents<br />
and faculty presented this program<br />
to over 500 fourth & fifth graders<br />
in April. The response from teachers<br />
and students was heart-warming.<br />
The 3rd year residents are eagerly<br />
anticipating their graduation ceremony<br />
on June 28, 2002. Each of<br />
them have accepted the following<br />
positions:<br />
• Somes Guha will be joining the<br />
faculty of the University of West<br />
Virginia<br />
• Amy Hammons will join the staff<br />
of Schumpert Medical Center in<br />
Shreveport<br />
• John Hogg will start a private<br />
practice in Natchez<br />
• Atossa Stanley will join the staff<br />
of Willis-Knighton Pierremont in<br />
Shreveport<br />
The planning committee consists of<br />
our newly elected chief residents:<br />
William Maranto and Eric Dupree. If<br />
you are ever in Shreveport on a<br />
Wednesday night you can catch Will<br />
singing at Semolina's Restaurant during<br />
open Mic night. He is worth the<br />
trip and the food isn’t bad either.<br />
We are eagerly awaiting the arrival of<br />
our new residents:<br />
• Joseph Bolger, 2nd year Rural -<br />
Vivian, Dr. Bolger comes to us<br />
from John Peter Smith in Ft.<br />
Worth, Texas<br />
• Benjamin Hogg, 1st year, Dr.<br />
Hogg is one of our own graduating<br />
seniors.<br />
• Abdul Khan, 1st year, Dr. Khan<br />
comes to us from Baylor University<br />
in Houston, Texas<br />
• Greg Salard, 1st year, Dr. Salard<br />
is one of our own graduating seniors.<br />
• Marshall Sanson, 1st year, Dr.<br />
Sanson is one of our own graduating<br />
senior.<br />
We are pleased to have 3 new residents<br />
come to us from our own<br />
school of medicine.<br />
University Medical Center<br />
Lafayette<br />
David Reehlmann, LCSW<br />
We are told that change is the one<br />
constant; that it is a positive force.<br />
Time, also, it seems, moves quickly,<br />
(despite the old Guess Who song to<br />
the contrary) particularly in retrospect.<br />
Al Rees says it is because, as<br />
we age, each additional year constitutes<br />
a smaller and smaller proportion<br />
of the time lived. I’m not sure.<br />
However, there are times that<br />
change seems to be more encompass-<br />
19
ing than others. This, to me, seems to<br />
be such a time: Residents are graduating,<br />
new people will be coming in to<br />
take their positions, and we are having<br />
some othe staff changes. As usual,<br />
while we eagerly anticipate the arrival<br />
of the new folks, we know we will miss<br />
the others who are excited and perhaps<br />
a little anxious to be moving on<br />
to the next phase of their lives.<br />
The <strong>Family</strong> Practice Residency in Lafayette<br />
is pleased to be able to introduce<br />
another promising group of incoming<br />
residents who will be starting<br />
in July. They are: Patricia Brinkley,<br />
Texas Tech University Health Science<br />
Center School of Medicine; Michael<br />
Duplechain, LSU School of Medicine in<br />
New Orleans; Glen Lafleur, American<br />
University of the Caribbean; Craig<br />
Menard, St. Matthews University;<br />
Mitch Montelaro, LSU School of Medicine<br />
in New Orleans; Brian Rich, Central<br />
America Health Science University;<br />
Laura Rogers, American University<br />
of the Caribbean; and Joseph<br />
Ryan, LSU School of Medicine in New<br />
Orleans. We look forward to having<br />
these folks with us and eagerly anticipate<br />
their arrival in July.<br />
Another change that we are soon to<br />
experience is that Joe Ferguson, MD<br />
will be leaving our faculty to return to<br />
another passion, medical missionary<br />
work. Before joining us approximately<br />
three years ago, Joe spent<br />
considerable time in Belize providing<br />
medical care to an underprivileged<br />
population. He will soon be providing<br />
such services to a similar population,<br />
this time in the good old USA. We are<br />
happy for Joe in having successfully<br />
made a difficult decision, and wish he<br />
and his family well in their new environment.<br />
Joe will be very much<br />
missed personally by everyone, and<br />
his experience and skills in so many<br />
areas will be hard to replace.<br />
It seems like yesterday that faculty<br />
member Kent Humble excitedly told<br />
me, “I’m having a girl!” That,<br />
somehow, struck me funny but, because<br />
I didn’t want to pop his bubble,<br />
I didn’t bother to explain to<br />
him that he needed to give his wife,<br />
Stephanie, one of our former residents,<br />
at least a little credit. Nevertheless,<br />
the two became the<br />
proud parents of Sarah, their first<br />
child, born 9 March ’02. Congratulations!<br />
Andrew Chesson and Craig Greene<br />
were selected new chief residents<br />
for next academic year, and will replace<br />
Jason Chambers and Gary<br />
Toups.<br />
A crawfish boil was held last month<br />
at the home of program director<br />
Kim Edward LeBlanc, MD, Ph.D. Dr.<br />
LeBlanc was, by the way, fairly recently<br />
appointed the National Nutritional<br />
Spokesperson for the AAFP<br />
Foundation.<br />
20
<strong>Louisiana</strong> <strong>Family</strong> <strong>Doctor</strong><br />
Consultant Directory Rates<br />
Referral Directory ad rates are $50.00 per year for eight<br />
lines, excluding specialty heading. Additional lines will be<br />
charged at the rate of $5.00 per line. The fee covers<br />
insertion in 4 issues beginning with the March issue and<br />
concluding with the December issue.<br />
Advertising Rates<br />
<strong>Louisiana</strong>’s <strong>Family</strong> <strong>Doctor</strong> is a quarterly publication of the<br />
<strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians, with issues<br />
distributed in March, June, September, and December.<br />
This publication reaches over 1,000 family physicians, and<br />
other health care professionals in the State of <strong>Louisiana</strong>.<br />
PER ISSUE RATE 1X 2X 3X 4X<br />
Standard Placement<br />
Full Page $300 $275 $250 $200<br />
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(Full Page Premium Placement Ads only)<br />
Inside Front Cover $550 $540 $530 $520<br />
Inside Back Cover $550 $540 $530 $520<br />
Reporting CME on-line<br />
When reporting your CME credits to<br />
AAFP online, look in the state where the<br />
meeting was held rather than the<br />
chapter that sponsored it. For example,<br />
to report your CME hours earned at<br />
<strong>LAFP</strong>’s Winter Conference held in<br />
Breckenridge, Colorado you must first<br />
look up the meeting under Colorado.<br />
To report your CME credit on-line, or<br />
check your re-election status, go to the<br />
AAFP homepage, www.aafp.org, and<br />
click on the CME link.<br />
21
Is proud to sponsor <strong>LAFP</strong>’s<br />
2002 Ed u ca t i on a l Pr og r a m m i n g .<br />
22
To our Tar Wars Presenters and Regional Partners:<br />
I would like to take this opportunity to congratulate you all on a job well done. I am sure that the parents<br />
and teachers are proud of our accomplishments in getting the anti-tobacco “Tar Wars” message to the<br />
children of <strong>Louisiana</strong>. Our state outreach was a success.<br />
We also would like to take this opportunity to thank all the children for their bright poster ideas. They<br />
were great! We have forwarded our winning poster to the Tar Wars National Office in Leakwood, Kansas<br />
for the National Tar Wars Poster Competition in Washington, DC in July, and we believe our poster<br />
will do well.<br />
On behalf of the Board of Directors, myself and the executive staff, we thank each and every one of you<br />
for your support and efforts.<br />
Sincerely,<br />
Harold Ishler, Jr., MD, President<br />
<strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians Foundation<br />
<strong>LAFP</strong> State Tar Wars Poster 1st Place Winner<br />
Van Miller (11 yrs.), Lake Charles<br />
Second Place Winner<br />
William Doucet (11 yrs). Lake Charles<br />
3 rd Place Winner<br />
Peter Ferguson (11 yrs), Lafayette<br />
(not pictured)
Through the dedication and generous support of our 2002 Partners, the <strong>Louisiana</strong> Academy of <strong>Family</strong> Physicians<br />
continues to present outstanding continuing medical education activities. We appreciate their support and hope that<br />
you will join us in extending a warm and heartfelt THANK YOU to the representatives of these companies.<br />
PLATINUM PARTNERS<br />
Bristol Myers Squibb & Company<br />
Schering/Key Pharmaceuticals<br />
GOLD PARTNERS<br />
Aventis Pharmaceuticals<br />
Pharmacia Corporation<br />
GlaxoSmithKline<br />
BRONZE PARTNER<br />
AstraZeneca<br />
SILVER PARTNER<br />
Eli Lilly & Company<br />
PARTNERS<br />
Pfizer, Inc.<br />
Southeast Dairy Association<br />
Tulane University Hospital & Clinic<br />
Wyeth-Ayerst Pharmaceuticals<br />
<strong>Louisiana</strong> Academy of<br />
<strong>Family</strong> Physicians<br />
919 Tara Boulevard<br />
Baton Rouge, LA 70806<br />
http://www.lafp.org. This and future issues<br />
of <strong>Louisiana</strong>’s <strong>Family</strong> <strong>Doctor</strong> will be available<br />
on our website, effective July 1, 2002!<br />
Email us at academy@lafp.org if you would<br />
prefer to receive only the electronic copy of<br />
the magazine, via the website.<br />
PRSRT STD<br />
US POSTAGE<br />
PAID<br />
BATON ROUGE, LA<br />
PERMIT NO. 1975
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