Valerie Jones MD
The_Message_May2016_Interactive The_Message_May2016_Interactive
MAY | 2016 THE A Monthly Newsmagazine of Spokane County Medical Society A Provider’s Role in Curbing Cravings Your Emergency Cash Reserve GME Reform to Meet the Nation’s Health Needs Valerie Jones, MD Exercise is Meditation The Message | May 2016 | A
- Page 3 and 4: Table of Contents 2016 Officers and
- Page 5 and 6: Calendar of Events 901 E. 2nd Ave.,
- Page 7 and 8: consists of egg whites, ground turk
- Page 9 and 10: Medical Education Happenings Resear
- Page 11 and 12: GME Reform to Meet the Nation’s H
- Page 13 and 14: In Memoriam RICHARD E. AHLQUIST, JR
- Page 15 and 16: In The News INLAND IMAGING IS PLEAS
- Page 17 and 18: A Provider’s Role in Curbing Crav
- Page 19 and 20: Classified Ads REAL ESTATE LIBERTY
- Page 21 and 22: MANN-GRANDSTAFF VA MEDICAL CENTER i
- Page 23 and 24: SCMS Foundation Wellness Program It
MAY | 2016<br />
THE<br />
A Monthly Newsmagazine of Spokane County Medical Society<br />
A Provider’s Role<br />
in Curbing Cravings<br />
Your Emergency<br />
Cash Reserve<br />
GME Reform to Meet the<br />
Nation’s Health Needs<br />
<strong>Valerie</strong><br />
<strong>Jones</strong>, <strong>MD</strong><br />
Exercise is<br />
Meditation<br />
The Message | May 2016 | A
Table of Contents<br />
2016 Officers and<br />
Board of Trustees:<br />
Clinton Hauxwell, <strong>MD</strong><br />
President<br />
John McCarthy, <strong>MD</strong><br />
President-Elect<br />
Matthew Hollon, <strong>MD</strong><br />
Immediate Past President<br />
Carla Smith, <strong>MD</strong>, PhD<br />
Vice President<br />
Mathew Rawlins, <strong>MD</strong><br />
Secretary-Treasurer<br />
Trustees:<br />
Charles Benage, <strong>MD</strong><br />
Audrey Brantz, <strong>MD</strong><br />
Elizabeth Grosen, <strong>MD</strong><br />
Brenda Houmard, <strong>MD</strong>, PhD<br />
Frank Otto, <strong>MD</strong><br />
Geraldine Peterdy, <strong>MD</strong><br />
Darryl Potyk, <strong>MD</strong><br />
Justin Racht, <strong>MD</strong><br />
Brian Tryon, <strong>MD</strong><br />
Robert Wood, PA-C<br />
Newsmagazine Editor:<br />
John McCarthy, <strong>MD</strong><br />
Spokane County Medical<br />
Society The Message.<br />
A monthly newsmagazine<br />
published by the Spokane<br />
County Medical Society.<br />
Advertising Correspondence:<br />
SCMS Publications<br />
Attn: Shelly Bonforti<br />
901 E. 2nd Ave., Ste. 301,<br />
Spokane, WA 99202<br />
509-325-5010<br />
Fax 509-325-5409<br />
shelly@spcms.org<br />
All rights reserved.<br />
This publication, or any<br />
part thereof, may not be<br />
reproduced without the<br />
express written permission of<br />
the Spokane County Medical<br />
Society. Authors’ opinions do<br />
not necessarily reflect the<br />
official policies of SCMS nor<br />
the Editor or publisher. The<br />
Editor reserves the right to<br />
edit all contributions for clarity<br />
and length, as well as the<br />
right not to publish submitted<br />
articles and advertisements,<br />
for any reason. Acceptance of<br />
advertising for this publication<br />
in no way constitutes Society<br />
approval or endorsement<br />
of products or services<br />
advertised herein.<br />
President’s Message<br />
The Benefits of Belonging.................................................................................................2<br />
Calendar of Events........................................................................................................3<br />
<strong>Valerie</strong> <strong>Jones</strong>, <strong>MD</strong>:<br />
Exercise is Meditation..........................................................................................................4<br />
Medical Education Happenings<br />
Research Demonstrates Value of Prescription Assistance Program...................7<br />
Medical Family Legacies....................................................................................................8<br />
GME Reform to Meet the Nation’s Health Needs........................................9<br />
New Members and Membership Recognition..........................................10<br />
Engage Your Community........................................................................................10<br />
In Memoriam<br />
Richard E. Ahlquist, Jr., <strong>MD</strong>..............................................................................................11<br />
Stephen R. Sears, <strong>MD</strong>.......................................................................................................11<br />
SCMS 1st Wednesday Member Mixer............................................................12<br />
In The News<br />
Inland Imaging is Pleased to Welcome Joshua Garcia, <strong>MD</strong>,<br />
to our Professional Subspecialist Radiology Team.................................................13<br />
James Nania, <strong>MD</strong>, FACEP, Receives WA-ACEP<br />
2016 Nancy Auer Meritorious Award.........................................................................13<br />
Henry Mroch, <strong>MD</strong>, Awarded 2016 Spokane WWAMI<br />
Track Teacher of the Year................................................................................................13<br />
Your Emergency Cash Reserve...........................................................................14<br />
A Provider’s Role in Curbing Cravings..........................................................15<br />
Making Full Use of Your SCMS Membership<br />
Create Your Membership Experience!........................................................................16<br />
Classified Ads<br />
Real Estate............................................................................................................................17<br />
Medical Offices/Buildings................................................................................................17<br />
Meetings/Conferences/Events......................................................................................18<br />
Positions Available.............................................................................................................18<br />
“IF YOU WANT TO CHANGE THE OUTCOME<br />
YOU HAVE TO CHANGE THE INVESTMENT.”<br />
— TOBY MAC<br />
The Message | May 2016 | 1
President’s Message<br />
The Benefits of Belonging<br />
By Clinton Hauxwell, <strong>MD</strong> | SCMS President<br />
I am writing this article at 30,000 feet, flying<br />
to Spokane after spending several days in<br />
Washington, D.C., with a team from Greater<br />
Spokane Incorporated (GSI). While in the<br />
nation’s capitol, we met with our federal<br />
representatives and their aides regarding the<br />
issues that are important to the residents of<br />
the Inland Northwest. The topics discussed<br />
were many, and included expanded funding<br />
for graduate medical education, the establishment of the WSU<br />
Elson S. Floyd College of Medicine, and expansion of the<br />
University of Washington School of Medicine in Spokane. We were<br />
reminded, of course, that these concerns require resources—<br />
something that is always in short supply in these days of billion<br />
dollar national deficits. Similarly, on the local level, our large<br />
healthcare organizations are always looking for ways to improve<br />
the bottom line. Unfortunately, this has impacted the Spokane<br />
County Medical Society, as local medical institutions have dropped<br />
SCMS membership from the list of benefits offered to their<br />
employed Providers. So now, physicians and physician assistants<br />
must choose to maintain Society involvement by paying for dues<br />
out-of-pocket. Not surprisingly, many are asking themselves ‘What<br />
value does SCMS participation bring to my professional and<br />
personal life?’ Membership, I would argue, has many benefits.<br />
1. Continuing Medical Education—SCMS sponsors a yearly CME<br />
conference in the fall, featuring both local and national speakers.<br />
This meeting has received excellent reviews, with attendance<br />
reaching a new high last year. This year’s meeting will be held<br />
on October 7, and the planning committee has assembled an<br />
impressive line-up of presenters.<br />
Our Community’s #1 Choice in Hospice Care<br />
“Every single patient, we’re identifying<br />
what their needs are and how we’re going<br />
to meet those needs. We do that from the<br />
context of being the oldest, largest and<br />
only community nonprofit.”<br />
– Dr. Bob Bray, Hospice of Spokane<br />
Medical Director<br />
Serving patients and families since 1977<br />
Comfort. Dignity. Peace of Mind.<br />
509.456.0438 • hospiceofspokane.org<br />
2. Maintenance of Professional Relationships—SCMS supports a<br />
number of social activities designed to promote collegiality and<br />
foster stronger relationships among local medical providers. The<br />
monthly mixer, held on the first Wednesday of every month, has<br />
been a great success, allowing local Providers to maintain those<br />
personal and professional relationships that are so important in<br />
the medical field. Perhaps more importantly, it provides a forum<br />
for medical and PA students to meet established members of<br />
our healthcare community. Similarly, the annual summer cruise<br />
in July and General Membership Meeting in January both serve<br />
to promote a sense of unity and cooperation.<br />
3. Neutrality—As the number of physicians in private practice<br />
dwindles and the majority of healthcare is delivered by a few<br />
large organizations, SCMS stands as an impartial body for<br />
honest discourse among colleagues and an impartial advocate<br />
for patients and providers.<br />
4. The Wellness Program—As I discussed in an earlier article,<br />
the rate of physician burnout is alarming—estimated to be<br />
well over fifty percent. Many medical providers are in need of<br />
mental healthcare, whether it be an empathetic ear to listen, or<br />
more formal counseling. Unfortunately, we often loathe seeking<br />
help due to concerns regarding confidentiality or the perceived<br />
stigma associated with such care. In response to this need,<br />
the SCMS Foundation has established the Wellness Program,<br />
which provides members eight sessions with a local<br />
psychologist. These appointments take place in a neutral<br />
location, with the cost covered by the Foundation. This service<br />
has already benefited healthcare providers in our community.<br />
5. Advocacy—The Spokane County Medical Society advocates<br />
on behalf of its members at the local, state, and federal levels.<br />
Members of the SCMS executive committee attend the yearly<br />
Washington State Medical Association House of Delegates<br />
and take part in the annual GSI Washington, D.C., fly-in,<br />
representing the concerns and needs of the greater Spokane<br />
medical community.<br />
6. Website and Physician Directory—As most of you are aware,<br />
SCMS has a new, reworked website that provides each member<br />
with a professional, customizable profile that can be accessed<br />
by both colleagues and patients seeking medical care. For<br />
many individuals who are new to our community, this will be<br />
the first site they will view when performing a search for a Health<br />
Provider. Each member also receives a print copy of the<br />
Provider Directory—a publication that is often used in my office.<br />
And so when your colleagues ask you why you belong to the<br />
Spokane County Medical Society, explain to them that involvement<br />
brings value to your practice and personal life, and encourage<br />
them to consider joining SCMS as well. n<br />
2 | Spokane County Medical Society
Calendar of Events<br />
901 E. 2nd Ave., Ste. 301, Spokane, WA 99202<br />
Phone: (509) 325-5010 • Fax: (509) 325-5409 • www.spcms.org<br />
MAY<br />
Senior Physician’s<br />
Golf Tournament<br />
May 20, Friday<br />
Manito Golf & Country Club<br />
JUNE<br />
1st Wed. Member Mixer<br />
June 1, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
Sponsored by:<br />
Unify Community Health<br />
JULY<br />
Summer River Cruise<br />
July 21, Thursday<br />
6:00 pm — 9:00 pm<br />
The Serendipity,<br />
Templin’s Marina<br />
AUGUST<br />
1st Wed. Member Mixer<br />
August 3, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
SEPTEMBER<br />
1st Wed. Member Mixer<br />
September 7, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
Sponsored by: Incyte Diagnostics<br />
OCTOBER<br />
WSMA<br />
House of Delegates<br />
October 1 - 2,<br />
Saturday-Sunday<br />
SeaTac Hilton, Seattle<br />
1st Wed. Member Mixer<br />
October 5, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
Sponsored by: Inland Imaging<br />
Medicine 2016<br />
October 7, Friday<br />
Red Lion Hotel at the Park<br />
7:00 am — 5:00 pm<br />
Questions? Contact<br />
karen@spcms.org<br />
Senior<br />
Physicians Dinner<br />
October 20, Thursday, 5:00 pm<br />
Manito Golf & Country Club<br />
NOVEMBER<br />
1st Wed. Member Mixer<br />
November 2, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
Sponsored by: Inland Imaging<br />
DECEMBER<br />
1st Wed. Member Mixer<br />
December 7, Wednesday<br />
5:30 pm — 8:00 pm<br />
Marketplace Wineries<br />
39 W. Pacific Ave.<br />
Sponsored by:<br />
Asset Planning & Management, Inc.<br />
If you have any questions regarding an event, please call SCMS at (509) 325-5010<br />
between 9:00 am and 5:00 pm, Monday through Friday, or email shelly@spcms.org<br />
We need your help to walk with groups<br />
of children to school weekday mornings.<br />
BENEFITS:<br />
• keep kids safe<br />
• enjoy regular exercise<br />
• connect with a neighborhood<br />
• meet new people<br />
• support parents and caretakers<br />
• be a part of a team<br />
RESPONSIBILITIES:<br />
• attend training<br />
• adhere to program procedures<br />
• reliable attendance<br />
• agree to background check<br />
• commit to at least<br />
one morning per week<br />
Call to register!<br />
509.324.1452<br />
Training and program<br />
gear provided.<br />
CONTACT<br />
Annie Szotkowski - Walking School Bus Organizer<br />
509.324.1452 | aszotkowski@srhd.org<br />
Brought to<br />
you by:<br />
Endorsed by:<br />
The Message | May 2016 | 3
In-Depth Interview<br />
<strong>Valerie</strong> <strong>Jones</strong>, <strong>MD</strong>:<br />
Exercise Is Meditation<br />
By Shelly Bonforti<br />
SCMS Development Coordinator<br />
For most people the word “meditation” brings to mind a serene<br />
environment where one is sitting motionless in silence. However,<br />
one does not need to be standing still to be deep in thought.<br />
Rather than a retreat, meditation can be done while walking, house<br />
cleaning, or even during intense exercise.<br />
Ed Decker writes in Meditation in Motion, “Meditation helps bring<br />
body and mind together, making them allies rather than adversaries.<br />
When you unify your concentration and your physical sensations, it’s<br />
no longer about the finish line; it’s about embracing each step of the<br />
journey along the way.”<br />
<strong>Valerie</strong> <strong>Jones</strong>, <strong>MD</strong>, wholeheartedly supports this line of thought.<br />
“I have come to realize that exercise is meditation,” she declared.<br />
“I start my day with it to get my mind centered, to burn off anxieties<br />
and frustrations, and to feel the endorphin rush. I turn on my music<br />
and tune out the world.”<br />
Dr. <strong>Jones</strong> engages regularly in high intensity interval training and<br />
heavy weight lifting for relaxation. “I’ve been an athlete all my life, so<br />
I’ve been working on various ‘core competencies’ over the years.<br />
For example, five years ago I was working on long distance running.<br />
When I achieved my goal of completing a half marathon in under two<br />
hours, I decided to try bodybuilding next. It was 180 degrees different,<br />
but patience is a virtue with both sports,” she explains. “Weight lifting<br />
and sprinting feel good,” she continued. “I like to do a set of lifts until<br />
I can’t complete the last one from muscle fatigue. Some people call<br />
this ‘failure’ but that is such a misnomer. Taking your body to the edge<br />
of its capabilities is how you make it stronger. It’s a metaphor for life –<br />
push your limits, strive for excellence, learn from mistakes, repeat until<br />
you can do something even more challenging.”<br />
According to shape.com, “High-intensity interval training (HIIT)<br />
describes any workout that alternates between intense bursts of<br />
activity and fixed periods of less-intense activity or even complete<br />
rest. Research shows you can achieve more progress in a mere 15<br />
minutes of interval training (done three times a week) than the girl<br />
jogging on the treadmill for an hour.” [1]<br />
Although she started out as a runner, <strong>Jones</strong> found that it wasn’t<br />
helping her in the ways she would like. “At the risk of sounding<br />
outrageously superficial,” she defended, “I guess I noticed that<br />
all the long distance running was changing my appearance in a<br />
way I didn’t like. My muscles were stringy and flat, my skin was<br />
becoming gaunt, I had chronic blisters and a few joint pains. It was<br />
basically aging me. So I decided to address my ‘flat butt syndrome’<br />
with a pivot to bodybuilding,” she clarified. “As far as bodybuilding<br />
goes, I did ask myself what my ‘end game’ was with this venture.<br />
When I was running, my goals were pretty obvious. I wanted to<br />
finish a certain distance by a certain time. But then when you look<br />
at strength sports, you begin to wonder what you’re aiming at?<br />
Did I want to paint myself orange and get judged in a bikini? Not<br />
really. But I did look into it. I attended the Olympia bodybuilding<br />
competition event in Las Vegas a few years ago to see if I wanted<br />
to get more involved. From a medical perspective it concerned me.<br />
People were so obviously taking steroids and distorting their health.<br />
I vowed never to do that – and with that vow went any hope of ever<br />
competing in this sport, which I’m okay with,” she explained.<br />
“What I love about high intensity training and weight lifting is<br />
the feeling of accomplishment in doing something you didn’t<br />
think you could manage,” she expounded. “You just need to be<br />
internally motivated and disciplined. Half of the bodybuilding battle<br />
is exercise, but the other half is nutrition. I cook my meals a week in<br />
advance and portion them out in Tupperware containers and take<br />
them with me. I eat the same exact thing six days a week. My diet<br />
4 | Spokane County Medical Society
consists of egg whites, ground turkey, Greek yogurt, brown rice,<br />
oats, vegetables, protein bars and nut butter,” she described. “My<br />
friends think I’m completely crazy and they even gag sometimes<br />
when they watch me eat my bodybuilding meals. I’ve had trainers<br />
over the years who have had fun working out with me, but right now<br />
I’m just working out solo. If there’s anyone out there who would like<br />
to work out with me after reading this, I’d love to meet them!”<br />
<strong>Jones</strong> works out at Gold’s Gym on 57th Street in Spokane.<br />
“They are open at 4 am and the people there are very friendly and<br />
energetic,” she stated. “It’s motivating to walk into a place at 4:30 in<br />
the morning and hear music pumping and see so many people in<br />
there ‘crushing it’ so early.”<br />
A typical workday for Dr. <strong>Jones</strong> is quite full and long, but<br />
rewarding as well. As the Medical Director of Admissions for<br />
St. Luke’s, she is the primary medical reviewer for the 102-bed<br />
hospital, and she carries a caseload of 50-80 patients a day. “I<br />
am a morning person, so I’m up at 4 or 4:30 a.m. I usually start by<br />
checking my email to see if there’s anything time-sensitive that I<br />
need to respond to. Then I head off to the gym. I get to work at 7:30<br />
or so, and spend the rest of my day reviewing patient referrals at<br />
three different hospitals (Sacred Heart, Holy Family and Deaconess)<br />
with five case managers,” she illuminated. “I also handle all of our<br />
out-of-town patient reviews. I write full consult notes and insurance<br />
appeals on about 10-15 patients per day and attend length-ofstay<br />
meetings and discharge planning groups all over Spokane.<br />
Needless to say, my days are very full and I’m running full tilt from<br />
dawn till dusk. But I am passionate about getting patients the<br />
rehabilitation help they need, and I consider my job like a big Easter<br />
egg hunt ... I am genuinely excited about every patient I find who<br />
needs rehab!”<br />
Dr. <strong>Jones</strong> spent her formative years in Manhattan. She grew up<br />
watching movies like Conan the Barbarian and admits to being<br />
“drawn in like a kid to a super hero cartoon book. I wanted to<br />
be like Grace <strong>Jones</strong> (with the same last name, we could have<br />
been related, right?). Back<br />
then I didn’t know how to<br />
build muscle successfully.<br />
I remember trying to do<br />
Jane Fonda workouts and<br />
wondering why I wasn’t seeing<br />
results. I ended up joining<br />
the ski team instead,” she<br />
confessed.<br />
<strong>Jones</strong> was working as a<br />
locum tenens physician and St.<br />
Luke’s was one of her clients. “I<br />
have had licenses in 14 states<br />
and was traveling constantly<br />
for six years. My husband<br />
was hoping I’d settle down a<br />
bit, so he suggested I choose<br />
the best facility with the most<br />
growth potential. That was St. Luke’s,” she professed. “We have an<br />
incredible team of very talented nurses, doctors, and therapists who<br />
can ‘make the lame walk and the blind see.’ The amazing beforeand-after<br />
stories of people with orthopedic and neurologic injuries,<br />
medical debility, and heart and lung problems are extraordinary. We<br />
add life to years and we get people home!”<br />
<strong>Valerie</strong> enjoys mentoring bright young minds, and volunteered at<br />
Boys and Girls Clubs of America from 2008 to 2015. “I was asked<br />
to MC the ‘Youth of the Year’ awards in Washington, D.C. I got to<br />
know some amazing kids who had survived incredible adversity to<br />
get where they were. I was so proud of them, I wanted to be a part<br />
of their life stories,” she proclaimed. “I became the nutrition coach<br />
for the annual Fit Family Challenge,” she continued. “I traveled to<br />
Los Angeles to be a judge and MC for the event with Mario Lopez. It<br />
was fun to see these talented kids learn to choose healthy lifestyles<br />
IN-DEPTH INTERVIEW CONTINUED ON PAGE 6<br />
The Message | May 2016 | 5
IN-DEPTH INTERVIEW CONTINUED FROM PAGE 5<br />
and take that message to others. Now that I’ve moved to Spokane,<br />
I will probably not be as involved. But it was a wonderful time in my<br />
life,” she shared.<br />
“I think my exercise work ethic and nutritional discipline are just<br />
an outgrowth of my character. A college professor once remarked<br />
that I seemed to have ‘nuclear energy’. I am a passionate, hardworking<br />
person who loves a challenge. My career has been a wild<br />
ride because I’ll try anything once. I’ve held jobs in and out of the<br />
healthcare world. From restaurant quality assurance to vaccine<br />
research to journal editing and being a podcaster and TV segment<br />
anchor,” she revealed. n<br />
Dr. <strong>Valerie</strong> <strong>Jones</strong>, a graduate of Columbia University College of<br />
Physicians and Surgeons, provides consultative service at acute care<br />
hospitals in Spokane and throughout the region St. Luke’s serves as the<br />
Medical Director for Admissions. She was first drawn to medicine by the<br />
pediatric surgeon who saved her life as a child. She then became interested<br />
in rehabilitation medicine while caring for adults with disabilities as a group<br />
home assistant and through her work with the Ontario March of Dimes.<br />
She became a summer undergraduate research fellow at the Mayo Clinic<br />
department of biophysics where she studied craniofacial reconstruction<br />
prediction imaging software. She later went on to assist with vaccine<br />
research and then plastic and reconstructive surgery projects.<br />
She completed her Rehabilitation Medicine residency as chief resident<br />
at Saint Vincent’s Catholic Medical Center in New York. She then served as<br />
senior medical director for Revolution Health Group, volunteer physiatrist at<br />
Walter Reed Army Medical Center, Doc Talker Family Medicine and various<br />
hospitals as a locum tenens. Dr. <strong>Jones</strong> is board certified by the American<br />
Board of Physical Medicine and Rehabilitation.<br />
Dr. <strong>Jones</strong> is an award-winning writer, health journalist and physician<br />
educator. She has been featured as a frequent medical expert on ABC<br />
News in Washington, DC and CNN Headline News as well as contributes to<br />
PBS and Scientific American online. She is also a member of the National<br />
Press Club, a podcast host for Johnson & Johnson Vision Care, Inc., a<br />
regular speaker at various medical conferences and a pioneer of using<br />
social media to advance medical knowledge.<br />
Dr. <strong>Jones</strong> enjoys early morning, high intensity interval and strength<br />
training sessions six days a week. She is the owner of an exotic cat, has a<br />
ridiculous number of Delta frequent flier miles and has licenses to practice<br />
medicine in 13 states. Follow Dr. <strong>Jones</strong> on Twitter: @drval. Her blog is:<br />
getbetterhealth.com<br />
References:<br />
[1] Andersen, C.A. 8 Benefits of High-Intensity Interval Training (HIIT) And why it needs to be<br />
part of your regular workout routine. Retrieved from www.shape.com/fitness/workouts/<br />
8-benefits-high-intensity-interval-training-hiit. Accessed April 18, 2016.<br />
NOW<br />
HIRING<br />
Primary Care<br />
Providers<br />
6 | Spokane County Medical Society
Medical Education Happenings<br />
Research Demonstrates Value of<br />
Prescription Assistance Program<br />
By Lorraine Nelson<br />
Washington State University Spokane<br />
Retired Spokane physician Dr. Samuel Selinger was extremely<br />
pleased when an academic journal published a research paper<br />
April 1 about the Spokane Prescription Assistance Network (SPAN).<br />
He was pleased not only because he and others had envisioned<br />
and planned for the research study more than 10 years ago, but also<br />
because of the paper’s findings – that a group of Spokane patients<br />
experienced fewer hospitalizations and ER visits in the year after<br />
they began receiving their medications consistently.<br />
“This program has been such a phenomenal collaboration<br />
involving state legislators of both parties, the pharmaceutical<br />
industry, hospitals, universities, healthcare providers and clinics,”<br />
Selinger said. “The research findings confirm that we’ve graduated<br />
from a do-good program into something that is bringing healthcare<br />
resources into the community and that is having a positive impact<br />
on the health of the community.”<br />
The research study was published in the peer-reviewed Journal<br />
of Managed Care Pharmacy and showed there was an overall<br />
decrease in emergency room visits and hospital admissions for<br />
the 310 Spokane patients who participated in the study. Those<br />
who received help with pulmonary medications had the largest<br />
drop in those acute care contacts. However, not all the patients<br />
experienced a decrease in acute care incidents. Those who were<br />
taking psychotropic medications had more acute care contacts, and<br />
so did the young adult age group 18-24. Those are questions not<br />
answered by this study, but perhaps something for future research<br />
projects, Selinger noted.<br />
The lead author on the SPAN study is a Ph.D. student in<br />
interdisciplinary studies at Washington State University Spokane.<br />
Selinger served as a collaborating author on the paper, as did<br />
Washington State University Spokane faculty in nursing, pharmacy<br />
and medicine.<br />
Selinger and the others who organized SPAN decided from its<br />
opening in 2008 that SPAN would collect information from patients<br />
for an eventual research study to measure the program’s value.<br />
SPAN was the pilot project in what is now the statewide Prescription<br />
Drug Assistance Foundation. The foundation actually grew out<br />
of a larger project Selinger initiated to combine and distribute as<br />
needed the charity care offered by Spokane’s physicians.<br />
That was Project Access – an idea Selinger picked up from a<br />
one-week healthcare course at the Kennedy School of Government<br />
in the year 2000 shortly after he semi-retired from practice.<br />
Selinger enlisted the help of the Spokane County Medical<br />
Society, which put out the call for physicians to pool their charity<br />
care, and almost immediately about 100 docs signed on. (That<br />
has since grown to about 600.) Providence Health took on the<br />
role of coordinating.<br />
Once Project Access was up and running, organizers realized they<br />
would have to address the issue of access to prescription medication.<br />
“I was naïve as a doctor,” Selinger said. “I was a surgeon and<br />
gave prescriptions after surgery and assumed the patient got the<br />
Dr. Samuel Selinger<br />
medicine. It wasn’t until I got into this nonprofit organization that<br />
I realized there is a gap between prescribing medications and<br />
compliance by the patient, either because they cannot afford<br />
the medication or there is no one to get it for them or help them<br />
remember to take it.”<br />
The group of volunteers driving Project Access analyzed the<br />
options, which were to buy and warehouse medications to give<br />
to patients, or to work directly with the pharmaceutical companies<br />
because they all have programs offering free and reduced-price<br />
medicines to eligible low-income.<br />
They opted to work with the companies, but rather than simply<br />
refer the patients to the companies, they agreed upon a need to<br />
have a patient prescription coordinator.<br />
They went to state legislators in 2005 it was then-state Senate<br />
Majority Leader Lisa Brown of Spokane who helped the group<br />
get legislation passed to create the nonprofit Prescription Drug<br />
Assistance Foundation.<br />
After the pilot project was done in Spokane, the foundation<br />
branched out across the state, but it remains based in Spokane.<br />
Executive Director, Kelly Armstrong, is a social worker who staffs<br />
patient clinics as well as oversees the statewide network of clinics<br />
and coordinators, answers to a statewide board of directors, and<br />
does fundraising and grant writing for the foundation.<br />
Selinger has kept figures on the Spokane clinic and reports<br />
it gets referrals of patients from about 62 different entities and<br />
works directly with about 38 pharmaceutical companies to get<br />
the medications. Providence has been the major funder of the<br />
Spokane program, and provides it with office space and salary for<br />
the director.<br />
Selinger was chair of the foundation for a number of years until<br />
he could no longer serve because of the term limits for the position.<br />
He has since continued his involvement as a volunteer.<br />
“Now that we have this paper which answers some questions<br />
about the impact of this program and shows we are successful,”<br />
Selinger said, “I am hoping to give the reins to this project over to<br />
the next generation and say ‘Here’s this wonderful project that you<br />
can grow, and because it is such a unique collaboration among so<br />
many different segments of the community, we can be models and<br />
leaders for others.’” n<br />
The Message | May 2016 | 7
8 | Spokane County Medical Society<br />
Medical Education Happenings<br />
By Darryl Potyk, <strong>MD</strong>, FACP<br />
Assistant Dean for Regional Affairs & Clinical Professor<br />
University of Washington School of Medicine<br />
Associate Program Director<br />
Providence Internal Medicine Residency Spokane<br />
We are fortunate in Spokane to have a surprising number of<br />
what I refer to as “medical family legacies.” These are families in<br />
which subsequent generations have practiced and are practicing<br />
medicine here in Spokane. The list includes (but is not limited to)<br />
the following: the Arguinchona’s, Ellingsen’s, LaSalle’s, Bruya/Reed,<br />
Edminster’s, Garman’s, Miller’s, Pokorny’s, Dittman’s, Schemmel’s,<br />
Sestero’s, Sorensen/Bishop, Vanderwilde’s, Wilhelm’s, and Holbert’s.<br />
What do these medical family legacies tell us? I’m sure there are<br />
many different answers to this question, but here’s my answer. The<br />
first generation physician for each of these families has been a role<br />
model and has passed along the joy they experienced through the<br />
practice of medicine along with the idea that it is a privilege to help<br />
people through the art and science of medicine. What a gift!<br />
This tradition continues. There are three Spokane medical family<br />
legacies emerging with several outstanding young people graduating<br />
from the UW School of Medicine in just a few short weeks. These are,<br />
Peter Edminster (dad, Scott Edminster, longtime ER physician at DMC;<br />
brother, Joel Edminster, ER physician at SHMC) who will be pursuing a<br />
career in rural family medicine with a residency through the Spokanebased<br />
Family Medicine Rural Training Track in Colville. Jack Storey<br />
Medical Family Legacies<br />
Our business is turning them into realities.<br />
We do this by helping our clients plan and<br />
manage their financial resources. Fee-only.<br />
For a<br />
complimentary consultation<br />
or brochure, call:<br />
Greer Gibson Bacon, CFP ®<br />
(509) 838-4175 or<br />
(888) 864-8827<br />
assetplanning.com<br />
(dad, Don Storey, IM/Pulmonary Medicine & 1992 SCMS President)<br />
will be starting his career as an Emergency Medicine physician<br />
with a residency at UC San Diego and Lauren Benson (mom, Judy<br />
Benson, IM, Director Graduate Medical Education – Spokane) will be<br />
staying local and will be starting her residency here with the Internal<br />
Medicine program.<br />
Lauren Benson’s family legacy is interesting and runs a little<br />
deeper. She wasn’t sure she would pursue a career in medicine;<br />
after completing her undergraduate studies at Whitman College,<br />
she paused and spent a year with AmeriCorps which she served<br />
at the Spokane Native Project. She stayed on for an additional year<br />
working on a grant examining the potential for storytelling to enhance<br />
preventative care. These experiences allowed her to conclude that<br />
Medicine was indeed the right field to pursue and she was accepted<br />
to UWSOM-Spokane. Lauren has spent the majority of her medical<br />
school career here in Spokane (all but one month). While like others<br />
mentioned above, I’m sure she overheard conversations and heard<br />
some things at the dinner table that she wishes she hadn’t heard. Yet,<br />
she was inspired to help people and to pursue our shared profession.<br />
In addition to her mother being a terrific role model, while in medical<br />
school the family legacy deepened. Her father, Randy Benson has<br />
a PhD in Microbiology and was tapped as a local expert to teach<br />
microbiology to the medical students here in Spokane for four years.<br />
During his tenure Randy was very well received and received many<br />
accolades for his teaching style and ability. I can’t imagine what is like<br />
to have a stare down with one of your parents, not only at home but<br />
also in the classroom. Yet, this family pulled it off well. Lauren went on<br />
to be elected to the Gold Humanism Society and to the Alpha Omega<br />
Alpha Honor Society. With good grades and board scores along with<br />
these recognitions, Lauren had her pick of where to go for her Internal<br />
Medicine residency; yet she chose to stay here in Spokane. Again,<br />
I’ll go out on a limb here, I think (or want to believe) that this speaks to<br />
two things – the increasing quality of medical education available here<br />
locally along with the increased capacity for local medical education.<br />
The quality of medical education here is excellent. Currently, the<br />
UW School of Medicine – Spokane offers an enhanced Foundations<br />
Curriculum that features active learning through a flipped classroom<br />
model along with early exposure to clinical medicine. In the clinical<br />
phase of medical education, students get the best of both worlds;<br />
a “county-like experience” caring for the disenfranchised in a<br />
hierarchical team-based approached with residents; along with the<br />
opportunity to work with all of you; physicians in practice who can<br />
show students what life is like after residency. What a great mix!<br />
WSU will be opening its own medical school with its own newly<br />
minted and accredited curriculum in the near future to further<br />
expand undergraduate medical education opportunities. Local<br />
residency positions have grown as well, and there is talk about<br />
further expansion of residency programs. Unfortunately, starting<br />
new GME programs and securing funding for them is challenging.<br />
While graduate medical education (residencies) is growing a bit<br />
more slowly than undergraduate medical education, there have<br />
been modest gains in this area, with more to follow.<br />
All that being said, Spokane has a growing number of medical<br />
family legacies, one that will continue to grow as medical education<br />
takes on a more prominent role in our community. While I would like<br />
to congratulate the newest members of our medical community,<br />
we also owe a debt of gratitude to those more senior members of<br />
these families – those who were the role models, motivators and<br />
supporters along the way. Thank you. n
GME Reform to Meet<br />
the Nation’s Health Needs<br />
By Suzanne Allen, <strong>MD</strong><br />
Vice Dean for Academic, Rural and Regional Affairs,<br />
UW School of Medicine<br />
The University of Washington School<br />
of Medicine (UWSOM) is committed to<br />
exemplary graduate medical education<br />
(GME). Each year ~1600 residents<br />
and fellows train in GME programs in<br />
Washington. Through initiatives to bring<br />
together thought and practice leaders we<br />
are making significant strides to improve<br />
GME for our region and beyond.<br />
The UWSOM has held a GME Summit<br />
Byron Joyner<br />
every other year for the last six years. We<br />
recently held the fourth summit, co-hosted<br />
by UWSOM and the Josiah Macy Foundation, in Spokane. Byron<br />
Joyner, M.D., MPA, Vice Dean for Graduate Medical Education and<br />
Designated Institution Official, presented “GME Reform: A History<br />
of Mandates & Moving Targets.” His session shared where medical<br />
education began in the U.S., and how the first standards set early in<br />
the 20th century still apply to medical education today.<br />
SETTING STANDARDS<br />
In 1910, Abraham Flexner, the father of standards in medical<br />
education – a triumvirate of research, teaching and patient care,<br />
noted that, “For medical education to flourish from one generation<br />
to the next, it has to reconfigure itself in response to changing<br />
scientific, social, and economic circumstances.”<br />
This could not be truer today, more than 100 years later.<br />
Despite this early vision of the need for medical education to<br />
progress, this has proven to be difficult as economics, technologies<br />
and demographics continue to change and evolve, and more<br />
rapidly today than ever before.<br />
PERENNIAL PROBLEMS<br />
Although some issues that date back to the beginning are still<br />
concerns: keeping up with advances in technology, transparency<br />
and accountability, and the geographic maldistribution of physicians,<br />
current external pressures for medical education reform include:<br />
• Changing public expectations<br />
• CMS payments being tied to outcomes<br />
• Changing from circumstantial to intentional practice in residency<br />
education by using six core competencies<br />
OIM REPORT 2014<br />
In 2014 an expert committee formed by the IOM released<br />
“Graduate Medical Education That Meets the Nation’s Health<br />
Needs” – a report that outlines proposed solutions to address<br />
current deficiencies in GME and better shape the physician<br />
workforce of the future. Recommendations from the report include:<br />
• Incentivize a better workforce<br />
• Build a GME policy to standardize hospital practices<br />
• Establish a GME Center within CMS to manage operational<br />
aspects of GME funding and collect and report on data to ensure<br />
transparency and more equal distribution of GME funds<br />
• Modernize Medicare GME payment methodology<br />
• Medicaid GME funding should be each state’s domain<br />
Going back to 1910 and Flexner’s prescient statement that<br />
medical education needs to keep up with change, the future<br />
of medical education, not solely GME, requires standardization<br />
to bring efficiency, quality and patient safety to our population.<br />
Individualization in the learning process, flexibility in rotations,<br />
integration in care teams, maintaining professional identity to lead<br />
the care teams, and promoting life-long inquiry to keep up with new<br />
technologies, methodologies and treatments are all important parts<br />
of continuous improvement in medical education.<br />
GOING FORWARD<br />
Dr. Joyner noted that, as we move forward, it is important to see<br />
that the various agencies, accrediting bodies and stakeholders are<br />
all interested in achieving the same outcome: quality, resourceconscious<br />
patient care, excellence in medical education and<br />
intentional practices that measure verifiable outcomes for the public.<br />
As we move forward with GME reforms, it’s important to note<br />
that the solutions need advocates: politicians and physicians,<br />
patients and nurses, medical students and residents all need<br />
to come together in support of the future of our individual and<br />
collective healthcare. n<br />
COYOTE ROCK<br />
Spokane River<br />
Tucked into the shoreline of the Spokane<br />
River, Coyote Rock offers waterfront living<br />
with five miles of boatable access. Water<br />
skiing, kayaking, paddle-boarding, swimming,<br />
and cycling on the Centennial Trail are just<br />
a few of the many recreational activities<br />
available at Coyote Rock. Coyote Rock is a<br />
master planned waterfront community that<br />
is nestled along the shores of the Spokane<br />
River. Beautifully situated just minutes east of<br />
downtown Spokane, this neighborhood offers<br />
a lifestyle that is unparalleled in the Spokane<br />
area. Relax! And enjoy Spokane’s Premier<br />
Waterfront Community!<br />
Welcome to Coyote Rock.<br />
Waterfront Lots Starting at $159,900<br />
Home Packages Starting at $549,000<br />
www.coyoterockwaterfront.com<br />
BILL FANNING BROKER<br />
ROCK CREEK RIDGE<br />
AT SUNUP BAY<br />
Coeur d’Alene Lake, Idaho<br />
Rock Creek Ridge at Sunup Bay stands apart<br />
on the shores of world famous Coeur d’Alene<br />
Lake in North Idaho. Located a short distance<br />
south of the City, this spectacular property is<br />
limited to 36 estate-size parcels, and the gated<br />
community offers a secluded and spacious<br />
living opportunity covering an impressive 250<br />
acres. Waterfront lots feature 2-6 acres with<br />
95’ to 350’ of lake frontage and a private boat<br />
dock. Ridge lots have generous 4-20 acres<br />
parcels including spectacular views of the lake.<br />
Features include a community beach with<br />
855’ lake frontage and a boat slip for each lot.<br />
Welcome to Coeur d’Alene Lake.<br />
Waterfront Lots Starting at $449,500<br />
Ridge Lots Starting at $149,000<br />
www.rockcreekridgeatsunupbay.com<br />
(509) 999-5444 fanning@21waterfront.com<br />
www.21Waterfront.com<br />
The Message | May 2016 | 9
New Members and Membership Recognition<br />
Welcome, New Members<br />
PHYSICIANS:<br />
Andrew Coletti, <strong>MD</strong><br />
Internal Medicine/Cardiovascular Disease/Interventional Cardiology<br />
Medical School: Albert Einstein (1994)<br />
Internal Medicine Internship & Residency: University of Michigan (1994-1998)<br />
Cardiovascular Disease Fellowship: University of Utah (1999-2002)<br />
Interventional Cardiology Fellowship: University of Utah (2002-2003)<br />
Joined Providence Spokane Cardiology 01/2016<br />
Ryan Goff, <strong>MD</strong><br />
Diagnostic Radiology<br />
Medical School: Tulane University (2010)<br />
Transitional Internship: Riverside Regional Medical Center (2010-2011)<br />
Diagnostic Radiology Residency: Mayo Clinic (2011-2015)<br />
Neuroradiology Fellowship: Emory University (2015-2016)<br />
Joining Inland Imaging Associates, a Division of Integra Imaging, PS 07/2016<br />
Travis James, DO<br />
Dermatology<br />
Medical School: Des Moines University (2012)<br />
Transitional Internship: Largo Medical Center (2012-2013)<br />
Dermatology Residency: Mayo Clinic (2013-2016)<br />
Joining Advanced Dermatology & Skin Surgery 07/2016<br />
Andrea M. Prabhu, <strong>MD</strong><br />
OB/GYN<br />
Medical School: University of Minnesota (2008)<br />
OB/GYN Internship & Residency: University of Washington (2008-2012)<br />
Joining Valley OB/GYN 09/2016<br />
thank you<br />
to the members listed here. Their contribution of time and talent<br />
has helped to make the Spokane County Medical Society the<br />
strong organization it is today.<br />
30 YEARS<br />
W. Ross Coble, <strong>MD</strong><br />
05/15/1986<br />
Richard J. Lambert, <strong>MD</strong><br />
05/15/1986<br />
20 YEARS<br />
Robert C. St. Clair, <strong>MD</strong><br />
05/06/1996<br />
Charles W. Laudenbach, <strong>MD</strong><br />
05/08/1996<br />
10 YEARS<br />
Michael E. Ring, <strong>MD</strong><br />
05/15/2006<br />
Helen M. Schmidt, <strong>MD</strong><br />
05/16/2006<br />
Matthew Weed, <strong>MD</strong><br />
Ophthalmology<br />
Medical School: University of California, San Diego (2006-2010)<br />
Transitional Internship: Providence Sacred Heart Medical Center (2010-2011)<br />
Ophthalmology Residency: University of Iowa (2011-2014)<br />
Ophthalmic Genetics Fellowship: University of Iowa (2014-2015)<br />
Pediatric Ophthalmology & Strabismus Fellowship: University of Iowa (2015-2016)<br />
Joining Spokane Eye Clinic 08/2016<br />
Engage Your Community<br />
The Inland Northwest Blood Center<br />
(INBC) has many volunteer opportunities<br />
available. By joining their dedicated team<br />
of volunteers, you can help maintain a safe<br />
and adequate blood supply for patients<br />
in our community. Not only do volunteers<br />
provide direct services to our blood donors, but they also play a<br />
critical role in a variety of INBC operations.<br />
Join a team who help to make a valuable difference for our<br />
community. Volunteer for any of the following:<br />
Canteen Service: The canteen provides refreshments to blood<br />
donors as a thank you for the precious gift of life they have just<br />
given. Volunteers serve the donors, answer questions, and watch<br />
for donor adverse reactions post donation. Canteen volunteers are<br />
needed at over 550 community blood drives held throughout the<br />
community as well as INBC locations in Spokane, Coeur d’Alene<br />
and Lewiston and weekly blood drives with area hospitals in Moses<br />
Lake, Spokane Valley, Moscow and Pullman.<br />
Courier Service: Couriers travel throughout the Inland Northwest<br />
to our mobile blood drives. Blood products are picked up from the<br />
blood drive and are brought back to the Spokane location. INBC<br />
provides all transportation vehicles for this service.<br />
Clerical Assistance: Many departments utilize volunteers to<br />
fulfill clerical needs. These include computer work, filing, and other<br />
projects, which provide valuable assistance to our staff.<br />
If you have any questions or would like more information about<br />
volunteering with INBC, please contact the Volunteer Services<br />
Coordinator, Tricia Cheevers, at (509) 951-1318 or (800) 423-0151,<br />
ext. 4125, or by email at volunteer@inbcsaves.org. n<br />
SCMS has a monthly column highlighting community engagement<br />
opportunities that you can support. If you have a special program you<br />
would like to bring awareness to, please email shelly@spcms.org.<br />
10 | Spokane County Medical Society
In Memoriam<br />
RICHARD E. AHLQUIST, JR., <strong>MD</strong><br />
Richard E. Ahlquist, Jr., <strong>MD</strong>, passed away on March 30, 2016<br />
in Spokane. He was born on December 12, 1925, and attended<br />
Lakeside Preparatory School in Seattle, Washington. He graduated<br />
from Stanford University in 1948 after serving two years in the Air<br />
Force. He attended the University of Maryland Medical School<br />
graduating cum laude in 1952. His Internship and Residency<br />
training in General Thoracic and Vascular Surgery were received at<br />
University of California Medical Center in San Francisco where he<br />
served as Chief Resident in his final year. Following completion of<br />
his Residency in 1959, he and his wife moved to Spokane to start his<br />
surgical practice, which he maintained until his retirement in 1990.<br />
Dr. Ahlquist was a member of myriad professional medical<br />
associations, including the Washington State Medical Association,<br />
Spokane County Medical Society and the Spokane Surgical Society,<br />
where he served as president in 1976. He also served as a Fellow<br />
and Governor of the American College of Surgeons. He served as<br />
president of the North Pacific Surgical Association in 1988.<br />
Dr. Ahlquist is survived by the love of his life, Janis Roberts<br />
Ahlquist. They met while he was attending University of Maryland<br />
Medical School in Baltimore, and were married in Sewanee,<br />
Tennessee, on June 30, 1950. He is also survived by three children,<br />
four grandchildren, and one great-granddaughter. The Ahlquist<br />
family wishes to thank Senior Helpers and Hospice of Spokane for<br />
their care for and kindness to Dr. Ahlquist.<br />
STEPHEN R. SEARS, <strong>MD</strong><br />
Stephen R. Sears, <strong>MD</strong>, passed away peacefully<br />
on April 18, 2016, while in the loving presence of his<br />
devoted wife. At four years old, he decided to go<br />
to West Point and steadily followed through on this<br />
goal after graduating from Annandale High School<br />
in 1963. After graduating from West Point in 1967, he<br />
continued to medical school at University of Virginia<br />
and was an orthopedic surgeon in the U.S. Army, obtaining the rank<br />
of Colonel and eventually moving into private practice. Steve married<br />
the love of his life, Marilyn, on March 3, 1977.<br />
Dr. Sears is survived by his wife, Marilyn, his daughter and two<br />
vivacious granddaughters, and his sister and brother. He was a<br />
complicated man in all the best ways and never bored his friends<br />
and family with predictability. He loved old westerns, roosters,<br />
wall pictures, clocks, cherry pie filling and his green mini cooper.<br />
He loved learning about world history, especially the Civil War. It<br />
was important to him to never look down on others, and also to<br />
be a good husband, father, son, brother and friend. Those who<br />
knew him will miss his one of a kind smile, lopsided walk, and<br />
most importantly, the most unconditional, non-judgmental love and<br />
support he freely gave to those he loved. He was and, even in his<br />
absence, will continue to be a great hero to his daughter. At the<br />
end, he fought bravely for each day.<br />
Dr. Sears is preceded in death by his mother and father, and often<br />
spoke of how much he missed them. He worked very hard all his life,<br />
up until the very end, and made a difference in the lives of many. n<br />
The Message | May 2016 | 11
SCMS 1st Wednesday Member Mixer<br />
Spokane County Medical Society’s 1st Wednesday Member<br />
Mixer was held on April 6, 2016, at Marketplace Wineries. Guests<br />
enjoyed appetizers and drinks, as well as great conversation with<br />
colleagues in a relaxed atmosphere. A great time was had by all!<br />
A special thanks to our sponsor for the evening!<br />
12 | Spokane County Medical Society
In The News<br />
INLAND IMAGING IS PLEASED TO WELCOME<br />
JOSHUA GARCIA, <strong>MD</strong>, TO OUR PROFESSIONAL<br />
SUBSPECIALIST RADIOLOGY TEAM<br />
Dr. Joshua Garcia comes to Inland<br />
Imaging from the University of Arizona<br />
in Tucson where he completed<br />
fellowship training in neuroradiology.<br />
He is board certified in Diagnostic<br />
Radiology. Prior to joining Inland<br />
Imaging, Dr. Garcia was employed by<br />
Radiology Associates of Hays located in<br />
Hays, Kansas.<br />
A native of California, Dr. Garcia is<br />
married and has two children. He enjoys<br />
spending time with his family, working<br />
out, traveling, and participating in<br />
outdoor activities. He speaks, reads and writes in English, Spanish<br />
and Russian. He has participated in research and service projects in<br />
Namibia and Uganda.<br />
JAMES NANIA, <strong>MD</strong>, FACEP, RECEIVES WA-ACEP<br />
2016 NANCY AUER MERITORIOUS AWARD<br />
Dr. Nania received the Nancy Auer<br />
Meritorious Award on April 28, 2016,<br />
during the WA-ACEP Summit to Sound<br />
meeting. The award recognizes<br />
individuals who have gone above<br />
and beyond the norm in emergency<br />
medicine to improve the quality of<br />
patient care and support the efforts of<br />
the chapter.<br />
Upon completing his residency, Dr.<br />
Nania took his first job at Deaconess<br />
Medical Center in Spokane, hoping to<br />
blend a career with adventures in the<br />
mountains and on the lakes. He remained in practice at Deaconess<br />
for 30 years and served as Medical Director of the ED for the last<br />
25. During his tenure, Deaconess opened a Level II Trauma Center,<br />
established an emergency hyperbaric program, implemented<br />
a Rapid Diagnostic and Treatment Unit, and developed the first<br />
“Virtual Bed,” a telemedicine link to rural hospitals.<br />
From the beginning of his practice in Spokane, Dr. Nania was<br />
involved with EMS and became Medical Program Director for<br />
Spokane County EMS, as well as Medical Director for the critical<br />
care air transport program. He has served in these positions for<br />
more than 30 years and his active involvement, including regular<br />
“ride-alongs,” has provided a full time EMS practice for the last five<br />
years. Today he is known to many as “Dr. Jimmy” from the EMS<br />
educational program “EMS Live@Nite” which is broadcast monthly<br />
to six states.<br />
Dr. Nania worked with the Department of Health to establish a<br />
State Trauma System and, more recently, State Cardiac and Stroke<br />
Systems. “I believe that the best and most challenging area of<br />
medicine is Emergency Medicine,” said Dr. Nania. “I admire the men<br />
and women of our chosen specialty and I know their careers are<br />
measured in lives saved and disability prevented.”<br />
HENRY MROCH, <strong>MD</strong>, AWARDED 2016 SPOKANE<br />
WWAMI TRACK TEACHER OF THE YEAR<br />
Henry Mroch, <strong>MD</strong>, was awarded the<br />
2016 Spokane WWAMI Track Teacher<br />
of the Year at the latest installment of<br />
the University of Washington School<br />
of Medicine – Spokane’s Medical<br />
Education Seminar Series. Over 80<br />
physicians had gathered to learn how<br />
to be better clinical educators, the<br />
conference, however, was interrupted<br />
to recognize Dr. Mroch as students<br />
presented Dr. Mroch with this honor.<br />
Dr. Mroch attended the University of<br />
California Irvine for Medical School, and<br />
then did his Internal Medicine residency at Sacred Heart Medical<br />
Center in Spokane. After completing a fellowship in Nephrology<br />
at the University of Washington in Seattle, Dr. Mroch returned to<br />
practice in Spokane and is currently practicing with the Providence<br />
Medical Group. Since returning to Spokane, Dr. Mroch has been<br />
actively engaged in medical student and resident education.<br />
There is no doubt that Dr. Mroch is deserving of this award. The<br />
students who nominated and voted for Dr. Mroch stated:<br />
“He constantly went above and beyond to ensure I got the most<br />
out of my rotation. He gave me every opportunity to be as involved<br />
as possible with patient care and I came away from the rotation<br />
with many tangible new skills. He often stayed late to ensure I<br />
got beneficial educational experiences. On top of that, he was<br />
extremely kind to everyone he worked with and showed a high level<br />
of respect to staff and patients.”<br />
“He is an outstanding physician teacher and mentor to his<br />
students. He goes out of his way to make the rotation the best<br />
experience possible for the student, including ample one-on-one<br />
teaching time about key concepts of nephrology. His friendly<br />
kindness and compassion exudes constantly, from patients to staff,<br />
fellow colleagues, residents, students, and literally every person<br />
he comes in contact with. His enthusiasm is a joy to work with, and<br />
his high regard for students allows us to experience and perform a<br />
multitude of procedures, all under his careful and patient guidance.”<br />
“He embodies everything a student could want in a teacher. He<br />
brings a joy of medicine with him that is almost infectious. He is kind,<br />
patient, and possesses an eagerness to teach in any way he can.<br />
He has an incredibly deep knowledge of medicine, but carries this<br />
knowledge with great humility. He is a physician whom I would readily<br />
trust my family and friends with, and someday hope to emulate.”<br />
Congratulations to Dr. Mroch! He has clearly raised the bar for<br />
those involved in clinical medical education as we too would like to<br />
emulate these qualities.<br />
Students from the UWSOM who spend their M3 and/or M4 year<br />
in Spokane nominate and vote for one of <strong>MD</strong> preceptor who has<br />
served as a role model or has inspired the students along their<br />
journey to become an <strong>MD</strong>. Previous awardees have included<br />
Matthew Hollon, Chris Vernon, Bob Maixner and Judy Swanson. n<br />
The Message | May 2016 | 13
Your Emergency Cash Reserve<br />
By Greer Gibson Bacon, CFP®<br />
LAYING THE FOUNDATION<br />
FOR YOUR RISK MANAGEMENT PLAN<br />
Everyone needs an emergency cash reserve. The reason is<br />
simple. It helps protect your financial plan from the major and<br />
unexpected events that would create a serious hardship for you<br />
or your family. For example, a family breadwinner might lose her<br />
employment, experience a lengthy disability from accident or<br />
illness, or die. An emergency cash reserve helps you or your family<br />
manage the financial consequence. Minor or expected events<br />
should be managed as a line item in your annual spending plan.<br />
HOW MUCH SHOULD YOU KEEP<br />
IN AN EMERGENCY CASH RESERVE?<br />
Most financial planners agree your emergency cash reserve<br />
should equal your living expenses for three-to-six months. So, if<br />
your living expenses are $100,000 per year, it should be $30,000 to<br />
$60,000. That said; your financial circumstance and risk tolerance<br />
should drive where your emergency cash reserve falls in this range.<br />
Consider these examples.<br />
A commissioned salesperson with few assets and unpredictable<br />
income may keep a 6-month reserve and a retiree with many assets<br />
and predictable income may keep a 3-month reserve. By contrast,<br />
a retiree with a conservative temperament may feel a 3-month<br />
reserve is too risky and a commissioned salesperson with an<br />
aggressive temperament may feel a 6-month reserve has too high<br />
an opportunity cost.<br />
Whatever you do, be honest in your assessment. Failing to<br />
maintain an adequate cash reserve can (and often does) make<br />
a bad situation worse. For example, if you become disabled and<br />
borrow money for living expenses until disability income benefits<br />
begin, how will you repay it? Especially since your disability<br />
income benefits are not likely to replace 100% of your pre-disability<br />
earnings. In my many years of professional practice, I have never<br />
seen a true emergency situation improved by borrowing.<br />
WHERE SHOULD YOU KEEP<br />
YOUR EMERGENCY CASH RESERVE?<br />
Your emergency cash reserve should be kept in a safe and<br />
liquid account. This means you can access it immediately with no<br />
penalty or loss of principal. Also, it means earnings are a secondary<br />
consideration. Good choices are bank savings and money market<br />
deposit accounts (FDIC-insured), and money market mutual funds<br />
(not FDIC-insured). Each choice has its unique pros and cons.<br />
Generally speaking, your emergency cash reserve should be kept<br />
separate from your checking account so it is not accidentally spent.<br />
WHEN ALL IS SAID AND DONE …<br />
Your emergency cash reserve lays the foundation for your<br />
personal risk management plan. It should be carefully coordinated<br />
with your various insurance coverages, like your major medical,<br />
disability income and life insurance depending on your and your<br />
family’s needs. Finally, if you are forced to dip into your emergency<br />
cash reserve, make it a top priority to replenish it. n<br />
Bacon is a Certified Financial Planner and President of Asset Planning<br />
& Management, Inc. A fee-only firm, it provides comprehensive wealth<br />
management services for individuals, their families and professional practices.<br />
I thought I would<br />
be just another<br />
name and number.<br />
But Physicians Insurance has<br />
a heart to it. They have been<br />
supportive in ways that I<br />
never would have imagined.<br />
J. Hamilton Licht, <strong>MD</strong>, Nephrologist<br />
Nephrology Associates of Yakima<br />
Yakima, Washington<br />
Real People.<br />
A Real Foundation.<br />
www.phyins.com<br />
phyi-new-concept-ideas-licht-7.5x4.75-2.indd 1<br />
14 | Spokane County Medical Society<br />
1/7/16 1:38 PM
A Provider’s Role in Curbing Cravings<br />
‘I will prevent disease whenever I can, for prevention is preferable<br />
to cure.’ Used in many medical schools today, many providers<br />
subscribe to this core tenet of practicing medicine. And the<br />
commonly-acknowledged, low-hanging fruit in terms of prevention?<br />
Quitting smoking.<br />
Patients who stop smoking greatly reduce their risk for disease<br />
and early death. Indeed, quitting smoking is the best thing a person<br />
can do for their health [1]. But, also well known among providers and<br />
patients alike—quitting smoking isn’t easy.<br />
There is hope, though. When working with a patient who is<br />
trying to quit smoking, providers can use the 5 A’s: Ask, Advise,<br />
Assess, Assist, and Arrange. Having cessation resources on hand is<br />
paramount to the ‘Assist’ and ‘Arrange’ steps. Providers can rely on<br />
Spokane Regional Health District’s (SRHD’s) resource for tobacco<br />
cessation that can be found at srhd.org/topics/cessation.asp<br />
Next hurdle? What should a provider do after counseling a patient<br />
and providing resources, but the patient is struggling in their plan<br />
to quit? Providers can help by coaching patients through cravings,<br />
using proven strategies to help see them through need. Patients<br />
can benefit from many of the tips offered by smokefree.gov and<br />
providers can be the conduit.<br />
Specific to cravings, as a provider trying to help, the first step is<br />
to identify a patient’s triggers for lighting up. Common triggers are<br />
feeling stressed or down, talking on the phone, drinking alcohol,<br />
having sex, or seeing someone else smoke. Once a patient knows<br />
their triggers, they can work to avoid these types of situations.<br />
When avoiding a trigger isn’t possible, or when a craving is already<br />
present, patients can try these techniques to avoid lighting up:<br />
• Call someone who can help you. Calling 1-800-QUIT-NOW will<br />
connect a patient with someone who can help counsel them<br />
through their quit attempt. Patients should also be encouraged<br />
to contact a friend or someone they trust who can support and<br />
encourage them.<br />
• Wait 15 minutes – a typical craving lasts between 5-10 minutes.<br />
• Take a walk or get some exercise - physical activity can help boost<br />
energy and overcome cravings.<br />
• Review their personalized quit plan and the reason they are<br />
quitting tobacco.<br />
• Go to a smoke-free area where people are not allowed to smoke.<br />
• Calculate financial savings from quitting and decide what to buy<br />
with the savings.<br />
• Chew gum or eat a hard candy.<br />
• Drink water.<br />
• Do something else entirely – when a craving comes on, change<br />
what you are doing altogether.<br />
• Take deep breaths and try to relax.<br />
Providers should remind their patients that quitting can take<br />
practice. If they smoke during a craving, they shouldn’t give up on<br />
their quit plan. Encourage patients to immediately get back to their<br />
quit plan until they can quit for good.<br />
If you have questions about how<br />
SRHD is working to decrease tobacco<br />
use, contact the Tobacco, Vaping Device<br />
and Marijuana Prevention coordinator<br />
by email at pmcgowan@srhd.org or call<br />
(509) 324-1504. n<br />
References:<br />
[1] www.mayoclinic.org/healthy-lifestyle/quit-smoking/in-depth/quit-smoking/art-20045452<br />
The Message | May 2016 | 15
Making Full Use of Your SCMS Membership<br />
Create Your Membership Experience!<br />
Professional associations are a huge resource to the individuals who<br />
belong to them, and are most valuable when you take full advantage<br />
of the membership benefits offered. That said, how can you make sure<br />
you’re getting the most out of your SCMS membership?<br />
• Show up. SCMS events foster collegiality and provide you<br />
the opportunity to network with your peers. It’s a great way to<br />
expand your network, learn more about your industry within your<br />
community, and even make your next job search easier. Make it a<br />
priority to know when events are happening and attend<br />
whenever possible.<br />
– Monthly 1st Wednesday Member Mixer; Annual summer cruise<br />
in July; GMM each January.<br />
• Get engaged. Succeed in your personal development and add your<br />
voice by becoming involved on one of our committees or task<br />
forces, including advocacy opportunities ensuring responsible<br />
public health policy and a united voice on the issues that matter to<br />
you. When you engage as a member of SCMS, your voice is amplified<br />
hundreds of times over. Participating allows you to develop stronger<br />
relationships with colleagues and organizations within the<br />
community, resulting in recommendations and opportunities to<br />
partner. SCMS can open you up to an increased range of leadership<br />
opportunities that you might otherwise miss out on.<br />
• Utilize the SCMS website and your unique profile page. Our<br />
newly constructed website now provides all practicing, active<br />
members with a unique profile page that’s keyword searchable by<br />
colleagues and the public, and is a valuable resource for referrals.<br />
Keeping your profile page current will lead others to you and<br />
your services.<br />
• Use the Physician Wellness Program. Staffed by a professional<br />
in behavioral health for medical professionals, the program is<br />
anonymous, confidential, easily accessible and free to SCMS<br />
members for the first 8 sessions.<br />
• Contribute to the SCMS newsmagazine. Write and submit an<br />
article for inclusion in The Message, agree to an interview for a<br />
feature article, or point us toward information you feel is pertinent<br />
to your colleagues. You can also advertise an opening in your<br />
office, now worldwide on our website.<br />
The need for an active county medical society has<br />
never been greater as we strive to carry a united voice<br />
on relevant healthcare issues in this region.<br />
When you show up, engage, and utilize the opportunities available<br />
to you as a SCMS member, you will no longer be left scratching your<br />
head wondering what you’re getting out of the experience. Your<br />
network will grow, your name will become more widely recognized<br />
among colleagues, and opportunities will open up where you never<br />
even knew they could. And the best part is – you can accomplish all<br />
this while supporting an organization that is focused on our members,<br />
the medical profession and our community. It’s one of those rare<br />
instances where everybody benefits!<br />
Clinic Medical Director<br />
Family Medicine Physician with Obstetrics<br />
With three clinics in beautiful Spokane, Washington, Unify<br />
Community Health has grown. We are currently recruiting<br />
for a Family Medicine physician to lead our dedicated,<br />
mission-driven providers. This is a unique opportunity for<br />
a Medical Director who will have the ability to also care<br />
for their own panel of patients.<br />
A few of our benefits include:<br />
• Market-competitive compensation<br />
• Generous benefits package<br />
• 1 in 4 call<br />
• Hiring bonus and relocation package<br />
• EMR: Epic<br />
Unify Community Health<br />
providerjobs@yvfwc.org | 1-877-983-9247 | www.yvfwc.org<br />
16 | Spokane County Medical Society
Classified Ads<br />
REAL ESTATE<br />
LIBERTY LAKE GATED, 3 bedroom, 2.5 bath manufactured home<br />
with attached 24’ x 60’ shop with lean-to on 10 acres MOL, wood<br />
stove, mud room, in line water, grid interactive solar with battery<br />
backup and wind turbine included, propane in, utilities in to North<br />
building pad with Saltese Flats, Liberty Lake Conservation and Mica<br />
views. Surveyed and fenced, large animals allowed. Possible free<br />
electric and DOR production renewable energy credits. Possible<br />
equestrian/bike/hiking/hunting fenced private Mica Conservation<br />
area access. Creek frontage. Buyer to assume Farm/ag tax<br />
classification (possible lease back). Priced at $299,900. MLS:<br />
201612516/201612517. Contact Noland at (509) 220-7512, noland@<br />
peterdy.com. 23215 E. Henry Road. Possible owner financing. Seller<br />
is the Designated Broker. Possible off grid, great for preppers.<br />
____________________________________________________<br />
FOUR ADJACENT 10 ACRE NINE MILE FARM/RANCH/RETREAT/<br />
DEVELOPMENT/LOTS for sale. Corner parcel. Bus route. Three<br />
phase power. 2 wells with pumps, water lines, hydrants and primary/<br />
secondary electric in and on, possible green solar container/<br />
reservoir available. Possible free electric and DOR renewable<br />
energy production credits. Fenced/cross fenced. Large animals<br />
allowed. 4 ten acre parcels, each with a certificate of exemption.<br />
Great hunting. Adjacent to DNR access. Great views. Possible<br />
owner financing. Just minutes from Airway Heights. Surveyed. Area<br />
of nicer newer homes. Buyer to assume Designated forest tax<br />
classification. Priced at $75,000 each. MLS: 201611236,201611652.<br />
Contact Noland at (509) 220-7512, noland@peterdy.com. 11211 N.<br />
Dover/17514 W. Burnett. Seller is the Designated Broker. Possible off<br />
grid, great for preppers.<br />
____________________________________________________<br />
LAKE FRONT CONDO FOR RENT with desired southern exposure<br />
on Pend Oreille Lake. 3 levels; sleeps 8. 2 bathrooms, fully<br />
furnished. Boat slip and garage included. Sandy beach. Multiple<br />
decks, close to Sandpoint. Rent by the month or for the summer.<br />
$4,500 per month. Call (509) 993-8547.<br />
____________________________________________________<br />
MEDICAL OFFICES/BUILDINGS<br />
NORTH SPOKANE PROFESSIONAL BUILDING has several<br />
medical office suites for lease. This 60,000 sq. ft. professional<br />
medical office building is located at 5901 N. Lidgerwood directly<br />
north of Holy Family Hospital at the NWC of Lidgerwood and Central<br />
Avenues. The building has various medical office spaces available<br />
for lease from 635 to 10,800 contiguous usable sq. ft. and has<br />
undergone extensive remodeling, including two new elevators,<br />
lighted pylon sign, refurbished lobbies, corridors and stairways.<br />
Other tenants in the building include urgent care, family practice,<br />
pediatrics, dermatology, dentistry, pathology and pharmacy. Floor<br />
plans and marketing materials emailed upon request. A Tenant<br />
Improvement Allowance is available, subject to terms of lease.<br />
Contact Patrick O’Rourke, CCIM, CPM® with O’Rourke Realty, Inc. at<br />
(509) 624-6522, mobile (509) 999-2720 or psrourke@comcast.net<br />
____________________________________________________<br />
The Message | May 2016 | 17
Classified Ads<br />
MEETINGS/CONFERENCES/EVENTS<br />
INSTITUTIONAL REVIEW BOARD (IRB): Meets the second<br />
Thursday of every month at noon at the Heart Institute, classroom<br />
B. Should you have any questions regarding this process, please<br />
contact the IRB office at (509) 358-7631.<br />
____________________________________________________<br />
AL-ANON FAMILY GROUPS AND ALATEEN REFERRALS: Al-Anon<br />
and Alateen support groups are available in Spokane County for<br />
family members and friends of alcoholics at which men and women<br />
share experiences of solving common problems arising from living<br />
with or loving a problem drinker. Alateen meetings are for teenage<br />
family members and friends of alcoholics and are not suitable for<br />
teens with current drinking problems. For further information and<br />
meeting schedules contact District2AlAnonOutreach@yahoo.com<br />
or (509) 456-2125. Al-Anon and Alateen support groups can<br />
supplement medical treatment and counseling therapy. Information<br />
provided by Al-Anon District 2 Public Outreach Committee.<br />
____________________________________________________<br />
SPOKANE COUNTY MEDICAL SOCIETY PRESENTS MEDICINE<br />
2016: The program will focus on the more challenging management<br />
issues that clinicians encounter. The conference will be held on<br />
Friday, October 7, 2016, at the Red Lion Hotel at the Park. For more<br />
information, contact Karen Hagensen (509) 325-5010 or<br />
karen@spcms.org.<br />
____________________________________________________<br />
MEDICINAL CANNABIS AND CHRONIC PAIN PROJECT- A<br />
SCIENCE-BASED ONLINE TRAINING FOR CLINICIANS IN TIMES<br />
OF LEGALIZATION. CME Webinar Expires December 31, 2016.<br />
Legalization has brought increased public attention to cannabis and<br />
its medicinal properties. This training provides you with up-to-date<br />
information on the use of medicinal cannabis for the treatment<br />
of chronic pain in two online modules. The first is a basic primer<br />
on the mechanism of action of medicinal cannabis, its medical<br />
uses, and Washington State law. The second focuses on the best<br />
clinical practices associated with the recommendation of medicinal<br />
cannabis. This training provides useful tools for healthcare providers<br />
in their discussion with patients about the use of medicinal cannabis<br />
in the treatment of chronic pain. Up to 2.0 AMA PRA Category<br />
1 Credits are available upon completion. Click here for more<br />
information and to begin the training: adai.uw.edu/mcacp.<br />
____________________________________________________<br />
POSITIONS AVAILABLE<br />
ESTABLISHED SPOKANE CLINICAL RESEARCH COMPANY is<br />
seeking primary care and specialty physicians interested in serving as<br />
Principle Investigators or as Sub-Investigators. There is an opportunity<br />
to assume an on-going research portfolio and to join new studies that<br />
are opening in the winter of 2015-16. For more information, contact<br />
Dalyn Boehm or Greg Jared at Premier Clinical Research at<br />
(509) 343-3710 or research@premierclinicalresearch.com.<br />
____________________________________________________<br />
Extraordinary Care in a<br />
Private & Safe Environment.<br />
Rockwood South Hill provides knowledgeable therapeutic<br />
care for people with Alzheimer’s or other forms of dementia.<br />
Families can feel confident turning to Rockwood to provide<br />
needed care for their loved ones in an environment where<br />
they can thrive.<br />
Memory<br />
Care Services<br />
Rare Opportunity!<br />
Move-in ready apartments.<br />
Memory Care Features:<br />
• Licensed nurses on-duty 24-hours a day<br />
• Beautiful secure outdoor courtyard<br />
• Studio apartments with private bathrooms<br />
• Daily structured activities, scheduled scenic drives<br />
& outings<br />
• Transportation to doctor appointments<br />
• Fresh prepared nutritious meals<br />
• On-site healthcare and therapy services<br />
For a private consultation or tour, contact our<br />
Transitional Care Consultant at 509-344-6912<br />
email: careinfo@rockwoodretirement.org<br />
www.rockwoodretirement.org<br />
18 | Spokane County Medical Society
MANN-GRANDSTAFF VA MEDICAL CENTER in Spokane has<br />
immediate opportunities for Psychiatrists, Emergency Medicine,<br />
Gastroenterologists, Neurologist, Pulmonologist, part-time<br />
Gynecologist, Oncologist/Hematologist, Infectious Disease, General<br />
Surgeon, Chief of Surgery and a Director of the Emergency<br />
Department. Recruitment incentives may be available. Please<br />
contact Jim Erickson at (509) 434-7211 (James.Erickson@va.gov) or<br />
Robyn Highbarger (509) 434-7393 (Robyn.Highbarger@va.gov) for<br />
specific information about positions.<br />
____________________________________________________<br />
JOIN OUR TEAM AS AN ARNP OR PA-C! Christ Clinic is a seeking<br />
an ARNP or PA-C to serve as an anchor provider for 3.5 days/<br />
week (35 hours). Candidates must have current WA state license,<br />
experience in primary care and ability to work with electronic<br />
medical records. For more information or to apply send your cover<br />
letter and resume to bridget@christclinic.org. As a member of our<br />
team at Christ Clinic you will help heal the body and soul<br />
of Spokane.<br />
____________________________________________________<br />
WE ARE SEEKING AN EXPERIENCED CERTIFIED PHYSICIAN<br />
ASSISTANT, male or female, to join our team in a busy small,<br />
independent family practice in North Spokane. Beautiful office,<br />
super location, great patients! Contact lon_madsen@hotmail.com.<br />
____________________________________________________<br />
PALOUSE MEDICAL Do you know someone who is looking for<br />
a change or would be interested in relocating to the Moscow-<br />
Pullman area? If so, please help us spread the word about<br />
some amazing employment opportunities available in Pullman,<br />
Washington. As a privately owned, multi-specialty clinic, Palouse<br />
Medical is a busy physician office located in beautiful Pullman,<br />
Washington. Our practice has immediate openings for the<br />
following positions: Internal Medicine Physician Primary Care &<br />
Join Our Hospitalist Team; Family Medicine Physician with OB<br />
Primary Care & Join Our OB Care/Delivery Team; ReadyCare<br />
Healthcare Provider Mid-level or Physician to join our minor care,<br />
walk-in clinic team.<br />
Don’t delay, contact us TODAY! We would love an opportunity<br />
to personally provide you with more details and answer your<br />
questions. Contact Theresa Kwate, Administrator of Palouse<br />
Medical, directly at (509) 334-8400 or email at tkwate@<br />
palousemedical.com. Visit our website for more information:<br />
www.palousemedical.com/contact-us/employment<br />
____________________________________________________<br />
PART-TIME NP NEEDED Busy specialty office needing part-time<br />
Nurse Practitioner. Musculoskeletal experience preferred but not<br />
required. Training / education provided. Must have active WA<br />
license. Position starts at 3 days per week and will increase as office<br />
expands. Please email your CV to nwsprecruiting@yahoo.com.<br />
____________________________________________________<br />
CLINICAL DIRECTOR Are you ready to put your license and<br />
education to work? Eastern State Hospital in Medical Lake, WA<br />
is seeking an experienced, diverse Geropsychiatric Unit Clinical<br />
Director to join our medical staff. Benefits include: Major medical,<br />
dental, and vision insurance, retirement, 11 paid holidays, vacation,<br />
and sick leave. If interested, apply online at www.careers.wa.gov;<br />
type 06029 in the Keywords box.<br />
____________________________________________________<br />
PREDIABETES and<br />
WEIGHT MANAGEMENT<br />
SYMPOSIUM<br />
Friday May 20, 2016<br />
8:15am – 4pm<br />
Lincoln Center | 1316 N Lincoln Street<br />
Group discussions in the morning<br />
cover important topics such as diabetes<br />
prevention, cultivating public awareness,<br />
barriers for screening and monitoring,<br />
and evidence based treatment options.<br />
Breakout sessions in the afternoon<br />
will cover the topics of prevention,<br />
pathophysiology, complications,<br />
and medication; presented by a<br />
great lineup of speakers, including<br />
Katherine Tuttle, <strong>MD</strong>; Kaushik Chatterjee, <strong>MD</strong>;<br />
Lisa Woodard, PharmD; Carol Wysham, <strong>MD</strong>;<br />
and Heather Readhead, <strong>MD</strong>.<br />
Lunch<br />
served<br />
—<br />
CME<br />
6 credits<br />
For more information<br />
call 509.232.8138<br />
To register, visit:<br />
https://courseregistration.inhs.org/<br />
This Live activity, Pre-Diabetes and Weight Management Symposium,<br />
with a beginning date of 5/20/2016, has been reviewed and is<br />
acceptable for up to 6.00 Prescribed credit(s) by the American<br />
Academy of Family Physicians. Physicians should claim only the credit<br />
commensurate with the extent of their participation in the activity.<br />
The Message | May 2016 | 19
Classified Ads<br />
PROVIDER POSITIONS AVAILABLE! Physician, Primary Care –<br />
Maple Street Clinic; Physician, Primary Care – Perry Street Clinic;<br />
Physician, Urgent Care – Spokane Urgent Care – Valley; Physician<br />
Assistant or ARNP, Pediatrics – North County Clinic; Physician<br />
Assistant or ARNP, Urgent Care – Spokane Urgent Care – North;<br />
Locum Provider, Urgent Care. With 12 clinics throughout the<br />
Inland Northwest and more on the way, CHAS serves a critical<br />
need in the community by providing comprehensive medical,<br />
dental, behavioral health and pharmacy care to residents of all<br />
ages regardless of insurance status. If you are looking to make a<br />
difference in the lives of people in your community, CHAS is the<br />
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more about CHAS or contact Workforce Development at<br />
(509) 444-8888 or work@chas.org.<br />
____________________________________________________<br />
OPPORTUNITIES IN CHENEY! CHAS is seeking Physicians,<br />
Physician Assistants and Nurse Practitioners to join our newest<br />
location, Cheney Health Center! Offering medical, pharmacy<br />
(coming spring 2016) and behavioral health services, Cheney<br />
Health Center is providing comprehensive care to residents of all<br />
ages regardless of insurance status. If you are looking to make a<br />
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employer of choice! Please visit www.chas.org/careers to learn<br />
more about CHAS or contact Workforce Development at<br />
(509) 444-8888 or work@chas.org.<br />
____________________________________________________<br />
PSYCHIATRISTS Providence Medical Group is seeking several<br />
excellent Psychiatrists to join our team in eastern Washington.<br />
Flexible full-time practice opportunities where you can choose<br />
to do inpatient only, faculty only (Psychiatry Residency program),<br />
or inpatient/faculty split. Schedule will be 7 days on / 7 days<br />
off, with 12 hour “on” days. Whichever opportunity you choose,<br />
the positions offer an exceptional compensation and benefits<br />
package, and great quality of life in scenic Spokane. To apply,<br />
contact Jackie Sill; Jacqueline.Sill@providence.org;<br />
(509) 474-2076.<br />
____________________________________________________<br />
PRACTICE FOR SALE Spokane Valley, WA. AAAASF Certified<br />
Facility. If interested contact Celeste Winterroth at<br />
cwinterroth@inwhealth.net.<br />
____________________________________________________<br />
Interested in placing a classified ad?<br />
Contact Shelly Bonforti, SCMS Publications<br />
Phone: (509) 325-5010, Fax (509) 325-5409<br />
or Email: shelly@spcms.org<br />
20 | Spokane County Medical Society
SCMS Foundation<br />
Wellness Program<br />
It’s okay to ask for help!<br />
We want to make that ask<br />
as easy as possible.<br />
• No such thing as a too small problem, professional or personal.<br />
• Anonymous.<br />
• Care and counseling provided by an independent professional,<br />
focused on medical professionals.<br />
• First 8 sessions free to SCMS members (available at contracted<br />
rate to non-members).<br />
• 24/7 anonymous phone referral through third party service.<br />
Appointments set within 24 hours of request, including before<br />
or after office hours.<br />
• Private setting in an independent provider’s office or if<br />
preferred in a dedicated, private entrance, soundproofed room<br />
within the Spokane County Medical Society offices.<br />
• No information disclosed to others by provider without the<br />
physician's written consent (imminent risk of danger to self or<br />
others excepted, or where otherwise restricted by law).<br />
• No role in disciplinary or fitness-for-duty evaluations.<br />
• Coordinated referrals to other programs and agencies as<br />
applicable, indicated or desired.<br />
Call our 24-hour<br />
dedicated hotline at<br />
(509) 720-6000<br />
staffed by a professional<br />
in behavioral health<br />
for medical professionals.<br />
To make a tax deductible donation to support this<br />
program, contact Karen Hagensen at<br />
(509) 325-5010 or karen@spcms.org,<br />
or mail to:<br />
Spokane County Medical Society Foundation<br />
Attn: Wellness Program<br />
901 E. 2nd Ave., Ste. 301<br />
Spokane, WA 99202-2257<br />
ADDITIONAL RESOURCES INCLUDE: WELLNESS • EDUCATION & TRAINING • BUSINESS • LITIGATION
SPOKANE COUNTY MEDICAL SOCIETY<br />
901 E. 2ND AVE., STE. 301<br />
SPOKANE, WA 99202<br />
ADDRESS SERVICE REQUESTED<br />
Please Recycle<br />
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26<br />
Subspecialties<br />
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